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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAOUI I COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCICTON CA W205-(209)468-3420 <br />NON-REFUNDABLE PERMIT CALL (209) 953-7697 FOR /ASPECTWNS EXPBIES 1 YEAR FROM DATE ISSUED <br />Joe ADDRESS 16402 Ettcalon Belbto Road Crry ZIP Escalon 95320 <br />CROSS STREET Magnolia Avenue ApN 229.060-280.000 PARCEL SIZE 0.979 acres <br />OWNER NAME Larry AZgVsdO PHONE (209) 495 -MO <br />OWNER ADDRESS 16402 EScalon "iota Road CT'/STATEl21P EYEbIt CA95320 <br />CONTRACTOR AOvancedGeo, Inc. PHONE 800 511-9300 <br />CONTRACTOR ADORess 837 N0nh Shew Road CRY/STATERIP Stockton, CA 95215 <br />- tyy 8574~Y.el. <br />LCENC-42 C -M OTMRCA �eSalnal0istum �A <br />E1tPIRATON DATE 1/31123 <br />WATER TABLE DEPTH: it GEOGRAPHICAL INFORMATION: CoordinateS X Y <br />k PERE TEST eI I BUILDING PERMIT A <br />LAND USE APPLICATION it <br />TYPE OF WORK: _ NEW IKBTALLATION <br />REPAwADomoN ENGINEER DE8gNE0 /ALTERNATIVE <br />REPLACEMENT <br />OUR-OF-SERVK:E SEPTIC SYSTEM DESTRUCTION <br />INSTALLATION WILL SERVE: Fl RESIDENCE <br />_ COMMERCIAL OTNEa <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br />O SEPTIC TANK TYPE MFG. _._. <br />CAPACRY gal aOF COMPARTMENTS_ _ <br />G GREASE TRAP TYPE/MFG <br />CAPACITY gal 9 O COMPARTMENTS <br />DISTANCE TO NEAREST: WELL <br />_ R FOUNDATION R PROPER -LINE R <br />0 LIFT STATION SIZE TYPE OF PUMP <br />O PKG TX PUNT D SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />❑ LEACH LINES LEACHING CHAMBERS <br />ROFLNES LENGTHOFUNES h <br />DISTANCE TO NEAREST WELLR <br />FOUNDATION h PROPERTY LINE R <br />(3 FILTER BED WDTH _._.._.._ 8 LFNOTH <br />K DEPTH _... 0 <br />DISTANCE TO NEAREST WELL <br />K FOUNDATION It PROPERTY LINE _ It <br />❑ MOUNDED WDTH _ ....__R LENGTH <br />R DEPTH _. R <br />DISTANCE TO NEAREST WELL <br />it FOUNDATION it PROPERTY LINE B <br />❑ SUMPS WDTH R L.ENOTR <br />R DEPTH _ _ __ It <br />DISTmcETo NEAREST WELL <br />_ R FOUNDATION _ fl PROPERTYLINE _ _ - 1t <br />❑ DISPOSAL PONDS WDTR R L&*GT <br />E DEPTHIt <br />DISTANCE TO NEAREST WELL <br />R FOUNDATION It FROPERTY LINE R <br />❑ SEEPAGE PITS NUMBER WIDTN <br />0 DEPTH it <br />DISTANCE TO NEAREST WELL <br />it C -D-101 R PROPERTY LINE D <br />E R E BY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOACDN COUNTY ORDINANCES, <br />STATE LAWS AND RULES AND REGULATIONS OF SAN JOAOUIN COUNTY. <br />MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED <br />FOR INSPECTIONS - PLEASE CALL (209) 953-7697 <br />RInNFD _ Brian Millman <br />TITLE CA Professional Geologist No. 8574 DATE 29 August 2022 <br />PA Yt4ptVr <br />RETE vED <br />AUG 31 2012 <br />JOAQU1N CO <br />UIV <br />1'H OE AS NT <br />RTY <br />DEPAR TIM —1111.11 LY <br />Application Accepted By --- /j+ Dala B �Area Empbyee IDa_jk&—__ <br />Final Inspection By Date SPECIAL PERMIT - Approved by <br />Character of Soil to Depth of 3 Ft: PIl15ump Soil Charaeter: <br />COMMENTS <br />7�E�.isl1. �/:���i!�!1ii �'�11�1��.•1�7�riTA;�l���7�� <br />42-01 /E _ / � /����� DNSRE WASTEWATER TRTMNT SYSTEM PERMIT <br />Inane <br />