My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
89-2201
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
A
>
AIRPORT
>
28522
>
4200/4300 - Liquid Waste/Water Well Permits
>
89-2201
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/28/2019 10:05:14 PM
Creation date
3/20/2018 11:13:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
89-2201
PE
4380
STREET_NUMBER
28522
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WY
City
MANTECA
SITE_LOCATION
28522 S AIRPORT WY MANTECA
RECEIVED_DATE
09/06/1989
P_LOCATION
M ROOS
Supplemental fields
FilePath
\MIGRATIONS\A\AIRPORT\28522\89-2201.PDF
QuestysFileName
89-2201
QuestysRecordID
1634021
QuestysRecordType
12
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
PERMIT <br /> _ pppLICATiON FOR ��. . <br /> SAIN O ( LOCAL <br /> TH DISTRICT <br /> 1601 E. HAZETON STOCKT <br /> $ ON, CA <br /> Telephone t ' <br /> tMITPtRES 7,YEAR FROM QTE.I�SUt} � <br /> PE P ti <br /> (Come In Triplicate) <br /> to construct and/or kwW the work here►n " San"Josquln <br /> S in Local Health Die €or,a pe No <br /> 18E1'Lfor Welty and limes <br /> Application is hereby made to the an Joaquin -S*forsewaga-or <br /> made in compiler"with San Joaquin County Ordinance <br /> Local Health District- t Size P <br /> Q City <br /> p � Y <br /> Job Address 10 Phone r <br /> Address <br /> owner's.Name Phone <br /> License No. DESTRUCN <br /> Contractor's NameNE1M WELL ❑ WELL REPLACEMENT © Ol <br /> TYP£OF,1AIELL/PUMP: SYSTEM REPAIR © . <br /> PUMP ITAPI /SU <br /> i.i IkTION D <br /> p �:FLt3 t: <br /> '1SMS . <br /> DISTANCE TO NEAREST;.S IC T�1t+, "`; OTHER WELL <br /> 4' ',' i AGRICULTURE WELL _--- <br /> _----- <br /> FOUNDATION _------ <br /> TYPE OF WELL <br /> PROBLEM CONSTRUCTION SPECIFICATIONS �• of Wall Casing <br /> INTENDED USE ❑Open Bottom ❑ Mentees <br /> Dia;of Weft"Excavation <br /> ❑ industrial Type of Cast vfpwot Grout <br /> /Private. ❑Gravel Pack ❑Tracy Depth of Grout Seal <br /> �Domast� ❑Other Delta / <br /> ❑ Public D+�pth }Eareiem Surface Sesf�by <br /> ❑irrigation -- APProx• H.P. <br /> State Work Dona. <br /> Type of,Pump <br /> Repair Work Done ❑ See ling Mawwr /top <br /> FDWaterialWg1►'Deetructiat► ❑ Well Diameter ---�-- - _M t"Bekt r l if sewer l <br /> Depth, f1tUCTIN❑ <br /> TYPE OF SEPTIC H/OftiG: NEW INSTAtLAT1ON ❑ REPAiR/ADDITION 1 T <br /> Commercial__ - Other__=-�- <br /> JOA <br /> jr6mlistcon will serve: Raiders"N of bedrooms Water table dept ' <br /> " Number of rMN units: <br /> Character of sod toa depth <br /> , .tt�3 Capecity- <br /> #�� <br /> --------� No.Compartments <br /> ❑ type/M€g Method o€Disposal <br /> SEPTIC TANK <br /> Property Line <br /> PKG,TREATMENT PLT.❑ to nearest• Foundation .—----- <br /> DMOVICO <br /> Totei length/size <br /> ❑ No.its Length of tines > Property Line_` ----- <br /> LEACHING LINE Wall `Foundation ------ t9 <br /> FILTER SM Property <br /> Dista to nearest: <br /> Nutter <br /> SEEPAGE PITS 3' <br /> - ----�- <br /> SUMPS" laws,and <br /> DISPOSAL PONDS' ❑ 5 ►Joaquin ordinances,state <br /> We application and that the work win be dome in accordance with t shall not <br /> 1 hereby certify them 1 he"Prep work for which this permit 0 issued, �turp <br /> KluinLocal Health District- „1 CervtY that in the peciormance of the <br /> rules and regulations <br /> of the Sas suture certifies s compensation laws of Cairforre.' s to wns"�' <br /> Horne downer or licensed tw h manner,as to become subiect porn <br /> is;cssued,f st�sll OMPIOY pew <br /> �� this <br /> employ any,Person In cern in the�{ormarm of the work for which <br /> certifies the f6kwft: I <br /> tion laws of California.'' " we- <br /> Complete drawing oncap <br /> reverse° <br /> Date, •- <br /> n <br /> The app Tide; <br /> Signed �09P'AMMEW USEAm <br /> ONLY 1/ <br /> Date <br /> Application Acceptedt _ Final iw <br /> 'Pit or Grout Ian by r " <br /> Additional Comments: rt �1 0 Tracy <br /> Silt 466 67n i 31 -3631 ❑M Ito E Hazelton Ave., P.O.8asc ,,Sdc,CA> f <br /> Applicant-Retum <br /> an copes to:£nvironrrbntel Health <br /> " IRMkT'NO: ; <br /> RECEIVED BY <br /> FEE AMOUNT OMA R CA8H: <br /> INFO <br /> +EH 43-24 IFIEV.15/034 <br /> u - <br /> EN 14-25 <br />
The URL can be used to link to this page
Your browser does not support the video tag.