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FOR OFFICE USE: 3 o L - Ar- -__- APPLICATION EOR SANITATION PERMIT Permit No. _._.�_.7_----3 ---------- ------------------- _------.-------- (Complete in Duplicate) fie-- �' -------________________________________...----------- This Permit Expires 1 Year From Date Issued Date issued ___ ______ ___ Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. This application is made in compliance with County Ordinance No. 549. JOB ADDRESS AND LOCATION-------- 2660-_Turnpike Road: Stockton Owner's Name----------Fabila_Bros_,__Labor-eentractora_-.(Fabila_Bros--- ,abor-_� ups---•--- Phone_465_- ��.�-------------- –Address---------------------3aim------------------------------------------------------------------------------------------------------.------------------------------------------------------------------•------- rContractor's Name--- The--Day.&_Naght_.SegtiG--Tank--Ser-Vica--------------------------------------------------- Phon 3-^W+1---------------- Installation will serve:-s*Residence ❑ Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other)m Labor 0 *1 Number of-living units- -------- Number,of bedrooms -------- Number of baths -------- Lot size 3_._Aax'es--_.--_-_�'Camp,., Water Supply: Public sfsfemlu Community system ❑ Private ❑ Depth to Water Table -------- ft, ' Character of soil to a depth of 3 feet: Sand E Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe [P[ Hardpan ❑ Previous Application.Made: (If yes,date-lO/l/62---) No ❑ New Construction: Yes ❑ No I[] FHA/VA: Yes ❑ No ❑ TYPE OF INSTALLATION! AND SPECIFICATIONS: # ` (No septic tank or\cesspool permitted if public sewer-is available within 200 feet.) '% tr Septic Tank: Distance`from nearest well-----------------Distance from.foundation--------------------Material-_---__-_----_-.-.___-_-_---_ E:Usting No. of compartmentsF=----------- ------Size-•-------------- *.--.--.---Liquid depth---------------------.----Capacity------------------=: . Disposal Field: DistanceJrom nearest ;weIIYPne--.---Distance from foundation----1Qt-_---._.Distance to nearest lot line------15-'---, IP5isting Number of lines___._2____------------------------Length of each line------20;--------------___Width of trench----------21E!!--------------_`N & ADI} Type of filter material_.SP_ptic-_H:kk-Depth of filter material--_-.--3, Ir Total length--------- k Seepage Pit: Distance''„to nearest well±--None---------Distance from foundation------lO t______Distance to nearest lot line___.__]_rj.__ , t."i �r EqAsting & Addumber of pits_;.-_._2__.1....to—..Lining material--._Rock------Size: Diameter-------J+2h--------Depth-----25 t___________11L, __________ 6 , �ee Cesspool: ` Qistance from nearest wel!__ Distance from found'ation--------------------Lining material_-------_--------------------------- ❑ Size: Diametercr_^r........' ;r --------------Depth--------------- r--------- ---------------------Liquid Capacity------------------------__gals`I� Privy: Distance from nearest:well--------------------------.----------------------Distance from nearest building------------------------------------------ 4t ---.-_-------.-__---__------. -..-__.-4 ❑ Distance to nearest lot line-------------------------------------------------------------------------------------------------------------------------- ' v - ,Remodeling and/or repairing”(describe): -- =------------------------------------------------------------------------------------------------------------------------------------ ' ppletr �r Dralnag� ---------------------------------------------------------- t ------------------------------------- ----•=----- ---------------------------•------------------------------------------------------------------- ---------------------------------------------------------------- ------ I hereby certify that 1 have prepared this application and that the work will be done in accordance with San Joaquin County i 4-ordinances, State laws, and rules and'regulations of the San Joaquin Local Health District. i 4 1 ` (Signed)-- The..Day. .-&Night--SeP.tir_-_�j'.ank_-Servs e- --- ----- ---- -- -----••------------------------------------------- r Contractor) { � BY:----------------------------------------------------------------------------------- - --`-- ----- (Title)_ i t(Plot plan, showing size of lot, location of systen rela+i to wells, build' g ,'etc., can be placed on reverse side). i FOR DEPARTMENT USE ONLY F-111,. S,APPLICATION ACCEPTEDBY ---------- ------------------------------------------- DATE..... ., ~- ---------- REVIEWEDBY------------------------------ -------- - ----------- ------------------------------------------- -------------------------- DATE------------------------------------------------------------ BUILDINGPERMIT ISSU'ED----------------------------------------------------------------------------------------------------- ATE------------------------------------------------------------- t Alterations and/or recommendations:- ------k-. ------------------------------------•-- -------------------------- ---------------------------------------------------------------- -------------- ----------------------------------------•------------------------------------------------------- ---•----------------------- ------ ---- -- -------------------------------- --------------------------------------------------------------------------- •--------------- ---------------------- •-------------- ----•-------------------------------------- -------- FINAL INSPECTION BY:.- - - ---------------------------- Date__...-'---'�—_4 SAN JOAQUIN LOCAL HEALTH DISTRICT 1501 E.Hazelton Ave. 300 West Oak Street 124 Sycamore Street 205 West 9th Street Slocicton,California Lodi,California Manteca,California Tracy,California ES 9 REVMVP a-59 3M 3-'63 F.P.CE].