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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZELTON AVE., STOCKTON, CA PERMIT NO. [ Telephone (209)466-6781 DATE ISSUED PERMIT EXPIRES 1 YEAR FROM DATE ISSUED (Complete in Triplicate) s Application is hereby made to the San Joaquin Local Health District for a permit to construct and/or install the work herein t 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 Local Health District, Job Addres/77JDd. Cv�r�� )40 L1,0W q� Subdivision Name Owner's Name Address Phone Contractor's Name License No. /6d-S'�6 Phone TYPE OF WELL/PUMP WORK: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ �J PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ y DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLO. PROP. LINE 1 FOUNDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS t ❑ Industrial U open Bottom ❑Manteca Dia. of Well Excavation + ❑} Domestic/Private D Gravel Pack ❑ Tracy Dia. of Well Casing j ❑ Public ❑Other ❑Delta Type of Casing Irrigation Approx. [] Eastern Specifications ❑ Cathodic Protection Depth Depth of Grout Seal ❑Geophysical Type of Grout Other Surface Seal Installed by f Repair Work Done ❑ Type of Pump H.P. State Work Done --} d � Well Destruction ❑ Well Diameter Sealing Material (top 509 Depth Filler Material (Below 50') (� _ V TYPE OF SEPTIC WORK: NEW INSTALLATION REPAIR/ADDITION ❑ (No septic tank or seepage pit permitted if public sewer is available within 200 feet.) Installation will serve: Residence / Commercial _ Other Number of living units: / Number of bedrooms .Z Lot size x•' Character of soil to a depth of 3 feet: 4/- diT. Water table depth SEPTIC TANK Type/Mfg Capacity' /-Xc& No. Compartments R PKG. TREATMENT PLT. F� Type/Mfg Capacity Method of Disposal SEWAGE SYSTEM Distance to nearest: Well Foundation 901 Property Line DESTRUCTION LEACHING LINE ❑ No. & Length of lines Total length/size FILTER BED 1 Distance to nearest: Well Foundation 00 z Property Line I' SEEPAGE PITS ❑ Depth Size Number I,F SUMPS ❑ Distance to nearest: Well Foundation Property Line 4 DISPOSAL PONDS ❑ 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 s o employ h ll notan person in such manner as to become subjectto workman compensation laws of.California.,h 'h Y Contractor's hiring or sub-contracting signature certifies the following: "I certify that in the performance of the work for which this permit is issued, I shall employ persons subject to workman's compensation laws of California." The applicant mu t call far ll required inspections. Complete drawing on reverse side. Signed X Title: 1 Date: FOR DEP TMENT USE ONLY Area e,>-7 ❑ Stk 466-6781 Application Accepted byf2�1 Lodi 369-3621 _Additional Comments: ❑ Pit or Grout Inspection by Date ❑ Manteca 823-7104 Final Inspection by Date -f,[�J+/ ❑ Tracy 835-6385 Applicant - Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk, CA 95201 FEE BASE MOUNT DUE AMOUNT REMITTED RECEIVED BY DATE PERMIT NO, INFO t. 0 10/82 500 EH 13-24 REV. 10/82 14-26