HomeMy WebLinkAboutWI0100607_Geothermal Well Construction Records_20201218n,N 4Re'1rWajLt:FI vvou Llallnlaa
j wq.w•/•.a9
1
WE ,L+01T C'TIQI+zRCO {GW 1).,trarTntaanati go nty; f
t C.antrxetorPnfarrUaifant t )
I
ti eit CORIUM M'aate
9 a2
t
a
yCNfollCnitnactarCtatiFecstlanNrrtnher n(pco ssol
Ate V
1
R
t T1. irt+
Cnarpm,g Name
aLtivNERCASIMOR
EYeS Camtrnttien Permit# I To BUM= a
i.derMra ale+vallrxrnrrnrmlofrparinAs(fu(lf Gn+My:A7al Yartmx:crc.J 8t. EL fa.
3.IVdl U'w(chock ma a*
WaktSroppllyLYel1: 7.
Agriculttarat A Gmldpal/PubHQ i}
IC
Itctrnni(HcatiWCOMIRS Supph_ mawddewsw wawsulo,(single)
tidustriaUCttstpttercit(1 R,csidaattiat WatcrSupply(shtlrod)
trN fan a
Ve a Afr 3pPtlIY gl'dl: ta„ t!
Man RaaSQtnsry ta. fa:
Aeiuifcr ittxit nw R
D(;rQanatvatrt ltcltecdistitm
AAqu(fix Stor{1gp lm4l$rovcrP ity Barr(au
AquiferTeg 3aatttwalct i)raiiraga n. re.
fbip"imenral racttt*v aSutsidenoa Cautrat tr. IL
Gcothermai(Closed Leap) DTmer g DkuLUW LOG
1 Int7rpskamatHoatinRsittm) Qtttcr is uudor#21 Remarks} t4 S
tMreW411(s)Caitrcpleted; ~1 Avel!IDO ft. I4
Wd1 LnrJ tlarn: 1L Q"`1 u. /( ^ nG} E''1
l satin 7h„atTtlmne .
r_
FaeI (if MOW)
P cal Mt"=.City—KJL> `
b' S liqto1l l o
y Pamal l'damiAemion No.(PIN)
Sb.P.gtioade aati lamgltttde In degreeNmhwteslseconds or deelmil drgram
ir>`ol!t",e&L arse}ptin:tat}lotart} }'
L
A.is(AM)the a (s aacex or I eaaeporrrry sivief ae oroeetl fw Well Cesummr here
1;vVPMA0 dorft.(0rm.J h0ry rrrrfy Arct eie;n atr(mrr{wwr mrnrwan d m an»rAirrcv
1A11 isnrcpsdrtomextsdagw#t: EIYa:s ar [%No a,NtrtS,t!er_AV021:.a100or15A,YC.ACO2C,'.ttXtt?WellCnrntrttcrisn rm,A0,r
rhionrMlgaoir,f/Naurbwwnmrlid000 mom thrrxumrnJihn a,pyaftIdsrmirdNit'M4%plptNdf)F/)eW47a%If
r1waer rmdaY Of r mmQa mmon area rfr:fta 6f'Ihfsf—.
zi 51ite doergsam or ndalidmd wsll dobkb:
S.Fur GeopygbelDPTar CSomul-),mp Geothe tmrl WeRs hwing she smne You may etsn tlm tack of ihis Mp to provide mttMti I to Q Rita details tr well
uaasmaction,onhv I OW-1 is ezdcd i TOTAL lNU M SER ormmlls r»truc2iatlddniis, you nlay also afptasbaddilionatpiges ifawat Jy.
UIALMMMMM
Total"d,4upgt Now land maraca aft Par AN SuM*thfa fort»mitt in 30 days of aompitnion of wellr•n«:rufrc,rrrztrustt rJrmyc'ansrreMompar-s;lma mrt;tntui rnnslrttatfuntcllbefhllotrLig:
IA.$tntle svatleria va o blow ta1P oP easing: Dtvidoa of Water Rawamrem,Iedbmadom Prommila Unk1'gah!rt4 JJxr+M.scrtstn&toe 16117MeftSat-*eCantar,§kIdgb.PICXjS9-Ttit7
ot.ItoraTtotc+3lanretrr; 1a,} 2dot,1r!aket3oa Wieli Tn aairRtiaa ta',wating the Awnar to iba addrasra in?An
12!Yeti eawtstrnctian Umiltsd: atrey Am alubmit rate atapYr of this farm wIdAn 30 days of aomide tfon of+web
t i o,miner,rmuy.cook.dno't poh,ae.) ODUMUC iotr tin Ibc fol I0MnX
P0A WATBE Dlvlsiou of Wader tlt emttrCf&Undargi nund Isla fte+G'btt M Tso rat%S CPPi X WELLS ONLY:1636 Maiiftmet Ceunr,Rglalgb.MC 27094M
13a Y Id ltt»m) MaetisaU of tautt: 2 t ft wAter-Ro_o};&TAtateslna VA, In addillen to tta gbm qtc form to
t3h Atsiofecttgn
ibn BMW.") alravas, arks subtMit QUIZ Mpy of III&faros v tin 30 days of
r3'P Amount,ampidc im of w l cor don so the ca ptuty heauh of the county
wbwe
r'amt C,W-I Newfi(]snntirts t tFanmont ortimtrcimrtenal Qra+Gtw-!]ivisrnr ot Wmer Ragdaweec Ry.,R