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HomeMy WebLinkAboutGW1--01857_Well Construction - GW1_20240322 1, • • I ' • l - .:: •• -Pr tForm .WELLc0 s to oN • ' LWWII'Cout utotgnlbrnniont' David Belcher. zaWA t f' , �,'. . '. 1 1 . :4594A: . . M . `., • . rtcw41co1,8:ca,.uanN +� er. . . . . umber � I �..Aqua Dill!,him tr T, a.A rzTi -ram—r z i S, . COr�. +xe • y-a'• .' a to. .411: . Well Llsnstrueaaa �.ALW a _fi t..t t,_.k.o.0 0:1 ram*•(' ,�I"'!- l.We 1imitHi 0?3=.If:ejUtiti,:6'1tkii• • '• •LT FID61.1 11161 .■�I .� �u . 4t h*CarrbuegoillX27Or(➢4.1)1C.Coinrbsnb7,,dbrfane41n,J: •IG_. t; n, &WiSuie(cideo>tyeilme) : . ;_' '� : . R, ` • ue:_ . . : •' • Welk • h - 11,1'.ir l±4JLt. �fwLC� �y �Yt ! j�i Agdeattud • .. �1 . it114 • . b•btduatfla ondalWa*Sapp ►.(eiinm , , . lD1.W.11r - • U. L ve , r o' ee elReoovery. . • R : ' • .-tt:. . - eu:- : : :N, :,, _ : :d -:C�caeelwun . i•A4ufSa 1mt . • :IDetomn+vs�h ir6�e If r rrrvn r� -r'lzr l ;Y F?i f=!:7s. ;�'Qeathermtl(CiDsa � idenae Gaaftol. R. �. . . ',ta,Glaatii�sl - - - g'l�3 11'1 I A'l,l r$� iL'1'j_`�_! t ( Coeliissi ' ROtha(eapbanuader#2tlitaonitice ■,rr t �itnta T, 11 tr .i�:Z T'iu.::1.,,_ -rrfi-�� • g4 . = weDl�il . . [Z- • . t6 .. Sa.Ne11 Loeaaeaa : . f , ri Ait<tgl Nci'1•r'l 'r:�s� irl�ttti'l I • Fso0hylDffprsppRy d..a.....:,...,"„„•i6, -• . -•"Inv ' • - . . Pacolidasiac anNo.(PIINY I r ' 'V OI f i�di! 1v gifirbbnie - - • ,g2i. • • o • tnFvm 2.?n ..,..x✓.,r g Ova 6k(+ae)the into : :3Te>�roy : -. ,Sims=or OW. Mmusetar.' : �� � • - 7.11aMsarelalrtoanentidnaw- a •.pp ' • hI NC�ICAtC 1 .A CAIdes lbw;throb we that dm N011 efl & orditmr�a . #fbldl a bi oitThigwi:tflell 'repslrCsdellal� iaurotdeoplalnlbeea•. • •- tlm. �PY4fPhliraaoelfhaaEeenprort. *••ke»eJfaexe', smsarrkaz!la�cradltbaek�'tJHifbsln,' . M..Iflite. Or deem • : : . . :- 8.FhrQ yDi•Tor taasemebp.Qaogishi phis Ltvpg fhe apneYdu ffigy use the•b�oh pste to pbvideaddiunaa l Wbl all dead('or wall a�atktiontt16P-libneede9. lrtdiastilOTALVIDASERafne i• • . isulm.g04".8110, Y6 iayalcoatt1010ditiadP2261ifaeaa304 j , ' i - liglidi 4 . bWflf»ibwtaeAces o •( am �- 6eh Submit thb vitlifa.30dofdaafafl. idPalil Ur(®meSti�09. s1 . . . v , fa pePtetow"a fl0.3ldloiaravehew staiojt. Q (4 ' DvlsbII •W .re ;y pue�rg.D�t,• '$ 4idbo�reeb ,. ■ 'Ia. 7min. vkeCalii,aa lca7o61t. . fY srem,4k - Q4 &ar; 4elseild"n•Welhi'• i additloe to ' the Omni to.'the eddies in 2.4 J ' IL we 1r 1 :abovs,eiso submit one copy of this**Main. O days of of wolf. ' eaststistlsi sethoi: t�nllr.It: 1. a Q o•avyer�rainy.abtq, aspw6s� . : ccaetmothmtot!tblloo:his, . I . • ' : Poll WA 'lELIFELY IVELLS.tI EN: 'llflvlslen of WeRm' liTtill f amaldI�9e on Control• 5:le nttib. . 