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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1368 E. HAZELTON AVENUE - STOCK70N CA 95205 - (209) 468-3420 NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED -- Joe ADDRESS 1480 While Lane Cm21P Stockton, CA CROSS STREET Garnica Court ADM 101-280-010-000 PARCEL SIZE 86.319 Square feet OWNER NAME MILLS, DONALD J & LINDA A TR OWNER ADDRESS 6055 Gamica Court CONTRACTOR AdvancedGeo, Inc. PHONE (209) 4703295 Stockton, CA 95215 PHONE 209-467-1006 CONTRACTOR ADDRESS 837 Shaw Read _ _ CITYISTATEJZIP Stockton, CA 95215 LICENSE .._ C42 r-..: C-36 OTHER Svporvisod Sy CA Pro. G� - 1/31/2023 NUMBER �- �`-"�� EXPIRATION DATE WATER TABLE DEPTH: 70.80 it GEOGRAPHICAL INFORMATION: Coordinates X Y PERC TEST #..' _..... BUILDING PERMIT �/ _ LAND USE APPLICATION # TYPE OF WORK: ::. NEW INSTALLATKIN -__ - REPAIWADDITION _ --_�_ -----__.__ ENGINEER DESIGNED /ALTERNATIVE REPLACEMENT OUT -OF -SERVICE SEPTIC SYSTEM DESTRUCTION INSTALLATION WILL SERVE: _ _Ll ^RESIDENCE Il COMMERCIAL ❑ OTHER NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: _ NUMBER OF EMPLOYEES ❑ SEPTIC TANK TYPE/MFG ........................ .. ........... _ CAPACITY _ . ........... _..... gal # OF COMPARTMENTS -.._...v___._._..._.._ ❑ GREASE TRAP TYPE/MFG _. _._ _.......... .... _. CAPACITY__ _ ...... gal #OF COMPARTMENTS,-.__— DISTANCE TO NEAREST: VJFI.I it FOUNDATION ................... ft PROPERTY LINE ❑ LIFT STATION SIZE _.-_ TYPE OF PUMP_ 13 PKG TX PLANT O SAND OIL SEPARATOR (ENCLOSED SYSTEM) ❑ LEACH LINES I LEACHING CHAMBERS .._....__.._ ft PROPERTY LINE _._....�__—_....._..._ # OF LINES it DEPTH. _.._ .....___.__..__ DISTANCE TO NEAREST WELL-_,___,_,_„_,__,,,_„__, n. it FOUNDATION.,_,_, ❑ FILTER BED WIDTH If LENGTH It ._...__ _._.. it PROPERTY LINE _._........_.._........._...._........_ DISTANCE TO NEAREST WELL _... .._......__..... It ,_„ it FOUNDATION ❑ MOUNDED WIDTH If LENGTH ._.__ ft DISTANCE TO NEAREST WELL it FOUNDATION ❑ SUMPS WIDTH ft LENGTH DISTANCE TO NEAREST WELL_,-___-__—_-_, fl FOUNDATION ❑ DISPOSAL PONDS WIDTH _ ft LENGTH _.__.._._-__.____._ .............___.., DISTANCE To NEAREST WELL ......._,___,^ it FOUNDATION ❑ SEEPAGE PITS NUMBER WIDTH DISTANCE TO NEAREST WELL it FOUNDATION _ LENGTH OF LINES _ it .._....__.._ ft PROPERTY LINE _._....�__—_....._..._ ft it DEPTH. _.._ .....___.__..__ It it PROPERTY LINE __....�,�_......_._...__..._ n. ItDEPTH __........_............... _ _ h ...._._.__._ it PROPERTY LINE......._.__...._.___......_._.__�__ Il itDEPTH...._................................................_.__............................... It ._...__ _._.. it PROPERTY LINE _._........_.._........._...._........_ fl itDEPTH ._................ ........... _...... ... _... .._......__..... It Il PROPERTY _ft DEPTH It It PROPERTY LINE ._.__ ft 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 IN PLEASE CALL (209) 953-769 SIGNED TITLE Staff Geologist DATE 4,30.2021 -ppDEPARTMENT M� Application Accepted BY.._/°.' " Date S yj,� ._ Area?EmployeelD#,,,,�,,,,_,-_- Final Inspection By --_...__....__...... ...... ._............_........ Date ............... ..... .... _.._..... _.................. _. .:I SPECIAL PERMIT - Approved by Character of Soil to Depth of 3 Ft: ___..._._..._...___...__... Pit/Sump Soil Character: COMMENTS _ti Irt Gt /('�iS )5 � ;z. _.. .Gfi`milC, C4. >}, ck 0 _PE Code SC Received INFO Check a.h Amount R{emitted_ Data PermiU Invoice # Permit IDN Re uest # /� 4� Sal -- s6- ! �� CService J 1Z 0 3 It L# ..] 42-01 /% j `,-^-+ /7 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 404118