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FOR OFFICE USE: APPLICATION FOR SANITATION (Complete in Triplicate) Permit No. .75: ------ This Permit Expires T Year from Date Issued Date Issued Application is hereby made to the San Joaquin Local Health District for a permit constru�tdescribed. This application is made in compliance with County Ordinance No 5490and ex i ngnRulestalndtg Relationsrein JOB ADDRESS/LOCATION `- ' J. r ,' % i.._•. . ... . ' CENSUS TRACT .. Owner's Name ) —r ...... Address ✓ . 1, ...phone .... .. City Contractor's Name �. .. _..._.4.: :_ lc' .License Phone ... _ Installation will serve: Residence E]Apartment House Commercial Q __ ___ Trailer Court Q _ Motel ❑Other(: "._l Number of living units:.. Y_.._ Number of bedrooms _.`.`_.___-.Garbage Grinder .. .. ...... Lot Size Water Supply: Public System and name ------ � ° �...... c. :......-__----: ---. ' - . `' . Private Character of soil to a depth of 3 feet: Sand b Silt❑ Clay 0 Peat[a` Sandy Loam ❑ Clay Loam O Hardpan ❑ Adobe ❑ Fill Material . ---------- If yes, type ............... ......... (Plot plan, showing size of lot, location of system in relation to wells, buildings, etc. must be placed on reverse side.) NEW INSTALLATION: (No septic tank or seepage pit permitted if public sewer is available within 200 feet,) PACKAGE TREATMENT [ ] SEPTIC TANK{ij' Size,` ';..��r-_�_: •�-.X.-,;. . Liquid Depth ...a--------------------- Capacity Typ f,_� < t. <, .:..,_ a c- = .. Material r. = No. Compartments ..- ............... Distance to newest: Well .----=:h --- ---=----- ----------Foundation .._._L-C:./f:f..._ Prop. Line -. .. _�.------0 LEACHING EINE ] No. of Lines . .... Length of each line.... . ......... ._. Total Length ... . .......... ,S 'D' Box Type Filter Material ....................Depth Filter Material . ... S Distance to nearest: Well --.--.- _... --- Foundation ..... . -- Property Line . ..................... 4 ' , e a. Depth .:'. '... r.'L t- -'�:_' Number ........L -... !tock Filled Yes [�J'" No Q " _ Water Table Depth s=f -------- ----.-----Rock Size Distance to nearest. Well -------- Foundation .__...1. .r_ ... Prop. Line ..... REPAIR/ADDITION(Prev. Sanitation Permit# --------..-.-- --- -------- Date ------------------•--------------- ) Septic Tank (Specify Requirements) Disposal Field (Specify Requirements) _- .......................... .. .... - -- -------- --- --------- - ......_ ------- . . .. ................ --- --__. (Draw existing and required addition on reverse side) 1 hereby certify that 1 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. Horne owner or licen- sed agents 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." Signed ..... .. .._. -------- Owner By " 4 _ ___ 'Title - ce j�("z, (if other than owner) C] FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY J �,;;� ,: .. . - _ DATE -� . - . ... BUILDING PERMIT ISSUED - .. ._ DATE NAL COMMENTS .... - - Final Inspection by: <.:: ... ......... Date EH 13 2!i 1'6 llcv' S 5 N .-OAQUIN LOCAL HEALTH DISTRICT 8/7jt 3M rrA_l