Laserfiche WebLink
Z­0t 177 <br /> ONSITE WASTEWATER TREATMENT SYSTEM PERMIT Ash — feu tn- <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 304E WERERAVE-Y°FL-STOCKTON CA 95202 -(UPI)A U20 <br /> NON-REFUNDABLE PERMIT CALL(209)953-7697 FOR INSPECTIONS EXPIRES I YEAR FROM DATE ISSUED <br /> JOB ADDRESS x <br /> CITY/ZJP <br /> CEDES STREET AVX /GZ N APN !Lf3z ZZ"a Z) PARCEL SIM � � 9 <br /> OWNL N <br /> ER NAME l �. L l PHONE <br /> OWNERADDRERS <br /> CITY/STATE/ZIP <br /> COMPACTOR <br /> / / (� PHgYE (D UUU _ <br /> CONTRACTOR ADDR ;'l �) (e W MaNco 'QGuQ <br /> CITY/$TATF/ZIP <br /> UCENSE C42 U C- NUMBER I J <br /> J6 OTHER (r�L\��� EXPIRATION DATE <br /> WATERTABLEDEPTIC R CEOGRAFHICALINFORMATHIN: Coordlnn4i X y <br /> ❑ PERC TEST IS) NUMBER <br /> LANG UEE APPLICATIONp <br /> TYPE OF WORK: NEW INSTALIATION ❑ REPAMIADDITION ❑ ENGINEER DESIGNED/ALTERNATIVE <br /> REPWCEMENT ❑ DERTRUCTION <br /> INSTALLATION WILL SERVE! / IDENCE ❑ COMMERCIAL O OTHER <br /> N' EROFLIVINGUNirs: C NUMBER OF BEDROOMS: 3 NUMBEROFEMPLOYEM: <br /> SEPTIC TANK TTPFJMFG � CAPACtt zJ d y1 #OF COMPnRTMENTS �\ <br /> ❑ CREASE TRAP TYPVMFG CAPACITY -,11 +.AQLCOMPARTMENTS <br /> ❑ PKG TX PLANT DISTANCETONEAREST: WELL: G � ' ft FWNDATION /OA R PROPERTY LINE /� , R <br /> ❑ LIFTSTATION SITETYPE OFPUMP Cl SAND OIL SEPARATOR(ENCLOSED <br /> /SvsT¢M) <br /> ❑ LEACH LINES JdILEACHINGCHAMBERS f!�-- #OFLINES_� LENGTH OF LINPs N CVR <br /> DISTANCETONEAReET WELL Z00 R FOUNDATION ZP T 'P� R PROPERTY USE S F R <br /> ❑ FILTER BED W. R LENGTH R DEPTH ft <br /> DISTANCE TO NEARESTLLIO <br /> ft FOUNDATN LI <br /> ft PROPERTY NE R <br /> C3 MOUNDED WE <br /> WIOTx R LENGTH R DEPTH ft <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE R <br /> ❑ SUMPS W. R LENGTH R DEPTH ft <br /> DISTANCE TO NEAl1i.5T WELL ft FOUNDATION ft PROPERTY UNE ft <br /> L3DISPOSAL PONDS W. ft LENGTH It DEPTH It <br /> DISTANCE TO NEAREST WELL R FOUNDATION R PROPERTY LINE ft <br /> SEEPAGE PITS WIDTX 3to �r ft LENGTH ft DEPTH J r fl <br /> DISTANCDTONGPEST WELL /S_ZJ R FOUNDATION /O r R %tOPERtt LINE S^ J ft <br /> I HEREBY CERTIPVTHAT I HAVE PREPARED THISAPPLICATION K WILL BEDONE IN ACCORDANCE WITH SAN JOAQUIN COUNTYORDINANCFS. <br /> STATE IA WS ESANDREGUWTIONS OF SAN JOAQUIN COUNTY. <br /> IN] 1H CE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(2N)953-0697 <br /> SIG TITLEf (—O"l-03 <br /> Dwre <br /> P <br /> C <br /> O;j N4 <br /> a De <br /> 9 IAA M <br /> D <br /> z _ <br /> -gil <br /> DEPAR y. ISE'15NEVq2q- <br /> APPlica A"pTM -- - DR4 / J - -Ate EmPIDr«ID# ZT�-_ �._. <br /> Final lnap«TionB Dare //-,�h —hi ❑ SPECIAL PERMIT-Approved <br /> CBararler of Soil to IN of 3 Fr. PiVSump Soil CbamvMr: <br /> COM ENTS — - / <br /> L L p Taj <br /> PE SC ReveE CII« Amoual Prrmitl <br /> \� CRCe «iInPO B CaEN Remit4E Dao BeM«R cert# Invoi«# Permil lDp <br /> 3 -SZ�S L �359a.2 <br /> 3-01-001 <br /> 12ry02 ONSITE WASTEWATER PERMIT <br />