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HomeMy WebLinkAboutGW1-2022-04884_Well Construction - GW1_20220525 WELL CONSTRUCITON RECORD Furls vialllacON-LY: Pis-forin can be wwd-f4,singlc or-nwltilik-iseUs- 1.R1GCaiitt:iitairIutornt:itlDii: WATER ZONI S Stefan Smith FROM• ',To nP':$CR1Pn()X W01 Cor4radorhama, rG ft. 3576A .ft, ft: NC-.Well ContiaclorC'cititrc�tionNiuiEer 15:OUTER CASING(forinalli-caxd wells)OR LINER(ii:a'i IFicaM FROM I TO DT:1titF,TER TTII4T�NES9 �SATEPT.�L SAEDACCO Inc 0 (4:1 6 W 2 in, 40 PVC Ccinsp�l Name m.-ININER CASING OR TIJBING:-Owtherrnat cN� Ja�rnP) FR011T TO D1A.11ETER,. THICKNESS 71TATERTAL Cran'itl�a+<tion.['.sT•nlit ter. waidrlrvumbfexrdpr'rnritr fry:Cdrrnt>%Strrsr;.ldntirrrrcC,Iry` rltl d. J f4, in. 3.,*01,llsii(ehcck:ivcli nsc): it. 7:SG,RF.EN 1�iaterSulglivR'c11; FROM 'TO' ntA�l6:7j2j�S::44 S[.OT17TRtCKNiT:'3s :SIATRR Ar•. I�'ag<?culiuTal C�hitt,ils pa>I'atb)c 6 ri. 16 f►." or 15Geothcmiai( ating/�CooiingSopp,ty1 131EidusttiaVC6nmiCivial ©Residential•WaterSupply(shared) is.GROUT FROM, -TO ITATERTAL EMrLlGE MT3WFH0D .41l01J\T - Olri?'Rtion 0 tt. 3 ft. Portland/be>jrToernte lko M`ater Supply W 11::' _ t1DYv€onitorin,. ORttitr«Tp irtJczti�tt-}Yclk[ rL rt: Glr qutferltcctiarge' l3Crotttld►S itcfltcincdiation Tp:'s:►ND,('M VEL1,ACKf rali4w amv) . 'F'ROII-_.." 1101 - pr,+,'rF,RF:•1T, _ �F:�1P1.AC'F]NF:VY±<1FTn0n,. ❑Atlntfu StertGear l Itccor"c C]Salimri 13�mgr 5 R.: 17 ft. Sand 2 (JAquifcrTC 175tonisit ttcr,l3rtiiiaac• C7txperimen4al Techncalo ❑5utis?itr:ncc f Qliitol 26.DAILLiNGLOG(attach additional.shLeu,if ieecessan•1 ❑Csoothenwl(Clgsed Loop) []Tracer -FROM, :T4 DES(>tLEPTtO\ +�i�r.liaralocs+suR'nKk'1 ra"•aid srtaEdt.) [3GCotitenttal Meatit4��CijoUheRealm) []Other(expliiIiginkdef 42 1•Remarks) 0 tt, 17 ft., Sandy silt tt•. ff. 4:Data�ilt 2-24-2022 \Yell JDpoB1 n. (L 5a:'%Ve1I[A in (L rt Camp North I[ ft, Facts"tt)tOivncrNnitu Faw.MylDrc(Jlapplioabla) -tt. (I- 1824 Statesville yena�e-Cha•r}+otte,r•NC 28206 Meckle, ft, tt Charlotte NC 28206 � �� '"' F-kvsr-i..Rss:cit3•..;t6ilzip 2I.trEnL�RkS MAYMA66�n YC.rrarnl)' / 5�029 Parcel ltkatlit`tC,11ia5n No,]iM) 2 foot bentonite seal from 3 to 5' r; [�:x- b:Iattttiltic and l qn rcrulc iwtic7mcca�t`Xi'uu cslscconds nr stccimtd(Irccs 22:Ccr fficoHnnl (tft,ell fv0d,aryl].rt''1ot� ufla`0714 r'A)(ll;��rlttL�1 F� 35.247850 .1\ 80.834801 W" 2/27/2022 5igti3t afCc tsd tVs71 Caiiliactfir'' Dal& 6.16(lrC),the ti'ell(a}: XPenuanent or .ETt liiptlriir{'. �••si•rtnr )her;arr,rr,l hrrcL )errs p•rfirirf rlrr vrlr s terse' t rn LYR YI/]fCl[YP drP GCB'WYr [C f� �) � „). WIN 18A.NCAC 07C-0100--LM kt;fC.02C;iQ.