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APPLICATION,FOR PERMIT , ..� e . SAN JOAQ.UIN LOCAL• HEALTH DISTRICT \ y 1601 E. HAZEL T ON AVE.,;STOCKTON, CA Telephone (209} 466.6781 M� cyLt�x)UL 4 PERMIT EXPIRES 1 YEAR FROMrtDATE ISSUED (Complete in Triplicate) Application is hereby made to the San Joaquin Local Health District for a permit to construct and/or install the work herein described. This"application is made in compliance with San Joaquin County Ordinance No:549 for sewage or No. 1862 for well/pump and the Rules and Regulations of the�San Joaquin Local Health District. ob AddressV-17i 1`�� /+ 7'� d # City Lot Size {� �a PM , ,..y r Owner's NamedA)Q 1 'L>g ; 4 �A(ddress - -_ Phone ✓ve Contractor Addresses License No. Phone_ Q TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ -SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD. PROP. LINE FOUNDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS ` \ INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications �r ❑ Public ❑ Other ❑ Delta Depth of Grout Seal Type of Grout ❑ Irrigation ----Approx. Depth : ❑ Eastern Surface Seal Installed by Repair Work Done ❑m Type of Pump t !" H.P. State Work Done_ C Well Destruction ❑ -Well Diameter """' Sealing Material (top 50'1 Depth �` Fiber Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION ❑ REPAIR/ADDITION ❑ f DESTRUCTION (No septic system permitted if public sewer is A available within 200 feet.) Installation will serve: Residence— Commercial_ Other Number of living units: '` Number of bedrooms Character of soil to a depth of 3 feet: t•--- Water table depth SEPTIC TANK Type/Mfg Capaci No. Compartments ` PKG. TREATMENT PLT. ❑ �"*-- Method of Disposal s Distance to nearest: Well Foundation Property Line LEACHING LINE M No. & Length of lines Total_len_gth/size FILTER BED ❑. Distance to nearest: Well Foundation Property Line _ SEEPAGE PITS ❑ Depth Size Number SUMPS ❑ "Distance to nearest: Well Foundation- - Property Line DISPOSAL PONDS ❑" i l I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin county ordinances, state laws, and rules and regulations of.the San Joaquin Local Health District. Home owner or licensed agent's signature certifies the following: "I certify that in the performance of the work for which this permit is issued, I shall-not employ any person in such manner as to become subject to workman's compensation laws of California. Contractor's hiring or sub-contracting signature certifies the following: "I certify that intD9 performance of the work for which this permit is issued, I shall employ persons subject to workman's compensa- tion laws of California." 1 The applicant must cal quir inspections. Complete drawing oZZvea Signed X Title: Date: ' — FOR DEP RTMENT USE ONLY^ Application Accepted by Date — Area 3 ( - a { Pit or Grout Inspection b Date Final Inspection by ` Date J Additional Comments:/- } ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca '823-1104/ ❑ Tracy 835-6385 M } Applicant- Return'all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 FEE INFO AMOUNT DUE AMOUNT REMITTED CASH RECEfVED BY' DATE PERMIT NO. + EH13-24IREV.IIH5)- EH 14-28" `r�.7 � �© _. ��rd ' a