Laserfiche WebLink
ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SAN-JOAWIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 000 E MAIN STREET-STOCKTON CA 95202.1209)486.2120 <br /> NON-REFUNDABLE PERMIT CALL 209 953.7697 FOR INSPECTIONS a EXPIRES 7 YEAR FROM DATE ISSUED <br /> JDBADDREBB� Syo .,'/1,�,tr .rd <br /> COr/LP SAI,,,41-,.r 9S2/s' <br /> (OS—ptFO�IS PARCELS" �7.hv > <br /> CROSS STREET�//Fs,Brp�n/4 APN <br /> OWMMNARPHONE .G>J7—U J7 1 <br /> OWNER ADDRESS / CRY/STAIERJP <br /> +±6 7 'G AJ <br /> T <br /> CONTRACTOA ADDRESS � :.1i 7 CTTYJSTATEJZIP /oi✓GiL �J�T <br /> LICENSE ,SLC-42 UC-36 OTHER I'7 NUMBER OSO7ri�S EXPwTION DATE + <br /> WATERTABLl DEPTH: k GEOGRAPHICALINFORMAMN: Coordinates X Y I <br /> ❑ PERC TEST • BUILDING PERMIT O LAND USE APPLICATION# 1 <br /> TYPE OF WORT: NAW INSTALLAIgN ❑ REPMRIADDInON ❑ ENGNEER DEB ONE)JALlERNATNE <br /> ❑ REPLACEMENT D Our-0E-SEt=K SEPTIC SYSTEM U DPSTRUCTDN <br /> INSTALLATION WILL SEINE: ❑ REMENCE KCOMM ERCALL ❑ 0Mvt <br /> NUMBFAOFLMNGUIRM NNUMBEROFSEDROOMB: NUMBER OF ENPIOYE!S: i <br /> G`( SEPTIC TANK TwEJMFG Y 4 CAPACITY 766 9EI k OF COMPARTMENTS 1-I <br /> O GREASE TRAP TYPEIMFG CAPACITY 961 #OF COMPARTMENTS I <br /> i{ <br /> pSTANLE TO NEAREST: WELL /TO � R FOUNDATKW iOA' R PROPERTY LNE T+ It <br /> LIFTSTATION SITE TYPE OF PUMP 2 K ZgU PKG TX PLANT Cl SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> tI <br /> LEACH LINES ❑ LEACHING CHAMBERS #OF LINES LENGTH OF LNE9 60� +6+ fl <br /> OSTANIM TO NEAREST WELL Zjlb R FOUNO`=N i 2'J 4 ft PROPERTYUNE .fes i ft <br /> D FILTER BED WImN It LENGTH R DEPTH ( R <br /> DSTANCETONEAIEST' WELL ft FOUNDATION ft PROPERTY UNE 1 fl <br /> 4 _ U MOUNDED WIDTH R LENGTH ft DEPTH I fl <br /> DISTANCETONEAREST WELL ft FOUNDATION ft PROPERTY LINE-----J--ft <br /> 13 SUMPS WIDTH - K LENGTH ft DEPTH I fl <br /> DSTANCBTONEMEST WELL ft FOUNDAMIN R PROPERTY LINE I B Yp <br /> O DISPOSAL PONDS WIDTH R 'LENGTH ft DEPTH It v <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE 1 R <br /> SEEPAGE PITS NUMBER !L WIDTH '2 R DEPTH2.S—" I ft <br /> Ifr DSTANCE TO NEAREST WELL '�CYJ�� k FOUNDATION JOD tl- ft PROPENTYLINE�c'-�-.A� ft <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAGUN COUNTY ORDINANCES. <br /> I' STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. q <br /> MINI�7j3M 24 HOS ADV NCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-76997 <br /> MON®•�/L� _ / TITLE DATE <br /> I <br /> ( <br /> 6 I <br /> IP0 LYN El IT, <br /> v q <br /> S <br /> ou c <br /> X A <br /> D <br /> i <br /> OE ARIEIPNT ,S O . Y... <br /> Appilastion Accepted By Dote �- Mea EmPIOYBe ID# <br /> ... . ... .. ._ Ma -, . .. « D SPECULL PERMIT-APProveD DY 1 <br /> \Fkl�ai dwroUoh'B _ _�t <br /> CMncter o7 Sell to pih ofl R: PI M pSblYCluratder. 1 <br /> COMMENTS ,4 " / <br /> amd. IF3Cw..A <br /> PE Reufwtl ChatldN AmeuM DWe ParmHl klvoks# PaTmk IDN <br /> COde :INFO RemiR10 SBrviCe M I <br /> 250D IZ ! Y B D ++ <br /> AA <br /> d , <br /> ATAt, k ONSITE WASTEWATER TRiMNT� PERMITVS7EM PER <br /> t2Me "� 1I <br />