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-APPLICATIO R WELUPUMP PERM'-- <br /> SAI,,..�OAOUIN COW PUBLIC HEALTH SE. ACES <br /> ENVIRONM AL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)469.3420 <br /> RSWRFfI1MRARLE PERMIT EXPIRES 1 YEAR FROM RATE ISSUES <br /> 11bmpIRM 11 TIIPRE.111 <br /> AMICA,TNIH IB TIER BY MME TO THE BM MAWM COUNT ran A KRAFT TO CaNHNUCT ANnpR INSTALL THE WONT DESCRIBED.THIS AIfUCATgN le MADE IN COMPLIANCE WRIT eM <br /> AAOUN COUNTY DEVELOFME2 TOM DRAFTER 9/1111 CA AND I.RAMO OF SM MAOVIN C(HNIY PUBLIC HEALTH 6ERNCEB,EWMWEMAL HEALTH DINeION. /� I <br /> MB AODD.WOR AMI �_J I (]S1 IV 11E)E -A L CRY PARCELaRUAN1IA(PAI 13 9.740 <br /> n17 <br /> OYMENe NAMEDI ��1 AOML9e gIZtpN� EgF�Tµ 11�1u(m�-8� IIw�RpM1]U.YIkLW/1/�n <br /> COIRRACTOR_L/,/qh DIA�ARf) IL4A16 AOpIFBB1 Q,LTX ✓✓�XINI/IS{L1�7LW-Jt N1 ONE.707,374.4300 <br /> BVB exM Umo. A.... �IOJ 1ECI PNONEA <br /> OF EW"'t ❑RNACEMfM WELL MONROMNO WELLAW-1 11 OTIC. <br /> MB\AIMTIOWELL eREP <br /> N ❑ IKINA AM 1:1CMeB{OMIlCT.1 ❑VMgR smoveapN WE1LL1 <br /> ❑N..OME.x N.P. OEPLN TRAP.1. FIflBr WATER LE VEL N✓2 ,S O <br /> nYR OF Pot <br /> ❑OMURBERVICE WELL ❑.1..I.ICAL WELLI_ ❑ pIL pOMO 9 <br /> ❑Dfermn.ON: <br /> TNIWDE�UPE TYPE Oi A <br /> ❑ HVMTAL ❑PITH BOT\OM M.OFO TORCAM. Q/A O <br /> O OOAEMICIPNVATE ❑OMVEL PA«RME p � H <br /> O <br /> ❑RIBUCMUMCNAL ❑mEvEN DEATH OF..SELL ZSI SIfCNICATION C A <br /> �/�❑1AppPI.-er"IMRMOOXNO.Ra.. /IS OMM`wMUPT . OOMVI....ME /f <br /> 0 OROMBEALINJH— NCMENESTALBYMMY. ON, A <br /> DErtN YES - <br /> E <br /> MMSMCCN8\RVCTOXNRLUNOM"MD:MUOMTAND' AIR MTARY AMER itl-6,tk CAKE OTHER <br /> I HEERY CEMIFY THAT I HAVE IPFPMEO TMB APg1CATION AND THAT THE W'OIR.BE OONF M ACCOMANCE`MTH SAX MAWIX MUNIY OROINANCEB,TATE IAWe.ANO RULE.AND <br /> F THE MN MAOUM COUNTY.ROME OWNER OR NCENUD AOEM'S BMHATUM CM$FIES THE FOUCW O;'I CEMNY THAT M THE TEN ANCE OF THE WONL Mn WHICH <br /> THIS PEIIMII NNFUEO.....NOT 1.RRMNB pBJECTTO WORWAN'S COMPdEARON UWt OF CALIFORNIA.-COMMCTOMSHINM OflpR{OMMCTIM SMMTUM CEMIRES <br /> THE FOLLCWIM, -1 CHIP THAT IN THE MM MANCE OF THE vAH1x FOR MICH THIS PUWR N 10A ,I RNALL EMT.OY Mf NO UJIMICT TO WORMIM'S COMMOAIMN UWa OF <br /> OIM PMA.' 1M ARNCM MUST A MW�1•S /y�' X11µL MTI,I®IMF T 1 / OM4WM AT LOWER AREA RMNOp.� <br /> COEI LIPLAIN rOr-,/m to ve NN SeJNto SoIo <br /> MOT <br /> NAMFA OF STREETS OA..NEAREST TOOK SOVMIM".K UPORFY, e,LOCAT..OR....I BEWME depeAl TTM FOO RbMBFO <br /> E.OMLIM OF THE NVF..... T.O.S...MO MOM.OIKCl1OM. IAAS..N OI eFNME depeAL SYMEMS, <br /> 3.MMENS�WO OUTPLARG AND TION OF ALL E%NIIM AM RMMSED e.LOCRT TON OI YRW W RSH MOM.OF..NI..FIFTY T. <br /> ITTRUCTUTIA.IMMINO COVERED AREAS SUCH AS PATMF DRIVEWAYS,AND WMX0. OX TIE gMIfR1Y OR MMMIM NMRMY. <br /> U-9 <br /> Ippaumm.Pr.pe�rly Scug9ry <br /> U-9 <br /> ♦U_a <br /> ......_ . _#............ EKP <br /> FNN <br /> I F TRPS Forme I w L-ANATION <br /> 9mS SPEED., rc <br /> I @Im.g +U_I H/Ime I UP NP 2 Proposed NesteE Piezometer Location <br /> ........... <br /> """'.... F.UM, 1i z + Groundwater monitoring well <br /> Fa,mW VATS.T..t SEE LLPrevious Boring Location <br /> I WoTounk I J m (Only one of several shown) <br /> U-T a <br /> +U-S P p \'' U U{ NI locations approximate <br /> FENDr <br /> U.D d <br /> I 9W.ge Loop U ..... ._,.uM� <br /> APKa ak to, FILE �O P Y <br /> TIM a.+ . _N_ <br /> STAIRS M 0.00.1 M DAI FL/R. / <br /> EAST MINER AVENUE <br /> O 40 <br /> SCOIe In feet 1 <br /> OVM1MdT Mf ONIY <br /> ARR-No,Aeeegd PIT� DN. Mr <br /> D,.W I,,.'-F— r_ N,P..D.:,To D.1. <br /> u.I..H.,,e. <br /> ACCOVN"Mes ONLY: NM MCI <br /> PE CODV FEEI.I. IMOVHTRWI\1E0 CHEC%ERAEN RECDVEB BY DATE FFIMIlISB1VICF..Ml NIMRFR INVOICE <br /> 3-'Sol 110 0 7aDI <br /> Pub.Health Se W.-Enviro.In(1/27) <br />