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GW1-2022-05155_Well Construction - GW1_20220531
WELL CONSTRUCTION UC"IION RECORD lor_lat�rnalLTs� NLlI:. This form s5n l>~auscd-tot,sinl le or,miltiolq%vUs.' t '&[4 outractorlitfortaaation: T. IVA'fER`ZON FS Chris Ruffer WHOM: .TO taT•'y+'�C".tttPr( 'r dlCrjt trr#4rti�nr!a, (t. ft, 4223 A � 3dC,Wcit Ccntmadi 'knife tioinNiu&"r YS:OUTER C1#RING tir[multi eaiaed!+reticl QR GINE}i:ff" a`Tlcabk) FROAT TTl DTu►i&git rFr1CF�YiC ALATEFLAL. SAEDACCO Inc Ccarisltnnj:t uaaiq. 16.IN VER;Cx3STNG UR`TL'BING'( ii olbertriatl ilea d-liw r' rRQAf TO DrA}1TE TER.. THICP1\r.55 AUTMAL 2.'W01 6115tr-13410il tlerlttith: 0 dt. 51 ft; 6 ,!� sch 40 PVC hif#Ilr rqi{ir"etble�rrjJ ftamrits Cr a.Reurat: Sri"e;-Ynrinrecet 7r�}"eLr�`[a b etc; rt«. - 1 4 c1CtAsa(chccl:.woll tiscl: I Woter Siipply%Tell: ] To ©rAMFTSa St.oTSrra� 'll]Tt tC�tf 6 -MATKRtAT .apTlcvltntal ClhlunicipaLPltblac rt: 51 ft, a in ozo SS y�{'iooikerntal eatin ft fr, irs• (El $ICoolin 'StTpply?; �Riileiuial�f�tter Sn@pEy.(siDie� ®IndustdaUCtmnttercial DRisidential'Water 5upptl•(shaTed) ---is.,(;ROUT FROA -To, MATERIAL, EateLtCMENTMETHOD&S,AMOUNT Olrii'€ttipn 0 It:' 45 (C. Portland Tremie Non Water Supply Wert: l7h16TTitprin�r., �RccotirT}` Inlceti[m�1'clt5 fh" tt; C Agtitfcr ftcch3ra��e �GiotiTxiTs�iicr itcitrediatiaTa t4.SnNa1GIT cpELt+At I:fit a r ar t itar S 'VRO1 TO NIAtEMAT, rVIMAMt„ST 51.TOD kg 8 f. sandAtnsf4r t0Pt c JSi ' ngb;u R, c , 8 76 . 3 .. !IAqui€erTcst OStarrn;gtcr6fiiliTo- R.. If. [=1�w-4imcnlal Twin, log,. ❑, ' hs74fCnc�Curi# 1 ' '203�RiGLIi�G'1,t3G'(atfacbad4titirmalsh��s�if'nt�erscarvl tiGeothelutal(Closed Loop) 0Trneer FRO, raT ctEteTto r»�ar.t yr�ric,+, rtr'nrck ' �t c, t t t7r^acatltenttal`{Heatitotaliug.Return?� []Outer(eat .IG tt plaintirtderii�lReruntltsl _ r( #.DttL:S�elt(g)Cunipletctl: 2-16-2022 SW111Dt EW-43 See Gqp s nMAY 3 ote;Et a .. _ _ 1 2022 =tT:�1rci1:1-ttcakittu; ft« ft, Chemours It« ft., ncwty,N,wi nn Facr7i14 7Drc(gC a Flic7ble� —tr t, `+ -1 r 1248 Hill Hall Rd White Oak, NC 28399 Cumberland C, Ft,. ft'. White Oak, NC, 28399 P11YsxaGddrssCa utdip 71'REri1.1tCTi " Cumberland 76-71 is a 6 in SS sump €timt�# Romer t tcatltCttdltiDuAlq.(¢?tN) ..h.I.atttiid6ii d"j!gtitid c in.',d 2LCcitifimtioti:- {Iftivcll��tdr ct��lt�'tei�'l���stht>~sril /�' {� 1! �' _C; ri§. Ru a 2/16/2022 SigrrJttu afCestIfcii�'rr1[Contrrtair D= 6.Is(ttC)t17t\1'l'u(9}: $11 Lu13Utc[[f or oRmporary 'By.s4nT*ma lhlit firrm 1 hereby cer ifv-ihr.•r fire imil{.rf%&y J¢vi )c�tia imeied ut-ueetsMwvv 1vi:jv IS$IVt^At-Q G,OIfA7 dr.h d'NCrtt O�C;fr3t?Sr Neil Gbxatrti�t#oit Strandcrrdb crud Jl t d _ . 7. s:ttuv u npstir trt uit ext s}inl; t Ili Fly" ti :tir MNo e4y.�3ffias rrcvrrl hrs t»crr,C rotitF4rlair'ifir rtvfl mv,i rr• r Cs a rr�dr ultaavth aw Tr�1l-ttiuuf�urrt�xrt h at avd r�telrzha the rurtrare of rile abtu r�ttrri r 1.,aa�r�rd r s tisir Oi Fur the bihnC rLrs?bML 23.Site dtaltrant or additional we11 detaiLR: You 05 ase-tli back"ttf Ibis pale;fo O'F} 6 adtlidmW welt site,details or tst ll 8.Nomberof tii efis co trncKcd: 1 c tluctiott detsiiils. Youvay alsa:aiiach aidid6u4 paji if hesessaty. Fearmar€t0 tr t fekrla r.z;�Ma,a i-r satyr irrlk'0JVj_Yradth The,sayhe;vritste+tc90)r,,yva,e0a iatsnar-;i(:erV. .SUB11tITTAL INST11CTibNS 9.Total e1I deptkbe1*istnd surfue 76 {ft,j 24. Pdr All Well, .Snbutit this fonh tti(hiTi S6-days ofcomplctk*of''i'611 tiarareait rliswiiraplt aJac-V�Oreij,(+..xsrr fe—L:9+a200"W'Id.2@1w,3 eonstntetipit°tadtdfolloning.: _. 1O.static n`ater level below top of cashiW f,B,) Mi 161ou of Watts"Red,au rM,Into rmutian Prr c &,:esiing Ut i xts¢crda!ttel ls;rh;ret cvtaita 1617 Ntuiit Sen•ice ter,.Y2iilci tr.1VC 27G9'3-lG27- ti.I3orehotc diameter;to in t j 24b.For ToLtlWa 3y_iL114 0}HI;Ys In addition to sending the fomT to 11tc address in '24aatioie;.alstt spbtitit'a 60opl af't1►is fortis within 3+3 d38;9`0f coulplctinu of nift 12:Breit constrlTcilnn method' sonic eurnttTictfatt ta;tlte;lcrllawiit t%o.airgct;raea'T} jznbio.`diiertpiTslzrt logi Divisiarroof%latirAcsourevi.Underground Injection Controll'rIan, , FOR' ILTERSLPPL1 WEL"ONLY: 4636 hind Service Center,Raleigh,1VC 27094636 13a,Vicki {im) 3►letliind'nf;tcsts 14c.For Water s6ppit:&Injection NVetb Also suttnut oue"COPY of&i§.fond rvitpifi 3tt,da5•sof contpletion.ttf 1311Aislufitittun ki ti.; Atunuut: Svctl.cotmtructidn to;fhc county iichith dcpuitment.of(hc coi"t-wh&a, cokgilkwd, Farm ZxS[r-t Nbrth"L�mltnz Fizz Ttetrrptof firniRatuncns sit 3�anunt ftewurces-1 ivislbn el�tstu fte�atrt keyiscd"August2013