GW1--07900_Well Construction - GW1_20231205

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WELL:CONTRUCTION.RECORD Fig ferernafifsepNLY:.
'Tlits fonn can bossed fir.titte.or multiple wells.
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I,Well.ttintraetorInfOrtnatiott: . . . . .•
----.LL-IVATER.ZONES -
Scott Hunt, Jr FROM 'ttt DESCRUPTION •
Will COritruetOr Nome. ft:. ft.
44 IL
4561-A . . •
ASAUTER-CASING,ifithintl1PCi*ilitittls)"OR LINER tiranatleablel'• •,
NC Welt Contractor(trite:cation-Number
FROM ' ' TO - ' DTANW.113R`, ITIICKNESS- - MATERIAl.
. SAEDACCO . . H.: in.• . • - . ,
CoplutsyWart& • - " ,143::-•INNE/1 CASING OR,TUBINGlie.itttei-ittal dialed-104r-,` ., •-
FROM TO. • DIANEETER' TIRO:NESS • 'MATERIAL '
2..WeRtMai.tt'lletiail eertiiit 4; . 0 .R, 25. ft,• 1 1 . ht. SCH-40 PVC
. . /Artie/qpilic461e i:Fdt perFuftslix.County;Pa.14%,trariance,klectisn;or.).
-ft,• • ft. . - .
- •
• X.*.e)t,i.ts0.(elt.erii-w,Ot ti§0.
. . . •-' • Water•Sopply Well:' • • - FROM , TO - 'Ilt.tNtETER 'SLOTS173: TITICKNIZS -111ATRIOA1,
,,'-••-... ' '• 25 - It 35 'Ili. 1. 141. • .010 SCH-40 PVC
DAgricultaral. plgitnicirgitiNblic...
' t t.
, ;
- : ClGentitennal tlieittingtoolint&WA. EiResidentlat•Watei.Stip*(single) .1L. :.7".: . '11'4
ClInduSttialiConnorcial OResidential WatecSopply(sicced)' -ki . -.
TO. . - MAMMAL ENfPLACENILIT AIEITIOR&AMOUNT
' . • El Inination• . . . .. . . • ' . . . • 0- :ft. 21 ft. Portland -, Tremi.e
NottAYitt5r Supply Well:. . . .
1614.4x. oVelY
ft, . ft,• . • -- -
. • OICtonitorpag • , . .. • , . .
Injection Well: - - . ft. . ft, • ' . *
, .... , ... ., • .
ClAttuiferRectiatge 1:19Mititial6rRentedlitiOn . -492.SANDIGII.AVELPACICtildulilicabttr
.... . ... . ,, .. . , .
• • - • - . ,FROM- TO - ' ' la NTRarm PLACCMENT METIIOR -
13 Muifer StOfne'and ReFtiveiy .0Salin11);Haitief':
.....,...... 23 - ,ft:' 35 ft. Filter Sand #2
. El tkttniff.4 re4 . 1:184§inin'ateePrittste: •
.. . . . . . . . . . . It.-
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• 1:1Vetinico.tal IcIttprou.. IiSttbildeocc:eontrol.
• - -20.'1)RILLINIS,LOG(tilliek additional'Sheets'If rtecissairy).. • -:- - • •- .. '
• ' • 1j'Pen*ennui(Closed Leap)• ' InTraccf: * .
' FROM• ' TO ' • , DESCRIFTKOi(cobr.hlinhc.tcvtiliAck lox:ovjo Q..',.de.)
EIGmtketteaf ReatineiCoolingrRetutn) *Mother(eliplaitt under.,42 I-Retnadis) 0 .ft... 10 ft. red/brown compacted silt
• '
• • • 10 •ft,,-- '35 ft. red PWR
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' .4.Date Well.(if.Conipletedt..3.0-7.8723 •'wellinfigzw-24 _ _ ._ .1,4 - it - -- - - -.....• _ . ,
. F. , .5...,.. .,
. . •
Sa.Well Locatlam .
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4.4 ft. i
• — • ' • tccjr:- I -E..
- :. •11....)f if/ L.) .
•
Apex C&D Waste Landfill .. 11...- . :rt.- OPC 0 '
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#aeRitykln:oerltrutte • FueRtn:RON Of'applk=ablell., - . -.5-242.3 • .
