GW1--07105_Well Construction - GW1_20231103

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: ri:RoM TO • I •111ERNESS.,..,. MATERIAL
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Water Supply Well: • ' • ' 17.SCREEN• . .. _
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°Agricultural . . - Ftt0141. To .. . •.•••1 u' mlaut ' stoTsizt • •Tuttiourss‘ 112,61311AL 3
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. .°Irrigation . . , . - - • .,..EjW0,iin.>104,000 Gyp., . . FRoM. .'..TO..:. 1 MATERIAL' ..ErviPLACEIVIENT AfEittOli&'ArtIOUNT..
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0;145,0#0 1:1.1 , • 493 5p4/30.4/7 2 1 9 2i.REMARKS ... . i , :--- ,, •_ .....•...._....--•..2 , ,.. .
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County i . tiantal ntentitielainn•Nn.(piN.)
S'Oett,•-• thx;‘,41t41 $40'nefi C.64-e...vstrerN,she&feta'
$0.Latitude awl Longitude hi degrcesitaintitesitteeolid Orlieelmal&greet . . ' .. - . 1. • '• ' 7 .. . '
(if WO rititd,One i.aVlang is suflkienO 22,Certifieathini
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h , . . • ,1 . . 10-1c,1-9.3 Signature,01'01.060:NCO QoattnPior . - Mtn 6.!ts(sirp)the welhit)s ligKrotaneot,• or tituriltoraFy
. 87:014111&10.Mi i•NetebYkedefrihatihe wel141).!Mt Ar010.40iistrarted Itt arc.44xlanei:!pith-
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",..,„114s41 repalr'to an'disarm well: OVes, or : .., o MA NCAC(12C'..010(1,4P 1,54.NC4C112C.00tio,Cmishrlion 5144dar4t.s id thus u te-ppy-
..11-this kJ-4.repuliViltatri-knoligt weltscopsonctroo 1.00nat1o4 aud vol.41400444re ofille Of 001"e4vre0V.-Aienlil'o'1444 sgro'C'10 9Er.
'.repuir ninfirr112,1 4444,1is secilan or 44.iiiebtfaq0isiprok.. •I
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Site Ologram nradditionni.nolionast • . ..
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You may uselheltack otk.thingo to provide additional 1011-tOOSIOIC60D iIttlY 8,for.Ocoprotte/DPT or 00Set14.:11143 0 etifittnna.1 Wells;.having the-sapid
iadd*See Ovetitt.Rematitsfloi).Yon May.alSontlatit additionsipagesi f necessary.
construction,,only!41,W-.1 is needed. Indicate TOTAL•Istqrasi.ofvellO••
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NSTlU3C_IoTL,
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9.TotaiweltdePti below ladsurate: c? 77.. . (ft;)' •
Ai. Subnttthi ( V4 ivitht0uysot
-ivell eoinpletor.per
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the:following:
arn1011111E-0111411.4 411 rlepilis i f.iffiretot.eexiiiVile,3@2(11r aniinigillY)
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• ‘ '24a. For All.Well-§;„Ori#lintl Toon'to Division of Water Rr.,atititees (nwg),
le.Static-water level'below top otenaliag: . • • if•F4.1,.. ., . til4 Infortnation-hotesSing um,1 fifl,PASC,.gnleigil',..NC•276904641
if waft:liwel is abave4slut,!Ise"4" - „_
e IL littiphoIe diameter .
24h,fg hileetiOn.!Wells:-Copy
to DWR,Undergroppd ininntion W Control C).
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-. •Program..1436.MSC.,:Rileigiti NC 27699-t 636
12.Well ioriatrOttion tuethoil: , Ifi.*6:174-510ele!!k.4 zsg„.For VittiterSuypnd otpilliti Giontermill Return WellO:Copy to the
(i.e...aliger,stirtaty.eitble,s4iires push,etc.) • , eottitiy enviranineatathealth deilartntent oilhe totally teltere instilled
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P011 WATER SUPPLY WELLS OILY ' '. .,
130.vieiiiulim): .... Methoil of test:. , ,[ : . .
:240..For Water Wells-producing,over 100,1100:GPD:Copy to DWR,Cc-1'9M
"P.erinnikognien,PSI 1 MSC,Rateigh,11C 27699-1:611
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. iti.61)TERRATHERM , , SIW Boring Construction Detail Revision It: 0
aCr:P.rxt.e.4acre.—,
. ' j I Release date: 5/12/23_
Approved by: SL
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( 1 Well ID 1 ! i , ' H-20 , ! 1 Date q
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Oversight ....1 tv egekkAth ;Job ft R23-104
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Driller ' Mal-3171r-*/6:0 6 item4---
Design Constructed Notes
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1/2"Thermocouple pipe? fi',;5,,I;W'',1:.i.:1:',.! i •
Thermocouple Length 58.67' ' ' —Heater Stick Up Height 30"
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---5111115ticic Up Height 181'
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Ground Surface 0.0'
Conductive HT Grout-- -
1,: 1, Angle from Horizontal 90!
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Heater can 1.1 N
Schedule 80
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Heater Can Length . 59.5' ':1 4 ' Borehole Diameter 7" '
Heater Can Diameter 3' ,1 I , • .•
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. • ,. 1 ,.4;1 .,„ , 5 Gal Buckets of Graphite 2.25
SIW. , " ' , 1 •,-44 ,t.
Riser Length 51.5 1 ,ft, 3 , : Bags of Silica 3
Screen Length •2. ft ),1 •' :.: I :
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Screen Material, . [...r: Bags of Cement 10•
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Stainless Steel
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Fiberglass , -, --- ':-4: '- Top of BOO Sand 30';
r---\\ Other: •%; ,
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SIW Slot Size 10 •--, Bags of Sand 7.5
Screen Diameter , 1" , 1,1
, i, • ,....•• • Gallons of Limestone 7.5 I
installation Method 1
Sonic' ...
- '•'. ' Top of Screen 50''
Direct Push
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Hollow Stem Auger
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Mud Rotary ' .
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Other: 1 .... ; Bottom of Screen 52'1 .
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Bottom of WOO Sand 54'
Conductive High Temp Grout-------, ', ..- _:
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Bottom of Borehole 57'
Post-Installation QC(to be performed 24hrs after installation) ND Log:Moire Model:
3.)Confirm well is free of grout Design, 1 Constructed' Time: •' C) • Reading: 0° PPM
Depth to bottom ofwell(ft bTOC): cc)c. I • Time: Reading: PPM
ifgreater than orequal to Ift less than designed alert the office Time: Reading:I PPM
2)Confirm grout plug reaches ground surface . ' lime: Readirig:1 PPM
repeat daily until depth to grout Is Oft I Time: Readhig:I PPM
Date •Depth to Grout[ft bgsl Notes:
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