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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 Rules and Regulations of the San Joaquin Local Health District. Job Address ' 'r City IN��rc� Lot Size t Owner's Name ddress ��/ Phone Contractor t�% Address License No.",W4 Phoner TYPE OF W (PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ 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 Wel! Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications ❑ Public ❑ Other ❑ Delta Depth of Grout Seal Type of Grout , ❑ Irrigation ---Approx. Depth ❑ Eastern Surface Seat Installed by Repair Work Done ❑ Type of Pump H.P. State Work Done Well Destruction ❑ Wel! Diameter Sealing Material (top 501 Depth Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION ❑V REPAIR/ADDITIO ESTRUCTION ❑ (No septic system permitted if public sewer is A�y< available within 200 feet.) Installation will serve: Residency-C -�ommercial_Y_ Other Number of living units: Nu ber 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 M, Distance to nearest: Well Foundation Property Line LEACHING LINE No. & Length of lines / Total length/size FILTER BED; ElDistance to nearest: Well��/ Foundation ' >Property Line 1� 1 SEEPAGE PITS Depth Size Number SUMPS ❑ Distance to nearest: Wel! 0- Foundation� Property Line l� DISPOSAL PONDS ❑ ,r ' 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." T st ns ctions. Complete drawing on reverse side. Sign Title: / /� Date: FOR DEPARTMENT USE ONLY �2 Application Accepted by Date Area 2^— - r Gut�Inspection by �!' . /J `�f Date Fina! Inspection by Additional Comms: (� ❑ Stk 466-5781 ❑ Lodi 369-3621 ❑ Manteca 623-7104 ❑ Tracy 83545385 Applicant- Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 FEE AMOUNT DUE AMOUNT REMITTED ASH RECEIVED BY DATE PERMIT NO. INFO + EH 13.24 TREY, i e 51 /J O` ..-/ ...J' EH 14.28 V O