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HomeMy WebLinkAboutGW1-2021-04248_Well Construction - GW1_20210419 e WELL C MUCTM RECn n T fee we sett Use ONLY.. t -� 11s�sea k tsed for oloo ty dtnPublo taeUr I.WIN Gslrada:r:efwitj:dir. Wan'«++ex A+tq t t. — tti � Nt:wdlGaase!�b.ti4wtiota littwha ; „i^AA?Ir::. wa`hw3M�' � S 'etl cosom None I. c'it r ._ C_L�J�u_LL /V/•t�:. ` 'L_ uwtiatytii•• = '• `�iu�Sai;;ti. I �O v r e i Won G Ws ■stratYs■Permit/: b r taunt._.. R. n. (indldtAodeva(W Mali taetpreteaavr/der�ddr/l.e(wary,Se■►•,/awrv,drrr,J -- _.. __I s. S.Wrl11"(deck 10.0 alar Up*Well: _ - _....._.. v M&M[Ta/t I GiMT RIZE to GAgiwhert>J iM'::���- fa i i. '1 d7Ciadltt -W(Howr4coolial Swtt)Y) �Rsaddortial canto SU*Y(siwie) i N. R• Qa i ObrlwtrtnUCwtawcrl J(taeldentist WA!tI Supply(dw") ~� ClImBallion JIMPIACAN mos-Waal Otttonhot •... ORed:uwry h r •.R• _ _ .— � K It. r4 r t7AquiftRarharpe 171kou:tzl•ratcr0emedtriitx, IIAN V&L FACIE OAettidr Sktr P act:SI.+ovc►y Usalinily Dwict _ QAgdfv Teti LotuWtawater Drainepc `OLxpet setsls)TKlr.d logy 030"i4once Control tz A 0(kolherma((C1nod dsxq:) 07raci r au dN '' kss it di OdwlMermai(Hestina/Cudug 2lsdrn) MAhl,(ca Uin t nJfor 021 RAmerb) h (L �t k t. L a♦.J/aft WeM/l)t7■dwpblW: ............�Witt rt)le _ — Ss.Well14tallos: R. k P .aetNy/t>~nM Nttaw Padliq'IDr:'iP,Mptiribk) - � /hysv.l Address,Cty.Mae 7.y _ Cesar, AL CF rtra::,MyuSwi«tee QfN, J'e S&Latihde rite Losgitttds is do{ere Nuinstowesea■dt or(karat doareea: (aM(If s oll tied.oat 1atAoss is smMskta) sees: / ore ofGt+tial e.t r'datta[rar p«p d.L(art)00 taell(1): ortsaatat or OTtsarorsry WO� rryrrq alter Jwdv,1♦rd�d:aWlld�Ap W avtbtl.ear;dreraJ u+asavtnr/1n dr,toneorue 7.la ttta a repair 11 r11 nC ec Or..Orlw w Il.r N('K'ON,'OW meat C,rrnrmelim 31Wdtrwrk✓d ri:a+a pair to as esistis Wes: Mos or �o ew,de/tW iteo»r/sr Mtn pow4f to^P"Wild orwr. IVtMW a i NW-NI NO b"I"t:w/!adswrs tiro,t Ak wisn a rd d q/otr the rodwrn qJ Aw rytrir ae■Yr 1)/.r.en(.rvrAw dv ew Le aaaJ wrrnLJar.r. 23.$its Jlydraen or sddll(onal troll desa(!e: /.Nvtaba of well;conatrreled: I You:gay use the back of this peal t7 provide addlrienkl wall site details or,eau trstntc!:on 4tearlr. You may also attach sddltinnsl Npas if weaWy f,w a■elunla rrytctarda dr Kr-carer ar�rrfb ON!P rdtF ter:r�ein�w.ana.}Oil Oeq 'el """"�""- Va/swr�ALf1Y8'ft.(�•(gMs f.Total rrsdl Mptb below load sasTacr. — 1�). ir1T 2111 For All Wells; Submit th a trod": wititut U days ur cumplati,x,of wc:' faAwlap(rvNhileddrdfW,irM((dI�W,Wdu(e,rple-!��p'on11(tl/o0') tomillu tiontutlrfollowing t B.Stalk water lave(Iwtow top of utsiag: _ ift) Denson of Water Quality,inforeutic a Prvicesstap Lair. If"'rrr h"'r1i a"e tmi"s we-r- 1617 Meg Service C#uW,Ammi4b,NC 27fp4-Kl'1 11.Dotaltde dtstnater: -4b.Lr 4(£i' j_Wcjk: (n addition to aeMdnd Jw tam to l!fs sodrus ar:at a e +w . rod' rg. of .4 tt. . v gala .' days of of wc11 t71rtE)rian 12.Wag taaNrarHan e A. t W. taa.�_., ��� /��f�t` _ C no s:d o 1+ ro owtry f i e.lop►.Plenty,oAre,dt«jank s' ) _ )mirk o!W._ ' .silly, .' '..a*t... :_tsetioaCos(retlropnw, M WATER Runty Vnu_,q 0V.V: / 16U Mail service C'wNr,Ratslgh,NC 274ft)-16M 13a Yiald(gpss) — Me.:,od st test:y�L_oW d p W I� 2st.�:r Ws:vr dt�ndt!t dk Lneet"r.Wells: In ad(ition tow bit dw Qum to the o tw(a) above, also submit one copy of this farm within 30 days of 134 Dislshttln bpe: G 1^t h P AntoauC ,�SRO Z con!pletion or wall construction to Ws aotavly health depsmi=t tf,Its:et.nty w1we corsif w1w. • GCt•! ►_►hC'vn•:rr Drama n.�..t?swonr.•..•.InlNe.wd 14swrnar• r: i,