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HomeMy WebLinkAboutGW1-2021-03722_Well Construction - GW1_20210823 B2B�62��72h1 �.� FBb 1 h 19 05:43p Clearwater Well W PAC RN&TIUN 1<2EC0 {GW 1ll r—nr 1Meinn)vac niy; t.�!'31el�.nnsraetor lnformatfonr � -----•-'---- lvril Call"Clor Nome© r►, ft. - — — NC:Well Vaniflon,Cettiificattaft AhnnNcr C Q t MA t'nmpl.nyNamr. Mtb. BR � t. -- 7..Well Cntanrnetlnn permit#: i I D"` 10 G^`` R, k )n• UO(111 nlrplrCOle moll emmmatlen lxrrnr2r(l r.ll!(:Gnnnly,Smlq Yallanrtq rf:J ';-l<Yrli Uir.(e{terk well use); /A Wa ter Supply Weil: *+► Agricultural DMtnticipai/trahilc R• R^ m' Crcothcrmal(l'tentinglConl)ag'llmly) Oj%ldential WaierSuppiv(singic) Q tt• t'r indnstrie{1Cnm7naraialRr sidentieE Watn Supply(shnral) ` 8 01 T t► ILA trtt noon Non'%i- r. 4rtpply Vied: n R4nnitttt(ng ©Recutnity ft" Aquifer ltechet#e r3oronndwotot Rcmedialian 19 pp L ton Aquifer Stgragc trod Recovery 13Snfinity Rnrciet nL � Aquitcr Tcm DSwrmwntr:r Dralnags L7gleritnellrot T¢etnmltsgy CISuts)denc+:(bnUrll G"thorrnal(Clover!Loop) O9'rnctx Genthrr}nal(Ht atinpCaoting ftcn7nl Qtiler eft tin under iF21 Rcrntrrka it, ' is t Vvelllntl ft. 1 _. 4,Datr.bVNI(s)Completed; __ _........ -- tt, Aa-Well Larntinn: 1 - tb l l�nrtlitv.'rltwutrNtgnc titetlityliNf{rfttppitcgblr) n' �"�try� ,a. M rBy*0 AAdrou,City,end Rip C awav pntecl idemideation No. l'1D. ( � tib.l.atitndc rtnti inngiitgdr in dcgrncc/mimltcs/seronds ordceimni d. rcea; f?..sdl( 1,ona tn[gnng ix nu8ipintd} !�,Cer" nn: 4S.1n(ar•e)the wctl(a) Ircr/nanent or �'lrtn)lnrary are.ofOwl-&Walt r tTnta !tlr,rryvlfnll Ar+r,lhrar,1 hR7rAP1W11h'trial the 1wdr(n)tms(prom!rMPA OW in OcMd'"re an thi.rt t epalr to nn t xivNng well: rAVAS or No Will,i SA W'� n7r..4rno nr IJA,vC�re gzr.oano Wen Cowrrneno2r Svnarlmr[o amt rhm 11 lfd.lr Jxn ro/intr.(J7l rnal�ofnxm twirl aatsrn,ritnn Arinrnmrfnnmu t1lown the anion•oflha rnRv nfrlrCe timid l�J 7rR+!9 j/rrrid$4rllnllle,HMlf enrlfcr mwir under AN mma*SMw orovar.had nfilawfa►71r• 23.$t!diagram or laddliMliall wall dMilat R.Cur c3exytrnhe/iUi'T or Cittped-)anp GeWhnrmn)Wa1Ta hrsving the samr. You may use the bncit of this JMSC to provide addWoftn)wdit date details or uWl ,x%nxtntcfinn,,nnly:i C W-1 i f nerdcd. fllditauc TQTAL NUMBER of-rtls existrivAino details. Mott may elm altaoh additlonai p9gac tFfIOCtSSfltV,. driliad:___....," _ finial well depot bolow hand=dliee: � i0:1 W. QM��M: 9ubnrit this Aum wi4fin 30 dfUw of camplt litm of Ivrll rnrntn/r/,ofr.wailrlittir/ldanrlrrifr>�fn►nat(Armnplu•f04AVP*AMfWnMl Pool fllCdon11Dthe folli 14i )P.Static water lev"bftW top of rnainitr (ft.) Division of W rater Ra0mreesr iathrmatitm>rreemsft dull. 1)'malrtr'"'d)xnbnnetating•Irae �" t61?Mad Serviee Ceatcr,IbIdillk t%2700-1617 li_ip►t>ctloteAiaeanten t 0 I S5 _ _(in•) ?dh,,&C tit ejiga WA in addition to fending Tftt:form 1q gilt ndtlfC�in 24a _��y tdrovq atan 4tahmit one copy of this fWm wilhin 30 daya of eemPtetimr or'Well tZ Welt Carlatrllctintt methad. 11.G5 wnstruction ro the failowintr, 0 a,mtg1:-,ronux.athit,dirtrd park,Vica round _ rOR WATER St:ppJ V WFU.S ONLY: IDturslon of Water RiEeDlTICit APzUnd ftt lelghr WC'A709-1636��� 163611+1gf18efvioe Contta' 132.Y(rld(gpul) ^ Blat"of teatt Zle Mar Water 3aettl►&iaktetlnn Wills: in addition to:landing the titan to Ille nddrts5{cs) above, also submit we copy of ptit ibttn vdtllht 30 days 0r ran.13minfec"'M typo, ,Ammmt; completion or well pinsttt>ctipn xo iw cgnnty(loth Heroin ant of tht:Mains wham ooft9tiRtaw. I rx,n Cw-I Narlh<m nirnnl)arnmm�nr.of tiu.•Irnnountnt�rmtlty•1N,rFIM1 or W9ICr Rngantese ttelfarnl2 22dR16