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HomeMy WebLinkAboutGW1-2021-03715_Well Construction - GW1_20210823 • 82&522�72h1 � p,1 Fc b 1519 05,43p Ciearwster Well ixiilin9 ••"" "' WOOL CONS 'RIICTTOI+t 'G'W X� 1'nr intcmnt Uqc nay. r•J'Yr]i<'Antrartnt i<nGrrmatfon: �„, ------- Rib Dab Hi M1 M ►tall Cmnrma Nmnc fR VC:well k:antngaTc mfiantinnMTmw Bit t TpIWL o�.x� c .�-ems i►.i�i� _ �<<ricl C:�:npnny Nsmn � b. !QR o NA G I Well Comarnetina permit#: �L k-2 0, �— r.a,?a�prircritrr umNcrmnrtrcnlan rxrmt0.v(I.r 1I><,(.annly,Srrpr,1raThCncR rf•'.J f+• •.- 7. :i.1Vr.11 ttsr(cheep ttrcll nxj; Water snpply WeR: AM AgricalturaTlN(tinlaipallPui►ifc CCMI'l rmat((3entilig Coc►ling 9uppty) 5fttmidential water supply,(single) t+. Intht 1dA/Cnmmeraral CIResidential Wntet SuryplY(shored) N an Wimr`ittir(fiy W ell- �Rettomary t+^ Atonitnrin ~^�_• igjtrtinn ril: }1!. R• AgniferRechnTe, C3(iroundwatatRemedistinn -A A AL! Mrnton nquif-"tompand Rccovery ,Snfinity Bnrciet Aquitct Tcv aSmrmwsm Drahlagi: _ n. 1e><7teritnetttnl c1Substdence C'ontrnl C)aothe,lmal(Closed Loop) OTrnacr G. (;cc?hrnnet Hcluin notlnR(tctum) , Ctbw( Plain under il2l Ramarks. Y it. -- - A.RAtr.Wee(a)t".MapletOrf.,,_„ 2-Wi imAlb.Will Lomfln"! ry, FAeiliitylpir( APPlieahir) r� ns�Q' �i� C;innly PAt+cal idemilfcation Nn.(pih� SIX batlinde nod longitude in degmesllnintltc$fsecnRdsorAtelmat deRCe".- ff l,ona intgnnngain auitioirm} Fern CJN(ate.)the well(A) aatnatlent or DTempnrnry il"0t rro pAte f(7atifiedWdlCrnttrAamr rep role Jlum,1 a1o+r!v r�nn/fjr d1n1 rhr,trr rrjeJ ttnr fjrerr)030MATmvl In noTrrr SirAr r %•In thta a rc palr to nn oxfsdug wc1t: C)itas or y��`{. u ,lei rw;n2C.4100 rm iSA N(.AC A C AM It W ComIr"MOU-90mb"fe MO rhm�r tJ'rfils lvo rrrlrotr.,(711 mnknnnm aocll anraernwtnn lgJnrmarron /di drsPf/+irt rin+ixrn.ry�Ilha0..ORu nflhrs rimrvl for bP.rxprftdmfnl m well Amser. rzI Wr norlrr r1-1f rgprpy),a SCOM ormrAhi hard fifth IR fOMJ 2,L Sft digs or adowppi Welt day t ti.For Gc n(trnhcrillp I or CloRefl-i atop Geolharnrnl VVclta having nc�Snfie 1'Qu may use the erotic of ihntgnge to provide eddilmlal wail site details crr wail rxmatmctinn,anivIGW.1i9necded. rrtdittatnTt7"fAt NUMBERnftvrtle c0r6 matron dmai15, You may Aft ettaah AddltltmaT pHgtS lFnecesslity, g;Tow well t1rR(Ith b4tow tend surlime: _( ) aria. cAj_%W! Submit dtls than within 20 boss of acmmletion of well 1-afoul!dpirn,Nlsjig 11delrrlu'ifA(fJ'mArA(,wv p/n-3@Tgv'�++tr1�i f009 ron.4ffmionto the fdlolcht: I&$tAtfr,Tvat"IC 41 below tair of oasingt (ft.) Division of Water Mammon,laihlrmation Praccaft U01% 1J'rrolhrrlowllsnbrrteacnrlrrg,Ise^• " i617 Midi S'etvlte Cer1ter.Rm dnkNC a7M-1617 � li_Rc►r+ehotedi*meter; Lp , On.) ?.CIA ^,�a■, kajo_,a,tKeW In addition to tending the form W 111111 nddlutt6 It)?Aa i abaver Oba submit one cagy Of this form within 30 hays of eantpitelon of wall t�welt ennetrnetlon meihoA: } �'� c onwm Lion to the fnl omAng: (i e,ntg�,mhrg.altrlc,direct nttrit,qc,► f W '- t+l;l'i'LV WELLS ONLY: ilivislon o t fi36 MI4i13eMrx t alttan COMMmtd Injection COMMPlrogrltta. ` r RAW*,MC X7699-116.i6 i 3a.Virid(gpm)� PA~of tesh etia _ 9.1G fir Wetrr goody&faien Wdilr In addition to marling Ihr tbrm in cvpn: Illt oddrims(c:s) nbnvn, Sho,submitoc o copy of Ibis fbttn adlhbl 3i)dffp of r3tr.nrxtrttccnon �emntmt aomptatfoo of W41 llnoauaCtInn xa tha�ctmtt}htlelth depitttmgn of tilt:antniy where aonatnrctr>st. 1'.moCw'r NnrfiCamlinnJ�apmm�onr.�ftiu.•LaynmrnmlQmetirr-rxwma"oowaw ftmattes ite�B0A227-20i1S