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HomeMy WebLinkAbout389294_Well Construction - GW1_20101206/v(V'lotoisc- Aft, RESIDENTIAL WELL CONSTRUCTION RECORD 3 S 5 2 rvlr North Calnt of Environment end Moroni Reeourooe- Vivielon of Water Quelhy WELL CONTRACTOR CERTTTICATION N 3oo2A I, OISINFICTION: Typo -10% Ian► 1. WILL CONTRACTOR: walroRAaI�»r L. UuvER pridis u 7omo CRRoua+A / )eta DWt t.Ip+G Welt odor Comporry Norm 'mar AMMO Coto1L4 (fEDu0 Vb. Mt:a43tr 28112. Cr Town State tip Coda-- nloo ao0► Pha* Nm tL WILL RImORNAT10N: SITE WELL ID OR °poo.a.) RATE WELL PERMTINI opposable) Qr:Q or OTHER PERMR tR(I eppeo.bl.) /o- ►Its WILL tUE (Check Applkoble Oooq: Roo°Oentlai W oter euppq 0 D.W11 COLL= /O-IS-Io IL'kiG(4Tto" p"'W TIME COMPLETED, 5 : oo Am O PM t;d PAULL LOCATION: CRY: 4 COVNTf Utor" rem se Wiz. l.o,.)6vLee* 251 * tkT, dubdhiebn, CorNo., POMO, VP Co* TOPOORAMAC1L,wND SETTING: a$I , ov OP* ORtdpe pother ONO errnondebox) LATITUDE ..A. 5 S!o LONGITUDE g=° Lizf.? Mey b. In Ar/ew. minutes, woad* a In a deohnsl brron LatttIdlllorsibalds, um; EdOPS oTopogrophic m,p • Ao*4roftm/mnae. shown on R V30$ topo mop ono 1116o18d b /lk Ibrm i not ttsllp OM) 4, WILL OMIIR I OVINEN8NAMi CIS L3 tAt.A ANON STINT ADOREai 4010 (no r rftosE 3x . fir« Omt ' ' Stet z ,cotes"-- MS OOW Rao INtn*Ir Z &WILL DOTAL$ a TOTALDEPT#b -73OP a DOEiMMRLMAN lXTFM WHLL7 YES Q NO LEI WM LEM Now Top of Cse)rtp: S7 T. (UMW !Map Top ot Casinp ti.. TOW CARP 19 1 FT, Abws Lend SuWoe 'TopCI onto Winged aft blow send 'whop mN r quks , admo,h,00pdutosth 15,04 NCAC 20 .0110, i Yap (a m 35 METF100 OF TROT ' (L 9. WATIR ZONES (depth): From /55 To Fran 170 • To From 3.52 To 1. CASINO; Fran, f rcm, From o °Toth 51 To Ft. Ft. To Ft. Amount 0Z Fran SO To Fran 715 irrorn__ To ThIoknov M W T. OROUT: Depth Material Fran„O To_3__ Ft. Par -� fra� r� 3 To 't' FLWmNrTE Fran - To^„- Ft. 1. SCREEN: Fran From From Depth To To To 1, SANDIORAVEI PACK: Depth From TO Fran To From To 10. DRILLING LOG From To 0 5 2-8 2.8 32 13o 11, REMARKS; DI•netor Sbt Sme IAstold Ft. h, Ft. In. h• Ft. In. Ft Ft. Ft. Slse MtMrMI Fonnuton Doscriptbn at Aar 2ow .��gr,r7E Inwiriet-wzgoest.:ing Unit DO WPM CIPIri TWAT NO WELL WM CCl =1 R " 11A $ICAC:Cc,. Witt OoNSTALICTtON ITANOMOS COPYCIFINI RICCAD tW eetM rmovoto TO TM Well OWt r19ivgsc L- t u yea 0 Wit OF PERs6N Cf)AiHO mega ga Submit,* orighad to the Division of Water Quality wfthin 30 bye, Attu; Information Mgt, 1011 MIA lento Conar- Rilalphr KC 27599.1 d1T Phone No. (919) 7354016 oxt 650, I. Ft,1n ttis . ROOM