Laserfiche WebLink
\J ^ <br /> APPLICATION FOR SANITATION PERMIT <br /> ,\r (Complete in Duplicate) Date Issued <br />?A ,",ceion is hereby -made to the San Joaquin Local Health D''sf rict for a permit to construct and install the work herein described, <br /> This application is m6de in compliance with County Ordinance No. 549. <br /> Insfallation will serve: Residence I& Apartment House 171 Commercial Trailer Court [3 Motel [:1 _V <br /> Wafer Supply: Public system El Community system J&-.Private [] Depth to Water Table �61;�ft. Hardpan <br /> Characfer of soil to a depth of 3 feet: Sand 0 Gravel F1 Sandy Loam [I Clay Loam [I Clay 0 Adobe4R,_ <br /> Previous Application Made: Yes [] No§§,_ New Construction: Yes--n No F] <br /> TYPEOF INSTALLATION AND SPECIFICATIONS; ` <br /> (N� septic +ank or cesspool permitted if public sewer � available w�h� 200 feet.) <br /> ^ ^ _ �- <br /> Septic Tank; stance o nearest U|�an»o from foundation Muhariu| <br /> Disposal Field: t nce from nearest well- .--------------Distance from foun <br /> --- --Distance fr -----Distance to nearest lot line <br /> Seepage Pit: Disfance to nearest well--- Depth. ------------ <br /> A&iamefer <br /> D�+u �p� nearest ---''u/n�n�� ""." .��.=.. p..~..*'-'-'---_--_�---- �^ <br /> �,�y: n�� '--''--'--''' ''-'' <br /> Distance to noan,� �t |��'''—'''--------'--'-'-''-_''-_-,_--'-'---_---'_-'- <br /> _ � <br /> Remodeling and/or repairing (describe): <br />' . �e` �be\�'----'---'--'—''''''_-_--'__�__'_____________________________ <br /> --_-._-_---_--�._---._- -�' - - <br /> -_-_-'-_--- <br /> __.-__-''-.--._. __.'___.'--'--.-' - _-- --_- --------_'_-_-_- <br /> .---'--_-'''---.-''_---_ <br /> ----------- - ------'-------'--''- -__ - -_-'''--''-_-'-''_---''-''----'-'' <br /> I hereby certify thI have prepared this ru ��mt the will be done in accordance with San Joaquin County <br /> _ <br /> � <br /> ordinances, State s, nd rules and regulations of fho San Joaquin Local Health District. <br /> A"Si4e -------------------------------------(Tif le)------ --------------- ----------I----- <br /> (Plot plan. showing size Of lot, location of system in relation to wells, buildings, etc., can be placed on reverse side). <br /> FOR DEPARTMENT USE ONLY <br /> v <br /> '---'' '' ' \� _______----__-�---------------'-------------- - <br /> '--''-.-'''��'''_��''--�--�-- --�-- '''-'''-_''''''--''''-'—':-''-'''-''_-''-''''-_''---_---- <br /> .--'-''---''''--� <br /> -` > | ~- �^ � <br /> �- D�+� ''-'-^-'-~^-{''-'--''----- <br /> �N/\L INSPECTION 8Y�.—���°«_�;�*'-_________ ____ <br /> SANJOAQU|NLOCAL HEALTH DISTRICT <br /> nV south America" street 300 West Oak Street /32 Sycamore street � w* North "C" Street ~ � <br /> Stockton, California Lodi, California Manteca, California Tracy, <br /> California <br />