SR0083496_SSNL - Laserfiche WebLink

Home Browse Search

TYPE of SEPTIC WONT NEW INSTALLATION REP•onwoomon 0 OD SEPTIC SYSTEM PERMITTED IF PUBLIC SEWER IS *TANJORE WITHIN 203 FEET OF BuiLDING I AK *MAW L 550* MAIN' °formic-now ID APPENNIni ICEi2r. COMMERCIAL 0 OTHER 0 NIA ENI MI of LRAM MRS: r°0 TH 111.041MI OF 1116oRoGAISt 3 EILEABEI OF EMPLOYEEs: CHARACTER OF SOIL TO A DEPTH OF 3 FELT: tPL.4 PR/SUME SOIL CHARACTER: WATER TABLE DEPTH tiErrn TANkt.241041 MAP tir-,,,.... P m. L ovi firttregrAcTTY IL, A 0 NO. COMPARTNEKT1 1L. Two TREATINENT PUUIT 0 DISTANCE TO NEAREST: WELL (.5 r)FOUNDATION__________ IToPERTY LINE VOI , SPY DATION 0 SIT TEST NI E OF PJP SAND OIL SEPARATOR ENCLOSED BYRTEMI ' LEACHING EWE Or ... • LENGTH Of LINES .1 LAO` DISTANCE TO NEAREST: WELL Ct.. 6— s FOUND/LAM .44151 PFIOFERTY LINE 4 01 ENTALLATION WILL APPLICATION FOR Liam WASTE PERMIT SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION P.O. BOX MB, 445 N. SAN JOAQUIN ST.. STOCKTON, CA 95201-03111 (205I 488-3420 moN•REFummettpijmut MIRES 1 YEAR MN RATE ISSUES leampieu i MAW*, APPUCATION IS HETIRW MADE TO THE SAN JOAOUIN COL/Wry ETNA A PERMIT TO CONSTRUCT AND/OR INSTALL THE woNT DESCRIEED. ISIS APINICATKiN IS MADE IN COURIANCE WOO SAN JOAQUIN COUNTY DEVELENNAENT TITLE CHAPTER e - 1 110.3 AND THE STANDARDS Of SAN JOAOLME COUNTY PUBLIC HEALTH SERVICES. ENVIRONMENTAL HEALTH MASON. JOB ADOIESSJOH ARNE II 41-5 So Li rtion ...-40 CITY •4,4 ciii- et- of- ....oz•-s- CETVIEEPTEI NAME i.-n.,i-e, -t-ci ( i e. ices . ADORES. IP 3 /6 0 lir 1 I co Kr eAcToe_061‘..e. F..c ft 4.. r *Drowse An itkov L S-ci Lice (•oSi c'SN 4 , _ 1771 3. DDIC NM CON AST TRACTOR LOCI PHONE FILTER SID 0 wiorri LENGTH DEPTH DISTANCE TO NEAREST: WELL FOUNDATION PETOPERTY LINE MOUNDED 0 WIDTH LENGTH DEPTH DISTANCE TO NEMENT. WELL FOUNDATION PNOPERTY UNE SEEPAGE PITS 1Iipi.14 I-40E112E4M( ./.41 ONIPABER 3 DISTANCE TO WAREST: WELL Gig- TOLINDATION 3 PROPRIETY LINE SUMPS 0 WIDTH LENGTH DEPTH INSTANCE TO NEWEST: WELL FOUNONTION PROPERTY USE DosPoBAL PONDO 0 WORE LENGTH DEPTH DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE o' I NEARBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION MID THAT THE WORK WILL 55 01115 IN ACCORDANCE WRIT SAN JOAQUIN COUNTY ORDINANCES AND STATE LAWS, AND RULES AND PEGAILATIONS OF THE SAN JOAOUIN COUNTY. Ho,* oWNER OR LICENSED AGENT'S SIGNATURE CERTIFIES THE FOLIO/NINO: •I CEITriFY THAT NITER PERPORMANCE OF THE/NOON PORWIICH TIlla PUTNAM 16 ISSUED, I 6.041 NOT EMPLOY ANY PERSON El SUCH A MANNER AS TO BECOME SUBJECT TO WORKIAAN lit COMPENSATION LAWS OF CNJIRIPINIA." CANTNACTOR'S HANG OR SUB-CONTELACTING SIGNATURE CERTIFIES THE FOLLOWING: •I CERTIFY THAT IN THE PERFORMANCE OF TIN WOFN FOE WINCH THIS PERMIT IS &SUED, I NOLL EILE/LOY PERSONS SUILECT TO WORLD/IAN'S COMPENSATION LAWS OF CALIFORNIA.' THE APPUCANT MEAT CALL 24 HOURS 101 ADVANCE Foot Au RICAIRIED INSPECTIONS. COMpLETE DRAWING SELO STONED X TITLE: 6- Wit tCrectr.-fr‘ DATE: gs- CA PLOT PLAN DRAW TO SCALEI WALE to 1 NAMES OF OTNEETs OR ROADS NEAREST TO LIPI BOUNDING THE PROPERTY_ OUTUNE OF THE PROPERTY, WITH LEMENENONS AND NORTH DIPECTION. DIMENSIONED OUTLINES AND LOCATION OF ALL EDITING MID PROPOSED EITRUCTUTES. INCLUDING COVETED AREAS OUCH AS PATIOS. DRIVEWAYS, AND WALKS. LOCATION OF HOUSE SEWAGE DISPOSAL sys-rird OIl MOPOSED EXPANSION OF SEWAGE DISPOSAL SYSTEMS. 6. LOCATION OF WELLS WITHIN RADIUS OF ONE HUNINED FIFTY FT. ON THE PROPERTY Oil ADJOINING PROPERTY. FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED ST DATE EASE. ra OR BUMP INSPECTION BY DATE I I MAL INSPECTION Is a.„&0e_>4TE rt M313CRONAL COUNT:ME F ACCOUNTING ONLY .„,.. AbDO FRC/ i _ PE COOS FEE INFO AMOUNT REMITTED CILIECDCKO ASPS RECEIVED ST I DATE ON I MEW NtiNSIE invoice • 2. I I L(11- 11 4- . r) 0 i bc."Th Svapic &airt_bN- L,3 X -7 1),•[c D17-7 L b() 0 le, DA1.c)