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 4188 Linne rd <br /> CITY/ZIP Tracy,CA <br /> CROSS STREET Ahem APN Q�J J O a JO PARCEL SIZE d)' LI D <br /> v <br /> / e <br /> OWNER NAME J 1'Y \7 <br /> {IJ���j� rCL��QJ7`,f � L/YJ��j1 PHONE <br /> OWNER ADDRESS 4' I J J E�I/L1 Ave �^ <br /> CITY/STATEIZIP �/C'L30� <br /> CONTRACTOR Mike's Backhoe Service PHONE 209-456-2865 <br /> CONTRACTOR ADDRESS P.O.Box 650 CITYISTATE/ZIP Manteca,CA 95336 <br /> LICENSE 17-C-42 0_C-361 OTHER A NUMBER 608554 EXPIRATION DATE 2020 <br /> WATER TABLE DEPTH: G IAC^P r a O ft GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> PERC TEST # BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: .7 NEW INSTALLATION ! REPAIR/ADDITION ENGINEER DESIGNED/ALTERNAIVE <br /> )P REPLACEMENT N"1'o e(G� 7 OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION FIC C C <br /> INSTALLATION WILL SERVE: ❑ RESIDENCE E COMMERCIAL ❑ OTHER <br /> BER OF LIVING UNITS: 1 NUMBER OF BEDROOMS:3 NUMBER OF EMPLOYEES: <br /> SEPTIC TANK TYPE/MFG P&L Concrete 1600 <br /> CAPACITY gal #OF COMPARTMENTS 2 <br /> ❑ GREASE TRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> DISTANCE TO NEAREST: WELL 100 ft FOUNDATION 55 ft PROPERTY LINE 100 ft <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> LEACH LINES LEACHING CHAMBERS #OF LINES 3 LENGTH OF LINES 100' ft <br /> DISTANCE TO NEAREST WELL 100 ft FOUNDATION 65 ft PROPERTY LINE 100 ft <br /> ❑ FILTER BED WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL fl FOUNDATION ft PROPERTY LINE ft <br /> ❑ MOUNDED WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH It <br /> DISTANCE To NEAREST WELL It FOUNDATION ft PROPERTY LINE ft <br /> ❑ DISPOSAL PONDS WIDTH It LENGTH ft DEPTH It <br /> DISTANCE To NEAREST WELL It FOUNDATION ft PROPERTY LINE It <br /> ❑ SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /> I HEREBY CERTIFY THAT 1 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 REQUIRED FOR INSPECTIONS PLEASE CALL(209)953-7697 <br /> SIGNED Mike Fuller TITLE Contractor DATE 8/26/2020 AA---------------- <br /> I <br /> ------------ G <br /> ?6 ?4?0 <br /> Qv/N C <br /> FPAIV <br /> ��� Y <br /> / DEPA RTMENTUS ONLY <br /> Application Accepted L� L— _ Date d C ,)0,. Area -1 Employee ID# S' <br /> Final Inspection By Date ❑ SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of3 t: PiV mp Soil Character: <br /> COMME T V _ Ol <br /> dM it ao V Oved <br /> PE SC Received Check# Amount Date Pemi <br /> I Invoice# Permit ID# <br /> Code INFO B Remitted Service Re .est# <br /> ya)O 115 Sop u <br /> I <br /> 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMi T <br /> 4/14118 <br />