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 />n1UN-r11::FUNUAt1Lt r'tHMI I <br />JOB ADDRESS 20157 Little John Road <br />CROSS STREET East Oakwood Road <br />yDJ-/DJ/ I -UK INSYtG11UNJ CAt'IHt, I TtAH I -HUM UAI t IJ,UtI <br />rITv/71p Stockton, CA 95215 <br />185-080-540-000 <br />PARCEL SIZE 2.5 Acres <br />OWNER NAME Jerry Lee 8 Tracy L Labarber PHONE <br />OWNER ADDRESS 20157 Little John Road CITY/STATE/ZIP Stockton, CA 95215 <br />CONTRACTOR AdvancedGeo, Inc. <br />209-467-1006 <br />CONTRACTOR ADDRESS 837 Shaw Road /CrrY/STATE/ZIP Stockton, CA 95215 <br />LICENSE [1:1C -42C' -C-36 OTHER Supervised by CA. Pro OEO NUMBEF 8+-d.f-10°XPIRATION DATE I/31/2023 <br />WATER TABLE DEPTH: 65-75 feet ft GEOGRAPHICAL INFORMATION: Coordinates X 37.544159 Y 121.035967 <br />PERC TEST # 1 BUILDING PERMIT # LAND USE APPLICATION # <br />TYPE OF WORK: ❑ NEW INSTALLATION - REPAIR/ADDITION ❑ ENGINEER DESIGNED /ALTERNATIVE <br />REPLACEMENT OUT -OF -SERVICE SEPTIC SYSTEM I I DESTRUCTION <br />INSTALLATION WILL SERVE: ❑ RESIDENCE 7 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 />DISTANCE TO NEAREST: WELL It FOUNDATION ft PROPERTY LINE ft <br />❑ LIFT STATION SIZE TYPE OF PUMP ❑ PKG TX PLANT ❑ SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />❑ LEACH LINES LEACHING CHAMBERS <br />#OF LINES <br />LENGTH OF LINES ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ FILTER BED WIDTH <br />ft LENGTH <br />It DEPTH It <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ MOUNDED WIDTH <br />It LENGTH <br />It DEPTH ft <br />DISTANCE TO NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <br />❑ SUMPS WIDTH <br />it LENGTH <br />it DEPTH ft <br />DISTANCE To NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE It <br />❑ DISPOSAL PONDS WIDTH <br />it LENGTH <br />it DEPTH It <br />DISTANCE To NEAREST <br />WELL <br />ft FOUNDATION _ <br />ft PROPERTY LINE it <br />❑ SEEPAGE PITS NUMBER <br />WIDTH <br />it DEPTH It <br />DISTANCE To NEAREST <br />WELL <br />ft FOUNDATION <br />ft PROPERTY LINE ft <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 <br />COUNTY. <br />MINIMUM 48 HOYR ADVANCE NOTICE <br />RE <br />IRED FOR INSPECTIONS <br />- PLEASE CALL 209) 953-7697 <br />SIGNED <br />TITLE Staff Geologist <br />DATE 8/9/2021 <br />DEPARTMENTU ONLY Li/ii <br />Application Accepted By Date Area Employee ID#._AC <br />Final Inspection By Date ❑ SPECIAL PERMIT - Approved by <br />Character of Soil to Depth of -3 Ft: PIVSump Soil Character: <br />COMMENTS CW�5 R1:. �k.nXiefZ, FC!".. 'V -Mc- b, <br />PE Sc Received Check#/ Amount Dat Permit/ Invoice# Permit ID# <br />Code INFO ash Remitted Service Request # <br />yRaa <-a3 Isa 0 <br />42-01 ��i-/ / v L U 7L3 7 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/14/18 / <br />Y <br />