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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)468-3420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 26201 Thornton Road CITY21P Thornton,CA 95686 rn <br /> CROSS STREET W Walnut Grove Road APN 001-190-660-000 PARCEL SIZE 0.811 acres Y <br /> OWNER NAME Anigiolhuetics LLC PHONE(916)686-7300 <br /> OWNER ADDRESS 6041 Grant Avenue CITYISTATE/ZIP Carmichael,CA 95608 <br /> CONTRACTOR AdvancedGeo,Inc. PHONE 800 511-9300 <br /> CONTRACTOR ADDRESS 837 North Shaw Road CITY/STATE21P Stockton,CA 95215 <br /> CA Professional Geo Brian Millman 1/31/23 <br /> LICENSE '�..0-42 0-C-36 OTHER NUMBER 8574 EXPIRATION DATE <br /> WATER TABLE DEPTH: 15-20 It GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> KI PERC TEST # 1 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: C NEW INSTALLATION __ REPAIR/ADDITION C ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM I DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE _I COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG _ CAPACITY gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG _ CAPACITY gal #OF COMPARTMENTS_ <br /> DISTANCE TO NEAREST: WELL It FOUNDATION It PROPERTY LINE fl <br /> ❑ LIFT STATION SIZE TYPE OF PUMP l] PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES l LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE To NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH It LENGTH ft DEPTH _fl <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ SUMPS WIDTH It LENGTH ft DEPTH fl <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE fl <br /> ❑ DISPOSAL PONDS WIDTH It LENGTH fl DEPTH fl <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> I HEREBY CERTIFY THAT 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 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGNED_ / \ Brian Millman TITLE CA Professional Geologist No.8574 DATE 05 March 2021 <br /> EENT <br /> VED <br /> 04 2021 <br /> E E ARTT-AL Ty <br /> MENT <br /> DEPARTMENT U E ONLY <br /> Application Accepted By C7�G Date Area I cl Employee ID#J� <br /> Final Inspection By Date ❑ SP CIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: PIVSump Soil Character: <br /> COMMENTS <br /> PE SC Received Check#/ Amount Dat Permit/ Invoice# PermitID# <br /> Code IINFO ash Remitted Service Re uest# <br /> "19)a <br /> 42-01 �n � ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 �/i�y L� <br />