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HomeMy WebLinkAboutGW1-2022-08235_Well Construction - GW1_20220411 •w a:a.ea i•LL7L71 ill:k+i 1!.lL7 iSi'.LillIC1F Min-E I For Intatial Use only: 1.Well ` utractnr Iurcnetitin: `walI t%onn orNanu _ _ . FAG." Pfl nV46111pne1% -_ cflr� /4 APR 11 202? 4 t�. rt. AC'tg'akri'atuza��r�.arrii,::aian��uh=r �` � �,�fy��°� Sy0 _ Sys ft: 1 �o J;x� iL''1\W t5 t}UTPRCiSiill (tiir AVA1111 LINTER Wl. I J /t •°•� Fq!)3f Vu l DIAMETER 'IHt1CA'�FSti HtiEltl.�t. Cir�lpany tiinr ft' � i ft• im ' K�f�/I/ 16- CARI.�iQ;tilt'I't1Hl�il.[ terdt el�Q.l a """��" 7-Will Construction Permit 0: __ J b FROM ' tU ! WAXEiER I lltlCkl'Et5 atea�u u �.rffui!Jf.!'ies:3,r+Je�i...r.�tv�r.`.ra�:unttr:.ten L7C,.['_•:.nn_S'wc._turrr�lci e.crc.1 41- fL 1a 3.Wet1Use t'chv&i,eft Use): if. (t tie b4'atav'�npplK!tell: 1'fikP► k7tti31 TU OLLM6[t3f SIAtT KILYE 71![Cli tii5 tt.►Fi A�nfru(tunt9 3llut;iespaL°l'ubisr Ci_ fL to 4 t�3ttli�nata1414c�tiri_•:Cuuiing Supple, Wtjnjid..vtial W.alcT Su3y Isutoley tt_ i't in s 1r�dLtstrial tatatncrectl �Iteyidrrttial it'aie•C Suppiy IMiaird7 11G"ROlfl -- ltrieatetm. 441111!aterSappevWelk Q !f: �� (1� a IE�ritEf7iun fo t• 41!traittrritop ttcrar¢r,° ri. [t. Injection Welk ff fA .Aquifer ltrrlta>3c Qtirauru'naila ltea�(iativa 1!S1d�dGlE�ti'@LPACtiflf ofhle ui[emSturtecatsllitarutcr alindyVarner Fiona to itnrM%L EMPLtCEWN-ratEntt Aq Asluitar`1'e:lt Osturim" l.aDra3rAgc fe Il- pecftnrtttal."l�rlacee€ucy 'it3rstblatceCur7r�I iL ft. C uFlsrtnal4ClascdLwjpp �Ei-sat �DItIL c�cGIfif:titm>EiidsllrlmalsheetsItttsc�nry Ciatltettnal H:nllfl^: `anttin'�IE�^iumi_ . ttilt>r I+iu under =t liztaast [Lust to oElatret�+i rota e�,t,e,, mite°r�►o.,>c u�, ,;d 4-1721e I eI411 Cumpleied:_-lI �5-e�; -svelJ In# _ Z 7 It 390 it, � Sa Wca Luistli tiYt: 38' it. Q' 1t O r C 7o�iti 6crdn2r fr. Ift. Gacilcy°fl,avarti:s a Gaciliv10;11ifWplia 1.0;4 fL ft. L/ � f ec ft. t}i:at.4Jdr•:ylf,f'io�.jsid4 I-�''�4 @rra!62atuiti::ttin:�u.IPl�ip 5b.LatitudemildlamjtudeiudvgrcLstminute FNL=n&arde'cmmidegreoi: Iifaallti:lJ,ou-LLdlarc.i,.sufflwimii ��y/ .[Ca1IGFytl1►n: [' /� 6.1slarL the f4elt s D tP $i ii arc�f C'�t t'scai,44etJ C - �wr YAW 1 ( erticffirbt or lin_D Bt srai. thts;�+.tt.1lA:nd-1-cr°rran•ds r the t4 btfci ul riu°ear:I tlteuir�f t r lo, 7.Is this a reptair to an rfti:ling well: ®firs ar U.'!D Idol!1Z I s ia:Lpx JoRvj Ia 13:i.ecAf:LAIC OW?F.ld C un-Wfuralm iYuu,.tr dm i,�lAilVd.flj"_:fl,;�l.'!aJtt.tl-iu.t�e bui�acc�i}Jrm.ta.NnlJi!J it4t:!aLw-iJ ci�iiSFef�IlurL•Fct_�fi/s ac�m•r:J rhil a"t'autJ 15�C4•�cM Crt!!S{Cu(iU rta*�8c'�il alb.�f'. e't!Jkitl��+!tlli:��i.'i.fuff.�'.i la'ciiul7 CI'cab f�ii'L�:Lt�Ct!I'IiE JItf.VF. :�;-s.:�.�:;. '. 23_Site""'gr A•or f,"fimiat Well!!hall K:par L:euprubu'DI°I'or(7tfsed-lmap GLuthermal i7t'elfs it:Lvir.g the gam_ You riiay vw_dze bwk uf this page to ptuvitle addillanal.vci1 iite dctai9: cutsittuctiun,unly 3 M -1 as needed. Iccliuue•flaIAL NUMSER utwo,la eutYSirt utni�I_CLi9s. !uu n sLiu aft.clz:uldtttegtatpage IF oet�isasl. eaSlll6al: ` ��It�1,1L I�t�1.It11L 11S?�i*a 9:'1'utel well depth Waiv land surface: LJ OD OLI Ala 1� .ice• Subnut wis tatnn -.01hin to days of cumpl aiun stet eu1.1:y.1-,..4k Iu aie'',r...i i,'j�st&:*rr t2�:114' cumsumtium 101he t'ultinvine- YU-1lntic ev¢i'Li.i�r!Ya'water bLkiw top D( iug: /0t/o i;ESaL'liF iCt' ttt.l Divisi aft'if Water lit uurees,Irilitrntaliud Pieces-Uatg Unit,_ ..t56ir;,Eii "r" W 1617 41afi$et•4iee Cetitsr,Hidwigb.:N I76T)e1617 11.flarcimle diattieter: 6t0 t _ __iIn l +�� For 1 eetinn titgttc_ u14Jitiun la seadia_�Ilic fates:to[Itc acWlr O ,Q abuva:also anbtnii am,ceg:y of this futm wtd1in 311 clty�•a!1 euntpletiur .g.Well splay,tftfinn ra-!lash. / `�� citatnarli+tr.to the titllutctng: {t,:.trrar,ratar•,t crt-k.siir�d.lsx�h,es:-i i (?iiisiolt of Water Retvums,Vadergramd Injerdun Coittrol pe"S l+4JR 4ti:1'f` lt5Ltt't'11 4'>^t.L�t?tiLl: t63W 6Itti1 Sf-LnIce Center,ltallaig6,NC 276"T1636 Uk-Y'iels ILii9tl 1lethad of rest: /, 24t E'ttt Water tittpralk 3t I11ictYin6 Weltlt: 141 sI.",li[iun[sr xMti3lc loot ^ LQ tins adrbrs�lesp abirc4 edsu stwa=il curt CUM- of Lois t'ami Se�Fiin isi I31t t:i>insin Linn type: n �pDtint: / 0 Z cuntpl_-ftcat art'i.c�.irsoa..1mm to the :Muni-, hea'i1h dcparumcnt of L6 %idtere cunAzucrcd. Fitt e:'a'-t Aic nttL��tisa U un�ui Ln.iil ntn:ntal sunlit_}_Di=�i,;a I;1f Waa kdsa nai kc;iiad: I I