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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 INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED JOB ADDRESS 21145 East Sara Lane CITY/Zlp Linden,95236 n CROSS STREET South Reid Avenue APN 183-360-700 PARCEL SIZE 2.0 acres a OWNER NAME Hoban PHONE(209)823-4804 s v. OWNER ADDRESS 324 Sycamore Avenue CITY/STATE/ZIP Manteca,CA 95337 CONTRACTOR AdvancedGeo,Inc. PHONE 800 511-9300 CONTRACTOR ADDRESS 837 North Shaw Road CrrY/STATFJZIP Stockton,CA 95215 LICENSE ❑=C-42 ❑=C-36 OTHER CA Professional GeoloW.BER 8574 EXPIRATION DATE 1/31/21 WATER TABLE DEPTH: 140.150 R GEOGRAPHICAL INFORMATION: COOfdlnatee X Y R PERC TEST s 1 BUILDING PERMIT# LAND USE APPLICATION# TYPE OF WORK: D NEW INSTALLATION C REPAIR/AoDmoN L ENGINEER DESIGNED/ALTERNATIVE I REPLACEMENT I OUT-OF-SERVICE SEPTIC SYSTEM I DESTRUCTION INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTHER NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: ❑ SEPTIC TANK TYPE/MFG _. CAPACITY gal If OF COMPARTMENTS ❑ GREASETRAP TYPE/MFG CAPACITY gal If OF COMPARTMENTS DISTANCE TO NEAREST: WELL _ R FOUNDATION it PROPERTY LINE 11 ❑ LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) ❑ LEACHLINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES it DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE_ it Q ❑ FILTER BED WIDTH It LENGTH it DEPTH _ ItY DISTANCE TO NEAREST WELL it FOUNDATION it PROPERTYLINE_ _ II �� ❑ MOUNDED WIDTH 1t LENGTH fl DEPTH f1 1 A DI STANCE To NEAREST WELL It FOUNDATION it PROPERTY LINE fl P ❑ SUMPS WIDTH it LENGTH it DEPTH it DISTANCE TO NEAREST WELL it FOUNDATION it PROPERTY LINE A A,it. ❑ DISPOSAL PONDS WIDTH _ _fl LENGTH _ -it DEPTH �1 / (�U/N G DISTANCE TO NEAREST WELL FOUNDATION_ 0 PROPERTYLINE AL O C ft ❑ SEEPAGE PITS NHMeER_ WIDTH _ ft DEPTH _ .. I1h0Fpq�H�TO,.UNTY DISTANCE TO NEAREST WELL. It FOUNUA'ION Il PROPERTY LINE _ it 1 HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, 'Y 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 22 September 2020 11111 IHII 11111 ] 111 DEPARTMENT EsO N L V y�e Application Accepted By � Date Area qlqq Employee ID# /)/x Final Inspection By Date ❑ SPECIAL PERMIT-Approved by Character of Soil to Depth of 3 Ft: _ PMump Soil Character: COMMENTS PE Sc Received Checks/ Amount Date PermiV Invoice# Permit ID# Code INFO Cash Remitted Seryl R Liesit If saw s� 4201 11441172-/n ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4/14/18