HomeMy WebLinkAboutGW1-2022-09856_Well Construction - GW1_20221028 828-67it724i P.1
Fob 1519 05:43p Cie9rWajOr Welt Dri ing --
WELL CON Pr IC011 Fnr Inlic MId Us" a
f.�+?',nnMnRtslr Infnfinettnn: _._.. ._...�'.�.`--.--•--`—__..
cj
tucil Cmtirad+xNmne rr, ..._. - -- ..._----•---...------
NC,NYetlCnntranarCcMftttnnNainber { � S � C 9AVt'+ NI
Toto.
t
T._1Vr.11 C:nnxfrnetlen Rermtl IF: f+_ �" tn" --•-- -
t.+.rtnAn►gttaabrrurlJrnatrNr�JnnlNtmtnc(t.,;fll(:.Cmrnty,Srr7c.Ymtnuru,crrJ
T-IVA41 U11(chat trri)vn):
T
4VA t rSupplyvve!: to 4n.
A-0cuihtml rIMtaticipamblic o o• N
i
B �° F�widentiat yVntcr Supply(Aingic) �"'�n t• ^�Rog.
(Reatfila C' tllin st i,)
intlustrinllC,atnmbraip) �RtsidentlnlWaterSnpPl�+(shored) •-$ Oux � � v r t°'•
Monilarin
Ph
Arp+ifcriheehar¢cfrrenadwnterittn►c�sYrnn 19- A g +►t)g____
iAquilerSIOTBgr end R OCOWq' F3gnlinity t3nrricr
�^�elnnnwrttcrinaiilrtgo ..+.`..'�----•—_—' r�
/tqufrcrTrat � ft
Lxperlmentat 3rcimnlopy tdcnrtt contra,
Creotttermal(Gtosad LOD))) �Dlv�n�`�� � /� r.
artttuerma yi r [t:atin u^Olin Ralurn 4� �'�� Ia�tl OniTCr�l�l RCInATk9} ` (q 1R (/l !
A,itatalx'Nlll)t" teteti:
sso.Well torngnn_
faerittYtDid{i¢�pllrebirr} •..--•----'+--- •e,.,,-„
PhyslraI Aedra&%City,artd lap s A
t',ustty -—•••.-• +r+- Pntanl ydc-niMrnti0013-(DIN)
L ^ •.•u Urlh....
58,Latitude.end InnAltade In dol;>< (mtrutteNaernndfor4lccimni degrem; — Qi
(if wall Rlld,nnn Int, p}tin n"MOV11t) .12. 'e rnlinnr. �' 4
4;-Js{art.)ibc wetE(AcrTnrtneltt t�f �'rnlPornrry
SitPtMnrr.^f+C.cnti'rnSWdlCOr+tm+l4e
J.;f•etlmtyl rntr!rrn.J krtnlW cnftl/jr that 1Ar a�!•N(„j m>z!S+trr='�1X�VrA!'Jivt la m:Mf7r�:rCc
7.r9trdancepall tnaAe>tiAdn s4cJ)- Xe4 or No a%drl.S,ftiC%rf'D7.f-R1l7Jl l�Aspic02612RON' lGrntfmrnmrStnnrhrdsnn�trhnr.:
{frlrr s:artrnJr;,/11l mrtlmnlrn m+11 rnnatracUnn ppFrmaltrm mrd cgtnnr tip,tmtur-rf+Gc
�nptrR{rkir reronlNa+'dRaTPnmld�►Jn-tyntwrflmWA
r•;wtrenderA21remv&-*ccwjiormWi-:Mck^jrlr$-Anlr. .� tlyl{rngperAd�lNtrmft1Yldl( kdtR:
R.1Gar Gen rnhelltl"I-m t^Inxa�t tfnp Gentbeentnt Wetlnhavinq the snmr. Van n�rrA o t eta i. y ll May also ND ch additional
Additieratl tveq sits+dldltfiS nr wa11
p ctttt9rntstlan cirtaile, Yot►nulq also At�h additional Pfl)l�ifnoceasary.
mnninrt:tlnn,only I MV-t Inntxded. ftttlicMaTOTAI.NUMBER nl"Wrils
91-To1At welldepint below land sltdflut:,^, _(jr�i A4n. [ty lgt Submit tilt;i#btm wlnlin.10 Mom of completion of.vell
t:t:t•mglupJr.rrllalitCatJdrpAa•tjd��r�nr(cwttmnkr-tC�j/Nr•mtdf(�Ja(►9 Gtn41TN�iontpihclbit0/cTnS:
ltl.SEntinwntertavgtbriawtopnPcantngc -_�(It-) O�fl�l?{I1NSarV2t���Ieter��LOl�igt.MtS=2�;1F�'t7 art
{r'anh•ri,nvdkrhartrcmtnit
i t.tla>ettnte dinmetttr. ��`r L -n°.) 2,W ems^ew ceinn W W, lit additlfmt to Ralttting the form to Oic rladrM 11124:►
submit one copy of this fmm-Ilhht 30 days of t:ompilnlOR of VC41
112.Well co+mtnratlan method; ` — . '-___ — consim4t)n1f to the fallswiIIA! '
Uc- ng-,rawy.aria,iltrat ptai{,ctC,)
ptvl�ion t►fVVAttr Iteamurcelt.tUndcttgromtd>tgjea'tton Control NORM.l�ORWATERA,t.PPs-Vvt+F.A.LSONI!.V- 1C36 Mail Servfee[;canvs,!Raieigh.MS';M49161G
13n.Vold goal) C-?> b iVlelltnUJiFteat:_ ll� 2,k,tin rOt4r 4p eft ti lfpreaU_(lp WNi� In uddl on to sunding the Ilttrn in
the tnlaresc{cs) nbavR.Msr/smbmit a m copy of Ibis f4mt w1►bin 3(1 dtryc of
13h. fccltrrtl,t Ili in Amo rtnt completion of--Tdl cplwmc ino ur,the county"Ifi tteplrttmertt of the cnrmta•
s o;
..._.__.__..,.�..��-,_�__,.•••�••""--+"'^' •-. nitot+a cpnsttttated,
t+tmnCttr-t A'oAh(,anaiNutfkTnnmeatrl0r?uair6ntnrcanlQuallt9�niv3*�anoENeagr•RaunnrcRi lUvivod�.x2-xAIF