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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZELTON 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 made in compliance with San Joaquin County Ordinance No.549 for sewage or No. 1862 for well/pump and the Ryles and Regulations of the San�Joaquin Local Health District. Job Address __ Z q3 7 -so Ekt Do u- Ci Lot Siz PM ""�� a] � Owner's Namez '' L-1 D UU� , Address es Phone -1 t ContractorE 1 ��o ..�.��..._C�-�__.. ~ _ License No.13 4hone �,�� AddreSS TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEM NT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD. PROP. LINE - -- -FOUNDATION' - AGRICULTURE-WELL ""— OTHER WELL "'PITS/SUMPS-'i - INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS i a L] Industrial ❑ Open Bottom Cl Manteca Dia. of Well Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications ❑ Public ❑ Other ;FI'Delta Depth of Grout Seal Type of Grout ❑ Irrigation --Approx. Depth ' ❑ Eastern Surface Seal Installed by Repair Work Done ❑ Type of Pump H.P. y� � State Work Done � r Well Destruction ❑ Well Diameter Sealing Material Itop 50'1 Depth Filler Material {Below 501 1 TYPE OF SEPTIC WORK: NEW INSTALLATION Al.-ITEPAI R/ADDITION ❑ DESTRUCTION ❑ (No septic system permitted if public sewer is �n available within 200 feet.] GC ' Installation will serve: Residence-ArComniercial_ Other' k , Number of living units: 4— Number of bedrooms _3 Character of soil to a depth of 3 feet: '� Water table depth SEPTIC TANK~ B•--Type/Mfg Capacity f �- No. Compartments PKG. TREATMENT PLT. ❑ -� - ,- s Method of Disposal �_ry Distance to nearest: Well� Foundation - _ Property Line LEACHING LINE LyNo:�& Length of lines r C� Total length/size :+ r FILTER BED ❑ Distance to nearest: Well 6D ft Foundation rIDe'1- Property Line i SEEPAGE PITS ❑ Depth Size Number r SUMPS ❑ Distance to nearest,' Well Foundation Property Line r DISPOSAL PONDS ❑ 5 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. , 1 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." Contractors 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." licant must call f all r uire specti ns. Complete drawing on reverse side. J. Signa? Title: [ Date: _ ~ FOR DEPARTMENT USE ONLY Application Accepted by Date Area C1 Pit or Grout Inspection by Date Final Inspection by Date a T Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3621 L7 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 i INFO AMOUNT DUE AMOUNT REMITTED C RECEIVED BY DATE PERMIT'•NO. + EH1428 3-24IREV,t/e 5) EH 11� * Q JA 97 Q )cv �