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KiELDSEN, SINNOCK&NEUDECK,INC. <br /> CIVIL ENGINEERS AND LAND SURVEYORS <br /> STEPHEN K.SINNOCK 1550 HARBOR BOULEVARD 711 NORTH PERSHING AVENUE <br /> CHRISTOPHER H.NEUDECK SUITE 212 POST OFFICE BOX 844 <br /> NEAL T.COLWELL TELEPHONE(916)403-5900 TELEPHONE(209)946-0268 <br /> BARRY O'REGAN EMAIL:CIVILENGINEERING@KSNINC.COM FAX(209)946-0296 <br /> WEST SACRAMENTO,CALIFORNIA 95691 STOCKTON,CALIFORNIA 95201-0844 <br /> KENNETH L.KJELDSEN <br /> RETIRED <br /> KSN Project No. 2414-0010 <br /> SUBMITTAL FOR: <br /> Grindstone Joe's Association— Wastewater Holding Tank OWTS Permit Application <br /> Contractor: l ��'/� 5%�G/C�i C>� Submittal #: 0019-004 <br /> Manufacturer/Supplier: N/A <br /> Description: San Joaquin County Onsite Wastewater Holding Tank Permit Application <br /> Provided for: <br /> ® OWNER USE AND RECORDS <br /> ❑ DESIGN INTENT DOCUMENTATION <br /> ® COUNTY ENVIRONMENTAL HEALTH DEPARTMENT SUBMITTAL <br /> ® CONTRACTOR USE OR REFERENCE <br /> Remarks: <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 /> By: &WW4APDate: October 28, 2019 <br /> KJELDSEN,SINNOCK&NEUDECK,INC. <br /> cc: <br /> Neal T. Colwell, <br /> Principal Engineer, KSN <br />