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APPLICATION FOR IVELLIPUMP PERMIT • <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P 0 BOX 388,448 N. SAN JOAQUIN S%STOCKTON,CA 96401388 <br /> 12091 4883420 <br /> NWREFUNOABLE PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> ICFgYa N Tr}Geaal <br /> Ng1CATION IS HERE BY MADE TO THE 0..JDAWIN COUNTY Pon A PEEM IT TO CONSTRUCT ANON"INSTALL WE MR'OESCNBEO.THIS MIICATX)M IB MAGE M CON/VANCF WIEII4N <br /> JOAOUIN COUNTY D LOOPMENE"'S-CHAREII&I116.I AND THE STAR6 OF SAN MAWIN COUNTY NMIC METE'"MARME,mNPOMAEMAL HEALTH gV1B94Cna Lap . <br /> JOe MOIESNOfl MW oCrtYri4PAMEL B WAP,EM, �J <br /> / Vim$ <br /> pµ11FA'6 HMIE nj, AOOIFBB /J <br /> COHIMCTOR((�/��j/,�p��� <br /> 66 C• IICI HFI <br /> BUB CDNTAAYm <br /> L� ADDRESS UC,� �RgNEA <br /> TYPE DF WEUJMMP: ❑NFW—tl ❑REF KEMENT WELL ❑MONTUNNO WFlL 1 ❑OTHFfl <br /> ❑VNOR UETMCTION N4LL- _J 'r N <br /> ❑IHBT13 A ❑N'LLL 6Y E. ❑CIO64CONNjr, Y)A /--- <br /> � 1 yyyyyy//ffff..,,,, E DFVIM RIMP SET FT. FlPSF WATEfl IFIL D W <br /> New OF.eHr HP- p <br /> ITYFF Of NMF ❑OUT-0F.6FRVICFYAI ❑6FOg1YNCK WFLLI ❑ 6CV-BOiMJD S � <br /> ❑DEFRRACTION: <br /> VDipN EFF RMATONF A r <br /> INTENOm U[F TTrt OF WFLL D O <br /> ❑INOUBrNK ❑ORN BOTTOM OM,OF WELL EAGVATNIN NA,OF CONWCTORCAMNO O F <br /> ppMFSnCIRSVATF ❑GMVFLPIL ISOE TYPE OF CRUNEUVEE1/PVC MA,OF WTEL CRAM <br /> ❑xIBLIC/MVNICMN ❑CPoVfH OFPTH OF GROUT AAL AECPICATRSH n i <br /> ❑AAOFTgM/IG ❑OTHER 41VVT 6EAl M STALLED eT 41tlVT BIWO NAME E <br /> ❑..WORM GFOUT.M.D.Ov. 0N. coxclEn PmEsrAL ar onuER.Ov� 0w s n <br /> AFFRDx BEnH <br /> LOOKING CHESTER ESWSEOVE FRE__ A <br /> PROFOBm cauMucnaxNwwxD Mmne: MUD NOrAXv__Mn nOTAnr ADGFR_—cr.9lt arNu <br /> 1 Nf9EBT CEflTIFY TNAi RAVE MRPAIE'➢TM6 APFIKATNIM M1D TXAI TXE VAR WILL 9E COA M ACCOPOAMCE WTTX BAN JOADUM COUNfY ORONAMES.ETATE AM AND MIIEB AND <br /> PEODUTWNSOFTXEEANJOAWIHCOUNTY.HOMEGlNhnMUCISIM.MENT <br /> -1 THE W10'A•NO:'1 CFROH BAN11M1D OR BUeCOr IN THE �MRM:TNOBIOMA\WELFflfIHF� <br /> TXMHINR IS H6Um,IMA,HOT ENROV FEA60NB SUBJECT TDFMME AN'B CUMRNMTON UW'B OFCAUFNMM1.'WxTMACTOn <br /> iNE FOLLOlNN6: '1 C[RTIFY THAT N THE TERORM(INCE OF MEMM H:R WHICH THIS RRMIT IS MSUm,1 AHALL EMROY TFRBONS SUU`ECT TO AMRS"MPB"ARNS BATMN UMT M <br /> C Y SNE UC/JlT M_ IES N/ADDR`ANpE FON NL M[ILM®1 1M AT ISnSBI iF3B.COMPIITF ONMMNO AT IOKE.11 MIFAFlMI <br /> �x'1 /�A J l J ..T.M��YTA h �A r <br /> FLET FUN M,w n F SW.�� ^� <br /> I NAMES OF STREETS OR MADS HEMEST TO On SOURIS.THE FRDMAE Y. A. ATION OF IMV6E 6EWAOf p61VA.LL Cr6TEMMfTOIOSED <br /> E.OVTUNE OF THE RQFfAW,W"M M RFRENB AND NORM DIRECTION. "IFFABMNOF SEWAGE pePoRLL SYSTEMS. <br /> E.LOCATION OF WFLLS SFX.FARM.M ONE WHOM.FNTV R. <br /> ),MIFNNONED 01GUNE6 ANOIOCATMN DF NL E 'E"AND AMPOEED ON THE FNRRTY OR"I' <br /> RUPMRMY. <br /> STCTURES.INCLV OINO COVE11ED MU66UCH A6 PATIOS,DRVEWAVE.AN- \, <br /> JT 1JgYdF ENs. <br /> X NOV 201995 <br /> J <br /> t'? )0(rHt 'c,-- <br /> �\ s <br /> A <br /> I <br /> �01A x � <br /> 6�iCfT <br /> x x dF x x �cx xxx <br /> MMiMMT WF ONLY <br /> AFYr+nm A.cglW er_ G.I. Z.O � <br /> er <br /> w.. <br /> c.mm.l <br /> AccOlNln <br /> No <br /> ONLr: MDI f"cF <br /> FE Coos Fp NFE MAOUNT MAIFAFN flEC EFVm By DATE L-AFE�!)TN DI INYOILE <br /> Lt�w- 11 <br />