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'� <br />�y El �Fn <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT,% 1 Z�?I <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868E. HAmLTON AVENUE- STOCKTON CA 95205-(209)468.3420 <br />Joe ADDRESS 6631 South Jack Tone Road <br />CROS ISTHEET Mariposa Road APN 181-080.170-000 <br />OWNER NAME Dennis E Fa?Bt TR <br />OWNERADDRESS POBCc1592 CRy/STATE21p Under. CA 95236 <br />I—A— AduancedGeo. Inc. o..,..,. 900511-9300 <br />CONTRACTOR ADDRESS 837 North Shaw Road <br />Stockton, CA 95215 <br />CA Pnelessional Geo Brian Millman t/31/z3 <br />LICENSE ❑❑C-42 DOC -36 GTHEx NUMBER 8574 EXPIRATION DATE <br />1.193 acnes <br />WATER TABLE DEPTH: 100-110 # GEOGFUPHICALINFORMATON: CO4rdinateS R Y <br />il <br />PERCTEST #1 <br />BUILDINGPERMIT# <br />LAND USE APPLICATION # <br />TYPE OF WORK: <br />❑ NEW INSTALLATION ❑ <br />NEPMRIADD N <br />❑ ENGINEER DESIGNED /ALTERNATIVE <br />❑ REPLACEMENT ❑ <br />OUT-0FSERVICESEP1ICSYSTEM ❑ DESTRUCRON <br />INSTALLATION WILL SERVE: ❑ RESIDENCE <br />❑ COMMERCIAL <br />❑ OVER <br />NUMBER OF LYING UNITS: NUMBER OF BEDROOMS: <br />NUMBEROFEMPLOYEES: <br />O <br />SEP ICTANK <br />TYPF/MFG <br />CAPACITY <br />gal #OF COMPARTMENTS <br />LI <br />GREASIa TRAP <br />TYPE/MFG <br />CAPACITY <br />gal #OFCOMPARTMENTS <br />DLRTANCETONEARES1. WELL <br />it FOUNDATION <br />R PROPERTY LINE <br />LIFTSTATION <br />SIZE TYPE OF PUMP <br />O PKGTXPLANT <br />a SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br />0 <br />LEACH LINES <br />7 LEACHING CHAMBERS <br />#OFLINE6 <br />LENGTHOFLINES ft <br />DISTANCETONEAREST WELL <br />ft FOUNDATION <br />_11 PROPERTYUNE it <br />O <br />FILTER BED <br />Wow It LENGTH <br />1t DEPTH 1t <br />DISTANCETONEAREST WELL <br />T FOUNDATION <br />k PROPERTY UNE it <br />O <br />MOUNDED <br />WIM It LENGTH <br />it DEPTH It <br />DIWANCE TO NEAREST WELL <br />R FOUNDATION <br />ft PROPERTYUNE It <br />O <br />SUMPS <br />Wamil It LENGTH <br />N DEPTH it <br />DISTANCETONEAREST WELL <br />it FOUNDATION <br />R PHOPERTYUNE it <br />O <br />DISPOSALPONDS Wom fl LENGTH <br />it DEPTH it <br />DISTANCETO NEAREST WELL <br />R FOUNDATION <br />R PROPEMYUNE T <br />U <br />SEEPAGEPITS <br />NUMBER WIDTH <br />R DEPTH it <br />DISTANCETONEAREST WELL <br />it FOUNDATION <br />N PROPEMYLINE It <br />I HEREBY CERTIFYTHAT 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 46 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (269) 953.7697 <br />DEPARTMENT USE ONLY <br />Application Accepted By —/ Date -' 2LJ h'& Area i1 q9 Employee lD#� <br />Final Inspection By Date ❑ SPECIAL PERMIT - Approved by <br />Character of Soil to Depth of 3 Fi:. PIVSump SDI? Character. <br />PE SC Received Check#/ Amount Perml6 <br />Dete Invoice# Permit IDN <br />Cade Ix6a By. Cash Remitted I_,I Servlca Request# <br />Waa� K�1 ► z5 14)15�a I�I�DI I <br />I I ' I I <br />42-01 INTI. ll (Jus' (gT ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />411411a <br />