Laserfiche WebLink
Tn�-t`4 y ,,`7 ikf_I i? 0 8 6 0 '°N N d E S : l 9 l O Z -Sl -l n� ;w i I p;A a a a <br /> WELUPUMP PERMIT <br /> sr+1 j o&atoH Caum EAMR.oka+nuTAL HEALTH DEP%KrMENT taES EA*T K TELLTa++wv�i�rt�-9tooKrau CA as3R5-I:ag1 a883UM <br /> NON-REFUNDABLE PERUFT CALL 20 02-16V FOR INBMTIONO WIJ?83 1 YEA FROM DATE JESUED <br /> J4m A,— "' ` 6 f I i K c" �1 7 bi a 3 m <br /> CRose STRUT (- -_ I i N - � G�` PAR .Sri USE-A3wucAmll# <br /> OWkChAaoRo;� <br /> U I l erryi, <br /> [gNfjtACMR ADMEW f & CITYISEI <br /> fiueeoMTUMOF _ PHONE <br /> fv <br /> SVSMWRACTOF ADDKMS I �JCn•NS�A* .7r' ] / ,a�� <br /> l.ICPJ16E G5T C-61 .D-99 011 r _ NUMans U 1 flAlE /� +'f!J �' <br /> GEODR�aRIc►1_IfvFCRr10.TSOr<= <br /> 1200!df tap X age SecUon_ �S <br /> lH72uCEq Ilmm �Ome6TIG'�rivet8 Irrigat,g d1lg71Dl ,.Indurvial Wdfet Cl slttyMord ring Sed StT6MgrChetadertx�Bon ��(}, <br /> IIGull7ranlwta nr��m n a <br /> j=E D B-m Now Welt RE[deBrea OV4 Vveil AiietetlanModificati Other <br /> Monitoring aN{e uveas SamAorhtq(8} Rofbaivge GavTedrdOeS aortak�s <br /> 0.6014 rvdca 1 Ou1�F3en tcs We}l Renewret GrDas Co+rtaetlan Vtepalr <br /> New Pum 14%F&LQ66R Ia CSA! PLrt1 R r ri4 W I <br /> .Wra.4 Ca�srn++c tteV. I �1, <br /> Drilling Method MW Rat6ry . Ac Rot3nj AUpar �Cable Tool Pumh flit Olfrrr - �i <br /> hopoaed WeII Dept k on In tisnmter open Boum 'G"F8ciUGreval Sae In 01or�r <br /> Cocld%lctoe rasing in dameter 1 Condu=r CmIng Depttr <br /> .,_:. Well Caeln9 Olamefar In Thk.Htnema! pJl�TM othed 6igd 'Plael}c �$fginlas^.SterJ OlttEr - <br /> 'Erout 5061 QOpCI R N Cernerri{9d 1b bag'°t0,7e1 t�rery Farad Cernen�„ seok?1X17 gvl water <br /> Bentonite(20%944e) C ' <br /> arcus rlaeemonl Mathod Pimped Fres SFW .'O*,nr. Rrnndant lAecala Wxr(namr) , <br /> PEMATJL trrsukd my Driller p Camrecto� Omar <br /> Concmte Ped1i .DIm9rYG ra,:Widm1 1t ftThfok �' r3v19dy Box ger Pipe <br /> somerole Tuit'kne O er _ F{P Pum b ft Wetvr ft <br /> 111ERLey CERTIt+I'THAT I HAve PRSPAA� THIS ARFurJ�7FON AMD.THAT THE WORK HALL RE DONE IN ACCORDANCE <br /> 'NnTH SAN <br /> JOAflUtN UNT1r OVE 1M.,W 7HG 10.G9oPlT{7AFTORS STATERULES AND Oul10ETN9mc mQARD AkI ALSO�Ftf1FY TNAM 1M GDaPAT MY �LI�E vMV ALL V, <br /> CURRENT AND A61n <br /> WORKERS gNMMAInoN Lp. - <br /> I 1 M HO lf2l:G FQRJNSPECTIONS•PLEASE CALL(203)9 •76181�7 <br /> nEa IIAYG r✓ <br /> Im <br /> IVE <br /> JUL J 5 2016 <br /> +4-- <br /> VPRQhIENTAL HEALTH <br /> Rn��rrs��V�c�s <br /> . I. <br /> l , <br /> MENT <br /> EIVE'D <br /> Tin— <br /> ` 18 2016 <br /> AQUIN coUNN <br /> I fifer-NTAL. <br /> T SE N I L Aj�.�r,��jS1Fj�AR,CM N� <br /> MPlieal on Aeaepked Hy t ✓ DnEe $ � Nen C, ( P_mploYtc l ` y�fL <br /> GrouI lriepeCliat ey. MAIO L 5P6CtAL Wel!Pem�IS. <br /> Pump I mmiii Ey Dere �: .WAIVER R"alved <br /> soil Sbomg Inepection By _ Cafte�,� Cmutructed Won Depth <br /> C(3MFiENTS - <br /> PE 9G Recekved Ammimt Date PvrrnlY Inyp ell welt ma <br /> Codas Info Ra�niGed $�r.hceR BLR <br /> X31 v`7J $2w 710-14 ;ROP-75.1,51. <br /> aro�, ■ <br /> )r r <br /> M <br /> ■ <br />