GW1--01856_Well Construction - GW1_20240322

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• OUILF0/115 CCVNI7.1(DEPAR'IMETANT OP PUBLIC 116'1112H
Division of 13nVirOnmental Health,Water Quality if*t
400'W.Market St,Suite 300, Giensboro,:NC 27401
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R.-c..60.1: :off Constratabri I Ratpair or Abahilmnient of
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Addicsa dwell: . . : 0 f : - i • ; EAvyos SieL 10...., .gri ,2.,...
Weil PelTaitlaitaber: e,74-09;,wi*tit.ittIO'7 .__; .oiteirtee 19 5}L. 4/...,,, ,_
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Well Conti.actoi.Company ,.. Con
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• vietion Date: "1i •ot
Tot Weil Depth 4115 .ft. :Well*f , 'ril ;gpm Static Water Level: . SO
Yield
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akateir Cas,ft Wiatexial: TUC : - i: s FoimatadoralOg
Casing Diameter:0.'6/.4 in. Casing Depth; I 7O ft. Depth Description:
IFrom:.:SLft.TO:, go :.ft.
kattel.trie11,4 kdsatc., ill; . " ; Fromt .Mit To: Ca4 it.: 'VI u ScarAj SM
owing Diameter: •in. Ceiling Depth: : I :it, 'Froth:65 ft. To: :10 ft. IluovertrgiV.
Arom::70 ft.TO: C005_11. llao. Nrryjille
: Glad 1 } oin. it.To: - ft.
Depth : Matorhd: .A/16414:0d. I From: ft.To: ft. ' . •
laronl:iajt:T9::...ii, ...J.it omen+ Teirix,Ithiuds Ruh!' 111:To: LLA,From: it To: ft. Frain: 'ft: To: ft: - I
From it TO: ft. „ Front . it•To; it
IVA t'A:-Reog1Ii4tibm 7e1fltI;•-s. I '
Dept. ::ygo ft. ft: ft. . : .ft:
Yield! lya,%Ira :gplix: goo :i----
gpich. -;gym wingpm
Method of Repair:
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ArIethod of Abandonnient: . . .
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Thereby c •17 that thiS:vireill was conatracted;repaired;or abandoned according to the Guilford County.Well
Ig,i7k.-.8 in etreet o this date and that a copy of this record his 6ecia provided to the well owner.
Well Contra .....024.41a4Jie Certifte,atien ii: -4444,4. Date:: 1-11.,',y
P1-::::Qffil cog:pagatp EmictegUstPotr8 . , ,
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Pump inst9ilailon Company ' • ..:. int t : .. -----,—.7:- Completion Date:
Pump Depth : 5€;.5 Eit: Static Water LeVel: . .
PunyTararaill: .r.L'L'i`cl C C: tt ..... CT.a,4451:11'arap Mt mad giiing: i!,5 hp 5.: : gpm
I hea-eby Cazti!:-q fa.i7Vp`ii.t. was installed and wellhead completed according to the Onilford County Well
Rules in effect on . te an that a copy of 's cord has been provided to the well, owner:
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Well Cot ' Cettricztoll g . k., Date:
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