GW1-2022-04375_Well Construction - GW1_20220411

WELL CONSTI�[1C TIQN ItECflI�(G1�ir'-�Z For Intune9 Gis4 a[tly:
1.%VLBI 'iiltrnctor fitrtnatlno:
o 4e�
.APR
1 1 �t1'�7 i•L 49A7`EB ZQ.�f3
i'aati 1�eaawue rAlamc
7�P TC� g1Cfi3[ TO UESS[dCPtlft\
ND IN I
rn n'^.Sl�q Q.
!�C'tl'e G:'alussr:=_ard.u-isi.�ial:�i�sihar ,, ,,•,�:•,?,7ti"„!��ti..r��J�Se�fl,
' iI L^f MCWTERCASING(�rarv[tnrarrdercfbii RLINT- L it e
1 VI�� /�t�1 tftU 1 Fri Otti71EYE1C ?1[IClii£�ti ►,%TEiu-nL
tlh. ft. tm
Lrru�J{F�obit•:.•il�,�:rrt:�rrsu �rlrw<i!r. , . [
L%VUU ConstrLK1111nPerntA5 r ru!CC Tf:)514fir ixrmiel�sd.lV is
file.
i AL i
SLtiE1LlU
3.%VeU Use tcltrclL riell Usel: fit o. to
�4'atcr 5appl�lYeli: it f.sr-urea►
s'mi3t TO M&MEtt$ &t irT stze ; ?ILICAtiE�S �rari
Atr cukiural �h[i isiLzpai 1RrbL•c it, f1. fi
C�altlr viral M win-C:auling supply) � l., stiential Wala Suirr3y)single)
liattist.ialC'atrna,.•ri;tl �ii�i.L.•ntial SAat�3uHgiig•Isl:�ndj - t -- - _----
IL CROtl'f
Irnea1812i1wk
\F;�l�iti+ld
Nall'Watler Supply Well: o ft. IL tse Yir
hlur:iming titieeevm 1't. R.
lujeetlao Welk
ir. tt.
.Aquifer Reclsair*e �iisuunilttal>z Lietrcdiation
I'IL&.�iG[E.ilarEl PACK(Masnagshki
A:IuiferSturucearalkecuva} OSalinilti'Varner B:IIu31 rai atxcestLu. EMnlai'>:vtlEvrMETlu
Aquiler'1'cstlaintt:s;ai t 11ras1=gc f R-
I`.tpi:rsiatuttal"ledse-silactitl]S�JIcaC:ur-lr�1
EloddBmnal jt:lawd Liamirl rser O[t11. YCL atlaek f6enulit6reisJfascrsterit@ _
CicS7tlwrm.rl t'Liatint aulin° ^1utGo1- {11)t�T ;c -hinmaJartt�L 1 rlitl►41 ilttt\t LO t Q�si®fTCli3Vrcvte Om+rasaedVre�lsmeyrmso
4.hate Weillsk Carmpleted: 2l-P' Wetl ILit '
6S&
Sit.%Ve2l uca[iati: fn- dt.
.lee\ g, g✓t
Ga:iie;-O ner Name racithyfl)v lifaplllicklct ft. @:
f2; -1 AJJr,%*,C'itg-and ..Iti - ---- /t. ------ - -- -- - -
RE: _r
5h.Latitude acid loubiltude in degreeittndnult•tlsetnnds or dedu ml de*-m.-
iift��tt ti.IJ,uLL tai'lorg. suf ici.ntl 22.CertifieutFna:-
6,ls(tire)the uc4lfi errluyotnt or nI'eenpararp ±alum_ui of[ t i ,i wall Cecrmur'
br ee,;�li. r�is Teiu'3�i to l �.:=rrr r�.tt rhr s !li.l �e�nu ,.•.�,l�nt:it.:t lrt,l•
.ixlltl$a rYp:tir tU all lettiriitl ttielE: D[e% or Cg<oii3.'!i d=.i kL'.1 t`L'.fd!i'1 vs a'2:t ea:":fC'Lr_L it i81�ft+l t iu:=L:I9s t l�,iia..'.7fai5
r�Ihit ti,95a'�_Ji,',jla'!Ltar A7iu,M3 if til tsaLrfi'esF ±i i.i!3�dWl.i+�ii,t�cf�}Siili ly.'au:�Ta'nf:la xCpigi a? hLz jets--d 3dh FlwU ff.- ejal dw well ow tar.
€'$1 eeswks XC.Can L '-w the fw&/L.e;rhid.i`aam- i
23.site di igratin ar aiti Rianat--cell details:
!_For GeapatbeO rl'1wCllaeed-Loop Giolherm:tl%Val&Juvsr.J the Saone 'Nu tray me dw back-ut[lam pages to prwwiLl addilSanrl well site dclalp:
cumitructiul±,urls 1[irk-1 ei needed. Indizile'I'MAL NU."AHERof rwl.6 cut�Slt.etiuls�b raid�. 't'uu n1*aiau altach additiLmal pages ii ncemssa m.
tsillaaL:
ti48�iXE_l:•tL}ti�.77t1,t�'17sh�i�
9.'iiitaf 4te11 dLgtttt IleEc+n land stuprcY: ( tEt.t 24a far Attl>S ittlf• subnnt rkaii)elan wilt" s`o day-4 of cilrapl'lam
ret•,m,dttel�na•dis ft.:dGuL-e,:ra i,�:.i�t�r.a:i.x ,i�i,-1.a.71r'm.i:t.`:frit_KJi "���'
curtiu tiur tape fiat".tne:
to.Static watsr level below tap of cagn is t�,j -
r;:aaca i.t•���a�rna..vk; ::s.•..:" i@itit�iafi+ii Water Rttiut►rces.letYtu•Iiriliuu Precesiiug ttiiF[,
lbl?"Via smite Center.Raleigh.NC?76",1617
fl.llorelwledawtnetsr:�_T---f1iLl 1113-For Er uLUitiun trl•wending kic famti to dry_-l_°ilre
abo e,also bah"'it enc sti. 4 of Lkis i"in n%vidlin 3tl}sax Of ccanpl_tirr.lE.�tre0 cnn.•rtrat[lalrt rliar�.:aF,-!i.atiraaCil:SYJI iraprn h, r rur�sructi.iia to lktc ealiaiwmix
1i.:.ar�lq ,c 1
Division of Water Re"uras,Undergratmid Iniac[wa►Cuutriil I-rug
VOR 4 IIER 4UP13L.1.4L'LLL S VNI,LVA- 1636�:.%IsA Semite Ceates,RAklgb,I!C"37493t-163h
42.field flpdih ��" I•li Ie[6iad of test: ►Ac.Opt,Water luai. V &lliicatloa ftiella: in ad;litian to:.aldaru lim
�� tlla aj&"!4e5) ;kb tLL:, alua sub-mil ute citpy c1 this funti %k-j&-in i t
131L Diklafcetti s type: I Ainomcrt: iampf�Ssim of aticel cim+ttaict:i>rt tv llic ratui:ty Lit alllr dcpai4iarnE ol`76,
- _ a3iazcaairxtsticca4.
E et't.is'-t N':nhCzwGna u-'pi'ian-em Of Lai'L-Ledmnlal f ilaali7"-GlirililQ u`t���%r tt�Se UriCb CE :i ,L=