GW1--05381_Well Construction - GW1_20240909

WELL CONSTRUCTION RECORD (GW-1) For interaa,Use Only.
I.Well Contactor Inform:anon:
Russell Taylor
i 14 1 111M ZONES
WeIl Cmasaor Name • i FROM ; TO DESCRiPTIOF
2187-A ` 2' i 858 2.
YC Weil Conoaaot•Cartificatica Number !881 ft• AS to
Sodden Brothers Weft Drilling, nc ; nem rrER TO�� r; DIAMETER )I THEO CICII tsiJ
^�r��� niscicass
��Tsc KZa1e
ft. ft. M.
q e� `1 114. CASING OR TIMING(eeaeha�nd eloeei,fsooi
I.Wen Coast petiDn PamirUr aQ dO -458 J'�I-9— /��i 1 FROM i it D* t i TEC i 1 11A7'InA
>r atoll couwtrccae t' rt.+a ,WC County,Starr,'✓arocnrr.rtc) I. ^-1Lo10 n.' , f • i I P YC
a.Wm Lae(�«it wail sae): (� in.
Water sap yy WW1: 1- 7oln 'Las z • to . if38 LSTEEt
7 SCREE\
CQiRn1l FRObr ( TO I D=AMET!R I SLOTS C 1 TRlCINESS I St
DMliaiCLDii/?tasiic rt `t. in. I i
Coratilesanal ai Ceolsag Supply/ EIResideslsal Water Supply(gagi ) ' - — ,
indusniaUComitercialcR.rr�r:�1 Waxr 5 I ! a i
lrriitatNoa •
uPP y(shared) 1 la GRO--I'
Nor-Water S ~1i 77'n i st mot.u_ i EatsLael.titocr SitTROO
Moe:m:m;Supply Well:
S�TS 3. ! Z; 2 ; arcs Moaosd
legion Wen: E. Rcccvc y f� tL i
uif itechacge `iCtroundvrzw Vic,-,,elan
Stomp locio`'a7" InSaimiy Barrio- .i L9.SA.�IGutAVEL PACK Cif appiieabkl
i mum I To ' Sts.TERLU. 1fL PMir
tar Test CaSto.iziwacm-Drainage ft. I I
Experinumal Technology DStosidence Coco + I r
Crean:n=1i(Closed Loop) aTZc= SC.DST T i1iG LOG;amra additional sherd;if aesesseryl
00:41atsal WearingiOcolinR Realm) f pt ca:alaia sad=at2i Xcuarks/ : ' To i oFSCRWTta�wet.>n seiYr.dce�x end
0p i 158 a. OWiRng
4.Date NI/Cif')Cotopletcd:, 8l/laooq Well 158 c1,50 tr. Walt
5a.Well F.oeadIgt: » ! ft. i
(14.5-I Q
n V TGIner- •`t. ft.
?tr(kly/OweerNosac ?ac•IiryL7s(if apptxaisie; ;G it. + " -• ....
98 T /au.K Trn;1 h.)h i ,c- * a8'7 89 �- S t e 9 2024
bysieal Address.My.ant Zip
e..
J CflWl 710e2/—A,18-5994 ' r• & 1.4..1.,t.r:r,1 ;
County ?creel idOStif tom Na1 i? 1 Iei'1w° (
•
54.Lacunae and tea;3tade in 0sgrers/mirutesisecords or decimal degrees:
iifweil feid one itVloas•s sufficient) 22.Ce.-tifieation:
35° . 374 .i 0&9'. .?816'1 /e4t444.07 j
w
ci....h.het_ 81).04
6.!gut)the w'ell(sytkertmanent or OTemporary Sigtatt:c ofCeSIIai cart C oacaea
T t
3y signing a r jww..I iterr crroj,tna/ wars) ow•rei ataaraced is
7.Is this a repair to an rsistiag welt: 0 Yes or No ;,th IS.i NCr'C 9:C.0:00°r iS.;,VCAC 02C.0100;Fe Caaeartlaa r Swam
!fair lr a mpg*:f0Jm.r!no nn mil Ora riirson:rsfxme:row cr:}ticot:rc.-.c::.,=af:irr Copp albeit"WTI ire:err pratided ID:ire"ell o+a sir•
Penes.warp CI trmario seerien or co the trash ofrh fr:.
13.Sire diagram or additional well details:
I.For GeoprobdDF'T or Closed-hoop Geothermal Wells saving the same Jac may lase foe back of this page to provide additional wolf site dm
construction,only I'GR-I Is ceded Indicate TOTAL NtJ rfB a:R els cc gnat=deeds. You may also=eh additional pets if tue�aty.
�O �� daysP SUBMITTAL INSTRUCTIONS
9.Total well depth below land surface: 9 1.a. For A;i Weas: Sab�it his fort .,'icrri:s0 of ccm leti
Far emlNpll tenth j all drptia if CI-orrrrt thane ir-38200'Para 3(y'/001 ��
wrstr.[cGow to one following
10.Static water level below top of ersntg: 600 (ft.; :..vsioo of Water Resources,iaformatton Processing Uni
Parser howl it abow casing,tar-•:- -
1617 Man Se.-vice Center,Raieth.NC I7699-I617
Ql
ll.Eoreti01e ametrs to; iniecaon Wells- In oddities to scrdcrg toe fens co the ails
12.V1 aU eoasavea°u nusbod: Q , abo,-e, also selxrct o-�copy of main form„iti,"a,30 drys of e�apta
as-sty mom]'.Cable,[rase[posit a e} "` cactus oor:o the following
port gtA�R SSTPPI.Y WELLS ONLY: Division of Water Resources,Underground Infection Control P
2 (, ^ 1636 Mail Service Center,Raleigh,NC 2709-1636
11a.Yield(rpm) 10 ZIethcd of MSC E.L . 2.o.For'Nucor SuopiV&Isiectiots WL'rji,F Is adsriaiga LC PeadZig
.e :ddrsss(es) above. cis° sobmi: one copy of this to within
I3tr.Disiatseefea tF.pc \ ini Amount:~ cetr.pledon of well :otlscutxion o rse wmtty hsaIth depamtatt of
.. wi:cre Goasttuetx
Form CW., tam Ca.�».. ..
- Rom,