GW1--05744_Well Construction - GW1_20230905

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WELL CONS'FR1.IC t ION R CO[ty
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1 WeU Contri i tur infurnlahon
A:,WATERIONMt t', •, , 1
John Eisenman • '. vRost: ..i0. _ DINCRtPIIOS .
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FROSU TO. DLtSIETEIt •-THICKNESS,-.
!MATERIAL'
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10 ft- 20 i1.• 2 IP. 010 SCH40 I PVC'
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FROST=. 10: .MATElilAL - ,EStt LCCEME,\TJIET110D t:4t10t 1T
❑Imrution .. 0 it 5 -IL_ Portland IPour
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8 ft:' 20 ft:: Sand;
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• 2ni DRiLLING LOG tapach'adilitional abectslf ncciys�nr i •,_,
❑GraotlicnttaL(CIUscd l:.00p1'=. d`rGICe`r: • (..FROST. .70 . 1 DESCRIPTION titi6r h.inlnri:..iuii rtilek Iv i>rJsui ;ii.cu;I
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8-8-23 MW-1 it: ft.
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576 7th Ave East.,-Hendersonville, NC, 28792 - ,ft.'.' iG
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Henderson Bentonite seal from'5-8ft ' 1 r ..
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• 'i o.1i ttia} use t11i bacl.'of this page to pro►id additional ttef stte details or.well
3 Aiiii)beraf i ells codstintetud{1 . .. constluctioD detalls 1auan It al5a attaglladditiotial pvrgcs if istc'ssar : ,
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.rubaririul�rra, $i1BMrJ $Liisi§TiTetiO'11C`
9 TAt;iln ell depth bi tot lanai snrf ice .20, {f() 2aa For AU +Oirclk Subuti(tins fonit tcithnt 1tl fl itsilit'-e6iiiiitetiSti;- reil
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10 St ine titatcrleVel ti.ot.top of taiits :;' • cf1) 0i.iston of'Vi eti.r Ri.aline,,[nfirrniatiattI'trlct sing tfmt,',
lftiAlerhkrl r0,6scosi'i: riai 4,°` -• ;1617Mait.Scniccl'entcr,ltillcigh NC3+699=1617V.
it-13ni chotc diameter^8 ''(in tab tail-iu 1Scii9n 14cllc ONI;Y In addition to selitltng tl 1form to'tl)e addres II)
24tabote,also:subnitt.a copy of tbn, fonn...thin.0 lots of conlpletton,ofscefi::
.12 W'ell t'rtaslnictiou method HSA concifichon[0 the follot%nlst I
fta auq r ratan;ciblc dtrecipush.ct6 ,
'Divisioncif\Vatct,Rcsource ,Underg uuuilritjeetton'ControlPograln;•-
FOR:WATER;SUTPJIANt1.I S ONLY;:. M
1636 aii'Scnrce Ci-nl'er..Ralugli;$1C.27699=:1636:
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