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70-207
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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OAKVIEW
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4200/4300 - Liquid Waste/Water Well Permits
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70-207
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Entry Properties
Last modified
2/17/2019 10:15:29 PM
Creation date
12/1/2017 3:33:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
70-207
STREET_NUMBER
5321
STREET_NAME
OAKVIEW
STREET_TYPE
LN
City
STOCKTON
SITE_LOCATION
5321 OAKVIEW LN
RECEIVED_DATE
03/30/1970
P_LOCATION
JACK D HUTCHINSON
Supplemental fields
FilePath
\MIGRATIONS\O\OAKVIEW\5321\70-207.PDF
QuestysFileName
70-207
QuestysRecordID
1880856
QuestysRecordType
12
Tags
EHD - Public
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FOR OFFICE USE: <br /> APPLICATION FOR SANITATION PERMIT <br /> IZIL Permit No. <br /> [Complete in Triplicate] <br /> ---------=----- - -- ------------------------------------ <br /> --------------- --------------------------- ------------- <br /> ---------••--------------------------------------------------_-_-----_----._.--.---__---- This Permit Expires 'I Year From Date Issued <br /> Date Issued _ -, v.:.7 O <br /> > Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein <br /> described. This application is made in compliance with County Ordinance No. 549 and existing Rules and Regulations: <br /> JOB ADDRESS/LOC ION ---- ` _ ----- _ J _JP'C ----------CENSUS TRACT -------------------------- <br /> Owner's Name ZZ <br /> A----- =f � Phone r.�l-��� <br /> Address ---------- . 1 F f- City <br /> ------ -- ----- ----------------------------- <br /> Contractor's Name -------------- ___*1-------------=-------.License M -,S-`1------ Phone —cA66-?6Q-7 <br /> Installation will serve: Residence-KApartment House❑ Commercial []Trailer Court <br /> Motel.❑Other -------------------------------------------- <br /> Number <br /> --------A--------------- ---------------- <br /> Number of living units------(---.- Number of bedrooms --�_--_Garbage Grinder ------- of Size -___1 --- ----_---_ <br /> Water Supply: Public System and name ------------------------------------ ------ ----------------------------------------Private` <br /> Character of soil to a depth of 3 feet: Sand❑ Silt❑ Clay ❑ Peat❑ SandyLoam ❑ Clay Loam <br /> Hardpan ❑ Adobe'❑ Fill Material __.---------!If yk s,type ---------------------------- <br /> (Plot plan„showing size of lot, location of system in relation to wells, buildings, etc. must be placed on reverse side.) <br /> NEW INSTALLATION: (No septic tank or'seepage pit permitted if public sewer is available within 200 feet,j <br /> PACKAGE TREATMENT [ ] SEPTIC TANK'[ ] Size_--------------------------.- ------ Liquid Depth ----__.-__-___.-_-.-.. <br /> Capacity --- - - Type ------------- --------I ,No. 'Compartments ----- ...... w <br /> --- ------- -- ------ Material- - #- ---'-- <br /> Distance to nearest: Well ------------------------------------Foundation -------`. _------ Prop. Line ---__-------.:......._ <br /> i <br /> LEACHING LINE [ ] No. of Lines ------------------------ Length of each line......_------t_-._--------- Total Length _--_-_.-----------I.......... <br /> 'D' Box ------------ Type Filter Material --------------------Depth Filter Material ---------------------------- --------------- <br /> DistAce to 'beaf,;-tt Wel! ------------------------ Foundation ...... - ------------ Property Line. -_-...--..---_-_--.___-- <br /> SEEPAGE PIT [ ] Depth ------------------- Diameter ---------------- Number ------ -_ __-.- --_-____ Rack Filled Yes '❑ No i❑ <br /> Water Table Depth ------------------------------------------------Rock ize -- �------------------ <br /> 16 <br /> Distance to nearest: Well ---------------------------------------.Foundation I V-_. Prop. Line ...-- - <br /> f� ---_ ---------•---- <br /> REPAIR/ADDITION(Prev. Sanitation Permit# ------------------ ------------------------ Date ----------- <br /> Septic <br /> ---------LSeptic Tank (Specify Requirements} ------------------------ ---- ---------------------------- ------- <br /> f <br /> rD�sposal`Field'r(Specify'Requiremersts)_ �-- <br /> { <br /> - <br /> IV <br /> { <br /> r = -� ------ -------- -- <br /> ' /2--) ------- -- f ----------------------- ---- -- ------------------------------------------------------- <br /> (Draw existing and required addition on reJ&fs side)'" <br /> I hereby,certify that I have prep ared�thii-application~and-th-at`the"work"will be-done in"accordance with San Joaquin <br /> County Ordinances, State Laws, and Rules and Regulations of the San Joaquin''Local Health District. Nome owner or licen- <br /> sed agents signature certifies the following: <br /> "I certiFy'that.in-the work for which this permit is issued, I sha11 not employ any person in such manner <br /> as to be�ome subject to Workman's Compensation laws of California." <br /> Signed ---- ---------------------------- --------- Owner�� ` <br /> s <br /> Y - --- ------- -- - ----------------------- Title ------. - <br /> (If othe n owner} <br /> t =•}t',i FOR EPARTMENT USE ONLY. . e •° <br /> APPLICATION ACCEPTED -- - 5 DATE <br /> BUILDING PERMIT ISSUED -- ------- r,---- -- <br /> ` = ------DATE - ----------•----------------------------- <br /> -------------------------- --------------- <br /> ADDITIONAL COMMENTS ` "- ------''---- ----------- --------�.;-,'- - --- <br /> ------------------- _ '•4'' �1 <br /> ------------------------------------------------------------------------------- <br /> ------------------------------- ---- - <br /> ----------------------------- - ----- ---�- - - - - - ------------------------ <br /> -- - - ------------------------------ <br /> -----«---- -- - - - - - - - - - <br /> Final Inspection bY' s u Date ------ 70 <br /> - <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> E. H. 9 1-'6$ Rev. 5M <br />
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