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HomeMy WebLinkAboutGW1-2021-03606_Well Construction - GW1_20210823 828.822-7241 p'1 f eis 1519 05,,43p Clearwater Wall Drilling WELL CONSTRUt'TIUN�,CpRt��Gw"><1 T Fir lnWnni Um nay: t.W�11 Cnntraetar tnfort[ttttivn: ]tlHs y OCl W01 Contactor hfptnt: i MIL /C�,Well CnnMclorCatifswtion Nnm'b r' ( f R C 1Pli+ Yiil V ebatrtwtt � 4'nmlMngNamc d' ��� OIAMC[EA 2.1Vc8 Constradlan Permit 0: � � � i.7xv a/J np/r/7rnhie tralfcrxlstntaJlofiflOR/rgt(J.0.t/tC CnnMy 8tal�YaMamv:;err.) tt. 3.Wdl Ilse(chtek wd]ose): 17. �Muntcfp+°UPubi'ic _ () To a+ Eindussrial/CommuciFLI ywcR: ty (lieatingican] 3VPv) DReddential Witter Sapplv(Ansie) i�n aReidciiWatesupply(shared) I L D Nnn-WAter Supply Well: A4anitoriltg Injection c# Agaifcr]tedtltlgc E(irmmdwatcrRsmcdist]on 'f9 HBLP auC L aquifer Storage trill Recavcry J3.4nlr�nity Barrier AquiicrTect �gtorinwaterDrainagn R. rt• Lxper]mental Teelmnlogy OSub0denao control fk LOG Geothermal(Clased Loop) OTca= DAI Qdtar,0111a(a ender f721 Rcrntuics ry it. A CieotFterrnal(titattia ling luntm) V p^ IL s yL naAG! .t.i)are Wtll(M1) .ran.Wt11 li.ttcwtMn: ►i'� � � R. .. [t �++,.a.„�.�� _._ Fae+lily itN7(ifartplicgAtr. � S•actltty!b\,71trNsmto !t i� � .;•� , — oc r�lty5;cst1 adntucltX.a r t�iJ tlu�s Noreel[dautifmtion No.ON) Si).i,tt itudeOno Ionpitudeindcgrw4lmlmttesfsecundsordecimat rtr.Rrccs: I 'rE dnn: (il well 15MId,[me i8Ltlonitis Joiricicnt) b -sippiturcofCkrtifia191diC�nnb'rtatar �� nranrAaacT A.ifsNvO the wellwaip rmRatot or DTemparary r ,,n, hrtrltvoerr/fp AV:Ar%WH("J Nar ''� 7,hm,r Fy emd xfppIng Mx 1' �+�i ��.�(( men lS,i tir.',1C.'Or*JjAO Fir 15 62C. 10 W idt Cnrafmrtinn 57andcnlF mrr i.Is tlt(s a repair to An cxtrdag well' �lle5 or i�Nv a py 7r rr rord hosbtrh pin► Iftlrlt ix:r rr�ralr.,(IN mu known tw.'li oaysanurron i,(jn,mo�lnH and ul+f�r'the uaturc nftfrc r;t,atr render t,2t mmark=Iran arrm Um.hack t j/Als,(omt. ),, Sit,y ttso an or back a t�Wh1!��t 1'srt may tree the'tack of this pt��prpvlda m(dilialal tvEit ail°dttloil+rtr we'll R.fear GtmismbllllPT or CltttRd-LnuP Gedbe�!Wclis»twang thasnr+te ct)[►otruction[lnails. You may also Mwh addlfional pays rPaaaeNitr)- c0narntct]mt,noiv 1 OW]tt needed fnditxao TOTAL NUMBER o[wells �`���.* n�STRtttC7TONB drilled ^, - lotion of v,ell �R.) �� am A Ibtt SuM»R d► ftn within 30 days of wmP 9,r4#Al well dcpjA helow[Find sarfasct ca►nstiitolian to(be foirtm : i:nrntu lop reweN.rUst at;ddWhvf (e:�PA-3620a'andit@1a09 p Dividon af�iater RAMIWcesalydhrtpatlon Unit, 111.IRA&Wo"Plevel Wowrep of easing: - ( ") 1lt19 iVhY Sanice CmtW,PIdd�b XCXFd" 619 Il'Mnferraval isr,/vtrecortng.roe " I zti.Eta" aYd� ID add'tlion to AelldinB t11e lbtm ID dw�mt aP Wdi II.Rorehoicdiltmetm (in') ,ti>ovc,81eo submit one cc" of form wilbin 30 days Of 12.!Volt emstrnallan mental: a>nstcnctiatr[a the faflttwinsl� (i e.ma ,totata•.mbie,ttirect paeb,sea Divislon afWater tttamam%Itndeltgrotta�d tltj 'on Ctrttlral> ram• w ,rj6Moil$'rakeCerI RtittiO.n1C2700-1636 F10R WATER St4PPT 17 WI+LL4 ONLY: r a.r.r„atiott Wdlt: is uddigan to sundhm the form tv Methntl of teat: 2 tC bar Waror 3a--.. - of IbfM within 30 days of 13a.VirldlttDIItl the ttddtcss(m) :tbovo, also st:bmtt ortc copy this comfidti n at�di 1O!to the comtry health dChatl/lletil of the cmM t3A.01sinfectiontype Amntmt. wlxQerattnirtat " --� � ReciaeA 2 2I 1al b OW. Nosh G�+r+linnDePnAment of tinvtrcinm�mtal CZnnnM-f)toistan oPtttetar Itagotveas 'Mutt I ._.._._._.... f