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76-111
Environmental Health - Public
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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12339
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4200/4300 - Liquid Waste/Water Well Permits
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76-111
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Last modified
11/19/2024 3:46:42 PM
Creation date
12/1/2017 11:46:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
76-111
STREET_NUMBER
12339
Direction
E
STREET_NAME
STATE ROUTE 12
City
LOCKEFORD
SITE_LOCATION
12339 E HWY 12
RECEIVED_DATE
02/20/1976
P_LOCATION
IRENE GILLESPIE
Supplemental fields
FilePath
\MIGRATIONS\T\12 (HWY 12)\12339\76-111.PDF
QuestysRecordID
1958401
Tags
EHD - Public
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t� <br /> r PLOT PLAN <br /> (DRAW TO SCALE) <br /> SCALE " TO ' <br /> � Q � <br /> 1. Name: of streets or roads 'nearest to or bounding the property. <br /> 2. ' Outline: of the property, giving dimensions and North direction. <br /> 3. Dimensioned outlines and locations of all existing and proposed structures, including <br /> covered areas such as patios, driveways and walks. <br /> 4. Location of house sewer outlet, public sewer, sewage disposal system or proposed sewage <br /> disposal system, proposed expansion of sewage disposal system, or any other possible <br /> source of Contamination,. <br /> 5. Location of other well.s'vithin radius 'of,75--feet, on -`the property`or adjoining property. <br /> 6. Location of sewage disposal system on, adjoining property or within a radius of 100 feet. <br /> ♦i � 8 t 1 7 <br /> ............. .. ... .. ... ... <br /> ......i.... .i.....,j..... .ti.... ; .. <br /> ............... .......1 .................... ............ ... ... 1 ... ... ................................ ........ .. ... <br /> ....,. -{y��-.. d ... ....--� .........».... .......... ... ... ... ... .. <br /> ' ... .. ...... . <br /> ... _.. — ... ...............................y......;.......:...............f........1....... <br /> ............. W .. ... ... ....7.'.... r ..-F.......5_...�.}.... .I.......J.......j.......;.......j.......j.......q.......a........y.............. <br /> t <br /> ...i.... _...t.... ......t......y......;....... ..... .....i.......j......j..... . .... _. .i.......j.......................5_..............w.:....5........L.......i...... <br /> - <br /> ;.....ir.....ix► <.. _ ......;............... .......j.......t.......;..... .. .j. ........{.......:............... .....:..............s......_... <br /> c <br /> .._ ... i.... ................................................. ... ... ......................i............... ...... ............. <br /> i . ...............i....... ......i... ••1 <br /> . ... ... i .. .... ... ... ... ... ....i..... <br /> .... ... ... ...... ....i.... ........................ ....................... ... .1.... .... ... _ ....i.......j.......j.......�.......j......j.......t... <br /> 3...... ... ... ... ... ... ._. ... .j. ... .4. ... ....1......¢. 1....}.. -. .j. .j......... ... . .. ._.. , <br /> .....,.a. ... ... ... .... -•. ... ....i. ...F.... .{-... .}. ....i. ... .j. ... ... ...._................................. ... ... ............. ... <br /> ; <br /> V <br /> ......>.....j.... -j... .. .;.... ._. .}.....i.._. ....t.... _�.... ... .a ... ... w .. ... .. ................................:..... .. <br /> ... ... ... ....l_... ... ... ... ................ ... ... ... ... .. ... .. . .. - <br /> = 3 <br /> y. .. .F. ... .i._....;.......1..... �... r.... ... ... <br /> i <br /> ...-. ... .i.... :t.....�.... ... ................................ .............. ... ... ... ... _ .. ... ..._t......-: ... ....l...._..:...............1............... <br /> ..... ... ... <br /> .............. _. ... ... ....t. ... ............... ... ... .. . ....;.......F.......j.....::1.......j.......1.......;.......;................ <br /> t �• ... t ... ... ... ... .. .... <br /> f._ �..... ... f ... ... ... ... ... _...i..... ....i.... .[-... .7. .. .. 4.- -1 .-F-. .j.. .�.. y.. .1.. .{... .i.. , <br /> .........................:.......:.......i. ... .... ... ... ... ... ... ... ... ... .. ... ... ... ... ... t ... ... .... .. <br /> I _ i <br /> ... ... ... ...•{.....1. .................i......... .i.... .j.....j. ....j.....{. ....j...... ..-. ............I.......j....... ..........�..:....� -�:.•.... ... <br /> I ; I <br /> ... ..i.._.. .1._....i.......1......1..... ......}......f.......j.....�......j.... .t.._....t. ....r.._._ ... .. .. ............... ... ... ... ... ... <br /> ................:.... .:.....:................. ........ .. ,.......; ... :.. <br /> ..--..j...._i.....�.....1. .�.... .... ........................... ;.. <br /> .5.. S 1 <br /> 1 r...._.i.... ;-.... .{..... ... . .....5.... ... t .. ... _.... i....... <br /> ..... : ... ... .....:.... .. ... ... ... ... ... ..T.. ... ... .. .. .....;.......j.......5......j.......i.......i.......i... ...i.......i....... <br />
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