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GW1-2022-07262_Well Construction - GW1_20220805
• I I 'VVELL CONS rituC'[7ON'RECORD F&Vicnml usc.ONl v: Phis form can Nc itscd.fbisioek or,-muJ6pk.rec1ls'. 1:�Vc11•Cii»frif;torLiformatiori: l ' A4.AVATk'R ZONES=''_= Stefan Smith ►ROINt• TO I DWRIPTION K eyl C�ii�rrClorfiahn; 3576A 1. ft. IG\Vd)ContractorCcrtifiatiofitv'urrlicr `IicOUTER-CASiNGaformultlraiidilitin 'ORLINF.Riitt licybk FROM. TO DIAMETER• Ti1ICti\ESS MATERIAL• " SAEDACCO Inc 0 ft.• 35 'ft. V- id. SCH-40 PVC AGANNERVASING OR`•TIIBING!keoiberwat cfu.cd loir 6R0l1• TO DIAMETER R. 7IfICICNESS '•MATERIAL 2.AM Construction P6,611`#:- (I. 1t. 1)f Mir Its et4*;). 3:W 11.i k(cheat deli asc). `1;7 SCREEN Water Snp{Ily'Welk, FROM TO DIA9iFTER SLOTSIM TIi►Ch1FNS t MATERIAL 35 • Jt. 40 f1. 1° ;;in+ o10 SCH-40 PVC I]A nItilral tjitilunicipat/llbltc GGeotfrcro)al(1lcotingfGooling Supply')• ClRcsidential'\�'atcr Supply (sing]o) ®lndustriallConrntcicial pRcsidential Water Supply(shared) ROUT ,Tl) SL%TERLSL I E'L%iPLACE1fE\T\IEiitOD.cA'aIm,%*r Olin^•digs. `ft.! h. ! Non-\Vatcr 3uppl}�Vcll; ft: ft. ' 5ahtgitiloring . 13RCM-cry', Injection.-Well: IwlAqurfcr ftfiargd' 1A9:SANDIGRW%V11AC.K Ut ii'ilicabk). 'FROM 'io' MATF:RI4I. RNPL�(I:NE\TH1:7I1011 Cit�qulfcr5torogc atxl ltnot>;q'• !]S7lintlt A IfnCr. 33 (1.: 40 «. Sand #2 ❑RgiiifcrTcsi O5tomt i''atcr,Dr.iina'c fL ft. PExp nirtcntal ltthnolog• r3Subs1dcrwd Cor4rgl 2t):=DRII:GINGI:OG:raltacArAJiiionul�hrd3ifnecccciiri) `�` `' � _ OG�oittoniu►I(Closefl.Toop) OTracer, FROM TO DFSCRIPTIO\fivior.bardn x.f1 c+:. 'mck N n'ine.W.) ❑G:otluinna-IMeatingt"ooling Return)• OOdizrler laiitunler>r2lRe)uotks) 0 fi.. 16 ft. 'Siits 16 q.. 26 fG. sandy silt Dati!iVclt(s)Coll..0eW 6/22/22 :\Vci1Jb#B-302 26 ft: 40 ft. Sap'rolite 5a:weIlUicifGin �- ALCOA r1:- rL 4 FacWiyr'Ofy'»cr Natt1c FacitifdlD2(if applWbfc). AUG 293 NC-740, Badin, NC, 28009 P1U;si:utAd_drss.C•iR•,andZip � =21Rl:MARI{4 (_(�£{y03�}}�.')<I��fP°S�#rq���jf� Stanly Temporary well v Cmmly,`. Nice]ldolllrtefipu (6JOINj p 51i.I atitudc and l,oriuI c 6illnttludml 22;Ccrifationi g n ic . (ifs+el11`: W,•Ofa.lai7ongi>Sui1�Ci:trl)• 35.410697 ]�' 80.119653 , —> 7/21/2022 Sigini of CcYcficd\I'c)I COMM I5t Darc G.Is(at )the' I!(. 37Permaninl 'or, .9Ten)It6r^ai'y tn•3igrun�t rhry firnn:'►herrliy t'erri�t that rbe+izll{.+7 IiriS tH r I cortrtruc lcrl.lri tmCaYrfca2r •'rriih'1 st'NCAG 02C.01(kt.oi•.ISft NChC fY'C rU2A4)Ye+tl Cm�srnirtioir Sri.,ir�rrl3 erilil tlx+i rt 7.1%thix.arj')rirWancYiting"tiell. .: 13Wti fir ®No,- .. rclri.p�rhr.5rrct+nJ7trnInrrilrttrrJtr.7ltntlrr'zrrflmrryrcr, I/tl fs rc rr/vy lr fill mrrl»unn rir/!ea tnrrrtnn brjon;uiiiutrdntl cvpfiii I djrihrrrrre•of rho rgPvir tLrdcr s21 ranrnr6se a orr or ran ncr bmrk of thrztarlir. 23.Site diagrarll or addidonal s-di detain. l ou m�1 use th b)c);of IWS l�ige to ploVide addition)1 well.sue details or icell S.Tun►ber`of bells ciatutnreted 1 constiucuoii 8et,►Ls You n19� i�'9 attach additional 01VIsift 1. ssaly F�rrnnl�ipletafrMt)nndYretaf xa,i•rnrppjs IEilIiO,YG)'b'irh thcsnmteons►r+rilioif,;}o:ac�n .rrrJ+nur.nao fairs. SUBMIUA _ . . r 9.Tot d�rill'dcpflrbelott afmil surface: 40 (ftJ 23 i hor r1h �Ycllri,''S tbiifil i,lllis Ponii.«Rhin 3-b dL!vs of'ciiinplMiori of.MI Ftiryrrttltfrte icdtls lisd rril ft,7rihs ll rfJfjuretr'tcapriiplc_3@200'(I!cJ 2@11ut'1 co'Ohiction'tothc follming.: 10.Static water level Blow full ofeas{ng. (fl:) D'fi;ision of Water Parke mx Unit.• ljignicr kee!!,abut i'eusitt�:the"; 167'hbil yen i fc Ccntcr;•IL•rleigh;NC 27G9!)4617- l l:Borehole d 8.25° iameter: 24tr:' n lgT(i{►)i Wells ONLY: L►addition to sendm_n,the fom)to ibe addrias`in 2aabo�e, also s6ymit a copy of thlsfonn i)Uhiti;i0 ila}s,of coniplcuou.of:i1EU 12::YO cow%Wtetion tnethod;'HSA cotisfmction to tire follolot-L2 ng r idt�n cable dated pislt efc`)• r i Division of Water Resources,Undcrgroun l injection Control:Pro�ranl," FOR WATER.SU'PPLY WELiSAA ' 636 Alaii Scn fee Center.'Rileiglil YC 27G99=1636' I3a Ylctd m) �1clGpd of feet 24c.For Water Sunni"&injection Wills: -• tW f+i tllso�stlbinll one co of m �iitliiu ,t) da}sofconipletionof 33b Dlsmfititifru t,°Ii4 __ aniuunt:, well:cofiMriklir)n lottic conut*'icalth'dcparimail of llfc couim ulscro. cortsiniOcd, ironfiG\�'-1 NonliCarolinaUkpatlmcalofEe itoffmclitandNmiiWResources-DivisionofWaterResoutz Rcriscd.August''2011