GW1-2023-02955_Well Construction - GW1_20230425

WELL CONSTRUCTION RECORD ‘ .,\19559-2. Fiii filer's'i.f LY.v'ON ::
This;Ishii can bc:Itscdfatingia-Ornaliirib wc1N,', ' ' \ 46% 4for • ...
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111:::i/VOIf•Ctitsfiiiii611 InfOin4giii,ti i' 1 . •- •
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Stefart Smith itIER ZONES .:;•--•.-:'•,-•'..,,;,,•:-WW-3 - ,,,,. ':• •
•: FROM' .'TO . I DFSCRIPTIM
1-‘7011:0;•rAritttiar Nani!i, • .1i1; (I. I ' - •
I
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357 6A . . •
• Nc.Well ComlfilcIor CcilificatiehNititlici , •-•15.0LITER•CASINGIfor mutti-ciudettisi OR L1KER4if ttli Restlie) ,• _- -
.' FROM. - :TO . . • ..DIAMIETER::- .• .THICKNESS :,- .MATERTAL•-• . .
SAEDACCO Inc
0 ft.. 15 •• It. 1" ' -IS. SCR-40 PVC
.
:Comilai4'Naille- • -16.INNER,CASING OR TUBING,titsbernial clescit-le•StC--j.: • • . ' .•:.••':--Z::• •
• ,iritta.--1-:70 DIAMETER. -,TIIICICNES9 .- SIATERIAL-
2...*Ii"611ITOeitnil 0iTRIIT# 70003118 , • .li, !1.: ' :•-•-•;* ' .
Lisa akilicrifrie iv ill infirriii I 167:corintr:Sitric..;:Tertfurree,
.3:.'iiVii,liie'ftitiieli01111 .•):
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FROM '-' TO • .DIAAtETER, :s ror Sin 't irtitcrottlis- 1._..stArrsubla..'
WOO;Supitly Well: -
15 .11:. 25 2f1. iv' •'l •- -.oio ' 1 scii.---4 o PVC -
1
clAllfitifitinil bh:IiinidipaliPidgiel; . ,
OGottemal(
. ,. „.„ ... . •..,..., •.. .., ..• ,. ... . .- . • -. ..-.. ; '. • .•ft.• •ft; i firt. 1
(He atingt.Coialing.Salmi-,y). L3Raidential-Witter Supply (single).
..... ••• •
I .-GROUT ---'••'• --•- • --•,-••". ?••- - :-."'",-_-: . _. , ,.,
• • •
0 TndusaVtonitkitia9 OResidential'Water SopOly(shared).
FROSI • TO - . letATERVII:. - IEVPLACTSIDIT METHOD&AMOUNT -
0 trifOttlati•• . .., . " • " . 1‘"!t.: It.
• N0114Vatcr St;pitly:W011;-• ' . • ..
..O.:: • :ft.., : "
iMonitotipg... .bit.cctiycry' .
NOWT,Well:' 44'. It. ' I.
. , -• •. , . .. .. ... , .. . .
ElActiiifar Roehtirge OcriittindsOfet Ilentediation.. '19.SANDIGRAVELPACK fir appucabto: . r...;,.•'=-',.'._...1 ' ,; .. = '•'::-..;!''' .
:••'•• .•.•....•..;•: , ,i.1.•; . '.• . , FROM . . 10. ..... 'MATERIAL .. . . . :EMPLACEMENT METRO!) ..
OrAtiftiecir_ iatite at4lieiiiivOi-ii' 0) liiii*ijii*r. 13 :ft; 25 O. Sand : 2
i:l'rift0(ci I.0. giStalpiiratOr lOrtiii1Fige,,
•,.. 1:. ' ft:.• ' ', '
OE:+apetititcn4t0 tech.00141 bSidiskicitce Control „.- ,- - -. _ • , - - .. , .. . . . ,
,• -. . , .... - -, - -,- - - 26.UR11.11ANC-1OG(attack A d4fi1iiiiialsdie6 if necessiiri•il'•"!• '' -' ••• '--• '•::.:'-.,. •
171GectItennar(Ciustt Loop).- 01'iracer• .FROM. TO DESCRIPTION fcolv.Ilardnvvi,witritek El tar:grAtiti 2..ior.dt.1
, . .... . , ,.... - . ..
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EIGeotliennal(1-ledfinAtCtioting Aaiun)), COther foiplainander Al2I Betninks) .
U.• . . . Ni-c-Frivr7,
: . . _,.„ . . .. . ._ ......_ .A 11• z Li,
,
4.DS1SWellfs)Oitiiiiidedi 4-10-23• 'Vti'i411D#PE-03 . . .
il.' -
It. '
•
4 Well Ltiii .' .
.it.-: re.-.. , APR 2 5.223
Former Domestic Laundry 14,-. ft. . m
•Inforaz,Von ate®
Pr -,
FOiiiiy-Ovrcr•Ilainp,.. Facility MN,Of applbabic) • .
ft', .. •
O. . tevitzioa,
. ___...., r4;
• .
900 Baxter •St., .Charlotte, NC, .28204 . . ,. , _. . : P.
.ft..:
-
... : . . • . .
Pk*41:-144F7•C.itY7'.in.di Zip'' ',21.R12%11.4iRiii:17,•,,,, : •----::.•.:7-,'g.•-!•,•:-•:i';',•' ..:. •-,•"'-'-'''i•.• -',,-,•- -- 7.--,:,•:•:'-c-',':".,_•--s
Mecklenburg • Used DPT to install, no soil description
• ' .
