GW1-2022-10412_Well Construction - GW1_20221116

WELL CONSTRUCTION RECORD Forit;,nurs�t�cott>
Tires roirii can W used-fur�OgTc ar midtiok wells,
1.'4Velt.Contrnetor 7fiforut:itinu:
14,A rAnIt-ZONES
Brian Ewing FROM: 'TO I OKKRIPTION
wvIf+ oi�rrxt cot T4atuw ft. ft,
ft, ft
4240-B
NC.Well C6ntractdr Ciandeezilion Niuilier li,'OUTER CASING(fo'r."muTtl ra'ril sans)OR LINMfif"s:llcabkl
FRONT. TO DL4DTETEIt, THICKNESS NTATEliTAL
SAEDACCO Inc ft: f/ ioi
C tr r;nlg lt�euC :MANNFR`CASING0R,-- Blw `'eaA6irm lebukd-lair
FRONT To DLhitE'PER. TIUCKNESS atATERTAL
Z.Wdl6HSt1'DCtifin Oerwitt 3 TOM. 40 ft_; 2" q4 SCH-40 PVC
!r€C4t11rpyitieublrxcllpr+mftb;(i-r..'�nirnty;fi?ii1r,trnrinrrcr.T{}t�'lCrt aJr.;)
(t.. ft. sn
3.V4'clt Esc(chrcl.:t ell trsc: 17 SC.RUEN.
Water S ippkN Vm1 lh FRONT TO %art+tFTFa. sr.OT9l1's '"i(M'NVSF VATFRFAT,.
0Agi Cuttilral I�hinriicipal fhttalic 4o ft: 4s fill z" in O10 SCH-40 Pvc`
06cothetmal{Hc1(iH9;raOtli19Stlpply) '0ResideutialWalter Supply^(single) it fe iiii
01fidustnalfconm9crCial OResidtntitil Water Suppiy jshamd) I&GROUT xa
FRONT •TD 9TATML%L l NtPI AC£1FIEYTNISTiIOD.i INTOIINT
O�'i1tiD'n 'tG ft:
Non-Mlitt`er Supply Well:
lftsniforine.. t]RecmxTy it.. ft
IrIjecliou Well:, r� rL
[jAqurfer9echargo 06uniftllerRcluCdia1ion 19 5AND,'G LWEL PACK(if 0i2�hAN)a
- F RONf �10 MATERIAL_ RUM AGttiit.AT M1:THt7l1
❑Aquifer-Stotagc and RcCm ty AS tinin>3lmcr 38 It.: 45 fl. FILTER SAND # 2
❑Aquifer Tcst ❑ tgmi�catcr I}rtl'rihoc
1:1yvedwrat tl`IO01tll 1Pgy ASulasid me ola4ml
=`20-PRILUNG`LOG(altmh ndditioiial'ilfcets if nceessnlxl
Meoilienrtal(Closest loop) OTracer FRONT' Tt) DFaCtttt'nDN ca>ar.than+ucei 3„nrnt Ell x" kri€sec sGs l
❑Goothennal(tfr,9titlj.CoolinLRetum) [101her(explt�tt1under#21Refflatl ) 0 (G 30 ft FILL SAND/SILT MOIST TO WET
30 fL 45 ft SILTY SAND MOIST TO WET
4.DlaieWelt(4)ContpleteQ: 9-29-22 ViiellID#A1TW-D-01
ft, ft.
54;We'll L.ocathiuF ft. _ it.
j r i�' !
- 6 � .a 1
Seymour Johnson AFB fill ft.
Eacility"OwNt-i4muc Fagflil)`IM"ffapplk-able;
ft. ft,
1050 Wright Brothers Ave., Goldsboro NC, 27534 ft, ft. .,q
`r"6iit3.t-vil f t.,.,n'S�1'rn`J Uft'A
Plosx r9'Addrpss Cit} aiuI�i{t ;2L KERLUM$ r
Wayne BENTONITE 36-38'
Ctirrnls A=03 M-milifrealior 40''(PIN)
fib.L Atiti de 21141."10tttdejo deitrecs: 22,Gcrtific turret:
(i3 ti+clt tt1f tnri lai7otgla'SrcRicirdi
Iti tip' Rr!!im �'�E :. 10/11/2022
5ipn3tom 6Fccit[fr.d Well Cantr.�tnr Dale
6.h(te)the well(o) •i=iPe thancitt or ieinlwrat}', jj4•y7bllinb!1a feamr 1lrcrrlr}icrla y f�irrJ 41�g wall{rf ixrtr t 'erCJ ccnulnrrfrr�i"art[oYr/rincr
nv'th15A.NCAC.02C,010 or.-1SA-NC,tt'(P.ehJ00WellCokitrrie(arSraadar�snerdAuera
7.Wthis(1 i�pairtii on,e,ison tivellr 17S rs :ttr ZINO CnPsofAras rrn;nfiirra•fa,ain 0::01*'r1 ro tk itr 11 owi(rr,
(#atrts13,afilmlifail#atkw wmelicN,csrlar�vtcrnbVarrurrfhbomulta•(+iufaiMemrareofrfre
D sdi:;#21 trerur F•s•seenasa afar cur LSe,6arcit c j'?lr�Eq rm. 23.Site dl`I gram or additional well IIeC iil3:
You m uSe the bail~of Uus pago.to pro%ji additional well site,&tails or ticlt
R.hui ltcr of hells iro trit�Ked: 1 Consttuction 6iaits."%5rr u tla}alsoYatlach idditiitunl pages,if'mcessary.
For airumprclrc,vir�. UPA x the04YLYuhti60,mme6irsfrw4m,wmex-1 0 -
ra¢wraeanve art SUBNiI.11A't tNSTUCTfONS
.Tatalmcll deptlt bWtDi' I stilt gurfacr. 45 24a. Fmr All Wellsw 'Submit this;fdrin%4i(h€n 36 d ys of colnplcli6ti of w'ef
Forrreulr.'pfe (eamm c-.3@209'and-2@10)' 4an5tmCti0itoIhcffpgtooti6a;
to.Static Water-lievelbelow top•of iasiikW. Iiivisiun.of Water R60urces,Infitemation Pr deeg'iinK"it,
kk ff 461e ,,l is rhdi t�, Sutp,U'A, #" 16171Hai1 Scr4•ice C`inferr.R rlci-.h,,N627G9J-1617
it l3orehotC diaulctcr:s.2 s" (in) 2:4b.For Wjafflatt Weltc ONLY*,.In addition to sending the font to the address in
24a 4ti0e.als€'Stibinifa.COP Of'ANS funil 8 ittud di dns'af•courpktic n of well
12.MICH coustitCtiou Tnethod: BORED consituctianto the foll6i iitt;:
60.auger.,ruii oa dimes pusli eta,)
Division OFAVater Resources,Underground Injection Control Fivagrant,
FOR NVATER SUPPPL �jr6Li 9 ONLY; 4636 Rfntl Se.nice Center.Ruleigli;i!270.9436
13*Vidd(TT>n) Mctbud of test.• �idc.For Water Supply& occtlon Welts:
Also submit olte eopp of tots fortn;* ithin 30 days of Completion of
131t.ifil3tlt Kipn,typa Amount Avcli comfilactipn"iD tho county=hcaith cicpariment of thc:tmilnty where
¢Dnstnutcd.
Fane>Gli�i Notih Camllni Depadnznt.ofFmirounvru aW Nnru al Resaw-ces-D11viiIon mfWater lto rces ftet•tsedArgist 2013