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APPLICATION FIM WEwPUMP PERMIT <br /> SAN JOAQUIN COUNTY PMIC HEALTH SERVICE <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P 0 BOX 381, 445 L SAN JOAQUIN IT, STOCKTON, CA li201.3M <br /> {20 ) 46041420 <br /> ! <br /> 18481FIRRAILETISSUED <br /> Trw <br /> A "TM M"M Sy MDE ATo THE BIW JOAOUIN COUNTY FOR MOW OW TO AN<)IDp�T <br /> PPIALL THE WOW DEYCNED.TIMI APPLICATION 0 MAW IN COMIPIIANCE WITH MN <br /> JOAOUIN CONY DEVELOPMENT TTTLL CHAPTER 0-1115.3 AM THE BTIINDAMM OF BAN JOAQIMII COUNTY PUBLIC HEALTH SERVICE".EFIVIRDNLElITAL IEALTH DMSIDN. <br /> i <br /> i' JOBADONEINIMAPN. 7-3.2.0_W Wehpr gf-rppt errY Stnckfnn <br /> PAIHCEL SWAPW <br /> oYMMM"NAIIE_ Union Ice C2Mpa. ny ADMW 100 Eaat Sheila St. 72 2_fiq$T:r <br /> Z CONT1fACTOR P_L'_ E]C ADMM <br /> 7R(1 VearnCln }� 2.�. –ccd,''�LMIOPE#91 Fi_7A3:81 �. <br /> AB T ADDIMMRoseville CA ,HONE, 24E <br />{ rmOPIMBUPIN/P Cl NEW WELL 0 M94ACOMWWELL. ® IMowrommWELL! MW-4D p <br /> O SUSTALJATION E3 WEiL sywm FMPAMI © CIgMCONNECT FwAN1 ❑ VAPWI EXTRACTHDN wELL/ ,! <br /> LrYPE of PLRYIP} <br /> E3 N.1]nq k N.P. OEPIH PUIHIP"ET FT. FLR"T WATER LEVEL <br /> 0 <br /> ©HXiITp�SlRMCE wllll ©"EOMIYBICi1L WILL I 13 "oB BOSSHM f. <br /> Q DEBrISHCTIDN: <br /> f <br /> ❑MSIUWMAL C3 OPEN wrroM DIA.OF WELL EXCAVATION 1 011 DIA aP COFM)UCrOR cA""M 12" p <br /> ❑ DomwTcfi rvATE ORAvEL PACFumm TYPE OF CAMAMI rEELPM DFA.OF WELL cA".IB All p <br /> 0 PUBLICMI WVAL E3mm DEM OF GFKW SEAL 3 s R 1 SPECIRCATION h <br /> 13 LRHS"ATION/AB 13oTH m "ROUT lEAL MMTALLEO BY Tom••• _— HHnoLTT LHRAFID NAME E` <br /> mmro HHIS GROUT REAL PUMPED: 0 YM El N. comm TE PmESTAL BY DIamft Q Y. ®N. S_ <br /> i AP MX BIrN �AP U•1mm CFE"TER BOxISToVE Pum—ND a <br /> PROPOSIMAM RWMD: MUD NOTARY AIR ROTAMV ALIIHEII X <br /> 1 HENRY LERrWV THAT I HAVE PIrPMED"M APPLICATION AND THAT THE VWW WILL LIE DONE MH ACCOIbANCE WITH BAN JOAQUIN COIMBY OIMMIAMCM STATE LAWS.AND MILIN AIM <br /> MMMA LTIDNB OFTIE BAN JOAOIIIN COUNTY. HOME OIIMIML OR LICENIMM AIR'S SIONATUIE CEIFTHFES TIE POLLOWM:•I CERTIFY THAT IN THE PSMOINMANCE of THE VXM FOR WHICH <br /> TIM"W&W N FMMM.1 SHALL NOT EMF M PFILSONM SUBJECT TO MtO1Bl WPS COWWMATHOM LAWS OF CAL1FOM&' CONTRACTOR"IHSSN"OIL SU§4=IRACTNM NO rJ M CMINM <br /> THE FOLLOW MM: -I CWHIFY THAT W THE PEN OMANCE OF THE YAW FOIL VM ICH THM PEFWT M NO=,I SHALL EMPLOY PLS1"OPIl4 SUB IECr To MFSIBISSAM'i OO�IFSMSAriSN IAYYS of <br /> CALMOIBMA.• THE APPINUMIT MUST CALL 94 NOIMIS IN MWMCB POR ALL II""LM110 BMPROTIO M AT L90p 46147421. COMKEIE CPAVMNB AT LOMAR ANSA PI OVMlD. <br /> PLOT PLAN praw N Se.41*as •to <br /> 1. NAMES II OF WNEETIl OR AW NEAREST TO OR BOLNdDBM THE FIIOPIRiY. 4. LOCATION OF HIDNSE SEWAGE DMPO"IIL SYSTEM OR PROPOSED <br /> 2. OVFLM OF THE PSMPEW.GNMiB 011AENGIONS AND NORTH 0111WTION. EXPANSION OF"!WANE VNIPDSAL SYSMIll. <br /> 3. DIMMSMK*=OUTOMS AND LOCATION OF ALL EXWMM AND PIgPD6ED 5. LOCATION OF WMW WIr1MN RADNNI OF ONE IHUMMIMD FWTY Fr. <br /> iT1BIC11AMk SICLIIDMSO COVEIND ATMA"BITCH All PATIO".DWAWAY".AND WALLM ON THE PMOPEWY OR ADJOINING FIgP@IIY. <br /> ;. <br /> SEEE....ATTAGHED '>LE]GATION..MAR- . <br /> 1 .. .. ... .. .. .. .. .. .. .. ., .. .. .. .. .. .. .. .. <br /> 1 . <br /> 06PARThIENT WE ONLY <br /> APFS..Ii.n A...PI./BT Dat. Ar.. <br /> i <br /> lbod MMBS.Mw 1fY Date "MS.n <br /> } <br /> i Owarwllm b"Welwr M <br /> 1 Ceff"'m k f <br /> jj A"COIIMIHILL w&v.- AM FAOI <br /> 7 <br /> g PE Coots PlM IIMO AA*NM MSAMTTM CHIMMCA"H MOVLS!BY IRATE PlSS1"TASWI~MllW ST WAWW MWSM! <br />