SR0083232 - Laserfiche WebLink

Home Browse Search

LEACH LINES LEACHING CHAMBERS # OF LINES LENGTH OF LINES ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft FILTER BED WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft MOUNDED WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft SUMPS WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft DISPOSAL PONDS WIDTH ft LENGTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft SEEPAGE PITS NUMBER WIDTH ft DEPTH ft DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE ft I HEREBY CERTIFY TH I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. 8 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209)953-7697 DATE 2- /2./26.24 .•• FM° b Se It -it re5 I RIK MI SIGNED 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 :SS3liCIUV 3.LIS 0 JOB ADDRESS 0 1. CROSS STREET pc ifice OWNER NAME dem kt VeitS sY: OWNER ADDRESS Qitne- 0-6 JOh CONTRACTOR 13 refl.- re I i Crry/Zus_i, APN 007 L7 03 1 PARCEL SIZE .45 PHONE 0i41 o7 703 CITY/STATE/ZIP a , pH. 2-0T 6G3 icjS3 CONTRACTOR ADDRESS 231cw N. 1.Z.Vr - ics rdf CITY/STATE/ZIP toot, cct -2-l2.. LICENSE 0 DC-42 =C-36 OTHER NUMBER la (342.7 EXPIRATION DATE -3o- 261-2- WATER TABLE DEPTH: ft GEOGRAPHICAL INFORMATION: Coordinates X 0 PERC TEST # BUILDING PERMIT # LAND USE APPLICATION # TYPE OF WORK: NEW INSTALLATION REPLACEMENT _ REPAIR/ADDITION ENGINEER DESIGNED /ALTERNATIVE _ OUT-OF-SERVICE SEPTIC SYSTEM DESTRUCTION Cep.1-1 L. -rook INSTALLATION WILL SERVE: 0 RESIDENCE 0 COMMERCIAL D OTHER NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: LIFT STATION SIZE TYPE OF PUMP SEPTIC TANK GREASE TRAP TYPE/MFG TYPE/MFG DISTANCE TO NEAREST: WELL CAPACITY CAPACITY ft FOUNDATION PKG TX PLANT gal # OF COMPARTMENTS gal # OF COMPARTMENTS ft PROPERTY LINE ft 0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) DEPARTMENT USE UiE ONLY Application Accepted By Date Rad/ Area 9/9 ej Employee ID# DA Final Inspection By . Date i 2L SPECIAL PERMIT- Approved by Character of Soil to Depth of 3 Ft: Pit/Sump Soil Character: COMMENTS )440b i le hie 5: ch 010/ PE Code SC Received INFO Check#/ Amount Remitted Permit/ Service Regge_st # Invoice # Permit ID# 9073 1 075( 4,X___ (.... i....),CLI: je j -cR 4 Is Dail 114 21 SU - 42-01 42-01 4/14/18 2Di ONSITE WASTEWATER TRTMNT SYSTEM PERMIT