GW1-2022-07263_Well Construction - GW1_20220805

WELL CONSTROCTION,RECORD Forfrtemall}se,OxCl':. j
This.forincanbooscdFor:Siorkib muttipk.trcils-I
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1 Wc1lCotilractoi•i�ifgrmatiun ', �
If4:,\\'Ai�t;LONES r
Stefan Smith FRON1 s'TO DFSCEfRIPTION
1\'cl1 Coliefl;for Tallx;
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3576A ft. ft.:
NGSVdlConlraciorCcitilicationNtintici %IS.'OUTERCAStNG-ifneimultf4s'ii-iietii)ORLiN£R ifa"lkabkl :=
FROM TO DMMETER,- THICKNESS \TATERTAL.:
SAEDACCO Inc 0 ft. 29 ft. 2" I _in. SCH-40 PVC
Coograilyl�auw 16.INNER CASIN60RITUBIN9r1I ititherioal etch to "-
F'RO'I. ..1.70 1 DLA:'%IFTER- 1'7111C[iNIM I MATERIAL....
2:Rc114tinsttvcttaIf Permit#: ft,
7 iu uJl aJ tilrnbh u�1!permur(r.r.'Coivv};Stn:r:.I'nrinrese,IR�eit)f/t etc}
ff.. ft. in.
3.W01 iise(chccl.licll use); 1:7[S4RE£N.
Water Suppl)'Welk, FROM A TO .'DIAMETRI41 N LOT SI7 11ICKN11S MATF:RIAt
29 ft 34 ft. 2" to .b10 $CH-40 PVC
bAgticulikal. f9ltilunicipaVl'itblic.
DG mt cotheal(tieadogr'Cooling.Siipp)y) CiRcsidentiai Water Sup (single)':
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ahidusinal/Gimniercial aRcside[itial Water Silpplt'(*shared) TRO ROUT..'iO NIATF.RIAL ' FNTPL\CF.HLNT MEM55 C.-NiouRT`
(]h'T►'afipli - 0 It.: 25 ft. Portland Pour
NouAVatcr Supply Well:.• 1' '
rti rt.
l�Moniforinl; QR'ccovay ..
Injection.Well:
0 qutfcr 193ANDIGR WEL PACK
. - -FRO\1 70 - A1AniRWI. FUPI„fCFAIF\TMMIf011
13A461fcfS(onsc'.IW'Ri vciy Osalinim Buiics 27 ft.'. 34 ft. and #2
17 Aquircr Ttist f7Siorniii;ttck[)rarivac
DExpedincntal TMinoto OSulisidcncdCotdnil
20 DRILLING LOG.6tticli addHioaA141 Nti if ncccastirl
OCre0thztnwl(Closed Loop) OTraccr, FROM- TO DESCRIMON holor,nardncc:,�r R'nMl.[r ain>frc.toe l
OG�Uicnnal(Aea[inglCuoliueRetwn)• 170ther.(erplaitiund16 1 lRemat6-) 0 ;ft._ 4 fl. Silts'
4 R.' 34 ft. Rock
d:DateWcll(s)Cainpkled! 6-28-22 -Well ID#MW-214
7t:'
5a\Yi�1.Liictifhitts ft ft. q
ALCOA ft..- ft. (p�. AUG V L6nn1LZ
Facail}`OstncrNoa+e . Facilit},0A.(Ifa'ppfrmblc). ft: ftc
I'r+
293-NC-740 Badia,..Badin, NC, 28009 ,rl.' ft �� �
FlpStcul,\ddrs�Cay.itntlZip I
Stanly 2 foot bentonite Beal ifrom 25-27 feet.
