HomeMy WebLinkAboutGW1-2022-05188_Well Construction - GW1_20220531 I
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-IJAVATER ZONES
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FROM. TO DL"JETER: TillC[�Y£.C''t ALaTERIAL
SAEDACCO Inc 0 it.. 40' fL 6" aa, SCh40 PVC
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rFROM31. .70 PLAhtETRR.. THICIOE55' ALkTERIkL
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( trt I1ltUPdL Cijy30>3j�jpglt that; 40' ft. 60. 11. 6" '0 .62' Sdh40 Stainless
MGacotttetll l catini ooli.ng 5utPt ) G11esidential4fater Supply(single) � '".
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FRONT ` To ALITSRUL EAIPI.AL'LAIEiTAMTHOn+.lei,\IOANf
[72rrii ttion 0 ft.' 34' ti: Portland trimi
Nou Water Supjjly Wall:
L hloniicariu likwovcTy
Inject ik t Well:: tt- 'L
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i��4gtfit"crStaragGaixi11=401 G69Qinit}Harracr 37 it. 55 ft: silica sand zo/ao
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beotitemal(CltlsedLoop) 13Tracer FRONT TO ImsciitP.TIO:`icobr.t:ardtirss"irmck 6 pe."m6Af&-tc,s4c.'!
❑ diennal(HeaiinWCooff L Retunw o0dier(explain utadcr. 21 Retnatt ? ft. ft.
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=4.D�tt>v�Yelt(s)Caniplrled 3/28/22 %Ve11I1?#EW-9 tt.' ft. �j�„�N 7 �a r Ky Ll
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1248 Bill Hall Rd, White Oak, NC, 28399 ft, ft, yVrl+i'
pans 3d � city.ntadZi{i =zt:xr nf,�xxY
Cumberland Three feet bentonite Seal from 341to 37,
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fib.I�,'ttitudcand seconds crdal6lal ic' *MS.'
22, ccfti#e-t tirtn:
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Dale
fI.IS aIrC).the WtU(S), EPennatient or .L7ieRtporar}' Ity ati» d*,:0ymr tkerrb•certi •.tliut:fhe1141 vrtr i4-v, constme-fedua;aiaeuYrlmter
$ 6 b 1 } j} w ?. .
uirlr"13Akdt4:02C•,0100,oe,154*kG O-C:J20p Neff Cpirafniattoit Starutardscnnd-X1uita
7.Is:thLv aG reiiairtti,an klhtiu tvclli ®°16- :rir KNO "4 ofrlilt recfrd hasfieartpr+�ur r,x>O*whit tourern
tfaivs lx s rr•{�vir,(a'FP�r,t�4�iicFl�a,�rrarrtic�fr�arwvsr,�r rnr�'t��i�ftiat Jh€raxt,+rx=r�t`tFt� ;
a an�rruaeotrd3P.mwrar(s'arcaraeaacryatl�e.brri'c ttiestorus 23.Site dtlli;t}tfttrlr additional well details-
You inaj tt50 ilia ttaCk of llit5 site dctdtils 4r t 0
S.Mitnberofivelkconstructed: 1 consftuctfot6dotailsr Yon.itta}°at -atfacltddditjondlpaggess.ifnecessary:
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,ca Swtaf aria fiU13Af[TTAI.INSTITGTIONS'
9 IYtt�t Well Aepth ketoW9antl surfaces 65� tff.) ,Ui. For All Wills.. Suhtmi dos fanit titiihm:3p days (af c anipCcti6n of treil
Faariwdtipfe4WJVHr tijfhfep7 f+tWrrait F.xiwF7€3@21hY'rirtn'2tlnw) C9astntctr4ntoflrCrollovan _
10.Static water levei.below tun ufc:Isiitw.; (ft! [l 'i�ion of�'atcr Rc�4unet,Informatian ioiaiessin t Unitt
IJg+vatew iivd 1s hh ak!�C,4 f ft rase" " 1617 Mail'N=iec Center,[2alcigh,NC 27699-1617
i1,=Dbrclurlc dianrctci:10' tln) 20.For InImfimi Welk ONLY: '.,In addition to seDdit►g ft folnt to tlsc.address in
24aatu�al56Z, Unlit a.copy of iNs,furm Within St3Aws of completion 6f n�ell
12.1%lellcoustraetiowniethod: Sonic c r tiuctfatttoCl follotilitg':
i e.�ti r,i 9nry dale dtarai gt ski tc.k
Division€rf Water Resources*Undir%roftnd Ittjiciion 61.iool.Fra in,
FOR WATER SUPPLY'NVEU ONLY' 1626'Abil Sereice tinier.Raileigli.}iC"27b9.)=1636"
Yield(dam) 2dc.For Watcr Supply&fnlectinti Wells:
Mitliod lest:of
ALso"subbut a copy of`t6t. fon#I st;ithiu 3Ci da}s't%f"coropleutrftof
121t.DisinfLYdun,tspi.; Amount: veil,consttnction to the c@ti*liirAfi dt4mttment cal itic-stash Whcrc-
crof�tnuted.
Fairn,W-1 NoAh t:aiulkm Dqunmmu of Em itaautxia aW ilarafal ReWurm-Wviiioo of NLrater Resautm kevised-Aigust 2011
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