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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> d'CONTRACTOR <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA 95.205-(269)468.3420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-71597 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 47 N Avenue CITYfZm Stockton 95215 <br /> CROSS STREET Ada Avenue_ APN -130- PARCELSIZE 2.20 <br /> OWNER NAME Paul Armanino v <br /> PHONE <br /> OWNER ADDRESS Same as aboveCITYISTATEIZJP <br /> Petralogix Engineering PHONE 209-776-0731 <br /> CONTRACTOR ADDRESS 26675 Bruella Road CnvISTATEIZm Gait,CA 95632 <br /> LICENSE 111IC-42 ❑OC-36 OTHER PG NUMBER 8657 EMRATIONDATE_43012023 <br /> ante Tamer <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates 7t-121"10.126-W y 37"58.474' <br /> i3 PERC TEST # I BUILDING PERMIT# LAND USE APP41CATION# <br /> TYPE OF WORK: ❑ NEW INSTALLATION Ll REPAIRIAODmON ❑ ENGINEER DESIGNED IALTERNATNE <br /> r] REPLACEMENT D OUT-0r$ERVICE SEP TIC SYSTEM D DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTHER <br /> NUMBER Or LIVING UNITS: NIIMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPFIMFG CAPACITY gal #OFCOMPARTMENTS <br /> U GREASETRAP TYPEIMFG CAPACITY gal #OFCOMPARTMENTS <br /> DISTANCE TO NEAREST: WELL R FOUNDATION ft PROPERTY LINE ft <br /> O ❑FTSTATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> El LEACH LINES ❑ LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION � tt PROPERTY LINE ft <br /> ❑ FILTER BED WIDTH ft LENGTH It DEPTH ry <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTYLINE it <br /> ❑ MOUNDED WIDTH it LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION 6 PROPERTY LINE ft <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE fl <br /> ❑ DISPOSAL PONDS WIDTH_it LENGTH ft DEPTH ry <br /> DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LME It <br /> LISEEPAGE PITS NUMBER WIDTH It DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE _ ft <br /> [HEkEBY CERTIFY THAT I HAVE PREPARED THIS APPLECA7'ON 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 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL 209 953-7697e'� l <br /> SIGNED ',;1(- TITLE F PATE <br /> �-�— 7 DEPARTMENT SE RNLY C <br /> Application Accepted By Date 11,27121Area Employee ID# A44N� <br /> Final Inspection By bate © SPECIAL PERMIT-Approved by `�� <br /> Character of Soil to Depth of 3 FtPitlSOmp Soil Character: ,V� <br /> COMMENTS CFP <br /> 2021 <br /> PE SC Received 6he0#1 Amount Peffnw gQ�IN <br /> Code INFO B Gash emitteService ReNest# 7'14 <br /> d Date invoice# Permit ONM cQUN <br /> �Fp NTA <br /> Baa sa3 5 1sa 7 5 3�k2 '�r <br /> 42-01 <br /> 4124112 ONSITE WASTEWATER TRTMNT SYSTEM PEk ViT <br />