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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