GW1-2022-05237_Well Construction - GW1_20220531

WELL CONSTRUCTION RECORD Far,rtu.raai�lsc CiNLIf.
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.w4'ell;CatttrttctorTrifortuttion:
Chris Ruffer Pra0A7: TEa ttTXsCktP7te?'t
WcilC+3r�icard�rUt�en+;; R. rt.
4223 A (t.
NC.tNcltCdntinctarCcrtifOti6nNiu&ei 25:`OUTEgCItSFNG(r-ii-muh eaiprdvre1100
1 [lR L3NTR:{Ci_a'f ficablrl•
FROM, TO Dri4MI1ETFtt. TUICKN 4 AIA7EAI,�L
SABDACCO Inc
couvanyNan10: 1163N:VEWCASINGOR-TUBING' 1 tlnrnralcfurei-tm) '_
FRONT TO DLV%tMlt: I THTCGNBS5 I AMTERUL
2.WcllConsttuctlon'1'ct�ttiti o R.. a Ft; 6 aG sch 4o Pvc
List'!tf(n�yirfcabfruellpemrit#s/r.-r..Gnunht;�5�tith-,'-lrnrinrcr,7tr%c�dCTJ,.etc:J' -� �_
ft..
31.Wcl(T9sh(checl., efl asc. Z�.Sf;RE En -
V4aterSnlgtlr�T'Cil: FROm, ..To 'or."+METPR 5OTStzs: TtitCKNESS' NIATKRtAL.
QA,gi6ft ml Ci2alitiiicipallf'ttblic 1Y ffr 8 n. 6 FL .026 SS
MGcothcmial(Eleatingt+Cooiing§giply) Clltesidentiai'i iter Supply("single) f rt AM
13811dnstr OCOrtmterctal ORcsidential` iter Supply(SIMMd) M GROUr",
`FROM TO: MA'FERM EntPL*,CLNMNTRfMOD&AASOU
OI►ri'ation 0 tt.� 3 ft; Portland (pour
Nora Whir Supply WA
�1Jvlamforin;,. �Tte�:crrrly ift,-
Injection.Welt: (i.
l�At)ttrierItecliargri 56+Groutsdssnt+.rl{ctaicdi$tihti �tp:SANb,Gft,4��1rI.PAGtiGrsrrilcrtitc)': ,
, "., ; , El
.- ,;; � =rrsonr,' � - nraarBHta►, tihtr��tic'�trmi•rAit�ruott�
!1 nrRtttfer Siatare anti oti'si3 C�$altnif}H tmcr 18 ft. 5 fi. Sand 3
❑At)atier legit Q"a#4mefi ttcr
AGttimcntallltotk �v' FlttbsiitcncC+ itaral 2n:nitlLL1�G'tioClailaeh°ad,rii3otautahcetsifWeeessn
QGeothenaal_(Glpset[Loop) '❑Tracer- ;FRONT; TO DMCRIMOti(mbr.uar&va.sulllnw t t ,i0m,ter.)
