GW1--01097_Well Construction - GW1_20240216

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Feb T61905:43p Of eatwaterWellPrlllIng •..
WW LL CONSTRUCTION WORD(GW 11 For]nterrinf Zrso -
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Welk Cannons Wants it" I , .
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z.Well Canstraefletl Permit�: "o, . re.
i i all Manatee iw/lcanrouatlott ptuat►rs(La 111C CORhl(Y,gale,Variant*e1i . . P. tr ht.
3 Weil!lac(cheep wd)iw): 17 I >su 6
WaterSup*Well: - so °lwarClt ®Rafe1GGR 4 �
a Agrictdtnrul unlahmtIPubio 0r ..4. !1.
ii aaMmemta!(giaitingiConilogO ppiy) .r;; • -dentin!wmersupply(singe) a. te.
11 Industrial/Commercial EIIiesidwnin;Wales Xuppi*(sharal) n: ,in. k ..
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i ion a' 1 a. ' /�4/ 1 Is �� : t/
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40 Mnnitotin: #Rooney ft. 11111111211111
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in et an d: "` iL
II Aquifer IteehatEte Derounthvateritctncdialitla V61.PA _'�,:,
II AquiferStomp 11n4 Recovery Salinity Bnttrig
a AquitheTcst EI3ninitwat r&AMP
W 141perimeototTeelmolooy •DSubsidencaContra! O. ft.
M Geothermal(Closed Limp) Mom a : •r LDS( ,` s
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0L5 t Cedar C)r&6L of �` t . fr, NW ��,
P,, cnf akdO �'. Wes` Chi ,AEMOltS ....•---'^.-L
Camay ny COT
u idol ldomifimttanPta(PUf} +mot- ---- II '^ J
fib.finitude nor!tongitudelndtgtcosimi utes/strcandsardccimol*gram t.
ONO flFhl,one tank ytin sufficient) ; . a totem
iGoa D )1 9ev u 1 v I cf-a
signalise erattifica
6.ltt(wf the welt(s) l'erttiattett or Oiretilinarnry iv ariagaska Arm.,,,,.1 nmd vcangt:rim Ow n,at(4 pp Ow)cvanita ai SoarmMsrcr
7.hi this a repair to an eldstiogweJI/ Elio or 2Nu too ISA liC,tC 112C.009 orISA WIC 1)2(NMR' CratttmettaRsta Pad du a
ptr,xa,pak flourlbrn ntgeteaaarnurtonupFraoltanakrll�pfa6.rbaammoenflh, aim apt*wand holden pro f01dei1M.11t.wuA:
reuatr undo tat remora xxlfaa froth Irockrlfih1 rase. 2,t,;S1te diagram or additional well ttetatiat
You my use the back of%Uju g>3n putrid° dWoanl wren alto mils or well
R.for GeoprobeMPT or Closed-Um Geothermal Wdin basing the same cotl9ttuuinnddniLa. Yon amain)attach ctldif !Pagae iP><oaeaaatY
utnsinittinn,.only I aW 1 is medal, lildilusto TOTAL NUMBER ervzlla
drilled: .., h §r+s,c. wn t all 1
t;'Moat•halt&pax baton land sarlllca 014 tin. roc Att Walla: Submit No lion salthin dere of emulation of veil
Far atublplc wells lteratidrrtlterftfekrunt(kranige-.1t§120(r agtlawl g10smon ut°thelinlon{n : ! ,
1a.Stone water love/blew tap oftoslog: LC)O (00 Division of.Woter Resourr .1°h► ltion Processing Uldt,
1617 Md Sc Center,iWdg1414CPd99-1619
!j"x�f¢I•lurdllsaFavacmins.tea'," �
t l 0 (in.) ut.Ea'i.t ton tlLrali_e i0 motion To s+endi the bun I4 the In 24n
IL borehole Outman strove,titeo submit aiecopy oFthls'torm wl 39 days oteamFiatl00 of Weft
t2 Wtelllcnmeniegontreettnik __ ��T""'"k otndtntationta the Mowing:
tic.maw,mtm .ablo,inostgmbeso4
_ Division or Water Rtenurees•Udo end qiunContra)P,oftratt,
_
I?OR WATER$t;PPLY WELLS°NM 1636 Mill& dfae Center,ld►( .1C 276994636
�.l etc Fear Water Sonar et(Wagon?Welq: It addition to sanding the Cann to1Ja.Yield won . Si 5 Manua of rasa, - the addrfss(cs) abaA BIM Sutmh,1 arc agpY tbla tbnn within 30 days e F
atniplation 4f.rail condonation to the county elth depnfnient of the county
ta►,ar:utr�me,►q, Ammmt: - w corseted.
1rcant t3iN•1 NorthOnalinnAapnumontaflawirdnonan dQslaty-I)tvissatGruner Rmmmeas Radad2-22.20ttt
1

Will Dialer Solififteut Corttlikaiden
mow Y C,C-d SS(VewWel
v ttLear..
Panth - 0 33
rhereby cetifyitat the above acetic&well was grouted in appeals=in accordance with
County Wel aka
Wellpflez
DOIAOGIVUtedt_Lia ,
Construction: Omit
Total Depult
Casitrype c)\) C, Thickness: m‘' LP.d
Casing Depth: reper_..0
Mantel=
Weight/Thidc„...—,
Mgt
Drive Shoe: