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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZETON 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. 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. Job Address 50 City Lot Size PM Owner's Name ►` _ _ L ��s � S�LJ� LL/ 7�121�L✓�I Phone Contfac Address- E/W76 License No. Phone176 TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD. PROP. LINE {} FOUNDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS v INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS ❑ Industrial Cl Open Bottom ❑ Manteca Dia. of Well Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications l'1 Public CI Other fl 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 r Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION I } EPAI DDITIORRf DESTRUCTION l I (No septic system permitted if public sewer is available within 200 feet.) Installation will serve: Residence Commercial X_ Other v Number of living units: Number of drooms Character of soil to a depth of 3 feet: Water table depth SEPTIC TANK ❑ T ypelMfg / Capacity No. Compartments PKG. TREATMENT PLT. ❑ Method of Disposal Distance to nearest: Well Foundation Property Line (Z LEACHING LINE 0 No. & Length of lines Total length/size __ P FILTER BED ❑ Distance to nearest: Well Foundation Property Line SEEPAGE PITS .Depth Size Number !v y SUMPS Ll Distance to nearest: Well � f_. Foundation -44 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." y The applican ust call fnrqu d inspections. Complete drawing on reverse sidel Signed X Title: �r Date: FOR DEP RTMENT USE ONLY / Application Accepted by_77��i Date Area 1 �, it Grout Inspection by ate f Final Inspection by Date=TS_ 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 95201FEE INFO AMOUNT DUE AMOUNT REMITTED CASCK H RECEIVED BY DATE PERMIT NO. + EH 13-21(REV.1i K 5) 1 E1 [) ~` i r 1 �.- •� {� f"tel �,) EH 14-28 J