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` APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZEL T ON 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 Cit Lot Size PM snare, r nna E I rvo� EI m Owner's Name Addre Phone ' Contractor", 1YYYjre-Address License No.—Phone �� , TYPE OF WELL/PUMP: NEW WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLA SYSTEM REPAIR ❑ OTHER ❑ �a_ 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 LlIndustrial 13Open Bottom LJManteca Dia. of Well Excavation Dia. of Well Casing \ ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy - Type of Casing Specifications 1'1 Public 11 Other Cl 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 V Well Destruction ❑ Well Diameter Sealing Material Itop 501 Depth Filler Material {Below 50'1 L� TYPE OF SEPTIC WORK: NEW INSTALLATION REPAIR/ADDITION 1 I DESTRUCTION ( 1 INo septic system permitted if public sewer is �1 available within 200 feet.► 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 s SEPTIC TANK it, Type/Mfg / CapacitykCoM.A3�_ No. Compartments PKG. TREATMENT PLT. ❑ r Method of Disppsal i Distance to nearest: Well_1.2„c� Foundation Property Line LEACHING LINE \ &4- No. & Length of lines �� /OD� _ Tota! length/size OD FILTER B ❑ Distance to nearest: Well�,,�-- Foundation IZ Property Line �c"Y SEEPAGE PITS I i Depth Size Number SUMPS 0 Distance to nearest: Well Foundation Property Line DISPOSAL PONDS El 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: "1 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." Contractors 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 ap� must cal�olrequiredtnsp�e ns. Co �Ienewing{�an� raveTse side. �+tk��,P Signed itle l�F Date: 1 OR DEPARTMENT USE ONLY Application Accepted by Date Area AI Pit or Grout Inspection by Dates Final Inspection by Date 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 , OUNT DUE AMOUNT REMITTED ASH RECEIVED BY DATE PERM17*NO. INFO �} ` f r EH 1 3-24 EH 14--28(REV.t i H 5) 7r7 0 . 6t x'70. a `�� !�//