GW1--05448_Well Construction - GW1_20230821

WELL CONSTRUCTION Kk.LVKI)its w-II r.w t,..r,met.,...,...r.
1.%OR tleetrorner labnentbe-
Landon Philips !C At'Llt IV
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TOeel Ca..rer.w Omar t!
3441A ;sr it sowR 3v� «,
Well Caretna.cew.frenew9ta.#er IL OVTIRffIR OW rieseee oar,0*
NW Poole Well and Pump Company
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li 1`4ft* Oi 7UIVG ttar�trlod e/ewd•MN MaTouat•
2.Wee C*s tv c ss r emit Rb room TO M'ta i Tllyda+tY
-a wroveeet wtrwearee.peewits fig 1111C Cower,Soar.Partite..ear f IL St. "- ip --
.T.SCAMitee(cy aid.mole a. it a R
1!7CYLr1r Tract auTfltfat
Waste St�tc Y.eft: I /qt TO MAMt►tt #tDT SQL
.,�pratslMrmll fF t
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R. R 'e
OGeedhnsei Okeem.toelwE seedy) Sep*iltesiiaNal Wale R R R
Dhdmrreeirterteircuel t 1Rcwlreu.tl W.ua Sew*NiNeNO _n.eiH11T
❑Welk ll
)ink tt)tamL kuMr -rn WATtWL_____WilLeticketer ltetlome fit.':.
Niea•Wsier Supply Weft U i- Z S ifrwInik'
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i n. h. r
URmwery
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n rt.
eMatfor'tallow I]Cinntndwnks Rcmctlutiun 19.SA Ot•'TALAT IL PACK hfp/lelttl --
ZIA4.1illSfm.obiRe wee, USalintty Barrier _ron]t rn • stcrtttAt. 10117LACX7104.17111,7108* -
OA,(Ut,(1Tat ❑Sturm wince Ohaulage ft. ft.
--
3Baxivateri T °Subsidence Cuntrni ft. ft.
neeN1t0a(Ot6etd Loop) o rral:cr T oath attdiri.wul,Aeon if...L rfi
r DLSt'Ar/C➢Ot+(ntWr.11tailrr.ftlYrMOrRf+ma.as.. ,
COthet"MAlile.tIne.Cooling Return) °Other(ex,Lon under f'_I Remark) 6 h. /
1.De Uell(s)Completed: 4-i`I -2a Well ID* A R. i S IL Sr: �� •�..
iN R ,yOcR 64:A.TC �CE. Er
ir.��ell Location: I t',:
R R , -AUG 2 1 2023
f-aduyDaI,fappLeable) n- rt.
I'�el.l,llyller mine ` 1 �t�j
-)- er 1 y 10'�:t i e"'titan I C 2 !✓ l/ . rt.
Tenor mien Fir...
i,.v..,, Attire,.city.mod Zlp
21.REMARKS
ii-ceo 1(11 rl Used hardened steal dive StiCe
Cemilq Parcel ldcnttficanan NO(Pip))
3►Ladiuie*eel longitude in degrees/nlinutesisreuuds or Ilecintul degrees:
Ytmell INN,to itete,tiI,All ifIC1 16) 22.Certificali
35. c► 10 , - --1 . 351W-1 �, N-I9-2-3
s,pnai t.of(-citified Well C400920, _ Dame
L IlOrt)the l.ell(v): ❑Pernwnenl or l 1 cmpornry
flu nyrn.rp din Amts.tMdteeritoharrirmalry wig own!casswarde.A"'."-_.-
'7.*1 t1 a repair to att existing well: UT es or MNo Lt:1 XC IC IL'C sear/Li/CACaIC t20e Ira Gwarsam'SMtumbmaaka.._
Ifiltasa•r,9turfill wet R.aa.•.r.alf:wnlrnr.vnw ur(rrmwum am'.eelduet Ito wtuary a(tlr,
.y Ihr.,. •.'.J I..Rar'eeaider it w/wtas-
wooerweir OH x,utu.L,...OW"or wr.,hr h1rce 1r/rlu,I•rr.,r 23.Site diagram or additional vide Aeolic
IL FewCettpin eiD 1•or Closed-Loop Geothermal Wells hnl mg the v.tme You may use tile kirk or this page toproade trdiOiarAai tea�tnrasm-..
(aid'See°set'
p 1(i��-1 is needed. Indu toe rO'ir\LNllttllPRuf"wells in Retnar►allot)YamnayAueoackadde mulpe es ofna:
drited-s 21 SI I11.HITTAI.INSTRUCTIONS
9,Total well depth below Load surface: q0 (ft) Submit this l:W-I within 3n days of well ategieit per tdtrlrie+iew
r.►wrmr,•r..., II,ail dq•rh'if,6((t•ra it tr,w,gr.-214:UI1'lul.(lhi:Hoary
24a. Fiir An Wells: Ortipad 6ttsa to Deviaat of Warr Rtsosrt:es(DI.I..
Mk Slade t.atm rood below,top of rating: -7 C. (fL) In tornwhon Necroses Ueit,1617 MSC.Rink.1NC27699.1617
i•+Werteect le"I/tw.e...he4e we
24h.For lnlrrtion Weft Copy Y DWR,Qedetpe mi iyKtme Caatvai lk,.
IL ItwreiWhr diditutien 6 tia-) Program.loll,.t1C,11aletalt,NC 2169946.16
Rotary
!. *AIeetr,ulwrrar+.method:
die.For Rater Sumas and Ones-l0.40 r�rl Retwe Weis Cap:s.t"..
e ationt.vottani.cafia yasteDirkMAI county cottn111mental heatt 1 dot nown t lie aeu ty%awe aetuiof
I Met WAVER SLIMLY WELLSONLY: ltd.For Water WcUs�tr.d�lrtuisap•1 GrD:Cary toMll.LCt"L--
Peon Ihveron.1,1 I MSC,Riaelli.-2 1b11
ISa.Yield ttS1 SS MeowefMeowel scot BLOW
1S►u w.owe HT" amewc
1 b.
tx.*Cairo Deptimma Onwteof limo t.rrerot. hCYOL..i"'-
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