Laserfiche WebLink
ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HtALTH 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 /> I <br /> JOB ADDRESS 1139 S.Garden Ave Ct1Yfzlp Stockton <br /> CROSS STREET Guernsey Ave APN 157-150-13 PARCEL SUE3ac.+Or- 11t4 <br /> OWNER NAME Angelo Leandro PHONE 209-471-6825 <br /> OWNER ADDRESS 5992 E.Highway 26 CITYISTATE/Z.IP Stockton CA 95215 <br /> CONTRACTOR Owner PHONE 209-471-8825 <br /> CONTRACTOR ADDRESS 5992 E.Highw y 26 CITYISTATE2tP <br /> LICENSE ' C-42 C-36 OTHER NuMBER EXPIRATION DATE Stockton CA 95215 <br /> WATER TABLE DEPTH: ft GEoGRAPHICALINFORMATION: Coordinates X Y <br /> , FERC TEST A r BUILDING PERMIT# LAND USE APPLICATION# <br /> PE OF WORK: NEW INET TON REPAIR/ADDITION GW EER ESKSNED lALTFFIN7NnE <br /> REPLAC NT OUT-0F-SERVICE SEPTIC SYSTEM ESTRUCTION Destruction f V 7— <br /> INSTALLATION WILL SERVE: RESIDENCE COMMERCIAL OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> ❑ SEPTIC TANK TYPE/MFG CAPACITY [gal #OF COMPARTMENTS <br /> ❑ GREASE TRAP TWE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NFAREar WELL ft FOUNDATION it PROPERTY LINE ft <br /> ❑ UFT STATION SRE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES LEACHING CHAMBERS #OF LINES LENGTH OF LINES ft <br /> DISTANCE TO N EAREsT WELL It FOUNDATION ft PROPERTY LINE ft <br /> ❑ FILTER BED WIDTH 1t LENGTH it DEPTH ft <br /> DISTANCE TO h EAREST WELL It FOUNDATION N PROPERTYLINE it I <br /> ❑ MOUNDED WIDTH It LENGTH ft DEPTH ft <br /> DISTANCE TO N EAREST WELL ft FOUNDATION ft PROPERTY LINE it <br /> ❑ SUMPS WIDTH ft LENGTH It DEPTH it <br /> DISTANCE TO RAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> ❑ DISPOSAL PONDS WIDTH It LENGTH It DEPTH it <br /> DISTANCE To EAREST WELL It FOUNDATION ft PROPERTY LINE ft <br /> ❑ SEEPAGE PITS NUMBWIDTH it DEPTH ft <br /> ER <br /> DISTANCE TO A EAREST WELL It FOUNDATION it PROPERTY LRJE _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 /> mom 46 H UR A AMda0jjC1E REQUIRED FOR INSPECTIQJX�-PLEASE CALL(209)20-7B97 <br /> SIGNED TITLE �` DATE ellZU ZOZo <br /> I i <br /> I <br /> I I I <br /> P <br /> E6 <br /> q Q 23 ?0?0 <br /> I i T <br /> RoN iN co <br /> I <br /> II PARTM N 1 <br /> Application Accepted By / 4� Date L US <br /> L j L�j Area I Employee IDN_.5 <br /> Final Inspection By Date , O- Zz. SPIEGAL PBRMIT-Approved by <br /> Character of Soil to of PWsmnp Soil Character: <br /> COMMENTS 1,G- `` jl�z itv� <br /> ALJM 7 <br /> PE SC Received tieclW Amount PWMIV <br /> Code INPO _ eh Remitted Dea Serviw t i imolx# Permit ID# <br /> y a l Q7s #is aH-2001 GV-00920 to <br /> 12-01 '31 <br /> 3 l ONSITE WASTEWATER TRTMN7 SYSTEM PERMIT <br /> 11,114118III <br />