HomeMy WebLinkAboutGW1-2021-02989_Well Construction - GW1_20210521 Jan. 24. 241E 10:5EAM Env. Health No. 6711 P. 1_
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4.Date weXs)Completed: wea>nu 6 Q 50 I
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23.Site diagram or addfflout Nell details;
&For GeoprobeWr or Clmed.Loop Geothermal Wdh bnviog the tame ifou m W we ft back ofthia page io.pmvide ambio®i wag gibe dtmils or mn
eonstmctiaa,otO I GL-l is needed.IbdIcm TD rAL NilA4M*fvm& Combis ion detmis.Ym mag aisa Dumb wtiosml peget tfammmy.
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9.Total well depth below lu dnftcu 4900 ((L) w,Fa All wed Submit this AOM wiUtia 30 days of eompletiaa of well
cmummdonforaudaple.rdtrtnrarl tJd enr(orampde.3�10o•mdi�tog� leffmf nowiag
10.Static tracer level Leber top of aft. a 7 (It) Dwalan otwataRmourm.iDfettnatton Protesttag un%
i61 AMI S rvtee CcWw,Rate%lr*C27S19-1617
It.Borehole diamaGsY: X4 (iti.) M Ror Tnieetlaa WrJ1s: bt addNioa to seadhsg dp:fam to the e!ddtes iu 29a
]2.wensossslrDctlah IDelhod: ahave,aim mbmk me copy of nos hun wA&m 30 days of compkttan of wait
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Divis<mD ofwatu 8etourcm,iJAdexgiroupd I�eedoa Coastal PraErem,
IFOR WATER SUPPLY WZ SONLY: 106M211SurvasCentep.BduskmxM9426
7 5 kc-
13a.Yield(QiaD) � Hawoftat: ,• For Wafer t3aeWv 6k 3aiedt we�a; to addition to siding tie tote to
eatdatss(as)shave,aim sabmk oat:ew of this 2 m within 30 deps of-
13k Distttfeedon Wpft L Attm a completion of well eonstroction to the cotmW health dasaumeat of the county
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