GW1-2023-00829_Well Construction - GW1_20230113

"11-1.CONSTRUCTION RECORD(C:tsy'-I) For Inlc nnl lfw bt ly' I
1.\A ell 1'ealreelnr Inrmmalin¢
Kelly Grant Il WATER ZOALA
-r�o:i m nexlttmn.
14,11 --`—
n.
_3 -A -- rL n
--.
`I! /W''�ru,1'mmcux Lerlrfkrunn NumM QAAING far tsaRl-cued"His ORLIRER f FMAMOAC
_..
_S[G9Gade Doun(7 P n TO n1AWTTa Ia rRscRMrss -_
I IFnrelro N.me -
2.wtRComtroctlnnPerldta: PEREPAAPPROVAL FROM RGAING ORTVIIINf:Jge.ih.rmald
I ToIeIANT eta
(ul«Il,y,/.1r,:alrlr.roll r..n.ow.non pe.xrnr/re I'll.(—.a ware 1--,' nr I
3.Well UN(cheuY well lee):
n. n.
Wafer Supply Wcll: 17.3"EEN -- _ - - _ ...--__
MANIfTVina { Vr I
NxTn1AL
! Agnoulhul rlMumuipn/Puhlk L
ITOeh.l IHeatrn lCmBn SurmI>1 ❑Residental Wale,supply Isn lei . (
Jftidal Wtt Supply n, — n �_ M
❑lmhuerul ...... ,,x Z _
IL GROUT
ahn!A!um �Wella>IiRI(Intl IiPD mom _rll7 LMRArr FI TNITRIR]f ANn1M
Y m.Nlter Sup Iv Ndl: It' {j l) R. Al/ro r T'(j f MI I s .
1tlMlnonrin IRcco%ery n. n.
1 ecllon Wril:
n. n.
JAcluifct Recharge ❑Omundualn Remedimitm
IA('K fkeMr.
JASm Ir+Stnragc and Raovtty f 1Salmny HAT If.AASOlf2RAVELur rRltal m MAMMA'
rlAonfur Iwt t$toom Naln ihamagc n. n.
1 JEWnmenul"lechmrhrgy ISubtidence Control
P 1o.DRILLING.IA)C muYMMlbulahrete lfswr - - -
'I('nNlrnn:d IClnsed Lw I t ITraca _
7Cmtlhennal lleatin Mmbn RCamel OOth. ex Inn uNk,N21 Hmuk.) rROAI Tn nINRt111fty nat.r io n" -• s .p.�.:r.a. m.l_
,l ll n. n.
4.Date Wrll(s)Compiled: G �T J� won ION �,1 D `� I R'
5e.Well IAindon: b,
Fortner Battery Tech n' ti �•VEll f t
rrcdnv-i*nmr Snmr I-cilny rot In cplhcsbk) n. R
305 E US Highway 64,Leaulgton,NG n, n.
Phyrienl AiWrc•A Cu'..•nd Lp b_ n.
Dawchn I 21.11EMARKA _ --
C.mi. IYael tacraficnan Vo.(PIN) 13 Oa-rvc,
5h.Latitude and hsnglMde In degree✓minults/seconds or decimal ship4.1.ell field me levions e,slarxrentl 22.Ctrlineadon:
l �SyrgS- , C) W
----
&Ware)the wellla): Pernunent or Xl'emporary AitPNmm ofCmi(cd WdiCmrractm Dow
� Ay NC4 tA2Jo 010 h 13 rXCA tall rAe:W Weil
hmrnwmn-rNuel,ror:a
7.Is this a repair to on<aistlRT Hell: �7Ves ar L"no ISA NCAC OIC eIlNI or 13A NCAC oZC u2w RW Carwnm.r Ssais.vb aaa;na .
q rMr a•n m1wv.nh mn 4n.xn aril,rmrovronn lnlw'nauon end erylam Nr name a n)@e M/Air record her Nern PrwuW ro rae wx•T mmn
nlvar«ndn«el r.rnur A.•.rune M..n rAe Aork n(rAir/.,rni
23,tint diagram or nddltlonN wNl tlo,ta[h:
A.f or Ge'oprohelUPl or Cioud•Luop Geothermal 1A Oit having the same You may use the hack of thin page o prulide achim" al NNI ttwnnititm miir
—ructlon,only I GW1 is neadnd. Indicate TOTAL NUMBER of NeHs (edd'Sae Ore in Remarlsa ftoa).No, may also W,Wh oLf b,,oLL psagea if scare
drilid 24.SCRMnTAL INSTRC('TI(1I4♦
9.Taal well depth below load surface: U fD,) Submit thl+G V-1 within 3U dn•a(udl cam boon r tar h.lkiw id as.liryr.r1116vaN drp,h,rr dr(tr..nr trwnple-)4ylofi'aml 2(p)IW) P W' iy:
Iht For All Wells: guul fsar, a D111%Km o f loner It v,11a iDWet
10.Sbtic water keel below top of udngo o', r. Ifl.) 24., W inlnnnatiuu l'nrexemg Una,Ib17 ALSO,KalctgA,1'A'2'M14-Ibi'
(/wlr./reel(a ul«.N aurrnY u•e /
il.Bartholt d6meler: rs+ 24U. For Inhftlon Vella: (troy IN OWK,lnµlurim"id In),ctum l'swmi(Tf1 I
Qa•) I'mglam, 1blfi MSC.RldrRdetyh,NC!7hnVJ&Id
12.Vert construction method: SONG _. 24t.For M'Mur Sol.{.f —and TOLa-I l.a Gesdhanal Netva NNh:t py hr the
1 r w(r.rnit).ubk.a.re.•(rush.rc I nnmly enYmMun<ulMl t1N�111 nx'fMnnlRn o t eswnr H{IutC m��kl:
I OR N A I ER SCPPL P N LLLS ONLY: lid. 1'or VA W'rllt lLalduchenxa 1 GPMW Cup, to OW'R CCPC'L`A
I'enun 'nrgtnm.TlNaklb'fr.hl n
I3a.1 field(gpm)_ Mrlhod of ins;
13h.UiNafetdna qpe:_ MrrouM:
W,1 1.••nb i amLw Ur;•nmsW of PATRtiMYald{7wInY-Unn.0 of W....H....... RwwrA l r..70I

20.DRILLING LOG(attach additional sheets ifnecessary)
t:RO\I - TO DESCRIPTION(color,hardness,soil/rock tvpe,grain size,etc.) I
0.0 ft. 0.5 ft. Concrete
0.5 ft. 7.0 ft. Dark red silt,medium stiff,dry
7.0 ft. 15.0 ft. Reddish brown silt,soft,moist
15.0 ft. 29.0 ft. Light brown silt,trace fine sand,soft,moist ,
29.0 ft. 51.0 ft. Light brown silty fine sand,moist to wet
51.0 ft. 60.0 ft. Black and white Granitic Gneiss
ft. ft.
ft. ft.