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APPLICATION FOR PERMIT NEW SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZE T ON AVE., STOCKTON, CA Telephone (209) 466-6781 PERMIT EXPIRES 1 YEAR FROM DATE ISSUED _ (Complete in Triplicate) Application is he)eby made to the San Joaquin Local Health District for a permit to construct and/or install the work herein described. This 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. ��JJ Job Address City r Lot Size 7r PM Owner's Name Address ;?,-3(&' A4��A_'z K Phone 47 Contractor �LE i'� f Address zLl License Phone TYPE OF WELL/PUMP: NEW WELL ❑ WELL RE15LACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ 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 I"1 Public ❑ Other n Delta Depth of Grout Seal Type of Grout I I Irrigation --Approx. Depth I I Eastern Surface Seal Installed by Repair Work Done ❑ Type of Pump H.P. State Work Done Well Destruction ❑ Well Diameter Sealing Material (top 501 Depth Filler Material (Below 501 _ TYPE OF SEPTIC WORK: NEW INSTALLATION REPAIR/ADDITION I I DESTRUCTION I I (No septic system permitted if public sewer is available within 200 feet.) Installation will serve: Residence Commercial_ Other 1 Number of living units: Number of bedrooms _ Character of soil to a depth of 3 feet: R_ e� Water table depth l�l SEPTIC TANK ❑ Type/Mfg Capacity l� No. Compartments PKG. TREATMENT PLT. ❑ Method of Disposal Distance to nearest: Well Foundation 11—S Property Line CA i — LEACHING LINE ❑ No. & Length of lines O�� Total Length/size I z> FILTER BED ❑ Distance to nearest: Well f.S`e Foundation ci2 S—> Property Line ;;:Z e962 _ SEEPAGE PITS I I Depth Size Number r SUMPS 0 Distance to nearest: Well Foundation Property Line !� 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 applicant st call for all required inspections. Complete drawing on reverse side. Signed X„ Title: ,, z -_�!-C_ Date: I� �21 F DEPARTMENT USE ONLY C Application Accepted by 6 ", s S Date _ Area ANW-9- lJ Pit or Grout Inspection by Date Final Inspection by Date I/ 16 1 rr�� Additional Com en s5` �` r ❑ Stk 466-6781 ❑ Lodi 369-3621 EI/Manteca 823-7104 ❑ Tracy 835-6685 Applicant - Return all copies to: Envir8nmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 rr _ FEE AMOUNT DUE AMOUNT REMITTED CK RECEIVED BY DATE / PER NO. INFO CASH 1- EH13.24(REV.I/w 5) - EH 14-29 01 l'