SR0083751 - Laserfiche WebLink

Home Browse Search

,�J ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209) 468-3420 NON-MLA-UNDAdLE NEHMIT L ALL (LUJ) J0J-/O7// I -UK 11VST'ttG1/UN5 CAYIHt5 I TLAM 1 -HUM LJAIL I5U1U JOB ADDRESS 20679 E. State Route 120 ++�� CRY//zip Escalonn 195320 CROSS STREET Ven Q Allen Rd. APN a05-0 900`9 0 PARCEL SIZE 14'50 OWNER NAME 1-118ude 37 PA tners, LLC OWNER ADDRESS 20679 E. State Route 120 CONTRACTOR Umted Paving CONTRACTOR ADDRESS 1207Montclaire Dr. Eacalon / 95320 PHONE 209-527-7283 CITY/STATE/ZIP Ceres / CA 195307 LICENSE C-42 11--C-36 OTHER A NUMBER 434413 EXPIRATION DATE 7/31,2022 COMMENTS /IJe�J COMM -K 041 SePtr�ShEwl , T1SA(�]L — PE SC Received Check#/ Amount ate Permit/ Invoice # Permit ID# Code INFO Cash Remitted P I Service Request # Ib SO S 42-01 ^ - ONSITE WASTEWATER TRTMNT SYSTEM PERMIT anana WATER TABLE DEPTH: SO C�o ft GEOGRAPHICAL INFORMATION: Coordinates X Y ❑ PERC TEST # BUILDING PERMIT # LAND USE APPLICATION # TYPE OF WORK: NEW INSTALLATION ❑ REPAIR/ADDITION ❑ ENGINEER DESIGNED /ALTERNATIVE Ll REPLACEMENT ❑ OUT -OF -SERVICE SEPTIC SYSTEM n DESTRUCTION INSTALLATION WILL SERVE: ❑ RESIDENCE iQ COMMERCIAL ❑ OTHER NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES:—& 'JEL SEPTICTANK TYPE/MFG JZ3000/Jensen Precast CAPACITY 3'000 gal # OF COMPARTMENTS ❑ GREASETRAP TYPE/MFG CAPACITY _ gal # OF COMPARTMENTS DISTANCE TO NEAREST: WELL"' ft FOUNDATION 28 ft PROPERTY LINE 130 ft ❑ LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT ❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) LEACH LINES 7 LEACHING CHAMBERS leach lines # OF LINES 8 LENGTH OF LINES too ft DISTANCE TO NEAREST WELL 255 ft FOUNDATION 67 It PROPERTY LINE 28 ft 0 FILTER BED WIDTH ft LENGTH It DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft 0 MOUNDED WIDTH it LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft 0 SUMPS WIDTH It LENGTH It DEPTH ft DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LINE ft 0 DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LINE ft 0 SEEPAGE PITS NUMBER WIDTH It DEPTH ft DISTANCE TO NEAREST WELL it 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. MI IMM 48 HOUR ADVANCE NOTICE RE IRED FOR INSPECTIONS - PLEASE CALL 2 953-7697 SIGNED TITLE Project Manager DATE 302021 COMMENTS /IJe�J COMM -K 041 SePtr�ShEwl , T1SA(�]L — PE SC Received Check#/ Amount ate Permit/ Invoice # Permit ID# Code INFO Cash Remitted P I Service Request # Ib SO S 42-01 ^ - ONSITE WASTEWATER TRTMNT SYSTEM PERMIT anana