GW1--07108_Well Construction - GW1_20231103

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101... .CONS-TRUCIUOKRECORD:fiGW-11 . . ,..
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, 1, . ; , • .15,OtITEIS.CASING{for MtiltkaselIwandllitLIIVER-- film Iltabk; n
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. -...],.2 IkINNEke/iSINC:ORTIIBING kemlietinfil ilosptl-loli): - . .. •.WeI1V01811.04011-Petsititiklyol.4 Pt-Re-L.4 sioi-e, ...FROM,LAI fill'apptkuble swilgiimstenetlem per.i_ts•#.e..411C:Cimigiv Sible,.Varlittra,Kr.,),,, '- it.. It ID... ,
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1.Well U.10'.Wit&wit REA: 11, It. In, •
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Water Supply.Well: ••,•..• . .1.1/..SCREEN -.,, „..,. ,
PAgrienittiral. C1MunicipliVrohlat PROM , TO . '. , ,...al.marrnii .•star sizE . TRIM 4ESS MATERIAL
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COIxithetirIai(Reating/CoOling:Sopply) t3ResidetttialWater Supply(ink) • •'ii.--" :' ..iis: l' •-iti ""'''.' . -. '- - •• '
Elladustrial/CoinmertiaI. :Elliesiderititil Water Supply Supply„(shared) , • .
lo,.01(0011, • '
DIrrigation . • . ...CIW.elia.>:100100 CFI) ,, ,,, i'FROM:... ••TO::.:.• . 1 iviAliiiRIAL. . .iMPLACEMENTAILiROO&AmouNT
Now-Water.SaMply Well; - • . 1.6 It• I . .
• ciMPIlitPriltS '. t:IllecoVery • ' • •
•It. ft. „ " • - •• - 7.1Iectititt Well ' ' . ' '""..".".''' - '• -.." - . - - ---.. " ..... ... • ,. .______.
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044ttifer Reel:awe Wiriturdwaterltemediation ..•. I .- ... ...
, 19.i.SANDTGRAVELPAiat tifroppilcilb 10' • . , . - '•inAgnifer Storage and Recovery ' CISalinIty:barrio. • PROM 1 -TO_... • •.MATERIAL .-.. .EMPLkEMENT.MET11.00..
DAMtifer Test •OStatirwater:Drainage• .. . , • • . :.• ft. • • .i.4 •,'! • ..•„. ..,, • • • - •• •• ' • - ... . . .• - .
DExperinteinal Teelmology- 1:1Stibsidence Control . , . •
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•ClOentharnal(Closed Loop) r.'1Tretticr • • 20.11iftfLLINGIOCIattothaddillanalshretioltneeeliary) • . ,
ockothennal(Beatilio!clotrogAeort) .fReirer 6.,,Itliain.un-der 42.1 1.4.,4iatitsj- : nulls . TO . .. DI. ISCRIPSIDNTailinviiinDiess,soR/Aceli1.6121....litia___
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4.Dute WA(s)Completed W01111311 rvi,- .11
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So.We Location: I
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415,c, o.te-4.116,4.•Cletivvft,s-yerf404 s,,, e 4ect#2.1416/4141- . ri, •
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ravilitylOinerNmw ...Pocility:IIM.(if.apPlieoble) ft. ft:
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2/27 40,-jeclow:e A.,I volt ;r0„etc3•10.4 trz lig, 2 iY.5's-$16"
Phys.knit Adiircss,tity,and Zip
0:10,510 10 431473',lat./8 .2.L.REIVI ARES-
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County , • PAtett Magilicatipa No.(PIN), C XT-ROC-TP9,it'l. (4)e(I
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80.Latitude audlongitudelit degrcesimittotesinecondn'or tdecimal degrees .get.40;ftv-th dd.:*451.4.14.. ',Air-kr:c.6...es.trettliamleta.sits,.
iirwp.11 field,one Int/lotti is suffigicpt) 22...eeritilizatIMIS I. •
./1 7111 Aio o .- 74
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Siinatuic.OfiCtrtifiONO ciitrImetoi . • rins ia 6.ja(are)-•the well(s)i'lill5romoeut •or 'CITentrorary
,,. ., grsigith.rribisfirivi..140-6i t:gr'llij.Ihatthirweigs)!was(%01.)cvrotrurred In twati.Ilwict with
7.is this a repaittoun existing well • •EIYes or Otii ,
75.4.nreAcoc..6/0-ar154 Ne4C172C..0.260-oteit colgtrtioron staartrat 4444.10Y it„Om,
0/6'13 P.Ivlitt:IX;fili Pt.4nOWn well rbtoingIio4 Ofiniwooltand expkritudgirmure(Ow qiiiilcrecui;i1 Ita,Filtemp-i*Medio!hr lie 001(0. :
repair'ogler#21 n90.010 section or pa itic.lotc.k eplits;pm.
