Laserfiche WebLink
�ONS�TE WAS WATER TREATMENT SYSTEM PENT <br /> r SAN70AQUlNCOUNTYENVIRONMENTALHEALTHDEPARTMENT -304E WEBERAVE 3R°FL- STOC NCA95202 - (209)468-3420 <br /> 'Now=L11 -is .y{� r�CALLS209 953-7697 FOR INSPECTIONS CJEXPtI,R}ES 1 YEAR FRO1M DATE ISSUED <br /> JOB ADDRESS y'r5r i OC.9- .. �GY i Y 1 'CC 'EKY CJ'�C� = C17YlZIP llLCr F 1 CGVI '1�'J 1 -�'--�� '�. <br /> # rr•. ��a' {� F�{ :n4t 'r:,� rr :f Y+ s leu:-.tl �^ ...3- m <br /> CROSS STREkT I APN �� � PARCEL SIZEf— b <br /> ,r OWNERNAME VY�) �`C,� PHONE <br /> 1■� ' OWNER ADDAPSSFa Is?":may' F F a_ -rF � j ` CITY(STATFJZIP <br /> /. <br /> L��•, �:.:F,t-.CONTAAC7'OR.s� {.1-: �..- f.�.ti() - .i� .'� �� ,.] .L. it`. PHONE �l�`� �I(I I- t <br /> ry L <br /> ��L'CorrFRAcroR ADBAEss .,1 +a, a ': CcTYISTATFJZIP ;. C_ .``V. ZCi <br /> LICENSE n❑C�2w f.-`Y❑C 36 NUMBER'v r-"- EXPIRATION DATE J <br /> TABLE UEPI'H¢ r •"��: '"ft 4F -C EOGRAPHICAL7NFORMAT[ON ;sCDordpoates X Y <br /> a ti FERC T1i5T k# Y, s BUILDING PERMIT# LAND USE APPLICATION# <br /> TYPEOFiWOR-ItC i,I,k,❑ KNEW INSTALLATION c Is Sr O REPAIRIADDIT[ON - s - 13 ENGINEER DESIGNED!ALTERNATIVE <br /> uREPLACEMENT " -�� -r "C rk :. I ❑ DESTRIJCl7ON <br /> ';' F�INSTALLATION WILT.SERVE r Vis+�❑ REEIDEIVCE�r ' 1 t +$'' �,:,t ❑ COMMERCIAL ❑ OTHER - - - <br /> I S'; §'�-RT�fNUMBEAOE LIVING lIN1Tfi� [ > NUMBER OF SEDROOMS NUMBER OF EMPLOYEES.": <br /> 2 p❑19 PTIC}TANK ra4.'I ElMFG I_ 3 } w CAPACRYI $eI #OF COMPARTMENTS <br /> .+ rF❑��GREASE-TRAP t R TY{PFJM1IFG �-h # CAPACFFY $el, #OF COMPARTMENTSk-o - <br /> '�� �fyFI pl `S 1� E'47_ iT a = k l' <br /> _ K,❑(3v -PKc-,r--XPLANT, DtSYANCE TO'NEARESF�*WELL# ��L',+ :,rt ft FOUNDATIONPROPERTY LINE ft <br /> }t[r �'a•°`t Y';wF %,r �' � "F ` +' <br /> a? ❑ LIFI'STATION ' 'SIZE '4'TYPEOFPOMPF- ❑ SANDOFL-5EPARATOR(ENCLOSEoSvsrEM) - <br /> a, �y'•. e - <br /> } yat.rt�i rtY ,la- [ <br /> +.� ❑-q LEACI1t LINES> FC]c LEACHIINC CHAI4IBER3- s #OF LINES LENGTH OF LD.*EE ft. <br /> ;.` d.# r `vg`F. .:at`C'..'�4•",;,.,.� d .t'V 4 rx $�, % d5 x_,`,n _ .. <br /> JFJF .� Ap94, gDISI'A SCEN ,utWELL ,' ftI t F NDAT[ON� i R '-PROPERTY LINE <br /> a d*'y'4 _- t ft DEPTH fl <br /> >,dp ❑ FILTEWBEDA't Wa6T tir- R L <br /> ENGTH _ <br /> �'` D[[STANCE TO NEARESTr WE ° -1-`- Eftf�FOUNDATION "� ft =PROPERTY.LME fl' <br /> f ❑- -MOUNDED , .WIDTH _IFS' § °ftv,?,,LENGTH ft DEPTH - ft <br /> y6 � P3Far ttdc Ft IP , ? <br /> I' D[STANCE TO NEAA£SCi' <br /> :�'hWELLK''1s a R FOUNDATION YI PROPERTY LINE 6 C <br /> 7k❑=+i<SUMPS r.