SR0083897 - Laserfiche WebLink

Home Browse Search

l ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209) 468-3420 NON-REFUNDABLE PERMIT CALL 009) 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED JOB ADDRESS 1362 North Shaw Road Crry/ZIP Stockton CROSS STREET Fremont Street APN 143-260-06 PARCEL SIZE 2.28 -Acres OWNER NAME Eugene Meng PHONE e- &CITY/STATE/ZIP Stockton, CA 95215 OWNER ADDRESS 2540 Station Drive s r CONTRACTOR Terracon Consultants / Aaron Mejorado PHONE 209-367-3701 CONTRACTOR ADDRESS 902 Industrial Way CITY/STATE/ZIP Lodi/CA/95240 LICENSE C-42 C-36 OTHER PE NUMBER 72446 EXPIRATION DATE 06/30/2022 WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y X PERC TEST # 9 BUILDING PERMIT # # OF LINES LENGTH OF LINES LAND USE APPLICATION # TYPE OF WORK: NEW INSTALLATION REPAIR/ADDITION ENGINEER DESIGNED /ALTERNATIVE ft FOUNDATION ft PROPERTY LINE ft REPLACEMENT OUT -OF -SERVICE SEPTIC SYSTEM DESTRUCTION INSTALLATION WILL SERVE: RESIDENCE COMMERCIAL OTHER it NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: WELL ❑ SEPTIC TANK TYPE/MFG CAPACITY gal # OF COMPARTMENTS ❑ GREASE TRAP TYPE/MFG CAPACITY gal # OF COMPARTMENTS DISTANCE TO NEAREST WELL DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE ft �❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) ❑ LEACH LINES LEACHING CHAMBERS # OF LINES LENGTH OF LINES It DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ FILTER BED WIDTH ft LENGTH ft DEPTH it DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ MOUNDED WIDTH ft LENGTH It DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ SUMPS WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft ❑ DISPOSAL PONDS WIDTH It LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION it PROPERTY LINE ft ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft DISTANCE TO NEAREST WELL it FOUNDATION fl PROPERTY LINE ft I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. 8 HOU 6Qyhtjkg t19TICE SIGNED 00 S, amara-��K REQUIRED FOR INSPECTIONS - PLEASE CALL f209) 953-769 TITLE Staff Scientist / Consultant DATE 06-22-2021 ou. zaii aev Iz s1 oroo N1 f 411,14• • '1': • . rr, � DEPARTM Application Accepted By }� 7 �//�� Date Final Inspection By %L,i/% 5 • 1st Date Character of Soil to Depth of 3 Ft: n COMMENTS f' 1 )/ , Lj EM=MMMMMMMMMMM==lllll�lllll�lllll�llllll�llllll� .� 1■■■■■■■■■■■■■■■■■■Qat.. . • • l - PE SC Received Check Amount ate PermiU Invoice # Permit ID# Code INFO B Remitted rvice Re uest # LV- s a3 Sy 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4/14/18