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HomeMy WebLinkAboutGW1-2022-08939_Well Construction - GW1_20220919 ® I i WELL C4NSTTRUCTION RECORD' _ , Tbi its sea tw be d!r aisp iv muut=Is weU1 K Lea a Ur.ONLY. 1.W1rCNVtrt:r Wait'ar.eer W+%. SC 7 >L IL t I Nt;Well rerAn �' .-sue a:. !':',-f•�1�i.r S r:a.'kt1 toaaee C�itifkestiw l: t e •L Yu.tartl = ii�9Fa-u-L r J �� Y'.. �Q L.L GJ� LL /�/'1 L� 'f•/ - � !•. . �, ;r Y1, • U�;l,l (/ L , he:pess rfator - ^,a� t'+taM l 11uar. _, won Ceassaeeb4 fersde (Jct ufI gpikrssJe reK wwsrreKrpn tarr�r r A-e(`Lawny.Sr•,/o•w.v,err,J ~--- - � __• 3.Well Use(rlueti sell 17: tai Y _J atardstpply Well; . . _ . _-- ..._._....._. 1 F — wr.rrrw u "t GA�(aultKtl i+y;: tyti.ti,l• 1 01. 1 ftI MO**wrmd(Hour ! iX�1 S+� wplY) y�Rre,dorust rsttk.9u'up1Y(srtyla) Obxlvs4ttJlCwtsrlsocsal itcetlde"Vet W'a!61 supfly(sh—) I Mae-Wefarall�.N OALon►b L OAe�;uvery K ....._...- ..... ..__._........_....................... f` ft. Oiltqvift ftcharss 00rawndnatcrRomsdtat.an YtL•! if �' r OA4LAr$Wra pr atV.R-•vlvcry uselauty Dwicr Q K' F- NME IOAquidtrl'rnt J L;PW=wsLo Drainsfic i OCxper:readal Teehr.riop Os'-wiJortce Colttroi etl adaused ias is i . O(ko4ttrmtl(floodL^,,!) 07racsr ,.,t,w 00oodwatsl(Heat(M&Wyu Aecon1 �CO& (" Isis krJw$21 i4marks) h . h nn/n� h fs t Ostia WWI)(3s+lbsed:g'.. .CoC - 3a.Well3-0cafsoar - R. 9ok i /^rn/ k ft. _ 11. 1, , ; .C'.• ; sacWy .�Nw YatrlitylDl:ifrpr;vylr) --r - •� '' R. h. j Ph"is.t AMreer.City...671q - ,vat Pt Gas ' Ins,;;:�� � .. ..-� Urg No(ItN, J J'd�J1 ut11 3b LUitods and l.ssigilude is dsssseUeerasfcs+weords of rkeis.l dWccst (itwou W oor IKAOM is 84mc✓tlea) n �/ 22.Corti 3tt O: N ��d o2C+ a O� e W '7 tti L(asr)due W9141) Pffyr,u.csi or O7csugorery �r-to-Ir/ju- / 'W d 1„eosnrden,r IJCAC or..01D4 yr fM N(.',W ON,•OW Z4 CatrfnwIN lsotrJsn*red U.r•a 7.If flis a rcgiir to as esirliss well: Q Yes or. No ry,.•of•w,reor!Wf►efnXi Ar'i so on PVh owner. j/,AII v i tq,an/YI tw 3ueitn w011 oOwrb4afoe trybrvw:jn rwJ ertratr tM,oLrr eJ t14 -Pd,u.,irr 021 MEWFA8,now a,"as Geri wr,nf,f►ns. 33.Site diagram or sd/lft ail wolf dossu You:usy use Ow back of this page to provide ..vide additiwal wall site detsila or cis 1.Nttlebar sf wdb coeutrseled: c."inw:on decals. You siay also altsoh fi"Itlnnal posy If w."bVy Aa.rh,�ls urerrrw„►erru.rer pj�trek aW-P r,s4,1.r sac c rawryw.yov atrt f.TvWI well dspfb brow load surface. fwrwla/kwT*iti,sffdepb(f'rt*-sef rcr , (hj lla. For AU Wes: 1uMti:this tnrnt wititul �G ,fty7 of custDleii,x,.it .n..' ( p1r.QjJilo'onJ JCtt�//Dp•) cOnlln:aion IV the foilawin'g: I 0.31etlr crater level Delay tap of cjwa=: 73 t ptl D.vis,os of Wks,Qurllry,inforwatioo Pruessring V oit, f/,.Nrr Irwl:,a"r is&are-`-" 1617 Mail airviee Cousae,D&Ukb.,NC 176WjQ7 Doraba4 dlawlar: .``_ _.ab V(£i' tL'KcA!i,In,sddiiian to WMI"A*ftrM to Iea addrus N:es r 'Ove .. r et!'.n'' a er,t.•! of ..s s1. N v snro .' days of camflrtlwl of well 12.Wag cosNrwtles tss..—_.- ! X , y c nt ,c:, •v n Catowht' (i e.e4N►•ratty,Seale,ir•M feel r• ) /--- _ lrvrrk o!w._ ' .'atcy ••.egrt ssctio.Co,aalrro�rsw. FOX WATER tiUptLY WILLS ONLY: 1636 Msil�Sorrics Caesar,Raldgk NC 37419-I6U Do.Yield(spa) � _ Me.:,ad et Last. -CLti/ tC p W rA 2k �!Wei•�'a't�L$�L�c Na.Wellu hr ad IiliWt to tao0ult tltt Qem to th+ adAw(ea) abets, also stsbmrl ' copy of this Came Within 30 days of 72b Diatslkstln ty7e;C L G/1 h P AmoauL ✓� 02 wy"PIOUM or well eonatr�otiun Su(he wanly hulth deparnn,-nt of•be:C•r re+ WIWI colJlrw:laJ. ; � Gt./•' ►_,.J+Can.;rr D rr a n,so•f:aware.•..•.e..l N d.4 t'rwr.r• r; i, I