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SR0084254
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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SR0084254
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Entry Properties
Last modified
8/25/2022 11:09:57 AM
Creation date
8/25/2022 11:00:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0084254
PE
4231
STREET_NUMBER
14165
Direction
N
STREET_NAME
BECKMAN
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06103071
ENTERED_DATE
9/22/2021 12:00:00 AM
SITE_LOCATION
14165 N BECKMAN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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DEPTH ft <br />It FOUNDATION ft PROPERTY LINE ft <br />ft DEPTH ft <br />DISTANCE TO NEAREST WELL 200 <br />FILTER BED WIDTH It LENGTH ft <br />DISTANCE TO NEAREST WELL <br />MOUNDED WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL <br />SUMPS WIDTH ft LENGTH fl <br />DISTANCE TO NEAREST WELL <br />DISPOSAL PONDS WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL <br />ID SEEPAGE PITS NUMBER WIDTH ft <br />DISTANCE TO NEAREST WELL <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />WATER TABLE DEPTH: 70-10 ft GEOGRAPHICAL INFORMATION: Coordinates X <br />BUILDING PERMIT # 2101461 /462/463 LAND USE APPLICATION # <br />NEW INSTALLATION <br />REPLACEMENT <br />El REPAIR/ADDITION <br />I OUT-OF-SERVICE SEPTIC SYSTEM <br />ENGINEER DESIGNED /ALTERNATIVE <br />I DESTRUCTION Li <br />TYPE OF WORK: <br />0 OTHER <br />NUMBER OF EMPLOYEES: 25 <br />INSTALLATION WILL SERVE: <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: <br />0 RESIDENCE N COMMERCIAL <br />El SEPTIC TANK <br />GREASE TRAP <br />A LIFT STATION <br />CAPACITY 2000 gal # OF COMPARTMENTS 2 <br />CAPACITY gal # OF COMPARTMENTS <br />FOUNDATION ft PROPERTY LINE <br />SIZE Ct2,0 TYPE OF PUMP pe -Se I PKG TX PLANT, 0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />SLI 11)1404 ;1,/e. e It, en <br />TYPE/MFG Concrete /Jensen Commercial <br />TYPE/MFG <br />DISTANCE TO NEAREST: WELL ft ft <br />3 LEACH LINES LEACHING CHAMBERS Perforated pipe In gravel # OF LINES 5 LENGTH OF LINES 70 ft <br />0 PERC TEST <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 />MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL 1209)953-7697 <br />SIGNED Cody Dlede Mr.= TITLE Project Menage' DATE 922-2 ' <br />li <br />Application Accepted By <br />DEPARTMENT US ONLY <br />Date 9 ig .7] Area LI /q0 Employee I <br />Final Inspection By le MIS it"---. <br />N <br />Date 45?-7...4 -.Wig 0 SPECIAL PERMIT - Approved by <br />Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br />COMMENTS E 15). A ter ed sys-lewl ,/ rf kJ 5tIti ,fr4yie. see sizot213442 .1' cor,01,1404$ <br />o ne S, ODD 341101 St"0165e 4i/‘ c:oi emLlorml k Joste. Er 5 ineer -fi) be 110 +11 led al- <br />6E100041t11 Ar a tcarei - 3C ' A ii r-ij th 4nd id 1),,, "wax b4ckr i 11, 5 1 itIC nehc e <br />PE <br />Code <br />SC <br />INFO <br />ReceivedC ICleolck <br />Cash <br />Amount <br />Remitted ate Permit/ <br />c rv' Invoice # Permit ID# <br />31 s31 H2 16 da.. b26 4)3(.6 <br />' <br />blip- 21 Witt <br />ft FOUNDATION ft PROPERTY LINE ft <br />DEPTH ft <br />ft FOUNDATION ft PROPERTY LINE ft <br /> ft DEPTH ft <br />ft FOUNDATION ft PROPERTY LINE ft <br />DEPTH ft <br />ft FOUNDATION ft PROPERTY LINE ft <br />PA <br />Ceivi- <br /> 4:p , <br />41.4,v 4 2 21,11 <br />0:141;1 /44 <br />VOA, Coif - <br />004147:4/17). ART4iikr <br />42-01 <br />4/14/18 <br />ft FOUNDATION 15 ft PROPERTY LINE 200 ft
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