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HomeMy WebLinkAboutGW1-2021-01670_Well Construction - GW1_20210429 Feb 1618OR43p GlearwaterWellDrilling 82&622-7241 P.1 •1��'�N.H. WELL C UCTION ItD i1GW I)._ lfir Tntunni Uao nly; j i ctiC,ontratlnrl t[►Drt///n///a���'''liony/'��� /'�JC7 �� �, V�/ ✓ ��� w aor►ss i tVell fmmrrcJo[iJame t+■DM T(! �l .3-� urn � 9 2021 tR VC:Well[:...... or CtRifitaaton Nnmbx A $$1SK� R IIttG t GntpngyTttarm ft; fL lam To &lj4VXRlI l 6. iR flR 2.WcA Ccmttr■etioD Perotitll:, t O ■L 7MA a i Lctafl pl7n/ierlrla+rell rnnxnrmronparpMr(Eu N�CMM(,main neww';wq f4 ft h4 3.�Yt11 llfie(Chl1!!t tdr[p ale); sc R. Iw R+ntcP Supp(y,111 Il 17 Agricubural �HlanicipaUPubNc P. tra IL tc u Q Ocorttcrmnl([9eating/Cpoling 3ttpltl� esidezv*1 Water Supply(single) Q, ft. [o [ndustrieUCmrnnpeht) R,esmanial wal-SUPPly(show) UT . irrf tics a Nnn--Vl n1Rr Supply VI d!: ft I e" �4oni ltVI N. fr. lnjeetton , Musa Rtsltatgr E3froundwaWltemtdistion n. R aquiferStgrfl®e[[n4lZGCevcry �SafinityBnrier L1 WA AquiferTeg terDrainago n- °- BxperimenMl Tealnmr �Suhcitlenca Comrtlt R n. J modtcrmal(Closed Loop) DTtasrx MJLLM Cetsthcrnnt Hoetitr din Realm) tntdor>g21 Remarks} ' a M Wea(a)Completed•I d .C-U d5DWe1t UM u tt � -•1(..Q I aality th"a Name . Fm78y KM(ifWIicgblc) n. tt. 18 FI br. UL P ionl Address,aty,and 7.1p •• . IL le. County Parcel woormaxtion NO.(AiPi) Sh.Liltimat a■d 10040 in degteeslmi wagsecondsordedown[degrees. (ir wort Gcid,an hwft—i,,jIdHftI Q o ') t -y PC 3, 1 1 i1 1I ®il 10 1 L+5 .2. Station: IS.is(am)the wett(s) ermaotryn or Drearpor-r, Sian arc or d lCanteaatar D,te ljv st}fafaR W/x•(erm,!hr.-Ay rmrUp Am the wW4 mw Avmra crarN/ndarl97 aeatlrarnrct �.Is tills a t cpa[r to an exlfltag well; Xas or No a tJq 1£!tiC.IL'021.MOY ur fSA rY(AC 01C.'.BNIO Wr�J Cmafimtinrr mrrf lhm.r 1,trbtxL�orcpareflHmukrmwmmtJ.waxw q/tmiromorrmmularplainOlewvtiret?Ma teinrafddsnwor IMN,Iei III,floww. rc�arr rmdrrr aft armsn(a acsllntt irM Me Aackafffi ,tam,. 1"Ite rises•or oddi[3et d wo datdiltrt R.Far GeOProhNaPTor Ctaw&l.Anp Geotharmat Wdb having dresmne )roo may cm aw buk of this page to vvWdo add wl lucid site dMAt or well mnantctien.entti t GW-1 Ls ntxded rodim(o TOTAL NUMSER or-rolls 0"Mww delaiN. You MY WO flesh ttddlCuma(peges)f Ot7CEr IM. dril(adt 9.Ir"I tr WM*Pgi Now land aurA cc _ 5Q.�� (�► 2,ft Fgr.Ae ells: Submit this ibrm within 30 Itap of completion of well -11W'twdlUbtarJd-VA,ifdA*,mt(eromph�3(f?}MA'aadl�lilAlYr ctmislructlon tot8e fillJitisft: ltl.8t■tle M edwre I ,trio top OPtaAipg: --- _-_00 U(t+iiina a(Waler Rest wets,!laihlmwdon Prom UO, t!'eviatr r�nv;i 1t aM.e taming lac" 1617 AI SoeYiee CNI Wtdak MC2709-1617 11.Roretmtedia■tetttr; Oil 241 Inkstlan MW fn xUldoe to Wending the few to fc Wdran in 24a )z Well eomt►aelln uteri c& � *owe abo wilmh one copy of this form within 30 trays of w npladw of wag (ia,+�ric'.mtnry.rable tp r '" '"—"^'^"'�` a►tmltaetimtn►lhCfOIIOAIIng: .tGnoct ■b sec.) f I"OR WATERDivbbn alWater Remra ii.UDde glttund igptftn CoRaid Program, t�t.VMV WILLS 1NVLY: 1636 Maitt3e d-Ce■11,ldaletg►.NiC2M9.16X 13a.Yield Igp■t) V Metixul of tar Zte. y;P,t Ws r snmN.&r■recnon weld in attddtlloD In m,nding q[e Ilium m t3tS Dlsine�cttaa the nddross(cs) above, also submit one lcopy of thht form wUbb 30 days aF tYl� ,Ail complation of.tdJ coosurnxioa ao the coratty haahh dtnrattm m of the minty aaJrcum eortettaete4 t'aanGW-1 Narthf]oti+liimAapnnmontafTin•i�amaaralQan6ty-AfvisrnnofWarcrRaxameau I ReaiseA221I01b i w t