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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 welU pump and the Rules and Regulations of the San Joaquin Local Health District. ,#rW_Vy/ P—Ap t I City_ of Size PM Job Address Owner's Name ✓� �_�s� ddress �� 9 ter✓ Phone Contractor 04 J5 a Address License IVa. Phone TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION a- PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD. PROP. LINE FOUNDATION AGRICULTURE WELL OTHER WELL PITSISUMPS _ INTENDED USE _ TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS Q Industrial ❑ Open Bottom W ❑ Manteca Dia. of Well Excavation bia:of Well Casing ❑ Domestic I Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications FI Public �❑ Other F1Delta �4 Depth of Grout Seal Type of Grout I I irrigation _,_Approx. Depth l I E stern Surface Seal Installed by Repair Work Done ❑ Type of Pump H.P, State Work Done Well Destruction$ Well Diameter , Sealing Material I Depth / Filler Material (B TYPE OF SEPTIC WORK: NEW INSTALLATION I 1 REPAIR)ADDITION l I DESTRUCTION l I (N6 septic system permitted if public sewer is ter` available within-200-feet:) / a Installation will serve: Residence_ Commercial_ Other Number of living units: Number of bedrooms X 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 I 1 Depth Size Number SUMPS ❑ Distance to nearest: Well Foundation Property Line 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 Di3trict. Hbme-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 Ire fired i on rete drawing on reverside. Signed X ills: Date: PARTMENT USE NLY Application Accepted by Date �� Area Pit or Grout Inspection by q Date Final Inspection by Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑'Manteca 523-7104 Off racy 835-6385 Applicant - Return all copies to: Environmental Health Permit/Services 1601 E. Hazalton Ave., P.O. Box 2009, Stk„ CA 95201 ti FEE, AMOUNT DUE AMOUNT REMITTED CK CASH RECEIVED BY DATE PERMIT'NO. INFO + , a�r k+:.)ed 13-244RV.1xsl 3 EH 14211