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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT _ , 1601 E. HAZE T ON AVE., STOCKTON, CA Telephone (209) 466-6781 PERMIT EXPIRES 1 YEAR FROM DATE ISSUED O • 4,I (Complete in Triplicate) t��NSF��- .1��lVlR , I • Application is hereby made to the San Joaquin Local Health District for a permit to construct and/or install the work er+? i1 ;I;li� d?This application is made in compliance with San Joaquin County Ordinance No. 549 for sewage or No. 1662 for well/pump and the Rules and egulations of the San Joaquin Local Health District. Job Address Z� ,�I �, 10 O' q City Lot Size PM Owner's Name t Address A,(?/ Q � /`�� ` �F Phone 3 d Contractor OU& P Address( v License No./_(-'1-373 �PhoneV6 41 F4.1 TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES , DISPOSAL FLD. PROP. LINE 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 Specifications 1'1 Public ❑ Other ❑ Delta Depth of Grout Seal Type of Grout 6__� 44-<rtigation _Approx. Depjh I IEastern Surface Seal Installed by _ Repair Work Done La" Type of Pump H.P. .LS t State Work Done Well Destruction ❑ Well Diameter Sealing Material (top 501 1 i " Depth _ " Filler`Material (Below`50'1- _ TYPE OF SEPTIC WORK: NEW INSTALLATION I 1 REPAIR/ADDITION I I DESTRUCTION I I>(No septic system permitted if public sewer is II available within 200 feet.) Installation will serve: Residence_ Commercial— Other Number of living units: Number of bedrooms"-- t Character of soil to a depth of 3 feet:'"""""" "," '"" "" "' -�-�-^-^-•�- Wtertable depth- IZZ SEPTIC TANK ❑ Type/Mfg Capacity No. Compartments PKG, TREATMENT PLT. ❑ t C ( Method of Disposal � Distance to nearest: Well Foundation, Property Line �^ -- t LEACHING LINE ❑ No. & Length of lines i Total length/size FILTER BED ❑ Distance to nearest: Well Foundation Property Line I SEEPAGE PITS C IDepth Size I Number SUMPS L1 Distance to nearest: Well Foundation Property Line 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 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 certifies the following: "1 certify that in the performance of the work for which this permit is issued, I shall employ persons subject to workman's compensa- tion laws of California." The applicant ust call for aj required inspections. Complete drawing on reverse side. Signed XTitla: Iry Dater 0-49 a OR DEPARTMENT USE ONLY + Application Accepted by Date Area U Pit or Grout inspection by Date Final Inspection by Date Additional Comments: ! ❑ Stk 466-6781 ❑•Lodi 369-3621 ❑ Manteca 623-7104 ❑ Tracy 835-6385 Applicant - R turn opies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.D. Box 2009, Stk., CA 95201 INFa /ry/A(M�OUNT DUE AMOUNT REMITTED CK CASH RECEIVED BY �] DATE f' PEERMIT'NO. +.EH 132/IRty.t/K 5Y '7 J v 116 '� Eli 11-28 ✓