GW1--07875_Well Construction - GW1_20231205

WELL CONSTRUCTION RECORD . FOt It/lentil if4e.pN.E.Y.... i ", • -
'Tlif,5•form COI.Wised for gitgleor multiple wells•
4.
. . . . .1.14Viiti:COttTattot Ittform4tfutl:- - .• • ..• . . . ,„ . . . . •
.. 4t 4:MATER ZONES . .
Scott Hunt, Jr PRO31,. ' TO DESCRIPTION
Will CottittactOrN4poe- ft i' ft. I .. .
•
- ft. I '.4561-A •
NC-Well Cantina:it Ceniftc4110PNiunber • 'ASOCITER C-ASINalfiiiiiihtze,Akitii-itIOOR-LINER:fifitifpUtablef-,
yttoNr" - •".To • - DIAMETER% .ITIELTENESS MATERIAL
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SANDACCO . • •
. . . ...f.f.. • ft. • 1 ilia:. . . .
Cempanytiatue-• - • •. • •.Iii:,tNNER CASING OR.TURING:t.;o3therittat cloitil-loO"V....;
.FRONI . 70 DIAMETER -...IITICKNEST. MATERIAL
.2,WCUittistruetiait Pe'ritilt 4: ' - • 0 ;ft. 30 ft. 1 l' ::111, SCH-4 0 . PVC
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. Lffi 4ra apygicalge.1:sch peimi:isi'Le:.Ccuoity,•Serr4i..ybriagee;Irbrea*rk,,,l' - •ft.:: . ' .ft. ! . ii,t. • .
3.'Wel Well (theeltell Use). • • 47.:SCREEN
' - t
Witter Supply Well ' • - , FOOSI. •70 IA
. . .. -DMETER. 'SLOT SI71; TERCKNIZS AleItTERTA I,
0 AglINtliiIlia!, • • .
PSIIIIIiCipPliTibH4G.• • 30 'It 40 .11. I. - '4. .010 SCH-40
. PVC
. -...
. • ft. in.
' -. _ '. ,.
itCgailiettnat(lleathutooliot StTply)! EiResidential Nlrater-SupPlY ft:.(single)
• •
,,,,,k.kir,„ A., ,Itli GROUT; — '
ClitittustrttitComntercidl
• CIResidentiS Wa. u'S'•'rt"Y:' `''"'• .F11011. • -.TO. • -MATERIAL. -CI CEMENT &AMOINT,. ' •
. LI trrerition . . -' . . . . . 0. . :ft.: 2 6 • ;ft. Portland . Tremie
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. . . No&Warer Supply Well:' • . . . .... . t,. .. . . • ft,. . .. ., . _
•' ift/MtatitOting - ' , . 'Dkccorcly. - . . --
- Injection Welt:• - - , . , . ft. ft: .I, . . .
. ..... ...-.• - . •
OM:infer Recharge 11GroundwalcuReinediation • . •-t9.SANDIGILAVEL,PACKlitraintlihtC1'.'
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• • • ,:Tatom. -17,I M ATERIA I.:. . . , 4.ENIPI.Ai:EATE!4T METHOD
11.4kIllitr:C7l810IR:i.:flIEI gC0i,...'4Y EISitlitifty Wittier-
' . .- ..... .-. -• 28 IL• 40 R. Filter Sand #2
. . ClArriiit,eirreSt • IZIStOiniriltregirIiityge.
• „.... .- • . ,, — . .•••• .IL. . ff. . I
• _ IiVer.iftlental Tc4lItEftt . • Mub§ictcOcC:•Centgil: • . .
:.111:'DRILLING LOGinitsehjaddltlotitl stieetillneee&-tinl • - - '
60tOdy4triutl..(04$0 Leap)• . .- Eirdeer: •.- .. . . " '.1110.1-' 70 " priscRirTiox coVir hanticki,kiurrock type sDr:(40 . .
. • .
EiGeothetmar(fleatingiCoolitik:Retuml - 210ther(txplain under...kit-.Etenlatks1 0 ' •.rt.. 10 :ft, red/brown compacted silts -
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• - 10 -ft.., 35 , ft. ,red PWR'
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4:146iWt4161611111101611t-19-18.7'23 =Vii.ellIDNPSW-16 .
.. - . . .35 •ft. '40 - ft., tan white PWR*4„-7... 4..,,, ;,
... . . . p.-,....... - -r".1?.. -!r•
. - 54.Well LUcatflid:.. ...4.- • ft. . . ' LE'L g kfifr D
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Apex C&D Waste Landfill , -' • . .' ft.- ft.• , DV .....0_5Al2.3
' " ... , .. ... _
NOM y•V#rlerNinvo Fac"Ilitk•IDN Ocapp*.iible), ft-- IT:. , :• - • . .
