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HE+NINGS BROTHERS Fax 209-545-1729 Aar 30 2312 10,'Cam P001l001 <br /> VVtLL1rurn1- Vtk(Ml i <br /> -'� ? •� 3ANJ0A0UN COuN1Y ENNRONYENTAI,HEALTH DEPARTMEM 600 EAST MAIN STREET.STOCKTY)N CA 95202 -12Dg)463-3820 <br /> NON-REf UNDAELE PERMIT CALL/2D9 953-7i197 FOR iNSfEC'IONS EXPIRES I YEAR FROM DATE ISSUED <br /> -7300 Q yt ^� rv1� <br /> JoRAOOREiy .l�g .�/� 01Y01, I rQcy 1 5 any <br /> CRCAL STRt!T� r"k(�LJIAPN 1.13 -OLA 1'L4 1 PARCEL SSE LANO Ust AovucanON s <br /> 1ONNERNANE 1bZS�. �W�L,/L'LY\ PNCM.E9zS -R9q-2�-17z <br /> �Owwm Aoimas V �q 1�oLS _�d. CITYMTATEJ7u/ s V CrlYLor G.CP <br /> ►t85 <br /> CONTRAC'OR ../p\NOy545� <br /> � <br /> CONTAAC'O4 ALL4E 8G G Cin,STATEJZ! <br /> SUACOnTwAC^CM PHONE -� <br /> BuGr orTT�ecTow ADC RA bs GITYSTATFJIty <br /> LICENGF V11S7 CL1 0-05 Ole' NUM6ER EJtP;IWTION DATE <br /> GEOGRAPI.,At INroRwAroN Coort c X Y Township_ R—ga SGclion <br /> i <br /> Ir 2NoFo USE COmeslicf'nvale toIrcoorlAgrcustursi L Indusbtal Waur OUallty Monitoring .Sw1 Senp16np/Charaoa¢a1c� <br /> _ F'-hL W91.1 sp;e' <br /> .s n,sa low. -- v '/E .� ora •.-. cv v-ot' <br /> 1 <br /> TYPE OF WORK Gw Wal Replacement Well C Wall A1tirG!IG%W0d,f-t n = Clog, <br /> Vorulonrq VYdl(s) Nor V*Ile So.l Bonn s) a a'to V. #,0 b.,ngp <br /> Bt Geotechroul <br /> Cu'-CF•SC-CC Well I- C'UFOf-s—ot,Wel RynywGl C Croea-Ctnneaion Repair <br /> Ng.Pu^ ;Pu R cement Pum Rr d r Ruse Well Cov-gi <br /> WELL CONGTRUC T.04 I <br /> DrillingMetnod ud Rou Ar Rotary C A+r e• -Cable Teo1 P l <br /> ry q .8,Pont _ Other <br /> Proposed W.11 pptr, 0 A E"'ation In diameter <br /> �— ) C Open Bonom XGawl PeUUGn1vd Si m OwaNNY i <br /> Conduaor CGGhg fr.diarnerr l CMCV:t0f"G61ng DG01r !• <br /> WGII CdGing Demeter_6TThlnssa/C;bU;WASTMSched�QC Steal Ie96c [ $to less SWeI C Olrer <br /> Grout So I r) Un � Neat Cemynt(94 Ip DGa3-COoGi wa!er) - SGTd Cemarll 700'T:;.17 got w;m <br /> 8OtteGrout Plaumenc athod PvtnpbFall _Oele( RGtarcefll/Acwkr6:w I.Ame) <br /> FP*OERTAL nstaU.d By C Ddller tap Convector - Otner 1 <br /> Concrete P.dastul Dim nitons-WdM R Lynptn R Th•e< Chrisry Bos -9lutre Pipe <br /> .�--� Suemes.b14-T�,Wne C Otner HP Puryp SLHR Standing Water-eel q <br /> 1 HEREBY CERTIFY THAT 1 NAVE PREPARED THIS APPLICATION AND THAT THE WORK WILL BE DONE W ACCORDANCE WITH SAN <br /> JOAQUIN COUNTY ORDINANCES, STATE LAWS AND RULES AND REGULATIONS 1 ALSO CERTIFY THAT MY REQUIRED LICENSE 19 <br /> CURRENT AND ACTIVE WITH THE CALIFORNIA CONTRACTORS bTATE LICENSE BOARD AND THAT I AM IN COMPLIANCE WITH ALL <br /> WORKERS COMPENSATION LAWS <br /> NIIN'.MUM 14 HOUR AGVANCE NC❑S =REQJIRED FOR INSPECTIONS <br /> 4 r <br /> SICKED TTCF o'd- 'SJ�crv, DATE <br /> i <br /> vi <br /> � I <br /> j <br /> REEVED <br /> ' APR �a 2012 <br /> ENVIRONMEN-�Al- <br /> HATH DEPART <br /> A T M E N T USE N L Y 1 <br /> AvoFII%at'pn ACOGDl60 BY Date O Arm Employee IDR r'//� / <br /> Grout In_peaion By u ' Ceu Z SPECIAL Well Permit If <br /> Pump Inspecvon By Dau WAIVER Raceived <br /> Sr I Bor nq Ins cn 8 Dau ConGVucW We11 Depth R <br /> COM+JENTS �7C/..Cr i�I() /(`LC.e-►��_7�7 <br /> PE Re:aveA h N •I amount Cab P.rmly 11111016f Wall IL). <br /> C61:11411111. In!o B R.mlbd S.Mc.Request 6 <br /> ll+o 1346 ,IE-.AL—EA-T <br /> ".01 <br />