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SANITATION PERMIT Permit <br /> 9-�`A�PPLCA ON FOR -/.Zj, <br /> (Complete in Duplicate) <br /> Date Issued <br /> T�plication is hereby made to the San Joaquin Local Health District for a permit 4 to construct and install the work herein described. <br /> 's application is'made in compliance with County Odinance No. 549. <br /> -------------------------------------------------------------------- <br /> Installation will serve: Residence [t Apartment House E] Commercial E] Trailer Court El Mofel E] Other E] <br /> Number of living units: umber of bedroomsL-,/--- Number of baths�?---- Lot size ----j7� <br /> Wafer Supply: Public system 9� Community system E] Private F] Depth to Water Table 41S ft. <br /> Hardpan E] <br /> Character of soil to a depth of 3 feet: Sand E] -*'?ravel E] Sandy Loam L] C-lay Loam E] Clay E] Adobe 11-- <br /> Previous Application Made: Yes E] No Z%w onsfrucfion: Yes EI-No F-1 <br /> TYPE OF"INSTALLATION AND SPECIFICATIONS: � <br /> (No septic tank n, cesspool permitted Rpublic sewer is available.within 200feef <br /> �Septic Tank' ` Distance from nearest well-----------------Distance from foundation--------------------Material _--_-______-- ' <br /> [] No. u1compartments_-'----- --------- Size---------------------------------Liquid 6eot ---------------- ---------Capacity----------------------- <br /> Disposal <br /> --_._�D;, | Field-7- from nooro, well '''---.Distance from foundation--------------------Distance to nearest lot line----------------- <br /> Number <br /> --'--.- <br /> Num6r, of |in,m----'_-_-'_-_b,ngf of each line--_-__--�-VV�� of �vnch----.__---�_-_ <br /> �� Typeof filter material of of filter <br /> Seepage Pit: Distance to nearest wellIK41-11--------Dista rpm foun 'on-----;�e-------Distapce'to nearest lot line-,-�2------------- <br /> Cesspool: Distance from nearest well------------- ---Distan En5dation--------------------Lining material------------------------- ------- 1-1 <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 and rules and regulations of the an Joaquin Local alth District. <br /> ------------ <br /> (Plot plan. showing size o�lof, location of system in relation to wells, buildings, etc., can be place_� on reverse side). <br /> FOR DEPARTMENT USE ONLY <br /> BUILDING PERMIT /ooucD-___-----_--_'-_�._-__--_-..__--._-_._--. DATE---_--_- <br /> Altora+ionoand/or recommendations:�-�-._-__-----_'---.__�--_—_�---__-___' <br /> � .� ' <br />' -'-_.-_---''----.'-''''-''-_''_--''--_-'-'--.-��_--''''_---'''_----''--_' ------------------------ <br /> --------------'-- <br /> ___.''-'_---------------------------------------------------------------------- <br /> ---------------------------------------------- ------------------------------------------------ ----'ty`''^' ------- --------- --------------------------------------------------------------- <br /> , -4 1 <br /> FINAL INSPECTION BY: ^'�-- ���y ~ 4Date--.--.�/+ ' <br /> -1+ ------------------------------------------ <br /> SAN JOAQUIN LOCAL HEALT <br /> _'''--''--_---''SANJOAQU|NLCCALHEALTH DISTRICT y <br /> � <br /> /sn s""m American Street 300 West Oak Street /sz Sycamore Street 814 North "C" Street <br /> Stockton, California Lod;, California Manteca, California Tracy, California <br /> ES-9--2M 8'5/ x^./=a vv-2/00 ~ <br />