GW1-2021-00710_Well Construction - GW1_20210203

N\ELL CONSTRIL Cl1O.N RECORD
I.Nell Cuntramw Info..... n:
14.IIIAILR LONL4 - - - - -
Brian Ewing -FRONT O. m ft._ orfl Nunn♦
__-
4240-13 It. fl.
\t 11\I'(„ne1w11.<m.ilx, Juno,, la.Of TLR CA%F%C(fnrmahlcawd.40 OR OR IJNFR Ill Applicable) _
FRONT � TO DII,IfTFH : Till('H\f\\ ' NVTHTU
SAEDACCO Inc 0 O. 121 ft, 1.5" in. NA Steel
16.IN%FR('ASING 1 181.\b I=mlkrmal cb 1
•_FHO,I Ill � UI NIf lfN 1 IIII(h\f\, 11I1l NI II
2.N1it(lnlsnvchn,Permit 0: WI0300399; 70002483 ft. ft. _--
,.,•tr lr?e of ,ft. ft. m.
3.\\ell 1-x•IcMN•L wrlluwr. r17.S('RFFN -- - -
11AlcrSoppl, %%ell: moM In to%MrTrR of'In nm 1.\I\. MSTFNI it
1 GIs uhurd I�d,k:
121 ft. 20' D. 1.5" 1. NA NA Steel
'. . 1 '\huu<rt<d
(rrott4 mud(Hrrtun:( or,lmr Soppk l 1lk,.i&nnAI\%,Ircr Supph l.iln•Icl It. h. 1ti
I!IHheuial(oomkra:d I IPnldtntl:d\Cols 4lpph lSlpmd, 19.GROf"T
FROM 10 MITFRI%l 1,IIPIOf,ll\1%f IIIOUA I\IOIy
11. ft. i
\on-\\ater Supph\\'ell: i
n. n.
❑Vnmlonnc ❑Rso,an
Injection MCIT it. " D.
AgwLs Redorcc I(imDIXhlatcr ltcmadl.Ilioll 19.S.AND.1:RA\'EL P.A('Is lifal9dkahkl
I Snli
IR(NI TO111ORW I F\IPI.IIF\IF\1 MFTHOD
1Ayutfer Sn>tacc:u'd Rnm:n Inm Rama n. ft. -
.-.4q.utCr 1':,I 15tnm.Dalcr DTMIU2x _ - --- -_- _
IT. ft.
_.F\panmcnral 1 evhncloc, 1 ISnhwdcticc('Inaml
20.DRILLING LOG INtach additional IhaYtt if araesan I
-_(,c,(henmd I(loxd L,,c,p, 7'1rlCcr FRwM IO
❑6ZIollfllll:11(11CLAMIL(01'IMz RClunu XOther IC\ lam Motet 021 Pcmerksi 0 - it. 20' A.
4.Datc R'dlNl(ullgllcictl: 1/13/21 NI-0I Ifir B12
ft. ft.
5A.\lell lAn,ti(m: - --0 - - n.
Remediation Management Service Company II. ft.
F.;,Wn (T,rcr Nt•'e Fadm IF]:I lt:rql.iN.
h. f1. i
2650 Shenandoah Ave., Charlotte, NC, 28205 ft h t
1.1, .Fxl J11,
21.RKSLARKS --- - -
Mecklenburg 12710204 Temporary injection point through DPT tooling
Sh.I.Atimde and InnLrilutle in th-gre uminufeshocnnds or decimal dlcrrev 22 Certification:
1.uJ':H-Id me I:n Inu:n,ul li:wnl..
35.210533 \ -80.801887 „ Brian Ewing 1/27/2021
"je',Nav olt;s,bed R,tl(.nne.wr U.nc
6.1,(AT the well(wt Pernunent or XlenilorAn
7.1\this a repair m an cli.fing well: 1e, or xNo ... :..,,,
+_: ..r 23.Site diagram or additional w ell details:
Foo m:D ox flu b;IJ of Ihu INIeV to pp„Ids Iddnnvcd well sdc J11T0s In well
R.Number of welh constructed: 1 corblmcllun delalk. )ou urn :dx•au.leh:WJiu,ual I\I_2.d OLvessan
1I UNIII1AL.IJ.S�Ia'_C114�5-.
9.Tidal Melt depth hclllw land urrl[Acc; 20 IftJ 24A. For All Hells: >uhn:u Ihu form wnh,u :" Lt.." Of :0nlplcO0o of I'd[
r . ,, L.:... " ...,.:- con.ml.tmn lc the lollo, toc
In.Slade water leid twh)w top of rosin,: IftJ Di,ishm of%%Ater Resources.Information Procir,mn-_1 nit.
n,-, 1, :,,1.,,, ..,.,:_ 1617 IOAil Sell ice Center,Raleigh,N(-27699-I61'
11.Borehole diameter 1.5" IiD.I s_4h. For to itrlil n III,ell ON IA 'n nldmnD n'silciva:II'n loon A,I :khlla�f m
]aa abm e. e6C sulort ,I cop, cl Ihu tuml Itilhol tr d:us 1.1 annplcmnl of Iall
12.\\ellconstruction nMYhod: DRIVEN ;,ietto,Oan In the I01o,m_c
_1,IA.r., IN, dlm.;rv,d,a.
On ision of fill RCNOUIXIII.1 ndalyruund Injection('onlrol Program,
FOR III,tTFR SI PPI 1 \\F1 I c ON[1: 1636\fail San ice(enter.Raleirh,\( 27610)-I636
13a.1"idd(EPm) Wrl o l of test: U.For N Ater So nph X Injection Nclh:
Vss' ,ohmn olu :,ryn of thu form ,,It : , do,s:t nlu.V1,11on of
1311.Disinfection npe: amount: well cxmsmlcnnn In IhC unnm licehh depan menl of the couru, ,I here
:omlmct.d
bolo l:A,-I v0,11,(..,oLm,Lk,I,,M1.I"I F:n N:uuam c,clv.n m:a l<cwur.:, L),".I „_NI;W It. Ito ,cd I14tet ` 1'