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N./ APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT - (� ca 1601 E. HAZELTON AVE., STOCKTON, CA Ilur-lJ \ILJI% 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. r7?APP Job Address G�y�[»„Qle� c.t� City, Lot Size. / G PM Owner's Name _ __#14 IC C.S. Ge:G`5 Address Z, G6 S A-zydNT/9 Phone 1 Contractor,�0 ./.,moi/ Gr`ff Address R e , ZYp ht2 r ] 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 M Public ❑ Other F Delta Depth of Grout Seal Type of Grout I I Irrigation —Approx. Depth I 1 Eastern Surface Seal Installed by _ Repair Work Done ❑ Type of Pump H.P. State Work Done_ Well Destruction ❑ Well Diameter Sealing Material (top 501 "r Depth Filler Material (Below 50'1 �•/ - TYPE OF SEPTIC WORK: NEW INSTALLATION I I REPAIR/ADDITION DESTRUCTION I I INo septic system permitted if public sewer is available within 200 feet.) 6 ,Installation will serve: Residence— Commercial Other to Number of living units: Number of bedrooms 1 Character of soil to a depth of 3 feet: S/Y.Valr- AD0136 Water table depth SEPTIC TANK ❑ Type/Mfg Capacity No. Compartments PKG. TREATMENT PLT.❑ Method of Disposal Distance to nearest: Well Foundation Property Line LEACHING LINE ❑ No' 8 Length of lines' q .� Total length ize FILTER BED Distance to nearest: Wali /.SOf�Foundation -�'b Fr Property Line SPEPAGE PITS I I 'Depth Size Number SUMPS ❑ Distanc to nearest rest: - 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: "1 certify that in the performance of the work for which this permit is issued, I shalt not employ any person in such manner as to become subject to workman's compensation lavib,of California." Contractors 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 required inspections. Complete drawing on reverse side. �yy Signed X�,��AA - Title: Date: �'x�� ' FOR DEPARTMENT USE ONLY Application Accepted by _ _ Date Area Pit or Grout Inspection by Date l Final Inspection by Date Additional Comments: r�' Z ❑ Stk 466-6781 ❑ Lodi 369-3621 O Manteca 823-7104 ❑ fracy 8366385 7 Applicant - Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 FEE j NFO AMOUNT DUE AMOUNT REMITTED CASH I RECEIVED BY DATE PERMITN0. X . EH 11341REV. EH 143a ! - .