Laserfiche WebLink
[NO SEPTIC SYSTEM PERMITTED IF PUBLIC SEWER IS AVAILABLE WITHIN 200 FEET OF BUILDING.) I PERC TESTY[1 114OW MANY _ <br /> I <br /> d <br /> PINSTAUATION <br /> ApPllorNen I y���WILL SOME: RESIDENCE❑ COMMERCIAL❑ OTHER Ele—?P i.i� ..__ <br />' NUMBER OF LIVING UMTS: NUMBER OF BEDROOM[: NUMBER OF EMPLOYEES: <br /> C SOIL TO A DEPTH OF 3 FEET&/Zal, PITISUMP 801 C�APAIrl-Y <br /> ER6LMcbL WATER TABLE DEPTH <br /> SEPTIC TAN SE TRAP ❑TYPEIMFG. NO.COMPARTMENTS <br /> TMENT PLANT❑ DISTANCE TO NEAREST: WELL.L� r FOUNbAT10N�.'� ` PROPERTY LINE/Flo <br /> UFT STATION© TYPE OF PUMP SAND OIL SEPARATOR[ENCLOSED SYSTEM[ <br /> F �/ rLEACHING UNE NO.4 LENGTH OF LINES �' `�� KJ�-.._ - DISTANCE TO NEAREST:WELL/Gn FOUNDATION lO PROPERTY LINEFILTEt HED ❑WIDTH LFNGTH DEPTH DISTANCE TO NEAREST:WELL FOUNDATION PROPERTY LINE <br /> MOUNDED ❑WIDTH LENGTH DEPTH DISTANCE TO NEAREST:WELL FOUNDATION PROPERTY LINE <br /> 6 SEEPAGE PITS PDEPTH�_SIZE,^NUMBER_DISTANCE TO NEAREST:WVELJ. ` FOUNDATION _PROPERTY UNE l—00 - <br /> /= <br />! SUMPS ❑WIDTH LENGTH DEPTH DISTANCE TO NEAREST:WELLFOUNDATION PROPERTY LINE <br /> I DISPOSAL PONDS ❑WIDTH LENGTH DEPTH DISTANCE TO NEAREST:WELL FOUNDATION PROPERTY LINE <br />+ I HEREBY CERTIFY THAT 1 HAVE PREPARED THIS APPLICATION AND THAT THE WORK)NIU.BE DONE IN ACCORDANCE WITH SAN�JOAQUIN COUNTY ORDINANCES AND STATE LAWS,AND MILES- <br /> - ANO REO IDMS OF THE SAN JOAOUIN COUNTY.HOME OW NER OR LICEN AGENT'S SIGNATURE CERTIFIES THE Fq[10YING:-9 CERTIFYTHAT D1 THE PERFORMANCE OF THE WORK FOR WFIICH <br /> L <br /> TTISLIED,ISHALL NOT EMPLOY ANY PERSON IN SUCH A MAN AS TO BECOME SUBJECT TO WORKMAN'S COMPENSATION LAWS OF CALIFORNIA.' CONTRACTORS HIRING OR <br /> -CONTRACTIN SIG STHE FOLLOWING:'1 CERTIFY TH THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I SHALL EMPLOY PERSONS SUBJECT TO <br /> RKMAH'6 CDM ATION WS FORMA.' THE APPLLCAN M T ,'!4 HOUItf IN ADVANCE FOR ALL REQUIRED INSPECTIONS. COMPLETE bRAW1IiG B�EL7OW. `- <br /> TTTLE: C�YI. `/� DATE: r T_S� <br /> SIGNED X - <br /> PLOT PLAN(DRAW TO SCALE)SCALE m <br /> 1. NAMES OF SIRE ROAD AREST TO OR BOUNDING THE PROPERTY. 4. LOCATION OF HOUSE SEWAGE DISPOSAL SYSTEM OR PROPOSED <br /> 2. OUTLINE OF THF PROPERTY.WITH PIM SION8 AND NORTH DIRECTION. EXPANSION OF SEWAGE DISPOSAL SYSTEMS. <br /> 3. OtMENSIONED OUTLINES AND LOCATION OF ALL EMITTING AND PROPOSED STRUCTURES, S. LOCATION OF WELLS WITHIN RADIUS OF ONE HUNDRED FIFTY FT.ON <br /> INCLUDING COVERED AREAS SUCH AS PATIOS DRIVEWAYS AND WALKS. THE PROPERTY OR ADJOINING PROPERTY. <br /> - ....... ............ <br /> :... :A C.1� . ... <br /> .................. <br /> t <br /> .... <br /> . ..... <br /> .......................... yah , :...... <br /> .. .... <br /> ..,. <br /> ....... <br /> . <br /> .......... <br /> ............. . <br /> ............ ............0.1 <br /> .. ............ <br /> ............ <br /> .. <br /> . ............. <br /> .......... <br /> ....... .... <br /> ............... <br /> .......... ............ <br /> ............R + _ <br /> 1A^: JN IQ,\ - <br /> ..... �11' {� LjL <br /> t <br /> 1 <br /> � I <br /> FOR DEPARTMENT USE ONLY f <br /> hzi <br /> AP��PLICAJJTI��ON ACCEPTED BY DATE: --`AREw: <br /> TANK/PiT,OR SUMP INSPECTION BV DATE I� 1 - 'AL INSPECTION 6V OAT 1 1 <br /> bbb <br /> ADDITIONAL COMMENTS: r <br /> ACCOUNTING ONLY: AID[ <br /> FAC/ <br /> PE CODE FEE INFO AMGUNT REMITTED HEC !CASH RECEIVED SY DATE SR I PERMIT NtIM81IR INVOICE <br />