GW1-2022-07260_Well Construction - GW1_20220805

' WELL CONsTROctrON.'RECORU For lrtcntni U<c-0NL1':
This forinconty uscdForsin1lcor.mmltipk awry'
1:1�'clfCtiniinctorltiformatioit:
4 AVATERZONES,'--'
Stefan Smith FROM :TO DESCRIPTION
1�'dJ:CiildrtC_161Tann, ft.' ft.
3576A ft. h:
- I I - -
NG Wd1 Contractor Cenifte5tion Ntin-bei I5 0[fTER.CAStvG.(fo�.muili ca"scJ Ncllxf OR LiNER''(if-a` licahkl '
FRONT. I TO DtAMETER.• -1 THICKNESS I MATERIAL,
SAEDACCO Inc 0 rt., 40 f4 2" I, ! in, I SCH-40 PVC
tti1NNERY'ASINC OR TIIBrrG�l`�euttuima!cb.ed-lira ., °
4oti�;ut1't�autc P) `.
FRONT .1.70 DMME.TER. I THICKNM I MATERIAL'
}Yell ConFtiroctton.Pcthitit#: ft., rL 1►►•
IrtrrrUrrjralirublc►s:.ff prrnius./isc.G'nunr4";St7fi;.1L•+rinrcce,lryerdal,rttr): -
<ft.:
3:'«c11.izsc(chcct:y'cil u3c): �t78GREEN'. _ ,_ - ,
M•
R'attrSUpph'VhCll'. FROM TO DIAMETER SLOTS17E TIIICKNl15 I ATERIAL
40 ,ft. 70 A. 2" tn• .010 SCH-40 PVC
I Ji\ytctiltutat' tSMtitiicipciVl'Itl l(c=
fL: ft.
riGeothemial(Ncalingf'Cooling.siipply) CiResidei►tialWiiiteiSitpplj (single)': I
0111dustriallConmiercial OResidential Water Supply(sha,rtd)' dFRONT ROUT -TO d1ATCRlA1. ! E\tP[ACI\IEVT.\tEr110U fiAAIOtINT..
Olm^align fl.` ft.
Non-Water Supph•Well:
®Moi►itpring - QRceoicly ,
Injectiortwell: h.• n:
to Agndcr Rcch trse' pGrotindllhicr Rcntcdialion IM
TO 1,41MRWI. E\1Pt«�Cf:\lE:\7 MI f101►
17AqutfcrSiorlscafidActio%-C1* ❑STlinilt Hail t 7o tL sans #2
i711quiCcr7cst ❑St�mrieitcr.Driin.Be fir. ft.
Oi~�porimcnf:il Tq:hnolo�' f�,StifiSidcrlcc CblNmf ,
20 bRiLLING°)OG'(ultach'adilitionat shrcts`if ncceccu'ni
OG:OIlIrlt►lal(CtOSedI00p) OTraCer; FROJI TO DESCRIPTIONftobr,h�rtin�sv.�nlnMktc�r. n'±vr.Hcl�
❑Geotlknnal iFlcatinglCooline Relutiij 001lier(exp!iiit tinder k?1,Re►na&,) 0 :(t. `16 ft. silts
16 :ft: 26 ft. Sandy silt
l:Date'Nell(s)Cotnplcicili.6/15/22 ;'ell ID#B-300 ! . '¢
26 It.r 70 ft. Saprolite k a •v
02Z
ALCOA h.- ft..
Facilil)On'n rNun+e Facility iDk.Gtappli�blc). f1:• ft. Ifni
293 NC-740, Badin, NC, 28009 ;ft." h,
Plgsi:i"ddrs4 City.ai4DO 2t_REMARt�S
Stanly Temporary well
Cnrmll'',` Parcel Id;utirtliirnNo:(PiN)
Ali.I tntudc,tnd i ongltudc iq dtgrccslmintitcslscwnilc.ar'dccimul ilc>;titxs: 22(ckifuation:
(if„en tteW Otd Ltl114n�is entli�iagl
35.410697 h 80.119653 W � -wa. 7/21/2022
Siginl ofC Date
G:Is,(arc).We e'cll(s): �Pemiancnt :or' 9Tcmlrornry It,,signing.this f;pla 1 hcrel,j,rrnJv ilia'dbt•urllis)tints Ii+rrN)rwivui,crcrr i„rrcarrlancr
)HAz ff t NCACO2C,4100 of"1 S,1kAe-U2C:4260;1►ell Consrrr,:rrcui Sta,ularhtrndshara
i
7.'1\this a nitatr to an cuatlny;�tcll:.. �1'�.-itr �No:: r<+,o�:n,it�fs r,•cooihas tn'rii jrnnht rr rothr null n„•,uer,
1Jthls+int.j+:7/r jHtqu�rGuvtxrtletarurn�rrlonbpytr�wriotr6rurrst7falnrheiiprrue.njrin:: � � + '. ! •
rqigiru+rdeiP21.r,innnli•soriian or•an die i3l.Site diagranroradttittonaf elldetaiW
It ou.ma Ilse W."Wet of tins p,•ige to 016i7de.addii'tonil.well.site detaiis'or%sell
8.Nuutberof ii0k.tonstnlett:d: 1 collsttnutoiidclails Sou m�►also a ttach'addthottal pab+es if n tit s tit:
Fgr+ntrli7/nle �{(a cflnn ar iirNi-ua:er;nr�p?r•t,�idls 0,�'l.Y rrirh?litsnnie coiistr+t'tloii,.ca:ircn -
submit One Jnrin..
1111l11TTA L:INSTCrCTION e
9.Tottl�tcll,dclHhbcioH ianJsurfa►c: 70- (ft.) Ada .Hnr ail��`ellx: "Subnut;`this fomi�iithiti 3(I'i1i�s pf coiuple(ioti of. i l
Fbrtra,hlple`i4,rls•lisr.all tiel,thsrldJJt,re.i,(c,o,»rre-,te�20D'niul.2 llk3) consinlcttunt9'titefolla�l�na
10.Stanc.\rater Icvel b'etua'(up"of eitsin (jO twi iiun uF Rater Remurcev;inform.tfinn Pr»�crwin8 ilnit,,
lJ;,vt,,r h velia abo„riistf� ua"�" IG17 il SC1- ice enter Ralciah.INC 27G99=1617
11,-136rchole diatnctl't 6.. (In) 24b j:U_bjLWjLo a_NV_&ONLY- .fit addition to sending the'foml,to the add(tM—in
24aabo\'e.yalsd.suUtitiC'a Cop}�'of this fonua►ithili.3d days'otconipletion of,W01
12:-IVcll conctiuctiomnicthod:-sonic consintcfiaii lit itte following:
(i c: t roan.:c5blc''dirtct push ctc1' i, :.
_ 'Division of.)Yater'Rc�ourccs,Unilcr�ontid.(ujcciion.Control:Ptngratil:
FOR RATER SIIP.PLYNELLS ONLY:: 7G3f41*,W Siirri&Outer.Ralcigh;,1C_27699-1636
24c..F0 Winer Sunn1\''tk injection Wells:-
13t llclil(jryinij; Mcthod of tcsh Alw'subinrt on2 cop :of thislfonn w-itbin .b daysofsooipleiipnof
Uhl'DislnfitiUimhpe: _. ,amuiint:. wc1i,consinirtion to'l c'coutn�° lctltlydcp nmcnt of lhc•cauntenl►crc
�onstlttctcd• ,
FonaGR'-I rodliCatallniUcpannxutofEcii.ironnxtumidVanullRcsourccs Divniontif�l'fniciR otrc>,' Revised,t,iigttit'2o13