Laserfiche WebLink
REPAIR/ADDITION <br />OUT-OF-SERVICE SEPTIC SYSTEM <br />ENGINEER DESIGNED /ALTERNATIVE <br />DESTRUCTION <br />er 'RESIDENCE 0 COMMERCIAL <br />NUMBER OF LIVING UNITS: 1 NUMBER OF BEDROOMS: 2 <br />LI OTHER <br />NUMBER OF EMPLOYEES: <br />INSTALLATION WILL SERVE: <br />WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coo rdinates X <br />BUILDING PERMIT # LAND USE APPLICATION # <br />NEW INSTALLATION <br />X REPLACEMENT + <br />E <br />4 r and 641 <br />PERC TEST # <br />TYPE OF WORK: <br />JOB ADDRESS 30775 Tressa Ln. <br />CROSS STREET C°rneta <br />OVVNER N AME YO n...5 g•DrI6lid /6/ <br />OWNER ADDRESS 10 3 7 --;esc1 <br />CONTRACTOR Mike's Backhoe Service <br />CONTRACTOR ADDRESS P.O. Box 650 <br />LICENSE C-42 - C-36 OTHER A NUMBER 608554 <br />cffyizip Oakdale. CA <br />PARCEL SIZE Pi <br />PHONE <br />cirasTATEizip 0e,14 de, e q s-2 <br />PHONE 209-456-2865 <br />CITY/STATE/ZIP Manteca, CA 95336 <br />EXPIRATION DATE 2020 <br />APN <br /># OF COMPARTMENTS 2 <br /># OF COMPARTMENTS <br />PROPERTY LINE 25' <br /> <br />ft <br /> <br />air.....;EPTIC TANK <br /> TypEimFG P&L Concrete <br />GREASE TRAP TYPE/MFG <br />DISTANCE TO NEAREST: <br />CAPACITY 1200 <br /> <br />gal <br />CAPACITY gal <br />ft ft FOUNDATION 5' <br />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 ISS311.3c1V 3.LIS LIFT STATION SIZE TYPE OF PUMP 1:1 PKG TX PLANT <br /> la SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br /> <br />liK-LEACH LINES <br /> <br />LEACHING CHAMBERS <br /> <br /># OF LINES 2 LENGTH OF LINES 55' ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br />DISTANCE TO NEAREST WELL 100. ft FOUNDATION 10' <br />FILTER BED WIDTH ft LENGTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />MOUNDED WIDTH ft LENGTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />SUMPS WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />DISPOSAL PONDS WIDTH ft LENGTH ft <br />7 <br />DISTANCE TO NEAREST WELL <br />SEEPAGE PITS NUMBER 2 WIDTH 42" <br />DISTANCE TO NEAREST WELL 15°' <br />ft PROPERTY LINE 5' <br />DEPTH <br />ft PROPERTY LINE <br />DEPTH <br />ft PROPERTY LINE <br />ft PROPERTY LINE <br />DEPTH <br /> ft DEPTH <br />It FOUNDATION ft PROPERTY LINE <br />ft DEPTH 25' <br /> ft FOUNDATION ft PROPERTY LINE 5' <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 Mke Fuller TITLE Contractor DATE 14 I 3...b <br /> PAYMEN r itteettmo <br />DEC P a <br />a4iv <br />a a <br />Jtoovi shmilomtrouivpr ilatavi oe"ivrAt-- r <br />DEPARTMENT U SE ONLY <br /> <br /> <br /> Date /2 0 i .,:2 D 20 Area 4/ igq Employee ID# <br />1 <br />Date i I V2.02D Li SPECIAL PERMIT -Approved by <br />Pit/§ump Soil Character: <br />COMMENTS j2€10"--,1-in3 sysferp, Ar expG0510r 6f tesideote. 1;er ,71 <br />/\)0 yids P..) )4-141 cet6qcks Pf'r ODU1/117 reL 0 faS <br />PE <br />Code <br />SC <br />INFO <br />Received <br />By <br />0.Lskir <br />-Cash <br />Amount <br />Remitted Date Permit/ <br />Service Request # Invoice # Permit ID# <br />LW 10 115- teS6- .4 00 i2.1-Zi) f-Sili2)142. <br />42-D1 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/14/18 <br />Application Accepted By <br />Final Inspection By A. - <br />Character of Soil to Depth of 3 Ft: