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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1609 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 well/pump and the Rules and Regulations of the San Joaquin Local Health District. Job Address City Manteca _ Lot Size PM 1111 139th St. owner's Name Golden Grain Company Address San Toeandro, CA Phone( 4 15 357-8400 1401 Halyard, te. 140 Contractor Groundwater TechrAQJpgy West Sacramento C6'cense No. PhoA91 6 ) 372--4700 TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER a soil-gas survey DISTANCE TO NEAREST: SEPTIC TANK –––– SEWER LINES 35 ft. DISPOSAL FLD. --- PROP. LINE 5 ft. FOUNDATION --LO-ft AGRICULTURE WELL --- OTHER WELL MVS 51'6/SUMPS INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation 0.- 7 5" Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Tyne Specifications F] Public N Other ❑ Delta Depth of Grout Seal 10 r _ Type of Grout bentonite . I I Irrigation 101 1.Approx. Depth ( I Eastern Surface Seal Installed by Repair Work Done ❑ Type of Pump H.P. State Work Done Well Destruction C7 Well Diameter Sealing Material (top 50'1 Depth Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION I:1 REPAIR/ADDITION I } DESTRUCTION l I (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 Character of soil to a depth of 3 feet: Water table depth 0 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 Cl 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 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,1 shall employ persons subject to workman's compensa- tion laws of California." The applicant must call for all requir d inspections. Complete drawing on reverse side. Signed X .. Title: Geologist Date: 6/20/89 FOR DEPARTMENT USE ONLY Application Accepted by Date L Area Pit or Grout Inspection by J� y�Date Final Inspection by Date Additional Comments: ._WAL- r t1T'CJL1. 'V_V Snr�� ❑ Stk 466-6781 ❑ Lodi 363kll ❑ 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 INFO AMOUNT DUE AMOUNT REMITTED CASH RECEIVED BY DATE PERMIT'NO. ♦ EH 13-24 IREV.lin 51 (` Q EH 14.28 , d l ( l