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SU0003930 SSNL
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WEST RIPON
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2600 - Land Use Program
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PA-0200345
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SU0003930 SSNL
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Entry Properties
Last modified
12/5/2019 4:58:47 PM
Creation date
12/5/2019 4:42:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0003930
PE
2622
FACILITY_NAME
PA-0200345
STREET_NUMBER
9534
Direction
E
STREET_NAME
WEST RIPON
STREET_TYPE
RD
City
MANTECA
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
9534 E WEST RIPON RD
RECEIVED_DATE
8/13/2002 12:00:00 AM
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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SA OUIN COUNTY PUBLIC HEALTH SERVICES <br /> WRONMENTAL HEALTH DIVISION <br /> P-O,BOX 388,304 EAST WEBER AVENUE,STOCKTON,CA 95201388 <br /> (209)468.3420 <br /> NONREFUNDABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> IC{ml In Tripll{ftf) <br /> APPLICATION IB HEREBY MADE TO THE SAN JOAQUIN COUNTY FOR A PERMIT TO CONSTRUCT AND/OR INSTALL THE WOR(DESCRIBED. THIS APPLICATION IB MADE IN COMPLIANCE WITH BAN <br /> JOAQUIN COUNTY DEVELOPMENT TITLE,CHAPTER 9.1110.3 AND THE STANDARDS OF SAN JOAQUIN COUNTY PUBUC HEALTH SERVICES,ENVIRONMENTAL HEALTH DIVISION. <br /> JOB ADDRESSOR A//P11NE_ CA to ';'I S'r" �I P7 1 <br /> OWNER'S NAME <br /> _i�f} `<n I A"'�-�I ADORE 8 5 �� GIN r\p, Pp n LOT SZE��� <br /> CONTRACTOR1'I6-- � <br /> FL/I[[ _ADDRESS <br /> �F//�Q F7Ok �- <br /> L LIC{ �RIONE 9 7?T3 <br /> SLID CONiMCTOR ADDRESS <br /> UCI PHONE <br /> TYPE OF fF1TIC WORT(; NEW INSTALLATION❑ REPAIR/ADDITION <br /> OFITRVt TION❑ <br /> IND SEPTIC SYSTEM PERMITTED IF PUBLIC SEWER 18 AVAILABLE WITHIN 200 FEET OF BUILDING! <br /> PFRC TU71H 1 1 NOW MANY <br /> APPnoatlan F <br /> INSTALLATION WILL{FAV E: RESIDENCE l COMMERCIAL❑ OTHER❑ <br /> NUMBER OF LANG UNITS:_NUMBER OF BEDROOMS: _NUMSER OF EMPLOYEE{: <br /> CHARACTER OF SOIL TO A DEPTH OF 3 FEET: 4 c PITISUMP BOIL CHARACTER: <br /> �L� Y.�,^1� WATER TABLE DEPTH <br /> SEPTIC TANIUg1EA{E TRAP {a TYPE/MFO tl CAPACITY <br /> v ` Aa 0 n� NO.COMPARTMENTS <br /> MO TREATMENT PLANT❑ DISTANCE TO NEAREST; WELL -':;-H FOUNDATION 10 <br /> PflO PERTY UNE�'� <br /> UFT STATION❑ 612E TYPE OF PUMP BAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> LEACHING UNE NO,S LENGTH OF LINED_ II�� �• R 1 <br /> r-1 YE7 DISTANCE TO NEAREST:WELL sn I FOUNDATION 40 PROPERTY LINE JOI <br /> FILTER BED ❑MOTH LENGTH DEPTH - DISTANCE TO NEAREST:WELL FOUNDATION <br /> PROPERTY LINE <br /> MOUNDED 11 MOTH LENGTH OEPTH DISTANCE TO NEAREST:WELL FOUNDATION <br /> PROPERTY UNE <br /> SEEPAGE FITS �❑1DWIDEPTH SIZE NUMSER_DISTANCE TO NEAREST:WELL FOUNDATION_PROIR Y LINE <br /> SUMPS tl DTH �.LENOT�DEPTH <br /> DISTANCE TO NEAREST:WELL le in/ FOUNDATIONPROPERTY UNE�— <br /> DISPOSAL PONDS ❑MOTH LENGTH DEPTH DISTANCE TO NEAREST:WELL FOUNDATION <br /> PRO{•ERTY UNf <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WOR(WILL BE DONE IN ACCORDANCE MTN SAN JOAQUIN COUNTY ORDINANCES AND STATE LAWS,AND RULES <br /> AND REGULATIONS OF THE SAN JOAGLIN COUNTY,HOME O WNER OR LICENSED AGENT'S SIGNATURE CERTIFIES THE FOLLOWING:'I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH <br /> THIS PERMIT IS ISSUED,I SHALL NOT EMPLOY ANY PERSON IN SUCH A MANNER AS TO BECOME SUBJECT TO WORKMAN'S COMPENSATION LAWS OF CALIFORNIA.' CONTRACTOR'S HIRING OR <br /> BUB CONTRACTING SIGNATURE CERTIFIES THE FOLLOWING:'I CERTIFY THAT IN THE PERFORMANCE OF THE WOR(FOR WHICH THIS PERMIT IS ISSUED,I SHALL EMPLOY PERSONS SUBJECT TO <br /> WORKMAN'S COMPENSATION LAWS OF CALIFORNIA.' THE APPLICANT MUST CALL 24 HOURS IN ADVANCE FOR ALL MEGLXAED N{PEC7ION{.COMPLETE DRAWING BELOW. <br /> BIOMED% � .(�� <br /> TITLE: DATE: <br /> PLOT PLAN[DRAW TO SCALE)SCALE.-IP <br /> /. NAMES OF STREETS OR ROAD$NEAREST TO OR BOUNDING THE PROPERTY. 4. <br /> S.OUTLINE OF THE PROPERTY,MTN DIMENSIONS AND NORTH DIRECTION, LOCATION OF HOUSE IFWA SEWAGE AL SYSTEMS.SYSTEM OR PROPOSED <br /> 3.DIMENSIONED OUTLINES AND LOCATION OF ALL EXISTING AND PROPOSED STRUCTURES, EXPANSION F SEWAGE DISPOSAL SYSTEMS. <br /> INCLUDING COVERED AREAS SUCH AS PATIOS,DRIVEWAYS,AND WALKS. S. LOCATION Of WELLS WITHIN RADIUS OF ONE HUMORED FIFTY FT.ON <br /> THE PROPERTY OR ADJOINING PROPERTY. <br /> WITS+ RJP�n Q <br /> P <br /> d 1 <br /> or_ <br /> 'qy AUG <br /> 4 1998 <br /> LY <br /> 'PLICATION ACCEPTED BY \ R NMENTAL HEA�IF'ICCs <br /> FOR DEPARTMENT USE ONLY ENVI NEA, Y <br /> DATE: PL(XlSlp/ <br /> CNK,PIT OR BUMP INBPEC71014 BY DATE // FINAL INSPECTION BY <br /> DATE_____ <br /> -01710NAL COMMENTS: <br /> ACCOUNTING ONLY: AID0 FAC. <br /> PE CODE FEE INFO AMOUNT REMII TED IIE CASH RECDVEO SY <br /> _ DATE M/PERMIT NUMBER INVOICE I <br /> Z 85 <br /> Pub.Health SaN,-Enwo.174(3/96) <br />
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