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HomeMy WebLinkAboutGW1-2021-04583_Well Construction - GW1_20210429 Feb 1619 06,43p Clearwater Well Dri0ing 82M22-7241 p.1 \r i i�l�JC\iLL�.Vi7W rV 17 ��. W� ••w•.•wir. tfir Tnkarlai Ilse only: t•W Conlraet4rinlA alNlon: ®cjZM sst�lI C almor Nimle Q x > 4 rR -4 AI NW IV Cnnnagor Cagfinday,Nmrmw � ULOMCASMOV SC\es' Q �� �R swam Crmrprmy NMW 2.WoN C4Mrnf6oa Permit;N. e;. SIROR r ;MA L iLNrrtl%+1+/fmffc+':llrxntrrnrmtorrpArwrWaf!lGCOArea;.WIC.Varirmerolcl f1. 3.Well Ilse(ehta Well me): �Vntar Sappyr y{tclf: 17.SCRBBN Agricultural G.t"'RWdaa WP ft. IiR. �, f u as 4UPubilc � (HeAtiaB/Cvulttlp Supply} tial WatcrSupplp(single) tr. in. tnd:slrWVCommp�W lkmiklallid WatorSuppty(shored) irm align ILGROUT Pam I TO fMA 3YOMN Altr$qp�r{�rell: t�. A, Mon' fnjeetiatr RtRotae<yr te. is aquifeclt+�llst� �GranrtdwaterRemediatifm n. Ag4ifi r ftrqa MQ 1Reaevcry E]Salu►ity Bfnier Aquir'erTest DSamw wDrainagc ticTo nr. netclt+too Experimental Ted"Miagy [)SulsIdenca Comm] fL ft Creotheirnal(Closed Loop) DTtaur tleoufcatlal Hoftin Retuaf Ater mWor 071 Rcmar{tsPam 70 I i f DAM W01(s)completed; 'a o Well IDM— ' h. l u L Sa.Wei!Lfauttinn: ` n I/CIDR ,a raali�rcl �,�+� to;+� upRucable) n, fa ft Mrysical MldtesK� C(rX and Zip 2t. r,uuly -' Pnuei rdanriflcation No.fR1N) 5b,l aNlade afrl 198) trde in degrees ailnuteffseconds fer ilecimnl drgrem GfwettfrctA.arrct�xNfl's�uBiaanfllalrml} v� V C Sb Q l� ', CX D / r i Y.2+CarliRation: _ 41 IS.is{fine)Me wail(sb +r a"N or Dremparwy si otmr arowIRea Wall Cafearxar p ?-id tbtx A tt !cy rljminlj rb .;arm,)hrmFv Cmrrfy Arar d#'I�W4 WM�)CWP/WA d Af RMOM Ur pairtoancslfdagwd� ows or ( No a4h1Sd.4rK'a21.pJpOnrIJA,Pf�K A1C,1JTlJO well C.uxlrartiar m►ahrdsnnf�MnIr IftldrianrgWrfJgnutMWn MO,'WWMaf"honwirvnmul'r:pain die.W71aren/}he &JR.oflklrrcvwdtwMWpArYWA)r1wORUMAW. "Wirasdu r.21 mmrt/&$MUMorottfm.Aara af1htsfWM. 2.'i,Site disfynftrr oradditlemitt+f9ldaldktt 8.bar Ge oprobtAwrta1•(2mmi tAap GeMbef ml weuA boning fie smltr: You tray use flw buk of Ihk page to prpvida adtlMml wall Me deelf7s or well wtnatnrcrion.00h 1 GW l Is Wiled fildkM TOTAL NUMBER Arwalb aftlthitr"tifmdm+ilg. You may alsoartfW's"Nontposa IfflaccE ty. drilt�cl; 9.Trotat Vol wpm below land saracc. tlt► rnrnudN+trlrwNlcli�taridtpt/tyijd/�ernnr(esaa�pr 3 M(1`m ;�lr►nry 2'f• &CAM Nb: SuM*ibis ftm!W111in 30 ditys of canpidion of well con9iWinnto The follow g: l0.Statim t1Wer level bchsw top of esslo s fit) DMyiaioa of Water d itnh. if a+nrr�r6nz herd"ecartn�nFe".4 Raourcm JWbrovedon Pro I 1617 Ad Sa valet CsntM i k1 t0k NCaM4617 li.IRottdmtedlf®eler•; AaJ < L 24t.f•fdee,, lec WAS&. Tn addltioo to sw"Ung the f0w 0 Ilta addrOn in yea (Q Well coslet►adl4n Method: D ttleo 4ubmh me spy of this fo►m r wi1T8n 30 drys of aomidstlort of wall +rMay.cook,rJimt Rush M.) �T cotrstmtdian to the folIMAnx L730. WATER till PPf if R$f.L3[1Nl,Y: Illvlalon of Wrater Reagurc*9.Uadcgivnud fq m or CQtutvl lt'f rga. 7fi36ttwpASergaeCcntm.Ratetgh.NC27R11Qbield lupgf) orteal: �4/ 2 Jc f?pr 1Nsfer 3orrole&hteeNnn rGyxlie- tR addilio0 lathe sdd[4s es) a M1rhafca wn wpa, Arrouat SC etsa submit oac copy of IhIS form �AOft 30 days of Q ion of wal C—ftucthm-the calmly heahh depmemem of the ammy 1+gun C1A+-t Narf6 Cbn+tmn Uapnmrtom oPidnvlromnunral Qrwktu.AfvismtrotR�tcr Aasmucm