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SR0080190
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4200/4300 - Liquid Waste/Water Well Permits
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SR0080190
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Last modified
5/14/2020 2:00:58 PM
Creation date
5/14/2020 1:48:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0080190
PE
4231
STREET_NUMBER
3817
Direction
E
STREET_NAME
FARMINGTON
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
17314002
ENTERED_DATE
2/8/2019 12:00:00 AM
SITE_LOCATION
3817 E FARMINGTON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 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 3817 E Farmington Road CITY/Zip Stockton 95215 w <br /> CROSS STREETStagecoach gpry 173-140-yam �4 ' PARCEL SIZE 3 Acres d <br /> +' e <br /> OWNER NAME KM Land Developemenl PHONE 209478-7407 <br /> OWNER ADDRESS 7207 Murray Drive CITY/STATE/ZIP Stockton 95210 <br /> CONTRACTOR McFadden Construction,Inc. PHONE 209478-7407 <br /> CONTRACTOR ADDRESS 7207 Murray Drive CITY/STATE/ZIP Stockton CA 95210 <br /> LICENSE ❑OC-42 DDC-36 OTHER A,B,C8 NUMBER 617672 EXPIRATION DATE 7/31/2020 <br /> WATER TABLE DEPTH: 50 ft GEOGRAPHICAL INFORMATION: Coordinates X 37°56'30.4-N y 121°13'58.&-W <br /> ❑ PERC TEST # BUILDING PERMIT#BP-1805267 LAND USE APPLICATION# <br /> TYPE OF WORK: NEW INSTALLATION ❑ REPAIR/ADDITION jd ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT n OUT-OF-SERVICE SEPTIC SYSTEM -1 DESTRUCTION <br /> INSTALLATION WILL SERVE: RESIDENCE X COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK 2 TYPEIMFG CAPACITY gal #OF COMPARTMENTS <br /> GREASE TRAP) TYPEIMFG Jensen CAPACITY 1500 gal #OF COMPARTMENTS 2 <br /> DISTANCE TO NEAREST: WELL it FOUNDATION ft PROPERTY LINE ft <br /> 63 LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT,.t. /p SAND'OIL <br /> �SEPARATOR <br /> e(ENCLOSED SYSTEM) <br /> Dual pump with audio and visual alarm ` ��?t7p �(f(„E /r,!Vy A Ell I •y A-44 _ <br /> Cl LEACH LINES 11 LEACHING CHAMBERS #OF LINES LENGTH OF LINES It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ FILTER BED WIDTH It LENGTH ft DEPTH <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE <br /> q •e'6'^ rh <br /> ❑ MOUNDED WIDTH It LENGTH It DEPTH t A <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ SUMPS WIDTH it LENGTH ft DEPTH <br /> DISTANCE TO NEAREST WELL It FOUNDATION It PROPERTY LINE ft O <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH R DEPTH 41NI2®�, <br /> DISTANCE TO NEAREST WELL It FOUNDATION It PROPERTYLINE W2 �//,v I <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH /� MFyO(//v <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE r/ <br /> 1 HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, SENT <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MINIMUM 48 H044?,ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 JJ <br /> SIGNEDTITLE �/`-"f/L DATE �)'L <br /> S e e a t t a c h e d c l o s e d l o o p w a s1hl JbIaly s y s t e m <br /> PA R TMEN r/USdo aLY <br /> Application Accepted�Pth <br /> Date Area Employee ID# � <br /> Final Inspection By Date 2 ElSPEC AL PERMIT-Approved by <br /> Character of Soil to of 3 Ft: Pi Sump Soil Character: <br /> COMMENTS <br /> PE SC Received Amount Date Parm iU Invoice# Permit ID# <br /> Code INFO Cash Remitted Servic R ues <br /> 42.01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 <br />
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