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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HA2FLTON AVENUE-STOCKTON CA 95205-(209)466-3420 <br /> NON-REFUNDABLE PERMIT CALL(209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 46West Joseph Road CITY/ZIP Manteca 95336 m <br /> m <br /> CROSS STREET North Main Street APN t16.310-180 PARCEL SIZE 0.460 acres o <br /> o <br /> OWNER NAME Kevin and Diane Wentworth PHONE(209)969-2646 m' <br /> OWNER ADDRESS P.O.Box 4233 CITY/STATE/ZIP Manteca,CA 95337 <br /> CONTRACTOR AdvancedGeo.Inc. PHONE 600 511-9300 <br /> CONTRACTOR ADDRESS 637 North Shaw Road CITY/STATE/ZIP Stockton,CA 9,52215 <br /> LICENSE C-42 C-36 OTHERS py NUMBER S ` XPIRATION DATE L'L""` <br /> WATER TABLE DEPTH: 20-30 If GEOGRAPHICAL INFORMATIONCoordinates X Y <br /> X PERC TEST # I 1 1 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: NEWINSTALLATION REPAIRIAODITION ENGINEER DESIGNED[ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE [7 RESIDENCE COMMERCIAL OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MIG _ __ _ _ CAPACII Y _ _ _ gal #OF COMPARTMENTS_ <br /> ❑ GREASE TRAP TYPEiMFG _ _. CAPACIIY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: bVELL It FOUNDATION 11 PROPERTY LINE _ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP_ _O PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS #OFLINES LENGTH OF LINES R <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE t' <br /> ❑ FILTER BED WIDTH ft LENGTH _ fl DEPTH — -- w` _� <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE N�„ <br /> LI �I//yy��11v H Y MOUNDED WIDTH _ ft LENGTH _ ft DEPTH E/��IE <br /> DISTANCE TO NEAREST WELL fl_ ft FOUNDATION PROPERTY LINE II VED <br /> ❑ SUMPS WIDTH _ _II LENGTH _it DEPTH <br /> --AVG <br /> N <br /> DISTANCE TO NEAREST WELL__ _ R FOUNDATION R PROPERTY LINE 2O 2O^„ <br /> _ <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH _ ft DEPTH SA JOA <br /> DISTANCE TO NEAREST WELL ft FOUNDATION fl PROPERTYLWE___ <br /> SAN <br /> J`uAQU1 <br /> N C <br /> ❑ SEEPAGE PITS NUMBER WIDTH _ It DEPTH HEALT RON EN UNTy <br /> DISTANCE TO NEAREST 'VLLL _ _ - It FOUNDATION _. ___.. ft PROPERTY LINE I DEPARTMENT <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 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGNEDBrian Mllltllall _ TITLE CA Professional Geologist No 8574 DATE 17 August 2020 . <br /> / DEPARTMEN U4E 03 <br /> Application Accepted By —C Date Area Employee 10# %S _ <br /> Final Inspection By - _ Date ❑ SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft:___ Pit/Sump Soil Character: <br /> COMMENTS <br /> PE SC Received Check#; Amount Perni I, <br /> Code INFO ash Remitted Date Service ue t# Invoice# Permit ID# <br /> 42-01 C' // /�p� / ONSITE WASTEWATER IRTAINI$YSIEtd F'ENhlli <br /> 4114/18 <br />