GW1--04176_Well Construction - GW1_20240717

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GUILFORD COUNTY DEIPAR TMFNT OF PUBLIC HEALTH
Division of Environmental Health, Water Quality Unit
400 W. Market St., Suite 300, Greensboro, NC 27401
Rey• rd of Col st(ia nation, L apak Off Abandonment donment o a
Address of Well: Q�i3c, • �I�,�,, ,� (1,,,f 5o) Weil
Z
Well Permit Number:_23. s.ba R
Well Contractor Company: a 'l)r1ii tn,
---r Completion Date: 7. Lf2y___ _
Total Well Depth: 5 ft. Well Yield:_ x gpm Static Water Level: N
Outer Casing -.. _ft.
Material: P>iG
Casing Diameter: Formation Log
_in. Casing Depth: -__a___ft. Depth
From: C ft. To: 90 ft. Description
InnerCalmingMaterial: —
Casing Diameter: From:�ft. �'o;._�s2.__ft.
�,—..�.�._in. Casing Depth:
___ft.ft. From:_sa_ft. To:Va_ft.
GroutFrom:_ ft. To:.6ft.
From: ft. To: __ft, •
Depth Material Method To:_
]From: ft, To: ft From: ft. To:_ ft•
From: ft. To: ft. t{ lucie, From: ft.To:___ft
From: ft. To: ft, — From: f- t.To:_�ft.
From: f- t. To:_ft.
D the >a Water Production Zonesep !Aga_ft. ft. ft.
Yield: -.�gpmgpm -- ft. �ft. ft.
ft.
___.gpm — gpm gpm gpm gpm
Method of Repair:
Method of Abandonment:
I hereby certify that this well was constructed, repaired,or abandoned according to the
Guil
Rules in effect on this date and that a copy of this record has been provided to the well owneorrd County Well
Well Contractor: �1�a;.l�''�,,J�,,, ,
_.. Certification#: _ Date: 7 9.,�
Record of PIInoTim N lstaQ8a1 o®n
Pump Installation Company: N{/
-------_.� Completion Date: 07 •-0 y-e`1
Pump Depth:jf d ft. Static Water Level: • C
Pump Brand: �r ft.
Pump Size and Rating: ___I__hp_E—_
I hereby certify that this pump was installed and wellhead completed according to the Guilford �m
C
Rules in effect on this date and that a copy of this record has been provided to the well owner. ounty Well
Well Contractor: /J� yr'
L.Z. Certification # 272.c. , �, ��
as Date:
Revised:January 1,2009