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r . r r r _ sX <br /> File Edit 'View Insert Format Tools Actions Help <br /> JSerid = 4 Q Arial lu A B I U = » <br /> To- F'ETEFl.4+VEILER14LFR.---'41 <br /> Cc... <br /> Subject: 'KNELL F'ERPIIT AF'RLI-ATI�TPI-SApJ l �A4LIIG1 SOUp.1T'!PHS-EHD <br /> dere is our latest application for well permits. It is a 'Front & back' page item, so the second attachment is the back page,the "LCD" <br /> (licenced contractor declaration). This LCD is to be signed by the C-57 license holder ONLY. They know to fill out the workers comp <br /> and insurance information and to FAX it to me... It is required to be on file PRIOR to issuing the well permit. )It <br /> If someone OTHER than the C-57 driller signs the PHS-EHD permit application on the front side, like you for example, the the C-57 � £ <br /> person signing the LCD is to authorize your signing by completing the bottom section of the LCD. <br /> 1 <br /> A well permit is issued to a C-57,for one parcel, for one work plan,for only 1 year and requires an $89 check payable to PHS-EHD <br /> when submitted. Drilling on parcels NOT under (owned) by Lincoln Properties require written authorization (access agreement) to be on ` <br /> file with PHS-EHD PRIOR to issuing the permit...Drilling in the City of Stockton or SJ County right of way require "encroachment <br /> permits' by that entity to be on file also PRIOR to issuing the well permit. CPT's, Geoprobes, soil borings, etc are all considered <br /> "WELLS'. <br /> Questions? call me at (209)468-3454. <br /> WELL PEFIh11T-APPL. LCD-contractor <br /> duo declaration+au... <br /> t'2 <br /> 'Start t� nbox-._ Enviaion... ENtI510NCDPIay... DWELL ... ti 10:39ACi <br />