Laserfiche WebLink
APPLICATION FOR SANITATION PERMIT �nn� N� -�2D <br /> --- <br /> (Complete <br /> (Comp|ote in Duplicate) <br /> _ Du+o |ouo6 _�5/�'{-. <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work he'rein described. <br /> This appucPtion is made in compliance with County Ordinance No. 549. <br /> JOB ADbIfESS AND AT"I 0 N--- -- ------ --- --- ------ <br /> �/7, <br /> Owner's Nu <br /> Installation will serve: Residence R��Apartmenf House E] Commercial F] Trailer Court [� Motel El. Other F1 <br /> Number of living units: Number of bedrooms ?-- Number of baths Lot size ----- ------------------------ Jj <br /> Water Supply:' Public system'o Community system El Fri�ate &'-Depth to Water TabI:'e7--!!__ Tt:' <br /> Character of soil to a dellpth-of 3 fee t Sand E] Gravel [] S'andyLoamE] ClayLoamn ClayF1 AdobeA---H�ardpann <br /> Previous Application Made: Yes Ej No k--,7New Construction' Yes I- <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or'cesspool pe6itfecl if public sewer is available within 200 feet.) <br /> Sep Distance from n;aresf ------Disfance,�orn f6undafion---/A------ Mator. I <br /> No. of compartments----R----------------- iquid dep�h-----10-11, _C�paciny .-:S�.17-c-�_ <br /> Disposal Field: Distance from nearest well__9_cW -----� D�stance from foundation---M Distance to nearest IgL� line-.60 <br /> Seepage Pit: Distance to �eaiieslt well----A"'W-Dis'tance fz,;-m fouoaficn--- �719 <br /> Number' of pits 11 <br /> Cesspool: Distance from n'a' 106 k <br /> '4' <br /> sx '-� ` . `-' <br /> _ ----___.__._^emoommg and'/or repairing (describe);--------- <br /> �'__.___-.__._.____�..___-_-----._-^.----__.._�-----_ - -��--__-.__-_--.-_--.. <br /> -_'--__'-----'-'--__--'_-'-�-__' __'-_.'----�---'-__�.-_��_--_.'__�---'---'_��..--.-�_-----. <br /> --'-'-'__-''_--'-_-�-'-_'-L.'''_-��-�___--�`-- --- ---- -�------------------------- <br /> I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County <br /> ordinances, State laws', an�rules and'reguwiion-s of thp,San Joaquin Local ealth District. <br /> (Signed) -tEhmo=d�er Contractor) <br /> + <br /> ----------' <br /> ------- <br /> (Plotpmn vnpwmg size nrlot, <br /> FOR DEPARTMENT USE ONLY <br /> ------------ <br /> B/|GVYGD BY- <br /> --------------- -''^ -' ---------------- '^^''^~`--''^'^~-, ~~~~ ~-- Km-O--'---'-------- <br /> '_--__._-'_-._---_-.-.-^-----..~ -__--__--__--.--._-----.___-_-_--_---.~ / <br /> --''---'----'''-'''_,'''-_.----''�--��--�'-'''_-'-'''---''--''-''''''''�-'''_----'-''-�---'-'-' / <br /> . ' <br /> FINAL INSPECTION BY:..- __.--==-`--. <br /> SAN JO/0QU|N LOCAL HEALTH DISTRICT <br /> -. <br /> � /30 South American street NOWas+ Oak Str..+ ' ' /32 Sycamore street ow North 'C' Sfre, . / <br /> Stockton, California Lodi, California wunmoa California rmov oolifwrnk ' <br /> � <br /> ES-9-2K4 n°.u°a 1'57ppzo <br />