Loading...
HomeMy WebLinkAboutGW1-2022-08695_Well Construction - GW1_20220518 F tat) 9 Ca 11)OBVp IeatwalerWgll�rlllb��7 0u(1 tf,W ..: ForintcmnlU4eQniy- 1.W011CAnfntraeta�rJlnforQmnt)to)n: (/( /7 41 6 J f 1 Q l V ----- qol+ 1Vcli f:mlaacia blame _...-. tr- lt:Writ CnnMaAarCeetifieniSnn Number ` ;npwt _ i�� Ilrarwl xtA L u Cnmp+my'hrnma ..�, •ta► � ln. ?.Well ConetruallanPtetWll It. ns a I!!�Crrnary,6(a(a7 Yar/rtncc,cfuJ - in. l,lo mi rrpp Rtvab1tf wit rnnemrmloulle(]n' � A,, 3.'Ncll flit(chrett Wril tier): ---- ----- �ia, C N Wittar Rupply Well- tr, �- AAriculttirai MtlnieipallPltbllu 13 � tn. C otilcrnud(1:IcatiugtConiln0supply) Refildantinl Valor Supply 0111 ,10 1n- _, let olansstrintlCmnmeroial {tesidentiaat Water Slspply(Sharral) ""'g OUT NnMWnter.supply rlll'nl4 _----- Manitp'riri Reunv�Y {�---•— R. .�,_..---•-r---- in ection � pC 1�-gp�� T tit»on - AquiferReeUar$c �flronndwaterltemcriiatlon n iIiL71 Y Q te+C �sminity Barrier a aquiferStvragGtAldRFCSwery sr- AquilerTest �SmimwaterDrnlnagc _ ft ----�" - r Lxperimeninl Teainmingy �5ut�idenen Contrn! 1 .i.n rail, _ UM" �( ' Geothermal(Clawed Loop) Q �r+�tlthel• a pain undor it21 [i¢marks)•., .^."""�fir:• 1�,� r►- �„ Cleatttcnnlal(Hostin 1inRl.�t�-----x�--•-- �, R' iiL 1` t �.1blt�Wd1(a�Cmnploted ll My R N. Sq.Wtll Lae kncillty 160(if applinaBirj lnrifihdt)ttmerNmltc - - R, j . i aJ\ ft n. Ply n,ti Arldroax,Clly,and?,ip D1, AR 1,7171 C:nuu Pnwoi�tiifa°tiPn Na.(PiN} u _,,,.,,+,>q''"��f�;i�.r'•, ,J SI1.I.Rfitudo and lonp➢tnde in dclAr-slml"'elslsecondsor decimal(]r.Rrecs: .1,�, a plicatin WNY111 fell,nRA InVI rniiinCE �9utl�tNcnt) :lianMmu f(krtif+ el trn r 6.1R(ttrr.)the wlll(s) 14 r mRnent ttr MITempli my rp'j;M(IT drJ.S.rhrrn,T 11arelW Vfldjfjl/1w+1be lodksJ mac&IM.l trArtlRle7+u1 Al acwrMa!rcr. �Xes or �yi�a lrHlra7c-$lDrl nr1Sd NCA'C p?C..11T(iDWrtt Gnrlrlmmnrt y(arrclarAe mrr!!hm rr 7.1p flits a repair 10 all eXllltiR9 WVII1 �AIQ�li rn1�p ofl/rir rr rnNt hac7r�n Pro►' �n►he wr►1 molter. lffbirisveyrolr.•Jl/loutknnwnrvr.114ron.rn,crinni iO1�lnr7°rrdasplr�(nlhr.nnnrrenJ[hu tRQ rmorsd lWalldoftl49t ilsiletlletsllsen well P.-poir ender A It remarks wzrlan er na UP-hZi-lifihis.f[rml, a' f:fdo it lrau max rlsr lilt back of thiapA9W to prnvldo additiglml ifnuaessary R.far Gcoprohe/i1PT Or(3tKaed-i r►np Ge"Illerr"I wells liBPing the SARI clanytruciiau tinails, you may Also Nub additional paw fxlnsinretinn„onlW 1 GW-1 is nee dell. KIWiopta TWAI.NIJMBER af+vr-lls i Eluma"W 9.T4411 Well depth below land 50rast:,,. . `�v _( •? �r9 t.al Suinit this Palle within 90 days of ctln,Pleti(m of well tlrtr ouddPIC wrA.c r:xr nr1&!prhs raW4rant ftxn,nph:-3Crr)TItP`aunt i�r 11007 Cnn9lluelttfp lD 1i16 IilrW UVmi 1A�►rmatloo Rt 9celM�Unit, 1)ivlllr►a arV6ntet'Itea11 ill•4tp4e evnterlrtvcl b+hslti top of casing: f- -- <ft'J M17 M•R dery c Center,Wltetgb►NG�1694-16Io 1fn'rt(cr runt!Is rrlvlr+l rMing we"•"I ; In addition ee sandhog the li M 10 Ihtl nddtm lit 24n 111-tlpr+ehntediMmetert (io') � Alan quhmit one copy of th gREJAWis form within 3i1 ditys of a:ompietltm of Plan tz-welt construellnn motlind: ` - -•�• coDstmatlon in the following: (t r.,aunt•,nunq•,Mbla,ptroct pilell,Vic.) Division ofWaler Brt)mmes,Underground ltjertloa Control Program, IG36 tt7aR 3arviaetComtat•,1tRloigih.MC 27�M^7!63G i,;MWAWj SCPpt.V WEIJS ONLY: 2t+e,l(W WAR, 4.i��y&ipitfoitloa Weill. in addition to sanding Cite Lays to I fa.Yirtd iRimil.�- o fuiet'W of tec1:_ ti fife ttild[t ss(esl abo'r0> 0150 S1lboth ono copy of this foot within 3Q nays nP cDalplmion of%veil consteucclap tc�the colmty health depndlneat of the Monty 13h,01.51n114coan type" wl,aYa ooflarrnetM. betel liW-1 Nnr1L Chmliaa pnumonr.arl:u�irrinmrue41 Qunllty•l�ivis+nil ar,Nalar Rarrtnarc.