SU0001222 - Laserfiche WebLink

Home Browse Search

ENYIRUNAIENIALFItAtIFI UIVI3eUV '--- P.O.Box 399, 445 4. SAN JOAGUIN ST., STOCKTON, CA 3 -03811 1209) 408-7420 - MON RTFUN l Pt,� Lpml1(PIRES 1 Y,1R TROY p.ATF ISSUED ICemPkta k Tr�S�eaLf AppliCatitrn is hereby, mode to the. Son JoAtpitn County For n rw..rm n• +t 10 to .truct and/or Install the work described. This application .is swde in crxrpl lance with San Joacrrfn Cotmty Drvet(,n,rjt lith, Chapter 4-1110.5 enrF the Sterderd* of Sen Jonquln County Public Health Services, Envirorrr•enrdl Health Civisfon. Job Addrens/or APllr� + 41;� C-t�n�/l��lt/ CitYJ��7 Lot Sfxe Owner's wamr„�,� �, _Ark7rrss 4?S_/ -_,[:1�-i _.. — - —Phone y/ Cont rector _ /� Address _ —_LicN Phone Sub Cor.tractor�I�L� / 4G�LL�.•�AdJrePs__.,�C�y__,4:•G _f!�_'v_SZ�.� —LILI� � rt.one „��,/ TYPE OF SEPTIC WOW NEW iNSThUAT10M}y REPAIRIADDITIL'k 1.1 DESTRUCTION i f PEAC TESTteI I I Now manes- (No SEPTIC. SYSTEM PERMITTED IF PUdLIC SLYER IS AVAILABLE WITHIN 200 FEET OF RUILDIN6,) I4rt1 Use Appikedae/ l Installation will serve: Residence v Coarnercfal Other— Nud>or of living unit63 4— Number of t»drocawr— Nu 44r of *`Mtuyrrr: Character of soil to a depth of ] lost: A C—'r.irC� So1l Chorscter: Water Tob,r Depth SIPTIC TAWKIOREAtt TRAP II Type/Mfg 7 L _Cmpaclty� ?C� --.—No. Compartments T Foundation /=7 Property rine PKD TREATMENT PUNT [ 7 Distance to merest: Wei 11�✓�_ "_.��1-- ' LIFT STATiOHII Sfxe_ Type of Purp 5 n Olt Separator�ncleaed ayatem3 _ ' L[ACNLNO UNE /` No. & length of line> 4� ^ Distance to Near: Well Fotndatlroperty Lure SO+� fL FILTER BEO [) Width length Depth,_-___• Wel L__ FoLnda".on_„_,^ Property Lina . _ t MOUNDED (IWidth Length Depth " WeIL Fotrtdat10,! Property time SEEPADE PITS f] Depth Size Nudxr w • Wett Foundation Property Lir-- � �. SUMPS i) Wfdt',__,_ Length Depth_ WeltFourfalon Property Llnte�� t DISPOSAL PDZD4 [I Vidth length 6rpth u �• Wdlt Fotrtde[ion Property Line t, 1 hereby certify that 1 have prepared this eppliretion and that the work Witt be done in accordance with Eon Joaquin Canty Ordiruncer and State Laws, and Rules and Regulations of the San Joaquin County. Haas ower or Licensed agent's slgnatur�rcaenrtf�fis the f rlrly.� "I certify that in the performance of the vcrk for which this permit ■ Issued, 1 shall not eaploy any pe r to become subjeer to workmen's compensation laws of California." Contractor's hlrfrW or sub contractingsans subject to woure rluwnhs- following: "I certify that in the perfermpnca of the work for which this permit is issued, 1 shell enplay pe j ! corrprrsation lova of Cetifornfe." The appOWaat must*44 24 heats In a4eaase for aR taQUlrsd Insgsatioaa. Complete drawing below. Title: K/T Deta•, � r Signed K PLOT PLA11 (Draw to Scale) Scale " to f I 6, Eocetion of house arwapa disposal systrn or 1. Nam* of streets or roads nearest to or bounding the property. o house of sewage dispoFul systema. i 2. outline of the property, with dimensions and North direction. proposed P° i tot 5. location of walla within radius o 150 ft, an �3. Dimensioned outlines nrd iocation of all exlating end prn[osed the property or adjoining property. 3 structures, covered areas such as patios, driveways, I and walks. 52A LU4E 4-- >,', ��. % _ '''./fl t:Hca �,.��'. 'f•. ,• T FOR DEPARTMENT USE ONLY ^-7 5 >, "i ! �• Date. �.� era• [... Application Accepted by Date,/ / Final Inspectlo�. by � .•►i C Data_„ f` • ¢,' -� Tank, Pit or Sum Inspection by,— Additional Coamentrt 6 ACCOUNTI►7 ONLY: AFD# FACa PC cent FIE IN►n AMOUNT RINUT 10 CSEC CAEN RECEIVED BY DATE IR f PERMIT NUMBER lNYOICE l r.: