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HomeMy WebLinkAboutGW1-2022-00936_Well Construction - GW1_20220107 8�8••t32?--72'4'i p 1 1:01 1519 05;43p 4lealwAtAr Well Drilling ____ W )L�ONSTRUCTtON AIGtL'O 1Gwj11. l or Intcatni use nly. i.Wr'itCfintr t r o , - ._ Ile n lnihrmptf n• .... ..._.-. ------•--, .- -15 Wrli Conrc[wilit Nntnr^- r►, —._...._._..... NC Well I'.'.notrrttlor Ced18aMinn Ntrmin R c Cnmpnnp Nmm� I--•6 � ._._...__. ?,iVrll Conntrnegpn Permit iq%,,,,�4�.1..,..�— .,--- �� �^• � - tt In. -_ i.lxr all npplJmArc rva!lCMtrrnlrrMnPnlmrtr lJ.rr,i!!G,Cnnrxy,Rrnt�Pirrrn era,etra _— - - -- z.N61 Iftc(chuk we'll list): w,ict•`sp�,tr wets: —' * „ AAdrniturdl fT1101ppI/AJIIiIG t} �- tY. In. in OC(Knnrt,,nT(I:lenthtp,/C:,rolit,f(9upplq) tgidcnllnt Water Svpply(.cingtc) '"'---p •w�{', '� _— Induslrinll('ammrrcin) Mgmiticntrat Wntcr Sopp)%,(Shared) ^fig pU7 _ s ilrmton _ -_- •_T I- - rt, rVi /i/� _._ NoR-1YnttrSnp(11�+V4'elh —�•r �~-_ fr" [L1,.� . Manttor n Rocnvary n,ccdan _ _ n rs Aquifh'Rcrhptgr. �(Iroundwntctltrmedistinn •.19 r V181.Ph �•� h W --- r,n TIi�C7'11 ,Arlaifer Staragennd Ber'.nacry. LISMinity Sainte .Fn� � ra As I*r 7r:v( �Stnnnwmtrl�tnipngc - -•------------- — ------ -ft. Lxperinlctltnt Technology �Subsidrttr�.C;nntrnt y Cteothrttt,nl(Clttecd I,natt) �7'rnrcr t.l ' Ne,fJSy_-.. Clemhcrnel lHcntin Doling(tcnrrn� �( r(c1t Stp tim o1)?�ar9171 (2emmks f - / rtn t.DAM.welgt)r..�mrterea ` "1� �lw1u -� - ---- - Sa.Well I..nratlnne fnt,lityIN(Grlppllcahlf) Dtt N Adnrrsa,rill.,an Zip r;aomy Patrol(rtelttificntion ND.(PN) ___..._._-�. ....- �• i,nKllldc nml lonpitudc in dtRrorelmtuntnstnecnrtds or Acclmnl dertrres: ....... (ii 1vn11 Gr.w.nae iMUnll is aninrtnnr) a a,t:e i ptinn: 6,h(arc)ihrwNt(s) erinnnent or O1Trmpnrory , n r -ofCcrflfily ellCrMllmater i)ire 1.y.rrlrrrinl,'ruts•,:•rrm.1 nrrrhl•rmrrj�Ihni the uKJ1�ef evrc Arrtr.:J cnitllrtMlihl M m'rvrM2�rr:r :.IN Ibis a repair to nO exint(ng well: Xr,� of { +In a%rh l.f�!.b'r'pr'nzc!JJO11 oi•1.tA,yr.AC n➢C,n?p0 Weft(nn.SlRrltinlr'irpMlgrA.c m,rf 1hn,rr ItIldr;.rnrepnir..ptlrartkrtnrrm,..,dl.hlnslrtrr.7lMrAlfArmnllnnrn'uJ�apfnirrlJn mires;n(7hn fr'1!lrnflb!errrrrrdhnchrcnprgt•1+>ldtnthr:wcflnwrtrr. n;'Mrr+mare G7f rrrnOrA.r cecrrrpt Itr'rhtlln<h?t'J�nrlbl.fnnu• �,�•��Mn�Rntn nr ptl�danai ttt►>dlttflMlglt R.t%nr IrcnprahrMPT or Geothermal Weltlt hAWAg tlu.sntnc 1'ou t?ln!!use the.Intck of IIlU page(tt provide tdditlMI Nell She dvmllc fir turd rzmvinnttlnn,onh,1 GW4 is ncrAcd, f lair: o TM AL NUMBER ofwplls can4tntciimi delnils. You mayall o whack adilitiontil pA(las if nacc.�arny, ►.7f4 tat wcgtlt 1ltl(O.?nndSurface; /t��OJ -----__-•.-,(lr.y 2r141, �Q�AU. tILY Sathmit this Arm IXi(llin 30(tn1's of complrllnn of,lrll h re nwrklpl:tefN[/-tf RNA.•11(1181fAijfi•.ldrlr�:tnl1/r711r•J(n1A0v.."05@100') (muAtf(n:ttpu to the fbllolCUtg; 1(I,9lntil;wnitt Ipvt llkint►•top Arrntiltt(t: d �, _... „_ (1t.) Mvitino(ifWaterRewilrek.'fnfaM0118APrty 11011, (I•MrNrp•Ir.�rllr.rAnnrteRMnS..Itte"•" / 16117 Man &nke+Center',ftldgh,MC274".1617 It.RnrttltaledlatBetCrc LL/,p In. ( ) 9Ah.T.nr twMrriow Waltaz In addition to nonding tilt firn1 to dta addrorr In;Mn 1 T.Rrr.R conatrnatlnn mlethnA� olrr)vr.,nfao suhmit ont-copy Of thite f.hM tvlthin 30 drys of remplWntr ea of S 'i- ram�YJC----.._ .—..-, rt,lisMtctinn M Ihr.fnilAtviO{j (r r.,nuRer,eow\•.rntrtn,dirctt rp,ett,slc.) olvisllm of Water Rranl rm.q.lfndetrgraYnd Intettbn Control Phernm, Sf;Pt►l,y w1rus fN.tr.X: . 76M bull Servim.Ccntie.RAIclo,NC'19699446 1 Jp.Ytrld(Qpm)- - M01101t of test: t.lc,�;nr W nt+r Ct+�n1a ali fAJWAA Wefto: In AMfd tll+A to MMdillg fht Rptn In r -� -� rttr. flrtttiCSiCr.S) above; also submit Onc popy of thfS than within 30 dttye trf ►.:th.IltstnrnCnon typet: .Amount:,_•,,,_„"� �__ .-:01141*tlon Of well conswaion h to tha cotm bWlh depnnrnrm of the rhnntY r.,rbnrc caAmmetrA. rnrm(;q4r Nor'h t;nmtfnn nnmcnr.,fr{,.• sxt' r lrtlnmrnmlr,,r;eatlt,,-pivlsumnfVllaterRnrtlnraas RroheA?.h�-2aI1S