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<br /> ApplicetioA iq lsar07 ¢4gdp,tq aq rJoswp County pr a Pero Lo cpnstrpgt eu}dfor inatAll the work herein described. This ,
<br /> Application is meds 1A 9 p114!t3Fp Y}th 8¢A Jpaquin Co4pV 0Td}Mgppq No. 549 pn4 }6.0? o,44'00 Au1Fg pad ReAletion9 or Ban
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<br /> Lea Calkins _ �913M1 N¢ liw 9� Acam o Cad 209^368-925
<br /> Owner's Nqn o Addrer�R _ p �Phgrle 5
<br /> Contractor Hunt Drilling 'In9Add,ress 'SOx "11 1";.laGkSon' ' C�,�enS��vo.' 563952`" 1pP Qna 209-223-2 1l ,
<br /> TYPE OF WELLIPUMP: NAVY W.EC4 .C1' ; � �N���A�RCA9fM€Nr, .PI sTfltJcrlpN PNV'9f 4y vsce Voll LI
<br /> PUMP IIVSTAr .•TION O. •'- $ STCM R PAii}` Q g k, t. .4 QTHER o>?i- r tle]i
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<br /> DISTANCE TO NEAREST: SEPTIC TAMC 150 IYVER.�Ifv S :1 02-0-0--- p!PPOw Ftp,, ,:, PRoP• EINE
<br /> FOUNDATION 100 `: r~ AGIllcl,LTUftE 1NEl�' 1200 1DTHEH WI~I-I-:� PITS/SUMPS 1
<br /> INTENOEI] USE TYRE 4F WE LI. PROPLEM AREA i` 'G-QN$TRUCTION SPIE -ATlO{��S t., � E
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<br /> TYPE OF SEPTIC WORK:- NEW INSTALLATION I T'''REPAIR{APOIT1Pf l I— ,f$TRUCTION I I';Il�o se RliG �Yi!pm rrrrit4ed If putilic';alN@r it} �?
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<br /> DISPOSAL PONDS ❑
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<br /> Applicant' - 4pturq p}1 cop4ets to; Baa Jaaquip Cattnty`Public ' � r
<br /> Env}i<ontreiitq Mpay tft Per t/Berviaes >,+t Eli s 445 CV
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<br /> tNFQ' AMOUNT PtJE �41�i�NT.REMIT7Ep CASH RECEII/(� AY' r.;.�f?AT 'r ?r PERMIT N0. } r r ,
<br /> EM 13.24IRCV. P E
<br /> EM 3424
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