R. .f.i..
5940 Old Smithfield Rd. , Apex, NC,-27539 . - • : ft.. . ft, ' '' . • DtVQ,.4! :fi U142/ • • -
. - -
P101-ic41A4055,City•4140P.. 12tHErt1/114NS' . . Pc
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Wake . Bentonite seal from 21723' • • .
County• • ' Parte]Identification No:.(f!N)
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5 .:._ - . ,•,.,. .. .1i*„..1f,tifitiitic'anif Lriffiittr' ik in ticgreciintlinttcqi*Ond or decimal-acgrocy:: .22,.c.i.rtiftkatiour., ! .
(ri,e11 Cietdoof.,iamoit isltdriokatt) ' .
- .. . . .
N- YI 467. :.4if . 10/1/2023
. . , . . Sigtpr,.:of Cesscle,cik.'.41...coiitracteri • . Date • - ,
... , ... ..
G.Is(are)thewelhs): giPertogutent ,or Errentporaty
By living iiritleinqi?iter0!y..etta'y 1r:a.hi..iyellfsi 4.41.r 0;.st.,1 corzypiirte4 kitqcorthrai.r
. .u-am I g.PCAC 02C.9190 0,.15,1•Jvc,i0o2c.#2oolligleorierriciiikir Srai4arrli ond thqf d
1 4.twarcolii-:-0 an C;i4tha.tilielli. Mrs'.,tir RIND 4002-c.,.9ff1lky ieclirrl bOs from pPoriOod r',41e-esi‘lt60.7ier,
thhif.tvp Oink.fill Es.O.t fiaiiii4J wt:IlesanstriraiorriltforyailsiOit min 6ploin rireiutrure of rite
wiro.iiiter Or rivnOrks‘..iirtian pi,iAn the bail iif day form.. 13:Site diagrapt.or additional.well details: . . .
Vint may use i..1 ..bapli-Of this page to provide vell site ii!ifaiwqr*et
8.Number.OMelli eonsttiteted: 1 • , " . constnicdtin details. You way also attach additional Pages if titeesSaty: '
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For autiriilg.IrdeoliOn or non-lover iop'ply'aiitfs ONLY frith the saolf com'a:ilia%you con . .. .
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.rarmilt Orie hon.. ' • •- suBNtrermi tNisTuCTIorisrd. ..
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0.-Totat ivell.deptli belear land Airfare:_ 3P . . . . (lit.) .2/4.Par All Wells. Satitit Mis'lona within-30 days-of ompteliett'even
Eor ireolliplo i'ivilslist Oil depths itriprOl(enwpOle-3@200'antl:.2631 WO) . cousin:Won to the foitoUing: • :- . •
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IR.Static*uter level below top of easing:. • . . • L 04. Divisitio af-Water ReOurceS,InfitrmatiauPineessing Unit,.
1 1 wokt level Is dare cOiteq,,,hie."+" •16I7.19drail.Seriice!Ceatit,Raleigh,NC•27699-I6 17
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IL Roretile4liameter:8-.28" . Om) 146:FOr bireetion wetiq ONLY: !in-addition to•senditigthe:fomr to ibe'addrws.in
24a tibol*also subtnit a-,eopy:Of this_funk iviibin 30•da}'s of.completion of ist.IL
12.1WeIleonstruetton method:USA - consituellon talk fallowing: i 1 •
(Le.auger,totan.„-eahlecogcl pash,eto., 1 ,
.n.ivklo it of Water Restiurees,!Uitde.rgound Ittje'aon CotttroI Fragrant,
FOR WATERSUPPLY WELLS ONLY1 1636 Mail Service'Center,Raleigh,NC 216994636
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• 24e.For Water Supply.&Injection.Wells:
IlaiNfilti(iOnt) _. Method of teit:•
Also submit one* copy of this tiiiin Within"30":40y.:sorcOttigetion.of
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I31.Disinfection 4-pet Amount: well c'on tr.taction to the county health departmetrt cie the courtly wlicm•
'. constntetCd.
Fenn GW,L Noriketollua Depcuireetu.of Environment and Natural Resources-.-Dt.t.ifou ofWel rittrixeces Revised August 1.01:1