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HomeMy WebLinkAboutGW1-2021-01884_Well Construction - GW1_20210429 Feb 1619 06:43p Clearwater Well Drilling 82M22 7241 P.1 �� CTION$ECURk�t[GW 21._ Fnr irttctrrnl Use nty: �, fiiYntrattttx lntorAeat&sAz ���gym' j X �)LA-) ZONL +t+rit C.'antmoor Nwft p �cle. 1p• ii4 vC Well CantrattmC«ttfittan Numtnr 10'Qtptt S. R $1Nti Hoc CnnEpan_v Name Dvc w 6. R C t 2-Well Comttraettim F"ettnsito. TO o rbl :w i ter rill aYq+IilaaUla wall mnrrruarlatrprrrmrGs(LR fJ/G Cmrtrr3 cratA Yartmaa cu l ft ft 3.1'Vtli 11a1!(cheep well our W4tar5aPiYtNeli: f7.SCPJM Asricuhural QMAAicipAllPubifc p, ht bent"crtAa}(lioatinglcoming Supply) itlerttlai water Suppi (single) t+. M indnslrialtt`AM Mereiat 13Residtanial wMerSuppiy(shared) a irN lion a mat NOR. 'nter:11t#►pty W ells t n t_? EL MOM Rt oovery te. fa Injection R. ^ Aquifer Reelt�$r tt �Cirtamdwatcr ltctrrediatirm � , 181.FA Aquifer StgrflgC and ktccttutry DStdioity Border AquirerT" r)SwmtwwcrDrainagc M 1L Capa imenral TagtAningy [)SUbgidMcc Control Geothermal(Clawd Loop) DTtactx tictrthca'lrroi tfaa�i in RcG+tu) t)thrx aintador1121 Rcrnarks) - . M �} �4.."AftW41(a)compioted'"`'c�4�� well ID11 rt, (tMIA l j� 1 t V<tMne ff)ac[y"-�ry t y?t (}� ro ft.7 P l actliegs'th+ncr u n„Q Facilily MW(ifappllcalde) n. CY TJr0M 7 L _ Ito r '� - pitysicr Addrasa,City,and 7.rp R. k aoi� z. {watt, pascal ittonlifieaBnn No,tpil+f) fit►.#.gtitode Rad to"? in dcgneorJtt+iAUMA/seroadsordccintnrdegrees: (6voll field,era tet7an$is aalAatent) G _ t (�.. •.Ca Bnn: t h.ta($re)tht Wdl(A) mAttlM or �]rPtetnporary RinnW�vc nfttertifirrlWdlt'enttaatar time lry Btt{rttgZj rb/y,(orm I hrrnRV to vilJ+Mat!lr»r n.clt( mw Aar)vwon W w aeawrae..rtr 7.latltisarcpairtoanc%isdngwew. 13Xca or No wreblSd SAG'4X.BtO[+nr1SANCdCOh"sNziN!!i'rtltimtrs nx3irarrdarrl+mntlhm:r t,,rrbtt,xcrrr�r,jJllmvlFnr�wnmallanartrrtrinnbp0�rnratlataauluplcindar..,n�ntro,)"do r++l�.p�lldsrrv�l#ripe,c7n!dA/NrD►ddttrfmrllNwPllnwJkr. r4vorr ender 42i rMMvf r se#mt grogtttz trait ofthtx jonrr. 2.3.,Site diarrrttro or AdAIlkgmt wd1 dabttl4: R-Coe Gea)irahaMPTtag Cttrem&IAnp Geotbw=)t e)b havirg she snare You may use the tack of this paw to ptivide addirmOill wa site demltt Orwell rxnrurttctioA,croly I C.W-t is receded t'ndicoa TOTAL.NUMWR orNvctls cotMu term details. Yort my nl6o Alth odditional Ames if lidces my. drilled: ..--_,.._ h iiegt wcl#deptA l►elaw lAnd StttiitCct f _.._-M) 2ft, f 3uM*ON tam within 30 dip of a mphWon of will tnrnerrlN,orcxrtlstixrartdrprtcerJ,t ernrr(praa{ela-3(ri?Idp'mrd tit�7 con'.1tYMinntothefalI }MI: 10-%SR a+ater lavd belaw top of tasirty _—t -__(ft) Division of W*tdr Rcwmrces,It fbtw 2flon Pmteaft Ur6y I(-My 7e-1 tsrrhnne caning-rue^/.�'� f I417 MLA Sff**Call ta,Relft.lid(:Z7ft-16t7 tt.1#oneltoledtatnetar: 1•+r (in,) yam.FfE 1*1o+cnaA MArV to AMitiar to 0"ng the fOrM to)ite AdtlroN in ZAn 12 Weir eanit/nellaD motkt d. t` L/ *ove,abo,submit one Copy Of this form i ltldn 30:!41P of compladw of welt urMa,diraR push,e(c.) —^^ anstraction to the foihalritt� FM �STWA R t�.M Y WRI.IRS t?NLY: Division of Water St�mtrec�,UndSrgivand loxtMn CoMroi ftag ram tfi36 Mao Sftniee 4remOr,1141digir.NC 2'100.1636 13a.Vicki lgnnri t KRMW of test: — 2.it Cor WAter-SqUady&6aieci._ °_�cROA Went in mWift to salting the it m m the rtdQrass(cs) abavr, also submit one copy of this form wlthh►30 days a t.)h.MainPerrtarr tYt�c; .. ,AmonaP cmapbtion of wdi conwnadote to the crrntrLy health depattmtnt of Urn aunty vutmra aas mascot i°+mncvr+-1 T�lmtttC atrtfnni?apnnmontdfiinvinjnmtnpr7clMlily•rxvisrmtcewwarRWAMMM Rnvta 2-22-2ato i