WI0100562_Geothermal Well Construction Record (GW1)_20200303

WELL CONSTRUCTION RECO1W (GAY-1
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1. R'ell Can( mcror Man cOatinn
Clint J Babbitt
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NC-3556-A
11 lIa1Coa o:ar'camne. ,.a N,a
AAA Sweetwater Well & Pump, Inc.
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Wafer Supple Well
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ater supply Well:
Noll-Wupp ell:
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lnj,,bOn Well:
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19.5.19RIGR1\'EL PA(
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2011RIIIINITl a1
J. Date
lL.,O)Cnmpleted: 'Jld'19V _ Welll➢#1[1�1
Sn. Yell Location: T J
fart Y.lYli, lit
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i
I'll ...al Adac'o'ltp.aodz,
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ON. LaHludealld lonRvade in degreeslminulanleconl, Or doducal degrees:
nrnn nml. eadavlang la.adldnm!
415(are)ehe oellls)i�xennanem or 017empaunrl
7.1% this It l epair inan existing wxll. ®Yes ao
r i
(act, lle"',la-kowaell all :'null f.1rfuF: Jie
rcpul tudrr °Plm•mfRs,m'6mrur on rlre6uvSu/IL4(orm.
conakamtinn. only I GlY-I is
it.
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22. eertficaean:
c�aama afc firm wnl cmn h: n=m
o:'u,ante 11 1-, leeenr -Ph Ian :,, lIll aeuH! ,rw n,r,r•1 ,,'Iratt.d @ am,w„ne
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23, Site diagram or addlHanal well details:
Yon may nsc the back of this page to provide additional%sell site details or mall
\oextmclioudetaile. You m'ay also attach additional pages irncecearr.
9,1 antlocill J I Ih tx-0Ow load surf c
61 �' - g .�y ForWells, ll 5 h tl 't -. f a within 30 dogs of cnmpleliml of nail
F Jelp(e II 1. 11 d�pna l/,I# 6.. )l
31Y21a'., I'llolll'I pq mlmctlon to the unlkvai g10 .
Almclhelow [op of asng
(P) ➢dierosingllnit,
1,1:"-lmd" chat x.m6g um
1619 MOB 6evjc Cenbei,Raleigh,SIC 27699-1619
11. kil la diamet et 6
(in.) 24b. FayI \V p t to addlduo to seeding the foml to the address In 24n
Drilled
above, also submit one cup, of this form \vithia 30 days of cumplelmn of well
13. Well eaasemnllon metlmd:
cmmnoaion soon, following:
IT . angci,-, lcc, d-t each. e¢'.)
➢isisiohh of Water Nl Iindc'rgraaigia,N ofio6Control Program,
FOIi WATER SUPPLY WELLS t3P'L\^.
Sto
1636 Mail service Cantrr, Naleigh,PC 2)fi9Y-1636 -
tanek,
13a. Yirld (gpnq Meth. O lose Tllned
2G,. Far Water sunntr & in ecuon Wells: In additimnn sending rM1c Pnnn to
_
IT, address(esl sons. vlso .Poual one copy of Ihls obtain w11Bin 30 cars of
13b. ➢funfemimh "P: CC"
a
wn...klo a of w'dl eon'toolion la the c lao, hoath depmtmenl of llhe came)'
where conamned.
Penn G\Y-I
Non, 6nmllne D"al ealof2nne."conlGuallty-nisi-Ic"aer IK-an"s P-iod'122tih