My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
20203
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MAXWELL
>
730
>
4200/4300 - Liquid Waste/Water Well Permits
>
20203
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/29/2018 10:11:39 PM
Creation date
12/3/2017 1:39:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
20203
STREET_NUMBER
730
STREET_NAME
MAXWELL
City
LATHROP
SITE_LOCATION
730 MAXWELL
RECEIVED_DATE
02/18/1966
P_LOCATION
PHILLIPS CONST CO
Supplemental fields
FilePath
\MIGRATIONS\M\MAXWELL\730\20203.PDF
QuestysFileName
20203
QuestysRecordID
1847119
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: - - Y-----�- <br /> I <br /> t --- ---------------------------_----------.------------- APPLICATION FOR SANITATION PERMIT Permit No. <br /> ------------------ --I-------- -------------------------- (Complete in Duplicate) <br /> --- This Permit Expires 1 Year From Date Issued Date Issued <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work her in described. <br /> This application is made in compliance with County Ordinance No. 549. <br /> JOB ADDRESS AND T�O _ <br /> ------------- ---- <br /> Owner's Name ----- - - -- <br /> 'f { ` ---------------•----------- <br /> Phone ------------- <br /> AF <br /> Address----_--------Ps.- - MQ- -- <br /> Contractor's Name_ - fu-_AJP__ om -f . <br /> - ---- Phone. <br /> Installation <br /> will serve: Residence Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ <br /> Number of living units: Number of bedrooms <br /> / Number of baths / Cot size --- <br /> Water Supply: Public system ❑ Community system Private ❑ Depthto ter Table -------- ft. <br /> Character of soil to a depth of 3 feet: Sand E] Gravel ❑ Sandy Loam Clay Loam ❑ y ❑ Adobe ❑ Hardpan Cl <br /> Previous Application Made: (if yes,date_-------------------) No ❑ New Construction: Yes No [-I FNA/VA: Yes E] No <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sier-tis-available�-w:ithin,,2.00gfeet.) - <br /> Septic Tank: Distance from nearest well • Distant f--on-fourid ti <br /> �p Material. -- ------- ----- <br /> No. of com artments_. f �r tr ' <br /> p ------ Size igwd depth-- ..- Capacity <br /> Disposal Field: Distance from nearest well-__----Distance fr-om�toun�'ationr`--- ----------Distance to nearest lot line___ <br /> Number of lirles___ ____ __--__V?e-,DepfK <br /> Lengthrof each lie AAS`_¢ Width of trench-_rgiw!- __ _ x <br /> i <br /> Type of filter materiae bf filter material__ !.-_-Tota length___________________ _ �� s <br /> Seepage Pit: Dis#ante to nearest well____________________ Dis+a6ee rom f u clatio _ ___ Distance to nearlst lot line______[- __._:-� <br /> 1 <br /> ❑ dumber of pits-------------- <br /> - _ ---Lining aterial ____.---.- -- -+--Size. Di eter Linn ------ ---------------------- -----.-- <br /> Cesspool: Distance from nearest well_-_-________- Distance from foundation----o c g FRatei tW__-,____________._ <br /> ❑ Size: Diameter----. ----- - �.Depth_�_ _-- iquMrl,_-apacit ( 3 <br /> _ Y' --gals. <br /> nc w � .�__ f ��Dis anc� frcf� ne est buildi y � -------- <br /> Distance9 m.J <br /> i 1 __ ' - <br /> 9- < <br /> riv <br /> ❑ lto Barest lot lime ---------- �-------__ .. : <br /> Remodeling and/or repairing (describe):----------------- - _ <br /> ---- ---- <br /> ------------•----------•--------------------------------------------- ---------------------------------------- --- ------------------------------ --.--. -- ------------------------------- <br /> ---- <br /> -- -- }} <br /> ---------------------------------------------------------------------------------------------------------------------------- -------------------------------- --------------------------•----------------------- --------- <br /> ---------------------------- t <br /> ;�j-------------•--------------- ---- ,---------------- <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, '.rules and regulations of they San Joaquin Local Health District. <br /> (Signed)----- AVO Viffl/11--- --- ----- ( �, actor) <br /> TTC TANK .SErvTc� <br /> Contras or <br /> Plot fan, showing lost, location on of system At <br /> -- relaf- - ------ - - -----------------(Title)-------------------------------------------By: <br /> P g on to wells, bu Ings, etc., can be placed on reverse side]. <br /> FOR DEPARTMENT USE ONLY <br /> APPLICATION ACCEPTED <br /> --------------------------------------------------------------- DATE-----------`L� -1 ---------------- <br /> --- <br /> REVIEWED BY ---- ---------------- •------------ ---------------------------------------------- DATEE-------- <br /> UILDING PERMIT ISSUED-------- -- ------------------------------------------------ ----------------- DATE <br /> Alterations and/or recommendations _.__._-. y <br /> ---------- -- - ------- -------------- ------ -------------------------------- ---------- ---------------------------------------------------------- <br /> --- ------ ------- -- <br /> --.. --.--. - - -- ------- <br /> P <br /> FINAL INSPEC '2sL - - Date--.......--- _.r_21--` �✓ <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E,Hazelton Ave. 300 West Oak Street 124 Sycamore Street 205 West 9th Street <br /> Stockton,California Lodi,California Manteca,California Tracy,California <br /> F.P.Cq. <br />
The URL can be used to link to this page
Your browser does not support the video tag.