|
6/3
<br />Date
<br />APPLICATION ron PERMIT
<br />SAN JOAQUIN LOCAL HEALTH DISTRICT
<br />1601 E. HAP-TON AVE., STOCKTON. CA
<br />TRIophone (209) 4C,G•c;761
<br />PERMIT EXPIRES 1 YEAR FROM DATE ISSUED
<br />IComDlele ph Tflplime)
<br />.\rI,al0r 1 no,011,v rr.irlo 10 th0 $4.1.10sourn Local 1.10.1,11 °liner lor a orirnur 10 euhstruct ann!or .nsran Ina wont !lora,. 0,••e,oeci 1N, acohurr,on ,S
<br />flIC•,n •,ornni.ance Joroo.h County 0,11,ance No M9 lor sewage or NO. /002 rOr •••••11rOurnri anal Is.* Petal in.., Repu ,friron% ()Irma San JoeJu.n
<br />LOric 0.1c1.
<br />.6••••4 7,/,',": raw LOT 5 ,20
<br /> ((,•74,14/e, • Ampo13 fwe2
<br />('- 7
<br />,0,001•03 ":"-"'"i:"Crffir 100
<br />1 ts•11,0
<br />OrtCl'./-
<br />Job A00fett PM
<br />Phone(;(}
<br />• 2s ye
<br />TYPL Ll w p LMP NEw WELL n WELL EIF.PLACtoof,NT ,_; DE.5 - 14JCTION ...,
<br />PUMP INSTALLATION n SYSTEM REPAIR C O1hrot,2" 5"; -,e. ."_..7,...,
<br />DISTANCE TO NEAREST SEPTIC TANK SEWER UNES DISPOSAL CID. PL.OP LINE
<br />rOuNDATION AGRICuLTUPE WELL OTNER WELL PITS/SUMPS
<br />INTENDED USE
<br />0 Irinustreet
<br />Domwst,ciP/i,ste
<br />It P‘IIJII.c
<br />stouanon
<br />leoatt WOrk Cron,*
<br />Well DeltrIJC1151‘
<br />_,••-••/r/,
<br />TYPE OE WELL
<br />C3-01w•rt 00I1Om
<br />LI Gravel Pack
<br />17 Other
<br />.i.L.:AO1v0a. Depth
<br />Type or Pump
<br />Wfl Dametef
<br />Depth
<br />CONSTRUCTION SPECICICATIONS
<br />Chi. of YVt0 Carew.) /
<br />TYPO of ..4S.409 Spec Acauons
<br />[Nom co Gfr.ut Seta ‘E.,1•-•-• -4 Typo at 0,0,1
<br />Su. lace Sew Intleww.d Al.-•••-•••••••••, $.•
<br /> cue. weft Done
<br />Se3trty metenet Ito° 501
<br />Malligkal a.loe 501
<br />PROBLEM AREA
<br />IJ mantica
<br />'7 Tracy
<br />I I Dana
<br />I Eastetn
<br />04. of we Ettavehon
<br />NP
<br />TY Of SE.TIC. vv0Pk.
<br />inetanotson nnti ten-e. Roheeret
<br />N.n.be of in,,no unit:
<br />Chirac-tnw et too to a deoln
<br />(PTIC TANK Cl
<br />NEVV INS1 ALLA :NON I I
<br />Co•ognental...„—
<br />h ,,mont 04 booroohn
<br />of 3 feet:
<br />hti•AIR:ADDitinN
<br />Cow
<br />INSTRuCitoN • 4O SeVhC avadard oarmeite0 4pubic sov••••
<br />avostooro 200 tem.:
<br />Wstr mow doo•P
<br />Typo/Mfg Cormatel No. Comeamtvetta
<br />PKG TREATMENT PLT. Wafted Of Owtoosal
<br />Elstatice to never Wel FOunClirOn Noponv Lim
<br />LEACHING LINE '7 No, & Length oll Iwo% Total le•vm is,.
<br />currn RED C Noteoceto ,,erest Vvee Fa-mutton Proven-, Line
<br />SEEPAGE PITS I Depth Sirs
<br />SUMPS l Owitehca 10 Midwest W•11 — POunClarrnn P10041MTV Lin*
<br />0101 01AL, PONDS
<br />Nowt./ unify that I Pave Dractarld Glra and that IND %vork w•it t* Clonal rrt aCCOMIloCfr works Sao J000tod COurrty cortIrtadCoL auto keen. and
<br />teen and reovilt,ons of 1110 San JeAlOtse, Lot& 14•,a4in Vritr ,er,
<br />010 ,141 owner Or 1•170n0400 190n1 I 'chew,* comfits the flbovdoo. I con" /NE in trto DorforroonCO el the vont for wow, the Dorm a *sued. I (NA nod
<br />11"0.0. SOY Oloson fl such noonnto is to Won.* subloct ...wonsn't sc...00nsatoun *we of Cakfoneo." Commix/0es reodo or eutscontractwwa oonahana
<br />clIm 11411111t• 101,0*1^0. cafrfw Itta1 ", PN1 Per10,1%110C11 01 rno to, wailer, Mrs otantod la mooed. I WWI atono•ov oraroods wooed* to workman's contoorkato.
<br />IkYt 4.074n, ,,,0 02141 Ch" c..
<br />...; tow ""quwe4 InW.Ch°14
<br />C4""C""d'""n2Titrir x Ova.
<br />_ 001014(TMENT USE °Nu,
<br />Atml‘C•linn Aroioiad hy 2 7 -•-•e)
<br />Pit c , CrOul in1O4PCI.nr, nY D. Frner In/011etrern ;-
<br />AdChilfM111
<br />Sti 4elOAS791 C LAC. le+1•1212! Mahteca J-7IO4 In Tracy 11.15-CORS
<br />Arohoent • coo*, to. ,Thwitorynental meant, rwmleis.,‘"ces 1801 E. Plifsfafon Ay*. P.O. Bow 2031. St t CA 95201
<br />AmoLow , 61,t
<br />INIC) L
<br />'1
<br />Ak•r`U ,If Out Cr • 1
<br />r•S. .14cErv.o iv OATS nE016•11
|