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SAINTJ()A4j1J1B 4:VUR.I I. FIJMJ„le. i111,11r,AV Vr`a.�M>a . r
<br /> ENV XRON]S MTAL, HF,<H TY1 v7 S -N w
<br /> S'AN �OAf4�i1N, RHONL ( U9) -3420
<br /> U �3A . 'ZUUJ, STOCKTON, Cly. 95203 �����•� �/T
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<br /> PF 1j'i'.- R '1 " ;AH FkC)k 7]A'[' XbSUE NMAr I,� V�Q
<br /> V� (Complete in Tri.pl lcato) f_N��6k111 NE4(J1Ne�993
<br /> �Appiieaoiaa it hereby mndp t4 $ori Joaquin County :'nx n permit. to cor,at.rtwt t ndlut 1>3ete11 the varH'4Af�1464f Sa re
<br /> e 13cat,latr is =a is ccmpliance with Pan JouquSr, Ct+unty 0101,dncc Na, 54? tint' 186P and the Hulev atsd ��C'
<br /> vp
<br /> Jofquia Ccunty Public 1t1A}p,}1 sarrvicas.
<br /> Job Addre39 ...��i�.�.t,.�.�-.j.11� _..�.5�--.—�..,. .. .....,_..-.......,..._,..-
<br /> Lot }3120/Anreage
<br /> A9'i�T
<br /> .. G� rir1� C10EQ; ...Bo.�xtl.l,_.5r1.1�2,3R_c>..1fL1�q.wC1l
<br /> u�r•L.,l.1.]Ct;}�ic.iI1rn.r-n
<br /> skehN9.n.,. .C. = 3
<br /> JC.18.:. �AdJ(n4s
<br /> 0wner's Name PIAac>zic►r}, (n 91�fi6
<br /> Ai:t Rouiault) .
<br /> _ 3
<br /> Contlacts — S
<br /> #YPE pF WELL/PUMP. NEW WELL WEL4 REPLACEMENT (.l E7ESTRUCTION L'I Wt of Rervite rll
<br /> �•__ _PUMP, OTHER
<br /> CJ Monitc:rfns; Well
<br /> SYSTf.M REPAIR L?
<br /> +'- PUMP INSTALLATION [:.. '
<br /> DISTANCE TO NEARSS_T; SEPTIC TANK -- $EWER LINES .......,. ..__.. DISPOSAL FLO...,..____- PROP. LINE ,.T.....,
<br /> ----
<br /> FOUNDATION -AM-L. . AGFi1CUl.#13RL WELt_T._..� C�1►tF.F1 WELL .. .PIT513U� MP_$_..�
<br /> -
<br /> -
<br /> 1� 1rKidMAs_l MO17{til�34- ?Isbn 13ottnm C:I
<br /> T _ __.... ... . .._,.N..-S
<br /> TYPC_QF WILLPRAELEMARFA COh57itCTlnN EnEGIFICATrO
<br /> INTlNaiip ._. .. .
<br /> rileripl•eCeIlllCW9txnl11fl!3-eeln p
<br /> Mrnteau t *. Well � �IR
<br /> YtC+ Of (asinp_• l'V(;
<br /> Cl Domestic/Pllvate M Gtavel 1`00 1I Tracy
<br /> '•�•• :-
<br /> g•A•�F1
<br /> Type at drout�ll*!I!�ttL 51u s;
<br /> VI Public 1-1 Other [IilnlrA Depth et tiraut Sybl .,z��1=_---•_._.
<br /> l I Ilrlputlon 10ApPr0%. Depth I I bustonl Surtpce Soul Irkmallvd tit �••-
<br /> of Pump N,P. .. .. .- _ Stere Work done
<br /> Aataalr Work done 0 Typo �' &allttg Ilaterl�il 1}n;nth ,
<br /> Wall DestfuOtion n Wait Diametor _..-��iic._..h
<br /> Y'111or Material i Depth -
<br /> D6pttr _... otenp
<br /> IYpt OF . PTIC WORK: NI•W 1NgTALIATION 1 1 itlpAlFirAilt)tTION 1 ! 01::;#4lUt'TtVPt 1 avmllabi twithin 2 1u—aret-jed 1# pubtic wwir is
<br /> If%stiltatlen wul serve: Rasldenc+�.. Gommer0lst,.,._ (3►her�._. ..
<br /> Numbs/04 living units: Numbar o4 badrooms ...... cable Qepl4+..,�• - -
<br /> Charect■r of$011 to a depth of 3 feet: -�-
<br /> CaPocity._,,..r..,--• Ne. COrrtAertmen4r
<br /> SEPTIC TANK. • TVpa/Mfg ___ Method of #}tiyoaae# .
<br /> PKG. TREATMENT Pt.T.1-1 Foundellnn_..�.., _ PrAf�arti/Line ..�....
<br /> l�lsluru
<br /> + e to nearest: 11Ve11 ... ._.....- •'.' w
<br /> LEACHING LINE Cl .Na. >� Lenpttl of Imes . _� - - "SIF`
<br /> r Wall._ r POundEtlan ._ __.. _._ Property Lino__. . t
<br /> [;] bistance t0 tree 6511:- �. to
<br /> '
<br /> FILTER Qf:p ;' ---•- fie- r-+� �.__....�.
<br /> _Cis Number.`... . .� Ir EAq?01N Ct ; ' r
<br /> SEEPAL09 PITS I 1 petreh ,_.__.._ - ^ �'P A f TI-d r; Y
<br /> Foundali0ft _..:.-.,.__� Praperry Li _ f u;;("I-S
<br /> SUMPS LI CiatenCo to rteariat: Well�...._--- ► i,iwi JIL tYirl . r
<br /> DISPOSAL FONDS ❑ "
<br /> ' wate law, e�a
<br /> #hereby certify that!neve prepsro6 thls appllcatioh and that the work will Uu Clone in atcordxnce with San Joaquin county nrdinencov,
<br /> rules end r■qulitb++$ ol not
<br /> f the San Joaquin Cowtar cogilIV the'In the for
<br /> Horns owner or Nein�U0Agent'snner s1 tp become eubjege110 wlorkman p;CMP003#1an Iswr sual C#1110 nip,' Comrr}atar Ihltln4 np>tu�conitorrling sign#afore
<br /> employ any person In
<br /> rertifles the follawinQ� "I Cartity that in the pertarml#nca of the work lot whish this p+►rnsil is ib3o4d, I t;ha11 employ p!t$ont aubjeat 110 warkmm'■comms
<br /> 11
<br /> t tion law$of Crlifornia,"
<br /> The sppliCane mu$t c/11 fore ulred I ion■- Complete drawing on reverse aids,
<br /> r Thib: �.o-t► � -
<br />'
<br /> Signed x,. ., ..........
<br /> FOR DEPART
<br /> t19> nNl'r
<br /> _..... _ .,. __.. .. Min Araa
<br /> Appilcstion Accopied by •� f 11— _M-^ pats, Z
<br />'E if Ogts1 Final InaP eot!on by_.
<br /> Pit or Grout Inspection bv,
<br /> Additional Corrtr+Mntt;: �••'-"�-••�..�"=_'.,'�`� -- 1-•--�---...�c�rviace�.. .. _T___...._----.._.:,.----fes_.
<br /> - rttit,urn A}YTt13CilAt allggurvu i..rTuafEai,auunr3ntal n#»otts,ylt iLltirismiltt�/Fa;lOtrhvl(H'PA
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<br /> U BY]jAll
<br /> q� L7KAMfLNrrEMlTP$P AtipliNT DdE INva 4tiM1
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