3.ST1e.tilOgrato oradilitionniwelldebills: .
•YOu-May w•thC13.11bIt.of ifiiK:pDge'to provide..001itional Well:construction ink •
13,For GeoprOlviDFT or Closed-Loop Geothermal.Welltitavhig the stunt.
:'(add'.SeeOvvein Remorks 1304 Yint May also anocluadditional rages ifnecessary,,
eonstrueliiMitaily 1 OW-I is•neededy indicate TOTAL NW/3.13R°Neils
&Welt_ .........'• 1,1 i, 24.•SUBNITFTAL.INSTRildflONS
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9.Total:well depth below/iturtri suirfaeet_.c-.• ..,I -
. 1,14 Submit ibis OW-4.•nithin.)0 days of well:torigiletionver the:fa gh:Win '
Pin-nuiliOkoteils,14tyriiikpilrOrtireroqavitifipl sig oilerVI
,, 4 s '2.4a, For MI Wells; Ortepal lam to DiViSi011 of Water Resources (Dvo,
to:&nue ivigerleyeiteior top atoning:. - • ifii?
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. .. ,. / Infer:I:alien PrOcesSing Linn,1617 WISC„Rsileigli,NC:27694-16V
If aureilicivf is....rdwiw,zy!llog,-,tde.'4-7 ;1 1 I
At Rathole dliuneter: .. Om) I 2411.got litieettoo,Wells;Copy Ur,DWR;tiodermound/Math*ControL(RIC).
Progratn,1636.MSCItatigh,NO27*J9-1626
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12.Weil titti4hietbibt nietbod: .,,.if .ei•-#74,,,50,1t1V.4 -:-.., 241e.Per Water:Supply.and Open-Leer:Gentliermal geturn:Wellsi.CaRy.sti the
(ixh.difiter$rolulY.cable,direetpuh,.er0 • ,1 cototty•extvirotimared health department ofthe county where instal al
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FOR WATER SUPPLY WELLS-ONLY; • I • '" -' •lid..ForVitater Welia,prodming over 111.0400.0-CP_Ilk Copy to IY.W.ft CcrctiA
. • . 1 ! !-Nttriltleltogitittt 1611 MSC;lkitigiglt-MC2769V-1631
Pa,Yield(am) ! . . Method-of-161t
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°-TERRATHERM
Multi-Phase Extraction Well Revision#:_0
• °C"``'"r°i"""' I Construction Detail I Release date_5/12/23.
• Approved by: Si.
I ( A"
WeII:ID M-11 Date ©q-0 1 i��- �,,,,,
`` Oversight 4 I �a ,4//i te Job# R23-104
Driller •• Design Constructed Notes
�' i (fill out if
Well Diameter • 1, . different)
Borehole Diameter MY ------Stick Up Height 36"il
arn
Ground Surface 0.0' ,
HT Grout-------- l: 1i !'
• I i r 'i,..) Angle from Horizontal 90°
11icry '.i'f
tip,;
i0-40 , , a Top of#00 Sand 1'
pAlL,asing. K ,, _
Carbon Steel ' !, Top of Screen 3'
Other: _4 `
• 2T,r ' e
Riser Lengthill t • •_ '` •
Screen Length ft 1 ' Bags of It00 Sand 30.75
r r` •
F Y;Bags of Cement 1.25",
An 3 Bags of Silica 0.5
,/'Scr en Mateito b _- wati
Stainless Steel 41 ,__ Borehole Diameter . 8"
r
l,' 'i �
Fi erg •
ass ,; _
PVC , W {
Other: ;f ` `
• �+ —
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• r. 0(4 -: I
'!i:ki.. Ort
Slot Size 10 . s s ' ,'Bottom of Sand 50'
`? b --
_ Bottom of Screen 50'
Installation Method ",
• Sonic ' HT Grout--i' • •
,+,+ '
Hollow Stem Auger,'' i1i,:+ )Sump Length 2'
u
Mud Rotary i" :' '[V i •
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Other: " ' i' G 4 Bottom of Sump 52'
is i!"; y i;1 -:
�i°., '•j , -i Bottom of Borehole
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Post-Installation QC(to be performed 24hrs after installation) PIO Log:Make/Model:
1)Confirm well isfree of grout ' Design Constructed Time: i.te 9.�., Reading: CI. 6 PPM
Depth to bottom _;of well[ft bTOC]: SS_ Time: '�C J Reading; PPM
if greater than or equal to 1ft less than designed alert the office lime: ,;tn) Reading.: ® ‘+� PPM
2)Confirm grout plug reaches ground surface Time: cl aW
Reading: 0 a, PPM
repeat daily until depth to grout is Oft bgs Time: /y J$ Reading: 0--0 PPM
Date Depth to Grout[ft bgs] Notes: