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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT , 1601 E. HAZE T ON AVE., STOCKTON, CA Telephone {209) 466-6781 PERMIT EXPIRES 1 YEAR 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.-7t r e�] Job Address 5S f 3 0 ` Cit r Lot Siz,(XV �&�, PM Owner's Name _ Address ��. LJ"A Phone Contract C`[�Address��Q. L)Lr7( 1 ( l f License No. ;k 2 Z`O Phon 164'S l c>! TYPE OF.WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ ".DESTRUCTION ❑ ✓ � PUMP INSTALLATION LJ _ SYSTEM REPAIR ❑ OTHER i�T 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 i ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type Of Casing Specifications Fl Public 1-1 Other ❑ Delta Depth of Grout Seal Type of Grout _ I I Irrigation _Approx. Depth l I Eastern Surface Seal-Installed by'.. Repair Work Done ❑ Type of Pump H.P, ' State Work Done_ Well Destruction ❑ Well Diameter Sealing Material {top 50'1.- Depth der Material (Below 50'1 _ TYPE OF SEPTIC WORK: NEW INSTALLATION T.1REPAIR ADDITION>d DESTRUCTION INo septic system permitted if public sewer is " available within 200 feet.] Installation will serve: Residence Commercial_ Other Number of living units: Number o edrooms + Character of soil to a depth of 3 feet: Water table depth As- a SEPTIC TANK r" X Type/Mfg [ML." Capacity No. Compartments PKG. TREATMENT PLT. ❑ �� o f t n f Method of Disposal r Distance to nearest: Well Foundation l - Property Line LEACHING LINE 17< No. & Length of lines A— o Total length/size 0 x CR FILTER BED ❑ Distance to nearest: Well ASO if Foundation I Q -Pi6perty Line SEEPAGE PITS l I Depth Size Number SUMPS Cl Distance to nearest: Well Foundation Property Line DISPOSAL PONDS ❑ _ 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 st call f a r uired inspections. Complete drawing on rever e. , Qf� Signed X Title: •_ Date: 3 ^ 11 FOR DEPARTMENT USE ONLY s n��, id S -5o Application Accepted by = _ Date Area Pit or Grout Inspection byDate Final Inspection by� � Datet Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 623-7114 ❑ Tracy 835.6385 Applicant - Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 FEE AMOUNT DUE AMOUNT REMITTEDGASH RECEIVED BY DATE PERMIT'NO. INFO I, Jx} J + EH 13-24(REV.I/H 5, I'LL..Q� I�/3 c EH 14.26