SU0010676 SSNL - Laserfiche WebLink

Home Browse Search

' \ ( (209) 466-3420 6 u)�11011•NEEUIIDABLE PE1rMmpEXPIRES IwoeHI.FROM DOTE ISSUED APPUMAMN M HERE BY MADE TO THE RAN JOAWM COUNTY FON A PERMR TO CONSTRUCT ARMOR INSTALL THE MONK DESCNRE0.THIO APPLICATION IS MADE IN COMPLIANCE WNH SAN ' MAKUIN COUHTYDEVEtOPMENT TITLE.CHAJPTER 81115.3 AND THE STANDARDS OF SAN MADU I COUNFY POEM HEALTH SERVICER,ENVDgNMENTAL HEALTH DFVMON. JOSAMMOOMq APNI •-231V�E. Hwy 26, Cm• Linden PARCEL SQUAMIN DWMUIFS NAME Gladus McGurk True ADDRERR26359 E. , Hwy 26, Linden PHONES CONTRACTOR Purviance Drillers,Inc. A� IMPOB 64,Linden LIC, 377923.m, 887-3554 RUE CONTRACTOR ADDIEGS UcI PHONE I ' TYPE OF WELL VUMP. ❑ HEW WELE ❑ REPLACEMENT WELL ❑MONITOR"WELL, ❑ OTHER ❑ RNUALLATION ❑ WELL SYSTEM REPAIR ❑CRORGCONNECT REPAIR ❑ VAPOR EXTRACTION WELL I J Sub E1NPN❑grW N.P. 2HP DEPTH NMP GET_ET. FIRST WATER LEVEE O RYES OF PUMP 13OUT-0E-SENVICE WELL 11OEOPNYSICAL WELLI ❑ SUtwvuNO S ❑OESTRUCTRIN: MTENOED USE TYPE OF WELL CONSTRIM71ON SPECIFICATIONS q ❑IMUSTMAL ❑OFFNSOTTUM M.OF WELL EXCAVATION DIA.OF COMUCTORCAMM D ' ® DOMESTICA'WVATE [I GRAVEL PAMMME TYPE OF CARINO/ATEEVI>VC MA.OF WELL CASING O ❑PVMICMUNICIPAL ❑OJwFN DEPTH OF GROUT SEAL SPECIFICATMN A ❑ IRRGATIONIAG ❑OTHER GROUT REAL METALLED SY GROUT GRAND NAME E ' ❑ MOMToWNG - GROUT SEN PVMRFD:❑Yr ❑Ns CONCRETE PEOFBTAL GY DRLLEq:❑Vr ❑H. S APPROX.DEPTH tOCIKNG CHESTER SOXmOVE FTPE S moam CONET1111CTMNIdELINO METHOD: MUD VOTARY AM NOTARY AVOFR CASLE OTHER- 1 HERESY CERTIFY THAT I HAVE PREPARED TWO APPLICATION AND THAT THE WORK WILL BE DONE M ACCORDANCE WITH GAN"AWN COUNTY ORDINANCES,STATE LAWS.ANO RULES AND MOULATIONS OF THE SAN"AWN COUNTY. ROME OWNER OR LICENSED AMNT'S.SMNATUNE CERTIFIES THE IML IO:•H CNDSY THAT LATHE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IN ISSUED,1 SHALL HOT EMPLOY PERSONS SMJECT TO WORKMAN'S COMPIGNSAMN LAWS OF CALIFORNIA.- CONTGACTORI'S MRNG OR SVS CONTRACTSM SIONATURE CERTIFIES THE FOUGWIM: -1 CERTIFY T M TINE PE WOAMANI E OF THE WORK FGR WHICH TMS FEFPIIT T RSUED,I SMALL EMPLOY PERSONS SUBJECT TO WO M'S COMPENSATION LAWS OF CAPPM M ST N 11DIIIU NI ADVANCE FM ALL RIPWROD MSPECTONS AT ROS)44111 .2E. COMRFTE DRAWING AT LOWER AREA IUEO PIOV . eU". Corporate Secretary 0.. 1 /10/00 PLOT MN RA.w R.SeJ.I N.tl. •1. 1. NAMES OF SHEETS OR ROADS NEAREST TO OR SOUNDING TNS PRONOITY. A. LOCATION OF HOUSE SEWAGE DISPOSAL SYSTEM OR ProMSED S. OUT UTE OF THE PROPERTY,DRANO WMENSONS ANO NORTH DDECTION. EXPANSION OF SEWAGE DISPOSAL SYSTEMS. DMENRMNED OUTUNlEE AM LGCATMN OF ALL EXHIRRI O AND PROPOSED E. LOCATION OF WFLLN WITHIN RADIUS OF ONE HUNDRED FF FT. STRUCTIRRES,MCLIMM COVERED MEAS SUCH AS PATIOS,DRIVEWAYS,ANO WALKS. ON THE PROPERTY OR AEIJKNTRNO PROPERTY. .. ..f .. '. .`.. p.....:.. ........ . : e i i e. .i...: i. .'...i.._ i .. i.. '....( .:.... .... .. .. . ...: ...:. . ...K ..: ..........:... , . .. .�....i.... i 1 [ { i 1 DEPARTMENT USE ONLY AIIPRn.lbl:ACCgIIE GF D.l. Nr� G...In. tion Gr D.0 Rn:P Impv>tl.n BY DwT.,eTmn Irrelbn sr on.