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HomeMy WebLinkAboutGW1-2021-02145_Well Construction - GW1_20210620 I'mj7 !(� �T �{ J 1�!lr i T!�T`,P'9( uJ"i^. ��"���il�-�"• rflY tI1Cl:YF1Di�l6 bar >idat 11 (i✓Q1'l.�.tL...Yi���1a L•��V 111r.I.J\:✓�LJ�`V!..i r� � 1 y. r ' i� ��✓(Il c-&d2 rad:by LIHA)d'ddindoSi: well Conuzdor Name ) ` + 11 + k'£ NfaMC arCafitlfidx;titm Nu➢l'aar iJ tln Wul�• es1tl cwga - 1 - --- �g� Cummings Developments, Inc. tMR ITO gma-i +, 2 Canpany Name n_s �j I- r ,�\�7 � 5`i)F911�(tura�;�pol� - _ I Wen Conde rued £�PcF- It#t � O l4 � � C �1 v C. �.yi�. �•Q '➢l�t`t�➢3 �-TFYC in i<-._.y_ to-' ''idea Lie* sapply Wen- 1%SCRUM ( A�ericnitul l QIARIinicipaUPttblic ..a�rAi?IEe>hL eo411eer➢W(Eiesti:➢gIcd Citing Supply) Q I esidcntini Water Supply(si➢:gle) ` & f6. In. ��ill➢tCdl➢88r1�1(l'oi➢1Y11ETEl�I I—1—bRftsiden lal W--ter Rim I- fc-n—,t1 ?,1E1TWAtfor, 6t 1571t iSdH1 Fld➢„�i„r�i�➢•�t��lyL`�e�:5s =�:..--_--...__..r. _tie. � tt. ��v.rt�,.�emerl4 Pour I"odditori _ ��, fb r --".-• - 1 uia en: �[�Recovay -s 'tits IAifer Ruhuge I 1_ L� h Grounds^vre Remedilltion 1 i!Adluifer 3boragc end 13ecovery DSalinity Bonier t + uiiw ice! [jStorra waW Drainage .$a Iai'unclual e�tcs(t�;v' '�pSubsidencV Control i-Goodwin!(Closed ice) OnTrEw JGedhatnal esdni:/C ooiit➢�i3eiwn} (j-?toy, [e•Wtain u➢xlcr#21�caru� - ocaaeeeoK caa�eu . Est s9u;. wc i l - clelks)COMP309tie:_`!�..2�Well Root. �� fe. /�Q 9L 5n.iVcd 1atfiE16M. Feetlity/GWW NNM Fmility IM(ifeppliesble) Tau 'Eade 3i IN 2 Pirflial Ad dram.am.City,ad Zip processing ' Wentiscation No.(rare 56.Mike&nod lGESURde to as'dcclLwA degd'Cea: (n—11'Wd,out 18d/Mg is sufdcioe➢) t 12.CcrU[ie➢de /f ne,;' e(a)f iWey mate a� oP (i�n d eadpo:nd°y .iiy,ature of tiff ell d.;ntte-oche daze , .'.}t siffl4➢g/hls jorM.1 het'vby ea,lMi lhat Kae t:tl/(s)IYClS',/WeM)WATT 7eded er aXor koXv !.i4s 6lais a cc i� so a©e s a^re3B: �`( Of, F-vo tYllh 13A MYC 02C.0100 or IV.dal-AC o2C.0200 glell l'on&Fw1ion Sfwttastrrb zsad thus e (fthis is a ittpair,A OW laaoart Im it co Wmdlan tr&r➢,,vj.maf ej�dnia the eattu�of, copy ojlltts recol d ktu heed F;»viderl fo fF.e rrli ociear. ;e rir aaadz :2/;umoa:is wxan a or on the haek of ehts 20-3-R2 ad ditloddai Weill tic-Wlo: ®a•G0019-ol<� I.r QV C bad-H ai➢iGeoftraial'Welle having the germ YOU�5!use the back of this ue�#d to provide additidmai svdl sit®dletaita or wit iS n5tt9n'hol nw➢v t l:�iJ B :....,....rha T.9It. t, _ _ ___._..__....... .:a ......... r.'1'�frn@��ell d3e�tla B:alo>;r Eared3 CadcdacE: !l a;oaulnple ue1ls list a(l rlalatlx,iJdrferrnt(exaetyJle-3 oD eeel2�100) fit.) �<9 . �o a C"J Subyait this &TA %-Athi➢t Ahays of co➢ pledon of we"'; rorstniuio:t to tI➢:ffol[ourin� 0. 1W igc,critter w co IE tdKl of gain : �� 7 a day A-A-vf loll o±CJnftic u➢dc Ifts+alcrlevelAeabowrwviaa�ear",- —��._ - " �,H➢aSrotion•1pd•osl%HJdait, 1619 IV1911 Mwvin ni Ln qep:^-ga?xd%t3.r tC 346, 96 +UM°�Ti.W In addidon to sending the.fwn to v"r,Raw s��l➢es isa a':L a Wen�ttedes uctw: F"i F,hzlvc, ,iso 3Ic"or- t one eapy of 11➢is iorin tlitl➢in 30 of coinplWon of TaEI' (i.a.Roma rainy,caws.direct Pusk ft.) consts�mbon to 01e tollod✓ing: P,WAT D"!'alen,0""ntc '-%Z abu d'U,U"d oiji onadn lidjet doa Co>aa'a d In'CDI��^J.�^.'Gt'�.�l�B!>�fi'fi.Sf v"3�,1L1.0�'Ji�S��fa =`-- - _-�-- —-� ISM mail�7vide CG�tat�-,I.3alebah.r1cC 29i'u�.,-163s;S IJ b lac2mi( 2E®D _ ....�..-. I51c io .'➢''to c _fir f o0im€3! `LAP.. Ent•quirter Lunn!:• the zd&ess(es) above, alsocsubdnit one ft co►anta mi dri M ell€o:tstru l to She � hadl de- u v>i�30 days of �'"nY parr➢neot of the codv-m" ri[tcie Constructed. rnr➢➢uW-i North CBMlitm ne3➢du M'd of t d .f_L+Sy-• -). Division ot'139i9a•3�ao;Iross n,,,q.,.,a•�•�-..,,:.