GW1-2023-02954_Well Construction - GW1_20230425

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WELL CONSTRUCTION RECORD Fin'IiTcntal Use ONLY: 1 •
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Thi.5.bun ticlitcd.11/7 5bigid or mull ip,b-wcIN
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LINO:cOntraetbe Infonnation:
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LLAVATER-ZONES .••••. :,:•,:,,••::::;:rikiA.:',, ._ ,, • '.,---, ':'•••••.'..,.•.',.•:' • , 'T
Stefan Smith .-':FROM'' 140 .8E-SestIPTtON '
.'9411'coiirk,14,rN'zitii;, =ft. 'IL
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NO'tV01 CiielintertertifteblionNitidief .,1•5:OUTER.CASING(far.muliktireitinels)OR LINER 411 tilt-tIkaNel. ' =.-. - .: .
: -FROM . •10 • DIAMETER; .• THICKNESS. --' JIATERIAL,
SAEDACCO Inc
0 It.. 10 -f or: in I •lo.: SCH-4 0 PVC
ConsiusyNinitc.' :=16.INNER rA5ING OFt TVH1RO:teSibeiinal clined-leo Y.."..',' .• i. ..•'.',...:-,--..'•••-.'• -
-,.. FROM- 10 DIAMETER-. .- •THICKNESS: - MATERIAL
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2..We1telinstruttIon Pcitlit ill 70003118 ., ;0,• ft, .-J.41-
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44
fig all aiefilirkihii!wilt:praiiitsirix... eilintt,.',Stri•tc;',Variarliv,i1140.alr14.1-
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.i,Weilltiie(el.eekiWell..ii .: • ,._ .. -,... _ , _ ,
•.•Water SupPly Welk Friom. •I •TO: . • DIAMETER-r •SLOT SIM ' THICKNESS:• I'MATERIAL-'
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. • .. ,•,. . - 10 ft:- .'2 0 (1.. i i'' .:i411;. ';010 S CH-4 0 PVC
0 gricilitileal inlytunicipallynblie.' • . . ....
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ft: ,• _ . -
0Cittillemalf HeatingtOoling-Snpply). CIReSidentini Water SupPti•(single) ... t I. frt.
III'GROUT- .' '. . . ' ' ','-'''''' • " ,..•• ' r. .:,,• .
0 11.1d9ROO1161111114iCitil 0ReSidetitial:Wattr Stipply(shaft-MI 'FR'ON! -
70 - MATERIAL. • i'Ell.IPLACEMENT METIIOD li....,4MOIINT:. S
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Npn.,Water•So pPly.itlf.f.11: •
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l}1).MOilitoiing:• EIReenvely' •
Injeei Ion Well:, •- 0... .
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0 Annifer ge'ehire, 1710rOundninel Renteiliaiion• :•,19.SANIKGRAVEL PACK(If aapticantoff' - ' .3.,--:...-
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121Aiinifer Storazio..14 IteCoreTji tiSnlinity 13nitiai.
' 8 .111... 20 ft..'Sand 2
0 Aquifer Test. tl*OiniWatet.Onikiav-
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bk.xperliecnol Tceknolog. 1:3,1.,3nbsittence".tinar,61
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.• -- ••, •, ••••_ '241;NRILLIVG LOG . .tritlach edditiOittil'Oxels if neemsrtil--k- ''' :-.'_'• ..' -
0 clot:dig mull Ous0 Louiji• lb:Tracer: .FROM• ITO DESCRIPTION ftabrilirditett:so0 Fmk 1,0c.graiiti goy.titr.1 '
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EIGeollietiiial alenting.iCtioli lig Return)- Dother(eplaintlid6r#21•Retnail- ) 2:0,.. • 0..-'
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4..Date Well(s.)ice iiiiilded: 4-3.o 723. "AVM IN 05. . 77' •"--
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$s*:•Wrif LOCtitiiiiii- ..11..-• ' .11, • :. ,
Former Domestic Laundry -II.- 'ft.' • APR 2 5 2023
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F.Oliti4Ownx-NuiK . Fcility'ION 4if.app.HF4ibie): •
infropiasalon Prneoitirep 1. -0.
900.Baxter St., Charlotte, NC, ,282 04 _. . .. . . . .„ ' I I,: ft.- DVatiOG
.•?10.i10---A 4410*Cirv."010'.'. - L-FiritiAlik.C.:'-1;-;--7-: :.,:'.-'..".•,::.: .,...f,-.....:.,-.".. ' .."'.; .-;,,,,,J:...,,,,,-....2 '..,r, ,.,,.....:, -.-,•-?.-'•, . ,
Mecklenburg , Used DPT to install, no soil description
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Comity' Pan4ILklilifilkaiTio.-(Pp.s,). available
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Sti;•14tIltudc,iiiiit Ltioetti6 in degreeitailmit4iitanndsarTcleelinal tl :greeS:' ,, c nit-- • , .22
(itop rod,:Om Iat/lonits:$01lickitO . .
