HomeMy WebLinkAboutGW1--05385_Well Construction - GW1_20240909 :
• WELL CONSTRUCTION RECORD (GW•1) : 'For internal Use Only:.
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1.Well Conerictur Informadon:
4111•• •••••••••.m
Russell Taylor
, 14.WA.=ZONES
Vitil Cameo:ear Name • • ' -"D
"FlitON1 . : usauniori
2187-A • 1 70 r'' : '75 ft. 96-100
NC Well Csnets:tne Corazon=Number 4. 1
i 4300 '" ' LIfJ ft.
-
Mar nusitNeamtst well")ORLIKRE amfoildd
Haddon Brothers We Drilling, r-ic 1 s ; DIA3
Complay Non i fn ..
... M. 1
i,. DiNER.CAMNG OR TIMING ateothermal elesakostO I,Weft Coattreotton Perrait It: tho?Li.'461:135- 9'18848 ;-Mat I TO } DIAMETER i 7SEILNISS NATE13/4 Un Ca 61Millatil1e cLa C=CMCZ[CLC permits(i.c.WC County,Sate.ilariaruc,az.) l 0 ft 1 15 ' 1 1, in, l' P V C
3.Well Lin(deck wsLI ass); I li: 1,7 ' ! to ' . 188 :Sar j
Water S eapp We ly l.
I
Agricultural Diefuninipaii?uotic FROM I TO
ft. i
Geothermal atiodinipreeling Supply, EReridal Was=Simpiy Cnn&ie) :: 17. r
laciusthal/Comatcninl
1r:intern
Non-Water Supply We.: Dlesid=nel' Wet=Supply Csbased) 1 h. i
L
;, IL GROUT
1! MOST , TO It. DIAMETER f SLOTS= r TEKtialis ND
I
ft.
io. I
'. .
, tr..s.TrosAt. ' rart.,kcptrcrutreot4
i i 0 ft 1 20
Mooltarbs
Olieetrvery i.
le ft
' I
dr=Recharge nOroi.uadwa=-R.r.modo.7..
11 19.SA=/GitAVEL PACE tit zearieelole1
Storage assei Recovcy rlSaitnity Elarrim- 1"Mil TO . 3f.t.Trel.a." I. 1 thset.izeterarr stitil
seer Test Mt Stramwasm Drainage i I It. 1 in 1 1
Epe =al Technology DS:Mk:ten=Comomi !I
ft- I
Creotitt=sai(Closed Loop) ;;•-•--
"4:irate: .' 117 DRILUNG LOG fattach ectigtfoaal Ares if ounsary)---,-:..--
! 0£SePUPTION realm Pardons.Pailfreet Mo./side
Cf01011=11i . olin Eetucto rOtc-n-(=lain=dm e•-2.1 Remarks) :f" FROM TO
0
4.NM Wcil(s)Completed: 8//3/&24 Wea Z)-# 51 ft• I i)stq
•t. 1 ft. ,52.,Weil Location:
Jotres F., Stain .
.,/LL
fecility/OwserNiong
FacIliry ar:Ci•Faprialzitle) i it : .. 1
re. I it. !
1698 Old Seitientio- Rd 1/4511vet ,28 erl 9 " 9 2024
t
?Ordeal Addreca.My.mid Zip
JACY-30k3 CaiiiTNI TOAIO '34- 8395
Cy •arect Idcarifthtem No.(Fi'N)
513.Lantside and ionginatle in degreesanainutesiseconde or decimal degrees:
Ovicit 504 ors istilong is suffici=) 7.2.Certification:
35° Jo. 48 1 N 083° jp. go?
w Well Com=00 ,_ a.....,..4,-,_ AIA&
tm t 6.Is(are)the well(syttitPertneneric or DT.emparary Sigatu of Cmtilm
(r
3y signing:n4t Jar=I Carty,..c,4,-irsa 4..m:ar.T.,.ar rnerr)a:wowed ia
71.5 this a repair to aa existing well: Dyes or py. ,Iii:ISA NCeiC 52C.0100 erls.-1 NC4C 02C.0200 Writ Coontucctan&mem
e rlroir.Ail Oin blow:writ"comarstsgion rifiz-rnaiian gl=picir::ee.=,:...re opire ,T,Figi'rth,'•;mcom.1127 L'e=Prwl'irlf'd lo the well onw.
repair zectirr al/reaserks nation ar GAT the Octet of r141%tnii.
23.Sire diagram or additional we details:
You may the back f this page t provide well do
S.For GeoprobeIDPT or Closed-Loop Geothermal Wells•=vin a tee serac me o o addns; site
construedm.dev..ils. You may else attach additional pages if necomery.
construetion,only I pcsr-I s! needed. Indicate TOTAL NITM.23. of wegs
drilleziz
SUBMTTTAL. "STRUCTIONS
9.To 131 well depth below load surface 41(45 (f,...., 2,41i. For Wells: Submit:his forr-..witOla 30 days of complex:
Far tastItiale welts art el depths inferrrrit lesarr.pir-3@.200'cr..e.igi col cozen:toga:3 x the folio wirsm
la.Static water level below top of casing: 100 cf;.; aivision of Water Resources,Information Processing Uni
pastor level'is sieve=deg e,
1617 Moe Service Center,Raleigh,NC 17699-1617
It.Boreltele diameter: 1.9 cir..;
7.4 . Z c i r is iescion Weds:- In addition to Salcitig tba tinr.to the ae.i
-Th abovc. also scexaiT.oaf copy of:hia farm witoka 30 der.of coroplai
12..Well caPostracdtai nasttiod: Ij: I.. ..c.,..b ponst-oda ur the fellowia
ci......4.....y,wk,,c,.t p.t..crs.-2
Otsistoo of warer Restaurms,Underground Injection Control?
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center,Raleigh,NC 27699-1636
3e.Thiel( pi oy 100 method of test Licsiz : 24,7.0,Woz:er Suouiv.3.:Inieetior WonR LO adCritiOSS to wading
the add.-essies) above. also submit the copy at this focal within
1.3b.Dtenentecon r,t,-pe: l'5i !i..zio
`. Le.0 ' , completion of well eons=tthion to the co Mhn unty a depanstent o• 1
wit=consmucn.-.'
Pone Ow-1 No:c.Cara:tr.:1 De?=-...., Ic of litt-, -.0.71.-.-...,us Q •-
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