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-2 14 APPLICATION FOR SANITATION PERMI1 c, Permit No. (Complete in Duplicate) om _�(This :Vermit /' Date Issued ------ Expires I Year From Date Issued 7 - 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 complianc 4 eoith County Ordinance No. S49. _q�6ckton (Morada Trailer Park) JOBADDRESS AND LOCATION.. ... 99._Hi__Way -------------------- I -------------------------------------------------------------------- Owner's Name------ ...... Hlam --------------- ----- -------------------------------- ------- -------------- Phone------ :..-%5450------- ., i Address -:_75450 ------- Address-----_---------- Same ---------------------------- --------------- __ -------------------- ------------------------------------------------------------------------.......-------------------------------- Contractor's ----------- -------------------------------- --- -- ----- -- Conf ractor's - Name -The ---DAY- -- 4; N I Git --- S_ep_Uc__!@ak___9e_r_vi.c_e -------------------------- ------------ Phone ------ 6-�73_841 ----------------- --- Installation will serve: Residence El 'Apartment House [] Commercial E] Trailer Court)=Mofel [] Other [_1 Number of living units: -0,--- Number of bedrooms 0_____ Number of baths __o---- Lot size --- ---------------------------- Wafer Supply: Public system 0 (Community system El Private bo Depth to Wafer Table 6Q! ft. Character of soil to a depth of 3 feet: Sand - E] Gravel [] Sandy Loam [] Clay Loam E] Clay E] AdobeXX Hardpan E] Previous Application Made: Yes)=No E] New Construction: Yes E] No n FHA/VA: Yes [7] No El TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspo4 permitted if public sewer is available within 200 feet ti Septic Tank-. Distance from nearesf well----------------- Distance from foundation -------------------- Material --------------------------- _ ------ ------------ No. of compartments----- - ------------------ Size ------,-----------------------Liquid depth---------- - -------------Capacity----------------------- EXIPPING Disposal Field: Distance from nearest well --250-1 ... Distance from foundat;on..-101--------- Distance to nearest lot line ----,5-t -------- Number of lines.--2-----------------------------Length of each line --3-0-1 --------------------- Width of trench..... 24_"� --------------------- ExiEt-ing & ADD Type of filter material -M T1t_jC.__.Rj)epfh of filter material-.----18T1-_-----..Total length------601---------------------------- Seepage ength------601---------------------------- Seepage Pit: Distance to nearest well -.2.501.. --......Distance from foundation --- 5-01 --------- Distance to nearest lot line -.-51 ---------- E V'3ti'ng Number of pits ----- 3 ------- ------- Lining material --- Ron_ -k --------- Size: Diameter ----- 48?1 ----- 0 ------ Depth ------2-5 t-_-.-------------- _x AR4001: Distance from nearest well---------- ---- -Distance from foundation_-_----------.-----Luning material......---------------- -.._.-.._.-. ❑ Size: Dipmeter -------------------------------------- Depth ----------------------------------------------------- Liquid Capacity- __gals, Privy: Distance from nearest well___ .................------------------------ ....Distance from nearest builcling ----------------------------------------- � 11 Distance to nearest lot line-- - -------------------------------------------------------------------- I ------------ --------------------------------------------------------- Remodeling and/or repairing (describe): ------ Max ----- 33 ---- spa-carx ------------------ SUPPLERMT-A-RY —D-RAINA-GE - - - -- ---------------- ---------------------------------------------------------------------------------------- ----------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------- ---------------- ------------------ ---------- ------------------------------------- ----------------------------------------------------------------- I -------------------------------------------------------------------------------------------------------------- I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin Coun ordinances, State laws, and rules and regulations of the San Joaquin Local Health District. (Signed) ---- The --- bAY --- Se - t1t - 0 --- Tank ---- S P --r- -V 10 - a --------------------------------------------------- --)P WAKIBEQUIMontractor) By--------------------------------------------------------------------------------------- --------------------------------------------- (Title) ------------------------------- ----- - ------ (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 APPLICATIONACCEPTED --------------------------------- DATE ------------------------------------------------------------ REVIEWEDBY------------------------------------------------------------------------------------------------------------------------- --- DATE ------------------------------------------------------- BUILDINGPERMIT ISSUED ---------------------------- --------------------------------- — -------------------------------------- � DATE ------------------------------------------------------------- Alterations and/or recommendaf ions: ---------------------------------------------- ---------------------------------------------------------------------------------------------------------------- ----- --------- ----------------- --- ------- ------ -- ---------- ----- --------- ----------- ------------------------------- ;�;�/ --------- — - ---------- - -------------------------------- -------------------------------------- ------------------------------ I ---- ------ - -------------------- _ ------------------------------------------------- - ---------------------------------------------- ------------------ -------------------------- FINAL INSPECTION BY::--- 7! Date...--- ------------------ - SAN JOAQUIN LOCAL HEALTH DISTRICT 00 South American Street 300 West Oak Sfroat 132 Sycamore Street 814 North "C" Street Stockton, California Lodi, California Manteca, California Tracy, California V ES -9-2M Revised 8-'59 F.P.Co.