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HomeMy WebLinkAboutGW1--05460_Well Construction - GW1_20230821 w Lu.tmIttinum,uvil--AkcAl1w tV 4T-At ( . Landon Raps _ .— ,R •.; t..AkFMMMo..,,..KM'er.Fsnirs i.A ' NW Well And RAM COMP rq _ ' T�P ' ' i. —, _; __ ________,_ le--i " 4 o " "s r tl"T C1 y iA Ali ARfl __i WVO lltattratal..nr..at i, 3+I a�o.3 i1 ': b -_ i�""a'__-__t"" —= .-.r,,,...,.ear.,«.w,..v.rem o�••ft a•trte Aware tam 14rlrrt ttr► R R >! _ 1N"t#pot(rer.i.eawrt 1! R e. b. Nsawr OW*N'ttl: Matt Nouns Jetsam MOWN t e _i 014hwucpr+PhbNc r R i t lkt:c+M rera.A dlintiore r►eid Setaos) wale Stull,(turtle) e Q. Q. .1. { ii••edir«ss.'soanerrhot CllesMerstal Water Supply(sham iiCROttt i L7L-, emu. li3t eRs>030.000eV non ' to I+*U % altrsacintorr wrong a artotorr. New wider San Wdh 0 k 7 co ac .!J_plOn te r _ ., 1vt:s*.,� t]Raatty ,, a. R ' PC 1 cone*,Pechter Oiitow/_Mer Rmtsedabetl .i i 11ipn$r•Swoop aai Rmetey Moth Staler ! W+wR:RArtI,TACK MA7BW.niallkollell teltxmeerrarrtt�s sG Noisier Test ttat.tataOtatttost TO a O. ;2.7-Evrerviderati Teeknek W r -'---ideant Carnal a a altodie tri tamed Lon.) Meat PS OPIUM t te;{ andilhai(slew.Strannan It i s tirentsetwrr(liontivlr3oatusRvrlq OOtiat(o011:unit t2 i Raaartts) , OWN [ro j a�7C7lRttoe'iadar i�itt�edMat4rtte lieu e.L i.Owe Wmit4 a glttec L/-2$.Ls welt molt 2 R. i± ; b. C' .It Wed 1 `:1..r.,/i.:I.atatitaty C.'rt. �'Z1"' 6, 1C T /4N�, t 'Sh ft. f AUG 2 1 2023 Woolo,r0sittietrwt i'aahty il)n of.eplrc:rble) ft. ft. �a,,. Y Q .S'..i L 1O `/IL:A 5 41 t 1 11( - fit. it. )(1Vr i n?i•'i+aly UnR Ptboad a .t f.asl15i ` ft. ) rt. �Pi�;"�17i'a ?t` ,-`�� 2t.RF.1tAll1CS /�1C Used hardened steel drive sr-Le. Omit- Parcel Wcn6lication No.(PIN) Si.Londe awl logolndtla degrees/minutes/seconds or decimal degrees: r peace Wore la warscicntj '7 ' �yam/(.�. �j(,� 21 Certifieai : -. 541re,4g3 N — Q). ' " l f�l 1 w _....r _ iI zr23 (. SignuureofCa-IiirdwellCatsemr1'''`liaardl(al. ❑Ptswuacnt or O't'emporary Ow tiN rtgoorg dttf firma.I heridirerselialimilearelltapaies eve con orooiroor -• e:. Islirtta milt oaae Wade'viola: ❑Yes or ONu /1I!CdCn2C a Inn u,Pie MC•I CAM Weit mworyrramik��aw.. raw Us 1114 talt„Ds r ere rrrlYerrynac o00 o%rnanm,ooJ explain the umnro of dig 'If sMx nxorsl Hu,?Ie.n psss S/..lire ovittiffinveir aMtltkaadrt e r rvnrY$itMrnwoo the hack.1 this font,. 23.Site diagram or adrliiimal well details: t.Fog CettrirotteiDelt IROaad.l,00p Geothermal Wells having the seine You may use the back of this page to provide additional.reR aoan etion i..:- eaa act.s, or:),t OW-1 it snit/ Indicate)DIAL NUMI3ER of wells l:t)d'Sec(het'in Remarks 130,0 You m:rr alttaltei______toenK inotaaat, 24.SIl11hMITTAL INSTt2LC IONS 5.(vkai wed depth ham bail anthcc: 1/2 J (II) trrWipltt�1fYr.tJpit4if twt(rao„p(¢.JI2hw'nnd;6�1(!tl) SubnitlthisGW-lwlltllllitt.laisof ire5trt&WNW keel Warrlap ofeasing: 'Z t�� (f`\ 24a. For All Welts: Orryinat iUcm to [Artie of Wares Resahrces Iarhrmarion Praccss111g ILtit,Ict36ISC, (Ot�'f e«vierilvdtriwntawi%we'-' RaieiRb.1C 2�94-1897 2-h.(for Injection Welts:Copy to t}WR tietdetyaaad Injection Co lit+ 11.Ysrttaitdaaeeent 6 (ia.) ��� Program,1636 MSC,Rrlcigh,NC 3'i6Hrh-IS36 WA 13.W n sAtaeW p teaiedholk t °tarI 24e.For Water Supply�nd(Irao�wgl ql a` tieann.,nhanasMSietptk,eal cwatrai Cape... county envtnnuncnral health elite WR 4RY�SUPPLY MMU SONLY: 2dd.For Water Welts producing er lat).J S Pft Canty tsOWR.CC?C=.. ) atadi Proymanx,lhl l MSC. KC2 IjlI 'l i3e.radii 1 i %Irmo.'or rest BLOW i t3d drit. irtteldtns tl}c HT" :1 uu0rrur: t lb. g a' "^CW,t „ill.'.w dub,.Ocir.ousu<a.dFssvinoommsid tlya(uh Osvr.tsoa of R.o.,,te,sn, , - -