SR0082679 - Laserfiche WebLink

Home Browse Search

LICENSE 00C-42 DOC-36 OTHER NUMBER EXPIRATION DATE ft GEOGRAPHICAL INFORMATION: Coordinates X WATER TABLE DEPTH: LAND USE APPLICATION # BUILDING PERMIT # TYPE OF WORK: NEW INSTALLATION REPLACEMENT REPAIR/ADDITION OUT-OF-SERVICE SEPTIC SYSTEM 0 ENGINEER DESIGNED /ALTERNATIVE' DESTRUCTION icivik r brick limy INSTALLATION WILL SERVE: 0 RESIDENCE NUMBER OF LIVING UNITS: 0 COMMERCIAL NUMBER OF BEDROOMS: El OTHER NUMBER OF EMPLOYEES: CI SAND OIL SEPARATOR (ENCLOSED SYSTEM) LIFT STATION SIZE TYPE OF PUMP U PKG TX PLANT WELL DISTANCE TO NEAREST LENGTH OF LINES ft PROPERTY LINE ft DEPTH ft PROPERTY LINE ft DEPTH ft ft FOUNDATION ft PROPERTY LINE ft ft DEPTH ft ft FOUNDATION ft PROPERTY LINE ft DEPTH ft ft ft ft ft ft ft FOUNDATION ft FOUNDATION # OF LINES •••••• •••••••••••••••••••• TITLE 6 619 r-ye DATE /631 ,2t9,20 SIGNED 2 a ONSITE WASTEWATER TREATMENT SYSTEM PERMIT SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STocKToN CA 95205 -(209) 468-3420 NON-REFUNDABLE PERMIT CALL (209) 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED JOB ADDRESS (2'5 k) Low ef/ 4vE CROSS STREET F ,,;r man APN OWNER NAME Ltrzw,s lAc OWNER ADDRESS 1.7 0/1 e014,41411---'19 F CITY/STATE/ZIP CONTRACTOR (9 itinr- CONTRACTOR ADDRESS CITY/STATE/ZIP 111 PERC TEST # 175 Oa ?08. PARCEL SIZE , 13 CITY/ZIP PHONE (ley- 4ho 4- 3 L5*.edkioA1 C4 PHONE S311QQV 3113 El LEACHING CHAMBERS DISTANCE TO NEAREST WELL WIDTH ft LENGTH DISTANCE TO NEAREST WELL WIDTH ft LENGTH DISTANCE TO NEAREST WELL WIDTH ft LENGTH DISTANCE TO NEAREST WELL WIDTH ft LENGTH DISTANCE TO NEAREST WELL NUMBER LEACH LINES FILTER BED WOUNDED CI SUMPS CI DISPOSAL POND CI SEEPAGE PITS WIDTH ft ft FOUNDATION ft ft FOUNDATION ft PROPERTY LINE ft DEPTH ft ft PROPERTY LINE 0 2 ,v ja 11E44 1/16,6(NU/N THDEPIV. DEPARTMENT US ONLY 4AV:44r i7 Application Accepted By "2----/---- Date /OA „70 Area .7, Vciq Employee 1D# :D/1 Final Inspection By 'IrOct‘C,2SCO (SID,alz. g1 Date St St 2.91A 0 SPECIAL PERMIT -Approved by Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: COMMENTS rlfirteol-ii) -h) 5 e wer_ pc , j,k s „14 a br i e,k h)leci p)t- or prappiy, PE Code SC INFO Received By eohecOP Amount Remitted Date Permit/ Invoice # n" Permit ID# C-ash L-1a I 0-7s" "6-9-a t), 4 Is-01 tOlifro Service Re uest5cf sgoof ONSITE WASTEWATER TRTMNT SYSTEM PERMIT 42-01 4/14/18 Atta SEPTIC TANK TYPE/MFG GREASE TRAP TYPE/MFG DISTANCE TO NEAREST: WELL CAPACITY gal # OF COMPARTMENTS CAPACITY gal # OF COMPARTMENTS ft FOUNDATION ft PROPERTY LINE ft