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FOR OFFXE USE: <br /> ---------- APPLICATION FOR SANITATION PERMIT Permit No. .0�25�ef <br /> Applicafi�r ii herel�; Ma*�, fo &"San-)oa_q",i, Loc­,'I kealth Distr'i6 for a permit to construct and install the work herein described. <br /> This application is made in compliance with County Ordinance No. 549. <br /> Installation will serve: kesidence NJ Apartment House Commercial E] Tra1ler Court [:] �Motql ,[] Other <br /> Water Supply. Publi�. system X Community system El FriyafeE:l Depth to Wafer Table <br /> be <br /> Character of soil to &depth of 3 feet- Sand E] Gravel E]/Sandy Loam Clay�Loam,[] Q.3ay Ado Hardpan <br /> 'New Construction. Ye5'Ej No�$_ FHA/VA: Yes N <br /> Previous Application 'Md,de.� (if yes,date.......... No <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is ayaila6le within 200 feet.) <br /> Disposal Field: Dista"riceifrom near.Qs we 140.6W 6istan-ce from-f uncla&t'&�Fn_ Distance to neai ---- <br /> --------------- <br /> Number. Length of eac:k,lin r4o_Width of trench <br /> Typ' of filter material... ... Depth of filter material- ---Total length--- ------FT;------ ---- <br /> Seepa e Pit- Disfa`nce to nearest -ell-W.016/0-Dlisfance uncia'fic'n__ Distance fo�nearesf lot lin ----- <br /> Nurn"ber of pits--())------------L'ming material-- Size:,Diameter <br /> I hereby certify that I h?.Nf'e�pr i5ared this application and'.fkat the`work will be done in accordance with San Joaquin County <br /> ordinances, State Ilaws... and Ule, regulations�ff the San Joaquin Cal Health District. <br /> (Plot plan, showing size of lot, location of system in rel tion to wells, buildings, etc.. can be pla&A on revers'e side). <br /> FOR DEPARTMENT USE ONLY <br /> � <br /> REVIEWED BY'--'—'----'_-'--'_--'''—''_'--_''--�'-� —'''—_' D/�E.'-----'—'—''_'---�-- <br /> BUILDING PERMIT ISSUED. ' D/��. -�-` <br /> ---------' ^ � �� 4 <br /> —''---'—''—_'-`---�� --'---''—_--��'_—'-----'---'�'�'--''---'--'--'--'''—_'---- <br /> ----_------�—-----��'------------------------------ —--- ------------------------------------------ ----------------- ...... ---- -- - ---- -------''� ---- <br />� <br /> ------------------_--_- .......-- ------- ....... .............. —'--' ---- -------------------------------- ---------------------- ------ '' <br /> —'' <br /> Dm3r � 6 '''—'�NAL |NSPECT|[ N �BY:— �— ,���'°�—'' _^ ' '_' <br /> " <br /> SAN JOAQU|NLOCAL HEALTH DISTRICT <br /> ' <br /> 1601 m.wa,ello"Ave. 3noWest Oak Street 124 sycamore street zw5West w*Street <br /> Stockton,omw"rritia Lodi, California Manteca,California Tracy,California <br /> E.H.,2m/'m v""y""rd pre"^ <br /> � <br />