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SU0001293
Environmental Health - Public
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SU0001293
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Entry Properties
Last modified
5/7/2020 11:28:36 AM
Creation date
9/6/2019 10:41:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0001293
PE
2690
FACILITY_NAME
LA-99-68
STREET_NUMBER
4895
Direction
W
STREET_NAME
KINGDON
STREET_TYPE
RD
City
LODI
Zip
95240
ENTERED_DATE
10/18/2001 12:00:00 AM
SITE_LOCATION
4895 W KINGDON RD
RECEIVED_DATE
11/16/1999 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KINGDON\4895\LA-99-68\SU0001293\APPL.PDF \MIGRATIONS\K\KINGDON\4895\LA-99-68\SU0001293\CDD OK.PDF \MIGRATIONS\K\KINGDON\4895\LA-99-68\SU0001293\EH COND.PDF \MIGRATIONS\K\KINGDON\4895\LA-99-68\SU0001293\EH PERM.PDF
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EHD - Public
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�6 E)ec—17—99 OS 134A <br /> TI-1LSERVICES <br />! PUBLIC <br /> I_1EA <br /> • SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HFAL`I'H DMSION : <br /> Karen Furst, M.D.,M.P.H., Heakh Officer <br /> 304 East Weber Avenue,Third Floor• Stockton,CA 95202 <br /> 2091468-3420 J <br /> 1 Re <br /> November 22, 1999 01 <br /> TO: San Joaquin County Community Development Department age P-I'a <br /> Public Health Services l ���(��d [, <br /> FROM: A Q <br /> Environmental Health Division� /�� ���� <br /> ` !� A �LAS <br /> CONTACT PERSON: Adrienne E,llsaesser, Senior R.E.H.S-4ff____ <br /> PHONE NUMBER: (209)468-0343 <br /> RE: <br /> LA-99-68, Attention Jim Van Buren <br /> 4895 West Kingdon.Road;lta'odi� <br /> Development Title Requirements listed below have been identified as J <br /> 1Y <br /> The San Joaquin County D� p <br /> pertinent to this project_ Other Requirements may also apply. These Requirements cannot be <br /> modified. <br /> A_ Construction of individual sewage disposal ;ystem(s) for Parcel 92 under permit and <br /> inspection by the Environmental Health Division is required at the time of development(San <br /> Joaquin County Development Title, Section 9-1110.3 & 9-1110.4). <br /> l <br /> B. Construction of individual domestic water well for Parcel #2 under permit and inspection by <br /> the Environmental Health Division is required at the time of development. (San Joaquin <br /> E County Development Title, Section 9-1115.3). <br /> C. The well must be repaired under permit and inspection by the Fnviroamental Health Division <br /> (San Joaquin County Development Title, Section 9-1115.4(e))as follows: <br /> a. Agricultural discharge pipes utilizing an air gap for back-flow prevention shall maintain <br /> an air Sap equal to the size of the discharge pipe,but not less than 6 inches. The <br /> k discharge pipe: shall also have two 'A inch slits extending 6 inches from the bottom of the <br /> pipe and opposite each ether or a back-flow device approved by San Joaquin County <br /> must be installed. <br /> b. Install cement surface seal around well casing to sufficiently protect well casing the <br /> integrity of well grout. <br /> c. Raise well casing 12 inches above ground level. AL <br /> A Division or San Joaquin County Health Care Semites <br />
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