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L. 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 t,. (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. V _ Job Address 45 -3 EKSS-e1' A"Q City14 �7`f4G Lo(1t Size PM �) r Owner's Name J. ) k r7YT r r fj Address �^�A n(1 as re A 0 Phone Contractor's Name License No. -/- 7) S 75 Phone T 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 INN 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 El Tracy Type of Casing Specifications (a. ❑ Public ❑ Other ❑ Delta Depth of Grout Seal Type of Grout fly ❑ Irrigation --Approx. Depth ❑ Eastern Surface Seal Installed by LP Repair Work Done ❑ Type of Pump H.P. State Work Done '\,n Well Destruction ❑ Well Diameter Sealing Material (top SO') O Depth Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION ❑ REPAIR/ADDITION K DESTRUCTION ❑ (No septic system permitted if public sewer is available within 200 feet.) Installation will serve: Residence� Commercial_ Other Number of living units:I Number of bedrooms O Character of soil to a depth of 3 feet: Water table depth IVAi ` SEPTIC TANK O Type/Mfg Capacity No. Compartments M PKG.TREATMENT PLT.❑ Method of Disposal Distance to nearest: Well Foundation Property Line LEACHING LINE Pr-"No. & Length of lines I R Total length/size FILTER BED ❑ Distance to nearest: Well lamO+ Foundation as:I _ Property Line 1 LSEEPAGE PITS ❑ Depth4Size ��h � Number SUMPS P1 Distance to nearest: Well . Foundation \ Property Line 7 DISPOSAL PONDS ❑ 1 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 roles and regulations of the San Joaquin Local Health District. 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 L 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- Cron laws of California." The applicant must call for all re�(g3- dJiings'pections. Complete drawing on reverse side. Signed X rA'zt.l�fy Title: 42 epi Date: V FOR DEPARTMENT USE ONLY Application Accepted by //�"/l • Date - Area Pit or Grout Inspection by r Date Final Inspection by "�� Date Additional Comments: L ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 823-7104 ❑ Tracy 8355-M Applicant- Return all copies to: Environmental Health Permit/Services 1601 E Hazelton Ave., P.O. Box 2009, Stk., CA 95201 FEE AMOVNT OVE AMOUNT REMITTED CK 0 RECEIVED BY DATE PERMrT-NO. L INFO � CASH TEH 1}24IREV.10=