Laserfiche WebLink
LENGTH <br />LEPIGITI <br />LENOIR <br />LEMAN <br />DEPTH._ <br />DEPTH <br />DEMI <br />DEPTH <br />DEPTH niAMETER__ <br />LIQUID WASTE PERMIT <br />SAN 10AOUIN COUNTY PUJILIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION <br />SDI E. WEISER AVE P" FLOOR, STOCKTON, CA 55252 1355) 465.34311 <br />PARCEL SIZE, 41P JOK ADDRESS <br />6, ...1,20 <br />PjLe• p 17) Or- BUILDING PERMIT riTrzsr <br />11 a Mr.A4..ttiA <br />1/ .2 I D 7.-20 0— es APN <br />NOIZEFUNDABLE - HT XPIRES 1 YEAR FROM DATE ISSUED PFL( <br />ADDRESS <br />PHONE NUMBER <br />CONTRACTOR rift &el- SA, 0;44 mom Z Z / 14-1, Ott.k Sfs. 1468-- <br />PHONE NIAIDEP 93k=13. 7. <br />PKGTX PLANT DISTANCE TO NEAREST: WEu <br />GEOGRAPHICAL INFORMATION: COORDIN A TIC: TOWNSHIP RANCE _ SECTION__ <br />TYPE OF SEPTIC WORK: <br />NEW INSTALLATION <br />REPAIRADDITION <br />DESTRUCTION <br />ENGINEERED:ALTERNATIVE <br />INSTALLATION WILL SERVE; <br />RESIDENCE <br />COMMERCIAL <br />OTHER <br />CHARACTER OF SOIL TO DEPTH OF 3': PIDSIIMP SOIL CHARACTER: <br />FOE COMPARTMENTS <br />LIFE STATION Sm., TyPE OF PIMP <br />C.) <br />CAPACITY <br />CAPACITY <br />*OF COMP A RI ME SEPTIC TANK YPE,,MFG <br />3 GREASE TRAr TYPE,MFG <br />X FERE TEST IS) HOW MANY 2 APPLICATION ii_12/4- 41-4err <br />WATER TABLE DEPTH: <br />I OuNDA NON PROPERTY UNE <br />SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />NUMBER OF LIVING UNITS: <br />NUMBER OF BEDROOMS: <br />NUMBER OF EMPLOYEES: <br />DEITAAIIIITONRARART, WELL_ EIRADATION 5505ERTY INF. <br />DIRTANCR TO NIAllest WELL KRADATION PROPER! S LINE <br />DI:STARER TO NEART.91, WELL FOUNDATION PROPERTY LINR <br />POTANCRTE APARDD WELL FOUNDATION PROPERTY LiNP. <br />olsi.00scu TO NERRIXIT <br />iDiVoset TO N[AstrAT: <br />Wm.!, FOUNDATION <br />FOSIN 51105 <br />PROPERTY 1.1%E <br />W Et.L_ OPERTY LINE._ <br />1-. • <br />- "cs <br />Tev.koil ; <br />H.f - --;:-,WeieLys_&Le • 44;s4-4 <br />' <br />• t • <br />tEfl <br />' 1 ; <br />t <br />I. <br />,xtstaeir4.-- <br /> <br />; ! <br />I . <br />, • <br />.. . <br />, <br />1• 101, .. . <br />._ i <br />' I <br />p • :I- <br />1./ EMPLOYEE 140‘1:EIST5ICP 14. LOCA1ION°12 <br />OAT <br />USIIONLY <br />APPLICATRIN ACCEPTED DT <br />INEPRETED By <br />DEPARTMEN <br />DATE. <br />PERMIT F1NALI YES DATE2 7 DESPECIDIP <br />-^ <br />trti- <br />-- <br />I HEREBY CERTIFY 1 NAT I HAV, PREPARED CHIN APPLICATION AND THE WORK WILL RE. DONE IN ACCORDANCE wail SAN 10AQUIN COUNTY ORDINANCES STATE LAWS <br />AND 5511 PS AND REGULATIONS OF SAN JCIAOL IN COUNTY. <br />MINIMU UR ADV NOTICE REQUIRED 5%1RI‘ R CPECTIONS - PLEASE CALL .(209) 468-3423 <br />SIGNED; iTTLE: jP/L- giVCIGATE, /72_943 <br />COMMENT% / e>"411 d- 71e#11-144- I .L12g40,-...1 ZeP.7-- <br />11 1051. SCOT) ' AMOUNT <br />PEMITCED <br />( C.1,4SFI itEk LIVED <br />UT DATE RMIDSERVICE R [DUES MOW SEPTIC ;CR <br />7. 7, 1 rld- tp-t7 --let- Eitaffiffigini <br />.•... <br />OWNER NAME <br />LTEWZ/P <br />LEACH LINE <br />FILTER RED <br />NILWNDED <br />SUMPS <br />DISPOSAL PONDS <br />SEEPAGE. Sirs <br /># OF LINES: LENGTH OF LINES: <br />INFLITRATOR CHAMBERS;