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APPLICATION FON,WELLIFUMP PENNIT <br /> SAN JOAWN dbd*y PUS NEALON EENVICEs <br /> EMMENTAL NEALTN DIMION <br /> P 0 BOX 810,446 N.!AN JOAQUIN IT.STOCKTON,CA 1i2OI.m <br /> 0011011.2420 <br /> IIEw 11 F pr PATE It m <br /> APP OCATION S MW BY MAM TO TME SAN JDAOM COUNTY FOR A PEIM►TO CONW RUCT ANDION SWALL THE WORK <br /> JOAaM COUNTY MVELA�lrBR TRUE,CHAPTER D-1115.7 AND THE STANDARDS OP GAN JOAOUN COUNTY K*W FK4TH IMlp.TIM A PLICATION S MADE N COMPLIANCE LWTH TAH <br /> SlRVICES.ENVI1MiLAlNTM NEALTN DMKON. <br /> JOS AODPWbW NAPM•_:,uft Pe"u &M"j- cm <br /> PARCK&WAPIM <br /> owaerl NAME GOcJRPtwPaE�RO� es R�lt•'►7RV <br /> ADDREp JOE T>OtLN a7G PIIONW•_ibt-ra._Hit <br /> �>L ADpEM Je7'o w/ Rord.L.ewo�.rf <br /> ----�,...� uc•�aits r pN1oNE•__>►/t•Yr9-�YNe <br /> Iw AODPWW M3 FliatRACD d7^ <br /> --.� ue•�ssb9s9 PNaE•Sia-is�•71�� <br /> mvimmiuy O NEW waLL O mPLAcumw wEtL O Mowromm WELL• O OTHER <br /> O OwmATIDN O WELL SYSTEA IEPAHR O CRowco/d1EcT NEPAll1 O VAPOR WMRACTM wm d <br /> r <br /> Nr❑RgYr N.P. DEPTH PUMP SET_—_FT. PWW WATER LEVEL <br /> am OF PINMI O <br /> O am-op4 RWcE wm O LEorNysom wnL• MIL soman <br /> O DEITRRrcTION: <br /> A <br /> O OOSRSTcmwATE OSME.VPAcKAzE DIA.OF WELL EXCAVATION CUR.OF CONDUCTOR CASM I <br /> O <br /> TVpE OF CASMIOA MA-VC NA.OF WELL CASINO O <br /> E3 mKcmwwrM ❑mr4m DEPTH OF GROUT SEAL SPECWICATM <br /> O ESSSAyowAo OOTMEIId <br /> OIIDUT SEM NKAILED W SNIOur BRAND RURIJE <br /> OO @lPTE <br /> SEM PED <br /> GROUT PUM :O YM ON. comcpm pmwAL sY om"t.,O Yr OM, S <br /> APPRDx SSPIM UM NO CHESTER aoxATOVE PIPE <br /> d <br /> P11OP0M KWNOD:MID ROTARY AEI ROTAIRV AUGW _CAKE_OTHER <br /> 1"WAY CSXTFI'THAT 1 HAVE FlDVAND TPM APPLCATION AND THAT THE WORK WILL M DONE N ACCOFbA*CEwItN GRN JOAgIN COUNTY OTEVIANCIA STATt LAWS.AND 1NIEM AND <br /> MMNA710NS OF THE SAN JOAgMI OMIRY.IIDEi OYISLSR 011 L1CppEp A90"NONATURE CMNNES THE POLLovo :7 CWMpy THAT N THE PEISOMAMCE OF THE V MK FOR VAMC" 11 <br /> TIM PMRP M Salm,'*NAIL NOT a tW PV MIs SIAJME TO WONDMVYS COMPENATM LAWS OF CAUFOMA.•COMPACTWM WMn MI oAK=TRACPMO S MATUM CKNIFIES <br /> TILE FOUDM NM •1 CMPIPY THAT M TIE PI 1PORMANOS OF TM WORK FOR VNMEN TTM pt1MW M ANTED.1 SNARL EMPLOY PERSONS 00 My TO WOMMUM OMWGI SATIOW LAWS OF <br /> CAIIONNUL. 71 gAWT MST O >t ILeIM N ADVANCE PON ALL1WouHIM AT pm MS:SSW COMPIME ORNM A AT LOVAR NEA PRDV fb/_Eb. <br /> SMw x --T �y�JE�w1� Dui ::( _ <br /> PLOT PLAN paw is fahl Sob 'b <br /> 1.HAWS OF SHIETS ON MAM IWAI M TO OR N DO OM TM Priam.Y. A.LOCATION OF HOUM IMAGE DIMDSM SYSTEM on pROPOSED <br /> 2.OVTUW OF THE PROP'ERY,Won 006MMM AND MORI MIWCTION. EXPANSION OF SEWA41 OAPOSM Iy*MM. <br /> 2.ONASHMO M OVIINWS ANO LOCATION OF ALL EOSTII AND PROPOSED S.LOCATION OF WELLS VWPIM ROOM OF ONE MMxED prTy R. <br /> STRVCITSES,INCUIDNS COVETED AM"OWN AS FATKNL WVMAY%AND WAULI. ON THE PRORNTV OR AOJMWM PROP@RY. <br /> DEPARTMENT USE ONLY <br /> MMnbn AogtN Dom. oz A— <br /> M4oS.+w DLI P."h w 1.P sy <br /> D.. <br /> DwvdNn 6rPwlbn w oma. •L,. 3 — <br /> C—m w. — <br /> A0001/IMS OMLYY AM FAC• <br /> PECOM FMTIO AMOUNT RIM M RASN JIMEVM SY OATS M MITMNWN MOUWT NGNSER SIVOIet <br />