Laserfiche WebLink
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 /> JOB ADDRESS 28850 S Tracy Blvd CITY/ZIP TMW95377 y <br /> m <br /> CROSS STREET W Linne Rd,Tracy,CA APN 25312053 PARCEL SIZE 3'94 C <br /> O <br /> OWNER NAME D.HIII Truticing PHONE 209832-4465 vAA <br /> OWNER ADDRESS CIN/STATE/ZIP <br /> CONTRACTOR V8W Dnlsng PHONE 209-469-7700 <br /> CONTRACTOR ADDRESS 1133 Blackhurst Dr CITY/STATEIZIP Gen,Ca 95632 <br /> LICENSE ❑0C-42 DOC-36 OTHER C-" NUMBER 720906 EXPIRATION DATE 4/302020 <br /> WATER TABLE DEPTH: '10W ft GEOGRAPHICAL INFORMATION: Coordinates X 37.691904 Y-121.434071 <br /> PERC TEST # I F BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: ❑ NEW INSTALLATION Xr,, REPAIR/ADDITION 7 ENGINEER DESIGNED/ALTERNATIVE <br /> ❑ REPLACEMENT ❑ OUT-OFSERVICE SEPTIC SYSTEM -I DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE A COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ LIFTSTATION SIZE TYPE OF PUMP ❑ PKGTXPLANT O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES i i LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION it PROPERTY LINE ft <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE It <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE R <br /> ❑ SUMPS WIDTH ft LENGTH it DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH It DEPTH ft <br /> DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LINE ft <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGNED_�.�r��u.-o.. TITLE Stas Professional DATE 4/62020 <br /> F�MENr <br /> F�AFD <br /> R 08 2020 <br /> 0Iy4jFN0L/N7'Y <br /> EPgRTr4E�T <br /> DEPARTMENT USE ONLY <br /> Application Accepted By Date 20D) Area 9 Employee ID# PA <br /> Final Inspection By .44*4 a i Date ❑ SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br /> COMMENTS��-�4-- fibill/Od-AL /ir-6v Z7.7 al ko t 7 V A" f'ro t <br /> 7+-+¢rt- lrL� Z�-� ate-Ee• 7.3�•%+. —7 �1 4� �4,-� <br /> PE SC Received Check#/ AmountDate Parmll/ Invoice# Permit ID# <br /> Code INFO Cas Remitted Service Request# <br /> $30"1Z c <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114/18 1073 7 F?7, / <br />