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71-701
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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9393
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4200/4300 - Liquid Waste/Water Well Permits
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71-701
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Entry Properties
Last modified
11/19/2024 1:52:56 PM
Creation date
12/3/2017 5:24:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
71-701
STREET_NUMBER
9393
Direction
N
STREET_NAME
STATE ROUTE 99
City
STOCKTON
SITE_LOCATION
9393 N HWY 99
RECEIVED_DATE
07/29/1971
P_LOCATION
RICHARD D ZAPP
Supplemental fields
FilePath
\MIGRATIONS\N\99 (HWY99)\9393\71-701.PDF
QuestysFileName
71-701
QuestysRecordID
1877311
QuestysRecordType
12
Tags
EHD - Public
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4FOR}OFFICE USI. -,'F'`h` APPLICATION FOR SANITATION PERMIT <br /> a Permit No. _71-7U21 <br /> ------ -------------------------------------- ----------- (Complete in Triplicate) <br /> ------ q71•----------------------------------------------- Date Issued --7-_21.9. ` <br /> - I <br /> 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 <br /> described. This application is made in compliance with County Ordinance No. 549 and existing Rules and Regulations: <br /> _- / U r ` f-_-# ---- ----------------------------------- -----CENSUS TRACT ------ ----------•-------- , <br /> JOB ADDRESS/LO N ._-- ----- ---------- ' <br /> ----- -` -_-..=----"-Phone'-------------------- •----- <br /> Owner's Name ,-_ �_C D_ -- -� - i <br /> f4 /i-TRLou 12° C;tvCt7 /------------------------------•--------- ...... <br /> Address --------------- <br /> 's Name ----------- ----f}'-e'fZ----- --- `'-- k-- <br /> ------License # ------ ------------------ Phone ----------------------------- <br /> Contractor .� <br /> Installation will serve: Residence AApartment House❑ Commercial ❑Trailer Court ;❑ <br /> Motel ❑Other --------------------------------------- -- ' <br /> 4 teem <br /> Number of living units:_-- 1_____ Number of bedrooms -__-____Garbage Grinder ___.-------- Lot Size ._______.____ <br /> Water Supply: Public System and name ------------------------ ------------------------------------------------------------ --------- Private <br /> Character,of soii1 to a depth of 3 feet: Sand'[1 Silt❑ Clay ❑ Peat❑ Sandy Loam ❑ Clay Loam ❑ <br /> Hardpan ❑ Adobe Fill-Material ------------ 1f yes,type ------------------`--------- <br /> (Plot plan; showing size of lot, location of systern ir'-°relation;to wells, buildings, etc. must be placed on reverse side.) r <br /> NEW INSTALLATION: (No septic tank or seepage pit permitted if public sewer is available within 200 feet,)' " <br /> PACKAGE TREATMENT [ ] SEPTIC TANK'. _ Size---------------------------------- Liquid Depth -----------------• ,. <br /> Capacity I�Ol�------- Type _00" --_ ------- -----------fS ' Material -- No. Compartments ---------•-------••--- <br /> y P Y ) (A <br /> Prop. Line __________ - --------- <br /> to nearest: Well ------------- -Foundation .---------------------Distance -a .., -A -- 1 t3v - <br /> ------ Length of�each line , Total. Length <br /> LEACHING LINE [ ] No. of Lines ------------------ 11 L # �' <br /> Type Filter Material _'_f�--------------Depth Filter Material ------------------------------------------ <br /> - <br /> D' Box -------- - � <br /> J ' + C� 1 d -_______ Pro er Line <br /> �,. Distance to nearest: Well _-___________________ <br /> __ Foundation __ --------- p ty <br /> 1 <br /> SEEPAGE PIT [ ] Depth ----- -""- -- Diameter __- "-" Number -----F---------------------- Rock Filled Yes No <br /> r Table Depth - t ' <br /> ` �_ {x_ <br /> Wate 6216 - /'A__\Rock Size -- --- ; <br /> " Distance to nearest. Well ----------/00 ------------------ <br /> Foundation �c,�C1""c ;pro Line __._��., ,i <br /> REPAIR/ADDITION(Prev. Sanitation Permit# ------------------------------'--------------- Date•---_----------------------'- <br /> Septic Tank (Specify Requirementsi -------- ----------------------------------------- _---__--------------- --------------•---- <br /> Disposal Field (Specify Requirements) --------------- <br /> _ -------------------,-w________________- ----------------"-"""-- <br /> - ----r <br /> ---- <br /> --------------------------------- <br /> -----------------------I---------------- ----------------------------------------------------------------------------------------------------------------------------------------------- ------ <br /> (Draw existing and required addition on reverse side) <br /> 1 hereby certify that I have prepared this application and that the work will be done in accordance with San Joaqu <br /> County Ordinances, State Laws, and Rules and Regulations of the San Joaquin Local Health District. Home owner or licer f <br /> sed agents signature certifies the following: <br /> "I certify that in the performance of the work for which this permit is issued, I shall not employ any person in such mann <br /> r as to become subject to Workman's Compensation laws of California." <br /> Signed -------- Owner <br /> ---------------- Title ----------- <br /> BY ------------- - ---- ---------- - ------- <br /> V-1 <br /> ------ <br /> (If other a owner) J <br /> ► FOR DEPARTMENT USE ONLY y1 <br /> APPLICATION ACCEPTED BY --� - - ------------------- <br /> ------ DATE !: <br /> BUILDING PERMIT ISSUED ------ ------------------------ ------------------------ <br /> QATE ------------- -------- - <br /> ADDITIONALCOMMENTS ------------------ ------------------------------------------------------------------------------------------ <br /> ------------------------------------------------------------------------------- ---- <br /> AV <br /> ------------- -------------------------------------------------------------------------------------------------------------------------- --- - --------- <br /> t ------------------------------ <br /> ---------------------- ----------------------------------------- ------------------------ <br /> Final Inspection by: `"G4� --- - _ _ Date <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT WL <br /> - r 14 0 1_'AR RPv. 5M <br />
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