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HomeMy WebLinkAboutGW1-2021-06861_Well Construction - GW1_20210429 Feb 1619 05,43p Clearwater Weil Drilling f 82"22-7241 p.1 ��� WELL �IQI►i tECO ��sW li?„ ,4x, Fm'Internal Use Only: i<'�►nt+'attar:nlbrrtunloa: �R �_9 g�� atr� ZONES t\+rtt raitaratx utitte ,Vie O�R,•1 i„ i +it'Well Casa"al,c,rtl6eatioq M,,6er s !! r oat TO 'L art. cater rra,aa C trrrvsit c rl asi>aal c e x.Well C4eatrottiaa Petatlt#: MA i".V,41�beebb Dam ,wMnparmtrt(l a Via Cmrnry,Stag Yarlmreo.rG) � k• � 3.IVdI file(clot well aul: t" Wtttt•SapldY Willi: 17.SCRUN Agricuhntal va !U TMAL DMonicipal/Public 0 it Geotttcrawt(Heatinscooliug supply) esidernial Water Supply ry to tndusiriatcatnmereial oResideraw Water Supply(sbarttl} & u l Irti fail a stet !4 Non VWnrtr 3npply VRcil_ t4oaitotin Rtxotrcry tr. fa tt;tcN�m , A4ulfer Recli 0' It � �fltoundwau:ratetrrrdistitm ]9 8 'VBLPA a A qui fer SlOW(gidEmCnvety DsalinityBarrier ieFtt' 11tit::it AcluiferTcst OStorntwatcrDraimege tr- tr. Experimental Teelintilogy E)Subsidence Gtlgtrol it a. Gcothaml(Clw d Loon) 13TYacer 20,DBai.L1 M LOG Craitkainni Hoetm Kestrel Cher( in under*21 Remarks) a rrs 70 (` }� it. 1 Jr ff- mrtptetta; ell lasy Li rt. 11001 tr. lt°'0.!1''1t�C gin.Well Location. Tcc—LS T21 " t i•aci(ll�ty7)tvnMNatno`, I;Mlrly[tAi(ifaPplicaldc) n: R. Physical Adilms,Ciry,anid zip k IL' `C,.Q 0u-)e-l 1 a1. A R KI Gillum' ParmoT rdentilhatitm No.(PIPS) Sb.Liffitude and 1011 aide iri degrealwinutesfseconds or dedwal degree (i wo"f>�,ore tstllaug is suiRctmtl i Oe rion: 6.Weere)the wdt(F}�Ptrm ntim or DITemporary Sinnatme o Ckstittat WdlCantrnomr Delta 2v stomas nrls,{orar,7&f-'IVAo crtrrlfi+Naar 'WZW4 tar lW—)cotchversud in 4emtdmrrr 7-la this it repafrum an c tisdag wiew Dyes at 0 a 7k 15A 1VC:',fC 02C_0 00 or 15,4 NCX 02C.02 0 Well G'amirndfoa$taar3rrds mul rhm a Mredr;carrrp lr.fill mexaraixarival7.eaavrucraurirt{aw»atlaaandexplainr6wisirrgphe euppofthdsrewirdAacirrr+3tprot tedloMewKnivatr. mWtrann'&t'2t narearksaettlmm orfM*hWkaflUsfjarm. Zlv Stta dwiteetim or additional well deWillsa &-For G'coprearrlafPT or(30net14APp Geothermal Weil.having she sarne )'on may use tlic tack of this page to provide additiow wail site tlatafis or weir onnaimotian,only t GW f is ne cded f'ndicata TOTAL NUMBER of wclls c nitration details. You may also detach addi6onst pages If mccomy. dcil6ed: 4.lotrrt well dtptA bNpW acrid sgr9Nc LP (IG} 24a, Isor AN wNls: Submit this form within 30 days of compledon of wm(l fwrtrtalNpfrirrthtetratidcptlts frt�aray{rnrmpte 3WlJdr4tde@il00ry construct#tmto thefagowfgg: a0,Static awterlevea h&w top as easing: — -- (It:) Division orWater Ramwas,Infbrmatione Prwasntg ihdtr if xsatrr fact:Is rAv)rs eating mw"•" 1417 Mall Sbrvke Caster;titttdgb.XC27694-1617 !!.lfottttofedAimettr:,emu.__v _ .{ln•} 246.lac �ierdan Vt+�tLa In addition to smiditig'the few to the nddm in 24a 12,well ci mstrncdon lnaibad.. _ above,site submit one copy of this foam within 30 treys of cempledcar of wdi (i r.,Auer.antis,a%*term path.ac.) wastruction to the following: FYidit WATER t+t PPi V{VEa a,S i0>rta y; Dtvlshin ofWata'Rrairur cc%Underground it¢eetlon Con"Program. 16M Mall 3trvian 4reaerr;RAlclgh.NC M9-t a6 13e.Yield#lprial ifleftd of ttsC _ 2to,far Wjkkr&a&&fafeetisn Wets ftt alftmt to sanding the taint to die addivss(es) abnve, also submit one;copy of this form V40dn 30 days of Disintetttart typo ,Antoant: compilation of.veil construction to the comity beam department of the amenty mere consttumteA, l rxm f+W-t Bartle gentian IDMwimant 4t'tiavirrinaushl Q"tv-tkvistm orwaftr i>asmueas Rev6nd3 2�2nt h V S^ xhwA "WIZ oo glow ffisforamA Too + q vlt��ltldr �doh} �_.. .` ✓--�, uG .., ,. `' 'mod[iPl t of �• nnrit����I�IA �ell'�r�AIIM ,