GW1-2023-02230_Well Construction - GW1_20230307

•
WELL CO S11tUC11ON RECORD(GW 11 .For�e�IUF Only: . . --------�---•. _
.LWeilll ambacborIn11oi m l on • • : : . 1� ,� •
- V011 Chin"/ //1 • -JM��Zaled.J snsl-.I-l+�Y.?y�+Y%ya J.A:=Pa-..W'u X=iai-
Weea i - - - WAX - T •
IeWeItQofP� I •�l1'a'
. a .. .. .
O 1 l ad 1 8 3 5 kRfric
2.Wd[CmnstreaxfonPemIte. 41# Emu ID DIMMER. =ORME HA't IRE.
Lluaftwirtesbles3rII amnuesforspenzacge.IIIC,Casetsatftlfterisaxeft) R: . f. fa.
3.Wdi Use(diedcxdluse) - . - ft ft tr. •
. SapplyWdL- s3L-SST I ✓.-e' cq .., •
EROM -'TO DIMMER. SLOES 'LESS RZILTEREAL
rs 0 g ft >d -
_f m dy) Wale ( ft ft is. .
MeedlidalwaftsuPPV Cam* cgau r:c._ :;u..T -. - --3-: ---,4_r% :a:-n- -
FROM so J a< r
Nan-Wa�SapplyWdL 0 AV fr. /v e 4) l`1A -
Fes►
Ifyeehen Well: ft. ft. _POSIT!Ve Diomeeinelqi
re l� II* •
SARDIGBAVEDPACICiit ?£;w .Rvcv' .
"Stm gtand EOM TO IN .
Test EPtaranuaterDs±age ft. ft
IIe_.. -. Technology DSabmconhol f' ft. -
' . (Closed Loop) Mazer = ,a.oaa wLOG(lifi-a, .-e-- rff:
- - femong
/Seam) 11Oderr(e > 1Bemaks) Elul io noaotc a a -"
4DateW )(bmpbted:6-�4 0?3 Wa118 . $ 3 PWR !c-ez l Xlq 1
!
Sa.WefLmeaSoos _ 3 It' ,07 ft /^ Pc�' 3 i1A�tJC� . _
. k5C1 . Th49/ row-J i*, -A fr. �":ti ve��.r �� -& 1JJ
to....;i - - - irlDdfrr - •_ $ . $ . - --
ea gek 4:5: thefy�ee �. >Z
ter. - e71 gi - ft ft f •.
`"�i ale=v.—.1y:.:s:»max-E a-S-._'7- =w•3.t- `st� ."4.
t - .r:�IIaD�.cen pp/�
- .1mdtudeaadlongitudeia e� x or 'I41ri�� no_
Certification: -
!il
��Jm ':'. 1=a3-A?6.1s(ass)uewefl(s rmaaemt or EiTempmy W I Thee
LlstTncazr�psirtoanexisfingv Dlres or• JCfetxC c .roro rISIK c f r St :
Phis fta, 7r fillmt weg aaras mat dx.aaaevide coiPYelde sinenedas&mp a.Fdaam,6endrOVnW.
srpervadertarsemmissiev oaarandeEaetaJddrfeac -
Z3.Wde diagram or addltimsiditendeblim
8-For(sleoprobe/DPTorQosalaaapG Wens]eavmgthese= YanDmy Is*the back all*Inc mpmoridea lwdtsbcde oratdl-
onjt►TGW-1is needed_htsEcatoTOTALNMBIRorimUs smostmetiondeWtls Tonally also aUmdsaddi elpagesifneee,
gortivt-
SOBMI TALINS'I1twCTIONS
9.2tetalwaIU pthbslovrlandsemdaoe: ' 0t) 24a.For MI Wan Submk Ss form main 30 days of oomplcdon of well
FarasuWewellsMoltdepthsy'd�ora fo orpfa•3 fea' d28100) tothefoltoviing: .
10.StaticwaterIerelbdox top afe�ing !: w (ft.) DivaianofWaterBesamm,Iafo NocessiagUnit,
j/teaferlcsd8 above aastngaoe LE- - 1617b?allSotrIxt7eaEer.BaieiJ NC27@93-1617
II.Borehab:�aw-ter: IWY (in) -�^ 24b.ForTnieedfoo Wee le: laadd�anto gdmroseamtbeeddlessIn24a
12.WeUcoast:ucfioameBsoea: AO �b! �� slam also s> ono copy of this'fcoa vat&30 days of of well
tL a r r. c ) ...... -• oamthefollowiogr
Weldon ofWaterReso nes,Vhdesgcon dInjectionCbntroIprogrim,
FORWATERSUPPLYWmLSONLY: / y-CST 1636MaflservdxCenter,8ab3gh,1+IC27®94 3
I3a.Yaet gpm) Method of It h// ` 24e or Water Shanty&TnteeGon Well Lsaddi n to s es mgthe ram to
3�j bZ the des)above,also snbmut cam'copy of this Bum wObia 30 days of
I3b.DIs nfaetiontype: ' Amaaot completion of'well eamstntaion to the conely health depettmeat of the county
- when constructed.
Fhm}GVM NmeliCaoEssDegssemestaTes immentalQmlity-D eofFetesRemuaes Iteised2-22-20I6