Laserfiche WebLink
ONSITE WASTEWATER TREATMENT SYSTEM PERMIT /aW <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304 WERE,AVE-Y°Ft-STOCKTON CA 95202 -(209)46SJ420 <br /> NON-REFUNDABLE PERMIT CALL 209 953-7697 FOR INSpECTN)N.N EXPIRES I YEAR PROM DATE ISSU$D <br /> .w.ARw¢EE /My�I { ����PP,.�PS'�.�1�f�1DG..� c1E 1 f1�r aTr/zlP -9>-L <br /> >�.Y�'tr+J L��IJJSZIz <br /> CRUSE STREET 9-1 TOWTI Qrl && pIK APN C)aG-3IA-IZ PARCELSVE Z-0 g <br /> OWNERNAME =A/R-hdEnlD e-/1 SiPJIVk PHONE <br /> OWNERADORKRi CItY$rATEZn, <br /> CONTIMLTOR 'SL9Q7� S-ZC 1 I.0 e -Zw j .. PHONE -Z,ryl Z. <br /> CONI9ACIORADDREss I 1J. pSD CMISTAwzlr <br /> LNSNse i2 p 136 OWER NDMDER EKMWIIQN DATE_ O <br /> WATER TABLET DEPTH: R GEOGuvIRGLInPoWATIon: Caordlaatn X Y <br /> ❑ PERCTEST p BUILDINGPERMITR -O'F tc- LAND USE APPLICATION III <br /> TYPE_,WORK: NEw IPBTAYAnDN p AnAIWADOHION p ENGDILFEI DLRONEDlAI,1LRnATVL <br /> p REPLACEMENT O DPSTMICTRw, <br /> INSTALLATION WILL SBAVE: ❑ RESIDENCE ❑ CoMMERCIAL ❑ OTHER <br /> NUMBP.N OP LIVING IIP <br /> ON:_ 13 <br /> NUNyPLR OP B[d{OOM$: 3 NDmern OF EMPLOYEES: <br /> SEPTIC TANX TYmm,, 1'P-VC.leaT r/ ?)L CAPACITY 1�(i m wl x OFCDNFARTNENTe Z- <br /> ❑ GREASE TRAP TYPE M CAPACITY wl xoFCGmepRTMFxrs <br /> ❑ PKG TX PLANT DDTSNCETONEARENF. WELL �,jCrt R FOUNDATION Ityl R PROPERTY LINE P451 R <br /> ❑ LIFT STATION SIEE r"KOFFYTFMP ❑ SANDOILSKPARATORWXCLQwEDSYETPAQ <br /> E) LEACH LINES WLEACHINCCHAMSERSLCIc� SL ?-D_ xOILINEO gr-- LENGTH OF LINES �SI fl <br /> DH-IAN TONEAREST WELL IOo! R FOLNOATKIN 'JPO' ft PROPERTY LINE <br /> ❑ METER RED WTDTII R LF.NGTN R DEM R <br /> DLSTAnCETO HEARSAY WELL--ft FOJNDATKIN ^- R PROPERTY LINE R <br /> ❑ MOUNDED Wln fl LENGTn _R QEPDI ft fi <br /> DIETANCETONGRE6T WELL R FOUNDATRIN R PROPERTY LINE R <br /> ❑ SUMPS WMEII ft LENGTH. ft DEPTH R <br /> DISTANCE TO NEAREST WELLR FOINDATMN R PROPERTY LINE R 0 <br /> ❑ DISPOSAL PONDS Wmrx R LENGTH n DEPTH R <br /> DISTANCLTONEARGST WELL R FOUNDATEIN R PROPERTY LINE R <br /> 16 SEEPAGE PITS NUMau 7 WmTH sip "f -II. DIM Z.cI R 3f <br /> DISTANCETONEAREST WELL ISD i R FOUNDAt� R PROPERTY LINE "I R C <br /> CI <br /> 1 MR MY C'¢RT1PY THAT I NAYS PREPARED APPLICATION AND THE WORK WILL RR DONE IN ACCORDANCE WITH SAN JWOUDI COUNT' <br /> OROiNANCES,STATE <br /> LpWR AND RULES AND RECUTATIOn550P R.SN JOAQUIN CWN2S. <br /> NINIlMT�M 214 HOUR ADVANCE NOTICE REQUIRED FOR INSPEcrPoNS-PLEASE CALL(209)953-7647 <br /> SIGNED ���+�Li TITLE rmT'�'C'RPr�-�t��Z DATE I 02 O <br /> �9 <br /> IA /I AFIN <br /> iE <br /> Y <br /> O <br /> 1 <br /> rn <br /> M <br /> w <br /> DEPARTMENTUS ,p/ryLY <br /> jl-Applk w.ArrePt DM* -T C A. 'Zff Employs IDx : v Cf <br /> P1.4leTpntbn Date ❑,SPECIAL PERMIT-AppR ed by <br /> chEnehrofHAD af3 '2� PHJ%.PS.RCt&..ItT: <br /> l COMMENTS A)&,t LST— F Q�GaG_JI <br /> X i <br /> Code <br /> INFO ReMved CRYIDR S <br /> RmLLIeA erYkeR onto nkeN PerNllpl <br /> z.i3 lry 4 3z000 POO 3 <br /> A2mL0I ONSITE WASTEWATER PERMIT <br /> IIlJ24W3 <br />