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r APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT �J 1601 E. HAZE 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 f `f / a� City t Size PM �� /�''�-'=�!VL Address _ Owner's Name Phone- —rte 7�.,/ Contractor PI�/'I.9h9R- /V� Address e W115-"f License No��p"f3y� Phone'L�/ - , TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMEteF ❑ 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 M Public ❑ Other ❑ Delta Depth of Grout Seal Type of Grout I I Irrigation �.Approx. Depth I I Eastern Surface Seat Installed by 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 f I DESTRUCTION t I (No septic system permitted if public sewer is available within 200 feet.) _ Installation will serve: Resi ence Commercial_ Other Number of living units: Number of bedrooms / Character of soil to a depth 3 feet: 149d5/� U Water table depth SEPTIC TANK Type/Mfg Capacity No. Compartments 2— PKG. TREATMENT PLT. ❑ r q Method of Disposal Distance to nearest: Well �Foundation Property Line 7r_16^ LEACHING LINE No. & Length of lines Total length/size. //Z d X FILTER BED ❑ Distance to nearest: Well Foundation Property Line SEEPAGE PITS gG Depth ox'�.t Size +� Number SUMPS Cl Distance to nearest''Well � Foundation _ Property Line El DISPOSAL PONOS 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 applicant mVt � o all rinspections. Complete drawing on re arse e./ Signed X Title: Date: � r j� OR DEPARTMENT USE ONLY i .. Application Accepted by �r1 . / "1Jafe – Area it or Grout Inspection by ate +' -I Fin inspection b�� r/(/! Additional Comments: N If Ad C �1 ❑ Stk 466-6781 ❑ Lodi 368-3621 ❑ Manteca 823 7104 ❑ Tracy 835-6385 Applicant - Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201FEE INFO AMOUNT DUE AMOUNT REMITTED CASH RECEIVED BY DATE PERMIT'NO. + EH 13-24(REV.t K 51 EH 14-26 �� 1