1�01n- 1VCa99636. . • ' fl3e.T6 000. •- 16•- •iklastia of cells,Cult; 14.iReutliter. ink @air n'A n ■t.In add to'Sending the Ihmn to •L1b.Di }�'(�'7D"�lc; : . ', Me add (a)'abnve,Aso'submit Asti cops►of thfs'ftims:wh614 30 dapo of: : . •AsNbu6tc' •1(c0+x' .ooaipleaon:of welt oonatiuetla to:du:;6*y health depsttmeat otthie CM* . • - wbem 0081 netted. I " - I, 1, " I oulOoRb.county tepolrmawT:OF ro3uctiaALTE • Division of thiYitOmmental Health;Water Quality Unit 400 W::Dinrket:St.,Suite 300, Greeniboto,•NC 27401 I I r.te4toi ef'l Comistructd6oi ROO4firi:or AbindOnmont of a Well Acklri30.s•otWellj261. ol6, j):cirj'i÷:44nrs4ei•4]ok))...06 040. LAATODE NLilqL1Well _, Parntit NuMbizr: 1.0 0142- LOGfl1JD 7CJ M 4 0 Well Contractor.COmpanY; 4pt :eDrtill Completion Date: Total Well Depth agc : ft. Well Yield 10 gpm Static Water Level it ft. Older Ca.h% M.ateirinl! 9i/C • : : • toranatinit Log Casing Diameter Casing Depth 70• ft. Depth. Description ' Erom :0 ft.To "40 ft • • Inner( katerial From: 41 ft.:To:'LIP ft,Casing Diameter:. in Casing Depth: ft. Front: tiri c6 - .From: risLit To &ftcic,R ardwit : : Fromuet-jt,To:. 'a/6 ft. Depth: Materinl. :Method Fromt :it:To: : ft. • • Prom Qj.To ,Q4. :ft. refft•pill. QArt i 1uôcFrom $a•To ft:From. Jt To ' : .ft From ft.To: From •ft.TO: . ft, - Ron: ft.To: • !ft. . Water P4ididinetio 111 POP*: :,2110 ft.: : ft.: : ft. ft. ft. • ft. Yield: AeL.gptn gpini grim gpin gpm :Method of Repair:• • • I ! Method of Abandonment: %hotebyeertify.that this well was:constructed,:repaired,:or abandoned according to the Guilford CoUtrOlVel I Rules ih.effect on this daft and that a copy of this record has been provided to the well owner. 1•! COntractor: 14*e, Certificatien#: 4590 A .Date : '141•aq • : ReLV, 61:PUME)Inatialtatt•ilt Pump Installation Company: tf(jDate: z:101 I 41:ei)-‘-'4 Pump Detlt 00:. ft.:Static Water Level 39 ft Pump Brand Cko..;t2% ,to• P 1•C: °P;Imp Size and Rating: P 2/L1: hp gpm Av-oc,d) 1.1 I hereby certify this putviNasinatalled and:wellhead completed according to the,pr.ilfOrd.County Well Rules in effect on this date and that a copy of this record has been provided to the well Owner. "t Well Contractor: • Ce.rtifiCation#F.P 107173 Date : •Revise&&R,14,71.NCO