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16414
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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16414
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Entry Properties
Last modified
12/7/2018 10:12:46 PM
Creation date
12/5/2017 9:37:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
16414
PE
4211
STREET_NUMBER
1730
STREET_NAME
BEYER
STREET_TYPE
LN
SITE_LOCATION
1730 BEYER LANE
RECEIVED_DATE
09/25/1963
P_LOCATION
CHARLES SMITH
Supplemental fields
FilePath
\MIGRATIONS\B\BEYER\1730\16414.PDF
QuestysFileName
16414
QuestysRecordID
1663082
QuestysRecordType
12
Tags
EHD - Public
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A4/43v <br /> Ile <br /> ~ � <br /> _/!?�F 'f ' <br /> --------- ---- -------- ����� ���lON FOR SANXT'ATION ��RMIT Permit No <br /> � `�omp�� � Dunk�|�' <br /> Date Issued <br /> - ------- This Permit Expires I Year From Date Issued <br /> 11 1P <br /> is hara6, made to the Son Joaquin Local Hom|f6 Di�ric+ for b permit to construct and |n�n|! the work herein described. <br /> T�i, application is made in compliance with County Ordinance N ^ <br /> | <br /> \ <br /> '__.--u m < <br /> � <br /> Address-------- --'-- <br /> /�on��ctn�o Name. ����_��--_-_._.-_-.-_---------'�-----_--.. Phono._-___-___-- ? <br /> --------- <br /> Installation will serve- "Residence B---Apartment House [] Commercial E] Trailer Court Motel 0 Other El � <br /> Number of living unit"' -J-.. Num6erofboJ,00mo �.. Number of baths .. - Lot size .��..4, �L��---------_--.- <br /> � ^ <br /> ' =~�- � <br /> Water Supply: Public system 0 Community system � p�� o �� to �� �� _' � ' <br /> Character of soil to a depth of 3 feet- Sand E] Gravel [] Sandy Loam El Clay Loam El Clay E] Adobe f3 Hardpan <br /> Previous Application Made: (If yes,cIcite_0n17_4V---) No Dke"-New Construction: Yes E'No E] FHA/VA: Yes D N ci�rn� <br /> TYPE OF INSTALLATION AND SPE(�IIFVAX'171ONS. <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> Septic Tank: Distance from nearest weII6-6.........Distance from founclationz��__------------ <br /> --------------------------------------------- <br /> Disposal Field: Distance from nearest wel60----------Dis.fancefrom foundation---;----------------Distance to nearest lot line----------------- <br /> Seepage Pit: Distance to nearest well- /��...............Distance from foundation---0�-----------Distance to nearest lot line__�-------------- <br /> _______'____________________--_____'________'____---_________''_____________�______________________ <br /> '---------------'-----'--'----------------''----------'—'—'----'----------- <br /> -------------------------------------------------------------- '_------------------------------'_------------------------------------------------------_------------------------------------------------------------- <br /> I hereby certify that I have prepared this a lica . n and that the work will 'be done in accordance with San Joaquin County <br /> ordinances, State laws, and ruiespand regulatiorTpl)f e San Joaquin Local Health District. <br /> By: �� - , <br /> K»�to�n showing u� �t | *f �y�e | " <br /> ' . � <br /> FOR DEPARTMENT USE ONLY <br /> YX <br /> BU|LD|NG PERMIT ISSUED----------------------------------------------- DATE rr <br /> -------- <br /> Alterations anJ/o, ,ocommwndm�*ns:-.�-����---..������..��.- ..--�Fz-..t��,°c.-.���=�-- .. "» <br /> '---'----------------------'-----------''-----'-'-----------'' � <br /> �_-~--'''--''_''___.''-_-----'''_'---'-----'--'--''''--^-_---_-_---'_-''-'_---'_--'----- <br /> . <br /> ����`�`���`���-- --`-------`---------`--`-- ``-----`------ ---`-----```-------`-------``-----``--`---------`------```---``-----`------ -------------------------- <br /> ------------ ------- ------ ------------------------------ ----- -------- ---' ........... ------- -'''---'''-'--'''~'`'--'---'---''-''_. <br /> FINAL INSPECTION 8Y�.���..~ ----------'. Dute-'u�.�� . -------------- <br /> SANJOAQU|NLOCAL HEALTH DISTRICT <br /> 1601 m.o°`wlo°Ave. 300 West Oak Street 124Sycamore Street xusw°w9th e=m <br /> ww"kt"" California Lodi,California m"m° a'c"xfornia /roCY'c"ofornia ' <br /> ES 9 °""ycDo'sv 21M o'a" ,.~."O. <br /> �� � � <br />
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