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HomeMy WebLinkAboutGW1-2023-01159_Well Construction - GW1_20230126 82M22-7241 p.1 Fab 1619 O6.43p Ciaerwater Well Drilling WELT..MOBrrr*rlrntrl RUCOM(GW I) Far�n��ig9 1.wlttl rA►•�e�r to �t tl: T = -- .....:_. . L......._ ow- _ a 7.wa CAMM"aw Rrmit k: ....' a 4 t Ustamoppgookkwofaast mleApe.�rs(J+e e'otttht�/aY4►+sue�kj S.Wdt lice tr. (t!Itedc Weil use). � w.ars.ppb wdt: � i,,, gria,tarrel �MuaiafpavPUhil� �} tt. +� Water Suppir(sines) 06 Intlt.li{a11I7am>de�nini srdm ow WSW supply(darns trli Ian O . i�w-lI1 aer gq�9wld1: Martflori Rt>BMY A 3AqmifcrItwbjW Mrmcndm McrRorttcdiatian PA AquifaStgt�pttndRaawcrg �inityBtttr(a AgWfarTm DWW46C n m' Pxperinte+lml f+xltnolttRY [)SU11IwM t c Mai ft. tti Gcothmnai(Ckwd Loop) DTtaoel In etttMll gems} ta*r A21 Ranarks) I 0 A< Mom Ir+.,.w,u(.) LL.SL=l��w.0 lDo ( we we AL WdI tiAle./pMj H. S�nfY.Ir' +� 1> tusan s*A 7 er -�.�.�aL,-s-.� it !L d�4 pb8—d— Pw*M not n, s Ithimiticati m tAa mm 5t►.IAttltttde tttMi iet{t�icttle I•ftra s/tninowooeftiends or demna degrees: U1s+e�111kJd)ma , isaldlMklit} ,f2.1(.erlWeaN l l -I D LZ 6.Nam)the Wtlt(I 6MMOerr or Qrfearloonry stplswnr r Qep 7,is Isis.ttpir lu an t2lWtfg rdh oYcs or , Hu aep"dear tern,,l h e wR,..:,rrfy AN at"I"I J "W 11rp o a Atw aedew :14sh/3A/W7Ar' nr ft2 .$lOU 15A Nc K.ox' IM W&V caM*,cer.+►&wx i.&MW Aw a Il7Gllxni4PanAllaurlbwoweW.N, inerrocNmoll�n,grlrmMd4x)WO"thenaarenfthc umpqll1wralXditrbft*pllotddHdJnhta►ref//w7ttr. r+meyr trtlMr A,}t ewtontt rcnsar are�wrkG beetajlAhe_jorn. t3.SW Aia� 111t:ao or oddltlsvisl Mad d1.1 R't'"r�Proae/RP ti.r Cittled.tntRt Gealinraltli W.iiA Mavtag the sa+pe item they one the bwk of this pomp-Z mmko adlllifiaW tsatl Abe daw-h ar wo(I =''d""•"wY 1 OW-1 if;mod, lncft 6u TOTAL NUMBER atwam t�OWrtidintt 4008. Ymt MAY AM trbac Ix h aMfiorW p ifnwre ery. ririiied: 9 9fotat»d1" Mow knd Mtrk. J:itrnurN/ple.wY.ctlair//okp�ya�rwesr ,,, pp�midot�y --}4J DI',V WaYr: 9ubntir thi_S Ibe1III trllhin 30 dax+of ciao of tell Canrfiptttion to Iht:Muff ft: 14 Rladc�ievel flektw top ofeultl� lU V V'tmrter lore!!r ate a OM*W.We^• (ft) Dirldno otwe ar Amruwxs,lafnrmatlan pmeelaias flit{, 1 1417!haft S.trrlee C"'Mr,111IkWd1.NC2,t11fl.1617 �}��t p / 24h-Par 1■�,na.wawa: In additicr to SWAUng ih flow so the Adaam in 2/a 12.We6 caFOou�1A MSM 1 1 J (.CJ lJl shave,also Aubmit one oopy aP this form u46k 30 deys al aMpkgiM of 1AM (t e.a-e�.cow dwim pow.de., atnanugion to the falkwft E" A.7 .'PiMLV WXLJ.S ONLY: iidvteletl•fWater R1awlfmi,U>•tl B •G'pp M[�14t"S FOUR tier vIM Cto11e'i 1b ifth,.14C27096MM itQettttrd of rese 24C For WNer Sammy&kieotlra.$!�: In adidatt W aald6og Ibc R•m Mypo; Amount. Me ndd m<cs) aboM Wso subsWi tme copy of aria fam wlllrin 3U days of completion of%tail constnmdon to the coartty health dcpRwMM it the EtlteNY whore WMMwted. Vnm1 GWA-1 t1orA1 t]edhee 1]"psrarptLL of Navtt6sitoonta!Q platy-Nvisinn of Water Itereateec _�� Raoisi2�l,'�t6