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APPLICATION FOR PERMIT L SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZE 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 made in compliance with San Joaquin County Ordinance No. 549 for sewage or No. 1862 for welPpump and the Rules and Regulations of the San Joaquin Local Health District. Job Address 16011 Derby Lane CityLeLthro Lot Size 100' X Lao t PM Owner's Name R0$emary Hurl4a Address 16011 Derby A.. Latli rgp _ __ Phone 858- a 11290 Vallejo Ct. Contractor Val 10-10 C01118t. Inc Address French Camp. CA 95231 License No.479838 Phone TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT 0 DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD. PROP. LINE 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 ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications l7 Public 171 Other Cl Delta Depth of Grout Seal Type of Grout I I Irrigation —_Approx. Depth i I Eastern Surface Seal Installed by _ Repair Work Done ❑ Type of Pump H.P. State Work Done r Well Destruction ❑ Well Diameter Sealing Material (top 50') Depth Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION I 1 REPAIR/ADDITION l I DESTRUCTIONXB INo septic system permitted if public sewer is available within 200 feet.) h+ Installation will serve: Reeidencex Commercial_ Other ed Number of living units: _ I Number of bedrooms 00 Character of soil to a depth of 3 feet: Water table depth SEPTIC TANK EI Type/Mfg Ghat Capacity unknown No. Compartments m PKG. TREATMENT PLT. ❑ Method of Disposal 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 SEEPAGE PITS I I Depth Size _ Number SUMPS ❑ Distance to nearest: Well Foundation Property Line b DISPOSAL 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 rules and regulations of the San Joaquin Local Health District. 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 applic t must call for all required inspections. Complete drawing on reverse side. Signed Title: Estimator Date: 9/11/87 FOR DEPARTMENT USE ONLY Application Accepted by U> Date t Y1 Area 13 Pit or Grout inspection by Date Final Inspection by / Date/–� Additional Commetb ❑ Stk 466-6781 ❑ Lodi 369-3621 O Faanteca 823-7104 ❑ Tracy 835-6385 Applicant • Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 9x201 FEE INFO AMOUNTDUE AMOUNT REMITTED CASH CK RECEIVED /BY DATE PERMIT'NO. + EH13-24[REV.1in51