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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)468-3420 NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR 114SPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED JOB ADDRESS 23223/23245 South Austin Road CITY/ZIP Ripon,95366 u, CROSS STREET West Ripon Road ApN 226-150-27 PARCEL SIZE 38.79 acres n 0 OWNER NAME Dave Willson (nursery 209 612-8677 m PHONE( ) OWNER ADDRESS 23223 South Austin RoadRi on,CA 95366 CITU/STATE/Zip P CONTRACTOR AdvancedGeo,Inc. PHONE 800 511-9300 CONTRACTOR ADDRESS 837 North Shaw Road CITY/STATE/ZIP StOCkton,.CA 95215 LICENSE ❑'. C-42 ❑ C-36 OTHER CA PG NUMBER 8574 EXPIRATION DATE 01/31/21 WATER TABLE DEPTH: 30-40 It GEOGRAPHICAL INFORMATION: Coordinates X Y 91 PERC TEST #2 BUILDING PERMIT# LAND USE APPLICATION# TYPE OF WORK: NEW INSTALLATION _ REPAWADDITION ENGINEER DESIGNED(ALTERNATIVE REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION INSTALLATION WILL SERVE: ❑ RESIDENCE -1 COMMERCIAL ❑ OTHER NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: ❑ SEPTICTANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS ❑ GREASETRAP TYPE/MFG CAPACITY gal #OF 5pMPARTMENTS DISTANCE TO NEAREST: WELL R FOUNDATION ft PROPERTY LINE It ❑ LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) D LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES It DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE ft �� ❑ FILTER BED WIDTH It LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL R FOUNDATION ft PROPERTY LINE ft RF�E VNT ❑ MOUNDED WIDTH ft LENGTH ft DEPTH ft �D DISTANCE TO NEAREST WELL fl FOUNDATION ft PROPERTY LINE ft A�� ❑ SUMPS WIDTH ft LENGTH ft DEPTH fl /y 31 ^O�O DISTANCE TO NEAREST WELL Il FOUNDATION ft PROPERTY LINE Sd IV EllDISPOSAL PONDS WIDTH ft LENGTH ft DEPTIY 'N�Og `/QUI DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE p,,X?-LIRO/VM/V A/TY Ll SEEPAGE PITS NUMBER WIDTH ft DEPTH It 17DFPgRTTIAL DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE It MENTI I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 SIGNED_ Brian Millman TITLE CA Professional Geologist No.8574 DATE 26 August 2020 -Lill DEPARTMENT UFSE ONLY ` Application Accepted By Date 3 O,n O Area �i�i Employee ID# 7( Final Inspection By Date ❑ SPECIAL PERMIT-Approved by Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: COMMENTS PE SC Received Check#/ Amount Date Permit/ Invoice# PermitlD# Code INFO B C sh Remitted Service Request# WJd S23 42-01ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4/14/18 113 /2-97'720