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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENNRONMENTAL HEALTH DEPARTMENT 1668 E.HA2ELTON AVENUE-STOCKTON CA 95205-(209)4683420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 1350 Report Ave CITY/ZIP Stockton,95205 <br /> CROSS STREET East Harding Way APN 143-154150-000 PARCEL SME 1.850 0 <br /> 0 <br /> OwNER NAME Ches Investments LLC PHONE 2D9 603-2045 <br /> OWNER ADDRESS 4522 Spyglass Drive Cr1Y/STATEMp Stockton,CA,95219 <br /> CONTRACTOR Advanced GeoEnvimnmental,Inc.(AGE) PHONE(8DO)511-9300 <br /> CONTRACTOR ADDRESS 837 N Shaw Road CrryISTATEIAP Stockton,CA,95215 <br /> UCENSE 0_C42 ❑_C36 OTHERC-57/A-Haz NUMBER 680227 EXPIRATION DATE II/30119 <br /> WATER TABLE DEPTH:�D R GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> I*— PERC TEST #1 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: _ NEW INSTALLATION _ REPAIR/ADOMON _ ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTICTANK TYPEIMFG CAPACITY gal #OFCOMPARTMENTS <br /> ❑ GREASE TRAP TYPEIMFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL R FOUNDATION R PROPERTY LINE R <br /> ❑ LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTSK) <br /> ❑ LEACH LINES C LEACHING CHAMBERS *of LINES LENGTH OF UNEs R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY UNE R <br /> ❑ FILTER BED WIDTH R LENGTH R DEPTH R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE R <br /> ❑ MOUNDED WIDTH R LENGTH R DEPTH R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTYUNE R <br /> ❑ SUMPS WIDTH R LENGTH R DEPTH R <br /> DISTANCE TO NEAREST WELL. R FOUNDATION R PROPERTY UNE R <br /> ❑ DISPOSAL PONDS WIDTH R LENGTH R DEPTH R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY UNE R <br /> ❑ SEEPAGE PITS NUMBER WIDTH R DEPTH R <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY UNE R <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPUCA71ON AND THE WORK WALL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGNED _/ ` �� TITLE Senior Geologist DATE M September 2019 <br /> ' MENT <br /> ( 1' EIVED <br /> 0 6 2019 <br /> Uw COUNTY <br /> ONMENTAL <br /> DEPARTMENT <br /> D PARTME E N �//�/���� <br /> Application Accepted B Date Area Employee ID*...J -"_ <br /> Final Inspection By Date ❑ SPE A1-PERMIT-Approved by <br /> Character of Soil to Depth of 3 FL PltlSump Soil Character. <br /> COMMENTS <br /> PE SC Re elv d Checlow AmountDate Permit/ Invoice# Permit ID# <br /> Code INFO ash emitted Service Re est# <br /> ZZ VI <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14118 <br />