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APPLICATION FOR PERMIT �— SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZE I ON AVE., STOCKTON, CA Telephone 209 466-6781 Telep ( 1 PERMIT EXPIRES TYEAR FROM DATE ISSUED (Complete in Triplicate) �Rv1� Application is hereby made to the San Joaquin Local Health District for a permit to construct and/or install the work htlf�d��l��s thip�'%\g application is made in compliance with San Joaquin County Ordinance No. 549 for sewage or No. 1862 for welUpump and the Rules anU Reg s of the San Joaquin Local Health District. Job Addressm3-3,l3-3, W. City Lot Size PM Owner's Name Address Phone w C.ja. 4 f Contra ctorPddress c se No.��s_Phone � r 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 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 19Tracy Type of Casing Specifications FI Public ❑ Other ❑ Delta Depth of Grout Seal Type of Grout _ I I Irrigation —Approx. Depth l I Eastern /$urface Seal Installed by _ Repair Work Done ❑ Type of Pump 4"AM42n H.P. 1 _-_ State Work Done r �� Well Destruction ❑ Well Diameter Sealing Material Itop 501 Depth Filler Material 16elow 50'1 TYPE OF SEPTIC WORK: NEW INSTALLATION 1.1 REPAIR/ADDITION i I DESTRUCTION I I (No septic system permitted if public sewer is r 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 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 11 Depth Size Number SUMPS —Ll- 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 applic 11 for all requir inspections. Complete drawing on verse side. Signed c Title: Date:.49t R DEPARTMENT USE ONLY Application Accepted by Date ✓ A Area Pit or Grout Inspection by Date Final Inspection by ate—J41/e Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 823-7104 ❑ Tracy 835-6385 Applicant - Rrn all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 200 9, Stk., CA 95201 7_ it .6 --ccLr-4 �P,,u ed- �o�c "ly 4. self-c«Irac>`e_d Jr+j..�ed ��++- Pe� ._.t PUwAcl. FEE INFO AMOUNT DUE AMOUNT REMITTED CK CASH RECEIVED BY DATE PERMIT'NO. rEHt3-24(REV.1/s5) 3 � p [ -ZS- r Wr-2��7 EH 14 28