SR0083870 - Laserfiche WebLink

Home Browse Search

PARCEL SIZE *-06•0--i CROSS STREET APN ot CITY/STATE/ZIP PHONE Li 514, 44" Stof CITY/STATE/ZIP /4)Cel 4--likati- 1-S-3360 CONTRACTOR le-t)s 6 gel< ve- CONTRACTOR ADDRESS _ Po Abx & s 6 OWNER ADDRESS NUMBER 6,oss-s-Li LICENSE El _C-42 L]C-36 OTHER EXPIRATION DATE 44.0 5-o WATER TABLE DEPTH: I I ENGINEER DESIGNED /ALTERNATIVE REPAIR/ADDITION OTHER A c) S-11,1 P NUMBER OF EMPLOYEES: 11 COMMERCIAL NUMBER OF BEDROOMS: PERC TEST #_,„/ TYPE OF WORK: ber NEW INSTALLATION REPLACEMENT GEOGRAPHICAL INFORMATION: Coordinates X INSTALLATION WILL SERVE: L RESIDENCE NUMBER OF LIVING UNITS: OUT-OF-SERVICE SEPTIC SYSTEM I I DESTRUCTION JOB ADDRESS 1-t 'Ii E 1.rstt tSc, CITY/ZIP 14)c.eld--4.44 1 c.. 14 ffr3S (4 OWNER NAME PHONE BUILDING PERMIT # - 200065g LAND USE APPLICATION # eui_scit ft F-t ft - 1 DISTANCE TO TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE SEEPAGE PITS NUMBER WIDTH ft DEPTH Q SUMPS WIDTH ft LENGTH DISTANCE TO NE/_ WELL ft FOUNDATION ft PROPERTY LINE I ft DEPTH s, NTIL,EpNLY 1 t 2 / ?_ 0 a Area Employee —r Application Accepted By Final Inspection By Character of Soil to Depth COMMENTS LA / 0 SPECIAL PERMIT - Approved by Pit/Sump Soil Character: 046474 _ 11/k0 2021 1•4 PE Code SC INFO Received By ash Amount Remitted Date Permit/ Service Request # Invoice # Permit ID# ik2- \ i a Pin I (88 Li i 5-05 it LIIIVID SF-00C167g112 ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 42-01 4/14/18 ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZEL TON AVENUE - S-rocKroN CA 95205 -(209) 468-3420 NON-REFUNDABLE PERMIT CALL (209) 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED prgEPTIC TANK TYPE/MFG 10 I-L. 0 GREASE TRAP TYPE/MFG CAPACITY DISTANCE TO NEAREST: WELL (00 4" ft FOUNDATION S CAPACITY 7,0 LIFT STATION SIZE TYPE OF PUMP 0 PKG TX PLANT 0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) LEACH LINES _ LEACHING CHAMBERS # OF LINES I LENGTH OF LINES ft DISTANCE TO NEAREST WELL I 60 + ft FOUNDATION 10 1 ft PROPERTY LINE -) ft FILTER BED WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft MOUNDED WIDTH ft LENGTH ft DEPTH ft ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINAN STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. 6 t. MINIMUM 48 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209) 953-7697 SIGNED TITLE 0 n 44NAG.. r DATE (0 gal # OF COMPARTMENTS gal # OF COMPARTMENTS ft PROPERTY LINE 75 r ft