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MIGINAL TM PNIIK *CNS AOSNCY Do raw fia in <br /> He with DWIt DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT No. 313 919 <br /> Nadas of InieM Na but*Well No <br /> lsical Permit Na or f]ele (New Will Na <br /> w (1) OWNER N.me (12) WELL LOG Total depth-At p fSltmpl W dWk-96—h <br /> AMr.0 from k to R Formomniommbe by cdor chwwta sttea material? <br /> (Ity . —% d 22.Ab'24Q4ft? 014- ZIP I * lop _ 4r AAVAO <br /> gift <br /> (2) LOCATION OF WELL(bre instructions) 220 <br /> (.+xanty t)wnrr +'Vr 11 Number <br /> Ws 11 addre"if i Iffrmn from rhnvr &I rwk. r — <br /> Pinvn�hip Iluntlr Section 4f � S19222id -45 <br /> M-4aM'r tram s Ips i tux+ roelnwib,is ncm i tt — <br /> 4;6 <br /> 131 TYPE OF WORK ,New Well ❑ Deepening ❑ <br /> Recrrnstructlon ❑ — <br /> tleaandttioning ❑ „ <br /> Horizontal Well C3 ♦ <br /> fqi('M #41'1 eat St Destruction ❑ (Describe <br /> destruction materials and f[3 � <br /> / <br /> c.dures in Item 12) <br /> (4) PROPOSED US <br /> �}�plur�ld?d Vt+ „tall Drimirstic _ <br /> C 0P •A irrigation <br /> iYsa4sv..► _Y <br /> � tnduatrial e/ <br /> f L Ten Well QMunici _ <br /> °ter <br /> WELL LOCATION SKETCH ibe) <br /> (pEQU1PtRENT GRAv CK <br /> fiotary ❑ Revees ❑ No <br /> �bM ❑ Air ❑ °t <br /> Othra M _ <br /> rooa <br /> t <br /> (7t trILSING tNSTALLFD Iat r <br /> sted © Pltrtfe TY of orusd <br /> I From Gaga or <br /> s ft. ! Wall size - <br /> iS9A 41A ' O - <br /> (9) WELL SEAL <br /> wea n what satrlmryaed Ytavtdrd? trey M No❑ ff yea to depih z:C FL - <br /> WerematofedRiapirr+tpDammitt Ta❑ No 15 It <br /> Mothaddee Work started S$ Cam — 1 <br /> X10) WATER LEVELS WELL DRILLERSMTtEMENT <br /> D)eptbof first woux tf itrmwi ft Thu taell retro drdkd u.der lstrildiCl and this it lrtar to the <br /> StandiMlevetafter well completion ft. belt of my d>cra <br /> (11) WELL TESTS Signed <br /> Was well tat made? Yes❑ No❑ If yep whotn7 !, <br /> Typenitxa Pump 13 Batkr� Airlift ❑ NA\tE , <br /> . Depth ra water at start d tea! It at cod LAles+ ft t7 <br /> pe � yam t 2 94,2 _ _ <br /> Diacharall/vain after m <br /> bwn Water AJJress --�. <br /> Ctrernkal anaiysu made? 1 r ❑ N.❑ tl vrr,by whims (dv d♦ �s ZIP <br /> 11 H.r< .u,rh..myi.rhes rrmrr I it"oar \n Ff/1.11LL, __ I)qr drh".t-l*,vt <br />