Loading...
HomeMy WebLinkAboutGW1--07913_Well Construction - GW1_20231208 • : Print Form _ . •.' . WEl[.L_ CONSTRUCHOIN•RECO RD(GVVel)• • •: ' -For Jntemal:Use Only. . • '• .• .. • '••. • I.Wel Couliaetarltirortmtion:•:' ;. Cameron_Bazin .. ° weliCozrttactorNsma I�.weT�lezoznes ' . `FROM•_ �TO __ - DESCRmrION. . _ -. . .. - • NCWe lcomotctoiCeoiSgtionNmoi� • L� • . OU7'RRCASSVG(f m weDs)ORL)i�[t(ti le) . . Aqua Drill,Inc. . ' - • ro_ D, 7HImWRE T RML CaNaam - 1 CAsnic • . - 2.Well Coa utUoa Pamlti - ' _ 6-2.ri Q Q - '• To.- OR• incin a n enoal )•:, IslirS IAI . ' ;tOt011 APlcRble►itll�nnrnuadonpoiiiits(ii,G UI Onm{jt Stole,Va,iaitcg.dc,).. : . . ft.' ' •', . in!• . 3.Well Use(eheckaelluse):. .: ' Wale Supply We1L• i :et-glom, TO bOM6TER_ 5[Dr&Rt'E TRICiCN MATERML ._ . .. •. D•MonicipaUPublie •. ft. in . .. *Geothe[mel(ReahnWCoaling Supply) tint Weter'Supply( e)'. : :-•a~ . B iri' . • ' :11InduatiaUCommelaial:.. • Rafrienb 1WaterSupply" - w. • • • • • •- ' • • r.'imiRatioa • . •. • . . • • .• . IR ist:- ... . _ -• a�rgooaAMOuivr'. . Naa-Water • • '�nrAL SupplyW�: tG• .tz an • Mw air • Mtn►.5' _ . ... ion went•. . '• *A;WSerRechezge- . ' CsaonadtaaterRanediati •,. • - . -- ::i , ,, SioigedaaReFo,re. . S'.. .i3a�cr • .. - :. . .• - •- . . .. nsAt°mdGRTo. .etsc ale) , aaezw rr eOD DSabsrdmr� • .: - lit � ,cafineatal Teehziology: : . . � �. .. .� ' •. - m . . . . . . - ' :.by Geothemial:(©osedioop) . ' . C'riaixr • • • -' :- 20.DoiamoLoC( ctRtatttormtshutsirnmma. - • . : A Geatltennal • - FRaMt TO- D1RCIWIW I(a)eti1.7d7.[oaheeYtfp4e�+fedz;ecr:)'.• : •- (Ssa4oarCaoLng]Kahanee) �OSter(expleiauader�l 1�emadcs). • ,. _ •l Q..7 7iaj• • • • • �. :a5 ▪ Sr�r: . 4 DateWPelue)•Completede •• . • . • WeUIDd • •- - • gS• &: %c,i.• • . WeD Loce�on. . . • -Cr1 v/ Gocti�( • . n. - 14 County n N:(PiN) •.-.. .. fl � s ri a'n ,. Fazaelt/QweNamn . • • FcliryDBCdspylabt) • .•.'Q •ti- : • -., • _._ ..: '::•23: : 1ntA1 . •. Qo1iS �' a: • ' •a .. D ; �. t0c3 ': ' eh icti ,dtrada . • • k f i T 'if 000 ../. • ( mo _ 'Pd ' . Sb.Latitude and loagltndelit dein;climtnate§/uwnds or dedmal degrees:. - • I. _GrweofiM,ee.:DO*tssuffieielp- , • ••.: .•• •.: . . . 22. a '. • •• • • . Q.:O2el : .w • : ..• .•- I • 6.is(are)the well(e)Oermanetit :or E3Temporaey : S,gaatalo oftkiti6ed Wen Cavjmcror j •• - • . • • . . • • By agnd ahtsfomr.l helq oatllYthat the writ J xm.&WV ►n • • • i ii tibia repair 0 ai et sl Belle. 'IQ. Yes. or. No . • .. . zvidasA'walcoEC DIQDorHANamo2C.QIQO Weu'ConsnurNaa ' - lfiMMLsa akfioruhriamisivilwndnicttan&faimatlka eiphaiatenohaeofthe. COPYoltht MOniBasbenpmWdabuttdti�egouuie: St m. -:-.,fhata•' . -Pr.ruidw#21 ,sirttavraronthebadE ir-11. fon 1. : ' , .- -:d ti.For.C 41142/DPT or©osed�.00p-Gtothennal We biviagthessmo' •back;ofthis page p . 23. •' tanstiucthin,only 1GWlieneeded.Ti�dirateTO1ALNUMBERofwella : onddeiis:.Youmayai� -..:. l• w .armed: •. ' •. . •• • . - Iattech n ' env • SQAIVQQ' 9 Total wail depth below land surfaces-• - ' .2�O') - • •(t.) 24ac: 'P , AI. -. • • Fbrvii4ee!alls kt,PildePahsfldlr�tt ple-3@IQD'mtd2@V009 . ' • n• font within 30 days of compl,tt01•of wall :1f static waterlevelbeimrtopodc •'10 ill I -I • ; lfaurrenrl4"i!sc�tog.me"4 . .- ' ls6nolWatcr$map 1 ati0npro • i �Mali eervlce Center,RWe>gtt,Nc sz® i° 1L Borehole dhmemr o• ' (Id:) 12.Well eonslruetlon method: ; (()'I OC• .' - ' •. ab �Of his bna ? (ts■auBee. 9.eab e,duestpmb.arc) constructiotttothe followiD 't °eompl of weep = D1vtslatopWakrndii.� dotiQoatralpro . FOR WAIER.SUPPLY WEI ONLY:.• ' ' •• 16361Wip • •• C • .NC27699463b •i3aYlaa�p>,a 5 n7admaoftrs!- 24.___ 1,t the �' I°� •in.addidmtto fro. 13b.Dlslufecuo>i type T it Amount: =trot,z::, comp ,pilitojoijo k SPY-uf'• =, • ot• . .. _ . - • . .. - - -whew s¢ tiiii,aunty 'matt let1. _ � -a�fi dta';coumty, { 6oauoir4 Noiml:.mlraane-Olio eotuf -D ofiWa -•"-• ees, i' � I 7+2aioib•