GW1--07107_Well Construction - GW1_20231103

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.W • A/CONSTRUCT:10i RECO . GW-i : :- ... .., •
Fol"lIttertial U,5e Olilyf - ..
.1.WeilCentriteter.Iritinttnationt !,! ! 1
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VOICComrattor IsItiitic ...'FROM •... .•To I Amscntirnom --,,---- ..
NC Well Connector Certification:Number . •
„. ,.15.OUTER CASING liartrialti,ms- tedwells Iftit•LINER tittea le.II).
! ';' - .C'rek: :e • ;II;irts.:0, 1 • .FROM . 'TO 1;IIMMETER...• THICKNESS, MAA)TgERIAL. . -
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Compatriflaine.r!! •• I
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. .• .. ,.. - .... 164NNERVASIN :t3ItT 111114. G(geothermal eirnett-leep)
.2.Well Coriatilletionfoillitlit . .•: ••'!'Gt. . ,,,,...:.•. .}Row TO'. ... „.DIAMETER. .•THICKNESS' MATERIAL --''''"---'fist all appiteithiesvageenstrueilott pp If riai,111C.C.Iattitte.Slitt4 PatfunaA et.c:L: it Iii.
Pe.'elm 5 W 4...;re AZ. .. .. • • . ,, .
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3.Well 110(cheek well use): it it • to.
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Water Supply Well: • ., It SCREBN " „ •:-.__,' " . ... . . :,
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C3Agrienktiral ' Dtvloilioiligii,Pliblio • Rutin. :Ili,. .; DiAlititt: •••storr.aiZa Inteicnrsa MATFimth
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ClGeothettnal'(Ileatitigidooling:SupplyY ::OResidential Water Supply(single) . ! - " ' , •ft. tr, • Itt.
0 IndOttrinVeonanerchil °Residential WaterSupply tailored) . !mith.gp v it , „ ,,.. ,, .! . ,-.:., . •glirrip,adon . . . , . • .,,, °Wells..›1:1)(11100 op.p.. ! . FROM, TO.' ' 'MATERIAL:, EMPLACEMENT MET.HOD 81 AMOONI'
Non Water&gib.Well: ! -' !ft; .• ! It ;. . . .. ., .. ., . . .. .
• C.ilvlorritoring .,. ClRectwery • • • I .
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Injection Well
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. • h. .rt.•'''CiAnnifer Recharge 1lter7rndwater Rented:lotion .:
3Aqu . iRi SANDliNVEle,Pi'CI;C! gtripolieMhio • . •!
1ifer:Sterage ond Recovery ' OSalittityllaitier• • Ft tOM . TO., . . MATERIAL - EMPLACEMENT tt 10b.
tlAcglifer Test 'OStorlinvatcr.Drainage" • . . • • . • It • • •ii,. -;
!ElBxperimental Technology Q$uhsidetate Control it.. : •
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CIGetithennal(Closed Loop) .1:1Tratter • • .20,10011.LING'LOG(eititih'aid t I II I 0 n t ilgh e et i inessaryt . • ,, • ! - .
micotheraid(Hotinwoolfroketilip! !fiatl15r 01006 Iola#21.Retatits) ratki- r! TO• : DESCRIPTION(color lundnesussillifosli type,&On t'2ls.;)
'1 0 .1...t :,ZE. f•ti : . . -. . ilwv,k.tic c(ILI/
4.DatelWell(a)completed: ! • Weil 14 nil- , ! _,2„.52111_,:121,=•,11,L.,,, tti
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. ell Loention: ' I W :it. , . ; 1 it
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ifilf3(2, asiytrukC..koive.t ;57,11,0444frL.s.,1tjx0)024614,4.*94" ri, et. '
- Facility/04.nd;ritual! : ! 1 I 1, !Piielli41170-tiiapplictil;i4 ''• • it :rt.' .! - '
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0Al .!5/00 • . JO 1411311•417($)8 •2k REMARKS !
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coupty : I •i ! 1 i• ' Nreet llittificatien No (i)IN) EX-1-k...1-qq-7.-..-0.tr
. ...... .. .._ .., .5o.taiitudeord_i9ogitude twkgrOsiplarteecoidilI9c,00cimal deiI i.,?e. gt6 ft.e.t'h e•d!xt,.heim' af•trr7 o•rcr
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lifwell tield,ale l'aUleng is sullidknO I . .•' • : . 1 ':'I' 22;eertifientiOnt•
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1 1 ' IN 1 77. 3.g11.00 Hi 1 •
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Sigetitteipt)taltificd•Wall'etihpeOitli- 1)70;."-----m'-'
.6.•18(ar0 them/Mks):!B4rmanent ' or •OT entitorarY - . ••
By Algal%iftlafirtiktlietebyeeetifj•that the treitts).PAv ett*r0)oafkilelefl in acconlailv4'with
7.Iltr-this.a repair Man existirtg went' .1:1Yes• or .ifir LIA 11e,4('pc.digii.or 434 At1t7112C...a20.a 11'en.Colt:Fhlic1oll ShIndloYis.ahtf'sialt 0.01:tr•
llfht h-a:repatOill olittatem imlizonstmagfati Iptimaatiateetai i typhihrompaore qfp„ ofthls,wort t itas..beea peovideii.to:the well:oily):
•repairumlee 40.1 eunkteks seek)),Vr aft the bach ti f titii/hrnr..
