Laserfiche WebLink
WATER TABLE DEPTH: <br />0 PERC TEST # <br />ft <br /> <br />GEOGRAPHICAL INFORMATION: Coordinates X <br />BUILDING PERMIT # LAND USE APPLICATION # <br />..2r- SEPTIC TANK TYPE/MFG <br /> ees L co nc,re-t.e- <br />01 GREASE TRAP TYPE/MFG <br />DISTANCE TO NEAREST: WELL <br />LIFT STATION <br /> <br />SIZE TYPE OF PUMP PKG TX PLANT 0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />CAPACITY ,200 C gal <br /> CAPACITY gal <br />ft FOUNDATION ft <br /># OF COMPARTMENTS <br /># OF COMPARTMENTS <br />PROPERTY LINE <br />2. <br />ft <br />rri Ced <br />Atv*- <br />3v.:A 0 <br />If•ar. <br />6-T ex-1_ <br />F <br />SIGNED <br />c) <br />TITLE Oci.) DATE 6, - a <br />ciRivt^ 0 <br />;.t <br />Application Accepted By <br />Final Inspection By A. <br />111): rawffir <br />ONSITE WASTEWATER TREATMENT SYSTEM PERNT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 -(209) 468-3420 <br />NON-REFUNDABLE PERMIT <br /> <br />CALL (209) 953-7697 FOR INSPECTIONS <br /> <br />EXPIRES 1 YEAR FROM DATE ISSUED <br />JOB ADDRESS <br />CROSS STREET <br />OWNER NAME <br />J 8 53 3 atr, <br />ag_I-t-61/4. A-4 <br />JaS A SA e..417 <br />CrrylZip <br />APN z13 0 17- / <br />CA. <br /> PARCEL SIZE / :SSMICKW aIIS PHONE <br />OWNER ADDRESS CITY/STATE/ZIP <br />CONTRACTOR <br /> <br />PHONE <br />CONTRACTOR ADDRESS CITY/STATE/ZIP <br />LICENSE OUC-42 0 UC-36 OTHER NUMBER <br />EXPIRATION DATE <br />TYPE OF WORK: C NEW INSTALLATION <br />.9/ REPLACEMENT <br />REPAIR/ADDITION 0 ENGINEER DESIGNED /ALTERNATIVE <br />OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION <br /> <br />INSTALLATION WILL SERVE: <br /> <br />2-1-2ESIDENCE <br /> <br />0 COMMERCIAL 0 OTHER <br /> <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br />2r- LEACH LINES <br />FILTER BED <br />MOUNDED <br />SUMPS <br />DISPOSAL PONDS <br />SEEPAGE PITS <br />DISTANCE TO NEAREST <br />WIDTH <br />DISTANCE TO NEAREST <br />WIDTH <br />DISTANCE TO NEAREST <br />WIDTH <br />DISTANCE TO NEAREST <br />WIDTH <br />DISTANCE TO NEAREST <br />NUMBER <br />WELL ft FOUNDATION ft PROPERTY LINE <br />ft LENGTH ft DEPTH <br />WELL ft FOUNDATION ft PROPERTY LINE <br />ft LENGTH ft DEPTH <br />WELL ft FOUNDATION <br />ft LENGTH <br />WELL ft FOUNDATION <br />WIDTH <br />ft <br />ft <br />ft <br />ft <br />ft <br />ft <br /> ft <br />PAYMENT <br />RECEIVED <br /> ft <br />JON 08 2028 <br />..0" LEACHING CHAMBERS 41 # OF LINES <br />WELL J .17) ft FOUNDATION <br />ft LENGTH - ft <br /> ft PROPERTY LINE <br />ft DEPTH <br /> ft PROPERTY LINE <br />ft DEPTH <br />LENGTH OF LINES <br />ft PROPERTY LINE <br />DEPTH <br />DISTANCE TO NEAREST FOUNDATION It PROPERTY LINE S It WELL ft <br />-- AN JOAglia co <br />THEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN C <br />STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. L EPARTMENT <br />MINIMU2 8 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209)953-7697 <br />DEPARTMENTISEINLY <br /> <br />Date <br /> <br />Date <br />Character of Soil to Depth of 3 Ft: <br />i p <br />- <br />v <br />e <br />tivki20A3 <br />: <br />iPit/Sump Soil Cha Kacter <br />COMMENTS S c 4- (7 , .c (o/1 <br />t <br />v <br />re ce f , j d -d QI 0 11 0 . <br />PE <br />Code <br />SC <br />INFO <br />Received <br />By <br />c‘Chealf Amount <br />Remitted Date Permit/ <br />Service Request # Invoice # Permit ID# -Cash <br />'12.f I ) 5 ao-- zi-2,4.3 300+309 (pit° 51 wKikLou,) <br />12erk4iti <br />t <br />42-01 <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />4/14/18 <br />Area Employee ID# Pet "rri <br />0 SPECIAL PERMIT - Approved by