GW1-2021-00678_Well Construction - GW1_20210203

"ELL CONSIRUCIIUN' RECORD F II,,111,l I)N'II -
T4•:G.m r:r,u; .,cJ Gr>,,iIk - nelupku 1,
1.Nell CuntracOw Inf,r...AGun:
Brian Baling FROM 11) OF"NIPI_I(n
4240-B 11. q, III
S( '1.I I,:nreclol<111.'11.111.1 I5,Ol'TFR CASING Ifnr nehi-cavil P<Il•t OR I.ISEIF IN a, lkahk)
rams TO In NUFTta Tmf kNTss ,Nrfwlkl
SAEDACCO Inc 0 0. 11, ft. 1.5" in. Ni Steel
1n.1NwtR(ASIN( UR7L NIN( I ,lmIeW l
rRON Its nlNNtr6N ❑11(Is\F1p
Mill RI NI _
Bell(J n>nv(tu n Prrmil% N10300399 70002483 D, h
fl, ft. I
J Klil I w Ichev],well aryl �_. m_L_ —�
17.SCREEN '
M Ater SFippl, NA ell: FNtINI I To FiIYNIFTfR 110i 12r Ir111G w1lNr NI\liRl\I.
111 ft. 19' ft, 1.5" r NA NA Steel
::.Ayu:ullprd I !Ahmit lla:d 19thb;
3C ,,l1yrnydillccnhm:(....hill!SulrPlu TIP..iJcnu;d\f`elrrA¢spH lsinrle, ft. ILI
011
Jnduuriel.(ivnn,ere ial I lRnidcnoal R':ner Snppis nlcucdl 18.GROUT
FR0N1I— ro _ ! w1TFRl1l. _"lPl.1(F%lFNTNll❑I0FANIOFN
imcawsn - - —_— .—_
Non lAmcr Suppl2%%ell: --
0. fl.
L161nnlionne CIHLYe\dn
njectiun Nil ell: n. ft.
. I Aquifer ltccharec II(itimahtus Rcmedl.own 19.SANONAM'LLPA('GlifainditaMrl
YNIINI Ifs NI\T141%1 FHPI.N tNr N1 HITNOII
!IAgaltcr Srerlcr.uxiRmm:n llSalnun H:Imcr -- ❑. h. —
Aquite, 1"i I Stnmmalcr DMInI�e i
F cp:nnlcncd O. ft.
LlSnhsldctwc('..laml _
24 DRILL ING LOG 1 afwk addili.0 W0,if
❑lxotilemwl!('lo>ed LLR,pI ❑Ir.ice, FROM TO
❑Gotlinlull Il le:nnle Cuohu¢kclunn Mrodwr lexpul11 111PJe1 u21 Rellll rl,>1 0 it. 19. ft.
—
4,DAfc\\SIIIsICutnph(nl: 1/14/21 Rill II)SA5
ft. IL !
5A_N ell lalcalilul: �"--.——
ft. f
Remediation Management Service Company rl. ;: FL.
F.a_llm. (w.lrr V:u,e' F.n: lt, fl. ft.
2650 Shenandoah Ave., Charlotte, NC, 28205 A. fl. �
Y l......d AJdr,c>_(in..rlll lq, ..
21.RCM ARRN
Mecklenburg 12710204 Temporary injection point through DPT tooling
(-nrnn P.lad Lkno(i:num N,. ,NN I —
5b.I.Atimde and laulgitude in dcereev minulevseennds Fir decimal degl'r[fl 22.Certification:
,1 0.11 laid rill,I'll silo_,.>,dli:Ic:u
35.210533 N -80.801887 „ Brian Ewing 1/27/2021
H�.�
j1,�W� I!' nlfi;dN I, 1 r Ipr Ie!1
6. 1,lard the wclllstt PennAnent or %'1lrngalran
'.U thiN a repair to An m4ing well: I'er Fir %%n ,.d:.
r ., r. ....... ..r:::
23,Site diagram Oradditinnat well details:
foil mat use Ile b.,l, A ill,,[ml to pens rde:Iddmrned ,ell >1,doad>m ,ell
M.Numberuf wells allntmcied: 1 _ _ :,noire, uun dead, Sou m:n :dw:ul:lcll:Idd,noie l ixiLv>d Irve,,"M
-
;1:. SiHNII IIALIS_'i 11'114?S_
9.Total w ell depth bchm IAnd sltr(AccI _19., 24e. Fur All \fells: Suhnm tlu> tLnl t lehm in d.n\ cl cnnlpleueu of ,ell
1 , .. .,.. ,:,..r .�y. �..` �nitimnunn to,llw lolLin m!.
IR.StAtic u,ter Ines bchm lop of casing: dIJ [)is ision ill'MAter Resources,InformAliun Prueessing I Fill.
n :: . d", 1617 NlAil Ser,ice Center,Ralei-h,NC 27699-161'
11.Borehole diAmcter 1.5" (in.) 24h. E,r In krill n Well,ON I.f: 'n oddlann u,so diiw lie film,to ell: addleN,uI
14.,"bos e. aLo sublml a alp, M Ill, lilun sl illun die, of anupleuoo of ,ell
12.All ell mr,%I ructu,11 met had: DRIVEN <111 M mtl l oo to Ili'fol lo,uK
di qq Ibh 1, S, :
Di,,,iun of Mater Resuurcrs,I ndergronnd Injection C'unInA Pnrggnb
FOR W:,TER StPPI.I',\FLLS ONI I: 163 NIAt Semm,Center,Raleigh,N( 2TWOP IN36
IJi\'iAd IgPml \IrfhnA of test
2 Jc.For M Ater Sn pill, ell Injectiun\fell,:
41x, >nbmil Ole .op> of Thu frill, ailbn, W J:n•ol anuplelirm of
Jh.Disinfection ape: Amount: swll nnimnlam l m the coil.... Iwalih depanmcul of ill, eolmn w Iwr,,
:JnSIFiICICd
h:nu L11-I \rnL[.,,ol..rl Lk',,t m:.l l<rem 11l,.1R.,red Seeu:a la:­11.a' V1,nsa I9\\All liv_rLrG