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HomeMy WebLinkAboutGW1--06595_Well Construction - GW1_20231006 • I . . WELL CONSTRUCTION RECORD . FOr.IntOriult*ONLV:. - ' 'This.fonn citi ba-ussil fit Sri*or nullity-1c wC11s- . • .. I.Well.COntrattotInformation: . . . . . . • 1.1:AVATIIRZONES, , • Brian Ewinq , FROM. 10 ' OESCRIPT ON SVoll Conti-mot Now, ft. rt. • , ..,--:r-,), 7,--.,------- fl ) ft. • It 1 i • , 9240-B • ' F.t,%.--t ,r,L . Air D...-,.-. NC-Wcil Contractor Ccniftption Nutrhcr - ''``r-- '''' '15.OUTER CASINGIfiiiiiitati-niklinetisVOR LINER:I1f0ii-Iltable)' .. • • FROM - 10 'DIAMETER THICKNESS ' MATERIAL SASDACCO • OCT 0.6 2923 . .!tt_ . cut-Maio4, ' ; • i ;N 16MINFIK.C:ASINGORliiIIING(giailkiinal dakti•loiiiVf : -. ,., -.1 4,14f1 -- •• FROM 'TO . DIAMETER THICKNESS MATERIAL illtO ''''„...,t,cl_•-• 2:Wilk tonistroethiii Pertnit irt r;v2 is.f.n.,-- • . 0 -ft, 20 ft. 1 ' ;-111. SCH-40 PVC . 1 .- '1,1•Fi Oil 47.1eicilbse we'll Peimiri fix.Coil/ay:Z.0,Variance.ITOSCO*;41.7-P .ft..., . ft. . 'nt.— • • . .. 0.-V‘'Cli-I174cf!.ccii..‘701!Itsei.: . -.17:-SCREEN . _ Water,Supply Welt:' L FROM• TO . . . .niAMETHO SLOT SIM TIOCKN MS 1 MATERIA t, . . . • DAgricaltarat E.1• • - 14iinicipaliFitblie- 20 rt, 30 ---ft. 1 ;lit . .010 SCH-40 PVC • , 00ctitharnal(licatingtooli Lig Stvply). i:iftesidential.Water-StipPly(stogie) - - it': rti •-to;• • . . , . 1:11ndoStrta1/Contutercithl. CiResidentiai Water Suppi}.(slma) ',18f•GROUT,-- - • - • •----';'-' FROM •TO. . • NIATEROLL EMPLACEMENT METHOD&AMOUNT 0 Irrication" • . . . . -ft. r ft. . • • NonWater Supply V,ell . . . -.. . ft,. - •• • 0. • • MMonitOritt:4 - . 13Rcettycly ._ . - - - Injection Welt: rt. rt, • . ' Cl Anuifer Rcetiarge - ' - MOroutidnnIct Rentediation. • 491SANDIGRAVELPACKlit tunilleiltsheye - - - . ...-----. . .-....- , , - .. -witost - •70 MATERIAL• - •PAIPIAMIENT mtruttu • El Aintifer.'StOrageluxi fiecoyety 1:1Salinity Rattler. . - . ... -. 18 ft., 30 ft. . FILTER SAND # 2 . 1:1Aquirci Test. • IDStaininnter pniittage• . . • • _ 'ft... tr, . ! • ' . ' • OES:perimcntal Technctio,q. • SlibOCictiec.Control. -,-.1o,.01111.111NGEOG'failach:ialditioaal iheits'llticeeisart 1;3 Cleb thettnal(Cltised LOop) - 6Tracer . ' . FROM--• 70 - onscitiPTIcei color.hardimm,toWnick typc.tret;.4,,,,,,ttle.1 • • . CIGeothemsafOleatinotoolludRetund . ElOther(eViain under#21-Retuads) 0 .It. 5 ' IL ,FILL SILT AND SAND • . 5 fr.. 10 IL SILTY SAND • 1 • • ' 4..bit&Well(s):Cootpletedt 9-14-23 'VV.&ID#TM'6. . - • - - - 10 'ft; 15 ft, WET SILTY SAND r , ' . . . 54.WEll Location": 15 .ft., 20 ft, SILTY :SAND MOIST TO WET CLAY Kimball-Auto Glass . • . . • " 20 ft.- 30 ft.' CLAY.ORR Fa.61111y.Ois*rNdsue ' .• • ficHity RJR'(itappiiiibie)-..