GW1--02077_Well Construction - GW1_20240405

, . 1tgrp.,...y us usla WELL CONSTRUCTION RECOED tow4j . - raciatnrauseoldy: .
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2. 'Vell Cottstructionrcistali: 1 -
V . 111102i 10 DIAMETER 110:1003m issatunas._._
iistan cpplicabiewalicansfraccisaprians0e.tat Camift.-Sism.FirAion sm., ' . IL ft. . /a I
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s' .....farecrtiffedWell C0317E:tor ' Date
6.Is(are)thelvell(s)ffirermanent or riTempormy
Ati stsnikg AO fann I harby ace&that the isill(a)ms;wen)constructed in axardancr
7.Isthiss repair toitn alsthig well: ['Yes or IZNo wfth.154.14101C-0 X.0100ar ISA NOW OW.0e00 Well Consfmcrion•Randards and that a
Plds is arapalrfill antknotatwall consamerion infamanactani explain fin t naiantafth %V OW*rrf-°"1611nProvik.Wita Ihr"lbri'M
two*anflar021 remarks:cc:icy*or at thebark4filiarfana .
20.We thagtarnoradditissa1 vellditans:
S.For Geoprobe/DPror Closed-Loop Geothermal Wells havingthessme Ycel lawY:ma the.I'm.*Orthig Me b PravidfldcrI6°1521 well sae details cr uell
construe:ice,only 1 6vii-1 isucedot Indicate TOTALIRMISER ofweits constittehon dctols.Yoh mayalso attach adebbonal pnexifuecessary.
dritted: 00 - st033411TAI,EttSTIlttlIONS 1 '
9.i'otalwdl depth bdOwlandsmfam 1..i,200°6- (ft.) 243•Far Ali Airel/si Submit this foal Within 30 days of completion of won
'.Foramiti.plewaltrEst 41 LignItsreginentrtexampre- 'and 2191003 cOrftUftakft tt)16 Miming:
1.0.,agilely-Ater level Iftiosv top ofcasigp St7 .. . (14 adsiou of waigirittpurct;itongation nocessing tin'it, .
Jfwater kW isabaneamins=N . . . iin It.boi Soskeeenter,"1"140,14C27699-1617
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23.Borebnletrzunder. (p Ai cm) 20 r& ,oLoqi,:vietbs In addiraon to'ginSag to(cam to the address in 24a
above,oho submit sae copy of Ns kat 'it; hlttu' 30 day.s of complettzt i of well
12.WellconstruetiOnmethod: .4'.K Seirist4r1 - ainswia.twig,&swim
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LetidossofWahtratiosttces,linsletztostillajectiovOndtolPropum,
ioiiw-iiiiiitstiriiiisfzima 106MA ScisteeCcuicr,Ralcigh,NC27699.1636
33:L15M(gpso) (:' mczegarsgs4 A if L 14* 241c.For WAsiclusgft 4 Notietsfors Will . kt;slat:lento seOding the ion to
i A . 1 ,,,A the adth.css(o)shove,also autavAt we Copy of Otis farm tvithin 30 days of
' . /31,Diditexualopm.Chitici4e, A,o,„„„t ji %/le_ . a caoplefaonconshoclos lo the county bealtbAkpannwat of the county
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