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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 29142 Lemon Ave CITY21P Escalon,95320 CROSS STREET Sutliff APN 249-120.320 PARCEL SIZE 129 e OWNER NAME Trimac Enlerprises,LLC PHONE 209-606-6555 OWNER ADDRESS PO Bo,617 CITYISTATE/ZIP Escalon,CA 95320 CONTRACTOR Westech Industries,Inc PHONE 209-838-1733 CONTRACTOR ADDRESS 12755 E Stockton Blvd CITYISTATEIZIP Galt.CA 95632 LICENSE C-42 CC-36 OTHER A-C27•C49 C610561 NUMBER 485210 EEPIRATION DATE 12/2022 WATER TABLE DEPTH: It GEOGRAPHICAL INFORMATION: Coordinates X Y PERC TEST # BUILDING PERMIT#d 10 1��,'� LAND USE APPLICATION# TYPE OF WORK: NEW INSTALLATION REPAIR/ADDITION ENGINEER DESIGNED 1ALTERNATTVE REPLACEMENT OUT-OFSERVICE SEPTIC SYSTEM DESTRUCTION INSTALLATION WILL SERVE: x RESIDENCE COMMERCIAL OTHER NUMBER OF LIVING UNITS: 1 NUMBER OF BEDROOMS: 3 NUMBER OF EMPLOYEES: [3J SEPTIC TANK TYPE/MFG CAPACITY / ,2-L gat #OF COMPARTMENTS .nom ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS DISTANCE TO NEAREST: WELL. 600 ft FOUNDATION_.1D It PROPERTY LINE -''i 4� I1 ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) LEACH LINES LEACHING CHAMBERS #OF LINES 3_ LENGTH OF LINES ^ It DISTANCE TO NEAREST WELL R '- -�-' / O _ft PROPERTY LINE ,� ft ❑ FILTER BED WIDTH_ _ft LENGTH _/1 DEPTH =T/�T _ ft DISTANCE---tS1 WELL It FOUNDATION It PROPERTY LINE it ❑ MOUNDED WIDTH It LENGTH It DEPTH _It DISTANCE TO NEAREST WELL it FOUNDATION It PROPERTY LINE It ❑ SUMPS WIDTH It LENGTH It DEPTH ft DISTANCE TO NEAREST WELL It FOUNDATION -_It PROPERTY LINE 11 ❑ DISPOSAL PONDS WIDTH It LENGTH It DEPTH It DISTANCE To NEAREST WELL ft FOUNDATION It PROPERTY LINE it ❑ SEEPAGE PITS NUMBER WIDTH It DEPTH ft DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE it I HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. MINIMUM48 HOUR ADVANCE NOTki4QUIRED F -PLEASECALL(209) 953-7697 J � SIGNE� ,— C TITLE e2l 171.-Ii7 DATE / C7L !JT/ ' RF yMFN cE�QI I IL 111 11 ED V//0 U//V C pf�R�E��y J DEPARTMENT USE ONLY z {� Application Accepts By r ! — Date `i Area 1 r Employee ID# r�� Final Inspection By Date 'L 1 'L.. SPECIAL PERMIT-Approved by Character of Soil to Depth of 3 Ft: Pit/Sump�oit Character: COMMENTS 1 �) �" " y s YC1 1 U lr r-t'IS fc1 JC Me,I n PE SC Received Check#/ Amount Date ermlU Invoice# Permit ID# Code INFO Cash Remitted SHHvIcq Re uest wai i sP� 42.01 � �� ^ ONSITE WASTEWATER TRTMNT SYSTEM PERMIT //�r 4114118 ',`JJr/y//I/ � 9��