GW1--04936_Well Construction - GW1_20240816

8284322-7241 P.1
oh 1519 O5;43p Glee► eterWall Drilling
WE L Gw4 tii :Weston!ties hr
t.r Cont�rrriite r Intorr/�•/�n\-ration: 18
IS
Well eantr*clot Name A •
3f.e. (i L.-.,___ _ .._.
Ir.
____,
k'trv -cx
I welt fir{ .; ti-,,t:� . 116 —
in,
t:.mvetay Nara //�_�/t�/-f/ ~Il. it '' ,r f
2.Weil f:oatrhetlerl Penult 0: L,'.� 4' , t► R
met MI n�t!levNrfc tve11 a mtrrnwIrnM plwn7fl r art tin Cnt0+ti'1 V,1IVte e5 era) t.-
R --- IMII
__
3.Well:lit•.(cheek wdl use):
7.'M' ;i NtAx dA►
Water Supply Well: _ _ ...
..c. t
■Agr yt
lenittlrei QMtmlofpal/Pubfic 0' R R- In
Ili Oval—mural(tleatittgtOottlingBupply) rfRende:gfQt wear Supply(single) """" ft., n in. L
(11d119tri8I1(;(tantnEpailt) ft,eidamisi Water Supply(9laarert) ^• H�TI�T . i:,.P...r � A/kAMFi1tl T ,
iM:ntion _,r^ fit, .( )D A' 6e0,fif �i X
iVea-H'nfer 3�pty Welk,
r•Mon hart t: Reotivery ft. R.
_.__
stAquikr heehaw OfirotmdwaterRcmedistion �••. L --
NI Aquif r Storage and Recovery D.Sttlinity Barrier .' •'.."
r Aquittr Test riStnelltWaMT DraitIORO O. t1.1111 — ——
i:xperiment9l TenlnfMoyy insubsidence Control 'n. it
!/'Geothermal(Closed Loop) ETrnce:r .,ta i'1.11 OG t II C' *!t"c _ r ._,..._. :.._.r.,a0
tlrnutrnrrnl(tieatinB/Coolhmi iOebt ) E3v (arpiniF undo)1921 RcrnFulcs) :-�^7C%' !e ,c Y� 2(7 f"� (-f —
t.Hato W I a et il: �(� "" ` tit/�/�et()c,„tpl a "7-- , ,1 Well IDS r----- 7� /7//yam,, 1'
5n.Well l.ut mina: HLiv n-' /- .79'TZ2i' ik —.
!tclilhd(tnatxNtano f Facility mil(sftptplinnbk) -.----
rt, a-
Piryaieml newton,Mx,end -- On--7 4 1374
C'itntty Pastel identificationNo.(PT*) M.___.--- - I to
i} -
5b.Latitude and kmitithde in drgreesimtnutestse ondsm'decimnl degrees: --—.
(ii'wpll field,Ana Iailonyt is tttdttnluu) : . Nand t
�3 4-2'45.76) N J.) ; 3° 7S w 7-a2 a<7Z
zat(n.t corattilfiud el Contester Date
At ttt(nrcl the well(a) Permanent or DiThoPortrY 1
dtv mow nor Norm,/harnAv ounif,that the ivtdl(r)tMs M narrMteRVIA A)on nrdeme
7.in Mb:a repair to an existing Wdl: JYrs or No :.alb IS f ti....,„ 02C.IPIOd or ISM NCO'11;�c irno lt'rlI CrntortOno VOt'*?E mot)Am.r
II is:I r.grafrt•/Nl mulhonwn tWJl du,.wn,etron/,lf.,r wlhw i rspJt* h''.M n.f ho . 'RY ofthlr m'nrd lin?brbt pnwfattri in hut 'iJ1(wry-,
o mtr Wider 112I tumor*.+•swot n or on the Mark of this,jnral. 2,N 131te theturson or additional wall MOW:
Vol,may use the back of this page to provide add100e0l wail silo situlfi.t or well
R.For Genprobe/pPT or Ggtaaed l nip Geothermal Wells My fog the cons e..orritrotion details, Yon Ink also attache add Sorrel awe if rooessaty.
mivarttetien,ont),I CW.1 is needed. lildiento TOTAL NUMBER nfwr.Ils
drilittelt_ _ .a,rrr.r death i(IlaM
9.Taint wed depth below tend aaI cc: J`� ---- - -in.) V),fln. leer 1l W_dh: Sutton dole firm within .3()dm;of rfimplttion of vie
1,trnoefd ill c wells tilt all dEpthrifrfirr'r,x(nrnnrpht-ti)2o(Pawl @Ioo'i con.7ltHCAiotttOOKf0llptrhtg:
ill Stiehl warm level below top of taxing: C7 0 --(tt) Division of Water Ratenurees.information Pr'oeesilegg()Olt,
if wnto•tool lrr+Mrr aaFlnp,teas"' "j _
lRrr Mal Serviec Cellar,R lelgb.MC31491-16I7
i i.Romhoie diameter: Cc) ' '-' (in.) 24b-iterilICS3101aailir. In addition to trending the:brut W the address in 74o
II W211 maflr Ctfi mad I (/ (�C
1 ./b tY shove,ills)submit one copy of thin limn within 311 days Af completion of wall
/ - construction to the fotlrWin(c
(It).mega',array cable,dit'a tpug',41) y
Division of Wafer RreeurCdt.Ulatrtglro nd I Jrtelon Central Program,
WATrix St'PiP1-t\Wet LL.�i ONLY: —_ tfi3b Mail Service Cr war,RAtelglt.NC 276�19.1636
1 13a.Yir:id /i 2 e,For Weller SwayJr(hieettail tMl1: In addition In sanding the Ram to
(R�l 'k� MOM nF te91- •
ills nddms(cS) above, eiso submit one copy of this BM within 30 days of
t.;n.litsinrection typ Aroomer, prowf, ot..visit ennstrnntiete to the enmity health deetttlluent of the eo,tnty
- a)o-_ where conwltaeted.
,:, -l)iri+tnn of Want'Rosotut" Revised 2-22 701 tt
xnt O W�! Noril,C-nation llapnrlmont..tf 1?,wlrcinmrtntd Qrnllt_r

WPM NNW Sairmerweetc.r 0m rd.
6/5 1 t-
-a a'I- V
I begeby amity**A*above referenced%IS vas framed in appeennwe mordance
ail Comfy Wmies.
ark i
Canetznxctiaa Gant
Cafes ' ^ ew, 1 cl
Cadag , D
Diameter; (p%?
Drive shnar,
cam: ��