Laserfiche WebLink
ft <br /> gal # OF COMPARTMENTS <br /> gal # OF COMPARTMENTS <br />ft FOUNDATION <br /> <br />ft PROPERTY LINE <br />PKG TX PLANT <br /> <br />0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />TypEJMFG <br />TYPE/MFG <br />SEPTIC TANK <br />GREASE TRAP <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />ol 3-1 - o9 AP N <br />PHONE 3(09 - o31 <br />BUILDING PERMIT # LAND USE APPLICATION # <br />TYPE OF WORK: NEW INSTALLATION <br />REPLACEMENT <br />REPAIR/ADDITION <br />ri OUT-OF-SERVICE SEPTIC SYSTEM <br />0 ENGINEER DESIGNED /ALTERNATIVE <br />DESTRUCTION <br />._-j COMMERCIAL C OTHER <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 />C. c A- wt. too at> <br />cPri4.o RC. <br />0DI K EL t-s-I <br />cn-yrzip A- Git po 2-2-0 <br />PARCEL SIZE I • to A.. <br />PRONE (10 -0 (Ok/ 4iO4 3 <br />JOB ADDRESS <br />CROSS STREET <br />OWNER NAME <br />OWNER ADDRESS $A M. C. <br />CONTRACTOR LIVE- oitV- izoNi yvq.--)..yrek <br />CONTRACTOR ADDRESS 40.1 1-0 • 0 "lc $T . <br />CITY/STATE/ZIP <br />CITY/STATE/ZIP Lot)1 C-Pt t 2 (4Z) <br />A PERC TEST # <br /> <br />INSTALLATION WILL SERVE: 11 RESIDENCE <br /> <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br />DISTANCE TO NEAREST: WELL <br />SIZE TYPE OF PUMP LIFT STATION <br /> # OF LINES LENGTH OF LINES ft <br />ft FOUNDATION ft PROPERTY LINE ft <br />ft DEPTH ft <br />ft FOUNDATION ft PROPERTY LINE ft <br />ft DEPTH ft <br />ft FOUNDATION ft PROPERTY LINE ft <br />ft DEPTH ft <br /> ft FOUNDATION ft PROPERTY LINE ft <br /> ft DEPTH ft <br />ft FOUNDATION ft PROPERTY LINE ft <br /> ft DEPTH ft <br />ft PROPERTY LINE ft <br />FILTER BED WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL <br />MOUNDED WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL <br />DISPOSAL PONDS WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL <br />SEEPAGE PITS NUMBER WIDTH <br />SUMPS WIDTH ft LENGTH <br />DISTANCE TO NEAREST WELL <br />CI LEACH LINES F:1 LEACHING CHAMBERS <br />DISTANCE TO NEAREST WELL <br />DISTANCE TO NEAREST WELL ft FOUNDATION <br />Application Accepted By <br />Final Inspection By <br />ett 'Pr ARTMEN U E 0 LY <br />Date <br />Date <br />Area Employee ID# <br />0 SPECIAL PERMIT - Approved by <br />Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: <br />COMMENTS <br /> a 202 :SS311131:11, allS PE <br />Code <br />SC <br />INFO <br />Received (Ch_e_g.141 <br />By --Cash <br />Amount <br />Remitted ate , <br />Permit/ <br />Service Request # Invoice # ii--"ryfruIN clit ''''el, Al4.41-. i.../.0.-n •-• ....r-Ap Lt'0 a 11,177( r+11-1 /57 tafiqu Sc2-0V5"6-1- - - Li , <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />00,v <br />7;14 71, <br />CAPACITY <br />CAPACITY <br />42-01 <br />4/14/18