Laserfiche WebLink
FOR OFFICE USE: APPLICATION FOR SANITATION PERMIT <br /> Permit <br /> ----------------------- ---- --- <br /> - ----------- <br /> LO <br /> -- (Complete in Triplicate) <br /> Date issued -- <br /> p <br /> ------- •--- ------- <br /> - -------------------- <br /> -------- - ------------------------------ ----- -- <br /> This Permit Expires 1 Year From Date issued <br /> l the work herein <br /> Application is hereby made to the San Joaquin Local <br /> Qc l Health <br /> Corict unty Ordinance permit <br /> to cons and ex sting Rules-- truct and tand Regulations- <br /> tion <br /> egula#ons- <br /> described. This application is made in comp , <br /> lewl;zT ---CENSUS TRACT -------------------------- <br /> _- b R------ <br /> JOB AQDRESS/LOCATI ----------------------------•- <br /> _ _ ------------------------------ � a <br /> Phone <br /> Owner's Name ------------------------•---•----- <br /> !N - - <br /> _ � - �_" - -------- ------I--- City - <br /> Address ---------- one i - 1 C License # P <br /> Contractor's Name _.- _-- --- _X <br /> installation <br /> - <br /> installation will serve: Residen Apartment House,F1 Commercial :❑Trailer Court i❑ <br /> 1 <br /> Motel ❑Other ---- ------------- ----- -------------- l <br /> ,ff_____-Garbdge�G�rind - <br /> Lot Size ----f- ��^'----•-------- <br /> er <br /> Number of living units:---- ------ Number of Jberooms .__" --private ❑Water Supply: Public System and name _--- ------ Clay Loam ❑ <br /> Character of soil to a depth of 3 feet: Sand'[] Silt F-1 Clay ❑ Peat E] Sandy Loam <br /> ar <br /> Hdp an ❑ Adobe.0 Fill Material ------ ----- If yes,type --------------------- ----- <br />} . <br /> (plot plan, showing size of lot, location of system in relation to wells, <br /> buildings, etc. must be placed on reverse side.) <br /> i NEW INSTALLATION: (No septic tank or seepage pit permitted �public mer is available within 200 feet,) � � <br /> PACKAGE TREATMENT [ SEPTIC TANK'[ <br /> tt Size- -- - 14 4 ----------- Liquid Depth Al_" <br /> Capacity J�Q- ' - TYp, - _; - - Material. —C�=--'--- No. Compartments <br /> y ... .:... .: _. -t i 1 <br /> Distance to near st: Well -------- :��"---------- Foundation --__-- ----------- prop. Line .-_---- - <br /> t. rbl'J--- ---------- <br /> LEACHING LINE No. of Lines <br /> _,Af-�-_T -�-Length of each line...)-p'�----------- Total Length �� ----- <br /> r De th Filter Material -----I�---------------------------•---•- <br /> 'D' Box .. ___ -- Type Filter Material __.., - ----- p <br /> t - ( t <br /> Distance to nearest: Well .__--TV 0--- --- -- Foundation ------ -D----------- Property Line _ - <br />