Laserfiche WebLink
44 <br />jp , ot�!i <br />N 30PaU`MEI <br />5N�� <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209) 468-3420 <br />TvuN-RtFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUE <br />JOB ADDRESS 7137 E Acampo Road CITY/ZIP Acampo 95220 <br />CROSS STREET N Dustin Road APN 017-150-12 <br />PARCEL SIZE 78.18 <br />OWNER NAME E&J Gallo Wine I (" ', j f tkd &S, p' L-' --, PHONE 209-341-3111 <br />% S. �✓ <br />OWNER ADDRESS 18000 River Road r t�— ITY/STATE2IP Livingston, CA 95334 <br />CONTRACTOR T'BB� ��VV <br />� PHONE <br />CONTRACTOR ADDRESS CITY/STATE/ZIP <br />LICENSE IJ11C-42 I.11;C-36 OTHER NUMBER EXPIRATION DATE <br />D <br />WATER TABLE DEPTH: 75'+ R GEOGRAPHICAL INFORMATION: Coordinates X -121.24 W Y 38.18 N <br />IX PERC TEST # BUILDING PERMIT # LAND USE APPLICATION # <br />TYPE OF WORK: X NEW INSTALLATION <br />AIRIADDITION X ENGINEER DESIGNED/ALTERNATIVE <br />REPLACEMENT <br />OUT -OF -SERVICE SEPTIC SYSTEM DESTRUCTION <br />INSTALLATION WILL SERVE: I I RESIDENCE <br />N COMMERCIAL Li OTHER <br />NUMBER OF LIVING UNITS: NUMBER <br />OF BEDROOMS: NUMBER OF EMPLOYEES: 254 <br />❑ SEPTIC TANK TYPE/MFG <br />CAPACITY gal # OF COMPARTMENTS <br />❑ GREASE TRAP TYPE/MFG <br />CAPACITY gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL <br />ft FOUNDATION R PROPERTY LINE <br />it <br />❑ LIFTSTATION SIZE TYPE OF PUMP <br />❑ PKG TX PLANT ❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />El LEACH LINES LEACHING CHAMBERS <br /># OF LINES TBD LENGTH OF LINES TBD <br />ft <br />DISTANCE TO NEAREST WELL 850 <br />R FOUNDATION 200 1t PROPERTY LINE SO <br />ft <br />❑ FILTER BED WIDTH R LENGTH <br />ft DEPTH <br />ft <br />DISTANCE TO NEAREST WELL <br />it FOUNDATION R PROPERTY LINE <br />fl <br />❑ MOUNDED WIDTH ft LENGTH <br />ft DEPTH <br />R <br />DISTANCE TO NEAREST WELL <br />R FOUNDATION it PROPERTY LINE <br />ft <br />❑ SUMPS WIDTH it LENGTH <br />R DEPTH <br />fl <br />DISTANCE To NEAREST WELL <br />R FOUNDATION It PROPERTY LINE <br />it <br />❑ DISPOSAL PONDS WIDTH It LENGTH <br />fl DEPTH <br />it <br />DISTANCE TO NEAREST WELL <br />ft FOUNDATION it PROPERTY LINE <br />it <br />❑ SEEPAGE PITS NUMBER WIDTH <br />It DEPTH <br />ft <br />DISTANCE TO NEAREST WELL <br />R FOUNDATION fl PROPERTY LINE <br />fl <br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND <br />THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br />STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br />MINI UM 24 HOU ADVANCE NOTICE REQUIRED <br />FOR INSPECTIONS - PLEASE CALL 209 953-7697 <br />SIGNED - S eK If <br />TITLE Project Enqineer DATE 1/18/2018 <br />See attached site plan <br />EID <br />AN 2 3 2618, <br />Application AcceptedBy%�/t <br />Final Inspection By__�,,�+ <br />Character of Soil to Depth of 3 <br />COMMENTS <br />TMENZIUSE N <br />Date If AreaJEmployee ID# <br />DateSPECIAL P RMIT -Approved by <br />Pit1Sump Soil Character: <br />PE SC Received Check # Amount Date Permit/ Invoice # Permit ID# <br />Code INFO B s Remitted Service Re uest# <br />ZZ <br />42.01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4124/12 <br />TAL HEALTH <br />-RLACFS <br />