GW1-2021-03778_Well Construction - GW1_20210823

828.622-720 p'l
Feb 151905:43p ClearwaterUVe11D611ing
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b.is(tere)the wetl(ai) Rermanent or DTenillnP Y r/rRc tin*•/pr rrhvrrrrlfjr Afft the natfjx}Mrs(isms)roast
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i.is 11ft it repair to M tM94119 well: N., or IYn py j +htrvtrorla wrt!
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rfd+la is_r rrpatr,,(!11 olu known tvcll,ronstrncaonrwomfon and rrplain tbn reran:of+hu .,Aft but
ralwirtal It21 tatonik.UVtanorrm11t:lmcknr7Lls,(ornr. )"011 ttesttsgS to i addition,Wdfl yn7ed;tnei)s at well
you may��the botck td'tliis Path 1� if noaessatY
R.t�or GenpmbrlilPT or QttrRd-t tmp�dhm'tnel Welttt having the same amtMeAfon drfails. You may also all addltiansl p>
txmstntct(nn.nnly I GWl is nwdcd. 1'nditSRo TOTAL NLIMBEIt afwclls t
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,.Tara(well depth below land spliacl:; � �� (C•) �1!>t. f>!nr A...._..i�l� Ott dtta fmm�111nn 30 days ai'comi'1C
Y•'ar nadl/plc wNteJe.M at;dep►hs if fexnmpla-3 g 10R'attd it_n110�7 Cnn9tNCilailla i11C lbll�$:
ill.$tatie wal Iowa below top of cnaing: (ft.)
Di 1617 Mal&r*o ter, ld91tiwt proeetnm6,1ltdt,
Getter,Wtetgb.NC�ik99-
11'srit¢t•turrt7 tssrtvtttacaring tnc"•", i ._,. Viradtse In addition to get MDA the fW010"tiddl>Csi9 in 240
ti.Rotthoit efiamcter: r —(in')
o
of this'form wli bin 30 days Of=Wcdoo of wdt
�ovc,tstso submit s>tie cpy
12.Well construeman Matbod i t✓�" m ----^ o Ltion"the f omfla: k
t i c,aogc:,ml cable,direct pull,910 04vtslan or water Benotrl l,40 Ut dr>tgrtrond tg�netlo°Goatral Program.
_ 1 r,36 Mail SWvl-Ceateri Rateto.NC"a"l-1636
FOR WATER Sill WEi.t,sl flNLl x rws�wNoti tBlrelit: in Amoco to sanding Mt mmn tv
24C i=nr WRtcr 4a p30 dal OF
13a.Yield(gpm) �i L Metlttui of teat the �4ve4 abn suimut ortc eo Y of thfa wtf eaurnY
(� 1n fi;� cnmptctisxt of well construction tc,the comity haedtlt dehtM 1120
I.M.Disinfection type,��.. !F. Am°ter vvtwe cormov ce
------ Revfaed2 22 1a1 d
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