Laserfiche WebLink
\ , <br /> APPLICATION FOR SANITATION PERMIT Permit No. .��� <br /> (Complete in Duplicate) <br />/' �llvv . . . . --�__'_ -� � � , .. -~ ~--- __����_.-'---- <br /> . ' ^ <br /> T�plica;ion is <br /> hereby ma6e'to the San Local Health District for n permit to construct.and install the work herein described. <br /> 's application is made in compliance with County Orclin�a�nceX. 549. <br /> Aupn,ss...... <br /> :-­----v---c-- - <br /> Contractor's Name- <br /> - . � <br /> Installation will serve: Residence',,Il��a.rfme.n.f'House Commercial E] <br /> Wafer Supply: Public-syst6 or6�munity`gystem .E] Private []' Depthto Water Table ft.. <br /> Character of s6il to a depth of 3 feeti Sand Gravel E] Sandy Loam E]:-Clay_L�am-D -ClayF]' Adobe 6--lGardpa, 0 <br /> Previous Application Made: Yes E] o No <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septicfan-k.or cesspool permitted if public sewer is available within.200 feet.) <br /> C L <br /> sposal Field: Distance from nearest well -,.-------------Distance from foundation-------------- Distance to nearest lot line----------------- <br /> mumocr or lines---------------------------------'Length of each line'-'_'--.'''-=�r o, ,mncn------''-''_-__ <br /> Ty^ �� �|+� nto <br /> �u| Dop+ cfGK�rx�fe�u| ' ' ---Total length---.,.--. <br /> ' <br /> Seepage"Pif., Distance to'.neares+:,�,ell./ 47--�_-7--Distance rompfc, dafion.../sJ0------�Qjsfance fo.rte`ar�ost'lot,line---------------- <br /> lflox <br /> '`==' "':p�'"-- --' ''L '� "�='�`f��"�~ -^z": "'='"'"''���`'---"rp"`_.��w'---''''- ^ <br /> r�- ' � y ' <br /> `Cesspool: D��nce fn,m nearest wo�'-'� '-D&+unca ` f�b Lining m^toroi--''~--�_-'�'''_ <br /> ` [] 3ize� Diameter I � Depth Liquid Capacity 'mals. <br /> ___----.-_==...�'- --------- <br /> I heee6y�cerfify-fhaf.1 have <br /> `rGdfh& application and that the work will be done in accordance with San Joaquin County <br /> ordinance$.5ta !laws, nd ru as and're ulafions of' t a San.Joaquin Local Health District. <br /> (Signed)----ou ---------------- ---- - --- - 'A140-1to,---�1_�---------- no Contractor) <br /> (Plot plan, showing siie�of lot, location' 'of system in relation to wells, buildings, etc., can be placed.on reverse side). <br /> F�/� QEP�NTk�GNTO�E��NLY <br /> ^ � <br /> APPLICATION ACCEPTED,BY-.;---. --------- <br /> u_u_|uu/mG'PERMIT ISSUED------'- ' '�-''--- --'--''----------�''-' DATE----- <br /> Nit <br /> Alterations mendw+�ns;_;__ _.�_--__-.__.-��-�_----_-__-_.-�_.._..-'_ ..__.'._ <br /> __. <br /> _____�____-'', ..�_..,--_-'�------\ ^''-�'--''-_.~'-_.'--- `---'-----''-''_-____..-______.. _ <br /> ______________________________________________^^_______________ _ ___________'__________.._______ <br /> | / ^ � <br /> '----'-------'- ----'----'' '_-----'--_''---''-'''-- ....................-----'--'--.---' <br /> | ` <br /> -'--.'`'----''-'-- '''-'-'-''---''-''---'-''''_''_'--_�'--.'''--'--'_----'-'--- <br /> RN/\L |NSPBCT|{�N -BYZ�.������.-���:------------.'.=,_------- Du+e-... .-------------------=--------------- <br /> SAN JOAQU|NLOCAL HEALTH DISTRICT <br /> 130 South American Street 300 West Oak Street /32 Sycamore Street 814 North "C" Street <br /> Stockton. California Lodi, C"||fonm° Manteca, California Tracy, California <br /> ES-9-2M n".sedv/-2/mn <br />