HomeMy WebLinkAboutGW1--05442_Well Construction - GW1_20230821 WELL CONSTRUL I LOA Km,-vw,lk,w_,I _,
Landon e e e"'ips it moan noon •
0110// m
stoert Ot.tarstw/loot 9(1 w /9 K Z 0
3441 A ♦?f rqu IL r v
�... ^cr t�f,waitlarl N 'IA OVr[R CASING Ow 'OR IJ�ILR tIt „n,H,,,,
\\ la WeH and Pump C,cunpany rr�atal l 9. 4 I & Id 7rl s 1 (Air
3.id i0A-1 MAfallal[
..lYsea,- ,,.,,,rK fr; a IL 1
<can,a�m+rrdle.VCCrr+w:Oro.Poem*ee► 1
+, ,,r It upt4 i
fs�r 8rnv( 1 to -,,. '
II . :- m.7,S. v) tRCe YAK,W11541 SM,ply(silt?))') ft. . la I
(7Rxstidma:l Water Suprly(shared) 11.GR6t;r
\vr > p ptptt morales,mow:t
) �,-. g�; L7 IlS fUr).L'l]UGITp most riI1r4YL 5 -
N1w-WaterSrpp!!mala 1
tt. C a_ fCw(IfnW ,'" -'.
JRccovcry I rt. ft. -.
rbxn V.,elk ( ft. ft. 1 _ (
C1Groundwatcr i[cmediation (
17.SAN)NGIiAv6L PACIC(if appt.ca0let
St+7r-rand 1:c.nccry ❑Sa finny darner rtt(]nt I ro 1 .rcrrurxt f roartAacaver memos .
DSIOrnwatcr Drmnagc t > >
hr c } CSubsldcnee Contra
ft. ft
.,.,:kennel tC r.ed.Loop) CI Inter 20.IlKIL1.ING((Xi(attach addNiweat xheetx if mmeiNtril!
room l to ; nasOtf1101 r,,
t 1ea, sr Ilms-waeatw eeareer enewc., _
_ ..,as'.+,:i ti?aaunS'Cosl n Return) ❑Otlxr(opium under M2I Remarks) Ir. n. Sot
C,
_� i Lute\\sUU(s)Completed: �/ -v Well IDM ,�^ it' ?S R. �P�/ _ .
l '.
7 . CUs- rpo}6
is aeg[.oculvu: L
tl. RECEIVED
} f.,s R. h. c EIVED
ratOttpOhmee Omer r Fa:,lity llld(n'apph<o61c) �_ .._,._—
re ft.
j.,r,tf 1,rx1-1,011c11?r t,„t,, ,F.tie At' (k�,ai) ft. ft. _ AUG 2 1 2023
lltootolirebress.Cot,sed bp
it.RE\IA RIO
-s ,ee$ Used hardened steel drive slice, inforRr,aldx^.n PrncsoOue,2 Una
Pa,cc1 Idenulecahon N.1(PIN) rV�f1_e!M
sty.Latitude+utd luug tudc in degrecs(ntinutcsheenats or decimal de(2recu 7/�hI MY JtJ�.7
01,.I,m11g I)witin.m i 2 2-Certiftrui.
. I': 11. l N l • 4Cttob 4V ii Z -z3
S,gnatwe of .n,hcd Well Commoner _
a.1,,f el Ow oeli(s): ❑N:climatal or 0.1e112(1,0r1lry
IN,,uruny d.c form I IIWthycretelairelPMAIN aw caudsz$cararteasisorprenitmaz..:.
-.,.drf,a repair to:u,existing well: ❑Yes or (INn ii.1 Nc.i'uY wag...)1.1 11CJC IOC MO OaComenct osilrdwi era AN,o.f.-
_ ,e/I con.en,.roan nHn o t
nwur.ai and Crplu. e nnaav Oda.. M iNn'''.."'"I La,/roner.wwJrlrtitud�ns
,a;, nannr.,rrlrea;rcF,�'l'n/rna 2S_Site diagram arairii101 ed.irdl7t:
G.� , h o P t.r( o,ed-Loop Geothermal Wells haxur�flu:s.unu You may use the bock ales pie Is panic addieitwtd weall°momsow,.:a
1 . I QW-I,sn.•dcd Indlculc R)TALNUMIICR.1-.0s (..I.l'sr.Over'la[ImerrlaIM You es yatailuckaddteawilparpesdeeeas,
21 SIIII%n"rAL INS'['IiIICI"1t)\5
*.T4Ilalwdldepth tielmn Lind surraca; f Cr 5 (ft.) Submit(lu.GR'-1 within 3t1 dap.of well ti.. .*airs pertle ialla+ir4
Y+e wat*wroa Iasi nit ckelha f.ndernw I.•,tanyfe-Ia:W'awl 2 e41 au')
213. For All Wells: Onpnal 1,rfn to Qr,c.an a(Wales Reams=(D\\'e.
I le.SUSS roar Irma bars Sep of ea sing: .C+ (IL) Inrunnabon Ptmessm¢[)rut,lu 17 MSS [aatyn �C':7L4q-1517
v.mate/,nd/el depot*mat:tee'+'
6 21b.for tulextina W els Colt}to 11%4 h. I i+ _ ...:1-<cu,ax CatWd(It*
I•�lat
1liait,�gia Owl letRf; Pnttfdm.Inlo MSl',Ralxi,.(,,\i:'_ Ia3',
11.Well ruttalatticflaa assorts!Rotary 21c.kw Wrier Supply and Oses tees Geolken el Resins Wells:Copy to;s._
I,e owe_woos,oldie Ones peak Om) county ens,mnmauall,ealthisplsseat CA Me easery sirns islaNed
1 FOR wiTERs1 prssWIRIJ3 ONLY: 24d.Fur NIL at.•r Wet,pra,.hielic mass Gill:CagyseD\YR,CCNcu-
I I BLOW I'cmni1,..,iw.int I Nt .., WC211,44-1611
{ 1 ISa Yeadboorl
0 Method of evsk
iII*.Dnr,r olio wet:HTH Annotnt. I b..
•mow Combo Oqeraaa+lE.s.warlOr14-DatsoaB Sheer itsswta
Ite..a9 s.t-
$ I