GW1-2022-04887_Well Construction - GW1_20220525

NVELL, CONSTRUCTION RECORD For 111Cnw.1VE MO:
17bis Corm can ttc"uwd ltir.'ftic ai multipk hells;.
l:vill'&IitractorIuffirntation: -M.NVA-rkll;ZON S
Stefan Smith Fit M 't0 I Iir$CKIFT1ON
►4'e}L.Ctiiz{crctnrtvinr , rt, 11.
3576A
rt, rt
1*IG.RPC.I�COnIS{ICIOCCCnI�0.Jl1CO N7nC�lCI 15.OUTER.CASING M)r nr:illkj td'we"l OR LTNER M I11 lcabkl�
FROM TO, D&tDtETER THICL�NFSS <I:\TERTAL
SAEDACCO Inc 0 ft,; 6 (t 2 lb, 40 PVC
Cynupmgi t.';3111c: 16.INNER CASING OR TUDINt"'...."', .srthcr,nal dastd4wop)
FROG! TO DWATER, THICtuLESS MATERUL
?.�Yclt Conxttvctiritll Ycf'niit�: O. ft, n�
l�isi'adlany�rii�,blr.v,-eflp�i,ri,'ziis:,G'amity:'S,':ti:e.:'-lrnrinrtrr.lA}'ELtr'fd;#l�-:J' -� ..
ft. in
3 VVcII,TJsa(chci 1.:�►iil asej: I7.S[,et_I,N
Water$up�att�Vcll:: FROM 'r() nt�ttitF.7TF: .Sr,OTSM, Tfl1C.KNF;g I'17AT[iRtatl,
�1eultutai t�&fulitcigalr�tb�ic 6 1. rt. 16 A." 2 "" "im 010 40 PVC
®Cis�othemtal{Heatingr�Ga4iin Supply} ©Residential'`ater Supply(siugle)
mindustiialrComnicteial Masidential"Mater'Supply(shared) .ISorGROUT 70. MATERIAL E,l[pI 10E1fl VT 1rEirtOD 4,\l►fOUNT
l9Yiii�atipn 0 f4' 3 (: Portland/be' Demte
a
Non-Water Supply 'It:
Q011ldnitc,ring Glltcctn'cr}•
Injection We'11:, r[. U:
EI`rlsluiferRccharge 06 mlAwticrRcmcdiation 19.SANWGRAVEL PACK fit d i lie�l,le)
" '"FROM - "TO � '.rMvIrrmu.M, FNIFIACENIENTMETttnn
[]r#tltltf�r SiotTge argil tcco ct}' 17591inily 13�mcr 5 ft., 17 A: Sand 2
Q'Min Ct Test ❑Sltarinat Ilcr[}i t naac
lDtNpctimcntnl"Tcchnotagy QStibsidcncc:C'on$m1 24:DRILLING 1t1G(attrch addiiio>a:il shed+if roccessnnY
1 utltenttal{ClaSe.L prtp) OTrtCt't" FROM TD nFS(RtPTJO\tcnHr:6aNiiet+n,iA'nKkfi�.'� i,i fre:clt l
13G,,othennal(Reatillz(Cooline.Retunq E300er(explain under,#21Retuuds) u it. 17 ft, Sandy silt
ft.,, ft.
.D•a u,�IV6fi(5)Cduipleled: 2-24-2022 N-
11 ID#OB2
ft: ft.
5a 1Vt ll larcatiliri: rt" ft.
