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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 12470 E Locke Road CITYIZIP Lockeford.95237 <br /> CROSS STREET Fillmore Street APN 051-320-1241W PARCEL SIZE 23 61 _ <br /> OWNER NAME NRC Equity Fund 1 PHONE 707 235-5542 <br /> OWNER ADDRESS 736 S Center SI CrTY/STATE/Zlp Reno.NV,89501 <br /> CONTRACTOR Advanced GeoEnvironmental,Inc.(AGE) PHONE(800)511.9300 <br /> CONTRACTOR ADDRESS 837 N Shaw Road CITYISTATE/Zip Stockton.CA,95215 <br /> LICENSE C-42 I C-36 OTHER C-571 A-Haz NUMBER 680227 EXPIRATION DATE 11/30/19 <br /> WATER TABLE DEPTH:-125 ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> D( PERC TEST M 1 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION REPAIR/ADDITION ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF$ERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: I RESIDENCE [ COMMERCIAL I OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY gal M OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal a OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL f1 FOUNDATION R PROPERTY LINE fl <br /> ❑ LIFT STATION SIZE TYPE OF PUMP O PKOTXPLANT O $AND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS 0 OF LINES LENGTH OF LINES R <br /> DISTANCE TO NEAREST WELLft FOUNDATION ft PROPERTY LINE it <br /> ❑ FILTER BED WIDTH it LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE <br /> ❑ MOUNDED WIoTH ft LENGTH ft DEPTH <br /> DISTANCE TO NEAREST WELL it FOUNDATION fl PROPERTY LINE ky, Fi yT <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY UNE ft Y O <br /> ❑ DISPOSALPONDS WIDTH fl LENGTH ft DEPTH <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY UNE Q <br /> L] SEEPAGE PITS NUMBER WIDTH ft DEPTH O1J <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE Q Q <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE NTH SAN JOAQUIN COUNTY ORDINANC <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY.MINIMUM 4LHQ,UaAR3UWCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-769 <br /> T <br /> SIGNED TITLE Senior Geologist DATE 29 August 2019 <br /> EPA RTMEN L <br /> Application Accepted y Date 1 Area Employee IDA _ <br /> Final Inspection By Date 1 t, SP LP M -Approved by <br /> Character of Soil Depth of 3 Ft: �7 P <br /> it/Sump Soil Character. <br /> COMMENTS a <br /> PE SC Received Chec AmountData Permit/ Invoice K Permit IDO <br /> Code INFO Remitted Service R uast M <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 41418 <br />