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HomeMy WebLinkAboutGW1-2021-02439_Well Construction - GW1_20210521 S.. WELL ;QMMUCTION RECORD Time hm"A to used twos"ft mWittlemg, for leta-W Use OXLV� I.WIN Comilrous:r or-e-- r r r-5 we'1-mawsor W&M4A. - �2-79ft AI t 6toM 7, W Well cowee.-Cddlut;ft N 19 1-.a A/ ifi,L=- 9'(0 �- 9 6 P40 Olk h 2.Won cossermao.PWSWI 0: 71Y— -M 3.Will!Use(clatek te.11 A. CU !-.I= IMAMrtKA goof uta GAArfaahucal ft I is MiDowwW" (Howwoftleat sw*) iA t. cial water IULVIY(5i ft. 11 wa!el Supply(d0j") -H Gko almmailmn I I T9 120 99 O-C-A-CeA- IL I. ORecovary 'L-1 IL Ohtotthor ............... Ugetum Wall: IL 11 DAquift Rachargs I 00fOu7*A4tcr Romedustion 1110,FANDC-011AVRL FACIK(if Itimmiti 0A4Ld*F Sturap au:lt�.-vmcvy usalwly Bwicr ..r9 DAquiiicrl-em ? r;,Pkwmwvd.er Dranegi; [!T Tee)Y.6.9a 03%.W-:lance Control 1k M(kath—al(Clasod uAl") 07ram LA&D=(G-Ort—flM h&J46".bbettill if #*V)'. ClOtothormsti(H4@tlnWCqdM Rmm, Mew(CUP1111ill t;c%J- i2l k4marks) all" tk ft ew 4.f4ft WOW11)(3m-ploso: WX,!U0d IL list.well 14tafta- R, r IL aroplf4p j 15JL -5 to F"4mYtL%VftV mm" I 9sa tolhp ,d, lD#VWP%.b1q) R"vW A4MF%I,CloytitV 1% 011. L4sgkv4g is of(k6j=&j get: 7 (itw011&K toe IKAOM is BuMcka) 3606! -W or CTtmpors" fi--,I 01-41 �-N*AW LQ 11VUAV 1700.*61#j CaW'Wftd 1A&VVAWI. 1. JA", vfM MCAC Or.014V-MA AK* #Jr.'VW 12 this a rt I itsir to an exittias WON: oves or C5.No ov,o 'he nax,,*qf,4, 021, Lk IS.lilts didgraft or additlossl will daittift You:usy use the butak of this psi u provide sMItWail well si,.#4"Is or well * A d"ll You May also Weak s0fti6ml r42at If W.sia,%ry owl FLIM11AL INSTIAMOMS t.T#AW WOU depth bdow land sorfeco! O jftT 34L Per All Well ; Submit.th:3 bunt witlit) U day;i of cumplatiin of vm:! N I pwkpk,,*get oft dfVk crio*qou(imoviv- comIntdion lu the fdlo%,"nlr w8garlaval Imsew top of t4wag; i ft) Division of Witter Quality.Tntermes lio It prucciglag Unit, we 1617 Mad Service Couw,lk&§*b,,NC 274WI417 (is.) -.46 I Ida, a-weik: In*&iL Um to sending he fom to 00 Godrois IF"41 vVe h. 3 av''N', .eq. of I"10 ., days of omplitign of well 1.2.Woo coamrtertift e w V "m to".two.&,-t POOL -1re. Custrad ftogramt. MR WATER(RIPPLY WZLLq ONI..V: 1636 mad Service commy,kallo4k NC 374119-1616 1 13s.Yield(spa) 16.4od 44 wil;6L.0 A t7 W N 24c,F-,e Mac*,Suaw,d js ist.et Merl.VA11 1p od fitim o to mble tile rwo to tN hft4U(4$) above. also submit one copy of this ram within V,days of 13h DislAcdost type:C L,:F r i h& Av"cuut: ff,-z 0 Z w?"P14110n Or well tonsintediun-a'0140 CAINVY htalfb dCparhnent Ct%At-w Mwo C1x2lt%Wbd. Nor'.k Can.;t..z Vqwjr;ive!.i•f r-, I J AY 2 1 2021 Informatihn Processing Unit DWR Se'--don