GW1--03914_Well Construction - GW1_20240705

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Il.`Wad Contractor iinfor lfent I lateral 3Ysv Only:
David Belcher
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GUILFORD COUNTY DEPARTMENT*OF PUBLIC HEALTH
Division of Environmental Health, Water Quality Unit
400 W. Market Si., Suite 300, Greensboro, NC 27401
Record of Cc c stnoct oon© G apak, or Abandonment col
Address of Well: 72crit StlV,e �ow
Weil Permit Number: ��— --3di--a.-.�
LONGITUDE
Well Contractor Company:AucLnuunc_____ — __SO___ ! --3�_��_
Total Well Depth Completion Date:
J Q5 ft. Well Yield:._ 312 gpm Static Water Level:
Outer Casing Material: _ — _.._ft.
Casing Diameter:l`y ,�_in. Casing Depth: Formation Log JQ _._f t. Depth
From: Description
kroner Casing Material: _Q_vft. Ta:� ft.
kroner
Casing Diameter: From:_�ft. To: ft.
_in. Casing Depth: .__ ft. F rom: _ft. To: rift.
Groat From:_a_ft. To:4S ft, 3lge,c/m „
� �a
Depth From: ft. To:________ft.
Fa®m: � Material Method From:__ ft. To:_____ft.
ft. To:, ,,Zft. — ft.
Fr®m:®ft. �'o: _ ft. t'u�� 7n.tck lFrom:_...__._ft. '1'o:___ft.
Froi ft. To:,______ft.. — ` ._ -- From: ft. To:_ ft.
____. ___________ From:____ ft. To:_.,__ft.
Depth: _ft. Water P m�laacnnmaa Zones
ft. ft. ft.Yield: �,gpm gpm �� ���. �..�_�.ft. _ ft. ft.
_.�—gpm __._.._ gpm gpm -
gpm gpm
Method of Repair:
pr
Method of Abandonment: m —
I hereby certify that this well was constructed,repaired, or abandoned according to the Guilford Coun
Rules in effect on this date and that a copy of this record has been provided to the well owner. ty Well
Well Contractor: t r���jd
X -- _____.. Certification #: J51y A__ Date:
Record a Pump Enottaflafden
Pump Installation Company: 4ri/
Completion Date:L lift
3�
Pump Depth: Sd ft. Static Water Level:
Pump brand:— ���4l � � ft.
Pump Size and Rating: 3/T hp__EL_gpm
I hereby certify that this pump was installed and wellhead completed according to the Gui➢for
Rules in effect on ' date • d that a copy of this record has been provided to the weft owner County Well
Well Contractor: , � l
-
_a Certification # Date: �L(�
I •
Revised:January 1,2009