Laserfiche WebLink
42-01 <br />4/14/1 8 <br />12--i`i/0/ 7S <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />DISTANCE TO NEAREST WELL /110 '-.- ft FOUNDATION .c"' ft PROPERTY LINE Va'ft <br />U FILTER BED WIDTH ft LENGTH ft DEPTH <br />lit Y/1447 DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE <br />0 MOUNDED WIDTH ft LENGTH ft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTYLINE ft Ll•Z) <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE <br />i t t 4p O SUMPS WIDTH ft LENGTH ft DEPTH <br />ID DISPOSAL PONDS WIDTH ft DEPTH <br />0 4 202/ <br />ft LENGTH Sq fti Jo Aft <br />DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE <br />fC17 SEEPAGE PITS NUMBER WIDTH ,3V ft DEPTH 2 5.- ' I-11; / •rL.,/f g COON t <br />DISTANCE TO NEAREST WELL /SO 't ft FOUNDATION #0' ft PROPERTY LINE , ii, 77116NT. <br />WIN/UM 48 HpUR ADVANCE NOTICE REQUIRED FQRINSPEOTLONS - PLEASE CALL (209)953-7697 <br />SIGNED —4cE77 TITLE Pcy.cel.,..Lit DATE C' -j/() 212c I <br />NE INEMINNEEN11111111111 <br />111111Mle It 11111•01•111111 <br />ININNII VINEENIEINIINIENINNEENINIE ' <br />11111111111•••111111111INNIE' <br />11111111111EMINIEN riuMMEMmr=1 <br />NENNININININNIEMEMEi <br />NritiMONMONNNIIMEISIMMINENI ININEINEE <br />...ENIIIIIMIII IIIIINIEENIIMMEIINIENIN <br />ERMINIIIIIINNENINENINIE <br />ENAIMIEMONEMINIINIMEN <br />ZIEN1111 MENINEMENI <br />IINNIIIINIIJIIIINIEM. N. I •••••••••••• • <br />••••••••••••E <br />MINN •••• • <br />MEN. NMI • <br />NEE= INNEN M <br />111111111ERENIMENNINNINMENINEINEEN • <br />....or i D P A R T M E 217? 0 N L Y <br />a -1/11PerlrAT.„,' <br />Ye / ' / Area Application Accepted - % , 41,,,,A_,/,,-CiAid Date <br />Final Inspection By ....t0.-_L'-,:r4f.. Date # 0 SP C PERMIT - Approved by <br />Character of So/Ito Depth of 3 Ft: PIUSump Soil Character: <br />COMMENTS 04,Y7iql "tri210-- 17(444/1- -IP- it -7 <br />PE <br />Code <br />SC Received Checktl/ <br />Cash <br />Amount <br />i Remitted Date Permit) <br />Service Request # Invoice # Permit ID# <br />1-7.44 <br />INFO <br />e i I ' <br />z.pitt)._, <br />33-2.1 Sizoo 33 ,:-.. <br />L <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 />(‘) <br />Employee ID# kinA/5/0•414. <br />PARCEL SIZE APN 7- 70 - /1/43 CROSS STREET ,171,_4(),-47 <br />PHONE y/() 71 '41 3 J CONTRACTOR.-D C ',TR! t Z0'1) 3 <br />LICENSE 1----6--42 C-36 OTHER NUMBER 72.2"/;'6-- EXPIRATION DATE OC/gC/2cI 2-1 <br />BUILDING PERMIT # LAND USE APPLICATION # <br />TYPE OF WORK: REPAIRJADDMON <br />OUT-OF-SERVICE SEPTIC SYSTEM <br />ENGINEER DESIGNED /ALTERNATIVE <br />DESTRUCTION <br />NEW INSTALLATION <br />V-- REPLACEMENT /Cc, 4 e-ui <br />COMMERCIAL OTHER <br />WATER TABLE DEPTH: <br />PERC TEST # <br />ft GEOGRAPHICAL INFORMATION: Coordinates X <br />0 SEPTIC TANK TYPE/MFG <br />0 GREASE TRAP TYPE/MFG <br />DISTANCE TO NEAREST: WELL <br />0 LIFT STATION SIZE TYPE OF PUMP <br />CAPACITY gal # OF COMPARTMENTS <br />CAPACITY gal # OF COMPARTMENTS <br />ft FOUNDATION ft PROPERTY LINE ft <br />0 PKG TX PLANT 0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />Lr LEACH LINES VLEACHING CHAMBERS 1,141/(-Itl`dr 2// # OF LINES LENGTH OF LINES 67e <br />OWNER ADDRESS _5,4,41e, <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 -(209) 468-3420 <br />NON-REFUNDABLE PERMIT CALL (209)953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br />JOB ADDRESS '7-3 0 2Y. J LLTOTT 1).. rk-O CrryrZip 4410 Li z'Lc) <br />CONTRACTOR ADDRESS 2C -2 7 79)i)',WTS-LM./ e YZ'Ic cl 7;t .2.44 CirdSTATE/ZIP <br />OWNER NAME (1 C. i MAR711.) J <br />CITY/STATEIZIP <br />PHONE <br /> <br />INSTALLATION WILL SERVE: v--..-RasiDENCE <br /> <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: 3 - NUMBER OF EMPLOYEES: