Laserfiche WebLink
SEPTIC TANK <br /> <br />TYPE/MFG CAPACITY gal # OF COMPARTMENTS <br />GREASE TRAP <br /> <br />TYPE/MFG CAPACITY gal # OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL ft FOUNDATION ft PROPERTY LINE <br /> ft <br />LIFT STATION <br /> <br />SIZE TYPE OF PUMP <br /> <br />PKG TX PLANT <br /> <br />O SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br /> <br />INSTALLATION WILL SERVE: <br /> 45017SIDENCE <br /> <br />NUMBER OF LIVING UNITS: <br />COMMERCIAL OTHER <br />NUMBER OF BEDROOMS: -.47.7 NUMBER OF EMPLOYEES: <br />f <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STocKToN CA 95205 -(209) 468-3420 <br />NON-REFUNDAB PERMIT CALL (209) 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br />v--e- 0 city/zip *le, 4 L€44 C 1535 <br /> <br />APN P7 s 7 DS-Odi-1 PARCEL SIZE ia,3 0 <br />PHONE <br />OWNER ADDRESS c, fr tier ri Pc:// <br />JOB ADDRESS 3 7 <br />CROSS STREET tp ed <br />Dir k OWNER NAME <br />CITY/STATE/ZIP r/74 )14'eca qsT 37 :SS311GGV 311S CONTRACTOR 16.ere i d1 re_ see, PHONE 5-b <br />CONTRACTOR ADDRESS po Girt/STATE/Zit, ert A/1-4,4'01 itAl <br />LICENSE :C-42 0=C-36 OTHER NumBER410.-655-44 EXPIRATION DATE 9t13.).... <br />WATER TABLE DEPTFI: /1144 VI 1 ft <br /> <br />GEOGRAPHICAL INFORMATION: Coordinates X <br />PERC TEST # <br />NEW INSTALLATION REPAIR/ADDMON <br />BUILDING PERMIITel!„../- LAND USE APPLICATION # <br />ENGINEER DESIGNED /ALTERNATIVE <br />REPLACEMENT _ OUT-OF-SERVICE SEPTIC SYSTEM U DESTRUCTION <br />TYPE OF WORK: <br />LEACH LINES C LEACHING CHAMBERS <br />Pe1. BED WIDTH ta I ft LENGTH ..4.0 . , DISTANCE TO NEAREST WELL ft FOUNDATION <br />FILTER I DISTANCE TO NEAREST WELL 1 0 0 ft FOUNDATION <br />MOUNDED WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL <br />SUMPS WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />DISPOSAL PONDS WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br /># OF LINES LENGTH OF LINES ft <br /> ft PROPERTY LINE ft <br />ft DEPTH 1St' ft <br />ft PROPERTY LINE 1,51 ft <br />ft DEPTH ft <br /> ft FOUNDATION ft PROPERTY LINE ft <br />la' <br />ft DEPTH ft <br />ft PROPERTY LINE ft <br />ft DEPTH ft <br />SEEPAGE PITS NUMBER WIDTH ft DEPTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft <br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br />STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> <br />MINIMUM 48 HOUR VAN ICE REQUIRED FOR INSPECTIONS - PLEASE CALL 209 953-7697 <br />SIGNED TITLE 4-alelti..r.s.e-isses DATE .••• <br />DEPARTMENTIJSE ONLY <br />Application Accepted By !_ : ---- - - — Z - Z. . . - - Date 0 ,347 1 Area Siq6/ Employee ID# As <br />Final Inspection By C Date I oct / ( 0 SPECIAL PERMIT - Approved by <br />Character of Soil to Depth o Ft: Pit/Stimp Soil Character: <br />COMMENTS F.,,i linok kck fi'e id. exaJih( leoci, -()eld 6 rervoc:m oprklecied <br />T:Qf If . I\ID -,:j/eits v.I itill0 se AA (kept.; END Yet-aids <br />PE <br />Code <br />SC <br />INFO <br />Received it', c---rjairear Amount <br />Cash Remitted Date Permit/ <br />,pervice Rtquest # Invoice # Permit ID# <br />IWO Ns- ay__ jg72g-43oo 1-3 . 21 YQ 0313 5 <br />42-01 <br /> ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/14/18