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GW1-2021-02749_Well Construction - GW1_20210805
MVTL4L WU.L CONS1 UCnON REWRO �' � Ncs�CDe�#maAafE�vimo��18Divi�nofWaGrrQ�tjt WRLL CONTRACWR CERTIFICATION D a6 i/d - r�} i.WELLc`UIT#tACTaJ1� rI /yam / d. TOP OFC SM IS y �{�� Ft Above LoAu fie' Top vail IY�d�o l's .V PnY l5Abelo lod unfam way require WA /,AI�Y�QMW� arA�ia����i5A t+tCAC 2C A'1t8. .✓ Cam} 4L vm D(gpI* /01-- NEMOD OF TENT ,r• fl' fC {�1am a L••lz/! L°d. .2�..c. L TM__LL S7RMTADDRESS WATERMIES(dW%)-. "-Z.Z _To 2 cS' Fmm To _n C- a 7 o;..7 FmnL.ci fJ To_ `11 Fsa ,__Ta CayarTown SMte 7.p code (3 } 'V X7- 5 �Y Z b F+rwn To F To Areal code- Phom nunt cr T. CASiSIM Deplb Own0te r 7hi*teWllY4Wd Male" 2.1NW.t.RB'ORIV#TlDN: SITE WEIJ.lD#M FYorn �„r T--p 0,_Ft,�_ .S1}�.2 t f�sr S7�•= WELLCOMMRUG970NPERYIi f U_P L-0 S Fkmn To Fk _ OTHER ASSOCIA7t�PERMiT� ) FnxA To _ S.YI UL USE 930* Bob UnallaftO so Mpubko IL GROUT-. Deplh pmauslal �McEtod�} 10 AgftuftjkaM RecovemA b*mvora From_,__Tio 020 FL WOMMU 09mfl (49 rlse) t rj T g e.S i c- _ Fron_To DATE DRILLED '7 ��( From To FL . Tiff corm ETED ) -O 17 Amu Plo IL Sty Daft cbn* e r Slot am NISI 4.WELL LOPJIMM— Fla a Tio &L In. Mr.- a ./�:s p A, ommff Lk � Flom To� in, bL / o cra t /2 t0 a'7 oz S Fm m To FL_ _,_bL fit. (am Nerom t�omorn�t.Sgbdklsian,t#' tag,P ei.Zips Material10:SA RAVE.PACK: T'OPOGRAPN OILANDSETTtNG: �Slape 0 Vaft D Flat O RkVe 0 Other _ (ao*+rpPr"M MIN boaQ i Fm. T Ft LATITUDE l74�© 3 7 6 FIR: To Ft LONGITUDE AZALO pa 513s- iaadeamattomu Fmm T Ft La Wdelbn&Wc son=)rGPS 0 Topographic map 11MR11 t ILOG (TocsfiboofxW mustbe atm m coo(A=ftw map and From To Fom D aftdW8dID#isftmffnotusagGPS) _ .2 - Fe4 S4e11 LFACILITY-rermaemsoteeumine�aeoerean,raeisraarfra FACILIW IDapappma NAME OF FACRITY STRMT ADDRESS c - 7= — CEy orToma SMEe r0 code CONTACTPERSON i Ili _S A it,^t ee�g 3 MAMr.ADDRMS /�¢ f m 11' CIW rToem Slate Zip Code Arco Code. Phone number CLWELLOEiT IDOHBtMCBMFYINaTNSVJRLWASCOMMMOMINA=RDANMVUM IMNCAC2CwwsLCONSrRue MgrANDAFMANDreMACWVGFTNB a.iroTALmrm .i D necorsn a 7t 7ME WaLdNN0L IL DOES WELL REPLACE E7CWnW WELL? YEWN991 C<WATM LEVEL Below Top of CsskW 17 ' FT_ SQNATOW In-MOVVELLCONTRACTM DATE (Use-e Move-A*ofc s//. SI,4 r`4/C Man PERSON IM Wt3L Sty!UI@ q 1 tD the Dmdon of Wator QuIft w0ft 90 tiy5. Asc IIIf0l1llatll0lt NOL, Rev.1 10171f O Sege thy- t9 h,NC 27 -107 Me.(M9) S eatt SBB. Form 2 W-tb 2fi7