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GW1--06776_Well Construction - GW1_20241114
. • • ;, -.... , . • ' WELL CONSTRUCtION.RECORD. • 'For Ipictual t.*!3;0;: ' f ' • -' . • . iff4s f9rth.qubciascd.fa0Ingto pi.'mal.tipks.w484.• . ' . I, • - R.Waistaliftaitlit•itifUititittiiih:- 1:. ' -. • • ' .. . ... 6/441VATERZONES--. ..- . .-. , • • ' • STEFAN SMITH . . , . . 'FROM'- .10: •. attiCallnigN • . . ' . NfC3ti.E41.offkalc. ft.:: '• R. 357 6A . , . ' . -i NC,Well ContfaciatemitffeatfoitTharhei. • • . ' . '-k-'1K.Otrl'ER.MS.DIG`ffoi•Tiiiilliika-cithi,alsiliftl;INER.(if iCiallitabkT, . • • -.FROM' ' ', TO - ' -proprroUr ' -TUICENEsS.- -. mAltatAt. . . (.4 I . .• • SAEDACCO • . •.i.4. ... .. I', ••• •••. ._„'• ....,' • - - - • ' Coluitug•Mani.' . Iti.4NNEWCA.5 :0.011•113BINcV ,-;iiiaeilnitiksietiiii, FROM 'TO DIAMETER THICKNESS. . NIATERIAL . . . 2 iWiltaillitiv4fijii iiiiiiif#:WI 0 4 0 0 5 00 ft fi, .. i .;4, . ' ....... . I,lis:101.C.iptim44:tM1 pcsiiyiiit*fi...1.;•.Coulty;Sfor:;,-.yatigirc,ItyWC.4.074):. 'ft: --ft, • .1"; : ...-..... . , - .. . .... . . . Xlyd!:(1.§.c(0t.ttic,i140 WO:' • . '-i7i,:SCREJIIN.: . -- • • • WatCr SiiPPIY W0.14 . • . , -FROM,. 1,..10 .. -liatAMETER SlrOT SIZE 'TattliNtSs I,IVIATRatAr. .' -- ' • .- 01304810.81, .tit;488iCipatiPibilc.. • ' - ft ill. . 11:Mentiterfixtt(Heating/Cooling Supply) . CIResidential Water Supply.(stogie) ; .ft, . -..1* . . . . •.. ,.,. - '- '"- - -- - - - - • ClIndustliaUumnotercial . CpResidentint.WolerSupply(slimed). 7...ritoL la •• •'Pi ' - • - . NLA:TERFAL. .‘ ' ENIPLA CE NIENT.It'IETIIOD&AMODNT. . . .Oltsiiiatian. . ,- • . ft. - ilti• ., . . • , ,_.. ZiottAlra(er 5upply W011:,.. ' - ' . •- ft 11.,.: . - . . ' EI.MQPitnliK. • . . ' P(Ittv.r.v,ry . . •, . . . Injection yett:; 0 Rcckttge - bGrotttlittrzilet13.enleilliftien • , 11%:'SANIltietlaV121LI,PACKlit Otiliiikbfer-=---—f'.7..i.,:-.`.-._•„-.,'.-f .. • . 1:148•10*.*40440#•6' • 1±1. 1111iiiy Ilnrii91--- -witorr- .'.TO .- • .stKrutp.41., . . ENIPLAEXATENT METHOD. . .... . . . _ . , . O.', : . ' ft. . . .' bAIIIiiri-:TaI. -• 0 Iiirtilyntettlr#Ouge.• . .. . . ..., , . : . ft, .., •ft: . , •• • • • ing..4111•17m)1q09.V., 45.1ibsideaceeeMm. 7- 1 . . . . ., .•• . ..,. • ... ' . • - • '10.,ORILLING,E0atittarli.'addifio-ifilitiiefiltheck*sai-O-T1 --=== -r--.TT---:-7,----7- ' • pOgpii.Ktmat iclossti)0* - • l:ITtucer. 1 „mom- .TO ' DESEROTOES toilor.hankurei,.snithikkOpt.ergrl'i$27i.4461 ' . ' 1:3Glolitenttif aleatinirooling.Retunn. . illiOther(eiplaia noifer.#21 Rettiatts) . •.r!*- ft. ',. ' . . • . . ' " .• (4: ' ' O. ,•. .„.• ....,. • ., ... .,- . . .; ,. ;": ;t ;,,.-).: ik.:' e..,... •., , . • 4;Ditovalay cawkied:.09/24/202 Ciiikit it)#IP-4 - 1P-8-32 (EVE1,6-Gelyr ' . ..' - • . ,.. . ...-. - • f.t. • • • 5i4-Wal liiiitiatki: • .ft„ - ft NOV 1 UZ4 -, , ., ,. . -./- C - - • • • Highland Yarns Mill . 0016Y.*W1;-.3g4avp'. "' F'dcPi•ty 81V iitgOkabl.e.) - , !. • )nff.."-:;74Li.:'1,---1 •P•••-•-r•na,2•.:---•:-..:1 in,o, • . "ft; ' 1: ' " D' Ce'i31.) 1014 Mill Ave., High"Point,.NC, ,27260 . . . - . . • . .Ili:, I • .. i• • :- -. . • . • • .