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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT /� yy7 1601 E. HAZELTON AVE., STOCKTON, CA Telephone (209) 466-6781 PERMIT EXPIRES 1 YEAR FROM DATE ISSUED (Complete in Triplicate) Application is heieby made to the San Joaquin Local Health District for a p rmit to construct and/or install the work herein described. This application is made in compliance with San Joaquin County Ordinance No. 549 for sewagebt�.No. 1862 for well/pump and the Rules and Regulations of the San Joaquin Local Health District. f Job Address 411325 a✓lShlf/w/[.rD.E? .ST City .sro�,?V&J Lot Size PM Owner's Name �, 1_'r,_....0/G 40^20}+' r Address ?40 S 46Q_W _& "4 Phone —o 36 8-:Z v Contractor avyl) c. woot, Address 7 Al. o966436arr ST License No. L( S`.3�_Phone(;ZGf t16S- TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑�POSAL OTHER F1DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES LO. PROP. LINE FOUNDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS INTENDED USE TYPE OF WELL PROBLEM AREA CO RUCTION SPECIFICATIONS , ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Trac Type of Casing Specifications I'l Public Cl Other elta Depth of Grout Seal Type of Grout -- 1 I Irrigation _Approx. D I I Eastern Surface Seal Installed by _ 3' Repair Work Done ❑ Type of p H.P. State Work Done Well Destruction ❑ Well Di eter Sealing Material (top 50 Depth Filler Material (Below 501 TYPE OF SEPTIC WORK: NEW INSTALLATION I 1 REPAIR/ADDITION I 1 DESTRUCTION (No septic system permitted if public sewer is 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 SEPTIC TANK ❑ Type/Mfg Capacity No. Compartments PKG. TREATMENT PLT. O Method of Disposal Distance to nearest: Well Foundation Property Line LEACHING LINE ❑ No. & Length of lines Total length/size FILTER BED ❑ Distance to nearest: Well Foundation Property Line r SEEPAGE PITS I I Depth Size Number SUMPS ❑ Distance to nearest: Well Foundation Property Line i DISPOSAL PONDS Cl I 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 District. L 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 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- tion laws of California." { The applicant must call for all required inspections. Complete drawing on reverse side. Signed Title: __ . Date: FOR DEPARTMENT USE ONLY ` Application Accepted by Date Area Pit or Grout Inspection Date Final Inspection by Date � � D Additional Comments: 2 _ ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 823-7104 ❑ Trac 835-6385 Applicant - Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Silk., CA 95201 fEE AMOUNT DUE AMOUNT REMITTED CK RECEIVED BY DATE PERMIT'NO. INFO SH + EH 13-21(REV.t/xslrj e :n ��]