GW1--07893_Well Construction - GW1_20231205

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WELL CONSTRUCTION.RECORD. FCrletanai Upc pNLY:.
'111(s-fonn can bamscil ref title or mullink wells!
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1.Welli:c.nittt',:tetiii Ilttfortu0tIont ,• • . . .
'14:1VATER ZONES
Scott Hunt, Jr ROM'. .10. DESCRIPTIIM4 -
Will CoLitactOrNme, ft. ft, • I
:-..t. ft.
4561-A I
-,I&.OUTER CASING-(foreitalkiiitilitellsiORLINElitif,hfaitsbki. •.
NC-Well Combo&CaniftcatiotiNuntel
-BROM' - . lICI -- 'DIARIETER: -. 'TIMEXNESS• . MATERIAL
SAEDACCO • • . ..4.: . . il.• ! 7DI. . .
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. CoMpauytiMmi., _ ' • • ' • ' *,:t6',INNER CASING ORTUININGtiilkitna1elkazeil-latiitp:.•'
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-FROM TO . ' DIAMMER THICKNESS' - MATERIAL
2.AI/ell ConStruttien Pertnit 4: o- :ft,, 20 R. 1 i lit, SCH-4 0 . PVC
L.ED:OR opPiico,12fe.Xeilpt-iInfiiii.c.efuouy.Sung,Irnrinnugarecticil,my .
-• ft.,. . ft. • i -:it, ,
3...Wen:Use ce)teeliltiti tiSej: • - 17:SCREEN - - • „
• -WaterSupply Welt' ' ' . . --• FROM, • TO : ' 'DIAMETER stOr Stn. TRICKNIZS- I--NIAT LERIA
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, :. . .• 20 ftv 30 - ft; 1 - •' irL, '; .010' SCH74 0 . PVC
InAgikIlltI14, qiMliP6141c.,
. .• , ft. ' , '•I1!•;' '• • •
CIGeetitermal aleating1Cooling.Simply): 1:31iesidentiat.Viater-SupPly(single) IL..
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CI ludustrialiCommemial 'ElResidential WaterSupplE(sIttted)'_ - .4-6. - ' • — -' '' -- • - -- ''" - -- -
MATERIAL . ENWLACEMENTMEITIODfi AMOUNT
Clfrripatian' . . . • - • • 0, 'ft.: 16 • ft.- Portland Tremie
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• • Noti-Wnter Supply Well:.., . ..• . . ._. . .. 04. - •• . .
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1611onitOrink, • . itil2Ccoyety • • ' " - - •., , , .
. injection Welt: V . . .
' • it.. • ft . • • . . .
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C3A-quiferOcettargi • ClOtoundwala Remediation•• -49;:•SAND/GRAVELPACK-nrdmilidnttr - - -. .-- -....-- . . •
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.r.FROM '-TO-• MATERrAL. . -• .NAIPLACIIMENT METHOD • ' -
E,3AlillESID91.GO4114 Ite6:Iyiy. illiRft -.
r.l' .PRIT14:
, „... . . - - -• .. . i8 -ft. 30 ft. Filter Sand #2
1:J Annifer TO. 1=1StOnnWat6i=P'ciihlage• . . .
.,. _ .• .. . „ -. . -. _. • . • :,ri.• -. " tfic . •, . •.. .
1:1E*riniCatal TOlin040.• IZIttbsittcticc,Ctiato31.
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...•.• • - • • 40:DRiLLING,LOGlailikkidditional iheiti if itecieksarti
bdet:litenoal(Closed Loup) ' DTI:leer, . ,FROM' TO " DESCRIPTION loatir.harentrk maroxt4 tync,.von.,4.-...;(kJ
EIGeothetutaittleatingibOolitliRelutn) X1011ter(explain under.#21•Rettuks) 0 •!( - 17 ' ft, red/brown compacted silt
. . * 17 •ft.• 20 • •ft, boulder
.4.11:16:Will(s)Cnitijiletei:-10-20-23* VoillinmaP,ZW-8
20 'it. ' 25 tt, red PWR
$4:Well Limartfont. . .
