GW1--05757_Well Construction - GW1_20230901

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WELL CONSTRUCTION.RECORD (_.k....0 For tracinal lim CoNtY: • •
e„,.. This-foNii can bc-.ascii fin single orninitiplewella
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1,Wit Contractor Information; \°\'-'-) •
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•;14;f,WATI1112.ONIS: ,
Chris Huffer FROM ,TO DESCRIITION'!
WCII COCIOMVMM. R. . II. " I
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4223A . .
;IKOIITER.CASING illii-liftilignisel1nithiBBLINER tifidatieibkV.,..,- ' ' •
•NC Well Commoor Ccitifidat hip Namb er
FROM •- •TO ' ' DIAMETER 1 ••• 'MEKNES& - • MATERIAL -
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sAEDAcco .4..... ' . ' .ft.. '. . ' 04
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Compioty Naito.. ' ,16i.1NNERCASINGBRIEBING1tedtbeintal dkiseil-hiony,-, : _-.,-..,..... .
. .47ROM • TO . DIAMETER , TUICKNESS- • hIATERIAL•
2.1VatICIIDMIMODMI lieliDit'ti: • - +3 • rt.' 37 ft; 2 :^141,, Sch 40 -PVC
•Liu 44'Iziel is-0 k*II perniiti fix:Ciapity.--,Smv,Virfauce;Triectim.etrd-. .:ft.• .-' . . :11.' - - . '141 - .
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,!:',W.,01..11*(c4.tiViitil 0#0):.
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-Vii0m.Water iintily,Well: • • .TO DIAMETER- MAT SIZE I TIIICKNIZS' I MATERIAL'
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37 • 11:, 47 It- 2 '•:.'oii!) SCH•40 pvc--
. pAg001111flal . • . Pi.00iitiP#1/01lbli h
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- CiGeotherniat(EleatingiceOling•SupplY). liltesidetitiat Water Supply(single) • . - - - . • . .
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Cliodusnialiconttocrcial - .0Rcsideatial WaterSundr(shated) , _FROM' . •TO• • AIATERIAL'• - EMPLACEMENT METHOD A..11011NE
• . 0 Inijaticin. . . • : _. - s . - • . : '• : - 0 ft. ' 29ft_ , Portland Pour -
'- - 'Noo7Waitcr Sapitly Welk , . • . - • • •ft
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diMonitiating ' , 1:11teectrely.
•lojettlintWell:- • . .rt.: ft; ' '
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1:1,,Uinifet Recharge' ClOr_OlOdsaltuRellte,diation - , tti.,SAND/GRAvELTACK at iyiiiii6b10.)-.,-.- ------ -.--,-.7:-.----..f.--.= r.- -.-----''.---- • . _ -
„...,. ,•:•:..•• - • . .• - _-•-•• ••.••,:: •• . _ .: FROM• •TO :- - MATIOOM,• ' - RAIPI,A.EEmENT METtiOn
PAII100.,§IIMDO:IREI Y*DVaiy• IllaliniWzirtier-•. •
fl .,., • . j4 R.- 48 ft.. sand- - • #2
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1:1Agnicer Te..51 Elgtdinin-atct bint:tage• . ft , . .
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*ft. • . I ' . - 1
dqkperimental tceboato&. 1:1$ithsideitee_Ceolial
- - AO.:BRELIANG'143BfaitielrsiddlibialifliWililineeessarFe)' -* ; ' • ' . .,. •
' Iticteetliennal.(qined;Loap) ••1:11Meer • • FRONT•• •TO - nEscluPTIoN mom liattiet4;MremeknoriMeatri skt'k‘:tir.1 •
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Cleteotitennal(Fleating+Cooilitg Return).- Libber(cry:blip:AM.-#21 Retnitiks)
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4:-1:01ife V41.10 Co:giplete41:'8/3/23 •*.tAtnioTt72 - . . . . - . n r-,rk,r-al 77 go-c--..4
'rt.: '-.•(I. i V1::;LPr.:.: V-CLI . • *
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.5a.Well Locati)ti: (t. See Getp s Notes
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Chemours . . . • ft;, • .ft.- . .
