GW1-2022-07261_Well Construction - GW1_20220623

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WELL CON$T12CJGT10N:RECORD f
Poi•Ilacritnl Use 690':
Tbis-rMu cats W uwd.fm:Siurk oi;multipk acclls''
I �VcU,ContricforIiiforination:.
14 WATERZONILS
Stefan Smith FNON TO I DF'SCRIPilON,
1�'c71:CuivrtcorNaua; ft. ft: I
3576A A. ft., f J
NG Ndi Contatciur Gcnification Patin tier a s"OUTER CASINGaormtiltt=oSrdi+ctlsl'QR LTNF.R"lf:a"licabkl ,
FRONT. TO DMAI6TFR• ' 'TIIICI{NF[S. \fATERiAI,
0 h:.. 35 r(: In t '.io: SCH-40 PVC
SAEDACCO Inc
16'INNER CASING OR-9'11B1NG7 arotbcriial cWtcd loitjt
(oiigcuq T pua )
FRONT,, ..TO I 111LA1rETER. I THICKNESS I !l1AT¢RIAL•
2:I'vc11 Consfivctinli.['ci iilif#: to. t1. to•
f iii ad.j,- _bk is if priteifr.(isc:'(otmtk:STp: Y�rinrice //yrEYr%t 'eXg:) in.
rpi fl:
3.��c11[tsc lchccl:l�'cll use): 17'SCREl:N: '
Water Supply Well: 'FROM TO -1 DI\\1FTAR \(OTSt%3 TInCK1F15 i NIATF:RLu.
A 'ft. 40 h. 1" :it►, oid SCH-40 PVC
rJAgikt ttura I It omtinicip:lVl'uMk:
ft:' t6. jit►.
QGeotherntal(licating`Cooling.Sitpply) 13110sid6ila-1 Water Supply jsjnglc): I
QindustriallCoinwidnial QRcsidenliAN%IllerSupph•(shated)' AK
�ROIfT .TO MATFRIAr. I P.ArPL\CE>IG\TIILiitOD.CAMOIi,\T
Olrii'atian•' `ft.� f1. '' I
Non-%Pater Supjtl} W0ll:
h: 114
®ltilpiijtt ring bhccoycry
Injection.Well::
ft.
QAin►fcrRcchar}e QGroupdw-itcrltcntcdl lion. t9s,SAND1Gtt;\YELPACKid;r"i'illcabtcy
FRC1�I TO':. ' ' MATr•RIAI, 1 NPI1%cl"A UYTHbtflott
1]AgnifcrSiorege•i6d Rctioi lvy ❑salinitt B imer' 33 ft.. 40 f1. Sand #2
❑elgitikr tcsi L75toenm ttcr Drijnagc
OE�peiitncnhtI Tcchnology OSilt sidcncc:(oiltrol
2nDRILLING:I OG:fatlacbnddhionnl.cticrlc'ir nccexstiitil
E34n:odiernwltGlosedLoop) ❑Tracer. .FROM'- 10 DESCRt1'T10\f/ulaF,hatduc+eb:a'ntektt>s mi&rc.Nc:YJ
❑Geo hennal Mutiiq>Coolii)e Reitun) QOther tetiplaiti untler A'2l:Reinait,) 0 ' 41'. 16 ft. 'Silts
16 ft.' 26 it. Sandy Silt
,Dah}Vcll(s)Coiiiplctedi.6/23/22 �Vc"I1D# -303
26 /i 40 It. Saprolite
4 Well I:iicatitju.
ALCOA fl. ft. L
FacilifyrpiencrNantc.. Eaci7ih lA1 CfappTiabl4.
