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- APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. E-IAZEL T ON AVE., STOCKTON, CA Telephone (209) 466-6781 PERMIT EXPIRES i 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. �r `I l�.O V 4 1.Q 1 Y-- 1 i City ` r`lot Size PM r Job Addres �`�� _ + 1 y�YCL � Phane a Owner's Name ContractorA__� Address �4 License No. Phone_ TYPE OF NEW WELL/PUMP: WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ 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 ❑ Industrial ❑ Open Bottom El Manteca Dia. of Well Excavation Dia, of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications i F1 Public Cl Other 11 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 501 ' Depth Filler Material (Below 501 — '\�� TYPE OF SEPTIC WORK: NEW INSTALLATION E a REPAIR/ADDITION I 1 DESTRUCTIO { (No septic system permitted it public sewer is i available within 200 feet.l T V installation will serve: Residence_ Commercial— Other /� Number of living units: Number of bedrooms L/ Character of soil to a depth of 3 feet: ater table depth o. Compartments SEPTIC TANK ❑ Type/Mfg ! C pa PKG. TREATMENT PLT. ❑ 3�, ,,,`� ,�, {, Method of Disposal Distance to nearest: yvoruliLMal b ti�+�tho(oterty Line being LEACHING LINE ❑ No. & Length of lines � of ength size FILTER BED ❑ Distance to nearest: II?- 1r� l au at a t D�y��Wperty Line a SEEPAGE PITS I 1 Depth Size — Number SUMPS 0 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 i certifies the following: "I certify that in the performance of the work for which this permit is issued,l shall employ parsons subject to workman's compensa- tion laws of California." _ The applicant must call fo�allre red ins pe ti o:s. mplete drawing ooversyelTq. n, Signed X j Title: FOR DEPARTMENT US ONLY Application Accepted by 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 - Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 i CK FEE AMOUNT DUE AMOUNT REMITTE];Pa PATE PERMIT'No. INFO EHt3-24{REV.1/851 EH 14-2e i