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SR0083995
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4200/4300 - Liquid Waste/Water Well Permits
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SR0083995
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Entry Properties
Last modified
8/10/2021 1:11:38 PM
Creation date
8/9/2021 12:21:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0083995
PE
4222
STREET_NUMBER
261
Direction
S
STREET_NAME
REID
STREET_TYPE
AVE
City
LINDEN
Zip
95236
APN
18336071
ENTERED_DATE
7/26/2021 12:00:00 AM
SITE_LOCATION
261 S REID AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\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 209 953-7697FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 261 South Reid Avenue CrTY/ZIP Linden 95236 <br /> to <br /> CROSS STREET Ashton lane APN 183-360-710-000 PARCEL SIZE 6.61 Acres o <br /> a <br /> OWNER NAME Martinez,Joseph M&Linda M PHONE 209-957-1866 <br /> OWNER ADDRESS Same as Job Adress CITY/STATE/ZIP <br /> CONTRACTOR AdvancedGeo,Inc. PHONE 209-467-1006 <br /> CONTRACTOR ADDRESS 837 Shaw Road -CITY/STATE/ZIP Stockton,CA 95215 <br /> LICENSE --C-42 ❑❑C-36 OTHER Supervisedby CA Pro.GEO NUMBEF 8"9` �EXPIRATION DATE 01/31/2023 <br /> i <br /> WATER TABLE DEPTH: 140-150 it GEOGRAPHICAL INFORMATION: Coordinates X 37.581211 Y 121.031599 <br /> PERC TEST #' BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: ❑ NEW INSTALLATION ❑ REPAIR/ADDITION ❑ ENGINEER DESIGNED/ALTERNATIVE <br /> ❑ REPLACEMENT I 1 OUT-OF-SERVICE SEPTIC SYSTEM Cl DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> ❑ GREASETRAP TYPE/MFG CAPACITY gal #OFCOMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP O PKGTXPLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> O LEACH LINES 7 LEACHING CHAMBERS #OF LINES LENGTH OF LINES it <br /> DISTANCE To NEAREST WELL It FOUNDATION ft PROPERTY LINE It <br /> (3 FILTER BED WIDTH it LENGTH it DEPTH it <br /> DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LINE It <br /> ❑ MOUNDED WIDTH it LENGTH ft DEPTH it <br /> DISTANCE To NEAREST WELL It FOUNDATION ft PROPERTY LINE it <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LINE it <br /> O DISPOSAL PONDS WIDTH ft LENGTH It DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE it <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH it <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE it <br /> f 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 Evan Schmidt C= TITLE Staff Geologist DATE 7/21/2021 <br /> S El El JAITIT AICI HI F1 D <br /> CEENT <br /> et) <br /> 26202, <br /> E QUIN C <br /> E gENTq NTy <br /> L <br /> RTIy1ENT <br /> DEPARTMENT SE NLY <br /> Application Accepted B -7 Date Area Employee ID# <br /> Final Inspection By 49 Date 'Z ❑ SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br /> COMMENTS <br /> PE SC Received Check#/ Amountate Permit/ Invoice# Permit ID# <br /> Code INFO Cash Remitted Service Re uest If <br /> a�a sa3 sa 2L1! <br /> 4/14/ � /�! /�/ F-1 ONSITE WASTEWATER TATMNT SYSTEM PERMIT <br /> 4/14/18 -----��//�7 /� "�" <br />
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