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r <br /> 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 21145 East Sara Lane OITy/ZIP Linden,95236 v <br /> CROSS STREET South Reid Avenue APN 183-360-700 PARCEL SIZE 2.0 acres O <br /> v <br /> OWNER NAME Hoban PHONE(209)823-4804 z <br /> to <br /> OWNER ADDRESS 324 Sycamore Avenue CITY/STATE2IP Manteca,CA 95337 <br /> CONTRACTOR AdvancedGeo,Inc. PHONE 800 511-9300 <br /> CONTRACTOR ADDRESS 837 North Shaw Road CITY/STATE/ZIP Stockton,CA 95215 <br /> LICENSE 07C-42 0=C-36 OTHER CA Professional GeolORAMSER 8574 EXPIRATION DATE 1/31/21 <br /> WATER TABLE DEPTH: 140-150 ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> ID PERC TEST #f r BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: ❑ NEW INSTALLATION ❑ REPAIR/ADDITION ❑ ENGINEER DESIGNED/ALTERNATIVE <br /> -. REPLACEMENT ❑ OUT-OF-SERVICE SEPTIC SYSTEM LI DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEP71CTANK TYPEIMFG CAPACITY gal #OFCOMPARTMENTS <br /> ❑ GREASETRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL it FOUNDATION ft PROPERTY LINE ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES I LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION it PROPERTY LINE_ ft P <br /> ❑ FILTER BED WIDTH it LENGTH it DEPTH ft -l <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTYLINE ft <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE To NEAREST WELL ft FOUNDATION _ ft PROPERTYLINE_ _it P O <br /> ❑ SUMPS WIDTH It LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION_ _ ft PROPERTY LINE__ ( <br /> ❑ DISPOSAL PONDS WIDTH it LENGTH ft DEPTH EAI�I41 <br /> QUIN <br /> DISTANCE TO NEAREST WELL ft FOUNDATION_ _ ft PROPERTYLINE _ /' Op/V 'C��p. <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH __ -_—ftN opn.^t vigt <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE (t /fir MLC`N', <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 Brian Millman TITLE CA Professional Geologist No.8574 DATE 22 September 2020 <br /> 1 1# <br /> ,A DEPARTMENTUSEONLY �j y� <br /> Application Accepted B vv Date 4 Area ` Employee ID# /�A <br /> Final Inspection By Date;\O 1 2 I Ify-in❑ SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br /> COMMENTS? SS-1 ons..J <br /> PE SC Received Check#/ Amount ate Permit/ Invoice# Permit ID# <br /> D <br /> Code INFO Cash Remitted Service Re ue t# <br /> qa$V 'sem sa <br /> 4 • N� l� G ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14//14/18 <br />