GW1--05472_Well Construction - GW1_20230821

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r WELLCO, SIRICSIo i 1tLcuitu ILrN-it .,«.,, .>..-A:..,..*.
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Landon P1 ik s 1 WATER TOMO 1
wrair.watw/Lrr _ aR. R
3441 A -- —
l R
NW Poole Well and Pump near Ttaeea�gaatr« ir►sKre[pde flare
w 10 tM ,�iu.
y
4 re.aarl Weft
If.INQIZR caws OR TTUQIC{jr1r •dos-bs I
2.Wel(larwr.rSM Nw ll lrwt111 10 b�S1R61 wTl�vr�>r MAT
r...*eer reravr la errerrersse.+maw.6 r t)IC C(ems•Skies.Ys ts. a.eet et! R. et is
.(.We.1 tR(e4A Twill aoeR R . is _
I Wort Seepo r Well: IT.SCOW. _
TR<S TO ' O IUTal SLOTSII= I TIACYfttCS I II YTTAInt
i0krwainant Ohlum paYhllle R It w
i `.'nrr aher wd ttleradCaolnp may) Wooer Supply(suede) R IL at '
'IwwtrQrtdlCaratreeetai TORaiitsbalWilySagpty(Bared) ItG r . i
I Zhr>�trwvw OWVtih>kXLJQp(s�D fir' MOT. IMrtAcomFTserran°a,.�ot.rr_
2WwW Stet Sttytph Wilk R. It
la�eetla.Nek OR,e�yvp 11113 N.
0A rniisrRrct l_In„undssatet .,ne,lr.rti.,a ft. I.
Iv.."itaIGRAVU.IA it
.hqtniargearidR.)eavy :1S.tiiet,tr flam
e, room TO seyyu*,C
Shupe `rMMreas v,rrMEMOS
i!►gtwtarTet CI\uun eater lranuge R. R. t
OExpetwaftw l Teetwology Cl Subsidence Control ft. It.
(Ossed lamp) ,i Tracct 2LL nelLLING,um;(stud,additinnat utesatt.wM17,
OGepftepppi moat re oesrarrnaw ttrif sdaeAawaarer no,we.
ohmelrterNa me Kea•nl ClOther(explain under(121 Remarks) r R. ^Li4 ' �i Ref
4.Dow WHIM Oawpklitk tI lt'9-Z Well 11)4 ft. a
So.Wel L.*a ss • rt. R. ` y+ ..
�SJ fr. ft_
l <L .c i V it��
t `y.1 r E 0..,E None Faahry IN Id apphcahlr) ft. ft.
r15S'/',,,A„ ttt► ePLL., NG Z15a� __ ft. AUG 2 12023
Pb Y gslealAtakeeNIIOZip h. ft.
<,1t��n 21.REMARKS IR yr r.a4jrn err-Csy l.''g en*
c e Used hardened steel drtre vice. DVi��`,a°:��.
<� Nrcat lJan,ficanon No(PIN) r
S►Laitasrtt and Iuui itude in degreesiminuteslseconds or decirnal degrees: a1) i s r�ds/
id,leeasa,i,orelr:',, :,,d;a.m) 22.Certificati
"Jr).IA;Ub(2 N /$. 2-17tULI- 4-to-Z77
Y.,ktate):,Mt well(,C :L./Permanent or CI Temporary Sylnmun:ofl'enifiad(hell Cwura:Wr Doe
llv ogaiag tlrajrne,f aerraperres,Am sue win*,vim(ruse/arMrrvadasocra.daec
1,kHiaa repair laaft eaisliag well: ❑Yes ur ONo IL--IN(ACi/C MM. G ill NO PC Met Cseemomise Someeim+asd&a.4 ,
fsks aswNrrjab terLw&well.•.n.etrncrrvnr,nfrirmetreu,mud etphun cite nature of the o(rpo r,cwl ter 6tea,wnrsadarit at/ewer(
Power(der sal(cynic aueuan,.e„n lilt;hock of lilts fiwnt
23.Site diagrurn or additional well iehie
For t e.prreidOpwr ter C1alral l.ap Geothermal Yells having the same
may use the hack of its pie to provide a-djppRd sd pp cspn bk.'.
corasawkroft.,ably 1 GW-1 ftowlet Indicate TOTAL NUMBER of wells (add See Osee'n Remain,Bast)Yam may alrotwaeiaddshond paps ifne s.,
o
�6 24.SII IIMITTAI.INSTRUCTIONS
7.7trrd weft ikpli Wow Mai market: 5 (IL I
fv.wwlir r.d5,t,aaligia!/ (eruuyde-Je 'rrt2(r)ZlW) Submit this CW-t within 30 days of well conlplelle.per the 6Yerifty
IlSue*ftawnivelialotraapdeasiny: — (tt-) 24,. For All Well,. Qng,nal Farm to Ihakym of Water Resources(Ds'.,
.7 wars 3ndo 1Fw�r earl err'•
In lurmurum Prix—,ng Unrt,Ict[T.IESC,[L+t..iflh,,yC gq-16i7
2411 For Injection Welly:Copy to OUR-t btla t.onCanine,l_..II-BardNledilawsaea; fi (ie.)
Preeram,I43o MSC,Iial;e h.NC 27694-1636
IL A"dtwlllRtatfia.reMer/: Rotary
Ne.Fur Water Supra.rad Otis a•L.raw name Well=ac ra¢.(rout ri d pi ar, raa tad,.! county Cnvuonnsn.,)health d.)�rnntent of tie gstly Where C W L...
1 Mit WATER sure Y WELTS UC 1LY: :aJ.Fur Water VIah elt4 pruJucl aver 1 I BLOW I'ri tun I'merarn,1611 SISC,Ratergh,NCt air C oPT TO DIM Cl lti i -
11$a Vida Weal i Nedra die*
1 lib.thatek,fs.gym HTH Ammemin 1 lb.
r w.,411-n %CreCsaalr Depwrar albsra(.(real grates-pnirr.Mt Wiser Ides nte,en
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