GW1-2022-03448_Well Construction - GW1_20220311

. 828.622 7241 p,1
Feb 1519 05:43p GearWajAr Vqell Drilling
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r."Wair finder Of remarks xnerton urnrtIhr harkaftltts•fhrnr. 2,1.Sfta tftgnm or addidnml WO deMb*
R.For G-probeAll"tr Cifine&t onp Genthmmat Welts having the qmr Vint nifty uyn the tmdc of this op to pmvida additiounl well Rite dmile ur'Wil
exlnlnmetinn,only I cxW 1 is mederl. litdinata TOTAL NUKMR orwas a3Mtnmti01l[(etaitc. You may Rise attach addifinnai PRWS if Pc"m nry.
drilled: _.._ . . NUI L Wfim Td m
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'h 1S alai„veil depth lletoly land sutiace: D5— ' cn A) 24a, Earl: Suimtit th)s%M within 30 dRys of WMV1etion of tivaH
1%rr nudnplr vWMiu Mldrepilm rdl jform(nran{+Na.J@240•onrt Mal c(mmmitm tolhe follmId ig:
lo.$tattc Wnterlcvrl btlnly tap areaaing: O (l't_) Diviginn ofWater Re tmreta,ltdhrmaHgn Prmasiut Urdt,
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I L IM mhole dimmeter. LJ' / " 1 tin.) 2,W FM lRellQu WAS f l MAWa t to ant(ittg tha farm 19 Ole nddmNs in a93
12.1Veli anmtrslelinn 111aMads _ 7 alcove,also submit ale copy Of this ftmn►vilhin 30 40.3 of eottlpietkm of we-it
anlormtinn to)he following
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Division orVbater Rtamtrcet7 Uudc*raund igjm"A Coateol PrOAmm,
MR WATER fet- M It WILLS ONLY: 16361Mail Servlen l.4!nwx,tlateV4 tC"fW1636
13a.Virld Ithttn) Mathralof tegl: 2 rc, lnr 1►ro3er.. &ER do
WA In addition to slmding lhr.Ibtttl to
The adrlress(cs) abova also submit cote cagy of this form witllia 30 days of
13h.111tintleclinn type: , Argom►t:_ eDinpletion of watt oMfstt M606 to the Crmntp health depintineat Of 1116 CrnIn1V
_-- wltrte eptlslntated.
Nunn CU+-1 Naih(bmiinn fkTnnment of itrl'iaintncrmi QuAW-Nvistan ot't m"Raxmt'ac Riml.at 2 22 2a1 F