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HomeMy WebLinkAboutGW1-2022-01228_Well Construction - GW1_20220103 L WaHCbaMIdarFairmadoi: GeeyThon�son Na codenfiam"w rl 4 1 N ) Aqua Drill, Inc. : . ' 2.Wdl Ononeft Patmlttts I WAUse( dl w aser. I F1ootl t�tnotpadd( dho8ho.lfatg Supph►) �Oeatmdwalwltmuadidion ' � at5let,WdwSq*(dnge) � -m BppWak JOWL— MW' t� aer Rai ti AqutSbNggeamlRom �Selidp►Baaaier uifw'lltst ffnaeeta TOdmology ObbsideneeCantaol & t� t3eothemud(Closed Loop) 13TM r 0.D DEft"M Raapn132tffjGiqdaln uadw#M Romorks ntTo tL d.lDato Wdi(a)Cornplded:-ln2.7 0�l. Wdl MM 45 tt Sa..WeU 1Aeatlous n if, � ;DP, R�Iiq�paraarNam° 1?ueiUtyll>H6Fapp9[aebl®) RPT,577 Ann N""(PCILIA �Mr OAdWia . .1r CMo1 ft f .«f Md� - �' Paeal Idead6sedoa Na tt,+IN) o' �: .�¢t;I t �• . Win;�� .. , ? • � • ,,•�atl A�d��mtltm d �ntesiseconda or deeinml . 22.®ertlifeslaae iq DSO Id 91•1,� W Lh(m)ihosamakarmoneat or ordimporasy 7.R tTats a fa ae �'� rb� u l Aenrey eat dmr dre 9mjIjV Ime amp)aemaaaed b aeewdanae or 69 srllh lSv]NCdC01C 0 100ev1lANCACO�.UIOD IFd/ lea eerdlhdfa gArwLea>spa�fltt�luelmmeilaoaa �da 'dieaapmegJYhe �1�1'�I�aA"easdA+aobew,p�auldadmr/mutiJDeunar. ' 2L Bite dialg em or addidoad vd dideft L FwGcoprab Mff ar Cosed4Amp Ceo&amd Wdk ha thesame You Maly use the beck of tole pgpe to provide additional well ate details or wall. �aonsmcftonlyLOW.l isneeki bd{woo'10r1'ALNUMMofxel(s aoastragiondatis.Youmoyd oem aheddkhdp guifneeesmy.-. . fl.Totai*W dapM blow laud aortas_ 505 00 �aa. �att4 Submit this fisms�wiibin 30"1 ad Ilion of wdl h�'�fi4deme��roAdepdtr�dRBroo 9®2AD'�I�/OD7 coaatnaatioototheibDowing: 10.81M IC waterbvd below tap efae bW_-- 40 A) DIVU011arWaterResourwa WomatlonPftcmft Un% Qtrtaeerbscat firabaPee m'4" 1617 bbfl 8ervlco CmW.Rdef^NC 2969961617 11.Bosaholo diamtses: �,) 2&r inn ee�an W.MjV In addition to sending the hm to the eddsass is 24a Wdl above;also anhmit one Copy of mis fawn WMMI 30 dt s of eampIN=of wdl �, .tomeyd�.df�attis��Rl construction to tbs fallowing: FOR WATRR 811PPLY WZUA ONLY. DM&n or Wafer Resourcch iVaakq' aom d lgreet ins Control Feogram, 1i36Mail8erviaC �aldgh,NCa7�9,163b �3a.Ytdd(gpna a d orteah.1r"4r ?IBL Per Water§0&dk MR1100.VIA is Lion to aca ft the foam to .18b.Dislari ion °/° foe addmiKes)dew A also submit anal copy of Ofs firm wifhbs 30 days of $gype:.. .'] Amoaaes.,�l(�no v pldon of vall construction to the county heath depmtmmc of the aauW FasaOWl NoothtaaolAaaD tafBavLaasaatalQneliqreDIniefaoafit/aterltaan RaofeM2,Tl,2Dl6