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GW1--07216_Well Construction - GW1_20231108
. , • Tv salsa.-ILATLNO IliLlt.11Orl KECORD(GW4) . FO—"F----------------lfeElhilUSe ONly: 1 • , • L Wail Consinur Infornzatte'a: . ) . ii_ a• - -_iii- __ _.__ _. _.: _H:,,s. ,.;_ miiii Ricky Corriher , • ---- -— • . WenCeeruievirNone ' , . . •2464 . P-27)1L:---", 'rOtt• -A ., , ., , , Nc wesConsuorCenifirairo Number .. , . . Frank A.Corriher&Sons Well Drilling, Inc. . iit± 01'—ft -142z141.- -—- it. CaumprayNaeas ,, - • r•-7. A,..._, 2.wen cumtrodisarenalt 1k t ..)1/4-7----)-- S I 7 ifiii-':iti-------- -1E 1-: ia - .-I --- .7.7 .-wit ltsraffgrpasbk well monedeoperns its rIC Comp/.State,Fadaace.ern) +1 ft. Mal MEM SDR-21 MIMI ' 3.Wdl Use(eheekledl nreN , •! ' 0 9' MIlingfa - S-- MIMI . Water Supply Wdk , nom iii —117.F.-T7-,T-1114---17;i -.-111 ;. . —thicisitta— • • 13Agrietatizsd - ft. ft. i-la• . . IIIINIIIIIIIIIII -• OGOItilmmal elettinisecelittS&PAY) ' . - WorcaupPlY(3!13Fitt) - ft. ft. II. • ' IIMIIIIIIIIIIIII • • clIndrestdayeami,:nial - , CIReakleamaj.Wan Supply(rdieroi) ---'"--it-:-;-,7,- — • - — - ____ _. ._____-_-__-__ __.-_ - . • Marge lati °Welk>100,000 GPD MOO TO ." .-•,0 MEN .• _, .-. •..r ;,, _f_•atAillianr . - . . Nen-Wider Supply Waft 6 f.'• 22 , EL Bertionite, Hole Plug - . amesitorai i oReamay • bleed=Wdk ft - ft. -- -.•: • _._ _ _ . - - OhlairerRechaSe -, • bOaceicithaterRacediatke ' ------ - - -- 0Aquire' Skew and Recovery • °Semi*,Barrier 11-T -ff- - — -. • ' . , ['Aquifer Test CISmionster Drainage it. ft. • OBapadouugalTechooiogy . CiSahaideoce Cond. ft. , , tr. • • Odeatheand(Cidi/zap) Caner. . . • .-. , •DG loti M oo Bt:::31.Einem.E__ __•-•....,2_,e2t.';•:_: .'r•-±.-_=_,:_-_,', ..'''''T'7,_ - _Thili ) eo-dooettinfiCrmnRconn) Daher(emodaillincler#21 Rensdn) na no .., 0, it. ,,„Eirimirtr .4roasTarrmi..... IM2 jeto fk. 1111111.1 ‘ 4.Dodo. WWI)Cengletet 10'9 43 Well XDO . S .WIll le° fk. IMIngrartM.11111111111 a PI i Lacar ii0V)cted Litf-,,- . • a 1 t` EMZIMMT ft ft. -FaaTtIOD•raerNats .• &t.datry MO(if rfpfirobla Q)1 Q I ft. ' it. 1 V • /0 Y5 CaS/1/ hrt,Ok fir-50.1.4''S-si .'/ • -, ft ft • ' . . Physiod Addles.City,andZip A 0 1,--ct,)• . _ .. s. 9 IS B 0.3-1 Cony . - Paael Lieskifirgitioa No.(PM) - , . . S.Latitude sad Login&in dtgreeshonuteesecouds or thiiimat degrees • ' • , dfavdt&Id.me faunae's erarvied .,... , ; r ir 222 -1:67. .. igdacto'r47:41,7' / \ 1 CelgO Well 4 4(4 d•'Kozo)the nit* litamhut or Crfemporary• / . By.sfgebrvirLsjonar,I hereby art&thretheuella vat(werrO coaseaardatmanan . 7.Is tbir' a rag*le sae often walk .ClYes er ,k ' MA Ar-IC 02C.0100 or Lid Ar..dell2C JI100 WeirCamnicable Simla*sed Oast a app gals rs a Ivpinfalmelatomot vet ormescriva iviaagasav ava option the=tam genie ,offidsCC•iliktr bedn/ROVidaribli*Wen OISE= --, repair mar CZ mail sr section ar taa the backsithis fent. • _ _. 23.She dragon or additinal Ira detain • . &*sr qesprobeilIPT ar Closci1Leep Goodwin'Wells having the sense Yon may ose the beck of this page to pawl&saddens"voellecostunicitaco . caoskucties,cob,1 GW4 is need* lotheate TOTAL NUMBERotssells, (A&PSee Ovee.in Remaxis Bee)./Tunny also attach aiffimapages ifaseeaceq. , a 05 • . • 24.SUBMITTAL INSTRUCTIONS - .• , . !Totalled depth below bad seem . (It.) Sub loi thio GW4 vrinda 310 nye- :of well amipidien per thefenstrimp For toothetroar fit di defer"item*6rtausiv-3411200",*2111•10o) • r , s ',—., 242- iar"Weft Otitabol doto to Dioitial oi Water Ibmsaiecee 19.Static weer third'Mew top Arming: • 3 0 tz`) , Information Processing Unit,1617 beie;Eakigli.NC 27699.1617 . rime r lewd&above wary saw"+' , . ' , TAIL For lois:din Well=Col*tio DWR,Uncintond Injection Control(N)C). IL Borehole Moner-6. 62.) 12 ham=1636 MSC,Bakies,NC 276994636.Wel(Amami=Raabe*Air Drill - • - . i• , 24c•For Willi°. ood OlosamoP GtiolkondolBeratirdiu Copy to the. • Cie-meat nay.en%danperh,ear.) county department oftim coontyldrese moiled - / ) • ! ' . FOR.WATESSUPPLY WELLS ONLY: . • 24d.For Water WeibArroduoug over 2011.SIN(PD:Copy to MR.CCCUA. - C.) A: - , Pernik Program.1611 11.4sr,Isleigis,NC 276994611 . I3a.Yidd(sgon) a birthed of teat tvr . . . l3b.Ditinkeriontypm Sterilene Amount g 4.. eqe..,5 • ;. , . . . Foon6W-1 North Qualm Demon=ofEavisoszowsdal Quad*-Division°Maar EtesolF•es • Revised 64.401.8 , . , . . - . c. ,,,• ' ' ' • ' ) . • ,