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HomeMy WebLinkAboutGW1-2022-03355_Well Construction - GW1_20220314 828.622 724'i p,1 F'ob 151905:43p ClearwRjovVVsllDrilling 'Ntr1ELL CO;aa�i�w�...r.^.'A'w�1�T xt D[GW-u For in(CMU iiac 1 11<AntrttcwT linformt+tion: ML- M.". rll C;/mt�rng�nr�Cgtlfr�Ailnn NnmiMr 1 �(^� w S N tarn]my N�mr. "1 6. IIR C lit R.Well f:naxtrnttinn pairtiit U. Quail nrgdrrnhle we'll MnfrmCrl9n �.Ayr),I*(Oft rrtt}tlKy W�tcl•C+a ^ pfllq.wt'11, i. kriradturnl attinipAilpuhlia p R• iL ---- Rmidendal WAtct Supply(t11nR1e} R atntttcrrerai(TdlAti,lg/Cnntirip;4tg1pW) _- ,�,-•--r^ 1 to r,atuiaeCmn7rMPCia1 antiat'Qdatcr Snppi�=(flrprtatp •-& iJl� _,_..-.._.._..- Non lYnttrS�plkN►�dl; ...,.�.,.-,. - A4m,itori Raulvnry - R ArptiftvIturitarttr Q(irotmdwlttcrRcmcQitrirm t9 p ._. - AquiferStgrgpG(ulA tk-,nvcry awinity t3niricr _ Aquit2rTvn ihildow,,c'omrnt n �' l�:xpori►nentalTi:rllnnittlZy � _ n, "�--,►�^*^-�------------ Gcothermal(Cloned l.Mn) 1'tneer Cicn Nertna tl I an ie�IGaa%inn VMM (3dw(o�rMain nrxlcr 021 Rcmar�cr re f'��_---•--._... 4,Hate B'di(t}C.r►mpieted�:,,(���1,;n,�M_�._/..'.�*_�Q�� ' ,1/�(�a --.---,- _.,. Rn.Wen t..terattnn: 1 Ficiiitlt'OvMprItamrl rt, tc O ? .. Pl�vsicnt AdAross,Ct. An4 Trp �— s'•---- st.RKM_A„Q�GS — - t;met NMI idnitt nallimNo.(pi1Si !ta.Lfilinidt and longltndr in dc{tr+xs/mitnuc&rscconAs artlscirnn(drprr r9; — (ii,atilt field.one toMang is saitlnk„f) +Cc flrnfion: !:.is(are)the gvdI0 anent or DTrmpnrarM Gina urn (lrflift elit'etntnitaar Mc 9� J.jn upnrnr rpn:;nmr,l h irApo ki,fluty fhr fiVI xj rmr(W—)►nR.MM,in oeMrlA►.=rer i_t:,this A repair m sn esixNa>;srrii: �Xcr or• �Na r•rrh/.fR 1=r',tC 02f..Al(Nl nr ISi1.YC.1C 11?f,NXill iR71(."umlrnarorr 5iartrlarrfc mrrt rho,n g'rdd•is;>r+7Nd�:fill wadnnnn�al1.�rnxrrr=etrnnirtlnrmorfrynmxFrurl"r rile'annur nfnc� cn11Y of rhtr rrrmrrhRrhren jnmdrleAmrJrr tvcrf nwrrr� n wnrr rawor i7+l roMvrke xscrtnrt or'Oq rfh'hark ofrbr%,fam. 2.3..13ta ivxA, R.!;<ar Genprnhr/lttrl err Citn,ed•r sap Gernhtrmte!WcAa hmrng ilia snmr. I'm)nifty,rsn the 9nelt of ibis page to lowitleaddfliLwI vAl silo dloxits or we'll rt!t1�1nnttml,<MI!,IGW.Iisnrrdcd, !'ndirMeTOFAt.NLIAA8BRnf�.cns CQMgtMlrAjODtictAiIR. }'•MtlrptyrllRotlM11AdtrrtiRtitiiMsffittxetattry. 'll�rgt latkrytthiatittwtendsuMttcA: _ _ l ,l 24 Ibr—AH Nurtls: 911hMN tilts fi►tn1 wNhin 30 des of cmrnplMinn of%vrli r��rmrrlHErlc�rrrr.afflrMlArlrrlacl/•d{A'ermrr(ai'an{Mrt-+(��Frlt•'mM�lOt>•'j ctmatflreiinntnthclbiii»stag: in.$intit water ILevrlbg(n1v top olrcaaing: .,., DiviFina offticr#tr,Altumal fa tmoti pl Frw.a tg Dail, ll'Mnrerlurnllte9,arnemrn�uu "• t 161711420$f**, Center,R4tligh,MC2709-t617 t 1•Rni+ettnlediatnMcr; _ '�(1n 1 y itt,, C¢ jUltnn Wen!u; ire'addition to rending fire fardl to he itdd"in 24A !7�lNrg ranttrtlt ItAR nl4Mnd; [DAM A 1 shave,nt8o tcubmit acre copy of this Ibmt vilhin 30 4AVS of Mupletlan of we'll 1-W ,mart.abk,direstm;sh,ete.? —^--•_ omAqmcf trio to the foltolvIDA: 1fYfR WATER whtion ot'iWear Rtimurees.Undetrgroand ittireetlao(brttrn}Program. T!; tit:plr!li WT?R 15 ONt.Y: ifim wtSer'vier Ceme,1Rhtwo.WC 27omas 134.Yirid>igp>n) �____iUl�thnrtllt t¢Qt: VC.For Walce SRVM&JAkollion Wilts In additttm to sandbag W.rMn rn the tuidre%<cs) abom at" submit one a"of ibis felon MMin 30 do"of lan.lt►tlrrferttnn type; Atnnemt: c:Impletirnl ar v"U ctitomcfron'to the cgnnl)hw1b de(ilu0ll►ettl of file Monty constinoW. i i Ina„(;,,t:.; rW.A1,Cnmlirin f?,Tnnment of rhnlrtnmrntnl Unaltty.ilivrs,annl'Wmer Rtrmnrcelt Rcottdt?_y.!?alb i WA Odilo r Self-Ig►weipt Ca rmdon sChl, -rrciC�r 0 '1 . : fin`C,�C� L ed " r.. r xx*- I hereby car that the*we re rated wS was pared in a O mw In accarda ce vAth all Countyii en rules Well Dxiller: Sig"ad, _,_ 113 -�— :GrouWd: 7 Cwstruc don: Gmut: TOW Depth-,_�� _ TyPf-: T .�.� Caslug j W. <L- Thidmm, _ ------- g DwVth: D3 •�C� Drhm Shoe: i