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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZUTON 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 Job Address ! City Cf91� Lot Size 16V y/W PM ` Owner's Name Address 15oq Phone 362 Address Lcense No. p✓ ` Contractor � Pfione MY%J TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ v 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 ❑ Tracy Type of Casing Specifications ❑ Public ❑ Other ❑ Delta Depth of Grout Seal Type of Grout ❑ Irrigation --Approx. Depth © Eastern Surface Seal Installed by Repair Work Done ❑ Type of Pump H.P. State Work Done Well Destruction ❑ Well Diameter Sealing Material (top 501 Depth Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION EPAIR/ADDITION ❑ DESTRUCTION ❑ (No septic system permitted if public sewer is _ available within 200 feet.) r1 Installation will serve: Resi ence Commercial Other �'4 Number of living units: Number of bedrooms Character of soil to a depth of 3 feet: Water table depth d SEPTIC TANK Fi�Type/Mfg et)A) � t �rr1 Capacity No. Compartments 2— PKG. TREATMENT PLT. ❑ , / r Method off Disposal sal—sal Distance to nearest: Well.. . Foundation r Property Line LEACHING LINE 13/No. & Length of lines Total length/size FILTER BED 11Distance to nearest: Well 0. Foundation Property Line 5- W 1 SEEPAGE PITS Cl Depth 17 Size �,,K 1 d 4 1 T I Number Z SUMPS I?"Distance to nearest: Well Foundation /D ' Property Line 0 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 must call for all re i d spections. Complete drawing on reverse side. Signed X Title: 11 Zd Ve-3 Data: s FOR DEP RTMENT USE ONLY r Application Accepted by Date Area / or Grout Inspection by � Date Final Inspection by 1 d Date C5 ditionaf Comments: ❑ Stk 466-6781 ❑ Lodi' 369-3621 ❑ Manteca 823-7104 ❑ Tracy 8354M% 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 RECEIVED BY DATE PERMIT NO. INFO CASH + EH 13-24(REV.1/85) EH 14-28 ��