25 :.rt., 30 ft. tan .white PWR ,....,, • •
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. _ Apex C&D Waste Landfill • . t*t.. - . ,
rt,- • ,,, . Li
.. F*Oily$Pl .riqinuc • F:dcpiW ilJk Oaqaplk-alil ..„.ck, , —...:„........
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nFT 2023 „ _
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5940.131d Smithfield Rd., , Apex,. 0-6
NC, 27539 , . - • ft. ' ' "
, . filtAiCidA441,-Cisciti,,...0110p ' .2:11,RErilltics- . - .•:.- , I IlL7.1-4 c ::::i"-rn:":::x1V:r.41.1..)114
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Wake Bentonite seal from 16-113:' ' IDWQ/L13 043•
Ciouny' . PArcel 4),niiirication No;(PIN)
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ii,:„Otitite*tilltintiteitlein IleLreeciittilittttest,seetint)stirtIte1101•40: 2t&roil. mtio'rit
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tirwell(bid,isle lataoit iti-suttkk-00
VVV
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* lirt fikiii,r9 , .
10/1/2023
• • .Sigm ...,o'Ce005.-.Will Cdikattei ; Date
6.Is(.ire)the.Well(s): ElPennanent or Errentporaty .0.-:; .g,Mir fr;0i freoty coolly 00:14 well6)Ma'tyitirgd cony!riNtex$It.t.,atycyrimic
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.-a•iqif l 54 NCW 02C:9/00 or./5/1•NC4C•02CR201)Well Coninnt.710.0 Ronda-as und:inn a
7:1.slhis' :irejtalrtn Ati .;4041g*ellf DVei' :Or !ENO -'keliff.edik•ircoilf loOkinwn provided rit-,41•IiilAiwriet.
If ilqs:tcorf;i4i fill of kiolin it roligiuction hi/ground.On unti 6y;(ohr rilorioture o I gie
iiinair raider 021'revnorld:4atura or on the boik of rids form:. -,-23:Site 4lagrAnt.nr additional i cit
You May use the&wk..of this page co:Piovide•adtPtiOnit well Site iletail$,!Or•Bill
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8.15untberaf wells totStrtteted: 1 • • • constnietlatittel.#4. You may alse.allatitliddihonal pages if neeesSary.
For Itt11110 lujecriiin or run supply iiVVVt/s.ONLY fi.lefithe.sanxf iinistruitlut,you coosnfunir One fon& , SflahlffisAL fhTST1TCTIONE: .' .
LL L L L L
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9 0 ktiit*01 depth lido*land suirfacei - 30 .' • . •(6.) --.244. For All Welki Stilnitit this,knit within 30 days or-.comptc1i0'of'1*el!
For UMW*linIlls list ittl depili.i'if if(tinlynt frxorUpte-3@:7041'and 20109) -constitictic4tolkfoitowitig: !' ' - - . .
10,Staticwoter level heloW top of easin0 04' Deivishin of Water Reinuiceijniormatinit iiiiiitising(Ink,.
lf miter 4keir is above easin),.. ale+" • /617 hfail.Service Centel.,Italeig' li,NC•Ti699-46 17••
El,110rehole diameter:8- 3"/4" AltI.) 246:Fo/injection)WeIN ONLY:ilkaddition to•seniling.the form to-the address.in •
24aabee:,also submit a eopy of this funit isithitt 30-da}'s-of completion of well
12:Well constnwtiou method:HSA/Air . . -consiiietlen to the folloWine:-
(Le.*gel-,i,otag,cabqc,,;.dilra push..cG,L.:}
- • . :Div IN la it of Water Ft•Oeu rces,10.dergrmittd ftileition.Cantirid P Omni*,
FOR WATER SUPPLY WELLS ONLY:' , . .1636 Mall Service Center,Raleigh;NC 176994636
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24.c,For Water Supply&Injection.welts:.
1),1a,Yield(dim) Method of test:
Also stiliniit'006 copy of thii:'Orin.Othin:30 V. of conifileliOn of. •
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134..,Distutetlinutnte: ,Aninunt:' . well:cnnititictiOn to the county lidaltli depailment 9e,the,a:rind:4,41km ,
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'Fenn GW.1 Nonheamlina Ekpaiiment.of EtAiromuctutauci.Nargual Resources—Djvislon oi NV:kr Re-Outm Revised August 2013