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HomeMy WebLinkAboutGW1-2022-05243_Well Construction - GW1_20220531 WELL CONSTRUCTION RECORD Ui?z PlfLY: llis,lonu can W uwd fir. wclls- 1.�'Val:Cbntraeior hiforniation: 'I4'AVATtft,ZONES- Robert Miller FRONT. TO hF_SCRIPitn\ tvctlCorttracfarName, R. ft. 2675 NC.Wcll Contindor CerlificAion Niij�- 'cr -15:OUTER -'CASING(fai'molikLa ""sj OR LINER(if a0j�ngAbkFROMFR DTA111-K—TE"—R 'T Ttll M9 S5 A1.TER7,4L SAEDACCO Inc 0 f4. 60 (L.1 6" jrl., I Sch40 Pvc -16.INNER CASINGOR'n'BING,(keether Wc9a,,td4on0-: FRONT J0 I DLL%l KTER. I Tillebam. Im"TERLkL 2.Well 6nstrtictlon Veralit 4:' ft.' rL tise); 'Alater S6111ply Wi�th FROM VAT, TFRIAl. 80- ff. 0' .62 Sch40 ' Stainless Meoillctroal(fleitin000ilng Supply), ORgsidmi alVater Supply(single) ft. IL Mlndustria]/Connut rcjal ©Residential-Water SupPly(sbarcd) IS,-GROUT - Otnioation FRONT 1 170 MATERIAL I EMPLACEN11ENTINFETHOD&A-11OUNT 1 0 t'L,: 541 ft. Portland trimi No117%Water SUPplY Win: --- ft. ft. Inject foil well:, is ru. ge Wroun:dvvai r Rexciliation 19.S,9,Nbil M. #,VEL PACK lit aplolleal&-y :iRi►hr TO SIATVRfAc RslPl.AC1V1%lV-NTSlV7r1l0l1 itc6ve-1 M al ly Jni 57" f1.. 85- G. Silica Sand 20140, ft- rt. b8,.Tcriwcn1qI TcqAirQtq&-v []Subsidence Cirniml 261-DRILLING LOG 641aeb ad4lilionat Oym,if ow-ces5ary1 oGeo1hennal(t2losed Loon) OTracer YRONI TO turn) 00ther(explain under#2 t Ret a FL p1cled: 2/15/22 dllD#EW-69 V ft. f4 MAY 3 1 -20-72 74 fL Faqt1hy 1D.1(i' -016(7plic , ft.. ft. wig Ljnh 1248 Bill Hall Rd, White Oak, NC, 28399 Pljvsjzid.4.ddr'kbly.jorj Zip '-2 1:REMARKS, Cumberland Three feet bentonite Seal from 541to 571 Five No, fee 1b.11.iiiiiide'a4d I kin.ritilldc.in'41cgmOniiniiUt�ls�"co,n4li or dMriwkk�rcci: I I I - 22.Certificatiod. (if'o 0111 field;m ti1*10 o li is:�nwi t kid) N 2/17/2022 Dale 6.Is(are) mPenimnent -or liTcuiporary ividr'15A XCACO2C,000 or,15,t KCAr-0„G.,02t7VjVe11 Cv)s11z;Crfo)r Swa4ards and ffiwa 7.1� saivipairthat NfiniNvelk ElY& tor kNo, 'Cox,•6f(flif record 6i/h,;6j prpviemd ro4im nr4mviier. ' dwd expfahl ffjenarllr<offlic r,,n rf�r bait ofdx6-fbrnL 23.Site diagram or additional well detatbi- You tna}-use ,Wek of this obi to Orovide Mdid6dal well sire details or%'Vell cousituctim defaffs:-You inay aLi6.iu-,icitaddifl'oila'l'pages if necessary. Far inilldpio sup Av iedly MLY.birli r1je.wme 06flarrU&IM,V*44 67aa SUBARTEAUNSTLICTIONS 851 (ff.) 24aL For Alt Wals: Snbndt this fdrin wilbin-16 days of cc�m letion of ivell 9.Toialwell depth-6elm land p mtkfolloui6g: 10.Static water level WOW top,of casinW. Division of Wmer Rem reibijnformatidn Pr6cessing Unit, euvi"Of level h,Avbow.ty1iiax am ter,Uci;h4 NC 2769,94 617- I I.Borehole diainctei,.10 (in.) 24b.F_hr LnjjSflg6 WON ONLY: In addition to sending the form to the addrmiq 24daboev-also 6bitlit a-copy of this forut within 30 dm1s of Completion Of Well 12.VV011cousirtiction linethod: Sonic col'15(,Mfioli to the following: Division of Water Resourcis,Uia&rground(nieMon Coatkim pro grani, FOR NVATER 815PPLYINFELB'ONLY. 1636 Alail Service-Unter,Raleigh,NC27699-1636 13 2-Se.For'Waftir Siipply k Inicalon Wctls* a.Yield(gplj�) 'Method of AM subiiiit one-c6py of this faml within 30 d;kvs of coulpletion of ,13h.Disinfect.on t'vne. Amount: well constinicti6n to the county hc6ith department-of the-counW when; Nbrih Carolina Dc-pAaax-m of Envirowmaand Nattual Remurces-Vivklon of NklalcrResolra!S