• , . 14.41‘,.,---:;....1 P:::'.....44;r1g filq • ' . .
5940 Old Smithfield Rd. , Apex,.NC, 27539 . . . . • . ft..• fi. i .
• . D'A' i:InG. - _
11;101e41A4115citY2.0.4*IP. .21.,:ftlEMARKS- • ' . 6
• •
Wake • . . . - -Bentonite seal from 26-28' . .
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County. - • Parcel iskutifieatioilN0;-(P14) • •
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• . ii''... tiefilc.ii A.0f.li.llL4iltk.i.fii.t fsOk.in d tl i_,if•. I e' 114 6.
4 . . .•.t-•' 2 pC1t,C4.04tt1:,itea1Ltite.ugir' .
(emelt itcmw1iilik1ktioCgeciAq. nO-Sts6-4 •idtc4140 .
N .. I.
. , .
10/.
1/202
a Cc10? Hellqflr4taf Dale
6,Is Orte)thiewell(s)t R1Peintanent .or omnporaiy
• • - fri Aiiiiini thit.forrp;.1 hereby ee015);.00 th11 wilts.,swa•(inere)eir*riierecl br;fli:eorgince.
. . - • .10ith.I M-N,CAC 02C-,9100 or/5et.N.C.40,()2C;9300 Welt cotistfiirtionSmadards mid theta
7.Is this a ineitaffrit i.Ue.,iiithign.illf: Mar, or OlsTo- 41 .:of day".'iccorri Iii•bred pcorided 0504:-Iir 11 limier,
eiNs'.It a 441..016tkriikal 1,eff•con.airretifroiliktarfliari3Otilnid itkploM filo mune of the . . . . . .
itiviir raidee#21:rbnuirb.litviiiiii pi,wi Ac bark Of thitilynir.. ' • .-23 Site ilinpiitt or adilitionel wellAetaits:
You tuay use the hack of this OA&fo';:providq".thidiOquil.ivell site details or Welt
, • • -KIStnuberof Wells eoustrueted: 1 • , -cotistnietion details: .YOuttily also attach additional!fakes,if t*essaiy.:
• Far titulid&irdisorh-4:tv•pri-.1.viiiy sitpelkive Its liqtft rhitsainqcoastruition,yea coo
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illoitif one fd rrn- . .
* ' " StIRMITTAI,iiiirSTlictiONS'
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1'.'fiotiii well ilepth.heifin-land stirfiei.4 40 - ' . . - • . (ft).:/44..Par AR Wells. Submit this faint within'30 days of•Oruptdititi of Well
For nrulalplii'ivitslisr((di deplbs ifireeniu•(c,T4Tpirfe...3@zra•mho@ Rio) • - constniCtiori to!lie foltooi us:
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10.Static water le.tel below top.of easing: (Ill.) .Ilivisititi ot-W.aterROou1.tateit,Infitruiitioa Otaicessing Unit,.
• - If waive itli.ot is O6oyo ctiiing,,hie+" 40.17.141ailS.64icq Ctiter,Raleigh,NC•27699-10 IT
1 -.
it.liorehOte diameter:8•25" 'Om) .24h.iyt-ii Infection Wells ONLY:: •ht addition to.setiding The fount to the add=SR
• 240'dbiiNiv:,:also'Signint 4:COO'of this forth within .1f)-d4s of.eatliplaititt of ittll.
112-Well cousintetibo method:USA ' cottiiiIiition t&thefotIOWini::-. I
lt.e.Onkel-,roluty.cal)le;..ilircit pusk.ete4 • . -
.• • . . . :Division of Water Resources.iiiiipetttouted Injection ContrnkPrOgratu,
. FOR,WATER SUPPIX WEL1.$ONLYf - -1636 Mail Service Center,Raleigh,NC 216514636
24e,Fol,Water Supply.&litjectiott Wells:
13a,Vieldietipti - . .NEctliOil tif teit:
• Also subniit'one tjairy Of this:foitill'Within 10:thiYsof cOmPletiOn of " •
13h.-Disinfeetioumiei AnU •nt: .
- .well:cenStniction_to the edam health idcparttnent oelfic coanty when-
- eonstroetotl,
, fbnu pW-t Noah.6paiina Depooment.of Emitimuucni 44 Natural IttIoureq,Dhiskaot Wier Rp7tr92s Retised 84ttst 2913,
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