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APPLICATION;FOR PERMIT SAN JOAQUIN LOCAL.'HEALTH DISTRICT 1601 E. HAZE T ON AVE.,'STOCKTON, CA 4 Telephone (209) 466-6781 PERMIT EXPIRES 1 YEAR FROM DATE ISSUED (Complete in Triplicate) 1 Application is hereby made to the San Joaquin Local Health District fora 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. Job Address f City Lot Size � PM Owner's Name Ori Address ' Phone 3$3-07^ Contractor's Name ic LVII, - License No. a Phone 36,P-3 9�� t TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ 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 SPhCiFICATIONS ❑ Industrial E Open Bottom ❑ Manteca Dia. of Well Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications s ❑ Public ❑ Other ElDelta Depth of Grout Seal Type of Grout : i 11 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 INSTALLATIONO=- REPAIR/ADDITION ❑ DESTRUCTION ❑ (No septic system permitted if public sewer is available within 200 feet.) Instaflation will serve: ,Residence commercial— Other Number of living units:—L— Number of drooms— / r Character of soil to a depth of 3 feet: _(.,� _ Water table depth � SEPTIC TANK 0"Type/Mfg Capacity l .�� _ No. Compartments PKG. TREATMENT PLT, 1-1 , Method of Dispo I Distanceto nearest: '. Well Foundation s__-- Property Line.. LEACHING LINE 11YIGo. & Length of lines '� otal length/size FILTER SED ❑ Distance to nearest: „pWell_ r - Foundation Property tine SEEPAGE PITS Ei+- T.pth _2.4 Size Number SUMPS ❑ Distance to nearest: Welt' Q Foundation `\r t : Property Line DISPOSAL PONDS ❑ ~ 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 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:-1 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 II re uired inspections..Complete drawing on reverse side. Title: Date: Signed . � FOR DEPAR ENT USE ONLY Date /� ` — Area Application Accepted by / r Grout Inspection by Date/ T Final Inspection by Date s 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 95201 FEE AMOUNT DUE AMOUNT REMITTED CASH RECEIVED BY DATE PERMIT"NO. INFO + EK 13-24 EH 13-28(REV.10163) b 1/ �� • .