Loading...
HomeMy WebLinkAboutWELL-06-2015-062161.TIF 00 k7UL 13,2016 02:58A WHISNANT WELL SERVICE 000-000-00000 page 1 II WELL CONSTILVCI_LO N RECORD Yaw Send UseONl.Y 0 )L tom,ea he used for nest.use m.lople..ell, 1.W.-ew/ we 1.6nm.1' st-::.r. ;!,:-.i:',"...i.t., '. d uw'um wLt .1 e •'- � ..._—_.. l Well Mil simile , • ,,. ,,:r.. ORIINIi 0r rppllnut .NC Well Co W Ladwn1umbel ... p .LL ' Mlrlw li II • Company Na ry. * f.:,- ,E7 LU .._ � t ._ niM,xnass :i�ivnTu... t.Well/:'unrrurLLro Permit w: Ij� IY 2 in. -- .._I b.all apt.an/..elf mensal n. .,unay Male.Varian/. R R m, I.via I1.(check well urea: p.,, ":... _... ...__. .. ....___ • Mutt.Supply Well: ry st.m acv Inn xwv.l: aai'wt,.i... ❑Ayricull nl I1Muna'apd/pulrlic 6 �' 1O' I I CNCralrcrmal i llneurp/f'wLug Supply) , t ttientral Water.Supply istn,ile) R _• m. I. ❑InJuunavn.nn anal IJ)ic.iJrnual Watt,Supply lshescdl 4r :-`' �. --_ ._. Olm_ lion 'rTi.� �'eJ�A'/�,n.ru'T/v. rlreu [rF.nlpi:.i NatrWNer Nagrly Well: ream, r-7,1/' L/., . - �I J re ❑Monm,rrng L'J Hecnurry ... .. _ .-__ - Y ell: lJlrwlu Recharge -1(n1 W nr He nrdia[irn �'"T ^ '� -. . .. P. .cdka 1 _ °Ay f S5.wxyp- I If .yiv I.S body llama i° nsln rvtvnt M iii f R unq Irut I case rltil n, seer Dr rag. , Ola nrnLl I I d IKn '1 Y I L\ h. I seat..)imrlol 1 O6at1mul((I.w)l urn op) i I Frocer ..TO oeW.umMl(anr,lrTa %useenelg "'- ,, I)(iaothvnnal l l tuba,lr.dm kelum) 1It hhr( rhm undies 421 Remarks Nor,E+re w,.r..l IL d n_ I d f1e Welk.) rwtpkt 4 y e•! e I. II ti --- e ISO . d R au itytt wan Name Ilollist LIM lir yylail,h) -^ __ ___ - • ■ R n. n n. [sear I Ps rl iknnfi 1110 Nil 1V1N) .._—. ._ . I Sat Latitude cad Luogdudr in Jem•Jnrinutey.econdn use decimal deg f• - -- - ,--.. - -- - I of f Id,nor action,.i.,nllensit1 neat: a 1{a4,/ 6 /I hN ..../7_..4 _. / ' Certified Well Cono�mr 6.Ii l.n) M wdgx) ac"n.rem o• II1npur.ry I i 01./nun. I hereby L a./ he ,..//p) ,l . r n„ sea i, ,,1.1.Is 1►sa^pa bra uenbtagwel l: IYex at Nn With 11 A. ec0 OK.NJ IM or 1/4 a1'At•tl' I w.b; �n��..n..,rtr.,n..l ,. n. ,•°wf yr recant ,Se.nfnl vddmA•.nOIf P°°.rn„I bingo wit q N+Nape, explain Ihe'swore of F° n`r, .:•l•'n”"J.I ,fl " I I/.mr 23 Sue diagram ur additional well detail,: K Number nfwel6 nrrwtrmted You may use the buck of thie Inge m rpm iiIii,dditurn.il Weil 1 v I d.o ,41 Fill wady''Writ....war warn.uplI.',tit,Onl.Y.nrrl the same nor er.rtirn t`"�ICLm details. You may arm allwdr aJdrLrrul page,it neccs.:n\ mail one/Arm Y'n'cap ryr/ _ SIIMMfITA L INSl'UCIONS 9.Total well depth below bed earfece: 'J (II 20a, Fvwahrplr u.rpi lm all depth,�f,h/fernnl trams)..lut70D'unit:Aloft) ) �- � Suhmn d.rs I(n/n snlrer III J.ns nl unlplau��i .•I mill ex*adn.'a.rm to dre following IQ Sic water IrvN below cop a/.using �e) I : 1(LI Iheuion or Water Meson nrow,Inf rmai ion 1'nrctning I hut, v.ar.n owLr,uhm..nnng ... C_n 1617 � Mad Service tenter,Raleigh,Ni 21691-1611 IL Bofelak diets-ter•_ // / (in.1/ 24 'set giecriap Wells ONI A': In adJninn Ise,scn I.i m the iium I,. (€.1.-.C.,/^ ! 20a apovc, also eui.nil a I• Ih::r.ldr.., IL Weal common bon mrllrod: I �� copy of IAir li,m, wilhru )U Jaj. ��I r,�wpl.e��.�� �.I ,.,u. II hnsh.rcfwn to the folluwnl; (i r •ip..,muse).■:.Mq date,p.nh.m I ..—�-� Uivieir.of Water Mavrunrea,Lnrleraruund(nitwit))......Carl l'n.go.i.. 13.. i keRPM)IPYIN wf:L1S f-Nl.1': - / 16Ne ,'—W,Wells: u ,1..,.rJ n�url�lar rrr / t ibis h-Il h .h,i man id' unl IA.Yirkl(apml _ J..© hleLLua uelebc / use,For water Supp_b dk In Mail Ser.iae center,Raleigh,rf 17699 Id - '9��J Alao suhmn unc copy tit Pm frcnr Ltd 11Na/ertinn typ`:�(/�y Amount ( Vase ..-_ well eorowef vrl w Iho ,•. tainuttucto rn,mr.wr .vv,Irl'am dm.Uevnrna ill.V 6nrinouwni and NweJ ke.ouu e. Urvwan..,"...Ur,