Laserfiche WebLink
LIQE,, VASTE PERMIT <br /> SAN IOA3N E.COUNTYPUBLIC)BOOTH KIOISECA 9$2NMENLALHEALTHDIVISION <br /> JOaE WEBER AVE.3'0 FL000.,STOCKTON.CA 93201 (3O1)f683610 <br /> NON--RE ABLE MITE PIR— YE R 1'F ISSUED 2`} HR hGTif� <br /> REQiJ =STE <br /> IF <br /> lia <br /> PARCELSIZE/APN��/f�/1Z;lk2CAII,T1 ICTIlAIU 9 S;�� PHON—E <br /> CONIRAC`OR Nl1 II�y�,Ic17�5(Tl�� 'A/JfSf� IAX ADDRESS �2 I I LT>1�1� C AJ <br /> CrtYZP 4nf�4 4. Z4�L PHONE. (2,nq) <br /> GEOGRAPHICAL INFORMATION:COORDIA X_Y TOWNSHIP---RANGE_SE ON <br /> FERCT (S)VHOW MANY APPLICATIONI, <br /> TYPE OF SEPOC WORK: p NEW INSIAWTION ❑ REPAIWADORION ❑ DFSTRUC c,N <br /> IN,TALLATIONWILLSERVE: C3 RESIDENCE D'dPMMERICIAL ❑O'DIFA <br /> NUMBER Of LIVING UNM NUMBEROFSEDRWI.IS:_ NUMBER OF WPLOYEES <br /> CHARACTER OFSOIL TD A DEPIN OF J FEET'. PRSUMPSOILCHARACIFR: WATERTABUDEPIH_ <br /> ❑SEPOCTANKIGRFASETRAP TYPE/MPG CAPACITY NUMBER OF COMPARIM S <br /> ❑PKGTREATMENTPLANT DISTANCETONEAREST: WELL_ FOUNDATION_ PROPERTYLJNE <br /> ❑IIFTSIATON SRE TYPE OF PUMP SAND OIL SEPARATOR(ENCLOSED SYSTEM) <br /> ' ❑LEACHING LINE NUMBER k LENGTH OF LINES INFILTRATOR CHAMBERS <br /> OISTANCETONEAREST. WELL FOUNDATION nOFEETTLINE <br /> ❑FILTER BED WIDTH LENGTH DEPTH <br /> DLSTANCE TO NEAREST: WELL FOUNDATON. PROPERTY LINE <br /> 8 MOUNDED WIDTH LENGTH DEPTH <br /> DISTANCE TONEAREST: WE]l FOUNDATON PROPERTY LINE <br /> ❑SEEPAGE PIIS WIDTH LETRGIH DEPTH - — <br /> DLSTANCETONEAREST: WELL FOUNDATION PROPERTY LINE A� <br /> ❑SUMPS WIDTH LENGTH DEPM y <br /> DISTANCETONEAREST: WELL FOUNDATON PROPERTY LME i <br /> ❑DISPQSAL PoNTIS WIDTH LENGTH DEPTTI <br /> DLSTANCE TO NEAREST: WELL FOUNT)ATON PROPERTY LINE T1 <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY <br /> ORDIANCES,STATE LA WS,AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> N <br /> _ SIGNED: 11.17^: Ir�l � TTE: GATE. , <br /> MAPIP05A ROAD <br /> I � I <br /> kTb k KRA CED Ra ; <br /> RF. <br /> a scALE cAPPRox� , <br /> r,as ?IP <br /> SAN JOAQU,N' <br /> PUBLIC HEALTH'.E VIC 5 <br /> AClNLTY unp. FITARONMFNTAI HFft <br /> M1'DLPARTMYM L5E ONLT <br /> AIRJCADAM <br /> TANKPR.0R 9N4 9Y. lATE <br /> PPIALWSFLCTIO BY'. O� <br /> COMMINR. <br /> pE[DDL 9C AApUM CT6LKV RFLEfJm BY DATE PFNMR5E0.VICE 0.FQIIESf• SF➢!K 0° <br /> R <br /> L iz5,11 It7 — se F9- �3U <br />