-6b Welf Gahithic' Starrrlran9s assist rlurr;t 7:LIU%a repair to an.c 4ting Nichi ElYes or k'Nu. ropii:ofrhis' rcnni r;Tr,{+ill L}ir~t.da ra rYl�tlr flll a�ar,�a.twt i rif-Czrru7nrcrPc.ra lra/arrnrrrlorrrrrid Ca7?laba rllo atarar�rrjrlie • ' reriiurNatJarB?l.rcrrire�l ti axrdtart aPati die lrx of aids(rains. 23.5ite d1II mini Or additional well details: You IIL1}'-IlS�.11Te haGl;Of(Ills(t l tom,f4�1r4Yid��ddi!]t?Ilal A'zlI SICL'_dt'111S:4f 11'elI 8.1\utnberof bells cotlstruct d: coustnii tioti dcia?Ls: I'ou:ina}of o atlacli'addidoiii!pages if necessary. For mtfalpfe i4eeilom eri farm war`er�rtppf ivttt€ONLY ii*h)Jia.sgrtilec4iestrrrrrivn,mr:Coo cnfrrnararrre fQrsa. SUBMITTAL 1NSTUC'l')iONiL 9.Total'ws It depih betoivian l siffillicei 16 (ft.} Ui. [nr AIL�tte : Stlhndt dds' nu within,36 days,Qf f4nap11Clion Qt)tieli Foutsi?apf"icrl1s11sruPF�'pl's'fl4't<iu(C.rrrraplr=3 a'(ul"arrrl•2 die)) constnitt?an to fluefaltossin� ' 10.Static water let••ctlitlow tup'of casinprj: ((�,} bii'i+inn of R'dtlr Atcsourecii,Infrlrnt.itiun Prucessim Unit, tf itwrdr level a-cow cvsh�;au"f 1617111sit Styx ice Ccufcrt Itrlcit:hr hiC 2iG9')-IC,17- 11;Borehole'diantctcr:,8 Oo tab:l k[li?Sdk Mellc;OJiM 1n addition to sending the form to the addrm in 24a aliai'z;.alsa snbtuit a.copy_`of this.foriu width 0 dues of compleddit"of'i►'cll 12.Mell'coustruction method:HSA constilictiop t,o tluc Pollowii►�. ti c:arty r.nmmv c ,C'ilird FatslILetc.) DE►'isiou pf�YatcritesourcesUndcrgtouutl Lujeefiun Cdntrol Frogratlit, FOR N'ATERSUITLY WELIS'O11LYs' 1f,3G lFtnil St t�'lcc Ccuicr.R 11eil;ht.awTC3a699-1$3G 131 Y[cldp(nt) ,13r.Hlod of test: 4c,For Watcr Supply 4 inlca_tion dells: also sul)nut due cop}' of ihlslfoili i$itllill 34,'daysof.comple'tionof 13)z ll?tlnfiY nn�y*pi, Amount: �vcil conslnlction to I le,Colinty kalth departmi' f oC rite c4ivat��.rsitcrc consfiiicted. Fant>CiRr-t Mirth Carolina G:pariment of Environ=m and vaurs'J Rcsources-DivW0n of lFmtcr Rewrites ltevtscd August 2D 13,