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APPLICATION FOR PERMIT "'tAN JOAQUIN LOCAL HEALTH DISTR�T 1601 E. HAZELF0N AVE., STOCKTON, CA Telephone (209) 466-6781 PERMIT EXPIRES 1 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. 9 Job Address � � - "eO City n/ Lot Size PM /w Owner's Name F/�'"1 " '✓� dress / _AwPhone ContractorAddress License No. Phone TYPE OF WELL/PUMP: NEW 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 ❑ Manteca Dia. of Well Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications F1 Public ❑ Other ❑ Delta Depth of Grout Seal Type of Grout_. T I I Irrigation —.Approx. Depth 1 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 50'1 TYPE OF SEPTIC WORK: NEW INSTALLATION I l REPAIR/ADDITION DESTflUCT10N I No septic system permitted if public sewer is // available within 200 feet.) -i Installation will serve: Reslence—, Commercial Other / `✓ Number of living units: _ Number of bedrooms, ,/Character Character of soil to a depth of 3 feet: Water tabb depth SEPTIC TANK ❑ Type/Mfg 249�lp Capacity 'V No. Compartments 1\�k PKG. TREATMENT PLT. ❑ / Method of Disposal Distance to nearest: Well Foundation `0 Property Line LEACHING LINE ❑ No. & Length of lines Total length/size FILTER BED ❑ Distance to nearest: Well/Rip Foundation A Property Line SEEPAGE PITS I I Depth2 Size 2 �z9 Number SU /37'MP ❑ Distance to nearest: Well L � Foundation aXJ� X/propery tLine 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 Di3trict. 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 applic t mus call for all requ'ed i spections. Complete drawing on reverse side. Signed X Title: Date: *FOR DEPARTMENT USE ONLY Application Accepted by /i%! '"!� Da ✓- a Pit or Grout Inspection by Final Inspec on by Dat Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3521 ❑ Manteca 823-7104 ❑ Tracy 835-6385 a `{ C Applicant - Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 {�O a g– t'7 FEE AMOUNT DUE AMOUNT REMITTED CASH RECEIVED BY DATE PERMIT'NO. Rp INFO f�' ///r l//\ �.EH 13-N(REV.lix51 G �y-� �p, 6d 67 / // / ' �''` EH 141a f LA