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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZELTON AVE., STOCKTON, CA Telephone (209) 466-6781 PERMIT EXPIRES 1 YEAR FROM DATE ISSUED (Complete in Triplicate) i 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. Job Address 3 LTO 'TeM L e C 7 Cff Rd, City .6�0C,9400 ' Lot Size 1 o ACIe s PM Owner's Name r A10 ars GW IfY Address 9. 80 Ter9P G P P k lfr/ Phone f. !� o I Contr ac ��`T,6p ��'� Address �� License No. / V �/� Phone me �y'Z�� TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR Q OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK. SEWER LINES DISPOSAL FLD. PROP. LINE f FOUNDATION 'AGRICULTURE WELL OTHER WELL PITS/SUMPS INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation Dia. of Well Casing ❑ Domestic lPrivate ❑ Gravel Pack ❑ Tracy Type of Casing Specifications 1-1 Public ❑ Other CI 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 Stop 501 Depth Filler Material (Below 50') -- TYPE OF SEPTIC WORK: NEW INSTALLATION a REPAIR/ADOITION l I DESTRUCTION I i (No septic system permitted if public sewer is # available within 200 feet.) Installation will serve: Residence Commercial— Other ' p Number of living units: -1 e �_ Number of bedrooms Character of soil to a depth of 3 feet: HFA�!y Water table depth 410 SEPTIC TANK 9 Type/Mig 'w 657 AG Capacity No. Compartments - PKG. TREATMENT PLT. ❑ Method of Disposal Distance to nearest: Well Foundation !y Property Line 100 LEACHING LINE a No. & Length of lines a Total length/size FILTER BED ❑ Distance to nearest: Well )Qd Foundation -�� Properly Line SEEPAGE PITS I I Depth Size y, /O Number SUMPS 12r Distance to nearest: Well imp Foundation /40 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, an rules and regulations of the San Joaquin Local Health Di§trict. i 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 . certifies the following: "I certify that in the performance of the work for which this permit is issued, I-shall employ persons subject to workman's compensa- tion laws of California." The applicant must call for ail required inspections. Complete drawing on reverse side. , *- 370 Signed Signed X Title: Date: R D �RTINIIENT USE ONLY ._r Application Accepted by c Date / Area Pit or Grout Inspection by Data 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. Bax 2009, Stk., CA 95201 FEE AMOUNT DUE AMOUNT REMITTED RECEIVED BY DATE PERMIT NO. INFO + EH 13-241REV,F/H5) EH 14-28 , - I'