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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 /> Joe ADDRESS 17454 Von Sosten Road CITyl7jp Tracy,95376 v <br /> CROSS STREET Von Sosten Court ApN 209460-100-000 PARCEL SIZE 1.670 <br /> OWNER NAME Jaspal&Sudnder Rendhawa pHONE 209 914-2056 <br /> OWNER ADDRESS 17454 Von Sosten Road CRYISTATEIZIP Tracy,CA,95376 <br /> CONTRACTOR Advanced GeOEnvlronmental,Inc.(AGE) PHONE(800)511-9300 <br /> CONTRACTOR ADDRESS 637 N Shaw Road CITYISTATEIZIP Stockton,CA,95215 <br /> LICENSE ❑_C42. ❑_C-36 OTHERC-571A-Hai NUMBER 680227 EXPIRATION DATE 11130/19 <br /> WATER TABLE DEPTH:—20 ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST #1 BUILDING PERMIT# LAND USE APPI(CATION# <br /> TYPE OF WORK: _ NEW INSTALLATION _ REPAIRIADDMON _ ENGINEER DESIGNED/ALTERNATIVE <br /> _ REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTHER <br /> NUMBER OF <br /> .MNG UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPEIMFG CAPACITY gal #OF COMPARTMENTS <br /> O GREASE TRAP TYPEIMFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL It FOUNDATION R PROPERTY LINE it <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES E LEACHING CHAMBERS SOF LINES LENGTH OF LINES R <br /> DISTANCE TO NEAREST WELLit FOUNDATION—ft PROPERTY UNE fl <br /> ❑ FILTERBED WIDTH ft LENGTH ft DEPTH it <br /> DISTANCE TO NEAREST- - WELL R FOUNDATION ft PROPERTY LINE ft <br /> ❑ MOUNDED Ww7H R LENGTH It DEPTH ft <br /> DISTANCE TO NEAREST WELL R FOUNDATION ft PROPERTY LINE R <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH R <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE R <br /> ❑ DISPOSAL PONDS WIDTH R LENGTH it DEPTH ft <br /> DISTANCE TO NEAREST WELL R FOUNDATION ft PROPERTY UNE it <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH it <br /> DISTANCE TO NEAREST WELLR FOUNOA110N ft PROPERTY LINE it <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 8 HOUR ADVANCE NOTICEO ECTIONS-PLEASE CALL9 <br /> SIGNED TITLE Senior Geologist DATE 14 August 2019 <br /> YMENT <br /> CEIVED <br /> -AJG 16 2019 <br /> JOAQUIN COUNTY <br /> N IRONMENTAL <br /> I AA H DEPARTMENT <br /> DOADOAR TMEN O <br /> Application Accepted ate Area Employee I L Hyl /J <br /> Final Inspection By Date ❑ SPE IAL PERMIT-Appreved by <br /> Character of Sall to Depth of 3 Ft: Pit/Sump Sall Character. <br /> COMMENTS <br /> PE SC Received a Amount Date PermlU Invoice# Permit ID# <br /> Code INFO ABA Cash RemItted Service Request# <br /> 4Y-01 ONSRE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114118 <br />