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APPLICATION FOR PERMIT ti SA JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZELTON AVE., STOCKTON, CA J 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 Ryles and'Regulations of the San Joaquin Local Health District. t; Job Address Z Z y `.s. o Z7Z 4 C /UO if,� ity '�2 Lot Site PM Owner's Name rGt7r--� Address 2—Z49!5 LL�Phone Contractor22A I Address 3zgp,v iL; �� G� icense No.Z7�y3 � Phone 6 J f 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 WELLPITS/SUMPS INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation ✓ '--Dia-trf Wet!Casing -� O Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Spebifications O Public ❑ Other ❑ Delta Depth of Grout Seal Type of Grout ❑ Irrigation ---Approx. Depth ❑ Eastern Surface Seal Installed by I ? Repair Work Done ❑ Type of Pump H.P. State Work Done Well Destruction ❑ Well Diameter Sealing Material (top 501 Depth Filler Material(Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION ❑ REPAIR/ADDITION DESTRUCTION ❑ (No septic system permitted if public sewer is available within 200 feet:) Installation will serve: Residence_ Commercial_ Other S ± _ Number of living units: Number of bedrooms 1 + Character of soil to a depth of 3 feet: Water table 'tit' SEPTIC TANK ❑ Type/Mfg Capacity No. Ccmpartrt nts • PKG. TREATMENT PLT. ❑ = Method of Disposal Distance to nearest: Well Foundation ProbertEy Line LEACHING LINE No. & Length of lines s 9r C: Total length/size FILTER BED ❑ Distance to nearest: Well Foundation Property Line SEEPAGE PITS ❑ Depth Size Number SUMPS ❑ Distance to nearest: Well Foundation Property Line DISPOSAL PONDS ❑ I hereby certify that(,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: I certify / employ any �" rtify that in the performance of the work far which this permit is issued, I shall not e ploy the peon in such manner as to become subject to workman's compensation laws of California."Contractor's hiring or sub-contracting signature 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 forall r wired inspections omplete drawing on�reverse �side. -- Signed X�_ Title: Date: FOR DEPARTMENT USE ONLY Application Accepted by Date _ Arere, Pit or Grout Inspection by Date Final Inspection by —Area Date 3 a 7 itional Comments: Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 823-7104 b Tracy 835-6366 Vlescant- Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 FEE AMOUNT DUE AMOUNT REMITTED INFO nn CASH RECEIVED BY DATE PERMIT fl0 .EH 13-24 IREV.t/eel - EN 1 -26