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�: ,� :,�,. ham:.-a.�. ,�.�>. -.�: -at-•� �...... m„-„ . <br /> APPLICATION FOR SANITATION PERMIT Permit No. .�.�-.. <br /> 4-B 1 .. <br /> (Complete in Duplicate( / <br /> `"'""11 Date Issued _5AIS <br /> Applica+ion is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. <br /> This application is made in compliance with County Ordinance No. 549. <br /> 504- So. Anteros, Stockton <br /> JOB ADDRESS AND LOCATION -------- ---------- ------------- -- -- -- <br /> James E. BattonPhone HO 35060 <br /> Owner's Name........................................-----------------------•--------------------------------------- . ------------------------- ................ <br /> 510 So. Anteros, Stockton <br /> Address----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> Contractor's Name <br /> PARRISH & SONS, IN C. Phone..- HO 69607 <br /> ------------------- --- ---- ----- <br /> Installation will serve: Residence. Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ <br /> Number of living units: _-;-... Number of bedrooms _2--- Number of baths ---� _ Lot size --- 0.`--- -__150_!----------------------------- <br /> Water Supply: Public system A Community system ❑ Private ❑ Depth to Water Table _40_'ft. <br /> Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe EJE Hardpan ❑ <br /> Previous Application Made: Yes ❑ No M New Construction: Yes ❑ No ❑ Supplementary Drainage <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> Septic Tank: Distance from nearest well__-------- ------Distance from foundation....................Material._..._...__.-._._.-._....._._--_--_-.._.-_-.----. <br /> *rRgxistiNo. of compartments--------------------------Size_------------------------ ---Liquid depth--------------------------Capacity-------------•----•---- <br /> G9bease ' ap <br /> Disposal Field: Distance from nearest well None Distance from founda ion.19.........._.Distance to nearest I K line..-.3.t-....... <br /> 401 <br /> Number of lines........--�' Length of each line________________ Width of trench.__2 .. <br /> Z >r Rk--__De th of filter material---_.l --- <br /> g <br /> Seepage Pit: Distance to nearest well-------------------___Distance from foundation....................Distance to nearest lot line----------------- <br /> 1­1 Number of pits----------------------Lining material-----------------------Size: Diameter-----_---..-.-.._...-Depth-.._-..----._-..-.._---------.._. (� <br /> Cesspool: Distance from nearest well-----------------Distance from foundation----.__.._.------_Lining material._:.__....--.....__--_--_---.-_._.... Q <br /> ❑ Size: Diameter--------------------------------------Depth----------------------------------------------------Liquid Capacity----------------------------gals. <br /> Privy: Distance from nearest well................._..___--..____...._.-__.__-.-Distance from nearest building.______..___.____....................... <br /> ❑ Distance to nearest lot line----- ----------------------------------------------------------=--------------------------------------------------------------------------- <br /> * For kitchen sin k only... <br /> Remodelingand/or repairing (describe)------- ----------------------------------•-•---•---------------------------------•------._.-...--------•--•-------------------------------------------- <br /> -----------------------------------------------------------------------------------------•-------------------------....----------------------------- ------------------------------------------------------------------------ <br /> I hereby certify that I have prepared this ap ' ation and that the work will be done in accordance with San Joaquin County <br /> ordinances, State laws, and rules and regulatio 0f a San JoaqSLLI Health District. <br /> (Signed)--._.._.___.PARR.ISH & SONS, IN C. (O ?6X�r Contractor) <br /> -------- --- --------- <br /> E st imator <br /> (Plot plan, showing size of lot, loca+io of system;/rel tion to wells, build i s, etc., can be placed on reverse side). <br /> FO DEPARTMENT USE ONLY <br /> APPLICATIONACCEPTED BY------ -- ------ ----------------------------------------------------- DATE............................................ ----------- <br /> REVIEWEDBY------------------------------------- ----- --- ----- - - -------------------- ---------- ------ DATE-Q.r=` 5 `�----------------------- <br /> BUILDINGPERMIT ISSUED..................... -------•------------------- ------ DATE.------------------------------------------------------------ <br /> Alterationsand/or recommendations-----------------------........................................................................................................................................ <br /> ------------------------------------------------------------------------------------------------------------•-----•----------...---------•--.....---...-------------------------------•----------..............------......... <br /> ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ <br /> --------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> --------------------------------- ---------- ----------------------- ---------------------------------------------------------------- ------------...--------------•----------------------------------------------- <br /> '-- 1 c7 Is <br /> FINAL INSPECTION BY:.----- S----- ............................... <br /> -------------------------- Date------ --------------7j-------------/-/---------------------•---- <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 130 South American Street 300 West Oak Street 132 Sycamore Street 814 North "C" Street <br /> Stockton, California Lodi, California Manteca, California Tracy, California <br /> ES-9-2M 145446 ATWDOD 12-54 <br />