QGeOElu:tttntti'iFieatt�'Coalitre Retunrl'• ❑()t9ter(a!tplatin header J#il_Returttl�s) .t4 ft,
.DatLWi'ell(sContpletetl: 2-23-20221PeilID -35 See Gap s noteSt. '� "br Fs •�
5o.,N*41Al Ialcution:
Chemours f4 ft,
FcilCt}'i?ty rTratuG Fcilii}Il?R(afapFl3caWe), o
R. ft.- {ftrlOiTai��sl � rC•C+c�•��•
1248 Bill Hall Rd White Oak, NC 28399 Cumberland C, {y ft
White Oak, NC, 28399 Pltisical,rtatdi ss Cfty fin'' =31.BEAIARIv4s,
Cumberland 18-13 is a 6in SS sump
4rrsrufr I;yrCG9 arh nlif t3puNo,(PIN)
b Ittittrdc rued I ett,tttt:le iti¢crces/nttnttcslsceontls circctn tl itPg
t ccs 22c`rtirrudioie:
tli°treif rw14;mi i0lo6 is srclt74tiet�tl c �}+'
1�" w' Ch1 r[� RU_fer 2/23/2022
Sieafikus al CcrtCrail irletC CaiiPrrtzit ISate
tr.Is(are)tht%vell(0): EPertuaneut or oTemporary 4-
�ty.rr`gnin�tt ai fwrm-,f frerrf}=eertafv tFrr17 tJar n•rfuxj e�rer{veers)cxtvhvtrurtevf trr;rrc•[aaI'rinncr
tvltfiJS.klVCACO ••0100or"PTANCACO2C,0200lVetJ kandar45and,+Jerrta
7.IsIhltiakepBtrib an Nielii, ElYa .or 'MNo rcrri�a;tJiJsrrrtiirJtrasko'i rnvf&wroxi&lirJCmvirrr.
.Mattis it tt rlr fact c�tnw tr�3t�ar�crnrrn'cria lrrftar'vArlilt".vr rrrtrJ va�laJat iJCe'tutttJrc raf r�lr* ;, .
rg'tatirrtrrl a ?Enna rkrCtiu. �traa tJ�r bsr.F`gfY.es prate. 23.Site diagram or additional well detafts: .
You ntay use t itoc�of ihts pa .tti pto addtti4uiaE n siCE dill;i5r isll
8.I iutberof wells co tracteil: 1 constntctiottcleiai6 Yotrtttayalso nifach-aiyid ditionaal paps if n:cessary�
Fiar trrtrfrl !�tr;tti rk�r.ew near-xh r � i u=ifd fde�LY wFtJi 7Jiasretrta eirtrstfirtrrFan,} u. re
crrtmvr¢ttndc rti rrr. SUBMITTAL ITMTSt""`i`ONS
9.Toi tlFell depilt:b 18 (yf,) tab. Fat All 11kills. Subfidt this fomt%tithin 3fi3'tf:tys rsf"catnpTctitin Of�sel[
lfar=Xre�rtA';�+3ci+�rCts7}Eo+�fJar�dxnraxiJ`d�,i=R:�ittsxmu�Cr-3@1'tk7",�ui��T�I ? Cdu5tAliCtitrrr,fOihCffvtCgi�it>S�-
1O static Water level below lop.of earsiur. (ft.) Dit•isiun of«raterIes"artes.Inform:ttidn Pru'&m ng Unit,
tf ww level if Aoo�l tvift use"� 147'A1ail5er�ice Cttuu icrTttici�t,s�C 27699-1G1T
11,13orirhotc diameter l0 in (fa.) 24h.Tor TkjWiflon Welly ONLY:'In addition to sending-the fora to the addtm in
24a i6 e,.aW'siibntit a cop,'of this fount n ititin,3O da}s"of completlon 6f kvell
12.Well coWi truction method: Sonic c•ntisttpetioll 16 Ube 1Oilow'htg."
ti a. utc�ratuq cable:rliaeci J�M>4 eta:)
'Division,of Water Itc"n qes,Undcrgrouud(Weellon Control,Program,
FOR WATER SUPPLY WELL5�0NI M i636 ALut Service Center,Raleigh,i e47409 76G
f3 Yihld(lrltm) 1Ycgtrid of test 24r-,For� sit&S6pply&Injimito»tWclts:
Also'sg6ufrt a�COpy of thus,fo tn'tsitbitt.30"days of codtpletion of
co i���tctiore to the chant}*health dcpamncat-cr£ lu:coirnlu.n•fncsc."
131h DlBinrttihnn,t3p�t, Amount•.
Four GRl C Nooh£sroltna TA^p:Crdrueur of Pmitmoracni cmd"Natural Resources—DNl fon of Nkrster(te5gtrcns Fteti wed ugust'_V13