My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SU0011040 SSNL
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
B
>
BLOSSOM
>
22009
>
2600 - Land Use Program
>
PA-1600196
>
SU0011040 SSNL
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/7/2020 11:34:55 AM
Creation date
9/4/2019 10:30:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0011040
PE
2622
FACILITY_NAME
PA-1600196
STREET_NUMBER
22009
Direction
N
STREET_NAME
BLOSSOM
STREET_TYPE
RD
City
THORNTON
Zip
95686-
APN
01103021
ENTERED_DATE
9/6/2016 12:00:00 AM
SITE_LOCATION
22009 N BLOSSOM RD
RECEIVED_DATE
9/2/2016 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BLOSSOM\22009\PA-1600196\SU0011040\SS STUDY .PDF
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
71
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
' ICompIFIF In TF1ppe.ul <br /> APPLICATION 19 HERE W MADE TO THE BAN JOAMIN COUNTY FOR A PERMIT TO CONSTRUCT ANDIOR INSTALL THE WON(DESCRIBED.TION AFMKATION IB LADE IN COMPLIANCE WHIZ SAN <br /> .NIAOUIN COUNTY DEIJNA W W TITLE.CHAPTER 9-1110.7 AND 1 THE STANDARDS OF BM JOA UNNCW�rYY PUBLIC HEALTH SERVICES.ENVIRONMENTAL HEALTH OMsroN, <br /> JIDS AODRENSIOR ApN, OFF BLOSSOM ROAD Q`�j ( 171 ( 1,yyp,Q 1� Vk00DBRIDGE PMDEL GNEMPN, <br /> ' DWNER•sNAME. CANAL RANCH MDREBF P.O. BOX 456 J WOODBRIDGE. 957,x,, 369-39T3— <br /> CONTRACTOR NOACK PUMP CO W(0 18634 ADDRESS 4500 E. FR€MONT UC 504513 WDw,948-8817 <br /> SMTS <br /> BUB CONTRA12TOR ADDRESS T mo FHONE, <br /> ' TYPEOF WELUFIIMP: ❑ NEW WELL ❑MPIACFMFM WELL ❑MUNNOAINO WELL, ❑ OTHER <br /> ❑ INSTALLATION ❑WELL FYBTEM REPAIR ❑CMO ONNECTRFDAIR ❑ VAvYFnfxTRACTION W , J <br /> ' Submersibl11NEwgRcw NP. 5 . FIRST WATER LEVFE 7 _ D4 <br /> R pC'yCXistin9 <br /> Pump ❑ DVT-DFSERVICE WELL ❑ BEAR1YmtAL WELL, ❑ WIL SOWS B <br /> ❑DESTRUCTION• <br /> Piranow use Im w you CONSTRUCTION SPECIFICAEFONS A <br /> ' El WWSTNAL ❑OPENSOTTOM VIA aF WELL EXCAVATION OM.OF CONDUCTOR CASINO D <br /> y-y DOMESTN:ANVATE ❑UNLVEtpAmisne "n OF CMINBJSTEEUPVC DM.OF WELL CASINO O <br /> PUBLICIMIWMWAL ❑ort DEpfHOFOROINSEAI SPECIFMATION A <br /> ❑ mMOATRINIM LJ OTHER GROUT REAL INSTALLED BY SNOUT BRAND NAME E <br /> ' ❑ MONITOWND ORDUT SEALPUMRFD:❑Yr ❑m. CONCRETE PEDESTAL BY DNLLER❑Yw EINE $ <br /> APPROX.ONIN LOCXINO CHESTER BOXATTOW RPE S <br /> WUMINS, OMBT111KTONIOIRDIIE METHOD: MUD ROTARY MR FIOTAM AUGER CABLEOTHER {� 1 <br /> 1 HERESY CERTIFY THAT I NAW PREPARED THIN AFRX!ATpN MO THAT THE"M WILL BE DONE IN ACCORDANCE YUDH BAN JOAQUIN COUNTY ORDINANCES,STATE UW B,AND ALLEN ANO 1 v <br /> AMUI ATMNS OF THE BAN JOAOUW COUNTY, HOME OPJIJER OR MEN.AGENT'S SNIHATUNE"FORMS THE MLLOWIIM:l CERTIFY"AT IN THE RIRMSMARCE OF THE MW FOR MICA N <br /> THE PER.RT IN Hi I C I WALL NOT EMROY EEROONS IRCE OF TTO W MM-F CO THIS PERMIT <br /> FRAUD, <br /> I SHALIL KUY KFUTOR'S HNNO OR BUBCONU01-0 CNO M ILATIOE ILMNSIOF <br /> THE FOLIOWINO: -1 tErtfFYTHM NI THE PE160MEMCE OF T WORt FOR WHICH THIS PERMT M ISSUED,1 WALL FMRW 1£PBONB WBIELT TO WDmMAgY COMPOJMAOM LAWS OF <br /> cAIIMPHA.• T T MUrt BALL ri ADV WA ALL RBOMRFD INSFRTJBAS AV F .p COC�FTE OIyWWO AT LOWEAC.AMA <br /> �^ �r�� O <br /> ' BIBr. X � nm�„ /y/_00 <br /> cS J �/ <br /> ROT <br /> ' st.. IAMEB OF STREETS OR O,ONEARSD OR O PUNRROFF T bWl BHIE 'TP S.LOCATION OF HOUSE EWJUE LYSBOR Pg(PONED <br /> 2. VITILIOF THE PROPERTY, f O lANDNIOON DIRECTION- XPAMON OF BWMEASOTES, 0 <br /> VINIFFIBRINNED, NAt LOCAKINOFLL EXISVING AND PROPOSED It. IOF MILLS WTIONRAOMSOF ONE HUNDRED FIFTY Ff. <br /> STRUCTURES.INCLUDING COVERED <br /> AREAS EMIR AN PATH.ONVBWAYS.AND WALKS. ON WE PROHITY OR ADXYIONS nh` <br /> RIOPERIY. <br /> ff <br /> : <br /> . .. I- <br /> ............ <br /> ............ . <br /> Olt... <br /> - <br /> :.. T.. ... .. .. : ...::..: <br /> p.e.. . <br /> O <br /> aeZe�.SOY <br /> r <br /> I <br /> I <br /> .i <br /> i I <br /> :.....,.... _... <br /> ` . .t. ..'.. . '.. .'....! ... ... .. .. <br /> : . i <br /> L . <br /> .i. ..... ... <br /> I <br /> .. ..� .: ....>. :. ... , 199 <br /> ... <br /> ... UIIV.CfJL < <br /> j . <br /> • <br /> r oo <br /> I <br /> i <br /> ; _: ...!. F P{lP3L(C�Hd.AL�H S&RV FS <br /> :.... , 3. :..P..JITT,CY,vNiEN�f:�Ei<A(:?I PJIS/IC)N' . <br /> 0VMTMMT ... :.. . ... I <br /> -�p-��}�P VSE ONLY <br /> ' D,Pm 1nFPEEUPn MD.N PHPP Inro.EaP„By <br /> i <br /> DavunlPn IvpeeOm By ml. <br /> ACCOUNTRIO ONLY: AIRF FACS <br /> ' P[COOFI fEE WT^ AMOUNT REMITTED a I�A�BJN SECNVED ST DATE P ITMGMCF REOVFST NUMBER INVOICE <br /> V6 C2-1 us 2! 1q8 ) y 8� <br />
The URL can be used to link to this page
Your browser does not support the video tag.