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HomeMy WebLinkAboutGW1-2022-09797_Well Construction - GW1_20221027 828.622 72�4� R.1 Foh 1519 05:43p ClaatwaterWefi Drilling ......, 46� WE,L .COS+TS'i'[tUCT�QI�u>+tt�t1R1>r ICsW^Rl For Irilccnni EI vG n 1Vcil CnIIIrAClor Inc 1►• _ —_..---- c 'uN �� To " ?i'\ ollCnntrAtlnrCgKfReniianNo7nle' � �r�n/1_ r�f /V/111,�I1�iY, !I /) (1—�Yi /%' ^I t�q i11Pi11fu1�tltaC _ ���(� i6. �' � P Z ;S t• .---_ ?.►Yd1 Conntroetinn Rmrmit lr)nil my l6nhl r well rtrrreUtrdGiJt 1xrrDJ!!t fr.1 MIC OWN SMIc,yrtyr+nctti err.) tr► �.1Yc1115-1,(ClICCR Wets list): �VAtal•liapplyl'Yc! A-0culluml MuntafPniRruhlia {) �* �" ONGeotllerninl(tlentingtConlingsupply) Mal: idenfinlWaterSnPP13 idcntiwl WnterSnpply(shared) A1M a,z i<fon�'t`necr 3upPipll�N; A4onitnrin RCWVarY ir" ^ ntcatfon ctl: �� -•— AwiferltedmrAr. �GronndwmcrltrmcAia[iost jigs. A trtC 1tNTM uo --_- IAgnifrrStorapt.im;14 t ovary E3Sollnityt3nairr Mft- — tarinwntcr)hnilm�• -"— AguttirT�st �S -- Experimental'rrdlnnlo" nsulti9idenal COMMA Gcolbermal(Ctoacd Loop) 1< ' te, Genthennal tHcntlnF dllnR Rctntnl Uther(ogplain under i121 Rcmnrk t1 er, 3�ca ------------ . 2�Zp��ui I G1L S '"-�pr•. a tr~ ..-.,..--.-.--------•--- r, WtYcti`i��,n/`r`rAtl itn,iSy;l3w�er}K Traf T tanillyi�lr(1F0i1pllrq�tl�y rr Y `--- ,�, -----T- - ph ralAOdrbs%Vh.i.Rild VA Vic, MA a -•--- Cannly ~' ihtrcnlydr:otiilration140.(Pwj - Irti'vivlrt3i�r1I�r;^C�r3£f'. l: g 51).l,aNmde and tonpptudr in dcprueslnJimJt�S/secendsnrelrcfmnl+7cylrcr_v; (ii wrli field,nart t�tgn�16 nnliiAfrltr)� 1g a p t fi.UNIT)Alit,WNl(Aj(perlonnent or C(Tv 1porAl,Y $ipamura nf+C�Ittfedwdf Caatnttxor t+rhriS k'tMaeth m MIns1 Ar`1fR,fJr4iC rRltl�nR n+aAWFJRI ltdtat hmif JL� ,f M6 it repair to an existing well: rivet or a1Vo tnntrRfJ4rrrr.+nrtlhnsh�JJAm>•Ja�7IIrr►Jlnwrftm+mr. {/'Alit.•is a rclrplr,,�ll nnrAarntrn volt r.,x,.erncrraR blilnrnretlnn altrl s-q�Jnln Jh.rxmJ:•nfrha r•;�n+r nnrfrr 421 rcmnrlasacttan ura,rJ/A:hnrfiojrhlt Pram. 23.9iHt rN"Rrnmr or Addlli011A11t411Udi111t9t $•lfnr Gen robt,hlll"1 mlrlpced�larsn rentdatmnt WeAnAtwvfng thesntttr. 1'911 10"jrsa the lmelf of iilis pogo to pmvide edditie,+mil weft situ tllotlnib fir%volt rx±nstrttf:Nnn,onto I Cr�Y-i lsnredcrl. f ldirtpaTOTAL NLi1Wt3ti11:or wr:tic a>tlstnratltJn clrtAilc Yt1lt may niSo r�}tAob edditinnnl png�lfneceasnry. 9 'A'negf wet de n act, R 1 Sunmlt this form♦vilitrn 3U�w}s o! comlrir.Nnn OF cell l ptlliJal+eNrindSurl .- ( 2Aa. lfornitwelta Y•rrnuJUrlr.nvllclivnlJrl Ncr d1 vanr(aPa+n»la-3[r(t3pf1 mrrts(rStlnrtq cn actiantnthefbitatetng. IO_Strttta wntePiavrlbe1nW top OF (fJ_I DtVigion of Wateriteswu ces,Itdt)rmatignIrrect sing tlnitr /futirhrintrJlr.7lutraertrhtll v,c(`.( I lij17 MOScrAceCM&P,Fw10gh.NiC2Tfi9D-R1i17 11.)lomhotedlatneter: �s' I tin•) 2th, n_r•!� e„�Jinn wn�is; Ar addition to sending tha form Iv file IMIM iu 740 /� �( ttbnvc,ALtn sullmi>wiG topyo thlg ilmn v°ithin 30 days of ComplMoit of\volt 32 Welt cenitrpefinm mathad, �., �'�"t — .—— 4Yyh4fRtcribs)tolhe falinwinA_ fir..aug¢:,rataty.Ole,dlrmtptfr4.etc) nivlaion oI'vt%nar IitentJrces,tindcrgtmlod ltgjd:tlAn Control Program, MRWATcaSt.,p flrVt+�USONIN: �Y— ICr 6MallserofemCeorer,lttotetgb.we-"09.1636 Ian.�`irtd( ►mj _�iilfetifn0aFtealt �J 21e,l7tr V►__-:ott'�`tA° '0-rareatlon Wdtt: In udditieo rb sending tht ftli to the tttlar"I(es) above,hiso submit one eolly of this forth Violin 30 days of J.lt,.111sinr¢erinn types Atnt►unN atJmpmefnn of�r+ctI mrJgtmatinn to Ilia cgtmty hmdlb dalmment or the cmint r V";Wo COMMA IrcmnCu_I WortliCamiianSkTnnrnenrrvfien.lr6ntnr tatQaallt?+�i�9�ano1�\vaerR"gmtrce,Q tiwisod2222rt1F Well Drllbr Self-SMUt iflcatlon 207-0 S owner: Netnr`IUeU Addrew.--(IAjf r S It�evr: Ot�O�� 12xereby amtify that the shove referenced vvQ was groutt d in appearance In ac=dose width all county wen Mes. Well D llex_ Certificate#: c� l 13-/� Date:Groutiad: -��- Construdiola: Toth 5_ `type. C��� 6 �g V Tliielazes : fit Casng DeM: De Diametex: l0 — weightJIUc�__-,__— Heigbt Drive Shoe: i Case, ; wf 11 a - nip 207.EWAMaAJAck�v�lclec�S • � d