Laserfiche WebLink
LIQUID WASTE PERMIT <br /> SAN JOAQUIN COUNTY"LIC HEALTH SERVSCES ENVIRONMENTAL HEALTH DIVISION <br /> ON %M E.WEBER AVE 3-FLOOk,STOCKTON.CA 953D1 RW lbx.pJO <br /> p / NONREFUNDABLE PERMITE%PIRE51 YEAp PROM DATE ISSUED <br /> JOBADDRESS 1?2-? L. TRL�'�H (PIIV!r EOpp APN IT'J- ILy�;� PARCEL EIZE:40,0,q <br /> ` CJTVZP /}j/lAlf Cfl i MI <br /> Y)S$SG BUILDING PERT E 1 <br /> OWN ER NAME 1"118 A"t /rife ADDRESS 253 w Y,,CE,nITE Jr rc - <br /> CITYZP- ^,J 7e`LP A5'L')L PHONE NUMBER <br /> CONTRACTOR mc" 6. PBn Cdf PlCt2L� ADDEESs 27 1I msfc/ IhSAE <br /> -" CTTYZP LoPJ1 Y:S J.Jv PHONE NUMBER 7-04 3L-7- STD1 <br /> f• GEOGRAPHICALINFORMATION:000RDINATES:K V TOWNSHP RANOE_SEUMN_ <br /> TYPEOFSEPTICWORK: INSTALLATION WILL SERVE: NUMBER OF LIVING UNITS:_ <br /> -- ❑ NEW INSTALLATION ❑ RESIDENCE NUMBER OF BEDROOMS: <br /> ❑ REPMRIADDITION ❑. COMMERCIAL <br /> ❑ DESTRUCHGN ❑ OTHER NUMBER OF EMPLOYEES:: <br /> ❑ ENODJEEREWALTERNATIVE - - PA- 0-2-317- <br /> CHARACTER OP SOIL TO DEPTH OF 3': _ PITISUMP SOIL CHARACTER: WATER TABLE DEPTH: <br /> a A PERC TEST(S) HOWMANY I _ APPLICATIONR I ' <br /> ❑ SERIc TA.YK TYPEMFG CAPACITY 60FCOMPARTMENTS <br /> ❑ GREASE TRAP TYPFIMFG CAPACITY - ROFCOMPARTMENT9 <br /> ❑ PKGTK PLANT DISTANCETONEAREST: WELL FOUNDATION_ PROPERTY LI NE <br /> ❑ LIFT STATION SIZE OPED'Imp SANDOILSEPARATOR(ENCLOSEDSYSTEM) <br /> O LEACH LDO: M OF LINES:_LENGTH OF LINES:_ wArwaToncwRRn WELL FODNDATP)N_. PROPERTY UNE_ <br /> ` INFLITRATOR CHAMBERS'. <br /> ❑ ALTBR RED WIDTH LENGTH DIM oN1ANC[TOMwRERP: WELL FOIINDATNNI PRpERTY LINE <br /> ❑ MOUNDED WIDTH IENOTI DEAN NATN,MTOAEuAw: WELL_ PWNDATION_ PROPERTYLNESIR _ <br /> ❑ SUMPS WIDTH_ 'END - DEPTH_ eISTAxaTon[.ww: WELL_ PW DATION_ PROERTY LINE_ ~ �. <br /> ^_ <br /> O DISPOSAL PONDS WIDTH_ IENOTH DEPTH_ wA0.KETONIMRii: WELL F9UNvATION_ PROPERTY LINE_ _ <br /> ❑ SEEPAGE PITT M OIAMEiEa DEPTH_ vuEnKC70Nu0.CiT: <br /> WELL FOUNDATION PEDPE{TY LINE_ <br /> I T EREBYCERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTYORDINAWM STATE LAWS <br /> 11,P AND RULES AND REGULATIONSOFSAN JOAQUIN COUNTY. <br /> MINIMUM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS,PLEASE CALL(209)469,3423 <br /> SIGNED: !lAleH. /iEGi AFR NG T,vi / 1.� TrrLE: Rc:O. DATEHL <br /> EL <br /> : <br /> r d <br /> 1 <br /> { <br /> L <br /> I I I I <br /> I I I <br /> �^ <br /> 7 I— <br /> T <br /> - - T /_ DElARTMEM"U�S <br /> APPLKATbN AR.4PTFp RY _DAT[ lT/ AEMPLOVEE IW ICTJ—LDCATION.l I-J - <br /> INSPECI£DBY: DATE: PERMRPINALD TESDATE'. RISPECTOR: <br /> COMM. <br /> PE CODE I EC'.. AMODM [NEC ASN RECEIVED <br /> 0.EMITIED BY DATE PEEMR3ERVIfF 0.EQVEETP INVgCFA SIITILIDI <br /> ' <br /> JvD° 117�� �liL y eoa3i >s- <br /> L <br />