Loading...
HomeMy WebLinkAboutGW1-2022-10680_Well Construction - GW1_20221205 f Wf CL Lf rL{t111YSyV"11 ur-ma11F@ Sn'�Tu9(/V1RIL�SF1tJ o I teiYT�1.6L 8j •, atD T��rYF>�asFaliTge®leByo - II.�lelld�t&Sa02asIIddt�satle� ' IYe11Ca0aaet0rtt� �'@fPA'fi'� • •:.. ~ti i_ •;� . 44MA Q 06 f WwaucWWOM 06 1 Aqua®doi, Inc. fly:• ,.. j... Q MM__ DIMis90 IL • 8 g� a66 mGaPn i E.l8/ellctiaffi��1a� 9 .aasaraaet�:te" :':., '•:::;, ., l oUaP?ffeaMBOold acliot�p p$ Ulc� :Stogy flasfca�ate fG a Weil IIise(ahesYtw01!ts0): Siicuitutal n9• � �. MA"Mal(IfutipaxwoolumSupply) aside e111VWeYe; a� ' t lmdustrl�ve�mmea�iar Soh►{sinpl®) �. � Fe, ; •. . ldew�l�rr��'��h►tsb�) • PlOIIo�t/84¢rDOgply�l@lF:: � �i •, • anitating , oetton. `qWftr4W F�C�tE'0�g�a�4tAP� BQj@Rdfiffi Aquifer54ategemtdltceovei3r � S, eP eatvmtraQre���aaet; zur StifetTest ' � vx F�aedmer►m1l�cbnai ��+�'l�it�a�g t� � �' �Sabsldea�CsnPaol � � - GeOthetraal(Closed Loop) 131kaw Qentltetmal(tieatimglCool 'ag D �I�D�atE4dt .. Othct( Imo utider►4�8dem� es `� Hga�ota d.Rat Wal"Completed: 9llell Eft! 9a.well Laoaaloas, e .. Fmi77y/tlslrsarNamb •Fasithpffid(ifepp4iea6te) � 9t ; tout F7 • .��.B.atitnd Pme�t80mN0.t�) •I •�.�•• '•�rc;to aatidla®gitvdelnategr�es/gyp@es/aeeamds®a'cFee6��OH�e�e� G�a;ia:�.C+PweitBald.eneFmRangisca�'�eag ' `� ' .�a� N e � a u �2.Cerelt�easl0ae 9.P9@!tlStlliOpn(Q'tt18n �(�� Byy�� �a�d DctO�""� ��FiS Q3'F�Ilba� u!t&ISAINCACOIC.alU1SRC6COZC.D2t�' f ��� �maaoolda►ree �°�'�+ xarlaa�eras4/r�Jmrra.��efnahzrtauirtiq/'s/re �l'o'•slrfsaseorr/ti�l�eeapaevldedposkaurrll�uvier. /onSllrudttn'ls0'rtddlLOla . . . 8.8+os'GeaprAbalAl�os�a+s�Y�ooptePmei�ells Y°u cons4 iatr,only 6 rQBI►.f isneeded.LidlceFe 3�TAi. 9h®same MW use the back off&is psg®to lnovide gffl anal well side details or well dulled: oftiVelta' COMWIM&WIL Yfau�.eLsOaahchod+!(¢iomalpegesifn • Mofai below lan8 stnfitem. lbramtwpkmelta7tsraildaprl�s7 rr femmpPe B�jZeD'aad2pleb� �II�l Zen' Gl Submit:ft fta V rit6ls i 30 days of ea�npletion of nretl so.Staffs WaWlavel below topofuewr, )Jd consl�cstiam to @l efbllow� 4Wata'lewltsalraneaNft cre'+=" Q�) DEaESFarioY�a4ee ttnt'msm0mtam pose UM-t, El.Dosohatodie®0ter: Mloganwacenten, NC27699-E6E9 �! fib.has IIeFegjF.ff2 - In&Mon t®se0tng the fmm to the addmss in 24a E�4tP0I9 sam cedon tod•._ r,c,�tl A'n above;also sabmie one copy of this fay Vi4dn 30 fts of WM f�a�Qam�teabtatT�f�y�,w �• � eonstntstiantothefollowir�; I gtetl0onaf%vell �A�'SE3DOPP$.Y Lp�ONl q(: blftleno?Wa*xjius ees,Efnder l tsim saHFmgea6[om+CantpO!ifgu$rasn, • E6EiM®i15e�viseCxotss,�oletgb,lVC�7699EA6 13a..fl'feld{gym) . 1QC1 mathod of sash Ph-1-�; p ���®s•�Y/g@ar oeHe die falacFnn�rae� ' ?&t addiliou to sendiagthe form to TlS�Fato®.tY@� fib the addeess(es)above;also ttabmti�eae SPY df this fosta tvlthfn 30 days of �oaaea 1 PJ'� s0mpletf0n of VA eansen0dan to*a COMW Health depattment of th0 Dowdy Whereconshucted. Faant4P!-t Na0hC0roliasD . emPelFBa�niaaat�eata]Queti�'�DEvisieao�l►a4erY3as9trczes d&?+.,,�D96