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HomeMy WebLinkAboutGW1--05458_Well Construction - GW1_20230821 N‘ELL CONSfl(UCTIO t RLt.UIW tt,%f•II! r,r t.t ew4 .,..., t VOA rlrM.rUr Isforemallear Landon Phdtips Itwititt w«s.f...,r+ Vie*. ____.__ I 'hl : e wrrmel 344tA 6/0R'D, R • jF,r"- plarf rgCra OW i::: NW Poole Welland Pump Company r 12 WA\ Prime ety �fC tee ae rwaTT0fl?_Tt -*n . ..,-.,,w cirinn M nw�rwnnwprimp tt It 1 r 'tsnrr Vrema.r•ro . R �I. is t air!l\r trill�eM wetIt IL t V.Pier supply grrr I e111crT O ►/MNffiall 31-0fe j MOM* i la4nttl l trdhar R R;L:leottemmeiPiesiampCooiteg 5 1 elliatileemii Wiser SwF*(figle) R R. is f:21InaesterelCemmerem1 OltatMme-.Wiser Sep*(tftie/1 = 3Irr posson MWkSs>1011 CR0 TO licraisa OwtAtrxerr memos s 04000 I Nee-Weeet Srope,Weft G R Zc R Petite/de. peg'eg'e ° ORoee.vy it. IL v tO Re dline i a 00re rr mmerRaetehmiee IL -- �, 19.ss mu:RAvt1 FACktrireeeR.Me► Endah Sonia :mom i re faaTolse IENIRIACILmirwr:serum. _ CAgio t Test tl3mrnwater flratrag c R. R a'JEsperwteei Teelmelopy OSuLniulenne Control ' R. S. 3Gmestai(Meet Loop) Qloroee Io.I)RII.I.r'GtacUwssalohamt deem it.aewl Oese eletei0k e CeoLogeEtkWs) (] Q tans: AO OeI Ox(ear.R,►�irr,werwfttlas+riw.wc+ *ohm under d2i Remarks � ]i () rt. 2- R r:,,,C,l i,That Wake)Oupplert J —P3,N1i MO rr. i// rt. n is u Mk Lett ieme ! c rt. 6,c rt. fetes! C t-tram{ E r 1_II_ S. fZ hits\ e.10 A r.. rt. AUG (� 1. tamm.e� Nowt •7 Fxolny Ina(if aprL.eble) rr' R. U ?LI�� c 1 fr. � R. '' t I Ue Yr�.l CS L/I (FI' - f�aar�i t+{rn.C/ awl lip 1� rJ rt. R. , (RFCrliRAtitlk err•:S !,q'tr'lti fZ�c:1L\\,t 21.REMARKS I .7 --�artcs Paced 1d¢nnticatton Nu.(PIN) Used hardened stee dikete e. gR Latitude and longitude in degrees/minutes/seconds or decimal degrees: i `nwt iultouselw4aripawt:i.:cmi 22 Certificati QQ 90 N —1 .'fo'-F c W c,Laker/,the oats): ::Permanent .r OTemporary S,gnaIwo ofCenified Well CensureDrrr By vLrrrng flit r.fnrnr.I kerrhy ceaq§rierthe'RAW us trent osvmraptararoord.c:. h this•repairhtan existing welt• Yes or etNo lidNGlCrex:ofraor/S.1 NOW WC ION Wee Cw.aurymw4rek awl Ass. -aa aore'reJima k.,,,..,,ii.,..Artnociatrtivirnairthm used eVpfu,n the mayor of,k 4,1", cc,,rd has Larn 1."9.4A,Jt.t rre$w,orer *:'T *mailer s31 eemtrir;ran,.e:r.to yin•track ofihrsnrro, 23.Site diagram or additional well details: 1.FM Gettprette;olrf or(laved-Loop Geothermal Wells having the same You may use the bark of this pone its ptwrde ed6tpepi treMmt�u tt = ceearsstioaen,z :1 -1Itett�slcd. Naltc e TOTAL NUMBER ofwells (add'SceChermRcn,.rxs llwateyaMtaetiaddaanatprl�esd_- eralkd ' 24.SUIIMITTAI.INSTRUCTtYNs 9.Total.tt**QM Wow bed soefeta (//et S (ft.) submit this GW'•t within 30 days et €eesomptr.daimetshplrirtrrwrpleork-�'elioni(elrl 7e �tlFe�perki[teSwltr� 1151tNrrrr.Aeritratieisltrprotfdtie� 'Z0 (Et) 24a. For Alt Wells: Orwell peel,Rr Deri in d queer Reim,=(Mt . Infurrnatnm Prvremtrng Unit,1617M('phlei.s.NC27699-1617 .v.ak,arm Iat 46r.ea a:.. 621h.For!nit/akin Wells:.Copy laOWN,Und groin d heedue r Control tit... I I.Owe tlir irle meter, (w Program,loin DISC,Raleigh,NC 21699.1636 Rotary 4c.For Water So iv and li weecMetrtooa method; 2 pp Open-lama I nrieeoed Rowe Was:Copy::.7;_ ?cc aqua.,may.alit.dont peak'"''-i county envnunrncntai health derartnntt ai'the-county v*tote emeditat 3 ITN:WATER%T:T7t.Y WF.L/SONLY` 21d.For Water L4 ells producing once IMJW Gib: Z0 BLOW PertnitPr.:Frain.In.II\tSt..I:.t:etg\'.�;s1C21&49-16t1 eAoyroDwl�CCP'(.+. i Ile.Yidd towMAW.t etst:. t3ra.Oinirire>irtt type:�H : im.na: t lb. :y agx.. .art,t,.,,I,„,,,t)eruanaun of I ranm,e,r.tl pmbr. t t ,,.ter.,$VS,tier N,ct.o n;,n ae, :-r--