GW1-2021-07803_Well Construction - GW1_20211102

WELL CONSTRUMON RECORD For liftnA UwONLY:
T r"Can be not rarsin6le or ndflok walls
1. rWeR Contwmar Infoamatlow.
} _Y
Robert Miller ` Von." I It9 0PA-M-1moi"
f
2675 '.Y m y
NCWd)ComtacwtCenifmationNwLteet
Mitt I TO DIAM iS 1iJ171v8fAi.
SAEDACCO inc 0 (L 8 ft. 2" }s. SCH-40 PVC
tr .
Most m nt� �ste Ttntsct+�es buare�t
2.Well C onamenen Pam*
M9.0 gW,0 vt8 d F wriliwnwn(r.,e.ColaU6v S atSitF.trariaWe-Jf#W60 d atl'.
.3.Well Use(ebock,wrll.uses:
Water unhf Well: tarn Tta b1AWTSo etairrsta� ttYCti ATt311dA1
�IA�f."tlkttn►l �lriltttti�ipabtic 8 ft- 13 tt. 2" 010 SCH-40 PVC
Ot taothtttnt tHeat RK-001ft SUPPIP OftesUngkil Waiter Suppl}tsiaplel ft
OlndustrialfC of ierdal DResideutia!Nutter Supply(shaied.)
at Tta irTattt+►t, Ra �t°ar�ntat'r �. .rn&A.VOUNr
OW _tion 0 ft. 4 (i. Portland pour
Igor meter Supply Wag: -
rG �
It1 CIi: -- ft. (4
0Agn1fer Rccbarr6r< Q+tarOunalrratcr ticattetti itaat
sIft
l�t�q►ti yr Swn e a nil Rcaof�' Milipw 13afcr 6 13 0. Silica Sand 20/30
OAgat*rTest OStonowiter D auto: � ti.
0E.Vctirncn#al Teawhnology i3vbsid+^ttc Loom#
o:-*Rlt. .MAGI
t7Geoil anal(Cld op) aTracee IMM To anclurno-It("Rt.b �urr�OWN 04d*t�t
oGeatfierwtl afewiSinfig itetttro 00dw(explain and r#21 Renaa&,) 0 (L 3 ti. Tan Silt
3 ft. 13 R, Sandy Clay
d.Date ti eff(B)r-Mpleled.- 9-15-21 Wsjj ED#PZ-42S
ff, tr:
Sat.`We"Location: it tt -
Tuscarora Landfill
Fasilita: uncrNas FsciliT}.l #t.irplicablst —
7400 Old US Hwy 70 West, New Bern, NC, 28562 { p,
Mskd t><llts r t atf:and Zip
�._ ,..
Craven Two foot bentonite seal from 4'to 6'
0"* > Wtlifl.-J 3ft"No,fY0.111
Sh.140ttt andWmgftaele n4emc.Otirrtticsdwonds�trdeclmaldegrees. Z2.Cerii#eeati�aa:
(tf'Kett t td,mic 49iitais tordTit4bMy
1Y 10/6/2021 �ry
Si�mteux mr*_4t�Wl �,...�,.- Daft
6.In(are)the wtl1(s): l ermitment 41 InTe nporan ft sdstuiy,ihir Am.t herekt•corsihr that the rr elArsd«tits O rrrf+g+irtrurte d he nxrotr2imre
µ'irk 154 XCAC 02C AIM or 114 AICAC MC.X19 WaPd and Awl tr
7.Li thb ar ncpWr to an eAstingtrill: Oyes or XNo r c±Cr�as rxz+ynd lttrs d�r�Ps��r In 1�irvf€�iu�r,
df this it a Harare of tdrP
rrprir w dea#2t rmatbs srrlrtm or rut the hark of tAix forarc 23.She diagram or additional well details:
You Rom'to the,ba&of if fs{age to pimide a ddil ona!well site doWls or will
8.Number of wells constructed: 1 €omira Lion ddatts: Yo t tk also attach anti l prgesi€r=vno8
For Haul's r i jewWon or novr-xrfer.r4fflk Mrffs ONLY lath silo-atrarta casts rllnat.g°ou cm QI7ltTitYCTAI�t7+)�"t�TG'f tQNC
.5wLynit two foray. n-
9.Totsl Drell depth bettr+s load rWttface: 13 (ft) 21a, r A8"�'b'ell! ttdi ltts farm wiEltin 311 nabs of t orarptcNott of well
For mokilge uw ills Wroth doduks ff diffirtwz 4eV4mkntt-_t 2a7d}"an l Gn&ib16 €UnSttttettob to the foftwit},
10 Statir water level bei all,top of cohm 00 Ditlsian of Water Resources,to ormsfiau I"trrecsslag Usk,
If 1617 MxJ1 Senke Canter,t4kftb.INC 276W1617
11,13ucehole diamdw 8.25" (I$l 24b.Fr►s[nkftn Weals ni Li, Ina itettn t0 S rdilt�$the f4nfl tot adQr sin
24aabove. also submit a copy of this form tzithin 30 doys of ConVietlaa of uVil
12,lYtl!aotislrttctiott Method. 4.25" BSA shnnsfttrctlotttaflte ftalto>in
(Lc.aupr.tm 1m%obit ditart push.cm.)
Ats•lsien of Water Rem Undetgraannd IaJec(lon Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Sen it i Center..RaleW NC 2176,"-1636
Uc.lFor Wa
13at Yield } method of test" SatN+is ilk 1nit Ptictls:
Atso submit one coff of this fban' within 30 days of completion of
I3b;ftir(inffetT n r - A010Unt;. _ _.e - =11 Construction to the cQatwjkm dE'p�rt nail or the county, S&h=
- ztattrcts c1.
Farm(MI-t watch Cata)itra D*wt n a of Em°lotu a and Naga]Rmu s-Orkin®or NNW&ltewumzRcs iscd?iu ?tat#