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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT It 1601 E. HAZEL T ON AVE., STOCKTON, CA �z Telephone (209) 466-6781 PERMIT EXPIRES 'I YEAR FROM DATE ISSUED (Complete in Triplicate) ro 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 .ti.: Local Health District. ,,� (111" Job Address '''" � , City Lot Siz PM Owner's r Address q�� "'�' ' Phone 553 Contract" L f� Address / ��!J�!1a License No. TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ s 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 Weil,Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications li .f 4 17'1 Public ❑ Other C] Delta Depth oPGrout Seal Type of Grout I i Irrigation ,Approx. Depth I 1 Eastern Surface Seal Installed by _ Repair Work Done ❑ Type of Pump H.P. State Work Done fi Well Destruction ❑ Well Diameter Sealing Material (top 501 ` Depth Filler Material (Below 501 _ TYPE OF SEPTIC WORK: NEW INSTALLATION 1. REPAIR/ADDITIO I. DESTRUCTION I L._INo septic system permitted if public sewer is f available within 200 feet.) Installation will serve: Residence— Commercial tither r Number of living units: Number of be 'oms. Character of soil to a depth of 3 feet: ' _ `" 4 g.*', Water table depth SEPTIC TANK Type/Mfg - Y Capacity- --1 No. Compartments PKG. TREATMENT PLT. ❑ le— _ _ / Method of Dist's t Distancewto nearest: . We110 .T Foundation A0 Property.Line Srr LEACHING LINE No. & Length of lines Total length/size FILTER BED ❑ .Distance to nearest: Well �� Foundation �� Property Line s..�G� ` SEEPAGE PITS l•1 Depth Size Number SUMPS 0 Distance to nearest: Well I Foundation Property Line DISPOSAL PONDS ❑ T�+- -- � ,. .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 Dihtrict. 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." .1 -The applicant m t II for all r niri pections. Complete drawing on rev a aside, Q Signed Title: lL Date:• FOR DEPARTMENT USE ONLY Application Accepted by Date Area t - Pit or Grout Inspection by Date Final inspection by Dat 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 95:201FEE • ` INFO AMOUNT DUE AMOUNT REMITTED CASH CK RECEIVED BY DATE PERMIT*NO. 3 ♦-EH 6-241REV.t 9!0 EH 14-2a t