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APPLICATION <br /> SAN 3OAQUIN COUNTY PUBLIC 11EA1,T11 SERVICF,� <br /> ENVIRONMENTAL REALTII DIVISION <br /> 445 N SAN JOAQUIN, PIIGNE (209)468-7420 <br /> P U DOE 2009, STOCKTON, CA 95201 <br /> PERMIT FZPIRES 1 YEAR FROM nA"rF ISSUED <br /> (Complete in Triplica: r) <br /> Application 1, hereby cede W Su Ja.9ule County for a peraa to coatruct enllnr Insall the vora hereln de.crlhed. Thla <br /> SM11catloo IS ag.le in cupllance vlth Sea Joae<In County Ordl.unce NO. 5u9 end 18n2 eM the Rule, and Ranula LleLai of $an <br /> Joayutn County fbbllc Health He"Ices. <br /> Job Add•ain /^aS�� s/7,QLL _ b_ - c1Iv Fl-"'.-'.A�0 Lot iiia./Acre.ae <br /> �a...� O J�3 .,q[G 12C <br /> 3pF(rJ A� Addicts _� Phone <br /> Owm.'a Nems <br /> Connann_,4,L Ziz!- gnAaaiatt. Q LLE/__ T 0.1=_Uarntr Pnone <br /> NEW WELL ❑ WELL REPLACEMENT Cl DESTRUCTION L:Ort of Bervleo Yell O <br /> TYPE Of WELL/PUMP <br /> PUMP!NSTALLATION C <br /> SyS ICM REPAIR GTNER ❑ liooltaries, Yell [I <br /> DISTANCE TO NEAREST: SEPTIC TANK SEWER LINES <br /> DISPOSAL FLO.— PROP. LINE <br /> FOONp1TION AGRICULTURE WELL __ OTdEP WELL PITS/SUMPS <br /> INTENDED USE TYPE OF WELL PROOLEM AREA CON_TRUCTION SPECIFICATIONS <br /> (1 IndoeVoel O Opao action, C7 M,meca Da al Wan Esew..wn_____ Du.o(W.1 Caslrlp <br /> (1 oI 'W/PtNat1 ❑GFSYM P.d O Tim TYW of[ailing____._ SvaclhcatpM <br /> I'I AIb1K ; I'1 Othe 11 Dots -)spin At Ginn Sea' Type of Gow <br /> I I InyatsP —Apoa.Flapth I I Fl Slen Sudee Sal Im Nlyd 11-1Z <br /> w - <br /> t Rapes W'Ya Done q Ty"of Punlp N P. State Won Dene <br /> N e1n8 /Mser3sl E OepU <br /> O ,WN Dra1eWDestruetgn <br /> )113er R.ur1a1 E Depth <br /> Deno <br /> TYPE CF SEPTIC Wr RR: <br /> NEW TYPE <br /> I 1+rNN REPAIR/ApORION DESTRUCTION I I IN <br /> Nan-1 w9N 2n noo Iu i1 w,b,c Yw'e,s <br /> E PrIMIS04 Af Cyab'on _ Otnar - <br /> 1,•flNtCen <br /> FAnntu,d Inni uoi J— Nu,nDer of be foeoma_ <br /> Cha•acte d we m A detnh d 7 teal: S � No. C nytoltatwe daiptn s <br /> SEPTIC TALAR ❑ Typa/Mlo OWCItY_ No. Cempamrunn .. <br /> PRG.TREATMENT PLT.O Method al DiapoaM <br /> D:"Ah,ce to Suomi Wen FOU,M.I.en Po,i Line <br /> I <br /> LEACHING LINE .NO.8 Laopth o1 hnaa � TOOL <br /> � !fin Y Mn9tn/aua.�h9 <br /> i FILTER 8EO C ..*at:to eeat: Wao_/!J!J_—,�.,uF.Iw ProWnv Lina <br /> SEEPAGE PITS I I `Doth sun, frombr <br /> I SUMPS LI DWanto reoHf: Was . <br /> FoundationPoopery LMu <br /> co <br /> DISPOSAL PONOS O <br /> I neeny Lardy that 1 have wepaoed has 2pp4atsan end Ina:the wort win b done In apcerdsn<a wntn San Joaquin county wdlnanca,State Iowa,wM <br /> nIr eW repdeiwne If the San JeaRuirl CwMty r <br /> NpM IS- - w licensed 49",aynahPa panne Ib lolo ii,I Can ilY Inst In tM bado,msnca d IM Care Id YMkn MN pemit 4 lM00 I "Uns <br /> rot <br /> erpbt arm preen n M.LII-erpMlvwi N 1M pMelmaWM cOl lnw10r\IOIw??i:h In,,pa,md�M,ed 01 fll-Nil"Ploy Pintai aYOleet to ant" <br /> man's eampenM <br /> unite tb loanwrq: <br /> ion MW of CablomY:' '? <br /> This&PPkAnl count�W/M JW/egw eapec/ny).Corm+u mewng en revew Fids. <br /> Y 4,�R GGc.7h!/�_�alESL_— Title: Dow <br /> F. fpq� FJf" SE ONLY F <br /> ` r0 Dau <br /> ANpacaihe,n AttaptW DY <br /> _ Dau Fine,Inaipactgn by Den <br /> PN r Dawn IouPa^- ^tb !a' 4 <br /> +r+ Addaiwneo Crhnnan's <br /> } Aprl lent - Return all cool.. to: I,,ricasenta3nHealy <br /> th PeYalt/Bervlreavlcea ;.t. <br /> 445 N San Je.Rela, P O Ho. 2008. CA 95201 '- <br /> f[E AMOUNT W[ AMOUNT Rf MITTEO C N RECEIVEDev PATE PERMIT NO <br /> WFO <br /> So I'M <br />