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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZELTON 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 ��`� � y G� Lot Size 44� 14 G!—Pfyl Owner's Name 1/, V 10 TW ?---)A "Address rI t 1 0 "Phone Contractor L F —_ Address <? License No. Phone TYPE OF WELL/PUMP: NEW WELL 11 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 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 1`1 Public n Other Cl Delta Depth of Grout Seal Type of Grout I I Irrigation _____Approx. Depth l I Eastern Surface Seal Installed by Repair Work Done ❑ Type of Pump H.P. State Work Done Well Destruction ❑ Welt Diameter Sealing Material [top 501 Depth Filler Material (Below 501 1 TYPE OF SEPTIC WORK: NEW INSTALLATION 141-0—REPAIR/.ADDITION I I DESTRUCTION I 1 INo septic system permitted if public sewer is available within 200 feet.) � Installation will serve: Residence�Commercial_ Other Number S- of living units: Number of bedrooms 4J _ Character of soil to a depth of 3 feet: Water table depth SEPTIC TANK Type/Mfg arIr—ALtIfCapacity G (7 No. Compartments PKG. TREATMENT PLT. ❑ / I Method of Disposal Distance to nearest: Well Foundation .__ Property Line 2 r r LEACHING LINE Wo No. & Length of lines _q Total,-length/size 6 FILTER BED ❑ Distance to nearest: Well' �+f Foundation 99 Property Line t SQL SEEPAGE PITS i I Depth Size Number SUMPS ❑ 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 DiMrict. 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 mus call for all requir cL inspections. Co plate drawing on reverse side. Signed Title: a�l Date: -AQ "_ 'FOR DEPARTMENT USE ONLY Application Accepted byZ�LDate Arga Pit or Grout Inspection by Date Final Inspection by ate (� 1 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 95201 FEE AMOUNT DUE AMOUNT REMITTED RECEIVED BY DATE PERMIT'NO. INFO +.EH 9324 1REV.I/H 5f � l EH 14-26 a d -LS - pV70 ti