•
Camify- Nor it.1 Itlimpik.iiistiNs.(M), available
•• -• •
.1).'_Litggeilitt;Iiii11;i4S4Ittl. d in IitiTtc,.-..0iiiiinuiefiliORDASRP:016intlI44tte :' -22,ccodi. • c•a,••tioa, ;... •
f.ii*Ittii,,IcicSS.:_b_VIstiiitliiilvitti). : :: - : :: : . '.- : • : -
35.214564 ,•/,',,• 80.842648 '111 ..'
....„.- ..k...... ....;....,..- -...----,-......,-,' 4/14/2023.
" •Sigebt . sf Cc..ikt1 Well qtia iiLlot• Dale
. .. .. ....-, ., ... -.
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6.19:(tii•e)the iell(): .t1Peniiinent • or..laciiiptititly•• • ' . . .
•' .• ...
•Ry drkamtej Irr!re;.1#iv.i.tily r,litir:44..irt:116)li'ai' )air:v.:Elyria lir:ftqcprriapet,
" . .r..riilli Mt AreAc 0J.c:01rk?or 1 5 el'Arbtqw.c;0208.:Well COsiniition Sri*itirels criiel:thirt
:i-'4:01.6 IA npitairf(i*,"-eii4ing iviik."... 08((‘'• or .0tsTo:': : 4.47ri'irfrlifs recr-rqi1r4 bre.ii:ti*Ildreitoijell awiler,
1 I kis'ii:e7 rep'dir,litli 10:41itiliv-wet cods/riferfri.iviii:Ageiiri.041i turjd 0'.041I:f4e,Oittrare 0,f.the r .;•. •• .';.:". '''.' "''I 2.. '.;..f•, .';'':::,,.'.1 .•..
iilicrii dirdir;921 riviiitek.i'.iadia 6-.r r Ai:ilii!1..oefof el A:forlii.. ::13.SIte 011io'iiitt or additionlit*di ilelitibt:
,-.. • • -You 0.14'-use ilk back of atiSitOgeid'oovicie-ad-h;0114,01. 40-iileailor liell
umber Of %relli;piiti-sfriteted: 1 .. : ciinstiiialutidiaiLs'.:You tifay,..iLo:;itt.aotr4iIiitioti,i1.p.Igdif iteeesSary'.
toy)011iple.irdivilryi).!ii tli*0.#4.'r.nfppJy'it:iqkQNLY War Oi..:Fa*cossitkgoit..y.r.ltytis • .. -... . -.•••• -... -.,,-.,, ., -.: -i.•-•--.---.-;:.
itib,04•01,..;#36:;,• • • -• -SUBMITTAL INSTI.ICTIONS-
.. . , . . .. .
0:.•TOIiitivelideitifli'het(4:laitii-Oillieei• 25•. _ . . . •00"::'2iiii.,Poi -Mt Willif-:.qibillit•this:forth•V;i1hit AO.1.1.1tS of•completion of.*ell
FOnViliipit,iiidhli.krair rfe:OilisVddfliy•oft.tiVii-o•Ok0 217Vsnil 2-t1-/IWY - • ••::constntetiori to.1110 folMs1/4-1 pm...
.... .
i 6,Static water level:iidow 101.).-0f ellAilW''5 : 4.) ;OW'Oitis.or wiito:R6giurcoi•tifornilition.:Piiki*sitik Unit,
./.111aler ie&-,,. 4 1.0.4.00_cd.,,i0,...ism•-..,+"• ,-. .:- 16 irf hbil: railO'Cititti.i_Haiti gkNe 276991417.
. . , .. . ..
It L-13dreginge tliSSitteil 2.25" ••(16.) 21b..Par titiestintr'WelkONLI'.:, :in addition to. enditig.the form to the addrs.in-
.•2.10,aNvo..Oiso.submit.a Lop% of iltiS.bun*Itiiiii,3()':'days of pomisletio(t Of:Wiill,•-•
It-Well eatiMilittiOli method :•DPT :timistructiciii t&ibk,following ; ; ' •. . - - - • -r -- • - ." ----- -- --
(1§::.:00%.:iDipty died push.."0ible,:.: c4 ,cte:),
. ••..- - . ..• --...-•-- -...• •. •-:1)1V14;:iit.6f.WAtr.Riiiititi ttii,i,110fergrOti(4 Iftfeeiloit'OpfrOlPO4,,trafti;
FOW:WATE 12 SIMPE,V,WELL'S ONLY:'•": 1636 Mail SItSice''CenteriRaleigli,NC:27479-1636
.- . .....- .. . .
... , .,.„, .... ... ile..tot Wait&,ii p ph.•Zi linjeti itin'*titsf•
:g 4A;-,Yield(,tpm) Method of test; . . ,.....
- -. - - - - - Aiio.submit.-000,....tOM,,-:ol,(Ng too ivi thitilti::4:0 Of eOnMietiOtt Of
. .•. .,• .. ..., ...,. , . .
.1-314.:ti.slareolau.0,Iief•- -.• -.:Aiii,iiiit , • , .,7.,i;c1l,.ctsistiructiott to Alic:-Courity iteOliti-'cle-partnient,arille".•county.where'
- ----- ." a - ' ' Ot.4ictrt.
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FsmiOW-1 •Notilt Catoliga Ei4.4itntent of Etivirotuirtaa0 Natural gcsowees-:Divijion of Wpter,Rsr,su-o iteiisiti AUgSstliti3