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HomeMy WebLinkAboutGW1-2022-01020_Well Construction - GW1_20220107 - - ....... Fc;b 1519M43p 01ealwaterWaltDI'M1110 Welt,CONSTttUCT�ON 12FCORIa{GW�x Fo 1MeIRiOUR iY, IRS 1, riitJnntrnetminPer+mAtion; ___ ________r ---_-- Writ(:nn'wrdor KOMe t► �• � - ..-. *A Writ c1ann.e r,oT CrMlfinMinn Nrrt!hn S. -- Not - .l,��Jl�\E_�/ lid-=-----•Vr �� � / � ��t�. tt, �� in. \f� _ CnanpnnrNnmr •:-�. oa� - oO kS o -- — ?..1Yed('onxtrnelian PenmH a. tat. 1(t, tn, f. i.c�r trrr npAkrm k twit rMlinrwilnn pwr Ills 1.i!.IIK:,Coupty,Soft;irarrmice,cir„J .-- -• X lvrll'fir.(theck well twy. [Ar, Hell ng/Conling 4ttpply) �1ldenlifii WBterSnppiy 0111Bte)'Watcr$11111*(11blorml)rStprapi:find 12aMvery D&Mnity f3rtlaiM • A�utlerTcat �,9inrmwntesbrntntl(S1: n' '^tt, �, _ _...____.__._.^__.._....._ t:x(lerimetltat Teehnotttpy QISuN.aidrnrA:Cntnml �- t►- �^ _ _. Gentfiarmal(Closed Loop) cicothrxmel(RoRtln Caatln p,,l CAtler ax train hider fl2T ftcmntErs) 4,1?atn well(n)C Mpirifd: tNe1t l�: ft,129 ntnc .-..—. eil t n r l.L�A - pa ity i O fMptt A1,1.) _ !•-- I'_ _ __. _ �III�C _`"R � .i eYMP611 nddmsti,C.11y,and V M R C:,nnty - NMI F&MIAentipn Mn.(pRd) -- tib,A.Rtihlde rap$101111011110.in degirmltnilnlrcV90cands Or dreltnAl deRrevs. --- (�i.gslt frpG�nna bMang iR Ruitleiant) ti'. A ttttna ttitr well(A)OPwitinnont fir OlTempnrnry jutalnre of(?�rHindt eticrrmnamr r7 w — ""� Rp,ripiting tint'."r rnr,I ANAMP rwtrr/fjr thot thr twor4 My(itrmv j enitrtn"r)in firmRra n.•r 7,Ay;AfoatrpAlrtpnncxiAdpgwrit,. OXes or NO ndyl%,SA1r<:-,K''02C.q7M4rMAYcAcwc,aznpFpertl('nrtetrnnkurStimwMiAemrdrhm4r tr,•plltnrrknmrmtvrd7.rnnvin,rrttnrb(>grmmran0rtlrrPtova,cnntnren(rhu ".npprifrbPIrrervtharbmoFrOVf&MIDftwerlMmer. rrymrr!mrler A7/MMn*.TMrM11 or onitw harkofrr!rxfam;. +IMRr�sAn or eddFlipttAl WtdA 1M14NItt a-O'or Geppran,rli?t'T fir('dOtied�t,nnp C.etttharmnl Welin hnVinl(tht RAt11!" •you tney lien Me back of this polite to provide Addl►lontil wolf aho ol"Is t:r well xnatn!ctinn,<Inly 1 CrW-l is needed. fildioM4 TUCAL NUMBPR of+vell,R r•Am9tritefian ddail-R, You may n11m altaeh add(dcmai pages if oeaemfy, dflltod:_ !1 ane t._....,. _. _._._.__.,.. well�h 1►olttw land.7tefilec: ( :) 2•b1- l:441 Wtlk: Suhrph dtk fbfm within 20 d of c f•irrnrrdl/prr.>•'rllari�rrt!ldilprlArrfA(J(rt►not(tlrpwtJtli:^4(FIiTI/(r��------- — Ap!a tmrytlelilm of tt'CII ton9(itteifootoa m IN1011ka: lll.!tenth trAtnP level Itelnrr rAp of raalngc - _(ra) Mvteeott nrWhiar Rawure�lnfnrmatittrt�unit, !I�vtn.•rlmvfrarif�nmicnrrttq,rtvr \ t6l?Ii ailSitrvleerC"ter-,Able(g6,NC717NNa-t617 la_Rnrrhnicdi4nml�cr.�_`�.T.(yn•� M,�l&W It)additim to Bending*form 14 the ndilt+ltttt in 24n t-welt eotlRtrut.M►nn Mathod.. rsstivo,Man,Rnitmlt one copy of this firm wilhin 30 days of wtnplerimn nr well r Q.rn.ipr; t^ntrp.�Ak,Gillet RtIRG,Ctt•1 ""+^^^ cRtnRMtatinn to the foilcmiltt� mA!w+�rrR$curt r w t.f 9 Afhlt.A': bli4xion of WnACr RONIMS.ZJndcAgrornd InjetooR Call"hoMI . 1634 Mil ff"M Cenrar,lR!tleigtt,NC 270961636 11,ta.YIMd(Rpm)____��_ _� i►#ethrtrl M teak riC,I Rr >,kr-Sono &IaioeMan wNh: In nrtdilfat►f ntmtNng ehr Ilium to 131).flAinrection ty�. Amrtlmr. aw addrnas(es) abnve, also mothmit nac copy Of thli fofm Offilltl 30 do"of completion fir wait txtetRttttctlon to the coAnty kallb deptN11nmm or Ilia anl", -- vrHOl'a Gt►lkift11tQ1ld, I�nrm(aA:.t Nnrf1�C.nmMmc,Oepntrmnnr..�f 14nvlrr!nmenmi Qm+id h..iNvrArM.tN'Watlr ttnttentces _. __ Atntfnetl?.1�-�IIIR