• 23.Site dingra tworadditioind:wet:41041s:
Yen may opc,the:back of thin Tato.M.provide•additional well construction info
It for CeoprObe/DPT or Closed Loop 0eotilermal Weils,having the sante
(add.'Sett.ovveirt.Remarks Boi),YOU mayalso•attnalradditiOnal•pagesif necessary;
.coustraction,mnly 1'0W-1 is needed indicate TOTAL:NUM:1a of wells
drilled: ' •• . i
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24,.stun/arm tisisntotrioNs.
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9.Totalitsell depth belowhinti aurfatet . s. .:.
.. :.. -A„."4 .5ubmit thia..G• WA within 30 days•of We• ll calitpletiOnTer the following:
Par•etriiitplelivIls.110:all ilepilm ildOrentfettliiipk,302(hVathq01(11))
Ift.Static water leVel,below top of tattling: . ,:00". - ,.,,,, •24a, For Ail Welds:. tarltjhati limn tO Divisibtr cif Water Re:warms (MYR),
10 infonnation PrecOsSing Unit,1 617h4SC,Rittogp,NC 2769q-16.1.1
1,:f toper levet t s:ahem easing.use"*"
IL Borehole dianteter . ow , 24b..For Ititeettou,Wells;Cups to!DWR-,Undergromd IMOtaion Control ClUCI, •
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Progrant,1436 NISC.Jtileigh,IN:IC:2709,1636:
U.'AAA constrtittion•metiloill- • . RO ta.,4574,0144 ' • 240,..Par WitterSupply-and Opeo.im,op GeOtilermvillteturtrWellSt CoPY.it)the
(i:e.eilwrs.tottity,cable,direct pagh,NO
toitilty enviteninental-health department of the county where installed
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ivg.v.tixtEn sort*WELLS ONLY:: • 24d..:For Water Welts,Oroducjimmver 100400.GP11::COpy.to DWR,CE,TCIJA .
torait Prognn, t 611 MSc,ttlodigh:liC 2769916 I 4
13a.Yield trio): . , ......,.. MetheifortOt.:,,, . -. .
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13b.Mitifection —
type: Anitnauk •• _ — /
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•t �TERRATHERM IMulti-Phase Extraction Well Revision#:_0
7'11 ,
GxCufnl:M/YNy Construction Detail Release date_5/12/23_
Approved by: SL
Well ID ' ' M-7 Date 9" - 3
�"` • Oversight ; � )v, Job# R23-104
Driller ���
1, I Design Constructed Notes
•_! (fill out if
Well Diameter 4" jI different)
Borehole Diameter 8 ��" ----Stick Up Height 36"
I
Ground Surface 0.0' 1,
.HT Grout----------- r
Angle from Horizontal 90°
• I Top of#00 Sand 1'
Casing Material
Carbon Steel ' - Top of Screen 3'
Other: s.®�
Riser Length " 6 ft • e,.®
m.®o'
Screen Length 47 ft • Bags of 1100 Sand 30.75
• Bags of Cement 1.25
®.®. ':. Bags of Silica 0.5 •
j
Screen Material I`
Stainless Steel 1I 1-®� p •, ;: Borehole Diameter 8"
Fiberglass _ ®-®o I . •
® I L .
PVC •
�_. Other: .. .. ...-m +, ‘.
®.tea
Slot Size 10 Bottom of Sand 50'
' �Bottom of Screen 50' ,
Installation Method • ;pep—' "` ' I
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Sonic HT Grout--- 1- i ,
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Hollow Stem Auger '•' •• Sump Length 21:
Mud Rotary i•
Other: I Bottom of Sump 52'
• F
Bottom of Borehole• 52'
I
p
Post-Installation QC(to be performed 24hrs after installation) PID Log:Make/Model: '°
1)Confirm well is free of grout Design:Constructed Time: 10 t3 Reading:; t., fl PPM 1-5
Depth to bottom of well[ft bTOC]: .-55_.. Time: ng: PPM -r,j ,;w
if greater than or equal to Aft lees than designed alert the office Time: -1 : 115— Reading:j li,9.. V • PPM
2)Confirm grout plug reaches ground surface "' Time: Reading:I PPM %+�;
repeat doily until depth to grout is Oft bgs Time: Reading:I PPM
Date • • Depth to Grout[ft bgs] ' Notes:
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