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Ig(� APPLICATION FOR SANITATION PERMIT Permit No. .. � %.h..;..��. cate in Du li ,r K (Complete P ) Date issued ...... -=-5-•---- Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. This application is made in compliance with County Ordinance No. 549. Harrison School .Alpine & Sanguinetti Lane JOB ADDRESS AND LOCATION_________ _ ___ _ - Stockton Unified School District Owner's Name-------------- --------------------------------- ----------------------------------- --------------- ----------------------- Phone. ............................ Address.....................7Ql__North Madison -- ------------------------------------------------------------ -------- ------------ Contractor's Name------Parrish & Sons HO 6-9607 -------------------------------- Phone ................I.........-_... Installation will serve: Residence ❑ Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other InSchool., Number of living units: -------- Number of bedrooms _______ Number of baths -------- Lot size ................................................ Water Supply: Public systemIX Community system ❑ Private ❑ Depth to Water Table ...45ft. Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe:] Hardpan ❑ Previous Application Made: Yes [Z No ❑ New Construction: Yes ❑ No [3 FNA/VA: Yes ❑ No ❑ TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if public sewer is available within 200 feet.) Septic Tank: Distance from nearest well--___-__-______Distance from foundation....................Material------------------------._ Ea stip P -----...Liquid depth--------------------------Capacity. .................. $ No. of compartments __ Disposal Field: Distance from nearest well-----------------Distance from foundation....................Distance to nearest lot line................. Eilsting Number of lines-----------------------------------Length of each line------------------------------Width of trench------------------------------------ Type of filter material_______________-___ __Depth of filter material-----------------------Total length.......................................... Seepage Pit: Distance to nearest well--None _ ._Distance from foundation loot _.._ stance to nearest l0 25'__.__. ® Number of pits-----9-------------- ining material____rook-------Size: Diameter�U--_ _ __ -____.Depth-----.`-- Cesspool: Distance from nearest well------------_----Distance from foundation--------------------Lining material-----------------------------------_. ❑ Size: Diameter-------------------------- ------Depth-----------•----------------- ----------------------Liquid Capacity--- •---•-----..........gals. a Privy: Distance from nearest well-------------------------------------------------Distance from nearest building____-. ❑ Distance to nearest lot line. - -_ ---- - ----- --------------------------------•---------------- ----- ---- Remodeling and/or repairing (describe):------------------------------------------------------------------------------- ---------------------------- ---------------•----- --------•---------------------------•--•----------•----------•-------------------------•-----•-•----------•----...----- --------------------------------..............-------------------------- --------------------- --------------•--------_---------------------Additnna-l---dra:ins__for__existing__sy_-stem----_-----------_--____-_-- ---- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- I hereby certify that I have prepared this application and that the work will be done in accordance with San'Joaquin Coun ordinances, State laws, and rules and regulations of the San Joaquin Local Health District. (Signed)----------------Parrish-_-&-S-ons-------------- -----------------------------------------------------------------------------------------(Owner and/or Contractor) By:---- Bill- -Wright (Title) est. ------•----------- ----------------- (Plot plan, showing size of lot, location of system in relation to wells, buildings, etc., can be placed°on reverse side). FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY------lf-t.R 00------------------------------ .........................----------------- DATE--------,--' .................... REVIEWED BY-------------------------------------------------- -------------------------------------------------------------------------- DATE------------........ -------------------- •------- BUILDINGPERMIT ISSUED----------------------------------------------------------------------------------------------------- DATE-----------•-•----------= --------------------•--,--.------ Alterations and/or recommendations:-- 1 ------------------------------ ...... .........q8.1 ---x-- - ------------b P ----- ... ---- --(------ -----.--..-.-..--.-.-.--.-.-.--.-.-.-.-.-.---.-.--..-.-.-.-.--.-.-.- ----------------------------------- •---- -- ----------------- ----• -- ----- --•--- ----- - � s FINAL INSPECTI Y:.- ------ ----- --- --- Date --- ---- SAN JOAQUIN LOCAL HEALTH DISTRICT 130 South American Street 300 West Oak Street 132 Sycamore Street 814 North "C" Street Stockton, California Lodi, California Manteca, California Tracy, California ES-9-2M . Revised 1-57 F.P.CO.