Laserfiche WebLink
FJROppxCSUSE- <br /> APPLICATION FOR SANITATION PERMIT - - <br /> . Permit No. <br /> � <br /> --'---'---- -----'-- <br /> This <br /> ` ' <br /> � ~ <br /> � ���, �umu�� ����/o� � <br /> ` {1 �/ <br /> . ` Local H�mhhCN for ^ ^ v <br /> A0plication is hereby made to the San <br /> and hvstwM the work h"n ' <br /> described. This application is made In.complionce with <br /> Installation will serve- R s2e�ncedAiartment House(] Commercial OTraller Cour t 0 <br /> Choracter'of s6ii to a depth of 3 feet. Sand 0 2- Slit 0 Clay q_ Peat[:] n Clay Lba 0 ' ' <br /> (Plot plan, showing size of loi, lc�ation ci system In relation to wells, buildings, oft. must be placed. on revs rse side'.) <br /> NEW INSTALLATION: (No septic tank of, seepage pit permitted if public sewer Is available within 200 feeM <br /> / <br /> / Cmpacty-------_-------t_-Type..................... & aterim1----.`'--- No. Compartments '.---_. <br /> D '-'--��- �-w <br /> ' �/m� Fnwn�mM�n ���.U�m <br /> LEACHING LINE [ ] wof Lines ',—!._-.'� Length of o�m� fine............ Total Length... <br /> � Box ..... Type Filter Material .....................Depth filter N�x�nb�| ..---.--_-.--'-__`---- , <br /> , <br /> ' <br /> Distance to ' W'---.`_---' Foundation ---`-----' Property Line ......................j. <br /> . , <br /> SEEPAGE PIT' Depth / .-.---.- Number -----`-..-- Rock Filled Yes 0Nw �] <br /> _---_---_- . . . <br /> Water Table Dop�h ------------------------------------------------Rock S�w '--'---'T--- <br /> ' <br /> Distance' tm'nwarem� Well _- � .�-' ....................... uwnda�un --'--'�-- Prop. Line ............. <br /> � <br /> ' <br /> �,ev �on\���n Pe ................ ���m -_-_'-------�--'� ' <br /> -_.' ` <br /> iSep�w Tank Requirements)-,- ' / ' ' �'- -i--r---' -----�-'—'��'-��-'---�-------'-- �� <br /> ~ <br /> -------------------------- <br /> �' ",� �~Ir ^ v `..........................................___.____'--L <br /> --L---�----'-�----~�-'-'---' ------ } <br /> / ` " , !--_-'_--�_�._-L._�_'-_-__--_'_-�--'--'--__'----.' <br /> ------- ----'-----''(Drbw existing and re(jbired addreverie m�w ` � <br /> I hereby certify that I have prepar�d:th;s application a�d,that the work will be done In accordanco with Son Jacquilf! <br /> County Ordinances, State Laws, and Rules and Regulations of the San Joaquirl Local H0011114,01strid. Home owner or lken- <br /> agents signature certifies tho following: <br /> certify . . <br /> . to become subject to . man's,Compensation laws of <br /> r ' <br /> ' ^ � ............... ��u^ u Tme --'c----------- ' <br /> -(if other than owner) <br /> FOR.&PARTMENT USE ONLY. <br /> *,ruCA/"Om mCCcr/cu BY f�- ----- _.- -�� 4 <br /> ' <br /> BUILDING 'PERMIT ISSUED ' /�� �- � --_—_-------------DATE ------�—'-----' <br /> ` <br /> ADDITIONAL COMMENTS ---__''--.`"�x,-_-.-- ........................... ............... ......... - ......... ........................... <br /> --- ...................................... .........................-- ........ ................. ........... ......................................................... ..................... <br /> . ------------------_-----'_---_-_-----------'-------_--------'_-_' <br /> � ---------- ------ -...y ----- <br /> | F�o| |nspo�ion6y ---'~� �' <br /> ...................................Dote . =.^v-�.��/��---.--._ <br /> ' EK 13 2h 1+68 Rev. 50 "^^ JOAQU|N LOCAL HEALTH DISTRICT 8/74 3N <br /> ` <br />