Laserfiche WebLink
ONSITE WASTEWATERTREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT w�E.x��mwAVENUE 'yTOomowox95oa'(209)a8-3420 <br />NVIN-HEIFUNE)AULF VERMIT L;ALL (ZUY) FOR INSPECTIONS tXPIRES I YEAR FROM UATE ISSUE! <br />CROSS STREET AP p^RC" SIZsIkA� <br />u°*ERm= _____p"o° � <br />OWNER ADDRESS <br />o^*,"^cm" _ pxow= <br />uw,n^r,00^uDR,mo.nsm,��3- <br />2-40 <br />LICENSE .� C-42 , C-36 OTHER__ Cc& NUMBER 5 EXPIRATION DATE 4-30-2-4 <br />WATER TABLE DEPTH: It GEOGRAPHICAL wrwRM^now cn"mm"m° x r_ ...... .... BUI <br />WILDING PERMIT # LAND USE APPLICATION Af it— <br />TION #1 <br />` nen^ccMEm` .. nwT-opaewICsSEPTIC SYS nm ncomvc^v ____--___ <br />INSTALLATION WILL SERVE: D RESIDENCE 10 COMMERCIAL 11 OTHER <br />NUMBER OF LIVING UNITS: Num9EsOFBEoRooms:­-------- NUMBER OF EMPLOYEES: <br />L3 SEPTIC TANK n~am," ......... CAPACITY om ,u,COMPARTMENTS <br />_______ <br />o GREASE TRAP r_EJw~v om*v,_______gal *^,00wmnruFNm__._____ <br />n/^mw,cmwancvr wsLL­_________ If pou*u^nomif PROPERTY LINE <br />0 LIFT STATION SIZE _ ­ .. . ..... .... TYPE OF PUMP---.-- 0 PKGTXPLANT 0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />u LEACH LINES <br />. LEACHING CHAMBERS.--. <br />"=^°EsLEworxopLINES <br />o <br />DISTANCE mNEAREST <br />WELL_ <br />It FOUNDATION It PROPERTY Lms_________n <br />o FILTER BED <br />WIDTH <br />ft LENGTH <br />n os,= <br />o <br />DISTANCE mNEAREST <br />°sLLu <br />FOUNDATION ft PR0porYuwc______.____n <br />o wouwosu <br />WIDTH <br />It LENGTH <br />n os,r" <br />DISTANCE ,nNEAREST <br />WELL <br />14 FOUNDATION It PROPERTY LINE <br />L1 uompa <br />W.m"n <br />Ls^mr" <br />o DEPTii <br />DISTANCE mNEAREST <br />wsu_______ <br />It FOUNDATION It PROPERTY "NE <br />�\/� <br />LJ DISPOSAL PONDS WIDTH <br />ft LENGTH <br />ft DEPTH <br />7/ <br />DISTANCE mNEAREST <br />wsL^_____ <br />It FOUNDATION ............... ..... __x PROPERTY LINE <br />____..... n <br />Ll SEEPAGE PITS <br />wuma= <br />_ WIDTH <br />ospm <br />v <br />DISTANCE r^wo.n"o, <br />wsu <br />o ,ouwv^no" o PROPERTY UNE <br />__________n <br />,/.cnsu,ocpn,,rp^,/HAV ^rpsp^nsnTHIS ^ppuu^nOwAND THE WORK WILL neDONE wACCORDANCE WITH SAN Ju^ou/wCCU wnORDINANCES, <br />o`^r,LAW <br />, AND RULES ^*onsoounowen, <br />SAN "o^oumovvwr, <br />ML1VjMUj&!&,tj0UR <br />AJ?VA-NCE NOTICE <br />REQUIRF_Q <br />FOR fNSPECTIONS - PLiEASE CALL. (209) <br />953-769 <br />Application Accepted By <br />Final Inspection oy_________ <br />Character moonmDepth mon._ <br />COMMENTS <br />DEPARTMENT USE ONL y <br />Date Are. <br />o SPECIAL PERMIT <br />Pitraump Soil Character: -.- <br />Employee ID#._F <br />tjftm k <br />Approved by ___ <br />PE SIC Received Checkl Amount <br />Code INFO B I Remitted <br />Datj <br />i <br />Permitt <br />Service Request <br />Invoice Permit 10# <br />mw, ONSITE WASTEWATER rRTv* SYSTEM PERMIT <br />°`""o <br />