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. �1's y— APPLICATION FOR SANITATION PERMITPermit No (Complete in Duplicate) / Date Issued ----- Applica%n is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. This application is made in compliance,with County Ordinance No. 549. Y JOB ADDRESS AND LOCATION------405 So.. Del Mar St. Stockt�. John Campoy ----.--- ------ ------------- , Owner's Name------------ PhoneHO 235 Address------------•------ -• ___-_---•-- Same ......... --------•----1------" -"--------- Contractor's Name--_UAY_ &_4i942'_ 5. .__SYC, --------_ HO 2-7046 Phone •--- ---- -- Installation will serve: Residence Mt Apartment House E] Commercial ElTrailer Court ❑ Motel L] Other ❑ Number of living units: ----2_ Number of bedrooms ---4.- Number of baths -------2Lot size -----!QP -� _X__200' Wafer Supply; Public system .® Community system ❑ Private ❑ Depth to Water Table _40!ft. Character of soil to a depth of 3 feet: Sand ElGravel [-] Sandy Loam F] Clay Loam F-1ClayElAdobe® Hardpan El Application Made: Yes ❑ No EX –.New Construction: Yes El No E] 'Supplementary Draii.nage, TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if public sewer is available wifhin 200 feet.) Septic Tank: Distance from nearest well----------------Distance from foundation--------------------Material f21 sting No. of compartments------------------- --. --- Size--------------------------------Liquid depth-------------- ._._-Capacity Disposal Field: Distance from nearest well.................Distance from foundation---------------_--".Distance ta lot line--_--_--_------- ' 1U1st ing Number oflines-----------------------------------Length of each line---------------------- -.-.Width of trench---_--_---_"_--___,__---_- Type of filter material---------------_------_-Depth of filter material_...... - r ` ' I.LOYIB --------- length------•----------------------`......•.... Seepage Pit: Distance to nearest well---------------------Distance from foundation_.-2Q_'-__------.Di tante to nearest loft line---_l5f_-"--_ ® Number of pits- "x--.----_.---_.-Lining material-----.-fft* Size: Diameter.---.4 2r�t rlckk Depth---------- ---------------- esspool: Distance from nearest-well-----------------Distance from foundation'_..... Lining materiaL..._..---- ❑ Size: Diameter--------------------------------------Depth----------------------------------------------- --- ----------------------------- , Liquid Capacity al<Privy: Distance' from nearest well..._---------------------------------------------Distance from nearest building.---.-_____-_-"________ ----------- I -------- ❑ Distance to nearest lot line_-.___"_______ - - Remodeling and/or repairing (describe):.... --------------w_ , ` --------------------------•----------• -------- ---- ----=------•-------------------•-•-------------------------------------------------------------------------------------------------------------------- ---------------------------------- -------------------------•-----------------•--•------•----------------•---------------------------•--------------- I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County ordinances, S aws, and rub or*N ns of the San Joaquin Local Health District. Septic Tank Service a (Signed) 1ZflbSo.-EldoradnL--1'1Q-3:7046--------- --- - -------------------------------------- ---(�+ b C By:.-----_•-------------- Stockton, Calif. ontractorJ -- ---- -- --------------------- -- - ------(Ti+le)--�`'-artnee' [Plot plan, showing size of lot, location of system in relation to lls, buildings, tc., can be placed on reverse side]. R FOR DEPAR ENT 1151:ONLY APPLICATION ACCEPTED BY----------------- -------------- -_-- ------- -----------------------------------•-------- - DATE------- REVIEWED BY--------------------------- ------ ------ -----"- -_ ----- ---------------------------- BUfLDING PERMIT fSSUED---------------------------- ,,/� DATE ---------- ----•------------•------- DATE -- --- ------------------------------------------- Al+era+ions and/or recommendations:_..--__--.-.__- __-.- [� �� ` --•------------• , fA - h� ' ---------------•------•---------•----- / v • --------•---- -- ---- -----•-- -------------------------------•--- •- ---------•--------•_ .- - QA _.r/ _� ` _._ .....- ------------- ---------• -- FINAL INSPECTION. C ......................-..r' Date--- - � /.- -� -_�- --------- SAN __SAN JOAQUIN LOCAL HEALTH DISTRICT 130 Scufh American Street 300 West Oak Street 132 Sycamore Street 814 North "C" Street Stockton, California Lodi, California Manteca, California 7recy, California . E9-9-^2M 115446 ATWDQD 12.54