Loading...
HomeMy WebLinkAboutGW1--05452_Well Construction - GW1_20230821 WELL CONSTRUCTION RECORD)(GW-!Z roe itreotsiUieilt(jr. I.WAS C eWoolsr 9stusaslien. �f " ' Landon Phillips li,WATER ROMA I WWI(tw+we.Moen Too tpuCltttrTwott 3441A ger R qqo a 1 Sp r. ., tai we*Cram oramamer<lrwftopea%at m IS.OVTZR CARING(R,rtnslsrad walk OR Lt!([R r l mu NW Poole Well and Pump Company VIM' T i ° im K 7 su7 Cowry N N.4wa[R CAMPO OR TVIOSG f poderr—+ ri,,,Dfl+�,_ 2.Wen C1aslnitrrr Permit Ill 3 s-3olG 4 PROW r—"R TO k °`A"`T R } mamma tas'r atdrveurtii.witrawrftrTtreat At VIC Crays aim Ynrwra.er) ,__.. R r I. €L h. _•__ S.Win The Mimi vier As* -- IT.SCAFFN { )taTOut %Me Sem*Wtt! snow rt) "10.4112701 tain -SLOT t TmCtotas C3A ieitltsal ONWIREWRiToRk It. R. -. C. -4i pialisrllssliq ) ,111016410--s Wirer Supply(singk) ft. ' R C,. C� Oes it WefSlp ilpIy(shared) ~Is.(R()tr a (;L-. OIIs> 100.000 GPO FROM TO MAaLtL OtMACINT McR0°t ALM)I 'Non\\:etcr Sul•ply\\ellr — U R t o • / Tt l' petAr- _ _ . `\, ... ❑R es:overy ft. R. )nje.:,,.n\bill: ft. h. ❑Gcuund.vater Rcmcdtanon 19.SA NDIGRAVE I.PACK Of applirn►lel Q@mn!:r`:".r,:J(1.1 I4:wce) ❑Shctttity Ramer FROM lT TO %t TCwMI t7rlf.ACC1rT.YT MUM DStunnwater Drainage ft. fL t{if al Technolop ❑Subsidence Control ft. ft. 1titli:et;u41(L:!O1id 1.oopI ❑Tracer la.DR G lI.LIN LOC;(attach adaihnwai,keen if necritar.) ttRONl TO DESCH fYTTON t..,Jur,h..ene..,Iminet type.grams pm.mu DGmdheren1tHeatnlatCuohng Reutm) ❑Other(explain under a21 Remarks) • OM R. Z h. 4.Dale\Vcll(s)Completed: ;'1GI'-23 WellIDN - Z ft. ail ft <Aw r J 54.\%ell Location: 0. h. risk 6IewT """ ^((( ( IE .. ,,A.1.Iw ner Name Faahty IOU or applicablel R R AUG �� nL 15a1 n. h. 2 ,} 2023 iS'C�. /«el� Levu/Cel ye 1Ocrlraycn ?r;-. A.1 4as..l'Ilv,5nd tap f1 �Ma7r�Uri / 21.REMARKS ��i VJ 31' i Ceaut �^ �`3A Parcel Identification No(PIN) Used hdfder Ad s e&drive irCZ -- Si Latitude and longitude in degrees/minutes/seconds or Aecimal degrees: literal Sidd,OM Ur/lour u salewnt) 22.Ccrtificali . 35. ci 038-5- N 1 ?0---7� C \\' R.Wawa We viaU-t f]Yermaneut or I7 hemporary Stratum of Certr5rd Well Contactor Oat l)v'wiling this form.Ihetesrretetle Idtnttiewrlyyy wr/errsO otr!=Wtraarw+tsat_.:,. 7.Ila Pas a amp*Was ousting well: ❑ves or ONu I5.4Nc_tit'rJ2C WW1*. i4IICIC INC AM/1f11Canut.va Moira maAm.... NAO a r MINIM Pit rrtbrvN vnil Cuu.nuCuun uliern.m.ou and eapl.u.0 the tannins of d.. of Ma reCor.!hni hedlePatWfasMrwlMOW rs},ae wnb►=.lit rrrnwA%w.non,.r Oil fi.n Muck„/thin tern. 23.Site diagram KatMmoI well JeYie k I'rr f;cupwbti UCC tar Cluaed-L omp Geothermal Wells having the sameyou may use the boa Ott pare ID provide addstorwi*al COi�):1wei L. car;._ mot;.r..011* l GW-I ttneeded Indicate TOrAI.NUNII1l/R tii.vells (add'See Over'in RetnathBail Yoe owo eli's&616Ymrlpagesifnec^t_.. et) ,_ 24.SUBMITTAL INSTRUCTION L Total vial depth Wow Rod turfrct: I L S (Raw) Subunit Phi,GW-1 within3Q tiny,of well enmpietis°per slot isimis_ Fen swim&weihrIntrlrlleptis y,bfl.,rvue 4tuttaphr-3(ie?1UO'iota 24 tar) 24a. For All Weill: magma! licit to Dotson of Waft' Ream =(DF.1. Il5ugtriMerlrretleMppefeyeiw;; 2'� (fe) Information Pracesung Oat 1617>rl9G,Rakish.NC276944617 *omoorindu oho*r tome.oar 6 24b. F'ur Injection Well*Copy Is D'W11,Urderptotsd Igeatoa Cantroi Ill• IL rrteM tR itaaeser (in) Program,In3n MSC,Raleigh,NC276199-1636 Rotary ILWdmirmsnamitt°tmatkwl: Ne.low Water Supply Utterer t talc Cop}.,a._ .. gLa tsa jn motoor.aYYbisat peak an i county ens u.rnu d bk l:nt. ea O C white vwwalfed tVR WATER SInLY WELLS OWE: 21a1 F'or W r�rr Well rear 1M�M�. Copy to D1t R.C. .- ®LQw rciw Iho4i.un.1611 , I,Z1CZ76e74I611 13a.Yaeit%WOO lNettiud.tit flit: I nt lAti olostirr t) HTM Aarw n t. �f l. — t WIN V.fs-t lbrr W aa CIr1 ogre t.tlfar.rmarli QrYy-trnmar*T s's:Itm ia :r , Rt..o.1