22240 - Laserfiche WebLink

Home Browse Search

' �IOOFFICE USE: ' =' . R 3 � Permit No." " APPLICATION FOR SANITATION PERMIT ---- ------ ----- -- b (Complete-in Du licete Issued - - ---:- ----- --- -- -- -- - ------- -�--- P I Date Issued --, This Permit Ex ires 1 Year From Date Application is hereby made to the San!Joaquinu�otcalO dealtncblNoC ffor a permit to construct and install the work herein described. This application is made in complianc,Iwlth Ca y -- ----- - -- Phon A LOCATION �,3 0S--- J08 ADDRESS ' -- - - - ----------•--------------------- ------ owner's Name_ ------------ Phone------ •--•------•------- Contractor's Name---- ----•- Other Commercial ❑ Trailer Court ❑ Motel ❑ Installation will serve: Residence Apartment House ❑ k0 D ------------------"- Number of living units: A---- Number of bedrooms .-.2— Number of baths.-J---- Lot size "'f -- �� }h to Water Table .fo_3. ft Water Supply: Public system ❑ Community system ❑ Private L61 eP PP y• Clay Loam � Clay ❑ Adobe[Hardpan ❑ I Gravel 5a�dy Loam ❑ y Character of soil +o a depth of 3 feet Sand ❑ ❑,�]/ No New Construction: Yes ❑ No FHA/VA: Yes ❑ No Previous Application Made: llf yes,date_-..------ $ TYPE OF INSTALLATION AND SPECIFICATIONS: r (No septic tank or cesspool ptarmit+ed if publicsewer is available within lon feet.} Septic Tank: Distance from nearest wei} - Q."_-"_Distance from foundation.__ -- Ca acitQ° � �/ No. of compartments..--..' Size----- -°C- Liquid drepth-- p y Distance from foundation-M-------------Distance to nearest lot line --------------- Disposal ._-..._...__.Disposal Field: Distance from nearest wells.----- - - Width of trench.__. '�---------------------- �� Number of lines---f-------------- Length of each line.lr'-------- - Type of filter material_-"�E'- - DEPth of filter material..-ZW7-r-r-------.Total length----./ �=----- -- - �� ,� Seepage Pit: Distance to nearest will_- O...---- Distance rom foundation_..-__ D t c to nearest lot line_ . � _ Depth.- --�Z'-------- -------- Number of pits..- _.._.- Lining material..__._��- Size: Diamete . --- -- material- r Cesspool: Distance from nearest well ------- ---=--Distance from foundation.:-------- _Luningquid Capacity.. ... Size: Diameter. --- ----- ... -----------gals. ❑ Depth. ------ ------ r Distance from nearest well---------------`----------------- _Distance from nearest building....................................._.-. Privy: � .t ...... w p ❑ Distance to nearest lot line ---------------. ............. ---------------------- -------- --- ------------------ -------------------•------•-------------- --------------------•-------- Remodeling and/or repairing (describe)----------------- ---------.-.------------------- - ---------------- -------------------- ----- -- --------------------------- ----- -- -- ---------------------------------------------------------- ----------------------------------------------------- �- ------------- ------------ --- � - done I hereby certify that I havelespredareduthis lat ons Ili the San Joaquin the workcal Heall heDistr ctn accordance with San Joaquin o u n wi ordinances, State laws, and ru 9 k' ------ ------(Owner and/or Contractor) (Signed) t l ------- -------------------- ------- ------ (Ttt e . --------- -------`----y-------- - f (Plot plan, showing size of lot, location of system in vela+ion to wells, buildings, a+c., can be placed on reverse side]. FOR DEPARTMENT USE ONLY t DATE--- ---- APPLICATION -- ------------------------- BY_ - APPLICATION ACCEPTED i3Y__. .;_ -- -- REVIEWED BY-------------------------------- -----. - - -- ------------------------ DATE---•--------------------- -- ---------- BUILDING PERMIT ISSUED-------- - ------- ---------------------------------------—---- -------- ---� DATE---............................... - - 1 -- . Alterations and/or recommendations:---------- ------ ---._-"-.----_-.._.... ----- -------- - i ----------------- -- -- - -- --- Date'------- - - --� FINAL INSPECTION BY:...-__._'__ .- ---- - , F t SA QUIN LOCAL HEALTH DISTRICT F 1601 E.Hazelton Ave. 300 West Oak-Street 124 Sycamore Street 205 West 9th Street Lodi. California Manteca,California Tracy,California i Stockton,California . E,H.9 2M 1-67 Vanguard Press