WQ0036881_Well construction Record_20220125

RECEIVED
WELL CONSTRUCTION RECORD
This' fonaearthe oaf for sleek iessilliplaealls FEB 2 8 2022
1, VIER PREMESIWIlif
Chris Ruffer NC DFOJDWR
WelICOlisac*Mitiee Central Office
4223 A
MC Wen Conaucter Centiketion Nest&
SAEDACCO Inc
Coeval- Keine.
wilt ommiliaton Ail* if: Groundwater Remediation Permit #WQ0036881
4* mil aesi‘kve.. emW MC4; lisrlenee, .4ateicei er4 •
Oifini*ONO*Iiime#
Water Supply Walk
Oft6=0*11
OGoothennal ffisalinoCooliiR Supply)
Candasilrieliroiniftscial
irguuoj
OhlunkipirlfPutdie
OResitleroial Water Supply (*We)
OResidential Water Supply (slated)
Non-Wuter SupplyWell;
Ottordloriz 01Roy
cwiiiii*801**19
C*109iii.901$.944#4
FLMIAkiT94
pE.RIFfing*1.14F19101nY
dOmittftnal:(Clow$ 10p)
Menthe/Mal alcaiineConting Rettlen)
C110000021cr itimediatiou
OS0Iln* Ord*
CiSloollralet
OSubsitlenceControf
arrow
DOthvcpiiii# wider RIR }
Pei tiered Use ONLy:
U. WAITS ZONES
V11:014
70
DOM11,7104
0.
R.
0.
/5, Ofi-r M ASINGIlsr.
seibtOR LINER (W Jim Itir
MOM
puree=
llorENTS1 MATTE1M.
IL KRIM trASING
MOM
Olt WRING
TO
titellbseusileleassi-leql)
DUMMER
TRIMNESS
X41EIRIAL
0 11.
88 IC
1 in la.
Sch 80
PVC
o II.
53 Irit.
1 in 'Ilk
Sch 80
PVC
17. CREIN
111100
88
11.-
53 fe.
90 11.
55
1 in la.
1 in le.
$141-10 • :"1 -refeicerss 1431-Petm.
10
. 010
1 SS
SS
IC =MIT
FROM • 70
40 'ft, 0 IL
NAMED& r ramAt-smENTMETI100 "LaMar:0
Portland Tremie
0.
t_
1. unftteratftirer, Act—oppitestirr)
rsOm
i
90
it. Sand
70 P.$417esi.%s.
s 0.
Fritei...c(-varbir MrfHO1
2
5 0
55 It Sand
2
IL Alit11.1..INOSOG Mesa adaillseal slew secesian)
ISOM
ft.
TO esseiurTurr r. hid.wiliroch 13 K. Xral
11.
41. Date WO) outwitted: 1- 2 6 - 2 0 22
s. welt Lftettialit
MOOG
FactItylOwncrlicen
wampoi- 3 . 5
1995 NC Hwy 141 Murphy, NC 28906
IDN toppitablo
Cherokee County,
Murphy, NC, 289076
Cherokee
Physical Mims& My. sna
Com* Pertel identilicalioolia, MOO
h.tstitudeind Lingilude dogreesindintetheetinds or &Mild 4148valc
Orwell intitiota *don iisalekst)
oL blare) theivellern RIPerimirnent ar Ttniprititty.
7. Is this a npair inert , Went cAtat RaNn
FAA** ripair01 aut bums 1441 easiiimeffes POPROPOP wadi*** rhe
firtztei zirmaria ai rft.e borat stfttsft *rot.
8. Smother or walk canstrureed: 2
FOr 44.1ef0.4: er410*Of $149*3.4* CiNLY wira *A** colOggatoate YON
submit aqa,fonie.
