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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZE T ON AVE., STOCKTON, CA Telephone (209) 466-6781 PERMIT EXPIRES TYEAR FROM DATE ISSUED (Complete in Triplicate) r 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 Rules and Regulations of the San Joaquin Local Health District. Job Address �1(/ �Gr7f City Lot Size_ 7E ,)<1S6 PM Owner's Name F�-� ddress r .- Phone Contractor Address License No. Phone TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ Il DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD. PROP. LINE I FOUNDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS I INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS ` ❑ Industrial ❑ Open Bottom O Manteca Dia. of Well Excavation Dia. of Well Casing \RV ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications ('t Public Cl Other 0 Delta Depth of Grout Seal Type of Grout 11 Irrigation --Approx. Depth t I Eastern Surface Seal Installed by Repair Work Done ❑ Type of Pump H.P. State Work Done Well Destruction ❑ Well Diameter Sealing Material (top 50') Depth Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION I 1 REPAIR/ADDITION 1 1 DESTRUCTIO o septic system permitted it public sewer is vailable within 200 feet.) Installation will serve: Residence— Commercial Commercial— Other 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 rF r LEACHING LINE ❑ No. & Length of lines Total length/size r - - FILTERBED ❑ Distance to nearest: Well Foundation Property Line SEEPAGE PITS r l I Depth Size Number SUMPS ❑ Distance to nearest: Well Foundation Property Line 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. tHome 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 t, certifies the following: I cern that in the performance of the work for which this permit is issued, I shall employ ersons subject to workman's compensa- tion �� N Pe P P Y P 1 P 4 tion laws of California." r The applican ust calf for I required i coons. Co late drawing on reverse side. Signed X Title: �� Date: FOR DEPARTMENT USE ONLY kApplication Accepted by Y�nDate� Area Pit or Grout Inspection by r Date Final Inspection by V Date 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 INFO AMO}UNT DUE AMOUNT REMITTED_ CASH CK RECEIVED BY DATE PERMIT-NO. +.EH 13-241REV.1/n 5) EH 14-26 F