GW1--06700_Well Construction - GW1_20231024

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WELL,CONSTRUtTION'RECORD
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Thinformciat baDsctl ffinitec at aniltipk tyclft-- •-
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1.Wag AtiDiti-..ttti1ir Inforntation: • ._. „ _. . •
741.WATHR ZONES
Robert Miller ' orimm• • TO RIPTION- DESC
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• We Co do • • - ft; ft. I
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2675-A - • I . • . •
NC.WellCantinatorfatillentionNinaliet ..','15.•OUTElit.CASING iroi'iliiitlikisidrviCUWOR LINER fitiiii•tiait316,.
Etto)r •' TO - - DIAEOETIIR, - 717ICENESS! - NIATERIAL !
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SAEDACCO . . .f.t..
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Compaq-Name.. • ' . .,1§ R-.LIDIE.Oft ,tiatkniinal cit-d•laii .,-CAS
2'."IrV•ali t'9.O.t. nittifik tkrinit 4: 0 - •:ft, 10 ft. 2D1"ErE"Rlit liSCnliCKNF-4035' PVC
-FROAI TO . MATERIAL-
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4di 0-,PDISkilbIe:4-0/pea:Hifi;fiai..e'num.y;•5tete..liulatree.,uovcriul etc.).
ft.,• ff. i: 'ro•
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0,..:*014*(0.0,16i•Of00 " -17::SCREEN - - • -
%V.atef'S.upply..WelW • - - - - • PROW TO• • :DIAMETP.R! SLOT SIPE . TRICKISCSS NIATERIAL
Ei$Iiiii *Flibp6
. 10. li" 25 I.L' 2 ,. •10., .,010 scH-4 0 PVC Pre-P ck '
• Clitigriciiliit(a1. . kip ,
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EiGei3161That alealineCootins..-S01/14). rillesidantial•WaterSuNlY(single) • ' ft' .. -IL. . • •. '•i''' •
...:s.„,i„ks kit"' mi.,. •19iGROIrr. _- - . ..-.. .. ..--,f, - • _
ElluduNtialitottiniencial
Clitcside-nlial NW"---ri";'- ---` ' ! -TO.. . MATERIAL •EM-PLA.lEiMIEST MIMI!01),X!A.10-IINTL
rikliOntion•. ,• . . . 0 :ft: 4 ft, Portland Tremie
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Nalti *ter Sppiity%it:•,. . . • . . . ft
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lilMonittiriog,-. . • OReca.yety • • ., V _.,
.-Ippo ion Well:' : -it.- . ' It.. .
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Orlknikr.te0itirga - - titioinidiiitieir Reilicdiatie9 . ,.19SANDIQRAVEL,PACIC01 atilifielibkr •.'" -. ---7; .-.-.. . '-.'... - •
• 1:1,4qutfcr.Sictose.ani 1(*(A-.44'.'. ' ' •" • • -• -
t3Salini*t iiirief .,veincia• TO - , MATERIAL. , -EMPLACEMENT NO:THOR • ,
-. • .- . -„,. . • 7'..• '(4: '25 • _ft. dravi.pack - #2 .. . . _ • .. . . .
ElAnnifeeftit psioinim:atoe priitogc,
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C.Ttp#4pcntai l*ltriolo& f3ftbsittericc:colitnil• . •
- - • •• • - - ' . •x2e.,,DRILLINGILOGItitiadi',Iidditioind'Shiitilf iteitisai.v.•1'
•40eolligntigl Closed Loop) . - ijtmetrx • • . rrno)t•'• 70 DESCRIPTION tour.Itattancm..aalvatch trac.'pain OIL\t441 '
CIGmtitenint 4.1ealingiCeoileiRetum) . CiOther(explain;under.#21-Retnatts) 4, 4, , • .
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4..Ditth Wilt(s):CliniplaCil: 10-3-26' .miett IDIIPPT-1 •'•26 . - ' •
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5a;Well LiFaititeit-
.14. ' ft, • • .
OmniSource..Corp. . . . . . . . • . . . : . . QV zon
t4cilityAlync.risia* fticftilk iii#KappliFabiek • ° .
