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FOR OFFICE USE: <br /> FOR OFFICE USE: '/APPLICATION FOR SANITATION PERMIT e3� <br /> Permit No.-��------- ---�- <br /> --------------------- - <br /> - -�--- (Complete in Triplicate) � <br /> Date lssued_10-,1.6:;2 <br /> This Permit Expires 1 Year From Date issued F <br /> and install the <br /> No. 544 andrexistin <br /> Application is�hereby made to the San Joaquin Local Health District for a permit to construct <br /> and Regulations: work herein described. � <br /> PP <br /> This application is made in compliance with County Or inane V _ , <br /> ` �1' TRACT.------ <br /> JOB ADDRESS/LOCATION ----- µ. �.� �..m.»- �--- - : o <br /> y ' <br /> h <br /> t f _ .G--- <br /> Owner's Name- _ .• --- --------------------------- - <br /> 1�.J i - '--- `City_ = - hone <br /> --------- - --- <br /> r�� , Z <br /> Address_.- - - <br /> --1',License # - <br /> � � _ k .. - <br /> Contractor's Name.------ = } i ► .. 4 } <br /> Commercial ❑ 'Trailer Court ❑ <br />` Installation will serve: Residence': n m <br /> ' tH <br /> I Motel, t.; n o ------ ------------ <br /> 'Xr e use 1 <br /> _ , ,...L• Oth -. <br /> l L <br /> ri - t_Garbage.Grinder.- -.-- ----- <br /> -Lot'.Size - <br /> Number of bedrooms , •� ' <br /> Number of living units:-- ------------ n ? -_ ----- Hunt <br /> p Public System and`name.__ <br /> Water Supply- E <br /> $rlt - Peat ❑ Sandy Loamy Clay Loam ❑ <br /> t i <br /> I <br /> I Character of soil to a depth of 3 feet: Sand ❑ ; , ❑ 'Clay <br /> ' iFili MaterraL� yes, type - ------ ------------- <br /> Hard ' <br /> pan 0; Ad�obe.[� � <br /> f f lot location of system in vela#ion wells, huild•+ngs, etc. must be'placed on reverse side.) •.u. <br /> r (Plot plan, showing size o i t' r' <br /> '~ it ermitte8 if public sewer is available within 200 feet,} <br /> NEW INSTALLATION: (No'septic <br /> tankor seepage P P N <br /> r : --------- <br /> . ��p _ _ -Liquid Depth -. <br /> :-SEPTIC TANK-1 <br /> "Size----- " 1 ------------ ------ <br /> PACKAGE TREATMENT [ } i [ <br /> "" .Mafernal as=_�- - •'-_ -- E-•= =�- _No."Cornpcirtments----------------------------------- <br /> Capacity =Type 9 ------------------- <br /> dot 1 <br /> �;. : "• ---- ---Pro Line - <br /> ' .- Founion Prop.. _ <br /> { bistancerto nearest: Well '-- --- --- <br /> k No. LLines;:.. - - ----------- L-en9!h^of,6dt line <br /> .: Total. Length . ._ <br /> LEACHING LINE' [_j4 .. ,e ..,,.Materia ---- -- <br /> 3 ; <br /> r 'D' Box._.___.--_ -T � e Filter Material_._----------- Fou dot on Filter Maternal Pro e <br /> Type ------ - <br /> t" Line <br /> - + , s of � P rty L _-*_ <br /> Distance to Hearst: 1Ne11 <br /> l 1 #; 3}` - - -- Rock Ye ❑ N <br /> r:z,�;_v��_s- Number- <br /> --. �� R Filled s o ❑ <br /> SEEPAGE PIT <[ } Water Table Diame#e - • ize: ..._', <br /> �! Depth F... t <br /> -------------------------- <br /> ---------------- <br /> P <br /> --_ Rock Size_ -. <br /> ----- ------- -�-- - � F. <br /> i <br /> .. rop. Line <br /> Distance.to nearest: Well-_;--_-- <br /> _Fouridation-.i---__-_--.__ <br /> ---------------- <br /> REPAIR/ADDITION �Frev--5ani•tation-Per"mrt#------- <br />