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HomeMy WebLinkAboutGW1-2022-09598_Well Construction - GW1_20221021 s=Vltttt Vnitt r � PON , Ql _OUI For Uwie 1.Van Ca"buftrbhrn dm,. on Poolb Wdlcont IMName 2' 1 I rt, 2.60 ar �:wiesi La�tcmr ta:casicnaon i�ivatti� 9.� - -— --- MOM 1 (� �, --.- o fit6la409G70OtPd'aQ071d"Q(I'ON(J mb(LA INCH('OW[ I aft h4mco.Wei ft, I a I k� I WA UN(dVAWA nse)t A n � uuiClpalf@wsblic �,: g;: t;Eta:tinglCoolleg St►�t1y} WantSWIY(stt&) I IL ILCommaatal �Ol Whom Sup*(O� mTo NaD-Water Bnp*Wells O aw 0- CfAkol 4. tl. WdIf Aaui&rROCIM a I {"�flmrmdaraterRemerlietitm �' _—._.._... AVArSWMVacidRecovery DSaunityS '8 wt=wa�r rwc: u Ted ac�iar cotamwater fka it, it. 1Tecbnatagy 0Snbmawcoslitai R. & t3aoA 11(Cloted U ff) Brae er 20. 1t ts41E> 1, Itedan Outer tttttler#�i Resnatrke 'c" ` 50 4.D a-3-ate Ww (ej Completalw Well IDIM p t) $ sq, WWI Mid'MCMons. V� OL & lM Faallf�rl0wsarNemo FAW* ( gWcsbh+) flt f ftsiailAAhWs,Cav,=d4 to ., COptlty pWtaClldi$CatIQSAIo:� } .H.adta8e and act to tirgreeslctsbaafesltsetiwstic or doaim.d gees: (ffrndl fla,i,sea 1�Ulat>a is sufBlo 2:L,Caditcad n: lv w 6.L(Is*ties W�(a)�Pe�nettt or DTenrpor c dW tt M —, UM 7.It6k ate to*a well: 13ya or o wuh l$A NCA f2C.0100 ar JM AI CAC D.TC.wtlne Fe Coectrseatw Wawkx&sad&W a .(f 4h Is rqd; Wathwxcr reeg aonso b tam aad e>q*M the nx mr f the �FY gfthtr rsrcosrthea beat provMed to rile wrtlflweer. ,f.neJ.au./„ii]J.r.serlm.srnNnw�nq,Aa J�nknhfi[a 73: ti f or.adWaaal r p)a dc?(s31 m L For GeoprobelM or p Geothermal W4b hewing tbQ um You may use the back of this pt so to pavlde additional well site dattills of vmn condtnatim aady l GW l is needed. ln&Me TOTAL'N't>l M of wells Constructim details. You mlty ab o Mach wtdtlfdoal pe m ifaeoaaaty. 9.TOM wdl deptb below turd tmrk m A) 24ss.For An WeRas Submit 96 tbtm:tvl*W 30 days of oempletim of well r�,r mui�rte wrlri 1UtaAdepN>t y dQ t rexo,natc-sr�1o0 ac�1 Coaeaaa ou to the Now1w. 19.Bartlewtar la d blowtep of crams Z° ( ) Dlvltttost of Water Resmuch bform kdon ft=atdug Un% Vwear L-W o abm woft we 14" 1617 Mdl Sevin GenterT_Rdef!A�NC"6994617 ?+tb.XUAWAVUVA& 1a MM"to Naft the firm to fife edbu in Va. 13.WeII ems aramnd: l r t'p�a r ebov%also submit am ow of this than wttbb 30 dw of compWan of Watt i��'•�Y,��dkcct path,��.r `— """"—' eottsttacsloo tattm fnllow�p: M—WAFER SMMY WRM ONLY Dbftn of wow RMWfxs,Uitdat9=0 Ltietaiolt Control Ft%"M% 106 Md saw"Cm►t 4Il MARC 27"1606 XU Al Mewl.Yttld taPmD Matltoa astpts v 6V� �, atsaltlon to.ma;ng die�sas to r !! the 4ddtWCG)'above. alto snhedt am clam of thin firm within 30 4m of. ""'°°''a - ;ID• __ ` _ .coarsgleiiau of web avttttrt CfM tothe cour'it r.7tealtil depnsttnent of rye c