SR0083706_SSNL - Laserfiche WebLink

Home Browse Search

INSTALLATION WILL SERVE: NUMBER OF LIVING UNITS: CI RESIDENCE 0 COMMERCIAL U OTHER NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 -(209)468-3420 CALL (209)953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED cfrazy 093-040-760 OWNER AnortEss 1246 N. Fine Road CITY/STATE/ZIP CONTRACTOR Petralogix Engineering, Inc. PHONE 209-770-0731 26675 Bruella Road Galt, CA 95632 CONTRACTOR ADDRESS CITY/STATE/ZIP NoN-REFUNDABLE PERMIT JOB ADDRESS 1246 N. Fine Road CROSS STREET Dynasty Lane OWNER NAME Evelyn Albor Morales PHoNE 209-482-8656 Linden, CA 95236 APN Linden, 95236 PARCEL SIZE 2.0 acres NSABER 8657 EXPIRATION DATE N/A ft GEOGRAPHICAL INFORMATION: Coordinates X -121.047670* y 37.985044" BUILDING PERMIT # LAND USE APPLICATION # I REPAIR/ADDITION I ENGINEER DESIGNED /ALTERNATIVE LA OUT-OF-SERVICE SEPTIC SYSTEM I DESTRUCTION LICENSE ,C-42 :IC-36 OTHER PG WATER TABLE DEPTH: >30 PERC TEST # 1 _2,141-1 ),rer f41 TYPE OF WORK: II NEW INSTALLATION I REPLACEMENT SEPTIC TANK TYPE/MFG GREASE TRAP TYPE/MFG DISTANCE TO NEAREST: WELL ft LIFT STATION SIZE TYPE OF PUMP CAPACITY gal ft OF COMPARTMENTS CAPACITY gal P OF COMPARTMENTS FOUNDATION ft PROPERTY LINE ft PKG TX PLANT CI SAND OIL SEPARATOR (ENCLOSED SYSTEM) it OF LINES LENGTH OF LINES ft WELL ft FOUNDATION ft PROPERTY LINE ft ft LENGTH ft DEPTH ft WELL ft FOUNDATION ft PROPERTY UNE ft ft LENGTH ft DEPTH ft WELL ft FOUNDATION ft PROPERTY LINE ft ft LENGTH ft DEPTH ft WELL ft FOUNDATION ft PROPERTY LINE ft ft LENGTH ft DEPTH ft WELL ft FOUNDATION It PROPERTY LINE It ft DEPTH ft ft FOUNDATION ft 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. MINIMUM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209)953-7697 SIGNED See-At a LEACH LINES FILTER BED MOUNDED SUMPS Li LEACHING CHAMBERS DISTANCE TO NEAREST WIDTH DISTANCE TO NEAREST WIDTH DISTANCE TO NEAREST WIDTH DISTANCE TO NEAREST DISPOSAL PONDS WIDTH DISTANCE TO NEAREST SEEPAGE PITS NUMBER DISTANCE TO NEAREST WIDTH WELL TITLE Project Geologist DATE 4/16/2021 R ECEIVED 4 AR Y1 A E2 0N2 'SAN JOAQUIN COUNTY H TH DEPARTMENT ENVIRONMENTAL DEPARTMENT USE ONLY 14 k,_ ,,,? I A rea Lig 6i Employee !DP /)1 •'-.-: -Z-1-2.. Application Accepted By Date ' Final Inspection By Date I SPECIAL PERMIT - Approved by Character of Soil to Depth of 3 Ft: PR/Sump Soil Character: COMMENTS Invoice # Permit ID# PE SC INFO Received s Checkiff Cash Amount Remitted Date PermW Service Request, # ,•,, Code Lid)c) -- 5,2 arMY 4. i Si., 1' AP .ji Ci-f-;10r_,J'5 .512*. _ 42-01 4/24/12 21 5F- 15K- 5?- ONSITE WASTEWATER TRTMNT SYSTEM PERMIT