GW1--06383_Well Construction - GW1_20241025

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. ❑GVotlretmat t:1 a itug/Cooitng Rcttint}: . iSiOttie((e pl iio uiidti P?:t ltetogitas} It. '7• tt. •'•RED:SILTY CLAY '
7 . ":.:ft 60' fi'..', GREENISH CLAY/SAND
4 DateWevoCanyiteied; ,9.-30-2029 '.W�flm#AS-106. :fl ft ...
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.-18801::Old_Statesville.Rd:-, .CORNELIUS,,NC, 28031 i"
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•' BENTONITE FROM'53'TO•54'!•. •, -
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l/tkts Ir o reFatr,fill t crr Gtantpt i J(r.rirtnrct m!i 6 r+na oc i awl��p(ahi i(rt a afore iyt rhr
rrlmiruu f i 1.rci,-io sea,aa nr wi tlin b,:..@ 400,i,/416•; '23 Site diitti'An`or additional ii ell detail4` ..
-You mty;use t1ie:ua�L of#ills pogo t0 pm�,ide addtuonah%ell dire details or. *
8 t1umberof welts cotfslrticted .1 • • • .::;COn.sttiictioit ttet3h15 Yott"tii0%aho 4Rpelit uddiI•iooul pates•tf ne%.essati.• •
FvrmitrlpFk et'ila?riaratki i a,er,tlij�rJ:c.:i,llsOi Yirtllr rfir:urmrcai►structtorr O'ci.ln
'submtro,;r fnmt:'`` . . ,SJ1B114rII'�L fNSI Er( JJONS ';;
4 Total*It depth•below land Suifaci,..•'.•60• . •• :... . (ft) ;24a. hor Alt 1W`etl. Sttbitut tliis•fcr tr within 3U Thies of coi►ip'etiatt tit•f1'r!
Foriier+lrf fi'liiits'li€toil*jttl s(di crriui4rriiii. k 3Q200.`-nnj•201t:17: .. ?Consfniction'to t1te:f4Itnnu'in I .. .
i0 Biotic%►atLr.k.e1 beio.�i tt►p ofcavlii '21.•...:.. : - :_ (tl;) Uni.4fu0 of•�%4ter-T,100urrtc,Infiirmatio•n Prnc•
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l t,tat<r liuel n aLlnb cdsfn 16t7 Mad,Scri ice Center Raleigh NC 276i!=JG17;':
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It.[i>prehole•diamcter 8;25 (o). tab It 1 ONLY n addition to senduig the form to t•he addtt I r -
laabe ealso submit a copy of ilita fut n within sU;da}t of:.corulpletion of Heil
--t2•Welt eon&luietton ntetbod AUGERS C0115011G110n to il*.fV .0:r�tt ` t
(Le n er rc y ••b•1..ducct •••,.. ` ..
Dhtslon 01♦Vata1 Resatnees,Utide and intccelon Coutrn7Program. -
6361%111 Serb lcc cehtir 1tale3 h
FO$�Vr1TERS�PPLI'WI�LISOi�`L,Y • • •• • •' `� � r\C27n19=1G36.
l3a acid. . .►rii)` �4lctfiodoftest. 24c,Foi-.WaterSuppl;'er intotiloaWells .
,Also suliaiit onecopy' of this fottix`inithin l)days ofronlpleliori of, •
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i3b bl3 nfCxhat miti -: Amount n3c1t ooiisttuchnn,t- the nrtty dc}r,•-: .- of.'tiR Coilat}�ntlicn`_
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Form OW=I: t�onn CCroIIiuiDcp3itmc.i otEm'tror ucni�Winoa7Rcsourccs.'•Po lion of14'arerRt ticiised a5itgust•iti'I•