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r <br /> APPLICATION FOR MMIT <br /> SAN JOAQUIN LOCAL MIALTM DISTRICT <br /> 19Di E. MAZELTON AVE.. STOCKTON, CA <br /> Tdo0wo M)Mbmi <br /> PERMIT EXMRM 1 VIAR PROM DATR ISSUED <br /> ICpn oft In Wpft" <br /> AppNcsdortin hereby meds to the son Joaquin UXW Na 61�1w M Mamie llsM. Ua�w�1Mln��nA N�!A M MMT df 11M daNit <br /> rnfde In aompNarta whh sen Joapttin County Ordnnarnoa <br /> Loots Maahh District. <br /> s 1 ;tr��ln - AVP_ aly s, -._._roc a i►cRr Pm <br /> Job Addresst; <br /> Owrwes Nerrw ,H'ArND,12/X Atldtfda •••�••�� Plfere <br /> rCorwacto►'e Nana �/�2/'�lSrol 9� yLlosrtle Nw >a' � 1- Ph" t- a <br /> LL/PUMP: NEW WELL Q ldtll <br /> PUMP INSTALLATION ❑ �T R~ D 0710111 t <br /> DISTANCE TO NEAREST: SEPTIC TANK SVWIM LOM — POWPWS LM <br /> FOUNDATION AGPN=TLfM WILL OTliE11*ML�""Mum" +� <br /> INTENDED USE TYPE OF WELL 111"011 M AMA OONSTI )MM:lq�vw�n ML 1111 V"C1111*p <br /> O Mtduebf 1 ❑Open Bottom a mum" OIL M MNM W--ad 0�.- <br /> ❑Domaetic/Private ❑ Gravel Peak O TMV TV"of ►5- - ~ 4 a <br /> O Public D Other ❑Oda 00*M Ofwll 8111111111 -- TYI"at i"PA W <br /> C3 imptio,n ---Approx.Depth O Ud1Mn IIm III a Md Mtgddd by J <br /> M.P. <br /> PlsDonepdk Work Oa D Type of Pump - Slga 1Atak Odle Q + <br /> Was Destruction ❑ Well Din+atr Stntdlfy IAfIMM flop IL') <br /> ' Depth POM mmm=Zen mom= N pttbMa tlsrrar M ? <br /> TYPE Of C WORK: NEW INSTALLATION rlIdM11 R ) <br /> IrteldNnlon wm nne: Residence-!::n/cown ldd OdtM..e.r..-..� • t <br /> Nuntbr of MrNlp unitNumba of brMeMlM.. ._ • 1 ; ?� 7 1 <br /> t.'herdew of al to a depth of 3 Net: IC.A AFACYYfiMr 11Mrl+ t •#� i <br /> SNrTIC TANK ❑ Type/MIS �la.'Cilti�MlMtdMl 6 <br /> PItG.TREATMENT PLT.D I of ISMpded r <br /> Distance to aadtfft: Wd <br /> I <br /> i <br /> LRACHWO LINE ❑ No.•Umgth of Neta '/ 2 - Tod 1"WobL- <br /> PR.TM SED ❑ DI tanc—e to naaaaE:- 1Nd`S12-_. <br /> SEEPAGE WeG Depth 2-17' luso ` �M� � 1 � } <br /> SUMPS ❑ Distance to no~. Wd A" Fotlndadat LC!� Ihapartf Lft <br /> DISPOSAL PONDS ❑ <br /> I hereby astlty that I neve prepared Mus appNaaoan and tuft tato soak va be done In aeeordarnaa wNh San Joaquin Dow*ordlnartoaa.alalia Mwk held <br /> tufa and rgrAgdone of the San Joaquin Local Madhh OMala. <br /> Nana ower a Noeraed op m's Npneture asrM11M ow faNaMbtp:11 Gamy*M In the pwtandnaa d 1M work for nitfnlctl�Oanrndl M molt I shah ret <br /> a spial oW pow In such nwnw se to beoona alltleat b warwtwn'a feftlpdtioden Idrrf of Cdlaltle."Con alaaaa fa 1**or suk4onilvactin <br /> oangall► <br /> �y do}aeowYtp,"I cortity that In the pastan0 d site soak for whklh thM pMRilt N Matta.l and ampldy ptlteOtld nMllaat <br /> lion Mra Of CaNfort+la.,• ^• <br /> Tie appdea of ceN to en n / adore. ntpMla dnwwq an trona i <br /> SlNnad .L�� 'd n - — Doi: <br /> DEPAQTII M INS ONLY t <br /> APOm*m AOOepRed by —a& ,•`•_�,ir,� Odle <br /> n AnN <br /> , .,.int. Date -•t'8edon by = <br /> ,ten9-(•- <br /> Pk a Grant InspeeUon by ph*kttpa <br /> AddkWW Cowonents: <br /> O task 4864mi D Lodi 3ee.3I21 O Merica WJ"• O They SiMN <br /> Applicant.nownt as copies to: Emhonalm.N Ilaahh Penrtlt/• -As;14M 2. Have1Mn Ara..P.O.Sart SM.96.,CA N701 <br /> FOE AMOUNT DUE AMOUIve ROAM= MOVED,Ny pATt /lRMfT NO. <br /> INiO p�/J yp y <br /> . <br /> IN Ger IMV total <br /> ,"Wall , <br />