Laserfiche WebLink
LIQUID WASTE PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE 3"FLOOR.STOCKTON.CA 9520212(9146I-)420 <br /> NON-REFUNDABLE PERMIT EXPIRES 1 F,AR FROM DATE ISSUED <br /> JOB ADDRESS�I �L ��[�y_ r� - AFN "17-.2ci <br /> 20—09/ _ PAR <br /> lLSIZL: I PO - <br /> L'ITYIL{P� tjj� _ fjfT BUILDING PERMIT ITy , <br /> OWNER NAM E� r/J/_Dtrjf&U ADDRESS_ _ <br /> CITYIZIP _ / - PHONE. <br /> CONTRACTON` f�tJ/!d: ��ij(��/�__ ADDRF.SS� •, '.o':lr lrf.(4P <br /> (ITV/-LIP_ PI[ONE NUMBER�f`Y'S�z� <br /> GEOGRAPHICAL INFORMATION:COORDINATES.X Y TOWNSHIP RANGE SF.CTK)N <br /> TYPE:OF SEPTIC WORK: INSTALLATION WILL SFRVE: NUMBER OF LIV INC UNITS:_ <br /> F- NEW INSTALLATEON V.RESIDENCE �? <br /> NUMBER OF BEDROOMS: <br /> ❑ REPAIRIADDITKA ❑ COMMERCIAL <br /> O DESTRUCTION ❑ OTHER NUMBEROF EMPLOYEES: <br /> ❑ ENGFNEF.REDIALTF.RNATIVF <br /> CHARACTER OF SOIL TO DEPTH OF J':_ PITJSUMP SOIL CHARACTFR:_ ;� AV. WATER TABLE DEPTH: <br /> ❑ PBRCTFST(S) HOWMANY APPWCATIONN _ 77 <br /> BC SEPTICTANK TVPE�MFG !C44m// C'APACI Y JbCO 40FCOMPARTMENTS Z <br /> ❑ GREASF.TRAP TYPE+MFG CAPACITY NOFCOMPARTMENTS <br /> � 1 <br /> ❑ PKGTX PLANT DISTANCE.TO NEAREST: WELL� FOUNOATIONJ� PROPERTY LIKE <br /> J LIF-FSTATION SfZF. TYPE OF PULP_ SAND Oil.SEPARATOR(ENCLOSED SYSTEM)- <br /> 8 ITAC.'H LINE, N OF LINES: I_LENGTH OF LINF.C:�O VI-ANCRHINEARRk; WELL FOUNDATION_ PROPERTY LINE��¢w <br /> INFLITRATOR CHAMBERS: l' <br /> ❑ FILTER SED WIDTH LENGTH DEPTH---_ 91%TANCE Tn NEAREsr. WELL FOUNDATION PROPERTY LINE <br /> ❑ MOUNDED WIDTH LENCFIN DEPTH DISTANCETONEARE.CI': WELL FOUNDATION_. PROPERTY LINE. <br /> ❑ SLMPS WIDTH LENGTH DEPTH DISTANCE TO m"KkAT: WELT FOUNDATION PROPERTY UNE.__ ` <br /> ❑ DISPOSAL PONDS WIDTH LENGTH DEPTH DMANCETONEARCAT: WELL FOUNDATION_ PROPERTY LINE 1 <br /> SF.F.PA(:E Pirs p DIAMETER 1W DEPTH �C DOS�,n[ETONEARxNF: WELL,SS/ FOIINDATIONPROPERTY IJNE_/Ar� S <br /> i <br /> I HEREBY CERTIFY THAT I HA VF PREPARED THIS APPLICATION AND THE WORK WILL BE DOA E,N ACCORDANCE.WITH.SAN JOAQVIN COUNTY ORDINANCES STATE LA w5 <br /> AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MI\IN U A 24 H IR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)46&3423 <br /> SIGNED: IA <br /> .F ... T�. <br /> Ai <br /> : <br /> , <br /> : <br /> - i 1 f4-1 <br /> ,e: <br /> j <br /> i <br /> i <br /> -� DEPARTMENT USE,ON{.V .TL (/� <br /> APPLICATION ACCEPI'c DY of ,_U.A�TE: - AREA ""E14PLOYEEIMp- VpI� ATIO' <br /> INSPECTED BY:__ - _ DATE Io-�"°2 PERMIT FINAL* YES DATE: 1117! •INR►ECTCIl1^" - <br /> COMMENTS: Zq-D t/ GIW5,OR+ R:u&t.E pfR oWNdR tcP(�scr _ _ - <br /> PE CODE SCI`MO AMOUNT (HEC N 0.ECTIVEO DA I, PFQNUTSERVK'ERCQU TE INVDICE4 $EPTICim <br /> REMITTED DY <br /> jl�gff t17 .320-Iql,q-9- /W ° k00-!3r63 <br /> REV MED&1541 <br /> - - - --L - <br />