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HomeMy WebLinkAboutGW1-2023-01961_Well Construction - GW1_20230227 i W-2LL.CONSTRITMON'RECORD- ThisFar[�wnal u�oNLY:. � fonncam bc'nscd futsikdeor maltipk mils- ' i l.�Vel4Couttactoo'Infortvation: F -MA ATERZONfS Chris Ruffer. FROM TO DESCRIPTION wolCmitmctorlvan�, 4223-A f4 fG j NC Well Commelor Ceflifxmibn Nmrbet :`15:'ODTt3R CASiIiG'(fni`niutll r�verf ric[isl'OR LYNER(If a"itieabk FROM TO Dtl%MFTP,lt' THICKNESS I- TERtA1, SAEDACCO Inc 0 .f4 43 f. 21i in. SCH-40 PVC Canspuy Name- '16'<1NNMC;.A51NG'OR-[fl81NG. igolbenitbtcfuud-lan k°- FROM TO DUMETER. THIM"rES3 MATERIAL 2.YYcij Construction P61-wit-k; R, ft. fitt arllnpp?iraGrc rccN parnzits(i r,.C�7unh':Sore•.Ynrinrxr,It�'ectieui ct�J• �, tl. irr. 3:Wclj ma(ckccl: AI 05c) :t7:seta EN Water SllppLyWelp FROM TO I MA-317,TFiR. I ST.0I'8173; I THICUMS I MATERrAr, ®Agricultural C1lifiiriicipa]IPublic 43 ft. 58 It. 2" iti O10 SCH-40 PVC ®Creothematf(Iieatingte0oling Supply)' ®Residential Water5uppty(single) fi: ®itrdustriaUCoDmwicial ®Residential Wmm'Stipp$(shared) -tB'GROUT=,.- FROM. Ad. MATERIAL EXPIACEMENTAMMODS,1010U 1T Ohri lion' 0 n. 39 114 Portland Pump NaQ Wwt r Supply Wglt: f� 5ijh4onibripg ' pl�ccit��t}• i' Injection W61: r4 rt QAgRiferR4,i!ge_ u0buri malcrRciia aW—),oa tv:sAND1GRAVRar�c '{ir �arc�ntel" _ -:_:= ' � 'NRQtiI Tp' i11A'rRR1Al, •tiI11Pa,ACk.'1rENTNE-rnOnl l7Agnifcr.Slgragc argil_Rcca�czy' (]Salinity l3�iTicr 41 R.: 58 ft. Filter Sand #2 ❑ArjtilferTcst ❑Stormnatcrlhainago t]Eytcnmcnial Tcihnolo-g pSithsidc c C014TOI Z•2(I:DRILCfi'G'I OG fnitoich additio'nal'sfreels -of 1 OGeolh nnal,(CiusedL.tlop) 17Traeer FRO,vd TO DFiSCRtpt7oF csbr.hanlaen.arq'nacrt nsntckr pGcoilletmal(Hqath!gLC0ofiHP.Return) E30dier.(explain nlyder-.91-Retua) 4:Dati*Y O(s)'Canipiele& 1-17-23 Y'Ve1liD#'0w-55. n. r4 54 Well becartham See Gt9p s note31, ChemoursLl Faciliiy,OuocrNamc Facpii�lIlkClfagplicablc)_. i — R. ft, i •� 22828 NC-87, Fayetteville, NC, 28306 rt, ft r;. ln;i�,a�z L'n f P.111si^nfAi[�nss City_andZip �2tHEM11AkKS':. ::w,S:n� Cumberland Bentonite chips from 39-41' Ckwwy Farrel Wrrtftailon No,(PIN) Slr;1(.atitudc anil'I abgita¢c in¢c ccslminlitcsJbceaillds dr Ilcslmal cI IYxs: 2L Certification (Ituclt tteW;one I;algouS)s suP(rCkrd) /''+ ,, N }V 11 ns - -uf -er. I;L 1/20/2023 Sigt>31nc afGen[liedWcIlCanuaotgi ; Dafe 6.is(are)the v� fl(s):.EPernianent or ❑Temparat}' sf nm ,hir mr..l,oereL Berri v lhur go hxtr Fyr pJ ctrrll lrirrlerl ln;GCYbnJrtncr ri'ith'13A+�GtG OSC,t7t(k)or 1Slt iJGtt"02G;U200 N4•ff Cori<<trirrfar Starx(�rrd3 atr�f lfaRt a 7.Lr.this a rcjrdfr fu ad 6d5ht ng3vc11: OV4w iir PNo ic�tr rot fidr reeorrl lTrrs be eal pt»r(ded ri,:ihr�rt:Jf r;•rrier. if ihfs:7t n>r)urJr,,f ld t�+r firrilvt ti'cid a»tutrarcttrxa l,rforrr�arl8n mul caFfaJlr rhe+_twrur.rrf tlrc - ` rEllai.r Mdl!r 02 MM1irt'S s J&.qr fM IhV bolt Of tlri9 form. -23s Slte diaQratwor additional well detaliLm Ybu way use tlie,b5ck of this page[o:procide' ddi6011A well sire,details:or%•-ell 8:hnruUerof itclls eonstructed: 1 coustauctfon detai Ls: You inaC:ilso atiacli adttilional pages if ikees'safy. For sup#y n-ef fs ONLY ir)(A dm.same cnrrstrurriwt,pon m slG+nit awie forrA: 4UBARTTA'L INSTUCTiONS " 9:Total iTcll depth BneC*I:tnd srirfaees 58' {ft.). •2d:t For All Will—a Sithntit Ills faro t;., .ai 30 t.ys of cowvlcti6n:`Pt 1i`ef1 F9r'mu1x1;de iviM's-list alldepdn(fdi err)it(cxiui,pf,,-3@200'arui-201q) conslnmO06 tm Ike foUanin". 12.Staeicjvotcr Icvel Velaly tap ofeasint ((y,) Dft;isian of Wgter R6quftiei.Informntiijn Piu&ssing Unit, if nvlry leve'1 it itLore casfag rase'+" 1d17 hLtil.Sir}'ict fcntr r,1LIIciFiy XC 2169E9-1617 11,Borehole diameter.6„ (i1r) 14b &nx InLrti0n Welts ONLY': In addition ro sendfngllte font t0 the address in 245'ab&t:.also silbntit a.copy'bf�,th,ts fanit within 3d dins'of.completion of t%til 12.WC11 construction methods Roto-sonic cottsiiuctfon to the foIlotiKngr i fi-a.ausci,idni}•,cable;dinxt gush.era:} - . 111vis10i1 6fR9tterResourccs�'Qndetgratind injection ControlPrugratn, FOR WATER S[iPPLY WELLS ONLY." 1636 M"Service Center,Raleigh,NC 27694=1636 , i liar,Yic1d(glfm} Method of wit: 2•lc.For watei Supply..&[!jmtfon Wells: Also'submit o6e cop:y of this fdnli:citUitr "+O:daysafcompletion.of 13b.Disinfiti tiun.tYp"c Amount: wcii cotm0mcdon to the county hc'ailh department of the.coimh'Miern' eonstmcted. Funu MI-1 Monh Comlina f)tgs nw-m.ofEtn'iroaw m and Suture!Resumes-Uhtion oMater fteurrae5 R,a'lscd August1-0 13