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If APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZEL 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. Georkysic,t r SL pipe l- 4,5" c4fc-,".4er ha(PS _i t Job Address G. If.d plorLf /6s ON Ro�j Vies City Lot Size PM tMe1w UiEwhis") Owner's Name doerl' S de vY1t:w Kddress Phone �s��( �.� 86>( 4199 /� r ContractorCGS- �9 cfTu Address N . /q 4 p License No. Phone -77c -'/" TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ��pi5yrtjL-�trS f�1D� 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 SPECIFICATION ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation `' Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack C3 Tracy Type of Casing lV Specifications 1'1 Public �Ojher {-1 Delta Depth of Grout Seal Type of Grout _. I I Irrigation .Approx. Depth I I Eastern Surface Seal Installed by jll Iq _ Repair Work Done ❑ Type of Pump H.P. State Work e_ ^� Well Destruction ❑ Well Diameter Sealing Material (top 501 Qn n f M' Depth Aftf 0 5�!z Filler Material (Below 501 0 ! TYPE OF SEPTIC WORK: NEW INSTALLATION 1.1 REPAIR/ADDITION I I DESTRUCTION I 1 INo septic system permitted if public sewer is available within 200 feet.) 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 LINE ❑ No. & Length of lines Total length/size FILTER BED ❑ Distance to nearest: Well Foundation Property Line SEEPAGE PITS l I Depth Size Number SUMPS 0 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: "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 applicantu t call for a&wquirep-ctions. Complete drawing on reverse side. Signed X z Title: �" Date: ~ CS r. PROS,"- (Il FOR DEPARTMENT USE ONLY l Application Accepted by c Date `" Area j S Pit or Grout Inspection by Date r j Final Inspection by t Date` (tom r Additional Comments: tLJ r ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manta 823-7104 0 Tracy 835-6385 Applicant - Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 3J- , INEE AMOUNT DUE AMOUNT REMITTED CK RECEIVED BY DATE PERMIT'NO. + EH14-24(REV. /n 51 EH 71-28 - r