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HomeMy WebLinkAboutGW1--01858_Well Construction - GW1_20240322 • q►Irtr.it,rnivla�nU ON R 'r�mm�raaw��. : ' i • 1.... 3 3)&1u i . IvorIntanal feegnig:. • vieil Itratihrbditrtaatttim . • David Belcher WancotmaetorName- iwA'P€R • iTT'�aaaal____1 . 4594A . • o' . . No wall coontorcgageknitiumber. • • - -S�1�'• . .!� (rfi t: ..� iL^u �it_17',fai �r+,�,_S �AUBMiic.. . COmgrNasu. • It. i M rr j)i .• 7.wen : . Vs;1.1 LL`!1.uCr . tr1.il,,d(7.:1 r. :•'�nkadtanrermit#2-;24,i :I1.1 iiR.•C3007i . r 2,t =��a ■ot �-T.LL .'':'tea .:fital!GMliamL tgtpew 11,ng ouPril a O, S7di,Varleim etej : fr: : , it'. in. . - a..weID'ee( !Aeleh• • : : • '. .- . ®..: total•.• Nq ;;n 1 _ iEr� _ li_u!:IY:a .Itri?-.Itrirr.2 { _ iv.`,L•IIV1IN , G�ha al(4ting14011 $404y) •.Vi'eddaatial'WaterSupPiY( ). . • • .. .te.rnd ;�• • • • •.Di4aldeatlalwetc . b' . .tTM ,,.?••k. • : .S..: . • i�5 �fi'i l[r/:�i7TT�3�iTLC^Tla Q ri n it 5 .. I ..��r�; - ' ;11.. Mpg '• :i _. 6 'iL 2 / %. . 9tarapand13eeoveof .ElgaiinigrHmrier • 1 • 1. T:'ili �.� e -t > NI Test'. j • til�i �,�TT" ems I I. 0 •+.ir i a,_T]� ' �6tennwateeDidiesie ! • -. •ti'• ' . li'i: mil TLihnobty. •DBebstdoeao Cal . tt,• it cie4rhefmil(ektedift0P)' . . • fp I r.h,+ I c_ r uiL "'T .+. rA yti( atj !Lill, ' an AQ ,,•,,hinund;s • - trilrj- - '`i�'a.r ,;5. aL� �7it i+AL 3�.0 9�Wellscat�ee. R .�. - - r./ I .ETi' ntr i.,' - " Ntf lVwu• FaoUip►IDIIUrI puoibte) . fft. R - -> Add- hYdftittft. aodZip . P�tiiPlinoc .�, • amitY • • - • partandiattlkodoeNo.(PIN) 111‘1.1.111111111.11111 &Le*10111Wiltiebi (UareU field,owe Wilms ti ��d>ipra►daatetleceada or dt3durtl a ' � -' p'. ' moo.t, 5=gip' .: . " • )�1Vell(a) CeIt .ei D . .Btu WeUca• . _ - =�' t/ B + l+bibla,I att.,'eta wisp()imr giviN einrktre d to atecnmoe • .'Ira aka dssprbet' walk a 'or: Nm tlfhSiNCACAtCOl0AorJ.NCtC0C.AtaDlluCmrmrmJcBadmi�d/mta,:( iitsaJplaatlms wopcnittiatha allaMeiphifAtbenstrov ythi coP1! 'thl.recc hlabu#Favfaita.exiv 16sm-rYD/kundarel miarigrectlencrau dig boekofp}trf8ny,. . • 8.$or.CeaPrabdD2f'Poa ' : • • . 23.®teat al wdi •depitei: • Cffigteimil NaQttltavtap ail gat . .WO i9Qv os rho boat of Mb page tops Olt additional pa 1 bite daWla ar wall• . _ally 1ow4-10needed,'Marto walk.-.