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01/21/2005 10:47 91678( ?1 ENGEO INCORPORAJ�j PAGE 03/04 <br /> 01/21/2005 FRI 1C.:10 FAX Q 003 <br /> B1/21/2005 Qy:'Fr 9167667091 ENGLD INWRFM,IRATED PAGE 163/04 <br /> { <br /> San Joaquin County — SITE <br /> Seaith Department <br /> J04 East t,UVeber Awe ,3Td Flora,Stockim CA 95202 MITIGATION <br /> _(209)468.3449 Fax: (209)468-3433 Web:V^Vn,kigov. yvehd UNIT IV <br /> WL-11 Permit Application <br /> NON•REFU DABLa FaRNITEXEF d YEAR FROM DOTE ISSUED <br /> IL <br /> ApppwNan b hrraay rtw4e C'Sqqn. JnaquN aoUrbtor a prrtlk to CaWNW and/ar Instar 1M work dealrllletl. Thfe 1ppltntiml n made in ccmpllanaa•dal aura. <br /> Joaquin nnunty OeverlapmanlhEk,Chaaap��loe Spptldaann�na lho 8landerdaef SDn JaFquln Onuriy/tm�aoPtlantat HeaAh DepatlnenXa� 11v-b D_/' <br /> VaELLlaeatbn 600 :�•�•`r'��I�O�I 1CM.6151r!!d dry((.L1Z.p 971.3 P�°� O <br /> OMOPVMY1- o V,-OX z4s cityCa ?5330 <br /> csTcamtaQr. � <br /> a1 <br /> ddurrsn tt7b �fe txi. 71vc3Li9LLaN�4�' Fhr�r Q� � S!'l . <br /> n oa �—Phrn.4�916 �3 <br /> n Y <br /> ' 6J ._4tlllre'.�L�D&NMrv.bl'.� <br /> Oenaultant/SuE OMr_ E &._.-}sC-- <br /> pp OeaMnmsa;X�,�;.� <br /> Y ,YoMW11D Raga <br /> Section— <br /> (choose <br /> n <br /> (choose rypa eletDESTRUCTION <br /> aw ww-L BHORN { B MYDROPIMCM,NAN .AUGfiR, BORE. DIANETERy <br /> eRF D OVER <br /> Rd PRESSURE GROUT <br /> WU - — <br /> .� <br /> dIkOUT SPECIFICATIONS <br /> p•Oihor - . <br /> COMMENTS: <br /> aV191 Ij, LALIQa TYPE81}cT10N aPECU„C <br /> 0 MoNFGRING I1TibllCN STEM 061,OF SORaHOLE,j„ Q MULTIP01 OWNp9 0 MULT;•LEYEL WF,LL RAeING D W <br /> OFaeTFAOTON <br /> NA hAE OF;ABI+Ot WE& ll?VC :d OTHER: <br /> q VAPOR DWI)ROTARY DEPTH OF GROUT REAL—'.14 TREMIE TYPE TO BE USS11 aAUGERG XHOEE <br /> p AIR$PARQEi OZONa JKP11SH POINT(.Pnrr,;M0R0MsEP=PUNF5O: DYw DNq (NOTE:MI�xIMUM FREE-PALL DEPTH 1930') <br /> "01L4100I44 QMANO AJGER GROIJraFECIfaCAT!ONSyc aong { <br /> p OTNDaD- — ,01.HER A0P110X;BORINOPEPTH so 0 e„OLTEO TRAFFICaOX er IJMVEPIPE <br /> LZ <br /> c 0uCT7RCA INpF b1) D "(H.YES,It+t epedlkallrnd In -mtin s+o Pnl b � <br /> COMMENTS: •xp „ <br /> NOTE; OFFSLVE�B RINGS REQUIBE ACCESS AGREEMENT OR ENCROACHMENT PERMITS. <br /> 46 MIMING HOURS NOTICE REQUIRED FOR INSPECTIONS, . <br /> I hereby cwft that I kraus!prepared thle applice(ian and that the work wR1 kc 40"In accortlanea with San ta9aln <br /> County oedreencea,d uaoa and Regwatlans,and all applicable 04114btnla State Laws• <br /> alanaa �'f.��� j�� �— Titlrlcomwrn' �1161II@El�,,,G�✓ $ <br /> Pnnl -MCL <br /> DEPARTM N 165E ONLY <br /> SITE MAP W UNIT IV iF�LE,�/D�e": � (�LLt <br /> �=+ -r <br /> WORKPLANPATEM / S UQGt/Q /Y 10flJ <br /> beta <br /> APPlkatan Act000d By <br /> Gnwt"Mapecoon lry11r1�1/ D,M Mnai neaedlan By —Q1lb <br /> Catlruallen InipliCgn ar [lax <br /> COMMSNTs i rOND1T100: <br /> AGOOU NTIN9 MLT: :aDr FAC'd <br /> pE CODES FEE100 d OUNTREMrrrw CNEEKK . Kxu,QYFDAra PERMIT 161 RCGUea're adYOIOf <br /> C-5T_._ WC_WWIvER_ C-57 Letter of Authari.etian to agn permit,_Eceroechment dot— <br /> or o xt•uxim <br /> cnvm I <br /> O1i21,8005 FRI 09:25 (TY/RS Nn 777721 0003 <br />