My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
15578
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
S
>
SIXTH
>
2143
>
4200/4300 - Liquid Waste/Water Well Permits
>
15578
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/1/2018 10:10:05 PM
Creation date
12/1/2017 9:39:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
15578
STREET_NUMBER
2143
Direction
E
STREET_NAME
SIXTH
STREET_TYPE
ST
SITE_LOCATION
2143 E SIXTH ST
RECEIVED_DATE
03/18/1963
P_LOCATION
EXCHANGE REALTY
Supplemental fields
FilePath
\MIGRATIONS\S\SIXTH\2143\15578.PDF
QuestysFileName
15578
QuestysRecordID
1927112
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
rUKl1-C USE: <br /> �� .�- �y <br /> ----------------- .------.-__.-___-..__----__ APPLICATION FOR SANITATION PERMIT Permit No. <br /> --•------ (Complete in Duplicate( <br /> -"" --I----------- ------ This Permit Ex ires 1 Year From Date Issued Date Issued l J� -C <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. <br /> This application is made in compliance with County Ordinance NoA49. <br /> JOB ADDRESS AND OCA ON._"... I7-, -""" <br /> --- - - ------ <br /> Owner's Name <br /> Address <br /> -------- Phone.................................... <br /> �------------------ �� �..�- <br /> -------••------•-------••---- --•-•-------•-------•--•----••..-•----..-•--- <br /> Contractor' <br /> s Name_____________ <br /> Phone................................... <br /> Installation will serve: Residence)l Apartment House ❑ Commercial ❑ Trailer Court E] Motel ❑ Other ❑ <br /> Number of living units: __1.___ Number of bedrooms . - <br /> _ _ Number of baths _/_.. Lot size ___F�-. <br /> Water Supply: Public system ecommunify system ❑ Private ❑ Depth to Water Table ft. <br /> Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe Hardpan ❑ �� <br /> Previous Application Made: (If yes,date-_.-----------------) No New Construction: Yes ❑ No R?" FHA/VA: Yes ❑ No <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> Septic.TanlgDistance from nearest well-------.-------.-Distance from foundation._____ <br /> Material ....._.. <br /> 3V7 If No. of compartments--------------------------Size_..._.---.---------" -.-----,.-_Liquid depth__.---- ----Ca Capacity <br /> Di�Pf <br /> gsal Field: Distance from nearest well._. ." Distance from foundatio_n•____- _- <br /> ��___..____Distance to nearest lot line.-----•-_• <br /> 1„0 �� Number of lines------_e -• Length of each line--- -- - <br /> ----- --"_"--._.Width of trench."r /"--•-- <br /> Type of filter materiel.. �� ----Depth <br /> length.___.1:�� <br /> Seepage Pit: Distance to nearest well----------------------Distance from foundation.._...._....._...._.Distance to nearest <br /> ❑ <br /> h_.•------------ <br /> Number of Pits material----------------------- Diameter.__.--__-_-.-. <br /> Dept <br /> Cesspool: Distance from nearest well-----------------Distance from foundation--------------------Lining material--------- ___. <br /> Privy: Distance from ne <br /> Size: Diameter--------------------------------------Depth--- ------"-------••-------------------------------Li uid Ca aci <br /> ! q p tY -••----••------- ------gals. <br /> arest well____.._-_-_...---------------------------------Distance from nearest buildin <br /> Cl Distance to nearest lot line 9 ------•----•--- <br /> ( - ----------•-----•- ------••---------------•-----•--•-----•----- <br /> Remodeling and/or repairing (describe)___________________________"!'y <br /> -------------------------------------------------------------- 1 <br /> --•------"------------------ - <br /> •---••-•--"-•-------------"------------•---------------------- ....----•------ ----------------------------------- <br /> --------•----------------•--•-------• -----------•-----•---------------------------•------••---------------------------------------------- _' <br /> I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County <br /> ordinances, State laws, and r s and regulations of the San Joaquin Local Health District. <br /> (Signed) , J'y -------------' --•----( r Contractor <br /> By: -- . - - ---•- ----- 1 <br /> Title.- _ ............... <br /> (Plot plan, showing size of lot, location of syste n relation to wells, buildings, etc., can be placed on reverse side). <br /> I <br /> F R DEPARTMENT USE ONLY <br /> APPLICATION ACCEPTED <br /> - DATE_ g --'--- -- <br /> REVIEWED BY --- / <br /> -- -----•------.. <br /> ------- --------Z <br /> ----------•------------•-•--------.- DATE------- --•-_-•------------•----------••• <br /> BUILDING PERMIT ISSUED.................... <br /> ----------------------------------- DATE. <br /> -- --------------------------- --------• <br /> Alterations and/or recommendations:--- . <br /> --------------------•-------------------------•---------- <br /> -- <br /> ...---.."-._......._."-."--------------•--- <br /> -------------------------•---_---- <br /> FINAL INSPECTION BY:----- ------t - _____.___._ Date._._��_-� _ <br /> SAN JOAQUIN_LOCAL HEALTH DISTRICT <br /> 130 South American street 1 300 West Oak Street 124 Sycamore,Street 205 West 9th Street <br /> EB 9 REV18 Eo 8-89 7M 3-61 ATLAS Stockton,California Lodl,California Manteca,CaliforniaTracy,California <br />
The URL can be used to link to this page
Your browser does not support the video tag.