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. ..r s. A <br /> ' ,�. :' iYwt'[tlV C:MYWextlR1A �.Rliiedjfr'� - <br /> {. / THE RX90URC118 At3ENCT � �'cfl <br /> ! K �0114fIV - DEPARTMENT OF WATER RL'.'ROU,.CESt 1.. <dr <br /> 1:39ati/tea llm�p'. <br /> WATER WELL DRILLERS REQ 3RT Snra Wda Na <br /> Ihkd Watl NJFJs=t-t !, - <br /> �: (11) 'WELL LOr;t <br /> Pddrea0- 4'11 4Z"ITTnTT.'V'1�>Ce1S __'_Zr�Z7 r ( IA M./rrw.lvl.� +11 � '� _' <br /> 5. -.�0�'�� T..�•,C.���rrEl.j Frrvn+rlen MnlH ly - .rLrvN. aeJ wprW.pd,N,le,ur <br /> 1 <br /> �C%r 158� tl�'1f�'KS'IT b.vi renwrbr.11.n♦ _____ _`� J YD!ffit��- ��q �••-••' <br /> a T._"l�v ��yW Mr.rw rl`1r Oj11`�'JT_ frt e.�.s:�i41✓Ic ._. <br /> Pngt DIP <br /> 1(�3 I .Q ORE--(cbec J: <br /> :Nw Wctl �1 DaMe{/at ❑ Rerondh"ing ❑ Ue+aroyinR ❑ 73 (.��� ___..`_..,_. <br /> :rl drrtni12 enMbr..�da4led orrlurebltr.r ll. <br /> 53 59 <br /> '(i) PROPOSED USE (cbeck): (f) EQUIPMENTI <br /> Donuvtit Industrial ❑ Municipal p Rotary .. ® - f^ _s��_ W <br /> Jffigotion 0 Test Well ❑ Other ❑ Cable ❑ <br /> Other 11 <br /> +,l <br /> (6) CASING INSTALLED: 76 87 <br /> R d <br /> TTRELrX OTHER, If gravel packed 87 9 Send- <br /> 91NGL[R � i <br /> DOUNLE nn w <br /> Jti . [rrR11 h1n.r -A. <br /> Gage Dumetar ^7 log ShAln & cc, <br /> Fmm 'lu or of From To ��_ga nd <br /> I' fr. MIIn. wall Borc fr. ft. <br /> 44 4()Q 41� IPA Rhale sand <br /> 120-12' BART <br /> IF <br /> 0.vr14 <br /> (7) PERF S OR SCREEN: _ <br /> Pcrf. J Rovr <br /> From To Mr Mr Sin - <br /> (8) CONSTRUCTION: <br /> Yn 1.[f T...br <br /> ..Ir.l. rollm:..n1 9n❑ I(. udmrF..l.rnr+ _ <br /> w„F.J.r...,.. WELL+DRILLER'S STATEMENT: <br /> (9) WATER LEVELS: _._ T/h .111 x'm J.dlrJ"Id" xq.i.r d,JlrGox .xJ 16I, "P11 h 11., N <br /> xr!o(Lr L <br /> nj my kxxxJr./.tr urA 4rl„l, <br /> _bpA r .FbF n 6v f.0+J. .1 I l.. <br /> NAME p /' <br /> ud'ne Irvrl+lu rvdnr vJ drd,v 1.. :Y.` ,nr n.°r mrpm,onl ITrM1 v rrq <br /> (10) WELL TESTS: Add«., r. n .n o. <br /> •..rnm r.,e.r Tc.p <br /> Y..IJ�� +rl.' `A I •,I,.Jr+.Jn. ,Ir. A.. SIC NFUI <br /> r,.ncn.,urr.( m, <br /> drr l'r. ;'I N.� 1' <br /> rdm e4.n+d.°I..II• n ❑e' - II• uFn Littme \0. —Dr<eJ n 13.___, <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> OWR IbB .ntr f.ae. +frn..gvv.wu•.i•�x ov. <br /> .-`-�ta!( { �Mv+='.�'1✓'.�iiR'iY'�tlC��x®.9'di0�.:Fv4pgp�'u4i6WR ^��1 U..T Idr4 v����'%I� ` l�.aa”' <br /> �0� <br />