9. Tetio*dlogat bell* Aftwl! otoiffttoz 90
fOr ovidt01.1141/stisiaftdepitv.ttgrpoilit fixoftple--.10200' dad ;20107*
W. SU* water layel helm tOp ofessInV
ttwotor foioi 000emtift4Je "
11. Borehole dim** 8 in
12. Wen COUSITIEM1011 meth* Sonic
tin num mow ;own d t posh4le
See Ilem
s no tire
ft!
rt.
0.
rt.
0.
31. REMARKS
notroattion:
elm'a/ei
$40.0*.froitisove#0.4*,,, 135.14`
1/25/2022
By 31.9041- *nit; hen**. verftlie that warifsl itur ftiero scriaThrtled iree.g.i.ftrx
iiiftk in NOW 42C CoinftworApir AMIPRO and Virtfr
coefrldirirevit kfriS form prprivor PW isrf
43. 844 414201M or nitatleasil writ dendle _
Yeu .roay use * back ar Ras pr*e to provide addlotomal well site &Ws,ar
couttnictiofithialls, IfOn tray also attach netiiitiodpgin if oteessary.
Strelinild IlVsnignONS
I fi.) 24Pei WO* &theta this Anro wit* * of: completion of Well
-oceistrottiO0 to 1110 follow*. .
FOR WATER SUPPLY virus mem
isz Yield (gm) Method of testi
131/. tt.ft
Wild* of Water &muter% inferattstirinloinceseing Vol%
4611 Sot* Center, Rol** NC V61446 t7
Mb. For Retortion Welk ONLY: In edtation to sending *faun to the address in
24a shot* also *rait now of this. fonn within 30 deft's Of C011spleti011 Of 'Pa
Ws* of Water Resource% Underground Meer* Crawl Frograt%
1636 Man Smite Cott% Relefelt,NC276994636
id% For Witer4rurnly & Inter* Wells:
Also subdrik onecopy of Thisthi nn!ftithiii' 30 dayS ednuovietiort of
well emu** lo the. woo light drionftem0tt1J8 **Where
construtied.
Naeheaschna OgatuseeterpkeyisommeatandNannal Resources —O • ahVeter Rffintras Revisal AUgare2011

WELL CONSTRUCTION iEICOEIVED
TO farm aanbafor &ice et add Wag
i. ► protrattor biforiltSflaw.
Chris Ruffer
#1.441OM eClaa`'t *WO NC OEGI/OWF
Central Office
4223 A
FEB 2 8 2022
NC WalleetflIai t Cs€ tIAC t>onItambrU
SAEDACCO Inc
2. *in consaiiitiin
#elAtit io:Groundwater Remediation Permit #WQ0036881
List atd egiii trrtitr fLi, Vagt.14 Si r; .V rIai a .: Ark arc')
Wrier $011011`Visit;
,
ilAgrioultruall
DGentliennalrileallbecoialeil Su ip ).
13bwit ntat/+o1riii gial
Dh ptiuu.
No.WatberS AY
iJe
lajeeikio
DAquifer
flAquifer Steskte and Recovery
°Aquifer' UM
13Erperithectal ItebsoletSY
L1Geoadamal (ai d )
aG6olhetnl (IlasfiugPCaoligg.Rauttal
tiM%mieip st
GResticutial Water Supply (ogle)
DResidentitiWater Supply (sly)
1IDaaaateraon
eistoittq 88Ri&r
l:iStitho'pato;t opiomp.
CrScirelamee Control
armor
❑Mier rexpl tttx wider #2I:.R )
4,Dili wow amplified: 1-26-2022 W ImoOI-2.5
Ss;"''HI on:
Moog
FeesiyiOr rriTsrue.
MI!tWapp%ichk't,
1995 NC Hwy 141 Murphy, NC 28906 Cherokee County,
Murphy, NC, 28906
Cherokee
Pirysicsl.AifliessiCJn:>uei Zip
Cost4 Pm:SI Cra to . NO, 000.4
(iftClt iFCEd,' .iW�fldrdF, i3:uiCr4)
6.1s foreyekewell(At Italketwiantst or howl.
