14133 - Laserfiche WebLink

Home Browse Search

rvRvrrl�,[ u�t: - -- --- _. k--i -- ------a ------ APPLICATION �>=f71t SANITATION PERMIT Permit No. .11h...3 ------------------ ------- '- '--`-`-'�------ (Complete in Duplicate) ----------------- This Permit Expires 1 Year From Date Issued 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._..5%...N. Wilson Way s Stockton - ----------------------••••----•----• •-••-•----------............................ Owner's Namur.. 1 ; ..--J-,�---H._._.Grunze Aba Mobile--Villas Phone.....HO----%848 Address-----._..5a= , t Contractor's Nama..__ .` 1F3 & __S pAic nk...PeT V ce ... :. Phone....-RQ..63.841. Installation will serve: Residence ❑ Apartment House ❑ Commercial ❑ Trailer CourtU Motel ❑ Other ❑ Number of living units: 8----- Number of bedrooms -------- Number of baths ________ Lot size ---18-f 5. _.--x._. 7,................ Water Supply: public system [:] Community system E3 Private IK Depth to Water Table 40-- ft. Character of soil to a depth of.3 fee+: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe 2�.Hardpan ❑ Previous Application Made: (If yes,date__.__�------------) No ❑ New Construction: Yes ❑ No ❑ FHA/VA: Yes ❑ No ❑ TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if public sewer is available within 200 feet.) 2Septic TankS Distance from nearest well.2_00t'___Distance from foundation__2,a;_._-...__.Material...___W BriCy-„................ No. of compartments-3 artments__ t1 tr tf f�,. tt l+t�A P �-- •-----------1-.._Siz�1-�-_�eE��3tt.3.6®�D---L�/�'r�ePt�-------7Q.----------CapecitY--�..`1..�Q...�r�cl!1 Disposal Field: Distance from nearest well__ZQQ______Distance Pom TP -_;/0.....Distance to nearest to line.....5 E...._... Number of lines-----2-----------•----------- 2---.l ----Length of each line------�QQt.._.•------.Width of trench.____-- ..t ------------- Type of filter materialB1ePt___k.-.Depth of filter material---------1_8$!------Total length-----------2_QQt....___------------- 2 Seepage Pit:S Distance to nearest well_lQQt----------Distance from foundation--].Q__._.._-_. t Distance to nearest lot Iine.....5.t______ j ja Number of pifs-2------------------- materiaRack-----------Size: Diameter----1+ff!-----------Depth--------225t---- tax.. Q 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_____--_._-.________•____--__-.__________- r ❑ Distance to nearest lot line_______________ l Remodeling and/or repairing (describe):------�.t_t.___trans..te---saIeex...Gall.ention__1_i..i"J.e---and....8-__-an1 ectiox.- ..............-------------------------------------------------------------stag.ana7----4---vents..---------------------------•-•----------------------•-----_-- ------ r -------------•------------ ) ------•---•------------------------------------------------••---- } I hereby certify that I have prepared this application and that +hew-rk will be don n accordance with San Joaquin County l' ordinances. State laws, and rules and regulations of the San Joaquin Lo 1 Health ' rict. (Signed)_'1'_ D__.DAY__& NTGHC- ------ _-Tank;_'-e--V__c - ----- - ------ I� Contractor] g . --- (Plot plan, showing size of lot, location of system in relation wells, buildings, etc., ca be placed on rever side). FOR DEPA ME T USE ONLY APPLICATION ACCEPTED 8 :, - --- ------- - ------------------------ DATE----------.... . REVIEWEDBY--------- -•--------------- -- --------------------------•----------------------------------••-----•---------------------- DATE--•-------------•--------- --------- BUILDING PERMIT ISSUED- -- -------------------- - ----•-------------- -......... -- - ------------- DATE t Alterations and/or recomm d'etions:. � __- . -- ---�_ -r- ------ .---_ 1 --------------------------------------------•---------•---•--•-------------•------------------------------------------..... ----•----_-------------•------------•-•------••----•---•---••---------- I --- -= ---•-------------• ----------------------------------------------------- ---------- -_I---•-----•-•---------•-- ••-•-- � ....... . ....---.... --------------------------------------- ------------------------------------------------------------------------ •-----------•-------- • - FINAL INSPECTION BY . ,�.` - —� Date---------------*_-_( ------ _f, SAN JOAQUIN LOCAL HEALTH DISTRICT 130 South American Street 300 West Oak Street 124 Sycamore Strutt 205 West 9Th Strout y Stockton,California Lodi,California Manteca,California Tracy,California Ik ES 4 REVISED 5-59 2M 6-61 AYLAS 1