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HomeMy WebLinkAboutGW1-2021-04578_Well Construction - GW1_20210429 f eb 151906;.¢3p GlaarwaterWellDrllling , 828-622-7241 P.1 WB L O For Inmml U4o �2E G'W 1 ..�� .».......,. Only. t C^n for lRlirtanatlon: 2 WNW - WcQ Coma wor Name so uc.welt c &at�' Q� P. +a ntt"Gar Cats kwon n - - Matral a '" C nipmyName fGLP 2.1YcN Conoraction Perartt#: r` RR famgm Imam I so etA �Rt a ilrrrrttrrl+l�llaM/aweXrntutrfrmronpormar(tu[/!CGptra(y4lraluYaNtangL"O 31Yd1 Vie(elluk Well ma): n 1R iw Wrter 5oppb,gtep; Asri.dwral lwrieipoUP[tbElc R, ik in. am Qaahoraml(IieatinglCotdl aS Stsitp!V) 13401dalft 1VatcrSupple(airtgtc) % tnawlriat/Crnruaerc,btl �Resictent)at Wam$upply(shruod) rm lion HT IVon vl itttr 3 TO I WA IMUIL YV1dl= R kDD 4 blonit Mj VA Reeevay N. lnjceHArr , Aquifer Rtxbm n. a: 8c �Gt+tntndtvatct iterr►Miatitm Aquifer SWgC tu14 ftCovcrx E)Sft&ity Barrier a AquiflerTcst .1111001 136mnmWMDmlltttgc 1t w UI)>ctimenrot Tectttmiogy [)%bsI t:ttw Comml [t. 1L Geothermal(Clased Loop) 13Ttneer :2*0. Iiti. 1.OG (komarmal Haetin ltt tum) Otherploffi.unftfi2l Rernarlrs f tfite WQl(A)C'ottepleMd: Well ift R. [R lie, :50.Well Lneall". a Ix i�4iirs`rcx,fK,A.n/ne n FAaay trnr(;f:�pi,�G a� 7 n. . - -Ld.LI� ,[.C.l I t E �S C��►tt � I Ik [G Phy-Pinni Addrm City,and zlp ✓ R. i>~ [;runty • �' PAWal Nwifi ation No.(P" Sb-"""lode AAtt(on0116 in dcgt+aes/lnitrtMr/secords ordceitrnrl drgrrxs; (/W%v#lt Wdd,aoe jWkMg is atrfliettirtti 0 Sep• -t J 'Q rp��(J ") ( �2.+CarlRieation: 6.I+HHre)the well(a)' Pe rmrttcttt or DTM. porary trtatt o!Orniriaf�tVell Cantinmer p„m !-tt Mks A rre tv ergrturq INtr.�nrn,T AI.�eliV rsvrrfjr rhor the n+orlfxJ mar{,04 cmwnn arl,b arnnrAWM i►Rir to an C>titrBp>;well: Dyes or i4o tdNi 1JA;Gt:,4C 02C.0100 or 1JA NC K.6)C'.ItN10 Wdl C(uulrnrJl_Sl►otrrdtrd(r mrd rAot, I,,rrb/rlearcpalr,1711Murk+M,a,+tre.,MnsrrW"irpGirMraronmMlrrlrrarnI&.rxtmrr arthe aMiafrlrlrreasdpost•brxsrpmvh*d it)tie wd7mAT rcaarrundw a?I rwaanrasavlao or am tfv nartafl0n.•four. zX 4lte Aagrrsm or adM*W wrll deaRv R.For GealrrobNBpi or(gtged-1 nnp Cveolher Welh havfAS the snare You tray use tlm back of d*page to po wide addWmI v#M 8(te daih ar well am"'c Ean,enA I GW-I isgeeded rndb oTOTALNUMBERoraslls Y4um4yals afthaddif+tsrtal Pops IfOntVMW. drilledL �— —VY, �(Ji�ll'iTAX,M 9Rit=W '-"A vre11*rtit Wow land sutlEter.____ � (a) rrllrwelituvraliddNIIS l�L-M ferry z tlF±1Nt0�mut�Altaa9 2. Por 49YA a: Submit this IbfM ttlthin 30 dap of compietion or well C� ft cnnnttaation tnthc 1�lotviog: IQ.Static wrater iet el b&W tap ortaAing.- l�t !ftnrrn.h,"'I At rrMva eating tyre^, < •) D(vittan of Water Resew eea,lai'ormadon Pt,auas bN doll. 1 1419111rII Service CeerWAA111102 .74CXM-1619 t t.Ro�hohdlamehr; An 24,HE Iniectl�„enn WWi,n rn addhaon to tanning tfit:fumy 10 the Rdtifaaa in?An 32 Well rnrt"MC11102 molamdt 1 V *ove,abo 9ubmn me copy of thls forrn aEOdn 30 ants of eanpletim of welt (i a antler,rotary,tnbk,d&•att puA,ctc.) —"— ---^ CItt1am lion to I f dICA at 1 MR WATER Rt ppt y qR SLY:mu C4Alvbkn orwater Rt�u nv&Undergtnrnd Injeet ion Con"Pmrach I irlm WRIi Service Cooney,RAWO,NC 2?rit19•.163b iJR.Ybl4( ) �a MatiNttl±of t�h 2.te.ttar Water SioeNedMuc- tbe ndd=Kes) abnve, WW sul"eit Mac copyrof sib y�fom li q 30 4 n r 3 .t)isiafcatten tYIPQ Arrermh compk"on at%vdl consutretion to the a0nnly h"Ith dgrantrtmt of the county whore oomttnleteR, I+mrq GW1 NMtthl7acttfnut?apnrttnon[ofRm•IcomnMntalQupaty.plyistnnotRosaaream Reft&2-22 2ei6