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FOR OFFICE USE APPLICATION FOR SANITATION PERMIT (Complete in Triplicate) Permit No. 72—.:-.Y.7 This Permit Expires 1 Year From Date Issued Date Issued i Anolicaflon is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein -le•.cribed. This application is made in compliance with County Ordinance No. 549 and existing Rules and Regulations, !O� ADDRESS/LOCATION 8.740..Walnut..Acres. Roads Stockton CENSUS TRACT ......_.................. Owner's Name R.H.- Wallis, ............_...._............—. ............._... ....-. Phone ......931-461.6.......... Address 8740..Walnut...Acres .Roadeity .....St..ockton................... ........................_. Contractor's Name Parrish & Sons.._- -- - .............. _.....License#100511......... Phone ..466.4607. Y t' Installation will serve: Residence$Apartment House C] Commercial [3Trailer Court C] .y.. Motel ❑Other __... ...... ..................... ui Number of living units: Number of bedrooms ....3......Garbage Grinder ..Vee.. Lot Size ...Acre-. ......................_. Water Supply: Public System and name . ._.................. .............. _........_....._....................._.............................Private= 4, Character of soil to a depth of 3 feet: Sand❑ Silt❑ Clay ❑ Peat❑ Sandy Loam ❑ Gay Loam ❑ Hardpan❑ Adobe PgXFill Meterial ..__ ..... Ifyes,type ._.... . .. _..... ._.. --- as (Plot plan, showing size of lot, location of system in relation to wells, buildings, etc. must be placed on reverse Jde.l NEW INSTALLATION: fNo septic tank or seepage pit permitted if public sewer is available within 200 feet,) PACKAGE TREATMENT [3l�X SEPTIC TANK[ J Size...._..1200 .... VXV.. -.-. Liquid Depth 41-.ft........... } SZ....-•-•• p h Capacity 1200 _ Type .. �TF."P.._ .... Material . COnereteNcs. Compartments .2..(2�-••••- Distance to nearest: Well 105 .. .. . ......Foundation .. ...... Prop.Line_2`l..i......_.._. . a LEACHING LINE [ ] No. of Lines One(1)_. Length of each line 60-ft. .. Tota[ Length ...6.0.;...._.......».. 'D' Box . (.1.)Type Filter Materia[ -ro.ck......Depth Filter Material .-.IT....... J : Distance to nearest: Well . ..55....... ..... Foundation 15............... Property Line ..2,5!.... SEEPAGE PIT [ J Depth Diameter ................ Number . . . __ . ........ .. Rack F14ed Yes ❑ No (3 Water Table Depth Rock Size .......... ... .. ... .. Distance to nearest: Well ........................................Foundation ..... ... ....... .. Prop. Line ......... 41RMR/.) MTIONIPrev. Sanitation Permit# ........_.......-............. Date .................................-I ;A (Specify Requirements) JET. P.ackage.d..:3.ewage...treatment...S&Zt..Plant _ _......_... ..... Disposal Field (Specify Requirements) ....x...60!...add1tional...drainage.-. . . -- -- .--.--- - ..- . ...- - f (Draw existing and required addition on reverse side) I hereby certify that 1 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 licen- sed agen•s signature certifies the following: "I certify that in the performance of the work for which this permit is issued, 1 shall not employ eny Penon In such manner as to become subject to Workman's Compensation laws of California:" Signed Parrish A .]'�7niq ............. Owner BY . .. ...... .L .. ............._ , f r than owner[ ` FOR DEPARTMENT USE ONLY .-__..,_.�,......,..- -27tt .d... APPLICATION ACCEPTED BY __. ... DATE L. 7 � � _�7 - BUILDING PERMIT ISSUED . ._ .. .. ._. _. _. . .... DATE . . . ... ..... ADDITIONAL COMMENTS -- - -- - - '" Final Inspection by: �`�L - Date SAN JOAQUIN LOCAL HEALTH DISTRICT E. H. 9 1-'68 Rev. 5M