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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZE.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. :•1 1 r Job Address Cit, Lot Size PM l l Address :?A�• �2a "! Phone Owner's Name Contractor 411ZW24d1ress Z 3 Q� / 'v cense No, � 9� Phone '35-7 74 TYPE OF WELL/PUMP: NEW WELL ii� WELL REPLACEMENT ❑ DESTRUCTION ❑ } PUMP INSTALLATION ❑ "' "SYSTEM REPAIR ❑ -- --- ------OTHER 0 -- DISTANCE DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD.�` PROP. LINE i FOUNDATION AGRICULTURE WELL OTHER WELL��1t PITS/SUMPS INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS lI _ y? O Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation Dia. of Welt Casing ® Domestic/Private t f Gravel Pack Tracy Type of CasingSpecifications F1 Delta Depth of Grout Seal "Type o FI Public n Other f Grout c¢�t # P 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 50'1 Depth Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION (I REPAIRIADDITION I I DESTRUCTION I 1 (No septic system permitted it public sewer is i - available within 200 feet.) s = Installation will serve: Residence_ Commercial_ Others 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. 8 Length of lines Total length/size FILTER BED ❑ Distance to nearest: Well Foundation Property Line " SEEPAGE PITS 11 Depth Size Number j 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 applicant mult call for all required i s ctions. Complete drawing on reverse side. Signed X CLT' _ Title: ��l"✓il��✓ - "G Date: / FOR DEPARTMENT USE ONLY L� Application Accepted by Date ` Area 3 Pit or Grout Inspection by 4- Date V Z3 90 Final Inspection y � � Data ?' P 6 Additional Comments: :i� ❑ Sik 466-6781 ❑ Lodi 369-3621 ❑ Manteca 823-7fO4 ❑ Tracy 835-6385 Applicant - Return all copies to: Environmental health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Silk., CA 95201 FEE AMOUNT DUE AMOUNT REMITTED CK RECEIVED BY DATE PERMIT'NO. INFO CASH + EH 13-24[REV.1/451 s -� S �� /�.7 y�y`/ { U �'�I•/ . EH 1429