HomeMy WebLinkAboutGW1-2022-09903_Well Construction - GW1_20221027 Clearwater Wall DrillingFeb 15 19 05-43p
�
WELL CO1 TS'I'R�TCTZ4IV�t>FCOR7 �� Fnr intctnnl Usa n ;
• t. �`�nntrn/etnr>Ittfi►xrtprodn/a�: ` r._-_-.�----•------•.
1vrllCnnlmcltxiVAtne tr, ,_.., _.__...._-----
mc.Wa11 CnnhnttprrgttlRcntinnNumr+a S. 91NG ��
__1 l
1N2,tt �n I i n�i t1 .�
Q � v� r r, tot.
I'.natpnnpName �,n -ia. C 1 (GRTU ithtMill i u
?..Well Comitructinn permit#: co
!10 rrll n1N4imbfi 101 Mnttll7r.11Af1 ptrrn,l%r(LiC tIJC�C'4n rly,$f?fc,)rn'fi+nr.P cir.,J �
irk
X lYell the(cht *wdl msty: ^_
1Wlel•Sapp vet: *� x
tt. Pn.
tlgricultumtfl+totrlafpnllPuAllo —
• Cicotltcrnrnl(1•1endngtConling supply) ff(tagidemtnt Wmer 31-pltiv(c rde-)
huluculnifCnmmoraial �ltesidemml Wmersupplj+(sharcit) our
7 ,
iVon%VAterguppl%�S1rli t
A4nnilonn 13Rcww-=Y p. fr. __.
Arpiif'a•ltaelrotgt: �(IrmmdwatCrttmnrAivGnn 19 � �� ..-
�^•�SaBni Lintfitx >,[ r oc Rtw-Txfflllog-_
n _
guiferStornpt:pndPwavcr.Y F3 lX
A
L
qultcrTast �Stflrmwntcrinnipnge _ -^-~-�--—
><perhncnlal7fsctumlogy �15ut�idcnc+ Cann'ni
CMACtmnl(Ct(Wd Ump) � k
\tnniltera+nl'tuUmm nlr'AOlinn RIMMI OtttcrfmtalAin rmdcr 1171 Remarks) it. fR
�rL elt foil r tr; D Ita 17
lI,i)atc WNI{t)C:nmpletetl W --------. �.
Q lt_ (r
Wait 11 nratlne: C }f n p
iladl$)t'rlminr llntnr. . Facility 104(i¢;tpptlrnbllt) TF T F
EC
(t. �.
PI laal Adtlrrus,t'lt)';al V.
C;unrty �~��.-~ lMMnlrttcntifEentittnAln-(Ptlsi •-- ��'�=' t�� ;'�l�'r
r" a t
till,t htitlide and Ioaglhidr in dcgtti:ccltaiuuteSlaCcnndfitrtlr�imM degr ceq; — "'-"
(if WAR field,nnrloLrloottiFHniltrlrtit) a / 12.aCr cations:
(;.It(airinc�well(A �irfnnns!ntt or �t7'emRornty ,;m+ . tfi�WaiCuatraeur t)Me
I;u apmrnit rfrfr lhrar I hnmhvmrjr uhet 1hr u"jp)mat firer:)r.norWiu1In verA .it
i.t71tt45erepairinnnc7tiRtingwetl: Xcs or NO n•tth13.4ti[.iN•n2C.11/Mlns1SA,Yf,tl p1C.NI(1Dff'all(:.ff$fMrnonitnMdrrrlcmnrthma
{/'rht,•icvrcyralr„/1)/umdg>nlrnurll+r>narncrfn>rhtfnrnr�+llnno,ttlrrptnh+Jhrrx,n,r•rl'rhu �•�ni•nfrtrl�rr:+mnthacarofpmvlat:rtrrrrjurnrnmvfxr.
r.;orrtrtmdrr G2f rcmatkcver+tgtl nrd,rlJn,hnrknfrhla;rom+• Z•}-�tM ttbr�irafn arndUdDafit1tr811digUS:
R,snr Gc!►prtfhrf�l'1 m Cliweit�l finp C.eMha;mnl Wclt1 havinrt lha snrar 1'ml n1+>1f usa the tmek of lltis pop c!b playido edd(tietull rvt'fl aittt deltllls or Well
annstn,cNnn,only t CW-1 Esnncded. IhdicataTOTALNUMHP,tinf-rrlls cgfrotnlGlanctetails. YAtl may nlst Nuchadditinnalpnit*if11memetty.
<p A'nrgf well depth 1101OW Will surAl t: .- Suhrnit tpla Ztm zvitlliq 30 t♦itym of cptrlt+tt tfon of Arefl
Sm,mtdt/pie'I%-psNvnOdeplkrY-douenr(a t-7nTp?`mt7l�lln!/y �pnyp��i�nin'be f01101Ing:
in.Stone rwtter levy)bd'W top ni eaningc,__ ...__,_ __._ - _(1r,) 1?lvigitln nfVllatar Ramirnes,bribrtnatigsk lrrecessiigt Unit;
/mnlarimsJlr.rhlrncmluy me,'. 6 R 1617{1 ASurvtecCotlter R4110114PI:274W16t7
t 1-Ralrehole dinumter• I v (int,) �M,p.+�itr riinn wefts; 111 XkUHtm tv$coding om form to lim ttdt iva in 241
t2 t><eit cnmtraeltnn method: i _— lil)ovo,Rho submit one copy Of t111R fMM"Ibin 30 r)eys(9 comphaian Or�vc11
1 -v, 11 rntnt).rlhb,tltr thad-,efc,) aansintetieu to,the following
-----�..-..._.._„w.., -----._.V._____,__ 1/tvlsion ofWnteriteeaurcea,itndelgrounld i�fn:tfan Conmti Arltgrnm,
FpR WATER RL`PPl'v wFus ONLY. � 106 mail Seralcc Casimir,Ra 40.rYC 27409-106
13n.Yirld(�Itn) UPthnUel'teet: ,�� _ 1r(s•,[toP Nr_ ofi:r 4imd► -Fpi Ikff WtNs: In uddbtlan to stmdins the flirtn hl
t11c sdart:.ss(cs) abovo,also submit one copy of this rotor within 30 dayu of
i ih.t)tsinfertlnlik 4ype; ,•,,, Amottlu: malptation of Wdl a matttttarma tea the county hoellh depititment of the manly
i+rillO t-t NtKmCn,nitnnik,+mtmeninfi:n.trnntnr ralQnaniw,f)(vismnoP�Va>SrRnsmtircav 1trutag12-22.xrti6
. . �
&qn +. _ _