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 /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOB ADDRESS 20679 Highway 120 CITY/ZIP Escalon,95320 rn <br /> CROSS STREET Van Allen Road APN 205-08-004 PARCEL SIZE-47 acres o <br /> OWNER NAME Latitude 37 Partners,LLC (rgM1Zj,,4/nZ� PHONE(209)602-6569 m <br /> OWNER ADDRESS 20679 Highway 120 /2,01 o n ZQMWAt-f CITY/STATE/ZIP Escalon,CA 95320 �•�� ,la.f <br /> CONTRACTOR Baez Geotechnical Group PHONE 209-602-6569 !!!! <br /> CONTRACTOR ADDRESS 2060 Colorado Avenue,Suite B CITY/STATE/ZIP Turlock,CA 95382 <br /> LICENSE CI^C-42 F77,13-36 �THER NUMBER 0010 EXPIRATION DATE <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> ❑ PERC TEST #K BUILDING PERMIT#PA-1900062 LAND USE APPLICATION#S00012305 <br /> TYPE OF WORK: ❑ NEW INSTALLATION REPAWADDITION -- ENGINEER DESIGNED/ALTERNATIVE <br /> REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE ❑ COMMERCIAL L OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES:TBD <br /> ❑ SEPTIC TANK TYPE/MFG TBD CAPACITY TBD gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS TBD #OF LINES LENGTH OF LINES TBD ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LINE It <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LINE It <br /> ❑ MOUNDED WIDTH It LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION It PROPERTY LINE ft <br /> ❑ SUMPS WIDTH It LENGTH ft DEPTH 0 <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL It FOUNDATION It PROPERTY LINE ft <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION It PROPERTY LINE ft <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 RE IRED FOR INSPECTION -PLEASE CALL 209 953-7697 <br /> SIGNED TITLE Stefanie Parman,Project Engineer DATE 11/6/19 <br /> RF YMFN <br /> N CF�V�O <br /> COU <br /> OV <br /> �gQU08 219 <br /> h lyOPSq 7-4NIY <br /> MFNT <br /> -D ARTME TU E N Y <br /> Application Accepted B Date Area Employee ID# <br /> Final Inspection By Date 2 ?Z ❑ SPECIAL PERMIT-Approved by <br /> Character of Soilo�Depth of 3 Ft: it/ u p Soil/Char�act r: <br /> COMMENTS �ei co�a ON /A 2Nklti�rt`tG�t 1L� <br /> PE SC Received Check#/ Amount Permit/ <br /> Code INFO ash mitte D to Service Re uest# Invoice# Permit ID# <br /> Z <br /> 42-01 ( j''/' /Cl/CJ7/� ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114118 <br />