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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZE T ON AVE.; STOCKTON, CA Telephone (209) 466-6781 PERMIT EXPIRES TYEAR 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 C;, ! City Lot Size PM I Owner's Name r 7s1Fet4 YYA Address Phone [leg-�s+.cf'y Address �f � License No. Phone �3 s Contractor_ - TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD. ROP: LINE FOUNDATION AGRICULTURE WELL OTHER W PITS/SUMPS i INTENDED USE `' '. TYPE OF WELL PROBLEM AREA CONSTRUCECIFICATIONS = ❑ Industrial O Open Bottom ❑ Manteca o Well Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel f ack ❑ Type-of Casing - _ Specifications fl Public ❑ Other Cl Delta Depth of Grout Seal Type of Grout I I Irrigation _ x, Depth I 1 Eastern Surface Seal Installed by Y Repair Work Done El of Pump H,P. ` State Work Done _ Well Destruction ❑ Well Diameter Sealing Material (top 501 ° Depth a,, Filler Material (Below 50'1 r I TYPE OF SEPTIC WORK: NEW INSTALLATION I] REPAIR/ADDITION l I DESTRUCTION iNo septic system permitted if public sewer is available within 200 feet.) Installation will serve:' Residence_ Commercial_ Other Number of living units: ' Number"of bedrooms r, Character of soil to a depth of 3 feet: Water table depth SEPTIC TANK ❑ Type/Mfg m Capacity No. Compartments PKG. TREATMENT PLT. ❑ r Method of Disposal Distance to nearest: Well Foundation _= ,. Property Line `r LEACHING LINE ❑ No. & Length of lines `` Total length/size r FILTER BED ❑ Distance to nearest: Well Foundation Property Line SEEPAGE PITS i I Depth Size Number SUMPS E_1 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 bf,the work for which this permit.is issued, I shall employ persons subject to workman's compensa- tion laws of California." 1 The applicant m t call for all required inspections. Complete drawing on reverse side. w Q - Signed X Title: Date: Y F EPARTMENT USE ONLY Application Accepted b _ DateArea Por Grout Inspection by Date Final Inspection by �- "� "/� Date Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ 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 95201 I r.- 4 4^aG FEE AMOUNT DUE AMOUNT REMITTED CASH CK RECEIVED BY DATE PERMIT'NO. INFO `^ +'� r*EH 13-24 1 REV.t i H 51 / �-�/�- ZS' 2 EH 14-26