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"r APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT V 4� 1601 E. HAZELTON AVE., STOCKTON, CA �P Telephone {209? 466-67$1 AUG � 1988 PERMIT EXPIRES 1 YEAR FROM DATE ISSUED {Complete in Triplicate} EN4IERM �SEVCITRIS TH 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 incompliance 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. Job Address 10 55 a Pd. City C. Lot Size PM Owner's Name h1U 4 Address .JL1 1'Yl Phone0 Contractor CL I,2AAddreis 6 v sk, 10V n1ff License No. OAL,1s.9 Phone TYPE OF WELL/PUMP: NEW WELL WELL REPLACEMENT LIDESTRUCTION ❑ h! PUMP INSTALLATION U. SYSTE REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK Ito SEWER LINES w DISPOSAL FLO. 00 PROP. LINEAV FOUNDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS f�Qf�• ^ INTENDED USE TYPE OF WELL PROBLEM AREA .CONSTRUCTION SPECIFICATIONS ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation Dia. of Well Casing ➢Q Domestic/Private X Gravel Pack ❑ Tracy Type of Casing./Od� 'o /`,5Specifications ❑ Public ❑ Other ❑ Delta Depth of Grout Seal JO f9' Type of Grout a ❑ ipati ' I `p,OIQApprox. Depth [)(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 ❑ REPAIR/ADDITION ❑ DESTRUCTION ❑ (No septic system permitted if public sewer is available within 200 feet.) Installation will serve: Residence Commercial Other Number of living units: Number of bedrooms 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 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 ❑ Depth Size Number SUMPS ❑ 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." 4 The applicantAust call for all re aired inspections. Complete drawing on r verse si e. Signed X Title, Date: J FOR DEPARTMENT USE ONLY Application Accepted by Y Date Area Pit or Grout Inspection by Date Final Inspection by Date Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 823-7104 ❑ Tracy 835-6385 Applicant- Raturn all copies to: Environmental Health Permit/Servioes 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 01 M,ue,FEE INFO AMOUNT DUE AMOUNT REMITTED CK CASH RECEIVED BY DATE PERMIT NO. + EH 13-24 iREV.1/65) yJ EH W2a