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,v,%. J,,-Altti ' 4/14/2023
35.213876 •:1.-' 80.842356 .
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Sigri,31: 'Dice.00 Well Op nitutaf' ' .Dale
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'6,1.0si.e),The-WeR(40:.,nPernianent •iir .,IciTelliporio0,' .11.i.si• '.•'. Aii,-f••• •..i1. 1 , y,•-)-- :1- ,th-..1 „,i'f•••",) .•-•• . ii.i ,„,• 1-6••,
,.. www.t .orpr,, rare)t r ro:,,..rug-I e.!I t ..1 15.A.11 11,Yr! [.q/141/1/lle fr-116.111/1
7 Iiith Ill AteteN.0I ?or f.5.4.-ArCitc(42C.4i2Off.11'411 eqiiirnic4Con'StOnddrels eitid-Alai it
7..".1t1thii.a repiiiii.0:0i(0,-iiting'iv 4! --,.. p',.i',ii,,-.Or •citt No.i: :-4.4viy....-'0,f44111••'rei0 1)1 l!ii,s'''pieti't!Tv fried fp'i#:',1 aii711 riltite,.
tfil:ii..:fo.,:epair.-pi i....ekm ilipi iqi4ecveinkiket•PtfivSitit.1/4:91 arid i.,1411shi'llti.,-notari.of ilje. '. ','- •:Y ...1-' - -''-' - - '-','''-, -,:i';.-...:-': :: - '
miviriarifir all I iii,iiiii,kx:':iieddia iirivi riii!'.0akColthistarA- ;:',23:Site diagratii or additional Well details':. . . ..,.. .. .
ArOo'thay.iSe•tliehnek:o f this Pai,iJei-ptiw'id 6'adilitiOnnl hell•site e:iiIelail.si or Well
8,Ninnbeenf Wells ennstractetl: 1 . . . .;ctinstiutti nit details:You piny alsoiitiladrailditional.paie's if.tiEe'eSaif
F9rofigib4e kiirvirn:rt at rzi"141:0ter-IniiptritillsQN4.1(14414'44ii....!attle.4.414454.ru4.14e4t,,piiti hi-S -. '.•,.. -•-:---- .........•• •• . .• .1:1.:-.••.--..
sa.17414.teme foiiit.- ' • -.•;SURMtirrAt INSTUCTIONS
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0;.I.Oiititell:ACpeliotitoi1:-1401l sviiilit-ei. -20 . -.(64: 20. Pile AIL•-Willti..•-$.nbrait iltis fOrtii:Within:XI 41...iff of:tOtspIctiOtt'01'...Utll
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Kir kittiple ri'vitsliir MI iliph4 Vdifieri/fittu•SeOle4le2Ofr•tisif.2@if.)9) •:'cosNOittien to.111CcollOWingt::• , •• •• -
in.Slade water level:it:1AM top Of inmingt 5 (p) Divitiiini of-W'ateeltesnikreei;'InformatinfiPrOceltiik Unit,
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eii,,i,cir ieiled i_f hiloii!.i. xide'.'4."' ''- . -1617 Alan SCli'l; f:itite1"41taleigh:INC.276991617.:
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24ciab.oee..also'submit-n•cops of-this'iotin:Williini:36"'clays.of Lomplction' :Of:iiill-
1 2.*.Welt COILMIltai011:IIIethod:•DPT
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Cottgliti.ttiiiii 16.1444 followineE.,:
(1,e,'6-40.r:'00y;SableZdiXt.:(pii.ilt,et:4'
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•:)IVi.441ii of Water toisiiiireesilkider0Otiiiit InfeetiOtirefintrtil TrOLiiiljii;.
FOR-WATER SUPPLY WELL'S ONLY:'-- :•1636 Mali Seivice•Center,.11nlelkli.NC276994616
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.. , „.. , ,• .. . . .. .. .24e;.For Water Stip2le'&1njection-Weltsi-•
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. .• .., MO.submit cirne.;:cOp,':of.44.fentniwi thin..No-dayS Of eolppletioti of
iiii iigiiii.,.4.4.tiiii.iirit, ..,,, ._.,.•,., ,,,Ait•iiiiiiiii. „. .. .Wett--cantnittinifi to•ilic-•-•ctiiint3i•ItOlite eicteginient-rif the;ninny:where
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' .J0b104iFta. I FO PI pW-1 NorthiCasiiits Litvulinriit of ErivirennxtanXiNtiturat Resources-:Divides of VI4ileriltestitiz.• koi5cli AugtOt 14 11