Laserfiche WebLink
f <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304E WEBER AVE-Y"FL-STOCKTON CA 95202 - (209)468-3420 <br /> NON-REFUNDABLE PERMIT CALL(Z09)953-7697 MR INSPECTIONS EXPIRES I YEAR FROM DATE ISSUED <br /> JQBADDREss 4.141 E IriSe fosA PJ crvue oc c I <br /> CRUISE SORER APNIT? PARCEL SOT 3.]L A/ {E�II <br /> DWNR VAMC ��A{IAID OVF1l p PIIOLNL,.US -4 .}3 Y <br /> OWNER ADDREYC ^� b V CMISTATUZIP�N�"^^(,^'j !A <br /> CONTRACTOR �r/SI �Sw\/F IP4'A'I lVV+� I .LII AL - PHONEI J3)L -O`O <br /> ComOr"CTOX ADDRuu'4b 0 S•HWY Cn fL% 1'i{ Crry/$TATVlAP \T�{CTor-1 C•�--ff 9S.ZJS <br /> LICENSE ❑C42 OC-36 OTHER Z^ NUMBER EXNRATIONDATE <br /> WATER TABU INUMIC H GEOGRAPHICAL INPU HATTON: CaWMDafff X V <br /> ❑ PERCTEST(S) NUMBER LAND USE APPLICATION - <br /> TVPE OF WORK: ❑ NEW INSTALLATION REPAIWADDITION ❑ ENCDILF#DESIGNED/ALTERNATIVE <br /> 3!`-REPLACEMENT T 4 L ❑ DESTRULMOK <br /> INSTALLATION WILIf SERVE: ❑ R".OtNck OMMERCIAL ❑ OTTER <br /> NUMDEROFLIVMGUNIM NVMLCROF BEDROOKS: p NUMBLROFEtu'Lo <br /> 1L SEPTICTANK TYPUMFG64' CWACRY 70 d PI 40FCOMPARTMENTS <br /> /❑_ GREASE TMP TYPUMfL CAPACITY S]I ROFCOMPARTMFNTS <br /> ❑ PKG TX PLANT DMANCETONEARCST: WELL 7S f ft FOIINDATX1h /O ft PROPERTY LINE R <br /> ❑ LIFT STATION SITS TTPEOFPUMP ❑ SAND OIL SEPARATOR(ENCLUISEDByLTEM) <br /> K! LEACH LINES ❑ LEACHING CHAMBERS LOFLINES �_ LEKGTH OF LINES R <br /> / DISTANCE TO NEAREST WELL 1W R FOUNDATION iO _ft N(OPFATYLINE ti.SO R <br /> i ❑ FILTER BED WIDTH ft LENGTH R UEPrN ft <br /> DISTANCETONEAREST WELL ft FOUNDATION ft PROTILTYLINE ft <br /> ❑ MOUNDED WIDTH R LENOTH _ft OEM It <br /> DISTANCE TO NEAREST WELL ft MUNDAI'IOH R PROPERTY LINE ft <br /> (9t SUMPS WIDTH 4 1026,ft LENOn( m DEPTH R <br /> DITAICETO NEAREST WELL /a? R FOIINMTION [/1% _ft PROTERTY LINE R <br /> ❑ DISPOSAL PONDS WIRTI R LENOTH ft rx TN ft <br /> J ` DISTANCETo(N¢5RETT WELL ft FOUNDNOON R PROPERTY LINE ft <br /> �/ SEPITS WIDTH A�/� R tP/NG�TAH� � pFPTH ft <br /> / DIWASCE NLARLiT —WELL-4AJ L -rl iOLNOATON R PROPERTY LINE ft <br /> L RERLRV CERTIFY THAT 1 11A PI ARED THISAPPLICATM ANbTHE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES <br /> r_ 9Lr/^• STATE LAWS AND ROLES AND RECUTATIINSOPSAN JOAQUIN COUNTY. <br /> MINIMUM JLN UR ADVANCE NOTICE REQUIRED tDR h�N//SC�J)}}''CTIONSTASECALL(TaO9)95].7A9T — <br /> SIGNED 1ITLLTj}inAJJ DATE D.3 <br /> L .. F. r .. -f <br /> 44 1 <br /> 1 <br /> �- - I L 1 i <br /> y <br /> - <br /> Appllneb �yD.le, Aru- ._._ Employs IDR UV <br /> Finol lnrp«lion By pyJ-1 Wu - _ ❑ SPECIAL PERMIT-Approved by <br /> Ch.1Bcur of Soil If DWb of3 Ff: Flu MR <br /> EDIT CNnce«: <br /> COMMENTS <br /> �4 r Aftl&f / _ <br /> PE 6C Racdeed AnquM Daqer InwkeO Term111DN <br /> Cada INF. B Grh RemID 'l Re uslR <br /> Z W 5 3 <br /> A2 I �1,^l7 / QVs'IP� t4ft, !IE'/ M <br /> i ON UTE W ASTEW A'rER PERMIT <br />