GW1-2023-02338_Well Construction - GW1_20230331

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Well Contractor Name t41 WA i{A1NS6
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ill Geothermal(Closed Loop) OTettear 211 D
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Pit 1 klemificatirm No.(
Orwell Sb.Li t1L ode anti longitude cg[eesltal n ter/seeaerfs or decimal degrees: /
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/ 70 �J Q' Z Ce r��t n:u �
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8.For Geoprbttc/pp1 or© 23.site diagram or additional madmen
°.For Ge n,o tie 1 GW I is p Geotk l Weakening the ea me You may use the bock of this page to provide Whim!well Alta Met or well
dailted� needed. fndltato TOTAL NUMBER°rues construction details. You May MO each additional pages tfnecessary.
9:T'o1a11 Well depth below land s w age: !
al/doter� "1Pm k+�apko-3�il� �llon� Vt1 • For AK Wag Submit tttta Jim/mill&30 days or
R Static wyrferta tend Moir toy otcosl straction to the redlolf•o , completion of well
,Cc+urrlerritllserh.evxcprG�q use^." �� {ILj
t/ Division of Ram Rom,Inibenntion.N
!L Boa+da dediaeteler lblT Mail Serviee Ct�tatr, Processing Unit,
(In) •Ra[1dgIr.NCa7�9-i619
1Z Well cons 1rlb.Aor t■i cH.+.,�.,�. is addition to ararndi
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nB the lbws to Me address(t a Well dines pod,et.J 0.Mao submit one copy of tits tam MINI:30 daysof t»m in all
cuvsfnu2imt to the following: Plartima of well
FOR WATER WPM?WELLS ONLY: Division of W Water(icstgatrots.Underground
i3a.Yield(glut} _____.&r iG3fi Mall service Center, IHoa Control Program.
Method atom s .NC 2700.163b
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wrecttontype;,_=»� Amowt: euomaW addre of ss/es)
cos „ve, also mithee cDoPy of 0119 anti wa71tis 30 days elia the Remo
tvhete txuastnaetaad cohealmity depaltrrtelat of the conetill,Fenn Ow-t
with t]onlirmnePneotitmhosa>aoWQecalily.Divisional'wan'RaaanRc®
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