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APPLICATION FOR PERMIT i 4 T SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZEL T ON AVE., STOCKTON, CA -.— Telephone (209) 466-6781 PERMIT EXPIRES 1 YEAR FROM DATE ISSUED (Complete in Triplicate) Application is hereby made to the San Joaquin Local Health District for a permit to construct and/or install the work herein described. This application is i 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 1 Local Health District. 1 Job Address 9'T1 1 00 K1,16 `-"r' itt _ Lot Size PM `i_) Owner's Name Address Phone ContractorAddress ' License No. Phon Z E(_ TYPE OF WELLIP M : NEW WELL ❑ WECL,REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ 'p SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL'FLD. PROP. LINE F FOUNDATION AGRICULTUREWELL OTHER WELL PITS/SUMPS IN 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 z,.,,Depth of Grout Seal Type of Grout I Irrigation Approx. Depth I I Eastern Surface Seal Installed by G Repair Work Done ❑ Type of Pump H.P. t State Work Done Well Destruction. ❑ Well Diameter Sealing Material (top 501 Depth Filler Material (Below 501 Q��N . TYPE OF SEPTIC WORK: NEW INSTAL1r4 •ION l REPAIR/ADDITION I I DESTRUCTION l 1 INa septic system permitted if public sewer is 1' available within 200.feet.l `\ k Installation will serve: Residence Commercial_' Others `- Number of living units: Number of bedrooms ._.._.-_..- Character of soil to a depth of 3 feet: ' Water table depth SEPTIC TANK ❑ 'Type/Mfg `el Capacity ;; No. Compartments PKG. TREATMENT PLT. ❑ b Method of Di csal Distance to nearest: . - Well /'tion�_ Property.Line LEACHING LINE ❑ No. & Length of lines �Total length/size FILTER BED ❑ Distance to pearest: Well Foundation Property Line Via- f3 k SEEPAGE PITS �rq Depth Number- _ �S: —. [ADistance to nearest:,. Well Foundation I Property Line D1sYU�;4L 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 k' rules and regulations of the San Joaquin Local Health District. f Horne 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: "I 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." i The applicant c II It,r uir in ctions. Comp rawing o averse side. i Signed X Title: "?� ��.� Date: FOR DEPARTMENT USE ONLY Application Accepted by Date Area 1 k t Pit or Grout Inspection by Date�� Final Inspection by Dat O r Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 823-7104 ❑ Tracy 835-6385 Applicant - Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 FEE AMOUNT DUE AMOUNT REMITTED CK 4 RECEIVED BY DATE PERMIT'NO. INFO CASH 4 +..EH 13.24 Ii1EV.l i n 5) Y `A EH 14.28 -