R-6418
(Domestic Water Supplies, Form A2, Munici}
)lporation or Civil Subdivision)
STATE OF CALIFORNIA
DEPARTMENT OF HEALTH
Certified Copy of Resolution
(To accompany application on Form AI)
SANTA MONICA CITY COUNCIL Rb~ULurlON NO. 6418(CCS): A RESOLUTION OF
THE CITY COUNCIL OF THE CITY OF SANTA MONICA MAKING APPLICATION FOR ALTERA-
TION OF THE CITY'S WATER SUPPLY BY THE ADDITION OF SIX WATER WELLS
"Resolved by them____nmn___~j!X___~Q_~_Y!~_1cl_m___n__________m_________________m_______m___n__________nnm_____
(City council, board of trustees or other governing body)
of the______ _______n________n______________~_;_~i_nQ_f___~_~!I_~~___~Q_Y!J~~_______
(City, town or county, etc.)
that pursuant and subject to all of the terms, conditions and provisions of Division 5, Part 1, Chapter 7, Sections
4010 to 4035 of the California Health and Safety Code and all amendments thereto, relating to domestic water
supplies, application by thiL_____~_i.!y.mm____ __ __n be made to the State Department of Health, for a permit to
(City, town or county, etc.)
~ltgL.!~!2~.t~_ttng__~_Q.~_r.(:_~L9_L_w(l.t_e_L5_u.p-pJ..Y---by.-.the.__addi.tion__o_f_J_i_v_e._.wat.e.r__.we.1Js-____ _____ _____________
Applicant must state specifically what is being applied for-whether to construct new works, to use existing works, to make alterations or additions in
(~~_.!.~_~__~~_}~_~__~~__~Z!__.f__~]_~_L~!!~__~_Jlzt_9:!!~__QY_._th~__~g~j_p_p_j_ng__Qf__Qng__gxt~_ttng__w~JJ_____ n
works or sources and state nature of improvement in works. Enumerate definitely source or sources of supply, kind of works used or considered (if known)
C~_~___tU_._~g_!__.~_~!~_~2J2r~__~~tLU~~g_.fQr_J~~tgr._~1!RRIY-_.___________________________________ _n________ _________________________
and specify the locality to be served. Additional sheets may be attached.
that the______m___~j_~L_~_~_!!9_g~_r______________________________________________~~ ~aid____________~.i.ty___C_Q_yncjl___ _________________ ____
(Title of chief executive officer) (City council, board of trustees or other g~~erni:;;g-b-;;d;)----m--
be and he is hereby authorized and directed to cause the necessary data to be prepared, and investigations to be
Cit
made, and in the name of said_______ ___________nY.__________m_______nn m __mom to sign and file such application with the
(City, town or county, etc.)
said State Department of Health.
Passed and adopted at a regular meeting of then
City Coune; 1
(Governing body)
of the_____~_~_!Xn_Qi._~_~~_!_~nl1()Y!i_c:_~_ m_
( City, town or county, etc.)
12th January
pon the_________nm______m___ uu day oL_________mnn_m_
82
__,19__m.
[AFFIX
OFFICIAL SEAL
HERE
] .
Clerk of saId____
a. 1.- ~/1' / / A /.
____________~__________(_L~_
Ann M. Shore, City Clerk
m__~_~_~2'_9__~___~_~_~_~_~___R:1_~~_~~_~__ ________ ._______________m___.
(City, town or county, etc.)
EH 101 (10.73)
APPROVED AS TO FORM
fl~~ ~tl. ~
'8982_4150 tf_73 15M <D OSP
ADOPTED AND APPROVED THIS
12th
DAY
January
, 1982.
OF
l . ~ 'U
dfzA.~?t :&Jj
I HEREBY CERTIFY THAT THE FOREGOING RESOLUTION
NO. 6418 (CC~~AS DULY ADOPTED BY THE CITY COUNCIL OF THE
CITY OF SANTA MONICA AT A MEETING THEREOF HELD ON
January 12
! 1982 BY THE FOLLOWING COUNCIL VOTE:
AYES:
COUNCILMEMBERS: Conn, Edwards, Jennings, Press,
Reed, Zane, Mayor Yannatta Go1dway
NOES:
COUNCILMEMBERS: None
ABSENT:
COUNCILMEMBERS: None
ABSTAIN:
COUNCILMEMBERS: None
ATTEST:
/'
{/!40i 7Jt~c~
CITY CLERK