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HomeMy WebLinkAbout398434_Well Construction - GW1_201109301, t111a2. 00NtRl10TORt , - OLiVert Wd Cathoto► ono CAROl�wA �Ect J�fGtcr.�G W�Z;ptEr>tcior Qanpory Noma OMITADDRt400 , /Af i( /+�bLiN /`➢ cc own 7rVs•QOVF i Mono number L WILL INFORMATION; $RR WELL ID «Ir.optto,wo), WATS WELL PV MITllto ooposoao) DWQ a OTHER PERMIT INp► *pppaoplo) n W .L W= (Chedt Applicable Dwr): flea Wylie' Wolof Supply Cad' pAn OIKLID TIMR OOMFLSTID r 3 o" L WILL LOCATTONt .6)/hcHelzo COUNTY /440.d TQPOORAMtflon MD $ETT1NO: Cm, 0 f prio1�RoplErFIN ORldpo OOC�w M�I1utot�olq IATVTWI j. 5� 56 . JW, Lblartwe„ i• o° Yr 61-7ci Lltlltildollongitttdo t►aatio; QOP3 D Topo;mph IV map • flbelbitalvrelmurtbra shown On to VSOS Iopo ► it and NIIoNod b Ilk Awn / not vshp PPS) 4WRl OMR OWNINI Nrula_•da Ooze AMC PMI 1 MD). bo In dgow, minute,, woordr or In 1 **WO Wool 'TINT ADDRU3 71,003 SuAi m",ey LN• 245173 cut/oar:to org:- zip cog— ov 28t-9N3y PliteOWOs Pt= Mittrilf IlWILLOITAILS; a TOTALDEPfR{ h; DOAMLLwpm" tXIfT1lq M51.L7 YEO $' ND t7 Ei WATIR t.IV L PI Top a Casing: .38" FT, Atom Top of Casing) d,. TO OF MOO p / FT. Above Lend ijU!%oe 'Tap d a l to NrntIllMod Mir beige, lend ovrfooe Ivey nquYnv ;ridings,' poo10tttl*, *lb 10J1 NCAC ZC , 0110, , Yap MUM() OF TUT Ate,.. ES..a RrTIAI WELL CONSTRUCTION RECORD North Corvllns Or p„ rtmsnt of EnvYvnmont and Natural Raouroa- OlvI,lon of Wow Quslhy WELL CONTRACTOR CERTIFICATION tr 30024 t, DHINF*CTION: Typo Dom ° " Amore J 111:—. 9. WATIIR ZONE, tdspthn From /W From / r' • To j V4' Fran /b0' To /+foj' 9. CASINO: Dsplh Fran._,.(/ To.1.1111. Ft. Fran To Fi•_�.-..-�—�--. Fran To Ft 1, OROVT: Depth FrrmO To 20'' Ft. Frost To Ft. FromTo Fl. I, OCRVIIN; Depth plomolor Mot eke From To Ft. In, h. From To F1.�__In, ._.... h. From To Ft. h, h• 3 9 8 //�� Motorlil ,g""rremii TE /, IAND/OR/1VEL PACK: Depth 8W World From To Ft. Ftwo ToFt._,.... —r _....... From _.To_ Ft..,......,...�_...� 10. O9fl.UHO LAG Frvm To fr 0' f fD %G ' J s�r ,Q' �D r S3 1/' t1' From, From, From, To Moamar erg'' Weitz!1 II Mow Fornlatlon De0o1lpdotl G. 'le/ -✓ /ir71•"' •7t ' //Z/ /25' zos' 11, REMARKS; SEP 3 0 2011 l�l ormation car„" �^ I t"4' DWQ/BOG 'DO HOMYOtR1T THAT its M NAM WM �T 1M Km;tQQ, tint A OONI1 VCT10N tITANOMOa RICCOD MAI t+t1M FRcr/ta9D TC TM Wtll CMMdt Kit L-OL w(e Mc R1F maw: flesh • " = = 1' r+ +' • ""il Stlbdllt the 90101 to the Division of Water Quality within 30 days. Ann: Informutton Mgt, 1•11 MEN kIvlc Colter- Raleigh, NC 2759 1 t11T Mono No. (919) T,14015 'NI 606. Fpm t1t1 • , Rw.1A6