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^~ . APPLICATION FOR SANITATION PERMIT Permit No. ......� bn , K��(Completein Duplicate) ' C4 Date Issued ~- Application is hereby mode to the Sun Joaquin Local Hoa|H` District for u permit toconstruct and install the work herein described. This application is made in compliance with County Ordinance --------------------- Installation will serve: Residence Apartmerif House E] Commercial 0 Trailer Court [j Motel 0 Other E] Number of living -AW, Number of bedrooms -----9-__--V-6mber of baths _/---- Lot size Water Supply: Public system F x I Community system El Private;!< Depth to Wafer Table -------- it. Character of ,oil to a depth of 3 feet: �n6 � G�w� � Sandy Loom.E] Clay Loam C] �oy � u��n � . . Previous Application Wade. Yes [] l. New Construction: &m E] N HA/VA. Yes No Ej TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank | permitted if publicwithin 200fw ) Septic Tank: Distance f | Disfa D/x | Field: Distance from neared well..��_--Disfahcpfn6n f dti 1_57' Distance to nearest lot 0�L ---- Number of lines-----I_ -- - Length of each |i of trench ' Type of filter �rfn�v|�w��°.-Deot of filter � |ter mo+� oL..�x -------Total length----------------��»��-------. � Seepage Pit: Distance to nearestwell --'''-�--Distance from foundation--------------------Distance h, nearest lot line`-'''-- [l Number of pits----- --''—Uning mate riaL'--''''—Size: Diamvter------------------------Depth '--''-''-''-C00000: Distance from noorn` wa|�-'��-_Distance from foundation--------------------Lining material ---'--'-_-'- � [] ' Size: Diameter--------�----Depth-------------- --------------------------------------Liquid Capacity----------------------------gals. Privy: Distance from nearest we|L--''-'''--''-�'�— -Diduncu from nearest building.'--''_-.'_-.--''- Distanceto nvon,s+ |"t |ine--------------------------------------------------------------------------------------------------------------------------------------- Remodeling vod'/u, nvpoi�ng (6��''''�� ___________ '--------'--'------''------'----'-^----------------'f --'--'---------' ----------'-----'' '---- -- - - --- - -- - - ----- ---- - - - - - -- - --- '-------- --- --- --- -- -- -- - -- ----- -- ''-''-'''--'--- _ —'- -_.''-''-_-'-''--''-'--'-'___'''__--__--__- ------ -- -- - - - ---- - - -- - - -- ---- --- -- - - - - - ---- -- - - - 6 6 h 1 J h h k will be done in accordancewith San Joaquin County. ordinanciFrIf&kjaws, and rules ind regulations of the San Joa uin Local Hnealthn District. � f Plot plan, showing size of lot, location of system in relation to e . ujildiin�j,, e can be placed on reverse side). . FOR DEPARYMENT USE ONLY /\PPL|<�AT|{}N ACCEPTED 8Y------.---- .. ---'_---_-.------ DATE---��..1/?�yJ~t��.---_.___ R2Y|E\YEO BY----------------------------------------------------------- ---------------------------------------- D/(7E---��.JL--L-�-+c_---_.--- ' '----�— \�� RU|LD|NG PERMIT ISSUED------------------------------------------------------------------------------------------------------ DATE--------------_.'----'''-''--'-_'-- Alterm6ons and/or :---^.--_--------_____.______.___.__.______________.______ / ----------- -------------------------- ---'--''---_.'''--..----''--'''--''------__''__.''-----'--''--''_-''''''_--_-___-'_ -_-_____--_-_—_-_--._--'_-�_--_----_---_--------__------_---.__'-__-_-----. --------'---_��-------'__-----__---------____---_--_-----___----____-----___-----___-------_-------___---_____--___-----__-----------_--_---__�_---__---_---_---- , -_-_--_-.------------------_-------------___-------_------. ----------------------------------------------_. / Tz� ------- FINAL INSPECTION 8Y------------- -''�----'---'' Du+v-''—��'�/�»��'''- -''--''-----'' ^r� �~- / � \ SAN JOAQU|N LOCAL HEALTH DISTRICT � n /30 South-American Street 300 West Oak street 132 Sycamore street xw North "C" Street ' �""��" Californiaalodi,�, �� California Manteca, California - r�ov California. . MES-9-2 ' x".is°a 1'57 ppzo