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AL)G.21.2003 3:13PM TREADWELL & ROLLO NO.087 P.5 <br /> WELL/PUMP PERMIT ' <br /> 9,wJOAQUINC0VMTkltvt110MFt>•7rrALl1a*I.TRDWAATM"T 30410 WERMAVS3-Irl.-6=000NCA99M-G"46116-34211 <br /> NON-R q mABLE1'LRMIT 9 697 POR PnGTIMS EXPIRES I YN"FROM DATt MUM <br /> At Y <br /> JOB AMWJW VON S.5-TFA Boo FT aTK N c rr T(2Acy ?5-30 4f <br /> Crass APN Z fl 9-G 21? PA=Lg= r` �i aaicd <br /> OWnRNA6at F+ DF-VEl.OPMi5NT, G.P, C(nclr{P.! Sptfifor�, Pnota 658��FSy�z-�z3 <br /> OWMIMAaDRM 5-570 MOAC110255 ;)JUVE-1 401T6 ?.Ap CrrvlsrA�sr� SAA/ D)F60, CAO, 9242./ <br /> C- -] eA wi r" .d Raub If`/-A—,%koe.4 847, k t) P"Nomn SI a-g7*-9 sot, <br /> c-oxs�4reNr— W <br /> GaLmhoomm ADDRSys�b( r �`. Crrr/9rATtt/t r o A AAq: c-( 4#61 <br /> stlect3rrra tcroa TROtOI e' d� a J <br /> sus nt c1lvlsrArs/� s j; psi,c-A <br /> StS1Lt]MAALTOI AlmR><t16 e n <br /> in <br /> LACEP49E 010-57 ❑C41 111109 ❑Other NI1MtIOt Holt DAT[ o <br /> GrocmArmCALL4pORMATIOxt Caordmaw X Y Tie"& _ Rama SeWm C— <br /> fffr m Usa. ❑Danestidhiv3ee ❑Inibm iWAtdcultonl l7)odustrw ❑Water Quaty)Naniwring i11w,Snmpti�7CYvauuiatNan <br /> 0 Public W.wr g9gy=p� y <br /> ttNtr.watlotn a.'ner.— . w n. <br /> TTrs OP Woo C)New Well M Rs A6eeamt Well q Win Ahartniee/Madi6eatiott ❑TiM)Rale Q Other Z <br /> El monittxSntt;W eUU) aw*a mrwdh ❑Boil Borcty(a) 'PRO.44"imm ib Dew —11 y ttstnI Q(bmlttf <br /> ❑wen Dem wit oo ❑00-01 9a m Won Q OtS-0FBavke Wali Reo wsIj-M et C,--�i7+�r�� � <br /> ❑ El ll mroan ❑ at 1 (3Ckoy.f-gttn-6m. CFS rrde <br /> Wtut CtyK"nuenom <br /> Dn7tlUS hlatlted q Mpd]Rotary O Air ltetary d Astgm ❑Cablo Taal Cl Pwh Papa 9 Otha(2- <br /> GTL rt <br /> hap6sed Wel Depth ft ExaYatioe_ !i df•ntctcr p Opgt Jtetwm ❑Gravel Peak/Csntval Sim is dataoe4a p <br /> A Ctsadgceor CWnq bt di6s=t - / Coodpmm Cas;hM DapW ,R G <br /> Well:Casing Dgtmter_in 7hickacw1Geu0AATM Sebed ❑Bled ElPlank ❑Stspalam Stral t1 o*= <br /> Groot SW Dept it G Nett Caomt(Nib bay/J-10 gal»aW) Cl&and Ctatml are[swCr17 gal vee <br /> Q Bmtma tc 04%poll*) 11 Mamtfeattre.Spec%solid,_% Nsma ❑Specs on File 0 spm soba ilma <br /> Grant Placepent 1NeMed DPwmped ❑Fsao Fall Cl Otbor t7 RebadRrt/Amdewom(mma) „A <br /> ?NPWAL laeftu.d By Altar O Puetp Coma cmr R Oum. - 4 <br /> ❑Canavan,Pedatat Dlmm"m WhM ft Lcn fk7hi:k in ❑ Deo Daw4mrips <br /> ?tmw ❑bb6etevift ❑T'imbea 13Other _ HP _ PwW 9m ft Stmd3p)t Watt tied A ^� <br /> WSt3.DLTrROmw4 17 Open Botwtm O Onvol Pspt Cl Vncwwd ❑Olber <br /> WeB DW mW la Tota)DtpO R Depth m Water Q Q Onus m ba PacAtated Rem—ft M R <br /> S.e1o2 Mabrisl N Won CMleat(W Ib bey/1-10 Dat warn) O Sand Csrrttutc ......meet:tale/7 pd watt ❑Be mom PeDets S <br /> ❑Reataute C20%solids)- ❑Mems1kca ac Speo%ootids % Noes ❑spew an Plla O spas babadtled <br /> ramaweat7dethod ❑Pmpxd pfrt=ftl O Odwr <br /> O GOMPLM with Mttphm m Cat, ilt blow Sst,de 17 ComMate to SMB1ce Pad <br /> I MM=Y OCRTW THAT I HAV$?nXPARCD TEEM APPLICATION AND THAT THC WORK WILL ak DONE 1T(ACCORDANCE WrrH SAN <br /> iJOAQMN COUNTY OriDINAPtC A STATE LAWS,AND RULFA.AND REGM AT1M& 1 ALSO G7tR17YY TEAT MY R1RQ==1JCRm TO <br /> CURRENT AND AC17VE wrx THE CALMOW"CONTRACTORS AMATZ UCONtu DOARD AND THAT I AM JN COMPUAMC19 Wlrlt ALL <br /> WURXMS CoMITiweAMON LAWS. <br /> NCNFKUM 24 HOUR ADVANCE.NOTICE REQRJAhED/FOWNSI'MMONS Q <br /> !)1OREr TMA <br /> i <br /> I <br /> Af <br /> n <br /> I <br /> R • <br /> DEPARTMENT USE ONLY '7 f <br /> Application Accepted By Nor A ;Li—0J Aru I I� I:mplo;ec 1[JN �tO <br /> Grout Inspection By_ D.te ❑ SPECIAL Well Permit <br /> Pump Inspection By Datc ❑ WAIvER Received <br /> Destruction Inspection By Date Cumtractetl[Veil Depth It <br /> COMMENTS O <br /> PE SC. mountChec ReceiwdPermiU <br /> es <br /> CodInfo Remitted C.sh By D.te Service R tics[a invoke M Well IDs <br /> 's- Sc IS77 Mth �- O�rSc a c *aH <br /> 5170. ASTER WAYFJt WEL r MCr <br />