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1. <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> � Unit Supervisors <br /> :z Ronna K.Heran,R.E.H.S. <br /> 304 East Weber Avenue Third Floor Carl Borgman,R.E.H.S. <br /> y: Director Mike Huggins,R.E.H.S.,R.D.I. <br /> `! Al Olsen,R.E.H.S. Stockton, California 95202-2708 <br /> Douglas W.Wilson,R.E.H.S. <br /> Program Manager <br /> Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> �o•Ra p <br /> Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> Program Manager Fax: (209) 464-0138 Mark Barcellos,R.E.H.S. <br /> July 29, 2003 <br /> ATTN: PETRE BIGLIERI <br /> BIGLIERI FARMS <br /> PO BOX 604 <br /> CLEMENTS CA 95227 <br /> i <br /> Re: Biglieri Farms Water System (BFWS) <br /> 17815 E. Hwy 88 <br /> I <br /> San Joaquin County Environmental Health Department (EHD)has been informed that the <br /> above referenced property serves at least 25 or more individuals at least 60 days out of the <br /> year. This is the definition of a Transient Non Community Water System(TNCWS). The <br /> owner is required to apply to EHD for a.permit to operate a TNCWS. To proceed with this t <br /> process, the following forms need to be filled out and returned to EHD with the required <br /> permitting fees, along with-the new drinking water source plans and permits, as detailed <br /> below. <br /> Complete the Public Water Supply Permit Application form. <br /> Complete and sign the blue and green Master File Record forms. <br /> 3. Complete the Emergency Notification Plan. <br /> 4. Provide a copy of a valid driver's license of the person signing the application. <br /> 5, Provide a Tax ID Number or the Social Security Number of the person signing the <br /> application. <br /> r Submit a check in the amount of$310 for the TNCWS Permit Application fee. <br /> Please make the check payable to EHD. <br /> 7. Submit a check in the amount of$363 for the TNCWS Annual Operating Fee. <br /> F Please make the check payable to EHD. <br /> 8. Submit to the EHD a detailed schematic of the property showing the location of <br /> 1 the existing well, the existing septic system, and a 100%replacement septic area. <br /> P Include the distances between these locations. In addition please identify the <br /> distances from the location of the well to all of the potential sources of <br /> contamination and pollution listed in Section 3.1 of the San Joaquin County Public <br /> Health Services Environmental Health Division Well Standards (enclosed). <br /> a <br />