GW1-2023-02383_Well Construction - GW1_20230404

Feb 15 19 05;43p Clammier Wall Drilling • 828-622-7241 '
p.t
•
wE'l[.L c�hl�r�nsrltEc©8u�Gw 11 For Internal •••••.,,••..
InternalIlse t]Aly_ I.
�-
I. ICtntntrtri i lbnanthn•
VVen S •
dorNmne ��WA ZONESZONESWellfontra
� mom a. TO ft.i 1 1 .
e' I--
4HWell ConttapurCatlQcalleaNlmbe IL TITER
. , �
3�6QY�CQtcr LLJn � I mom t»m !i [ t
rt. ie. MA RAGAmArmYTMa4
11.1111.11111111111
2.WenCGlgdraCSOn Perm(tk —WANNER OR
Warble wall nirptAXLt(Le.IJif CON*Su1q vraln ue.Nty) • '•• sf ft• To nue�t wet MIA4
3 Will ilea(ehedi WA Use):
Water Supply ft a lb-pWX Wen: t7
SCRREIV
Aviculture, anicipnUPuhiic Mom'
SOnt+ttNsr s[g�fee •tatetrttiete •
it Geothermal(t °g poling S►R9i1Y) RRidentiat Water Su (single) O. fa. `-
>r indusltiallCommerc q) Supply{ ngic} e.' fi. 0s
-Mesh/avid Water Supply(shared) a f 1fo11t
Non-Water$app)YWt3JC boom 7ri atlJi L. gran7�ICOMILo mason a t1i 010T
nje kiosk
TNi; #Recovery it. ft.
N.
it
I Aquifer Reseijtltge oaromtdwatt;r Remediatiun --
'Ayuifaa Stgrp�and Remaly DSatiility Burks Ili.S. '• . YSL PACK tt�j
i AquiftrTett ° r� tnnrtwcanlatrrtneni�t
1111 Experimental Teahnolo6y C ,.ksidatcc r rr- n.
`a Geothermal(Cued Lapp) t. tR
cer Ilk xBI1. Mtge' • . .., i_tdrtMttif t))
a TO
GeOthamal ; w.•l .;RCM) s�lir tittle" -•,,.'intlndord21 itemati3) / re. 3 ' ' ��Ir//7..,td)ra�arsM►in.trl
iir
a.Data Wet{s) feted:I— i a_4A3WCII Wit `7 33 h^ 7 it.
1
,t- _!1—
S. ell Lticatimt It r Ld
e, -) Gress 1 f '� •
raer :mK,lerrl>,„e . 1 ? ' F o .E -./�
Loy, Facility '(ifq�1licai>!c) 14 ft. .
• n ( R
ft. ft
P i Add and?3p J V t l
Cant
fib-tattitade and Parcel tdna,ificalicn Na.(PIN) 2023
cI-L titu oneWino
longitude in dcgteeshnimitest worlds or decimal degrees: /
r Wi noiasuffictart) I f rr,
w
oLL___ f --/ J :2a.sore)Onwdt(s) Tot or �7eerIM17ry SiinnlutroR( rtifirdWdlCctrnator le this a repair t�
palrt0 tlnc Sagurdl; nits or tVO �•lgniag iJrr farm,l herrbrcert6 drvt me well(,j was(wore)fxmJnnCradio
I7.1s this
epairm nexid iaq� slab MA A IC 02C.0101Thr .A NCriC 07C:N2Il1, l 1t eta
•
nrrt*isoer ei yes mrmian alai apJdu►t4e imam efrhe '"AYfflhttreanrdkgratal CmisfnvlwrStraxfardsmuttlorrn
xocg eDrenthebackofthlrfann. Pam► dlnikc►µdlmvrter
8.For Geoproar/D1tT 1n'tJ Site diagram or additional wslidemolp:
8.For Ginnreoty I OW.I is "UP Geolium,Welk having the sane You may use the back of this page to hide additional wed bite datatt/or well
dn7[ed� needed. indicate TOTAL NUMBER of walls clrtklti Ixfiott quails. Vim vnay also attach additional pages ifaeeessen,
D:Yogi wen daPSi below land suriar>b r llittki1 '1'*JL tm lrplUc•�Nis
rap andapte wells lip Nidepllu ifWee,ny trample-3@lQQ'm d 2@igG ry � )
AC Static water ievd be ton s tar of d following;it tltie fatwn wiorir,30
if xntr.Pfetiwl/slalvt�g t4D of mslttg: `�of complaint of well
caring.edc"'"" ! (it) Division oil Water Resources,Information Processing iln)i,
I i.itonetiotedtaireeer: CJ� �� 1617 Man Service Center,Ratetg4NCZADD-1617
- �ti
ix sulk cnnstt'nctlatl t t invd: tab.Eor sr.petta.unit.• to addition to sanding dx fain m tots
it s auge;mtxy tGttKY lam[.! above~also submit one copy of this form within 30 of address in well
Ate.sac•) gmsbwgioa tit the fatiowing: of eomplt>rfort
FOR WATER f+t.'irPl v WELLS ONLY: Division of Water 6taau
�] roes,Iladettroand iqftt tics Contra?
I3a,Yield(gppt) /{,` i63b Mail Service Cellar,Raleigh,Nc 27ri9p463b ga$Td01.
Method of teen //(�f 2Zle For Water Synch;&Faiec.too Weft: In
Lib.i)tair ttccuon�,�. the addcess(es) above, also submit one copyof dim m within
I0e Pons to
Atttatat: neeplaion of well consuucdon to the con,. this form within theh days tof
.
where Conti feted � if aunty
Face CA11-I
"d' txP» +eneoflinvlroathcatalQasllty.AiVluegtoi'WaterRtncas
.- I R iZ
ar6aR3a-tol6

•
•
Wage mom;d .YO*ma*41N ra*FIUr UMW Wald
unilehuo2 whin
L 'tom
. .. ....,� tam
AVOR
..0174rAd'Aragalliki
ce .'"'"-frodeuluiati
- -t-MVILLT-00 ''^647a7""414443 1,64
UNIfttatiou
?—w---)vccitowdmeitipm
,' , 231.wrawv#4441"
g�'"d('rc,a? c � s� r, .�
_ . .. .• . ..�.�....�. _ �_a.d...._�.__.._.. -�_• •v.r.� .�.... r .. _.�. _^. ...:...._an