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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT SC�INNED 1601 E. HAZEL T ON 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 SON4 kS4r P 0_4 City_64N Lot Size `-' r es PM Owner's Name 5 F10- RA I t t7 Address ?D SOr. l'k OS Il Ay '-Os Ph e Contractor Y��•t Address 8 _?ee c License No.45�7.41H_Phone j TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ 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 ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications F] Public ❑ Other F1 Delta Depth of Grout Seal Type of Grout I I Irrigation __Approx. Depth I I Eastern Surface Seal Installed by Repair Work Done ❑ Type of Pump H.P. State Work Done_ Well Destruction ❑ Well Diameter Sealing Material (top 50') -- Depth Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION REPAIR/ADDITION I I DESTRUCTION I I (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 a Character of soil to a depth of 3 feet: Water table depth SEPTIC TANK ❑ Type/Mfg Capacity_ No. Compartments PKG. TREATMENT PLT. ❑ Ca;.� r f Method of Disposal Distance to nearest: Well Foundation Property Line LEACHING LINE ❑ No. & Length of lines . ' S` Total length/size FILTER BED El Distance to nearest: Well Foundation Property Line SEEPAGE PITS I I Depth 4Q 5 Size.__ Number ,1 SUMPS Ll 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, 1 shall employ persons subject to workman's compensa- tion laws of California." The applicant st call for squired ins ctio . Complete drawing on reverse side. Signed X Title: 0 60 N C- Ire Date: FOR DEPARTMENT USE ONLY p lication Accepted by Date t' / > Area ( / Pit r Grout Inspection by Date //Final Inspection by �' Date dditional Comments: � S /►t 14_45 Stk 466-6781 El Lodi 3621 ❑ Manteca 823-7104 ❑ Tracy 835-6385 pplicant- Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 FEE AMOUNT DUE AMOUNT REMITTED K RECEIVED BY DATE E;MI�T5NO.INFO CA HEH 1*241REV.44x51 / /6D0 —�� 31 EH t -28 !!! f�� V l