Laserfiche WebLink
JOB ADDRESS 9490 E. Schmeidt Road <br />CROSS STREET Bruella Road <br />OWNER NAME Jeff Nowak <br />OWNER ADDRESS 320 S. Sacramento Street <br />PHONE (209)426-5649 <br />CITY/STATE/ZIP Lodi/CA/95240 <br />cn-yizip Lodi/95240 <br />ApN 05111004 PARCEL SIZE 1° ac <br />LICENSE L C-36 OTHER NUMBER EXPIRATION DATE <br />WATER TABLE DEPTH: 1 a° ft GEOGRAPHICAL INFORMATION: Coordinates X 38.1524519 y -121.20039 <br />LAND USE APPLICATION # BUILDING PERMIT # <br />REPAIR/ADDITION <br />OUT-OF-SERVICE SEPTIC SYSTEM <br />NEW INSTALLATION <br />REPLACEMENT <br />ENGINEER DESIGNED /ALTERNATIVE <br />_ DESTRUCTION <br />TYPE OF WORK: <br />C OTHER <br />NUMBER OF EMPLOYEES: <br /> <br />INSTALLATION WILL SERVE: Ll RESIDENCE <br /> <br />NUMBER OF LIVING UNITS: <br />Li COMMERCIAL <br />NUMBER OF BEDROOMS: <br />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 />L PERC TEST # ' <br />CONTRACTOR CTE Cal PHONE (209) 543-1799 <br />CONTRACTOR ADDRESS 4230 Kiernan Aveenue Suite 150 CITY/STATE/ZIP Modesto/CA/95356 <br />LIFT STATION <br /> <br />SIZE TYPE OF PUMP D PKG TX PLANT <br />LEACH LINES LEACHING CHAMBERS # OF LINES 5 <br />PARTMr- US ONLY <br />Date <br />Application Accepted By <br />Final Inspection By <br />SEPTIC TANK <br />GREASE TRAP <br />DISTANCE TO NEAREST <br />FILTER BED WIDTH <br />DISTANCE TO NEAREST <br />MOUNDED WIDTH <br />DISTANCE TO NEAREST <br />I0 SUMPS WIDTH <br />DISTANCE TO NEAREST <br />DISPOSAL PONDS WIDTH <br />DISTANCE TO NEAREST <br />CI SEEPAGE PITS NUMBER <br />DISTANCE TO NEAREST <br />SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />LENGTH OF LINES ft <br />WELL ft FOUNDATION ft PROPERTY LINE ft <br />ft LENGTH ft DEPTH ft <br />WELL ft FOUNDATION ft PROPERTY LINE ft <br />ft LENGTH ft DEPTH ft <br />WELL ft FOUNDATION ft PROPERTY LINE ft <br />ft LENGTH ft DEPTH ft <br />WELL ft FOUNDATION ft PROPERTY LINE ft <br />ft LENGTH ft DEPTH ft <br />WELL ft FOUNDATION ft PROPERTY LINE ft <br />WIDTH ft DEPTH ft <br />WELL ft FOUNDATION ft PROPERTY LINE ft <br />TYPE/MFG CAPACITY gal # OF COMPARTMENTS <br />TYPE/MFG <br /> <br />CAPACITY gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL ft FOUNDATION 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 COUNTY. <br />MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209)953-7697 <br />SIGNED naikt4/re4,a6 TITLE Staff Engineer DATE 5/27/2022 <br />A A <br />SAAI <br />41. <br />4 Area elf Employee ID#E..... <br />L SPE IA <br />( <br />L RMIT - Approved by <br />Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: 2a r;v7_0-1 <br />PE <br />Code <br />SC <br />INFO <br />Received <br />By, <br />Check4/ Amount <br />Remitted . D e Permit/ <br />Service Request # Invoice # Permit ID# <br />10Z- .-1;. 74--., /371/ 41 t-2-51318121 SIZOOY Lfe)-- <br />42-01 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/14/18 <br />COMMENTS