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� K <br /> ---e.- ^� . <br /> -...... .....��/,- ........ -............. . \ `_/L)CAJ/ON FOR SANITATION pE@mO[ Permit No. <br /> (Complete in Duplicate) <br /> �iz6 Du+e IssuedvmJ -'�/���`. <br /> Applica tion is han,6v mm6o to the San Joaquin Local Health District foi+ tol st and <br /> This application is made in compliance with County Ordinance N 54% <br /> Installation will serve: Residence 0 partment House Ej Commercial E] Trai6er- , rt El Other <br /> Number of living units: -------- Number of bedrooms -------- Number of bat _ r <br /> Water Supply: Public system Community system [] Private 0 Depth to Water Table.-S'm ft. <br /> Character of soil to a depth of 3 feet: Sand Ej Gravel F] Sandy Loam Ej Clay Loam 0 C,>,0 A obe e--'Hardpan <br /> Previous Application Made: (If yes,date-- . ­ .- ) No New Construction: Yes E] FHA/-VA: Yes 0 No <br /> TYPE CJFINSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted blic sewer is available within 200 feet.) <br /> S~ : <br /> ty- <br /> Dis |6. Distance from nearest w4erlI ' Distance to nearest lot | ,.5-4. <br /> Type of filter material._!571&Ir4_Depth of filter material... Total length--------------------07ro...... <br /> ^See Distance no noo�, lot line_ <br /> -eopoo : Distance from nounatwoU—----Distance from foundation--------------------Liningmaterial <br /> El / Size: Diameter - -------------- ...............Depth----- ----- ----------------- --------------------Liquid Capacity ` <br /> ) <br /> Privy: <br /> Distance from nearest well--------------------- -'Dbt nco from nearest building --- <br /> Distance to nearest lot line, - <br /> I h 'eby cerfif hat I have prepared this application and that the work will be done in accordance with San Joaquin County <br /> TT <br /> ordinances, S ate and rules a regulations of,4he San Joaquin Local Heath District <br /> A- --- -------------4- -----­___ <br /> (Plot plan, showinq size of lot, location of system in relation to wells, buildings, e can be placed on reverse side). <br /> FOR DEPARTMENT USE ON,LY <br /> Alterations and/or recommendations: <br /> '------------------'-------'----------------'------'-'---'--'------'------'-----------'''- <br /> ----_----._'---------_-----._----_.---.-'------_.--.----__-_'_-'--'-'--'--'-'------_____-----..._-'--_---- <br /> '---'-'--------------------''--'--'------------'--''-'----'-----------------------'-''----------' <br /> '--_._._-_---- —' <br /> FINAL INSPECTION 8Yu�� ���~�-� Dv ...... . <br /> SAN JOAQU|N LOCAL HEALTH DIST T /' ^~ <br /> 130 South American Street ,vnWest Oak Street 124 Sycamore Street m5West"/hStreet <br /> Stockton, California Lodi,California Manteca,California Tracy, California <br /> ," 9 "E°"," °-s° "" ,'"' ^`L^" <br />