SR0080543 SSNL - Laserfiche WebLink

Home Browse Search

DATE: , r ! PLOT PLAN (CRAW TO SCALE, SCALE I. NAMES OF STREETS OR ROAOs NEAREST TO OR BoUNDROG THE PROPERTY. 2 OUTLINE OF THE PROPERTY, MITI OWIENSIONS AND NORTH DIRECTION. U. oimuosioNED OS/TUNES AND LOCATION OF ALL EXISTING AND PRDPOSED STRUCTURES. RCLur4640 COVERED AREAS SUCH AS PATIOS, DRIVEWAYS, 4040 wALKS. So 4 LOCATION Of HOUSE SEWAGE DISPOSAL vertu OR PEIOPOSED EXPANSION OF SEWAGE DISPOSAL SYSTEMS S. LOCATION OF WELLS WITHIN RADIUS OF ONE HUMMED FIFTY FT, ON THE PROPERTY OR ADJOINING PROPERTY. f . I 1 I 1 I .. .1 ' . r i ' I 4 0 • I .TJ I L 0,4 • i• 1 pe .7'14;;;I! 04,7 ,101; CL 1 • • . ( I ' ;DA P FUli NRIS SONS, INC ROsT ORRICE BOX 1450 i STOCKTON, CALIFORNIA 95201 ,SifeF0,-; (200y,48c,i6p7 PAX (209) 465-5736 I ! SiT lo 9.1A .1 60.11 ! P-- TITLE: FOR DEPAATIVEATI LRE Q4E)/ 1 ACCOLATIND ono,: mos FACE [(6: CODE FEE INFO AMOUNT REMITTED CHECKED A6H REVIVES IT DATE SR I PERMIT NUMBER .2.11 INVOICE I'..." -2-1 I [ 4 // 6 717 /•*--- 4 ( il 1 APPLICATION ACCEPTE1) BY TANK. FIT OR stIMP INSPECTION BY DATE / 1 FINAL INSPECTION BY ADDITIONAL COMMENTS: AREA: 2_ ..ATE 95- JOE ADDRESS/OR APO OWNER'S NAME CO NT RAC SUB CONTRACTOR APPLICATION FOR LIQUID WASTE PERMIT SAN'JOADUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION P.O. BOX 388, 445 N. SAN JOAQUIN ST., STOCKTON, CA S52014388 1209) 458.3420 DOPAREFUNDARLE PERMIT EXPIRES 1 TEAR FROM DATE ISSUED IDomplona in Trip lie.* APPLEcATIoN IS HEREBY MADE TO THE SAN JOADIN4 Cousn'y FOR A PERMIT TO CONSTRUCT ANDDR INSTALL THE WORE DESCRIBED. THIS APPUCATION IS MADE IN COMPLIANCE WITH SAN JOACluiN COUNTY DEVELOPS/ENE( TITLE CHAPTER 0.1 1 10.3 AND THE STANDARDS OR 6,44 JOADus, cout-K04Z HEALTH SERV1C. 4: - • s AL HEALTh VAIIINON . t. ---- I ' ''.' —1,.//3'7727/17F ' crry ----—_. ARS111.%;.:r, ..„ " .... TehC 7 .j tc,-, i.zE,--- i__. /NE:- •`•'--,/,(-1V ADDRESS '-"--./.4I.--- _4,/ < C — PHONE ...Z5 .5-7/ (rC--- Cif '5r:4Z 4E7' ''....CiekiS ADDRESS. AK: WAL.--2<-/-;11( UCI, Vc -; - 4.. C------ ADDRESS LICIF PHONE TYPE SW SUMO WORK NEW INSTALLATION 0 REPAIR/ADOITION DISTIWCTION 0 (No SEPTIC SYSTEM PERMITTED IF PUISLI.: SEWER IS AVAILABLE WITHN 200 0551 OF BUILDING.) PIRO TWIN I I MOW MANY Applkodon I ---//-' ' Ems! TREATMENT PLANT 0 ENHANCE TO NEAREST: WELLZirae_ FOUNDATION4,03 PROPERTY UNE UPI' STATION 0 SIZE TYPE OF PUMP SAND OIL SEPARATOR (ENCLOSED SYSTEM1 I LEACHED ERIE yt No, S LENGTH OF LINES4•- • 7 Q...1 DISTANCE TO NEAREST'. vvELL 1:41.)11- FOUNDATION PROPERTY UNE FILTER SE0 . 0 WIDTH LENGTH DEPTH DISTANCE To NEAliEsT: WELL FOUNDATION PROPERTY LINE MOUNDED 0 W11714 LE/4GTH DEPTH DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE SED.ACIE R711 0 ocrn4 SIZE NUMBER DISTANCE TO NEAREST: WEL FOUNDATION PROPERTY UNE sUMps 0 WIDTH LENGTH DEPTH DISTANCE TO NEAREST. WELL FOUNDATION PROPERTY UNE DISPOSAL PONDS 0 WIDTH LENGTH DEPTH DISTANCE To NEAREST WELL ROUNDATION PROPERTY LINE I HEREBY CERTIFY THAT I HAVE PREPARED THISAPPUCATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN .10AOLON COUNTY 0404051 AND STATE LAWS, AND RULES E. AND REGULATIONS OPINE SAN JOAQUIN COUNTY. HOMEOWNER OR UCENSED AGENT.SSRNIATuRE CERTIFIES 11* T-OLLOWING. .1 CERTIFY THAT IN THE PERFORMANCEOF THEWORIC FOR %MUCH • IRE PEWEE IS lEisllf.D. I SHALL MOT SAN•LOY ATV PERSON IN SUCH A MANNER AS TO BECOME SuBJEcl To WORKMAN'S CODAPEIRATION LAws of CALIFORNIA.' CONTRACTOR'S WRNS OR SUP,-coNTRACTING SIGNATURE CERTIFIES T1-1E FOLLOWING. -I CERTIFY IRA'S IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SNAIL EMPLOY PERSONS SUISJECT TO WORKMAN•D COMPENSATION LAWS OF C.ALIFO " THE APPUCANT MUST CALL 24 OURS IN ADVANCE FOP ALL REQUNSED HAPECTIONS. coractrri DRAWING BELOW. ' iNsTALLATION WILL SERVE. REIROENCE7 \ COMMERCIAL 0 OTHER 0 NURSER OF LINING i NumBER OF REDROOMS: NUMBER of CIAPEDYEEs, CHARACTER OF SOIL TO A DEPTH Of 3 FEET: 41'Fi PET/Su/AP SON, CHARACTER WATER TAITLE DEPTH (- SEPTIC TANKASIFAME TM" 0...TYPE/MFG :---1. ... I___ CACAPACITY I ir-y—r— er.•(;)/21 •NO. COMPARTMENTS ,-- c.z