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FOR OFFICE USE: A f -------- �---------------- Permit No. u J - - APPLICATION FOR'" SANITATION PERMIT , 7�6 5=-----`------ -------- ------ (Complete in Duplicate) Date Issued ----- ------ This Permit Expires 1 Year From Date Issued - AL 2_S Application is hereby made to the San Joaquin Local Healfh District for a permit to'construct and install the work herein described. This application is made in compliance with County Ordinance No. 549. Morris Dairy# E6 f,side of anYAllen.Rd7. Rte 4 Box 300,, Stockton: Van AUen Road 1st1ranch south of GawneRd+ JOBADDRESS AND LOCATION- --- --- --------------------------------------------•-------------;;�---- ---------------------------------------------------------------------------- w 14 Bob Morris ( _ .`" f ! Phone_VE_727 ---•-•-------- Owners Name------------------------------------------------------------------------------------------------------- ------ --- -------- 19 }Macomber Roads Danville! 'Calif o " `# "=:_ �.S' f Address -----1---- - -- Contractor's Name_.- - -------DAY & NIGHT- Septic- 'dank Service r'@"------' -----------------.-------------, Phone..._._A6�3.8U--------- ------ - _ Installation will serve: ,)Residence Apartment House [] Commercials❑ Trailer Court ❑f Motel ❑ Other ❑ i r Number of living units: --- ___ Number of bedrooms __ _-_ Number of baths _2____ Lot size ___c_ACerage----------------------------- - Water Supply: Public:,system ❑ Community system ❑ --Private Depth to Water Table _ 0-- ft. Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑�'Sandy Loam ❑ ¢Clay Loam = Clay [IAdobe$$ Hardpan F1 C 1 Previous Application Made: {If yes,date----------- No ❑ New Construction: Yes ❑ No FHA/VA: Yes ❑ No ❑ s N TYPE OF INSTALLATION AND SPECIFICATIONS: � (No septic tanVor cesspool permitted if public sewer,is available within 200 feet.) Septic Tank: Distance from nearest well-----------------Distance from foundationxk_----------------.Material------------------ __-- ________---___---____. TING No. of compartments------ ----- --------------Size--------------------------------Liquid depth-------------------------Capacity--------- ----------- A Disposal Field: Distance from nearegt well._- `t._Distance from foundation_s_�;_______-Distance to nearest ]of line------- 0—I____ - ME Number of lines------:-----------------'----------Length of each line---- Width of trench. . - Type of filter materialSept__Rk-------Depth of filter material---------l9n--------Total length___-_40-9'__ea ch---unit----- � A Seepage Pit: Distance to nearest well----- 0Q3-_------Distance from foundation__l21-----------Distance to nearest lot line-----1.03___-_ Number of pits--l__ear.Ch-_U1L1 ng material.....Rock- -- ..5ize: Diameter----__481;--------_.Depth--------25 -Z------------ ----• Cesspool: Distance from nearest well-----------------Distance from foundation-- ----------------Lining material---.---_---____-_-._______-____-_-._. ❑ Size: Diameter-------------------------------- -----Depth------------------------------- - - -- -----------.-Liquid Capacity-----,----------------------gals. l Privy: Distance from nearest well-_-----_------------- -----------------------Distance from nearest building------------------------------------------. ^� ❑ Distance to nearest lot line-------------------------- - - ---------------------------------------------' ----------------------------------------------------- V Remodelingand/or repairing (describe)------------------- ------------- ----------------------------------------------------------- -•----'- ----------------------------•------------------- --------------------------------------------------------------•--------------- ---Pro-Rey.•--------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------- =------------------------ -------------------------------- ---------------------- ---------------------- -------------------------------------------------------------=-------------------------------- '--------------__-------------------------------------------------------- - g I hereby certify thaWave prepared this application and that the work will a done in accordance with San Joaquin County ordinances, State law! . ules and regulations of the n Joaquin oval He h District. , LJary & vi 4t - ontractor Sinod - 'h ------- ------- ----- ----- ------------------------------------- ) gal By:---2915 E.Miner Aver H0.6-3&41------` --- -{Title)----- I---------- ---------- ----- . • .k'(Plot plan, showing size.of lot, location of system in r tion'' a we Is. build'+n , etc., can be placed on reverse side). . ` FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY �-` DATE---- ---------------------- DATE_J--------------------------------------------------- � BUILDING PERMIT ISSUED------------�----- --------------------- ------------- -��--------T=- - - ----------- REVIEWED BY __- --—------------'�---------------------- DATE---- ----------------- ---------------- --------------- r 1.- Alterations and/or recd m ndattons:__ L - = j -._---- r -.._ . _ _ 7�.{ .�. 1!!!'!.___.- kJil�_ -l-------e- _ _ e-tL---- ---------------- FINAL INSPECTION BY: ?�. Date....... =�-�------------ SAN JOAQUIN LOCAL HEALTH DISTRICT t 1601 E.HazeBon Ave. 300 West Oak Street 124 Sycamore Street 205 West 9th Street Slockton,California Lodi, California Manteca,California Tracy,California F.P.CO.