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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY EwRONMSNTAL HEALTH DEPARTMENT 1868 E HAZELTON AVENUE - STOCKTON CA 95205 - (209) 468-3420 NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES i YEAR FROM DATE ISSUED JOE ADDRESS 19489 North Ripon Road CrrY/ZIP Riponl95366 CROSS STREET Snake Road APN 245-02-045 PARCEL SME 3 75 Acres OWNER NAME Aman Bhadl PHONE 209450-9547 OWNER ADDR!ss P O Boz 2833 CRY/STATE2IF Ceres/CA95307 CONTRACTOR CTE Cal Inc PHONE 209543-1799 CoNT1RAGTOR AODRISS 4230 Klemen Ave Ste 150 LICENSE - C42 L C-36 O'MMR_ l `• 7 f CrTy/STATE/ZIP McdestolCAJ95356 EXMRATION DATE WATER TABLE DEPTH: 51 R GEOGRAPHICAL INFORMATION: Coordinates X 37.783645 y -1 2 1125910 Y PERC TEST 4 BUILDING PERMIT# LAND USE APPLICATION # TYPE OF WORK: New INSTALLATION REPAR/ADomON ENGINEEn DESIGNS!) IALTERNATIVE ! REFLACEMENT OUT -OF -SERVICE SEPTIC SYSTEM DESTRUCTION INSTALLATION WILL SERVE: X RESIDENCE COMMERCIAL OTHER NUMBER OF LIVING UNITS: I NUMBER OF BEDROOMS: 5 NUMBER OF EMPLOYEES: ❑ SEPTIC TANK TYPE/MFG _ CAPACITY gal X OF COMPARTMENTS ❑ GREASETRAP TYPE/MFG CAPACITY gal A OF COMPARTMENTS___ DISTANCE TO NEAREST: WELL R FOUNDATION _ R PROPERTY LINE R ❑ LIFTSTATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) ❑ LEACH LINES LEACHING CHAMBERS DISTANCE TO NEAREST WELL ❑ FILTER BED vNoTH R LENGTH DISTANCE To NEAREST WELL ❑ MOUNDED VVc TH R LENGTH DISTANCE TO NEAREST WELL ❑ SUMPS VNOTH R LENGTH DISTANCE To NEAREST WELL ❑ DISPOSAL PONDS VVIDTH R LENGTH DISTANCE To NEAREST WELL ❑ SEEPAGE PITS NLNSER WIDTH_ DISTANCE TO NEAREST WELL # OF LINES R FOUNDATION R FOUNDATION R FOUNDATION R FOUNDATION R FOUNDATION R FOUNDATION LENGTH OF LINES R R PROPERTY UNE R R DEPTH R R PROPERTY LINE R R DEPTH R R PROPERTY LIPS R R DEPTH __ R R PROPERTY LINE _ R R DEPTH R _ft PROPERTY LINE R _R DEPTH _ R R PROPERTY UNE R I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STAT! LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. MINIMUMIgtp 6pyANcENoTjcE gEQUIRED FOR INSPECTIONS -PLEASE CALL jr209) 9-'U-7697 SIGNED TITLE Staff Geologist DATE 8/1812022 Application Accepted By^ K� z Z— � Date `[G �oZ Area S Employee ID# AG Final Inspection By�� SPECIAL PERMIT -Approved by Character of Soil to Depth of 3 Ft: Plt/Sump Soil Character: _ COMMENTS PE SC Recelved Check* Amount Dat Permit/ Invoice N Pemlit ID# Code INFO Ca h Remitted S ,.Vice Request # 42-0 IONSITE WASTEWATER TRTRNT SYSTEM PERMI' m114le A'? 6y5,337 nv kylw'tftjT CEIVED 19 .202 JUIN COUNTY )NMEN7AL IEPARTMEN7