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HomeMy WebLinkAbout389293_Well Construction - GW1_201012061. W .L OONTPAdTORt .r F./2.AMKIE L.OuvEg Wag Confront( (itl�u'ij Name C_ARou«A W€u. q“.1r6 e a omparry ame POUT AMMO 604 (Y1Ebu,, (Z. _PbNRot' sic City orTam Slate 104 � � F >L WELL EFOIWAWON; Il►TT1t WELL ID 0W st tteatrle)�__;_., TATI WELL PERMITIPor ppllospb) OWQ a OTHER PaRM,T IR! applical$.) jo -189 . WELLCU (Check Applicable Vox): R«lOwntlei water Supply D DAT.0R0.1UD II-2-I0 10010roomOw( TIME CONPIJTID 1! : oo AM I f PM 0 O. WW1. L OCATiONt art CO Wirt' f.�%Ocsi iu to- (�1�i�II�Nwollltl tEy, Bubdlvision, Lot No., ero.,2* ) TOPOORMM01LNip ssETT1NO: 13.149.OW*/ Gind DRldve OOther Os* mrpopdootiolo IATTTwi , A. ±: 553'. 40575 N LONGITUDL2, OE 4-8. 053 W Latitudeflonsitodo (FOPS OTopographic map • (kosibtroloamnst to shown on • VSOS topo ►TMP IV Mbol►IO b /Ik tam / not crop ORS) Mgr be In Oopero, mlrwtoe, wands a In o *alms! frT t OWMR'ONAN, Pfir SaI_uv STRUT MORN 9039 OcobaMi.t. LRuE W R1cN+ NG 28'1 /3 a own Tc„„ i. &Oat-9/ip6 Mi. Phcn bur* & WILL DIM* TOTAL5 b DONWELLIMPLA111031111140 WSW YE,D o. MATR LNIL MlowTcp d Casino: .4 (UN •+• M Above Top or Casino) d.. %P OF CAM M ( FT, Abovo I.Ind tfurleoo• `Top cl 014 Wm nstod Ofor beiow Iwo *whop rater ►trc *I evirlono011 widonooWM 1M NCAC 20 ,011e, Yap WO: IL MEMO Oir TOT Ai NO V FT. REIS ENT141 WELL CONSTRUCTION RLCQRQ Notth Carotins Deportment of Environment turd Newel Resources. Divlolon of Weser Quolhy WELL CONTRACTOR CERTIFICATION N 3002A iFBo�. r, 01>f#4PICTIONT TyI„. 70 "A/Its► *mewl II. WATER EONEE (depth): From 232 ToFrom 78D To�,�. From tor o • -ro___,_,_._ From _ TO.�.-- From 606.6 TO From_T.�,..'. 1. CASINO: TTtlobt a NM From r7 °To h /35 Ft. ° ` P. From To Ft.. From To Ft. 38923 T. OROVT: Depth etotal n/A101o0 From 0 To 3 Ft. o T t Frt>rr>. 3 To 2o � F►.„ rbm sir From_._.... To FI.......,...,.... 1. OCREON: Oepth Olemetor PO Otto MOWN Fran�_.�.. To Ft.._In, h. - — Fran To Ft. In. h• From To Ft. In, P. 1, 5ANCYCIRAYIL PACK: D.plh Sias Motorist Fran TO Ft.,_.�. From To Ft.,w�,_.... FranTo Ft. 10. DRILLING L00 From To 0 53 Formotlon PwwcItptbr► 53 � . Q4Cd,,, DID iv/ go5 GRa.� rE 11, REMARKS; • PrOCeSSir•9 Vnf cnr ati0n u .. I COIEMIY CORM TWIT MO WILL WAS CpM1NUCt1DNA00016946" IN ?ICAO tG, Wilt OQN$TRUCTION 1TTIWONEE. Me ENT AOOIf CMS MIMIC ►14 WWI MOWED TV Tt1 WILL CW RA. rIf L_ O`WeeP R OF 8 Submittth WOW to tth Division of WAtsr Quoit/ wfhln 50 dIyo, Attr1; information Mgt., 1Si1 ma Swim Cam.. Raleigh, KC T7599.11117 Phaw No, (119) T334015 o><t EEO, 4 • A6 Ref,1