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HomeMy WebLinkAbout387119_Well Construction - GW1_20100928RSID ""r"L-WILLCR i Nolth Caroline °apartment of environment one Ntituts! Resources- Divieton of Water Quality WELL CONTRACTOR CERTIFICATION N 320 Z A t. t11aL0001IRACTORt RAPY-tE L- Ot.14tiL Wsl *Mack* (Ytdhldu� Arno CACZorA ti7- b twlNre Waal Contsclorr c nprly Na STREET ADD; 555 to 1, l4 Meou M (Z . MorkiE N a 28 12 c c* crTown State to Cow AraNvo PIMP Rumbas L WRLSA'ORMATION: • $fll WELL ID •prsrptosbN) STATE WILL PIIRMITItur spp•s.pr.) aWQ a OTHER PEWIT INV applicable! 01- 3 . WILL UR (Cho* App•osbh Boot): fts•Klentiel W.t.r Sway al oAMoausu •1-20-IO TIMS oowpuTEC 4 =oo AM o PM [s' 3. WILL LOCATION: Ct1Y: OgibitAboo IWrtL COVNTI' U,1,or ( 1 31 ►iuisllri, Rfl , TOPOORMHICILAND RITMNO: O/IoptOw./ (iPW pRIOp1 OOthor Oh* WINO* Stop IATRUDE 5 03.5'{�1, LbWOIiuWSl, Q° 3te. tct? L..► LotAIdW1oniltalenouvoo: @LOPS OTQPQI phicrn/P • • (kolibrl ilvemustep shown an .11$0$ typo mop Ind o OKIb tit Ittm/not ushp OPS) 4WILL OMRlS mars NAN -SESStE L3AitLingOrmo/a i 33towiz (,. Mt As Tar4u. NC. 28a i4 May be In dorm,, minutes, moo* a In a d, ImSI torah "q►atom1 " ' Stat. Afeeo0til33 • ( to 11 &WItLLMAI sti TOTAL Vent 155' of DOpwELLREP ACE IMTINO tlIRi ? YE tf Q NO 9J WATIR LIM % W Top d Cady g: y l FT. (Use '+''Abysm Top of Cask g dr. T.bPCP.C+It1ftO a 1 FT, Pbuvi Und fuA•o1' 'Tcp d c•11t0Winded atfor Wow land *who* rnR► MOM •v,lrloebt000rdtnoewlth ISA NCAC 2C ,0110, ,'MOW _- MHTHOQ of TUT bp- T, DT•tNFSCTION: Type_ •. WATSR EONS, (depth): From To From ' To, From UNF+vowr To 1. CASINO: ►torn From Fran T, OROVT: Depth From 0 To • F. frorL,_ ,,, To 354 Ft. Front-�-• To Ft. KCRICK: Depth Domeier PA SW Frvn _ To FI._,_,_.M• h, From To F;• In. h' From Too Fi.___ .-In. �.----- h. 3`'�'�5 E from — To.,.�.-�- from Front TTOO pit W �� of uiSD 2t P MsRtxtM Po¢riAs BErvre tE f, •AND/ORAVEL PACK: Depth S W FianToFlFrom From To FT., 10, DRIIUNO 1.03 Frvm To o - 3S 3C 1t/ `W ?SS 11, REMARKS; 10o I*RtIT CIRTIFY THAT 11•e WEu WM T A NAM IIA r1CA4 t , Wt . OONrTRu allow STANDMttt•. APO PICORD IKV ►SIN FROVVty TO Tm well OWIRA q-z-lo WANE L Maths original t0 th0 Dlvtslon Of Water Quality wlthtn 30 days, Attn: information Mgt, 1$11 Md $etvIoe Center.- Raleigh, NC ZT699.1I17 Phone No, (919) T35•T01 t1 'Kt SEC • f I�VED SEP r"2010 Information Processing Unit DWQ/BOG