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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)468-3420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 23223/23245 South Austin Road CITY/ZIP Ripon,95366 n <br /> CROSS STREET West Ripon Road APN 226-150-27 PARCEL SIZE 38.79 acres c <br /> OWNER NAME Dave Wilson (nurserym <br /> PHONE(209)612-8677 <br /> OWNER ADDRESS 23223 South Austin Road CITY/STATE/ZIP Ripon,CA 95366 <br /> CONTRACTOR AdvancedGeo,Inc. PHONE 800 511-9300 <br /> CONTRACTOR ADDRESS 837 North Shaw Road CITY/STATE/ZIP Stockton„CA 95215 <br /> LICENSE C�. C42 ❑ C-36 OTHER C4 PG NUMBER 8574 EXPIRATION DATE 01/31/21 <br /> WATER TABLE DEPTH: 30-40 ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> 91 PERC TEST # 2 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION _ REPAIRIADDITION ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE -3 COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTICTANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF CPMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE It <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft ft PROPERTY LINE ft Pq <br /> Ll FILTER BED WIDTH LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE It A/�� D <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH It 4t 3, Z0^O <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE Sd fl. G/ <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTi( INV QU <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE E,chl THRONMEOOVNTy <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft DEPq NTQ L <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTYLINE it M�NT <br /> I 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 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGNED_ ;”+v+ %` Brian Millman TITLE CA Professional Geologist No.8574 DATE 26 August 2020 <br /> 71 <br /> DEPARTMENT. US ONLY <br /> Application Accepted By �_�� Date 3 0,;U Area S = Employee ID# 1]/1 <br /> Final Inspection By Date ❑ SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br /> COMMENTS <br /> PE SC Received Check#/ Amount Permit/ <br /> Code INFO B C Date <br /> sh Remitted Service Re uest# Invoice# Permit ID# <br /> yJJJ SJ3 - v <br /> 42-01 /3 -91� ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 <br />