My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
20018
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
I
>
IRENE
>
1059
>
4200/4300 - Liquid Waste/Water Well Permits
>
20018
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/28/2018 10:09:18 PM
Creation date
12/2/2017 5:14:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
20018
STREET_NUMBER
1059
STREET_NAME
IRENE
STREET_TYPE
ST
City
STOCKTON
SITE_LOCATION
1059 IRENE ST
RECEIVED_DATE
01/13/1966
P_LOCATION
HENRY BRACAMONTE
Supplemental fields
FilePath
\MIGRATIONS\I\IRENE\1059\20018.PDF
QuestysFileName
20018
QuestysRecordID
1781771
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
FOR OFFICE USE: <br /> - ------------ -------------- ---------------- -- - <br /> APPLICATION. FOR SANITATION PERMIT Permit No. .- /_.- <br /> ---------------- ------------- --------------- ------- i (Complete in Duplicate} " <br /> . Date Issuedl--��-----.G <br /> --------------------------- 1 This Permit Expires 1 Year From Date Issued <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 No. 549. <br /> JOB ADDRESS AND LOCATION. ......... --- --------- --------------------------------------------- <br /> Owner's Name -------------- --------------------------------------- ---- - Phone-.y6--� ---•- Ca Z <br /> Address--------------- --------------------------- --------------- <br /> ---------------------------------------------- <br /> ------•-----•------------------------ <br /> Contractor's Name------- -------------------------- Phone.'�!���._---- yz' <br /> ------------------ - --- <br /> Installation will serve: Residence Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ <br /> Number of living units: - Number ofbedrooms -_oz Number of baths --4- Lot size ---------------------- <br /> Water Supply: Public system ;f Community system ❑ Private ❑ Depth to Water Table �la ft. <br /> Character of soil to a depth of 3 feet: Sand E] Gravel F1Sandy Loam ElClay Loam ElClay E] Adobe Hardpan ❑ <br /> Previous Application Made: (If yes,date------------ -----) No ❑ New Construction: Yes ❑ No ® FHA/VA: Yes ❑ No ❑ <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 240 feet.) <br /> Septic Tank: Distance from nearest well---------------------Distance from foundation--------------------Material -----_--.----.---------------------.-.-.--- <br /> ❑ No. of compartments. -----------------Size -------Liquid depth--------------------------Capacity-•-------- ------------ <br /> Disposal Field: Distance from nearest well------- ------Distance from foundation----- .-----------.Distance to nearest lot line----------------- <br /> 0 <br /> ❑ Number of lines------------- ---------------------Length of each line---------------------------- <br /> Width of trench <br /> Type of filter material-------------------------Depth of filter material-.-..--.-- Total length-----------------------------------l----- <br /> )2 ,, _e --- Distance from fo ndation---2--S..-_...Distance to nearest lot line--.S-------. <br /> Seepage Pit: Distance to nearest weIL.�WC' - <br /> Number of pits'-------Z- ------Liming material-' .Size: Diameter--.-- ----Depth-------- - <br /> Cess ool: Distance from nearest well-----------------Distance from foundation-------------------.Lining material--------.-..--..-.------:__-_-..-- <br /> P ------------Liquid Capacity ---gals. <br /> 40 <br /> ❑ Size: Diameter--'-- ---------------- -------- Depth----------------------------------- <br /> t -Distance from nearest building Privy: Distance from'nearest well - 9------------------------------------------ <br /> Distance <br /> - <br /> Distanceto nearest lot line.---- --------- --------------------- ------------------------------------------------------------- <br /> 1 ' <br /> Remodeling and/or repairing (describe):---------------- -•------------• ---------•---------•-------------------------- ----------------------------- <br /> - ----------------•-••----------------------------=----------------------- <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, Stat laws, and rules and re5julations of the San Joaquin Local Health District. <br /> IV <br /> Owner and/or Contractor) <br /> (Si ned)--------------------- ---- ----- - - ---- ---------------- -- ---- <br />
The URL can be used to link to this page
Your browser does not support the video tag.