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HomeMy WebLinkAboutWI0100492_Well Construction Record (GW1)_20180412PdrytylDwa 517 V Pit" A" Burk Center 3lA 1A0Wd lifbeg)Wa, 35 3 4. in(am)t aforfiyUmm.6dpinwdR at 1pi'etNRNOR: >natton re CRNSaNmN®etr Tvices Inc. danperMi t WIQIO0492. rl emous"Woop iet"91.0mum Sete; MMke4 sra) k"H ems); fill avnwcDaing Supply) Afteeidentalwat"Sipplyhens)e) foetal ❑ltesidarml Wnte, Supply(shbmd) ❑(lmfeadWuter Remedielion at Rmovdry, ggaiottyBtoriar f7S[oiiliweter Dreinage malou ❑fubdderlm Cooluel ul loop) 01haser _ne±CppllaBetmnl ❑QIIM�(WWlnin undmk2lF hoof of Science and Mathematics eve IPMlptylDtfutsrphmhlto Fleming Drive Morganton NC 28655 MY. afdZIP 2702 09 8718 Pueel fdenufimdm Ne.(PM). F'mintemefW__=_OW.Y: n n 10 ERCAam0_(rvisit eandw I fiterAlIff IW iR RLINET@Il id rA4 I .tNNP r En U 1 L 1.25-'" S R11 HDPE n tL la 17. SUMEN . R TO TR6C TR TW R. R, ire is. a. 1RC 0 o emewe n. IArT 193.PA N R16Ie F MAlfin1A LA [M ¢f110U n. a v fit ft. ad. RIt3.1NCLOQ' kant ad _. a. .eon M U reeNneu.mtllKKkpOq¢MntW eta 4, n. fL ft. v R. h. �— n. th fr. n '21: 1 rMYrWly dwgreadndWardntheondedTld raT66y2.. CerliOeaAon: - 28" N 81 79' 56" w ./ , ifa , 4/12/18 gi®weva frkmbedWeafannaata Tuc eell(q wRt m ❑TMismary. BY"W 8 Motp.. I house, .,I&pit ole-1 ) arm(mare) NMnuelad.A,.,vh a �o WohISA NCAC 02C.0100,IMAY'AC•W.0200 Hall furerh0nll0n Sxn,BUNr eaddofv NrtoroerYlRdrmlle OYen`er eopyofrA"raeeNMaDee proWrLMm Its �aIIR"imr. fg(OM4NMIW)fr"nlMYleX 0lfwrmrdm mlBavpbin lM uowxoJrM. reemryfailonmmde Md oJolnJoan' 23. 3 You may use the soak ofthls page b provide additional well site default of well Yowmadimethe lack oNooelage provide WA emeerrted: conGmaiondaWils. You mayalb aumh oddlllnmi pages ifnacaesary. , vemmmvi•anerte av)h ON wFArM,mmaoamaadax, yeuan SUBMITTALINSTU4PIONS @ 500'24e. 1pm IMbw lad Mrchee:3 par All Walla: Snbmit fhu to m within 3N cloys cmnp7elion of well ;Naen44;ptM/jlaPnM rrrmwBe,3�t00'md2(�IOp) eomhnrtimit therollowtng: rleveibelowtdpePa/pp N/A (D,) Division orwater Quality, IRforomema Pretreat, Unit, Inmyealndt..." 1617 Mail Serrlef Center,RRh)gh, NC 27699d 617 rrepale dlRRkteff 6'%5 Ila). '24talonflubstlignWAg: In addition to Sending the form to the address in 24a A. of brit o f th' f within 30 d r I I I Fpe" W4 We anneR .rotary n me, en submit , a copy o ;a orm uv m eye o comp of on ofwe I - ueibMadt(Mdt runsnumion to the following: mNa Msvetjpmb,aR.) Division ei e Underground lfaNram, SDPLY R$LI80NLYs 1436 Had Service Center, Ra,Ild1fNC27W-I636 u)- MHtiodeftestf 36a. AQjp)gflon Welts• In nddNon 6saidit%llw tamW pM ad reS01U) a)AVC, alSn S111i111f oM eepy of this firm Nlthln 30 days of m typi< Ai"Uaefe 'oa471etion of well eomwctim to tha eomty health deportumot of the county ebare note ust Noun oualom Wmaranes, ofgnvoutuat whomel krsonotru 1ffonafweuoQannly gevined Itu.2013