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GW1-2022-08489_Well Construction - GW1_20220428
VFELL eoxSl'RZTCTTox RFC,} w n L well Commetor Iaformanos 06 �.Q n- '7SOII'ff3G.A.4'a�TG 'iiieils 08L'Q�t' •__ 2iap - / /�r� !�/i+ FROM 1u n7ex�ffit �Qyg 71sA�i76r. S m wcomstracameu p70 etmlt#`.�7�W•d D�1�7 Z? ZZFSpM . CJLSQiGORTwG '^ ->. ,:ma;. ema°'°evaoip�rfcr Ra Zn�C_M.sYao� mim ed era) -� R S m' > ret 3.welluse(eheckwell me). aWaterscpplFweII: .�: �.-x� :�- S W=.;�. �-•-�k^�.:•�� :�::�:�� .�.,. ❑G g Y) Publa; PBOM$ASicaltmal 20 $ D7A SLO'rSEM �Tffil�SS MemtuL Y(fie) �idetttial W $ Sa. NTon-Wa4rSspplpWeII: OWet1s>I30,opo GPDu " :=• +° _ '= t� .5:•:sr 17Dkmwr"og $ za�f.►c�oarrt�tso�Jk.ts[otan InfeetioaWelL9C� $ aGmundwaterR $ MAqdftSUW=d :ew"S7 nsarmays %rr,�tAvsz� DTO AgaifisTeat •OStpm D $ rwL saa �mtrz�tm ITeehaolo� CSuSsideam CmW S g C (ate I,oV) t]Tta= ' `DBII.LIlHtrFA� ;�¢ .. �•t, OGe R'LM_WCOolitiBRct=) Other( =der#2l Rtmatis) »DM TO DBSLBR7ZON a ilt�dcr 4.Date WeII(s)Completed; 'Ll.WcII D g Sa.W on: $ • FaaTrty/awmrName Faci t MOFfw_E ) $ , $ ` 1lSty>attdTap 8 $ .. Ih PUCCI Sb.Lafttt&and loapitadeis dgVe,&,iaabesJsecoads ordecaaaldegeex C¢�us�ta,eaeladlonga sntj > � N�U, �/j' / �•.• W 2L Certitiratiom wrov 6Is(ttre)the weII(s):km�ent' it OTemporarp I sip2 _ Dam . �� s11rrde 7 It this a regai<La sa es:stlagweg:, GYes or p ISdNCBC tl2C:0100s)'�gym)�raaraaedniaoecvciatanrtr/t Ifdlsrtsaaa Fdasbiornv�Qamaara�m rJx efd+e af'f,--dh-h_prvfdad��..��� �r7m amIdattampy 'se}+cbio�dsrt=JlnovtmLssextonormrdteherYoftTasfmat _ � 8.For Geogrobe/DPT or t]osed- 23.Sift or additional weill detallr. - P GeD&a=sl Wells havingthesame Yaa=y We 1he back of this page to protido additimd aall aot►stntetiea,eO °OaskaCdOga*IGW-lianeedaL 7adic3teTOTALNMdBERafvmM (,dd'Sm0 vet iaRft dmBoxj You may also=Whadditioa$lltagxs�a�q d,Med: 24 SQBit9T1'Ai, 9.Total well dept;t below I:adsaQfsee:_�'.�y � � �Ul-'IIONS . Fostradtllde+ndr�eaIIdgrTa�f �C e-3Caj200'md3®I00) (�� SbbmitaftGW-IWM=30• � 0 dapsofweIlOomplettoapertitefallOsvigg; If s kvd bdo+v top of ens - ) Z4a.For An Wells: Oagatal fog to Division aj Water' (D{ � iO *t/[J �5bbk I6I7MC,Pale*,Nc27699-1619 1L Borehole diameter; ( 7j 24h A Itri_bon Waft Copy 16 DWR, �m>1636MSgP2leiANC#699-1636 hgee:toeCam�ol )12.WE construction method: _ Ct a =y, daeetpmb,ems) 24c.For Water S�s d r%--v,000 Geoffi• . Danny�,�.... .��r— ermal Belara Wear Copy'tothe FORWAT&RSUPPZYwAUAZONLy —MOUBMWALUMCUMdeparn axmeooamtyahcems� 24d.For Water welis der- 13a.Yield(Ppm) Method ofttst: Pe:=Pmgtam,l 11 MSC, • ovesCl 1GM CDWmDWJ�CCPCfTA 13h.DitimSeetioa type Amomti: W Foon GW-I' Notdt �0� 0�' QaslitY:Div�oaofWa�•Resoiaoes Revixd6.6-2018