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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)4683420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 10331 N State Rte 99 Frontage Road CrrYZP Stockton,95212 = <br /> CROSS STREET Walief Road APN 122-030-060 PARCEL SIZE 1.12 0 <br /> A <br /> OWNER NAME Felix Jaimes PHONE 209 296-4420 <br /> OWNER ADDRESS 8712 Los Olivas Ct CITY/STATEMp Stockton,CA.95210 <br /> CONTRACTOR Advanced Geo,inc.(AGI) PHONE(800)511-9300 <br /> CONTRACTOR AODREss 637 N Shaw Road CFrr/STATEZP Stockton.CA,95215 <br /> LICENSE O-C-42 O_C36 OTHER C-57/A-Haz NUMBER 680227 ExPIRATION DATE 11/30/20 <br /> WATER TABLE DEPTH: 75 R GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST #1 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: _ NEW INSTALLATION _ REPAIR/ADDITION _ ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OFSER%nCE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: D RESIDENCE D COMMERCIAL 0 OTHER <br /> NUMBER OF LPANG UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPFJMFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST. WELL It FOUNDATION ft PROPERTY LINE ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT D SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES C LEACHING CHAMBERS #OF LINES LENGTH OF UNE$ R <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY UNE fl <br /> ❑ FILTERSED WIDTH ft LENGTH It DEPTH R <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY UNE It <br /> ❑ MOUNDED WIDTH It LENGTH ft DEPTH R <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY UNE It <br /> Cl SUMPS WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY UNE R <br /> ❑ DISPOSAL PONDS WIDTH It LENGTH ft DEPTH R <br /> DISTANCE TO NEAREST WELLft FOUNDATION ft PROPERTY UNE ft <br /> ❑ SEEPAGE PITS NUMBER WIDTH It DEPTH ft <br /> DISTANCE TO NEAREST WELLR FOUNDATION ft PROPERTY UNE R <br /> 1 HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MINIMUM 48,4bUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PI-EASE CALL 209 953-7697 <br /> SIGNED TITLE Senior Geologist DATEg <br /> J 1 1 =.1 1 1 <br /> 1,9 rNvv <br /> N <br /> �NTY <br /> q( <br /> ANT <br /> O PARTMENT USE.6NLY <br /> Application Acceptedey Date Are Employee ID#� <br /> Final Inspection By Date D S CIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character. <br /> r COMMENTS <br /> I PE SC Received Check#! Amount Permit/ Invoice# Permit ID# <br /> Code INFO B as Remitted Date Service Re uest# <br /> Z 060 31 WA 10W <br /> ( l <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114118 <br />