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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 3525 Section Avenue CITY/ZIP Stockton 95205 n CROSS STREET South Golden Gate Avenue APN 173-090-330-000 PARCEL SIZE 0.50 acres a John and Edith Waiters 209 460-0276 x OWNER NAME PHONE( ) 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 Brian Millman 1/31121 LICENSE ❑-C-42 ❑-C-36 OTHER NUMBER 8574 EXPIRATION DATE WATER TABLE DEPTH:40-45 fl GEOGRAPHICAL INFORMATION: Coordinates X Y ® PERC TEST #1 BUILDING PERMIT# LAND USE APPLICATION# TYPE OF WORK: ❑ NEW INSTALLATION ❑ REPAIR/ADDITION C ENGINEER DESIGNED/ALTERNATIVE II REPLACEMENT F OUT-OF-SERVICE SEPTIC SYSTEM L DESTRUCTION INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTHER NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: ❑ SEPTICTANK TYPE/MFG CAPACITY_ _ gal #OFCOMPARTMENTS ❑ GREASETRAP TYPE/MFG CAPACITY_ _ gal #OFCOMPARTMENTS __. DISTANCE TO NEAREST: WELL it FOUNDATION It PROPERTY LINE it ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES it DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE_ ft ❑ FILTER BED WIDTH ft LENGTH It DEPTH it DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE 11 ❑ MOUNDED WIDTH it LENGTH It DEPTH DISTANCE TO NEAREST WELLit FOUNDATION ft PROPERTY LINE _I� IVJ . 13 SUMPS WIDTH ft LENGTH ft DEPTH fi ',�� DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE it D (3DISPOSAL PONDS WIDTH it LENGTH it DEPTH y DISTANCE TO NEAREST WELL ft FOUNDATION R PROPERTY LINE '/D ^{y fl J 2020 ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH tiAN d DISTANCE To NEAREST WELL it FOUNDATION It PROPERTY LINE V.� NI/IIS ��111 CO N UNTy 1 HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANC H Fp FN 7A STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. AIZ�'MENT MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 ,Y SIGNED_ BI I2n MIIIf712t1 TITLE CA Professional Geologist No.8574 DATE 29 October 2020 l DEPARTMENT USE ONLY Application Acceptedy Date V Area Employee ID# Final Inspection Byd-r�awaDate It 1 3 I?-020❑ SPECIAL PERMIT-Approved by Character of Soil to Depth of 3 Ft: Pit/Sump Soil C aracter: COMMENTS (G4,.t. 6h&' !�a SO �XlrWt-$A Si I.T 6TGNC. W � IV e;"5 j?LGn (n ra 111 "Q 0"661'A'�—LS<A A%fa lqf � P,'L Tr'j PE Sd Check#/ Amount Date, Permit] Invoice# Permit ID# Code �INF40BXCash RemittedService Re ues #L12ACI Ise 42101 / ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4/14/18