- egligreetiondatetim.:Yagniayala Nub adlHtioaalpirliaaifnealgneq_ • a till will beads When- • •-t9- .' -• - •(Eta it-Amity t thiii irm'Ohio 3b F8r 144 elliTai fr411 61441 lm�624.oada®loo) - ;.: dean of dainppietian of re11 Ilatewelndbdwvtap 'a0 cabeactioatothe krel6a soaebimew!: ! - �0 IDh os itwehi ;In<be�etiQoaPetteasahlaIIdf, • naaiao tedJ t • • IIni?ski erelaa-CdaMo.Bak�r,A1C37699,3017- ' gt•). .j - - •4fa,J,1 -. ,,1 Iv,. ,:,.i -.la-addition to aendiogaha gni.to fite address-its 24 Y9..W�e aaethodt• i) i - 'I . •above,taro r. . ono copy of tith'fbrm4Nia 30.days.Of aamplottoo ogvjroII•• UA ,t rt,aebte,dbtetpoib,ota)' - - aonitmaticmto a lbihviag ' •. 1 1DCAN►A9'BReB1!>ILY:�EL,S Y.Ya . .DMMDI fitiVafep ,U � .� • ! -1d66 NU t3ervisa Oimt'. 1tt,N6:27609.1636.• •9a6.Yie{ti( —1n' !<?etltOd�tai4d_ n1�h" -l1mn_ I' _ � :24!Pim W►atn Hathi➢a.**eiti"/61 It !a boa t4 ien1 �te'fhrm b'. umlifitheitaetyp e Wig. ifeul• .:•1: rite oddatist au'dove,.eleo aiibm9trs6: oopy of h tbstn wltbiu glaya.of • aotiiplettott Mau' aaatittnotion'b tha aataoy baaith depattmettt Ili tha oatmRy e�liereaonitst�ted. FanII4W=1. . MJJLFOkD Catrkfrit.PEPAkTMENT O PUBLIC!EAIJTH Division of E virona metal Health;Water Quality: Unit :400 W:Market Si.,Suite 300, asboro,'NC 27401 fldress ofVfellc $1 Well.?erritlInniber: :�.i 1.j/J11 •66ti . : . LOttlariX® ? .. y Well Coat!..ctOr.0 an : 'It 'Y;, ;. Completion Data {7'7:C)y .pt . ' :._.ft. Well'Yield: 10 .m Static Water.Level::.__Sty- ft. .0� e Ca ring- Material illy' 'Po iaim Leg Casing Diameter: 6i.-15. ia�. C."ig E: Depth: ;3� . Depth. Description. 1 1'row Q ft.T® :.QQ fit. IIi/lOP C.M.*13' Vitiertilt :Casing r: in. Casing Depth: .. I ft.: Prom. 75 ft.To ... 'f.. Fier: "W. it To: 4`t: Gnit7ofe, I . Ektont ',. :'To ft. Depth.rr Material. . Method- P oin it:To • 'it. From: Lft.To art: . 414043XPEPArg, O. ft.To 2.47 464!ro u/, u4' Froara: .it To !ft. from: _. • Watez li bona :Depth:- _ r) ft _ ft; ft. I _ ft, ft. h. - f, „.10, ' hil gpm gpni gig gpm toin Meth of impair: Method•ox Ab&1donffient: . . • 11 h6,TebY 5> resat this well was cons fed,r epaired,or abandoned acconiing to ghectvosplford Q:ouraty•Welf gages Rn effect cn.this date and'`that.a copy of this;record has been provided to the well:owner. Wall Co tradtr:` 6 I CeltificatiOn a': 14c f"IA Date 3'/'gti '3117��+ ❑pa ,^,�lC'. E..n a ,� ,V`},.{ on 119 nst llat on Company: _ lT/�-� 1 1- k Completion Date: i I �`"'1 Pump Depth: OD Et Static Water Ivel: . ``(.,0.:.i fit: l a iya d .4 O5. I S`S.l \'O C) Tip Size and Ong I i w + hp. gpm ce7lgfy F � ins lled d:weilhesd.completed a in gtoi . the Ou lford County Well efocc.on th' date d that-a copy f this cord has been provided to the.wiell'?'roil: Re?lutt Jar.2,tsy 1,c°;B "4 .