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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZELTON AVE., STOCKTON, CA Telephone (209) 466-6781 PERMIT EXPIRES 1 YEAR 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. THs application is made in compliance with San Joaquin County Ordinance No. 549 for sewage or No. 1862 for well/pump and the Rules and Regulations of the San Joaquin Local Health District. Job Address / -7 11-0'41 City Lot Size PM Owner's Name d !7 Address F U4et�ti/ ✓Ll1. Phone ContractZl Z ` Address r 7C�' lT License No.. 7 ,;�(P Phone TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR [_1 OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD. PROP. LINE FOUNDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications .� ❑ Public ❑ Other ❑ Delta Depth of Grout Seal Type of Grout ❑ Irrigation __ Approx. Depth ❑ Eastern Surface Seal Installed by Repair Work Done ❑ Type of Pump H.P. State Work Done Well Destruction CJ Well Diameter Sealing Material (top 50') Depth Filler Material (Below 50') 1 TYPE OF SEPTIC WORK: NEW INSTALLATION REPAIR/ADDITION ❑ DESTRUCTION ❑ (No septic system permitted if public sewer is available within 200 feet.) Installation will serve: Residence Commercial Other Number of living units: _,L Number o edrooms / Character of soil to a depthof 3 feet: Water table depth +` SEPTIC TANK Its Type/Mfg . /N -cam Capacity1�_ No. Compartments PKG. TREATMENT PLT. C _ / r Method of Disposal Distance to nearest: Well C Foundation Property Line 57 LEACHING LINE L7 No. & Length of lines Total length/size FILTER BED E] Distance to nearest: Well _s Foundation /C' Property Line SEEPAGE PITS L� Depth �.� Size :33 Number r SUMPS ❑ Distance to nearest: Welll/)C� Foundation /C'7 Property Line.S DISPOSAL PONDS ❑ 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: "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." 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 applica must call for Il requited inspections. Complete drawing on reverse side. Signedkl- -0 ` _ Title: Date: �J FOR DEPARTMENT USE ONLY 15/ Application Accepted by Date Area Pit r Grout Inspection by Date Final Inspection by ate Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 823-7104 ❑ Tracy 835-6385 Applicant - Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 FEE I AWAni My nl IF AMnI INT PFM ITTFn CK-# Prrs:ivFn RV r)ATF PFRMIT Nn