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JOB ADDRESS 3349 West Lehman Road CITY/ZIP Tracy, 95304 <br />CONTRACTOR AdvancedGeo, Inc. PHONE 800 511-9300 <br />EXPIRATION DATE 1/31/21 LICENSE 0:C-42 0:C-36 OTHER CA Professional Geo Brian Millman <br />NUMBER 8574 <br />LAND USE APPLICATION # BUILDING PERMIT # <br />0 TYPE OF WORK: NEW INSTALLATION <br />REPLACEMENT <br />0 REPAIR/ADDMON <br />Li OUT-OF-SERVICE SEPTIC SYSTEM <br />C ENGINEER DESIGNED /ALTERNATIVE <br />G DESTRUCTION <br />INSTALLATION WILL SERVE: RESIDENCE U COMMERCIAL <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: <br />OTHER <br />NUMBER OF EMPLOYEES: <br />ft GEOGRAPHICAL INFORMATION: Coordinates X WATER TABLE DEPTH: 9" 99 <br />El PERC TEST # 1 <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 />CROSS STREET Ahem Road ApN 255-020-580 <br />OWNER NAME Javier Leon ETAL <br />PARCEL SIZE 2.95 acres <br />PHONE 209-346-3824 <br />OWNER ADDRESS 310 West Clover Road CITY/STATE/ZIP Tracy, California 95376 <br />CONTRACTOR ADDRESS 837 North Shaw Road CITY/STATE/ZIP Stockton, CA 95215 <br />SEPTIC TANK <br />TYPE/MFG CAPACITY <br />CI GREASE TRAP <br />TYPE/MFG CAPACITY <br />DISTANCE TO NEAREST: WELL ft FOUNDATION <br />LI LIFT STATION SIZE TYPE OF PUMP 0 PKG TX PLANT <br /># OF LINES LENGTH OF LINES ft <br />ft FOUNDATION ft PROPERTY LINE ft <br /> ft DEPTH ft <br />ft FOUNDATION ft PROPERTY LINE tt <br />ft DEPTH ft <br /> ft PROPERTY LINE ft <br />ft DEPTH ft <br />ft FOUNDATION ft PROPERTY LINE ft <br /> ft DEPTH ft <br />ft FOUNDATION ft PROPERTY LINE ft <br />WIDTH ft DEPTH ft <br />LEACH LINES -.1 LEACHING CHAMBERS <br />DISTANCE TO NEAREST WELL <br />FILTER BED WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL <br />MOUNDED WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />SUMPS WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL <br />DISPOSAL PONDS WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL <br />SEEPAGE PITS NUMBER <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 42-01 <br />4/14/18 <br />A A <br />- Brian Millman TITLE CA Professional Geologist No. 8574 DATE 11 December 2020 <br />REC <br />PALITIhNT <br /> EIVED <br />C 1 4 2020 <br /> SAN-JOAQUIN-COUNTY <br /> ENVIRONMENTAL <br />HEA.TH DFPARTMENT <br />SIGNED <br />DEPARTMENT USE NLY <br />Application Accepted By Date ktpe ur0,10 <br />1-1-1.0 <br /> Area s-19 Employee ID# <br />Final Inspection By ')------- Date L .0 SPECIAL PERMIT - Approved by <br />Character of Soil to Depth of 3 Ft: lt/S p Soil Character: <br />COMMENTS <br />PE <br />Code <br />SC <br />INFO <br />Received Check#/ <br />Cash <br />Amount <br />Remitted Date Permit/ <br />SA. rvice Invoice # Permit ID# <br />Ilada g,23 t- VLso L .a 1 2- 1/4124 SW-DO <br />istt)1.... <br />.r <br />I S" .2- roofs:41- ii-lf A (07 <br />1 <br />gal # OF COMPARTMENTS <br />gal # OF COMPARTMENTS <br />D PROPERTY LINE ft <br />0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <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 :SS2HaaV 211IS