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' APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZELiON AVE., STOCKTON, CA 1D\4 tri, Telephone 12091 466-6781 PERMIT EXPIRES 1 YEAR 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. s. -12 Job Address City rf Lot Siz ply Owner's Name �qd m),-X.- Address Phone Contractor /dim _Address av License No. w Phonecs TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ 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 Well Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications 0 Public ❑ Other ❑ Delta Depth of Grout Seal Type of Grout I I irrigation —_Approx. Depth 1 1 Eastern Surface Seal Installed by Repair Work Done ❑ "Type of Pump H.P. ' State Work Done Well Destruction ❑ Weil Diameter Sealing Material (top 50'1 Depth Filler Material lBelow 50') TYPE OF SEPTIC WORK: NEW INSTALLATION 11 REPAIR/ADDITION 1 l DESTRUCTION _INo septic system permitted if public sewer is r available within 200 feet.I Installation will serve: Residence_ Commercial— 'Other Number of living units: Number of bedrooms f, . .. .� Character of soil to a depth of 3 feet: Water table depth SEPTIC TANK ❑ Type/Mfg Capacity No, Compartments PKG. TREATMENT PLT. ❑ Method of Disposal Distance to nearest: Well Foundation Property Line } LEACHING LINE ❑ No, fir Length of lines Total length/size FILTER BED ❑ Distance to nearest: Well 'Foundation Property Line SEEPAGE PITS ! I Depth Size _ Number SUMPS + Cl Distance to nearest: Well foundation Property Line DISPOSAL PONDS ❑ s 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, an 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 applicanmust call for all required inspections. Complete drawing on reverse side. Signed X Title: Date: I. OR PARTMENT USE ONLY Application Accepted by + Date Area Pit or Grout Inspection by Date Fin 1 spection b i� Date%7 Additional Comments: 4 er ❑ Stk 466-6781 ❑ Lodi n369-3621 ❑ Manteca �8237104 Tracy 835-6385 Applicant - Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 '! JJ FEE OUNT DUE AMOUNT REMITTED CK 49RECEIVED BY DATE PERMIT'NO. ? INFO ASH i + EH 13-21[REV. /n51 �53s� S vz� g�-yr1 EH 11-29