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c- , � t APPLICATION FOR PERMIT UIN LOC-AL,HEALTH DISTRICT , ,.� SAN JOAO. _ 1601 E. HAZETON AVE., STOCKTO.N,- CA 1 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 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. � �74 ��M l Job Address p�' Ciitty� Lot Size Owner's Name _� - ` Address Q7 / / �� Phone Contractor Er Address `, ,-�� O icense No. yS`0 9X* PhonaX++� TYPE OF WI=LL/PUMP: NEW WELL ❑ WELL REPLACEMENT ❑ DESTRUCTION ❑ PUMP INSTALLATION ❑ SYSTEM REPAIR F1OTHER�❑ - DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES DISPOSAL FLD. _PflOP. LINE FOUNDATION AGRICULTURE WELL OTHER WELL PITS/SUMPS INTENDED USE TYPE OF WELL PROBLEM AREA CONSTRUCTION SPECIFICATIONS ElIndustrial ❑ Open Bottom ❑ Manteca Dia. of Well Excavation Dia. of Well Casing ❑ Domestic/Private ❑ Gravel Pack ❑ Tracy Type of Casing Specifications public Cl Other fType of Grout F.1 Delta Depth of Grout Seat .r..- w � 1 I Irrigation --Approx. Depth I ) 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') TYPE OF SEPTIC WORK: NEW INSTALLATION l l REPAIR/ADDITIO 1- DESTRUCTION l I (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. ❑ Method of Disposal Distance to nearest: Well Foundation Property Line LEACHING LINE & Length of lines Total length/size FILTER BED ❑ Distance to nearest: Well y� Foundation Property Line �S SEEPAGE PITS I I Depth 1:7 ize � - Number 4 SUMPS A Distance to nearest: Well Jam__.- `Foundation_AV Property Line lrS 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 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 appiican for�drl- tpredJnspections. Complete drawing on reverse side. �. `� Signed X sa_ Tit FOR DEPARTMENT USE ONLY Application Accepted by Date Pit or Grout Inspection by Date Final Inspection by Additional Comments: ❑ Stk 466-6781 ❑ Lodi 369-3621 ❑ Manteca 823-7104 0 Tracy 835-6385 Applicant- Return all copies to: Environmental Health Permit/Services 1601 E. Hazelton Ave., P.O. Box 2009, Stk., CA 95201 FEE REMITTED CK RECEIVED BY DATE PERMIT'NO. AMOUNT DUE AMOUNT INFO CASH it + EH 13-24(REV.t/H 5) � $76, 66 �� a /l y. �� EH 14-2a