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HomeMy WebLinkAboutGW1-2021-04367_Well Construction - GW1_20210429 i Feb 161906:43p ClearwatorWell Drilling 82M22 72t41 P•1 WEX.L COA1S'I'RIICTION RECORA(GW it.. Fnt Tntanai Vas Only. 1 1()nn etor lnfoMatlon; ZONES tveil ComfagM Memo VC W�1Cnmrm"arCa Iff"tat Nmnber it C-mpaav Rama ._ 2.1VeIl Conestroetioa perrle►i[#: EtiMOM I Totetu au r. ldrtall ol'h!lmhla wcllrt:rtrnwlanpa .situ im ce mq,4WIA riwa ZiZ clr.J fF. I (4 • 3.IYdt UIC(chedt ndl use): n: Water 5appargle)): griculR;ra1 —FQ.�� �MaaicipnUPubllo Itt 1Yt. he. r a kahennel(Heat{owr4oling BWM, j3RwIdarttlal1Wetersupply(cilium) �, �, [ndustriaT/CmrRrrpeltt} 13ROWcnria{WAterSupply(shomd) GROUT Im lion let ra Nnn-Vt'nlerSaWbrVlelie (x t! Monit Rts ovary fl. tL lnjeetion Aquiferltecitt �OraundwaterRenttdistitm � it Aquifer SWgo mnd Rxoym. pity Barrie A , AqulferTest 0S � fe Is. Texperi;peutal Teottt►aingySuhcideRm Comml R. h. Gaothami(Clraed Lrtop) DPW- 14 EOG GetAbenmal Heatkt r-my)� qq�� rutdar#21 [icmatics 1 TO � � r f n„e W01(s)Cnrttpletai: ll 1M1.- o��• LQkI u r Fu91it3.'!)tt,tcr Fam iDd(ifONltcaltte) C�) 14 P 'anl Add City,and 2{p +3. a. 20 Il . (nnuy Pnrcei idam{f{aalion No. 5b,1.010410 R80 `IeaagRttde in dot+eer/mittgtteslsrcattdsorelcritnel drgrac= {{ -R add.atK►stgttugiBaniOaftan) k2,Cat tiRntNon: A.hK tiv)the well(110"n rx or ©fremporwy UP) rse 01,010"I d Wet celft war One adr Ia this s repair(p an e><htiag welt: �Yos or aft 1 v upnUrA d er•to,m,1 nrrmy ra fol Amd,.',t4dW wor Arao commmi ed a awnr ftur b 1SA.oC.tCO21.01060p15ANr 07C.OXl0Wr11CnnsJnr nnSttaUahrAermrlrJimn !,,?Jdrianrapa►rj111aurkimtrmm�fj.tnnrrmutpoirpnrrto8vmm�7arplrtin!)x:umuren/'dio a>nyaf!/drrimalJto�cb►1n�7/gtrldEdMlhCWdlntvlkr. rVafr10*rR21MAatita=Wffareal/C6nrl:afIhtrfnrrn. I SWdfaWmmoraddNitrrlalwddldolIlls: 8.For Geop>robdDPT or Close -i nap Geothar=1 Wells bsv[ng Mc.-Me 1'oa cony um the beak of this page to provide addBo ml urdl An delhih or wen t u"Ictian.o01u1GWrl lsneeded IR&M TOTAL NUMBER ofaclls ct)tlgtrurAitatdet»iia, Youmaalttotlwhaddilowpwlfnticem". dril{eel: _ •^ WplNn TAI.1[T►TRit=IVfs` r q1 wclitl"![elttw land 6u17Hct: `-� r4.► 2-pp Fnr>ri-W0119: Submit Otis form within 30 drays of comphdion of well N�Mo�r:lter;�ealle.tptlty fd/�ereer(atomppt 3�i?q([muli�tpo9 conafil bn[atbefdlowft: ln,8ts:tic ealarlevel bdevr top oPeataing: ��.__,_-(ft) Divl"a of Water Rutrlow,IdIa:lmadon prticessisg uldt, {(snN!rfi�l/raMvra>sln�ta'pen. 1617IY1all suv;ee cater,1111d 2k xC276".1 5 17 it.iloMkdeddameeer• La l� 2.1[a,FortatecNea Weller to aMtioa ro'seading Cite 11ttm to tleeaddlntu in 24a .-'ova.also submit dnc COPY6f thin form,wi0&30 drys of eornp(adcp of well f2 Wen clalet►Relitm T1wtlmd: - (i a myjc,-wy,aabk,drmt Ptesh,cts.) CtHlsi[at'1rlln tll the folioanRg F7 .j) reel frP�,li WfIf,L3t tNVLY• Di"VM orwater Rellimmes.Undersilund fjecdoe Call"Prn"ah 106 MaliServh*Cennar Itateltllt.NC270096106 a) C {YlethoU of test � 2:srw&C w-mvr sanely&ra[esNan Wdm: Irk Allm n to snrtdbtg the ibrm to on the oddt�css(ea) abavq dso submit ona copy of rise,toms 010ft 30 days nP typa: ,Atttetmim _ comphMon of'Tdl —am*-m dte cottrtty hmkh deawanot of the evenly vWmre consuaaed. 1'antt GVY-1 NorlbC]ast =laapamnant of FlI%Ir*Mcntat rw[rty•17tvihnnot'Wmet[iar�onrean ! ReyT 2 X2 20tR j i I .�..rrn.^'. r...t�^•A��,-mow... ......- •.r r.r..1 .A.fl'M� .• ~ 1 mLa - V xlk � « � now OAM"ft!,� r try j 'tea