GW1--02949_Well Construction - GW1_20240513

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WELL CONSTRUCTION For Internal Use Only
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Bryan McLawnorn :,,-,i4:INVATEICZONES 'i,-,f-rf.PK%A-- M: ',,'7,,A.''''': :.r.,:§A',-,,-... .;.:4,-,:-..,,,",::•'4,••`44,',,,g,,,.r..;•,'' ''';t,
f.416zinitatlot:NiutiO • , .FROM TO: ' 'DESCRIPTION,
-,... .. . .. ' MAY 1 .7 2024 4
14b !:14:. 16-k-'•-• . ..6-7, .0-ivel:
. ...„, . ... ., _ . ....NC-Catt#2061 ft-4; -,,,ft! k-•.=' '
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NC WeltrOettatibt CettifieatitteNtibibd -Ilif==', ...;:',--'1
DVVQ' .43 •.15.--OUTER CASING tfoitaulti-easettwells)OICLINERlif ati.Ifeiibti)`<i, :,-,!=4:' --c-'
.i..M,bLaAhd.fl Well Dr il.liV FRv.i.tOM TO,s DIAMETER .-: T.IICK,;NESSL"-,42MATERIAL •
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Company Mine _ a1t - CI - 1NINER CASING ORTURIGtatothermaleloset.loopy-,
2.wo.cistiiitioi,p6thitv . 5 4eO V FROM TO DIAMETER TII CKNTSS i ,.,---.•-•_
MATERIAL
LiiI:iiii Oplicollic,i001 Oiiik0i0iaii pe.iiiiiqV*qc.,--cp#10,..:Firitc.!;•:Vipiltce,c?..0 r...! It in,
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Ayater$tippIy,Welk ,'FROM TO . AMMETER SLOT SIZE, THICKNESS. MATERIAL
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„.1Irtfgation, . FROM it), . . :MATERIAL:- TEMPLACEMENT SIETIIOD St AMOUNT .
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ittjeetien.Well: ' - - - • . ,..
ft. It.
it A0f0.,(12010ite • 1‘30to•-(4144*.a:to R40144intini_i- ,
.,,..... ...19.-SAND/GRAVEL PACK'Of applicable)
MI Aquifer.5terage'epti-,.geepygry :USaiiiittjtjtatitet .,FROM. .... _TO__ .-._. .. 'MATERIAL
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..FN PIA1C.EMEN T METHOD
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t AteifetTest ifttlater,Otain4g0 4"1p,,fef 4r2f) t , 4vi
a 4tperieeataTechnology SibSide feeCeithitft
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at cleetttermaiXgesetttpep) OT......
racet 20.,DRILLINGi•LoG(attaell'Itdditional sheets it necessary): -
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• Geothermal(tieatieg/Ceolitig'-ftettatil), -.L.jUtherfekMaikitadet'iUl Remarks) '. I -6., '- t' ' - ' -
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4,ilate)V.C11,(s):coviijete#:, ..
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21.REN., RKS
count' P'areellitcattfieatien,N9,(PAN) .--
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51i...LatItuite arittlOngItikleitidegtees/iiiIntitestSetbitds in.decimal degrees: . ,, „,
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6.ti(e-0),tfitiAteu(S): ,ermanent or plemporary, _ "g„iikat.ufoTti .. kroloyo contractor- -- ..— :pale,
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lip..tistsitig tiiii)iftity,.1"Iteriiktl.:1"ektib!flitii.ifte".';wtril(t),;,4,4 esiiecej.itinstrixteit in accordance
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•7.',1.s tilis7a reitait.fo'ati.extstifig.weilt. EJYes.-e or ,Wii iii :iViik.:15A A:4 ei.,ii2 ::0 100,i)i.151 Aleii002C,02:004VelECini,iiiiidialt SAiriilailli(inetillii;4:
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If this,.is,a iipdfr,)1/1OSt any,:swit i•rndion.lipii'inj.0.iynntion:wyt explititite#0,0.,..pf tho i:0,fti,of thith*cotxt AO h,Olen.fr-OktifOicf:1114!-Wi'll owner. '
..t-Tiltotr 014efgl tMor14'*clifv.u.qr off gle 449f this:.fof,m• 21::Sity,dligi***;addititnipt w0.1'..dotail..t.
13.For.G-eoprolii/i3PT'-or Closed Loop OetitliernialWills^,ti.evitig•ttie same You may.use'ilie 1.aelt.9t titis,pagele;prOitle addition ij well site dottitati.t..",i,el).
coaStructiotii OnVITGW-IIS needed: hidieate TOtALNINItititof wells eonstrttctitmttletails. Yuktpay,alsoattachpdditignal pageslf:necessary,
drilled . . , • SLIIIN1114ALANSTRUCIIONg.
9.1otitlwelltiejlthlteloWlAncritiiMeki:-.,_.. i 3.. .. . - (ft-): 24a.if.ot Att:,-Weiti:: i.itiliit ihi05rip W4hirf.:..Jti',!thlys eteempletteeef well
tWitilittii).16ald/illitti,ittplitt(f.diftrVtitie-vriniiit 302 aild2W) - etitittMetiotiligtheOlitiWing:•..
:10;SItaie:MiteileiillieloW,totOf itiSittg-t,'. . ;9-3 .
„... .: .... . (ft.) bf.'iSitill of WaitgrItepti irees,,Ittfotaitititintriiie4iiik-Unit,
fiiiliki:M1.F.",el, 401Opo.-iis-:.*:tr, -- ,. - '''.iWil'Sfiiirgpr,iiC ' 0"'.itier,Itatefi4;INO.41,04-4.611
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i i"..BoiihOle;diometert 1- . g. '-,... ,104,
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. A--' -- 2-41Ii.For'till M:eettiM.We ..In'-addition M sending the form to the address itulta'
above also submit"tine iiiik..,..ortili form within 30 days of completion of well
12.Well'eolistrifetlint niethdd:- --' . .,- -,.— " ^y .. . . .,cphstrucOonlo,tbe,.fpllowipg
(it•-:oilgeritrouftY;-ebb10.Alit4ttitiMite;), -
Dltilliti:Of Water Resources, Injection Colithil Program,
FQR-WATERS,UVIXWEVI.$ONLY.i,,,-: 1636',Mill- ery10 tek Ce,fi ;AnteighNc,;76994630:
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13n.1(104(guni^ ,::Mithik4„Oftestt 24e..;For Water Surmlr'Si Initttion.,Wells: In..a4ditien,.,to•sending"the,farnyto-:
the ncliffes§les):'Above. also iildiUit One'copy of this form Withitt.;i3P;:;`tteyi-,:Pt.'
114.,DisitifeCtItitt.typ'm. . Amount: . . . pni-MleYloti:Cif!40ll(04(rioio ib..the,eotintkiletilth-departs-lent of the eetititr,
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Oleteconstructed. ' 1
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, - Form OW North Caroliuu•Gumtmunt etEts;Iteursettial Quolitt,DiviionlpfVuter Results:* ReviSett•;=.222.010