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FOR OFF CE USE: XPPLICATION FOR SANITATION PP'• `1T � � � �/-- Permit No. - �� fJ (Complete in Triplicate) 7 Date Issued ....... ......'l� ....... ------------ This Permit Expires 1 Year From Date Issued Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. This application is made in compliance with County Ordinance No. 549 and existing Rules and Regulations: JOB ADDRESS/LOCATION . � -1-7 4d c _ [ . CENSUS TRACT .--------- Owner's Name C -------------Phone ------------ ...-- c- Address . `- t...�..1-x - -- --- --. Cit ------------ , Contractor's Name -.... ..-.. ..--..-.License #� %./ ',-� Phone - Installation will serve: Residence Rf Apartment House❑ Commercial ❑Trailer Court ;❑ Motel ❑ Other -------- --- --- ------............ ------- Number of living units:._. . Number of bedrooms _/-------Garbage Grinder Lot Size ----- -- Water Supply: Public System and name ------------- ------------------------------------------Private Character of soil to a depth of 3 feet: Sand'❑ Silt❑ Clay ❑ Peat❑ Sandy Loam ❑ Clay Loam Hardpan ❑ Adobe ❑ Fill Material If yes, type _..---_------------------- (Plot plan, showing size of lot, location of system in relation to wells, buildings, etc. must be placed on reverse side.) ' t NEW INSTALLATION: {No septic tank or seepage pit permitted if public sewer is available within 200 feet,) r PACKAGE TREATMENT [ ] SEPTIC TANK Size_ - ',r'f__ _ -----_---_---- Liquid Depth i�,--.-............ J p.. .: / p y . 2 �'(�._ Typeli �Pr�Material_C'� .��C -.� No. Compartments -._-- -._.---._ Capacity Distance to nearest: Well - 7,;,;:� -------------------Foundafiion :��? Prop. Line -------- LINE No. of Lines - --- Length of each fine.... �_ -------__ Total Length - 'D' Box ,�rf- Type Filter Material/n/��Depth Filter Material s` Foundation --. Property Line ._.-- _ iO Distance to nearest: Well -_�--..-_..._ :r_�,r�'_._"--_._ ___----_--- SEEPAGE PIT [ ] Depth .........._........ Diameter .-.------- ----------- ------ Rock Filled Yes No ------ Number - --- - - ❑ C] Water Table Depth --------- --------------------------------------Rock Size ........ --- ------- Distance to nearest: Well .................. -----Foundation ------------_-..... Prop. Line ----------.-------, .- REPAIR/ADDITION(Prev. Sanitation Permit# -------- ---- ---...-----.--.---. .--- Date .....-----------------------------) Septic Tanis (Specify Requirements) ----------------------------.---------- - ---------------_------ Disposal Field (Specify Requirements) ----------------- --------------------------------------------.-- - -- ---- - ---------- --------------------------------------- ......................... ----- - ------------ -.--- ----------------------------------------- ---- ---- ----.................... --------------------- .... ----- - -- - --------------------------.....---- ----- --- ---.--...----------------------------- (Draw existing and required addition on reverse side) 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 licen- sed agents 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." Signed -.. '. Owner By ------------------- � � `/'/ '%z/i. Title .........._C� r ..... --- --- ..... (If oth than owner) FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY - ------------- - (� DATE ...��792 _ /_-- ------ BUILDING PERMIT ISSUED -.. _ .-- _DAT; ............ .. . _/- c 11 `'` ADDITIONAL COMMENTS -.-� E,Sr,�'J�-csr�-xC. �- -- ----- -��-�•'��..r- - . ._. ... ------------------------------------ --------------------- ---- --- .... . -------- -- --- . f_�G ...... ... ........................... .. ------------- - ------- - ---------- --------------- --------- - --- -- --------------------- --------- ----------------- --. ....... ........ f - .... ---------- j ------ -DateFinal Inspection bY SAN w.. JOAQUIN LOCAL HEALTH DISTRICT E. H. 9 1-'68 Rev. 5M