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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZE 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. T14 0 pJob Address �s33 6�ity Lot Size PM Owner's Name\l KA' rrol Address Phone Contractor `>! � Address _ License No.v /��2Phone /�F� TYPE OF WELL/ MP: NEW WELL ❑ WELL RE LACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ 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 I] Domestic/Private _ C 'Gravel Pack ❑ Tracy Type of Casing Specifications r'] Public ❑ Other ❑ Delta Depth of Grout Seal Type of Grout--.K I I Irrigation —.Approx. Depth I I Eastern Surface Seal Installed by _ r Repair Work-Done ❑- Type of Pump H.P. State Work Done Well Destruction ❑ Well Diameter Sealing Material atop 501 Depth Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATIO PAIR/ADDITION l I DESTRUCTION I 1 !No septic system permitted if public sewer is available within 200 feet.) Installation will serve: Residence_ Commercial Other Number of living units: - Number of bed ooms / f Character of soil to a depth of 3 feet: J� Water table depth fv SEPTIC TANK ❑ Type/Mfg T— Capacity No. Compartments Zr PKG.,TREATMENT PLT. ❑ Method of Dispqsal 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 SEEP ITS 11 Depth :3 Size /,3-,,NT mber a UMP Distance to nearest: Well" Foundation Property Line DISPOSAL PONDS ❑ 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: " performance of the work for which this permit is issued, I shall employ persons subject to workman's compensa- tion laws of Calif The applica. tali foZrI require inspections. Complete drawing on rev a side. Signed X f Title: _ _ T... .......___ Date: FOR DEP MENT USE ONLY Application Accepted byy Date 2 Area Pit or Grout Inspection by Date Final Inspection by Date Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 823-7104 ❑ Tracy 835-6385 Applicant - Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 85201 FEE INFO AMOUNT DUE AMOUNT REMITTED CASH CK RECEIVED BY DATE PERMIT'NO. + EH13-28)REV,r/R 5r .` `-To. Ll