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APPLICATION FOR PERMIT C_S SAN JOAQUIN LOCAL HEALTH DISTRICT � s/- 1601 E. HAZE T ON AVE., STOCKTON, CA /la--tom Telephone (209) 466-6781 Ala Br/d �* � PERMIT EXPIRES 'I YEAR FROM DATE ISSUED P - (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 r City { Lot Size PM M �` Owner's Name �J /v, '' —� C Address Phone Contractor_ lr(/ _Address License No. Phone TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC YANK SEWER LINES DISPOSAL PROP. LINE FOUNDATION AGRICULTURE WELL OT WELL PITS/SUMPS INTENDED USE TYPE OF WELL P EM AREA CONSTRUCT SPECIFICATIONS ❑ Industrial ❑ Open Bottom ❑ Mantec Dia. o ell Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy pe of Casing Specifications 1-1 Public ❑.Other (:1 Delta De of Grout Seal Type of Grout I Irrigation _Approx. Depth I I Ea n Surface I Installed by Repair Work Done ❑ Type of Pump H.P. State Work Done _ Well Destruction ❑ Well Diameter Sealing Material (top 50'1 Depth Filler Material (Below 50'1 TYPE OF SEPTIC WORK: INSTALLATION I 1 HF PAIR/ADDITION I I DESTRUCTION^Nb septic system permitted if public sewer is available within 200 feet.) s Installation will serve: Residence_ Commercial_____ Other Number of living units: Number of bedrooms Character of soil to a depth of 3 feet: Water table depth SEPTIC TANK Type/Mfg � ��+ _ Capacity No. Compartments PKG. TREATMENT PLT. ❑ Method of Disposal Distance to nearest: Well Foundation Property Line LEACHING LINE ❑ No. & Length of lines Total length/size FILTER BED ❑ Distance to nearest: Well Foundation Property Line SEEPAGE PITS I I Depth Size Number SUMPS LZ Distance to nearest: Well Foundation Property Line DISPOSAL PONDS ❑ 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 haws of California." The applicant must call for all requirpdjrlspectio . C to drawing on reverse side. Signed X CSJ(,l(�L/1, Title: Ll w4uq_ — Date: y C FOR DEPARTMENT USE ONLY Application Accepted by Date <� p Area L/ Pit or Grout Inspection by Date Final Inspection by�� .^� Date Additional Comments: Q'r`► 3-4-2- ❑ 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 95201 FEE AMOUNT DUE AMOUNT REMITTED CK CASH RECEIVED BY DATE PERMIT NO. INFO EV.I/H51♦ EH / EH42Vo C/ / � lac"CC�r� LL-. 6JCJ