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Y <br /> RMAILE <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> AN JOAOUIN ENVIRONMENTAL HEALTH DEPARTMENT 1888 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 /> Joe ADDRESS 29700 S AHERN ROAD CITYIZIp TRACY 95304 <br /> ` ,�mo�/wy .� <br /> CROSS STREET INTERSTATE 5 APN Z Sr 1i44t/', PARCEL SIZE 9•elf <br /> OWNER NAME <br /> APNA PETROLEUM do PHONE DEB81E JUTLA 209-407-9743 <br /> 1 <br /> OWNER ADDRESS 7501 ELEVENTH STREET CITYISTATEIZIP TRACY,CA 95304 <br /> CONTRACTOR WEST COAST BACKHOE INC PHONE 209-339-7394 <br /> CONTRACTOR ADDRESS 33 MAXWELL ST CITY/STATE/ZIP LODI,CA 95240 <br /> LICENSE C-42 C-36 OTHER A t1 C12 NUMBER 851157 EXPIRATION DATE 9.!30'2025 <br /> WATER TABLE DEPTH: 30-BG It GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST # BUILDING PERMIT#e>.rrsav-93 ° LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION REPAWADDITION ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-0FSERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: RESIDENCE COMMERCIAL OTHER <br /> NUMBER OF LIVING UNITS; NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> �I SEPTIC TANK TYPE/MFG .5« 6,4eiq,02079 CAPACITY 20000 gal #OF COMPARTMENTS 2 <br /> © GREASE TRAP TYPE/MFG TBD CAPACITY 2000 gal #OF COMPARTMENTS 1 <br /> DISTANCE TO NEAREST: WELL 80 ft FOUNDATION 10 ft PROPERTY LINE 70 ft <br /> ❑ LIFTSTATION SIZE TYPE OF PUMP O PKG TX PLANT 0 SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> M LEACH LINES LEACHING CHAMBERS #OF LINES 30 LENGTH OF LINES 72 ft <br /> DISTANCE TO NEAREST WELL 182 ft FOUNDATION 253 ft PROPERTY LINE 14 R <br /> ❑ FILTERSED WIDTH R LENGTH ft DEPTH ft <br /> DISTANCE To NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL II FOUNDATION ft PROPERTY LINE ft <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LINE It <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH It DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE It <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH 0 <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 WTH SAN JOAOUIN COUNTY ORDINANCES. <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAOUIN COUNTY. <br /> R INSPECTIONS-PLEASE <br /> SIGNED TITLE President DATE 8-25-2025 <br /> PA <br /> New <br /> CI L I H I I I ECE�VFD <br /> � AEG 25 ?D25 <br /> J R�NAQUMEco!My <br /> CDD �EP,gR�� <br /> Q <br /> O DEPARTM USE ONLY <br /> Application Accepted B o�ltk Date —Z ^L Area Employee IO# <br /> D Final Inspection By — Date 71(Z/ M SP�EiC1A�l PTER�MIT•Approved by <br /> nCharacter of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br /> n COPMENTS tSP —C 8 A., E*Wt �rh <br /> (p SROOV—'07-40--SGG END s.�base It 499f .t,W 9 e7- zou. -- <br /> PE SC Received Check#/ Amount Date Pennit/ Invoice# Permit ID# <br /> Code INFO Cash Remitted Service Request# <br /> YZV 15,31 <br /> 4301 / '/\�,r / �I h� /1 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114118 <br />