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HomeMy WebLinkAbout__20220311 (55) R28.822 7241 - PI Clear'Welet Wall Drilling Feb 151�3 O6:�•�p flcrnu ^J!� For iM'cmnt ilac n Y= N ESL CO MINT1OT �-.. --'-� 1.!NI()outman-information:�r(m�a} _i N., """w^-- T _� roW3__ WelltottraclaName... 111:.E._____ y -_ -� R. ! M1 Mr.{ rll Cnnharanit crtincotinnNambar ' \ r \ ^—r } 11F C• ,r u 11. , �.�11 � u► 1Lf 1 -"`-".n. I `lam' V _�_ c 'i s:rr.-ar , , - b arc t�nrymy T tamn 4l�1 l e� o !�t ►;}s j-' to t: ?._Well Coomirnedon Permit II: r• fa. R- t-Lrt ou nlgdm9ra..ail emetme,lnolwrmur i e.Mel CM+My,SMIr t,rrhmett,rtr.,l f tn.ft. ,"Well Ilse(chRrh well tarp -.,. _ — Wirer Snpplq' ell: 1 — a in. _ •A ticuiturnl I:Woofeipid Public III tkrxhermel(LteMiaglCanlinQ Supply) iwidemlal Witter SfapPbt(singlet R. O. A tnrtusatiitlComme ciat oRclidcntiat Water Supply(Sbutzt) I w.,'t � �� j 1�„ Yi;�7 3SGI1 _, r �r(( �/ t NI itTlgminat .-'-• - -°---- --�- - t,. + '! ' ' 1 if 0(- ---_._- . Non Wider RopptyWelk �_ f. ...--^—-- - a Monitorin ac cry —- - -_ •� 111 Agoit'erRecharge r:ViroundwatesRcmedirntion 419 yRI.PQh (.. . .: ]�AquircrsfgtgAc MA tternvay °SaUnity Barrier 7.0. .. __... ntmwnter Drainage fit- al AgolitrTict - • a I:xperltnentel TeelmnNlay JlSttbt idcnc' Comrnt _ 10(fcrnbc m I(posed Loop) Draw n• 1e{ '' : ' o wtr,.•1•i_-; Iud ..:.!7A._ ,. �. Jilt-_ �..----• ' Rq �— II rianthemtal(HeatinglCaolinkRatuto Other explafo unacr121 Rcfnar r!). / , Lint 1 Well IN tr, 0 a` 1.Hatt:Well(s)�tnpMta:ti:_�,.._,-,.^,,.�._..,_ - -- .� , � (... k 1000: �1) re 5n.W ill Lamina! r W , tpAC 0. nettle ?rant; Facility iorEtiPtvpticnlriclf IVt 1 ' Q ''' - � .� •--. rf• 4vsirniA rea.,Ciq�dut{?.it+ M1/ O. _F'. A - MAR y 1 202/ --.. t;u,uty �---...-, Pntrcol Identification No.(P1 ) .------• --,-. -- !M.Ii fNgtrie nod iongilude in riegrats/tninittectscrondSQr llt:clmnl ttVVrO.% -•------ ..--... ONO geld.ens tttIMnj IS 51imcm) C , a 4' i titian: off_- 9q'(91 .3Q N CqA 5. la.Oa _ i ,� I -14-� f^ time li.l-s( el Mr wetl(aj4Pcrmnnnnt or �pn ' t t age afCxtdfirrf 'Memoriam a spauta gm.paw.I hereby ev;trgt OM I1r uv14'J Inn(here)rfrrinrr eat ht oemMmrrr 7-in this a repair toan misting well: DTlex or Ilo d-ohi. Vile02C.9NN1ori. N!.AcVVf_MOOO.Oc.nstrnrnoaSinadnrf-rmut,ho,n fffMr;s;:rl l,*fi►1m,sknAnTu.d)ennxtn,afnont/brinnitnnmuirspfoind,'inu,,rnrthe R"1tPnfr/lto1"1"1ha-rnnatt,.4nlnixlrarltntrnImvriw writ it under C21 rcmMln a rtion or MI1110 burl;of Ilihlama• 21•Site disR ono or odditIOi 1 weildelafb: Yon may R.sear GmprnbefllP'1 or t imeed.lfinp Geothermal Welts timing the sumo usn.the back of Ibis pogo topttivIdoaddiIiototl atoll Sian dMaltt cm AVM/ eonst*tu:ttnn.<ni1 t OW-I is inflect, bulimic TOTAL.NUMBER ofwalls cx lntnaetian ttriaile. Yon may also attach ad llilonni P if necessary, drilled __ ___^ I. �f n �AI,�•lw lQ1 17Ntot weft depth below land surface: � - _J(R.I 20. Ibnr welts• Submit this ibmt within 30 days of completion of well Re multiple wrikMsitlld.frfkcifddramtrocimPi+-rOm'tom►4, 1°41 amxtroction iodic Miming:'.. 111,Stade mew levti hem top of acing.. 0 v. ..,_ !8•) Wigton[Mgr Rcsmirees,Itdhrmatitin 1'r a asleg I)ntt, If water level le mbar.fawn&itu:-•c, 16i7 MsII Strike Center,11tdlttigh,NC2769114617 11.not+mnMediameter: 1... (1n3 2,i11,For 1akelipp Waite hi addition to sending the form to die nddtmti in 24a tics shave,also submit 000 copy of this form within 30�of completion of Well 17.!Yell construction mottled: 1 l,l r angtruefirm to sate following 0 a,mina rotary.rabic,direct push,W.) ._-..,.._- DP4Sinn o 1,ma Rf esfaus a..mane Rolnd elBdat NC l areal dram, ~FOR WATER firPM if WM-LS 041.Y: 13a.Yield(}lino),,_ I • - -,Method of teC1;.,.. A _- z.tc rnr Watt'Saimaa.tiatlI-n WSWmt in addition to sanding the th to tits tufdress(es) above also Sabath one copy of thin W O within 30 days of i3b.Disinfection tyQc Ammon: cmptetion of well cnnstsuctioit to the minty hadih dmmt of lhamini),_ -- - - t whom cnnstenotEJ. i I'nru,CiW_a Worth. roIfltntginnmento titivirdrumntnlQnant!..-Mimi'ofWAAtRonnitcn RCoised2222111F