• • , • .illPiullt...'404,.'C43.-••••40 Zip.• ?2L.4.RERIARESti. . . 'DPT' injection point; injected from 16-24 ' Guilford • . . . . f3multy,'. Pare3 Aleptiriciwo No,(p ) . - •- , . - . . 1. .1' ." • • • i .., . • • "1i.:1;:tiiiiirde'aiitl:1.4Ogitude intlegtteriuriniti4fieiii)liir. dCgrccs . '. 22;',cerpifitatii• Iii:.•• i: • . - • • • • ' (INtONtil;aafp htiltifiah•saff1474,M) • '--'-"s'. -- - ' 1 : • ' . . . , . . . :N . • • . . 9/28/2024 . . . . . . . .?lati.i I' oft,' .. md Wt11 Contbdal • Daft .„. 6:Is(are)the•Well(s):-.13P,erittanetit •or - xrEetilporiity.: • ' •.#1,,..tirbig thi;.jarny..i.kirOy criiih.ti.ifig ili#Ivq//4.)tsys.000.y4.frue led in F.tqirign_cr . • "with 14 NeAC tn.0.0190 an' t A/CAe 6-'...T.,p209.Pell Comitakitoit Stai;dd-fili-and'xinzi - . • 1!.IN:thr,s*repair tivan' .#iti*g ii/e114,- py.es-. or ltNo. ' ' 441i$.of thu.i:recrityi iiie4Vivi-pMlitlied iii14.iti,11 iiii* • .. it Oisix'a eepilo.ffiitiia;-1,-kii.vtlirtikt:Inzrurri.tha.4trbipthripolt mil 419h.giT4eAgryr.e of die . ' -• ' -.' •;..: : . liSir iikii:f.r#.i i.iizaii2r784,...-dkri iii-imi ihkk.1:of ihh."'Mr. • .23.,Silo tliaginta.0 aildttionalwelldetattr:_ . •. . .. • . .. •You in use the back of hits pEnte',(ef-provide additional'well•Slte...441tS•;or well - • .Sc Nuotheirof ivelli cianitnuitedi 14 • ' coosto0ofdetails:You alay.alsci:lah*diaiklitiOnlil pgesit tecessaty, Fornidripk(rijecion 4.11 nod-1tirt.ir,pep,"ivc-14101..r'pith.0‘c.p yirt..c.orthritettol.t,p:4{ear) iginniteni.f.orva.. ' ' ' • . 'StifithtITTAL IN si'UtriliEWS ;. , . ..,.. , . 9,4111hiatlielt aepthbetai*:latid.suifaeei 24 • - . : Oa 121*. wit.-Art Wellki, Siibinit(his Twin*ithiti:19 ilayk.,Ci:-Outp(cilan-af'w0 Par itialliire X•elkli$t riff ifetu4s teifil.Pio(F milv.ii,r,i, 3e2vr crevi..2-@ Logy - •'' .c)nstitictign to;'--.,:1"''''..r0—uOuil),X.:: '1' ' ' '1(1.,Static water level below lop of rusiitg: • . . (fl.) in.i.iiiiii;of WUter Rtsatt tliiii,Intormafiati:Piratzsiiag.Unit, jf r My!th•,,alteNe(..0.16.4;:afi i•-4-1-1 . . . [617 Alail.Serviee:Ceareri Raleighi.NC,27649-11617 -EL.-11nrehnle diaineter:2-25" _ _-•(in,) illi-Fut'.roleeAtlpf Welk ONLY:1.,In addition to sendiogth rOMVIO The.atitirgSS-ill 240:00.also sUbtilit S.e.o0 of:this form Within.30.'ilal*:of entlipletiOu Pf"welt . . 12.W€111 construction method:DPT •• ' 'i'20tifnic•thUt to the following WO:,ull*r..nsdasy..cillAdi.ted ps.1.1...e(c.,) ' * • ' . • 01YISion of Witter Resolt reer,.Undergrotiitill fpleptiott CA]utrOi Peogrant, FpRIV,ATERS.h-PpLYWELts"ON!.,Ire,- " • 1636 Mad Service.4t0,Raleigh;NC•21649-1636 . 11,(c..,040,Watei Supply&ksjeciton Wells: p ,.yi.ilit.(0.m) **hod iitvgit.*: . , .,.• Also subacit one copy of(la."fatt*:*ithitt.30 days of 46(01eticti of • well.eopsuodton•tb.the-etninii lze`ai Itlt department o(die-eptuity.W1cte• ii3b.liiiinfeetion ikon . . ..Amottt:. •.. . , . . ... . ._ ... .., ... . ... _ • 'couislnieted.• . . , . . . . . ... . . • I Fasiu GW7,1. .Noril!Catalina fls,...iianment..oft avuanna.Rod;9;oaui 4esJarecs-1)4is Ion of Water R .atrc: Hoised August.,p13-. I .