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VVEOPERMIT APPLICATION F*V1 SITE <br /> SAN JOAQUIN COUNTY MITIGATION <br /> ENVIRONMENTAL HEALTH DEPARTMENT (EHC) UNIT IV <br /> 304 E. Weber, Third Floor, Stockton, CA„ 95202 <br /> (209) 468.3449 <br /> NOIJAVS UNDSE.E'r E=.ir11T EXPIRES 1 YEAR FROM DATE ISSU <br /> A.Ppllczden Is here_`y^aCe to Sar J:.;ur C".nyfv a Perm t:o acSTJI!acd,or iaS:all the ark desc bed. T:iS <br /> Jcaquia Ccunv Ceve cpmant Title,Copier e•11'E2 and the Swr-rda of San Joaquin Court' Ecr;rorr:>enu;i He31:n❑eparne't. <br /> YlELL LC:aticn W3o Nere lC-e <br /> &"e Crss Stra kt}l.le City LDdi Z. 94291 Parcel# <br /> ^rR0PERT!vlt'L3r t.Ts Ran T4 s Addrsss P.O. go?, IlZo CIC' ad q <br /> ! 't.7 .SZSI FhCnEm 33'f— (�O� <br /> le,Cd'9:s 311q 3Le i <br /> 5 ?Iw:GCIC/Yalfe i i, ipQ�25LL C7'�!c8'u 3,o ?hcr6 � <br /> . T'�.'�5Tv <br /> Ccnsu![zn;;Sub Ccrta.,; V'rA�^S Zecu Address Inl9 s.nalr Suet{• City Ercal u.-, :;� 5y3 Ph:^a++:838'-°IYSCR- <br /> cis Coorcina;es:X ,y—Tawcshlp F,ange Semon <br /> WORK TO EEFF."oRVED: <br /> gNEw _LE!EOR.N^u(CPT,C= ?:53.HYDRO=UNCH,HA.N;-AUGER,OT':ca') 2 DESinUOTION <br /> 'Qi57.L:On PiG» 581, SB2 SB� fail []O•Je.R-SU4.? <br /> Cthar, [V (]PR°SSUFP GR <br /> Gr_:f SpzoifcaG^ns: <br /> C•Pr17d;cN 18: <br /> YP_0F W=-LL M S TA LLATCN i'P$ :0NS7RJcigN S?_::FiCATIONS <br /> I W.OiWTCRING 0 F-.OLLC%'i 5='l OIA.OF e'03-HCLE 1 tJN" A1LLT0=!E CASitJGE'E YE3 0 NO WELL CAZ p'C C!A: <br /> E7RA-Z-!C'1 [AIR F;A.iA,`:ER'OR!'!=N .CASING THICKNESS Not T'P=OFCA.S;NG. 257EE'_ SPY-. 00THER; ^_— <br /> !VAPC? [t.Iuc RO ?Y CEPTH CF GROLT SEAL TIRE VE?':=ETC HE U59v: Q h'JGERB 0 HOS-- <br /> IAR:F°nGc g=Us:HF=;',f; GiOUTSEALPUMPEO: [Yes 0 No (NOTE: MAXIMUM FREE-FALL DEPTH iS 51'} <br /> tSCIL EORI:NG [NANO AJGEZ GF0UT3i'SCiF,CA70N5.nea+ ra..e=•F 9+��t- Fc,,,_ bo}='c de 9 a d r�ir�c� <br /> OTHER: _ I'CTN.E< APPROX.50e:NG DEPi:i 55 F♦•. 0 gCLT-_0:aA.FFiC SOX Cr 0 5TC`rE'riFe <br /> CONO;.iCTCP.CASihG FR0PO5_D? (if YES.lir.s.ec :a:or,;here). <br /> :O"MENTS, <br /> NOTE: OF:SfTE BORINGS REQUIRE ACCESS OR ENCROACHMENT FER.-MITS. <br /> CALL THE UNIT IV INSFcCTOR=8 WORKING HOURS IN ADVANCE FOR ALL R'EQ'UIRED INSPECTIONS. <br /> hereby c=?Jt'that I lava prcarad this application and that the work will be done in accordance with San J:;egL•,n <br /> cunty Ordinances, Pules ar,,d -2' ulgrops,ard afl aaplicable California State Laws. <br /> -n''• <br /> y J T:L'e.'Company Vf r 'C:+v ri' <br /> :rt Name G'r2F-COAY <br /> DEPARTMENT USE ONLY <br /> 7E MAP 1N UN7 N FILE,ADDRESS: <br /> 'ORK PLAN DATED: <br /> ;ptioad';n Acoapmd By We issu-d VII/t,I <br /> :L9 P5pecl cr.Sy Daze Fina:'.nspectom Ey - <br /> •n:uGi:n I,; :±:uon By Date <br /> ..141AEN-S!CONCITIONS: 9 9 A5-r <br /> :...^CUNTiFG CNLY; AIL.. <br /> y <br /> Fermi <br /> E COC35 I F=.ElNFO I AMOUNTR34SITTEO CHECK$ 'I REC'DSY DATS I P'cRT::ITJSERtlICE REOL EST.= INVG:CE <br /> '?� '.'.'C_'VIAIIr:R , C-5i L--=tof Au'ncrim icr. to liar, pzrnit_En:rxdn <br />