HomeMy WebLinkAboutGW1-2022-05136_Well Construction - GW1_20220531 WELL CIDI"STRUCMO11T RECORD For Internal iTs bki v:
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1:^Wclt:Contrtctar Ltforntatiaa:
14 VAUR ZONES,
Chris Ruffer FR011 TO pYSG'YeYP1Tt?`i
Welt COoA,castot Nan,e
4223 A fG
1+JtMcIlCorioactrii Cart
fixatiatlltiiil�icr 15:AUTERCAS(n1G (neatufticiikcdvrctisiOlt"LIMERftiti tteable)'
.FRONT. TO. - '.DL1.titE.T6R - .THiG1'VE55. hT.4TCRTAL
SAEDACCO Inc ft. O
trrr,:ut}:h tnV. 16ANNER CASING ORTUBrtYC:`i"araltier,natctusei9-t ► '
FRONT To IrLIMETER I TtI KNESS NTATERML
$,°rrCl[ OrtStrTlCti9i11'C#YYlitr. 0 ft. 50 (t,. 6 n sch 40 PVC
Zisr rtPd nrgiiieahJr,cri1 permits die.Crtmlti;3lriar.,-Ynrinrc,,TnyLlydq etr..)
ft. ft -im
clt.ilse(chest *ell axe}; Y7.Sf.'t1t EN
Wtater 3gplill tt?ll: MOST t'TO 6rnAtVTER BLOTS17T, THW.KNTZS I ATATFUTAL. .
f rygtivtttanai ['JlVittuicipilfl'ttbll"c, 7o (i: so (t: 6 in: 'A26' ss
®Gcotheanal(1lcitingto0iing SuiTllly): CTResidential'*later Supply`(sinloc)
®hldustriallConutlarcial EIResidentiat-WtiterSupph,(skated) 18 ROUT TO. YTAT>3RtsL I ENiPE 1C£N17NTNtETt10D C iltlrlBNT
iATi ation 0 ft.: 44 fL Portland Tremie
Non�water Supply won:
4oaitoPng ®t ccnvety
Iapetitnt Well:: rt. (L.
IAqutferl;cctiarg MGioundstntcrRclnctliation TsnNOK;R41dEIPACriFirattti�al4tel" „
pRpsj 10 NIATFU(M. F#1tT�1t itY.VT\tYYNOn_
(7tttcit�rfaf Storae-:Yixi Itakayer}` pS�lnity l3�tiic ` 75 'ft., 4'7 ft, Sand 3
MAtl6ifeiTes# f)M; -n c
ft.• ft.•
l tv, pri trcn#al`1e ht�oiogy ASullsidCRCeCoiATol
26 DRILLIt1GLOGfattaeh'addii6bnalsheel i(ixsesmrvl
Meotherotal(G!gsett"hoop) ❑Tracer FROM. To rr eRlertBx ts»tan nar�a„cis nes�n crb x: ,�mac,iec T
❑Gs tltcnYYnP(Aea1n G�aolit .RetntlY} ❑0dier(explain tutder#21-Rettla&-) t ft,
ft. ft
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Chemours ft., (Q.
thcil ,lOw�nrs"N m, Fao Bs 111:G£applicaale}
tt. ft.
x• ',� '�r•s. 'tea
1248 Hill Hall Rd White Oak, NC 28399 Cumberland C, ft,,
White Oak, NC, 28399 '21sRCStARKS'-
Cumberland 75-70 is a 6in SS sump
�crttttl} l*arFe7 3tl,tti1`e�,7tiy„Nt,,,lt!1N}
fib.t tifileit anlf:i n td+ in degmes",hi)tcs?Seconds iir deck al ilcgr c 22:Certification:
itfYettt«hl,pttL�letl�t isSudf)tind
1\ kr�. ,Rllffer. 2/17/2022
SigaatprchfGeititxcd 1VctL Cattrrrratar Nate
6.istaYiaUte-�ielt(�l}: l�ertuilYtent nx oTeatiwriar}
p.rigmnb llei.%.feimz•:T&errftYrerri ="rdir.�:rj,r ell{.rl v-ur.{w'tre)renurrnrrted ire.:desdirrfm,te
nifdi d5ANCAC 02C..0I00.or lSA KCAC 622&,ibMA*elf dairitrtecriar Stanrlurls ertart rlriii a
a:)L hIsanp8ietdart0*hggNI'cll: 01, ,nr 'MiN(Y avisairlidcr,s�irllamsl�,ei,n ,rirf,rlrirthngird!r_nvna{;
e a a"rrinRlr dF a ad rnt{uw u�7l a*r to vtc,lr urk?rv+zritur rrrarl ei ?QM The narare of Me
ItilnuF nrrt i£ f rirnseRc re tw tii ua n5e ui�rA if&&Earns 23.S°rtt`diAgranvoratdditi 1nal well details.
Yiln niay use tlsv back of this page,to prosride additt final well sitE details,or'`iell
S.Nimillerof wells b6astructid: 1 aotlstiuctlot tiel�ti[s: You.itul�:lls€�:aitaelt:tdilil3onal tSa�s if tYeccsssry.
For rwa,lrlrtreirticeik-41Or0kr atitcarsalaKg VkIh0iVLI'}miry'the-wfvia 4o
sriQtFnxr arx,4 ,ev: SCT(3A11TT`AtL:tTU'S"t'[TC`ITOtQ
O.'Tattiiscll depth betm l:Ynd surftietr 75 (ft.) ,2 a For All.tVillr: Sabnrit this fatriY ti�tiun 3fI days t>f completiod of well
EPP wal#,mie �folt6wing;.
P
1[t:Static water level b`alatn ton of easlu : (1y,) Division rtf Water Resources;Infortnati nProcess U.—,Unit,
tfgtiu7rlet•+disabovs'Va'iing"as "+ t617 ALttl.Scn`iec Ctritci• kdcigh XC 2 7699-1 6 17-
11.1orchote diameter:l0 in (#a) 24b. rt a ai cY :ONLA lfet addition to sending"the fomT to the"addtea-s in
24 iko a alsrY submit-a.Loo,'of,t➢is foon within,39 days of cotuplotioa gf Me"ll
12:Weltconstrurttoit method: sonic c tis6nYetiorttoattd4cillotvIng.,
(i.a:�tt�r roinr} .able tliacrl�Sli<tt�.} _.
Divigfon'of Water Resdurcc�Underground Inje400n C,ntrt kr"giiliY;
FOR WATER SUPPLY WELLS ONLY: 1636 Ata it SerVice Center.Raleigh.-NC 27&9463f
3u Yictd( tm) 1icNitTd of test 2Sc.Far WatcrSup*&(nieetliln«ells:
Also subuutone 6p3, of ihir forn witbirt 30 d3)"sof`coaipletionof'
13h tlitinfeetinn type:; Amount: wdl consmiction to the c6lin;y'licafth dcpaarncm'of itte county whdre
cottstmctcd,
Penn,CatS;-1 North Carolina Deparuuempf Ern^ironn cro.and'Marural Resourecs-Di'di1bn of vlatcr,Rest try Fievised.Apgust 2013