SR0082692 - Laserfiche WebLink

Home Browse Search

l I ONSITE WASTEWATER TREATMENT SYSTEM EM f ERMIT � SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E.HA2ELTDII AVENUE-STDCKTDN CA 95205-(289)466-3420 1 j NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED JOB ADDRESS 2387 Learned Avenue _ CITYfzIp SlocHon,95205 CROSS STREET E Alaripasa Road APN 1/3-020 10 PARCEL SIZE-0:6 3C"4 ,j o 0 a OWNER NAME Jose Valdnvinos PHOI:E(209) !^ OWNER ADDRESS 2387 Learned Avnnue CITY/STATE/ZIP Slnrklan,CA 95205 CONTRACTOR Baez Gealeclinlcal Group PHONE(209)602-6569 C014TRACTOR ADDRESS 2060 Colorado Avenue,Suite B CITYISTATEIZIP Turlock,CA 95382 LICENSE ❑_C42 ❑_C-36 OTHER PE CIO NUMBER CE 43010 EXPIRATION DATE 313112022 WATER TABLE DEPTH: 30- ft GEOGRAPHICAL INFORMATION: Coordinates X 37.945655 Y.121.251982 CI PERC TEST # BUILDING PERMIT#P5 7m1670 LAND USE APPLICATION#Ps 2m26/e TYPE OF WORK: X NEW INSTALLATION J REPAIR/ADDITION L ENGINEER DESIGNED(ALTERNATIVE 7) REPLACEMENT OUT-OF-SERVICE SEPTIC SYSTEM C DESTRUCTION INSTALLATION WILL SERVE: 69 RESIDENCE ❑ COMMERCIAL ❑ OTHER NUMBER OF LIVING UNITS' 1 NUMBER OF BEDROOMS:3 NUMBER OF EMPLOYEES: SEPTIC TANK TYPE/MFG TBD _ CAPACITY TBD gal #OF COMPARTMENTS TBO ❑ GREA9ETRAP TYPE/MFG CAPACITY gal #OF COMPARTRIENTS DISTANCE TO NEAREST: WELL_ It FOUNDATION it PROPERTY LIRE it ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) LEACH LINES LEACHING CHAMBERS TBD #OF LINES TBD LENGTH OF LINES TBD it DISTANCE TO NEAREST WELL_150 ft FOUNDATION 140 ft PROPERTY LINE 50 it ❑ FILTER BED WIDTH it LENGTH R DEPTH it DISTANCE TO NEAREST WELL it FOUNDATION it PROPERTY LINE it Cl MOUNDED WIDTH it LENGTH it DEPTH it DISTANCE TO NEAREST WELL it FOUNDATION R PROPERTY LINE it ❑ SUMPS WIDTH it LENGTH --it DEPTH it DISTANCE TO NEAREST WELL ___ R rOUNOATICN it PROPERTY Lit 1E it ❑ DISPOSAL PONDS WIDTH it LENGTH _ _ R DEPTH it DISTANCE TO NEAREST WELL it FOUNDATION it PROPERTY LINE ft ❑ SEEPAGE PITS NUMBER WIDTH _- it DEPTH DISTANCE TO NEAREST WELL It FOUNDATION It PROPERTYLINE it I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORT(WILL BE DONE IN-ACCORDA14CE WITH SAID JOAQUIN COUNTY ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. MINIMUUM 448 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 SIGNED �zEt'ISIIY TITLE Project Engineer DATE 1015120 AYMEN ECEIVED OCT 0 6 2020 �� ',�.��,•� ;t;: r e N JOAQUIN COUNTY S, ENVIRONMENTAL LTH DEPARTMENT _ DEPARTMENT USE ONLY �A1 Application Accepted By -f-77 — - Date i e? �'A ll Area 1 �'�i Employee ID# Final Inspection ByA%/��y 'Lj3-- e I L'/� I-Z L' ❑ SPECIAL PERMIT-Approved by Character of Soll to Dep01 of 3 Ft: PitlSump Soil Character: COMMENTS PP T"- PE SC Received Amount Dale Permit) Invoice# Permit ID# Code INFOCash emitted ervice Request# e�• — U�: 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4114110