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I111vel t4A1i1111 Ilion No:(ply) I'
Sfi.I intadc tnd'I ongttudc in dcmci/rnlnuteslsccnnils Rr dcc[Inal ticrccs: 1
(if ircl!!><tJ ocie Iat%loci;is scJlici d}" - 22.(:c[trfitah'}in,L�
35.406113 80.113352 �Y ` 7/21/2022
Shur,,•P Z9r_U .d 11 Coictra b Nate
6.h.(are)the it•ell _•MPenninent -'.or' :Mettilloraiy'
- (a): Ur ilv u1�thu,(on"..1 Gere'j tcrl;) Ihrlr the lirll(s!urii(rfi+rrJ rc;trtrurrerP irr a&6rdanre
�(pn}`1,SA NC.rtCOIC.iJrOK)ur 9sA kk-mCi42A..4);WI COwnerrial SOi lardiailJrlanr'q
7.'.tlu5anpatrtu'dacxtstin iicll' . 0Voi '}treerf+�bjrbis.crmtifhprl.r,ijrmcid.rArdJLcultllinFnrr,
1Jihfx JS rr/tlidlr fill ngtrkrlwcm i yAtautntct7an hrfornitrtonnntl ci(afal+c rlo9wrru.(If(If
reperrtn.drrNil.r.nrurkt'srttiorr 6r on tGc bri'X nJ1Jur fr�ri": 23.Site diaI.gram or additionitl will etailm
foil M1���,usealw back of thus page to provide additiotual�wcll_site derails of li'eil
S.Ituiubcrof ti'ctls:ianttntctcd: 1 cotisitui ion dct ills:'1'ou'ti[ac also`attacli'adtlitiottal pages if necessary.
Formt,lllpleTnJc�tktn'or'nrdit�isrer urJr1�'crellsONLY widldcrt Same consrr"Moil,pargw.
aul+nuti.:raforrn. " �LJ>I!l1TTAS�N�'L[STIO1Vc',
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9c Total well depth-be 1 tnil surface: 34 ((f) 2 a For All-'1 dl%: ,$ubnui this fonii Aeithiti 3(1 days of coinplc(ioli Of-ai`ell
forttttiltide.'iir.NsRsr;nlldrJ?rhr7fdJw<vu( mij�/r=:? 2DD'arut.2 Jtki') Copsfn[ouontpil[efollomnb,.
14.Staticlratcr Icvcl 6eto1►fill)nf'casing:: (ft-) DID Adn of��ater Re.+aurct:"t;'Iafdrination PrGccssmg[!nits•,
JJ csirrrleJel tirLovrcilstn� u4."=" 1Gl7 AJail Smice 'enieri,Ralcigli;N4�27699=IG17 '
I l:liorchdlriliaFnctc0.25"/4" (in) tab:Fnr liiiirNnn S11e11c:0N1,Yc .III addition founding flic:foml to thx addressJft
2�aabose Also suyn►ii a fopyuo(lhisfonu`.�►ithin 3O daj•s;'of C0uipletion.otittll-
12; Ve1fnluctettCtion method: HSA/Air @UI1StIRCtt011 td 11tC follON Ipg: i "
(L`C arrpr.'rofar} cabtr2 drreG pusLic(c) j
Dil ision pf Watcr:Reaourccs,Unilergeotind injccNon Control t'iogralil,.
FOR.WATER.SU'PPLY-WELLS ONLY':: 1636 Mail SerF•l o Center:lUleiglirNC:27699-1636•
131 Ytc1d mj 24c.•Flit WaterSuppli••dciolection��clts:-
(�ryi, iiTctlit,}10ftc t: Also submit onz cop),-Of Jill! fonn.n�tt,iu' 0 dajsofco[i[pletionof
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13h Uitillrection h jie: - _ mount:,
trcll consfnloli4n to.thc'cotititc ticahti dcpartm;ait 6l.tl[c rottnWw bcre.
constgtcfrd,--:
I'orniG1\';t Vo>ihCatoliltaDcp�nn�ntoCEin'irotutkntandManualResources-Uiliibnof\Valer'R tit tes Rc(iscd.Aiigimt21i13.
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