GW1--06767_Well Construction - GW1_20241114

-WELL-CONS'I RUCTION RECORD Par tiricnuil Use i7tJI,l':
' • This Ramon bc.uscd for single or multiple wells•
1.Welt ContrtctorIuformatiott: '
' ::4:%TERL°INES-- • . . I.::
Scott Hunt FROM 'TO DESCRIPTION
Wen Contractor Name ft. ft,.
4561A ft. ft. I i '-
NCWell C'ontraclarConifrcationNitrrber ',1S:-0IJTER CASING(foelat tiltkiiii netts}OR:L1NER(Lfao fieabkl
FROM TO ' DIAMETER THICKNESS MATERIAL
SAEDACCO
0 •ft, 105 ff, ".6 . ; in, SCH 40 PVC
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Compaq Name' 16 INNERCASING OR'TVBING t ,eothermal efused-loop);
FRONT TO DIAMETER THICKNESS MATERIAL '
2.Well Constmctfon Permit#r: 70003178 0 ft, 152 'ft, 2 (IL SCH40 PVC
List enapp icrtkle wenpeneiti(Le.County.Sarin,-lrnrionre, ra''ea'ctr..) -
ft. • re, : En.
3.-Wcil,Use(cheekUPuse): 1T:SCRCEN .
-Water Supply Well: silos, . TO DIAMETER SLOTSIM TIIIC•NNtSs 1 MATRRA4I.
152 ft. . 157 ft. 2 la .010 SCH40 I PVC
- 0Agrieulturat . ElMunicipal/Public ,_
&Geoehemeal(Heating/Cooling Supply) _&Residcntiat Water Supply(single) --.ft. R. is I
oindustrialfConrntarcial DResidcntiat Water Supply(sham') :18 GROUT'
FR01t TO MATERIAL • ,EMPLACEMENT METHOD C AMOUNT'
❑inigntioit -. 0 It. 105 Et Portland -TREMIE
Non-Water 5upply Well: 20 ft, 140 (I, Aqua Guard ITREMIE- •
iSiMonitoring• &Re overy'
Injection Well: - _ _- - -_ 0 ft. 20 -rl, Portland TREMIE
EiAquifcr Recharge '" DGrounda;ttcr Reniediation . -`t9cSAND/GRAVEL-PACK(ifapiil(Cabter - - .- . . : --
FROM' 'TO MATRRtAI. .RSIPLACLIII:NT NIETiIOtr
I]Atlnifer Storage and Recovery 17Saliony.flarricr 150 tt, 158 ft, SAND' ; . #2.
❑Aquifer Test • IStormwater Orlin,9gc it, It.
°Experimental Technology Subsidence Control• - 1 E - '
. 'NI.DRILLING'LOG tat lath addilioriril sheets if Recessan•I
' DGeotltennal(Closed Loop) &Tracer FROM TO DESCRIPTION Rotor.lrmine+v.sui;'nsekoix mate si e,dr.r
• ❑Geotltennal(HeatingrCaoliug Return) &Outer(explain under 121 Rethinks) o n, 20 ft RED SILT
•• 20 ft, 75 ft, GREEN SAPROLITE
4.Date Weil(s)Completed: 7-17-2024 .Welt W MW-15BR • .. . ' 75 97 PWR • " �: -
ft. fL •
i$. • l�
5a.Well Location: 97 ' ft. 161 ff. ROCK, . •R=.. ., .._ ° ,
McGuire Nuclear Station -- - _ ft. ft, NOV.1 ,
r �4
FacTdyit yper,Nante faciTityIDmCFapplieablo} ft. f);�
13225 McGuire Nuclear Station Rd. , HUNTERSVILLE,. NC,. ft.- f I4. lc' r _ �;
28078 ' FlgsirolALddtess.City.aniZip ;2rRERLC1tKS'%
MECKLENBURG ; BENTONITE FROM 158-161 & 143-150 .
Ctluuts . Parcaa Idautidtre ttionNo.(PIN) . .. • '
`Sli.:lAitltitde and I,nnginnie in,degreeslmittutcslsceonds ar decimatl ttcgt•ccr• 22:Ccrtif@e itiiru:
(If'ne0'tl td.et tslab1oirb in'sti(flileut} •
•
' N •
W - /Oil—
.ir 6/18/2024
$igt�, iu,Cetlti .,Well Ceutnetor Date
6,is(!1l')litG11'ell(a}: SiPetwsR nt or OTeutltorar2' •li.a;gnr,rg:ht frnrr l Arrrltr realm rear the nr11i'.)Innis:iMrrrl Coralhreled ire trermrdmcr
wail fiA",YoSC 02C,01000.054 'JCACO2C:,0200 tl lCOStii rrrr(oo cmrH(dula rmrl.rlumen
7.is thin aiupair tor ane%istttigndl: OYe or P.No a'cg'-cofBticreraitdkis'beet,'0?it'i4ulto1.6:'ukllrntrtrk,
if iiIs:(n r eipJir,jilt;;Cli Iims,-ii,,o meta am.F.TrariNan i.forrnr,r:rvr irrir1'apia'si iht,asnr;ri'of rlir
irp,:ir iutifess2i rrsuural.s•.infer,ar•nn the Lack of IAU forbi. 23.Site di:igi ilnt'tit‘:tdditk nal Well det:tits
You inay Ilse the back of this page'to procitte iddiliolutl well site:iI:fails.or welt
tti.T`'nmbtrir of wellis i ncru Kett:1 COi]shuctio deAails. You toay alfxi aittactt:idditionat ages if necessary.
For nmlriigeIrrferr),,morriati-.waersupplysi'efdr ONLY n'J;Ji the samccortsrructlort,,y+ltrrrr4 • - - •
.,itimiterurfarm - SIIIIMITTALINSTUC'RIONS' .
• 9.Total welt depth bit land surface: 158 (ft,) 21;e. Fur:4L1 Welts: •Stibmii Its font.: within 30 dais of ecimptetipn of welt
ForanelrlpJe wetlylisraliikptks.lfdiforeof(rxirolpfe-.?@2(0p'<vli'l2@dlt0y cOnstni tiontotl1C.fottowing; i .
1(i.St~.itic"icuter level below Ault of easing:24 (ft:) Division al'`W'ater.Re durces;Information Processing Unit,
f/raster levr1 Is tttinve cat(q,,rite"-" 16l 71Hitil Si'rricc Ccntcr,Rillcigh,NC 27699-16I7 •
12.25/6 1
IL Borehole Illamchr. (n.) tab. F n :rec OI�II,Y;In addition to-leading the tomi N the address..in
34a abate:.alsO iubtnit a.rolay bf!this form within 30 day'S.Of cempletlan of-well•
12.Well a►nstnrctiou method: HSA/Air Rotary CettStmLflnit to'.the ft110w11fg:
(i:c.auger.Iotaq,_cablc dimrl nosh,cto,l __ 'Division of W:tter[Rewourees Utttlet i ound Injection Control Progr'ain,
FOR WATER SUPPLYWELLS ONLY: 1636 Mail Service':Ceneee R Ieigh.NC 27699-1636
I3;>,Yield(it{rnt) ARcthod of test: —c.•Foi'Water Suujrlc&lnjeedion`�etts:
Also submit one coP't' of this. -Ott nittiilt.3O days ofcourplettouof
I31.Disinfection type; Amount:. well•construction to the'comity health department Of the'comity when:
constnicted.
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Fans GW-L North Catalina Depantticut.of Ens nrotuttctu wn and Natural Resources-Dioa ofWaier R-arrc Itm'ised Augtnt 11I13
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