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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMEN 1 1 668 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 3525 Section Avenue CrrvIZIP Stockton 95205 n CROSS STREET South Golden Gate Avenue APN 173-090-330-000 PARCEL SIZE 0.50 acres y OWNER NAME John and Edith Wailers _ PHONE(209)460-0276 OWNER ADDRESS 4151 Degas Court CITY/STATE/ZIP Stockton,CA 95206 CONTRACTOR AdvancedGeo,Inc. PHONE 800 511-9300 CONTRACTOR ADDRESS 837 North Shaw Road CITY/STATE/ZIP Stockton,CA 95215 CA Professional Geo Bryan Millman 1/31121LICENSE _ C-42 C C-36 OTHER NUMBER 8574 EXPIRATION DATE WATER TABLE DEPTH:40-45 ft GEOGRAPHICAL INFORMATION: Coordinates X Y 10 PERC TEST # 1 BUILDING PERMIT# LAND USE APPLICATION# TYPE OF WORK: NEW INSTALLATION REPAIRIADDITION C ENGINEER DESIGNED/ALTERNATIVE REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM I DESTRUCTION INSTALLATION WILL SERVE: 0 RESIDENCE 0 COMMERCIAL C OTHER NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: ❑ SEPTIC TANK TYPE/MFG _ CAPACITY _ gal #OF COMPARTMENTS_ ❑ GREASE TRAP TYPE/MFG __ CAPACITY gal #OF COMPARTMENTS___ DISTANCE TO NEAREST: VP _ R FOUNDATION ft PROPERTY LINE h ❑ LIFT STATION SIZE TYPE OF PUMP_ _O PKG TX PLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES it DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE It ❑ FILTER BED WIDTH 1t LENGTH h DEPTH It DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LIN[ ❑ MOUNDED WIDTH it LENGTH _ _h DEPTH _ d DISTANCE TO NEAREST WELL It FOUNDATION ff PROPERTY LINE /r�►l�//�M ❑ SUMPS WIDTH ft LENGTH _ _ It DEPTH P`�C' /V, DISTANCE TO NEAREST WELL h FOUNDATION n PROPERTY LINE p ❑ DISPOSAL PONDS WIDTH _ it LENGTH ft DEPTH V DISTANCE TO NEAREST WELL _ ft FOUNDATION - _ ft PROPERTY LINE tg 31010 ❑ SEEPAGE PITS NUMBER WIDTH It DEPTH O DISTANCE TO NEAREST WELL It FOUNDATION R PROPERTY LINE Li��rYV IQ 4- I I-EREBY CERTIFY THAT I HAVE PREPARED TTHIS ATE LAWSAPPLICATION RULES AND REGULATIONS WILL B DONE SAN N ACCORDANCE JOAQUIN COUNTY. SAN JOAQUIN COUNTY O� RRDIN�-H d p' TTO�NTY MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 NT SIGNED_ s Brian Millman TITLE CA Professional Geologist No.8574 DATE 29 October 2020 DEPARTMENT 1E',1L Application Accepted By G,tzL L Date_ Area It Employee ID# ro Final Inspection By _ Date ❑ SPECIAL PERMIT-Approved by Character of Soil to Depth of 3 Ft: PIVSump Soil Character: COMMENTS PE SC Received Check#/ Amount Date Permiv Invoice# Permit ID# Code INFO S& rash Remitted Service Re ues # '4 2a.? sa3 Ise 4201 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4114118 /