GW1--05656_Well Construction - GW1_20240920

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.+': WELL CONSTRUCI'ION'RECO (GW-11 ",
For to mel Use Only
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• 1 1 Q• 16.WNBR CASIOVG°ATONING kis Stand dared-lane) •2.Well CoostraedonFermltN: ` PROM m. Dteucrnt'he. t M&m1aa
uteuapp(ro.bhnaeann.etw,npm�slq��tJ�,C .710.pwiFe. R
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3.Well Un(dueck well lie):' ft. 1 R la
• Water Ropily Well: 17.8CRESN 1'
pAgncutb nl" OMaaaicipaldPublic PROM TO I, NAME= marina APRs"
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(Seat6.t f Coolibs supply) , 'pReaidentid Waters es;
• • alnduitrialICommerciel ,• •. ' ClResidentialWater Supply(aihued)
Ba•off ' _. -• OWdls>100,000OPD . PRo TO CDWIrbaIHOD&AMA Non-Water Supply Welk,: 9 2 Mi..
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pMaeitotin6 p ;5'IL � .. •!w i K '(••
Ie)eetloa Well: Reooray R. R -,, - J•. 1 C A •
DAgwftrRecharge ' DGmuedvsdcrRemefliallon It ' R. :' '• ,
DAgwferStorageandRecmreey • OSulnutyBaerier H.SAPID/GItAYL'LiACROf■aelicaN.) _. .,
PROM to
IAquiferTest , O9 ' >Ru�IwCabfaNrblZtioD
tottmteter Dtamaga � :I: • .R .. ,• '• .. .
B imeuW Tedmology OSaabaideaioe Control"
. : OGe othetmd(Qoaed Logs) OTfaca •
is HULLING non(attack•+�tls■.I limb If m DOeotheial(H slt'.00lm$Rp4en) . pother(niplainuadez#21iemub) PROM D��rtOtt(at.r.rd.,.,wv„elcys.,sf„L,r,.�
4.Date Well(.)Completede • 143.1. minimR
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51.Well Locatloi: •- ;to tti
' Fsualtt)IOwaertteoa Facility i[appfr a) ' R
az.Ci. 1� �aie R ect yG Rd ; R E :*'•V•l.�d.,•
P6ps'. �lddcen�City..aa$fp .
fir,;' P c,1Jdead8eatioallo(Fitt) '1 i+" .arc•r,> irr,
' 56.Ix:titedesea io.6llog a le al • ' '
5b.L, baa it )esreedmluateaheeouda or decimal degree.: r
6 Is(are)... .*elks): ernitineet or . pTemportip- :9 ■e bf �-i 2`
_ . • /G 3G'. �:wen,Coolect,r:
7-L�.t6baachairto, existing• •' well:. pYes or. brligel.ng +jh Ihmebyeel ANteiir8 -;
I7. eitba r, rtr No •ISAJYCACO2C.0100or1J/I (+) I��JoonStendireild�K
►' JI bean well aenettreiket o onnrttket a oiarepf the npaeo.ethe . 9r taoait hee bem 1NCtC(I2glenni 1►d Ct:aorcMoo S;+dr Ltd that i
'r*,patr wakr r2l nawirb ieef(on or on the bock efdN,f rrt• • F!m11d 1b the xe/eNar>:'.
8.For Geap:a>,e/Dp it QoaB-Loap GeaWermal Wells Lavin YOe lt diagrim it■dt lt(aaal we l detail.
. do only I OW 1 is needed. Indicate TOTAL NUMBER of hells o . (dd'Sec Ovu'to 1i aok B You t°may Ala o mien
adds we4 not ue.
}You also attaich additiooil pagef ifeeea
24.SUB
! ;fetal well depth be ew lfatid oarfatei �• • ' • I' IICIIONS
FerrrodM ewe ��� .pl &hWa/t.dvei L/ mrm(camptr-3@!00 wd7 (D') Submltthb I '�?i1 GN 1 Mthin 30 lay.of well camplettauper tie fi4ania
.$Mtle ivite�a fop iiearte6;- U y �R 141L • .Al Wens• Amin to i
rnrerl Par 4 Oti Divisiae of Water •
• [ / ) 0e°ad0°p1O io611nit.1617MSC Raleigh,NC27 617
11.Borehole diameter. ' ..CO-! 699-161T'
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24b For Ica eegotn_yylr.Copy to
pis Well construction
>4 .d me cad: 1 r r Riolg�tn,1616 MSC;Raleigh,NC 27 DV/R.,
9.1 6 '.dengmend , '-an Conhol(n
� •��t3 T a-1'(.1 Q Zee.For Water . �
erS� aid0
•• FOR`I ELLS ONL county aOm 6eat>terin■1 Reten Weis:Copy to
ti1MTER.31)PPLY y. county
13a.Yield(gyn.) 1�d.Por Water*elkrodaidn
Method of tat: '- i Y prt Pmgtaey a►ar 100 00 CPU::Copy to D 1R GCFC
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