HomeMy WebLinkAboutGW1--05890_Well Construction - GW1_20230918 a
WaeL CONSTRUCTION_RECORD• - pee wrist Use ONLY. '
...wbe vied*sip reseultirlewilt
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Wel'coloonor Wok, •. n
7‘ " 18 "I L-5--6 I°WI
Ni Well Costner,Coditlestiw eiwise a , j r' s^;WtTr�fr''iw1:Mi:►iitiiMj ' de'Rd3:
l°f C /,J LL y/ / r s ''its i '' iihuataYa% ' TA10. .1; t'l 3if tit
T r1--_6Q ll 10.-•,_`_�H_ I .1-/ "- �/Ir•', 4 I'br is- )A z, 1 p iJ.�- _1
Cte pent Has „F r(e.lust wt CA.rt+4 att'i* ti O ) r
.7 sego ,A.a. - ,f. : l UM au,i,aaa. e
3 Will b■ae►aste■.Tornio/: R. I e.. r^
fsrr di(Whvsl.evli aAg eerge>Ier�.r A.Coa.wy.Se.•.,. 1...4m.or) • R. I.1•• t` ►----.... •
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3.Wall Use(ebeel w.p nos; '17.kpJRN • ~.__ -
I Water&apply Wall: . _ —'
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1;•"rar• :S ....7. ' soar IAA 7WOCIC71115 SiAr am
CAgnistituri1 •ir'•1•:: -•-' •v;\.M:. 1 Ir. R;I ar* is - �I1
f,'ICYVril+ermal niaellrgiCboling Sw •o Water
p)y) dzaie at St:uply(siopia) i N ft.;1 M►
Ob+J taw us risK eesai J(tesIdenUal WM.0 Supply(shuns) I■:_•'416ii• ...EN,-.'.' ttT/ • •- •., e a:?I .t:8a''-.
• win
w J
N»-Welt'boss Ir weSb i v h -.l.Z9 if • 4P!7tU_!'1- p.-U- r.e3: .—
CL{aethot ...._-..- .. --•_..DRaov.ry R ! ''M1•I . __ I
es -...- --- It. I - 'h ( 1
OArruifkrRadler DOccoo iwater R brood uticx, IF!.ft:177 YSL•T' Na • -_ •
DAetidr%cralps oat F.•,e+sery USaliniry Dirtier
:.'. :tR1► rn tt�►t.�btl�tt"°• , 1
CAOSt:Ten n 1�
:4lu wws1-er D�eeinsgc
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OLttpit:reedd T.at►.riop OS‘bI•,lence Corr(roi •
DUcotharm (Claod Leal!) O7rica Ze. . .C WO(shop die er.■r►N irwMlaY- '• ''
d
OOcotharmel Panel i tb ' . � _"'s"eahew+trw>entepit,re'
(HeetIry*Cui4 �Asturro OOthe.•1c%plsm tavier 421 Itettsarlu) lc . in.'
l.lass wend)C■aept.lid:d"3/•-a 3 W.-tr!Do _ a �` L ` ta -1?, ----
Sa.Well T,outtor! ;'- ?'� IA (7- 6L.�
teet.14y/OrrnNew Yeeilily Mil:tt ere hr:ble) ^• liteft > • o 1 i J _ l�
i"6 •p1aL/G7 / (�
Arsi.e!Mdreee.Cty,..eTq ^O f�. _L`.ty_ R I '•11 J l"c� •ZUZ
C...y h,e.e::eMuedwe..4�(TIN. lfatye eY j-?04:0 .
Sb.Lelit•d.iod Lomitvde is ltaree./uioute✓..Cord-,or dciiaul degrees: I
((well deft ogle Woes is sunIclrao) 12.<ert altos:
..g6° es"67 V 7-N ?8 °,,q 7 S s47 W ', / ( e-ai-23
or Gouged owl n,.,v■rroe Dsfo
a 1o(are)1M* lli t) estsaaeat or On vapor ry / ,isowa,b.jars.,nweelZr uer10'!ow ise ev0/V:,a,;..,ef ueer,.eere./a.eroref.wa.
WM MI"CAC 0Y...0100 u.MI NC:•K•e);OM'Tell C.uMnellew►.1b■Jere oral w.v a
7.Is this s repair to ea eaisliag well: CDVes or ONo espy of pen.woad les Min jpowIrl re nee pith(Weer.
j/rtlla',di Nhelp,All yet bowl wet/iow,s uo.4b."ee11,i,n ewo ir/Ialn lilt>tai r.gl LA.
',pub,en.b,0)/,r..orL,.cw41.r ea Ye ewe..,.niadata..,. 23.Slit diagram or idWftosel well detail.:
You:uay use the bask of this page es provide additional wolf sits details or wcu
I.Number of wells coastreeeted:, coomrttcs.on detail You may also attelth eddlUnnsl papas If Oi.SMry
Flow
lupltL a—ettr.w..r■..-.net,am+.alb ON!T r,0,At sa.eeec...ue spews.>or eon 1
mi.:,Anofe...
�f till)}hQ•rrwl.lNsTtx-ncx+5
• f.Tuwl well Mph below,lead leases: lib ' MT 34e. rtr All We Submit ship form wititul 'C days of cunpl.ri,,n m .n..
FOP newAt WONT an eta M h �• 'IJe iMr if N1F•e.r(re+reyJr;WOO'and)(li/Op') eofLT'l: lion In the renewing
i
10.Stalk w.u►ievit below of rasieR: i fL1 Division of Water Quality.Worries goo Primates Veit.
//•.ehe,low/is slot.a ow.we-•-- �' 16171tesil eerveca Ceuta+,Aalelgb.NC 27db4.1i17
•
I L.Dosehali Mouser: `'. .. ia.l -.eb.jr uks, /s Wag: In addition to seeding:he'ono to Ihs sadfess ie.aa
/J 1 epee ,. a at,.al• t ieet1., of ea n. a Una .• days of complrnw,of well
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coestrtias.lee.—_._ S^ •' . Q �(e-y _ c nl K:, •p .n ratow n, •
(i e.roan.wiry.MIA.die•t rest e ) /--
_ ,pans/ ,r us... 1 • .ally. '•.rgrr..,-• atOtios Ceabrel rre(raae.
FOR WATYit SIMPLY WILLS O'f.-V: Iti36 Maid,Sesriee Cosies,Raleigh,NC 37WW9.1634
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13a Yield(p,a) /0 M..:.od N um.:,.C:�cW low l.✓n 2ec, Ir Weil,)tltalr<'e dt bundler.Welly: Ili ed Ilion to soodutt the Cam to
W eddrass(M) shore! tJao subsoil oas sapy of slat fats vntllin 3G days of
13bb Dielaketin type:C ti L G r'"i h P Amoout: a L9 2 completion of well conaw,owwf to the colony health depaionent of'he:C,.re..
*WV cocatrtx:tud.
i,ow.) l r.Aeirg,-:Dra,r,t:•f: i iwonr.::.vr.l Nd.e.t!a�w.•.v,• , r; .
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