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HomeMy WebLinkAboutGW1--02466_Well Construction - GW1_20240423 • • IlD.. . Pt1nt Form >i.�i►eII(ppM 4"�071�C1<IIPA1afi0H: : .. .. . . . or se - : David B®lchl e- ".". '= • -- : _. . wonco ,rNetno' 4594 ... .' A� Jrl'II "• • h I • • • -• g�� g�iri2� . 46QK�•l�td1�.1'.;. • . NC Well Conbac•rorCe�tIIaalWnNumbee' :' ... • ' " ...... ."• .,.a• . . •i,.'1. , . • : . Aqu8 brill;lflt. • • - ' n9OU7PF,ROA9HN0(PoamaltFseceaaoli�)ORLAVF�t[ilan bk)-.. . pfai •CNnee ; `�A�4rdn!id*. , :TPiPciaVBHs:-_ .1 �►4A7P.IIeAL ", ' �•1vVeIl CiIIat �p p .� • -: 16,INNERgASIEVISMA G ) ' -• • _ '« ollgpylleabiarethip cuerdon .� iro pDa1PIte.P„C Cosaty statg'Parlaucq ems' . • . • - k ;._.. • rim - � 4 '.DIA •� ltTATPSIIGL • '- Water.BIIpp ,,, eat-'. t . . tl. di1 cnlhirai " �. h. Y7.6CIYEEIQ. �" " I � � **PO** j;� 'mob p��� �� TNPQPt :•.'IYMTFIIIAIL . Mad�w � �Cip81/�Ybi90 � L'SDl1� TP!• DrA NLOTt9LY8 � -� ilr•anduetdvU..: " - F.1114} ' LIRafdenhat'�aterin.i)1 elingie) . .,.: Cammerolal_ �' •..• ' aterSup�u!(�emed)- _ . �;3 r, :� W No�water6'II ouf ra. .. pp19 Wes; Fno�__ .CBRPE� � rf `I AAA lteobse • s�t,._�, dwetea*emediatton • • • s ge*Rswvety .t onkviarrier. .., ; 19 B AvEL.P TareattY) • .. �,':;I �� • • FlPDsB_ ' 1A I • • .. tq"; �, �.,,,: Teohnotogl+. . . ..�t�water.DPIIina�, .,. . - .fir � ••• �; IIrAr',;•;.:.: � ' . • . . 1aJ 6aot (CiosePl �Bu6sideace Coutroi . . • • ! _ gip) -.. . . .. - Co .,iq.Orkie,:,:lairivader#2i Rcmeidts • - cIIu o te- soll,hl ;prong Rio,.' Aa�II�H.mPLiY.Ot3[athcbDtdd[da�t • .l • • : 4� teWdlhDt pletieth' • . ..•}- • ' f'l :.� .40 - -ei l'' ; • ... 1 . . Op,1�mltLoeIItlome • et! _ rin �!P C"te' j 22n�la. Srn t h. . . , • - . IteOh97E4(iPoPPllcable) —= ' 9 as Pystel : ,endZ . • • 1 7 ' R�t r� • . i— cAIC8t _A : : ' : - " trv+-4y . Para'. idon18cat�Na�IR) . : - • �© D: rep:. •. - { . • 4na5mIIetifude Oil BcdetY tilaesme cordet. �aa d$¢amcm ; �• - pPveqsmdoe hH(oo3c,I. . . .. . , . : �.02 I'Page.in. • •-• ': . . . •m1L _ 1 • • mOtir • )tetve o) ernueen¢ Da'.~ tot :'trgaPecLt-udweuco> dr: na- . . : ! terince l . .: Il* ,ikfain breviy viervroi uaiigi ( eone e' '9 la Mks*eiyOlrtbaaa nRtveEs ; i gee.oePo: : ' E uid / . bnaa Srmdm�aacd that° . ;ring i . lman wrA -. ..lanWma►detimderplohithem111;7 /Phe - . eiPii re Ras npivvdedw wela1u18N :' . :• . fm #?I.Ppm akt01.1gnoon14,ekgfthdiOna. 2.9. � ,...116 t I Ap",;" dmtaleraadeWde ional _eaor igetipresei toifaoaed Yoop�eatltsrde WedhaviII tio•semA `Cou may ass*clank Dflisp to ' vide addtlonaiwll site detaila.or.weld A.n,a .. $i . a (y4isneeded ladiceto?OTALN)MERofuvolii. c�atncHmad011-Yuset'oeoechaddtpagsifPeecary.• 9II]lBlI0tarrimtG 9N187i'&89R '6�L10 '�71bm9eirsa9.deptYt 6�a➢pw 9antE ouee5ce 1485 '; } Ahroul,l0,,y0t11 Taildottiald eu(e, Ade.91?Otl'oad2016§.) " '+lm. p AB9,the limit this tvitbm 30 dips of.00mp!etic�a of wolf f . . �i�8t44iC�tiB'1o9Sa Eou9trusrloAtothe feinting: [. 1 . .. '... . :- +aderl oatmab ile biltiVtoP.Oftiesicgq . Q :. •.- ,tip �' . castrr6P�e w.. •• •( ) i. .3161ta 1611ams iaCi t YDtb aFzac slagAImCt, YIl. Ois " euViseCemt p RiC E9 !,,y' " IldIl7�feii� >IB;�/ �:-..•..-., � �' • f �' � Okla .Y0- " ' 4.n e auda't0'ih©odd1L'EB m 24e on otaa: • /A:t". • , .. '. I- b v :Prebmi¢60wit y;of tbriro 7I 30 days of compis on of w• all. �.eRSai ro1Q{q,004 dttC6tplmAy®gp,) • P 6ib8tPaCBiotO the followht •4yih9l'1ia��PILYf pp�p Q� .' � � .�;p0.����y qp� � iIDnvleYo� • 8�m.Yl9aYd.(E��- . . . • • , . . Yple'I'�: doff � u C�9�9�Il6ii6 .. _- �'in .24e. 'or.Weer • :otilir. i kietiott Mae.e.Yn Padditiom to scadmII the fomd to Y3ae.YDieint�t twat, r e: H 714 :70e•i• • •10 I the.addc�(ea)above,also''Unbolt one:copy of:this toms within 3O days.of . tm0 ' 'l '04 ^-- Completion of well eonsiruction to the county health deparmsant•of the county ther®.constradted. ' j FIRM GUM