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HomeMy WebLinkAboutGW1-2022-03357_Well Construction - GW1_20220314 828-6221241 p.1 1 oh 1519 05.43p CleeTwotsl WAIT DA111119 'dr ELL CQN G•W.-11 For lntcmnl U-On y: t A tar 11n aTan _ _ Well Nmrorlor Wile 0^ MC:M11 enermmor(lettltiaalino Nastier ^1b TO C ' � f amyl 1Try Namn ILRR C i i�nl4 0 70 2-1Yclf f:aotitrnaMn ParTriH if:,,._, � � ��• - tb R- ln. __.._ I-Lc!n!!n�y,AmAf�well rynnmulgn pamr�rc(J.c.tlll.,C.M+My..fMlc,HaMOncr,ni:,1 Wwol RIP(aft wet)use): W�itci�2;up 'Wei: � Ttil. Apricidcttrn) ligiio}pa1lPaMic Qcexlternml(7:IcatingiL'rmting Supply) t9e��Residarlt1A1 WOW 3uppiv(01* �-"a- tt. RL r fn.t„tulnttCegnmgminl 1RestitnTttfnt WalcrSuppiv(thrirdt) O1!}^ rn_ q L Nan t1'nt¢rSrtpphF%*dl: to ----~"- i\4m,itaria Re mmy Anliifer%whaTtp. Dhmeadwatu Rerhodiatirm !9 ' Y1fi-P 7 ir0 AquMrstpr#W.Pnr!Rrxoy�' aquonity RAtrier x Aqu1Rr Ti a( 0.Starmtvwt Drdiluw $illhgfdcnrxCnnlml a• ���Rw }:xperimcnlal Tacliimlill4y � -_�_�,___•__ L CicolhermR1(Closra}Loup) DRAW - CirntNen»nl tHmtin ltnR ggyurtl}�V u inrn ondcr o Reronrltr;. ve. tt r d-Date t�'dl(e);Campletell: Wcii IDN, _� .. Fri. tiu.Well i..acnflona A:tciltiti';tlwntt ttns - rarilhvtAlt{ifrYipticnbic) �....—..,- - � _ ...�.., r�fln �- RHO c? Plttnrrrnt AdrtreRy,city;apA T,l+ ' - i'An y Ilamal fdrmtificnlion Ms.(PIN) f+h-P-0111de.ntid lanAitude in de{ttiart/mhluteslAtsnnd orRirciranl drttr¢r_q; -— (ii'oelilielrLnnctaMangisRufiNMtr) 0 21 Ce Uieaffan. I;.Ilurr.)the ivdgg),Ocrmnnot or D cmprtrM ,rinanl orGrttifrmt et CmroraaUm t7iAc Lw.HimmP.+lTfi.;nlrR I prarhvcT.vtlfjr(!uN Ayr nq.tl(�xttr(Satyr)rnttnmA+t/cd/n mrrr;rdmrrr 7.to 1116 A repair to a n Pido tag wSh F3Ves ov VtNo m.C.0100 or I.M Y(.AC 0. 0091Vdt<.'r mlrnrnen 5tnrtdantc mrd err•,a ff(hf,•;xJrrpnit.fillawkimnpti!•rll W.,441donhfArw)1mmNrlarprnln file nnrntrnrtAr. "Rl'niteret-PrO 0.sArrat(�mi7t effiraurnr.�7mvix�. rq7.71-1410,71 remarkamimormufa'Darkaffittsfame. 2X4ttoclipgMMOrwddltfaemlvt+A"ft R•rrnr Ga,prat,,mPT or tan m&J anp Gemhermat Wellil/hrrvfng Iha soot. 1'+m amy lest the 1WCt or this pp to pm We additittmtl t>ltsl}:tits datt1h or wrl) ustrinrritrm•cmiyI OW.i jr,nr-Mad, radicale'MTALMhol3F,Rot—wa9v c'msrrnraianei�tnitc. YoumaynlsoattachadilidunntpmsIfneet_imry. T`olgl well depth Now land suram— —7 n _Y�(R,) 2�- �r�ello: �thmit thtq tbttn tsllhin�days o!eempininn of cull 1�r mrr/Npfc lrrll.s lilt nlid�'�Ihc�djj/ernM(t+raa(gM-�m pnA'mM F(AIt1fA j Congtruµion to the l5ttowng: In.$tnNc wNtrp Inv;Cl b4taw tap arcasinF. AivhFinn of Whirr RRAmwev%bitliu'itiAfiQA Procmft Unit, 11'stutrin,rdtrrhhirucmv uu: ,► 161711 DSer*k(!!tter,Palleg ,14C2701-1tt17 1).BaR'tinlediatnMCr I (!n.) 24N r1m1skC qR Wdta: GI st"Ofm to reviling Ole faun to Nte nddmft in NO M Well rortltructian nittthOdC S� TAbove,also Auhmit one copy of fhla fbTm wUh(n 30 AepQ oY mnpiwlnn of writ (i c.naaa"m,nix•.a+bfa, "'^�--'— ^•--•- CnnAtnt40fin to the fOROWinX ditectpti.54.etc,} }?iTf>inn At 14flter r emmm s.11nM umtnt)wq 06P C"CM)fh'AgMnr, fiiiWA'PRfi1t[:ppJVWP1LSt)Nl!.V: _-- rM MAITServAimi Ceamr,RaUfth,WC 2701006 }3n.Yfrld(Rpm) Mellfnrt of te91. 1 blcG Pnr Wgtr rSots&[ttrxdon_Wettt: in addition to somling the ftmn rn tlrc mWrrs<ts) obwo, nisir ,whinh.am copy of(his ftiim whh}n 30 da"or I.W.Ulsinfieetlnn type .,_ ,rlftnnret., campletion of woo COrGStfimoon'to the county hw1h depin4eeut of the C'minty i I+nn,r C;µ:_r NoAltCnnnlERn!?ry�nnmrni nrtiu.•f�rinmrrtA1l?n;+uty.(r(vismnor'tViimrltpyanrc�ar Rroi1M?.�2-?.Alb Well driller SeWOrcut Certification Nevkr Well:— Pexmit; I DO 14LO t heme'by m*tba the abm referenced wall-Am grouted in appearance in acmte>{zoe with WI Cotmty Wev rulft Well ft-Mer: Rel, MWd1"► _S g' _ crdficatec Zt Ir Dw.Grouw: 1 Z-30--2-) _ Constxuc don: clout Total Depth; _ Type; casing T�lpe: SIC Thicl�ness: M . d Casing fit: Ih: - Diarnew: ,\S Drive Shoe: i