Camp North ft. ft
6 hity,!CwncrName, Roily pp(J�nppCimblc) O. (L
1824 Statesville AveSV(Ch�Dlot,�e-n i}`1Cl 28206 Meckle, ft, ft,
Charlotte, NC, 28206 MAY
t g"g — Plums"Addi�ss Citg.{pdZip" =.Y RlM1LlRiiw
i'elA f .y 5 2022 2 foot bentonite seal from 3 to 5'
Comfy Pamel 1tt silin4iliun No,(PIN)
Sip.T,1t+tirttc Fud"_I r�nittt�tle in dc�rc (t�nma> slpn� 4rticctm;rl itegrccs, 22:Ccrt,ficatittn:
(li't�lt meld,Ufi,.(9'lfi[}rSg�G arzfli4>Et:i} '
35.247850 =� 80.834801 K�" _ 2/27/2022
SiLu�l, afCc.p acd"ty;ell Cairti roar Dale
f,:Is,(arL)the►scll�s): SII?Cr7t18I1enI 1J1 L77Yn1pUrar}`. �;nm t 4 arts;l hereby et rh,y dua the uv l Y ,yw psrre}cprsrraered Lr arev,rltmce
:i'it,)lm Nt"riGO2C 01t,19 or 1 Tit NCAc i7'C.0200 We G'aitatrrirttvr gtaal,rrrlscrnfitlutra
7.lr thiti u rcpak to an eiistinr Ivell:" €7 S v _or mNip �np r o1 drls nrr,rtt l 7i lJ,rr:r rtat itrr�l t tir urfl rna,rtr.
Pfrhts tx n tc1�r1 r fRl coif IrabFrta rp'rfl carutrarerto a urjorrau i cr,ar?"4 s eiaiahr rbe-mamr€of(Jie•
rCrteuir ttrsi'er6'31 rctlu ds.s�r.^tart er ul llle dvse6 o tl�rs jr,rair. .•23,Site dia rant.or additional ell details:
You ma} use=tlse wcb'of tlifs pl5�to"'ptozhde adds anal well site"&i1ils"ar rielt
$.l\pnthcrpf tti'cllq cottstructecl: cnnstmcua delaits:"I'oualtar also:aitac[t additicuidl pab*es if lr t essaKy.
FrrrarcUtrlE1'e tnfeeif�n e*i rtr�.i-Sva;er Ai,�plr"mclds t7,►'I,Y irlrli rfir.unriacauestriretiou,}v:a,.c�rra
cufar tucvicJori�: SUBMITTAL i1CSTUCTI011TS;_
Total si ell depth bcto LtuitsltrfiiC} 16 Pir Alt'4irells: "�uhtidt)Idttc#aQri1 Tcithin 3> "do's of roinpleeipn,t�f si' 1t
Fori,rai'trdplci4arfx'llaemrlilffpths,rl`d'1,�"r,'ritie�rmvr�'Pr='3�2M'aiuf:2�'td�t) cons(ntctiaot[a�tlec'faiCotsiu�e.. �'
111 Static water le►'el,below tup of easing.1 A) U visirni nt*titer Ike Information 1!ruecssing Uniti
t t ni�t�'r 1rve1 is rUov;+nlsira4;riu"+" 1617 ALAI Sel4icc GeritcrrR:ticighr NC 27699,1617
11.Borehole diSuncten 8 (in.) 244. nr. n lion Nelig ONTLY: In addition to sending IN,fomi to the"addtes in
- 2#pa6ate alsi3 ssttbmil a copyaf this t`alnt Tt:itltin �f►days of coinlal4fi�iii"af hell
12:"Nell et►>?strnctiou inctlir d: HSA c'onSlrllCliaii 1'itlio PO110wi i':'
tl i.uug r rrr cnbkl tl'T=pusta,eta:}
Di►iAdIt of Water ltes6utti*i. liiderground I►ljeeiion C'6ntra Pra�iitln;
fOR"WATER Sb'PPLY NRLLS ONLY:' 1 AI 63n ail Semi&,Crater,Rnlcigh,NC 27G99=1636
Mu VIM(gpm) s�letitotl nftcst• 2•ic.For Wafer S66' &locCtion Rcl1%:
A11so Sttbnitt one copy"of this faHn+utltin�D,da}sofcompl�ttgnof
131i bltinCtYUnn i Amount* tticll can5liractiRn:to the e[atint}$health dcpattmenf•of the Contd�.tvlrc
kT I? ccrnstnlctcd.
Farni VW-[ North Carolina EttilxxrAsrtint;oCEmiroruucittand Namral Resources—Dii'vIon ofj►ratcrResomms Revised august,_*a13.