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!1y APPLICATION FOR SANITATION PERMIT Permit No. __r.................. - 1 Q• (Complete in Duplicate) � Date Issued Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. This application is made in compliance with County Ordinance No. 549, JOB ADDRESS AND LOCATION--_____362.9__West---Lane--------------------- - Delta Valley- Realty PhoneHO�+- 791 Owner's Name. - --- -------------- --"- - - -- 605 East Miner Street Address-----------------------• •----•-----.......------------------------------------------------------- Parrish & Sons HO b- b0 Contractor's Name.. ------------- ------ --------------- Phone--------------6 9607 -- --------------------------------------------------------- - Installation will serve: Residence X] Apartment House:❑- Commercial ❑ Trailer Court [_❑ Motel ❑ Other ❑ Number of living units: __1___ Number of bedrooms _3___ Number of baths ___ ._ Lot size ------65x125_____________________________________ Water Supply: Public system [X Community system ❑ Private ❑ Depth to Water Table ._ Q ft. } Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam E❑ Clay Loam ❑ Clay ❑ Adobe ® Hardpan ❑ Previous Application Made: Yes ❑ No ® New Construction: Yes ❑ No []t FHA/VA: Yes ® No ❑ TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or'cesspool permitted if public sewer is available within 200 feet. Septic Tank: Distance from nearest wei{....none_Distance from foundation____�r_�1__-,_-_Material-._-_-CC_ brick - -- ['� No. of compartments-------2----------------Size----5A:93.b_--------------Liquid depth-----44---------------CapacityHOO--------•---. Disposal Field: Distance from nearest welf....nQn_L_'-_Distance from foundation___1Q'--------Distance to nearest lot line------lrf_..__. 3E] Number of lines----- ---------------------------Length of each line]..OQ__- __________ Width of tren }- ?_7�� n ;sem Type of filter materials___rOCk_______Depth of filter matenal__1__________________Total length----------------------------- Seepage _____-__________.__� i Seepage Pit: Distance to nearest well-Alone--------Distance from foundation----]-Q_1--------Distance to nearest lot line----p!_______- ❑ Number of pits------ -------------Lining material__rQQk---------Size: Diameter------33 ----Depth----- -51--------------------- C11 Cesspool: Distance from nearest well-----------------Distance from foundation--------------.____.Lining material-------------------------------------- ❑ Size: Diameter----------------- ------Depth----------------------------------------------------Liquid Capacity----•------- -------gals. Privy: Distance from nearest well----------------------------------.--------------Distance from nearesf building----------______-_-___________________.._\� ❑ Distance to nearest lot line.- V� Addition to exist in s stem-for-FHA a royal Remodeling and/or repairing (describe------ - - - - ----------------------------------- �' ---y -------- -------••----••----p---------.------------------------ ------------------------------------------- ---------------------------------------------------------------------------------------------------------Y-- -------------------------- - -- , �-- � _______________________________________________•______-_:________-_-_______._______________ 1 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. f (Signed) Par-leh & Sons - --------- --- --- --.------------------------------------------------------------------------------ ------------------(Owner and/or Contractor) By:-------------- ;------------------------------------------ B11�.---Wright--- -------------------------------------(Title)---- Eats----------------------------- - � (Plot plan, showing size of lot, location of system in relation to wells, buildings, etc., can be placed on reverse side). FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY-----_T,.fi��.0--------------------------------- -- ---------------------------------------- DATE------ '3-10.-51---- ------------------------- 0EVIEWEDBY----------------------------------------------------------------------------------------------------------------------------- DATE------------------------------------------------------------ BUILDINGPERMIT ISSUED----------------------------------------------------------------------------------------------------- DATE--------------------------- - - Alterations and/or recommendations:---1--.-I-- ------------------------------------------------------------------------------------------••---------------•--------- -----•---•-••-•-------- - -----�---C------------------- ------------------------------------------------------ - �Z — �- ' - ------•--•----------------•-- ----- ------ ---- -•------------- - -- -FINAL INSPECTIO�By ----=- -- - ---- ----------------- ----------------------------------- SAN ------------------ -- ----•---•SAN JOAQUIN LOCAL HEALTH DISTRICT 130 South American Street 300 West Oak Street 132 Sycamore Street 814 North "C" Street Stockton, California Lodi, California Manteca, California Tracy, California ES-9--2M , Revised 1-57 F.P.CO.