HomeMy WebLinkAbout387119_Well Construction - GW1_20100928RSID ""r"L-WILLCR
i
Nolth Caroline °apartment of environment one Ntituts! Resources- Divieton of Water Quality
WELL CONTRACTOR CERTIFICATION N 320 Z A
t. t11aL0001IRACTORt
RAPY-tE L- Ot.14tiL
Wsl *Mack* (Ytdhldu� Arno
CACZorA ti7- b twlNre
Waal Contsclorr c nprly Na
STREET ADD; 555 to 1, l4 Meou M (Z .
MorkiE N a 28 12
c c* crTown State to Cow
AraNvo PIMP Rumbas
L WRLSA'ORMATION: •
$fll WELL ID •prsrptosbN)
STATE WILL PIIRMITItur spp•s.pr.)
aWQ a OTHER PEWIT INV applicable! 01- 3
. WILL UR (Cho* App•osbh Boot): fts•Klentiel W.t.r Sway al
oAMoausu •1-20-IO
TIMS oowpuTEC 4 =oo AM o PM [s'
3. WILL LOCATION:
Ct1Y: OgibitAboo IWrtL COVNTI' U,1,or
( 1 31 ►iuisllri, Rfl ,
TOPOORMHICILAND RITMNO:
O/IoptOw./ (iPW pRIOp1 OOthor
Oh* WINO* Stop
IATRUDE 5 03.5'{�1,
LbWOIiuWSl, Q° 3te. tct? L..►
LotAIdW1oniltalenouvoo: @LOPS OTQPQI phicrn/P
• • (kolibrl ilvemustep shown an .11$0$ typo mop Ind
o OKIb tit Ittm/not ushp OPS)
4WILL OMRlS
mars NAN -SESStE L3AitLingOrmo/a i 33towiz (,.
Mt As Tar4u. NC. 28a i4
May be In dorm,,
minutes, moo* a
In a d, ImSI torah
"q►atom1 " ' Stat.
Afeeo0til33
• ( to 11
&WItLLMAI
sti TOTAL Vent 155'
of DOpwELLREP ACE IMTINO tlIRi ? YE tf Q NO 9J
WATIR LIM % W Top d Cady g: y l FT.
(Use '+''Abysm Top of Cask g
dr. T.bPCP.C+It1ftO a 1 FT, Pbuvi Und fuA•o1'
'Tcp d c•11t0Winded atfor Wow land *who* rnR► MOM
•v,lrloebt000rdtnoewlth ISA NCAC 2C ,0110,
,'MOW _- MHTHOQ of TUT bp-
T, DT•tNFSCTION: Type_
•. WATSR EONS, (depth):
From To
From ' To,
From UNF+vowr To
1. CASINO:
►torn
From
Fran
T, OROVT: Depth
From 0 To • F.
frorL,_ ,,, To 354 Ft.
Front-�-• To Ft.
KCRICK: Depth Domeier PA SW
Frvn _ To FI._,_,_.M• h,
From To F;• In. h'
From Too Fi.___ .-In. �.----- h.
3`'�'�5
E
from — To.,.�.-�-
from
Front
TTOO
pit W ��
of uiSD 2t P
MsRtxtM
Po¢riAs
BErvre tE
f, •AND/ORAVEL PACK:
Depth S W
FianToFlFrom
From To FT.,
10, DRIIUNO 1.03
Frvm To
o - 3S
3C 1t/
`W ?SS
11, REMARKS;
10o I*RtIT CIRTIFY THAT 11•e WEu WM T A NAM
IIA r1CA4 t , Wt . OONrTRu allow STANDMttt•.
APO PICORD IKV ►SIN FROVVty TO Tm well OWIRA
q-z-lo
WANE L
Maths original t0 th0 Dlvtslon Of Water Quality wlthtn 30 days, Attn: information Mgt,
1$11 Md $etvIoe Center.- Raleigh, NC ZT699.1I17 Phone No, (919) T35•T01 t1 'Kt SEC
•
f I�VED
SEP r"2010
Information Processing Unit
DWQ/BOG