Loading...
HomeMy WebLinkAboutIredell_Well Abandonment_20230626 (7) WELL ABANDONMENT RECORD I lAc ONLY: TIOS fohif.caft be used fdr.sjngle,.or multiple wells 1.Well Contracror Information: WFLL ABANDONMENT DETAMS 1 Stefan Smith 7.a.Number of wells being a1liandune& 6 Fw, tradople 0!1�efio) Well 6DUract,r Nb�,(01 vw­ r w; ima-ii-cirr stippti, .elfs ONLI' wah dee? .Vne It propepy) ?,v"j 3576A �71P.Approximate wilunic of)iattx remaining in well(s)i L) NC%V01 t6wftj dor 6rl leicilitiP 13 Kltlilb CT SAEDACCO Inc FOR WATFR SUPPLY WELLS ONLY. CORIPamy Nainc 7t.Ty it iddisinfecian'used: 2.,'tVel[Cdasta-dctioti Permit#,.I WM03012801 sdAut tlstA: 7d;Amount of ilh.infL 3.Wel I use(0jeck".efluse). I&Sealing fpat�kia`], that apply). Water supply Well: .IM.(in.icipal/Riblic" El Neat CcM.M.Grmit tia Bcnjo1ni(c Chips orPellets bOLpthcruial(Hci(inWC.riolingSiipply)' OResidenlial Water Snppbt(single) 13 Sand.Cciiteiti.Grout 0 Dry Cla.v EllndustriaVCornnicrcial, OResidential AVater 8iipph-_,(sliarcd) E3 c0lciete CrOql o Drill Cniti tip 11 spedafty Groilt, EI.Gravel Non-Water%PP!.•AVVC116 1:1 BeffloniteShim, 11,10(her(explaifyu*der 7g) aMwillorim! E I Recovery if.For each material selected abovi-,prosidc arnount:of nuiterials used: Ij Aq'uii'e i PcOMMIC ;J&Aiiritir Barrier CAijuifeia t6st ElStori. nwaier r Bentonite.:251b Wtr:gal. 7 `f-d' "'Mp loutICA'Aiatid inuen lipleedurr"t 0 a t DGeolitennal(Closed Loop} btracer. Ram) M0(Wr(c.x01airfu"ei72) pour (9-ab5indnimi: 4/26/2023 4 V q—:..0 Via.`Nell hiealioo: JUN ,) C- Ferti Technologies In -jc-n prc- A.-A. Uhl P, 111 McNess Rd. Statesville, NC 28677 .5/9/2023 AM Zip M119 Ireciell I h,6;i-ebjt rer4fP,tfiaz ft-wellry)was 6vore):ahwidoiked,hr lblliil ld.fdifi6t d L N13 I -iw�(PINj wnd'ihair ac'op'y qj'jids rcl�ordh',js to firz­111 owhcr.­ FIC nuteq wcondsordo�"ci6iii'dcLre-�ii - & (if,,vu nw,vs.Litilaii g i5 -Site di ilgri" ' i, ­ 6 1 H �ou 11.1�1 I addiflonal4e 9 35.758011 80.79491 abatid( lit ije additional pngts if neossan. ('6NMUCTION DRTATUS OF WFIAIS)BFiNle,AB_�NQO' NED UBMTTTAT.FN.-%TRM.TFq thk farnit *ithin 30 days-of-coffipIction of hellHa: For.411'Welk: Subinit Owing; ab,,indoniii6itto thc,foli' OiL We u Iw:TMw_5 Division.tif Water Rty6iircLs,lnformati(in,Prticessin,!Unit, 1617.Mah"ick' R-Acigli,SC 2769,94617 6k.Wal wiifi detitil: 33 (ft.) forat to tlie-Wdni§�"M 10(a-lob.F!or 1"IM116"MeIN, In addition to,kiidigg the abovc.�also subudl 6ve top�l of 6i it -4 S Co P efloil of'Well CPCA Mtolc' diameter I _q�6�u�Nvitli n.50&Y of" in I atb;[ndountent to the fnllotitiiug: Divisiotiof%ValerRestiumm;UllldMmutld hijectlon ConliA Pr(ioratu. 6(j.W.;jje_i le'vel,b-Clow Cc 'r,Raleigh,NC-2760.A634 MadSertice nte -1636 6e Outer carinig-len-th(if lmowrt): 23 10C.Form .510 ter' 111V&Injeofla"I Wells. Iti'addition Ad sending the form to ; —00 the-address(es) aboie. alsd stibmit qn&)copy of f1lis'fotni withid 30 days of cornplctiiin:4-,�-cll alfandoinne n�t:to the count)-health department of the conrtty 6f.Inner ct,siiiWtuhinjg ltnj-fh(if knolvii): why ibi'monca; 6g.Scr&-u length(if kntM n):10 Force CzlV-3tl Non 15 Cawliva V*turetyl of Env ironivent and Natural RcsonlcLs-0051011 of Micrkesdiaocs Pe%,Lsed Augu,4,2013.