Laserfiche WebLink
I`L3a ONSITE v STEWATER TREATMENT SYSTEM F- 'tMIT 6i86a. �-ol <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL fitFPH DEPARTMENT JOIE WERCRAVE-3- CA 95203-(309)468-342O <br /> NON-REFUNDABLE PERMI ALL 420919' FOR INSPECTIONS EXPIRES I YEAR FROM DATE ISSUED <br /> JOS AODRFSS Som S' J Crrvmp <br /> s <br /> cROSESrR fb & 4E,,c APN 1-7-1--2 by —7 4 PARCELSIZELAIYLR g <br /> OWNER NAME t PHONE <br /> OWNERAINHUM CRY/STATEILIP <br /> CONTRACTOR PHONE L�oQ� 95r8-/Zy3' <br /> CONTUACEOR ADDRESS e7�� f. Myll/a S7-/eP:J CTVATATEMIP 1YbCAre,,J , Cn , 45885 <br /> LICENSE L3 C42 (3 C-36 OTHER - NUMBER H ENPIRATIONDATE /� <br /> WATERTABLLDEPTU R GEOGRAPHICAL INFORMATION: Conrdlnatee X lz SOPIV V--!l ?Y'J✓ <br /> PERCTEST(S) NUMBER LAND UBS APPLICATION# <br /> TYPE OF WORK: ❑ NEWINSTALLATON ❑ REPAIR/ADDITION ❑ ENONEERDESICNED/ALTERNATIVE <br /> ❑ REUPLACEMENr ❑ DL4TRUCTION <br /> INSTALLATION WILL SERVE: ❑ RFSIOCNCE ❑ COMMERCIAL ❑ OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OP BLDROOMB: NUMBEROFEMPLOVEVE <br /> ❑ SEPTIC TANK TYPOMFG CAPACITY BFI #OFCOMPARTMENTS <br /> ❑ GREASE TRAP TYPE/MPO CAPACITY gal MOFCOMPARTMENTs <br /> ❑ PKG TX PLANT DIETANLETONEARPST: WELL R FOUNDATION R PROPERTY LINE ft <br /> ❑ LIFT STATION SITE TYPE OF POMP ❑ SANDOILSEPARATOR(ENCLQBEDSYFTEM) <br /> ❑ LEACH LINES ❑ LEACHING CHAMBERS M OF LINES LENGTH OF LINES It <br /> DISTANCEMNEAREST WELL ft FOUNDATION R PROPERTY LME ft O <br /> ❑ FILTER BED WIDTH ft LENGTH R DEPTH ft <br /> D1b""TONEARFST WELL R FOUNDATION ft PROPERTY LME R <br /> ❑ MOUNDED WIDTH ft LENGTH IS DEPTH R <br /> DISTANCETONEARGYT WEU ft FOUNDATION ft PROPERTY LME It _ <br /> ❑ SUMPS WIDTH ft LENGTH ft DEPTH ft <br /> DISTANCETONFAuaRr WELL ft FOUNDATION ft PROPERTY LINE It Y <br /> ❑ DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH It O <br /> DmANCETONEARPST WELL ft FOUNDATION R PROPERTY LINE R VA <br /> Cl SEEPAGE PITS Wam-m ft UeNGTN ft DEPTH R I <br /> DIEGNCETONGREIT WELL R FOUNDATION ft PROPERTY LINE R T� <br /> I HEREBY CERTIFY THAT I HAVE PREPARED TUB APPLICATION ANDTHE WORK WILL EE DONE IN ACCORDANCE WITH BAN JOAQUIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> UM M HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLLT--EAAS�.E CALL(309)953-707 <br /> SIGNED= T TITLE DATE Ty'--T'� DATEIQ O/O <br /> UkAl <br /> R E <br /> DEPA MENT SE ONLY P� 97 <br /> ApplluHon ARepled Dae' ( .3QS Area Empbyee lFIDal lnEpectioxB Dale / / ❑ SPECIAL PERMIT-Approved 6 <br /> CMncNr of SDII to Dohof3ft PRISM,,SDR CMncler: <br /> COMMENTS <br /> pESC RecFIVR$ luck#/ Alxoxxl Perm1U <br /> Cade INFO B endmd WH Se 'eeR uell# IRr9kaN ParRH11DN <br /> •FL si 'I <br /> S <br /> 13-01-081 ONSITE WASTEWATER PERMIT <br /> IJ/LDJ <br />