Loading...
HomeMy WebLinkAboutGW1-2021-06176_Well Construction - GW1_20211025 MMGMZKMM By& ISFEMBIUSOMF L WeH Conhv*r Bdn=dw6 rag Iy.T11OPri son ,. wauCort�e 408-A MWOU C22IMMOMMIAW Aqua DdR, Inc. : , 2WdlCoaeteadietn>E�r�tik_ �74�U • r.�atle,�eaouanr�rmt�wt»�►ama�t�at�env � � �. WaH U�(cbee!<wdl nae� . 06 M ta. tar tme) o n+p' r t QeoHtararel(Haaeiap/Coolhtg�iPAIY) Resiiettdet Waoar SnAP�Y( 1®) tc a ta• i4oa-Water Sttpp>i►Wool. Nnac(him tMOM a ft e e Whr•Redmp 130teodwswRomess ion Quffftb eeoveeyy �SdioayHettier ui�Test tc to Tedmology D&*wmwCM*d tt oeotbatmal(Closed Loop) o�metm� 1 RME) EIMELatkunderf2l RMwIjw 4.Date Waft Completed: I ' WpjlM# � , 9a..Wen l.oca9lanc 7' ft ito e � �c0 ��Asa►n L , �aiq�Jc Memo •t!r�tttermD(Ifappttaable) � � �ca�Yilsinc) �1 c . 1 �1t C . 1)C 1 62 ttateatad*U%(X. ate—'— s ea 9 ct1[ CMv Paced 1dac3fiatlonNa r IR 1)i11 Lnneaaaaadiongtt don /mtnVWU=Hh or dedmd dqrem ' UNR Sedlon Qtwap ttetd,'eee taeRo4ght �. � 5U.pt, � G.ta(are)tha (s} eiaumeac to or, Ba Sign eP tit wen otraetor Date 9.Fa�tt Yes or $Ys►�g r8ts�6aq J IrerrBy eer�'v ehe►dre!trelJ�sJ trot pva�y oontmaarsdta aaoaida►ue . ta[rban �regt �No erll6J3ANCACDIC.DJDDarJdu0A1C.iCQ?C.D?DDif'.naiSlmrd�nls��aaro �'d�rao,spoo-llUata�u�dt�r ,�opds�lobvtheeaaAeal'da: �FyB�eklstreandnsebaeopro►9dmdmrlr,eanouvror. „�aadm821remmdbaaratoaoron►bs��� M.Site MwomoaaddiSonai wag detallet R Par GeoprobdDPT or Closed-Inp Ge nhwold wft huft&a samo You mar M tlm hack of lids page Po ptovhie additimtd wdl sb details or wdl A G*LOW--iistteedMd Inftft=ALMf=ofwdta• &Uft Yonatayshoeaaeleedditbudpan Ifn w. . 9.Tatal well dep below laud sudkeos r �A ( ���. Submitg6 loan,vfth 30�of coWedon of well FemWVte+rhi7,ra lldsp&fdg�f �aao-md2@►DO9 Maiftadon fin the tollawitts 18.StaOic arehw hvel hetow top ofcasla�_ U© OL) Dim dM of Water Ruoorc�,�Bo nuffoa>Pfoeuft Un% (raga wMdtrafrwt Oft are^-•r■ 1617 BOR Service Caster,Ildetgh.NC276994617 IL Bor Ub dlemMMr:®(n 24L For intaetien Wetlae to addition to=tng the h m to the address is 24a Lt WeH euetion meHtod: tti(�K1lZP �:C above;also a dmift an copy of this Poem%viQdn 3o days of wnpl l tan of Weil faa d6wtt cawsutaion to the f luaw is FORWAT=8MVLYWMMOjqLV6 Diviatoa of Water Rmurech Undagroundf Injudou CMnted Program, 1636 Midi Service Color,RddA NCa7699 R6 '13a..Yleld(gpm) Method of hoh ec i M 24e.Iror Tatar t;Myk it,Inbeffim In addition to setuliag the form to the addra(es)dw4 also submit me=M of this ft=within 30 days bon elf Amatt ..�.� completion of vAI canWatioo to tha,'bo dth depmttaem of dw cowl{") whemconstructed. FoaoGW 1 NeahCmol�aDMparMavmtofSandtemmamlQaMWq-DEvtsionot'Naterttae 8eotati?,�?ot6