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BAN JOAAUtl1 COUNTY PUBLIC HEALTH BERYICEB <br /> ENYHIONMEATAL HEALTH DIVISION <br /> P.a BOX 388.304 EAST WESER-AVENUE.STOCKTQN.CA DMI. 88 <br /> V � � {294}488.3420 <br /> I It ` ` tI4611�t1nABLE PERMT E7t p"1 me FROM 4ATE tesilm <br /> v xwwbLB 1e TwLBw <br /> APRMA7NM b HBWW MADE T4 TIL BA»JOAOIM!COUNTY FOR A PMAT TO COMWMPCT ANDMR M TALL TME WOIK pp�.TMB AFPLIGA710M NI MACE iN COMRAINCF Wlril aA» <br /> FF4 111 JOAQYM COUNW OVEUNNOU TME.CIMPf6k 9.1114.6 AM 711E SYMMM09 Oi a11N JCAMM COUNTY ftJFM VXALlWW WMCM Fll'YOloiMORAL 1rtAl.1. <br /> *01wR'B RAF.IEpil AT1DT[St <br /> CO., M C Ch Ai2mQ4AOl1lEEB 44�5 (9I' �-} iiCl�y�Rb1�31„ O 7 <br /> BUB CDMTPACVORPm AOBRFCB �f�r2 • pgNET <br /> TTOF FE011C UIORII: A MEW MIALLAMM Q AmrADOMom BEAYRivoom LJ <br /> SID mEP►IC WYDIE7F PnoprTEO S:mdmx SEWER m AYAgABLm wm w RBB FEET OF IWMDBImv P910 7BSTItl i I»B W kYM67'_ _ <br /> �// APPBesSon W <br /> BISTAUAYMN IBRL SEIAqk ramOFNC[06 couu "AL❑ O7NER O <br /> »UEElER a uwlD M1DTl; IRAA79E US BEDTIDDLAi: j mwam OF tw."Em: <br /> CHARACTEA OF 9O%TO A DfPrM DF 2 FEET: prFm MP BOB.cHAmcTT11: WATER TABLE DEPTTI <br /> BEPMO TAMRAPMABE TRAP ©TYPEANFD CAPACITY MO.COLIPARFRVRS <br /> I R@ TrwAnewr FIAMT E3 DTBTABCE TD R[ARfiT. WELL FCUNBATIPN__CJC _ PROPER.V L- <br /> IST BTATIOM O ma TYPE of T+IIL� BAND OIL SEPARATOR ENCLOAED SYSIEER �J (...�4 r <br /> mACMN6 twe O NO-i LOOTM OF UNEO I '^ OrtTAMCE YO NEMHST,WEU 710-f i/ _--VITY LI»E.,l pd <br /> RLTER BBL t]WUrk 12NBTN, OWR DMtA»CE TO NEAR[ST:WELL fpUNORTiON mopurtY{RVE <br /> BTOURDSo t7 WSITH�„ �U MTH DOTFn DrSTANCE TO NEAREST:WELL FOUNDATION PROPUTTV LAZE <br /> BWAOE RTS A OLpTR_�`L BRE=RUMWFt ( DWAI CE TO W AREST:WML W)MATION PROIlRTY LMS <br /> SIMA/S I]WDTN_U MTM DEPTH DISTAME TO NEAREST.WM.FOUNDATION PROPERTY UW,_ <br /> Poban PotrmS QWDTH SRNMO DE" CISTANCE TO NEAAFST:WELL FOUNDATwa PMOKRTY LBQ <br /> 1 HEPE6Y cOnVY THAT I HAVE MOWED THIS APRIcATION AND THAT THE WOIK WAL BE OOME IM ACCOPDA E YAM BAN JOAQm CMWFYORDULMSCES AND STATE LAWS.AND RAEB <br /> AAD TE=AlpoNBOF TIQ BAN JOADLIBO CoONM.IB3TLE04y»ERORIJCE'NWLO AOHR'S SRMATum CL7RtREOn1EFDuamw:'ICFJ%M1/TNAT I»YRE PflWOJM1ARCE OP THE WORLFORW WCN <br /> THIS PERLOT M IDWIA:D,1 SHALL NOT HH4.OY ANY MI N M MUCH A&tAMm AB TO WBCmm ammeT TO vmmuAR'B CaLM4 M^TM UMTS OF CAITPORBA.'COMMWTORY WRNS 091 <br /> BIIS-CONFRACTM MMATUM COMES THE FOUDWMO:7 CERTIFY THAT IN THE 1ERF*MNANCE OF THE WOFK FOR WYSCIL TLCs PEIDOT OL ISSUED.I SMALL OPLOY PERSONS SULECT TO <br /> W COOL UAR'S COMPEMBATRW UNWS,OFF C THE AMUCCANT MUST CALL 24 tMM W/ADVANCE FOR AU.RFMUe LRBPEC'Town.COLW%m ORAvJ m BELOW. <br /> eIDNw I� I. t'twiV <br /> PLOT RAN BBUW TO SCALLi SCALE 'm <br /> I.NAUE2 OF STREETS OR"DADS NEAREST to OR BObWbM TME PLIaPERrY. t.LocATION of MOUSE SEWOp AamftsAI SYST OR PROPOa m <br /> 2.OUTtATE Of THE VFIOPEMrv.WITH PBAEHBRMB Am NORM OIRECTLDN. SAAATIWON OP BEWARE mA'OSM.AYRHEB- <br /> 0.DWSENSm]MM OUnl149 AND tOCATM»OF ALL ERIBTMrD AND PROPOSED WFPUCTUWQk. B.tOCATAOM OF WELLS YTIT'1SM$ADM OF ONE NUMED FIFTY FT,ON <br /> BTCWD ND CDyEIIED MEAS SUCH AB PATIOB,DRIVEWAYO,AND WAIAB, TFIE PMOMITYOR AWOM M ROPM" <br /> a... . <br /> .. : . : . : .: ..:.....: <br /> ..: :.......... <br /> _ ....` <br /> .. ; . . <br /> ffaO : <br /> . <br /> :JAN .8..1999 <br /> ... ..... <br /> ' 7EAf PL+1�y;bSG.. .. ;.... <br /> -rf DaARIMEMT VSE mar / �^" 7 <br /> APPLICATION ACCEPTED BY DATE: e 141EA:� G(y <br /> TA>I�BI�IAP MmKcraH BYOA1E�r t 1 r�i�t FM1AL INSPECTLDN BY. OA,TE L I I <br /> ACCOIBIlm ONLY: AmA FACS <br /> PE OODE FD:RIrD AMONMT R9iCITW CRECRB BM REGETVEp n RATS M IPOWAIT RUFAM "Pico"P <br /> a 10 1 6,!E.fj Lb EPS 14 <br /> Pub.HBBDB Serv.-Er Wk*.17-4(3f8B) --- <br />