GW1--02515_Well Construction - GW1_20240422

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. . WELL CONSTRUCTION-RECORD Farr nadUse.ON.Y: " . 1 . - :
This Orin can be usctf for single is nitdlip c wells
1.%Ve11 Canttaetorlitferttt itioit: ' '. '
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• I4:WATER ZONES .
John Eiseninan FROM.' TO • I nt•SCntpT1ON .. . • ' ' -
'. • .Wei Cardractnrt'anie . ft, • ft, ._ 1. '
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4439 . • . . . - . .
NCBell'Contmclor art dientiunNiurbrr :ti OUTER-CASiNGIfoi'tituttl-cased:nrlli1ORLINER(itTsii flcable1• -
PROM-• '.• 70. . '• -... 'DIAMETER • - 'THICKNESS. IMMATERIAL - -
SAEDACCO • - - ' , it; ft. ' . I in.
•Coinp.i ai•Mimic: • • - Iti:''INNER CASING OR'TU81NG($eolkcnnal'ek :d•lonts).i
. • •FROM • • TO " DLAt11ETER. ESS •11IATERLAL
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2.We'll Constvuctinn-Pciluit f:. WM0401509 . • "0 ft. 19' ft. 2" j sTIiICKN_ _
SCH-40 � PVC
i.ue;IJI plipB.Yaf,J as.N(Jenrrira(e_r.Craii8n Sct 'c,lrrariaircr.frorerriari.rw,j. • •
' ft.• • .• - rt. i hi .
3;Wcli'U {chccl:ttigli use]: Y7:SCREEN . .
'WaterSupplh.WelIt.. ' • -. FRO51 TO' .n1A1tITIR•' slot!'Sim I T1t1CKNF S 1 -MATERIA1: '
19". ..It 29 ' 'ft; '2" ' ...
i .010 SCH-40. I PVC '
C1Agricult(ual. I.l)4ionici '1IVttb6ic • .. .
OGeothenilat(Heating/coollliSupply) ❑ResidetialWaterSupply-(singl •e) • "ft.'. • • IL .in:i' 1 . .
. •❑industrialfConuticrcial ❑IResidcntial\Vater Supply(Shared). FRO.1R0[•FT••TO.' �•SIATER[AL' 1•E•it'LACEMt).TafET110D AA1i10111T'
❑inigntinn •• " • •' 0 tt, 14 . ft. Portland' Pour
Doti rater Supply R`eil: _ .
ft. ft.
liSTvionitonng .. ORvcotrl}'
Injection Wells- . .
ti. fi:.
• DAquiferRe harge D6routdwatcrRentcdiatiwri . . - , 19:SAND1GILA EL=LACKhratgilkilda '
'FR014- • - •10 .. - • •31ATERIAL, • - . . EMPi tC1 IE\THF:TI101I. - --
DAipiifcr Stor.tgc'aini Recn'ct3'• DSalinily�Barrier .. #2 17 ft. .29' ft. Sand
❑Ag1ti fcrTcst DSlorlil,iatci f}ri ii,9 c.
It, ft, . j •
DEagicnmcnttll Tcrliriotog}) . CISubsiiicncc Control I, .
i:2ti?DRILLING'LOG(attach adihfioriat sbcetslforcec In'I '"
❑Gieeiltenail(Closed Loop) ❑Trrcer . ttw'. TO' DFSGRiPT10T fcokr;l�:tntricia.a i4NKt%It[st•t s Ji cx+a:tld l
. Geothenua1.(I1eaung'Caoline Retool),. ❑Otl[er(exploiti.under#❑ 21•Retuaitsl. • .. .
IL. • fl :
. 4.bate Waft)Cotupleted 3-14724 Well IDflMW-145 .. ft. R1t l j j
fi.l [:-''1 L -r€,a.t. n
$a:Well Latcatrunz ft. n,
Former.Tarheel Army Missile Plant . NC7210020544 ft. ' 'It.. . APR `�.`� ZGZ4 :
Facilitl"ihsn.rNanc Facilitl'lDi(if•appliurblc). . '• ft.: . n: , In•`i,•i,._rzJV is?',"�:.�A.5•!�;t�l fir .
