GW1--02629_Well Construction - GW1_20240501

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- WELL eONS'1120C'rlONI:REtORD' • F9rfricynalt.fsCpNIA; .-
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• Brian Ewing FROM', 10 •DESCRIPTION
'.Vili.C!..nititClIiiNatt14! ft. . ft: 1
ft.' ft.:
4240-B _
NC Weil Co:111..10dr Cartifi !iiiiiNufirb0 UllUTEWCASING'.iffirsiititikiiii1 ifilliY,OKLINERlit itirlicableY:
.FRONI " •TO • DIAMETE.R,"• 'THICKN'T.SS', •- •NTATERTAL.
SAEDACCO 'rt. l' ..:.!ii.
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FROM., -ri'TO. ' • - DLAMETER.•- THICKNESS "MATERIAL• , . ..•. .. „.
2."We11Cansifitetinit#eraiif#i,7000319 6... o • ,W. 5 Fe; a... i ' :A_II. SCH-40 PVC
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. , , ,FROM' .'• ,70-' . -.DIAMETER. NIMTSE/1; THICKNESS. L.:MATERIAL.• •
,Water.$upply Well:, 5 .ft: 15 %f.t." 1" rilr.!;, . .010 • SCH-40 I PVC
• tigi-itiiiiifai. ti*iii‘iipiiOnbik: :- - . • .
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1;1Geotherotal(Heating,Cooli ni Supply). [3RcsidentialWater SupPlY(siagle)] , ...ri': ...,IL I •
id indastrialiConuadreial . diesidential'iirater.Stippiy".(shared). ''' 'GROUT.'`''' '-•- - --" ' ' '-- •••', ' -- .' - - • ;..-
• • . ,- • .•. -- - . - .. ' 'FROM•• 40 . - .MATERIAL, 1 EMPIACEMENT METHOD&AMOUNT 1. ... ..,
0 frrigal inn.• , - ...•.•..
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Mnititoring- ' IICIReckivety.'
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'Eitt.m.1 - : ,,TO - ' 'MATERIAL, , .EMPI,ACE,MENT METHOD
nAwqrarSionigc:ROci.ROacfy: tisziiinityi36frici • 3 :r!.. 15 ft. FILTER SAND # 2
It144Cit0„ oStormwalci Iiritinivie . . ' .
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10:MRILLINGTOGIcaticliadditiOnaktieititlikceiiarW ,•-',=,-.:,'.,-17.,:-.2,-",f.-l',')37::-,--.i 7"....:-... -
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Citireilietutaf(fleating.taoline fteitti); 1:10dier( xPlain uad&r 0 2.ii.All itentail:st" :- 5 - - - •,•
It. FILL SILT AND SAND • '
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• 5 :'ft.', 10 ft;• SILTY SAND
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4,;',D111 'Welf(a)CottiPleted:" 4-3-24 1Vell Mil TM1,7,2
-• -• ,•• • -- •• ' • -. 10 S-i;, 15 ft: WET SILTY SAND
•Si::Well Location .
ft.-- ri.,- • I• . • .
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Gallimore, Gallimore & Eller, LLC . - . -?1(•'.. ft: l' •
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yitOlitpcliiirr.Ninir",..- F401#-);,ID.V(tr'*ii0iia.).: - • ft.-:' ft..- 1. . 3 I,L- ,..,-P g.....I. V. 1.-e..••
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620 Atando Ave., Charlotte, NC , 28206 . . - s'4.- ft.; • , - 1 LtJL4 - •
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Mecklenburg 08507331 BENTONITE SEAL 1 TO 3 El
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. ...* •. -Brian Ewing._ 4/5/2024
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Sistutur:of Ceairkd Well centiCciir,! - .- ,:-.1)ate
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'" ' -SU BM1TTM:.1NSTUCTIONS'I i,
'1 Total well;14)41 heron-land Surface.- 15 :00,-.24a.•Fiii,'kit Welk "Submit fisiS s'ftinit:%ithiti--311 104S"of etalliptetioii:tif'Sirli
F6r"iiiiiitipii!iiilthltsi.filiiiii#6.Wdipi,rinikkilviii,..3€,209,aiitt2e/00)• . .:cbilitiii0iiciti.to iIiclollouing
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II).Static s.iatiirleivi belim topfileasitne . • (ft.) Uh•bion'of Wafer Re"tioutrceiii Infarniatina-PrciresOing'Unit;.-
4(41(144'let;etet-Ch4ri,...-4.4014 itsi;:"+:','' - .16 i 7"MaifSeii:ice tenter;ititieigi4 NC 27699417.'
II:'MOreintlediatiselek:2.25" ..(i0.) 24b.-For bileetinif Wellk'.ONLY:, in addition to sending the form to address
244 abOv4'..,."also;submit:?-•.op y'col tlii0'pjid:iv iiltii.,j()':dity&-of..completion 0....*ll...
12Maconstniction'ttiethodt DRIVEN .,Iittilaithiloille140116Mititr.!:' 'L. • ' -.'-''' • ' - ' '
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(tio,',.ciipci.iotari..",cabledirecitAlsk.ciCI) : " - • '
.. .::11iyi4it i'i.Ya.1 r 1.1clou Oka,Underground Injection Contrail Pyo'grAm..
F9R:WATTR.SUPAYWELUS,"lifINLY1h!: .11636 Mail Sell'ice•Ceitter.'Raleigh;NC:276994616
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13;t:Yield(glint). -Method"n f test: • , .
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„ .. . .... ... . . . ... I ATCH:CODSEEDIiEH to the catinty:itClidilf d.eitaFtinent,,,cf,)lie.cent*,ivlsefp
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13b.DiSinfectian typi.tf ,:. Amount . . ,,. 1
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Forni,4tyf Nattbtaratini fitipartnicia of Faaitottaintatid-Mitarai Risonice -Dilitoti oiVaierRes&rt-6 '
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