Laserfiche WebLink
�\ � <br /> 'APPLICATION FOR S����N PERMIT ��� � �---------._ <br /> in Duplicate) Date |omue60 <br /> / <br /> ruct <br /> hnnm6v mm6o to the San . | Local Health Di��cffor o pann|t +ocnn ` and |n�m||the vo� herein described.`h/' opo|���ton � m�6o in comp|�nc6\�th County Or�innncemo. 5*9. � <br /> ' | (_'- <br /> /------------ ------ - -------------------- WWT..I---------------------------------------------------- <br /> I.nstallation will serve: Resiclen�'e X Apartment-House El Commercial Fw?"Trai er C:urt [I Motel 0. Other 0 <br /> Water Supply; Public'. system g Community'sysfern"E] Private [] Depth fo-Water Table ft. <br /> Character of soil to a'depth of 3 feet:! Sand E] Gravel 171 Sandy Loam E] Clay Loam El Clay [] AdobeW Hardpan E] <br /> Previous Application Made: Yes 0 :F. No New Construction: Yes E] No 2( rHA/VA: Yes [D No Un <br /> TYPE OF INSTALLATION AND SPECIFICATIONS.- <br /> (No septic tank or'cesspool p"ermitted if public sewer is available within 200 feet.) <br /> S,* is nc from neares� well-----------------Distance from foundation--------------------Maferia�--------- ---------------- ------------------- <br /> f AA <br /> 7k: D ta e <br /> No. of <br /> �- ' <br /> �~ Di�oncu '-m n�ams+ weU--_-_D�t nCeL6nm foundv6nn_''''--�-D�t nc* toneo,�t �t |inv`-'''-- <br /> / <br /> Number of <br /> lines-1 <br /> ines/|--''_-'''''' � Leng+6 of each line-----------------------------Width of french <br /> 6'-''�_�_��------------------ <br /> ------------------------------- <br /> Type of filter material Depth of filter mofv��.',--'' --7o�| length <br /> - -� -^S --'�~ a' w � v���' u/�a"", .. ~- � Distance- fo n;n�o |o* line <br /> Distance to norea <br /> Numberof pUb'- �- ---Lining 'Material -- -',-''-'[ 331r _ <br /> x4 , <br /> [X��n�e � n;onz� ~nU-_--.'[D��n�r �omfpun6u*pn-''�'�-�-�hing mute�ni'-'-'''-''-__--- �= , <br /> Ce, p"o'' ' '-� ' Depth Liquid C�P«���-`-'-----'��«' <br />.� [] S�o� D�mo+oc-_'--''-,�'-`''»�P�''-'''''�-''—''''-�'-- | <br /> � <br /> � <br /> Privy: Distance Dist�noe from !'earest well -~--------- ---------------------------Distncr from nearest-building--'---'--__-'-''_ <br /> -'-''-- <br /> ----_-- =�-'''-''-----'D�t ncefo nea�,+ |o+|ine�--.---,----�''-�-'� <br /> .| <br /> ' <br /> � J ------------------ <br /> ` _ � <br /> Remodeling <br />' . '- �-_--'----_'�._�_����-'�__.--��-._-�__�_.��-__.`--_-___'.__.-._,_.__-__--__-_--- . <br /> ' , � _-''_---'__�_.--_----.�--__---____.-.___--___''-'--''-''-- <br />' -'---''--'---'-''-----''--' and that the work will be done in accordance with San Joaquin County <br /> I hereby certify that I havelpr;pared this application <br /> ordinances, State k4M. and rules anid ereons of the San Joaquin Local Health District. <br /> (Signed ..' <br /> (Plot plan, show' <br /> FOR DEPARTMENT USE ONLY' <br /> DATE- <br /> � DU|LD|NG PERMIT' - ---=' . .� <br /> ��o,ut�n� an6/�r ,euwmmen6at�n�-_^..�'�--��--_---�..__--__---_--__._-----..__--_-.______'- - <br /> -_-_ --_-_.._..��-_---'''--''-''---'''--' -'-'--.-''-_''----'-_.'-''-----'_-'-_-'----_.- <br /> .___._-'-'__--_.�-'_-''�-'-'--'�-'--�-'''-'''---'-_-'-_'''-_'----''---'__�_-'_-'_----'_-''-- � <br /> -_'--_.----''--'---'-'�--'''_-�'---''--''_-'�-_�'--_''-_'''--''-_-.---_-_-.--------..'-.-- - <br /> . '''-_-''-''--'-'-''-'--''---'---- <br /> ''-''---'-'''--''-'-'---'--'`''- <br /> --''-''^'''--''-'--'--'--_. <br /> . <br /> ` ^ � �� _- <br /> Dum^ ,�� ^�~ ~ '^�-''-'''-'`'''-' <br /> �N/\L INSPECTION BY�-.c��� .. ----.-__-- <br /> SAN |N LOCAL HEALTH DISTRICT ' } <br /> 130 South American Street 300 West Oak Street /32 Sycamore Street owNorth 'C" Street <br /> $""kt"". California Lodi, California Manteca, California Tw"v California <br /> ES-9-2M , x°.is°6 1'57 p.pzo ^ <br />