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1 'f" 3... 6 .V r APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZEL T ON AVE., STOCKTON, CA Telephone (209) 466-6781 PERMIT EXPIRES 1 YEAR FROM DATE ISSUED s (Complete in Triplicate) j 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. +� t r Job Address d, M c.l Je City Lot Size� V PM I Owner's Name �/gSO� �� Address Phone D Contractor/2,62,, "l-v Address 64AI License filo, Phone RIAEzwo TYPE OF WELL/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 Well Excavation- Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casings Specifications F Public r Other n Delta Depth of Grout Seal Type of Grout _ I i Irrigation —Approx. Depth I I Eastern Surface Seri Installed by _ Repair Work Done ❑ Type of Pump H.P. State Work Done Well Destruction ❑ Well Diameter Sealing Material (top 501 Depth Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION I 1 REPAIR/ADDITION i_I DESTRUCTION 1A(No septi(: system permitted if public sewer is vailable within 200 feet.) Installation will serve: Residence_ Commercial_ th4 PIR A Awl T Number of living units: Number of bedrooms Character of soil to a depth of 3 feet: U EXPO�L a� e depth SEPTIC TANK ❑ Type/Mfg being p Y e l+Nq )mpartments PKG. TREATMENT PLT. ❑ '. COfpp�Bted �r .•�7 llrlM�� t .od of Disposal Distance to nearest: Well �b _f�-f IW �n`+ d P'"d� ea LEACHING LINE ❑ No. & Length of lines Total length/size FILTER BED ❑ Distance to nearest: Well Foundation Property Line f SEEPAGE PITS I 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. 1 r I 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 applicant u t c II or all re ired inspections. Complete drawing on reverse side. i Signed X Title: ® � Date: F DEPARTMENT USE ONLY Application Accepted by a, 1 Date Area 4t r I Pit or Grout Inspection by Date Final Inspection by Date I 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 95291 FEEi INFO AMOUNT DUE AMOUNT REMITTED ASH RECEIVED BY DATE PERMIT'NO,CID , + EH 13-241REY.tiH51 . —. 35 3 EFI 14-28 (�t1 �•J