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STEPHEN K. SINNOCK <br />CHRISTOPHER H. NEUDECK <br />NEAL T. COLWELL <br />BARRY O'REGAN <br />KENNETH L. KJELDSEN <br />RETIRED <br />KJELDSEN, SINNOCK & NEUDECK, INC. <br />CIVIL ENGINEERS AND LAND SURVEYORS <br />1550 HARBOR BOULEVARD <br />SUITE 212 <br />TELEPHONE (916) 403-5900 <br />EMAIL: CIVILENGINEERING@KSNINC.COM <br />WEST SACRAMENTO, CALIFORNIA 95691 <br />711 NORTH PERSHING AVENUE <br />POST OFFICE BOX 844 <br />TELEPHONE (209) 946-0268 <br />FAX (209) 946-0296 <br />STOCKTON, CALIFORNIA 95201-0844 <br />KSN Project No. 2414-0010 <br />SUBMITTAL FOR: <br />Grindstone Joe's Association — Wastewater Holding Tank OWTS Permit Application <br />Contractor: <br />l� <br />Manufacturer/Supplier: <br />Description: <br />Provided for: <br />Remarks: <br />N/A <br />Submittal #: 0019-004 <br />San Joaquin County Onsite Wastewater Holding Tank Permit Application <br />OWNER USE AND RECORDS <br />DESIGN INTENT DOCUMENTATION <br />COUNTY ENVIRONMENTAL HEALTH DEPARTMENT SUBMITTAL <br />CONTRACTOR USE OR REFERENCE <br />The provided application is to be completed by Owner (signature, title, etc.) and Contractor (license <br />information), and shall be submitted to the County by the Contractor for approval of the Wastewater <br />Holding Tank System as detailed in the Design Documents. Contractor shall be responsible for all <br />fees, coordination with Engineer and Owner, and all actions required to receive approval of this <br />application on behalf of the Owner. <br />This application has been reviewed for general conformance with the design concept of the Project, <br />and general compliance with the Contract documents. The Contractor remains responsible for <br />confirming and correlating all dimensions and quantities, selecting fabrication processes and <br />techniques of construction, and coordinating the work of the trades, and performing the work in a <br />satisfactory manner. <br />an <br />KJELDSEN, SINNOCK & NEUDECK, INC. <br />cc: <br />Neal T. Colwell, <br />Principal Engineer, KSN <br />Date: October 28, 2019 <br />