GW1--00703_Well Construction - GW1_20240125

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Feb 151905:4•3p Oteatwater Wall Drilling 828$22- 241 N.,
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-'WELT.CQ 'ION RECO (GW4 For ltttemnl U4o citify:
1. c Contras tnf ion: W 1
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Well Contractor game
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2.Weil Cat petioa Permit#:,_ a tn.
List all aug 11w teknilcanstivellospaIRiax(lit UIC,County, lai Yana ON-- • ,♦t.
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S.Wdt Hie(chant wdil idle):
VlttitANSo - -.. ._ Z.y :�
lll>;V Vega u a 'rush tk 'i aMsenRdl itinat nsa 1,40100.1.
'•Agricultural • nn(aip WPublic ft. a in. i; ' I
Ri Ocoo snal gialting(CostgagSupply) Relldentiol WaterSupPl_y(s1ngla) ""'".,--a ' t+: . to. � ',
.N induslria1ICommeriW ftcsidantai Water Supply(shall) -g,,: ,u, - i'
litirtiioan : T A' ` a
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ill- on WO: — " n. at ; •----.—
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ii)Aquifiar Simile And Rcenveu DStilutity Barrier .� �ti)I� is k•:�.t _ z 1: ;'I.Marian
I AquiferTcat j33mrntWatcrDrainage a a. ,
MI ftliertmental Tadmnlopy EiSubnidenno Control B. B" i
• dt(icotbRrmnl(Mud Loop) Drowns ` •1.11-L....k. L I:7--1- 1110 •.±,. ::�:r_ _
illi Geothermal Malin: ..li Rcluiu) Ji oilier en,lninottdor#21 Remits it. Cil w Lin
4.data Will(6)Compiled;iled;i c� 3.Well ins. ' • ILI . 1
SR.Will lineman:lineman: l/� ` f vtO ,,.) ill.r 1-it- act pp'���I{t l -
L L 1,S .I. L I l Facility Of(ifonp2oble) A. tr. . 1 I• ;z r x s e r".-,
95 t;teilihron(n\artOln/m�o ''S r 'p\ ,t
Phystenl Address,Chy.and 2rp i
Me0uY �.t ld Pl'vlIitIzti n P"-,r•-.rq,,,;,,„ I.
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way Parce1fdolnilieationiio.(Ph3) 'III D'agv` ':;
Sb.Lgtitgdnnnj io gRatleIndcgrsotlminntaiselondsordldmni degrees: `mod
Of well frail,tma htflanil^diinienrl t t t V.. . "riff,
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b.Nitre)the wel10 Per mural or DrfeMPerfirY at. .ern, COW'''''au • .— . D
ais
Ire again •.(urns I karhvaalt0 rim f4 I draw)exmontrialie aemrdmrcr
7.to tits a repair tit an ealdingwrih Oros or JNo holt 15A titiAC 471:AJODo?ISA NC.AC IOC.O AVOW ICuMmetinitStahrlanteamigos a
Ijddrian antra*rafftt..-amant*Phu U4�YOW*tdrn► fengistentip1'eediPt11RW�: myna.
igrarrt,(�UourbnPwarv�lt•raastnrtlrantl�fnre,Mtaa 1� �
rrauraadet hZ►remake sa.Ylan area lib bad kfWla,(omr. x,4..Sise+HAgeltmoraddition l wen del ins:
8.Far GeoprobdAVT or Clo Long Geolbcr final Wd:having'bosom
ivay use ate hotels of ibis pegs to pmvido kdd3�r►el wail damns or watt
ncessnly
uonalnmtinn,onty1GWiismedal. 1'ttdirunoTOTALNUMBERor+veils a)tlstrurlinnttrtails. 1'btt1ttaY alto t Chaddidonht9 �>
driltcd: A 4.a ligr
9.dotal wit*PM hototv land=duct 50 • (4) 2>m"or AO ►sib: Subunit Ns"mi.)within 30 days/ completion or well
Mir mutat*limns tMwrideolts!Ma'amt male-MilWir (taa? oursanction to Ms Butowing:
I e.Stage watorlevel blow tap of easing:_ l.O M.) Richton of Water bout ltdbrtuatlion Processing Unit,
1/scatr tut4l fro/operating roc"..�"1 Q 1M17 Mel Simko Coltn ReMgbr PlG$7d99-i8!7
H.BorehotedlsmRtetz l9 ' t..) y�(�tn.)) vista i1rlatetH�t yV W Io akitian to mending)the lbm110 111tt:Ahe t In 24n
12.Wall constr.:camA mend: 1 l_/1I( t( *we,Oho Submit one copy of this within n days of gonudociv or welt
tic,. immam:Stormthcfalhtwlog:
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maw,m X=alaidireetposkato.)
luvielOAdt'ViFIiCei'6eduutt>hsrUnOeigitnuati eetleu4bntrnlPiagtamt
FOR WATER$10PLY WELLS ONLY: t� (� 7U36 tHtlltService CasonRat ItiC 2'1�3!A•1Qb
13a.VIMIRt Method of tests u""'�1 2 c.!for Wi Icr_Sonoly&_ttieotlan WI Mk In tsdditlon to sanding the farm To
the Bddi4 (es) above,also submit Ono copy oft Mt Ran 4Ili1n 20 days of
t3A.1)rsinfiu tfan e;ype: Amount: in
of wan conSunceion is the i'county teal datinn meat or the county
ahnre cot auseted .
Penn MN-t fistdiCarolinnDaQnrlmentarlawlninmisen1Qualityiktriatnttoi'Waternaaaiuroe Reefood2-323016