HomeMy WebLinkAboutGW1--05470_Well Construction - GW1_20230821 ..-La a CO N'SntllcnON R U)RR et'„tatp„.lr+c Uw,.
I,W el cbtN+e«e telhi Mller
Landon Philips na0131
MIN10 ,oa■,eae
R
aAtl�llmtr7l+ae qc a tIc /
3441 A a e p
Vi 71td1(yl+radatn seAlifflb .=[;-'1:-1- ' .•''
NW P o'e Well and Pump Company ®liaj® .II 641.1✓ .
.ltntp+ai Nom .. Xlff�i _-_
1 Wee Osi eeeaelle.M11Ball It �-jj —
t�yiaelrtaaicaanaar•M��a1(1CClimetWeLtlYne tNtwrl _
f -m —
t.
_ ;
3.Well�IblelK 17.tif'Ri EM MUM 4t IFi'.�{�[ t P11P�k-�iSi ,.ltAt[7tW._�
ti Wliler'9e 'Ma! ROM TO (
i ❑iretatatte \huuclpalrpublic —
i (single) ft. n`
��atersbak F��.;,1 �i's+lcytn.11 Water Supply( 6'} R. I
1 O1+Aateate Catalteeeoel °Residential Water Supply(shared) te.GROL1
Q\Fills>100.000 GWI) f®
Nee
- .w. `�
JnkN". ♦. _
r►"eev511llbrlMe! �) h. 2 U R. Ecrr. n
` ❑Kctv,cry €
ltljeeltiea ft. h r
:-M. v OGround,nter Remediatwn 19.5\N!)/C.R\VEL PACK i7+• ,ca' OOedCLfecT
®® ,$1ATIRL\L
r.�tia�'���Recvsesy ❑Salinuy Barrier
ft.❑Storm.vater Dramagc ft.
R. rt.
MsEtelDRSINII rabili t. ❑Subsidmxe Control t
Ze^- l``4) Ditacer 10.URtLLING LOG'attach&idio .,iheeta if 2. , M �`„'.
i,Voa�.aew�si l`.ww' MOM � UES(-NIPI'lA.�leo. lardwnt ' '•
1 r droll(Rey;ng Cooling Return) 00thcr(explain under d?1 Remark's) ® / ,,—
ft. 54.. ._— ---
a.pace WAS)Completed: Well[DaZ it. C.:
ft. T?S e i],.nlfG —_ (�C lv r
li L,,
v.F►ei4llteettra: n. c
-(t• �J .� n. e. r/� aa�ss
— faclhry IDy rtf,ptnc�ablc) /u t"' 1
ne l N. G 2 1 2023
"NV�17
(.,ry..uul Zy, 21.REMARKS ry�l/boy.
titli
Used h ✓
ardBAed Steel drive Stela SOG
Parcel lJunldicatwn Na{PIN)
I.a:itu tt and tuul;itude in degreesiminutesiseconds or decimal degrees: 22.Certificat'
wltic ant) `
Swait=of Ccttatit WACraWCNv Dm
6 I;xaffb the,'Ills): I'rrmunent or 171'ftnpoeary Hv,.N,t,uy rots ti,rnr,fiarelrA+drileir+ellAtot•'t 'awanyo�rinoovd•cr..c-
Its au Iesiatltgl*elk OYca eo tNu ,J rJ ncnnf o,.,h..•,.p..aJ+/rir+aitam+er
�.h a114•motor trrerwr wllett++aadala,ta/rrrvmnam And agihm.the,,,rrw.of the .....-
vs.aatior a lrea armrirlotat 4 rho-6,ca,
r�paa va.Ytr aft«eab4ralatae Yo m y uuram or ofd s to a opeC
You IItJY use die hack of dos p�N Puf&akkeeetal tifj ht
Fair CatmearebeINFT et Ceased-Limp Geothermal Wells having the,atnc (add'Sea Over us Re a.zrt s®ea)Yee may+IeaaletttladdeNati pages dabsesso"
,,,rryraeerla\attly 1 WWI as MOW trd,eate lift-AI.NUMBER of,ells
3J %min- At.INSTItIY'TIONS
"viaa d p/10 Mad uiae: 5C2-1
(R Submit dirt GW-I within JO age vf.ejeasplew per abegjistrrt:
a-. •.e4 sods
sledreprl+J w/..wr riu01141-I' .(r'uJ" IW1
LIt. For All Well.: llrtillell as to Usuteirtt u[Walter IOea+lltsan(CM t--
i. (IL)— Intiumannnrt conethlil1617MC,Ralea NC27690-16!)
1a-�biic au+N�kwlhM•++l r1 a"'t'r' __._
:I I.Su rnar.rta�dl+.e sat s�' Colossi LIL.-.
21b.Eer l+jertu,a\YrR.:Cepl M DWR lledetataa�tl lyet:oon C
I I. daet Iiew ea to 6 L� Pmkratn,le,le►tS,' 1,1.r1. I,NC yams.
ya s 27699-1636
Rotary yet bar Krrar solve,mil -1++a GarNeries1 Were N- .Cepy to t.
It.wee uia be e'� awry,euyesse ertiA head n l chop.mu ty wioe.eraltef
:,s,"enr,.wa.y;Jil.Iea.tstlai.e+cJ
jK Y+r Weider Walk 1aoi �er i W.ddf G Cc to MR.Ct Pf.t
(I4J WATE* lWVLI' IIUOtM Y: OW hook,PawpawPawpaw[6l'U9C.fall+�we�`�.'t y!-ldel
99 17a Vial Way 2 5- Wind olri at B'
1.116.OiidNi ei a Mt
HTH A..a.t b.
evle,4eF3 w.atfrrra tkeua.r.r.r I:11.w,-.t..otthtQ.r6+0-owa+r er WYarlrwem as•Mifd•s-..`