293.NC-740, Badin, NC, 28009. To.: fl, i
PlLyik5lAd4Ti',Ctn and Zip r21 RlMARKS• _r.tfi 7ri ^.;1 ..f4C�
Temporary well " DkA1Q/ OG
Catutly;° I'atcCl t3:itltic,�itibtiNu.(I'il\`) i
5b.I atitudc Ani i on�nout c to degr eeslminutes/scconils orA intal fticcs�. 22;Ccrtif icntion:-
(forl!fc:W otc,1.1U7t}tty'is sti4tctittl)
35.410697 .k. 80.119653 �ti' "!, _7/21/2022
9.0 ti t'Xli.�li)4:cll Cantrn for Dafe
6.Is(ame)the wcllts).171'crntaaent -'or;' 9Tetnlloriiy.. sr•not d'i9 ann:,7 lierrht t'erfr tliru the+tell s)iiYl3{ts'rn)ep ufrneterf ut imeordoncce
1014,R&I NOW.02C•.0100 m llt MCAC.0:C,62M..A'efl and thni,
7.Ic thlc a inpah tl►'as costing ll elj: .. l77 Ch.'•tlr ®Nil'-; cthwof ihir r�t•onl hoc b,'cti/tn+t lrGtFtri'ihe its-!!rn}•+ieir,
If tbls+•i n rel lr fill tn+tkna+ran wrld eo+umrcftos inJotrrtr r10 l nri(1 iilila)1t fhr.,tu+fuae of rbc
reyr+ir mrefee 2l. of on Me back njdiirYarn% 23 S;te dlagrant ar dddilional\l 111 daails:
1 ou ins).use tli back of thl�plge to pro�lde additional Melt she detaili or hell
B,Tntitlicrof.ticllseinstitlrtctl: l coustiuction'llelalts'Youmii il�oattaelradddiatwl.p�� slfiiti�ssah:
Foi mtilillrlr iRj�crk�tror.ntai-hitter ttrpplr`7fi/h"0��%}'pi lth fGir.anme cotrsrrite ou you qw
submit bnc jnr+n.
s li5khra INsTLICTIONR
�:Tiiti►I:�c11 dcplh bclot�`hmil slirtacc: 40 '(ft,) 24a 1 or r+111.N`cllc ,SubuDl�tl►is fonn.«ithin 3 I dak of'cotit}iTeliori of'riell
FoYttetilrlplr"�rt/s'tirr nll drPthr tfd7�?err it(orm»1,fr`.r 20D'trruL2 llkYy con5iifiotiprtt0°tfic follat{ing: '
k
II):Static water Icr el below top of casing;: (fl;) Uhiilamat ater Resource.;Information PiVensinti, nitt.,
lJithrrrlev�l It rbnir'cyst�� ifti";"' Id1711Ind Scr►ic((c C.cnfcr,l'ttttcigli VC 2769'J=I617 '
t L Borchple dtalncter•8.2-9 '(in:) 2Jti. al:b-ol�IjQi V c ONL'Y� ht addition to sendinr t1F.('OM to ttte addrM In
Z4aabo{e..A6 submit'a eopi1w this Conn i►ithin.34 d.1vs'of•conipletion.of,icill:
J2:��'cllmnstnl tion`mcthnd;'HSA ConstnaCti6lltnlltCfollot\i11L�.
i
(tc�ug,r m�iy_ tiiG atmt Fusli etc:) Aic,isioR"ofNVatcr Resouri cs,Undcrgronnd lnjccii�n Control Ptngralit;:
rOR'.1VATER:S[IPPLY WEL"ONM _ -M. Sam 'e Center;R>ilei�6;.'NC_276971636:.
l3a Yldtl:( ►mj ,Ncttk}tl'Mtcst• '4G Fat Water Su pp1'A Inlcetiiin��clIs::
Alsb slibin►t one cop :ot thls form�iittlin Zt) da}sofcontpletionoC
13h Bilinfection tylil. Amount:
c)cll conslrnctioti to the connly hc�ldi dipanm lit oCtlic`coitnh.tinc�rc
_ constiuctiid.
farmGt�'-1 i�onliCarofitiaf�pannaciuuCEnrirunntciitand`atnrilRck�urccs-Uiriilontif)\'Ica'RtSotrt� Rcchsc_d.lugtutV)13,