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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HARNEY
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14750
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4200/4300 - Liquid Waste/Water Well Permits
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82
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Entry Properties
Last modified
7/25/2019 10:09:24 PM
Creation date
12/2/2017 2:51:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
82
STREET_NUMBER
14750
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
APN
06503006
SITE_LOCATION
14750 E HARNEY LN
RECEIVED_DATE
10/26/1950
P_LOCATION
COUNTY OF SAN JOAQUIN
Supplemental fields
FilePath
\MIGRATIONS\H\HARNEY\14750\82.PDF
QuestysFileName
82
QuestysRecordID
1744546
QuestysRecordType
12
Tags
EHD - Public
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i X/ /I <br /> APPLICATION FOR SANITATION PERMIT <br /> (Complete in Duplicate) <br /> a(-5'- <br /> Application <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. <br /> a' This application is made in compliance with County Ordinance No. 549. <br /> I! l`F7S0 E Lane , east H-- ry99orth. Count- Dump <br /> Ground <br /> JOB ADDRESS AND LOCATION---____HareY--- ----_ --- --_ -------------------------------- <br /> Stockton-rLoda. <br /> Owner's Name------99T!I -Y---p San Joaquin- ------------- Phone----------------------- <br /> Address----------------Hazelton_ and-- G-------------------------------- <br /> -- --------------------------------------------------------------------------------------- <br /> Contractor's Name-------D-a---A'----P-a.=l—;5h.--;5ggqj---Taq--------------------------------------- <br /> ---------------------- Phone---8-- a59-7-------------- <br /> Installation will serve: Residence i/ Apartment House E] Commercial E] Trailer Court jMotel E] Other IN C h k <br /> Number of living units: M Number of bedrooms [1] Number of baths J Lot size---- s..._._r___..__-- --------- <br /> Wafer Supply: Public system ❑ Community system ❑ Private [ V} <br /> Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe ❑ Hardpan ❑ i <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> Septic Tank: Distance from nearest well___ ' .Distance from foundation .-�_p-_-.--------Material.._._con-c—' ete__C;].r'c—B <br /> No. of compartments-----Z__________________CapacitY__.___9P-Size--- ------Liquid r'GU;:2_x'______Liquid depth 11-- <br /> Cesspool: Distance from nearest well-----------------Distance from foundation--------------------Lining material-------------------------------------- <br /> ❑ Size: Diameter--------------------------------------Depth--------------------------------------------------- <br /> Privy: Distance from nearest well-------------------------------------------------Distance from nearest building--------------------.--_-________________- <br /> ❑ Distance to nearest lot line________________________________________________ <br /> Seepage Pit: - Distance to nearest well----1Q4__.......Distance from foundation_____ Distance to nearest lot line_ _7-� ______ <br /> ] Number of pits______-------------Lining material CeMent _ Size: Diameter-------33.. p ......Disposal Field: Distance from nearest well-61-5 Distance from foundation-___(f-----------Distance to nearest lot line__7�_____ <br /> V Number of lines________,I_____—�_____________Length of each line-------5o_1--- -_________Width of trench-------24"____________________.. <br /> Type of filter material__-.1 _-----Kk----Depth of filter material------12__---------- <br /> Remodeling and/or repairing (describe):---------Vell___zn_stallation for caretaker' s shack , San Joaqu`}� <br /> CouxlDUM <br /> ---------- ----------- <br /> ----------------------------------------------------------- ILI <br /> ------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> hereby certify that 1 have prepared this application and that the work will be done in accordance with San Joaquin County <br /> ordinances, State laws, and rules and regulations of the San Joaquin Local Health District. <br /> D: A» PARRIS & SONS, INC. • <br /> (Signed)...-BY�—!------- ------------ ---- - ( sY:�r Contractor) r <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ----- = -----(Title)-------K"!!-latOZ'. ._ <br /> - <br /> (Plot plap,showing size of lot, loc ion of system in relation to wells, buildings, efc., must be filed with this application). <br /> FOR DEPARTMENT USE ONLY <br /> a APPLICATION ACCEPTED BY--- - ---------------------------------------------------------------------- DATE-------- --------------- <br /> REVIEWEDBY----------------------------------- - ---` ---------------------------------------------------------------------------- DATE----------t <br /> BUILDING PERMIT ISSUED--------- <br /> ----------------- ------------ -- ---- -------------------------- DATE----------------------------- ------------------------------- <br /> Alterations and/or recommendations---------------------------------------------------------------------------------------------•--------------------------------------------------------------- <br /> ----------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•----- <br /> ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> PERMIT No " �_______-_(Date) FINAL INSPECTION BY: <br /> ------------------------- ISSUED_--1�-------�--'-�-----�---- r----=------------- -----------;------- <br /> Date------------------- •------------------------------------------- <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 130 South American Street <br /> Stockton, California <br /> ES-9-2M 9-50 WA639 639 <br />
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