Laserfiche WebLink
-� APPLICATION FOR SANITATION PERMIT Permit No. .........7--'••- <br /> (Complete in Duplicate) <br /> �����'�'"' •\� . 7,1 'complete Issued <br /> i <br /> Application 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 /> JOB ADDRESS AND CATION ' , - - - -- -- ---------------------------------------------------------•------------------------- <br /> ` ----- - - - -- <br /> AddreOwner's Name w Phone................................... <br /> ss------------------ -------�ZY-- -----•-•--------------------------------•-------- -------------------------------------------- --- <br /> ----,----"-- <br /> ---------------------- <br /> Contractor's Name-------- ---- - - - ---------- <br /> Installation will serve: Residence Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ <br /> Number of living units: _.-/_-. Number of bedrooms Number of baths .__-/.. Lot size ------- ------------------------- <br /> Water Supply: Public system Community system ❑ Private ❑ Depth to Water Table ........ ft. <br /> Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Aclobe,P' Hardpan ❑ <br /> Previous Application Made: Yes ❑ No 9 New Construction: Yes ❑ NoX FHA/VA: Yes ❑ No ❑ <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 /> No. of compartments-------------------- -----Size--------------_--------------Liquid depth--------------------------Capacity-•-----------•--------- <br /> Disposal Field: Distance from nearest well_-_-------------Distance from foundation....................Distance to nearest lot line__-_--_---_-___-. <br /> ber of-lines-----------------------------------Length of each line.--.-__---.-__.._--__-______..Width of trench-------.-----------------_.__-..__ <br /> T of filter material-------------------------Depth of filter material_-____-.._-_.-__--.-_--Total length-___•-..-.--_____-__----_____-----.-_--•-- 0 <br /> Seepage Pit: Distance to nearest well------ g Distance"fromoundation <br /> tion.! <br />