Laserfiche WebLink
-- � <br /> - <br /> APPLICATION FOR SANITATION PERMIT Permit No. <br /> (Complete in Duplicate) Date Iss ed <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. <br /> This application is made in compliance.wifh County Ordinance No. 549. <br /> JOB ADDRESS AND LOCATION---- ---------- L <br /> X-2 64'a ---------J ---- -----�__:---------------- <br /> Installation will serve: Residence Apartment ,I House F1 Commercial E] Trailer Court E] Motel E] Other E] <br /> Number of living unit . 'Q <br /> Number of be�rooms Number of baths _r __ Lot size -y <br /> Water Supply: Public system Community System -E] Private [E Depth to Water Table -------- ft. <br /> Character of soil to a depth of 3 feet: Sand E] Gravel F], Sandy Lo�m 0 Clay Loam [] Clay Ej Adobe g?-"Hardpan <br /> Previous Application Made: Yes E] No V��New Construction: Yes VT-,Tlo E] <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> DisposaL Field: Distance from 'nearest well!Y�A-Nj�_Dis�ance,fro ��f un'�afion---54D_Z)i------Distance'to nearest lot line----iS------ <br /> Number of lines--------L ------0�_ Length ofea in'e------.6-.0- - --------Width of trench-- --------- -------- <br /> Distance to,nearest well-,-7717-Z Distance to nearest lot <br /> Seepage Pit: ��Distancekfrom 0 clation-14------------- line !2_,�------ <br /> 77 <br /> / hereby certify that I have prepared fhisr$��ij fi6n and that the work will be.done in accordance with San Joaquin County <br /> ordinances, State laws, and rules and regulations',�f-AWS�WJoaqurn Local Health District. <br /> (Signed) <br /> location of system in relation to wells, buildings, etc be placed on reverse side). ` <br /> FOR-DEPARTMENT USE ONLY <br /> '---'-----'---''----'------''�'-----------------------------------'-------'-------'— | <br /> .._.__-_-'--__.''-_--'__-'''-_'''--'--__-'-_-_'''--_-'�--.--''-_-------_.'__'''-_-'--''_-_---^-- ! <br /> ---_-'-_--_-_---_.__---.--._'-------._--.-__---_------.-�-_-._-__----..___---__--_.. <br /> '--'----'-'-_�''----'---'--�-�-'''''_-'''—'''�_-'''----''-'-'''_-'''---_-'--'''-_'''-'_-'---'__.-_-. \ <br /> '/ -- <br /> c� �� � �—' <br /> F|N,�L INSPECTION 8Y� �y� �--__. Duh�-_.-___-.--_----_-.__.____ <br /> - � <br /> . SAN JOAQU|N LOCAL HEALTH DISTRICT � <br /> /so s"mh American Street 300 West Oak Street ox Sycamore Street ow North ^o^ S*=* � <br /> Stockton, California Lodi California Manteca. California Tracy, California <br />\ <br /> ES-9-2M 8-51 Revised vv-2/00 <br /> � � <br />