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^ C) APPLICATION FOR SANITATION PERMIT Permit N«' <br /> \ ^�� k�pmp��e �u Dvp|�uh� �~�_2 <br /> Do+� Issued --� �°�� <br /> � - - <br /> App!icdtion i, hono6y made to the Son Joaquin Local Heu|+6 Dist rictfor o permit to construct and install the work herein described. <br /> This application is made in compliance with County Ordinance No. 549. <br /> ^u" ,,uuncua ,v LOCATION ' <br /> Installation will serve: Residence Ej Apartment House E] Commercial Trailer Court F] Motel E] Other <br /> Number of living units: _-Number of bedrooms Number of baths �.__ Lot size __/ <-/ <br /> Wafer Supply: Public system �4 Community system 0 Private F-1 Depth to Water Table 3:�-ft. Pc, <br /> C6urader of mJ to u depth of feet: Sand 0 Gravel F] Sandy Loam ED Clay Loam E] Clay F-1 Adobep Hardpan E] <br /> Previous Application Made: Ye, E] No New Yes [� No �r <br /> `- nTYPE OF INSTALLATIONAND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer isavailable within 200 feet.) <br /> Sep"Ic an k: Distance from noana,+ well-----------------Distance from <br /> foundation-. <br /> -.-MutorioL--------.------_-'-- <br /> No. of compu�mon+�--_-__Sbo-_.--------�qui6 600t ---------Cupoc�y-_---------------------- <br /> 11 <br /> _____- <br /> - <br /> 'b6�| FN�� Distance from noon,sf *oU +�%y��� -- -- ' � - -~ �° ^ ' ~'~'~^^` to ^`~'`^' � ~ <br /> ' <br /> D� <br /> Number of | Length of each <br /> Type of filter mu+ohu| 'Depth of filter material .,/uz�. <br /> --------Total length- ' <br /> Seepage Pit Distance to nearest U +�yciYE- Distance from fou 6 fi Distance to nearest lot line--.F/-, <br /> I hereby certify that I have prepared-this application and that the work will be done in accordance with San Joaquin Coun <br /> ordinances, Stofe laws, and, rules and regulations of the San Joaquin Local Health District. �y <br /> (Plot plan, showing size of lot, location of system in relation to Wells, buildings, etc., can be placy!d on reverse side). <br /> FOR DEPARTMENT USE ONLY <br /> APPLICATIONACCEPTED BY---j----------------------- ----------------------------------------------------- DATE-;"-.-- -------------------------------- <br /> --------' --------'_-._ <br /> ������..���������.�������.��.���������� <br /> ---------------------------------.�����'������'��'����.�������'������� <br /> '--___._---------__-_---.-__--'_--_-----_-_-_--_---_ --------------------------------------------- <br /> -- <br /> HN/\L INSPECTION BY��-�'�-� ' --------------------,-����---' 0a/u-.,-. - <br /> 3AN JOAQU|N LOCAL HEALTH DISTRICT / <br /> /m South American Street 3ooWest Oak Street /o Sycamore Street o/* w=+h ^o^ Street <br /> Stockton, California Lodi, California Manteca, California Tracy, California <br />