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JOB ADDRESS 29746 Vine Ave. CROSS STREET Sutliff Rd OWNER NAME Scott Lucas orryam Escalon/95320 ApN 249-12- U/ PHONE PARCEL SIZE 1° CONTRACTOR Quality Service, Inc PHONE 259'5354542 PERC TEST # BUILDING PERMIT # 2 3 -161 3 LAND USE APPLICATION # TYPE OF WORK: „11( NEW INSTALLATION REPLACEMENT REPAIR/ADDITION OUT-OF-SERVICE SEPTIC SYSTEM ENGINEER DESIGNED /ALTERNATIVE DESTRUCTION INSTALLATION WILL SERVE: I I RESIDENCE II COMMERCIAL NUMBER OF LIVING UNITS: 1 OTHER NUMBER OF EMPLOYEES: NUMBER OF BEDROOMS: 3 0 PKG TX PLANT TYPE/MFG P&L Concrete TYPE/MFG DISTANCE TO NEAREST: WELL 140 SIZE TYPE OF PUMP a tlal c Sit an /- ( 1 42-01 4/14/18 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 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 WATER TABLE DEPTH: GO —70 ft GEOGRAPHICAL INFORMATION: Coordinates X :sSMICIaV 311S SEPTIC TANK GREASE TRAP LIFT STATION SAND OIL SEPARATOR (ENCLOSED SYSTEM) CAPACITY1,500 gal # OF COMPARTMENTS 2 CAPACITY gal # OF COMPARTMENTS ft FOUNDATION 5 ft PROPERTY LINE 100 ft SIGN I HEREBY CERTI AT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SJOAQUIN COUNTY. gre.a. ). , 48 . Otriatir 610710E REQUIRED FOR IN I ONS - fl.EASE CALL (209)953-7 97 TITLE ke DATE /2 / 2/ PE Code SC INFO Received Chec Amount By ash Remitted Date Permit/ Service Request # Invoice # Permit ID# LI 1 1 ii -3 64,07-0-- 27 ...5 eci 12*---)11 Ga 0014 lp$ )1. LEACH LINES LEACHING CHAMBERS 4" perforated pipe (PVC) # OF LINES 3 DISTANCE TO NEAREST WELL 180 FILTER BED WIDTH ft LENGTH DISTANCE TO NEAREST WELL MOUNDED WIDTH DISTANCE TO NEAREST WELL DISPOSAL PONDS WIDTH ft LENGTH DISTANCE TO NEAREST WELL SEEPAGE PITS NUMBER DISTANCE TO NEAREST WELL SUMPS WIDTH ft LENGTH DISTANCE TO NEAREST WELL LENGTH OF LINES 80 ft ft FOUNDATION 10 ft PROPERTY LINE 20 ft ft DEPTH ft ft FOUNDATION ft PROPERTY LINE ft ft LENGTH ft DEPTH ft ft FOUNDATION ft PROPERTY LINE ft ft DEPTH ft ft FOUNDATION ft PROPERTY LINE ft ft DEPTH ft ft PROPERTY LINE ft WIDTH ft DEPTH ft ft PROPERTY LINE ft ft FOUNDATION ft FOUNDATION 29746 Vine Ave. Escalon/95320 OWNER ADDRESS C ITY/STATE/ZIP CONTRACTOR ADDRESS 2996 McHenry Ave. CITY/STATE/ZIP Escalon/Califomia/95320 LICENSE I ' C-42 DC-36 OTHER A NUMBER 534455 EXPIRATION DATE 3/31/2022