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HomeMy WebLinkAboutGW1-2023-01576_Well Construction - GW1_20230209 LVELL.CONSTRUCTION RECORD' � Fax ieirnralllsc ONLY: 'fili.i fonncan kusc6 fit'r.singic er mtiltipla I IIS. Il:lYaq.Cgnttattor IttVorntation: 34::�ti.lTtttt2aNFs Stefan Smith FROIN . Tit DF$CRIPTUrV asllcotitrattlirN:,nic R: rt. � ' . 3576A ft. ft. NClVcl1CoidmdarCcnitimt1onNuwhcr 'tSJ®[ITER•ChSi G(fopmhfliriscdercl1s10RLANER'/if.a' [!sable FRONT I TO UrAND-IM' Tnam-N.S5 SIATERiAI, SAEDACCO Inc 0 h.. 5 ft, 21, im sCH-40 PVC i, (m,gilu,yNauk•. [6:INNERCASiNaOR-TrtBtNG.(eailrer,natrG,sc�tou' ' FROST To DIAIiWUER TMCKNFSS SIATERiAL 2.well boosttnicfiiiu 0cl7iit R: R. R: 1.4i irll amil'ale isrjl primits Ox Cawo.S?+na,yariarwe,146c;iC4 ft. ft. in; 3.!Veld iFse(checl:�ti�e11 asc); �17:SCtsti.RN ' Water suppkv 1%at41: FRO'[- TO MANIFTFU Sr,OTSrsx TnrCtcrr�s -atatanril, bAgdcultural CJIiltnliCl[1GtU1�ItbIiC 5 ft. 20 ft. 2^ i° .010 scH-4o PVC [Mob iietttal(Iieadq/Cooiin SYg)ply'l ®R tiat csiden Water Supplk(single) tt• tL in, p ®ludustriaVConmmcial ®Residential WatcuSupplg(shated) `18:GROUT'.. FRONT To. mATERL%L. E�mLACE.r[ENT!UMOn cANtoUNr Ellni tion 0 fL 3 f4. Portland Pour Nnti�VttterSuC►D.�}�VcEI: ft. (L §dMonitpnrig, 17rtecmrry Injection weft: h. (C t3A.q*wficrRcchargc CJCioulidsalcrRc6ndi;Uiou tv:SANDIGR VEL,PaCr{rru,rticlnrzt-' FROM TO 1 NtAF11M. 'MtPI Act MEET HLTnon 17AgU[fcr.Storaga atxi ReCai'C�' I]Saliitiry l3 iiriee 4 R: 20 ft. sand 2 ❑Ai)nife�'Ccst DSiymiiiatcrl]raipaac ft. ft. ❑ESperimcnlal Tcchnafo ❑5ribsidcncc,C'odml 20.iIR1LF:%NGiL0G7a0;kh addltionul stxel�"iLaeoessarvt aG:wtiien»al(ClasedLoop) L 7Tra(er FRONT, I To DrSCRtPitO\lcabr.hmtrgcsV.ar.Rrnck nss±,�tiet DGeothennal'(Ileath ootindRetuut} 1301her(esplain na&r,#21 Retua&) 1 0 tL e ti silt; 8 -ft.: 20 tL Moist silt Date IVeR(s)Cnuiplefed. 1-23-2023 -dye[[®IfMW-3 , ?i: h• `+art 3 .�j. 3a:Uldl I•(rcatinio ft. tL Circle X 3476 ft.- f( Facilityi0isixrNarac FactlitJ tDk(iCappiimblc), infor-m :;-ort �r 3v El t{3 Ui r 3302 S. Holden Rd., Greensboro, NC, 27407 Of i icnf Addres&Citr•:and Zip '2t.It1 M1tAI Guilford 1 foot bentonite, seal from 3 to'4 feet. Contuy Parcci W111jrC.,lliornN(I.(slu) SIi:i;;ttitudt:,�tndl:tingrttcd�lndc�icc•�lmi¢odes/stcrindsnrdt.•cinoatcfcgtiGc3: 22:C•crtificatiern:> (itiiell fictd;ork 1410ug A'Sidl",Ci_,d) 36.019491 1v 79.846016 W q � 1/23/2023 Si� cYificd NcIl Cantiaetar Dais b.is(tii)lheii'ell(s}: MPerrlirne,t UC DTetttp4tvi7r }+Gniir lku .rm„ihrrrh iertiJ�hatrhrurlJ�Jxxls r,rre ttM,IrirL'ledGrLtt'drY([n,[Y t6dOY M A1C4C 03C,01(lta or IJA NCAC 02C.tJ200{{ell CultsHaicrlwl SrarxiRrds allcl tisnta 7.iv this a repaic-fu an¢xistigg Nval:, ®Nvw ni• ENts rdp;roflhds ieeonl lies been pmv*d&Vila U rll 4,iPr lJakls:dt a lnli m,filOur kw Iva ti ed evewaucalmi hVgrinrrka mid ey(ahi rbc lamrre of r1je rei,ciimulcr&21.iernrce[5`:sirtran aron the Lark-ofthis jarnc 23:Site diagram or_adilldonnl%yell detaits: You alai'use Uie,back 4 this Ppge(a.proi'idc"addiliotial well site,detit*,,-or ici:ll S.NutuberoBveliseonsfru►ted: 1 eoustiiictioriileiaits; Yoilitr>fitlsiiattac[iaddiliolwtpa es iftucess�ry. FOrlltallJple h(ecfiU1t-Rr a61-im. rs.lpplyivu,IIs ONLY ii•Jr/lfhebQRlC f4ttSrll/CflO/f,yea ncea� suGn,li'o»cjom,: SCiBbit7"iAC.iNS'PCT�7`r®N�,: #J' tid.ivelE ftflt helo*-laud stirfacu 20 (fc•} 14m.Fdr All Urdl Sitbinit this fan,tvillid 30(b of'e6mpietiou'of well For mahiplc icrlir Jisrald diphs Jfdeereitr(ercua ple-3@200'cred.2@ MT) Construction to tl,c folfoniag: i i.U.Statfe water letd fielusi,tap of eaAkW 8 (D,i Ilia LAU'a of Water Eli, Urce+,IafurDtation.Piucessing Unit,. 01werdei'edisdhaveearattal;•Uw•'t" Etit7AfailSenieei~cdfru,11a1ci C2769916t7 tt1.Borehole diameter.8.25^. (ia) 24U:Eat DMAIgy ONLY`: ;in addition to sending the form to ibe address in 2 a oboes also submit a i opy of[Iris forth widdn 30 ft 'of catnpletiou of ttr ll 12:.lYelicouce etion,method.HSA eoitstr»ctiotitodlii following:- (i.c.a uo r,iota{}..cable_bireci pasb etc_} 1Riv1810a d!Miter[tesourcca,Underground fttjecfion ControlProgtaur, FOR WATtR SUPPLY IVELIS ONLY: TbSb ALtiE Sera lcc arenfer,l2alcigti,•lC 27b99-163< f3a,Vicki(ggm} tfetliod of test: 2'r.For!!ratcr.;Uppli;-&[Sic".I'm',!!'ells: Also slibaiit otie'eopy of this fora tsithin 30:dassof conipletidwof 13b.Disififcctian i. Atnonnb well conMnivian to the county heahh dgmrt=nt oC the cojw4,tek Ali constnictcd. RnaMA honlicomanaEK-putmemofEavimiownt and MatualResoumes-Nvh Ion 4VInt f 11-Mumi5s Rci'isedAU9wA1013