HomeMy WebLinkAboutWI0100602_Geothermal Well Construction Records_20201126Feb151905;43p Clearwater Well Drilling 828-fi22"7243 i '1
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XL Site r)*pram or addNlormt well de atls:
8.For Geoprode/tfp'('or CIvwd4,n p Geotbereial Wells having the same You may use the lure or dais page to provide additiomil well site dmJb or well
i o"niction.an1v I GW-I is di ' rOTAL NUMBER of wells o+)&1tructiondetals. Yeu may Alec atmeh addiftormt pages if newisELry.
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a.TOtAl rcl1 leapt Po aw Land surikez lR.) 24a. EX n-Wk!1; Submit this form vvitl in 30 dap of completion of welll;sr Hahlplc wras lisr ari deprhr ii',odaat t'riamplc-302Q(r,.Od.ITi iooI coogtrtuien to the tblloVrw
16.Rook waster teevel below top of eauinge ft) Dividoo orWater R+mwcea,Lldbtmatioan Procemift UP14if-ter kni lr r4ww sr WnS.toe"•"J07114mil Service Center,Retdgb.XC;&7#A.Ifit7
Il.Saticlipiedtattteter. in.)b Lille-Iwketign watt" In addition to sending the fates(to Me addiass in Zan
above:,atao submit one copy of this foam witbin 30 days of tampletkm of wellItWellconstrpeffooinshodecotutfuctiontothefo(lmv(rig;i c.lvt n' )'•eable,tract pnlh,vto.)
Division of W ate:r Rcmnx%Underground injection Central Program,
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R WATER SL'PALY W ELLS ONLY:zM Mail Service Center,RAteigh,NC 2.700.1636
Y(rcid(pact) 21c.Fir KtlRct.Jtady&fliketloo' dttti in addition toBonding the form to
the addozs(es) above, also Submit one copy of this formw)thM 30 days of
b.titslafection type: Amount-comptetion of%veil corssttuction to ttx county heatNr department of the county
where eoristtaemd.
Farm GW_I North tumlmn 0cpmpnont orlinwininmmua Otvoiv-Division+of Wader Ro"ares Reviead2 22-2016