HomeMy WebLinkAboutGW1--04026_Well Construction - GW1_20240708 WELL CONSTRUCTION RECORD (GW-1) -%:L:er a1 Use C:iy:
I.Wen Coat-attar Inftrmtadon:
Russell Taylor i 14.WATIEZOICES
• i FROM '0 uaci tr*.;oK
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Sodden Brothers Weil DriiCmg, Inc . i-FROM To - DIAMETER i TIOC,ea� NA' uc
Company Name ! 1
i I6.Etc M.CASING OR TVB,'M tail ciasulisoal
I.We CC1212400u Pesmit#: dd4ov{46783-9 - ►3792 ' u TC. ` DIAMETER. i TRICILMISS �PYC
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Ur oil apprreatr4 use(ctlttatartCaa panda(1..C.WC,CaYate},State,sae sa,e�.etc.) 1. 0r�r) i I to F
3.Wen List(Chuck well nee): 9 9 " 9 9 2 is . 188 316E L
Waage supply welt 17.SCREEN
e�:.,,S,,,..t 1 PROM t TO i D:AMET£R 1 sun r stg ; =C7QtPSS : MAT
AgdOW..'-. Diri 9iCiD,aI? SLC `. j `r �'- ; r
Geothermal ale1 'fith8 Supply) EResidc"..a)Ware Supply(sngie) {! ft. ,- in.
IaduseiaVCosasseeia! 4:Hier•---.i Wee S:appiy(warn') i' 1&
PRO-M 7-Tp • suTtRL%i.. : £JrruccurcrMtTelob se.
Non-Water Supply Watt: ; C • 2C 't �=ic.o.-. °`mod
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�d�{� IS.SAND/GArtiVELPk=tit aova blel
�lenri{r Storage and Re„cve,-y- In Saiinivy Barrier f.77.0Ni 1 -U ' SUTERTAT. EufLAritat.VTJis'rp
nAquifer lest 7.1
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nExperimetaal Technology •_•=%. •
.. :Sucsizte=e Caren1 i
:
,MGeothemai(Closed Loop) --
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FRoai ro i DtSCRtPTtdNtofu.tudam.ssr m*TrP.. s
-IGeothermtl a leatiIIirlCOOUlift ocucoL� M- C . iamiam do_2: meads) 1' RM i r� = , �y a Serve
4.Date Well(s)Completed: Ll6!/orf l60f 1 1•5�
52.Well Leaden: • ~ i
Cli 6rd R. J ra zzc I1 It i t. / L
rirl tp(8r7Cli7rac ?actiry u7=(i'as Czi:c: •
l ft. i •• t._ i .
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94 Bltm- d DP.. Whither', a8'78 ! it. , JUL o
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roy:;eat Address.CSy.and zip
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C=y -..riidcf cNo.cli1l Dr.t.a3Gv
5D.L.sti sole and iongitndo:n degreeslmi^••tesizcco:ids or decimal degrees:
,if well Bead one istilong•s sc.ffieieu; 2 Certi&cation: //,,�
35° 43. 1r7s , 083° 10. 8`r, w �
6.Is(are)thewen(s) iPermanent or 'Temparar}•
Sigcatu:c ofCe3IIai Weft Coatteea i
3y sigrirg:lit jorn.I aura:caul`'ire!h'r'ura(si>�(herr)count wed st
1.Is this a:spec•to an existing well: fl Yes or pN. „ri!Li?r"tleiC 02C.0:00 or i.i�`G4C 02C.0I00 WeilConsavrnan. onan
iiftan:raremirAllow(leionrt rrit struatiar.:rf r¢:iar. rpiu ;i:.x:r<ror:i:r cc'PY of ri,,,,wordiII bewFivvidTalo the'Mil emec.
repair vide'CI remarier Jordan or ea:he bad•of rhsfarr 21.Site diagram or additional well details:
You zsv lee the back of this page to provide additional well site Ott
S.For GesrprnbelDPT or Qcsed-Loop Geothermal Wells vmz the ram:a cdon derails. You may also:tot addition:pages nLecessary
constnictiOn.only I IGW-I s aeedetL Indicate TOTAL N J;r.B of wells
1�j
SUB�iITFAI.INSTRUCTIONS
CTtONS
5.Total well depth below as surface: 500 (ft) 344. =or Ali Weiss: Suaz.i::tie ,vithia 30 days of watpie
For ma/tYplr writs ear all drprlss ifereirermi rivatrgr/F 30200narc 3 c"^/CO ssr co ust=xi tee followin=
10.Static water level"below top of casing: /0 A. D;}s:oo of Water Resources,information Processing Ile
Itwratrr/awl c above cam,use-:I I617 Mail Service Center.Raleigh,NC176994617
11.EarlAole dtaaseter 19 (�: 1.b.For iaieccon wens:- la additioa tosend:ag the fa no to the st
� ; .i._ above, also SzarOi r oc copy of*itsfor=.,icbia 30 days of esevrlt
12.Well censtrncaad asetCod: ai. Z Lak(4 • conscoc oc m foe fciloRiry
Cu.airs:,=0atye table.daxt pats.etc)
, Division of Water Breuer:s,Underground Injection Control
FOR WATER SUPPLY wELLS ONLY; i 1636 Mail Service Center,Raleigh.NEC 27699-1636
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1.3a. ( rn) NleMad a::esc _ 24c.For Wo:or SU033I'&laieeeioa Oitlit: 3 addit:ov to scdia;
_ ; the : ceseCa) above. zise sab,nit one copy of this foals witLit
i i Q
iS t aaois.. ee. ddicdos of well coast-acsioa to he eocaty health deputerteet
i3b.Disiuhcdoa type:. ,y ` ' wece eaasSz:etai.
Farm Old'., Not:.;ro.-4.Ina.�._...sf a-',�:z:=Lai.ice, .-D sie:of V. 2.a:._� Rai