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APPLICATION FOR WELL/PUMP PERMIT <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DMSION <br /> 304 EAST WEBER AVENUE,STOCKTON,CA 95202 <br /> (209)468'3420 <br /> 101•REF"BADLE F"MIT EMUS 1 TEAR FMM DATE ISSUED <br /> KANWIrls IN TF+hald <br /> APPLICATION 18 NYRE MY MAD(10 INC IAN JOAOVIN COURY FORA RFIAT TO CONSTRUCT ANO/OR PIITALL TINE WOM DCKNNO.TIM APPLICATION M MADE M C06NLANCE NRTII MAN <br /> JOADUN COUNTY DEVELOPMENT TITLE,CHAPTER 9-1115.3 AM THI ITANDAAOI OF IAN J COU PURL)C HEALTH fERVNC ENVIIIONMENTAL HEMTN DNOON, <br /> JOE ADOIESwR APNA PAIILn MEEJAINA <br /> DLM/D1'S NAArt AOdESS ��FHONE S <br /> cONTRACTfMI Amin L,< ---PHONE/7-�-7_SS4g' <br /> MRS CONTRACTOR ADpEM UCAS F"DNEI <br /> ❑N[M/YVnl ❑Prru cf wRI WELL ❑MOMI/01ELA WTU E Q OTHEft rK(�. <br /> ❑INETA�LLA//151 ❑77 EM P.I. ❑CIOe .NNECT KFMI (3VAPM EX171AC <br /> no" <br /> .. <br /> ❑N. {L/II�EIr H.►.� IK-.PUM►MT R. FWXT WATJRIIYR O <br /> IT YPE of Puum �J <br /> ❑OUT-OF-WRVICI WEIL ❑GE0R 01CAL WELL A ❑ MIS.PORNNO s <br /> iill A <br /> 11 NNOlMNAL ❑OPEN DOTTOM DNA.OF WELL EXCAVATION DIA.of CONDUCTOR CASINO O <br /> ❑DOW611CAIEVATE ❑ORAWC PACX MIS_ TYPE Of CAI MOATTfV, ' W.Of NATU CASINO O <br /> ❑P ARXJ16ANI WAL ❑DRIVEN DEPTH OF GROUT SEAL _ WVCWICATON A <br /> ❑PMAMWAO ❑arm ORRTT RAI IIfI^U"MY GROUT IMND PLUM E <br /> El MONITORING OIIDUT DIAL P I.FftR..❑Y. ❑NF CONCRETE PEDESTAL ELY DAILEI!❑Y- [3N. s <br /> AIPM..TMITN Lomm CIERFR/OXATTOVE Pft' s <br /> PROPOS®COMSTORACTIONAMLUIO 1ASTHOD:RIUD ROTARY__AM NOTARY AUOFR_ CASUy_OTW I <br /> I"MW CIRTIFY THAT MAN REPAIED TTN APPLICATION AND THAT'7K WORM WILL Of DOW M ACCORDAW-1"IN SAN JOAOUOI COUNTY OMMN J CAS.STATE LAWC AND PfJLM AND <br /> WOULATONI Of TNI DAN JOAOUN COUNTY,NOME OVARR OR LICENSID AOFNT•D SION.ATUIE CDTTOWO THA PMOWM I:'1 CMIFY THAT M THE PTROIMAWX Of TNI%VOW FOR WISCN <br /> TMS PEIMMT I$IO/L1E0,I LULL NOT DNLOY If 1'S OL/SJECT TO NONWAN'S COMPOMAMM LAWS OI CAA"MMA.•CONTMCT0IL'S IISI/q OR SUE.CONfIMLTRNO SRRIATIRE CIRTSRS <br /> TSR FOLLOVAM -I C RTNY THAT N TILE RA Af1CI-TN!WOPR FOIL WHICH TIM PfIf1/R b IDMJRi.1 MALL EMROY PE -DU -TO MOIp V CVAM'BNATIeN MYYI OF <br /> CAIFOIMSA.• 7M AMi MRM OALL 2 / 1 _A=POR ALL IMICAAR D N TION T IYNM 4SI-DA2D.COMRITI DRAWING AT LOWER AREA P"Dv%", /yyyl <br /> 4 . <br /> OW-1 X TSN.• ! / <br /> PLOT D....1.MINK Mu. <br /> M •t. <br /> 1.MAEI Of STREETS M Rome NEAIEfT TO on SOIIIOA PMOFTRTY, l IE LOCATION OF LOUKWAOI OMPOSAL 11'SRM OR PRDIOWD <br /> 2. TL <br /> OUINE oP TM RIREO PROY,ORVCoRNMOMI AND NORTH DIRECTION. IX►ANWO OF I EW&W OIDFOSAL SYfTFMl <br /> ].OYENRJMD OPIUMS AND LOCATION OF ALL EAIf1111E AND FTOPODED S.LOCATION OF WTULM MARTIN RAORM OF OM RUNG M FIFTY FT. <br /> ITIIL/CTIJIED,MLUDM COVOEO MEAS IMM"All PATWGR OIIVIWAYD.AND WAUll ON TIRTEOPEEIY ORADJOMMf IfN)MPTY. <br /> Ed <br /> ....:... ..rAr <br /> 1 1 <br /> - <br /> AAYM ! T <br /> MAY ,4rA <br /> ._. :. .... C- ..; ... :. 7 ... .. .. rAN'JOA"P 1NCOUNTY <br /> . :ENVIA EN7 <br /> MHEALTH N IOh <br /> L O!r TMBIT <br /> 0—In.P..O F_ <br /> b—n>eM.n tiP.NW SY b.l. <br /> Cw..w.r..- <br /> ACCOVIINO OMIT: AD/ PMT �,n7 <br /> K COON FIX IMO AARTUIT$OMItm C. ASN RDCEVSO MY DATA PEI.tTmam"Ce IROUSST IRMMEI 11IVaeD <br /> Pub ILIDM SHY.-Ermm 173(1197) �; <br />