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 14749 Thomlon Road CITY/ZIP Lodi,95240 �n <br /> zi <br /> CROSS STREET Highway 12 APN 055-150-260-000 PARCEL SIZE 4.45 acres Y <br /> O <br /> 0 <br /> PHONE <br /> OWNER NAME <br /> BAPH3 Inc. 209.200-7258 a <br /> OWNER ADDRESS PO Box 2695 CITY/STATEIZIP Lodi,California 95240 <br /> CONTRACTOR AdvancedGeo,Inc. PHONE 800 511-9300 <br /> CONTRACTOR ADDRESS 637 North Shaw Road CITYISTATE/ZIP Stockton,CA 95215 <br /> CA Professional Geo Brian Millman 1/31/21 <br /> LICENSE 0---C-42 0--C-36roess <br /> C-36 OTHER NUMBER 6574 EXPIRATION DATE <br /> WATER TABLE DEPTH: 15-20 it GEOGRAPHICAL INFORMATION: Coordinates X Y <br /> 91 PERC TEST # t BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPE OF WORK: ❑ NEW INSTALLATION E REPAIR/ADDITION D ENGINEER DESIGNED/ALTERNATIVE <br /> I, REPLACEMENT L: OUT-OF-SERVICE SEPTIC SYSTEM I.. DESTRUCTION <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 /> ❑ GREASETRAP TYPE/MFG CAPACITY gal #OF COMPARTMENTS <br /> s <br /> DISTANCE TO NEAREST: WELL It FOUNDATION It PROPERTY LINE 1t <br /> ❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ❑ LEACH LINES -1 LEACHING CHAMBERS NOF LINES LENGTH OF LINES It <br /> DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTYLINE It <br /> ❑ FILTER BED WIDTH it LENGTH it DEPTH It <br /> DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LINE it <br /> ❑ MOUNDED WIDTH it LENGTH It DEPTH it <br /> DISTANCE TO NEAREST WELL it FOUNDATION it PROPERTYLINE it <br /> ❑ SUMPS WIDTH 11 LENGTH it DEPTH It <br /> DISTANCE TO NEAREST WELL 1t FOUNDATION fl PROPERTY LINE 11 <br /> ❑ DISPOSAL PONDS WIDTH fl LENGTH it DEPTH it <br /> DISTANCE TO NEAREST WELL it FOUNDATION ft PROPERTY LINE it <br /> ❑ SEEPAGE PITS NUMBER WIDTH it DEPTH it <br /> DISTANCE TO NEAREST WELL ft FOUNDATION it PROPERTY LINE It <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 /> MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> SIGNED_ Brian Millman TITLE CA Professional Geologist No.8574 DATE 11 November 2020 <br /> t <br /> ZO <br /> �k Co <br /> DEpAR/yT� �' <br /> �fENT <br /> / DEPARTMENT USE ONLY <br /> Application Accepted By l� Date I 1 /r7 4 O Area f I G� J Employee IDN _ <br /> Final Inspection By Date 0 SPECIAL PERMIT-Approved by <br /> Character of Soil to Depth of 3 Ft: PIUSump Soil Character: <br /> COMMENTS <br /> PE SC Received Check#/ Amount Date Permit/ Invoice# Permit IDN <br /> Code INFO By Cash Remitted Service R uest# <br /> 4aa Q-3 113120 <br /> 42-01 (/— `/ /�`"'/ �Z✓(JV ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br /> 4114/18 <br />