+ �IVIDTH-';"- r �E I 'rr Zft[aLENGTH <br /> rhyF �i rrs} } }s <br /> DISTANCE TO NEAREST rWELL a R FOUNDATION R k.PROPERTY LIHE ft <br /> r� f ; ❑ DIF5PO5ALPONDSWIDTii `h t 7°itIENGTHe " �Yy <:• -s #t R DEPiH, S ft <br /> e�� <br /> �sctF`i+•14Y*f"K+��l �� �DISTANCE TO NEAREST��rWELL� t�'r s� R FOUNDATION R .' PROPERTY.L[NE ft` <br /> 3i��c z§ d) r xtw� k It ai n adv r s Ri I <br /> wSEE�P�A�GE PITS4N[11BEAr- WH }�a I:c ft DEPTH ft <br /> DISTANCEIO NEA�RESI'7 WELLFtA{ r`x ft FOUNDATION ft _,y PROPERTY LWE <br /> �p rt �� u''s� "y M -,1 t 1" - �[ORfDINANCES�STATE!.AWS AND RULkS ANP REGULATIONSAN•�' <br /> �Is`uTMA�a[EIERR9Y,CERTIPYTHAT I�l1AVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQW N COUNTY <br /> j �. ) �, yFY. 5 OF JOAQUIN COUNTY 1,- <br /> J A <br /> �> M -34 LOUR ADVANCE NOTICE REQUIRED FOR-INSFECTIO S PLEASE CALL(209)953 7697 <br /> 1 ' SIGNED r d'4 rs ° r F TITLE IIATE' <br /> T. <br /> - <br /> ' r <br /> t,! <br /> i� w n ' - <br /> r <br /> 'ztu �i a b'C t3't r >� `' <br /> ...'k_ 'fir tt t r.s_�' •y�.+.. -r:[ <br /> Fw dsg .�" 2z h i" a f ,' e <br /> fi, z 1 y <br /> tTC I <br /> k'# } ti_r <br /> All 012, <br /> Y <br /> uYj £v xsk <br /> yr ,r4 1 r - <br /> !.'�: ft,, h I, .Y ° v :s A .1 A UI U <br /> r N E <br /> i rr � --. Z N iR <br /> �, r r fi a; <br /> m t. c CIL =q <br /> a#VtV <br /> -g <br /> U. <br /> 1 $`aA wy' F �",F•: �t}�'#��Y-'�DEPARTMENT U -£f�NLY ['er .r' c;. ',:. - <br /> �� <br /> ;c� Applicatloa Accepted Byf . Ares Employee lt]#�G^i <br /> w;5r'�'' '£,�„ `i f .rw- ,,S .` NC a i sYs :✓ 3 r r: r .� - - _ ! <br /> F1Rel Inspection By 5�e `L 4 `' s F - a Dale '' ` ❑ SPECIAL PERMIT Approved by <br /> „1 �t y' haracter of Soil to Depth':of 3 Ft -'�-r'+� - 3` fr ' T 'r Pitl5ump Satl Character /- <br /> -e� <br /> §r, ''Fy PE*sj r-,SCS , Recelveds, Cdecldl!_9,-� .AmOLLnt tDate ,'�I Permltl -:. Envoice#- Permit IDIF - - <br /> Remitted + <br /> Service A uest#: <br /> .r <br /> 1t•k'y[��,A2-02-0OI���S�.:��k€f"rP' �a a3��,��IF � xais is ice.' �� {ir.-, ONSITE WASTEWATER PERMIT. <br />