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HomeMy WebLinkAboutGW1-2022-05158_Well Construction - GW1_20220531 i WELL CONST UMOl'RECORD ' Far NLl': Thfs-forni can be owd for, in to or-nti�ti(i7c-ut lis.' 1`.W�ll.ContraciorLifdrluation: toAVATERZONES Chris Ruffer Fttdht,. "ttk pFCtttpuidN willCraiaitimorNam'o (t, (t. I 4223 A i NC..Wc]]Cdrftmcloi Ccttiftwt!oan diurticr IS:.OQ7 ER.CA Er�]G tro ntatli es lM rce►ls1 OR LiNt;R ltf's aTicabk�' FROM TO DrA,METER THIGh.'Y&SS ` I xkMr;�t.. SAEDACCO Inc ft_ (4 in. Ccirrah;ur}:t5(�sr+e �:t6.INNER"('A:�I1a]G'pFtTLaSINI`rt�+athea�nsslrlcf,:d-loii ° - 'FRMT Td DLUIETER- I THWFNESS hrA1MkL t*Cl tomtrt Ction#}milt k 0 R.. 23 ft,. 1 u! Sch 40 PVC f.ut trff r,{illrnbfe v ctl rrritz,(ex.'Gaunty%1u? -lrnrfarwe,I fecdon efrj 3'Wll;i3sb(chcclw;ti 11 rise): 17.SCR!_EN. Water Supply We]E:: FROM LIFO ,nLti\tF:TPEC SGdT$t73; Tt#1"-NFSS' I ATATF:RCAt,. 1Jt't$tiettttittal 1JlvfniiicipaI.ymlic, 23 R: 33 ft: `i 4 Alb Sch 46 PvC ClGeothennal atin ri. itr. pia; � pl�vlia�'�ttlsply}., tdiR�siifentiat Water 13hidusttial£F'ommerciai ORtsidcatialWiterSupppiv,(sbared) 11`'GRQUT v. ,FROAr ' '-70. AJATER(AC- -]EAIPUCENTE3TIFMIOD.&A'ATUDNT. t7ltii ntipn 0 ft.' 17 (L Portland Tremei ).Ron Water SupDjy Well: Gl�#onit4�n� COIteco�'ery� ft. rt� Irtjectitai Wett: Agttrfcr'1{cchar,-,e EdGnrotundg(nter?tciRetliation 193AN11-GILWEL PACs:f;r a alicab1e), 'F'Rdli'' it) tkiA'iF Ft4tL k41Y1 i F 1rFiT NkTitdn nx{wecr..s?t6Ptgenipt{ ov,c-'4 080ni(}�B't7r3eP� 20 - rt:. 3�3 ft,. ..sand z ❑:AgvifeiTcit CiStvmm itcr Drt ti j;c. ft. ft. pE.�;.timcnttilTta;hnp�,i�,}c RStibsidetiset~bt:#tpl 20.-,DFULL) G L0 Gtaltach adititiowal ik-C4s if reeecs5nul' C1G:xrittentu►l(Clusei�E oqp) OTracor FROM 70 ol4r. wi<r dc.1 ❑ titltcattal tooling DOtlter(-,xphi tiund6r#21 Rewadis) te. rt ft. (C 4.Date'4A'ill(s)Cnp1,pjdej: 4-19-2022 ,{Ve1l1D#OW-34 See GA.0 s notes .,a'� 7 �m �:r:�4rt�1 I.,t►e:rtiainr (t, � e•�„ � . .,.,,.... Chemours (t; ft, MAY 3 1 202 Fsai7ii}aia tiicrAlitnae facaitplMd(4pFllcAible) R (t 1248 Bill Hall Rd White Oak, NC 28399 Cumberland C, ft., A. MOG White Oak, NC, 28399 P1¢suS`Aatshi Cif andZip' 21_Rtn1, tta ' Cumberland G4=ittiLv I?arcet tda9nyfcc,9ii9�Np,,(P1t�) Ali.;i ttltacic and t.tin tttttd ,iu.tl c3/mittutcslscco, 6 4r ecimaI i1qg1•i sc 2x. crt ratirrif: +itt`ia>rlttttt.'airi;ir�'tr�ti�3s,�tctfic�nt) /''��-y {� }Y _ChP'Irv,'Ri.lI'' 4-19-2022 5rttnc afCectifiedWC11'atiau dr Dane C Is(Afer)the-well(s): -XIPLrtt ancitt 'or .oTempotary fly r.