Loading...
HomeMy WebLinkAboutGW1-2021-07764_Well Construction - GW1_20211116 WELL CONSTRUMONRECORD[6W-i) ForhtcmdXTseOW. LWCR JI&MAIMMOM Wd{Ccee<aeewName law 70 - ENSCHROnm - 4279/-A rL M WA Comacto cknifirstionNmober ZDe&'S well +Pi=ff $ 20 g FIL ate. Z.WcR Ceatsbetl A=PaamStil: 'L 70 Fay[ m n amcim INMeKMM I Ilse�lapp&aobdevacm Wucr"pw,eima-&M Cep aft Pa mmm.eor) 1t 0. U6 3.Weil IIse(ebedkweil aaek ft. It fa Water Sapp(9 --- saraa$ S fL fa: ( gStt*) WawsupPly(�) ft ft f- m arn�L ., acwra &A r iz lnjcetiaa . EM�*GAOM) ge gesodROcavaiy - - _.. . � it � Tecbnaaogyideaoe Cool ft ImP) DTraar 20.1>ItIMJlNGirOG --nodcrS2lRaaad<s i 70 naoty "ae"et' - $ 60 ft 0Z-ei 96��ar� 4 Date WeWS) �`z Weil ED# "L -20 n 6-17 cr q ,1/ Sa.Weil Loea@m: ft. 8 � ft. $ i�'5 Fa�ity/Own4m Fao'&tyllld ft IL >hyd=dAMh:m4Mj.ads C-ds P. Sb.La6adeand tooffitude in NG UNIT (sfweIIfiel�oaeiatllaogisa 22.Ceffifiwila®: •i 34L W QTmpontry Na convamr Date BYttvs f-^I Eby c*+*Aw On�(�),mm(rve)aaubeeaed ea aeo A m 7.Istbisarepair�aneadsl'iagwell: . 13Yes or QNe -'OISAJWAC0IC.0IWorl$AN✓ 02C.02DO ps80oR+mra-5i, SjmdV sad&W, Ijt/deEsompabfiffat6eawewvAeoaabeebwra&aam and esptofwNsidri.,var -mcfaba-m hWbewpmkhdeoBmwiIIownr, ►epad►aoderOf mi aaetiawarm#mbmk fg&fava 23.Site dtagas eradai bm d welt d— a,. L For GeoproWM or Clased-f eep Geafheraad Web hwiDgto same You may use the back of this page to pm' well site delaffs or well eoustmction,only 1 GW-1 is needed ?ndmemcTOTAL NuAgM ofweb Sian det ai. You may also affect additional pages ffnecessmy. dn'lled: SUBMITTAL IIH.41AUC1TOPIS 9 Total well depth he)ow►Iasi s �) 24a.For Ail Sul m0 ab Aum within 30 days of compicam of wad Formelf�/svrlls lls�aAdq�S�a�Qbe�d(esa�A►s-3�p'ad�100') 000str0ction tD the fnllowim� 10.Slade water level blow tap of cWW. Div6ton of Wits IJratarbmlasaboaeoarirt�ms'+. ,ftftuwmPnmmbgUnit, 1617 Mail Service Oeater,BaWg%NC 2709-1617 1L Ba+eltde dam: (had ?A�Foe LIOdIoa Wells: la addiiiun to seadmg 60 foam to the addtess in 24a 17-wen amstrimmum metboel:-,4 r /Z/ also,sdm*one copy of this form w;mi0 30 daps of oamplatim of van (Le.auger zouwy,cdsk deeetpgW lte) cousbuction tD om Got"hw FOR WAMM SUPPLY WKUS ONLY Dhidoa of WaterResomees,Uadagtommd hdcctim coubd Ptagr+m, 1636 Mail Service Cep',Btleigh,NC 2709-106 13a.Y�l(gpaa) McBmd atest ,A/•I r' L, ?dc Fur Water Seemly 8c 15iewe..Wes. add�on to the fom,to 13b DLdaredios type;_N / �fi N C77 (�)�' aim °0py of ibis form withm 30 days of 000spletim of well ao to ithc comty hea»h dwanmeta of the cou* where onmnxftd. FaomGW-1 Nm9�CmoTuzaDepmtmwdadFmva®>3Qoaf¢9-DivisnuodWabrRemm=` Ravi9cdZ -Mj6 I