HomeMy WebLinkAboutGW1-2023-01159_Well Construction - GW1_20230126 82M22-7241 p.1
Fab 1619 O6.43p Ciaerwater Well Drilling
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=''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
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