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HomeMy WebLinkAboutGW1-2022-03692_Well Construction - GW1_20220321 WELL eoxsMIIcrioN xECa L Well rzwmcfar Iaf r=von: Well Cao¢ecs rF=C 14.W111ERzcew•.. �,,!.• 5 _ MH TO D&4QtfpIIOH NC W Corleaetoe Cads , $ R ]SUIII'EBGLS�iG��-'.....*W`.zainweIIs O$I.II18[t' •�' 7ROM 2D D7ADffi'Eg 12MCBMW •. 7 - �P�YNae 2.WellComaructionPermit#:_4 T —7 L-t IA) D� SttCASavGORTorf�tG' ,:I Y3v;, ,• _ LLr:roII�PBeaElewrIIenraarebonP l�FIIGCoteuy.Sre,SYvio3mcta) R ; R S70 D ' is �a Ms�isy +« 3.Well Me(eheekwell user $ R :a I Water SUpply wen: :l17.1{i{6C1�4. - �j�1J KF� dyi�y���.e��y"• v 1 ✓ OA.gricalomgi lio FROM TO _>- D7A�18R SrASSIIE w's�Ri:-'•1�:�,G�'.f:: Mbiop� .~ DfAIIItTAL ❑ co6cm tt: 8 m. esl(Heapag/Cool;ag Supply) WffB�r Suppty(fie) ❑7adusOrial/Commacial R R . - mtial watts SR*(&,•,d) ,is:t�trtrr•�. . Oweils>I 000 GPD FROM zd a r*e,•rc MA OD&AMO an xca-watsrsapplyweII: • ❑Mohan OReeovay ear ; r Injection Wen: $ IL OAgniferRfxbarge OCmuadwaLsRemedMon $ $ DAgmf=StmzpgmdRecovefy DsdinrtyBaafer •:•I9 SAPIDlt3iAS�3LPA d F �aaaNI&Ac. ROM TO u��vor�r_ y+a�wcs�merr�n DAgaiferTeat ❑Sto�vrafrl•Dra� _$ R D1 emtal Teehaotogy OSbbside=ConhalCGeOffies $ g sl(ate 14%) ❑Tracer =7A:DBIId.IiZG•FAG�6a�difiae,Ltsb'e`eb'sf•_,••_•`•••�.-.r.: •„+;;: ❑GeotJ>r=sl lIDgRswm) 13 Other(=Ph&under#21Rrmnds) EOM m a xe ,.aa.�t - e'•• R R a.Date Wens)Complete& 3—I s- s Z wen m# R R � r 4A ; Sa.wen LoCafiolIn: - $ g . $ ' F>�flinr/OwxrNr�e FaeOayID#(ffaPP�e) i P�ya1e+l'.91d�ess.11Qt3:rmd T.iP R $ N� 1 6 y' :2L•'RED7ARH5: ` :.'=5r tick��_'7. _:";c '�•_ . PM=-1 Mem0actim No.(PII) r "' Sb.Latitrtde and Iort�de in degt xs/minates/seconds or decimal degrew MAR 2.1 (ifweB Sell,one la bn i,=Sdeuo 22.C"famtion: 6.Nam)the wens): ermanent ror !]Temporary �2 GO siSoanae , en of. 7.bthisa , ` �''��8�1�I��tlnrrhe,.rd(s)�(riva)oo�aanoedbiamovstmanr7li repairtmafrfsistingwfdl:I •❑Yes or I5AN=02C:01oocr.UdlCdCo2CMwyezcpnmaatmSo,:Iv&,,i&acmpy Ifffiisf3argx�r,�wdbminsnrllamaasrsar orm@tmrmidepiao, smaiharbcpspr—drdmSie�.rya»av 'rep�,mderar2!>:�Isseatonoroif fheb�Yoftlasfnrns - "�t 23.Sims diagraat or sddftioaal well d WL. S.For Geopeobrim or Closed-Loop Geothermal Wells having the same you may use the bade of this page to 704ida additional swell conshucdcn h& won,c*1 GW 1 is needed.76&cdte TOTAL NUMBER ofweILs (W see,ova'mRanart Boxj Youmay also attach additional pages if=emy. dated: 24.SUBMITTAL MMUCTIONS 9.Total well depth below Ind smfw,&. ) ft ForandNpl wegrlfuoffa4p*fdobwa(�3@2op'�2@1pp) ( Submit this GW-IwithinM days ofwen completion perthefoilowhW. 10.Sterne water Level below top of easm,g: d (ft) 24a-For All Well= Orfemd inmr to Divis=of Water Raswaees (DWR), If lesdireSowremi,� f- bliam4cmP=cwingUnk1617M5C,Raleft NC27699-1617 IL Borehole&maim. G t�� (m.) 24b.For Infection M&Copy t' DWR,Tindeimfmd b jecti&Carol(IUC) Program,1636 MSC,Raleigh,NC 27699-1636 . I2.-4m conshvet=my,Cale, method:�D 1 - /�r✓'• 24c.For Water Sn sad O �Lon Geothermal Retun Wells Cowto the CLG 9.�k daexpasl;efe) 0M*envao nmenial health epattmeat cooaty msba�e FOR WATER SUPPLY WELLS ONLY: j 24d.For Wager Weller my daft,over 100 000 GPD:Copy V DWR,CCpCEjA 13s.Yield(Epm) 1 Method of test: Permit PMVIM,.1 11 MSC,Ralei C 1 11 13Is Dishdxdon type: A Amount: Fa=GW 1' DTaarth CtaolinaDeputmmr ofFnvitonmefaal Qnalay-Diviaon of WaterResamse� Revised6-6.2018