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HomeMy WebLinkAboutGW1-2021-01667_Well Construction - GW1_20210429 ... .,.....n,N 4Re'1rWajLt:FI vvou Llallnlaa j wq.w•�/•.a9♦ 1 WE ,L+�01T C'TIQI+zRCO {GW 1)., trarTntaanati go nty; f t C.antrxetorPnfarrUaifant ��t� )�� I _ ti►eit CORIUM M'aate 9 a2� t a yCNfollCnitnactarCtatiFecstlanNrrtnher ��}} n(pco ssol Ate "V 1 R t� T1. irt+ Cnarpm,g Name aLtivNERCASIMOR EYeS Camtrnttien Permit# �� I To BUM= a i.derMra►ale+vallrxrnrrnrmlofrparinAs(fu(lf�Gn+My:A7al�Yartmx:�crc.J 8t. EL fa. 3.IVdl U'w(chock ma a* WaktSroppllyLYel1: 7. Agriculttarat �A�Gmldpal/PubHQ i} �, �, IC Itctrnni(HcatiWCOMIRS Supph_� mawddewsw wawsulo,(single) tidustriaUCttstpttercit(1 �R,csidaattiat WatcrSupply(shtlrod) � � trN fan a Ve►a Afr 3pPtlIY gl'dl: ta„ t! Man RaaSQtnsry ta. fa: Aeiuifcr ittxit nw R � D(;rQanatvatrt ltcltecdistitm A Aqu(fix Stor{1gp lm4l$rovcrP ity Barr(au AquiferTeg �3aatttwalct i)raiiraga n. re. fbip"imenral racttt*v �aSutsidenoa Cautrat tr. IL Gcothermai(Closed Leap) DTmer g DkuLUW LOG 1 In t7rpska mat Hoatin Rsittm) Qtttcr is uudor#21 Remarks} t4 & ! , S tMreW411(s)Caitrcpleted; ~1 Avel!IDO ft. I4 Wd1 LnrJ►tlarn: 1L� Q"`1 u. /(� �^ nG} E'' 1 l satin 7h„atTtlmne . r_ FaeI (if MOW) P cal Mt"=.City— � � KJL> `b' S li q to 1 l� l� o y Pamal l'damiAemion No.(PIN) Sb.P.gtioade aati lamgltttde In degreeNmhwteslseconds or deelmil drgram {ir>`ol!t",e&L arse}ptin:tat}lotart} }'� �{L A.is(AM)the a (s�aacex or I eaaeporrrry sivief ae oroeetl fw Well Cesummr here 1;vVPMA0 dorft.(0rm.J h0ry�rrrrfy Arct eie;n�atr(�mrr{wwr�mrnrwan�d m an»rAirrcv %1A11►isnrcpsdrtomextsdagw#t: EIYa:s ar [%No a,NtrtS,t!er_AV021:.a100or15A,YC.ACO2C,'.ttXtt?WellCnrntrttcrisn�rm,A0,r rhionr Mlgaoir,f/Naurbwwnmrlid000 mom thrrxumrnJihn a,pyaftIdsrmirdNit'M4%plptNdf)F/)eW47a%If r1waer rmdaY Of r mmQa mmon area rfr:fta 6f'Ihfsf—. zi 51ite doergsam or ndalidmd wsll dobkb: S.Fur GeopygbelDPTar CSomul-),mp Geothe tmrl WeRs hwing she smne You may etsn tlm tack of ihis Mp to provide mttMti I to Q Rita details tr well uaasmaction,onhv I OW-1 is ezdcd i TOTAL lNU M SER ormmlls r►»truc2iatlddniis, you nlay also afptasbaddilionatpiges ifawat Jy. UIALMMMMM `►Total"d,4upgt Now land maraca aft Par AN SuM*thfa fort»mitt in 30 days of aompitnion of well r•�n«:rufrc,rrrztrustt��rJrmyc�'ansrreMompar-s�;lma�mrt;�tntui rnnslrttatfuntcllbefhllotrLig: IA.$tntle svatleria va o blow ta1P►oP easing: _ . , _< ) Dtvidoa of Water Rawamrem,Iedbmadom Prommila Unk ?1'gah!rt4 JJxr+M.scrtstn&toe 16117MeftSat-*eCantar,§kIdgb.PICXjS9-Ttit7 ot.ItoraTtotc+3lanretrr; {1a,} 2dot,1r!aket3oa Wieli Tn aairRtiaa ta',wating the Awnar to iba addrasra in?An 12!Yeti eawtstrnctian Umiltsd: *atrey Am alubmit rate atapYr of this farm wIdAn 30 days of aomide tfon of+web t i o,miner,rmuy.cook.dno't poh,ae.) —"" "^— ODUMUC iotr tin Ibc fol I0MnX P0A WATBE Dlvlsiou of Wader tlt�emttrCf&Undargi nund Isla fte+G'btt M Tso rat% S►CPPi X WELLS ONLY: 1636 Maiiftmet Ceunr,Rglalgb.MC 27094M 13a Y Id ltt»m) MaetisaU of tautt: 2 t�ft wAter-Ro_o};&TAtateslna VA, In addillen to tta gbm qtc form to t3h Atsiofecttgn ibn BMW.") alravas, arks subtMit QUIZ Mpy of III&faros v tin 30 days of r3'P Amount, ampidc im of w l cor don so the ca ptuty heauh of the county wbwe r'amt C,W-I Newfi(]snntirts t�tFanmont ortimtrcimrtenal Qra+Gtw-!]ivisrnr►ot Wmer Ragdaweec Ry.,��R