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SU0011280_SSNL
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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22420
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2600 - Land Use Program
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PA-1600194
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SU0011280_SSNL
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Entry Properties
Last modified
11/19/2024 1:52:20 PM
Creation date
9/8/2019 12:55:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0011280
PE
2626
FACILITY_NAME
PA-1600194
STREET_NUMBER
22420
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220-
APN
01319005
ENTERED_DATE
3/23/2017 12:00:00 AM
SITE_LOCATION
22420 N HWY 99
RECEIVED_DATE
3/21/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\22420\PA-1600194\SU0011280\SS_NL STDY .PDF
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EHD - Public
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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> JOApUIN COUNTY ENVRONMENTAL HEALTH DEPARTMENT t$SBE."MELTON AVENUE-STOCKTON CA 95205-(209)488-3440 <br /> NON-REFUNDABLE PERMIT CALL 209)953-7697 FOR IN3PECTNINB EXPIRES 1 YEAR FROM DATE ISSUED <br /> JoeaoDREsa_22420 N. Highway 99 w SwAmcl� mita, Acam❑o. CA 95220 <br /> CRosa$mEET_Peltier APN 013-190-053.59ACREs <br /> PARCEL$R! C <br /> oWNERNAMe_R+Qeberto ciarrra c,wl dclf(cti E,LLya,Btid �`"D11NDNE 209-810-4677 �O <br /> OWNER AODRess =2063-P-revidenee-Wav LIZC.w l�mI.T.TENVP Lodi, CA 95240 <br /> CONTRACTOR_ <br /> T€ 0N-@ON5iltTANT-&1Nf,.Im Ell °A k1N, .1209-367-3701 <br /> CONTRACTOR ADDRESS 902 INDUSTRIAL WAY CRYISTATEMP LODI, CA 95240 <br /> LKENaE 03C.2 O'.0-SB OTHER C57 ND„BEN669004 E„RRAnDNOATE 5/31/2019 <br /> WATER TABLE DEPTH: R GEOOMMRCAL IMORMATNN: Coordinate. X y <br /> 'X PERCTEST S_l—� BUILDING PERMITS LAND USE APPLICATION IN <br /> TYPE OF WORK: NEW NaTALunon REP A.... ENGINEER DESIGNED I&MNAYmE <br /> REPLACEMENT L OUT•OF$ERYKE SEPTIC SYSTEM _ DC4RUOn0„ <br /> INSTALLATION WILL SERVE: ❑ REamENDE COMMERCIAL O OTHER <br /> • NUMSCR Of LWMO UNR4: NUMBER OF BEDROOMS: NUMSERME„PLOV : <br /> ❑ SEPTIC TANK TVPFJMFO CAPACRY gal EDFCOMPARTMEWS <br /> ❑ GREASETRAP TYFE9 G CWACTTY 981 MOFCOMPARTMENTS <br /> DISTANCETONEAREST: WELL R FOUMATNN A PRDPERTYLME ft <br /> O LIFTSTATION ERE TYPE OF PUMP 13 PKGTXPLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACHLINES J LEACHING CHAMBER$ MOFLmEB LENGTHOFOxe9 ft <br /> DISTANCE TO NEAREST WELL ft MUNOATION ft PROPERTYLME ft <br /> ❑ FILTER BED WOTN 0 LENGTH ft DEPTH it <br /> OISTANCETONEMEST WELL R sounovMIN A PROPERTVLNE R <br /> ❑ MOUNDED Wm,x If LENGTH ft DEPT R <br /> DMTMICE TO NEAREST WELL R FOUNDATION ft FROPERTYUI# it <br /> ❑ SUMPS WOTM R LENGTH A DEPrH ft <br /> DISTANCE TO NEAREST MELL R FOWIMTNIN ft WainsoTYWE It <br /> ❑ DISPOSAL PONDS WWI. R LENGTH ft DEPT R <br /> DISTANCE To NEAREST WELL R FOUNDATION ft PROPERTYLME ft <br /> ❑ SEEPAGE PITS NGNBEN WOT - DEmT ft <br /> DMTAMETONEMEST WELL R FOUNOATNNN ft PROPERTYLME R <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAOUM COUNTYORDINANCEB. <br /> STATE LAWS AND RULES AND REGULATIONS OF BAN JOAOUIN COUNTY. <br /> MINIMUM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(109)953.7697 <br /> SIGNED ')II,i/In (((41,_ TIRE STAFFSCIENTIST DATE.D3-01-2011 <br /> ��� J��"PELneaaonD = PROPOSED LEACH <br /> N <br /> t <br /> NT <br /> JET <br /> -I9 <br /> { t)rY <br /> — ENT <br /> lm <br /> Application ADcaptad By Dote Ma Employee ION G7iD� <br /> Final Inspection By Date ❑ Sp <br /> IAL RMIT•Approved by <br /> Character of 3011 to Depth of JFD PIVSump 3011 Cluncter: <br /> COMMENTS <br /> PE NF Re By Chaall Amount plonDote .Re InvOlul Par 1 IN <br /> Coda INFO B Cseh RamlR.d SaMc.Ra aslS <br /> Z� 7 <br /> 1241 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> p4112 <br /> • <br />
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