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HomeMy WebLinkAboutOnslow_Well Abandonment_20240624 (5) WELL-ABANDONMENT RECORD ror Immil U-sr-ONLY, "i-cibrin Can bo uSed for$h.)-9!e-6rww0pf0 well Lyell 1coniractor-Information- AVVLLARA.NhQNMRNTP'_FTA RICKY CENTRE ?a.Number Ow1bilIcin-vab ndinc :11 %Vell on hz0ber prowsk :tar 0111elople- r.1ftrif(w, �cw lmn-ilvir sultPA'. netfs :0XIA, with, 1W 4,ole )Xtk Cott�UMN( 60011 2S93A 7h.Approv imate%,olume of linter IV NC%V0 C 14 SAEDACCO FOR NV.VFER SUPPIlY WELLS ONLY! Convoy Kazt: 2-Well Coostrutlion Permit a, 7d.Amount of dlsinfeciant:uStd: 3. Water Su plti Well.• 7c,501ing materials,used(check;'aq p bki mic)pomW; 0,13c jolt Ic, 136cothermal(tidausk)(colin Sipply) 1312cqdvilial Water SPp,4(,in�le) 'aCenica:Grout d bly d-i-V 13 hidogrialiCkimin&cial. Dltccjdvjlial Water Supply tshaw4) O Conrrctc Geont b w"I i_pu t i i i!gg. rj odict(C\plaiit order"g) Nrqjon, ih- If Far eackMATerial-wlectcd above'pro idc amount of tuaterials.used: Meat Cem.:4001b Wtr:70ga.1., Sand Cem.:Ib Wtr-gal. tn, brief red" .,i(Mription nf(ki ab4ifitonincht pni, M: Mothennal JCloscd Loop) Mmpe; cr TRnM GROUT USING PORTIA= CEMENT. 5/2/24 VED L. JUN 2 4-202A ABC CLEANERS F-aMit.t Lk,* 9. 328-294 TARAW BLVD, JACKSONVILLE,HC 28543 "le, 511212024 .4...jr 01 6%7wr, ONSLOW y ikitiNojllt!�j if,' counl (orwrdalice 1�Olt III-V.,(,JC 02C.0 Vell 0ors"clion 906014r&k eq c I-odl cwncr in 9.Site diagram or Additional well de Milk T0_0 jna�iiSerdie,baet of 111i5 ope i6-prof isle additional,%VU site.d;lfail§of lveIl IV' CONS'T R Iff-FION 0 MAILS S JIF'IN(;ABANDONED suBmimm. Ji4kfi well v&ox L'y 1,A fiv.,wnsi t Agtpot,:ijnefi„�iic, 104. Ftir,All-Welh., Submit thwtfi'onn ivithin 30 dayj ot-coropletian of-,well 6j.%Vejt,tf1#-RWS-02 abandonfiten(to the fd!lonvi7ig- Di4slon or WateiResources; Unit, 0b.Ttitaivrkil depth: 40 Ad iAoti'lo-'sviding tb-.,.*r0rI1t to l0a 6c.1110m,hole djAmejer.,4 601,Water level bdow'-pV mind surface: 17 28 163(,Mail Scrtice Center,Rilcigh.NC 276994636 10c.Far Walgr NIPPIV 5x-. 11ILext* In addition'to Ong the form to .1 L ,;th(if two,% Ge.Outer casing fen, ibc-'address(CO above, also 6ubmi(i6ne copy of lid' from) within-36 days of completion of ucil abaloo.unient t lim'courity healthdeparinwig of the countyat-ndibdoMd.' 4%S4&n length{if Mill,ti-fit). (ft.) r4ofEnvitc ant mat Naluml R,��4umes Olt i5joncrWilL I Noah Czolhu DeMinx -not, 't te c rims