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FOR OFFICE USE: APPLICATION FOR SANITATION! PF11MIT _ ......._..-•--------•-- `� (Complete in Triplicate) Permit No. .7...:7 :._.. ......................................................... 7s: ................................... This Permit Expires 1 Year From Date Issued 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 ...P-...O. Box 30, Tracy, CA/14:700 -Schulte.•R@ENSUS TRACT .......................... Owner's Name ..._Owens-Illinois, Inc. phone 209-835--5.701.____ ------ ---•------------------------ ,...._................. Address . 14,70.0_ .S.�hulte--Ra---- ----..............City ..fix a ......CA...9S. .7.b------------•--- ------•--------- Hallanger Engineers, Inc. .._„License # 271,541 Phone 415-254-4740 Contractor's Name -- -•-• . • -- ....... ............ ............ .. ................. Installation will serve: Residence ❑Apartment House Commercial❑Trailer Court ❑ Motel ❑Other.....1tadustxy................... Number of living units------------- Number of bedrooms ............Garbo ge Grinder ............ Lot Size ......................................... Water Supply: Public System and name ........................ .... 1.......................,............................................Private ❑ V .--Com%Qsi. .i _-on--i 0 Character of soil to a depth of 3 feet: Sand> ] Silt Q Clay @ Peat❑ Sandy Loam p 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.) NEW INSTALLATION: (No septic tank or seepage pit permitted if public sewer is available within 200 feet,) PACKAGE TREATMENT ( J SEPTIC TANK j I Size................................................ Liquid Depth ......................... Capacity -------------------- Type .................... Material...................... No. Compartments Distance to nearest: Well ....................................Foundation ...................... Prop. Line ..__......._........... LEACHING LINE [x) No. of Lines ......A.8............. Length of each line....10.0................ Total Length ...4800 D' Box .....4..... Type Filter Material1'l-�...l/.2.'�epth Filter Material l2�'rBelow7„''Tosal. Distance to nearest: Well ....1400 9t0roundation ..... .... Property Line ..... '.�$�......... . J SEEPAGE PIT [ J Depth Diameter ................ Number ............................ Rock Filled Yes ❑ No ❑ WaterTable Depth ................................................Rock Size ................................ 'J Distance to nearest: Well ........................................Foundation .................... Prop. Line ---------------------- REPAIR/ADDITION(Prev. Sanitation Permit# ............................................ Date .................................. Septic Tank (Specify Requirements) ....Utilize existing as. is................................................................................. _ Disposal Field (Specify Requirements) Abandon--exit-ung--.-...Install.-new---and__-larger... ystem-_..____. (See attached design notes) ................................................... -•-----•----------------------•-----••---•---------------------------•--------------•--------------------------•-----•----------------•......--------- _ ------------ ............................................ ..................................................-............................................................................................ (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 Son Joaquin County Ordinances, State Laws, and Rules and Regulations of the San Joaquin Local Health District. Homo owner or licon- sed agents signatu�c tifies the following: "I certify that i fhe orm e o the work for which this permit is issued, 1 shall not employ any person in such manner as to become ubi /ma om ensation laws of California.” Signed ---- --- ---- E ------- Owner --r BY ------ Title _. lttA)'S• f (If other than owner) �-- -= FOA DEPARTMEK USE ONLY APPLICATION ACCEPTED BY �� ...... ............................ DATE =---7.6 BUILDING PERMIT ISSUED -- DATE ------------------------------------------ ADDITIONAL COMMENTS ....� ............................ .............................. .. ..............•-- .................... ................. ................-............................. ...................................................• ........ ................. ...............................--------.......---- ............... ------.................. . ----......--------- ........... .---- --- C-............----------................. ------- -----.-.-----.------------- -- --- .................. ... -------------------------- ------ Final Inspection by: - -- . . ,-L • ....................Date��. ---• EH 13 21 1-68 ife-v. 5m SAP,} JOAQUIN LOCAL HEALTH DISTRICT 8/7h 3M