Laserfiche WebLink
WATER TABLE DEpTH: n GEOGRAPHICAL INFORMATION: Coordinates X <br />D COMMERCIAL <br />NUMBER OF BEDROOMS: 3 <br />INSTALLATION WILL SERVE: <br />NUMBER OF LIVING UNITS! <br />RESIDENCE OrHER <br />NUMBER OF EMPLOYEES: <br />I on DISTANCE TO NEAREST: WELL <br />Size TYPE Of Pump <br />42411 .56 <br />1,12151 ONSITE WASTEWATER PERMIT <br />EXPIRES 1 YEAR FROM DATE ISSUED <br />JOB ADDRESS )-1 3 rg k< fii) crrvizir 14C—z'vhdA] q s.23 <br />CROSS STREE Ap, PARC EL SILL Li (') <br />OWNER NAME ce. PHON t <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COLNTY ENVIRONMENTAL MAI TH DEPARTMENT 304 E WEBER AVE - Ft.- STOCKTON CA 95202 - (209)465-3420 <br />NON-REFUNDABLE PERMIT CALI. (209) 953-7697 FOR INSPECTIONS :SS3NCII CI V :1 I IS OWNER ADDRESS 01"(1.1* _e• <br />CONTRACTOR <br />CONTRACTOR ADDRESS P o <br />LICENSE U C-42 0 C-36 OTHER _ 4- NUMBER <br />CITY/STATE/Zip <br />PHONE 1.-15-C.7 <br />CITWSTAT E/Zip ryl, 4 f—tc,A- C-4A- - <br />EXPIRATION DATE Nt <br />PERC TEST (S) NUMBER LAND USE APPLICATION <br />TYPE OF WORK: IiK'NEWINsTALLATiON ENGINEER DESIGNED/ALTERNATIVE <br />0 REPLACEMENT <br />0 REPAIR/ADEBTiON <br />0 DE.STRLCTION <br />WI:EACH LINES 3 LEACHING CHAMBERS *OF LINES 3 LENGTH OE LiNES Nt G A <br />DISTANCE TO NEAREST WELL ___, .}5 n ' ft tOtiNDATiON I 0 ' it PROPERTY LINE D. ft <br />FILTER BED Winn' 11 LENIOTH n DEPTII ft <br />DISTANCE TO NEAREST WELL ft h OLINDA I ION Ii PROPERTY IINE tt <br />MOUNDED WIDTH 11 LENUTI1 Il DERI li It <br />DISTANCE TO NEAREST WELL _ Ili FOLNDATION II PROPER1 y LINE ft <br />SUMPS WIDTH 6 LENGIH 11 DEPTH ft <br />DISTANCE TO NEAREST wEl I ft MIND/MON 11 PROPERTY LINE fl <br />(..71 DISPOSAL PONDS WIDTH D LENGTH ft DEPTH n <br />ir<PAGE PITS WIDTH —3 4:. " ft Lisr6TB 3 a <br />1 DISTANCE TO NEAREST WELL 1 00 ft KRINDATiON Il PROPERTY !IKE D-S— ' ft <br />DISTANCE TO NEAREST WELL n ft FOUNDATION 11 PROPE.RTY LINE <br />ft DEP EH 5- <br />01- <br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES, <br />STATE LAWS AND EL TES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br />MINI UM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS- PILAW CALL {204) 451-76g7 5,Ftw.... <br />1111W111111 I 11111111 Jul...- __________. <br />AN OA LA (..(1).J1q1 <br />;Lt .) <br />' • /4 P14• - • 1 4.4 <br />SIGNED <br />MEM iumm Um Imo mous—. _ mum= IIIIMAINIIII. IMO& <br />Nima.moth ME IliMil * Emma mu U. FIX OHM liana " <br />c>75— <br />PE SC s Received ....Ectldti---"'" Amount Permili Permit ID# Code INFO By Cash Remitted Date „Nar_wee-RefFBAMJi_ Invoice It <br />It .7 ja ..,..)XII-. - /z, _? :1 5R00 351313 <br />_ <br />Tri LE C.:5 I) ht (- DATE I t 3 <br />Final Inspection Inspection By Date rr..)--9-'-ED 0 SPECIAL PEWIproced by <br />Character of Soil to Depth 3 Et; Pit/Sump Soil Character: g‘ratec., 62;3, <br /> <br />COMMENTS cid L., .4 <br />Typelmrc P CAPACITY /5 0 <br />TypElmro <br />.0.."-SEPTIC TANK <br />C:1 CREASE TRAP <br />PKG TX PLANT <br />LIFT STATION <br />gal A Of COMP ARTMEN VS X <br /> CAPACI1 gal is OF COMPARTMENTS <br />ft ixnA note )- 11 PROPERTY LINE q 0 I <br />0 SAND OIL SEPARATOR (ENCLOSED SYSTEM)