Laserfiche WebLink
ONSITE WASE WATER TREATMENT SYS" 'M PERMIT <br /> SAN JOAQUIN COI IN TV ENVIRONMEINTA 1.IIEACI'11� AR'I'ME:N'1 .1114 F.WF.nF:R3-PL-STOOnvei CA 95202 - (209)466.342 <br /> NON-REF(INDARLE:PEItMFT CALI,(209)953-7697 FOR INSPECIIONS EXPIRES I YEAR FROM DATE ISSUED <br /> Jon Ann"Ess _q(�_q/ l/uw 1AIDtr(/T 0S"3 <br /> CROSS SI'REE:T L•O,W "1-21 <br /> E"1-21 � `�Gr� <br /> /S R MIN Qq,31 _ F RacEas�iEt <br /> OWNF.RNAME 4.,,e'%/'/!e�1.C'VAAW7V 1424AJ;At;'uA PHONE 9) 887 -.;Z0 <br /> OWNERADDRESS r`'P1{/L/F .4 /3OVC CITYISTATEJZIP iVwei 45 49'awy <br /> M <br /> COM"RAUIOR _ lUG�ifL _ - PHONE <br /> CON'I'RAtion AUDIO ss (rrY/STATE/ZIP <br /> LICENSE ❑C42 ❑C-36 ODIIIR NUMBER EXPIRATION DATE <br /> WATER TARI.E.DE"11: 0 GEOGRAPIUCALINFORMATION: Coordinates X Y G <br /> ❑ PERC TEST # BUILDING PE.10111 # LAND USE APPLICATION# <br /> TYPEOFWORK: ❑. NEW INSTALLATION RF.PAm/AODITION ❑ ENG)NEERDE6IGNED/ALTERNA1IVE <br /> Y1i'1{ REPLAcEmEN'f DESTRUCTION <br /> INSTALLATION WILL SERVE: A RESII)ENcF: ❑ COMMERCIAL ❑ OTHER <br /> i <br /> NUMBER OF LIVING UNITS: taZ NUMBER OF BEDROONIS: .! NUMBER OF EMPLOYEPSi —$' <br /> SEPTICTANK TYPE/MFO!f�%..C— CAPACITY C.C/C.76 gal #OFCOMPARTMENTS <br /> ❑ GREASE TRAP TYPEIMI'(; CAPACITY pi .#OF COMPARTMENTS <br /> ❑ PKG TX PLANT DISIAN(T iTINEARENT: WI'L _ 11 FOUNDA'fl(IN L- .. B PROPERTY LINE_ fl <br /> ❑ IAFTST'AT'ION SIZE: T1'pyth.KIND, ❑ SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> �( r <br /> x LEACH ///fff ��//�J #OF LINES�t LENGTH OF LINES_ fl <br /> A711111 f' :ELL�d d R FOUNDATION i_S fl PROPERTY LINE =s�R <br /> Cl FILTER 7011, �//t✓,p®&.e- ro f R LENGTH R DEPTH R <br /> Y 'ELL R FOUNDATION R PROPERTY LINE R <br /> ❑ MOLINE � � 4- S/ 2.0l�/a/ 11 LENGTH B DEPTH R <br /> /ELL R FOUNDATION R PROPERTY LME fl <br /> ❑ SUMPS / � Il LI!NG11I R DEPTH fl <br /> -ER,9 JELL 0 FOUNDATION R PROPERTY LINE R <br /> 13 .._DISPOS - - . -- 11 LENGTH fl DEPTH fl <br /> ��,���/// DLSInFANCE TO NEAREST WHI. /St7 } 11 IOUNUAI'ION /0 �' R PROPERTY LINE <br /> .11( SEEPAGE PITS NUMBER�♦♦ �_Wril '�>rr R DEPTH `Z� R <br /> '\ DINI'ANCF:TO NE:ARE:NI' WFII / �(!� _ Il EIIIINDAHON _��� R PROPERTY LINE fl <br /> 1 HEREBY(TR1'1FY'1 THAT I HAVE PREPARED"I HIS A pri.1('A'I ION AND THE 11'1IRF WILL HE DONE:IN ACCORDANCE WITH SAN JOAQUI14 COUNTY <br /> (IRDINAN('F:S,S'1'A'I'E I.A1\'S AND IHiLES AND NEGULA PIONS IIP SAN JOAQUIN COUNTY. <br /> MINIMUM 24 HOUR At)%ANC'ENO'FICE REQUIRED FOR INSPECI IONS-PLEASE CALL(2Q9)953.7697 b¢ <br /> SIGNED P0 TITLE (®tLDATEQ'¢ <br /> ## <br /> 7 <br /> tr jA J A UI U <br /> e�(xS7i _ R NI lEt TA <br /> ME ALt1fI1Z1­0`WI NIM <br /> g' 30 <br /> - lta3, <br /> 165YS7d <br /> J <br /> DEPARTMENT UYEOYLV <br /> Application Accepted By _ D 11, Area �._ Empb `Jyee ID# (� j�/ (� <br /> Find Inspection By - . —+ Dale ❑ SPECIAL PERMIT-Approved by 7 / <br /> Chancter of Sail to Depth of 3 FI: Pit/Sump Soil Character: <br /> COMMENTS e <br /> _ t�j2![�9QQ�..�tLdq��J���7/^'�'`��_•r3'�_�'�!r/�y--J S 7 [Seasp_�.w� 49�!i r..�srs <br /> PE SC Received Amount Permit/ Invoke# Permit I <br /> Dale (ucM# <br /> (iNlr INE11 If ('xsh ItcmiuvH Service Re <br /> dPr" Z9u�Y,�L'r/,y7c 6 2-L.� 117 dC PTCI t (a ''S-!"sM / ONSITE WASTE ATER PERMI <br /> 4 . <br /> 12r2:1zm1 <br />