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SR0084381
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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SR0084381
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Last modified
12/22/2021 1:39:12 PM
Creation date
12/22/2021 1:25:52 PM
Metadata
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Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0084381
PE
4202
STREET_NUMBER
11268
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18106016
ENTERED_DATE
10/21/2021 12:00:00 AM
SITE_LOCATION
11268 E MARIPOSA RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Site Address: 11268 E Mariposa Rd, Stockton CA 95215 <br />Date: 10/22/2021 <br />PHOTO #1 <br />1 <br />CHECK LIST - DEMOLITION PERMIT <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 I <br />THE FOLLOWING INFORMATION AND DOCUMENTATION MUST BE SUBMITTED TO DEVELOPMENT SERVICES Check - <br />BEFORE YOUR APPLICATION CAN BE PROCESSED. 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 nor to application approval. <br />3. If your demolition project is 1200 sq. It. 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 />PRIOR to obtaining our Demolition Permit. <br />4 Obtain Air Pollution Control District Approval on Demolition Permit A lication. <br />5., It is the applicant's responsibility to no P.G.& E. and have utrltties disconnected. It is also the <br />.G.& E. notifies the Building inspection Division that these <br />applicant's responsibility to insure P <br />„r;tities have been pro erl disconnected. Please contact P.G.& E. at (877) 743-7782. <br />eco . <br />Project Address: <br />DEPARTMENTS LISTED BELOW MUST GIVE APPROVAL PRIOR TO ISSUING DEMOLITION PERMIT <br />/�1111tLl�lssued:ent A roval Signature: '�„^.19 tyLEnvironmental Health Departm pP ssued: <br />San Joaquin Valley Unified Air Pollution Control <br />District Approval Signature <br />Record ID: SR0084381 <br />AENVIRONMENTAL HEALTH DEP 1RTNIENT <br />y'+ <br />IR POLLUTION CONTROL DaSTRICT 1868 E Hazelton Ave <br />4800 Enterprise Way <br />Stockton, CA 95205 r <br />Modesto, CA (209) 468-3420 <br />(209) 557-6400 <br />ee from <br />p porches <br />steps <br />otheer improvementsthe t o be removedn with site <br />left <br />and•clea ed from lthe propsrty, clean, and frlf there is a basement tat the sites <br />porches, step round level. All trees shall be protected. <br />it must be,filled to g <br />'III.:. ,Kt, . ♦ � a - % <br />i <br />Xp g&ts\BuildL,g Application Ct,ec, � M <br />_-_ pope9 '�,i+�r' Yliscs\Check ?.ist Demol i[ioa F r ie A. <br />Francisco Garcia Ruiz, Environmental Health Specialist Trainee Page 1 of 1 <br />
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