Laserfiche WebLink
ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HAZELTON AVENUE-STOCKTON CA 95205-(209)4683420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 3501 Lehman Road CITY21P I racy/95304 <br /> w <br /> CROSS STREET Ahem Road APN 255-02-061 PARCEL SIZE 13.5 Acre <br /> 7 <br /> OWNER NAME Daniel Hepler PHONE 209-814-0564 <br /> OWNER ADDRESS 670 Potsgroye Ct. CITY/STATEIZIP Tracyi CAI 95377 <br /> CONTRACTOR Bob Gmssl Construction Inc PHONE (209)838-7469 office 209-993-8938 cell <br /> CONTRACTOR ADDRESS 16705 Steinegul Road CIN/STATE/ZIP Escalon/CA/95320 <br /> LICENSE C-42 C-36 OTHER S NUMBER 645470 EXPIRATION DATE 08 12/22 <br /> WATER TABLE DEPTH: 40.0 ft GEOGRAPHICAL INFORMATION: Coordinates X 37.6833°latitude y-121.3479"longitude <br /> X PERC TEST #1 BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: X NEW INSTELATION REPAIRIADDITION ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACE T OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: ESIDENCE X COMMERCIAL OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES:8 <br /> II4 SEPTIC TANK TYPE/MFG P/L CAPACITY 2000 gal # MPARTMENTS 2 <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION k PROPERTY LINE ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP 13 PKG T T O SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> LEACH LINES LEACHING CHAMBERS #OF LINES 3 LENGTH OF LINES 3 @ 87'long k <br /> DISTANCE To NEAREST WELL 20 ft F DATION 100 ft PROPERTY LINE 250 ft <br /> ❑ FILTER BED WIDTH LENGTH ft DEPTH ft <br /> DISTANCE TO NEARE WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH k <br /> DISTA ONEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ SUMPS TH ft LENGTH DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ DISPOS NDS WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> I HEREBY CERTIFY THAT I HAVE PR WARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> TE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY, <br /> TA <br /> MINIM NOTICE RE w-PP ,Q -CA 20 953-7269 G� <br /> SIGNED TITLE V I /Y, LiL1`7 DATE ) <br /> r <br /> (N)ISeptc L chRiiId <br /> --, - pAY <br /> - T REC MENT <br /> E/VeD <br /> pPR 0 y 2019 <br /> use J�AQUINC N <br /> DEPARTMENT U E ONLY /� I H Ml/ 0NMENTV �' <br /> Application Accepted By Date Area01A <br /> �ployee ID#--Y��DEPARTMENT <br /> Final Inspection By — Date SRMIT-Approved by <br /> Character of Soil to Dept,"f 3 Ft: Pit/Sump Soil Character. <br /> COMMENTS <br /> PE SC Received I Amount Perm it/ <br /> Code INFO B Cash Remitted Date Service Re est# Invoice# Permit ID# <br /> <2A 45 !1"(D 0411 <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4/14/18 <br />