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APPLICATION FOR PERMIT " At lt'� SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZELTON AVE., STOCKTON, CA Telephone (209) 466-67$1 () 0_ r_ oZ e PERMIT EXPIRES 1 YEAR FROM DATE ISSUED 1 (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 j Local Health District. S .� ,� 00 7-- F 7 3 Job Address City��i / � of Size ��d! frz.- d PM J ` t Owner's Name "'r _ Address > G4 Phone 4 U Co _ Con /QO�E p tractor's Name 'cense No S Phone d TYPE OF WELL/PUMP: NEW WELL WELL REPLACEMENT ❑ DESTRUCTION © i PUMP INSTALLATION lam- SYSTEM REPAIR ❑ OTHER C] DISTANCE TO NEAREST: SEPTIC TANK A1494Z SEWER LINES DISPOSAL FLD. PROP. LINE FOUNDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS ' INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS ❑ Industrial9;-Wen ottom ❑ Manteca Dia. of Well Excavation A7 Dia. of Well Casing 6 Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications (gA 17Public L) Other ❑ Delta Depth of Grout Seal r Type of Gr t ❑ Irrigation ---Approx. Depth,,�;P EVern Surface Seal Installed by Repair Work Done ❑ Type of Pump .H.P. State Work Done Well Destruction ❑ Well Diameter Sealing Material (top 501 i Depth Filler Material {Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION ❑ REPAIR/ADDITION ❑ DESTRUCTION ❑ (No septic system permittedff public sewer is available within 200 feet.) Installation will serve: Residence— Commercial_ Other 1 Number of living units: Number of bedrooms Character of soil to a depth of 3 feet: Water table depth1 SEPTIC TANK ❑ Type/Mfg Capacity No. Compartments PKG. TREATMENT PLT. ❑ Method of Disposal Distance to nearest: WellFoundation Property Line .f LEACHING LINE ❑ No. & Length of lines Total length/size FILTER BED ❑ Distance to nearest: Well Foundation Property Line f i SEEPAGE PITS ❑ Depth Size Number 9 SUMPS ❑ Distance to nearest: Well Foundation Property Line DISPOSAL PONDS El 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 must call for all required inspections. lete drawing on reverse side. Signed X_ �_ _ Title: Date: FOR DEPARTMENT USE ONLY Application Accepted by Date Area Pit or Grout Inspection by Date �l �a Final Inspection by A 46, Date Additional Comments: 19 ❑ Stk 466-6781 ❑ Lodi 36P-3621 ❑ Manteca 823-7104 ❑ Tracy 835-6385 Applicant- Return all copies to: Envri onmental Health Permit/Services 1601 E. Hazetton Ave., P.O. Box 2009, Stk., CA 95201 r FEE INFO AMOUNT DUE AMOUNT REMITTED �. CASH y,RECEIVED BY DATE C�PERMIT'NO. +EMI 3-241REV.14!$31 `j � i EH 14-25 - t C>S-°oa �l�b Fsb-I�-Ibs