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rvK Urr-IL-t UtIlz:--- - --- led <br /> 71 7 <br /> ----------------------------------------- -M----1APPLICATION <br /> ------------ ------- -------- ------------- <br /> - ---------------------------- FOR SANITATION PERMIT Permit No. <br /> ---------------------- <br /> --- ---- This P (Complete in Duplicate) <br /> --------- Permit Ex 1 Year From Date Issued" --- <br /> Date Iss <br /> Application is hereby rn,cle!�to_the San Joaquin Local,He'alfh District for a k permit to construct and insta <br /> This application is-made in coWith County Ordinance No. 549. 11 the work�!�herein described, <br /> JOB ADDRESS AND. LOC 111TION <br /> ------- ----45�?3....Cherokee <br /> Owner's Name------------ &•-Edna 'Dinkel 4 <br /> .... phone-----Ro. 3-4093. <br /> ---------Address--------------- ------------------------------------------------------------ ---------- <br /> ---------------- <br /> ----------- ------------------------------- ---------------------------------------------------------------------------- <br /> Contractor's Name-------Xj� .-S tic Tank Servic ---------- -------"I------ <br /> _M?p-------------------------------------------e, In6' 3 <br /> a ---- �! --------------------------------------- PhonH —1269Installation will serve: Residnce Ej Apartment House E] Commercial ........... --------- <br /> 0 Trailer Court 0 Motel El Other E] <br /> Number of living units: Number of bedrooms _--2__ Number of baths ____l. Lot size ------ <br /> Water Su 4 <br /> pply: Public system El Community system [I Private M Depth to Water Table ___4-9 ft. <br /> Character of soil to a depth of 3 feet: Sand E] Grove] [j Sandy Loam' <br /> 10 Clay Loam [Z Clay E] Adobe Hardpan C] <br /> Previous Application Made: (df yes,date____-____._----- ) No F] New Construction: Y <br /> P I . es 29 No ❑ FHA A: lyes'El No-M <br /> TYPE OF INSTALLATION AND SPECIFICATIONS <br /> (No septic tank or ccs i� : 1� <br /> spool permitted if public sewer is available within 200 feet.) <br /> Septic Tank: Distance from nearest well__50,_1-------Distance from foundation__-- Material...qQ1 <br /> JE No. of co!"partmenis------2------ - I - ---------------- <br /> 0 t ---.­----Size..6A---&---4x4----Liquid clep*_3124!---------------Capacity--860 Z418 <br /> Disposal Field. Distance from nearest well--5P 1 1 - ------------ <br /> ----------Distance from foundation lo- -,.bist6nce to nearest III <br /> -------------- bt line....5 <br /> 91 Number 0�:f, "nes­- --------------------------Length of each I ine----59-- Width of trench- -2-411 <br /> Type of fiiter materiaL­rQJQk---------Depth of filter material- !Iii- --------------------------- <br /> Seepage Pit: --- ---Total- length----- ---------------------- <br /> D;stance I nearest'welI____1QQ1 <br /> KI Number o I <br /> --___Distance from foundation___-.1Q1-------Distance to nearest line----5 <br /> f pits.____' 1---------Lining material-----TO-Ok-----Size: Diameter25..._-I <br /> . ....... <br /> Cesspool: .0- ----33-11-----------Depth---25 t,--! --, <br /> Distance from nearest well_______________ _Distance from foundation_..._.___ 11: - *------- <br /> n Size: Diameter.___ ------------- Depth------------------- -------1ining material_r------- <br /> -------------- ----------------------------------Liquid Capacity.........i7 <br /> Privy: Distance f�'8rn nearest �vell------ -- -------.-_-_..gals. <br /> El Distance 4. " well__-_-,""---?-_-------- --------------------- ------- --Distance from nearest building--------- <br /> 0 nearesf lof'line__."­­- ------ ------------------------- <br /> --------------------------I---------------------------------I--------------------------------- <br /> ---------------- <br /> Remodeling and/or repairing (describe)':--------------------------Inota <br /> ----------------------------------------------------- ------------------------------------------:__ ng_ ex 3y <br /> 3t <br /> M ' <br /> 9- ------- <br /> ---------- ------ <br /> ------------------------------------------------- <br /> --------------------------------------------------------------------­­------------------------------1-------------- - <br /> ------------------------7-------------------------- <br /> --------------------- --------- ----------------III ------------------------------ <br /> --- ---------------------------------- - -- -------------- -- <br /> "Pre ared <br /> --------------------------------------------- ------------------------ <br /> ---------- -- ------ <br /> I:hereby certify---that I have -prepared this application and that the work will be done in accordance-'with San--t--- - <br /> aquin County <br /> ordinances,' State laws, and rule's. and regulations (if fhe'San Joaquin Local Healfh-Disfrict. <br /> (Signed)-----------------ZQItA...al.' <br /> q C <br /> pt I <br /> By:-------------------Perryll wiAihanj ------------------ ---------------; ---------------------(Owner and/or Contractor) <br /> ­------------------------- <br /> -------------------------------------------------------------------------------_ ------------- ------­--------- - <br /> (Plot plan, showing size of lot, I 6�cafio A <br /> ;f system in relation to wells, buildings, etc., can be placed on reverse sideF.P <br /> � Ilii <br /> FOR DEPARTMENT USE ONLY <br /> APPLICATION ACCEPTED B <br /> REVIEWED BY---------------- ------- ------------------------------- DATE_ .. .. .... .4 <br /> BUILDING PERMIT ISSUED-- -------------------------------------------------------------------------------------------- DATE--------------------- <br /> -------------------------------- <br /> -------:---------I---------------------------�:----------------------------- ----------------- DATE­---------- <br /> ---------------------------------------- <br /> �: , F <br /> Alterations and/or recommendal ions:----19 � q <br /> ---- ----- j <br /> J--- --- <br /> --------------------------------------------------------I,:----------- ----------;i�K_<j------ <br /> ------------------------------------- --------- ---------------------- <br /> -----------I-------- -------- -------------------- --- ------------- <br /> ---------------------- <br /> FINAL <br /> --- --------I------------------------------ ------ <br /> -----w---------------------- <br /> -------------------------------------------------------------------------- ---------- ------------------------------------­------------ <br /> --------------------------------- ------- ----------- <br /> ------------ <br /> ---------------------- <br /> --------------- --------- ---------------- -------------- ------ -------------------- -------- ---------- ------------- ---------- ................. <br /> FINAL INSPECTION <br /> Date-- <br /> 130'South American Street SAN JOAQUIN LOCAL HEALTH DISTRICT II <br /> Stockton,California 300 West Oak Street 124 Sycamore Street 205 <br /> Lodi,California Street <br /> Manteca,California ij <br /> ES'9 REVISED 8-59 F.P.CD.2M 6-643 Tracy,California <br />