GW1--01855_Well Construction - GW1_20240322

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AGM 034316444142 aatel',Botet ,WC 298616
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GU ORD COUNTY DEPAI Orir 0IF C LI ifE TH"
'Division of_Bfildronaneant •Ifealth;:Water.QualityIJnig
400W.Market St.,Suite ,• Gmeiasboro,.NC 27401 .
Address,ofWell: C:• Jc91.3 •LATTTU �3
Welt Per it Nurnber: C 3]b' AJH R e q . : . - .LOlb .. 79. .6f'•
iui,. 1:16 I Yn _ Completion Date: ? 21
:TOtal Well a>, .tn: 5 ft:. Well Veld 3 • StaticStaid:Mitzi LoVet ft.
Our C . :Material i_
. � IF®adotm It:
Ca ng Dainneter Co,al .in. Casing Depth: 7O f. Depth . Description
Prons: Q 'ft TO:. :49Q- i, .
j u hidt° mP g Material:. . . Prank Q0 ft To. 65.`ft. ;
CA',fug Diameter:: In C,t:ing Depth: ft: From C 'ft.To: :70 ft. ,
From: 7Q it.:To ` '. �fcne C�ccai�;le'
• &®nnti From - . ft.To:• ft.
Depth terisl 0bd: Frci To tnc; •
`Fro is O ft..To: `I..,, . ( . P . . ut';L•,thT.'udi corn :To: . fi;.
Fniria: it To:. f
-r.
From . _ ft.To: ft. From: ..ft.:To is
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Depth: •.60o„..z .. _,ft... I ito ft:. .ft.
'Method.of Repair:
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-Method of#b idonmcot: i s =
.
a here vc t o ' iat this well Ingoopograceesti,repaired,„: abandoned aci osthngto the Guilford:C,ounty Welt:
li tcs-16�.�.lCki .ui di la dme,azd that a copy of this record has been provided to the 'piper.
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.Certification : . 1S4.1 •A. Date:. 1•.to: w
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sta]inEicra Compay.4y:. , 0 :Completipn date: 173
Pomp Depth:. ft: Stec Water Level:pimp
3.7lk x n �
S,r.r17%,.c �J :hg�. �Pm.
Iherr9by r; .pt14 that:this pa ,tits installed and welhead completed accordingto the polfoid Cowity Well
Deal ate effect on .. ,+ to oaf.that a copy of ., s r rd.has hew provided to the weld Owner.
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