GW1-2022-07206_Well Construction - GW1_20220804

WELL COIYSTRUCUON RECORD, For ltucriUalust0N1:y: f
This f4rmcan tx t>5cd foi'smgk or moltipk icclls. " � �
1.«t1tCo}ttrtctor yifortnattoric
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John Eisenman FROM: ,TO Rip"ON
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4439A
NG\'efiConlr�crar.�cnfficationt�'iui�ici aS:OUTeRGti1SING'ifo`rinultiresciftre0s7`ORUNER'its Hciitkl
FROM TO n64'FtETEB THICKNO -I MATERIAL.
SAEDACCO Inc 0 fl,, 80 it'. 2" i in. SCH-40 PVC
lb'INNHRCASIN0,0R=TL81lYG`,l eorDerrnateWsc+fa+r_np
t«figratty[ianu FROM, TO DIA1tETER TIHCIKNESS� •MATERIAL'
2 )�c114onsttvc'tnpPctTiiif#: 70001826
!ixt etli alpficu5lr 1!firiartlli ff_r:Comity:Stfrt+'1 nriarcc,Ir}TtCdab'etr,:)
3��Vctlliso(chccl.��'cllurc}::_ 173s4Rtil.N.��„ .� �y'attrSupplr Vt°ill:; 'FROM '.I TO AINIFTFR SL0TSl7.F THICKNitis-' 1 MATf-I
(J?1gRc111titl.I[' I1lvllllliClpllf�Itl)IIC' 80 ft 90 fl. 2" !in .010 SCH 40 PVC
®Geottlemial(Hc�un�;tCoolitig Supply}, C1lttsidennal)',�atcr Supply tstngle}': _
C(IndtislriaUContutcriiai 0RcsidclitiJi1 Wa(cr Suppy{shred) o ROirl ;TO " MATERIAL EMPIACr.MENTMETHOD AMOUNTt
�lrrt ttiatt: 0 f4: 74 fL Portland Tremie
Non\Vater Supply WWI:
�htomtoring•. ialtccm'cly
htjection_�VcIL• .n; fi: {
DDilgutfet Recharge` gGronndwatc'r Rcntcdiafi6n- 19.SAN DIG IMULVE 1'Ar1c ld lilleat w) 7
FROM_ "M" MATF,RtiL - EMat�ec-tytr,�TMt.rnon
l�AgntfcrSlOftgcltldRCCmeiy • ❑S.iliriit\ e�rncr 78 tt:: 90 ft. sand #2
CJtlgtnfcrTcsY QStorom-ttcrDrnn7�c_
OR.�•pclirtunrtl'Tnhnolo�� C7�iltisidenec:Cordt�l - •
' .2011RILL1t1G'LOG'fCntfScb adil(Iionnt�lrciYs=if ncccssavl .` t ��.' _ _
t7Geoi te"113l{Clasen Pop)` OTracer• FROM 1.70 DFS(;RIP.iION(iobr,h udnce:>ru1'mckt� i,ti s tr.Ht l
❑Crtotlien►iai lFlcatinglGooli»eRetutn) OOtlior ulwer Renlinl s') 0 i , 70 h,, 'San3y clay
70 fu' 9.0 ft'. PWR!,
4 Date�V 1I(&)fonipWe 7-14-22 �}rel[]D►�GW-27D fl:• fL L ® r'e .,a
53 Well,lAi C31114i111. IL ft.
Lyondell Environmental Custodial Trust fL- t1•` {
F�cifiiyiQlctnt�lnnre:-. Facilnt'IDX(iCappli,ibic)• ft. fl. 3+GIt3tt fL�C�Cu351T't�`l:ttl9"
_ lfttt?f>r�R
3926 Glenwood.Drive,. Charlotte, NC, 28208
P1ta:sr,il,\ifd�s 'Cm,and Zip
Bentonite seal from 74-78'
Mecklenburg 06510128 1
C.c!Inify';: harccllJitiit'iciii4n Np.(P4Vj
t►,1 utiudc and I(jn�tHrdc ln;rl nccx/minuttst<cc9nd'Sol decitn it lej;r�xs 20; Ca on:
(ifttelf lzisf,Riic IsUl4iig9r 4iJficklitl -
N 7/24/2022
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G:'Is are tha~�ticll s}� YlPerniaitcnt tir;''t7Tctil arait•'. � .a: ;•"fs ����
{ ).. t. 1 �� F�� .+a.ga.e•� uii�tturted°bt ttetorrYuttre
S7�tln+^llttR ful+r .. ,. 1 cl.t,_.-,• •.•l r 1�-.
