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` APPLICATION FOR SANITATION PERMIT Permit No, -- jComplefe in Duplicate) Date Issued ---- Applical-ion is hereby made to the San Joaquin Local Health District for a permit to construct and insfalTf he wor�i'n described. -This application,is,made-in,compl ia nce with County Ordinance No. 549, ��-JO8 'ADO Owner's Name go � �6J -----------'-' ' '- e--''--'----'-' . 4074- ��_-�---_-`-'-'''°~^ -___'----''__.-_.'-_''__.'-_-__.._-__.----_- Coohocfor'o Noma. -------------------------------------------------------------- Phone ---_--'--- Installation will serve: Resiclence ' Apartment House E71-Commercial El Trailer Court [3 Mote-- | � C� - Number of living units: »�- Number ufbedrooms -l' Number of 6u+hv 1 - Lot size -7. .f' �� ~' --------------------- Water Character of soil to a depth of 3 feet: Sand E] Gravel [-] Sandy Loam [-] Clay Loam El Clay 0 Adobe El Hardpa 1�101 Previous Application Made: Yes 0 No 91 New Construction: YesE] No El TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if public sewer is available within 200 feet.) Septic Tank: Distance from nearest weil._/P-------Distance from founclation__��Pt-----------Materiai__Z-----�_ 4 No. of compartments------!2-----------------S;ze-,m5 __0 L,qu'd dep.th-----#-------_---------Capacity-----------------------j 139 Disposal Field: Distance from nearest well..'/_�?.O-----Distance from founclafion,/_0--- -----..-.Distance to nearest lot line-Iw� 'r - Supply: Public system Community system [3 Private gj Depth to Water Table 4� ft. -------------------------------------------------------- ------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------Seepage Pit: Distance to nearest well.../tP----------Disfarice-f r-o7mn4ounclaf ion-,-/'*__!------ Distance to nearest lot line---/0------- - Privy: Distance from nearest well------ J Ef D-isfan-ce to nearest lot ----------------------------- --------------------'''--''-''--'''-''--''--.'----_''----'-_-''''''-'''-'- - '''�-'-'---'----'-''---'-'--''-'-- | ___� `./ .... . ha"o prepared this �pp/vnnnnmno that work will be done in accordance with San Joaquin Counfvordinances, o.mno |m*s, and rules and regulations of the San JoaquinLoca Health District. (Signed) � FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY---- -ncv/E"vEum, � --'------ ' ---_--._---------------.--------_--.__ DATE BUILDING PERMIT ISSUED.-__------------------------------------------------------------------------------------------- DATE -'-''---''--''-------''- Alterations and/or recommendations:------------..............- ------------------------------------------------------ --_ -'--'-'------------ .---.-..---_------.----_-_---._---'_-_--_-__---_--'----_--_---__--_._-.--__ -'---'-'-'''''---'--'--'''-----'-'---''_'''''-'--'--''--'''''--'''-�''----'''--'-__'---'--. . -'--'-''-^—''—'-'—'''—'''--'---''-'''-'-'^--'''''--'---''--'''-'-''----'----'--''--' ............------------- --------------------------------------------- - ------------- --------------------- '''''-''�-'---'�-'''--''''-''-''-'--'--'-- FINAL INSPECTION ''''-''-- Date . ---------------------------------------------- SAN JOAQUIN LOCAL HEALTH DISTRIC _.-''-''-'- ---'SANJOAQ0NLOCALHEALTH0|STRICT � /30 South American Street 300 West Oak Street mx Sycamore sfrwe4 mw North "C" Street Stockton. California Lod;, c°kffom'ta Manteca, California Tracy, California