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201.N. Graham Hopedale Rd:,, Burlington, NC, 27.217-_. • . ' -ft.. •- .. fi, ,-:`AvG7-1,-.Q
ply`-sielit Add ss.cit)'.and Zip ;415 REMARKS. . ' . • . . .
• Alamance bentonite seal from 14-17,
139.757. ..
Gmtplp • ' . .1?trnel7 .erlirKe1i19ii.NG,(inst).
51/..Latititde'and Longitude in degrceslntinutcstseco»ds in Ilcciim:tl'dt t s•. 22.CertiliWtiitni•• • •
' (if tiClt#id,ono lloa is' irtlickaii . . ' . . i •
36..0981782 .79.40.76743.
. '. i _ - -. 4/8/2 024 -
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sraftr'Of ,•.ta0li� Dal 6.Is(are)the'vilt(s)t BIPennatient or .❑Tinflittrar+' ltl'•17gaijil a a,a dv"i ae s c`. 1. caitn atrial oar'm o. n ne ian
Trial f5A NCAAC 03C'x .,4-1.."..."c... 2.1.7;0220011`47[virstroiliori 5uiriderrcfs ividri.+S i1
7.:lis ifthi a riiipaft.te.aneustinj►Nigll: D'11c, ..or ONTn . coinyi,ifrliiYrcr41YS,Ill?Sfat-cispmi'irkdtarrrsn l.pliw i- • •
ifrl'Is&a iepalr,f!1 oar krtniv;veil earurnrc:lon-iirfoiv axia+ar and caplalti the rrarnre of rlir I .-
arpcir wider'81:P ne nnrLc srr:wm or oai ilia1 eddy
Lei fling: 23.•Site d11ig1'etn or'atldititinuilt'ell details ., -
You'tiiay use ili,e,back of this page to pt&ide additional well site.,,details,or:ttell ' .
S lumber of:wells constructed: 1. . ' .. • -. " . . ct)iistltictloir details. You.lttal'also allacli adtitioilal pages if necessary, '
For tit tdp,te lefrti^rto,F ar raper-hilt:r slip y-wells Oat l l''n'itll the urine coarstrucrli a oa am • 1
a rtanirone foryn. - .SUBMITTAL iNS.T CTCITONS' !.
• 9 Total Welt depth helow';Iatil surface: 29 • ' (fl) 241a.•Frar All Wcllii Submit this fnmt within 30 tkiss'Of conipIctian of bell
For irlihipfe.ii•clis'klit ail'deprlsljdi,(li!ri'nt(initripti?@201?'araf26Y,1107 -' constiiiotian to;tlic•:E`ettosnng;•
In.Static water level below top.of casing: . . • • • -(ft.) Uii'isiun'pf Watcr.ReitriuiYes,lnti►rmatitis,Prtaees3iug Unit,
1617 hlnit Ser1•iOc Center,Rile i,,NC 27699-1G17.
1%mate!la�gel!v a�Lovc wing,:wing,:cost,:��'. � •
11.Borehole diautctcr:a 25"• • (in.) 2-b.For lolectinri Well ONLYi In addition to sending the form to the.addrt in
24a above,also submit a copy of this.faint within 30.dat•s of completion of well
12.«rclfiYinstruction method: USA . . corisctuctiou td the folio'.iritlg.•'
(i.e.r ugcr.rotary,cable.dirccl past.sty.) ' DI>i f��ratu C -
sion o •Rcseurccsr Ender Enjeetlor> ontrol Progralu, .
I'ORWATER$GPPLI'WELLS ONLY: • .1036 Mail Service Ceni cr,:Roleigli,NC27699-1G36• • '
• m 7►ltnlsod of fcst: 24c.For Natter Stippij-&injection Wells:
13;1,?eiclii(fq►-.) • Also submit one'cony'of this formIssitliitl'0,daysofcottrpletionaf
• 13b.p.isitilq iva t Ter d . ... _ ATMs!: 'Weil cnnstnietion to the enmity health dcp lrtni nt of. the•colentj wltenee
- constricted. - .
Foon.pilr-1 t loah"6arol ea Cicpannienr ofEncirctuu_in and Na Brio Reseurees-.I)"irislon of*aicr Et i trues Rct'lscd August2ii13.