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P. 3 <br /> 11..-12-1997 9:04AM FRO' <br /> APPLICATION FOR WELL/PUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)468-3420 <br /> N UMNAllf ftl= DMIMS 1 YfAN FIIQM GATE MIEN <br /> 10ENPbb IE Tr}I41M <br /> APRNCATMMN w MRI BY MAM TO TME SAN JOADUIN COUNTY FOR A PERMIT TO COINfI =ANOM NOTALL THE WORK oEGCRSED.TOM APPLICATION w MAD!IN COMPUANC!Wm15. <br /> JOAOIMH Coumm otVSLOPfdENT TMLL CNAPTIN 11119.3 AND TILE STNIDARM OF SAN JOAOtMN COUNTY PUKE NEALTN G MAM O/NNONMO TIAL NEAITN OWIOON]. <br /> JOS ADOPORIAM ARN e/.a 5 CTY PARCa SREEA IMP Q t{ <br /> oWHERTG <br /> DONrwnaTOR •�d r1 I(4�s /y'✓ Soo m 1 t'd 7 y 'o-e Vq lk,v r-,f' ua..,?' '}l O I L n*m.,16 70 10 [�. <br /> SUE Coomme OR_ AooMGG uco "low 1 <br /> O Mw waL O PotAcoma WELL O Ma«row n waL a O OTIMR <br /> O owTAuATION O wELL Gvam MPAER ❑O/IOSGd'a11tmT PwAMR 0 VAPOR 0"PACT1ow WELL 1 <br /> Cl" .Q R.P.M N.R ONM RMNF GRT PT. RRwT WATER <br /> aYP!OP RMaI <br /> O ouTor.NRVICE wlLL O SSOPHVOCAL VAILL 1 O GOR.GOINIo c <br /> C� <br /> O wriamAL ❑oras ooTTOM oa.OF WILL EXCAVAT1011 DIA.OP CONDUCTOR CASORo t <br /> O DOMEET/CONVATE 0ORAVEL PACKmn TYPE OF CAf1q/ITE oft DIA.Of WELL CANM < <br /> ❑moucANlMCIPAL O onve# DEIN OP Ormf NAL tFEC1PRCATtaN h <br /> O mm*AmmAs O OTmm GROUT 1EK ONTALLED GY SHOUT SRAMD NAME E <br /> O Ma comm J. GROW NAL mowmmm O Y. O N. comown PEDEpAL SY omolm O Y.. ON. 3 <br /> APPRIM GQPTN t?.JO tACKM1O CHEWM SoxMTOVE RSE s <br /> PROPOSED UM MUM& MIA ROTARY Alli NOTARY At10NI <br /> I NVOW CEKTWV THAT 1 NAVE fM/MOO TNw APAJCATION AND THAT THE WORK wNl N cow 1M Accom NCE vmw em JOAOVM comm omowANCE/,RATE LAWIL AND MUS AN <br /> REMLATIOM OF TME*AN JOAOM COUNTY. NOW OWNER OR UCOIGED AGO"SHMAMM CERTIFIES THE POtLOYWOM'R CIR"PY THAT IN THE PVWV MAPICS OF THE WORK MOR%%W <br /> TM PERMIT w MGM.l SMALL NOT ESIROY PONONS 010JM TO WORRINAW&COMPOISATRIN LAWS OF CAtlPOMAA.' CONTRACTOR'S NNW*OR SU84ONiRACTMIO NSNATRMw Comm <br /> TME POLLO IN0. '1 CERTIFY THAT IN THE PERPOIM/AME OF THE WOMK FOR WMCH TWO POSIT w WOM.i SHALL OWWWY PE DONS GUSSET TO WOOWAAN'S COMPONIA"M LAWS O <br /> CAUPORNIA.' MUST CALL SS HMM IN ADVANON POR ALL MMM 1115POITIMaw AT WIR 4 "M COMR.ITS OMWWO AT LOWNI AREA POMADED. <br /> NSn.f x ��- - TRI. ��f ow 17 _.9 7 <br /> 1 <br /> NET NAR WNW MSWMl..1. 'M <br /> 1. NAAFIS OP STREETS 011 ROADS Now"TO al not11wo THE PROPERTY. ♦. tMATOON OP HOUSE IMAM OwP'OSAL SYSTNA OA PP POSED <br /> 2. OURUQ Of TME PROPERTY.OnOWO DMMI/NOM AND"ORTN pMECTOON. V~OM OF SEWAGE 01 Oft SYSTEMS. <br /> �. owAspossomm ot1nmM AND LOCATION OP ALL ERwTGNO ANO PROPOSED R LOCATION OP WNLS V.W 1 RAORM OP ONE WHOM PIPTY FT, <br /> STiwM:TtAwG.IPCLUOM COVERED AM"GUM M PATW%OwVEWAYS.AND WAUKG. ON THE PROVO"OR ADJOMAM PROPEM. <br /> i. ..a... <br /> ..:........ .1.. ...:.......' .. ..:..............1.....0......:... .. 0.... {••..... ..........0..... r •.0.....: ... ......i. ........ <br /> f .T <br /> • - <br /> oN'ARTMm YSG NILLY <br /> OfWA ow <br /> � '^'' o t. 11P.P bap""M �-F— <br /> o..w..S..Aw..G.w��" 1 D«. -71T <br /> AMOIMMINO ONL" ND1 PACT <br /> PE COOP HEONPO AMOUNT w911ITTm CHEMMASH 1woNVm SY OATS porar/SIERMCE PlammT xuM INVOICE <br /> 2 <br /> Pta.Homo Sov.-&*ft.173(IAM <br />