GW1--06029_Well Construction - GW1_20241011

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WELL CONSThUCIIO RECORD fGW-11 •EutWIuternal Use(nor: ._.__ .,- —
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NC WO Contraetor Otrificatia,Nm^lrc IS ODTER CARD*0(ref rcittt-uitd nilll Oft Iii(EA to bleu ,
FROM TO DIAMETER MC}LNrU MATERIAL
Morgan Well & Pump, INC _________ 1 tt- ( a 6 va t3- SDR21 PVC
C.41. zmyNana 1,r.D SA Cattailills PG - ..-I'tlnsed.to ),,,.,.. ..
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!1..�7�1 Q 1 _ __. moan:a Trnwre MATERIAL
2,Weil Consiruniatnpt **, �tYi / 1/ 0 I�1�{� - FROM _Iv _. in.R n,
Linat' mil e, nri. 4/4 Deem S rRtax 1 n la I
3,Well Um(cheek w litre):, n . .
Water Simply Well: FROM TO ` MAMMA SL.OTS= TIOcroes: M TMAL
1]Abatmltunl CIManicipallT ubt R R In.
13Geolhamel Meagre/Cooling Supply) atteridcatial Water Supply(single) rt. R' to- i
LandushialiConemarcial CIReskdestialWater&wily(shared) „..moor • • • . - '•.: : - 1
M ean ❑Wdh FROM 'l
s 100,006 GPD FROM
oll MATERIAL aatrt.ACIMEl TMETROD A Astor=
'von-WaterSup Well: 0 R 20 a- bentonite poured
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t1Monitocing Oltecorry R R
Injection Weill ft. R
❑AQaifaRabatge •
OGrumdtwterRemtdistiaa 19.SA;<iD1GRAVELPACX(TintakibIc) . . -. . .
OAgndfrsSmrago and Recovery gSaliaityTinnier saaat To MATERIAL B.IPSAMEOITMETBon .
OAgrtife Test DStOoowatc Desimnge R IL
OF_xpeienetitalTechnology [7Salnidmco COatrnl R '
OGeothermal(Chased Loop) Ellister naIIAILLENG.LOC{disc!;rde6on7dtbeilillii j) ••` '' ._ "-
OGoothal(Hr� �!Coolne Ream) Other(explain node:Hal Remarks) FROM TO (War,Rudact toritorY elpr gram Ow,,,,Li
� R awn C�'.R.
4 Into Well(s)Completed: Well IIL3 R 7 (AiA L
5a.Well Location: 1' R L l.,cJ R S/4.11 `'6 -
Fttt2ity/OworKR= t ! Fealty IDE(ifapplica ) n 'R.. �•,,4 ,(.^n n"->s).':...
2Z73 S,�Mon Da:rA (.a R . R ,...�
Physic"'oar s.City.god z� ft. R O C T 1 1 2074
C,t o 101 •2LREMARRKS . . :r-. t: ..C.1. _. _- ..d
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Cc ty P l 4 Itr iooNo.(PIN) ..��:.;' ^s^..'.• La' 0 Vz
ih.Latitude and lanp}tude in degrealmiontetheeonds or decimal degrees:
Orwell�S ' )h I. ?Y Cc 1 W Z2 C�Bntlo
,„ /2/...., d ,
6.Is(are)the wen(a):['Permanent or lllrmporary S>Sasaue at WeU coatroom r
byit stragrldNlc>rso.lherdrytmily that As vsn(r1 was(went)oaa,Oneatd is cam-'aria w h
7.Is this a repair to an existing well: ['Yes or Cilia MA NC4C 02C.OIO0.ar isA NCSC o2C.02a0 Wta can not StxrdTta sari teat a ot,,y
r/dria b a repo.fil1 eel Inert wit msavetiae Eb rstwna brsirpratrde sa dra non e+rv.1
repair wirer 01r renar ra;t8trt ar an est bock olt7blara
23-Site diagram or additional weR drt.Pr
S.For Geoprobe(DPT or Qoscd-Loop Geothermal Wells having the same Yon may nee the hack dads page to puerile addtrxinal'cep
construction,arty 1 GW-I is needed-Indicate TOTAL NUMBER of wells (add See Over'm Remodel Box).You may also attach additional pages if txcasry.
dolled:' 24.311BI iit-rAL eisreuCrnarts
9.Total well depth blare land surface: 215
(1L) Submit this GW-I within 30 days dwell Completion
far Radii*am%bet a�dQeirSfdST�'F( -SCd20J'��
3/ MIM1
Ise'thefoDowlag:
H.Static watts bevel blow top of clung: (rt.) 24a.For All Wells: Original fog to Division of Wata&sour= (D�Vtt),
P
grater lead is above we•+• mmsmP+Unit.1617 MS(`Raleigh,NC 27699 1617
IL Borehole diameter 6 Cam) 24b.For lnlectlon Wells:Copy to DWR,Undergto®d lafeceoa Centred(TUC)
rota Program,1636 i Raleigh,NC 71699-1636
12.Wen mniinakon method. ry 14e.For Water SappN and Open-Loop Geothermal Return Wear.Copy to the
(Le,wiser,Wary,cable,died puts,etc) county en depart=of the county wee iusm6cd
FOR WATER SUPPLY WELLS ONLY: 24d.Far Water Wells producing over 10000 GPD:Copy to DWR,CCPCUA
elfpressure rerun Pmgmm,16111 SC,Ra)ctg)+,NC 276�19-I611
13s.Yield(gyp) Method Of tat nn
136 T)Wnf dloe type:0�s gaLcd � Ammmt: 1 V
FanoOW-1 Noah Wolin Dcpa't eatoreavemu:eatttq.stay-DrvisimotWWcrRaacuta Iterisal6-6,20IB
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