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3023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SECTION
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4118
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4200/4300 - Liquid Waste/Water Well Permits
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3023
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Entry Properties
Last modified
1/15/2019 10:09:08 PM
Creation date
12/1/2017 8:32:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
3023
STREET_NUMBER
4118
STREET_NAME
SECTION
STREET_TYPE
AVE
City
STOCKTON
SITE_LOCATION
4118 SECTION AVE
RECEIVED_DATE
09/18/1952
P_LOCATION
WILLIAM KEELE
Supplemental fields
FilePath
\MIGRATIONS\S\SECTION\4118\3023.PDF
QuestysFileName
3023
QuestysRecordID
1919545
QuestysRecordType
12
Tags
EHD - Public
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APPLICATION FOR SANITATION PERMIT iPermif No.' -5;*27A <br /> (Complete in Duplicate) <br /> Date Issued <br /> Aplicatiqnoit hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. <br /> This <br /> appiii6dfion is made in compliance with County Ordinance No. 549. <br /> JOB ADDRESS AND LOCATION /Z/ - -- ---- <br /> ----)---------------------- <br /> Owner's Name--------------- _x -01--------------------------------------------------------------------------------------- Phone---------------------- <br /> ---------- <br /> Address...... <br /> -----------*-------------- ------ <br /> ------------------------------------------------------------------------*------- <br /> Contractor's Name___________________________________--_ <br /> --------------------------------- Phone_ <br /> [Z <br /> Installation will serve: Residence Apartment House E] Commercial El Trailer Court E] Motel El Other E] <br /> Number of living units- ---- Number of bedrooms _2___ Number of baths j---- Lot size -----�/ -5-, <br /> --------------- <br /> Wafer Supply: Public system E] Community system 0 Private 2 Depth to Water Table -------- ft. <br /> Character of soil to a depth of 3 feet: Sand [] Gravel E] Sandy Loam E] Clay Loam C] Clay Ej Adobe 2) Hardpan E] <br /> Previous Application Made: Yeses- No ER' New Construction. Yes El No F-1 <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public I sewer is available within 200 feet.) <br /> Septic Tank: Distance from nearest weJf_____6_0__4-Disfance frorp foundation____ ------Material----01-0-yt-6- <br /> -- -------------- ------ <br /> No. of compartment's------Z---------------Size------K...L_ e-6 6 <br /> 11 _X__!�-----Liquid depth------S--- Capacity... <br /> L I <br /> Disposal Field: Distance from nearest well__37i��- "..Distance from founclafion-_349--------Distance to nearest lot ------ <br /> Number of lines__________________________________Length of each I i ne-_�ZL�I'l-+--h�'_Width of french------- <br /> Type of filter material_:S,_-/?------Depth of filter materiaL--1;?--------------Total length--------) ------------ <br /> - ------------------ <br /> Seepage Pit; Distance to nearest well---------------------Distance from foundation___________________.Distance to nearest lot line____ <br /> El Number of pits----------------------Lining material-----------------------Size: Diameter------------------------Depth--------------------------------- <br /> Cesspool- Distance from nearest wet!_______________ Distance from foundation--------------------Lining material_____________________-____ <br /> ❑ Size: <br /> Diameter----{----------------------------- ---Depth----------------------------------------------------Liquid Capacity---------------------------gals. <br /> Privy: Distance from nearest well_______________________---------- ---_ - Distance from nearest building------------------------------------------ <br /> ❑ Distance to nearest lot line <br /> -------------------------------- <br /> ---------------------- <br /> Remodeling and/or repairing (describe): <br /> --------------------------------------------------- <br /> ----------- <br /> -----------------------------------------------------------I-----------------------------------------------------------------------------------------I------------------------------------------------------------------ <br /> -------------------------------------------------------t, <br /> -------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> ----------------------------------------------------------------t--------------------------------------------------------------------------------------------- <br /> --- <br /> ------------- ------ ------ <br /> I hereby certify that I have prepared this application and that the work will be done in accordance-- --wifh--SanJoaquinCounfyordinances, State,laws, and rules and regulations of the San Joaquin Local Health District. <br /> (Signed)----------- --- -------------------------------------------------------------------------------------------(Owner and/or Contractor) <br /> By:------------------------------------------------------------------- ------- ----------- - <br /> ---------------------------------------- ------------------------(Title)--------------------------------------- ---- -- <br /> (Plot plan, showing size of lot, location of system in relation to wells, buildings, etc., can be placed on reverse side). <br /> FOR EPA MENT USE ONLY <br /> APPLICATION ACCEPTED BY---------- - f--- -_-0-------- --- -------------- - ------------------------------------ DATE---------------- ------7" <br /> REVIEWED BY---------------------------------- <br /> --------- ------ ------------------------------ ------------------------------------------ DATE <br /> BUILDING PERMIT ISSUED-------------------------- DATE-------------------------- <br /> Alterations and/or recommendations: <br /> -------------------------------------------------------- <br /> -1-------------------------------------------------------------- !!----- I------------------------------------------------------------------------------------------------------------------------------------------------ <br /> ----------------------- --------------------------------I-------- <br /> - -------------------------------------------- --------------------------------- <br /> ------------------------- <br /> -------------------- <br /> ----------------- --------------- ------------------------------------------------------------I--------------------------------------------------------------------- <br /> ----------------------------------------------------------- <br /> --------------I---------------------------------------------------------- -- ----- -------------- ------- ----1--------------------------------------------------- <br /> FINAL INS' BY_________ 11 1 <br /> ECTION - <br /> ---- ---------- Date... -------/ <br /> --------------------- ------------------ <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 130 South American Street 300 West Oak Sfresf 132 Sycamore Street 814 North "C" Street <br /> Stockton, California Lodi, California Manteca, California Tracy, California <br /> ES-9-2M 8-51 Revised W-2100 <br />
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