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HomeMy WebLinkAboutGW1-2022-03346_Well Construction - GW1_20220314 82"22??_4'{ Wall frilling Fob 15 19 05;43p GlearW Rlat •Y"°"'"w '11V)Ex,L GQNi�TRUG'A'�QN R�-- ���f CsUV�11< For lntctnnT LJac n y: 1.Wr.11 C,nniraetar fntilrmatir►n: ;Veil f.10IT"aar NOW: _ ZAA A Nell(nntmetor CettllFcNinb N+ttnt+rr Tyy - L '--gip- (:a rrymy Trame �j 6• !f�C nu �tA t ?.WrIl Carmtructinn Permit - Gl.craNn/�rAm!,tcwctlrmxr(malnlrlwmule(fir.IJIf CnmavYTmh,Vartm+cc,rrr.;l 3.iYMI lflr(efteck vie))use): 4V,ifcrtinpltlq'W"l1. t<, fl. �ftrigiitilM) tntiel{tpSlPul►liG 0 Qctxhcraret(LteatittglCnnitc�SttjtPi�) iZmktcn*l WAtCt Supply(1111RO k ft. fi. RIP' I inrt+acuieNCbinaterCi9t f>;csidrrttial i�l►atcr Snpph�(sharnTl & OtIC b Non Wn*er%UV0yWrjl- tRi mini n _ .� . -------r•._ ^� +,, � n4m+irorir� Reenvnry __�__��- r — - gjectinn�'WdT"1':'--".'_ tR. t� _..._-...--_••-- Agttifq')G:eber�c Granndwntcr Rcntrdiatitm I9 P 7 t :�`" Aquifi:rStptAAp Md Rrc:ot� t��.S�nlinity t3naicr •�� � Aqul*rTcst t-rM°tlntVat4TthAipngv: _ a' .� —^"r � _#t Lwporhncnial T�cttlltrilt>;y Slihatdenc��('nmrat � �_-- KAcac ficolbr.mal(Clavul Loop) T yt fro Cirnthennal ft{ tie in Itt jum ti1W(aR 4in antler iF?.1 Rcmnr�r� rn .__._--. a.flare Wdl(t)C'ompiPMrt: -�-'---- -well tnN __. ' r►. Rn.WcI1 S.prwttnne tr_PQifrrPt+ticgblc'�- _ � In Czmaty T PmwlIdratiticatim Ma.flttNi ---- -- �T MAR 1 4 2 � ' !ih.#fiHtnBe and#nnRlludt in dc¢tccalmimftccfARcnnASarttcciptnt drArGrq; •--- --•-•• ��"""'�'"•"-- riimeil fichl,on¢tat/iann istnihMcw) d , 11 it�cntinn. _' '/ ta f.Is(are.)the well(s)�1'a9mnnew or DTtmparWv fg; IM4 diCellam tarmx 111A,Tamp.;AIPMAv f.rff fjf ihat 1hr 6XII(ig KM ORM)rxn+slM#M h,aenref"r %-;r thL•A r¢pair to nn exiaNn�wd1: �Xsx nr lVa A tr,tr 02C.111M1or 1SA.YCACrhh rs;�rrp�tr,ill mnkrtmt�tirrll raM an+r erns njfnn"011po r prafi the vol ...q0h<:If 1111r trrr rrl Fnrnnar(m»Ndr f to nc�evnt mvtrrr rgva/rallifer 11n+mn/Ina+cBoclnrnnr/ harknfrbM,farm. R,I1or Gmtrrabr/Afc't er CI ItpedA.nnp GtxRttcrtnAf WeRa halving Htc aamr 1•on mriy usn the ima of 1W pp to penMe adlIMMl WMI ilia dralb fir tvril crinlnmrynn.<mjyIGWljsnrcdcrl, rndiCtftcTOTALNUM86Rar-wrlis e+m9tn+G►nnc&taiic, yclu may I niso filmh alltritimml 9%w WomemFY. drilled:,•.__.»...._.� - -----.... ���q� ry'+That wOl*pot bgttmm land sarfaeo:,,., t'_...__ __ �(R) 24:t• 4�1�U,.YY�164: Submie this fbrm urlDtin'40 dttys of conlplrtinn of tire)) lrrrrurtlll�rcxrll.oliuMJdr/nlu�dl1Jcr+rnr(nramnhl•_r011r+•nml%(AI(MI conymwAionto the imlowtng: In.Static WWr levd bt RW tap of ia(nillion a(Witter ttelwm%I1d11ttmmtIOA VrKwbg llmty If Mier frnvd IV MU'o ahIBIL rrer. I 1617 AM Serviec Caeter.IkWglh MC27M-1617 #t.Barehnle ttiamctrr: ,_ �tTn.l ?Ab,tlar Mlrclinn�YsitP h►additirn►to sending ft fGM 10 dM ndOM t In 240 (� crhtwo,n4an Submit one copy of this ibrtn wllhin 30+feYs of complatl(ur of prctl lZ WP.1r construellan methnde amstnrctinn to the fallOWMA (f r..Mra+x•,mkttj•.cable,dlCcctp+csd,ctc.► _--.-.-,•. ._. })tuition P��ittitttut•ees,���mtt�1���9.16MG bran►. MR WATER.%CPPI V Wt?i,L.S ONLY: 13n.Yield(gpml ,T Method of test: c _ z.1c jrnr Nratcr 4aaQt+-.4��tiiaellan WNR: to adAitlen Io Stntdink Itte rmni to rite lyddres.*s) nbnva, alse suhmil.oac ropy of IhEa tbtnl W101in 30 dn" of 13b.awnta•clinn 13'j" ..- Amount:,,,� r.Impielinn of►Mv Gt►nsttttWI6p to The comity Will depMMt M of tits fm inl)• I ern+Cow-1 koA1+l'nn+lfnn i?rhnnmenr.iti t?nvtr,+nmcrtnl QoaUlg•rliv7s�eb nt'lVitoer RSRm+lrctq It4h,ireit2 72 2ai t: WSW DAIWr S*Wonwt CarOkoden IDOL V/ Owner ' r New` eU. .Aar � It�iair: Sao - v a hereby m*that the at>w rdemt;ed weU wun pmuwd in N4xo eance in amrdance with all CountyWeR rules Well r_ ©�h P �n SS A-- ••r—'� Cextiflcat�#: l const ucdon: Grout. Toth Deph;__�L�-- TyPel—o'RuAi —. Casing . V Mcimess:rJ_!_Ead Casing mpth: o Ham: rmve 3hne: __ i