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APPLICATION FOR PERMIT 1 SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZELTON 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 i Local Health District. Job Address /V,95 dtll City -sem/tTDAl' Lot Size 160 X PM Owner's Name/Zip� C1__ 6W40-6� Address -S 53/ LEOst/�giC'1J��// �1 Phone ? 3l - � a l Contractor's Name -sLicense No. Phone 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 r FOUNDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS I ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications ❑ Public ❑ Other ❑ Delta Depth of Grout Seal Type of Grout ❑ 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 50') Depth Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION K REPAIR/ADDITION ❑ DESTRUCTION ❑ (No septic system permitted if public sewer is / available within 200 feet.) Installation will serve: Residence✓ Commercial_ Other Number of living units:/ Number of bedrooms_9 I Character of soil to a depth of 3 feet: Water table depth 15'0 SEPTIC TANK L Type/Mfg Capacity 1 G ae&fie No. Compartments A. PKG, TREATMENT PLT. ❑ Method of Disposal i Distance to nearest: Well .50 Foundation /-2 Property Line LEACHING LINE Or-'No. & Length of lines 30 ® J Total length/size FILTER BED Or Distance to nearest: Well Foundation Property Line 09 SEEPAGE PITS 5K-Depth S Size �� D�i4' Number Z SUMPS I . ❑ Distance to nearest: Well 90 Foundation Property Line—�l 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 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 i employ any person in such manner as to become subject to workman's compensation laws of California."Contractors 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 must calf for all re 'red inspe i s. Complete drawing on reverse side. Signed X,, Title: OCu� «' Date: r 4'^�7 FOR DEPARTMENT USE ONLY Application Accepted by Date Z Area i �1 Pit or rout Inspection by ate / Final Inspection by ate 11 � � Additional Comments: / �/ i. tk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 823-7104 ❑ Tracy 835-6385 pplicant.- Return all copies to: Environmental Health Permit/Services 16011. Hazelton Ave., P.O. Box 2009, Stk., CA 95201FEE i INFO AMOUNT DUE AMOUNT REMITTED GASH]/ RECEIVED BY DATE PERMIT NO. +Eli 13-24{REV.10/031 Ify - EH 14-26 I