SR0083508 - Laserfiche WebLink

Home Browse Search

NUMBER I C./ EXPIRATION DATE LICENSE ID EC-42 DC-36 OTHER WATER TABLE DEPTH: -30 ft GEOGRAPHICAL INFORMATION: Coordinates X BUILDING PERMIT # LAND USE APPLICATION # L OUT-OF-SERVICE SEPTIC SYSTEM NEW INSTALLATION LIP REPAIR/ADDITION REPLACEMENT it'll/ K. COMMERCIAL INSTALLATION WILL SERVE: gr RESIDENCE NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: Li ID SEPTIC TANK TYPE/MFG / CAPACITY 2._.) OTHER NUMBER OF EMPLOYEES: 2, gal # OF COMPARTMENTS 0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) LIFT STATION SIZE TYPE OF PUMP U PKG TX PLANT DISTANCE TO NEAREST WELL DISPOSAL PONDS WIDTH ft LENGTH ft FOUNDATION ft PROPERTY LINE ft ft LENGTH ft DEPTH ft ft FOUNDATION ft PROPERTY LINE ft ft DEPTH ft ft ft gel chc6 APN 1 -A 4 0c,/,/ /2)4- -9: Ii /‘) /5-ct 54 CONTRACTOR CONTRACTOR ADDRESS (116-11 le("/.4") L -c c)5b co / ci" o(i39 O 11 PHONE CITY/STATE/ZIP L "g/J/3 PHONE( 2 0 9 (-7)j / CITY/STATE/ZIP cies/ C_ 5-51 Ii— 1SS311(IGIv* 311S CROSS STREET OWNER NAME OWNER ADDRESS PARCEL SIZE PERC TEST # GREASE TRAP TYPE/MFG DISTANCE TO NEAREST: WELL Non Q ft CAPACITY gal # OF COMPARTMENTS FOUNDATION ft PROPERTY LINE •6 ft # OF LINES LENGTH OF LINES ft FOUNDATION ft PROPERTY LINE ft ft DEPTH 1 ft ft PROPERTY LINE ft ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. DATE L74iZdZ TITLE SIGNED Li RectIttir ItTo dc4 Enn, Qunv HEAL-411'0N u TH Application Accepted tRy -c---------'-A-7-Z1-"Z- Final Inspection By ll tTh.--^,-------, , Date "..._ - tt 16)7A- D SPECIAL PERMIT - Approved by Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: COMMENTS Ceti lins5 cy5-irwi., gl ep)eAemt51140 07 (yr -,,,,,,k 4 h Of add / )4 / 4 " 61' 1;11-er bvd 1 1.i)J:5 1111115 'la ()?1. Pe I /D i le 1-14-ie r PE Code SC INFO Received By q_eck#1) Cash Amount Remitted Da Permit/ ServiFT fie .9st # Invoice # Permit ID# L010 I / 'S. bir-6 1W12- P3)°C) (i) ,_ 1 LWOW-or-1A ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 2021 84 ,1v r}- DEPARTMENT USE ONLY 'IMOn. L1/4, Area cjci() Employee ID# Date 42-01 4/14/18 MINIMUM 4811-iOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209)953-7697 LEACH LINES 11 LEACHING CHAMBERS el FILTER BED MOUNDED SUMPS WIDTH DISTANCE TO NEAREST WELL ft C/ DISTANCE TO NEAREST WELL iN)t) ;le ft FOUNDATION WIDTH ft LENGTH DISTANCE TO NEAREST WELL WIDTH / ft LENGTH ft PROPERTY LINE ft DEPTH ft PROPERTY LINE ft ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 -(209) 468-3420 NON-REFUNDABLE PERMIT CALL (20 53-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED JOB ADDRESS /Z 3 ) /r1/7e-s e cirwzip TYPE OF WORK: DISTANCE TO NEAREST WELL ft FOUNDATION SEEPAGE PITS NUMBER WIDTH L ENGINEER DESIGNED /fLTERNATIVE DESTRUCTION 1.4