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a 1 , APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZEL T ON AVE., STOCKTON, CA Telephone (209) 466-6781 PERMIT EXPIRES TYEAR FROM DATE ISSUED (Complete in Triplicate) C11� 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 made in compliance with San Joaquin County Ordinance No, 49 for sewage or No. 1862 for well/pump and the Rules and Regulations of the San Joaquin Local Health District. r( J f �/gyp)� per. � 50 1 � Job Address / 4 33' v r// 7k S I �T City Lot Size f PM Owner's Name '✓ ? Address >�v �4/v Phone Contractor ��/ Address License No. Phone 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 r 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 I ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications I f'1 Public ❑ Other F1 Delta Depth of Grout Seal Type of Grout _ kI I Irrigation —Approx. Depth 1.1 Eastern Surface Seal Installed by i Repair Work Done ❑ Type of Pump H.P, State Work Done r Well Destruction ❑ Well Diameter Sealing Material (top 50') F Depth ` Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION ['I I REPAIR/ADDITION I I DESTRUCTION XNo septic system permitted if public sewer is vailable within 200 feet.] Installation will serve: Residence— Commercial_ Other \w1l Number of living units: Number of bedrooms Character of soil to a depth of 3 feet: Water table depth SEPTIC TANK ❑ Type/Mfg Capacity— No..Compartments PKG. TREATMENT PLT. ❑ Method of Disposal I Distance to nearest: Well Foundation Property.Line. LEACHING LINE ❑ No. & Length of lines Total length/size FILTER BED ❑ Distance to nearest: Well Foundation Property Line f , { SEEPAGE PITS [ I Depth Size Number SUMPS Ll Distance to nearest: Well Foundation Property Line DISPOSAL.E,)NDS ❑-.-_-, 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 DiRtrict. 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: "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." The applicant st c I f require inspection ote drawing on reverse side. ` Q� Signed X `y r r�LJ Date: - FOR DEPARTMENT USE ONLY j Application Accepted by – Date Area Pit or Grout Ins ion Date Final Inspection by Data O 0 Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 1323-7104 ❑ Tracy 835-6385 Applicant - Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95291 INFO AMOUNT DUE AMOUNT REMITTED C SH RECEIVED BY DATE PERMIT N0. +.EH 13-21(REV.t 1 14 5) ��_ ,[�/O 49 O Q,