GW1--07289_Well Construction - GW1_20231109

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Feb 151905A3p CieatwaterWell iDrilling 828.522 72a41 P.1!
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5h.Lent $ ono fonAltnileindegrao!Atnntelsecoadsordcim at degree. �- ,
(ii well flat ono tetAon in soiliefeol) t , R2.Certi flan
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swoon trediAtelleastranter Data
14r igniagehtsAn,r hfirORPOWeil,7,ar,nC.Tid►ts)oril MQowJ evarmeereel rt a anreitner
7.i.+lids a repair In attaining wslb rilros or adtkI ANC.ACO2C.41ADarMANI•ACO=C;OJBOR'ed CratinrninnSI Nrm►dennJ,ha►.a
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gainthv mime rlg:. 4'ADaft firecordiarlempnriKdEdrDrhewallowner.
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gmslntctian,anty 1 OW1 isticodati (echoic TOTAL NUMBERor+vnlis c,»stntcliolttiHtiiis. Y4ttmtiy also siWCh addltionaIpage&iFnecessary.
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h Talat will depth paM �wtand 6Nr1h4er � - (ft) 24p lariat,%MsSubmit thia Bear mithin 31:1 chin of i omphaion or welt
Per souk*was Ara deittlalf4zrarna atampla-3@letranel;€21001 consiisoihn toihaiblioider i, i
ta.Statie wrdorlavd Maw tap of eselnW. 4O (It) Dtetdoo of Water Ilmources.litinnajon Fracussfag Unit,
ljsrtrdrhnxttsabilnianing MP'
" 1b17 Moil Service Center,Roteigll.¢VCa7b90-1617
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IL RomitoledlameMx: t Q 1\ (im) Trion 1 orJwtrrsiop Wins L addition to sending the fora ID the ttddrom in Zen
asava. submit one copy of Ws faun _0'within days of to ntptelitae of wall
ix\Vattrxinettiteliottrtmttiad, � OW construetioteroihefoikadet I
tio,rep..eatery.cable,tempt
--- Divll(Orl orWater Reahlsacese Undcggrhmnd Injectiou�ntr b i tem..
FOR WATER fiEPpt.7l'WELLS ONLY: r i
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7G36 Dltdl3ervice<.err:e:',Itilt�glh13n.Yield 111pp1)„ i p+ tiitltNatt of tent ' 2;1G for Wjtcr Sunk 8c[u(cettos.Weg . in dition ID oundiog the term fi
Mc nddrsss(es)above,also nubmit ono elan,of hts tbnn►nililin 30 days of
MN Dkinfect(on tjpe.. . - Ammo eamnptation or wall constsaction to the comity her]tb detainment of tie county
where e:onetteee d,
itamtCo 1 NontGratinnDaparhnant.ltlOwirdnntearnlQiteU1p..!Wain ofWeterRaoottrtav Raviaed222 Ze1b
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