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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 ,v • ,vJ City ,u U1ot Size PM Owner's Name 3aL Q&b")r-- Address lqL A� ' "T-Gyu `' Phone q&) 77- Contractor's Name k II 1 j 1.-LL1 _' F�Wlicense No. 0 1 r o Phone v 4",74 TYPE OF WELL/PUMP: NEW WELL ❑ WELL R LACEMENT ❑ 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 xv ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well 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 yApprox. Depth ❑ Eastern Surface Seal Installed by Repair Work Done El Type of Pump _ H.P. 3 State Work Done MA-CE Well Destruction ❑ Well Diameter Sealing Material (top 501 Depth Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION ❑ REPAIR/ADDITION ❑ DESTRUCTION ❑ (No septic system permitted if public sewer is 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 Distance to nearest: Well Foundation Property Line LEACHING LINE ❑ ;No. & Length of lines Total length/size FILTER BED ❑ Distance to nearest: Well Foundation Property Line SEEPAGE PITS ❑ '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 regulI'ons of the San Joaquin Local Health District. ' Home owner r ensed 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 rs n in such r as to become subject to workman's compensation laws of California."Contractor's hiring or sub-contracting signature certifies the f to ing:"I certi t at in th pe ormance of the work for which this permit is issued,I shall employ persons subject to workman's compensa- tion laws of C ifornia.' The applican t call for all e 'ed ' ti s. mplete drawing on rerr�e(sid Signed Title: CJ1�-� 1'C Date: v OR DEPARTME USE ONLY Application Accepted by Gam/ Date Area Pit or Grout Inspection by Date Final Inspection by Date Z 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 95201 FEE INFO AMOUNT DUE AMOUNT AMOUNT REMITTED CK CASH RECEIVED BY DATE.• PERMIT"NO. + EH 13-24(REV.10/83) ®" EH W26 VV