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WIN NAV :E 910Z 'll '5nV ;w1 j 0,3A13Air S <br />WELUPUMP PERMIT <br />SAN JCAIU31CGUHTri:NVIRCnId� W' AL.TH0EPRAMOrr 1068 EASTHAzr:LTo11AVENUE -SMCx7GAICA95205-(209)4533420 <br />�.., JpAC <br />EM11RC <br />uEALiHI <br />NVN-KE-UNDABLL FERI.t1T CALL (209) 953-7697 FOR1NSPECTLONS EXPIRES I YEAR FRcm DATE ISSUED <br />IJcs Anonss Crr izp L i n d e f) Ca 95236 <br />cftoss sTaesT \ T rt 11y ArN '/J ! <br />�� R PARCeL SIZE T/ • f , ZLAro USE APPucanoN 9 <br />OWNERNAME ('R.4 T.ac r)rrnrci nn PH:NE209-629-1204 <br />OWNER ADDRESS CrrrISTAwMP <br />CONTRA=0.9 Purviance Drillers, Inc_ Fl,CM 209-887-3554 <br />CoNTRAcTmAnofzm P. O. 'c3ox 54 Cr1r15rA317JP Unden, CA 9523 <br />SueCONTRACTpa PHONE <br />SuaccwitACTOR Aouness CITYISTATErap <br />ucEm3r: a o57 L cs: 0-09 :. other N.. 377923 F�wAT;ON 7! 31 / 1 7 <br />L-E0CWAP1aCAL1VF0PddAaCN: Coordinates X Y Tnwnshlo R—nq c...r,^ n <br />JIEMGEa U58 AA.inesRelpclva:e _ 11Tiga cr Agrioiltura! C IndustrW _ Yfter Oualitytdcroiornp ❑ Som! SOrnrlingrCharaceiubeer, — <br />i I F"c A*er System <br />11(ir..x ftamoner man. aux L.cn.g +m•v • arum <br />urNnl-U., .I vJe11Pce4aucwrAowAawion _ Other <br />.'.6lcrtito6ngVIeltr) =o: wells ,1 solBoring(s) a`rtcr'vae r Geotechnicalp <br />SCofberr <br />Out-GYeMce Wel - ;' Cut-OF-Servleu Rene vsl , Cross-Cenlrcction Repair, <br />Cnllrng AiwAod Mud Rotary Ai Rotary -Auger ! CahteToo] -, Push Pdn1 _ Other <br />Proposed Weft Depth R Excavation fn diameter _ Open Eoltcm G Gravel PaddGravel Size in diameter <br />'CondUtOTCasMg indlarreler / Conduc%-CasskV(lepth ft <br />Wall Casing Dameter_ in 7hiclaraWGaug&ASTM S^J1ed C Steel S Plastic C St<Wless Steel D Other <br />l Grout Seal Depth -11 J Neat Cement (94 lb baVS-10 gal Aareo n Sand Cement sa& a*r7 got water <br />; Bentonite(2C--sd=ds) ?Cthez <br />IG.ttPlacement.Y.ethod C Pupped 1: Fee Fag C Otter _ C Retardant /Accelemlor (warne) <br />P=_ptS'TAL Instanod By C Dr'Wr - Pump ConLartar - Other <br />Concrete pedo't)!-Dimenslons:Yldth A I..en9g% CThlck fn !;ChrWyBox uS{woPfpe <br />PUMD A Submersiblou Turbine a Other HP Pump SC R Slan6^rg W erLavel R <br />1 HERESY CERTIFY THAT I HAVE PR`OAREM THIS APPLICATION AND THAT THE WORK WILL aE CONE IN ACCORDANCE 16vrm SAN <br />JOAOUIN COUNTY ORDINANCES. STATE LAVYS, MID RULES AND REGULA7rONS. 1 ALSO CERnF'f THAT 1NY REQUIRED UCEISE IS <br />CURRENT A' ,M AC nVE L%TH THE CAUFORNIA CONTRACTORS STATE LICENSE EOARD AND THAT I AM IN COMPUANCE Wrnd ALL <br />WORitE PEt1SATIONFAWS <br />MINI 45 24 H ft <br />NCE NOTICE REQUIRED FOR AVSPECTIONS - PLEASE CALL (209) 9- -7697 <br />S1c1iED Tl,,, Corporate Secretabr-y <br />0 <br />I- <br />I <br />2016 <br />AL HEALTH <br />IMCES <br />\>�VCIt,]G1-1/-a . P R T th E NT U O LY <br />Appla ticrnAtcepled� Cale �� Pres -I <br />Empto.eel� ISb <br />GmLd IMexon By Dae D SPECIAL Well Par nil <br />Ftsnplrsperion9y Date —edD WAIVERRemivad <br />SCE 9orng fnspecbicn By Date Constructed Wen Depth ft <br />CONIMESVTS <br />?F <br />Cedes <br />SC Racalvad <br />Into a <br />Checlrs/ <br />Amavni <br />1 Renutrst <br />Perm'rJ <br />Date SGrvlcr Krauss: L` <br />Invoice# <br />4Ye31>w: <br />JLC 1 <br />eCarsh <br />/ fir- <br />Dr�I <br />icv SRoo-755-7 <br />R <br />� <br />� <br />£'d bL9£L2960Z <br />u�mr,�P Pei:nc <br />out s.lajjitQ eoue!n.lnd d90; L L ZO ZZ a'bV <br />