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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZEL T ON AVE., STOCKTON, CA I 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 unty Ordin ce No.549 for sewage or No. 1862 for well/pump and the Rules and Regulations of the San Joaquin Local Health District SOL ( tip o 01 - 080 -3-3 Job Address 614a tom' City ek&Luiot Size ✓"3 CL ✓ PM t' .( P�� ddL /f(`' ^ !c%`�� t�i�?G£Lld i R 1� �_�� phone Owner's Name ff ress _ i Contractor's Name to ' License No. �Jql,M Phone TYPE OF WELL/PUMP: EW WELL WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK I)G`N(s SEWER LINES P101 t'- DISPOSAL FLD. PROP. LINE FOUNDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS i/ Industrial ❑ Open Bottom El Manteca Dia. of Well Excavation Dia. of Well Casing '31 ❑ Domestic/Private )4 Gravel.Pack ❑ Tracy Type of Casing �--I Specifications i El Public ❑ Other El ?` Delta Depth of Grout Seal —r1 Type of G ut ❑ Irrigation ---Approx. Depth ❑ Eastern Surface Seal Installed by �Y Repair Work Done ❑ Type of Pump H.P. State Work Done 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 11>1 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 regulations of the San Joaquin Local Health District. Home owner or licensed 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 person in such manner as to become subject to workman's compensation laws of California."Contractor's hiring or sub-contracting signature certifies the following:"I certify that in the performance of the work for which this permit is issued,I shall employ persons subject to workman's compensa- tion laws of California.' � The appligant, lust call for all requir spections. Com late drawing on rgfier Signed _1 'PnR Title: ` � Date: DEPARTMENT US ONLY � T Application Accepted by Date K Area V Pit or Grout Inspection by Date (� Final I spection by v 15+4� Date Additional Comments: Y Dti XStk 466-6781 Lodi 369-3621 ❑ Manteca 823-7104 T 5-6385 Applicant- Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 FEE AMOUNT DUE AMOUNT REMITTED RECEIVED BY DATE PERMIT`NO. INFO CASH �/ + EH 13-24(REV.10/83) 3. d c� 11 11� ��' Q�.c l� i',S EH 14-26 �1