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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAOUIN COUNTY ENV1RowtoEN i AL HE At TH DE P An THEN' 1868 E.HAZE LTON AVENUE-STOCKTON CA 95205-(209)468-3420 <br /> ANON-REFUNDABLE PERMIT_ CALL_ (209)953-7697 FOR,IMSPEC.17Qh15 EXPIRES 1 YEAR FROM_DATE ISSUED <br /> Jab ADDRESS 10124 Sol&Pnesl Road LtrY/ap Fendt Camp,45231 <br /> CROSS STREET Fay$Wa11Ms Read APN 143-22Q-670 PAFKXL SUE 1.$acres <br /> OWNER NAME Adn'""tAo"."PO i <br /> P/OE(4W 747-9853 <br /> OWNER ADDRESS 742 Fed"Road CJTYISTATE(ZIP FRNtch CAWT.P.CA95231 <br /> CONTRACTOR Ad' eo•kC' PHasE am 511-93M <br /> CONTRACTOR ADDRESS &37t'bMShgwRQad CITY/STATEIZP ` CA96215 <br /> Brian Milmn <br /> LICENSE C-42 r_C-36 ODER CAR Gxc Ntwein 8574 ExpmrOLI DATE 1F31f21 <br /> WATER TATTLE DEPTH:2530 ft GEOGRAPNtcA 1NFOTOIATM, Coordinates X Y _ <br /> X PERC TEST F T _ BUILDING PERmrr A _ LAND USE APPLICATION# <br /> TYPE OF WORK: 'Ok INST.ALLATKJN - --.�R'!:•P.AYt/ADWTTON ENGINEER DFmrsate fAv1ERNAnVE <br /> REPLACEMENT _ OJT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: _ -! COMERCJAL i OTHER <br /> -NtsoeeT OF Lw=Was: XMIDER OF Bim: _NUMBER of EgpwyEm _ <br /> ❑ SEPTICTANK Ty;-E.Ak-c, _ .--. - CAPAGTy--- - gal XCF COWARTMEN S <br /> ❑ GREASE TRAP TY­E!Ma_ CAPACrrY gal KOFCOLIPARR.ENTS__ <br /> DLSTANCE TO NEARESr- W LL It FOiNNDAnON f! PROPERTY LINE ft <br /> ❑ LIFTSTATION SIZE TYPE OF PIW C1 PKG TX PLANT ❑ SAND OIL SEPARATOR 031Ct.OSEWSYSTE'IIn <br /> ❑ LEACH LINES LEACHING CHAWBERS #OF LINES LENGTH OF LINES_- - IT <br /> DIST ANCE TO NE AREST WELL k FOtMATCN___ k PROPEWWLM If <br /> ❑ FILTER BED WCTH __- -_ __k LENGTH It DEPTH_ It <br /> DWAN7ETONEA'REST WELL k FOUNDATION k PROPERTYLMaE It <br /> ❑ MOUNDED WIorN I LENGTH ,B DEPTHft <br /> DISTAMMIYONEAAEST WELL k FOUNDATION h PROPERTY LINE It <br /> ❑ SULIPS willum k LENGTH _k DEPTH _ _ft <br /> DMANMTONf ARES7 WARL I FOtWWATIM ft RFOPERTYtM4__ H <br /> ❑ DISPOSAL PONDS 'Warn It Lmctl" 0 DEPTH_._ ft <br /> Q6TANCETONEAMW WELL R FOUNDATION-- —ft PROPERTY]UNE IT <br /> ❑ SEEPAGE PITS lael®I VAMM __ ft DEPTH _k <br /> DISTANCE TO NEAREST YtELL PROPERTY LIE if <br /> r ERE8Y CERTIFY THA 1 1 HAVE PREP.AREB'I HIS APPLICATION AM THE WORK WL L BE DONE-N ACCORDANCE YJTTH SAN JOAOUN OOkWTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL f209)953-7697 <br /> SIGNED Brian Millman TITLE CA ProtfSS ak Gedogr4 Na 8574 DATE 14 November 20M <br /> ' �'47 <br /> ECEI DEQ <br /> AVOV <br /> A/.�o <5' 2020 <br /> M COIJAI <br /> 741 <br /> T_ <br /> IOEPAATVENT 'SEOANLY <br /> Application Accepted By- �� Daft t ,20-70 Mea 1/9�. Employee IM <br /> Final Inspection By Dole -_ 1 SPECIAL PIERNT-Apppoved by <br /> Character of Soil to Depth of 3 FI: PtBSwnp Soil Charaaler: <br /> COMMENTS <br /> PE SC Code WO AeoAL Cssh I; Md Doe SerA S YTMsioei ParRTiT Wof <br /> y.�aa S-2 3 •.56- 1 Sot - - 7A <br /> n <br />