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SITE ADDRESS: 320 N. Airport Way, Manteca
<br />Piot Plan:
<br />PERMIT #:
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<br />77-
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<br />GIS Coordinate: Latitude: '17 Rnng4 Lonoitude: --191 9;;,?nQ
<br />1, the Owner/Applicant/Licensed Well Driller/Pump Contractor agrees to indemnify, defend vdth counsel reasonably approved by Colinly, 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 out
<br />of, related to, or in connection with the application and applied for well or pump or to al(ack, set aside, void, or annul, in whole or in part,
<br />approval or denial of the applied for permit by the County, and any environmental review documents related to the applied for permit:
<br />b. For any and all costs arid expenses incurred by the County on account of any Claim, except where such indemnification is prohibited by
<br />law, including but not limited to damages, costs, expenses, attorney's fees, or expert witness costs that may be asserted by any person
<br />or entity, private attorney general fees claimed by or awarded to any party against the County, and the County's costs incurred in preparing
<br />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 riot relieve me of any
<br />obligation to indemnify, defend, and hold harmless (tie 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 />Ilia litigation and make litigation decisions, Including, but not limited to, the manner in which the defense is conducted.
<br />If County reasonably delennines that having common counsel presents such counsel with a conflict of Interest, or if I fail to promptly assume Ilia defense of
<br />any Claim or to promptly employ Counsel reasonably satisfactory to the County, then County may utilize Ilia Office of the County Counsel or employ separate
<br />outside counsel to represent or defend Ilia County, arid I shall pay the reasonable attorneys' fees arid 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 JOAQUIN
<br />COUNTY ORDINANCES, STATE LAWS, AND RULES AND REGULATIONS. I ALSO CERTIFY THAT MY REQUIRED LICENSE IS CURRENT AND
<br />ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL WORKERS
<br />COMPENSATION-L-AW—S )
<br />PROPERTY OVYNER: _ ---_
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<br />Lu r xsr:u 11'rr:. Urtn.l.elvl'uatP CcnrrrAc=r<1R: 5 Sean Roddy
<br />SIGN: W PRINT: Hennings Bros. Drilling by DATE Oct. 4, 202.2
<br />AUTHORIZATION FOR OTHER THAN C-57 SIGNING PERMIT APPLICATION
<br />t> hereby authorize _
<br />(Nana o,W-57 1-1—.-.1 Amhowof Rips, tcwu rat (Prim N,mr or,\mh.riml Agmu
<br />to Sign this San Joaquin County Wcil R Boring Permit Application on lily behalf. I understand this authorization is valid for one year and
<br />is limited to the wort: plan dated on the front page of this application.
<br />EHD 4308 WELL DESTRt1CHON PEFtRtli
<br />11123121
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