GW1-2022-10603_Well Construction - GW1_20221122

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9.Total well diMh Mlaw I&PA surlkcae,,M,, I ,�,,e1• QA.) 3qs, tiuhtmit this Ibtm within JO days of fmmplolttm of well
p,w mahWo utitAe 0 i of)depths(rddl3nr► f�aaV►b• oull let en to t!a lhfwing:
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11.�ertthots dhlatott rt Ua.) U � t M 16 Wotl toe 01M the on to die addrm to 24a
a�vo,iteo su to t wio espy ot't its 4brm within 30 dgys Of completion t►f well
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FOR WA'1'R1t aU171.Y W6bL,8 tyA11,Yt Im Mali Scrim"cohtsfr,Rnmph, C 2760.1636
Mothod of cost: in wollon to Bonding the tbtm to
iJa.Vteld(91t ..».... —�.••�• ft�os}�, ON to m tl One copy of Able lbtm Within 30 days of
tab,Ahtttinetlen typal nn+aatnt o IMP oampleH o of wall Nntotlon to AtroCounty hm bb dopaftmonl of t>t4 county
aw where aonsmtoted,
Form OW-1Notch Ustottni Dt�itanonl of Ctttftotttnmlei t}usiity•UlvUhm of Water netouroeo Ror{wd 9•ai•3o1 e