GW1-2022-00215_Well Construction - GW1_20221216

3Y9LLL QQNSMUCTiON B&991W r.«wviss:uK OXLY.
Tli Ib rat be awl frwyu m wtiltitle sBt
1.'W/R Caetrela:r:efu-st;'or.,
S� rr� Tic. LL r '-'1. .•!t"_'�_.b. _.'._...__._. _ ...-- —�
Waa rrA.a,.>or n'•... M. t��t6 .�I^lD ��°/� •�•______
tvt:WtN��4i+t,a.�u,.An Ls^ st. �� •'d`�'1i191aLii�
� � r ._�>� LL L.1� LL �.�1 L� � '�'T" • 7D'"' erwftatiiyL .tJ�2.1 (� L
Q -a
��Pas1 Q 5� GJ s MONO IL tt;aut.
1 Won Coestnatoo.)artdi mil: •J t-+ / _ ---- �. t1, _ I
. JXt CA gpikltak r.K fe•urt 00P K-itr I).r Cw y.S,..-./o+w,.v,eu) h• .. • ._ -__i
I.Wou 1;"(chalk 0.11 fr a;. 17. cast.,(
~_
ala►Stipp',Weu:
'�. •t1. fl I
MOv%hlrmW(H*Wr4;Cocly*3wply) ust Pety 4L;L)6y(,lwb) ' If.
la i
I
ccc is.
•. "—,-7
OlmltuArsa!lCwterwcrl )(CdaIOCnLaI Wn:C1 SVPfly(Lb-)
MarWatarAfp:t-rw4i
A ..R.
dh{aftllse ORew•ary
,...._.. _ -.. .._.._........_.............•......... to ti
ae
CAttiftltarharp Pomedlat.cx+ VLL'! lf=
p.0A41011 Sken4 auC F-•vm.Ty Uumity Da�rru+ h•
�QAgai6v T'ca / :;, WMWat&T Ureanatc k a
i aLvier:feadd Taehr.r,ory OSt.be;tence Coldrul
all a,i IM iJ fi
d(kodwrmal(llaaod lalq:) U'rufa ervwa nia
00tothernW(Healky/Cuultott Rac m1 `t7U�(cam leis ta-Jw d2l K+aiaclu)j h IL i
C Asa Wa1Vr CSr/louA: ./s.a�I- W-tl! �h � to b
- A S O aC
Sel.Well locamoa- � tS ft eL(? ik � LG
racwyiU.a Nw Pealit,1D/,f i,apnvslf) -- .� -r rr 3,.
M Latilade and Lea,tittfdc ii tktrtcuatfnet;✓records or tkcicn.l doetTcae:
22.(:erR
([.aU tel4 ooa 1stAeai is suCQclrea� i
ofG+rli.� ��r5.,..c,oa t)eto
C L(an)ttr Nlya) �lrtaarerel or G, folorrr- / A f ye Ffu rWIehodM no.ana°�.
/ ,ipfatr rl!f.er,!lrrt�aeApy•' »v vas:rare)C.
vM!JI Jx 1[OY .01tw w a.c MAC eX; 02"V4 Ce.ehserw Jsao.lrri W46.!r•u
I.Is this s rcprir to as asiAng well: (7Y43 or /No ry,,'o/ru mcc,J Aev Is to pod/r/N Ar Mh o++er.
j1+1g1�!t'r!eNai►.JYI oar h,oan tve0 porwr>Naio+:1brw,.�,sou cr�oV iA.raa.n c/tM
..r.,b II.P/tJJ W.pIJJ ra'nM M M e4 Ori�•,•r,�►.-.. 3).SU r dlrlras K a Oitttoad well 4etal4:
You:uey sot the bazkc lsf.tlria er0a W pievide addkWSI Wvli li!a deeaib Of rut
I.Numbes of*fib coestrffeed: cxtatAj,;,.On drarlt- You Lamy also atleoh sddltlofut(y/eu if W-011 Mry
l,.r rGrhlrr.gerr..,,►are-.+rer stpj NIL ON!Y rrf4,fie f++c t•.rrv.eu.,yo.CY+I � '
s11py-r1 AL 1MS•fti(TIONJ
!.TuW woU Mplb blow I.std s;rface: ( O Lo' Iftj 34L Per All WtIf Sub-it this ti,rnt w(tilul U dzys of cumplst"J"at rc'
Am Wklpk"*al,.11 depoko j(d;u'IYnt end)ftl;001 CoNt:U:lion to the follovhn&
Is.State*aterlavti Defewrtop of ca,aios: L_.T IR1 Drvie.a■ofWwrQuality.TfrlorefUiooProceiolatLail.
y.N.r trwl a oiio.....i a rr- 1i17(Ifs%Servi"Csuw.T 041,NC 316fAH17
11.Bus"dlaweeet: `r re,t sb ULM, a_Xc�: N edCivan to rcfdlnt 3+c ro tr,to iha addrul N:4a'
iO;, of .,. n. v tnw .' dayf of clinp)ttwn of wcu
lT.Ws0 coteirtartise mo.-_., ! S �/ �t i c n+ c:, o- h (Wowhy
I i f.fopr,tars.fade,dull ti pn>,c' ) - -
_ lrvu+r o!W.. �"_.suq, '.rt.•r ._Jcctioe Call trod profnw,
i FOR WATLA SL)FrL.Y WLLU O'(I.Y: 104 Mad Service Coolest,fulaig1%WC 17fff-l0
r f ,
lIa Yield(spa) �J - Ma.:..d N oft. �L✓ t(/Q W r� 2� adlitian to�==Wa a•tit`• L„ccl4o+. r1Y trl "big cftc Corn w
uw lyddrau(et) abere,l eiso avbmts t►ae ropy of tnfl ftxrfl vrith(n 30 dayt of
�IJA 1)istaicctlaa // !?>:� w7plailar or wsll constrvottun to the cattVy hWift dcpsroln-rt
• n
„G f/.• r_r'l�C'v,:r.:D r.a-n'•:.•f:,won v.• vr.l N d.aal aea.,ne.
r
I i
i
i
1 '