HomeMy WebLinkAboutAlamance_Well Abandonment_20230706 WELL ABANDONMENT RECORD Fai Irlic'mil.Vq�ONLY:
This fount can b&mdki single or niulflolewclls
I.Well Coutruto r Information. WELL ARANDONNIENt DETAILS
Brian Ewing
7a,Number of wells being abjndancd.. 4 9
VVelf6immior Nnnte(4t well 6-.mff %%&ali his"lier olapply) wvlls AYLY wah My smite
4240-B
NC%VC11 CGV1rjC16rCCftirfaatiDl1M.111tv 7b.Approximate valume of wateir:remainini.,in will(NI t_(gal.)
SAEDACCO Inc S
FOR WATER. UPPIX WELLS ONLY:
7e.Type of disinfectant u:4ed-
2.Well Coustruction Permit#:,
Wellwiftils(i.e.evardt"slaw"rohiHice.1jVerdfjlA"C?ftJ jfbiaLoo
7d.Amount of.disilifeetaut used:,
3.%11 usie:(check Well use):
Water Supply Welk 7e.sq.1int M;I!cri.tls to"(Cheek A that apply):
U,Neal CaticutGrout 0
Supply) -FlRcsidcntinI Water 150pplj-(,pinglo) E3 Sand Ccutent Gmut 13 Dry(lay
Obdussirbl/Comwerdil 011mdentint Water$ljpp4-(shared) 13 brill.c.altings
13 Specially Grout b(kdvel
Non-Heater Suplikywcu.. bd Bentortite sluny rJ 01ficr(exp
lain under 7g)
DMimitoring
InjCCt1.0n well.:. X For each material selected above.,provide atuount of materials used:
13Aquifer Rcdiarge Rentedinti6n.
E3Aqu*r Slomg;i alki Recovily EjSaluililV Bzirddr
[]Aii*kr Test. OSloenmater 0,rulpiage Bent.onite.�50 lbs per boringlb Wtr:.gal.
LIV
7g.Prmi&a brief docription of.the abandninnetif proeWurei
06coEhernral(Closed Loop) OTracer
13Gcothennal dicati!WC BENTONITE FORCED TO THE BOTTOM WITH HYDRAULIC PRESSURE.
�oljng Rem-m)-- Mthcr(explain under-70
4.Wtq well(q 3b;1nillopliccl: 5-13 6-6-2.3 a1---1
5aL Well location: 2023
- . . 0 L
Eagle Mart
raciltlyAlwwr Mum
DIA-1 RPM
3767 Boy Wood Rd. Graham, NC .2 6/14/2623-7253 -Briart.9wt.............
Physical Ad&c5s.-G1Ly,-3lld zip sfivifl lire or Cell irled 1Ve31 Cc 119=1(l I Z)F 411 0wrxr Dgic
Alamance IiY X]Vfilq f/1iTfd1!H4 I her0hy COWA.--that the srell1s) wq'T prare)ahmirfolied in
l"jilrel IdanOrkitint No.(PINi (xFohlaw-C wili,1. 4-.VCzf C 0'2yC;.0J00vr 2C.0200 Melt i0vusin?dion Sta"Mards
and Wilda cop),ofildv record hos,biTaprinided to Ilrevi-ell onver.
Sb;I atituft.jud J..0tuderin te.,gliloi
9.Site diagram or well details:
Youtlw,use t&I back of this*0 6'pr6yW additional iv&site d&ails,'pi bell
—%V abalidetiolent&CAL,You ttla5�ak6.11"MA i&tlol%a'I'pates if necessary.
CONST'RUCTIONZET-AILS OF WELL. S'j BEING ABANDONED S1111NI"TAL ENSTRIICTIO�L5
llr1&ONLY wilt Aw wine pio cqu-4rbiml oiteleim.
10m For All Well-.: Submit this Airm xvitilin 30 44}�5 of completion of nVil
Ga ibandotimc6t 6tW'rollow i kg,-
Well E114-IP-1-49
DIV14-dan llf Waier Resources,lufortuation Pr0cessing Unit;
6b.Total well delilb: 25 1110 1.617 fvlail'Senice Cenmr,Kticioi,NC 2709-1617
lob.F SLr I'lilloo[wi yells: In addition to se[Aiq fliZ-16nll to the address in'[Cfa
11 6C.. ioreltole diameter,2.25 above.*alsu subsuft o'tte copy or this f0slumillifil'30-6ys ol�camptelion of well
obAlidountew to tile.0101ying:
Divislort of W�Ier Resources',Undergr4uud Injection Cointrol Pr6gram,
6d,Witer level belan-groundsurracc: (ft.) 1636.Mail-S 6 enicc nicir,Raleigh,KC.2.7.699-1636
.
Inaddifiontoiscitdingthefo"1110
6e.Outer casing length(if limow n)-4 (ft.) A.1Is-thii.lddrass(6) also Atinft,on6 copy of this thirm within 30.days of
completion of well abanduum.-rit to the comity licAli'depitanteid of the coinz,
If I 6C Inner easi whcreabqiwloncd,
Willi ing len n P " gtIl( mawn):
6g.Sawn leag(h(If knonn)i
Porlia Gw-'Al Nanh Cirolina Depauji-lard of Ern aril Natural Resoti.Tes-Divisiall of Water Rcsoft=s Revised Augusl 2 1 013.