GW1--07890_Well Construction - GW1_20231205

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• WELL CONTRUCTION•RECORD• F4r t=tc.rnal ii4c5:1i4L1':-.
llifsform caii,tyclikil[lir.i(gfe or ntultip)c wcits' •. !' .
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1.41•N'Olt..COntrattor;dominion:. • . . • .
• , illtINrATERZONES. . .
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Scott Runt, Jr . ERONI': Itt DESCRIPTION
Wilt Cotiteetur Nante. ft:. ft. . I . •
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:ft.
4561-A ' • •
AS0t.ITER CASING1fiWittilli-e-tikithieN•OR LINEICIlt-eD-,fieubk)' . ,
NCIVell comtactot CcrlificztionNutthcr:
FROM • ' •10 - DIAMETER, ' THICKNESS ' , MATERIAL ' -
SAEDACCO
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(:outicut)-Name,.
.t6.-INNER CASING•ORTUBING:trolltnintal ekatit-loitjlr:-' - .: -
' FROM • TO . DIAMETER THICKNESS'. MATERIAL • ,
«..Wat Conitrtittien Fern*ti.: . 0- . 'ft, -30 ft. 1 ; '-;be. SCE-40 • PVC •
Liu--trit aoricable wed peiliti4.0,e..Cnuntg•qtren.Tarianie,laiedb4 ere4. •
ft.,. - O. • IT?..
• 0.WCti:Use(kftecliii:Oli use li • •
-.17:-SCREEN
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• . Water,S.upply Wells• . . FROM, . TO • DI.AMETER,' SLOT SIZE THICKNIZS- ' 'MATERIAL -
, 30 : ft. 40 ft 1 hi .010 scH-4 0 Ow
ElAgticHlitH4. • • . . OftinicipaliplibIte. . .,.
It. .in,
ICyclitheimat(Eleininitoo Si ting' tvp ):* tiResidentia1.WatirSupPly(single) .1i - •
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_. Itt GROUT.:o • ' ..-. ........':,-L,.. _L._-...' .. . _ . . . . -
Cliodustrialf Conutterc. ial. 1:1Rcsidentiot Water S'opplY(shared) , ."1414- . -.,40-..
MATERIAL • EMPLACEMENT MEITIOD fi AAIOONT.
• CI triipntion .' 0 ;ft,' 2 6 . ft,• Portland Tremie •
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• • . Nott.Wtitcr Su pp.I$Well: . .... . . ._. . . . ..
- - :ft..
Fdi.lenitOring.• , . 1.111ccovely .
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. 'ft, - ... ..
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• . .Injection Welt: . . . . ‘ .
. LIAintiferitcCliarg. ElOtoundliater,Rentediatioo - :49::'SAND/GILWEL•PACE.Nifiettlitieuliter • -. -r,-. '•-....-: ',••. . •,- ,.- -,,, - - . .
• r•FROM ,.10' MATERIAL, -. RNIPLACEMENT mrnion
. PA(juircfg.191"ag9414 Rcc0i!'0', 1*Iinity Wittier'
. .... .... 28. •It 40 . ft, Filter Sand #2
El Atpettor Tcit CISIOn*ita:Pritittage• . .
: pctimental IcchoOtog :1SibSit.sK. c.toninal
. .. .• . - .20:DRIL•L ING-LO'G'fni-t t'elidd'ilib't tlitice•l•s'it t-t ccessaiit
ddeltietig(Closed Loop) Putrcer -- -- '-•- - - ' •.
. .. ' -.FRCI.St T'- TO DESCREPTION(color.bilvdoccituR,tirvI4 tym'grevi 91.‘.(*.)
- ' Eldootitennat.(HeatingiCootindlietunt) Id.Od ter(eSplain under4211-Itetuatlis) 0 ' :1., 10 -ft. . red/brown. compacted silts .
. . .. 10 .R.,, -35' ft. red PWR• . .
. 4..D'atii Well(s)Completed .10-18-23 .401.1110#P.zil 21 . . . ' ' . •
35 •ft„ -40 II,, tan white PWR . .
SW,1Arcill Location: . :(t., - ft, P"-• ..-. -
Apex C&D Waste Landfill - ...ft.- • ft, . ' ' 1 -0 .,. ri If
•tactiiiptFAnc.iNtutt ' - FacHiti itiV 0..app.ii"F"abl.4.,.