reirh'l3�1 N,C.,tC OTC ^T, t!t. . E:420 •t4'<Pl Cnitstrlctfsut St,itt�ltifrlc am?AW 4
7.I�thi a'rellatr to'aa Gttit ng tell: f7Ycti =itr RiN(F. PIT: rFcn;lil,m F'eii pn t lrh ;id tl a urntnplir,
1/i7�fa u n/cl�tir fill rnir knn++vt ti�rll cntuttutyloq E+etorl!�[tfiWt mt17 i#Plain dit;iklrztrr-Uf lilt � �
re{tavtwrk'r l rrrnnrk arrrian orcvt tLc bt l nftldi j,�t,,. 23 Site dfagrani or addidonalilclldetaiL.:
'You'tut) ysedieUwk'ofthis.pp to'proodsaddltialfaltf'ell:s►tedetailsor•�iell
8._rutnherpf iidk.,k6stntetcd 1 eonstiuelioti de(atls Z'ou may tlso attaelradditiottal pat s if 1►ci essarl
A#'6m ;Aeu+,lterlcwn:virr) i tea+e�rtupl?Ir'�a7LsQN/.)'sltith Jli.,�nmec6trstr+refion �ntr:ccr`+r
srihtfdrirne jnrm. C RR(ITTr�i1: MUM-
-
9:Tot tl well depdrl clod lath!surface: go (ft.} 24iL For All 1Vcllr ,`;Subnut Aiis�onri�eithin 3CF;d Iis of:ciJmpictioti of t�°ell
FarartieLlple.'itrllslitr.ntl drlulla tj.ft trrreii frsisniplc '.� ' d�`dtut.2 ilk?) 6fistn►titoti o Olt f011o%%inp.
` I
iG:Statie water level
helot►tup of casing;; (j(;) Dh iston of)dater ReS'ourccv,_Ininrmaiinn iPrctte irmt,lin'it,
ljst�trrr le�rl Es al avi enattt itrs""#"` 161TAlail Scrvl&(cntcr,Itrkiiji NC,2 7499-16 17•
4 i
.11:Borehole diameter:8.25" (iti.) 24t.For iketion,Vic,ONl#1 ht addition to sendim dic form 161he address in
24a abot'c afro subiah'a copy of th+s loitu.within,all dM"of coniplgtton of) l
12:�Vcll'rt►nstntcngn mcthod,-HSA eotistrucUan tp dtc follown►g.: � � . .
(ic Rn�r,'r4i�n cablr~'direc4 tusk etd). .
Dh ision of�Vatci•Rcsourixa,Undet'glround Injcctian Control P�ngraut.-
Folt, TER.Sb'PFLY•R'ELI bN1 LY:' Io36111nt1Sen'iccCcutcr;'Raleigh,"YCZ7699'-1G3(
13a Ytcld(�,ry►in}' ilctl od`of test 2dc:_dot�Vatrr Sunplv'dc inlcrtion��clls
Also•silbnut tit>r cop' of this form tt tlfin tU d�)?s of conlNletton or",
) _
I3b DislnfitiKtun,t)p�.. ____ _____.. Amount:
ttclGconsiniction lo.thc cantiq iicnlih dcpittmait of the cotinn Illicit.
constntctcd..
41tf1C3wilelt7.-patinAlllDf£fl4'iR)Illnln3ltdc�.IttlrllttCAtlIrCCS till'b10nOf«�BicrReottYt," R.+iscd:AugusfYili