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6356
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4200/4300 - Liquid Waste/Water Well Permits
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6356
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Entry Properties
Last modified
2/2/2019 10:08:01 PM
Creation date
12/4/2017 8:09:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
6356
STREET_NUMBER
3425
STREET_NAME
CORONADO
City
STOCKTON
SITE_LOCATION
3425 CORONADO
RECEIVED_DATE
05/25/1955
P_LOCATION
HENRY MAYER
Supplemental fields
FilePath
\MIGRATIONS\C\CORONADO\3425\6356.PDF
QuestysFileName
6356
QuestysRecordID
1702264
QuestysRecordType
12
Tags
EHD - Public
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-.�# -... -- R - �. — t . <br /> ..�=• I , <br /> d � ' f}, 4 <br /> v3 <br /> APPLICATION FOR SANITATION PERMIT Per <br /> C I , (Complete in Duplicate) r. <br /> :Date Issued ------ <br /> is <br /> Applica}ion is hereby made to the San Joaquin Local Health District for a permit to construct and instal ""y'-r herein described. <br /> This application is made in compliance with County Ordinance No. 549. ' <br /> i ., q <br /> JOB ADDRESS AND LOCATION-____3�25_--Coronado__________________________ -� <br /> ..--------------------------- :. <br /> � Henr Ne, �r - p`40 03 .M <br /> Owners Name-------- Y_-_ �., e <br /> ____________ ____________________,._..._..--___-._____..__-__.�_._-_..£_.... <br /> same' �: <br /> Address ------- �~ a <br /> --------- <br /> E - ------------------- <br /> Del ta. nC. ,� <br /> Contractor s Name:..- --•------ - •----• ---•----------------------------------------------------------------------------------------------- Phone:_ o` <br /> .ac M a <br /> Installation will serve' :, Residence [N Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel -:❑0 <br /> Number of li ling units: _ -____ Number of bedrooms _2____ Number of baths __1-__ Lot size ____---___5n___'15---- ys§ S1II <br /> Water Supply:r Public system ® Community system ❑ Private ❑ Depth to Water Table 4� ft. <br /> Character of soil to depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ ,Adobe H.rdpa <br /> N� �, ., <br />< Previous Application Made: Yes ❑ No:E) ® E]New Construction: Yes No . <br /> 4 <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> Septic Tank: s 4F istance from nearest well__,.-'_'-_._.__-Distance from foundation--------------------Material_.___-------...-______ `"` ,_:_____. <br /> No. of compartments _-_.- _ _ _Li uid de th___._-.-----.__.. ___ Ca acit --------- <br /> -------------- <br /> 1>7.. <br /> 4 <br /> �? _ �� SII P 9 P. P y... ----' --= <br /> >.-Disposa Field: Distance from nearest well-----------------Distance from foundation--------------------Distance to ri&�arest lot line________.___..... <br /> ex eta Number of lines-----------•-------- --------------Length of each line----------------------------- Width of trench----=------------=------ <br /> flT ype of filter. materia!-------------------------Depth of filter material-----------------------Total length________-_-__._______:_.___--__-_-__:__- 1 <br /> Seepage Pit: Distance to,nearest wejl--------IZp--------Distance from foundation_-____ --------Distance to nearest lot line__.7------------ <br /> Number <br /> ,_----_.._, <br /> --- • bagk ' Depth- <br /> ------------ <br /> l�umber of pits----- __,.__ ------ Linin material__________ _ ___Size: Diameter--------- De to L— " <br /> Cesspool: llikstance from nearest well_________________Distance from foundation---------------.--- Lining material------- <br /> ---- <br /> Size: Diameter-------------------------- - De th------------------------------ ---------------------Liquid Capacity <br /> Privy: Distance from nearest well------------------------------------------------_Distance from nearest building. _._______-----.-_-.______..__._____._. [n <br /> [] r Distance to nearest lot line---_-.-_-_. \ <br /> dd.i <br /> Remodeling and/or. repairing (describe):--------a---_-.-.-n ___ �'e'c?.?ge___nZt O 2XI —g---6 5tG'i31 <br /> ---------- ------------ ------ <br /> ---- ---- ----- ---- --- -------- -------- ----------- -------- ----------------- <br /> ---------------------------•----- ---------------------------------------------- --------------------------•-••-••--••-------------------- ----------------------------------------------------------- <br /> - <br /> iI <br /> t I hereby certifyHfhat I have prepared this application and that the work will be done in accordance with San.Joaquin County <br /> ordinance;, State lays, and rules and regulations of the San Joaquin Local Health District, i <br /> (Signed)--------------------=I:I--II'I Delta,---�-�'e-a---------------------- ------- --.----'-----------------------------------------------------------=- ----.(Owner and/or Contractor) 3 <br /> B I. k., ..:.......-•-------------- Gen.Y19-r-! <br /> T�+I ] <br /> Y� ( � e <br /> (Plot plan, showing size of lot, location of system in relation to wells, buildings, etc., can be placed on reverse side). <br /> FOR DEPARTMENT USE ONLY ' <br /> APPLICATION ACCEPTED B _ } DATE_ a <br /> ------- ------------- ��^-------•-------- - <br /> REVIEWED BY ���I------------------- DATE <br /> ---------•- <br /> BUILDING PERMIT <br /> 11, -----------------=-------------------------------------.- DATE..--. �----- ---------- <br /> Alterations and/or recommendations:---------------------------- r- <br /> --- <br /> ----- - -------------------- <br /> -- ---------------------------------------• ----------------------------------' ------------------ <br /> P <br /> FINAL INSPECTION BY----- ----------- --- ----- .... ' -- ------ Date----- �.-^ <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 130 South American Street = 300 West Oak Street 132 Sycamore Street . 814 North "C" Street <br /> Stockton, Celiikrnia Lodi, California Manteca, California' Tracy, California <br /> 4 _E S---9—•2M 145446 Arwo.ID 12-54 • - t - <br />
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