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APPLICATION FOR PERMIT �� SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZEL T ON AVE., STOCKTON, CA `4 Telephone (209) 466-6781 I PERMIT EXPIRES TYEAR FROM DATE ISSUED (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. 73 ' Job Address f City Lot Size PM Owner's Name � rL�d S Address Phone f �j Contractor lel J [ Pt Lj__Address a i 4 License No. 30 9r� Phone 1 A S41 TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCT ION ❑ 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 ❑ Industrial D.Open Bottom ❑•Manteca ---Dia. of Well Excavation Dia. of Well Casing v ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications I-1 Public ❑ Other (-1 Delta Depth of Grout Seal Type of Grout -- I I Irrigation Approx, Depth f I Eastern Surface Seal Installed by _ Repair Work Done ❑ Type of Pump H.P. State Work Done { Well Destruction ❑ Well Diameter Sealing Material (top 50') Depth Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION I] Rl.i'AIR/ADDITION I 1 DESTRUCTION I septic system permitted if public sewer is available within 200 feet.) Installation will serve: Residence�ercial— Other Number of living units: Number of bedrooms Character of soil to a depth of 3 feet: Water table depth ;i SEPTIC TANK ❑ • Type/Mfg Capacity No. Compartments PKG. TREATMENT PLT. ❑ Method of Disposal p 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. Depth Size Number SUMPS L� : Distance to nearest: — WNeII —"'^"'"'c•'""Foundati6n"• '°"'•"^ Property Line i DISPOSAL PONDS U. 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 iSan 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 certif" s 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 taw f California." The apptica ut all f allq rn ons. Complete drawing on reverse rde. Signe Title: Date: R DEPARTMENT USE ONLY - Application Accepted by ✓ Date fl + T � Area Pit or Grout Inspection by Date Final Inspection by Date _ Additional Comments: _I I r+5 /��T tt�r� { •��(°i�avyl ,'n^fL S5 - 0 Stk 466-6781 ❑ Lodi -3621 ❑ Manteca 823-7104 ❑ Tracy 835.6385 //r Applicant- Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 Jr^6�<rj .. FEE_ s INF AMOUNT DUE AMOUNT REMITTED �SH RECEIVED BY DATE f ERMIT,NO: r +.EH13-241REV.t/N5f � [„/ v�"� -� �r EH 1428