Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
GW1-2022-06183_Well Construction - GW1_20220701
't Nttttl WELL CQNSTRU[,°1` ONREC©RD ft�'4D-f� orr�ematiJsao I.W iractsr?nformatian: I4 WAS Nett CanhowNams ACM T D3iSCitipfDDlii 94f qA xawottC.. •— �/V Qv�er F/ir PSQM WD DES y /J CompaayBFema 6 f4 10- 504-y0 2.WeIlCcas�nctioaPet�Dlt# FROM TO I Da I Icxi<mss nsra>i LlataEEappltcubteweEErnrestntcttonpramits(ie.U,f�ernmtp,SYal�y�iaIIce,et�y fw � ia, 3.'Wen Use(check-eIlnse): WaterSupplywa 7 s To 1Vt�zmaret gricathu>;l s1/Fabtfa a m, I $ ta. fleothermel(HeatinglCooSngBWly) M21GUentidWater Supply(ftle) �. ut;iriallCommerctei EIReddmddWawSapply(sitated) Ig(�aDT orlon asomz xo t3nmr.A�x tEandcttn+rr Nast=4FTaVerSulrp(pWall; It2onitDtilt$ t fL T<gjectioa WeII: it. �. AquiferAa ge [3C=mLdwaterRUn iatiM It V i, CS RgalferStttladt:alldReccvery �SalinityB�ieF FRAM Ta a >evtetac�+mrrrtiasrsoD AqulfarTest �StcmtwaterDreinege ft_ I Ts perlttleWTedimolou �5nbsid�r.eCtmizni % ft. ftthelmdVmcdImap) - OTracer• u. LOG atta�addRimmIst�tsi€ ilawheimal eatf�tnolmgRewm Other(explaiaimderjUIRemaffm) g8aal To DBSCe1> ox eotu s t►oetc a� IL fL 5a.WeB Location: / -, a• -+ Faodttylovmemame Fz�iipll> tifaup]i�abte) % ft: _Per ©A 2I.B6�3A� �011O�' P�cnlldeatl�arianNo.(PI>•I) Fl, �M. (' '�t Sb.Lttt[tude earl Iongitade is dggttees/mi�autes/secands ordecim� � aryou 8eld.enelainongis MEOW Ldegrees: -- •___•_•_ (N�/�5 �"f�' � �.�`7`T�"W �CeF6�cation: C - 6.Is(are)thewefl(s) etatanent or�Tempo><a�y sEsuaturear vencaatiactor Date T.7at{tts are �'J18479 thtvfam I hereby s�t&&a Ag m4q)Um(ear)cmuttusled in amudm m gsiriaaucdsftgwell: es Dr ONp IYR&2SANCRCCZC.01WarISANCACVZCMWWaCoasttttttim&=dm andthma ¢rhtsisareprctr.,Eittout&nownwelicv�umruiostrtjomrarlatFmidesptAiRtheApuueo�tke �P1'R��shasbemcprvutdedtmdie�setioumer. aepWtrmd9r#Zl remarlasectlouorotttbebadEv�thisflmn. �Site dlagaamortt�itloaal taeltdetails: L ft'CIprobe/DP'P ar Closed tAmp Geothermal Walbbnbg thesame You may USe de back of this page to provide additional well sits detmjs ar well mnmmckton,only IGW-1isneeded.IndicmTaTALNLUBMLofwelts ==affmdsWLYmlmapalsoalt &addit Adpagesifnedesggty, drltIed:_,••,�,� 9 Total well depth below land su race: �(/ ( ) 24a.Fbr A_ nit]9; Suhtnit this from within 30 d aF FormuMpieWagsMtaffdewhs&Wma[exm*re-3@2GaFmld2QidO'} es completion of wall D nonsttuctiontotheibliowing 10.Stalecvater l&aboecaft below a"i.* amsingt f�•) DlvhloaefWater8emummWormorwnpmcessingun% I�'�•level tsabova easai3.asa"�-'� 1617 MaitServtee Glitter RetelgL,NC?�1699-16i7 1LRorehole diameter. (iu.) 24b.FbitLid etlan WeliRr Tn eddithm W smdingto fon to the address in 24a. 12.WH1e0nsImeGWmdthod: WWV,also submit cue copy efthk form witltia 30 days of completion of well (Le sugMrafmy.ad&.dhectvm%eW conslructionio8tefoIlowfip F(}RWATER$1 MYmmOmY: DLvStetnnofWetergesomxes;l7eae noma er�€nat �„tp�„ 106Ma BtlRi�c ,�etdtgh lVC r��.i _ 13a.Yield(SPm) � Metllotloft� Z4c.kbr Water SnaDty&rxa�.W n�- 7a addehoa to sending the farm to 13b.DUnfectloit tsgpe: Atnau ,. /�[.� � �)of 4eb also suharit aae copq this fmm wifldn 30 days of ��r� w3ttaeCOHsttuoted. ucFiaa to*e coea[g bealth.depad amt of tho comuy FaaaGWd NarthCatnlina3?epemmmtof8ay7iaa�atsl�' Resact� Rtvbed2-?2-2011 I