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SR0073141
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4200/4300 - Liquid Waste/Water Well Permits
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SR0073141
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Last modified
1/31/2022 1:26:54 PM
Creation date
1/31/2022 1:07:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0073141
PE
4202
STREET_NUMBER
15618
Direction
E
STREET_NAME
COLLIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
02109002
ENTERED_DATE
9/15/2015 12:00:00 AM
SITE_LOCATION
15618 E COLLIER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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P.a• U I N. <br />1540-111 - <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br />BUSINESS PHONE: (209) 468-3121 <br />INSPECTION REQUEST 24-HOUR RECORDER: (209) 468-3165 <br />CHECKLIST <br />THE FOLLOWING INFORMATION AND DOCUMENTATION MUST BE SUBMITTED TO DEVELOPMENT SERVICES <br />Check - <br />BEFORE YOUR APPLICATION CAN BE PROCESSED. <br />off <br />1. One completed Application. <br />2. Obtain Environmental Health Department Approval on Demolition Permit Application. The final <br />disposition of the well and septic system must be identified prior to application approval <br />3. If your demolition project is 1200 sq. ft. or more you must obtain an approved Debris Diversion <br />Plan -from Public Works Solid Waste Division office at 1810 E. Hazelton Ave., Stockton, 468-3066, <br />P IOR to obtaining your Demolition Permit. <br />Obtain -ir Po-llutian Control District App_rcval on Demolitio Fer ril=�lpplicat�on <br />5. It -is the applicant's responsibility to notify P.G.& E. and -have utilities disconnected. It is also the <br />applicant's responsibility to insure P.G.& E. no'. fin -the Building Inspection Division hat these <br />utilities have been properly disconnected. Please contact P.G.& E. at (209 942-1495 <br />Scope of Work: <br />Project Address:- <br />ddress:DEPARTMENTS <br />DEPARTMENTSLISTED BELOW MUST GIVE APPROVAL PRIOR TO ISSUING DEMOLITION PERMIT <br />Environmental ea Department pprova igna ure:�L _--; <br />San Joaquin Valley Unified Air Pollution Control Date Issued: <br />District ApprovalSignature <br />AIR POLLUTION CONTROL DISTRICT <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />4800 Enterprise Way <br />1868 E Hazelton Ave <br />Modesto, CA <br />Stockton, CA 95205 <br />(209) 557-6400 <br />(209) 468-3420 <br />F:Wpplication Forms & Handouts\Check lists\Check List Demolition Permit.doc (Revised 6-30-14) <br />
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