HomeMy WebLinkAboutGW1--06949_Well Construction - GW1_20231027 e
WELL CO TRU flON DER — l'et Ca me Use ONLY. ' _
TIC beam beret*slip M cultisk cells
1.Wei CMtturr:r:seals iVnr.• . ......._ --_1
37 r'r1 l3� L.L '%1' _••!"zL• _ .sac r_.._....__._.._ . ._.--,H.
wa-on+ebA...v A. ' pertLif
NC Well Coalturr,Cietitl w.r rh elt.t .,,) �r�,V?7 LD1f!li.%. +5 iti S ':d;Rr11�: H
� 1 f • ` c�3�1' �.', i_;t&ma I tsf�y� y1 (1r�t4�3u)tl
U r•, 6 ct L. LJ,v LC 1 'r __ , -11 1 C 7r'„f �' i b, is'O S z i t✓ _1
Camper*am •••••_.Y q / �/� 1 la.lrL1112 mortal(Mr •• r ' .. ... ) ,
2.Will C,e\ • / Se-- '� .� .. .'�. 1i(1111W1. _r
«afro Porsche d: e. A.
1
lirr ill rwptkwrie lee oreurrecnov,omit..it..C. ,..Sa..•./srn v.ere -- - ---
n. A. Is—� r
3.Well Ike(elae4 ts.11 er.,e: 17.tta/!K ~_
WVahrSupply Well; . - . . ._ • --- ..._.-....._•• 1 -ate--•:J--� WMR/A - AtQrut; 71DCs 1 um owe..��{{�
OAgrialtuaJ 'iey..._:_.w.v4i. I A. R,.! is !
1
r1Oe0xhamal(Nes irirCioclei f S,top)y) udortier'Patcr 9141ply Oiorlo) i . A' h'•I (" _t
Dwfru.1Corceal �(casldcntlu N'n'cr Supply(stucco) I •)tie•_I ■'Crt.)n 1r••. •.r .,a:?7 Ins.'-•fi
4rd taw • r
Olnilshan -•- '7
No♦Wear a s�.l_.Writ, i J R_i.f7.` V ;R jrpn�-V4' J `��I to=
Uh4onhort� ORicuv\ry C. l M1
ftgsehss Well: ft I • •fL'I r
OAltit4tlb:charts Dr3round•etcr Ftemedu(ion YU;rACir.4 e.): •- . __�
OAett r Stomps au.'.R.q...rrecry . U3alinity Barrier '���_at eGGtLL( SWIM
DAgdkrTm O. ;�
�'biwmwsbcr Lkwneac
7
I A. 'A
i O[txpot:semtd Tael►.rioay OSLbri.lence Cordrui .
I O(kothermel C1ao0 l.trt. W. • L#(apt edltie\d1Ms}of irmHii)•
l 1') ❑.'races sr4M , i4 leeir.t e+++wk wrw+tree trete tie re.'
. ,OOaodwmel alestIna[Cad tettorc. OUeee:Lcaplem twirler 121 Iteat riu) R I h,
4.Aria Wawa w: 9 22(v caaptel - _ W-t,! U
Ss.Will!curios: 17t $`'". ` C' 1-...et_51
recixyrowner pt.,.. Footless.roll:t erpr.r�>,tt) -� i^G.Li./ 'd __ .1
u%a 9 O.t.o/ Q$ 6°9_�f _ T
NE Zip / fi'.. .., ®11_.. R 1(.J r—, c ?^ `\
PhyevtAd.M4 City,� I I__.:' f _.a: -r;.-
/ - O C T 2 7 2023
C'.o.y hero.::d.,.l.'sa.:..4r(P1N, J •
Sb.Latitude sad Loagit»dt is elepta/uiaate✓weesdi or skeletal 4e tar: 1_r
((willkigsoelstAeyiaeuf8tiart) U.C:erft ad"' ; r r,.T: ,il i r fr;i,74F7g�rJ,:'i
�•- r ` Rr�. cot q
3`C v J 3 44cS� �r /cS-- g 2 / W ,-,C , /..541, L"r t._l' �lr /`��. .3
ofCrr.i.1 we Ventura. ( Ode
4.is(an)the e.ell(l) rett.usaae or OTtnporsry
era.eu as"lira,1 tin*s.wejj•Apr ik welt/Mk.Pigie)""1"a.l IA ea904"o 1
7.Is this a re ' WO 154 I1CIC or:.0l ot►ye CM AIC'aC'eXr'OW rat Orrairsaiwt Jaw.l.rb.ire(liar.7pair 10 as ea(rrisg well: flVu er ONo ryt•o/ru word tat►einpowfrlse me wet oewr.
raw',i t'4r"fill sire hreim'kW/ewrrv..lioo i.e/oreyriJei area e...fair I he nano.y/rho I
nj.rir tower 111 r.,eVnil rn•ew.r ea W Mil wr,npAnn. 23.Sits dairies or erlillio/N will Wallet
You may use the bank of this pep so provide additional well site details or emit
I.Number of wells coatreeeud: conetntct.oe 41trje Yee nay also Wtteak.ddttlratal pedu tfoetescuy
row...sunk mama or wworer avjyi rolls OM_Y will AS Awe vmsoftraw..You onr
+"'&sej .. WDIOrI•ALINSTtiCP(ONS
• t.Tull well drpsb below brad evrisest f o iftj ha
For,wl.ipl.weiriur ell4.p h#V 11 ie,(v,.� t *t All Weller I Submit this titmr within SG days uf cunpl.ti rn it .7...'
ro/••• 'on!�relrao•) eonat:t: +ion to stet fdlotrina;
t0.Swat wiser kvd p.(ew up of mein; A 5 iraj Dniuon of Waal Quality.llrforwstioa Prucctsts4 Voir.
r/....,te.rrrr sk..rasing.war 1617 afh,il Service Coutes,Uals4(b.NC 3104.1dli
11.Dars►ola diameter: f• `r. .. �ia.s -.lb.E. ULfi rL�el>!t In addiuon to Sanding!Ic turns to the 4adtus in:4s
! /J L wet J. r wu'.at' a cot. of ..e n. v v orm .' days of COm 4ution of welt
U.We0 cosslrrct(as ca._._.• .__I S^ - . Q j .0 i c nr r •y .to falow(tu
Cie.vow min!obit,der`1peal r' ) � ,c
--
_ rrn.ir o!W.. 1' guy, •'.ogre... Loan Coated Program.
I POI WAtrilt SUPPLY
WILLS ONLY: / 1636 Mail Service Cesar,Raleigh,NC 31416.1ti3d
113a Yield(apes) •2f _ Ms.:.ed N test. oi,tr d p cv h 34e.�r Wt:"dnntt:`1&battier.Who (p ad listen to Wodult the Rim to
II� W adctau(e.) ebovi.i also submit o:rc copy of this forts within 30 days of
. 13h Dieisketios type:di i L-O r i h e Antonin: u D Z c+mptstsat of well conatrvotwn to the county habit depsr n.nt cuf'he:carry
—� oil we covert s W.
.Gyro. ►.rhh een:,..:Dgan'a•f:ewoAl.•..'.a.I N0.wi ae.e.v...• i F. i.