Laserfiche WebLink
ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209) 468-3420 <br />IYVN-RCYUNUACLt Yt KMII UALL (LU'JJ &OJ"/0`J/ /-UK IIVSF'tGlIUIVS GAYIKtS "1 TtAK FKUM UAIt I55UE'. <br />JOB ADDRESS 6021 E. KETTLEMAN LN. CITY/ZIP LODI / 95240 <br />CROSS STREET CURRY RD APN 049-230-11 PARCEL SIZE 16.8 AC <br />OWNER NAME DELTA PACKING - BERTON COSTAMAGNA PHONE 209-321-4538 <br />OWNER ADDRESS 6021 E. KETTLEMAN LN. CITYISTATEIZIP LODI, CA 95240 <br />CONTRACTOR HALEY CONTRACTING PHONE 209-463-2517 <br />CONTRACTOR ADDRESS 4228 NEWTON RD. <br />LICENSE J C-42 ! C-36 OTHER A. B, C16 <br />CITY/STATE/ZIP STOCKTON / CA / 95205 <br />NUMBER 580907 EXPIRATION DATE 11-30-23 <br />WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br />J PERC TEST # BUILDING PERMIT # bv- <br />LAND USE APPLICATION # <br />TYPE OF WORK: NEW INSTALLATION IP REPAIR/ADDITION ENGINEER DESIGNED /ALTERNATIVE <br />REPLACEMENT SEPTIC TANK OUT -OF -SERVICE SEPTIC SYSTEM DESTRUCTION <br />INSTALLATION WILL SERVE: -1 RESIDENCE COMMERCIAL ] OTHER <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: 120 <br />Q SEPTIC TANK TYPE/MFG JENSEN PRECAST CAPACITY 3,000 gal # OF COMPARTMENTS 2 <br />❑ GREASE TRAP TYPE/MFG CAPACITY gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL It FOUNDATION I fl PROPERTY LINE 50 ft <br />❑ LIFT STATION SIZE 2 HP TYPE OF PUMP See Below' ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />OMNIVORE DUAL PUMPS W/AUDIAL 8 VISUAL ALARM <br />LEACH LINES <br />LEACHING CHAMBERS <br /># OF LINES <br />LENGTH OF LINES It <br />DISTANCE TO NEAREST <br />WELL_ <br />ft FOUNDATION- <br />ft PROPERTY LINE ft <br />❑ FILTER BED <br />WIDTH <br />ft LENGTH <br />ft DEPTH It <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ MOUNDED <br />WIDTH <br />ft LENGTH <br />ft DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE R <br />❑ SUMPS <br />WIDTH <br />ft LENGTH <br />ft DEPTH It <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ DISPOSAL PONDS WIDTH <br />ft LENGTH <br />ft DEPTH it <br />DISTANCE TO NEAREST <br />WELL <br />_ ft FOUNDATION <br />ft PROPERTY LINE ft <br />SEEPAGE PITS <br />NUMBER_ <br />WIDTH_ <br />ft DEPTH_ ft <br />DISTANCE TO NEAREST <br />WELL_ <br />ft FOUNDATION _ <br />ft PROPERTY LINE ft <br />I HEREBY CERTIFY THAT I HAVE PREP/tAED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br />A <br />I JSTATE LAWS AND RULES AND <br />REGULATIONS OF SAN JOAQUIN <br />COUNTY. <br />SIGNED I 1 ' U IJV Y TITLE PROJECT MANAGER DATE 1-25-22 <br />Application Accepted By -- G Date <br />Final Inspection By 6 Date <br />Character of Soil to Depth of 3 Ft: <br />COMMENTS 5e I C. 141h M S vL�Byl $ o <br />e 1 0 C% I b -6b � S6 12}' 1,6 n Gj,n <br />wrl pY A)—" rionA I r T <br />ii�iiii��■■■■■�iiii <br />7■■■■■■C <br />eit+i• a/ ..c .• • u . <br />Code INFO nate ' """'" Invoice # Permit ID# <br />By ash Remitted n I ServiceReauest# <br />42-01 <br />4/14/18 <br />ME <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />vS,t <br />I <br />Ntt4` <br />