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FOR OFFICE USE: -- ------------- - - .-----.- 4 c APPLICATION FOR SANITATION PERMIT Permit No. &2:--J/_l-_--.-- ------------------------------------- ----- -------- (Complete in Duplicate) Date Issued --------------------------------------------------------- This Permit Expires 1 Year From Date Issued Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. This application is made in compliance with County Ordinance No. 549. JOB ADDRESS AND LOCATION--------- -- -- ---- -- - Owner's Name--------------_------------�,Ar.. .... ./'V�_ .': , 121 .. f/ f Phone -:: 6n.�-,A— Address3.y __..- t1/ _t1 /'• ----------------------------------------------------------------•--------------------------------- Contractor's Name-------------------------------- ---•`------------------------------------------------------------------------------------ Phone................................... Installation will serve: Residence-g Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑'- Other. ❑ Number of living units: ----/. Number of bedrooms ._, __ Number of baths __d_. Lot size -------- _____-__--__ Water Supply: Public system ❑ Community system ❑ Private Depth to Water Table , ft. Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobefiz Hardpan ❑ Previous Application Made: (if yes,date--------------------) No X New Construction: Yes Pq No ❑ FHA/VA: Yes ❑ No J' TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if public sewer is available within 200 feet.) Septic Tank: Distance from nearest well___a11_ir' ---Distance,from fo nda n__.__�'C? /-_.Material______ ____._ No. of compartments.......______t.'?--------Size_____9-__ji(__�____2�__ iquid depth_--_._____ ' .�______Capacity___ _d©__ Disposal Field: Distance from nearest well_____!.1_C,)......Distance from foundation..--./D-"0.....Disfance to nearest lot line------_57-1-le- ti I6 Number of lines----------------- ----------------Length of each line-------------- °.-.--.Width of trench ...........;7-*0------------_--- Type of filter material-------------------------Depth of filter material----------------------Total length-------.-------.--•---------------------- Seepage Pit: Distance to nearest well_____________________Distance from foundation-----------.--------Distance to nearest lot line________________ ❑ Number of pits----------------------Lining material-----------------------Size. Diameter------------------------Depth--------------- ------ Cesspool: Distance from nearest well-----------------Distance from foundation--------------------Lining material..__-___________.________-__-__-___-. ❑ Size: Diameter--------------------------------------Depth---------------------------•------------------------Liquid Capacity-------------------------_-gals. _ `Privy: Distance from nearest well---------------------------------------------------Distance from nearest building_.________-_______-_-__---___--______-___. ❑ Distance to nearest lot line-----------:------------------------------------------------- Remodelingand/or repairing (describe)---------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------- -------------------------------------•--------------------...------•----------------------------------------------------------------------•------•---•------------------------•------------------------------------------ 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. ---- - _---(Owner and/or Contractor] (Signed)_�)(-------- ----- - - -�8'- --- ---�---...�L._ By:--------------------------- -....---------------------------------------------------------------------------------------(rifle)---•------------------------------------.:...--- ------------ -- (Plot plan, showing size of lot, location of system in relation to wells, buildings, etc., can be placed on reverse side). FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY----------- --- --- - -- -- ------------------------$---------------------- DATE--------- REVIEWEDBY-------------------------------- --------------- ------------------------------------------------------------------------ DATE--------- --------- - BUILDINGPERMIT ISSUED----------------------------------------------------------------------------------------------------- DATE--------------------------------------------------•--•------- Alterations and/or recommendations------------------------------ ----------- - _..........-----•-----------------------------------------------------------•-------I'll------------------- ----------------------------- -------------- ---------------------------------------;----------------------------- --=•------•--------------------------------------------------._...------------- --•-----------•--------------------•------ ---•-----•---------------------------------- ------- --------------- ---------••------------ ------------------------------. i FINAL INSPECTION $Y:�!"' ------------- Date-----_"?___-- tYJ L� - _. ---- -----•---- - - -------------------------- SAN JOAQUIN LOCAL HEALTH DISTRICT 130 South American Street 300 West oak Street '"' _ - 124 Sycamolt Street 205 West 91h Street Stockton,California Lodi,Call its Manteca,California Tracy,California E9-9 REV113 CO 0•59 F.P.CO.2M 6.60 L'S,"le ',