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WELL-11-2020-141932.TIF
- _ ‘v1.11.(-()NNTRI ( I itiN II I I ..t10)1.(;Nt.i, .. . ..._ I 1.%TO 4 4,C.a.tot 110.1 3,..e.,.c -------------, Alfred Kiesling Sr ...------- -.-.. --- ..----- .. _.-........ ___ ,.... 2670-A 1_i•i.. -- _ .. : _.__ _________ ___. , •• • , • , ••„, .- - ,- ,..__ .. _ __. , _ ____..---- S "N",,...:^^.'...e. -•.,-N. i''q1 f%2(...1.41‘Ca'tat.....'.61..,- crved ori;v2:OR LINER fitiveticAte. B & K Well Drilling Inc •-•••:'\i- -•. - --...k.s6-:f 7111'.POW'S VAI11111L go - .;,, . ..; ,.. SDR-21 PVC _- ..-'-?-;:.1":R. 1,',4,(-wit TIR:N..: = "fill Corntluction Peemt r:11: 4fL.e...1...4 l j ,.. ..-- -..----H_,,._ _ _ .,.vvz_i i.: No(ASSN!. StsItIOAL. ,.. 3,Well I.se i check u ell LW,. ------ _ i W aler Suppli.Well: ! : •---"FT.SC12i f\-------'-'- :. -- I:---------- Vi."ETEN O-OT SILL . rust sc•TiS sl iTI14141. V --_- -_- - --,C.;e.?..:., ____ - llit.i.71ev.(is).-::S,z.,.•: . Pe.::,..:':;i...,.=1:.S-;:v' ''':: - .. ft. to. . ..-.1.1,:u7...-.;.:•(7.071'r ter:::e. - - -- ::.Se...,...--•!.2.V.....3 --• ,,,,>,•••• - ------- ;7.7.103tapo, ---- ENLPL%C I N ii-NT 4r7nuo&t%tot Yi 7.V.e.%',..(..e, i.4,.7.27.:. • rflu'ii iu 4‘7E'iti.q. ....1' Nun-Water Supp1s Urn.- ! 0 ''' 2C ft. Ben:on:te Pour _ :.7 Moe reels: - ........ivcri, u. 1 Injecti ,. on Well: 1 CAouifet ResbaQe ft. . ii. . .7..,:,J.Awace:it esio2:3•:or. i-_ ' t9.SANS GU stl.PAC.11.nforptuublel • I ZAgulfri Storage awl Rt.:c.c.:7. =S?:,,•.r..Barr.rt i. Miss: ; To %I.01.10.41. FM PIACI:MVO slETIMO '..:A.:.:u:fer Tra :Su.Eel Dram.n.,, Cf-x7t-nneritz;loci:-(''.:.; :51.:17s.dc-ice 1 CG00fEerma:(Closed Lcv0F1 =True: i ....;:t0R1-:LUNG LOG fistmeh odetsti000t limes if oevessitrel • , TO DENCRIPTIO‘;valor.bardueu. ZCiaetterna:tHez:tr.:z.tocl.o;Rcura1 .70ther teL ur.de:w21 Remarlsi I' --1. 0 /0 fi. 16'E-,:p .5-,..., . . S.Date%rills)Completed:-Siro2 4/12-"1--.34 ell rpm /C fl' '. yrii-oie I Sa.V.ell Location:. 1 0 'I. ! / pa :;v:I. .1 e -Q ..t_ct..41:2-a e5t et" lc-0 ". !Z 0 ft' .i'l i)x P /' vQ. 70 ,- ' f-) ft. ! ,1,21y 5.19 1",eru r 416/?..s- 4;%4.i.,.6 L../ .i.t - re r-r v ir Physic..A ocreiv,$rv, (10;;L I-X..44AD, : 21.REMARKS . . : • „ . .. . . .' •• . . . co.r.tv • ?wed Itsm:Ecemn!so iPl!s! Sb.Latitude aud longitude to devees,tomotes.seconds or decimal degrees: , (1,4.ol,.10.1ong;.‘L'reic+V !?..Ce„rtificiri :i k r N W 6.'gate)the events): 'L....Permanent or 2 Tempera r? S;p.s:,...e ,0%3 V.e3 COV:2:10: Nit 3.,I im-1•••J?v."...;%fret.-..r!ri 7.4c:rile..eisw.0.,•,,,,,...en.i.i.-.cee_..:,,n,dgme....• 7'.Is this a repair to an esistitig well: :‘et or IN* '5:vc.:c•::.,.-4;0.....c.::::,c,ic 11.0.Gign ire:Coacruczai&::::::,*rad Av e;Qr. .3,i,i:-.,.;..i,j,,,. ;;,e„,,e„,,,..),,,..,„,,„,d,,,,,„,,„c„.,p,..,..,.. :„..,,,. :51.t.1 .f em 4re,,rG,idea Y.M....rtfoivisee. ,cso,•ques.-421 re....P41.1 lee.too or oe the bac4 o'gry!;:•-nt 23.Site diagram or additional well details: S.For GeoprobeiDTT or dosed-Loop Geothermal Wells having the sarle You ITSI: use lile;32Ck of this pace:0 provide 3001000a1 we:l CO!.$000;:00 mfo cm:v.:Tutor.only 1 GW0 is'cacti Irdicatc TOTAL\t"IBER of v.c11$ (and Sett:leer'in Remarks Bot).You may alba mach addinor.alrogea..fncuossary died I 24.SLBMITTAL INSTRUCTIONS .....- 9.Total well depth below thud surface:A.6.5 ift.1 Submit this GW-1 withio 30 days of well completion per the following: iv wier:pe,rit,:u:all der:1J ofe alfe,n;(4wrtepple-j*.:0 reul.1:M 10.Static water ksel belov.top of easing:40 24a. For All Wells; Ormthei form :o Dismoa ot Via:er Resoaces leer:mat:or.Processtag UMt.!Ell 7 MSC.Raleigh.NC 276W.:011 .i...yre,:rw.o;ICT.!r MVP;Ile - 11.Borehole diameter:6 1/8 ti6 24b.For Iniecuou Wells:Cory to MAR. nceilround liternon Comm:AC! .1 Progoin.1635 MSC.Rate: .0 2-6g9.I o...6 12.Well construction method:Air Rotary :4e.For Water Supply and Open-Loop Geothermal Return Coo is Co is nu; I,e.aciei:.*wary.Gable.d',TC!!1:41..etc'3 041.12ty eV:NO:71=U; 4[4 Ith dep.COOra of lie COSIOTy where installed 1 FOR WATER SUPPLY WELLS ONLY: ' 24d.For A ater Wells producing over 100.000 GPD:Cup.'lc DA R.CCRCL 13a.Yield(gisuo 1 al. Method of test:Air Lift Pcrrsit F'orr..r.,1 e i 1 MSC.Rs:clgit,`..;:1175e9-Ill I Chlor. Tabs 1 1/2 Lbs 13h.DiSillteCTIO0(pc AmOntit: Form Gov. vvorth Caroims Dcparimcfit of Er.;vroc...-Icr.m.Q.4.ti,!. :7...1:-.:J:''EC:.g-'0.:""' t••&AI--:j •