HomeMy WebLinkAboutGW1--01282_Well Construction - GW1_20240229 e'
}YU L cowsntuer i ' - + _
Ns 4 w k toad faraisgio re toultitlr mwp eK locate Um ONLY.1
1.Wei Castni:cr:efat:ta Woe.. 1'
J-& r'r 1 rr3 a Z.L ' t', �?�,.'!,1,M,,. .I...� --.�.J
woo comae*Mc", .r.► aQ t• ' ;--._....__._. .--------�
A. q/. to II
NC W.UCoaAper•bltit4ur+., hm.s,i.r !�^ H
Carpus Near DA
r••1. ra LC-.b e LL N21 <. ; I tom/ • , „ i' iitviatatlt" isle?2/ .�iu'lydit�t.L
I le.lamtta cafmq Oats 1
3:wen G■arr..ata.l.edt r: r atAncalas.
Gut of orgtiveit rah' --- e, A. i
r>r1Ars,Nm.s,pvr�irr tl.r(-ivory.Pr../rlrwly..st,J .
3.Wdltles(e34.Yw.3l er;,.;, It. A. la
;
GAyiwhslra) 1a. 'f�I. is r
n real(HNbtsJ(1polsol a4;54) ;ZRea+da oil'Pm 9ct ly(3iNte) 1 a h. I• la
OInJw4u,UCwvwcr! !! Y.
�(caaldcnusr M'a:cr Supply(them) •. •.
Olrtildan ■:_2>)r 1
6.. 'Lrr•,n� .. •:I•„.1:,n :.77 .:till.' •
tteaWalor flapfk Wes: • K --77 h
h tL ti
°Aquifer Recharge OOroud•r.tcrR.m.d;at:f„m 1,1)1fs'r" vu,r (Natit.
011amitk 5 _ ii-►i )
Wage an /N.No'e►y uSsliai y Dania frilt •
�u�
°Agmzatto' ce h. to:
-�
�bfwmwutrll►:tisc • 1I
i QLtxpet:reedalTceh•.r.;opy OSebr;lene.Colmvui I ` A.
1 O(kothormd(Cloud Lni,e) U'rat:a ' '*( r rietl s�mWia.d buy.ifiri ti}l•• •• • . ..
. ,0O.OIIMRmiI(l{Yl( '•'yy(y>�ltaei.il >?OM TV ��^a`as isassc Wwi bps,profs eh,
). Mew.-(nplun under i21 itsct tska) ft. ! h `
C;hie WdMr)0yosptrs.d:/7a•r2 c�!' w-ls Duff _ ��' h 70 . t` J v I �S Ll
�a lYdl toearbr: 0. , s- A. S �> 1-,g/ < rt9 r7 N __._._I
. +
Xi.Re. ���,c sSt�03 G C re4_�.,, j I
ractliylt�nw Nrw ---- a. h.'
Faoiiy roe:ir.w7o ic.elr) f,�
Physics!hams.Coy,.sod Zip 3____. ifJ.,
eve.::J,wG.rmf..µ.(IJN,
Sid Li/itself sad Linkage is div a+a
wc.ialia +weord.or ekeiaasl f�'a:ie o�N. •.
(Lose fN(oo.t.tMy b sualeie.Y d ttras: •--w„
21.Corti/ atlo.: JQ''��.
3ss � rN �' ig 2'a! '
a•L(anjlfM.elk4: tartaa.r.t or G7.roporery ofCrr.f.d «Irrontatmer We
riving ram'farm.1 hot*tart*Me,Me swift%)mos tissue uwrtarr/hi woor,fo...I.fhq a repair I.u etiefla�well: Qvq or Gye WO 134 AJC(1,Or:.01 0J ur Mt AI •1C ON.;CM II.itC.rnlnarW Jrr6 rrrta v.e
7.Itti 'clan
M 'Aid or;homer we"owr,mwiro,40,'Mai.n rwd c.cproir:hr,sore ^r .� O.,/has Mrn/rwtbl N Ih.Ws or semi •
^l�,,n.i a I)f,eno,i„miter r ra..r Irma ft,,w4�,... - �� 29.S1:c diagram er adQfloual will deistic: •.
S.Number of*gib constructed: / You:my use the buck of Wu pogo so provide additional w.0 fit.details or..ou
.r rm.IuN.wen.■...,+.w.,a C,,rmae I.W.on details. Yoe,may also amok addoienat paw If tm.rwy
.py�,w heft
•1L OAST wmlr d,two cwarbO+aa.Gov air
SUPPO•f YAL 1PISTI;c-rtows_
3.Tonal well depth below lied surface: 3 C)6
Pm"41t,4 w,M►arm Nt�•Ar�.(/mt(lfiiyal(arosylr•:WOO'ens]41 100• I hJ Ica der A WiH Subnmii Qt:i fi+rnm vvititlu SG days u!cumDl.ti x,ot UM.'
1 conat�:clion Iu Ow foUa,ring'
t I.Sr..c w.Ur keg aet.7m cep of main; 3 Q -
yrsh,kw/uab.s swing air-,•- S.) Division of Water Quality.Irrforlwt ties?rvce.mmtttf t:oU,
1e17 MIN tieMice Cotner,Rabies.NC 270%ldt7
1i.Dot.hol.dlalrwtor: .g. " .. .•ia.y
-.tb'F lief!' r3cYc)71t• In addiuon to seeding he:am to the address w 24e
13.WI to.HrYcfia.tu..—_. ,I /J we .. m ell'.a1' .er>L, of ..r n. . v ono .' days of completion of well
(i s..grr,vary,.sets,eke•w peek.o• �'� /�C ��fct r y __ e rot K:. o- t+ fo. ,
l'Ott WATYhI lR)/t!LY W[t.L.�O'f1:Y: - / — )v ik'Of W.• ' iauiy, ••_er'r. :_,.clip.Coatret Profnw,
1434 Mail S�t+ic.Cosier,Rakish,NC:7i:1f1463e
13a Yield(gyro) a 0 _ M..:,.d.i uw.„G:01_1/ 61/0 w ii 24c, Wt;.,'VW/&kiettier.Wclle; (n d titian to loadingtest fiem Io
the adbw(M) above. also submit o:sc copy of this form within 30 days of
331t Dietafsctlea type:C 11 L mi r i h P Anson it; ..- lJ L completion of well conam et,un to G.ce
cwstnucW. +W heap depara'r-rot t1'tk:two,
ra9,Com:r..Dr,a n',,:.f:swonr.•..•.r.t 40,10.1Rara,•ar,•
t, i,
•
•