GW1-2022-05146_Well Construction - GW1_20220531

WELL CONSTRUMON RECORD For trtcrmd urk 69LV:
ThEs fovea can bc,tisod flir single or rnuftipk,wdls-
I'M WiAdoitraddr fieformatiou:
14.WATER ZONILS,
Robert Miller_ FROM TO "SCIRIP-110IN
1Y01boardMor Nam
2675 R. fl�
NC Vell Contractor Cert iflwaaion Num6er IS.OUTER CASING(fiv mylikiwil-i 11" '141 11111MMITil
DIANTETE we"E!0 Tr`�,Nl �TO ' T "lick, iis- �L
o ft.. 451 ft, In In. Sch40
SAEDACCO Inc I .- i I Pvc
MANNER OR. BING(witherin-al clioA-1wo)
.FROM TO DIAMFTER, THICKNESS NFAITERLkL
7,,wC1l Construction petwit#: ft, ft,
Cawjtvslwin m-rif"we.flyk6cl; v-) ft. A. in,
u5b):
17—SCREEN
Water Supply'"Iell.- -FROM I TO DTAXtV.TVR SLOTS173: TIRIMMS!f I MATERIAL
❑ 4:5- ft, 55. -ft. J., • 0.16 Sch4 0 PVC
AV'cultupal DMuaicipalftbli�.
®Geothermal(HeatineCooling Supply). 1311esidential Water Supply(singglc) rt. ft in;
Mindustrial/Contutercim, MResidential Water.Supply(shard) 18,GROUT
.FROM TO: STATERML EMPLOLMYE-14TMETHOD&ANTOUNT.
El lorloation 0 ft. 39- M Portland trimi
ft. ft.
ifillecliorl Well:
19.SAN MIGMILVE,L PACK fir applicaMiO
'FROM' Nfivrt:RtAl,
Q1�01�r awl ke6 VNIPIAC.n�IFST MET11011
, 0!119C MAY Py 42 'ft.. 5'� ft. Silica Sand 20/30
IlAquircr.Test IjTaiaP0"C
.:,Mro ft.
M zriial T�cfin logy Mocucc Control
-❑
�-vmcnQ '241:DRILLINLG'WG(roach additional sheets if necessary)
OCT,001hermal(flosed LoQ P) otracer
-FRONT: To 11MMMON(color.1hardliv4.SI-Mmekt)pe,�rAi 1,ilv.dt.)
uGeoffienual(FIe3ting,C-oofiog Mum) ®Outer(explaht under 92 lRetnattis) ft.• i.t.
ft.; rL
4.1"bate'Well(s)C641pieled., 4/24/22 "Wll JD#PW-2 5
n. ft.
R
54�Nyell LAVaitili'm
ft. ft.
fL MAY 3 1 2022
FhCwY,Uwp,-rJNa= Taqffily 1DX(iFnpp1kib)0 ft, ft.
1248 Bill Hall Rd, White Oak, NC, 28399
I.REMARKS
Cumberland Three feet bentonite Seal from 391to 421
Coumly Nrvo iaflurfc�juon No.(PIN)
5b.L-1t"&And.I.oukftmJfc in deg nutdl n4i'ordecituald6p ici'
giveshni k'Co, l 22:Certification:,
$I JCV111)
2/17/2022
wle
6.Is(argil the ivcll(s)- M- Permatient or OTemporary
ky.r.,giling jhLr farmr.I hereby rvqify rhea Me ivefi{.Y)wo-T,(were]cansintried i":aceqr&Mre
•
ividr 15A XCAC 02C,.0100 or 15,t NCAC Okktlf)Well CvjritrriMoir$raa&uis and item'l
7.NthN a repair to an vkhting Nvell: Dyes or MINo rcO of lily fi id Wch prpride4 r,Jlir urdim"ier.
,(ill tsar firrnlw ierJd cwumrcrtc,y hVpmwT,1 at and explabi A e w,vj of riw Q�wt the btwl ofdtisfarML 23.Site diagranfor additional well details:
You tna itie4hi,back-bf this pd&,to,prbvide add id6nal well site,detziik or well
S.Nutaerof wells eovstrueted: 1 c6tistmefiaiidei'aiLs:"'You.illavalso:a'tiachaddifi'otial'p'ages-ifji-,ce-miuy'.
wd1s.0jVLYwJrh
SLIDNITTIALI[NMUCTIONS
9.IYitidi w, bolo surfa= 55, —(ft-)
qlAepth ke 24iL For Ali WM% Sobfidt this f6fin mithin 36 days Pf''Completion of melt
Re HfulfiPler was Mtr vM&rxlas'1fdWw)0(exapOk,:3@209'awl 2@ IM co'mfiucii on to.OL6 110110%7i n,-
10.Static water level below top of casifiw.- (ft) Divish roof Water Re.4 u vv6,Information liroceiiing Unit,
9 . .. a . -RA I/Itwee ki"d&-above twinx am 1617 Alai[Service Center leigh,NC-17699-1617
It.Borehole diameter:6 24b.Ehrtu1 center}WeII5ONLY: In addition to sending llw-fomi to file address in
244 atWM also, stibrail a.cop),of this fdrul within jO days of-completion,ofivdil
12.1;'�lt constructioll. niethod: Sonic consimition tolh following:40.Mu2m,nx -cabk�dinxt posk etc.)
Div ion't Water litesou revs.Underground liijedlo IT ContM Prognin,
FOR.%V,kTE-RSUPIPLIF-"WELLS 0,NLY- 1636 Afail Senke Center.Raleigh,NC 276994636
l3a,V10d gppi) Method of test: 24c.Fdr Water.Supply&Injection Wcft'
Also submit one copy of this kini within 30 days of completion of
hislinfeeflon.type:, Amount: -m-0i com9truction to the County health e(cparimcnt of iltd coritnty.wficre
CORM lacd.
JF0Tjn.GVkr.-1 Nlwih Cawlhia DepartRICIL!of EM1iF0JU1Xfl1,XW Natural Resoulces—Division of Rater Rmuurces Revised ALgust-2o13