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FOR OFFICE USE: ----------------------------------- APPLICATION FOR SANITATION PERMIT Permit No. ------------------------------------------------- ------- (Complete in Duplicate) 3 From Date Issued Date Issued 1 -- is Permit Expires 1 Year Fro Z�r—�q0_� Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. Thislication is made in com liance,-w•i h CountyOrdinance No. 549. py T r _ p Last house on west end of Tract. JOB ADDRESS AND LOCA�IOr• .�rae-t---43$_,-___Lai__ 1_�._.Mauriand- Track off Valpico Road, Trac -- 1 Owner's Name---Rpbert__Kas_ter-}__-_tChas. Cunningham, Genl. Contr. ) Phone ------------------ - -•--• - ------------------------ Address ------- -------- Address-------------------------------••-•-------•------------_------ Rt. 1 Box-..392K., Manteca - I'll--------. .. .. .. Contractor's NamThQ.._DAY---&_--NIGHT -Septic- Tank `Svc. Phone3�Q---&!3.8.1.4--_-_-.. --------------------------------------------- - Installation will serve: Residence E Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ Number of living units: 1----- Number of bedrooms ---3-- Number of baths --- R_ Lot size ------------------------------------------------------------ Water Supply: Public system ❑ Community system =Private ❑ Depth to Water Table .-2_5 ft. Character of soil to a depth of 3 feet: Sand E]'-Gravel K] Sandy Loam$] Clay Loam ElClay 0 Adobe (3Hardpan [IPrevious Application Made: (If yes,ddte-------------------- No XX New Construction: Yes [ME No ❑ FHA/VA: YesjX No ❑ TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if public sewer is available within 200 feet.) 1> Septic Tank: Distance from nearest well__CPMP_t_Distance from foundation---10 _--------Material----CC Brick---------------------- D � �No. of compartments----- Size -Capacity-1500Gals O ---- ----- ----- - �_ tl-�-�T�---�p��-----Liquid depth---��i---- - - --- ------ Disposal Field: Distance from nearest wellC.©1T1R1___-.Dgtan from ,?Qt--.-- Distaace to nearest lot line----- --_---- �i ZX Number of lines------4_�S------------------------Length of each line- 36'JO'- i of trench-----.A --Type of filter materiaYq _tC Rk_ p et gP __De th of filter material---18--------------Total len th---------1: -----------------------. e' Seepage Pit: Distance to nearest well_+-S?iIln1---------Distance from foundatid 01____.___-_- Distance to nearest lot i'ne.---•�•--.__.- . MC Number of pits----I--------------Lining materialRO-Ok-----------Size: Diameter-_ p f (� Cesspool: Distance from nearest well-----------------Distance from foundation.----------------- Lining material--.------------------_-----------.-_-. Size: Diameter---------------- Depth----- _----- _--_-__ -----Liquid Capacity.--.-. -.gals. -•�,.g�� t.. ,• - --rte - ---- Privy: Distance from nearest well---- ._ g ---- •-•---•----••--------------------1--------------------------------------------r ❑ Distance to nearest lot line---------------------------___-.-.-_----__- Distance from nearest buildin t Remodeling and/or repairing (describe):-------- - .rr---- ' i1-- i( ----------•-.-•---•---•---------•� --------------------------------------•----------•--------------------------...... -------------------------------------------------------------------------------------• ------- -----------------------------------------------------:------------------•-•---------------------------------------------------------- ----------------------------------------------•---------------------- ------- 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. (Signed).The---DAY---&---NTGHT-- Sept c_T-ank--Service - -----------------------------------------(��Contractorl By--------------------------------------- (rfle)--------•------------------------------ (Plot plan, showing size of lot, location of system in relation to wells, uildings, etc., can 6e placed on reverse side). FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY - i DATE-------- Ute,- � REVIEWED BY----------------------------------------------------------- DATE------ -- BUILDING PERMIT ISSUED-------------------------------------------------------------- DATE------------....-------------------------------------------- Alterations and/or recommendations---------------- ------------------ ---------- ___-------------------------- -------------------------------------------.--------------------------------- --------------------------------------------------------------------•---•------------------------------------••----------------------------------------------------------------------------------------------------------- ---------- ------------------------------------ --------------------------------------- ----------------------------------------------- ----------------- ------------------------------•-•-------------------------•----------•--- ---------------- ------ --- - ---- --- ---- ------------ FINAL INSPECTION BY:. ---- ------ --------- •--------- Date SAN JOAQUIN LOCAL HEALTH DISTRICT 130 South American Street 300 West Oak Street 124 Sycamore Street 205 West 9th Street Stockton,California Lodi,California Manteca,California Tracyr California E6-9 REVISED 8-59 F.P.CD.21A 6-60