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A S' f'errnit No. APPI '7lON FOR SANITATION PERMIT ,--4--"---r 5 (Complete in Duplicate) Issue late d Application is hereby made to the San;'County Local Health District for a permit to construct and ins b11 {} ork herein described. County Ordinance No. 549. This application is made in compliance' ..440 E. Harding Way - --------- OB ADDRESS AND LOCATfON---B ----------------- ruce Houston __ Owner's Name Same ------------------------ Address --- - ------------------ Address-----------------•-••------------ ---------•-----------------------------------------------------------------------------•--------- ------- ••-- 07 A P ne_ _____________ Contractor's Name------------ Installation will serve: Residen ' Apartment House El Commercial E] Trailer Court LlM e ' 2-- , •Number of living units---- Number of bedrooms _-�'_-- Number of baths ---9-- Lot size __75----------------- ---- -- _.. Water Supply Public syste❑ Community system El Private F1 Depth to Water Table _40_ ft. to3 feet: Sand ❑ Gravel ❑ Sandy Loam [I Clay Loam [I Clay ❑ Adobe a n Character of soil to a dep Supplement Previous Application Mar Yes ❑ No New Construction: Yes ❑ No ❑ pp TYPE OF INSTALLATIC, AND SPECIFICATIONS: Cesspool permitted if public sewer is available within 200 feet (No septic tank.' P p C C Brick ante from nearest we _None----Dist n fro oundation��-----------Merial_____-_______----------- ------ Septic Tank; L" }��g Ca acit00 Gala �a. of compartments Size-------------�-------------------Liquid depth- ------------- p Y i " Distance from nearest we --_NOne-Distance from foundation __-___ _� --Distance to nearest line_____ __.__ Field: f DisposalNumber of lines-----------------i- - Length of each line---10__.low----------Width of trend -1______---------------------- R '-Depth of filter material----------------------Total length-------•--------a------------------------- Type of filter material________ 1 I Seepage Pit: Distance to nearest ylL__XOnC--------Distance'oitrqu0nntation-_ j_____________ jance to nearest I t 1, e--------- 5__.__ ------ ize. Diameter---! ---------------Depth- --- --- ------------------ #� f� Number of pits_____________________Lining material_________--_____ Cesspool. Distance from nearest well-----------------Distance from foundation--------------------Lining material---------------------� `als. ❑ Size: Diameter------------------------------------ -Depth----------------------------------------------------Liquid Capacity-----------------------------g Privy: Distance from nearest well---------------------------------------------------Distance from nearest building__- ---------------------------- Privy: ._:-------------- ❑ Distance to nearest lot line---------------------------------- ----------------------------------------------------------------------------------------------- *Settling tank or grease trap for. kitchen and " Rema lin dor re airm dde�scribe]--- - -- -------------- -------- -----I------ ` a 'r� rc�'om only. . .-Sy;gmf or sewage-disposal-_is_ existing•- ant--_-_in-_•-------------_ --------- - ,.� , good working order.... r -,u ►� " -°'' c0, ._ d - ------------------------------------------------------- ---------- ---•----•-------------------•--------------------------------------------------------------------------------------------------- I hereby certify that 1 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. D. A.. PARRISH & S0�v INC• (Ov +�r Contractor] ----------------------------------------------- (Signed).. --- -- --- ------ - --....- -----------------------------(Title)----r�'�-st1m�l.tor-------•--------------•------�-�-- � � $Y�--- - - ' :� (Plot plan, sho 'ng size of lot, location o system in relaiion to wells, buildings, etc., can be placed on reverse side). FOR DEPARTMENT USE ONLY -APPLICATION ACCEPTED BY DATE_ N. -------------------------------------------------- DATE- ----------------------------------------- REVIEWED BY------------------------------------ - BUILDINGPERMIT ISSUED------------------------------------------------------------------ ----------------------- - ------- DATE--------------- --�------------------------------------------- Alterations and/or recommendations:---------------------------- ------------------------------------------------------- --- ------------------------------------- ------------------------------------------------------------------------------------------------------- -------------------------------------------- ----------------------------------------- FINAL INSPECTION BY--- ------- -- --- --------�.__ ___�--��''----------- --- Date-------------- ------ --------- -------- SAN JOAQUIN LOCAL HEALTH DISTRICT l32 S camore Street 814 North "C" Street E30 South American Street 300 West Oak Strew} Y Tracy. California Stockton, California Lodi, California Manteca, California Y ES-9-2M 8-51 Revised W-2100