Laserfiche WebLink
ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br /> SWJOACMCaUMENVIRONAf MAL HEALTHOEPWRTSIENT 6WEMMSTREET-STOCKrONCAS5202-(20P469-WlI <br /> NON-REFUNDARLS IR CALL 209 966'.3-77697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED <br /> JOE ADDRESS ! _r �A► 1..k.l'3 1'�'l IJ 1^D. CTTYRIP_ R•�' C2�_- y� <br /> CROSS STREET L-1 1Y�• APN 27/ 370 -3'7 PARCEL SUE +f3• "�►'C. is <br /> QWKER NAAW1'><PC' R.-�-Sa N - PHONE It tom} <br /> OW.ADDRESSZ 33�- 5 r �aPc�A RD • CrTYfstATt3rzm. ��. C.A fW30+ - - <br /> CONTRACTOR L.lyE ONV_-G€.a ENt/ll�-oe�7pt � 31a�— 03� <br /> CONTRACTOR ADDRESS p� 'tR3- Q PrK- arYfsTaT IP ,Gh .9 <br /> LeENSE 0"2 QC-30 OTIM Mil®E8 Exp"T1ONOATE�,,, 1 <br /> WATER TABLE DEPTH: ft GEOGRAPHICAL INFOR AATm: CawdlRates X Y <br /> PERC TEST ice,_.__. EWluWm FtRMT# LAHn usE APPucA mm# -- --- - <br /> 3 TYPE'OPWOM 4 NIERINSTALLATRMi U RIM&WADDITION U ENGINEER.DESIMIED iALTENNX%%V <br /> tr RFPLikaosm o <br /> INSTALLATION W[ILSEF VE: ❑ Rte ❑ CCNINERCIAL ❑ OTHER <br /> NUNSER OF LNNG URITB: NUMBER OF BEDROOMS: N!MER OF EIW%AYFE8: <br /> (3 SEPTIC TANK TYPEUM CAPACITY gel SOF COWIPAR AEKM ,p <br /> Q GREASETRAP TrPEflalrG — _ CAPACIY gel #OFCOWARTMENT5_ <br /> . DISTANCETO NEAREST. WELL ft FOUfmATrON ,„-- If PROPERrrLc ft <br /> GI LIFTSTATION SIZE TYPEOFPUTAP a PKGTXPLANT Q SAND OIL 69PAPATOR(ENCLOSED SYSTEM) <br /> O LEACH LINES A LEACHING CHAMWAS, 90F LaEs LENGTH OF ALINES _R • . <br /> DISTATM:67ONEAREBT WEU. ft SXM3AT1ON ft PROPERLY LINE h <br /> 13 FILTER8E0 Wnnm_----ft LENGTH __fr DEPTH,_„_, <br /> DISTANCE TO NEAREST WELL. It POLMATIOW 4' PROPERTYLVE R <br /> G MOUNDED W®nL ft LNGTR-- --ft DePTH— _-- <br /> DISTANCETONEAREST WELLR FMIMMTSIN__ ft PROPEKTYL1 E <br /> 12 SUMPS woo __—ft LFJ+PGTII_ —R IIEPTM— ---h <br /> DISTANCE TO NEAREST WELL _ft FOUNDATVDN— —R PR0PERTYLW_ ft <br /> D DISPOSALPONDS W&M___ft W4TH ft QF,-TH-- -----ft <br /> DLSTANCETONEAREST WELL —ft FOLRMATION R PRWEHTYLF€_--_ ft <br /> SEEPAGE PITS N+emee WmTIr_.. Yt DEFFH ft <br /> DESTANCETONEAMT WELT.—__ft FOUNDAMN ft PROPEWYLTNE_---_—ft <br /> T HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND TME WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br /> STATE LAWS AND RULES AND REGULATIONS OF BAN JOAWW COUNTY. <br /> WNIMUM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(2DS}858-T6ST <br /> SiGNEO Y TITLE— �� DATE <br /> �»a+x cavi..•' A �� � - - <br /> — - 1101 KN'�•a <br /> PAYMENT <br /> >f 4 RECEIVED <br /> f APR 13 2011 <br /> SAN JOAQUIN COUNTY <br /> EWRONMFMrAL <br /> HEALTH LZAARTMENT <br /> ti, 06PARTAIE T O Y '( <br /> AppftaUan Aue Gate Area Employee toll! <br /> Final Irmpeetlon 8y Date ❑ SPECIAL PER:I4EIT-Approved by <br /> Charaw1w of"I to 0e0h of 5 Ft: � PINSump Salf Chwalwim, <br /> COMMENTSPE <br /> Cock ISicO <br /> Reael"d 13V rh Remltte� Date �R # Invoke 6 Permit Mo <br /> 2E ly ZZ2. W1Z ZZ <br /> - 42.01 O!'SWE WASTEWATERTRT►WT SYSTEM PERMIT <br /> 104107 <br />