•ft. ' -- . ! . - P' 'e::SC. 47)114141
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1426 W Mountain St., Kerneisville, NC, 27284 ft
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_11107.idiriis",.cilY,• 4 OP'. -2.tz HEtttARKS' • - •
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• Chips.4-7
Forsyth ' . . . • . 'Bentonite" ' •
County' • " ' '- . • ?Arco,ithlittiqtatiO.11 Nil: . • .
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$114.-L4tiliiste' adiLcinOlisile In( degriiiiiniitptieti,iiCiir09"t-dcciii,11.(1Cktici; ,73,-.ce•iiiiteati„mr• . • •
..i61-ell fictikoog latileli kstillia4110 . ....
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N . • NV 10/3/202
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6..1s(.we)11f0yell(s); giPelitieuent or 1±1Tempoiaiy
'IF ollVitiltg.tiritf?hr.r:.i hereby terrify iliiifilt;iveli(si 411.V il.t#;)(.4.114114Clej ili,cli,yOrdirt1C.,e'.
154 44C 02C-.91041.or/5it Ncrtc.02C,*al-)lid!ColtinTiction StaWeierrds cod fikrr a
7:.Is thn a ietvair:tit ati..4iStirtgliellt 1:1Yes,..or •KNo 'ici;.i.'.Yfrilicr iyetiiii 1.10 beea iiioriffe41 WiJksirtitiii*r.
If ih(i.kei feimlf.lill(0.,k6itva iee116nonfetioti-Mkiloial06.4'Fin ciiiilphr the wore of the' - ' • ' • •. • •.1, , ••
iitigir raider 021:i-ern:Jai-sealed or on the bca Of thishon:. -'23:She illugnim-er additional well details: . . .
You.inak.uSe the hack of this page 1elmipsiide'ed411ipti.11Btll site:cietai4:or well
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8.Netotherof Wells Onstptieted: 1 - • . ' " construction iletails:.You May ids0,attaelradditional pag,aS ilat..6Snatii..• •
For kW:4A!In/ear1011r ro0-uuter supply weir ONLY ielffs rhe.inti?etursteifetieu.,.)•01t coo . - .• • .- .. . . ... ... .
latanit one lone . ' SUBMITTAL INSTUCTIONS ' - •
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Otjoliit tr a t ikill111 het oirhuid stirilieei • 25 . •ao 14-3-4 Far Alt Welk: Submit diis fniirt within 30 dvs of'cOntiotetiOrf.Of'well
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'Fur itui4iple ii:illslUt iv!!&phi ifek,Oi'req lexarOte.-3@200'dad 2e IRO) cOnstffittiop to.dic folloni ug; '' . - . .
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• la.Staticwaterlcel lieloW lap of easiOM . 00 .Iingi of Water R6epicee;.4,lainniatiO a Ifritikesing flitit,,
• *wilier l'eM a eiaye ciesfag:.iue"+" V - Eill7.1$1ail.Stivice Centd,Raleigh,NC-27059-'0 I7 • • . •
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il,borehole diameter:6". . • .1.in.) 14h.Far Ti feellirin Wellm ONLY:lin addition to•sendifigthe form Ici the address in
. 744-atkiVe.,.also submit a:.tepy•of this fonn within 30'daYs.'ef.completion of welt
12,:Well•oonsttvetion.trietbeg:Roto-sonic . . 6itsinktiart tiAlie•folloWitia...: I '
(Lc.aii•gai-,D)taty,cal?le,:dirco puskctc:f l'
pwhjai of wAti2r ItOotirc0,1,11.ntkrgyound InjOtiOn.Contiol PrOgram-,
FOR wATER:SUPPIX WELLS ONLY: .1636 ALAI Serylce Center,Releigli;.NC 2169944M '
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•1.1e,For Wirt&Sunnlv Sarkiettioni,Wells: •
;4n,-)fisid Wm) •ittelited of telt:
•! Also solnitit.00:400y of this'PAM Within'30:days Of'cimitrietiOn.of
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• , lilh..flisinfeetionl ,ytre Amount:: • wellrciairStroction to the-count y he.' th'deli:1111mm of die coirnty where
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-Film]Gitt,t North Catalina Depalmantof Emit-onto=m!Natural ftepaurces,OPili 10 91 orWatcrEt*ats Reused Argust 101.7
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