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APPLICATION FOR SANITATION PERMIT Permit |Jo. ---.-----_-_- <br />/ (Complete in Duplicate) <br /> Date Issued <br /> nm6y 6e fo �� 3u J � Loc | H �� Di�hd �� � 1n 6 � U fh wo� hdescribed. <br /> T�plicafion is's application is made in compliance with County Ordinance No. 549 <br />^ -- ADDRESS . ' _ l_OCATION.,._gW_,:------------Xlqli�------------ ---- --------- - -- ---------ZE-------4F11----------- -------------I------- <br /> Owner's <br /> Contractor's Name- ___ ---- <br /> I nsta <br /> |nsta llation, ill ��; Residence bd /�ur�v� H�� � Cumne��| � Tm-n, C�� � Wo�| �� <br />� r� . " � <br />� <br /> Number ofliving unitc&� Number of 6o6rovnn Z Number of baths I---- Lot size °5^ �� � ------------------------------ <br /> Water <br /> __.-'-,---Water Supply: Public system Community system 0 Private E] Depth to Water Table ft. <br /> Character of soil to m depth of 3 feet: [ y [ Clay [] Adobe ( Hardpan [] <br /> Previous Application Made: Yes �� No)� New Construction: Ye, [j No P< <br /> � <br /> TYPE OF INSTALLATION ANDSPECIFICATIONS: <br /> (N� septic tank �, oe�p��| permitted if public h available %�� feet.) <br />` Septic Tank: Dlo+onco from nearest we|L---------D|s+oncv from foundation------'K4o+�riuL-----_----------- ��� <br /> El No. of compartments--------------------------Size--------------------------------Liquid depth--------------------------Capacity_-------' <br /> Dinposa| Field: Distance from nearest vuU M,tance from foun6otio'n Distance to nearest lot line <br /> Type of filter material--------------------------Depth of filter material------------------------Total length------------------------------------------04 <br /> 1A df <br /> Seepage Pit: Distance to nearest weI;---1Y;Wf-____Distance from.�founclation-�_'4--_Distance to nearest loi line- ------------ <br />| <br /> 171 Size: Diamef6r------------ -------------------------Depf h----------------------------------------------------Liquid Capacity----I-----------------------jals. <br />' <br /> RemoclelP and/or repairing (describe):-----6�664,j A ----------�_e ...... <br /> ' { <br /> ------------ <br /> � <br /> I hereby certify that I have pre�,�d Ai application and th f th A will be done in accordance with San Joaq-uin Co U.'_nty <br /> ordinances, S� aws. an rules a gulasons o e San ljoaqui Vwol Health District. <br /> -4 - <br /> 8v _ . <br /> ��t plan, size of �f �umf�n of syo�'� � ,e�f�n tw woRo 6u�6�g� etc., can be Title)�1/^ . ---verse side). '�''-'-� <br /> , <br /> FOR DEPARTMENT USE ONLY <br /> APPLICATION ACCEPTED BY--- <br /> REVIEWED <br /> BUILDING PERMIT ISSUED---------- <br /> ���.r.��,.��. .---------_-. DATE-." ------------------------------------------ <br /> �~ �- ~- .. - <br /> Alterations and/or recommendations:------------- _---- -------------------------------------------------------------------------------------------------------------------------------------- <br /> --------------------------------''---'''--''''''�-'''--'-'-''''-,'-------------------------- ----------------------------------------------------------------------------------- <br /> __- ------------------------------------------------- <br /> ------------------------------------------------ ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- . <br /> ---_-_-_-_------------------ _- -_--._------.__-------_-�------_-_. <br /> ~� | <br />' <br /> FINAL INSPECTIONDY -'- Date--�-..~-��- <br /> ' SAN JOAQUUN LOCAL HEALTH DISTRICT � <br /> /30 South American Street 300We&+ Oak Sfreet me Sycamore Street ow north "C".Sfreet <br /> Stockton, California Lodi, California Manteca, California rrac�. o^lifmom | <br /> ss--9-2w 8-5/ n°.isy6 v/-2/00 <br />