GW1--06752_Well Construction - GW1_20241112

. WELL CONSTRUCTION RECORD (GW-1) i For Internal Use fi 1 .
, r
I.Weil Contractor Yaforntaol;rx 1
Russell Taylor i I.w1�zcR
ES
Wail Cr a es=Namc FROai t TO l DtSCROTIOr
2187--A ` tcfii ' i S .ft• 185-90 154-157
NowaCtmtaeoorr aaN 1108 it i ?3 P i .239-a4
Eiedden Brothers Well D>7� rtg,Inc _1s.OTITED eASING tier ,.�)aRLIPIZR f��p�LLii��
FROM I TO. I DIAMETER 1 77II=4110,. *1!WAL
• y ft I fei Ir.
S.WdI CDa>eraettg Perlair;l<: Do JO Q?-P { ifLevi'N£BCk.SIIHG08TQBIIh'G{ Telowi�toop)
i FROM t TO 1 DIAMETER I S1OWA&
Litt ail lett�rl rs ` •
0 '` i 55 I �'
1 tic.WC,Camay,slate✓ari�r�ere, . ,fife-
3,Wen Use Au*well use): ,65 ' 1 5 9 ". 1 i Co ' I 5 iU L.
watersnpplyweik E I7.SCRELN'
FROM I TO DIAMETER SLOTSIZE M
LIMtmlcmaF P.Ublie ' I :c I ft. f Ia.Geolisonnol Tim .
ales Supply) faResideaaal%ilas!e:Supply(single) !; I I I t. I its.' ! I
it dsurdsUCoasseeial DResid=sial Ware:Supply(shard) ;1 U.tR2ot 1'
Itti alien - I t PROM t TO I MATERLtL I arrtaCE DIEVIDDAR
Non-Water supply wen: f; 0 i 20 ft. I eseez R
Moab:miag1 in1ection Weil: ;I _ !
leerRoohalge 0C otmderato Zcmediatior. I '
19.SAAc'}It AVELPACKof=Uta k)
Storapaad Rocovory riSaliaityBanc I I FROM I TO I M TastL 1 r PLAelm rrmil
Tat S;oarn*ra>~Dsziaa ft. I, - v.. i
Experiammal Techoolo, D, SubsidenceCoaaol I! ft. 1I it. `•
it ;!1 i
Gwthazml(Closed Loop) DTros= -re-.aRSSmtr LOG fattacfiaddltiaaslshe=rav
¢ most ;I TO I DESCRIPTION teem Is:sda�.sureetreenBatsts
Geothettaai(deatiasriCooliaR setttct) nothw(eanlaia t:�c21��) !� 0 ` 11, #7
I nay a said
4.Data Well(s)Compieced; 1D/?314a4 � ii '9 7 = iI 300 I
•. t
6a.WellLoesaiDD: IL ,
! �:.. : - -
• rew tot)CS}bras L j' . I /�
i NOV iji L02'4
Q {{t��I` SNsoss /n- �f, =aaDir�y,IDd(ifappreeanaie) fr. j 'L j
585 /Q+�� .5 ! C-[A, A1 �1WU.S• �D- 4I D. I w It ':--. :?.r e.,v. !!,.x.
FhysieslAddssss.City.andEp t fr. fr. ! Ca' i....,::::')`
nYsrot Cm-1m 17 µs14rj0939 21.E
1.
Calmly ??rol Identi No.(PtNI
Sb.Latitude sad longitude ia'degrees!_s esiseconds or de^ t depeos: '
(if well Selo out istlioog its m:S'teirar) 22.CerL+•Eeation:
35' bp.995 N 083° 1 I. 7[o I w
6.Is(are)the weE ra(s} Peczneat or cv'Te:aporar}• nil .of Cettied well Cvatars ` ign
s.y string:ids fora i iearhy Qr4 teal urII(sl>ms i trrr)o ortro ed is
7.Ili this a repair to as eslstiztg well: 0Yes or f iEa :.*i:ESI ziG:C 43C.ozoa orIS.4,VC4C 02C.0ZOD W tf Carsrarrrafon 9aysda+r
Pi* repo:fill cod Moon all rsustrustion it:A:now= acylcis:he enkr copy firth rrurd har beel:Piwirrrd to the Breit:Iraan
mpg,raw a31 rretarlssrrrriwt or err the bad-aphis-fors:.
:;.Site diagram or additional well details: .
S.For GeoprobeiDPT or Closed-Loop Geothermal Wells having the same Yea may as:the back or this page to provide addtnonel well site den
eoastroetion.only I,GWI is aeede& indicate TOTAL NUMBER of wells
ccasuucuaa devils.You:nay also melt additional gam iflsa�sary
drilled: 1
/� stSSdu.I t AL INSTRUCTIONS4.Tong 1 wcJ depth below Land srufaca 300 (f i -;.)a. For Ali Wens: Subot:t this fo:=within 30 days of=plod
Formeieiplr:street far all doprlsr ifdrffrreni irsers..3e200•sad igiorn corstrsccoh as ti:c fouov ia=
10.Static stater level below top of casing: '6 (it.) ?v isioo of Water sources,information Processing Dot
Amin.Ferri is above onsi mr--- ! 1617 Riau Service Center,'Raieipb,NC 176994617
11.Norshole CFanteter. Q2 (Iz. w:n.tor Infection WeUL. In addition to sanding the fano to the Ode
12.Welt COafD7iCIIDti method: /�� ` � � abase,also ss Drsis ors copy of shier farm rizt!m 30 days of sateplei
(ter unfit.sttttiri,tnblc.rieut puts,etc?
C'i�X , eonsCecsaa the icllowia
Division of waterResources,Underground Injccdoa Control P
FOR WATER SUPPLY WELLS ONLY: 1 1 1636 Mail Service Center,Raleigh.1tC 37699-1636
f1 f i
13a.Yield(gpm) bb Mettlod of teen i 2 c For Wa:er Snoaly&Misreckon Wells: in=lei a to sersdma
r � {{ 1 the sdcress(es).above. also submit one copy of this foaa win it
I3b.Disinfection type. '{S E rt1 AID aco I.Go Q ti4` i co.�ieaon of well col nesion to to county health depatmsaat of
v . were cc s4itetai.
room Otti.I tio..a Cam�:..a Lases- a_`lfz-sue _:,z�ie.--n Boa sr-P.-am-3.,..c'.T.S Roth