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Facilitptiivner1iartic . Faedily1D#Of.appliMbje):: . ft,. ft.. ': ifkrig.Prhitb.11.1(1.14f0Ctie.likM urza
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1248 • • . oYC NBill Hall Rd., Fayetteville, NC, 28306 it. • it ' , •
' P1iiicallAifdfeik'Cit3 asciA3- •-• REMARKS:,
Bentonite seal from 29.L.34.
. ' Cumberland .,
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COM). NrCiiI Iditfi . 'tilliOn No,(PIN/ . •
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. t.itlititddaitil LiinOittle ii:AegttiegniiritHisi#ciiiinds dr ildcitiMI ittitei.: 12,.cotificati inn, . , •
nt-A1-11 nerd;(me tatioug:0191tiloin ' .
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N w Chns Ruffer. .. - . - ' 8/4/2023
. • .Signature cif eit1li:il Well contradd:- ., • Dale
6.is(are).the well(s): WPM:nal:en! or :6TempOrat,.• ity.sigiihig.4 figniii irere;4erity).-rhigi'the,reilto syrgx(,!aymi cmariprizeitirknvirtfiract:
. . . ., . Ida 114 Nc4c.02C.010-0-15et NCA.C.*0200*elf Construction karyiank and;hero
7.Is.this 4.1-0att'0 as Oqing,-.Welli: Etiima .Or ENO -•0pr ofi),iicionfl kis.DimPrvilik4f pi itgimill viyiiir.
ifr1,44io ripair;All cuir kr?viiii it nil:Muer/on'ItiffMaadon omit xpliihi rue ware.of the, , • - . . I.
ripirir titidiriP21,retniirks.iecilaikiairm she hal:d f AVE fe.ihit.. . ,.23;Site:Batt.. am or additional well detailsi
' You ma use the back of this page.to.provide'additional well site detail's or Well
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8.No/ober-of wells eottitrtteted: 1 • • consuuetion details,'You itioy also;attack additional pages if iteceSSaiy.
For midge haleakh Os-raoi7yr .
/er!w'pkruvellsONLY with'rhii-saml miskeretion.,you CO . . • - .. . . ......: .- -, ,- '
calynit enefaryl.- ' - suBstirrm,INSTITCTIONS
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7.,;:.Total'fiat deptlibetoit•Lind,Sinfaie: 4.7 . . (ft.) ;21i: Pnr•All:Welk:.'Sign:lit this term within'30 dayt.,oi:completion of.Well
For nigialpf a it,11.i list ail deprizs it tWieiil i'exatapre-3@200"king 2@/.4707' ' ..coostioction to thelolloninbt • ' '
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10.StatIc water level below.top of casing:. .-(k) 100isiiin of Witter RMourreS;InfOrmatitio Iii0viesilog•liniti;
Owner.level LT abilve edaing.;.,Liii"4" .1d1 7 Mita Sc vice Center.RalgiOt,-NC27699-14.17 • . .•
11.Borehole diameter:6 . . (111.) 24h.For liticcilon WellONLY: In addition to sending the feria to the addiesS.in
lia aboiv.,.alsO"Snbiiiit a,copy of this-form within 30 days-of ceituplethmi.of tvell' '
tz..wd.t construction method: sonic cOnstniedon tO-the folloWing!, • I .
(i.c.saitiLt.-totiny,:eable;dika.rash.etc.1 I ,_
. Milian.di WateritesOttriest,UndeiVound Infotion-Contrtil litOgt:on,
FOR WATElkSUPPLY WgILLSOM;Y: 1646 Mail 8irvice.Ceitteri Raleigh,-NC 2;6994636
. -Ile.ForlVatO Stieolv&loieditinWells:
. . Oa;Yiehl-Wm) Method-of test:
• - ' • • • Also'stibtidt One.ceiiiy of tins faun-iiiithia.30-daYS Of completion Of.
. - Oh.Illisinfeetion i3,-pa_l• .;:t.mount: well constructinn to the-county itedlth-department of the'count .nixie
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Fenn.OW4 l NoatiCandina Bglaramempf EOV/101111M1.414 Natural it:worms-D1vii ion of Water Resoirres - fied.August201-1-