Loading...
HomeMy WebLinkAboutGW1-2023-02454_Well Construction - GW1_20230404 -==L ON REC Mrc.W >, )Far Interne/Use Only: i • p; s I 14 Well Cont agpNain >WA! UNBs i6 t> ara _flBStm1rt70ts ft. !a NC VI ICetunpat etetticilion Rt. n. pe ,, n �)) Dn LPU(V19 tS t111161t TT " 1 mom Company Mum; 2.►Yedt Cosotieon�ntft iu: la timaR csts Ga t�d welC 2.Wel COantruelion Pe rmitH C )f v l asvi PROM TO mown* ''rar� as tc Adis 9..INC Camp.;Soria.Variance.ely1.. �"' tl. f 1p 3.Well ltie(sheep well use): n le Water Supply Meth ir.OCAS: Agricultural frialptillPuhlic raofs• in ' , '1 Trio se e e tura�rrilu&. 111/111 1([faali {) B ft. ie. ttgiCtitilitlg Supply) dmtiat Wator9uPpty(Angie) gl tndustriavcammer ai t� he detttial Water SuPPIv(shored) i he ,1 ion avr - iVoo-1ti nitr r /6- 1t ermiemt. t/� �iesrk o A/ytpurt r Soppl rWefr 'J{ a blanked•: #Recovery n - onrs ; rz re !' uiferRecl °Gra nduretmRemedial= l'AquiferSteralmend D.SANi1/GRAVBLPA } �SaGnity Beier '•.1._.�Lie ill Aquifer Ten iu 11r11 1 7 ��*-iP7;••-•LE'1.tr l CIStnninvaler»� n_ n. 1111 Experimental Torloolony DSubsidenoc Gomm! - �`�Geothermal(Closed L ft. ft. DTteeet MILLI Mak �OGIags -.:.'1 th •:}:. I�(ieniAennnl :Rcntmy OilierIn undord2i Remtntis) ft. 1r Cat 4.t►ate►l►dlla)['otttpletad.o�-�3-�7 , elt IDli • .1� e rte s i i - c !ll I. lino: `MKS`- T'i'- I A GtrO6 • 7 r' r �J „/1:.�/"reciini nnerNemo . F.erY (ifo�Itcabfe} �. - -bS • J ` > Q. re_. P1yriaal Address,City,tnd2lpc,t„tty a1.OEMARtiiS ^ i\Pu q r G2a Partel identification No.(PR4) `A5 titudeand ton de indcgceeslmimrter/seeendsor decimal degrees; ift:�;ri";� r ;.� t1r, ve field.one ha • II8 wfiiotcnt) r t±:,'t;rs,.� ,;,, 31 N_Eg `5 '3�1 tioQ:6.1e(arc)the wdt(g tttttln or �q,., - ?W. v �--� iG.l"'�ehiNo ' &p me'ofCenified WoliCa,b„m,r '..ttttWinsrepairmadt tgyxd6 nits orAv'Ijm1n °t1*'•("rn.•1beepumrfyricedie taste lfdllf sar rliri a1n et isti i.math with 1SA4C.K`021:.d)Rtl n.ISANl.ACO?C.0210WelIGnralnrdini e&mamrunite 42(rcypp* at Drenthe back annivnarpfiam lire epmrentthe u�A1e�►Itlilstxhnll+ac pio►'idedlnrdewrli.myxr ol .l &iror Ge»prot�ipPT or p 23.:ifa dislinuu or additional wall datallra; &Fora �op o k I GW 1 is p Guam:a rratl Wens having the tame You may use Ilse hack of this page to provide additional we11 atila annefriRed� needed.l'ixgc na TOTAL NUMBER of wails cotedrUolipfl Mails. You mush!)Bch addltianai pages tfn detail ar well ttce�an; 9.7ratal'+vdl depth below land d141*l1eN._ +�1BiN1'i'I'Al'.fRfi'r>Qtrr-rr� rrawAP l +u(r aareweartiseedintrpne �neic•.361201!nud1010D7 r4.1 1fOr Ail We* 9uHhtit'ilk foam hit s construction to the following: .vlthio 3o dt>ys of comp of mll level belay top ofeastmg: S'rionereeieneisnheen eina rue^." tilt) �ole+liasteter. /� Division of Water Remureeer Infoneafloo Preemies UR% 11.80 161T Mail Service Center,Re►elgb.NC27699-1617 12.Well � ?Ab.Thar Late iiea ttYelt.• to addition to Ito.taiga:, 1 �Q nitifltodh ---t = 24b. .elan subs one sending the form to the addtteai in 2An copy of this form within 30 days al complexion of well [>1sQ1t,etc.) cnnstmidion to the foNmPinX FOR WATER s-1:7.7--1 t- ONLY: Division of►Vatq•8 eacereese u36 Wail Service Censer,rground ilrUeittoa Control progmtge 13a.Yield km ,1lttle(gli.NC 2701 t636 Magma of te3C 2 c. ytrQter Rottttaiv&tahl_ae.>+ a:tab.Disinfection�+�;, the eddrCs.S(CS) �addition m sanding Ills farm(t1 Amoune completion of well ' n to the coit one mity of e health enufai sot o 3h days ou or tvltlela congtroete� It>?alth dCpmvr.cQl of the county Pent CW.i North[tantinnDepnrlamntofItovhoiin whim gteulty•Divistoo of Water Ramat= 1tevGed2 22-=irtG • Well Meer SROw1e CNiiage*a* id 6/ FrqULi ,A // a S avfi'n.s Creel, 5114 - I hereby catify its the above referenced well was groom in appearance In accordance with all County Well rules. well Driller. Cl ex Mead ho s Signed: - Cerrftcate#: 2 t t 3 -A- _ Dew Groub3d -,„2-_.>._ Construction: Grout Total Depth; Type;- L� �-� f Casing Sic� Thickness: M 1.,(4€ Casing : h: LP .. Diameter: Drive shoe: GPM: 30