GW1-2022-09640_Well Construction - GW1_20221021

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co ugmcdcu,only 1(3W 1 is nwded. Meaw TOTAL NUMBER of wells conswWon details. You may also�am(ch Wd dmt8l pages ifnemmity.
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IL Statte water level below top of c$IhW 0 (ft.) AlvWon of Water Resoureest Information Pro¢msing Unit,
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dl i ✓Q`�`GtV above,afro submit one copy of this Sinn wltbk 34 days of completion of volt
12.Well eoastrarttlon methods
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IlMft of Waster Rewuftes,Ua idsr@,ronna njatlan Caatrol Pr wham
FOR WAM SUPPLY WALLS ONLYt . 1 16%iVlan service Ceuter,lWefg6,PTC 3709-106
IS&mild(on) Method aYteatt �� Ue.For Water Min &L1<git�oa Wes•: Ta addidan m sending the ft=to
f.d.L 1 I.I_ the addtess(es)*above,also submit Oua+espy of this form within 30&." of
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