_Well Construction - GW1_20230327 (49)

WELL CONS I`RUC I'ION RI CO.RI) Far hu.nitllJsrbdl ', .
fits 6a0ucan t±,n d fersin l of nitglipk;sclls ,
I.1\'eOI CjmtracturItiforruatioctc" '
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14.WATER ZON6S , a..
Stefan Smith FROM- 1.`10. • DES('RIFTION ►
•`'+11 Ctiilrectec;t3na: 1 -ft. I ft. f 1 1
3576A aft; I ft'. ..
• NC-WO)ContadotCcaiGcijii1Niiiibcr 1:IS:OLITERCASING.tformuljic.i4i1:ise110ORI1NER(if°.t1iitkabk' ➢
t'FROl1 i TO. ..DIAMETER'. . .TIIICI.KESS: •" -VATERIAI. i
SAEDACCO Inc 0 `It. 35 It. 6" in. SCH-40 PVC
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mic' 16.INNER CASING OR TC{BIAU jviitoer_inal�Wtr:d hxtp} :_ -
FR0c1 70 Vi)R%f TER Tti1ChNE S Sf.�TFR1 l
2 \\clI Constiuctinn Pet'.nmit# .t 0 ft,: 55 ft:.1.2" ut• SCH-40' PVC
Gestalt r, ah u„L:t 'i prnr.iaV ,Carney.:S,ao.Ornr1.-are../11",crTflt i j: 1i - '--
3 ��'dl1sit(chcclst{dl,tfS'il t 17.SC-. , ,, - -- .. ,f,
1\atcrSuppiy'Well: rimy! . 't aO nr%MITER f sr.OTSIZE. '1 •1111000:NS I.MATE:Rtu. S
Llr\fiiCttlRlt l L�1?.lunicipd'T'ttbtic:: 155 ft. 1 60 ft: 2' iri, 1 010' ISCE-40 I PVC I
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OGebthvmlal(I3e ttItIVC00III).;Snflpl\�) ORe^�idcnttal Water Supply •nigle.j;, 1 fj. 1 1t: 1 i
05ndustrialiCoinniercia('. t5Rcsidentiaflfat rSUppi}.-:(shared)" i rRoNi UT E
FROaI ! T0: i MATeRtA1.- i EMPLACEMENT NIEi110D C AMOUNT I
Dirri_atian .. . I 0 f(.;! 50 ft. potland 1Tremie
?\on-\11tcr Suplily W ll ;•. f-.. . fr, 1
<fGlwfrinitbtin, C]Rctg{Cn 1
Injectiot1\\III:, - ft. 1 ft. 1 'I
0Agirif4rlRechir,c 0Gioiindi{iitcrl?c 1c(Iiit1ion` 19 SAND'GRM'ELPA(:KIdaptiliUblc)'
I IrR0a1 t 10• u I %rt;tltat, Iili'I i(i'III\t•h1rroon.
Cl9gtiif4rSrorircai I Rc orcr{" 0Sntintty Harticr 53 If;1 60 ft. Sand 2
Dagi if4r 1Csi ,f.JSS1ormw terDi9itri,c ft it,
DEzpcnmcntal Tcihnolp • DSnbsid_ii c Control; _
1-24'.DRILLING LOG(sit ch'aildituannt shrds it neccs+an•1
DG 00t'nnal(Closed Loop')- DTncer. I F1t0%r. .TO ..i DFsCRIPTION atune u:Irdncc'-t iiit=eiMGrcis,r';trem.t,r,°taxi'
DGcatlknilal(1lwtsneiGooht�Relutnl DOther to.pliiititijt lcr P12I-RCinart,) 0 ff. 18 ft. Silty 'clay
18 fl..1 29 ft, I Silt 1
..t Daft Wieli(r1•Cuniphti.d:'•1/5/2023 }td)1DpDW-1 •
29 ft. r 35 B: sandy silt 1
1 site y'di la ctition '1'35 ,fi, 60 rj, I unknown mud drill out.
Food Mart #10 ft ft.
Facile};y..e .r 7awc: Fa�_iliii 1D`(of 'pl►;ahte;- ft. - 't` .„� ;i,• p'�•-- .
