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APPLICATION FOR PERMIT ,,WAN JOAQUIN LOCAL HEALTH DISTf,,,/f 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. 1962 for well/pump and the Rules and Regulations of the San Joaquin Local Health District. .. ,tom ^ � jj L'1 4 Li P�1 S H 1 r '— Job Address rl 1 C C �" City s�GC IL l Ol t Size PM �J�-- z�) \LaU SHtTH S1. SCItI'E= iOSa / Owner's NameYXn�,tr U S Address -FOUSTo N , TX -7-7002- Pnpr1�1[3 (5�77SS KWLHAUG C_ 57 Z/157— Contractor 1676 RISOON ROAD Addres License No. y&� Phone Lls"G TYPE OF WELL/PUMP: NEW WELL WELL REPLACEMENT ❑ DESTRUCTION ❑ ` PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES -301 DISPOSAL FUD. PROP. LINE lU FOUNDATION AGRICULTURE WELL OTHER WELL%0'0 PITS/SUMPS INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIO S (` ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation Dia. of Well Casing ❑ Domestic/Private Gravel Pack ❑ Tracy Type of Casing vL t Specifications ,, 7L- 1.1 Public ❑ Other ❑ Delta Depth of Grout Seal S Type of Grout C—C'-'tom-t^^ t Xfpfp�lI t1fjrrga��tigJp (.� —,Approx. Depth I I Eastern Surface Seal Installed by CON��t4'C r J2 _ �Fep3ii Workone U Type of Pump H.P. State Work Done_ Well Destruction ❑ Well Diameter Sealing Material (top 50') Depth 7 y I Filler Material (Below 509 TYPE OF SEPTIC WORK: NEW INSTALLATION I 1 REPAIR/ADDITION I I DESTRUCTION 1 I (No septic system permitted if pubic sewer is available within 200 feet) I 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 iINE LI No. & Length of lines Total length/size FILTER BED ❑ Distance to nearest: Well Foundation Property Line SEEPAGE PITS I I Depth Size Number SUMPS L1 Distance to nearest: Well Foundation Property Line DISPOSAL PONDS Cl 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."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 GSI call for a inspections. Complete drawing m r rse side. / Signed L ./ ' Title: Date: FOR DEPARTMENT USE ONLY Application Accepted by Date Area Pit or Grout Inspection by Date Final Inspection by Date Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 923-7100 ❑ 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 INFO CASH RECEIVED BY DATE PERMIT'NO. . EH 13211REY.11.SI EH 14a!