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<br />SITE ADDRESS: 7007 Pezzi Road, Stocktotl, Cly,
<br />PERMIT
<br />Plot Plan:
<br />Waterloo ES
<br />3 to 4 ground mount
<br />Legend
<br />no -use under arrays
<br />Waterlao Elementary 3choul
<br />137 kW system t� .® ► f! 1
<br />I AW
<br />Comm unicationcondutts
<br />frcm array to MDF ,
<br />Ground mount system
<br />requires DSA approval ---� -
<br />(No PC ave lab e)-
<br />�4LLs o � .ryes • ..�;
<br />`AR�4N, X'If
<br />Longitude:-..
<br />I, the Owner/Applicant/LJcensed WQII Drillor/Pump Contractor agrees to Indemnify, defend with counsel reasonably approved by County, and hold harmless
<br />the County and Its officers, officials. employees, agents, boards, and commissions (collectively "County") as follows:
<br />1. Indemnity;
<br />a. From and against any and all claims, demands, actions, proceedings, lawsuits, losses, damages, judgments and/or liabilities arising
<br />out of, related to, or in connection with the application and applied for well or pump or to attack, set aside, void, or annul, in whole or in
<br />part, approval or denial of the applied for permit by the County, and any environmental review documents related to the applied for
<br />perm it;
<br />b. For any and all costs and expenses Incurred by the County on account of any Claim, except where such indemnification is prohibited
<br />by late, including but not limited to damages, costs, expenses, attomeys fees, or expert witness costs that may be asserted by any
<br />person or entity, private attorney general fees claimed by or awarded to any party against the County, and the County's costs incurred
<br />in preparing an administrative record which are not paid by the petitioner.
<br />c. Except as to the County's sole negligence or willful misconduct.
<br />2. Defense:
<br />a. The County may participate or direct the defense of any Claim. The County's actions in defense of any claim shall not relieve me of any
<br />obligation to Indemnify, defend, and hold harmless the County.
<br />b. In the event of a disagreement between County and me regarding defense of any Claim, the County shall have the authority to control
<br />the litigation and make litigation decisions, including, but not limited to, the manner in which the defense is conducted.
<br />If County reasonably determines that having common counsel presents such counsel with a conflict of Interest, or If I fail to promptly assume the defense of
<br />any Claim or to promptly employ counsel reasonably satisfactory to the County, then County may utilize the Office of the County Counsel or employ
<br />separate outside counsel to represent or defend the County, and I shall pay the reasonable attemeys' fees and costs of such counsel.
<br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE IN ACCORDANCE WITH SAN
<br />JOAQUIN COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS, I ALSO CERTIFY THAT MY REQUIRED LICENSE IS
<br />CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL
<br />WORKERS COMPENSATION LAWS.
<br />PROPERrYOOWNE/R: \
<br />SIGN' _7`'+'+a�/ �� PRINT: ,-1-Z O tD t C It'G,/
<br />DATE
<br />LICENSED WELL DRILLF.R/PUMP f -
<br />StGN:/ PRM: Laura Arista - Condor .Project Coordinator DATE 02/28/22
<br />U ruz- r I'J N TuxYTHER THAN C-57 SIG G J
<br />Naw f -57 T LICAT
<br />, hereby authorize i�AV) T
<br />used AWlwmcd Reprot
<br />at Nsme
<br />to sign this San quin County We & Boring Pennit Application on my behalf, I understancfatAdortrad thisAScrt authorization is
<br />is limited to the work plan dated an the front page orthis application.
<br />for one year and
<br />EHD,343-06 10!25/10], Psgo 2 of 2
<br />Well / R"p P',j;
<br />
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