• • D. . . EC 010023' . . . •
594 0 Old Smithfield Rd. , Apex, NC,'27539 . - , . - - •.-1.4-4-..2 • ..ffit.-. ' • 1. 1,n• rr,.. rr-as.l.c.2 3 i_ln:.,..4:•,;-' ,,o3.12 ult. :
PID'iy•'.4.k* titY- i111-4:. 42t.:ItEllitARICS- : . •
. . . . . :Bentonite seal from 267.24'
Wake
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County -' Parcel kleutift5alon No,(PIN)
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$11'...14104D4-Ritil•Lintittitik in /tuhwtc&conds ,..22,eitifft6atioar
(tht'ell Octd,otie-W164 kittilliic id)
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N W. /pt.
„i,., 10/1/2023
' • " .,Sigtpt'u:,et Cell.cin7- Vt.-ll Contractor', • Dale
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6.Is(.re)tlieNpil1(s);•Eliernianent 43i. 0Teniporary . - ,...•. • . .,-. •. , . .
• ky..stoing gat:tiara;.1 hereby eerrkw iber Mg weft),4iTer Oer?!eavrirezed kareecirdarice -
• . •.leirlf.1 jit:Ncite oat.9109 dr Ilt NCtLC i32C.0;170 Rif(''anieriirrion irandarda and burr a
. '.7. s tiii.s-a itimle-fo an tilotagly-ek DIAN, -.iiy. .RIND. -eriii. f rhiiiec4rd 114 been iiroyirk4 rarhe sirII ale!iir,
If 714:It a F6,alit,.01 o'nritninOr Teelleonsunctiati brfarniadOn oil( hdri the wawa al rlie 1
iiiirair raid&02tiernarki'rr6cliari oiqvi.the bialat Mix:farm :' - - • -23:Site.tilmtranittr.additionat weft details:
You inay.tne the back of this papa tolproAde'adihtionat..'.'ell Site.:Cletnits:ot welt _
S.Nunther'of n eonsiinteted: 1 • ' • . . .• . , • constniction details, You inay alse-attacti additional pages if ticeOsSary.
For iitalripkinfeelion-ar rinniecner snppl,r it onr with the eonsfeaktbia,ian.egro
SI1BNIFITAL INST(.TCTIONS:':
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0..TOtit#C11 depth heteiflaild stirforei - 40 - • . (4) .20...lkit Alt Willsi' Submit this form vfithiti 30.days of.:coniptetiOtt'Of-not! •
b'or inniripli ieellrlist all depriis ifditi!ren:(exanfpre-30200'm3'1120100) 'constnittion collie foltooing; . i' '
Division of Water ReSonrcek,Infitrmatinn Piucessing Unit,
. 10.Staticivater jevel below top of casing: (ft.).
finkner/eve,tidinT deisini hie"+" • 16.17.111att.Servici;'Oitcr,Italcigh4 NC•2749944 t 7 .
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IL ilarchote diameter:8."25". '.in4) .21111.%For likigitlon Wills ONLY: 'In Addition tosending.ilg fomt to the address in
2.1a•alit4.also submit a..0Opy•Of this font'within.30-(1*S:of.cotnpletion of ne.lt
12.-Well construction.method:HSA . anistiuction to the fofloWilie:: 1. '
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(Le iikci,iudane,calitc4lirco Faskcipl}
. . . D.iviSilo it of Water Ri:seurces,'UntiCrgrounil IDJEC',014 II CoptiOl.Prograttl,
FOR WATER SUPPLY WELLS ONLY:". 1636 Mail ServiceI;Center,Raleigh,NC 276)94636
• 14c.Fog'Vi'aki.Supnli.&fnjectfoit.Wens:, . .• .
- 114;1,-YfFift kofffj •_ Ittettied of fcSt:
Also stihniit one tops of this.fclitit within'30:days of conipletion.of
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- .. • . well:c'enStoutien to flit,colony!hcillth depaHnint or am.colinty.xthcr• .
13h..Disinfecitan.typc:. Amount:
- ' cOnstoictcd. .
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• Fenn GW-t korilteoroltna itepatimeniorEarirottnrnt auct Natural Resources,Phislon of\Valet RMatECEp ikvised August 20B. •
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