19650 - Laserfiche WebLink

Home Browse Search

7FR OFFICE USE: �— Permit No. .. .___ APPLICATION FOR SANITATION PERMIT ----- ------- ----------------------------------------- - (Complete in Duplicate) Q 1 ------ _-. This Permit Expires 1 Year From Date Issued Date Issued __ __�_c Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. This application is made in compliance with County Ordinance No. 549. South side of Cherokee JOB ADDRESS AND LOCATION:--3034 Cherokee Lane at Newton Rd. Stockton ------------------------------------ Owner's Name.... ali ---------------------------------------at7ig Co. -._._. Phone------------------------ Address......... ------------------------------------------------------------------------- •-----------------------•---- Contractor's Name_The-•DAY & MIGHT Septic Tank Service -------N------- Phone_�:b�"'3g0--------------- ---- - Installation will serve: Residence [] Apartment'House ❑ Commercial ❑ Trailers ❑ Motel [:] Other pg Warehouse Number of living units: -------- Number of bedrooms -------- Number of�'i__2__ Lot size ---2'�__Ao-res-------------------- ------------- Wafer Supply: Public system El 'Community system ❑ Private ❑ Depth to Water Table 60--_ ft. Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe® Hardpan ❑, Previous Application Made: (If yes,date--------------------) No ❑ New Construction: Yes n No ❑ FHA/VA: Yes ❑ No.❑ s TYPE OF INSTALLATION AND SPECIFICATIONS: r , (No septic tank or cesspool permiffed if public sewer is available within 200 feet.) ' W Septic Tank: Distance compartments from nearest well__1.001 _ _ . - Distance from foundation-------1.0.3-------Mate lrial-_-.Concrete_-. . _ —--------- No ------------•2--- -------Size--3 rX9 1x62---- ---Liquid depth----56................Capacity----$00 .ge31sR Disposal Field: Distance from nearest well._----1-Q0—Distance from foundation___1_ ---------- Distance to nearest lot line___ Length of each line____ f tf Number of line's-------2------- -- ----- - 3� ----60--------Width of trench-----�'---:-------------------- Type - - - -------- Type of filter materialaeP riQ__.B ___Depth of filter-material_._14"___---_-_-.Total length_t,_..ga-_____________________-____ + " s' 9 ®i Seeps e Pit: Dista19 ber ncce of pits rest well-____-_1.OQ2..._...rDistance from foundation_____25_t_____-Distance to nearest lot line___ __________ Seepage '--------------Lining material__ROck........---Size: Diameter------3311 ---------Depth------2.5.1-------------------- `{;\ : Cesspool: Distance from„nesest well------------------Distance from foundation-------------------.Lining matere-----------------_-______________-_- Size: Diameter__ -----------------------------De th-._---.-_-_--___---_ -----_.-.______._- __ --_-Liquid Capacity gals. Privy: Distance from nearest well--I---------------------------------------------- Disfance from nearest building---------------------------------------- a ❑ Distance to nearest lot line_____________________""` - Remodeling and/or repairing (describe):--------------------------------------------------------------- -----------=--------------------------------------------------------------- ------ ------------------•-------------------------------------------------------------------------- = • � f I t ------------------------------------------------------------.--------------------------------------------------____--___________-_---_-------__--_________-__----_ ---______--._ _____------____________.-.--.---------- I hereby certify that ave prepared this application�and`fhaf•+Kee work will be done in accordance with San Joaquin County ordinances, State laws, (m�, ulljees and regulations of the San Joaquin Local Health District. GJ lay Y1ivp r 1 (Signed) ------------------------------ --- -- --(Owner and/or Contractor) By:...----•--- r e., HO.6-3841 ,,- ( ------- Plot plan, showing i-- of of lo--- -_1-•------------------------- ----- Title 2915E Miner Ave., ( p , g tion of system in'relation to we s,,buildings;,e,c;'can be placed on reverse side). Z: FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY__.__.'------------ - - -------------------- -------------- DATE ---- - -- ---- ------------------- REVIEWED BY-------------------------------------------------------------------- = a= ------------------- ----------• DATE--------- --------------------------------------------------- BUILDING PERMIT ISSUED--------------------- � DATE.---------F -------------------------------------------------- ns:___ tf tr ---- Alterations and/or recommendatio ' --------------------------- ----------.....-.--------- ---------- ------- ---------------------------------------------------------------------------------------------------•---------------------------------------`------------------------—-'-------- ------------------------------------------ ------------------------------_..----------------------------------------- ---------- -----------------------.--------------------------- ----------------- ---------------- --------...--.-.-.-._ _._._-_--------------------.------------------------------------------------------------------.--------------------._-.----------------------------._.-.___..--_-.----__.-___._-----_ ----------- Date 5 ; FINAL INSPECTION BY:.- - - ------- - SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E.Hazelton Ave. 300 West Oak Street 124 Sycamore Street 205 West 9th Street stockion,California Lodi,California Manteca,California Tracy,California F.P.r O. r