My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
4673
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
W
>
WATTS
>
640
>
4200/4300 - Liquid Waste/Water Well Permits
>
4673
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/25/2019 12:25:00 AM
Creation date
12/1/2017 12:23:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
4673
STREET_NUMBER
640
STREET_NAME
WATTS
STREET_TYPE
AVE
City
STOCKTON
SITE_LOCATION
640 WATTS AVE
RECEIVED_DATE
12/8/1953
P_LOCATION
LETITA MCKEMEY
Supplemental fields
FilePath
\MIGRATIONS\W\WATTS\640\4673.PDF
QuestysFileName
4673
QuestysRecordID
1995906
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
APPLICATION FOR SANITATION PERMIT Permit No. .. _ . ... _ <br /> -� <br /> r (Complete in Duplicate) <br /> Date Issued ------ __-_ r_ �' <br /> i <br /> Application is hereby made to the San Joaquin Local . ealth District for a permit to construct and instal] the work herein described. <br /> This application is made in compliance ith County O dinance No. 549. <br /> JOB ADDRESS AND LOCATION.... _ <br /> Owner's Name . -✓c�-lr�.r /.I - Phone '�=�`� <br /> --------------- <br /> Address--------------------------------------••-•-----• 2` <br /> � ' -------------------------•-•--------------------- --------------------------------------------- <br /> Contractor's Name-----------------------_--- -- - -----------------------------------------••----------------------- Phone-------f --------- <br /> Installation will serve: Residence C, Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel [] Other ❑ <br /> Number of living units: __L___ Number of bedrooms ____Number of baths __L___ Lot size ____ _p_^__ ------! v_r __.__..__.__ <br /> Water Supply: Public system E4 Community system ❑ Private ❑ Depth to Water Table ,,4ft. <br /> Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam Clay ❑ Adobe® Hardpan ❑ <br /> Previous Application Made: Yes ❑ No K New Construction: Yes ❑ No ❑�L��ztmQJ7 ar �,-y,,� <br /> TYPE OF: INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> W <br /> fPk: Distance from nearest well_______________Distance from foundation__________________.MaterialSr I h I No. of compartments_.._____________ _____Size_____---______-_______ __Liquid de th_____--__-.-__._.._______-Capacity <br /> Dis osal Field: Distance from nearest well_________________Distance from foundation-------------------.Distance to nearest lot line--_-_______.__--- v ` <br /> } gin Number of lines-----------------------------------Length of each line------------------------•----.Width of trench----------------- ------ - <br /> Type of filter material---------- Depth of filter material---------------------._Total length____________________.________________.__ <br /> Seepage Pit: Distance to nearest well_JADA_Q7---Distance fr�T',fgjundation__/_�_�-/-_-._..Distance to nearest lot <br /> Number of pits.____._/_.__________Lining mate ria l_e� dufJ___--Size: Diamete r_1-711.3.1l.........Depth .- -,1-.-�__..--_._._-.- (� <br /> Cesspool: Distance from nearest well-----------------Distance from foundation--------------------Lining material------------------------------..._.__ <br /> ❑ Size: Diameter---------------------------------- ---Depth----------------------------------- ---------------Liquid Capacity----------------------------gals. <br /> Privy: Distance from nearest well------ ---------_--------___---------------------Distance from nearest building-------------._-------________.____..____. <br /> ❑ Distance to nearest lot line--------- -------------------------------------------------------------------------------------------------------- - ----- ------------------ <br /> Remodeling and/or repairing {describe):--------- -------------------------------------------------------------------------------------- ----------------------------------------------•--------- <br /> ---------------------------------------•-------•---•--------.•--------------------------------------------•--------------------------------------- -------------------------------------- -------------------------------- <br /> ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------I-------- <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 rules an regulations of the Sn Joaquin Local Health District. <br /> (Signed)--_---••----••-----------=-------------- -----�-- - e ,_— Contractor} <br /> C <br /> BY: -------------------- � = = ----- , _ `<Title}. f_ Yl_ �_ <br /> (Plot plan, showing size of lot, location of system�irs celafion to wells, buildings etc., can be placed on reverse side). <br /> FOR DEPARTMENT USE ONLY <br /> APPLICATION ACCEPTED BY -----------•--------------- DATE---------, ,;� �� 5 <br /> REVIEWEDBY-------------------------------------------------------------------------------------------- --------------------------------- DATE <br /> BUILDING PERMIT ISSUED----------------------------------------------------------------------------------------------------• DATE-------------------------- <br /> Alterations and/or recommendations:-------------------------------------------- - -------•- ----------------------------------------------------------------------- <br /> ---------------------------------------------------------------------------------------------------•------------------------------------------- - ----------------------------------------------------------•-----------•----- <br /> ----------•---------•-•----•---------------------------•------------------------------------------------------------------------------------------------------------------------------- ---------------------------- -------- <br /> ---------------- --------------- ---------------------------------------- -------- ------ ----------------.------------------------------------------------- --------------------------------------------------------- <br /> � 'i 0 <br /> FINAL INSPECTION 13Y:. ✓� G''1 Date 12 �7 <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 130 South American Street 300 West Oak Street 132 Sycamore Street 814 North "C" Street <br /> Stockton, California Lodi, California Manteca. California Tracy, California <br /> E5-9-2M 10-s2 Revised W-2100 <br />
The URL can be used to link to this page
Your browser does not support the video tag.