SR0084035 - Laserfiche WebLink

Home Browse Search

s Q* L ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209) 468-3420 NON-KEFUNDABLE PERMIT GALL (LU9) `J5J-/08/ FUR INSPECTIUNS 1EXPIRE5 7 TEAK FKUM UA It: I55UEI JOB ADDRESS 3211 Country Club Blvd CITY/ZIPStockton, 95204 CROSS STREET Lakeview Dr APN a J iYt 03 PARCEL SIZE I C OWNER NAME Genesis RE Holdings LLC PHONE 209 327-0565 OWNER ADDRESS 17718 Murphy Parkway CITY/STATE/Zip Lathrop, CA 95330 CONTRACTOR Javier Sandoval Jr PHONE 209 406-7526 CONTRACTOR ADDRESS 7475 Northland Rd CITY/STATE/ZIP Manteca, CA 95336 ft DISTANCE TO NEAREST LICENSE C-42 C36 OTHER NUMBER 923500 EXPIRATION DATE 10/31/2022 J WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y PERC TEST # BUILDING PERMIT # LAND USE APPLICATION # TYPE OF WORK: NEW INSTALLATION REPAIR/ADDITION ENGINEER DESIGNED /ALTERNATIVE REPLACEMENT - OUT -OF -SERVICE SEPTIC SYSTEM DESTRUCTION ^ L511 K INSTALLATION WILL SERVE: RESIDENCE ❑ COMMERCIAL OTHER NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: ❑ SEPTIC TANK TYPE/MFG CAPACITY gal # OF COMPARTMENTS ❑ GREASE TRAP TYPE/MFG CAPACITY gal # OF COMPARTMENTS DISTANCE TO NEAREST: WELL It FOUNDATION ft PROPERTY LINE ft ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) ❑ LEACH LINES LEACHING CHAMBE DISTANCE TO NEAREST ❑ FILTER BED WIDTH LENGTH OF LINES DISTANCE To NEAREST ❑ MOUNDED WIDTH DISTANCE TO NEAREST ❑ SUMPS WIDTH ft DISTANCE TO NEAREST ❑ DISPOSAL PONDS WIDTH DISTANCE TO NEAREST ❑ SEEPAGE PITS NUMBER WELL DISTANCE TO NEAREST 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. MINIMUM 48 H NOTICE RE IRED FOR INSPECTIONS - PLEASE CALL (209) 953-7697 SIGNED TITLE Contractor DATE 8/6/2021 DEPARTMENT DEPARTMENT U. E ONLY A0plication Accepted Area Employee ID# / r 1 Final Inspection By Date A- I SPECIAL PERMIT -Approved by Character of Soil ttoDepth of 3 Ft: Pit/Sump Soil Character: COMMENTS C. -.O 1Pt.I'D C'll] l <Pidpy, Ait- f? PE SC Received Check#/ Amount Perm iU Code INFO B Cas Remitted Date ceRe uest# Invoice# PermitlD# 42-01 / " /1 �Z�7b / �% ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4/14/18 2 - ft LENGTH OF LINES # OF LINES S WELL ft FOUNDATION ft PROPERTY LINE ft ft LENGTH ft DEPTH ft WELL ft FOUNDATION ft PROPERTY LINE ft ft LENGTH ft DEPTH ft WELL ft FOUNDATION ft PROPERTY LINE It It LENGTH ft DEPTH ft WELL It FOUNDATION It PROPERTY LINE ft ft LENGTH ft DEPTH ft WELL ft FOUNDATION ft PROPERTY LINE It _ WIDTH ft DEPTH ft WELL ft FOUNDATION ft 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. MINIMUM 48 H NOTICE RE IRED FOR INSPECTIONS - PLEASE CALL (209) 953-7697 SIGNED TITLE Contractor DATE 8/6/2021 DEPARTMENT DEPARTMENT U. E ONLY A0plication Accepted Area Employee ID# / r 1 Final Inspection By Date A- I SPECIAL PERMIT -Approved by Character of Soil ttoDepth of 3 Ft: Pit/Sump Soil Character: COMMENTS C. -.O 1Pt.I'D C'll] l <Pidpy, Ait- f? PE SC Received Check#/ Amount Perm iU Code INFO B Cas Remitted Date ceRe uest# Invoice# PermitlD# 42-01 / " /1 �Z�7b / �% ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4/14/18 2 -