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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)468.3420 NON-REFUNDABLE PERMIT CALL 209)953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED Joe ADDRESS 23223/23245 South Austin Road CITy21p Ripon,95366 Sn m CROSS STREET West Ripon Road APN 226-150-27 PARCEL SIZE 38.79 acres o 0 OWNER NAME Dave Wilson (nursery PHONE(209)612-8677 OWNER ADDRESS 23223 South Austin Road CITYISTATE/ZIP Ripon,CA 95366 CONTRACTOR AdvancedGeo,Inc. PHONE 800 511-9300 CONTRACTOR ADDRESS 837 North Shaw Road CITY/STATEIZIP Stockton,CA 95215 LICENSE E C42 ❑-C-36 OTHER CA PG NUMBER 8,574 EXPIRATION DATE 01/31/21 WATER TABLE DEPTH: 30-40 ft GEOGRAPHICAL INFORMATION: Coordinates X Y X_ PERC TEST # 2 BUILDING PERMIT#/ LAND USE APPLICATION# TYPE OF WORK: NEW INSTALLATION REPAIR/ADDITION ENGINEER DESIGNED)ALTERNATIVE REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION INSTALLATION WILL SERVE: ❑ RESIDENCE COMMERCIAL _! OTHER NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: ❑ SEPTIC TANK TYPEIMFG CAPACITY __ gal #OF COMPARTMENTS__- ❑ GREASE TRAP TYPEIMFG CAPACITY gal #OF COMPARTMENTS__ DISTANCE TO NEAREST: WELL It FOUNDATION ft PROPERTY LINE ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES it DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE _ _ ft L3 FILTER ��FILTER BED WIDTH LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft M [3MOUNDED WIDTH ft LENGTH fl DEPTH ft C`/VA� DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft A�� El SUMPS WIDTH ft LENGTH ft DEPTH ft l� 312920 DISTANCE TO NEAREST WELL R FOUNDATION it PROPERTY LINE Sd. ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH SOA 0/ DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE FAQ VIRON N COU E rA ❑ SEEPAGE PITS NUMBER DISTANCE To NEAREST WELL ft ft FOUNDATION ft ftDEPTPROPERTYLINE ft TNft D ARTMENTy I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 SIGNED BrianMillman TITLE CA Professional Geologist No.8574 DATE 26 August 2020 '7 J DEPARTMENTUSE ONLY ,p Application Accepte y f�� `— _ Date 3 Ooi 0 Area s Employee ID# DN Final Inspection By Date ❑ SPECIAL PERMIT-Approved by Character of Soil to Depth of 3 Ft: It/Sump Soil Character: COMMENTS r��1/ •S 4 rn:v,YtG P� Dei'C. Yo, �• /'W y i It L�} �� PE SC Received Check#/ Amount Date Permit/ Invoice# Permit ID# Code INFO B Cash Remitted Service Request# yaaa S93 dAk 42-01 /3" 2—E- ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4/14I1E