9665 - Laserfiche WebLink

Home Browse Search

` APPLICATION FOR SANITATION PERMIT Permit No ''74le-IS1 --' - '—` (Complete--` ` in --,---' Date' Issued —.Y. / ' ------ Application b ��y made � �e Sun Joaquin Lm�| H�|� Dist �� o permit n' r —�o` � �o�n described. This application is made in compliance with County Ordinance No. 54q. ' Installation will serve: Resiclenct"& Apartment House [-1 Commercial E] Trailer Court F1 Mote Other E] Number of living units: Number of bedrooms ---1- Number of baths ---I... Lot size - --------------- �x------- Water Supply: Public system El Community system [:] Private K Depth to Wafer Table -------- ft. Character of soil to a depth of 3 feet: Sand [-] Gravel E] Sandy Loam El Clay Loam El Clay El Adob64 Hardpan E] Previous Application Made: Yes El No New Construction: Yes No Ej FHA/VA-. Yes E] No TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or'cesspool permitted if public sewer is available within 200 feet.) tr,4—* No. of compartments--------------------- ----Size--------------------------------Liquid dep�h--------------------------Capacity-------------------- - (I Fielbf: Distance from nearest we��----7- -------Distance from foundation--------------------Distance to nearest lot line---/ - 10�`See�ge Nit- Distance to nearest well----------------------Distance from foundation-------------------Distance to nearest lot line----------------- Ceopoo|: Distance from nearest well-----------------Distance from foundation--------------------Lining material --------_—_.- F-1 Size: [Vomotoc'---''--'''—''—Dopth-'''—'''''--''�� -----------------Liquid Capacity---,.----------------------- � --------- Remodeling and/or repairing p=u',.ue/: I hereby certify that I have prepared this application and that +he work will be done in accordance with San Joaquin County ordinances, State laws, and rules and regulations of the San Joaquin Local Health District. By:--------------------------------------------------------------------- ---------------- --------------------------------------------- /me)---------------------I./---------------------------------------- (Plot plan. _—_---'----.-(Plotclan. showing size of lot, location of system in relation to wells, buildings, efc.. can be placed on reverse side FOR DEPARTMENT USE ONLY ------------------------'-----`---'----'--'—'-----------''------'-----'--- -'---'---''_--_--_''--_—'''—_.--'''—'---''''--''''—_'''---'''—_--'''_--''--_''__.''_—''—_.''—'--'' '-------'—'---'' -- ' ' - - -----------'---'-------------'—'--- ----------------- --'—'''''—'''_— �-' —'-- FINAL INSPECTION BY�---�;1 , �-/—�.��-.��-��-'�� Dot�--._',z----/^—_- ----x��.—��._--- . SAN JOAQUlN LOCAL HEALTH DISTRICT 130 South American Street 300 West Oak Street /mSycamore Street 814 North "C" Street Stockton, California Lodi, California Manteca, California Tracy, California