Laserfiche WebLink
N17 <br /> LIQUID WASTE PERMIT I <br /> ED <br /> ,/1,( aAN JOAQUIN COUNTY PUBLIC HEALTH SERVICLS ENVIRONMENTAL HEAT.7II0,-3N <br /> YY 3paE WEBER AVE]N'FL(%7R ST'OCKTOV,Ch 9520711091�-742a /�, <br /> NON-REF{UNNDDABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> i 1 _Z I:z D,I PARCEL SIZE: <br /> J(YR ADDRESS I / ,} i;� APN <br /> CITVILIP— � C_J/'1/�' 1i5-3:7G - BUILDING rFRMIT a / "y <br /> OWNERNAMIE L ADDRESS„ � SA7�' �r - QlLbr�r.� <br /> ' QTY21P—, I PSfT � PRONE NGMBER- l <br /> J In <br /> I <br /> CONTRACTOR ADDRESS <br /> CITvlZIP _; 7� PHONE NUMBER V'1D ' �-+ -2--Z,- <br /> GEOGRAPHICAL <br /> , <br /> - 1 <br /> GEOGRAPHICAL INFORMATION: COORDINATLS:% Y TOWNSHIP RANGE. SECTION <br /> TYPE OF SEPTIC WORK: INSTALLATION WILL SERVE; 14UMBEROFLIVINGUNTTs: <br /> ❑ NEW INSTALLATION X RGS(DENCE NUMBER OF BEDROOMS: 1J.� <br /> RF.PAI DDITION ❑ COMMERCIAL ' <br /> NUMBER OF EMPLOYEES. , <br /> ❑ DESTRUCTION O OTHER <br /> LI FNGINEERED/ALTERNATIVE <br /> CHARACTER OF SOIL TQ DEPTH OF V! gj�Aylmll ACPITISITMP SOIL CHARACTER: � —WATF.RTABLEDEPTN: <br /> (3PERCTIUNT(S) HOWMANY !! ''A��PPLICATIONN <br /> TYPFJmRi I <br /> Q CREASETRAP TYPFIMFG CAPACITY NOFCOMPARTMENTS <br /> ti <br /> ❑ PRGTXPLANT DISTANCETONEARM: WELL FOUNDATION_-- PROPERTY LINE <br /> ❑ LIFT STATION SIZE TYPEOFPUMP SAND OIL SEPARATOR 4ENCLOSBD SYSTEM) V <br /> LEACH U INE R OF LINES; _LENGTH OF LINF.v: `' UIFIAYC6 TO NRAREFT: WELLI/ FOUNDATION <br /> PROPERTY UNE~r ' <br /> INP{JTRATOR CHAMBERS: �_ �+ <br /> C � <br /> ❑ FILTERBED W'IDTX LENGTH DEPTH — ol�r.N4E TDNEhg6cT: WELL FOUNDATION PROPERTY LINE � <br /> ❑ MOUNDED WIDTH LENGTI{ DEPTH` buTaNC.E Tn n[tiAERT= WELL__ FOUNDATION PROPERTY LINE <br /> A I <br /> ❑ SUMPS WfOTIT LENGTH OEPTII nmmcE Tv Nf du T. WEIL FOUNDATION PROPERTYLINE III <br /> ❑ DISPOSAL PONDS MOTH LENGTH -- DEPTH nRRhNCK YO NEnA[ST: WEI I- FOUNDATION PROPERTY LINE h <br /> ❑ SEEPAGE PRS q U14METLR DEPTI I_ onrv.CE m vEAgL$T; WEI f. FOUNDATION PROPERTY LINE <br /> I HERERV CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORN WILL BE DONE IN ACX-ORDANCE WITH SAN JOAQUIN(OLNTV ORDINANCES,STATE LAWS <br /> j AND RULES AND REGULATIONS OP SAN IOAQUIN COUNTY. <br /> Ik IIR ADVANCE NOTICE REQUIRED FOR IN5PEC (NS—PLEAS$ ALL(20) ] <br /> SICNE4V-15,e <br /> TITI& ' <br /> DATE: <br /> , <br /> L.......4..._....�........:.. .. .� - _�.__._. <br /> I , <br /> I j <br /> -+-- <br /> 141 <br /> 1� '"��... I ice...:.......... i <br /> uu I i j <br /> T ------------ -- - <br /> ! Gam, t <br /> , <br /> ' I I <br /> I <br /> _L. I ' <br /> !'..AUG , <br /> qq O�J- -If <br /> .� .PURL' NE LFFdS( cfi--- ... ... .I. a 7- -� j -�-•— — -r-._ . .,� a. <br /> E#� Fl Nl 146ALTY I)BA21 14_ <br /> - I <br /> _ DF.f ARTMF.NTT U E O I.Y /I [J/ <br /> AP/LfC'A TIOI:A(Y•EPTED BY' DA TE: V AREA G�EMPLT)YEE ID,M 73�—UISfRICF �LOC'A'I'fON I <br /> Ay' I1rr�+ � <br /> INSPECTEDBY:,L ; �• DATE V 4 V� PERMIT LINAL�ES UAI F:�� I INSPECTOR / ,---_--_ . <br /> COMMENTS ! C _. ` ILLC7_K uJs�� � <br /> f PE MM W 1-40A AMOUNT CHCfK/ ASu aeCeIVEO pni! FF.MI RVICE RFOUE5T/ INVOICF.M 6EPTfC IM <br /> I` REMITTED BY <br /> 4Zry r l f$� 8 yo 5Je003C2sy3 <br /> E <br /> I _ <br /> rve;F <br /> I <br />