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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT r 1601 E. HAZE T ON AVE., STOCKTON, CA Telephone (209) 466-6781 PERMIT EXPIRES 1YEAR 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. 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 i Local Health District. Job Address yT0!j`! City Sf Lot Size PM Owner's Name 7 1_._.. . � Address Phone L= �a�7AL�EAL��Address �0 WC License Na. `Phone 7 5tc��( Contractors TYPE OF WELL/PUMP: - NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ t t PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD. PROP. LINE 1 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 A: Specifications l'1 Public ❑ Other Cl Delta Depth of Grout Seal Type of Grout—_ tJ I Irrigation .-Approx. Depth i I Eastern Surface Seal Installed by _ Repair Work Done ❑ Type of Pump H.P, State Work Done Well Destruction ❑ 'Well Diameter Sealing Material (top 501 Depth Filler Material (Below 50') —_ TYPE OF SEPTIC WORK: NEW INSTALLATION PAIR/ADDITION I I DESTRUCTION I I (No septic system permitted if public sewer is available within 200 feet.) i Installation will serve: Residence k—tommercial_ Other Number of living units: _/_ Number of bedrooms r s _ �� I Character of soil to a depth of 3 feet: F) f ' Water table depth SEPTIC TANK +Q�ype/Mfg C Q0X 1 CI-Ei& Capacity��No. Compartments PKG. TREATMENT PLT. h `n Method of [ sal r Distance to nearest: Well Foundation Property Line F LEACHING LINE 11�--No. & Length of lines Tot lengtWsize FILTER BED 0 Distance to nearest: ^ Well--° - —-Foundation Property Line i SEEPAGE PITS f7�repth Size Nurr+ber SUMPS LlDistance"to nearest: Well 4 1 Foundations Property Line ` r DISPOSAL PONDS ❑ p 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 4 cert( a following: "I certify that in the performatice of the work for which this permit is issued, I shall employ persons subject to workman's compensa- tion laws of lif_ The applica m t 11 for II T i 3 e drawing on verse s'de. Signe it113: - Date: FOR DEPARTMENT USE ONLY Application Accepted by Date Area Pit or Grout Inspection by Date t+ Final Inspection by Date g Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 1323-7104 ❑ Tracy 835-6385 Applicant - Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 rEE INFO AMOaUNT DUE AMOUNT REMITTED CASH CK 9 RECEIVED BY DATE; PERMIT-NO. + E11 13.24 1REV.I/n 51 �U ; •. OF E1414-28 &A* r