`nin roar:rrrm f frerrfr.cerfl Pliaa;flee ivrlf s isas, ; S b f 3 f? () j`yrerc)crniunrefed frrlweor&mce ii*4[SA JVC tC 02C,010.7 ar.1JA NOW P-C-0200,M11�'..aitatructfatSrandards rind that d 7.blhN a tiepair to an exr:at ng o,ell:, ElYes, or MNn et�,�r.a;tfifs rrefimT lira t ern flrnl rrl.rd ro'_if,�;rr.2 i ncvtrrs, .�t1,$is dr n i off iaurb, aT-dtrex,�s»ircvfdq'&tAwniv n)t eildegrtPa )111)e turraarr of q1e i�;",iraoi�:a dnI tti- 23.Site dhiy)ram or additional H'€ll details: You nia} use tip back a£This page,to pros!ide addi6irnaE iseli.si[e.der 3its:4r isP11 S.Nuttiberof ixvlls cdustructM: 1 canstntctiotl deii ils You:tiiay also atiachaddi ona pages rf necessary. Fvarurarfatf+7r,trti4�rkur.i*€rarvruvarersa�sJ�wits_i)NL}'iSP.tr,rliasrrastarurrs}t<nrllwr,.}�tvac�rn sy,vatr ar•,+�ari<t: -.. .. . $E]BN111 ALDMETG`ONS. 9:77otalwv11 l€pihbclari Iagdsiufne 33 ([t,p 2tw Ivor A11 Wall 'Snbriiit this iami within.3b ays;.df comgateticiti dE%�e11 Fear a+ratlrF,i*Ja*>ifdt'lf3ta7fF't fuf 'ittfl e.tiait�,Tiranafe xRf 2tki'enw':?, f $ C9nstiiictt`ona0`thdf6AowinE,., - If).Slade wafer 14'i'l'l iitluu'trap_of casinw. VL) 11ii<•isidrn of WatOr Reiaa ke t,iafurinafititili>ft)tersina�Milk, Ifwd erla=k�W h-Vhot!,t4i iu tie IGI7 htat�5crvicc Cpitcr!•itileigtir iC 17G93,IG17 11.Borehole diameter:6 in (#u) 24-b:Eor in fadIa i HAg 0NF Y-,-In addition to sending lb:fumy to tlte,addtess in 246 abbo Q a'W solituif a copy of dds,fumi Witbiei S6 day s,of cai1 ple idit of a0l. 111VOfcoiistrtictiiouinethod: sonic eottsEltictir3l►tm,tlr fpuo%i*ig_ (ic:aaige6uia' •.cnble:.dii1edpustf,etc) Divisiriu of WaterRcadurce,Underground Iujectiou Cantralkrirgi4 n, FUR NVAT E RAMPLY,WBLI S ONLY 16361 NIail Se rc'ice Center*Ruleit lr,iT 17459-1436 i 13- i4eld{ rm) Ictlind nftcst Vr-Ft*Wat&Sti �plv.Yc�lnicctlon'Wells: Also suborn one,Copy of this forth ivit int 30 days of"completion of 13b 01 tifM-tinn.typ : Amount: wall camtntctii n"to the count} health d440meilt.iaf the cotmtv.whcrc e€anstnieted� Fonu, liT-1 Not1h Catalpa M-pailaxticof Etwitaan etu w dNara al Rewumes-Diltifiioa of latcrRezuen heviscd A4ust 1-013 i i