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HomeMy WebLinkAboutGW1-2022-08601_Well Construction - GW1_20220428 OP] COxSICRRUCTION REGOGW-1 For1a Use only: L Wen Coat-ftrIaformatiom - Well Ce0amaac2j3= NC Wen faemacw R $ n 3�„ "1SOt7'II•�G'A.SflITG!ac ., �m+ieIIs 08ZaI88• . ray Name _ EROM ZO L7A�.8 �� r+.-._•-. 2.WeHCbns&vcNonPermltp: O7 q n� $G.SarGoxr�7G - ors i zcadu�raa�,.� saoas - To Disasmt � ' � 3 WeuUse(dwk we gse).- _ $ Water Supply Well: �xz �.-::; �;.�a��°.,�:_x.�.,,,, ••�, :-.`.��:�:�i:�r;y..,. ❑Mimicipa]/Pnh]ic mom alst�ta slars� stsmeuz 13GOOdx2md( Ccolmg Stp*) Waal�plY(fi R e) $ aL flb UCa Wat-SupPtY(ddD S. - a-Wa `p ❑Weus>I 000 GPD FROM No �'O' 8 V j•�wt�®rr�on:wntomrr • ❑Rtcoverp � -� InjecdonWelL ft ❑ ❑C==dwdberRtmediSion ❑AqujftS=W=dRecovMy ❑SalmityBwia f !t$tA9SLPA 4�1C p� :_^c ❑A4UWWTM ❑Sw=%dh? $ TO � sts�r, ztl��ri�r l Tachnd0v . ❑ (Closed�P) ❑ a Trce[ Coniral 1 12k,DRDZQdCrLOiG R ❑Geothetmal(,H SRft=) ❑od=(=ph&nader#21R=aft) To ¢ aiQ�dc� p�ae .4.Dale Well(a)Complstt&. Sa.well Lotafion: • $ R nC l yard cal.aoi4APR SL Latitude and long tads in d ,, *+►i i;;; Comma teta,ame ladlgis �e�matts/seeonds or dee®al dep�eex on 3 I , I ) 22 ctrtifrcation: UT ici 6.Nan)the wa(s) maaeat for OTeanporarY 3 Z.1() Sigma efCenititd Well� �•? �Z L Dme 7.Is this a MA �Y+1��+eMr11(s)+.arfi.rr6)omanreedaac+zocianaev�rh rmursa nP�rtoaaezasHacanola [1Yes or IS6A'CACOZC0100m'-tUNCiCO2CMWJVefCaav=dwsardmsbWamaavpy►.�� Smftm aaz&ofzffm6rn�m+mai �luaaaosafrhe afrlitr�acnadhmbeoipsvvldedmaTrevrdovnv 'n�+ab�o�d�t`21r+mtm�s�term:�bar�efthirfarnz S.For Geo bel=or Closed- 23-�dgram or additional wen details: pto Loop GeoBrermal Wells baomgtba same mY mse ft bad[of this p�to p�de addWmal via contucdon info � naroga®ty1GW-lisnee3ed.7adie3teT01'ALN[JI�IItofwej (�'Sea0ve�'iriR,�Ba4Youmay,alsothtsdditiralpa�sifnx�ay. et x SUMffrTAL]%,mucm0NS 9.Totalwd depot belawIndsmfsce: 3 4 b F°rm pr'w'a* taIIdePOi++f�6�a(amagdo-3(�200'mad2�lpp) (ft) Sub tbisGW_1wi9un3O days ofwelteompletionpertbefollowbr. IQ Static water level below top of easozg: 30 (�) Ala. For An Wells: Original£onm to Divisim of Water Rn owm(DWR), onPruceSS8*UnA.1617MC,Rdd9b NC27699-1617 1L Borehole drameter: t/ gym,) 24b.Foi Iaieerion Wells:Copy w DWR,Undn and Injectm CnoW Mr-) mm q Pragtam,1636 MSC,Raleigh,NC 27699_1636 . m WeR eonstr�on method: iC O�a V /�1' may.eehie,daxt7m%etr-) 24c.For Water Snooly and Otren-Loop Geothermal BdmaweUs Copytn the . ":. oo�' mvtnsnmemac neaua department sty m� FOR WATER S>1PPLY WEMLS ONLY: 24d.For Water Wells Wodztft over 1 GFk.(q,1pAy&,CGPCETA 136.Yield(gpw Method of test: Petmrt rmgmm,1 11 MSC, C 1 11 13b DfsmfxfionILL 1� tYP� Amount:__ ! h` Fora GW 1' Nw&C=F-De .=cm ff vfiammmlQna1$y-DivmofW-M Reso.. Revima&&201S