GW1--07111_Well Construction - GW1_20231103

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M.I.sil.NSTRUC,TION RECORD(G'W.4) - ,• ,-. 1
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li.Well•Contractor.IntOnnatlini: I.... 1
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wintontraotormime • • .14.1V470 ZOSILS ... I I - .. . ' -. . .
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NC Weil gintratierCenifirationNuraher
..15.otfrElIcAsING.trot ol-wircrigolals)-OilikItquu Henble.Y.- • '
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tompetky Mahe ,
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, 16,11',INER:CitaGORTUDG.bteetherinot et d I pp*.woo earfstru'edon,periiiii.„0.,, ' •• • . *Z-IteL A .,,,C.,°-• • • FROM::"""."'TO:„ .1 . • AMMETER. : TR;°KNEE-%)
Lin all epplteithfewelieensinteliee jig .,1.s rix,-11.1C.query,Stale Pariaitec,aril.: . k.• (t. ' in.
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3...vvin•U.se(dieCk wen web! It•• • .M. • • Ifs.
Viater iliIIII" Velb . -...''-'• •'-.---.'""'''.-"'----•*!-•*"---•--"--,i1l:5640N , „.,•_- I . , ...-' " -•
ClAgricaltbral E3Mtihieipeli,Pittilie ,_
. .ntorirt ,r,ci:. . . -:Di/kiwi:lib: •ator.sIza. Tutt-KNEs.s. atATEitAL
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•WeetherifIal(lreatirig/Cooliag•Stfoly.) .bResidential Water Supply.(single) '----it..,• - .4i,,, : in; ... * •' • '" ' . . *
(DIndOStrial/Cominereial 'Clgesidential.iiiilaer.SupPlY(shared) • Akoilovi..- '' ' , • ••. .- • ' - ' - - •
Obligation ,, . ,„C3Wolis>100,000 430D, . Puna", ., .To-.;... - i I. .TERM. •:Ewan.. t:ENFANT AIM non&AMOU1'N .Notr-Water Siiitly Well: , , .
. P*111tOting ' 04ecovely ft. ft. !
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IlijEctioft•Web: I --.........__-
. ' - ft•. it, !JAatriter Recharge IlletIgIwOar Remedicition • . -7 -
19,SANDMRAVELTACK Footle:IMO -
0Aquifer:Sibtagiand..Rer,overy . ' liSalinity iliUTior - -.••••---, :.
. . FROM .. •TO-._ , . MATERIAL , EMPIACEMENT:METIMft . .
.1trA41.11tetTc.st . -0StormwelerDrainage• ,- . . • • • • tr. , - It, : ! .
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glE*ori menial technology EiStibsideilee Coatiol -'
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O(ieritheimal(Closed Loop) 13Tineer • • ',25:10WILLINOLDa'' :7 it:iodinated beetilthecosary). I • . • ' •
i.FROM- TO- .... . OF, ..S II MON ii.ilor Iffirtliic. sullitoth I. )i.. 'irt n 3120.--;;;F"'
i:K3C4114,raltli(tieiltillgiCapillIg Retty.b.) (explain under#2,1,Renterits) ,-
' tr, -1.6*.• ..2::g f.` '" 7-• • • ••• ••• . .• I 4. :eei_Tili,ge,bk_ed447
Date-Walks)Completed1. ,„ Well ID# II 3- ii. • 2.S•it. • ft. ' • : - . ' 1.,
sa.wenotatiom •ft
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helc.„.404.110urekvverl SydrEmpii...5",:le 41(4).#74.6354(94f: .ri., - tt. -- ., - -
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.'•auilityK*ner Name FticilitylDg(raPP110ife) • :ft; ' r& --", '.1,"' 3
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2.4,g7.4fiethwe iSitie/j1 etcs0.4 tii ite i, .285!Ye'
•PIty?tical Ad.circssi.City,;and Zip. ff.• • rt,.• . lil fc4-7,-&...i7:•:,...1 •;:-..„.._s;:„...._.....,_ . • -,,
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'001, -.it:0 a) ... ... 4 • •)3' 56.4/319 y78 Is' .21 ttEMAIIIt.S .._ . '• • L.)f•-,-.--,• - '•••.:J c.-'s ,i
(.*.euhiy. . ' . ' Pafeil bletailiectiors Mo.(PIN) /4 e'4,re A. c.r/r:.171,1, . . . ...
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Sedattixchaotgtroszft'4 for b.testrettfaivoe afteill:
5b.latitude and longitude in degreettimitiotesitecomisvr.deelmal degrees: t. . - • .,, • ' -••
Orwell field,orc.6t/Ioltg is sufficient) 22.CettliTeationi, I
31.711/le 0
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N .`'773641.00 8v
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Siiplliturc.atebytifi0;.W•011.Caroni:tot'• Dow .
6,15We)theAteli(s)t Werounterd or •E3Tentoorary
fly Vint ifitsferie,Ifieretiyeerid j,tizat.Iles swills w) a,v eyere)eeeilreeied 14-eee.e.rileile0.eith :
7.11sIbiss repair to an.existing well: 13Xes. or tti‘ 114 Cat.02C',0)(141.or 1 5A ivac 112C-.0.290:Tell,porginicilon..l'iondardfotri'doete-ceiZI.' -
611lic Is a re/Nil:4111 eekkeesreireit eeey.tricego bifihriatiotrami evighttheimpre.vfon, of tNe.recoiithos,been.prinitiotrore neilownek.
