Loading...
HomeMy WebLinkAboutGW1-2021-00401_Well Construction - GW1_20210129 WELL CONSTRUCTION RECORD FmIncrmlUwONLY The form w be read far smote w nmkVk%cDs 1.Well Contractor Idermadon: 14.WA BOMB. Robert Killer FROM To oa'alnmv wdlcoewcMrN,.s a. n. a h 2675-A NC Well Comcwr Cenifirilnn NnsM dart FROM I To nAM[Tea TmCaVM M.ATTaIAt, SAIIaACCO Inc R. a Y. (onion!Name room 10 K&Mr= mATamLL L Well Construction►erma a: WR0300116 0 a 49 a 6" la SCR 80 PVC ImallyiliWrk vdl Prn.ir,li.r.C.r.n Swore.1'ar.,wr.lrfdraxt.') 4 fl. h 3.Well Uw(check well Stay. 17. Wake Spph Wes: run" I To I Sutton I StaTsm I TwRlcet®r MAT911 M. OAgmUltud ONfunki mVPoWic 49 AL169 a 6" to 0.030 SCH 40 83 OGeo6eod(fkdligyCoohng Sxgpl)) 011oidenol Wales Supply(SWOM R. FL n Ohmksuuwmnnm w ORaddmnal Warr SWph(doled) COMESFOOM To atA O 0 a 45 h llgoaguard Treads Now.walor Supply Wow. A. a OmwRRom OAgmda Recorg OGmutdwala Rcnodmm a. VBLP role mA em v URTMO ❑Allaikt Sang and ko mery Osmina) Barriet 47 a 172 A. sand ail OA" tTel Ostormw7terDealaw a it OEtpcnmm l Talmology ❑sobaidence Comol sm"Is OGeotYatr(Closed Loop) OTeaon ►eOTt To nMK1MFfn worse t oGmilmelmal(Hto Rttnm) OOOer undet 021 Relumm) 0 a 78 a Silty Sand/MM 78 R. 172 a Bedrock 4.Dee W~CSmplMd: 12/30/2020 Well roasx-62SBR R. a Sa.Wd I.ecatioe: h a Doke aoorgy of the CarOlf.nae Marshall Station a a Fcthn 0.rcr Nuns Fanhn run 14appWAk) fl. h 8320 NC-150 , Terrell, 11C, 29682 a a Ph)ucal Addeu Cm.and Zp S1. Catawba 461803426350 Sentonite seal 45-47 cad," Parcel n[mfrcan.N. IPP.t Sk LAOM*and tool kode in degrmtlukimu wcmds or drdmal degrees: 2L CerWiraios: /dad tkli him mom w udlkkm N W. ,,y) 12/30/2021 Sipmade of e-C."+i.A.a�. Do ......._. 6.b(tore)the wdUk fare t or OTealpararf - It,,sewer rla,s.rn.. I Aron..-err)%Add crr wrnd,l.w,taT,r)nmet.Ted.arc".iw,T q walk lkI NCAC O2C AIMw 1SA NCAC 02C O.,fal WrO Crmrmread SWWWb MI rhud 7.lo till a repair o m ealmlog wdb Met W MMO �1�N p� If n T rrpnw.MI.w.edn,.w wrll.+wtrr run MA~..ad rgdn..rla?.,ararr of Me P1.ep,4',r.I....,r..,w e..rI of ro..p.m. 23.Site d{aaroa or addltloa d well Mass: You rim me the back of this page to pm%de additional wd ne details or%ell f.NutYar of wda swntruned: 1 comtmcbm Mack. Yon nnm Ago march add3uond pegs if—m Fw.ddepk i(krrw.w w raw-woNe mqv' .ee,ONLY won 01 MMW edersteere.w.n ra. tiwm.f. SURMMAL INSTLICTIONS 9.T4ol wd delgh below lead mImec 172 (ft) 24a ter As Wens: Submit tin form webs 30 dos of uSgktna of well Fw md44 wM list 04irpe61 4dtQi'een+Ir,u.ptr-W?M)d W 24F IO/d ematnm.Tiae to foe following. It.Stork now level below Ion of camov NA Ill) 06'Wen of Wow Roosevelt,lalotmodsm PnmmW a USW ry.mer 4srl m aM,c.wwr,dw If 17 Mors Sankt C4aalr.Raleiall.NC 27f�-If i7 1 t.Berehole dhemeter.10 (lo.) 24b.For fulecties Wdk ONLV: In addggn io wading the form to Ile addfm in 24a abm e. aho submit a ooplk of this. form wahm M dmi of cvmykamn of %ell IL Well nSmraNW merbod: RStt/AR tromtructao to the folbwmg. II e.too ct.Flan.asbk-dbcti pnsk m 1 Dlvklor of Weer Raonrtes.UMerponed ISJortlos Control Program. FOR WATER SUPPLY WELLS ONLY: HJa Mall Sec ke Comer.Ralelah.NC 27617-16A 24c.For Wow Smmb dd loktissm Welk: 13a YMd bloml NA Medmd of feet:all Also ubmn One LOP of this form within 7t) days of.romplelon of 131L Bblef elles type NA . Almost: RA well coosncuom to the county ketlth depart of the Comm, where _ - con arrlcull Form(iw'-1 Nona Canktt DtpennYw of Far mre.cr ad Vmdal Rerowces- Dnamoof Wartaaorrms Rmsct.AlOON11