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APPLICATION onamomamommm <br /> � SAN JOAQUIN COUNTY PUBLIC S� <br /> HNVIROMWWTAL BBAI.TI [ON <br /> 445 N SAN JOAQOIN, PEONS E <br /> P O BOK 2009, STOCKTO ,_C• P45201 <br /> A� It <br /> PERMIT RKPIRSS i YSISSUED �57/ <br /> (Cmplete in Triplicate) <br /> APPllmtlm fa AOreM RFOO,te Sao JwQ-In County for a Posit w emetruet aha/or too ILE tte wrk Aare%. Je•er[tad. TILL. <br /> NPlleatlm is Waal in coww"anee etth Ban JoatOln Ccuntf Ordinance at. Sag anO 1865 ana the POln Nod PePulatima of Co' <br /> JOaftin CPPtT PutLle Beal" Senleea. <br /> G � <br /> Jed AOOreu JI% L L O.j1 •t�I_�p _ Cm_L �C Lot xl:./A<rel2.Be oel. C. <br /> A�F/�� A IL=Fnad.e••_���� S_ /IAN At <br /> Cherees <br /> ' CenlgCld <br /> AlId"59w, I�'t �-L._n--Lrc<nse No. NlOne <br /> TYPE Of WELL/PUMP NEW WELL 17 WELL REPLACEMENT n DESTRUCTION ❑Out tIMMerit{WELLO <br /> PUMP INSTALLATION u SYSTEM REPAIR .! OTHER ❑ <br /> !, DISTANCE TO NEARFS is SEPTIC TANK SERER LINES <br /> __ DISPOSAL FLU.— PROP.LINE <br /> FOUNDATION __-- AGRICIILTUPF WEIt __— OTHER WELL MS/SUNK <br /> TYPE OF WELL PROBLEM APER CONSTRUCTION SPECIFIC.tT10NS <br /> INTENDED u5E Dia.al WM CatOnS <br /> (�InnyNrW ❑OPeO Bntlnra ED MMINe D4 OI WN f.CbarM- <br /> 0 1'I T'.cr Type o1 C.unO__---- SPNiRutelO <br /> I f.1 DprPauUPmata Cl W.ral .tk I DNu DOOM <br /> Gran Sam 100 of,... .• <br /> I',PIMA,: Il OIM <br /> I I Ingalgn __^We.. Deem 111451— SuAKe Seel rmuete Or <br /> T ._ State WOA DOM <br /> k , Raper Wora DOM U YW el Pune — N�11iM Nurtal a Depth <br /> tr r1 <br /> t WN DaatnrC,Ion ❑ Wet D' Hff J Piller MaNrial A Depth <br /> C"Ih <br /> TYPE OF SEpIIC RORR: NEW INSTALLATION' I REPAIR.` AD'^ DESTRUCTION 1 „M PPS R Prdit Oaa'd Y <br /> 7W 1 <br /> CemlMrtrN 0114. <br /> IrotaPPbn w4 NIM: RaaNanu <br /> i stn NOmOar of tre•p Pet: Hander OI oaOreorn•.�— W"taw Boom <br /> Ch Ww of POO to•Opt"Of]Coal: C Y l .'sM/e/. No.CarPPFrn+P[F <br /> SEPTIC TANK O T[W/16011 COWbtr -7"` <br /> A1a111e0 01 OfiOFN <br /> Z,i+ r•I '� �" I ►KO.TREATMENT PLT.❑ <br /> OMtncO le MMP . We, <br /> ut. <br /> rFfW <br /> mI1M0.aIitmwn <br /> _µa_L.L-FlOpor,L <br /> AIN <br /> t1TIIIMlP/NH <br /> N .BLertP el PrLfACNIN6 LINE Prgnt: � OPPI[LNa <br /> FILTER$ED EDII&POI110 <br /> 5i f ._— •r NLomod .� y. <br /> iqq n+ E SEEPAGE MTS De01P t FeuMaoen 11y,u-'�- PiopOn[LIP..5++`f <br /> �4I iUTAK Ae DrdnXA Ie r4aratt. WM <br /> gSPOSAI PONDS ❑ <br /> dt I PROM CL that I Pew PaOataO mit apprcnwn and INI IM..ort w+Il W bX4 e1 K':bdar -w.th Sen JeOPOn foXnry PdePleaa.warm,Inca.Pro! <br /> 'gJ4 M.Ptd PRPAAIono of the SOP JOaauN CeontT - 1 that M t1W 0arlerMnCn of IN what IP VI[IICP IN pdXat M MMer 1 NtaK PI <br /> l NuM OWPP P atanta0 NPR'.Nprotwo pond.XM foeo+m0." rart/Y <br /> { aI110XM af19 PataOR N 0uM IrWInP n to OKOR4 wAMtt Io wpkrnari a ConVanUlgn taws el L'N11011w." OWV ple/f NubjeC to VMF �a COMP WPF <br /> r 1 prlBNa Ola IOBPrIIIS:"1 CONE[Pial N that parlor ,,0,,ha work for. h thm Want 4 Oaued.1 ahaa OP4V atwo <br /> �6 <br /> it Syq�" M M•va tC pM0 <br /> CAN <br /> IrX■ et} .CPmpltla aaw+rq mq raveraa•ea. . . <br /> // Dau: <br /> SVAd <br /> t FOR DEPARTMENT USE ONLYO Arae / <br /> 110��y��p <br /> APPk~ CCOPW pY De»Lois L3 <br /> _ Dau FaW IPWOO-by <br /> +• �w'�;.,S.. PN or Grout hwaem^M - <br /> a AlOAbM C1199rwPu: <br /> ApPlfont - Rehire all eoplee to: at. Joaeule Ctve LT Pum le XaallP Be.vleaa <br /> Bort roeaental IfealttPeralt/Serrlovn <br /> HS K Ban Joaeu Bna 2019. Stke, CA 95501 <br /> INlO AMOUNT WE AMOVNT AE4Irtf0 1 K[CEN[D AY DAtt �PIAAPI MO.IH1 � <br /> M yy]]'ppV��l�r � � mmJ.:::r:,w.:k,.wrrtwh.•..ia�ti ...,w.xw..-_-... %.y,'. <br /> v1�55 I -.fi ` � ,14WJ( ! OA <br /> eA' ''�•MY c <br /> at <br />