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HomeMy WebLinkAboutGW1-2023-01381_Well Construction - GW1_20230208 VaLL C RUM.�...ri.r For loWmd Use Ott i 1.wa8 CoMtrs�r tm: We1�1t'7aorName - q Ulm e i Oo n' t►, ` 1�lieitt3or�courCettifi�tiotsNum6er i Ism To q P061, 07 3.welt Lbu�rncttola Penmdt>9: �lsraugpp a61F r1tconahs► foal td(�. rub cmo%Eat FM*m,.aa, ft n. ;fir, s.walu�tcbactcwen�): a. �, j�. water an: w YO 1?L5&�$ ELOi' I1YA a Ar, tn. 1 O(WnWCcof8 Sww tt. m. Ccanmaaroial �al avatar$u E . 1Vonwafipr 8npp$►Wells Ft. tt, R � R ft. fL s " ReCbarge �Ck011X1�18tert�cmediatian i9 LIL n Skmp and Reco m l3Saliai sugar 'PA To AquifraTbltSttWatesrDninaga 0. R 1'fealmotogy f3eot cmw{hosed Iaap) CITmer tlealhetapal Rearm Udtdr aaadar#21 R� To Ga a.na%Wt W coloplateds —/0Jl wen mN a �. on.welt Loom'. lon lt." -'A. --�w� Imes ft ft. �. FIUrrName 8coitityiZAlt(ifapp}ictbta) �� It M Cm* PttCet Id tlmrMo`.(PIIt) r ; > tet�tle0n�i or$eE$tlal degreeu a2.Cm�eaftola; f . N W CIS(m)the waNdFamuw or DTemparary alb t:w""�'1Zf►e Coate �,-.-..'"`....� s jtp av 7.IttLie a g8th�apn%1104,rarer lat*VdIN m uftw d(R ooeorrkaia%<:::. tgalr to an uMgg*I&- Oyu or gwo wA IN NGC 02C.01M or JSAIWAC oIIC.0IM OW Coam xft S1otldarair ad>�t lythtruarrpttr,fflowimrrnwdlmawicdoboanp ml+YorthismvmdAahem►panvkdea*wgowm r. rwatrtmderdfll r.-ma*.T=aorr or an thehacF:aJY lrjZo,=, ptDlrl'or C,daod,Loep Oeoziiermol�eQt �$ite dlagrAm ar nddEdonmlwell. �;„a;:,:. L Far Qea b tag the same` You eonstsnados elm back Yarn flats�6 i addlt wd web alto det&or wait:=' r. e c*1 QW 1 mmadA InBicste TlDTAL NUM8M ofweita may ,also mach WMcnid pagm Xn=w=y. dtiliad: T �,, 9.1w wdt depth below land wrftcas ��'�0 ..�._._{f�) BarAtR-M-.�-- Submit this a4a. & t� - l�rmru(akwd�r�irourdrprb:y'dlrtex�c�2oo�ondT�lon9 ---� � vAthhi\3a deYa of amqledoa of alelt - eansl oom to the"Dwir gc 10.8tatlews►tp level batow tap of eatlnp: 2-1) ..�._..__.._([�) Dlvhdoa of WSWRe�oraa,IrfiarseAgon IIett, {/xmrsr hest#abovacotn+�,vat IR-7 lllaa&alrYtes tCenrsRele ,1VC 396991 fiT - 11.Bea aledUtalatet: (L) 24L Mw TOWN WIAF Ia addidanjta Naft the h m to the after in 34a 12.�Ne8coaapaatlon alathadsAir above,also ad=4 mro oopy of ttdstomr wtthfa 30 days oi'omnptetimr of"a (Lt.UUMM4q,abk dkeat ptutr,eta) eanattaction totha gawk* DtvMan of water t a �t,Undagw+Oaad Ir�adtoa comal ftwau% FORw�lTilL8tJP1sI,YwEid:B ONLYs WOW NC Z70,9.1 f36 Mdhadoltaek 24C,For WAJM qV &ltdftftk In addition to amdbg the fbrm to the adftus(es)'above, also submit;ooie,copy of this'fbcm wift 3a&p of II3&+:�Eis98€��t'lmao sae: A�aa�>:e � � o construction to IIie�eaamsy'�'> ens�,f fbe¢muay '_ d