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HomeMy WebLinkAboutGW1-2022-06960_Well Construction - GW1_20220722 WELL C.ONSTRUCRONRECORD For Facriml Usc.614LY: This form can be used for single or mullipIc ivclls #cll"Coiiirictor Itir6r,matitm', '14AVA7ER2OWS 4,1, C _7 Robert Miller FROM- 1 10 1 DFWCR1Pt1ON Will.C.or 41. ftirt6ot 1�-mni ft: ft 2675 NC NW11 Corriddoi iCaific6floo Niintict LINM(ik ILibC)-FROM I TO titAmtTER I THICKNESS' AlA1TCR'N'L,__ 0 ft, 26 ft; 20 SCH-40 PVC SAEDACCO Inc 36.'`INNER-CASING OICTUBINGftki6itictinatil6wd4L�iii) FROM- ITO I DMMETrlt, TI"C&NESS I-MATERML 70003034 ma it'll apparable kfWdi:4 eic.) _fGj-, .1. r ft.�I .Wctlljsc( 17`SCRUN li 7 ;F11OA1 A 70 A DIANIF.TFR-! ;SLOTSIZE I THICKNINS 1,MATERIAL Wlat.pr Suppkv Well:- 26 41 ft.- 2" in ofo SCH-40 PVC L"JAg#c rat" 0 1 UP6 red) 18Z-GROUV 7 01kcsidechtidlWater Supply(sha' FROM TO 'MATERIAL I EA1P1ACr,1,112NT 11ET110D A—ANIOUNT Ellrrimfl6n ft. N.on*later Supply Noll:, bliccovqr)• 19.SAND/GILIWEL PACK_T TOt. FROM M, 24 (1 41 ft. Sand #2 bF%periimcnmlT(tihndloj,y 13S1ibsidCKc;6n1n;A' 0(kothenixil(Qused Loop) b-Tracer. FRO11%• .'to DESCRIPIJON'Wor.hardiovvi.witionwktvix.%rA!A%vie.de.1 01G:oti.1-1111.i.(T4,iliii,a,iC.00lii)g Relum) ft. See Geologist's iO4 4.D'_ Wdl(s)'170pi leled:, 6/30/22 JIVel I ID#TMW-2 ft, I I 401 S. flA, College Street, LLC fW tictfily ID9 eit appljz.iW) ff. 40I.S. College St., Charlotte, NC, 28202 P)tcsicd1, di City, b W*40%wicn P '_2l.'RtNlARWV,- Mecklenburg 12506201 Bentonite seal from 21L24, (PIN (iegi,16csfn nutcsliccondsi-4i"'decimal tl 22.Certiflinifluiu- me ti,!]icir,ll � .a.m�� F ¢�, w 7/6/22 Daic 6.16,(Are)the OPcinnanent r­-Z kiiihg this f -1 ltadj),verity-Mdf the dellW sws.fvirM etinirtqelcrl hi_eweohlcpjry Weil Consmiction Stiindtints and I/mIl wirly PFANCACO2.C.01m oj"ISA"Vew`02C,0,2LW 'Cr rejw.lr'tridei B'JI revjOrL�, or dVi Me 'U'Sitt diagram'or additional.U�cffdiilaik: Youjimy'ke Ifi- n;o k' -o f,thus `.ge..-,16.pfo'%i6 aid7di d6nifivill site orlial &W6itbei ifiMli dela '. ti11mva- 11(ac aAdii01i 1 pag if tlicties5.ltp:Fd�';�vlioe GtJeikvi wvoirivfopjyia�YfOjvlv 161110*.sain you C#0 .wonikime form.. svBrvTrAL.1r4 1' oil,IAI��iAjj4��e. • 41 ft 9i.Tola mell depil i bel J. .24A. For All NN .4 ''SubHuthis: ng,' 39 Dh iVaie U fidon, :hii�n of 'r'Rt�.�odrci!4,*Itifiirin'atiniiPrbiLNiintr nit,,, NC 2�690;46.17 if it level 6-abow.ie'ek.WhgAjse I 1:Bdrchole'diamctct 4- 24b.Lgr-TWW(lon Mll,.'0NlV:flin addifloyi(O sending the forni 16 ilmaddicss-in , - 24a a%mt.'also.stbnul a:copv'bf, wilithv'.36 dkvi,of:cdt!pl6tion.or i%ill: J1*-,Wk1l constniction melhod:'Air Rotary eonstroction to the collowilig-, P'Afl.e_(C) ofWater Resources;Unilergroblitflinjkic lion Ci6nlr6l Pllogr;1111, FOAVATE9 SUPPLY WELLS ONLY:; NIA Sin-lok6lef,TtAlcigk.',_NC'2709=163G of t 24--ftoir�Water SupOvA Injection WOW elil OnW, Nicoio Pi il test: daVi'6(c6o*iiJ1e'1i64 or Also: '.submil.one.,copy,of.this fdr wdt conslnl�tion'(c.the county licalth dcliartnivit or'.titc;'Coiinh.wherc 13N, !Putinh., I , I constnicled- Fa mi Gw-I' North CatolimiDep4rument ofEfivirojuncut and Natural Resources- Resowes Revised August-1613