WI0100601_Geothermal Well Construction Record (GW1)_20201117

WELL CONSTRUCTION RECORD lGW Il
1. Well emarwrom Iotormetlon:
Clint J Babbitt
nnl conga mrlvam
NC-3556-A
NC W4 G+n+m4m"n"—ann Nlmtb[r
AAA Sweetwater Well & Pump, Inc.
emmpam-rope n,1
Z. WellCamara [Hon Permitq:�Y
n.ionorrlmxme+�rnr.++..r„xr+onreax, n.e. me. u„rxu'. srx+c rr.+oma 3. WN1 Use (check well use):
Ohfunici,smom
Ibmting/Cwliog SupPlyl �Reaid[ndel Na(er Supply(ainglo]
rm m,.mI �Rrsideotiai lVamr Supply (sM1ared)
Storage sod Recoveq
unman,
d TcchnolOgy
Ucm"d Leap)
4. Date Well/a) Complered:ll ll7 ��%I� well ID.s l -1
\Yell Lo[aH q:/`,, •"I��--"�-"'r=�I1 U u IlCTT�—
aeili+yly-...dClrrl v" IS'Y
fldligltl#lifryglimbleDalaule ) Oct
'meal T4dr eq Cllg nntl Zry
L +. � ��_ 97airaF17 rD
P-1'emi6miian Nu.(PIN)
dm Wilodeaad 1Ongitudq in degrew/mioamr/se<onds ardeeinW degrees:
nrwen edd,— lomm, h eaSeimT
Print FDrrt
Fur Inimnal Use Oniy; ((�6
a]�U
rAelEr'0.'
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R 20m r`• Bentdnite aBRyetlr
rt. h. 4V)t
w. rt.
22. CerHB H :
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6.Isfare)thew'eHD)QPermaoegt or Oremparnrr ,er on'rorc aamweq .4 I�bD
].Hathi pi[ Xldg II QYea [ia< MI. b A,l M1 1141 -I l' M -d .
(//X+r n+1VC1Ll G0/OP (i VCAC I,C 0P11/i(C m1 onSYundv Wvnd rA.+x
r epu>nnde+'/xlmarbAaumn urlx !dxn ndexplm tX ux +I rX, 'P/n/! rn dl xr Aen+Pr ldedm d¢+mllmaes.
a lXr Axek u/Mi+lumr.
21 Site diagram or add111onN .,It d..Nb:
8. For Geaprobe/DPT ar Clored-Loop Geothermal Wells having the same YOU msy use die leek of this page U, pmeide additional well site delmis m well
nsWetION only 1 GW-Ijs needed. Indicate TOTAL MIMBER ofwellygr Y� consoneam dclaila. Yen may also attach additional takes tt ifnessary. JriIIcJ: �l-a q
��— ef*•.{ �'' SUBM TTAL� MSTB nT_Il, o
9. Total well below land ruNaee: °
nxr muniP/en:11, /h /mo mundepdu /,uBnvnr rrxmnpo-aFlPn' /pT q i4a. For All Wells:Suhmit lots fans within 30 days of completion of well
vl (, ca \strJ$tian to the following:
Ip StgBe wgmr levelbelow emp gfeaeing: l 1({r);3'`� Ulr1tlon of Water Reworces, InrmmaHoo Processing Unit,
Ts '(jP 1617MNI Service Cenleq Raleigh, NC 2M994617 I L Borehole diameter. 6 Ito.) t
+"9':.:dy`+ 246. Far lolcetio Well,. In addition m vending the form m Hm completion
f well
Ite Well mcm, ccnan method: Drilled @t°�"' above, co submit one mpy Of this form within 30 days Of camplBian of well
(i.e. an8eq rotary. nbiC. tlintt Part ticj emremlclion to tic Ib110Wh1g;
POR WATER SL'PPLV WELLS ONLY:' DINaVon of Water Reworces, Uuderg In I
106 Mall Service Cenleq
13a. Yield fgPm) Metho o tm: Timetl 24e I or W
ly 1 J tl ne hhh Ak
h mmaddress within 3p days P'J
136. IHelnhdbn type: CCH (eel above, give submit one m y a
ple<iao of wdl cogswclim Iq the co a th department orihe county
whew mnaW[tM. .�. JAN -`
kana qw-1 Vnnh Czmlina pe - 13 2021 w
pamnenmr[ammnvnnW puaurr-rnOo.n.,Wm,, Rem.— xe.;,m2-21111
-'^I Quality Regional Operations
isheville Regional Office