GW1--02783_Well Construction - GW1_20240507

.:WELL CONSTR(JCTLON RECORD ty i H;; • r .: .
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RICHY;LEMIRE: :. ..: PRO�1:: I:.yf)
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.NCWc1t. nirIf.:coni ratonNli bar MAY V 7 2024 NIfOtiTH R Gik6INt fr itt At lit ORxKERtitatpt{rsitfelA, 0,,='=
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• YRo 11 TO .. ,D1A:IIETERa 4111GKNESS :1MATCRi4L: .:
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. Z.iVdC Caucttr�n PCi7ltif� WM0701319 _:. -.' ft • • it
1.,u,11 rj�lisabtt•;sir111sirsmlri`(ar .ni.4 Shut.Yarinrscr T/$60a••.0. 1:'•: ' • • •• • • • •'''F.!;:.
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0 '' .60•. �t. 2 • '._ .. $CH 40. isvc
$ ii`di 1!le(CbcCl.iicllu�e} • • • • • • • • ,',.tvNeRt tr , y - -� ., 2 ,,,A:a t .At ,K h• .
lifil1Cr Snlgihe Welt • • l'RQM 'tits, ' D1AAMETPtt SM)T St/I 11110{Nr$S 1v14TPRIAt
C1A n dtnnl CTh wIclpal1/Pubitc to` ft. ,n
ft: 70 A. 2 in.: 010 • SCS 40 ' PVC
: C1Geotirs*•01e41160.00ting Suppl}) t' lt•esrdeill4I tV11.4•$ugpt}rsingie) .. •Dindustira iiunef.thl` ,DIiesideritiai'\Vater.St ppit(shat d)-.. �S C[tofll' y_ - ., -- �' s --.t,t; _# -
❑li tgadion :• : • at (t.. .Ko ' It:: , -.
FRO fATERIA 1.. .IfPLACEMLNI, LITIOD S{R1OU�TC
hottµ�4.00r Sultttt �Ye1k:. . . .... .... .. .. .
�irfont4 Clltecatirt} I! tt.
Inj�cN4»Welt 0 •:71. 54: If• PORTLAND I TREMIE
DAgitwit-iccbargc 0.0.futxllb tterRentcdisiott 19 �rA'ND1GRitvEtirpAt`.Kfityi tr ititr•) °y 2 i.w .
I RQM .:: .. 70 btAT,ERIAI Ptirt at II T att�ftt()u
• ; :0•44*,!tortge and RcL ity • I$ntintfr l��tncr . . tt.•
pAci*.i.r'fc$1 • t: Stonri trf Blain# e .•
57 ft 70" ►6 SAND #2 •4g 4.4Fcnht Technohi : DSnbsidci caCot.4
` i 0 Dili G.`O (a7taati"additi9nutiliki iitiieccsliK lilt Ar
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QGtoihennal(ClpsedL op)' DTrae.er : • IRoM : .-lo. • . DEScRI UON Ctwr,•eiirfne f, nWdity :t fro d.1
.. DCieotliemi l(HeatniWCoo1ip Retiinil':' .. DOthiti 'piattuinidr r tt.Yteinad s}: tt i e tt.; .-.. .•SAN•D, : 7.' . .
., 18 ,at. 27:, ft.- TANI$H',,CLAY..SILT
Dafc tiVeU(9}Compictedp q•4/2.4/24 DW 14D:•::. ....'.: 27. • r;tt.: 60:: tl.: •GRAYISH-SAND -
• 5.4WellLrttatioa:; 60 fit;, 70.,- t4 `BLACK.SILT/SAND
BUTTERBALL..LLC... t1: fl. :
.`Fitcil{iki i ridi aitt.'. ' •- ]:actt{t W I(,tepbeib1c);
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938.: Miller:Chapel:.Rd:;.GOLDS80R0,.NC, 27534.: 'ft. tt
. • PltcsittitAddrsc Cn bnd Zip.
3528988906•.:- • bentonite from'S4'.•to 57•' :
• C*nt1)`:: l'3ti 11dCntift ntinNP (PIN) • • • • • • -. . . -..
4b,l tin ndc and.i ongttudc in deg cr lrninut&tieronds t r decim41:4*cs,, •422 Ceztittratwo
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. • . - .- ;.S t117 .:oT cn .4,iii iitra tar rY Date
6 Is(ate)tho wcli4s) 2Wermsutent r r .E1Temporar} -f7'• ;iii.i I ili.ri,ir.l herel0 4i0.•liirik.thi nrl4s)u i!(inn) '.4,i0. 1.Lt a criurk re
itrrk j NCA- 02C`of or 131 NCitC 4'G 034A.I{'et1 conwutdon Sritntarrl:. terra •
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7 Tsthis repairtoAnc, tdnn►CIL EIY S ik .iNo rcry,Doffttii tcrontlukOiiiprirai4ii.•rlr ctrllnx.irer . . -
41tlrlsha'ra" itr,$l;0,0,tn?:.iiii a ati+tertlonln/tirt -to,,tavid0-0./0bi teririruoi-o/dtr i ;:
.rtlnar.04/ l0iisrdt se*.i ii iii i.6it lat./146fa iii •• 23 Site dia1;1'8t11oradditi 30.•itell1deta1t
. 1- •tonsttit iottdolatls`YOu:t iaa .11sa ilricliiiiliiitiona(pages ifi iss A o
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$ 1\n. •. ...v eils rnnstrneted
Formxirtfrittr 049iorriot xurrr o1pl„1r:r�elteOM4LYirfrlr•the:tams rott*aitkrn ta1tekryt .
iibnuta,eJorru '. .Stip11ttTTtifiiN CffO4 S'111
9 Total.we l depth betirn t tud Surface 70 .. (dit) 14a. I?w MI!i'atiii Sabath ibis foaiz within 3tf drii. of co npletion of fill -
Fortnuiriplot rU 1stn•t!•rlrptlirifd ereui(rra•otpir•302OO riile•l2@1r73T) ConstmCitontotttefoltanxng
•1d.Stade sbaterl'iel beta»top of wing. 4' .-.. (ft:} Dh1.�ifion of WatorRtedourtes,InftirinatlosL P(ncesgigg Unit,.
• ifi.iraterrt t&atoi.edsrri< iii �" • • 1617MailScrticeCenter Ralriih'NC27G49)l6I7:
11 1lnrel de iliaaictcr 6 7: . . (In.) 24b )br tnteytioti iyells ONLY' lei addition to oilit lg tife form to she addtt s i t
24a also e,also submit.a copy of tti foftu wsllhrn i0'data N:'ebniitieuoii of well .•
• 12 Well COIt4trpCtlOU ti744It©(i SONIC cOIb1 i tiou Ur she..followlii& J ;
(i.e � able dimx posit etc): • • -
c : �IhlsIon of WaterRe oursts,Ugdergraimd Inj0tion Cautroiptograni
PORWATERS[tPPLY'1VRI.LS"ONLY -• - f63GIVltifllSerbiceCenter,Raleigh,ETC31a991636
t3a.Viola fl•• •-,- .11--• •,-d of tcst• �Ztc Por�+Water,Stiplti ak Inlortl nitiVelts
• :Also subni t elie'cops of this 1ofiil:within tX i as s of courpletion of
. 13b I1t infectiorl;drpt :'Amount.'.., .a .':... 'ncdl cnnstnnction`to the Daunt halite department of .tiic iniiltlrefc
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Point G\V t.: Naito C*P144- .�paitnrciaotEni iiunmeni lanirs]Rcscituces. .4.4.iannt1Viicr•R -.. Rcilsed MWa!`+tr11,: .