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APPLICATION FOR WEIJJPUMP PERMIT <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE, STOCKTON, CA 93242 <br /> (209) 4683420 <br /> N011,W INOAELE PENtrt EIP"1!7 1 YEAH FNOM DATE ISSDED <br /> naRTRI <br /> APPEICATbN 9 NFPA OV MAGE i0 THE TAk JOAdXN COUNTY FOR A PEN.TT TO CONETMICT AAdaRNRAµ THE EW AK 05fCF16E0, YtEe AFFLICwTgN h MAPE IN CWMRIANCx VmN FAN <br /> JOAOM COUNTY OEVELOMRNWTT r CHAPTER D-/1116.3 .V10 THE ETANOAIO[ OF SAW XAOVM COUNTY PUEMC IIEAklw 1TAVICTA. tNw1aNMENTAL HEALTH OIVIFION, <br /> JOS ADaMEaoA ATNF Rbb r7 Lnl, .. rf W%KIs Lm c'v�R {a1✓' /� ` r>,pc)3. A.I.Lr7 9 - 1 fl -D/ <br /> MNHI' NAME-��APJ 'rM ern tuc -s G.-y11 /j V/ AOPaF.eT' O . BO'x c(,+ �1 .�C� ITT.r)Ys' PHdNE . �s• Bvz. 8lp9s <br /> Cor0scalGs. }/e✓ AWWPg.. 3/bY 45;1 Id eG rsy: NWNE l �r6 6 i . ,3vE� <br /> VA fEw roayl3 s 4ynr� <br /> T MorYVELUPITMF 0 HEWwnt Q aTy EMFNT fEL ❑ MonoonNawEuf ❑ orwA <br /> Q NR�At1 ATvou Q VAax EYMEM !PAIR ❑ O,awaoNNFOT WAN ❑ VA" EXTAACTHIN mu f A <br /> ❑ NwN ,J AaNr N.P. OfPIN NMF FLT_R. APR WATER L[NL 0 <br /> RM[ OF NRAh <br /> n ❑ MgnecnYio{ w[tt ❑ u[OvxVKNV.lLL • I� so:t eon t <br /> tJ WFOTRIUCTIONT <br /> INTENCEO YEEII--T1 WELL catw-SwIr" aTNIVINAM INS �/ A <br /> ❑ NoostntAL LAOITNWp m OfA. of WELL ENCAVATION ' 1, y dA. eF CONOVCT011 CwaAq m <br /> ❑ CONEETMOIAIVAN Cl aAAVEL PAOK;OIZE " Of 4ANNO/FTRLAVC W. OTY CATa+O 0 <br /> eI <br /> ❑-� PLIEUCA"WNNAL ❑ OaVFN ICWITH OR !%aaf ETAL�a 9KCIPICATION_ e <br /> ,0 ANfOATgMAO Ll01HEm anow OFAL IN[TMllOr�EY OHOUT IMNO NMIE ! <br /> U wwwroE ❑ <br /> Nq / t amour MK NLRv[aw ❑ N. OOIIOFTTT ROCRK e+' ORELL[TE IIJ Yw ❑Na 4 <br /> AP X. aTrrN 6� toot" otETTEm EoxnrTow Art �.0 s <br /> Manaft OOIMT"VOTtamlblaMl"e AIE1HOTN MFto ROTATn MR AMTAR AVM CA[Vt OTHER � P� <br /> 1 NEA CET THAT I HAW PAFPAAW TNta ANUCATION AND THAT THE WaW Wal Al CONE M ACCOM)ANCF WON BAN JaADUIII COIAVN OAOINANCEe, RATE L. r ANO ANAP ANO <br /> 1Fvo TgNS Of THE SANMAWVW CONfTY, NOME OWNER OR NClHMD M[M'e SOWAYIDE C[NTPga TH[ TOLLOYATgtTr,ERTRY THAT N THE TFIYOPAIANCE OE THE Y,CRK MRV/MCH <br /> HAS MIM.IITINS: IO RTWTHAT N THS PFORMAM.RCIIN WeAgAAME THIN <br /> POIN1AWSOTCAENORTN/V' 000y NEW NeIAITNW TO <br /> wMWIMAN'd XIOMONwYUPC caRNma <br /> THE FOLLOWMO: ' 1 CEMI/r THAI M T11E PaSOM1ALT 01 TM YtEIEf AM TATRICM THE IEAPRT n gf11E0. I tyAµ EWLOY MMOfIf FUaAOT to vtaFaHAPrA eWMIgIMTN1N LAWe OF <br /> CAOROwFA,' iN[ CANT/M�ETiE MOLTN NN'� 1NICt f011Aµ Ta:wAm® NFgCII`q 2TITM1 �A COMKiTEOMMTf(1w+ LOMlR .a[fA PMNMO/. <br /> tAts <br /> / ylI <br /> Tani IEA" TOUW M NNN <br /> . HAA"P OF 01'IETTT ON AOMP NFAREP TO OR E ONDINO THE PRCPEIRY, E. LOCA"M OF Ham MWAOF 011410eµ "!lnu OR PROPOSED <br /> x. OVEE of THE MMM. ONIN OOAEHFID"E AID NOM" D0[C4bN. EXPANSION oa QT q m "Mug, <br /> T, oggOR Haji OOILPaa AND LOCATION OF AL[ EAITIITNO ANO PDONIAC [. LOCATCN Of W[tl! FtTT1111E AAwe OFaNE PUTaN¢O TaAY TT, <br /> eTIDTarteRO. PICf.VO1NO =%%RO AERO MUCH M PATIOP, TAFVEWAYa, MIO WAIAe. ON TIC: TIYlRFTY on ADJORNIP PAOFlORT. <br /> .., ! <br /> Lova-r ' ScLt.wa. rrt�n ��! <br /> 0OMTM6RT Y[[ ONLY <br /> AeetlaNNn A.E.PIA+ efgt;*,Jai o.T. � U l L �- �%7 <br /> mw, ntn, eN..Ntn, s+ o•eA <br /> cPNwar. <br /> ACOurian OAEYt AW FADF <br /> R "Dtl - FRINN AMOUNT Rvur"cD C AEN may or OAR PBNRI[gIYRC[ A[bLIHT maieq <br /> 9ApIOt <br /> PUO NaaBD Sa . - eomIa. 173 (lir <br /> L . d WDd.1i aVTdIO ' £ 666L -80-9 <br />