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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZE T ON AVE., STOCKTON, CA j Telephone (209) 466-6781 ✓ �"��-�-� PERMIT EXPIRES .1 YEAR FROM DATE ISSUED i (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"y 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"ro, t Local Health District. Job Address 1020 rope-sl L.0 kc._ /��_ City Lot Size Y00 PM J� Owner's Name _ [l��J�� CLI+I/�AAddress 80 0� -7�7 `Ake Phone Contractor T L � d-'SOR3 Address 44 e License No.–DOO/t/ Phone 7 27 TYPE OF WELL/PUMP: NEW WELL WELL REPLACEMENT ❑ DESTRUCTION D PUMP INSTALLATION O SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST EPTIC TANK SEWER LINES DISPOSAL FLD. PROP. LINE r FOUNDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS _ INTENDED USE TYPy OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS ❑ Industrial N<Pen Bottom ❑ Manteca Dia- of Well Excavation - Dia. of Well Casing 18 ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing STeGL Specifications t l PP blit F1 Other F] Delta Depth of Grout Seal Type of Grout _ I�Ylrrigation Approx. De h astern Suri Seal Installed by Repair Work Done U Type of Pump,� H.P. State Work Done — Well Destruction 0 Well Diameter Se rng Material (top 50'1 Depth Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION l l REPAIR/ADDITION t } DESTRUCTION I I INo septic system permitted if public sewer is I available within 200 feet.) Installation will serve: Residence_ 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 I LEACHING LINE ❑ No. & Length of lines Total length/size FILTER BED ❑ Distance to nearest: Well Foundation Property Line 1 SEEPAGE PITS 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. 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: '1 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 applicant must call for all required inspe tions. Complete drawing on reverse side. t ? Signed X Title: Date: 3�-SIT FOR DEPARTMENT USE ONLY Application Accepted by ��--�--�._ Date Area Pit or Grout Inspection Date Final Inspection by Date Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 623-7104 ❑ Tracy 835-6385 Applicant - Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 FEE ICK if INFO AMjjO♦UNTDAMOUNT REMITTED CASH RECEIVED BY DATE PERMIT NO. +.EH 13-24{qEV.t/w51 fC/JUE l� / C EH 14-2B Q