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1150 Virgilina Rd., Roxboro, NC, 27573 71_ rr, r
• ii MAR 2 lf�2Q23
-Phi,;;,i,tadriss.City' unit 7,1 • ,iic i 'tRts- •
Person
Bentonite seal from 50-53' Info;,-„a;;-7-1 pr;; ;1
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"tt,Iatitude ai it i finghtidc:ul(I nccIntinutcs5ccouda lit•ilecim tlally;rvi ;•2,2,Cctlific4Ni,n•:'
(il:mien , Id,gue,bit hug as+ittlt ktit}._ ' •
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36.413659 78.952442 R', 4 (rt r� _ "x� _4�m'� 1/15/2023 :
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6.b(ate)the.li'ell(s):'XiPtlrinatit nt ur..:.JTetitportry-
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.t i it 15:I\C.tC 0 2C.-.0 1 O' of 1 c 1 VC;!tC O.IC./),N19 f1.:ti ow (it,I AI Sra:tlaf-TCiOta f/Ya:)
,Ls ttiii a replan to 4n e-titintt w 01,:', D\cs 'air X NO:',- ii ii c,`aiii rrri;i,.'hi s lr.-pr.t lacd cnt 4 si'ii ;zcr,
1r, is z a ra J ilr.,fi t is ei Hn t e l ,ws ar i,i iite r.i r i„ia ,1.n7,lnln-,dies-narurt f rfiis. . • .
rr',t.iri.c-.r0?i.r.Ync.rA"c"a.:e'1to..oro.c die h...(o li)y/ir.n. 23:.Sni41!:tgrain0r:ldllitionalNellth.tills:
l'oni may:-use the,back of ihtipage to pto‘i0 addition,il well sltc,dctails'or is' lI
8.1'C iittbii of"{i'cth tantstniitcd: l Ci')IIStilieli01141clatls l'on;nu ii jlab:litticil;lddluoiri1p.i csif l=r..LSttr}°:
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sa,"elr' .ie tir.. .,: .SUD11117:11.fliSf'CI-CTiONS_-
•y Total 1cll.(icp11'hilnls haul!Miti"aed• 60 . (ft) 21 t.,iror ll.Wt IiC :.Submit hits forili.Within IU;,day of:cotnplctiott of W it
Foe 1a;,e, Tit i k.lirn11,ki?ll'1it if,e'ir ii fi`;rapt ,,irZ.7i1[1.toi 2€i0`t'r • CoIistiliclion.to'tltc.follo{{in'a'7..
10.St•.'ttfe{)"atir hiel lido►►°'(up-lit tasitl�2•20 (I'Ct Uii•isinn of 11'at•c.r R• (.siturics;I•nfor•m•(tiun e•ntu uv• -tetiit.
/5ara ,hs�1•i"acE,.",. O itt•.'•ufe'"4-" 1617111ail.Scn�lce(enter,12.3161t,?Y(:376'99_1617
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24a abo1 c also Obi a 080y Of tlib:futill it'llon�0 d.n s Of co,nllhtton of:Us:il:,
12 \1`cl1 constrtjction method..HSA/Mud .COlistiitalUn to tltc I0110'titi.iiig: , '
it c:aug r:mIT,,cble diici psfi cte.:}• 'l7i{asiOit OfWa.fir Rcsouitc ,tltillergiuund injietioti:ControlPiugranl; -
FOR'\\':1TERSGPPLY wu LSO\L:Y:'• •1636'111iil Sirs ice Center.Ralertil,YC°276'19-1636
f31,1't..ld(,rprnj, 24
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iitVC
rllsO subinit un cops'of this foes)‘ulhitl •u.d'lj'sofi:.oinpl4tlori gf:
13b.'Dlunl ct(ou tv is:;;mow • - •-lnt.;�. ...-_ Y� _a s•well•canidn ehidlt"lo•the'cnntiti health deparllnent:.(if"thc..Countif.irftcre
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Fniltl Curer-1 •N tn11.C31oil1Li f. pan;cc uit o1 En iplun_iii aitd Natilrzl Reuiurccs: pi iiion of'll°ateu Rieiol[c>i ftct'iscii'Aggu.s?_ajl4,