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HomeMy WebLinkAboutWI0100615_Geothetrmal Well Construction Record_20210520828.822-7241 p'1 f eis 1519 05,,43p Clearwater Wall Drilling WELL CONSTRUt'TIUN,CpRt Gw"><1 T Fir lnWnni Um nay: t.W 11 Cnntraetar tnfort[ttttivn: tlHs y OCl W01 Contactor hfptnt: i MIL C,Well CnnMclorCatifswtion Nnm'b r' ( f R C 1Pli+ Yiil V ebatrtwtt 4'nmlMngNamc d'OIAMC[EA 2.1Vc8 Constradlan Permit 0: i.7xv a/J np/r/7rnhie tralfcrxlstntaJlofiflOR/rgt(J.0.t/tC CnnMy 8tal YaMamv:;err.)tt. 3.Wdl Ilse(chtek wd]ose):17. Muntcfp+°UPubi'ic _ To a+ Eindussrial/CommuciFLI ywcR:ty lieatingican] 3VPv) DReddential Witter Sapplv(Ansie) i n aReidciiWatesupply(shared) I L D Nnn-WAter Supply Well: A4anitoriltg Injection c# Agaifcr]tedtltlgc E(irmmdwatcrRsmcdist]on f9 HBLP auCL aquifer Storage trill Recavcry J3.4nlr nity Barrier AquiicrTect gtorinwaterDrainagn R. rt• Lxper]mental Teelmnlogy OSub0denao control fk LOG Geothermal(Clased Loop) OTca= DAI Qdtar,0111a(a ender f721 Rcrntuics ry it. ACieotFterrnal(titattia ling luntm)V p^ IL s yL naAG! t.i)are Wtll(M1) ran.Wt11 li.ttcwtMn: i' R. .. [t a.„. Fae+lily itN7(ifartplicgAtr. S•actltty!b\,71trNsmto t i oc r lty5;cst1 adntucltX.a r t iJ tlu s Noreel[dautifmtion No.ON) Si).i,tt itudeOno Ionpitudeindcgrw4lmlmttesfsecundsordecimat rtr.Rrccs: I 'rE dnn: il well 15MId,[me i8Ltlonitis Joiricicnt) b sippiturcofCkrtifia191diC nnb'rtatar nranrAaacT A.ifsNvO the wellwaip rmRatot or DTemparary r ,,n, hrtrltvoerr/fp AV:Ar%WH("J Nar '' 7,hm,rFy emd xfppIng Mx 1' i men lS,i tir.',1C.'Or*JjAO Fir 15 62C. 10 Widt Cnrafmrtinn 57andcnlF mrr i.Is tlt(s a repair to An cxtrdag well' lle5 or i Nv a py 7r rr rord hosbtrh pin Iftlrlt ix:r rr ralr.,(IN mu known tw.'li oaysanurron i,(jn,mo lnH and ul+f r'the uaturc nftfrc r;t,atr render t,2t mmark=Iran arrm Um.hack t j/Als,(omt. Sit, y ttso an or back a t Wh1!t 1'srt may tree the'tack of this pt prpvlda m(dilialal tvEit ail°dttloil+rtr we'll R.fear GtmismbllllPT or CltttRd-LnuP Gedbe!Wclis»twang thasnr+te ct)[otruction[lnails. You may also Mwh addlfional pays rPaaaeNitr)- c0narntct]mt,noiv 1 OW]tt needed fnditxao TOTAL NUMBER o[wells n STRtttC7TONB drilled ^, lotion of v,ell R.) am A Ibtt SuM»R d ftn within 30 days of wmP 9,r4#Al well dcpjA helow[Find sarfasct ca nstiitolian to(be foirtm : i:nrntu lop reweN.rUst at;ddWhvf (e:PA-3620a'andit@1a09 p Dividon af iater RAMIWcesalydhrtpatlon Unit, 111.IRA&Wo"Plevel Wowrep of easing: 1lt19 iVhY Sanice CmtW,PIdd b XCXFd" 619 Il'Mnferraval isr,/vtrecortng.roe " I zti.Eta" aYd ID add'tlion to AelldinB t11e lbtm ID dw mt aP Wdi II.Rorehoicdiltmetm in') ti>ovc,81eo submit one cc"of form wilbin 30 days Of 12.!Volt emstrnallan mental: a>nstcnctiatr[a the faflttwinsl i e.ma ,totata•.mbie,ttirect paeb,sea Divislon afWater tttamam%Itndeltgrotta d tltj 'on Ctrttlral> ram• w rj6Moil$'rakeCerI RtittiO.n1C2700-1636 F10R WATER St4PPT17 WI+LL4 ONLY:r a.r.r„atiott Wdlt: is uddigan to sundhm the form tv Methntl of teat: 2 tC bar Waror 3a--.. - of IbfM within 30 days of 13a.VirldlttDIItl the ttddtcss(m) :tbovo, also st:bmtt ortc copy this comfidti n at di 1O!to the comtry health dChatl/lletil of the cmM t3A.01sinfectiontype Amntmt.wlxQerattnirtat " ReciaeA 2 2I 1al b OW. Nosh G+r+linnDePnAment of tinvtrcinm mtal CZnnnM-f)toistan oPtttetar ItagotveasMuttI f