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Application for San Joaquin Count ME ^=struction <br /> Permit <br /> r1N M <br /> This application packet contains the following documents: <br /> I . Thrce copies ofthe Site Mitigation Well and Boring // ���i•� <br /> each of Wee land parcels involved in the well destr l <br /> displaying the wells to be abandoned is included w <br /> 2. One copy of the Site Mitigation Master File Recon EpN'f-O/t I <br /> 3. One copy ofthe recommissioning (Destrrmtion) I <br /> 4. one copy orthe form signed by the regulators ter Neilk D�+•/ <br /> rcmediation completion and urbanization of pnsi the Eastern General Service Area Close (hit RCP Jt I <br /> far tolerance; T$'AfiIOK <br /> 5. One copy ofthe Gregg drilling l leaalth Monitom <br /> 6. Copies of levers them two parcel property owners authm �.....,. . 1r1wa <br /> drilling activities, and a copy or the dwd transferring the third parcel n.,... _ <br /> Department of Energy (United Series Government) to the stale at'Cahfnrnil vs III le <br /> combing some rights to property access and drilling activities. <br /> Payment s being provided for the following itemized amount <br /> • Weil and Honing permit Inspection Activities Initial Fees of$152 per well per parcel for <br /> up to five wells per parcel: $152.00 for Fireworks 1'K Parcel (one well), $456.00 for CA <br /> Dept. of Fish and Wildlife prowl (tM1fw wells), and $760.00 for Connolly parcel (nine <br /> wells); and <br /> • Well Plan Review Fee of$456.00. <br /> Total fee payment to be provided: III 82A.00. RECEIVED <br /> AUG 13 2018 <br /> ENWRONMEWXNE fd <br /> PERMTOtTRNICES <br />