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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZEL T ON 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./ `�t.� /^ / Job Address q_3 1 •^_/ `4uj C9 SAC City Lot Size PM Owner's Name ,W JA__^z� 11) Address SAA( . Phone Contractor &rtAt ( iT o =S' Address / "$4Y 11? License No?)73S S_Phon 3 y_0 TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT>' DESTRUCTION .- r PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD.I00 PROP. LINE 1d FOUNDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation L Dia. of Well Casing 6 %('Domestic/Privates Gravel Pack ❑ Tracy Type of Casingpve Specifications i ('I Public 11 Other n Delta Depth of Grout Seal /2y Type of Grout� Slet _ I I Irrigation --Approx. Depth I I Eastern Surface Seal Installed by <7 /2A- ;CAC f Repair Work Done ❑ Type of Pump S4R H.P. State Work Done Well Destruction ❑ Well Diameter Sealing Material (top 501 Depth Filler Material (Below 501 -- 27 TYPE OF SEPTIC WORK: NEW INSTALLATION I I REPAIR/ADDITION I I DESTRUCTION I I (No seplic systuln permitted if public sewer is w available within 200 feet,( Installation will serve: Residence_ .Commercial Other - ------ Number of living units: Number of bedrooms Character of soil to a depth of•3 feet: Water table depth I SEPTIC TANK ❑ Type/Mfg Capacity No. Compartments PKG. TREATMENT PLT.❑ Method of Disposal Distance to nearest: Well Foundation Propeny Line LEACHING LINE ❑ No. & Length of lines Total length/size FILTER BED ❑ Distance to nearest: , Well Foundation Property Line SEEPAGE PITS I I Depth Size Number SUMPS LI Distance to nearest: Well Foundation Property Line 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 rules and regulations of the San Joaquin Local Health Di§trict. 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 shall not employ any person in such manner as to become subject to workman's compensation Jaws 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 applicant must call for all required inspections. Complete drawing on reverse side. Signed X 4`'�""� ✓'•NI— Title: 49U-irk. Date: FOR DEPARTMENT USE ONLY Application Accepted by Date / " � Area 3 Pit orro Inspection by ,,!�dData Final Inspection by Date Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca B23-7104 ❑ Tracy 835-6385 Applicant- Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 FEE AMOUNT DUE AMOUNT REMITTED K RECEIVED By DATE PERMIT"NO. INFO 1� PPP • EH 13-24 IREV.rinsr ! os� 1 �.� �Q 1�'/� tsu / ` tlt l�"2tl . L