Laserfiche WebLink
ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> Y ° 1 <br /> SARJ OUINCOUNWEINIROMAlEtiTALHEPLTx OEPPRTMENT 109BE.H/ LTONAWNUE-STOCILI0NCA95205.(209)45E-3420 <br /> NON- FUNDABLEPERMIT CALL(288953.769TFORMSPECTIONS EXPIRESlI YEAR FROM DATE ISSUED 1 <br /> Joe E95 jCIttla2.,l-gk�j gkAl <br /> - ` i�. u �J� <br /> CROSS E V-O API <br /> I�PAflCELS� <br /> rt.l' f! f'• .. �• I PHONEOIa�-4otm-0449 <br /> WIIERN AE_IG«I 1 <br /> NERA RE59 S CL P (AS eA 6 OfiYISTATFIZIP p �a <br /> C GR \ '. c QIN . 1 • PRD.E^o-1/- 1 Z o - <br /> CORNiACTOR .GVAta[F.,a,J `ter 1 ell R` CI1Y/STATwzP G I+ .CA 951 J GL <br /> LICENeE U=C-42 DJC-35 OTHER NUI3BER EMRATMNOATE 1 <br /> l y <br /> WATER TABLE OEPTM. r I� % GBOORMNHipLINFORMNmON: Coordinates X <br /> PERCTEST # BUILDING PERMIT# LAND USE APPUCATION# 1 <br /> TYP OF WORK J NEW N41'AWTION ❑ RvaNPDDn1oN ❑ ENOINEEND Im1E0IAL1HtNAlN <br /> J REPLACEMENT ] OUT-OFSERNCESEPTICST9TEM J DESTRUCTION <br /> INSTALLATION WILL SERVE' ❑ RRARRNOE O CarneOeamAL El OTHER <br /> NUI39EROFLNMO UNITS: NUMBER OF BEDROOMS: NUMSEROFEMPLOVcES: <br /> ❑ SEPTICTANK TmVW. CAPACITY pal AOFCOMPARTNENTS 1 <br /> ❑ GREASETRAP TYPFJMFG CWAGTY 901 #OFCOMPMTMENTS <br /> DISTANOETONEAREST: Wal.- R FWNDATRMI % PROPERLY UNE R <br /> ❑ UFTSTATION S12E TYPE OF PUMP ❑ PKGTXPLANT ❑ SANDOIL SEPARATOR(ENCLOSED SYSTEM) _ <br /> ❑ LEACH LINES O LEACHINGCHAMBERS #OFUNES LENGTHOFUNES r ft i <br /> DIATANCETONEAREST %NELl R FOUNOAMON ft FROPERTYLINE R <br /> ❑ FILTER BED Wmix R LEASH % OEEPTH ft <br /> DISTMCEToNiAREST Neuf It FIXMWTION ft PROPERTYUNE R i <br /> ❑ MOUNDED Wion, R LEN. It DFPRI R <br /> DISTMOETONEJIREST WELL II FOUMATION A PROPERWUNE R <br /> O SUMPS W.. A LENGTH R OR _R <br /> DISTANCETONEARUfT WELL It MUNMTION R PROPERTYUNE R i <br /> ❑ DISPOSALPONDS WIDTH It LENGM R DEPDI R <br /> DISTAWSTONEAREST WELL R FOUNDATION ft PROPERTYUNE R <br /> ❑ SEEPAGE PITS NUMBEp WIDTH R DEPTH R <br /> Mm ANLETONFAEAT W L R MVNDATICN R FROPERiYLWE a <br /> 1 HEREBY CERTIFY THAT[HAVE PREPARED THIS AWSAN RU AND THE EGUL TIO BE DONE IN AQUINC JCE IMTH SAN JOAOUIN CDUNTYOROINANCEB <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAOUIN COUNTY. <br /> MINIMUM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)x953_-76 7 <br /> SIGNED C r r'- TITLE <' DATE <br /> 1 <br /> 6 <br /> °.� 1°" 1 <br /> N c � <br /> '''T 1 <br /> PAR E NLY ,,//��Fj�AAFF// -tT <br /> AppIICaUDR AecepleU Dam Area Employee l0#IL� 1 <br /> FinAI InSPSCUon By Date O SPECIAL MIT-Approvetl By <br /> Chamcter Of Soil to Depth of 3 Ft. PiUBump Soll Character. <br /> COMMENTS <br /> PE SC Recelvetl he Amount Dpta penoIN InvpiceA Permit lD# i <br /> Code INPD Rah Remitmtl Service Re Bes[a <br /> ONSTIE WASTEWATER TRTMNT SYSTEM PERMIT <br /> i <br /> i201 <br /> erzuu <br /> i <br /> i <br />