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75 0 <br />WELUPUMP PERMIT <br />SAN JOt.OUN COWITY EN'VR OULIENTAL Ht- TH DEPT 1668 East Harelton Avenue - STOCKTON CA 95205.6232 - (209)468-3420 <br />XON-REFUNDASLE PERI11T CALL (209) 953-7697 FOP INSFECI-IGN,; EXPIRES 1 YEAR FROM DATE ISSUED <br />i us <br />f y <br />Job AouRc- 6294 S. Stanley Rd. CITYILr Stockton 95215 <br />i C <br />C,—,cis; STrcrT_Hvq 4 APN 187-07-020 PARCt.r_ SIZE 77.73 Lu+o Use APPUCATlox :: A <br />0l44E,t NAttE Chiappi Farms <br />PHONE (209)471-5791 <br />v <br />5419 S Stanley Rd <br />CITYISTATLIZIP Stocldon 95215 <br />COrm:ac-007 1Jtl_t-���u,IrIJ 1i1;__ <br />PHONE(;1oy)466i-9625 <br />jco:rraArTu;cAootris:. 646 S. California St <br />CITY/STATEIZtP Stockton, CA <br />95203 <br />(SeBe.ONTRAGTOIC <br />PHONE _-- <br />ISuccoNTHACTORADORcsS_._ _-,-__----- <br />_ CITY/STATIZZiP <br />uccvs C->- >rti-iiI other <br />Numum 10 5 54 34 EXPIRATIONi DATE <br />GEOGRAPHICAL MFOWATtav: Coordinates Y Y <br />To%vnship Range <br />Section_ <br />luTeNocO USE C 310 e:AicPrivata X I rigawcr.JAgrjcL tt:r.d Indus:nail <br />%+Paler Quality t:•inni;orain Sod SamahngiCharacterizaWn <br />PtrBlle: ':7:ttCr J'fiiC:n <br />Ir <br />TvPE Or LVerr; _ F� '.A.;1 RepLcv.r:ant.Vvii AAerationthiod:ficaLon . Other <br />Y <br />?.tor:iton g :°leitaj C. xe ;; Sril Snr.ncJj-; <br />Gut-Gf-Sarvica' :cl! Cu'. -Cf -Service :'.'ell Rerx,.lal . Cress-Conrt•_ction Repair <br />__ YO':: Punt` Rwrm rlevlz., .I tent X Pur iv Fw3air Rai . 4YeU C aslnC <br />REeF� �cN r <br />`D <br />WELL CGaS-.2ee`TIOT: — <br />�r�� <br />S <br />Drilling Method i'.�lfd Rotary ;r r Ro:ar Anne's C IUL. -Gal <br />Pu -:h Porn; GihCr <br />w 2020 <br />1 <br />Proposed Weil Jcpar It 'Excavation a nianletcr <br />- Opun Bollcm Gra-,---1 PackGravei Size_ <br />E JOAQU� N <br />NVI c <br />Gt;ndaclor Ca:; ig r.: w;:nrclar CL-nd;sclor Cmanoi Depen ft <br />N O COU <br />EAL7-N N41ENT NTy <br />Well Caring Dwrnctc _ ir. Titc ne_� Gaurr'AST;aSchcd <br />Steal - Plastic - S;ainlessSteel . O::a_: <br />�� <br />Grout Sual Duptlh :t NUat CLtnent 154 !b tsar%:i-10 gilt <br />:water) Sarxl CCITICrit souh <br />_DEPART <br />1101X07 gal ' RENT <br />l3clitc;.111ti (20 solids; . Other <br />G;oUL PlaCerntont Method . PLantwd 1=nse Fall I. Other 12utareLult t Ac i krlUir (namei <br />P�oESTAL Installed By Dr k -r P imo Contractor Other <br />Contxr tc Pedestal Dimensions: :3iCth - ft L Igth . __ _ - ft Thick _ _ in . Christy Box Stove P.pc <br />PVt�P -' Submcs_:,r k:x l'u Linc L -- _ - HP ®Q Puml) Set_ —ft Standrnf,'.'VaIcr Levet <br />I HEREBY CERTIFY THAT F HAVE PREPARED T141S APPLICATION AND THAT THC WORK WILL tat: DONE IN ACCORDANCE WITH SAN <br />JOAQUIN COUNTY ORDINANCES. STATE LAWS. AND RULES AND REGULATIONS. 1 ALSO CERTIFY THAT MY REQUIRED LICENSE IS <br />CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS STATE LICENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL <br />WORKERS COON LAWS. <br />A. r& <br />/ /, Y4 HOUR AOVA*+!`€ "'ICE REQUIRED FOR INSPtCTION S <br />t7: 09M612t�0 <br />DEPARTMENT US ONL:' <br />Cfoul k pct, lr iiy SPECIAL WCII Permit <br />P„mp In4mctiorl BY '� �—?car-,� C.�� WAIVER Received <br />5'38 sOr.rlr Inspection By Dal-, Constructed Well Depth <br />colaF•f�1,T: C J�. — - _��tl �p � -t`� iL� 2.� >✓[,�^ ( _ __ _ <br />ReceivedC.Z k::l —A --.—ntT- Permit/ - - --- — - <br />Codes , into eY Remitted Datc Invoice # Wolf ID# <br />- - ice Request <br />N3 sa oso <br />