TePaii'.w.otertai.minorks section or lii tiiir&t4ttfihjsfpr.te.'
23.Site ditigt.amor addidonakiveRdetalls:
You may use the back of tiii .!pugo•toprovido addirional.weil tonstruction info •
8.•For 00.4PrObeDIPT or Closed-1;0OP Ge011ierrOoT Wunslurcinglho saint
Odtr'Sue..Ovur4oRomatits Roi).You thuyUlso attothfadditititilliage.s if neeessory
nonsteti ruiim W only I -.1 is needed; Indicate TCITAL.NumBER of wails i,
drilled': ....- 24..SURIVIDMALINSTRIKTIONS:
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9.Total.W.011 depth'below Mud surfatei S.-'7'4-5-;./. .. (ft.). - • I . .
Submit this Gielitd withio 30,days•of•Welleompletion,per the following:
Por multiple nelle.:qtsolt if if differaylectereple-304ZOir eumL10.11)17)
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045' ' .24o. For.111 Weill:: Otjp.,10nt fonn to bivision of Water Rescibrees
11).Stolle ivatat leyelbelor top Ottatatigt. • • . •. • - . '' Irtformatiou Notesiiiog Uoil,1 61'.714SC,.Italtigh;,NC 27.69g-1617.if I ql.ter kiletiSVIN)VC CaNitlk.*Me"+" 11 . • : .,: 1
IL Borehole diameter: .6 opi,) • 41).FOk In1e0Ilon,IVolisttom io MR;Underground lifeetieti Control(TUC).
• Program,•I436 MSc;Releigh,NC'27000-.1636.
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It Well'diffti4thiitfoit inethqd,1 . .:0.1-4.....51W1.44. . . 24g.PO WiiiterSupply and OpIet01.1bp•Ge.14,11OrtritillteAii*V1/.0110:Cdpje 10 ihti
0,4;,.aqger,rotaiy.,.calile,diruct.P11914 ettO . cotitityleavininti)eqUiPlieglib•department oilhe county where instilled
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I•VOR WATER SUOPIA1 WELLS.on,y4 -.- '24d.For'Water Wells broduelag over'100400 6143:Copy to DWIL•cactiA
Pchniatogram,1611-MSC;gatpir,11..NC276994614
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Oa.Vidd(gptifi), , „..;„ „ .....„. Method of tests . - .. .
I 13h.Disinfection typei • , Anima*: : - / • .
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Myren(41.17.1

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SIW Boring Construction Detail I Revision tt: 0 TERRATHERM . •
Release date: 5/12/23_
' Approved by: SL
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/ \ Well ID ' H-34 • i
;Date -9 -, -- -3'
Oversight 45.,•
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R23-104
Driller P c1h 7 Csvr
. Design Constructed Notes .
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different)
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. ; "1/2 ThermocouPle pipe? • - •
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• Thermocouple Length 58.67' •, --Heater StickUp Height 30"
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—SIW Stick Up Height 18" . -
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Ground Surface 0.0' ; I -
' ;Conductive HT Grout I'' ',°9 7 'cr5 r Angle from Horizontal 90°!
;; 4," :•4, ..1",
Heater Can ''. ' , ,-,1 rOrt, 1,".Schedule 80
, ' i ' : " 14 V•,...•„a.
Heater Can Length 59.5' ; , 4,,-,, nf,','; 'Ir Borehole Diameter 7"
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Heater Can Diameter ; 3' •?,;! 4!
SI..
, 1 el r,...44?l, l
5 Gal Buckets of Graphite• 245 'IQ
S/W,. il 1 0 i
• Riser,Length; 51.5 ft . "4 :,,,,.. 11,Bags of Silica k ' 'I.
Screen Length ' 2 ft
Screen Material , Bags of Cement . l'Q ' 3
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Stainless Steel ,- 4.,:,!N s,-,4 ., •Fiberglass ? ,,i4.1,11 ,x; Top of#00 Sand 30' 1
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( \,: Other: ' "..2'
i; ' 1 4.•,.,;
SiViz Slot Size 10 10? ;1'0 1";1;: Bags of Sand 7.5 tfll
Screen Diameter . 1" ...`14
! ;it ,il:
Gallons of Limestone 73
Installation Method
- ,f;q kt4 • •, 1 .,,,,,
'Sonic .,.,:§,, ,yfk Top of Screen .50'
Direct Push!
.Hollow Stem Auger
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Mud Rotary '..1 1:4,. e '-',-,, ,7:
Other: i 4g 4,*i.; 'i..i.,. Bottom of Screen 52'
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,A7Ziki,•I. Bottom of ROO Sand 54'
Conductive High Temp Grout ;0.5, Filki
'•' 'Ait1/47%)9'',.: •
Bottom of Borehole 57' '
Post-Installation QC(to be performed 24hrs after installation) PID Log:Make/Model: ,
1)Confirm welysiree of grouti',..-1,, 1 1 I Design ,i Constructed! 1 lime: 1 ) ".( ,0 Readiinz,__p_:j2,,,ppfp,mot .
..„„, e.,,-----Read '• ' --)ch ---:;r
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if greater than or equal to 1.ft less than designed alert the office I; I Time: . 41-bt V Reading: 0' 0 PPM
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2)Confi, nu,grout plug reaches ground surface• Time: p Reading: , j PPM
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repen t daily until depth to grout is Oft. I.'- Time: 7, Reading: p PPM I .
Date' I' !IDepth to Grout[ft tifigt)I• ! ! ., , I, Il 'Notes
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