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_ <br /> APPLICATION FOR SANITATION PERMIT PermitNo.,;�-e�fl_ <br /> (Complete in Duplicate) <br /> _ <br /> Date Issued <br /> Aoo||cuf|on is hereby made to the San Joaquin Local Health District for o pe,n"|+ to construct and install the o � � � 6 �6 6 <br /> This application is mode in compliance with County (],d/nun, N e~ r heree»c' * ' <br /> tartmerif House [] Commercial E] Trailer Court 0 Motel El Other E] ---------- <br /> Installation will 'serve: Residence RV <br /> Number of living units: ---/--- Number of bedrooms ___3 Number of baths ---/--- Lot size --------------- a-dAiZ <br /> ------------------------ <br /> Water Supply: Public system E] Community system El Private A" Depth to Water Table .7574. <br /> Character of soil to a depth of 3 feet: Sand E] Gravel X Sandy Loam E] Clay Loam Clay E] Aclobe'Ej Ha—rd' in <br /> Previous Application Made: Yes El NoK' New Constru.cfion: YesK No <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> Septic Tank: Distance from nearest wellSO------Distang f 0 fo d t, <br /> Disposal Field. Distance from nearest well__-,5�0-----Distance from foundafion,,,-A�e--clr--.Distance to nearest lot Ii .242--- <br /> ANumber o7' lines--------- Length of each line-------- <br /> Type of filter maferial-_JI-�4�epfl'i of filter material_-I--- length---------J1 <br /> 42 <br /> t 10 In, <br /> Cesspool: Distance fi,om nearest well- V/------ U <br /> -0-U- _-Distance from foundation-----7_�� Lining materiall ------ <br /> � <br /> � � ' /s�Q~� ����- =���- Capacity- �� = npr[vy' Di,fanc� f,pm neo,e, �oU .---.-----------Distance f mm nnnro,f6ui|6inq.-- � '''-- <br /> f <br /> LJ Distance +nnearest lot line------ <br /> Remodeling and/or repairing (desc,ibr):---------------.------------- --------------------------------------------------------------------------------------- ._. rs . <br /> ------------------------------------'._---__.- ----------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> -------------------------------------------------_---------------------------------------------------------------------------------------------------- ------------------------------------------------------------------- ^K <br /> '--�--.----.--''-'-'-_--_-__..______-..-__-__-_.-_--__'-'--__.---_-_------------------------------------------------- <br /> -'___-_--' .~ <br /> | | he"ooneaccorSan ''- <br /> ance <br /> with <br /> Joaquin County <br /> ordinances, State laws, and rules and �regulafioris of the San Joaquin Local Health District. <br /> ot plan. showing size of lot, location of system in relation to wells, buildings, etc., can be placed on reverse side). <br /> FOR DEPARTMENT USE ONLY <br /> -----`--`----````--``----```---`--```---``---```--'-```---``---`---^--`--``---`---`------`-`-` <br /> ----------_�------------------- - ----------------------------------------------------------------------------------------------------------------------- . ------------------------------------- ---------------- - � <br /> ------------------------------------------- -------------------------------------''--'''---'''--'''-_-'_''''-'''----------- ----------------------------------------------------- <br /> ------------------------------------------------------------ '---'--''''-''''-_''-��''''''_-''--''-''- --' <br /> FINAL INSPECTION 8Y---.--- 0ote---'6�� <br /> SAN JOAQU/NLOCAL HEALTH DISTRICT <br /> /oo s""m American Street 300 West Oak Street /nzSycamore Street m* North ^c^ Street <br /> Stockton, California Lodi. California wwo*w°. California <br /> Tracy, California <br /> ES--9 -2w .0'52 x*vi,oJ W-x/oo ' <br />