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s _ APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZELTON AVE., STOCKTON, CA Telephone (209) 466-6781 PERMIT EXPIRES 1 YEAR FROM DATE 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. Thfs application is made in compliance with San Joaquin County Ordinance No.549 for sewage or No. 1862 for well/pump and the Ryles and Regulations of the San Joaquin Local Health District. y _ _ Job Address 7 , OC.6f/�-� + ��_- w / �Citty Lot Size Jo � _ PM Owner's Name r AlJA l/iG�� Address 1� A) Phone Address Contract lA d �tp1 �7 Phone License No.37 ff 2 Z lv TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER L7 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 ❑ Public ❑ Other ❑ Delta Depth of Grout Seal Type of Grout ❑ Irrigation ---Approx. Depth ❑ Eastern Surface Seal Installed by Repair Work Done ❑ Type of Pump H.P. State Work Done Well Destruction ❑ Well Diameter Sealing Material (top 50') 1 Depth i11er Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION ❑ REPAI ADDITION EK DESTRUCTION ❑ (No septic system permitted if public sewer is J available within 200 feet.) Installation will serve: Residence t� Commercial_ Other / Number of living units:—I— Number of edrooms _J /F Character of soil to a depth of 3 feet: :. Water table depth SEPTIC TANK ❑ Type/Mfg T Capacity No, Compartments PKG. TREATMENT PLT. ❑ Method of Disposal Distance to nearest: Well Foundation Property Line LEACHING LINE 2-INo. & Length of lines L-�a Total length/size x FILTER BED ❑ Distance to nearest: Well_,Sb Foundation 16 _ Property Line�S SEEPAGE PITS El Depth Size' Number SUMPS 0;;`�Distance to nearest: Well SJ O , Foundation /0 Property Line . DISPOSAL PONDS ❑ # I hereby certify that I have prepared this application and that the work will be'8one 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 iri the performance of the work for which this permit is issued, I shall not employ any person in such manner asxo become-subject to workman's compensation laws of California."Contractor's hiring or sub-contracting signature certifies the following: "I certify that in the performance of the work for which this permit is issued, I shall employ persons subject to workman's compensa- tion laws of California." The applicarmust call for required inspections. Complete drawing on reverse Signed /Title: ig/V� SL.O Date; w FQR DEPARTMENT USE ONLY ? Application Accepted by I If Date /r qre � Pit or Grout Inspection by Date Final Inspection by Date Additional Comments: /fff ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 823-7104 ❑ Tracy 835-6385 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 RECEIVED BY DATE PERMIT"N0. + EH 3-24 1EH 14-261REV.f/951 - Q w c � � ��