Laserfiche WebLink
9%LICATION FOR SANITATION PERMIT Permit No. <br /> (Complete in Duplicate) <br /> Date Issued --- -----il- <br /> Th�p licatilo is hereby made fo the San Joaquin Local Health District for a permit to con P strucf and instal[the work herein described. <br /> iis ap�plication is made in compliance wA County Ordinance No. 549. <br /> '~..~.~- / <br /> - ~ . <br /> |nvtaUw+nn will serve: Residence Apartment House E] Commercial [] Trailer Court E] Npto| El Otho, <br /> Number ofliving units: 1- Number pfbedrooms 2- Number of 6u|ks j---- Lo+ s-zo ------ � Z Z-0-__-_.- ' <br /> Wafe Supply: Public system mmunHY system El Private [] Depth to Wafer Table ��' ft <br /> Character of soil to a depth of 3 feet: SandGravel E] Sandy Loaoy Loam [] Clay E] Adu6oEk<rdpan E] <br /> Previous Application Mad*- Ye, R No ��~- New Construction: Yo, [+-No El <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer 7, available within 200 feet.) <br /> Septic Tank;,-, . Distance from nearest well ----.-Distance from foundation--------------------k4uhorlu�--.-------------- <br /> No. nfcompartments--------------------------Size--------------------------------Liquid depth--------------------------Capacity-_-------.. . `~ <br /> 7 <br /> D Distance from nouroo well--------------- from foundation--------------------Distance to nearest lot line------ <br /> Number <br /> ' -�� lot <br /> ||ne_-- <br /> Num6e, of lines �� Length u�c� line . � � ` otrench _ '---'�--_ <br /> Tvon of filter h�_' <br /> �a <br /> Distance +n nv-�- U -D - +o nuuro�fS � ~- - � ' '--'- �----------- <br /> Ek <br /> �� '- <br /> Ek Number of pitn.� m�----Lining � D�nm�fer-.. ?-_- Depth_-' .Z_1�--_ <br /> Ceopoo � <br /> - <br /> D���no, from nearest �e|L---_-D�f�nce from foundation material-------------------------- <br /> �� Size: D�mofoc_''-_'-'-����-_'Depth ''-_.-'''----'''''--''-L�ui6 --__''__.--.gu|,. <br /> Privy: Distance from nearest well--------------------------------------------------Distanc-e from nearest building---------'_-__.----- <br /> _ ___ <br /> Remodeling and/or repairing (describ ------ ------- �yt_ <br /> ' � ---'-_-. <br /> . <br /> ______-___-____-_______-____'_____-�_.._-,~..~-_ -.--_---_-.__----__..__.____.-_ <br /> �--_-_-_--__.__.______.--___--__--___---__..___..___.-___-__._..__-_-..___..__----__- <br /> '---_.'-_---''-'--__'__-'-'__--__.'-___-__.-..__._.--_-..__-_-_____-'_-_-_-----.__._-_ . <br /> ' hereby^ certify that ' '~`` prepared this application and that the work will be done in accordance with San Joaquin County � <br /> ordinances,. ~.~.~ � <br /> , <br /> (Plot plan. showing size of lot, location of system in relation to wells, buildings, e+c.. can be pl ed on reverse side). <br /> FOR DEPARTMENT USE ONLY <br /> ---------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------- <br /> -------'-'---------------'-------------------------------'---------------'— <br /> -------------- ------_�--------------_-------------___-------_____-------____���_��---'_----____--_-----___-----__------------- <br /> ---.__.--_-_--_---._--.--._-.___-__. _-��----_-_--_-.__--.__----__--.___--. <br /> FINAL INSPECTION BY�--''----'-£�' A/ - Date---------------qA41_'1?___0 <br /> --'_-_._-.__.. <br /> SAN JOAQU|N LOCAL HEALTH DISTRICT <br /> /mm s""m American Street 300 West Oak Street /sz Sycamore Street 814 North ^c^ Street <br /> Stockton, California Lodi, California Manteca, California Tracy, California <br /> ex-9-'2w a's| nv~i"°6 W-x/oo <br />