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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 9 1601 E. HAZELTON AVE., STOCKTON, CA Telephone {209} 466-6781" �V's' `'OA Q 'N MAL kip LTH D1STR11(1_*T EA 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. qq Job Address =of in � /4 A ? SA � — City CZ'4,,MW N Lot Size PM Owner's Name CAddress 177 Phone Contractor's Name License No. 9 Phone TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ I DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD. PROP. LINE I FOUNDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS J y INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS [y ❑_Industrial, r ❑ Open Bottom ❑ Manteca Dia. of Well Excavation Dia. of Well Casing Domestic/Private ❑ Gravel rack ❑ Tracy Type of Casing Specifications ❑ Public ❑ Other ❑ Delta Depth of Grout Seal Type of Grout ❑ Irrigation _ _ ---Approx. Dept Eastern rface Seal Installed by Repair Work Done $' Type of Pump 'H.P: 16------ State Work Done' yam• - i Well Destruction ❑ Well Diameter Sealing Material (top 501 Depth Filler Material (Below.501 TYPE OF SEPTIC WORK: NEW INSTALLATION ❑ REPAIR/ADDITION ❑ 'DESTRUCTION-0 (No septic system permitted if public sewer is �. 4 * available within 200 feet.) 6 1%tallation will serve: Residence_ Commercial Other `` ? Number of living units: Number of bedrooms Character of•'soil-to,,a-depth of 3 f eet: Water table depth G SEPTIC TANK ❑ Type1'Mfg Capacity No. Compartments 9 PKG. TREATMENT PLT. ❑ s. . Method of Disposal Distance to nearest:. Well Foundation-',, Property Line LEACHING LINE LJNo. & Length of lines r _ ";''` " ' Total length/size FILTER BED ❑ Distance to nearest: Well "�Foundation Property Line_ SEEPAGE PITS ❑ 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 District. Home owner or-licensed agent's-signature`eertifies 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."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 applican m t cal for all r q re spections. Complete drawing ona rse side. Signed Title: I A 0-1 Date: - FOR ate:FOR DEPARTMENT USE ONLY k Application Accepted by Date �Z — Area Pit or Grout Inspection by Date Final Inspection by Date 0 / 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 CK* RECEIVED BY DATE PERMIT NO. INFO [� �� CASH 1� + EH 13-24 IREV.101931 ] V 1�C"j�p { "' r/'1�j g j-{_Z& EH 14-28 s