Laserfiche WebLink
rti <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> NJOA nIN LOONTY EWBONMENTAL HEALTH DEPARTMEN IOU E.MAEEUDN AVMNrt.Strac ar CA 95205-(209)/6S-M20 <br /> ON- FUNDABLE PERMIT CALL(2091 D53.7697FOR INSPECn MS EXPIRES T YEAR FR DATE ISSUED <br /> am RES!_2,3751 S. Bird Road cmmpTracv 0 <br /> RGE REE,_Lovely Road JUIN 250-100-03 PAm,IM:R 43ACRES <br /> DWNERNAME_Shimmick Construction ((�� �� - Pmaw 510-777-5000 <br /> OWNER ADORE!! _M 9ewater Drive, uTte�6 L Oaklan 1 <br /> CONTRACTOR_ ME <br /> CONTRACTOR ADonetn CrrrpTo[RP <br /> LICENSE ❑ C-42 11CJ11 OTIMR Nmmas EIPRATION DATE <br /> WATER TABLE DEPIN: R OEOOIUNIICAL MFORMATION: CODFEMEM X Y <br /> PERL TEST /_1 I BUILDING PERMIT LAND USE APPLICATION N <br /> TYPE OF ORK: NEw NITALUTON REPNR/ApgRgl MINEER DEMO MMMT <br /> REPLACEMENT OUf-OF•$IRNCE SEPTIC$TITEY DEITIWCTMM <br /> INSTALLATION WILL SERVE: ❑ REs me ❑ COMMERCIAL ❑ OTNEe <br /> NUMBER of LNMO UMTS: NUYBas OP BEp1100as: NUMBER OF EYPLOTEEs: <br /> O SEPTIC TANK TyPEA.MG CAPACITr <br /> p81 0 OF Cp.NARTMEM6 <br /> ❑ GREASETIUP TYPEIMFG CAPACITY p!I ROFCOMPARTMEWS <br /> DISTANCE TO NEAREST: WELL R FOUNDATION R PROPERWLNE R <br /> ❑ LIFT STATION SIZE TYPE OP PIMP O PKG TX PLANT O SANDOIL SEPARATOR(ENCLOSED SYSTEM) <br /> O LEACH LINES LEACHINGCHAMBERS /0FLIA=.e LENOTHOFLJHes R <br /> DISTANL•E TO NG T WELL it FOUNDATION R PRO TYLME R <br /> ❑ FILTER BED W. R LENGTH R Dem" R <br /> DISTANCETONEAREET WELL R F Tm R PROPERTY LWE H <br /> ❑ MOUNDED WD,N R LENGTH R DEPTH R <br /> DKTANCETONSM T WELL R FgRgLTpN R PR rvuwa R <br /> ❑ SUMPS Want. R LELNiTH R DEPTH R <br /> D19TANCET0NSARasT WELL R FOM M,n R PROPER U116 R <br /> ❑ DISPOSALPONDS WDTH R LENGTH R DEPTH R <br /> DISTANCE TO NEMdT WELL R PDMOATpH R PROPERTYLME R <br /> ❑ SEEPAGE PTS N.M WIDTH R DEPTH R <br /> DISTANCE To NemEs, WEU R idMMTENI R %UNaERTY LME R <br /> I HERESY CERTIFY THAT I IMVE PREPARED THIS APPLICATION AND THE WORN WILL SE DOME M ACCORDANCE WITH SAN JOAOUIN COUNTY ORDSIANCE9, <br /> I TATE LAWS AND RULES AND REGULATIONS OF SAN JOADUM COUNT,. <br /> MINIMUM 2I HOUR ADVANCE NOTICE REQUIRED FOR/N P r.rfnu PLEASE CALL/709/953 7697 <br /> MONED TITLE STAFFSCIENTIST DATE 01093017 <br /> AWRMOM,E ••.'"1:�.�i.'S.�•.n {E� Ci,_. 1 <br /> o s.: <br /> i <br /> " _ <br /> 54f/A/F ICIT7-, W <br /> 3 l IIJ 6.0. FRSE jlj <br /> ian. <br /> Application Accepted OMB 1 Am Employee IDE7'"�`" /'�� <br /> FInaIImpB<tlPn By Deb 0 SPE IAL PERMIT-Apap <br /> Character of SoU to Depth of 2 P: PIDSUmP Sell Chamebf: <br /> COMMENTS <br /> PE dC ECEIeBd C' Amount <br /> CBJE INW B Cash RBmISBd OBT1 SBrrW PAOMM S Inw, 6 PBmNt ID/ <br /> e2-01 ONSREWAl ATERTRTMILTBYSTEMPERMR <br /> e¢u1z <br />