SR0083212_SSNL - Laserfiche WebLink

Home Browse Search

ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209) 468.3420 NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED JOB ADDRESS 2387 Learned Avenue CITY/zP Stockton, 95205 CROSS STREET EManposa Road APN 173-020-10 PARCELS acres j OWNER NAME Jose Valdovinos PHONE (209) OWNER ADDRESS 2387 Learned Avenue CITY/STATE/ZIP Stockton, CA 95205 CONTRACTOR Baez Geotechnical Group PHONE (209) 602-6569 CONTRACTOR ADDRESS 2060 Colorado Avenue, Suite B CITY/STATEILP Turlock, CA 95382 LICENSE U C-42 ❑ - C-36 OTHER PE Civil NUMBER CE 43010 EXPIRATION DATE 3/31/2022 WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X 37.945655 y -121.251982 E PERC TEST # ' BUILDING PERMIT # PS -2002678 LAND USE APPLICATION # PS -2002678 TYPE OF WORK: X NEW INSTALLATION REPAIR/ADDMON ENGINEER DESIGNED /ALTERNATIVE REPLACEMENT _ OUT -OF -SERVICE SEPTIC SYSTEM DESTRUCTION INSTALLATION WILL SERVE: R RESIDENCE L COMMERCIAL U OTHER NUMBER OF LIVING UNITS: 1 NUMBER OF BEDROOMS: 3 NUMBER OF EMPLOYEES: SEPTIC TANK TYPE/MFG TED CAPACITY TBD gal # OF COMPARTMENTS TBD O GREASE TRAP TYPE/MFG CAPACITY gal # OF COMPARTMENTS DISTANCE TO NEAREST: WELL it FOUNDATION ft PROPERTY LINE ft O LIFT STATION SIZE TYPE OF PUMP O PKG TX PLANT 13 SAND OIL SEPARATOR (ENCLOSED SYSTEM) LEACH LINES LEACHING CHAMBERS TBD # OF LINES TBD LENGTH OF LINES TBD ft DISTANCE TO NEAREST WELL 150 ft FOUNDATION 140 It PROPERTY LINE 50 ft O FILTER BED WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft O MOUNDED WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft O SUMPS WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL It FOUNDATION ft PROPERTY LINE It O DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH It DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft O SEEPAGE PITS NUMBER WIDTH It DEPTH It DISTANCE TO NEAREST WELL it FOUNDATION R PROPERTY LINE ft I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. SIGNED - TITLE Project Engineer DATE 10/5/20 M 0 0 DEPARTMENT E NLY /� Application Accepted By'/1/ Date /O D a0 Area I G C' Employee ID# DA Final Inspection By Date ❑ SPECIAL PERMIT - Approved by Character of Soll to Depth of 3 Ft: Pit/Sump Soil Character: COMMENTS ,PP rC tr:!' t Oil 1V PE Sc ReceivedAmount Date Permit/ Invoice # Permit ION Code INFO A6y Cash Service Request # as sa3 42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 4/14/18 TY NT