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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 /> Jos ADDRESS 10331 N State Rte 99 Frontage Road Cm./LP Stockton.95212 rn <br /> e� <br /> CROSS STREET Weller Road APN 122-030-080 PARCEL SIZE 1.12 c <br /> e <br /> OWNER NAME Felix Jeimes PHONE 209 298-3420 <br /> OWNER ADDRESS 8712 Los Olives Ct CrrY/STATE/ZIP Stockton,CA,95210 <br /> CONTRACTOR AdvancedGeo,Inc.(AGI) pHOME(800)511-9300 <br /> CONTRACTOR ADDRESS 637 N Shaw Road CITY/STATEIZIP Stockton,CA,95215 <br /> LICENSE i.:..Cit i. C-36 OTHER C•57/A-Haz NUMBER 680227 EZPIRAnoN DATE 11/30/20 <br /> WATER TABLE DEPTH: 75 it GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> DC PERC TEST #1 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: _ NEW INSTALLATION REPAIR/ADDITION ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: L, RESIDENCE t_ COMMERCIAL 1. OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPEIMFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE 1t <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 PROPERTY LINE ft <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELLIt FOUNDATION ft PROPERTY LINE it <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE TO NEAREST WELLft FOUNDATION ft PROPERTY LINE it <br /> ❑ SUMPS WIDTH ft LENGTH It DEPTH ft <br /> DISTANCE TO NEAREST WELL R FOUNDATION ft PROPERTY LINE ft <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY UNE it <br /> ❑ SEEPAGE PM NuMaeR WIDTH It DEPTH R <br /> DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY UNE ft <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPUCA71ON 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 /> mimmum 1AAbUR Aj2W(Ng&INQUCE REQUIRED FOR INSPECTIONS-PLEASE CALL 1209)953-769 <br /> SIGNED TITLE Senior Geologist DAA 9 <br /> 0 <br /> zo2� <br /> U <br /> A4 � <br /> �Nt <br /> PA T Y <br /> Application Accepted Date Are Employee ID# <br /> Final Inspection By Date 701p I.., 4SCIAL PERMIT-Approved by <br /> Character of Soil to pth of Ft: Pit/Sump Soil haracter. _ <br /> COMMENTS -u� Co�G <br /> PE SC Received ac AmountDateParmiU Invoice# Permit ID# <br /> Code INFO //�5� Remitted Service R est# <br /> W0 PI . <br /> 42,01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 414118 <br />