Laserfiche WebLink
WEI L OWNER AND AD THIS CARD MUS•1- BE RETURNED TO THE VILLAGE OF SHOREWOOD <br />vrK-174c <br />ELLLL RE ORD <br />WE OCATION SECTION LOT—�— �" S <br />BLOCK <br />hormuiod <br />ORILLER•/ /IONAT RE �C _. <br />DATE <br />aJ <br />NO C ADDRESS <br />SIZE OF WELL__ INCHES <br />WELL DEPTH_._./,�2 �///II _FEET <br />CASING DEPTH_--&-'� FEET <br />PERMIT NUM/ER <br />WATER LEVEL ✓ � FEET <br />RAW DOWN 14I42FEETT AT � GPM <br />CAPACITY GALLONS v © PER/HR <br />DEPTH OF IMPERVIOUS FORMATION_ __FEET CASED WITH <br />• SCREEN_._FEET_ WELDED JOINT 0 <br />BY INCHES .i S <br />MAKE AND TYPE OF MATERIAL: r ��� SCREWED JOINT <br />tG CEMENT GROUT ❑ <br />REMARKS: <br />KIND OF FORMATION <br />COLOR <br />STARTED <br />DEPTH <br />ENDED <br />DEPTH <br />THICKNESS <br />Oor <br />FORMATION <br />REMARKS <br />d <br />o,Z <br />EXTERIOR SPACE AROUND CASING SEALED WITH: CEMENT GROUT C, PUDDLED CLAY OTHER <br />DISINFECTANT USED—__—____ <br />HOURS LEFT IN WELL_. —_____ <br />(OVER) <br />