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FOR CrF CE USE - — '/ _1oE USE <br /> A►PCLICATIN OFOR SANITATION /[Knelt FOR OFFI <br /> IComplets In Trfplicatel Perms No. -2 1, 4•.? 0 <br /> •,TMs Permit Expires 1 Year from Date Isawd Vote hwad 7 ( <br /> Appl car!on is hereby rnade to the Son Jcaquin Loco; Health D.srr,cr lo, a perm f to conitruc? and install the work herein desct bed. <br /> This opplKaf+an �% mode ,n compliance with Courcy Clodinanu No 549 and <br /> ,/ex+Sri uses/a/n'd/"�.o ari�o�ns.'_ <br /> 'JOB ADDRESS/t ATI �(�'�4f�E (� c/i�J- " CENSUS l`�i f <br /> Owner'3 Narr a PnoM <br /> Address ��``/'' �..�-� fJ� srD � GCdy // Zig. <br /> Cantrnctcl Name p License 6. ,r�ffl Pharr <br /> Installation will terve. Res,denreApartmem ►rouse r-i Commercial U Troller Court <br /> Motel Crater <br /> Number of 1,wing ants. , Garbage Gr,n1Jw� Lot Size <br /> ,/;Wore+Supp.y: Public System and norno P+ivateA/ <br /> Character of so•1 to o aeprh or 3 trrr d �'7 'Si1J.f� -Cloy _; . Pea: ❑ Sandy loam C. Cloy loam Q <br /> Hardpan Adobe mW/Foil_Mo+er o If yes, type <br /> IPlat plan, showing sire of for location of system ,n re[otron to we!4. bu,ld«ngc, etcmust be placed on eevww side.) <br /> INSTALLATION! [No sepHt ronx ar seopoge p++ perm trod if public sewer ,s available within 2C9 fee!] a t <br /> PACKAGE TREATMENT j j SEPTIC TANK j j Size avid Depth �+ <br /> Coppery Type Material No Camporrmenrt <br /> Dfsranee to nearest. Wool foundotion Peop. Line <br /> LEACHI.40 LINE j No, of lines Length of eoch tons Total length <br /> r` 'D' Box - Type Filter Material Depth filter Material . . <br /> Distance to nearest: Well foundation Properiry L-ere <br /> SEEPAGE Pit I I Depth D.ometer Numbe+ .. Rock Fined Yea L, No A <br /> Water Table Depth . . Rock Size <br /> Distance to neatest- Well Foundation Prop, line <br /> REPAIR,'ADDITION IPrev, Sonaat.on Permit I Dors I <br /> Sep+.c Tank (Specify Requ.rsmeme <br /> D,spowt Fieh;,f5,p/etify Repuiromen+sS <br /> / i/Drove existing and requi•ed addition on reverse side) <br /> I hereby certify that I have prepared this application and that the work will IW done in accordance with San Joaquin eeetrtl. <br /> Ordinances, State Laws. and Rule, and Regulations of the San Joaquin Legal Hoolh Dissrlct. Herne ewaM of licensed agerils <br /> slynorure candies the fallewing: i <br /> "1 certify rival sit she perlwrnance of the work for which Obis permit is issued, 1 shall net evrrploy arty person in such manner as <br /> to become subiect Ie Workmon s CornpemoHo++ tows of Cobfofnics" <br /> Signora ,,,�,/ Owner fir) <br /> 9y / r T:rle <br /> / pl othw. than owns•) ! <br /> _ _ FOR E►ART USE ON <br /> APPLICATION ACCEPTED BY ��—.. �/ ""^ �f,jLA -- --DATE -7// - -- <br /> Dl+iciiON Or LAND NUMBER DATE <br /> A 1ION+1AL COMMENTS / <br /> Final Inspecrian by. " ! �l`� ! <br /> IN r. ,( SAN JOAQUIN LOCAL HEALTH DISTRICT •u 1 s•t nor. 1e ]v <br />