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GUILFOk D COUNTY DEPARTMENT*FP, :LIC HEALTH
Division of Environmental Health,Water Quality Unit
400 W.Market St.,Suite 300, Greensboro,NC 2740k
Rini ®f Cni3 structrt r':
Address of Well: CaS���Cr �l� iJ ; 006 Wic) ep ix.</74i0 RAIMID L,2_
Wen Pelladt Number: ail.- imix;,c:4c L•Narr DE ` / �i7 �'� 0
Well Ca t ctor Compalr :_Arc `f)r,1i fn _ Cotyledon Date: 9.9'Al
Total Well 1tepth: 902.5 -ft. Well Yield: i 5 _gpm Static Water Level: GO ft.
•stei?Ogling Materi:::: (0/6 .
For-4, tiori.
Casing Diameter: 9i in. Casing Depth: ?f3 Depth
Description
From:, ( ft.To: .fir, ft.
Ramer Caging Mateaial: From: de)ft.To: '70 ft.
Casing Di,ri.,eter: in. Casing Depth: ft. From: o fft. To: 75 fft.
From: 7.5 ,ft.To: 'R5) ft, ']an <<rnn;
(Cymnt From: ft.To: ft.
"epth Material Method From: ft.To: ft.
l rom: jt.To: 4r) ft. fernaft{ i%fir 14.Walvdc From: ft.To: fft.
From: ft.To: ft. From: f . To: fft.
From: ft.To: ft. From. ft...To: ft.
Water lr®tiionction Zola(-s
Depth: i ff, ft. ft. ft. ft. ft. ft.
Yield: /5 .pm rpm
:;gym rpm gpn rpm gPm
Method of Repair:
Method of Abxsonffient: •
H hereby certify th• this well was constructed,repaired,or abandoned according to the(Guilford County `?' ell
d a,a 9n effect creeds data and that a copy of this record has been provided to the well owner.
Well Contactor: %midjJ Certification 4: 115911-A Date: 9.9.024
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'Pump sta➢lt ion Company: '�yuc►/,�h'u I nC Completion Date: 09 -!i 2'I
Pump Depth: Ze O ft. St::<<c Water Level: SO ft.
Pump Brand:___C7h Lod-Cos Pump Size and Rating: I hp IT gpm
Thereby certify that this pump was installed and wellhead completed according to the Guilford County Well
Rules in effect on this*date and that a copy of this record has been provided to the well owner.
Well Contractor: e Certification 4: ZC 27- C Date: 09-t L--g:y
Revvised:January 9,2cm