Laserfiche WebLink
I1 -I5 ° 1 <br />4sO) ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209) 468-3420 <br />NON-KEFUNDABLE PERMIT GALL LUV 1103-/D`J/ FOR INSPECTIONS rXPIRES T YEAR FROM UATE ISSUE <br />JOB ADD ss 01 W Schulte Road CrrY/ZiP Tracy, CA, 95377 <br />CROSS STREET Old Schulte Road and South Lammers Road APN 209-25-010 PARCEL SIZE 122.06 ac <br />OWNERNAME Tom Martin — AM -961+ U.r4hu PHONE (510) 661-4032 <br />OWNER ADDRESS 1800 Wazee Street, Suite 500 CITYISTATE21P Denver, Colorado, 80202 <br />CONTRACTOR n/a <br />CONTRACTOR ADDRESS <br />CITY/STATE/ZIP <br />LICENSE ❑-C-42 DIC -36 OTHER NUMBER C49430 EXPIRATION DATE September 30,2022 <br />WATER TABLE DEPTH: <br />31' ft GEOGRAPHICAL INFORMATION: Coordinates X 121 ° 29' 19" W Y 37-43-62"N <br />PERC TEST # <br />1 BUILDING PERMIT # <br />n/a LAND <br />USE APPLICATION # — p OtZL1 <br />TYPE OF WORK: <br />NEW INSTALLATION .. <br />REPAIR/ADDrnON <br />- ENGINEER DESIGNED /ALTERNATIVE <br />ft DEPTH ft <br />C REPLACEMENT F, <br />OUT -CIF -SERVICE SEPTIC <br />SYSTEM - DESTRUCTION <br />INSTALLATION WILL SERVE: ❑ RESIDENCE <br />❑ COMMERCIAL <br />OTHER Industrial warehouses <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: <br />NUMBER OF EMPLOYEES: <br />0 SEPTIC TANK <br />TYPE/MFG <br />CAPACITY <br />gal # OF COMPARTMENTS <br />O GREASE TRAP <br />TYPE/MFG <br />CAPACITY <br />gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST <br />DISTANCE TO NEAREST: WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />O LIFT STATION <br />SIZE TYPE OF PUMP <br />O PKGTXPLANT <br />13 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />O LEACH LINES U LEACHING CHAMBERS <br /># OF LINES <br />LENGTH OF LINES ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTYLINE ft <br />O FILTER BED WIDTH <br />ft LENGTH <br />ft DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />0 MOUNDED WIDTH <br />ft LENGTH <br />ft DEPTH It <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE It <br />O SUMPS WIDTH <br />ft LENGTH <br />ft DEPTH It <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />O DISPOSAL PONDS WIDTH <br />It LENGTH <br />ft DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />0 SEEPAGE PITS NUMBER <br />WIDTH <br />ft DEPTH It <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />fl PROPERTY LINE ft <br />1 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 <br />NOTICE REQUIRED <br />FOR INSPECTIONS <br />- PLEASE CALL (2091953-7697 <br />SIGNED William James Miller <br />TITLE Development Services Manager DATE 06-10-2022 <br />DEPARTMENT US ONLY /� /� C <br />Application Accepts I L Date 13 Area S —/ Employee ID# ^ •? <br />n <br />Final Inspection B Date ZvjAl20t'$PECIAL PERMIT -Approved by <br />Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br />COMMENTS hor:;wtert+ De61+I-A 14CnN <br />e c 4PA4. � Q.�— '�TGc� T 6'. tJ 1c, i�i <br />PE Sc Received Check#/ Amount at Permit/ Invoice # Permit ID# <br />Code INFO B Cash Remitted Service Re uest# <br />a�a sa3 4ff&L CAg4f Isa i3 <br />42-01 n ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/14/18 // `15 _ <br />