My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SR0082866_SSNL
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
C
>
CORRAL HOLLOW
>
21799
>
2600 - Land Use Program
>
SR0082866_SSNL
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/3/2020 4:29:34 PM
Creation date
12/3/2020 3:21:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0082866
PE
2602
FACILITY_NAME
KAHLON PROPERTY
STREET_NUMBER
21799
Direction
S
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
21226002
ENTERED_DATE
11/10/2020 12:00:00 AM
SITE_LOCATION
21799 S CORRAL HOLLOW RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\fgarciaruiz
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
80
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Cp g]g` ON EVASTEtWATER TREATMENT SYSTEM PERMIT <br /> ,�(f/"A,3 <br /> SANd 'COUNTY ENVIRONMENTAL HEALTII DEPARTMENT 304E WEBER AVE-3"FL-STOCKTON CA 95202-(209)468-3420 <br /> NON-REFUND IT C LL( 09 953-7697 FOR I.'SPECTIONS XPIRES 1 YEAR ROM DATE ISSUED <br /> JOB ADDRESS DW '01 CITY/ZIP <br /> CROSS STREET Com. 0 APN PARCEL SIZE OWNERNAME RZ _ PHONE y <br /> OWNER ADDRUAS 4 ,�n 'SCI-J5, <br /> �I)N D� �CITYIS'IATEIZIP J 4 LLQ �5�9 _ <br /> CONTRACTOR /h'I G-C `SAH �,/�. CI-J S `PHON�_��jj��,, 'J{�'f�'� <br /> CONTRACTOR ADDRESS 1= Vs' ll` 340 w& T CFFYISTATEPLIP 1 � 1 /-'<-/ <br /> LICENSE 42 ❑C-36 (TaI <br /> ER • Ve j ,A+'�1jOJIIMBEA 5 EXPIRATION DATE I _V J <br /> WATER TABLE DEPTH:_ I/ +— R GEOGRAPHICAL INFORMATION: Coordinates X y <br /> ❑ PERC TEST(S) N!IMRF•R LAND USE APPLICARON 4 �� 1 <br /> TYPE OF WORK: ❑ NEW INSTALLATION REPAIR1ADDrc1ON J ENGINEERDSiI(,NED/ALTERNATIVE <br /> ❑ Re PLACEMENT ❑ DESTRUCTION <br /> INSTALLATION WILL SERVE: RESIDENCE ❑ COMMERCIAL. ❑ OTHER_ <br /> NUMBER OF LIy1NG UNITS:_., /,NUMBEROFBEDROf1M5:_�_ NUMaEROFEMPLOYEE9: <br /> ❑ SEPTICTANK TVPF.M1FG�uIU....._ CAPACITYgal );OF COMPARIMENTS_ <br /> ❑ CREASE TRAP TYPEIMF43 CAPACITY gal if OFCOMPARlMEN7S <br /> Q PKG TX PLANT DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE <br /> ❑ LIFT STATION SIZE- TYPE OF PUMP ❑ SAND OIL,SEPARATOR(ENCLOSED SYSTEM) (�,J <br /> LEACH LINES ( LEACHING CHAMB�EaR�$L L�-}EA gQ 6 p OF LINES�_ LENGTH OF LINES 02— <br /> DISTANCE TO NEAREST fw1ELL IV WE,—ft FOUNDATIONft PROPERTY LINE ST R <br /> ❑ FILTER BED WIDTH _ ft LENGTH fl DEPTH_ fl <br /> DISTANCE TO NEAREST WELL __- ft FOUNDATION ti PROPERTY LINE It <br /> ❑ MOUNDED WIDTH____ __ it LENGTH _fl DEPTH it <br /> DISTANCE TO NEAREST WELL-- FOUNDATION_ R PROPERTY LINE ft <br /> ❑ SUMPS WIDTH_ _ _.__ft LENGTH ft DEPTH __R <br /> DISTANCE TO NEAREST WELL _ft FOUNDATION R PROPERTY LINE R <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH tt <br /> DISTANCE TO NEAREST WELL __, ft FOUNDATION ft PROPERTYLINE _ it <br /> ❑ SEEPAGE PITS WIDTH ft LENGTH ft DEPTH_ tt <br /> DISTANCE TO NFAREST WELL tt FOUNDATION ft PROPERTY LINE ft <br /> I HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THE WORK WILL SE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MIN�M U V `CE NOTICE REQUIRED FOR P CTIONS LELE�A"S(E CALL(209)953-7697 <br /> SfGNF,D .__ _ TITI,)�Y `''VJ 1 DATE <br /> VE..t. <br /> P .i pI "al R1 <br /> g <br /> i <br /> r <br /> DEPARTMENT SE O Y , ` <br /> Application Accepted By Dule� Area l N Employee Ill£! <br /> Final B Inspection //( <br /> P Y. Date D ❑ SPECIAL PERMIT-Approved by_ � <br /> Character of Soil V p h of 3 Ft: _ Pit/Sump Soil Character: <br /> COMMENTSPES <br /> Received Amount Date Invoice# Permit IDN <br /> Code INFO B Cash Remitted Service Re ue # <br /> U co -?, I <br /> 42-01-001 <br /> 1212,'02 ONSITE WASTEWATER PERM CF <br />
The URL can be used to link to this page
Your browser does not support the video tag.