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•. APPLICATION FOR PERMIT 6-5 SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZEL 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 Coun Ordinance No.549 for sewage r ty ge o Na. 1862 for well/pump and the Rules and Regulations of the San Joaquin Local Health District. Job Address City Lot Size PM Owner's Name {�� ddress "`w`�" Phone i Contractor S Address License No. Phone TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ I f� DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD. . LINE V�j1 .FOUNDATION AGRICULTURE WELL OTHER PITS/SUMPS INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUC ECIFICATIONS ❑ Industrial ❑ Open Bottom ❑ Mantecaof Well Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tr Type of Casing Specifications l'l Public [_1 Other ❑ Delta Depth of Grout Seal ? P Type of Grout l I 1 Irrigation rox.`Depth l I Eastern Surface Seal Installed by r Repair Work Done ype of Pump H,P. State Work Done Well Destr n ❑ Well Diameter Sealing Material (top 50'I Depth Filler Material Below 501 i TYPE OF SEPTIC WORK: NEW INSTALLATION I] REPAIR/ADDITION ( I DESTRUCTIO (No septic system permitted if public sewer is � available within 200 feet.) Installation will serve: Residence 4. Commercial_ Other Number of living units: Number of bedrooms 1 Character of soil to a depth of 3 feet- Water table depth SEPTIC TANK ❑ Type/Mfg; ""F ^*Capacity'_' -—_N6.No. Compartments PKG. TREATMENT PLT. ❑ I j Method of Disposal Distance to nearest: Well Foundation Property Line LEACHING LINE ❑ No. & Length of lines Total length/size i FILTER BED ❑ Distance to nearest: Well Foundation Property Line 4 SEEPAGE PITS 11 Depth Size Number SUMPS L-i Distance to nearest: Well Foundation Property Line DISPOSAL PONDS ❑ f 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:,,�Lcertify_that.in-the.pe0!rmance_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 a plicant must call for all requir spections. o plete drawing on reverse side. Signed XT- q Title: Date: 1q-k,--_7 BOR DEPARTMENT USE ONLY �] Application Accepted by r Date / Area o Pit or Grout Inspection by `" Date Final Inspection by Date..�� Additional Comments: I r ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 823-7104 ❑ Tracy 835-6385 .Applicant - Return all copies to: Environ ental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 FEE INFO AMOUNT DUE AMOUNT REMITTED CASH RECEIVED BY 'DATE PERMIT'NO. ♦ 324 Ar. 1i R . 1] 4-2tEH 1 1✓L'C''