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IL411 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 JOB ADDRESS 12445 Curry Avenue CITy/ZIp Lodi,95240 1 m CROSS STREET East Haight Road ApN 061-140-83 PARCEL SIZE 8.75 acres o 0 OWNER NAME DIEDE,STEVEN L 8 LILLIAN K TR PHONE(209)36941255 OWNER ADDRESS 12393 North Highway 99,West Frontage Road CITY/STATE/ZIP Lodi,California 95240 CONTRACTOR AdvancedGeo,Inc. PHONE 800 511-9300 CONTRACTOR ADDRESS 837 North Shaw Road CITY/STATEIZIP Stockton,CA 95215 LICENSE Dr-C42 ❑ IC-36 OTHER CA PG NUMBER 8574 EXPIRATION DATE 01/31/21 WATER TABLE DEPTH: 3040 ft GEOGRAPHICAL INFORMATION: Coordinates X Y 9 PERC TEST # 1 1 BUILDING PERMIT# LAND USE APPLICATION# TYPE OF WORK: NEW INSTALLATION I REPAIR/ADDITION ENGINEER DESIGNED/ALTERNATIVE REPLACEMENT F OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTHER NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: ❑ SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS ❑ GREASE TRAP TYPE/MFG CAPACITY _ gal #OF COMPARTMENTS DISTANCE TO NEAREST: WELL it FOUNDATION It PROPERTY LINE ft ❑ LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) ❑ LEACH LINES LEACHING CHAMBERS #of LINES LENGTH OF LINES DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE ft ❑ FILTER BED WIDTH It LENGTH fl DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTYLINE ft A ❑ MOUNDED WIDTH ft LENGTH ft DEPTH f ,y DISTANCE To NEAREST WELL R FOUNDATION ft PROPERTYLINE A N ❑ SUMPS WIDTH ft LENGTH ft DEPTH ft C/ �D DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTYLINE ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH w f 11G 3 DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE ^III/ f' 2020 ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH QU/41 DISTANCE To NEAREST WELL It FOUNDATION It PROPERTYLINE I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE NTH SAN JOAQUIN COUNTY ORDINANCES, FpgR r^7:4 L Y STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 SIGNED_ Brian Millman TITLE CA Professional Geologist No.8574 DATE 28 August 2020 �I DEPARTMENTUS 8 ONLY Application Accepted 5� L Date 3J d 0,-70 Area /'l Employee 10#—DA Final Inspection By Date ❑ SPECIAL PERMIT-Approved by Character of Soil tq�fJ�epth of 3 Ft: Pit/Sump Soil Charac r: COMMENTS P�+I O�o. �O 17 I'A 3 y►'1 iK�L/��j 1 PE SC Received Check#/ Amount Permit/ Invoice# Permit ID# Code INFO B ash Remitted Date Service Request# ;lana sa3 41 (/^ ✓ /� X63�� ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4/14/14/18