SU0003056 - Laserfiche WebLink

Home Browse Search

I I c_j 4 N l L. t r•I I i_1 I, '- IOAIIOIN COUNTY PURLIC HEALTH SERVICES S 9, ' Gt✓�� fCk.b1b ENVIRONMENTAL HEALTH DIVISION �� P.O. BOX 3D8; 304 EAST WEE3ER AVENUE, STOCKTON, CA 9�201ropy I7DslnRB anzR NONAEFUNDABEE PERMIT EXPIRES I YEAR FROM DATE ISSUED (Complete M Trlptleete) APRICAMN 1911ERBY MADE 10 THE BAN JOAOMN COUNTY FOR A PERMIT TO CONSTRUCT AND/OR INSTALL THE WOLF(DESCRIBED. THIS APPLICATION 19 MADE IN COMPLIANCE WIN BAN SAWN COUNTY DEVELOPMENT TITLED.CHAPTER 8-1110.3 AM Tilt 9TANOA11t0I/Al/OFF jSAM"AWN COUNTY PUBLIC HEALTH SESERVICES. ,,EtNVIRONMEMAI HEALTH DIVISION. l� JOR AM)MANOR AFW+#-�Ty1 I- Q _ -o �: II-CA c� \'�(x L/(] CITY .1�1�•\ ` LOT 912 L�I'7EJ/VtrUI OWNER'S NAME l✓ C V L o vx I:- AODRFAB_�Ei)c `, E/��7� �I V J;Q x: ("VK Y.VI l 0 c PgNE_S��I��'�q � I CONTRACTOR_ 5oLAS ADDAAB �Wo I \.L �L TSC VA Usoc LICK 05 woNE�bb !{ ("I SUB CONTRACTOR _ADODUR —LIC( PHONE IYPE OF SEPTIC WORN: NEW INSTALLATION REPAMADMl10N ❑ DEATBUCTION NO SEPTIC SYSTEM PEPMITtEO F MANIC SEWER IB AVAII ASIF.MUSH ISO FEET Or RUILDINO.) M.TUTW I I TOW MANY APrylnnNnn I — INSULLATION WILL SONE: SESNJpENCE❑ COMMFOI''At)- CURB ❑ NUMBER OF"NO UMTS:_ HUMMER orMMOOMR: NUMRTR Or FMPOYFFS: CIUMCTEO OF FOII 10 A AEPTH Of 3 FEFR Ju VLG 11-..//,_PU T/BUMP AOR CIUICTER: WgTER TAD(. II /J SUM1ANS/ORUSE TRAP IYPE/MlO� L]_ I..i CAPACITY A4E,O INC.COMPAMMENT$ PXG TREATMENT RA1-NT❑ DISTANCE TO NEMUT: WELL Z� .1 1 VL0 Fj FOUNnATISN�(� PbKRTY LINE In INT STATION❑ ROT TYrT OF MItAAP__ SAND nI REPARAMIX(ENCLOSED BYSTEMI LEACISNO LINE NO.S LENAIII OF INEBsf J l�_ nIBUNCE 10 NF.AAEBT:WELL_ ,_FOUNOAIION/0 MRIMHTV LINE _.] FILTER am ❑MOTU LTHnTH DENO INSTANCE TO NFAREST:WELL FOUNDATION PROPEITTY LINE _ MOUNDED ❑WIDTH LFNOTH___MpTU DISTANCE TO NEAREST:WELL FOUNDATION PROPERLY UNE SEEPAGE TS 11 DEPTH SUE NUMBER DISTANCE TO HERBERT:WELL FOUNDATION PROPERTY LINE _ SUMPS ❑WIDTH LENGTH DEPTH DISTANCE TO NEAREST:WELL rOUNDATION PS MP LANE DISMSAL PONDS ❑VASTN LENGTH DEPT" INSTANCE TO NEAMAT:WELL FOUNDATION F FIFFTY LINE 1"EVERY CERT IFV IIIAT I HAVE MEPARED 11119 NILGAI ION AND THAT THE WOPA WILL BE DONE IN ACCOADANCE WITH SAN"AMIN COUNTY ORDINANCES AND BT ATE LAWS,AND Bill E9 AND SIMULATIONS OP TIIE SAN JOAQUIN COUNTY.HOME DINNER OR LICENSED AGENT'S 9IGNATUM CERTIFIES THE MLLOWINO:'I CERTIFY THAT IN THE PERFORMANCE OF THE WORE(FOR W11Irq TION PERMIT 1919SUFO,1 RUAlL POT EMPLOY ANY PERSON IN RUCH A MANNEn AS TO BECOME @OBJECT TO M KMAN'9 COMITNSATON IAMB OF CALIFORNIA.- CONTRACTOR'S IIIBINO OB AUR COMMCTI A SICHILIHIM.CFRTIrIB TIIE rotto"NO:•1 CEBOFY IDIS(IN 111E PERFORMANCE OF TIIE WOPL FOA WIIICII TNI9 PRMIr IS ISSUED,I$HALL EMPLOY PEnaONB SUBJECT 10 WOIKMAN-9 COMITN TIO( LAWS OF CALIFORMA J/DE APPI)CANT MUST CALL P HOURS IN ADVANCE FOR ALL RECUSED INSMMONS. COMPETE DRAWING BELOW. F (yam S mONEnX �1�� TITLE: c l 0 —DATE: � r POT PAN STRAW TO SCALE)SCALE _•IA 1. NAMES Or 9TIFETa OR MASS NFAREST TO Oil ROUNOINO rVIE POPEnTY. #. LOCATION OF 110119E SFWAOE DISPOSAL SYSTEM On PTOP09FO 2, OUILNF OF TIF TDOWBTY,MtII DIMENAIONA ATM NORTH NGFCTMN. EXPANSION OF SHAM DIRMNAL SYSTEMS. O, DMENSIONED OUTIIWS AND LOCATION OF ALL EXISTIIM AM PRDPOSEIT R111VClVnE9, S. IOCATION OF MIUN WITHIN RADIUS OF ONE HUNDRED FURY fT.ON NCLUDINO COVERED AREAS SUCH All PATIOS,DBiVEWAVS.AND WAIXB. THE PAOPLBTY CA ADJOININO POPUTY. 195�w ,Oci ) ) Ivo E Ecxs4 O- TF-5 D a l Loc.' d.Lt., Y C, v 3S v L v ` r 'K�y ^- r Asvxck y- A 4 L,w Y Clv f A f"H b Ti: 111 o vLn vA1(,(V\c L (J e( l dtf.'F r F�4c' 'q" �ucc�F eL� vel t_ rct� E) K tO13t� _ srov dLJnl WAIN I;n:.1r I _6Ul7UC 11' III SLiI'✓IT%lF APIB:AUM:AI.CrITI.D AY LF V'�l.i l ' POR MFNi ONE aNIrL Vlj' MR MFN DATE: �7 ��.�.. AREA: (�1 1 7 l TMX.,141 nit*NTA('HISITCi1Ul!SY[^p DAl E I I FINAL ANBPEClON BY O DATE 7 IG NNNININAICOMTAIIH^- -�'21(J'12�_yS tCF°1_.1�ISz11 Zc ti l o ACCOURTMG OWV.: AO# 1AC1 PF .not TFr INro AMOUNI SIMM TED Cllr.@ I-ASN RECEIVED BY DATE SR I PERMIT NUMBER INVOICE SO ' 2E_�7�lor� -15 l C Pub HRalth SRO, -Envire.174(3/86)