HomeMy WebLinkAboutGW1-2022-02873_Well Construction - GW1_20220228 WELL CONSTR UCTTON RECORD FarlidermltfscONLY:
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Groundwater Remediation Permit#W00036881 7* DUMT&R TOKKNRSS MAW111At,
2.W4"Corlstmetion Pandit#: 0 IL 78 M 1 in Jim. Sch 80 PVC
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®Geotlienualafeafingto,0dl18Stwly) ®Rt:sidelltialWater e) 53 ft. 55 1 in irb O10 SS
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QAgvifar.StonWald 75 ts. 80 A6 Sand 1 #2
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1995 NC Hwy 141 Murphy, NC 28906 Cherokee County, f'CC,
Murphy, NC, 28906 t7Q•*91AOLTS5 ay,herd zip �"':&,' ` ,�f .. �{�*�1 C t� �,�? ° �;, s a��ai MP I"
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6.IS(Am)the wtll(s):zPern=eut or ,EyTemporary gp 5r048,6hfip-,i hereby ikrte p thAf roe UWON)to=(Porte)Ayftrn=rEd ift awoydmr-e
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rYl is rerordrra2l.rmgrarks`isre v a:wo.rlu bark a.f`r vs jw 23.Ste diWam Or&MIlonal weg detafic
Yw tnay use ilia boa,of Ws"'to prorogide td gonal laa site details of well
S. ofweQs ' 2 ctnstaictiondeteits; You toy atsoattachadditional pages ifnw&ssery.
ForAralrllale vloar o rrrr»Yatrcr AW hvells ONLY tWth At,— alasnrd^}pow airs
r'r+hrra'r as a form. INSWCTFONS
9.'Tot seed depth be l surlaeft 80 (ft.) 24a.For All Welk- Sar mit Qus flo m Wi1hin 3t)dqs of ommptetioo t f yell
For?»gkWe wills llsfdfidV- k ljd(fthvil(exoWr°-J@ZM'aral2@fi7j comstiuctiont01(m fR� tyg,.
10.stage.water kvt l[glow top of,c ashes (ft) Dmoliqu of W*Wr Rts6urCei,Warm"fin Pntcessang unIL
11�Mt<rleuelIsabove;vatn&. "+ 1617 ma Semite Ceeler,ltrtleW KC`27699.k6S7
il.SMThnk diametca:8 in ) Zvi.FaT j ONLY.i.lr►addition to 8C] BAtgt11E fCrmi to the adds s In
24a above,also submit a dopy of F Ns fortes within 30 days of completion of sell
1LWeU ctnWfion:mNbod; Sonic COMDUctioal0'11to1oltOW*g:
t , }'.table dimct pask ctc:) Divlslon of Water Rnwrccs Vudergmund Injection central Program.
FOR WATER SUPPLY VVELI1S ONLY-' 1636 Matt 3ers<loe Ceultr,Rele*NC 276"-1636
13a.Yldd(tea) Nethod of ust: 34r�For Water 51rg l�&lnjecxbai Welb:
Also subh*one c*of tins fits�%Ithinl30 days of.conoetionof
131t.DWftfeettran,"t: Amount. �vcll cunsovctidn to f County l c`alth department of the ca"wh=
consurachA
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