Laserfiche WebLink
0 <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209) 468-3420 <br />NUN-RthUNUAULt rtKMI I <br />JOB ADDRESS 5113 East Main Street <br />JOJ-/ DY/ hUK INSY6G11UN11j tAYIKtS T T tAK I- RUM WA I L ISSUt <br />r.-- Stockton. CA 95215 <br />CROSS STREET S Walker Lane APN 159100120000 PARCEL SIZE 14 acres <br />OWNER NAME LGI Homes PHONE 916.926.3136 <br />OWNER ADDRESS 2251 Douglas Blvd, #110 CITY/STATEIZIP Roseville, CA 95661 <br />CONTRACTOR AI's Land Clearing, Inc. PHONE 916.482.2161 <br />CONTRACTOR ADDRESS 3001 Arden Way, Suite D <br />CITY/STATE/ZIP Sacramento, CA 95825 <br />LICENSE ❑ C-42 ❑ _ C-36 OTHER C21, A, C61/C49 NUMBER 641421 EXPIRATION DATE 04/30/2022 <br />D <br />WATER TABLE DEPTH: <br />ft GEOGRAPHICAL INFORMATION: Coordinates X <br />Y <br />C PERC TEST # <br />BUILDING PERMIT # <br />LAND USE APPLICATION # <br />TYPE OF WORK: <br />NEW INSTALLATION _ <br />REPAIR/ADDITION_ <br />ENGINEER DESIGNED /ALTERNATIVE <br />WIDTH <br />_ REPLACEMENT <br />OUT -OF -SERVICE SEPTIC SYSTEM <br />DESTRUCTION senllc abandonment <br />INSTALL ATIONWILL SERVE: ❑ RESIDENCE <br />L 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 FOUNDATION <br />DISTANCE TO NEAREST: WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ LIFTSTATION <br />SIZE TYPE OF PUMP <br />❑ PKG TX PLANT ❑ <br />SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />❑ LEACH LINES <br />F LEACHING CHAMBERS <br /># OF LINES <br />LENGTH OF LINES It <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE It <br />❑ FILTER BED <br />WIDTH <br />ft LENGTH <br />ft DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE It <br />❑ MOUNDED <br />WIDTH <br />ft LENGTH <br />It DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ SUMPS <br />WIDTH <br />ft LENGTH <br />ft DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ DISPOSAL PONDS WIDTH <br />ft LENGTH <br />ft DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />It PROPERTY LINE ft <br />❑ SEEPAGE PITS <br />NUMBER <br />WIDTH <br />ft DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />It PROPERTY LINE 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 <br />COUNTY. <br />M/^I�Nw''I/M/,^,UM 48rr��H.. <br />OUR ADVANCE NOTICE <br />REQUIRED <br />FOR INSPECTIONS <br />- PLEASE CALL (209) 953-7697 <br />SIGNED I.OUeeh <br />Oktjl i <br />TITLE Controller <br />DATE 06/02/2021 <br />RE YMEN <br />CFS D <br />JUN 0 <br />3 ?0 <br />I'VIR <br />Q /N c ?% <br />6 a& 14 rY <br />D[ -E ARTME S ONLY Tk <br />Application Accepted By /7 Date Area EmployeeID#JU� <br />Final Inspection By Date �� ❑ SPE IAL PE MIT -Approved by <br />Character of Soil to <br />Depth of 3 Ft: Pit/Sump Soil Character: <br />COMMENTS 4it ,77 <br />PE SC Received Check#/ Amount a PermiU Invoice # Permit ID# <br />Code INFO By- ash Remitted Service Re uest # <br />4 ("' ^- l • /���� 7V - <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/14!114/ 18 <br />