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HomeMy WebLinkAboutGW1-2022-07258_Well Construction - GW1_20220805 i WiELL CONSTRUCTION`REtORU For h2entnl:UsCONLl': This form can r+c used for 5inrk dr:multipk iwlls-= 1'«4I1 6ittt:ii:14lnformation:. , .. i::1M MR-IONLS Stefan Smith FROM 110 DESCRIPTiON �1d1 Car»r;tCtort\atna, ft: rf. 3576A NG t1di Conlracfor Ccnificatioo A'uniic! t5:',OUTt?R,CA�t\TG:(frirmdlti casrdrensl`OR LiNCR'Xitailrcablel FROM. " `TO DIAMTER• `' TIIICKNUM MATERIAL.- SAEDACCO Inc 0 fL, 38 fL 2" I, in. SCH-40 PVC FRONNER C p}1VG,OR=771 DLAUETERbcrroa_I cbu►cdaJ `r (ptrtjrxny:"Mauro 1 .._ THICK NM. - �1ATCRiA4 2:1vcIL.6nsftvction 1Pcrinit#: /.i r a(7 aprilicrtL! isrlf prmrui(i:c.Cmrnt}':Sudtc.-1 1,iriarice.jjac0ab em) -- - fl.. ft.' 3:�fr crl l3sc(checl:lTclt*0.- 17 SGR�t N.:'t ���akrSUllplcWclle FICOM 70 DUMMET R aOT5vs TurcK, 1 MATERIAi: ." Oftriculiural 15Miluieip:11/Iht�lic. 38 ft: 43 rL 2° iin O10 $CH 40 PVC fC' ft. i.in. f3l,eothcmtal(tleaiinglCooling StipplY) ®Reside'ntial\Niter Sit (singio)' I Obidustrial/Cbmi facial 011esidential\Va(er.Supplj'(Stared) 18 GRO-UT: FRO%1 70 31ATER1A1. E1IPL%CEMLNT 31rniOU C•\\IOU\'y 1711ii^�tiott' 0 ;:fl. 34 ft.' Portland Tremie Noii-N1'atcr Supply Well; ?I: pivfonittirini; ORccO)rl}• Inject onlVerl: QAgntferRediargc MdionodaaiciRcincdiation 19.SANDIGIUVELi�ACh7rf rilicaUle) .. :FROM 'r0- - A1ArF:RW1.. FAMAO'MEN'TSII:TI1011 M7 ifu fcr`SiortgcandRcL wiy ❑5alimh Bahic 36" ft:'. 43 ft.' Sand #2 bAgiirtcrT6t C]Stomtv�atc�Qriiiagc. fi. ft. 13FNp"tiincntal Tahnoto OStrbsidencc Cott:ml - 2o'DRiLLING>UC'(uttsch ndditiuoartcersi(ncccisrinl OGeothemial(Closed.Loopy OTracer FRO O DESCRIPMON(culor.hurducii.willnick upt.%ron.rm.dc.) ❑G^oilienttal(licatin4lCoolriig Return) OOiher.lo.plWi Gfulee#!I:Renia4l s) 0 :"tii: 10 ft. 'Silts " 10 fl.: 16 U., Sandy silt 4.Aatc�Ycll(s)Cungilctci6-21-22 �y(q11D#MW-218 16 fi., "43 ft:' Sapsolite 5 a'*V elI,.Gi6iIIini (t.: it. P r7 1,1y ALCOA Fact7il}'+br+rrrNuttk Faci�it)7DX.Cifapplimb1c) 293 NC-740, Badin, NC, 2800.9. a rOCGGayt ft.; rl i o UnN Plr+Siciilr\ddwiiCm niidZip .�I�R1:1►tARK5 4' " `��� Stanly 2 foot bentonite seal from 34-36 feet. " Csninty,° 1'arcCl IS;atil`x�(iim Nq(PIN) 1 ittt6dc and I onlvtudc in on MOO. or dccimnl"ilc>;rccc:. , !' (ifeell f>cW:Or IaL74i i4Sietlicivid) ... - 2 Ceilificatiloh l; 35.410697 "N 80.119653 W _ .' 7/21/2022 Sig i of Cc Yl S:J�)Vd comma rase 6'.Ls arc the)sella)::51P niiancnt -'or :DTemliotair �• �.�. BT slsning hUs( m 1lrrrrby i-�rlifr Ilan,dir ii•ellisf silos(!sirs)ccirutrarlerl in a eordance ' nith`!SA"NC.tC OdC.(17A?or:1 LI NCa1G R'C:010.�I)411 CaigfRlC71p17$la!$!dIl1S llllfl flMl t7 7.`4%`his atcpat►tu'iwcustinjwd btcY . IIr ❑Nor.'- +rrllinv'nrr, 7/rlals u a>F1xT/r fill cylr:krranm'ir�rl!rolutnrcdon Prryurnurrlon and ici�laiit'rlu�?ivrruc njrhlr '' ' `� ' rrpairfnvlrYB?1 rcmeiki'srruoir.ainvi Jrr Lars(nftLiti�farnc $3.$i1e IIIal;ra/t10C.Td'ditilln111lH,ll IICt lush - _ - Yo»;in�} use Uw back of tlus.'py�gz,Co prollde adiGiiollal`)rell site details or:liell 8,ruutbcr'of))ells itilnstnlctcd 1 coiIs(metioti tli2la its. S'ou nt )also attach addiliOtiaf pab s if ux�ss,q: Forma,l{lplenJccl)wror.nrv(-rarercupp)vlralsOi�7,}'trirh"tLr.srTmeronsrruerloir,.y�altaa. inA11TT�1' aabnuEparJorin. $1-.. r -s--+- 9.Ti►t it It'd!dclith belo)ti lint!SilrfRcc: 43 (ft j 24a Hnr All N`clls:."Sobnul{II►is fonii n'ilhifi'3t►;d4Y 'of'eontpletiots'of;:i1c11 FornritTrlplP�,rrlsflsr.nilrl�lrJs'11dJ�tr.sans(eraraft<=?�?00":rrut.2u?T!?J1 copslnlcUotitotrleforlahins� . i, • c 10.Statie water lci'el below'top of casing (n;). Dhc ision of Water Ifnrt., If owner level h above c4ikg u�""1"' 1617 rlfail Scr►ice Ci aitcrj'VAtcigh;NC 276994617. " I L Borchotc iliatnctcr 8.25" (in.) tab.For TuiggjlUn Mlb OAIi(Y{ .fit"addition to'seading the fomt"-to'llwaddress in .24aabo%e also submit-a cop) of this form within aD da)s";of couiplcUott.of ilt l- 12 Wcil constihictioti,method:,HSA coos tnictifni 16 the followutg 1 " i[c bit a'drrcdFusKcfc:) ! nh s n'tif watcr:RcsouI so Undcrpmni& ujcctinii CoutmlPtn�matu,. FORAVATER SUPPLY WELI,&O 163E Illiiil Setti iic'Centeri Raleigi C27699-1636 13a Y1cld'.(gpmy 24c.Fo.Water SuDLIy'h rnlatiitn��c1ls: �letlitt(I of test: rllsb'submi[one•'co)))1 this form �Iithin +G la}sof�oinNletton of l36 Uis"Irkcttollt)pu _-.- _- ainaunL•,• wc1I consmtetiofi to.the counti'kalth dcpantnari of Uic cotmt�.aiicrc constniciiA I� Fanii''W-1 11 I