Laserfiche WebLink
ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA95205 -(209) 468-3420 <br />NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br />JOB ADDRESS 15314 Thornton Road CITY/ZIP Lodi <br />CROSS STREET Hwy 12 ApN 025-19-031 J PARCEL SIZE 4.96 <br />OWNER NAME Investors LLC <br />I tih Y4 �� y Ila 3n ve t�-a �r` , PHONE py `}�(/� r� <br />OWNER ADDRESS gd J ,- 1"CAr1:i L6t N'F- !4th T kii yT CITY/STATE21P ��('• 1,`" F-' • �+O I <br />CONTRACTOR TERRACON CONSULTANTS INC. / AARON MEJORADO PHONE 209-367-3701 <br />CONTRACTOR ADDRESS 902 INDUSTRIAL WAY CITY/STATE/ZIP LODI, CA 95240 <br />LICENSE 0'iC-42 ❑pC-36 OTHER PE NUMBER 72446 EXPIRATION DATE 06/30/2022 <br />WATER TABLE DEPTH: <br />ft GEOGRAPHICAL INFORMATION: Coordinates X <br />Y <br />O PERC TEST # 3 <br />BUILDING PERMIT # <br />LAND USE APPLICATION # <br />TYPE OF WORK: <br />NEW INSTALLATION <br />REPAIRIADDITION <br />ENGINEER DESIGNED /ALTERNATIVE <br />ft PROPERTYLINE ft <br />REPLACEMENT <br />OUT -OF -SERVICE SEPTIC SYSTEM <br />DESTRUCTION <br />INSTALLATION WILL SERVE: D RESIDENCE <br />C COMMERCIAL <br />❑ OTHER <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: <br />NUMBER OF EMPLOYEES: <br />❑ SEPTIC TANK <br />TYPE/MFG <br />CAPACITY <br />gal # OF COMPARTMENTS <br />❑ GREASE TRAP <br />TYPE/MFG <br />CAPACITY <br />gal # OF COMPARTMENTS <br />ft <br />DISTANCETo NEAREST: WELL <br />ft FOUNDATION <br />It PROPERTY LINE ft <br />❑ LIFT STATION <br />SIZE TYPE OF PUMP <br />❑ PKG TX PLANT ❑ <br />SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />❑ LEACH LINES <br />LEACHING CHAMBERS <br /># OF LINES <br />aaa <br />LENGTH OF LINES ft <br />S6 I s <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTYLINE ft <br />❑ FILTER BED <br />WIDTH <br />ft LENGTH <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />R PROPERTYLINE ft <br />❑ MOUNDED <br />WIDTH <br />ft LENGTH <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />R PROPERTYLINE ft <br />❑ SUMPS <br />WIDTH <br />ft LENGTH <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />R PROPERTYLINE ft <br />❑ DISPOSAL PONDS WIDTH <br />ft LENGTH <br />ft <br />DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ SEEPAGE PITS <br />NUMBER <br />WIDTH <br />it DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTYLINE 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 />DEPARTMENT USE 0NLY �� <br />Application Accepted B/y� ���,,�L Date % O % Area Employee ID# <br />Final Inspection By_/►//�Ib�.�/_' Data f Z��� ❑ SPECIAL PERMIT -Approved by <br />Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br />COMMENTS <br />PE <br />Code <br />SC Received Check#/ <br />INFO Cash <br />AmountPermit/ Invoice # Permit ID# <br />Remitted Service Re uest # <br />aaa <br />S 3 <br />S6 I s <br />42-01.//j�',�JL , / ONONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/14/18 /3 ( -,36 6 37/ <br />Nr <br />0 <br />921 <br />J ry <br />�')/T <br />