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HomeMy WebLinkAboutGW1-2021-02141_Well Construction - GW1_20210620 r.rS�lT 1(�i+ji(f° Y TAT•! t101D � VC liitemal USe Vti� ti.^JYe1tt4lrat fiorr latito6rstltioa: t Christopher!!lachter I c1�J�,u1ik3�s)1� WTI ceotraaor ruroe �s !'IlaYcar�[r�orCati:S tiw„vuma3 U oum,Cr MIG& "0WWW&dCa Cummings Developments, Inc. Te DUN= ITHKIV= w► �`_ C a tty»pany Na — — —- .-,ssr.._..�. ✓r� 1 ' - ��.V'Jel1 comstruetima Feraait 4y 7 to h1 E t_N Z I e21 -10 Mra,r r,.n weter sap*Wen: - 12 BMW '~'�icxelatral �1iWtttticipa!/Irttblic �, � pr, I�Geoth l(I ieetingice sling Supply) Eha idemiel Water Supply(single) gt. R !o ,..�„ UStr1Y 4.U121llLer(itP-r, xv."p.Rim ssts.f:14ar,.rhWNPUZZMENTMEMS _ Rl1➢118��iJf?,HB.B'i-°'PE"Y�''�(' : -^"_—...__.�.�. -- 7'RYI O ti� 20 n Port C,emerit Pour dyes: - - - W 1 0rourldlt mi-11miledigtio, 4t• I;Aqui%r Sto W anti a£ecnvery l 3Salinity San im t iuluii:n e cUe StOiriltHatst'Drninag@ ^IL '(�5nit8ldenC�3 C.;Ontrni $. gy 1 Geodmmal Pmd Lmp) LTraoea I owltrr Goodtamal(Hug np,/Cooiing Reim) tter(e:•plain wtaler#21 s) ya.°'watt il.oSetiow: 1t, i K -- -- Faeliityi(3sutter uame = ----- — Facilhy IAII(Napplicable) to 5 N ty C- to Z. 11 W%. 1AV�►Ate t 2721 fa. it 2� fh*-1 Ad&m City,and aF ?l, no Pa,,,aai Identification No.(r[PI) -- - DWR 06.L.aidode and iongiama a i�a dcr�c'e�/r�a1©enEca/a otatac Err m7e+lttarl(kgc--�C3s -- - (ii wall f5eld,one tattloug is auFaieirat) aro kay615'e)Idt( WWKS)Lam' L Gy m�t]Bl�c�i 01, OTeaaPoF°t y ;i �iiFa S ont�eku y DOW 11Y siNilft lhiv farm,I hetti;y c610 001/lie I-WHA) camtfwdece in accw%*tjam: 7,G9 6ftat3 g1 fi 1iY Qo ap eT;$tt s rJen. U'Ves or M o vilh 15A IJC✓.Y.'02C.0100 m•IV..RZ:i1C 02C.0200 M1 CmtstructJ;ua (jthis is a'*air,All aw&man nVil c»nsaueYlotr lobmwimt and expletia Ike iwtu;+,of$ts cjpy of this record hat been pi-ovided to tl m i;.il owner. ievdr?&-Asr s21 rttraar.ts sactirrt ar on the bm*of Ihts fo.,.i. GeoLxrobeffi;t'L'my C�Eoaatl�H�eop Geothermal we1la having the setae YOU May use athe obar-' of this pkgo¢to pn3vide additional yell sit,-details gar V4,Egl iLSifcS4t'stt'.7�lc4i-mtlar 4 l:�lit 9 Fr�,,.,sr;? ?rAi.•rr,.T.^.T;. _.... .. ,- r..._.�,.:..Y.: <,...-- - - .KtiL..s'it. .,.... .-.__ ..._......... .. ...... _--___... .-,,........ .,.,. ...,... ... _..- 13J wnpK nr`�a iiv,,..r��. p'Y'yC. 9-Vawa Well m`le)rtai beiara gatlal�uec'asE: �(bg.) 2K.Alt M"9W Submit this im withiu 30 days of cnrepletiota of vj6.,l 1•b;wuldlzle event ILs!ads elaWk if tdifjeranl(example-3@2W ea d 2@100) co>istrltctio:-1 to its,following: Lm.elw-is'I is ab lever i �r tap of �Nvtsiom 01TYraCec E3mnuvees,L®Yoraiodoti lhve w mg uui¢, jftieter reutl is abort�tree�•„" _-- '----- Mal?r*11B6?t'VwP(f mitpr,4T,tglc f-Ij.i`g2.':��RQ_P51`I 2,10.ito i c i IRs In addition to m1dine-the,form to tin..dd=-:n 2':a L'2,JJiva camuUmem attedma: 6ziV@,:i1so srbrait orte cnpy Of this form%within 30 dqs of cwi�)IWon of�°ac-I' an u,rotary,Oak am push. conshim ion to the tbilovAng: eaascuucn logo scion�anfaro9 L'�°� °au_, L6S'.�'Nai!227 Cmtw,F3alQPqLh,iJC 2969a..-ge€ livid fir 'OtMFP- ice,. (on) h�CBdMd aflur�s- _r Z.1e: tfwr Jtc ad7ram(m) above, also submit one coyrg of this fore within 30 da,2ts of 13 m m NTH - Amount: _/2d Z 1 csst;rrilerrun vy,a�.11-M-nWuC W to the a0tuiw realist eie}"Wx%of the e0141c'r Fate OW-1 fVotlh Cavlinn>1 t of linvirflatx t:! 1�. -❑ltlS UP J atai n UiY.ra.I YIr.,Aw"A•4 1n nn.