7, ltri this a reperir itio lexistiwrirwtt4 DY s Or inn
JfMsivaimpair.ji#+at know4141t vTAW*Ir:4faneWiward s fitri
ndreir.aedirlC`/ ai aiembark kjilittfahm
8. Rambo Owens goewieutte l: 2
Fur * tit* .r oawrirr, r •we tt tlNL1 a
othonit oat to aa.
4.Total well depth below .icesttom 80
For r»milsihrif:14*TM;if f`a '3%200"awd2@iO4r1
id. Stifle wolfs Itw net otreerin0
.
ii. heath olc atUittri 8 in lr )
17' Wdl easelewelles method: Sonic
(te. eiy 14:+ et pU
rttr.
(R.)
;.)
FOR WATER SUPPLY. WELL'S OILY:.
I3a:Y ni Method of
Farb/wad Y:
itIttallIE MVOS
riwat,_
JO
Intscielrrr0a[
Q.
fta
EL
tl
1S. fir
tlharwrf weldOR Lon W 6k
TROM
TO
taAMITIP
7/1100788 iHi� C
ft,ft.
ie. IOU
WOG OW
� �)
FROM
.'10
11.4MBTBR:
K.
MATERIAL
0 t3.
78 tt.
1 in alli,
Sch 80
PVC
0 E:
53 ft.
1 in l
Sch 80
PVC
VMS
DdAnrl[TU _
f SON
TOKT00515
.1NATIOnO,
78 ff.
80 II
1 in 9e.
.010 "
SS
53 Ry
55 It
1 in .la.
.010
SS
1&
' Trl
' 1L !E`RAA1 1.
ladriAeriliBNY MErHO6 A AMO1•"'t>f
0 .At.'
40 ft..
Portland
Tremie
t!GlAii-
ve+.P
�trlie#ie)
mom-
10
MAreouki,
rei-sCr-wit T laLTH00
75 ft.:
80 ft.
Sand
#2
50 EL
55 It.
Sand
#2
rR07M
10
DPSCR011071 tab?.fatrrw, aa:+mdchpg. viiii obt.11tr
it
A
It.,
rt
ii.
It
See p
s Note
Et.
its
2a. ie11'drlAUC -
1/26/2022
Si ikZ0f% ratrWdiC tar DtSc
$y grk k Erma; 1 ine :kr a er ifdi *at1%e watifw art two t nari awal Le. rdtredaide tet
7Wf* I5A. NC4C 0:C Of or 154 NOW 92C ,02119 Wwlt Coiletractiwi ilaNfednis gad *Id
it
1Wkyiethi tend r"Oro mat Uk,tti4r 60
21. Or ilinraittor oddlikotel welldetsto
"Yen use rlie bier of tibis page to -provide addltioi ii wseil site: 1s
eccemiredmidereits. YOUbuy alsontrailialthilinlailmigaif 1 setttfr.
RI1BnifftAL IRt 'fl"G 11010—
.: All Wilt» , Stidnint ;ttfirm within SO
orcistroctionto'thetoll rig.
tw of complcrion of w ll
I1irrr kra (1! 'stir Reroute* Infortenrien Proterring Unit,
1dt"f M t3.Stneree Centro, no** 1Y6980-163.7 •
24h. Fir rnieCllmeWel iON'VLY: In addition 10 seeding the limn :to Me address in
24 ire, also Sa41,innt a Om of this forth within. 30 daYe of erimpUtioti of twfl
amerraction Mr& frotiorrior
irtsleiL of Wider R ee . Ifeitiervimad klefeli wt Cotfirol Peogroni,,
1836 Mtn Starke Cater* RaltlihNRC276994634
2POrW8ter SitenlY &injection Wells:
.Also submil. Oiie ;00 of tines [oina uitilin 30 &woofconWtett0nof.
wellormenurnirm to the, county health deprotoreol et tiro coan1y Whera
zeitled:
FarmOW-
Merinos Dtpartmenf af Eim itartnmit gad klanda3 ftesn Div a ofWater R
Fteodecil A 2013