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ze APPLICATION FOR PERMIT ' SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZETON 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 GRant Ave. & Moffat Blvd. (229 Moffat) City Manteca Lot Size }} PM Owner's Name Golden Grain Company_ Address 1111 139th St., San Leandro, CA Phone f``Qd11 j1357-8400 1401 HALYARD, Ste. 140 bAlg)3724700 CantractaFlroundwafiS'x TeehnOloavAddre,s License No. a. TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK ---- SEWER LINES 11 f1 ft, DISPOSAL FLO. ____ PROP. LINE FOUNDATION –24—ft,— AGRICULTURE WELL OTHER WELL PITS/SUMPS INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation 0 7F;" Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing nOne Specifications ('1 Public XXOther ❑ Delta Depth of Grout Seal 1 O t Type of GrouthP_ntoini tP I E Irrigation --Approx. Depth I I Eastern Surface Seal Installed by Repair Work Done ❑ Type of Pump H.P. State Work Done Well Destruction ❑ Well Diameter Sealing Material (top 501 Depth Filler Material (Below 50') _ TYPE OF SEPTIC WORK: NEW INSTALLATION l I REPAIR/ADDITION i 1 DESTRUCTION I I (No septic system permitted if public sewer is > available within 200 feet.) Installation will serve: Residence— Commercial_ Other N Number of living units: Number of bedrooms Character of soil to a depth of 3 feet: Water table depth \A 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 l I Depth Size Number V0 SUMPS Ll Distance to nearest: Well Foundation Property Line C DISPOSAL PONDS ❑ t7 1 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,I shall employ persons subject to workman's compensa- tion laws of California." The applicant must call for all re uire inspections. Complete drawing on reverse side. Signed X Title: _GealCgiSt Date: 8L28�89 FOR DEPARTMENT USE ONLY Application Accepted by '�f� Date 0 I3 Area Pit or Grout Inspection by Date q/ final Inspection by6�/L�L�. Date _= '"� Additional Comments: ❑ Stk 466-6781 O 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 95.201 FEE INFO AMOUNT DUE AMOUNT REMITTED CASH 4 RECEIVED BY DATE PERMIT No. q . EH1324fREV.r/n57 �- 'S�'1L �{ EH 14-28 .J 6), (f I