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APPLICATION FOR PERMIT SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E. HAZE T ON AVE., STOCKTON, CA Telebhone (209) 466-6781 PERMIT EXPIRES TYEAR 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. Job Address 2 R22 ©W T'. City Lot Size (/[ PCMj(f / Owner's Name _%Wkt Address Q, Phone Contractor Ste`�_ _Address License No. Phone_ TYPE OF WELL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ "SYSTEM REPAIR ❑ OTHER ❑ DISTANCE TO NEAREST: SEPTIC TANK -------,.SEWER,LINES.,, ` vy f DISPOSAL FLD. PROP. LINE FOUNDATION AGRICULTURE*ELL' OTHER WELL PITS/SUMPS INTENDED USE TYPE OF WELL (PROBLEM AREA CONSTRUCTION SPECIFICATIONS ❑ Industrial ❑ Open Bottom i❑ Manteca Dia'of Well Excavation Dia. of Well Casing .' # ' t S ecifications 4 �1 ❑ Domestic/Private C1 Gravel Pack ❑❑ Tracer TT-Y—pe of Casing p 1'1 Public C Other ❑ Delta I Depth of Grout Seal Type of Grout _. I I Irrigation _—.Approx. Depth l I Eastern Surface Seal Installed by f l Repair Work Done 0 Type of Pump H,P. State Work Done— `� `. Well Destruction ❑ Weil Diameter Sealing Material Itop 501 N Depth Filler Material IBelow 50'1 -- TYPE OF SEPTIC WORK: NEW INSTALLATION I 1 REPAIR/ADDITION I I DESTRUCTION (No septic system permitted if public sewer is available within 200 feet.) Installation will serve- Residence Commercial_ Other _. Number of living units: _�_ NumbeE rA bedrooms Character of soil to a depth of 3 feet: Water table depth Q r SEPTIC TANK L1Type/Mfg �t0� Capacityo►4kyW11 No. Compartments PKG. TREATMENT PLT. ❑ 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 l I Depth Size Number SUMPS L7 Distance to nearest: Well Foundation Property Line DISPOSAL PONDS ❑ I ! s 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 Oistfict. 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." - - r J 1 . The applicant must call for all required inspections. Complete drawing on reverse side. Signed X �`..C7t Title: Date: tr 1 FOR DEPARTMENT USE ONLY q Application Accepted by Data 1Area Pit or Grout Inspection by Date Final Inspection by Data Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 623-7104 ❑ 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 C RECEIVED BY DATE PERMIT'NA. INFO �s �) + EH14-24rREV.rinSY �� Uc) 7—Ifai ��'��/� EH t4-28