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,� _•� APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZE.T ON AVE., STOCKTON, CA Telephone (209) 466-6781 '^ PERMIT EXPIRES TYEAR FROM DATE ISSUED f (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, -/ I 071(e " )1` 4cs) City `--_ `""A_ Lot Size � PM �p 1 i Owner's Name dress hone �� Contractor Address License No. Phone TYPE OF WELL/PUMP:... _JNEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION _ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD. PROP. LINE FOUNDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS i ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation Dia. of Well Casing I Ll Domestic/Private 1-1GravelPack 171 Tracy Type of Casing Specifications 1`7 Public C1 Other Ll Delta Depth of Grout Seal Type of Grout I I Irrigation Approx. Depth I I Eastern Surface Seal Installed by - Repair Work Done ❑ Type of Pump H.P. State Work D ne Well Destruction ( Well Diameter Sealing Material Itop 50'1 O t Depth Filler Material (Below 50') TYPE OF SEPTIC WORK: NEW INSTALLATION I I REPAIR/ADDITION I I DESTRUCTION I I Mo sep ystem permitted if public sewer is available within 200 feet.) Installation will serve: Residence Commercial— Other Number of living units: Number of bedrooms r Character of soil to a depth of 3 feet: Water table depth ' SEPTIC TANK ❑ Type/Mfg Capacity No. Compartments f PKG. TREATMENT PLT. ElP Method of Disposal Distance to nearest: Well Foundation Property Line 4 LEACHING LINE ❑ No. & Length of lines Total length/size „r r FILTER BED LJ Distance to nearest: Well Foundation Property Line ` SEEPAGE PITS I 1 Depth' Size Number SUMPS L) Distance to nearest: Well Foundation Property Line DISPOSAL PONDS ❑ il 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 w 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 all for all required inspections. Complete drawing on reverse side. 1 Signed X s it16: W h.��+r~ ate: 4- l FOR DEPARTMENT USE ONLY Application Accepted by (;� i 0Date 1 :Area Pit or Grout Inspection by Date Final Inspection by Date y Additional Comments: ❑ Stk 466-6781--- ❑ Lodi 369-3621 ❑ Manteca 823-7104 ❑ Tracy 835-6385 Applicant - Return all copies to: Environmental Health•Permit/Services 1601 E. Hazelton Ave., P.D. Box 2009, Stk., CA 95201 FEE AMOUNT DUE AMOUNT REMITTED CK RECEIVED BY DATE PERMIT'NO. I INFO CASH + EH 13-24(REV.t/As) , CS �\ f�/ - 1 j EH 14-26 'tel 4