GW1--07277_Well Construction - GW1_20231109

828.622 72�41 PI
Feb 151905:43p O{eamaterWall Drilling ..»...�.,..
•W l LL CONSTRUCTION nttr.OR ;GW�1 •arinicrnni Usa n .
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Well Connors Name a. a, I l•
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2.Weft Construction PermitR.. n ft. b''
Lin all nodlmbJpwdtceninwiloppannInt an.(IIA Cpan{Y,81"rarlankA cit.) - In.
3 Welt 11te omit well oin): 7, ,
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RI Ocentetmal(lientingfCe llogBupply) RmIdentiot WetorSupply(sifllo) !w ' O. to. . { 1
111 htdasirietlComatewint S(essidwttFnt Weer Supply(shared) qua....; r OMPLIMCIUMn21I'p¢A
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t�1• 'nifecReeitamc C(lronndwater ttaacdiatiun �- — Lpry ,•.�:_'.',•;1 t .
ieity Barrie �� .V'.m ' mvat.wtcl tine orroon
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Subsidenco ConlmI a. a . •
Ill Geothermal(Closed Loop) Mu" Vuarologaitai •
ayt
•,. „;Return gii Mgr under Remarks) / It. 0 ft. 1 t •
AI CrwiNcttnnl p:;
4.Hare WOW Gratpietea:.�.,_,.......won ITN 7 ,
go.Well l neaNnn: y2`/ 1 7°2 I/, •
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5b.i.atltttda nod MONO iltdegt sfiulnuteLf9econdsorate imal*gram - i
(ii woil fmtd,one tet►bpgfn sulllatcnn 7.r!.Card • q.23
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,�,) Scat oft�tfiatWdlCestnmior j Dela"
di.Isistrc)the wett(s Petnaueat op C:ItranPo ?' ,tbi (,mtam/ameapeagaAwr ud4$I M arnmeerat in amerelmree
..is lids repair In antexlvdtg weal E tras or ONo wok,SANCAG WAN/Darla z C C:.I DFr Jtarafntut"" ""n`tAnn
fll aud+xe aReaara n imleiplcUttb.natyet*. ap /O ftreco
rd harMeepte iorhrwel/meter
MAW wder A2I rotmnnvruM arrm�hock nfati: 23-Sam
or atWtlotdadleleftllgls
8.ifarGeopraht!J[Ilr!'nr QaFedd.nnpGeaWt l WeltRbm►ingtttcsaetr: You mein'the bock of Hoy Be allfic Os politic weU sitescary. is nr well
uemahuctinn,only I OW 1 is needed. radio*TOTAL NUMBER of%S3 Its
c++rt9tturaiettdrittila. Y4Ut�lYelsbafllchadditi ipagesiFttearasotY
9% ete won
..,,.. __.,:. - ... 360
atocgt woli • (L) for MURAL! Wm*sus it rm within than of completion of well
For muhlpk vatic/m ltrampla-Wiring,V1aal ConsITUCtialltOthe fi VOS: I.
tri.Stalte waterloo&below top of cantor 4/JVl (R.) Division of Water Rahur Istfor notion Proctoring Unit,
Ret Caa
1b17 Ms Buhr; lair, dgb.NC7�7699-16t9
IjKbrurrmt tsrrhavecattn3.we"p�,", I G+ y ,
ti.liemboledinetr ter: P /- (In.) �tbs fi+nr 1.ieettgn wit alod is fors 3 goal 0 Aei1s olong�rd pll o Mom f 240
t
alcove,oho submit me coP3r
17t.Nail amterttetlastttmtlt a: GL consttartitne<tothcfoitnaitt
!i o,mac,micas:able,drcpetptplb,eta l TOgj)ofNTetcr HtdartCtlt Ilmlatgretmn Control Program.
FOR WATER ti& PIN WELLS ONLY: 1061111diSaretoeCenter,RAI .I01C27609-1e336
iJa.Yield(fit) L Method Grist: (�� ' 24e.Enr Water Sunda&ItWak ettan
Weft in addition to ouc copy ibis Ann within 30 days Rom n
the rtddccss(es)above,
camptetlon of well coo n toathe awaytllth dept ne at'the county
s tb 13 t:infccttoq sypa Aptotmr. .whale consuomed.
yam OW-i NooldeorlamDaanamontortimitrdemmtalQm1119-fx imeDM= Rancod2?2-oo1a

Wan Paw Si-eirout Cadegagan
Andra)ok en cfra
OwAer
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Peravt (i 7Lvitsth
therdisrawOrthettbaabovereferamedvalwasselltedinappeavrcei.n
all Cam Wholes.
Welt Mac A 012S • .
Catfiatte#: —
Constructke: Grout
Tt4 305
nook Type; eeinduk
stdowsr ---
cadegvaisat Depth:
Dimon /0 V
Weigbriligdz.„—
Mgt—
. .
Drive Shoe:
GPM