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HomeMy WebLinkAboutWELL-02-2016-068945.TIF ©p 08/18/2016 07: 43 7048924705 BKWELLDRILLING PAGE 01 11 #4",-.Li LOA ' C G0 S Lry\ WELL CONSTRUCTION RECORQ Por[kernel Lis:ONLY. Thu(nrnr c:tn be peril'or sinalc or multiple wells I.Well('pntrxcror In formxfion: ,. was ---"— 14.WATER ZONES _-- ._ Joseph Bailey RnM . r °"`"""° — ---- Well cnrltrrrn„Simi. _ D. )iCr) "r!Ni///--;.k.!2_;c i4 :,5 fL 3271-A • i m Mil ./v4/7 'i4 6.1‘..,- ir ,, ,t R4.6-A: — iOUTERCASING for mold-cased wells)OR LINER(iia Rcablel —_ NC Well C onnaeror Cm Gcnl in^Number FROM TO OIAMETP.R _rM1lTSE55 MArERtAL B & Welt Drilling Inc p o R' 81/4 SDR-2'I — PVC,_ 16.INNER CASING OR YOKING • oMcnnal cloacd-loop) � ( N[ I,, --I / „.),,,T• �7 FROM TO OIAMCIER MV CV silo- list_,__ 2.Well Construction Permit p' Fy Lill .- Qi(� ��J n' I R. I totdl appnincrit hell ,.r t'Naar..i o. VOrlall444.lorrrrour.efc.rIi/ R rt. in. _� , - 3.Well L'x(check well asc): 17.SCREEN croT fivenuC=NFs� MaiER1:1. — __ iROM TO OIn METER -,._ ._ ------- Water$apply Well: rt. fr. 'n. [IAgeiculIuial ritlunicipal!Publ it n -- I T-""^— :Guothermnl(HeaumrtCOolino Surely) _ c.[dohs[Wahl S mph (5,n.Ic1 18�T n. 0lndu.lro,I!Cormrrc el �2Residenll:J Water 5,4.70) (shared. I iS M 1.9 1�+srealnt F;_nil:CfCr u.r ltiiim a nf�T... r:Irrl3alinn 0 fE 20 II- I Benson ite Pas Nan-Wrier Supply Well: R. R. 1.'Mi n o ring DRccoven' fes fr. Inlet- on Well: - -" —-'- t_AaulctRccharur DGroundwater Remed,atiop 1 19.SAND/GRAVEL PACK ifs.airtime)PROM TO MATERIA[ —{ ! I IMfN'l. (HOD I o4qulll,r Slnraec and Recovery li v c'T DNJu Ban'Ic' f — K 1 OA(lu to Test 'T urn alcr Orain.l^e r it fr fr I 1 1 reps-I.s+lal T=eh�elpyg I Subsid nw Control :O.DRILLING LOG snack addltr—n I alleattu ry ' I( olhe el(Closed Irani Cir'ares rRpsr TO DtSCa nr I� 1,,..1 r R.(•� f I_;v._! d.[)air We/l(s)Completed. /� ' f I� �_l� _ 1.)." Well inn. - � n� �/j/l�(ai ✓/) `a o[l',G.�j{ _�_ .. LIGeol hennol l licnureCoo ling R1Wrnl 10tha (aip,ain under Cl Remarks) _ • • .a.Well LoEN win n: //II A.e///J CA..*el r 6 , M Ityd)wner man,, faalip lbs bf aUpbc.bk'Iet. fr. 3q,R to eciarbiadd f r ., rrfeA —n..4 . A. Pha•wal sddl a>.city.we Zip 11.REMAR RS _____....__.— .—.—.• (- N.h4 G6 4'-,i')-ou; swi , — — .._. ('apnp. ovise %ler.lilca.lot,No..?IS) Sb.Latitude and Longitude in degrcrs/rain ntesh•ecundS or decimal degrees 22.Certification; I' ll kid.o- ✓ :I sallu,cn,I (1 1 Sic.. I II "� I S. Ix(arc)the welt(.[. :)Permanent or [.]Temporary .•w .I;, r,lill,r n,. h l . - i In I " nuh 1. 1:1 ti u2Y.olUn w 114V(:I( ).i .”2•711 We/ t,r:.''n l„A:..r,,._,9 7. L this x Septtir to an existing well: ElVes nr rune of Glorcc•,.,iho,beep l ellVetl lnlhe ,VI;01,1e/ .Il . !I L lI r0000toctiroi Trio-roam'? 1,.,wricio;JO, ono,,,,,nolrc '' mrzl, :4;44441144,4•44 - u , '.,ha.,gl'.forl. 23.Site diagram nr additional well details:;: C You may uic the back of this page to pro ride ac nional .a•.II sire ac L.Is,r in / C S. Number of wells constructed: — 6/7 connruellpn derails. You may also aloud,addltatelil pines iI neceN c'' r ini trotinpr‘•Poet-tumor+in-tile ai.lplr 1,il,-(INI,1 111111 the aumroln a.u.rinn.,ou t oil 4,1441444 tor pirm, SVBSIITTA I. Ib5'r[CTIONS_ • 9. Total ell depth below land surface: .. 5' (R ) 24a. For All W'eIN Subr it this Iran note, f lass iI”,•mgll.11un. Irl teal[ bn,Ibgd. well,itv-J'ah( ,I,/h ao 4.n rd, bi.11r' Im 2'!liit I concl.tl( 1 to she following. 40 I Division of Water Resources,lufnrmminn Yroccsning.'nit. • IQ.Static water Ieyel below top of(ACInG� ^--(ft. loll Mad Sen'ice center,RaIeiob,NC 27699_1617 J•:nwrin�'I le nlvnY r,r:n!C,v.. 6 1 18II-Borehole diameter: (in.) 24b. For Injection Wells ONLY: In adtlllion to san,hno the numto the adders In ^aa shape. also submit a copy of this loon well ilial ;17 ;htye nil cpnw,ple(IO1: of wdl 12.Well construction method: Air Rotary construction to the;ollowin e: II c auge..roots.cable.direct pail.,at.) Diction of Water Resources,Ilndere round Injection Con l nil l'rniranr. FOR WATER Si PPL V WELLS Wel,V: 1636 Mail Seniec Center.Raleigh,NC 27699-1636 Air Lift 4r. for WA ter Supply&Injection Nils. ilia.Yield(Rpm) A. , • Method xlfcl,_- -- Also submit urge copy of Lhis form 'tl ill ca Ticl'nof Ch or. Tabs .\Inounl, 1 1/2 lbs ell t n Inl1'nn to the count. he Irl J 1'trtmr i ... tit count filer; 113h.Uisinkrlinn type: ._ __ ._. constructed Corm(iW-I Non.,Camlr n Dcp4rpnrm rif:nvn..nmuit:Ind Nnurml Rvsouret...Do—roc of Wks.Recut;ccs 11ru,ed s r _III' eh 3