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r APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZE i ON AVE., STOCKTON, CA i Telephone (209) 466-6781 PERMIT EXPIRES TYEAR FROM DATE ISSUED (Complete in Triplicate) I 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 a Local Health District. f � Job Address / "' A10 A � D City r7o Cdek- Lot Size sa PM r t��'S'U s /Y1 odd J 22 e A/ ' � god �t3 24 r Owner's Name Aress Phone F Contractor Address License No. Phone I r TYPE OF WELL./PUMP: NEW WELL ❑ , r WELL REPLACEMENT ❑ DESTRUCTION ❑ f PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER LI DISTA NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD. PROP. LINE � NDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS } INTENDED USE TYPE O�FW�E OBLEM AREA CONSTRUCTION SPECIFICATIONS ❑ Industrial ❑ Opentom ❑ Mantec Dia. of Well Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type o Specifications ❑ Public ❑ Other ❑ 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 Done. Well Destruction ❑ Welf Diameter Sealing Material (top 501 ate. i Depth Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION I I REPAIR/ADDITION 1 I DESTRUCTION iNo septic system permitted if public sewer is II available within 200 feet.) I Installation will serve: `Residence_ Commercial_ Other ' -Number of living units: Number. of-be'dr'ooms Character of soil to a depth:of 3 feet: Water table depth SEPTIC TANK ❑. Type/Mfg Capacity No. Compartments PKG. TREATMENT PLT. ❑ _ Method of Disposal f Distance to nearest: Well Foundation Property Line LEACHING LINE ❑ No. & Length of lines Total length/size FILTER BED ❑ Distance to nearest: Well Foundation Property Line SEEPAGE PITS I I 'I'Depth —Size t Number SUMPS CI 'Distance to nearest: Well Foundation Property Line DISPOSAL PONDS ❑ "I e 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. 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 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 II for all;,re uired i spections. Complete drawing on reverse side.,,p,�, � I Signed X Title: Date: FOR PARTMEN USE ONLY Application Accepted by I pate Area Pit or Grout inspection by Date Final Inspection by Date :5 Additional Comments: Q ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 823-7104 ❑ Tracy 835-6385 Applicant - Return all copies Ux.Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 I� y INFO FEE AMOUNT DUE AMOUNT REMITTED C 'RECEIVED BY DATE PERMIT'NO. GOSRN +,EH13-241REV.1/x51 .7 EH 14-28 � /