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HomeMy WebLinkAboutGW1-2022-00988_Well Construction - GW1_20220107 828-622-7241 PA f=M) 1519 05;43p GIAawatGO/Vall Drilling �X r�traS'rRU�TIOIV k EGO {G11Vr11.) pn' P Intcmni U. nly, R.1 C�nnRRrinrlpiimlmalinn: _ R Well(:aniractttr Natne tr, ___............. 0. If a MC WMI CnntmNo7 t'ectMenlinn Na""ller i L — r'mtpnnrNamr. 6' �_ DU r' ... r1� -WellCanNtrneflon Permit#: ft �• ln. _,___--.....-- i.tal rill 0100 A.-rrcJfetrrtnnrrr/an purmat YartnxO!,err.;) -- -- 3,Well Ietc(check we'll live): >WtlrStupp�weli. * ° Agricadtgrt8 MtrnieipallPuh{ic (} R_ ft. - in. clef+cl1M'lRl([loating(conlingsupply) tttOdentint WaterSnppk,(duple) " ft {nduxuiaUCommeraial esidcnttat Water Supp1;'(shnrcd) 01)T P It s Non-�1'nttr Supply W rll: Monitorin Recavary tt^ ft- ntecrinn mil: -------•-------- .^"_•- n. R• _.`-._.._ Aquifer Reclintgr, (iraundwntlr Rt mediation 1D Af y VIM PA -nmlifer 8forage And Reenvcry Osminity(fltrier M r to zsmsnop� AquitCrTt:it �ScnonwatcrDeninagc ---- n• _ - fr' _—^-- __._.-,._.r.,_...._,. Experinmenial Tcchnolnnly f33ubsidellm Cantraf 0cotbermal(Ceased Loop) 139Ynccr 1'1 '-HOC t7R(i1R_—.. 1fA i GctNhrxmnxl(ficatin tinR Rearm) �Ofb{:r(CX htin uncial(f21 Rtmnmfis)_ � tr,"= � to �• yY-_--_.-.- ft, / !t. t.date'We11(e)Cnmptner.,f: WCIt lDfl -- se, c0 i.nrednrJ rt. tr• - -- 1..,c.1. t1( n Facility llht(rf oppllcablr.) Dhv+irn1 AAArr.7c,r iiy,and Zip •iL7.R tNAfl4 �� ...._�-- -� - roc•^4Jf 77 t;irony 1 ilnrenl Irfeptilirntirn fJr.(PR+c) .---------.•-^••-----r^'. --'` M).Mititudr And lonpltilde in drgreepltninutesfsecoads or drefmal tirRrreg: '-- (i;pelt field,nnc lnL9nntr is cutnfirnt) rid nt;nn: tc,ts(rmrc)toe weil(8) PrtmAnent or QJfftrmpow-Ary n OrrnrCcTtflitYl wettContrnarar Milt 1 ,rartntnt,•tprs;%,rnr,1 hrtrhprmlrlfy rhni Ac xellfs)it"r(heel:)n-Mu mow e1 nrmpfft.'rr:r 1,this it repair to nn eXixting wee: �tfcs or No a+th 1.SA.ti"r.,K'D7( 1006 Or►.lA kAr nx.wnd wen 4anowtow 3lowlarA.c mill rhnr re' 7 tnplrnfclrftr,+v,nlhac7mPrMrArmld41rnr1x wcJfnwrMr. !J'thly i.cn rclmir.,rN tnrtknm,•n um)I dencrran:rirxr irtJG,rMntln,rmu r.>rlrfni�t rbr rrarrn•r gfrhu •'•:xrrrnndrrt7lrrarnrTirxc�ttnriarArmlln h?r'fit+{lbis.�tnmr• �.t Site tmltnmoroddiffanal WWI dMilat R.t'rtr CenvirubrltlrT or Clttvetl•t.Amp Geothermnl Weiln bevinq rile snmr 1'+>u ntay ii,.;r tlu:back of this page to provide adMonnl lveii Otte deialk or tuell Wnvhnrrinn,c+ni%L I GW-t 1s nreded, butioRtu TOTAL NUMBER urwrlls t:t:+ngnitAinu tioniis. You may also nttach additional papa ffAGCMDfY. �I'�+►+�T�1,.,i tti.4TR�C7I(1NS `►.lrstnt wt:lltkptth l iOW sand surface:,r,^• O� (d.1 :1,(l:t. Fur A•N�'uN�a: SUbfeif line form within 30 Aays of complrtinn of well Fkr n,nhtpJrmil/c lirrol:rlryrthr tffi(Pcrornr(tunmph•-�(n1Tp(1'nnd:Cn1.1110') rl)pg1f1[cilon it)The falloliing; 9tntic wMrrirl,r 11►afntr tap of rnaing: Division of xelr tturrIRfnnnotian Praxtieg 7nit,e 1!evtlrr Jr1e111'irlvrorr ertctng,xtc•''. " 7617 MAN Smiee Center,P41eigh,MCa76".1617 It-tMtrttnir.dixmrtcr: � —_(fn.) ;l•wi+.Tyr JaWtinw Weft. 41 addition ro sending the firm to the r4drM in Ron f 7.Wef{rmnlruetlon MOM: � nl+nve,atao sullmh one copy of this form within 30 days of eompledfia of well - coiztm6nn m the fol)neringr p r.nxgrr,rnmq•.h7tlte,t8rcat @web ale'.) tYN1 WAT6 R St'PTI,Y WFt T S AA11.V: - DivOlon of Witter Rrantlrces.Underground Injection'COMfa1 Program, 7 f,:t6 Me HI SM4M.Ctnfr,RAWO,W 270'W1636 132-Virld(>xp>n}^ BReMad of test: ►✓t 2.1c, Apr tilrafef CbRdt aTc fRieetion WeNp: to udAiE{on fee Snntting the((rmr fi - --- _ tilt-, nridress(es) nhnw, also SIIilptiLianC cagy a:'thfg fhnn wtdtin 3Q days at: rah,ttlrinwetion types Arttnr7nt completion of lvell ct7nsiruaton se the calmly"in depanntrot of the onrinly _ - -_ -•---"-^--- --- - whore alastmcrwl. roan M.I Noah f;nmlf n rvpnnmrn+.errtuvirctninrrtnl C,rrniily-r>iW.r1orl or Water Roramtracs Rluke t?.24-2M 6