Laserfiche WebLink
LIQUID WASTE PERMIT <br /> SAN IOAQUD:COUNTY PUBLIC HEALTH SERVICES ENVMONMPTAL HEALTH DIVISION <br /> / <br /> UK E,WEBE0.AVE Jx'FL00R STOCKTON,CA S QN)A 34W <br /> I iJ^j�� NON-REFUNDABLE PERMIT EXPIRES I YEAR FROM DATE ISSUED <br /> JOR ADDRESS _��CAT AM (�\"(� t��' � PARCCL EI'lE:�_ <br /> • CITY2IPD L-vyzt- [[" BUILDINCPERMITM J= 1A <br /> _ <br /> OWNERNAMf¢�L/ %yyj� IVeiI�Pl'i� � 7E_ ADDRESS <br /> CRYZP // PHONE NUMBER <br /> CONTRACTOR ADDRESS <br /> diY121l-zQ PHONE NUMBERS,- <br /> GEOGRAPHICAL INPORMATION:COOROPJATEN:X Y- TOWMSHIP_RANOE_SECfION— <br /> TYPEOPSEPTICWORK: INSTALLATION WILL SERVE: NUMBER OF LIVING UNITE I N <br /> aiL NEW INSTALLATION SE RESIDENCE NUMBEROFBEDROOMS: S 1� <br /> ❑ REPAWADDITION (3 COMMERCIAL NUMBEROPEMPLOYEES: W <br /> O DESTRUCTION O OTHER r^� <br /> ❑ ENGINEEREDIALTERNATIVE T <br /> CHARACTEROFSOILTODEPTHOP3':-4421 PITISUMP SOIL CHARACTER: -y.��_WATERI'ABLE DEPTiI: <br /> ❑ PERCTPST(S) HOW MANY APPLICATIONM a�-� <br /> ❑ SEPTIC TANK TYPFIMFG PSL G.r+>'�+'ek - CAPACITY16160 MOF COMPARTMENTS !� <br /> ❑ GREASETE.AP TYPEIMFG CAPACITY MOFCOMPARTMENTS j <br /> K <br /> ❑ PKGT'X PTANP DISTANCETONEARYST: WELL-Ut MUNDAUo, PROPERT'LINE P ; <br /> C_ <br /> ❑ LIRSTATION SI%E iYPEOE WNP _ SAND dLSEPARATOA(ENCLOSED SYSTEM) -sf' <br /> a LEACH Lin MOF LNES:-,g—LENGTH OF LINES: AW eN[ncE OrtYc 'M1.L_/Agr FOUNDATION PWPMTY LINE�J <br /> INPLITRATORCHAMBERS: <br /> ❑ PILTERBED WIMN�, LTNOTM— DEF1M oRIwRiOnwVrt: WELL.,_ FOUNDATION PROPERFY LINE_ 1 <br /> ❑ MOUNDED IF.NGIN_ DCPTH__ DIYfAxc4Tox[avAi: WELL WUNOATION__ PROFERIY LINE '� <br /> ❑ SUMP$ LENGTH_ DEM— DIFIMYRTDn{AR4T WELL_ POUNDATpN� PROPEAFY"I-- <br /> E3DISPOSAL K)NDS WID'M1I_ LL',TK_ DFYIM RUTnK'I[TDX[WM: WEU." _ MUNDATION� PROPERTY LINE <br /> fl <br /> SEEPAGE PMN-_E� DIAM[TCR�n OEPTX� DDT�xLRTDX4RRR WELL.IAEO FOUNDATIONS_ PROPERTY LINE <br /> I HEREBY CEFY THAT I HAVE PREPAREOTMIS APPLICATION ANYTIIE WORK WILL DONE IN ACCORDANCE WITH MNJOAQUINCOUNTY ORDINANCES,STATELAWS <br /> RTI <br /> AND RULES ANO RECULA'P10NSOYS.AN JOAQUIN COUNTY. C <br /> MINIMUM 2R HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALLk2")1683{23 <br /> SIGNED. TTI'LE:�^ DATE: <br /> Y <br /> i.. <br /> " t <br /> f _ <br /> UG A91n <br /> DEPARTMENT I6EONL / Lt <br /> APFIJCAT01i ACSFfI/W BY: x^W� DAT E: IIS" II-Z AR EMPLOY861p�)Du A�__yD��IETRICT_(,-_LOOAT,ON <br /> I <br /> INNECIFO tlY:_ �n�- <br /> IMTE A- �l -0�PEFMIT iINAL YE4 DATE II7 SS <br /> FECODE SC IND R M�Ii 6D LNEL N OY D RATE PERMR54RVK R QVfSTI IN ILG PEPIID <br /> T}zi ; fi7 3za Q p S�ii0315 <br /> a <br /> REYBED., I <br />