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SU0011665
Environmental Health - Public
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SU0011665
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Last modified
5/7/2020 11:35:19 AM
Creation date
9/4/2019 6:04:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011665
PE
2626
FACILITY_NAME
PA-1700268
STREET_NUMBER
20703
Direction
N
STREET_NAME
ELLIOTT
STREET_TYPE
RD
City
LOCKEFORD
Zip
95237-
APN
05121071, 72
ENTERED_DATE
2/12/2018 12:00:00 AM
SITE_LOCATION
20703 N ELLIOTT RD
RECEIVED_DATE
2/9/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Supplemental fields
FilePath
\MIGRATIONS\E\ELLIOTT\20703\PA-1700268\SU0011665\APPL.PDF \MIGRATIONS\E\ELLIOTT\20703\PA-1700268\SU0011665\CDD OK.PDF \MIGRATIONS\E\ELLIOTT\20703\PA-1700268\SU0011665\EH PERM.PDF \MIGRATIONS\E\ELLIOTT\20703\PA-1700268\SU0011665\EHD COND.PDF
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EHD - Public
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Section I. Applicant General Information: <br /> L.A. Delta Investments, Inc. <br /> Name of applicant DBA Lockewood Stables <br /> A licant contact name: Alyce Peterson <br /> 714-403-4254 <br /> Phone number of applicant: <br /> Email address of applicant: al ce eterson mail.com <br /> Have you applied to be a public water system previously No <br /> for this property? <br /> L.A. Delta Investments, Inc. <br /> Who is the legal owner of the property? (Proof of See copy of recorded GRANT <br /> ownership of any water treatment facilities and well DEED in the Appendix. <br /> sites must be documented): <br /> Is the systems source untreated groundwater from <br /> a well or enclosed spring,located on property that <br /> the system owns? Yes <br /> Does the system have a single owner or sole <br /> proprietor? Yes <br /> Is the owner responsible for all aspects of the water <br /> stem? Yes <br /> Does the system have an "expense only"budget? <br /> (You do not charge for the water that youprovide). Yes <br /> Section II. General Information on the Proposed Water <br /> System <br /> County of proposed new public water <br /> stem: San Joaquin <br /> APNs: 051-210-71, 051-210-72 <br /> Assessor's Parcel Number(s) or address of Address: 20703 N. Elliot RD, Lockeford, <br /> proposed new public water stem: CA 95237 <br /> Number of days per year the system <br /> serves water: 365 <br /> No. <br /> System serves 25 or more people only <br /> Does the system serve 25 or more 48 Gays per year. <br /> people per day at least 6o days per See Exhibits lA(Page 3)and 1B <br /> ear? (Appendix). <br /> Are there 5 or more service <br /> connections? No <br /> PAGE 2 <br />
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