HomeMy WebLinkAboutGW1-2022-01073_Well Construction - GW1_20220107 Vc;b 15 19 MOP CiealwaterWait Drilliflg � ��,,"•"t'';.,�
W p!4 CONS'rRUCTIUN x2 co o�intcimni Us+; 'T
I 11 t nntrrtetnr inrormtoltatt; ____....._.�.-..
p� ita
:JC Writ Cannnnar CatttFtnntlan NuSnNn• T•S.
CW�_Vj a LDI---P-'
<'nmitnnyNnrnr. IS-331.�� : 6,
2.Weil Camtrnetinn A+entnit a. m tt k an^
i.ccrrrNnPPJlrnblrlrvnllr»nnnrednnPnrAtlle(J.r!,UR:,Faun•wm;Varlolicu, .--•�^�--••••-
h•^ fIG ea.
3.1Vr11 ltse(cht!ek%en user
TVAtcY:inpplp WMi:
AgricnitttteT tRtlalpa{lPuhilt~ n� �'
t`' _ •�.
Creothatmwt(ileatinB/l:onling Simply) aldenliat Wale supply(sinRlc) �, w t"
InduAtriatlCantmr ratal RcsiAcntfal Wet supply(stlartvl)
T
lrtls4Dllnq
Non lift,
Rupplw R rl"-�•--- �.- — _ .__r.— _ ^ l! _ _
A4nniktn RCcnvaly (tn
Atinifcr ltt�cbtrr{Ic �(irenndwntcr Rentedislian
AquifcrStOrA DSallnity RAftier S%" 7RtiCFlloi
' AcAn412aaAvcry
Aqui7ttTcvt ,9tnttnwRtetDrnina �_��-_--•--
)xperitnetttal TaChnat t�Sui+sidcnra routinl
' C'rcntharmR,!(Claacd f,ngpl �'iknanr t. !kl__1
trtl
Cmothrxt�pl(({aytln CAptl Rcnlm (3111er eN ittin undct R tl_2T rmnc'k�a)
-
•t,1?aecltl<A(s)Crntrtp�tad:,8� a11)al�...,.�..._,..-. -___^...._, �' f'_
all t canttRnno ...• to,
_ __ 7v , 0 y//z
1�nnilk}sNMr,!Nmpn �� I�aeilih( tt qMn) �1. � .
rky AArcss,Cltl.,amf 7tp
Av
}'at+nal rdrntl8enttan Nn,il+tlt�
tih.I•Rfttrttle R1td lanRltullr 1n dCt(Tal'SllililllifCA/AeCAndSAt'dcCimAl dCltreaA:
(� %V911 Raid,nnG intlana in flit 4nl) D , ya, orit
"i.IR(Mtr)me w01(A)&Permanent al, DTpmpnmry 40
41urc of(Vol idl etlCnncnawr
.ilU,rlpRipJj t111x;nm,I hMAPMfl)A�r that tilt 1Wr»(4 Ntar llWAM]a+Mflr/R1aNN1 M ormrAnRr.•e
i.in thiv a trpalr to an existing well: Xaa or Na rill that n
71'414ls4)rr�tr•pilrntrhrrmrrlt+rtt!,rnnstr7tctlmrlr rmnllnp nrsplMnrl,r.rurnnenfrhv ''n,?fr WellmNlrJ.
i•+:pair Hurler r17/�fnRftt,rrxtMu rtrnrtJ!rv:nprfi r�lhlx•fnrnr.
x,j,mfe dNtRr■el1 or addlIft al wail dM t
R.For C;`Y'i'rnla llppl ar(IOA11&l.mAp C.etllharnml W tltR hiving the saplt" ltntt may tt®n ilia twek of this pree to provide addkbnitl avail Ally dvAlls or well
'f"n,mctinn,nnik 1 CrW-I is needed. lildipRta TMAI.NUMBER of wcllc crmytruc licH1 dMeils, You may Aft Mfth Additional pR$ts if nlcemly.
I'aR I
l•hfM (�HMJI� .lew it f cram IV APT r/n07 .. ZR:t 2,>t�.. par.t11 witlnt 9ubnth tltta fJxttt ivkhin 30 on"of ces"lcthm of%yell
-_ - t:onslnimitm to the fillmda
10.!itRtlr,Watttr level htttnry tap of restagr (tt,) Divislna of Whoa 1>twmrciis,latannaNttm Proeaaaft Unit,
!%Nvr�erlrn�dhrrnhnM!cat7 .u:p G 1617 MAN QfirWeeCeeter,Ab1111FAMCa700-1610
tt_R+►rrhntedi4tarter; /0 ___.(!n,) arAh.BK IMMd",3YJW [it addition to rAmifing the faM 14#10 Odom"19 240
�l
a?,Wli t c411911Mtinn Mabod:/V tdny;tafen sWsmlt Mc copy of this form wilhin 30 ft ra at Muplatlan of Wdl
t+o.npipr••,mrrt(T,"M4,Oiroct MIRlL 0C.) tRMI1mcliott to the following:
lYfta�'^Tt R ACPIR y WEL R ONLY: —` tltivi>tlpn of Water lReeaa ws-Undcrgrarnd Injettlen Control P,vagr■m,
tG3R i11■l)3ee'altae Cantor,rtalctglt,t+tC R7ffl�•f<f►iG
l aa•Yleid(glum) - _,_� itileltllau of fe9k P.rtr.,, r In oddiliotr to-wording thr than to
r•tn.t►rls+nfettian typo; Amatmt^^ x_ Me nddirm(cs) above, also suhmtt nnc copy of lbfA feint VWMht 30 dn"of
^-�-- c,Ompratinn of Wail tanolttti OM in the crpmt}hCAl1h deplAlttrteftl of tha trrnlnry
Vrh�'V CA1{AtrRGW.
Nunn(:Nd.r .
-' _ t•IorfhQnmMmel�apnnmoneof'tinvyrnnmen,n7ryemtdty-fNvtswnM?Wgt�tlpppnntGS
taeutattl?.Z2 1h16