- . ft. ft. . . ' • . • 748-N. Main St., High Point, NC, 27262 - - - , . . - It. It. . ,i • . -PIT0041A41.4;sscit3'itilOP. 12 LRENIARKS- : . . . . Guilford - -BENTONITE SEAL 1 6 TO'18' Condi). • 1'aivo11(kuntlwlon No.01.11N) . . . • . • 5th.I.atitit de and-Iimerittle•in deirccsiminutest.scOndstir dociMalttegOC :• -22:Cettification: • ' (lc m all 11414.•kiiia.laillotiislidriet) - . . . . , N , • ' Brian Ewing . . 9/26/2023 SignsturiOf Certilicd Well Coliticitir Date;, ' •. . • 6.Is(are)the:well(s):'1;Ilienttattent or 50Teuipollity iiving.. fierety e:erlify hixit gig itt:11(.0 WM'ft..4ie,t amprketedie;geyordraier Wei 15,1NrAC 02C;9too dr./54 NOIC.02C,020#Well Couttacrfan Srandarets and&a a . 7:Is this a refinirtO an CitiEng Will!' 1:1Yrs- or EIS° :biri2c'af Oily ieconi Ws i'ven p.rovided to jai iirlf piwier. ' If rh(s:h a wale,fril aor knoitil Val evasnuctiori iittprenation.4174exp/pin rhc.aorare oftlke- . riper faidi!t 02 1:reilli14.5'XiwthIfi prim the bailed&Prnr.. - , • • .13:Site dial additional wen A-.1114/..w •• . . You May_use the back of this page tOi'mo‘iide'additionit tell site details:or Well. 8.Nutuherof We11.9 Constructed: 1 . 'Cousituction details. You May nisei attach additional pages' if noceSary.. For maid*ledeer)rinesamoearer supply idth rhe.sormr constniitiou,.i.00.coo .. ., .!aimilt ea fona. "• —. '' - ' sumirerAL.msTeci•lesi • . . . 1 . . .• ; 0.-Fotit tvm depth below land surface: 30 . ' (ft.). .11-a.,For AU Willi:- &Anon This lornt within 30 days'of c0impIctiati'of welt' - - . . For Atilidipk.411'1511W a11 Arm&ficilfferent(exciv(e-3@209*and 2e top) " ' -consiniction to!Ito following: . -,;- " ;• 1E:Static:water let'el below tap of easing (R.) - Di-vision of Water ReStitire ,Inforntatiatt Fracessing Unit,. lf risme,!eve!as iiibve'cask?,ase"+" . 1617 Mail.Nervice Cetitir,Raleigh.,NC 27699-16 t7 ' • - ( - • • il.Borellole•ilianicivr:2.25" (in.) 14b;Vot Injection Wells ONLY: In addition to.sending the form to the addles in 24a ahoie,also submit g..copy'Of'this.faint within 30'class'of-conviction of Welt 12,Well construction method:DRIVEN • 'consiniction to the folloMne.,.: • - (La.gigvi.,totw,cOte,"direct pusls.cr0 • • . F. :_,_ . ' - .D.Wision of Water ttoottrod,Underground Injection Conti:41.PrOgram, . . " FOR WATER SUPPLY WELLS ONLY!' .1636 Mali Service Center,Raleigh,NC 27699-1636 . . . - ...I'.- , . 24e,For Water Sopolv.&Inkerititt.welts:. . . 13a,Yield.(gPoi) Method of test: • ' Also submit one copy of this IfiiiiM Within 30..clay's of comPletiOn.of 13h.Disinfectionr)iet, . Amount: .Well:contnictiOth Iv the county health Ideportnimt-of the county whale constnICtCd. 1 . . Parm.GW-1 1 Nottitundinall..pqnmentotEndumutrin ancl Natural Itcsourccs..-DtvisIoutii\Vater fotcces Revised August 2013. .