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APPLICATION FOR PERMIT j SANI-°JOAQUIN LOCAL HEALTH DISTRICT 1601 E."•HAZELTON AVE., STOCKTON, CA Telephone 52091 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. u" I Job Address Q ' + J� City S10"'T* Lot Size PM 116 Owner's Name JI,' h/S.h Address V o It 9' WE f��3 Phone b T contractor L 1?IYIIY i of F Is F7 1z1z Address License No. Phone � �� 3`ff4 TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR ❑ OTHER ❑ 01.1 DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD. PROP. LINE FOUNDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS ❑ Industrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation Dia. of Well Casing _.,t._ _ ❑ Domestic/Private LI Gravel Pack 17 Tracy_ T - ! Type of Casing Specifications M Public ❑ Other C] Delta Depth of Grout Seal Type of Grout _ I I Irrigation —,Approx. Depth I 1 Eastern Surface Seal Installed by Repair Work Done ❑ Type of Pump H.P. State Work Done_ Well Destruction ❑ Well Diameter Sealing Material {top 501 Depth Filler Material (Below 50'1'-' TYPE OF SEPTIC WORK: NEW INSTALLATION 11 REPAIR/ADDITION I I DESTRUCTIONINo septic system permitted if public sewer is vailable within 200 feet.I Installation will serve: Residence_ Commercial— Other Number of living units: Number of bedrooms Character of soil to a depth of 3 feet I Water table depth SEPTIC TANK ❑ Type/Mfg1 3 Capacity No. Compartments PKG. TREATMENT PLT. ❑ Method of Disposal Distance to nearest: Well Foundation Property.1-ine t LEACHING LINE ❑ No. & Length of lines Total length/size FILTER BED ❑ Distance to nearest: Well Foundation Property Line SEEPAGE PITS 1 ) Depth I Size Number SUMPS ❑ Distance to nearest: Well Foundation Property Line DISPOSAL PONDS ❑ � 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. Home owner or licensed agent's signatu.re certifies the fotlowing:-"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." Theappli nt must call for all required inspections. Complete drawing on reverse side. t �J x Signed Title: Date: FOR DEPARTMENT USE ONLY Application Accepted byr 4 Date q�;Z Area Pit or Grout Inspection by Date Final Inspection by, - Date 9 �... Additional Comments: � ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 823-7104 ❑ Tracy 835-6385 Applicant - Return ail copies to: Environmental Health Permit/Services 1601 E. Hazeiton Ave., P.O. Box 2009, Stk., CA 95201 FEE K if i INFO AMOUNT DUE AMOUNT REMITTED CLASH RECEIVED 8Y DATE �PERMIT'NO. r.EH 19.2 IREV,f/FS 5) EH 1I-28 4