GW1--07877_Well Construction - GW1_20231205

WELL.CONSTRUCTION RECORD fir Intcrimi Iisc.PNI,V:.
TN's.form can.bc'uscil fir tingle or nub ipk wells' '
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1.WC1l.contr4ttor fttionuatiott: ., , ' . .
. '-'14.t.VerATERZONES- •
Scott Hunt, Jr FtiOTI. - 'TO DFSCREPTION
Well Contracter time 35 IL ft. fractUra in rock
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ft. ft.'
• 4561-A '
-IlS;i1OUTERVASING'ikitstilzaiitillitetISIORIANEIV(Itili'MAW', .. .
NC Well Comactot artikeationNuulact
FROM ' -I TO • , DTANW.TER•• -THICKNESS- • MATERIAL
SAEDACCO ,,Itt I _ • 'it. _
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Comp:1311143w'. -.1611.NNERCASINGORITAINGOM.cd4o4W-'.._-.. .-.
FRoTt TO s DIAMETER THICKNESS , AIATERIAL •
2.*C :CO.1.0111.Ciiiiii PerEflit 14. , 0 -ft, 32 ft,• 2 !, ',"'ili. SCE- 0 PVC
List orimiketirc.wrhpomr.s 0.47.:Cpurity:•.Fro:p,Varlairrr.flecticii•cto.).
-(t.,. • ft. i. , at.' . , .
3.,*-t:N.s-.(kI*1.7.W.410 •
Al:SCREEN . . . ..•. .
, • ,TO. . DIAMETER I 'SLOT SIM intooloss T'ATRIUM,
waNtS011013Welll:-
32 rt 42 ' It • 2 ii!. .010 ' SCH-40 PVC . . • ,
IlAgfictilittra! . ipt.iiiinicipalfPablic-
• ft.' • •'R.- • -
EIGeotitelotat aleatingiCootiot&TOD Clitesideittial.Watcr Sop*(single) .lit.
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ClitatustfialiCotonteitiO1 Ciliesideottal Water;SuppiS:(Ana) toGRAi.°17",To •
MATERIAL EMPLACEMENT AIEITIOD AMOUNT
CI kticution . . . • 0 :fi. 25 ft. Portland Trere.i.e
• . . Non-Water Saintly Well: . . . . . ... •. . . ... .
- • ft,.
610anit4rilig . 1:111ccoyety •
• • ,Ittjcctina Well: • • .. . ft. . ft, • i
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. . •,•2,. . ....
ClAttnifcrRccitOrgo EliGicoutithratct Rentediaioo. -,19,:',SAND/GRA.VELPACKtiluolitic,tottE,- ' ' -•-„ '
•, • • -•••- -.-,. •••• ROM TO' 3IATERCAL- ,EMPLACEMENT METHOD
OAtjuitigtOragOakt ttecdil.44. E:litlinity tiOiticf 30, ..- •R.,' 42 M. Sand:. #2
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. ClAqUircereit. 051011*;;HCfPnii!fagO
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6 :„iperlaiantoi T cChnotogy liSob§icteocc:dontrOt
',.111.'DM LING ILOGialtakh;idttltieniil ideas'if rteecissary I'. ' ' ' - -
, degetiknimt(Clased Loop); b tmcer .FROM•- TO DESCRIPTION Noir.hamlet%attiretct4 tywprain,e,or,)
1:1Gmtlteitnat(FleatinoiCitotioiRetum) 00ther(explain ontier..121 Ftetuadis) °. •. 5 lt, red/brOwn compacted silt
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. 5 .IL,. 20 ft. red PWR
4..D.SfeWat(S).CBMilletedt 9727-.23 AV.eit M#1.1w-2 0 - 20 It. '34 ft, white/tan PWR
•Sit,Well Laeatftint • .
34 ft, 42 ft, -rock • R r-- ,--„,.-P t
Apex C&D Waste Landfill . . . . . ' ft.- ' ft.- • , .
, (..o• 4..... t:
taCtlily4Thvocriklante Facility ITU fteuppikable),..
R. • ft,-
FX_Lt2023
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5940 Old Smithfield Rd. , Apex, NC, 27529 . . . • ft..- - ' ft..
. .01(vTieipsstiq';:lijOP •V 2tREIWA1u(S',, , ,,,_.• • ,--,04711.4:qm Girm, ' •
n Betonite seal from 25-30
Wake
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CUaittly . . t l'Arce1 Itlamlifleation No:(PIN) • • V •
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5h.,LalitiRIc. iiii.lingliDislOIWOcteceittnitiutscsi.seFtioths tit'.&child-60*i: 22:Cediffeatinar ' I
ftt•Well&Wow tatiloit is.$ilkii.k.n1)
N " ' W fiSit:. • ,,,,. II . 10/1/2023 -
3i gr.30,;*tCan.. •••. 'ellrottraetat': • ' ... . De.fc ,
6.Is(trey the-Well(S): Vetrottanettt or -6Temitai.oty. ify Jipting&it-Aiwa:1!req.47 eert6&tar:thg weilfs1 kits 4*.t.)euriyirircied itkp.rxortinAcr
.with FMArAC Ok;oloo or/5A sA,C.st&02C A.7209 Well CoriirsiettoU•kan;lards and slug ir
7,..Is this a Tetialr*i asi*itii:Atwith: [Nes- or •;f1No ..io ,of thErireliilf his item tirevidrti reiille sir)!rioi4;r, • -
If thls:Iso rOolr.,till op;kofrue itill OOSSIIUCIdufl hVglia47#6,11 illideayiipin rho.normre of rho -
repair roofer.021:et-markt;rain ideimi tha•bailz-of this Arm. . -23:44C.41griim.or zurtfttiqual Well 44ITARS:
You May.use the back of this page to'imniide'r4idilifiotial well sire.details or
8:ISumberof melts Contracted: 1 • coustioetion details. You way itliO•atlacti additional pages If necesSaty:
For iituldpli iRfecilOn.:or oroi7murr supply+i ep.ony oh Ille.saoir.e construdios,you esti
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ssNuit a.*form. SI IBNIITTA I.INSTLICIIONS i•
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9.11601 Well tlsOpflthetoic land stit1iCe4: . -42 ' . • •(to,_.24a...FOr ALL Willsf Submit this'fornt withlti SD.days!of cOimpletinti of weft
For multiple 4,r lislist oll ilepilSifdlifrrriir(e.rmip re-3@200an i(' .2@ 1179) - con,stnitii.o0 to the following:, ! '
10.Static,water leireB below top.of casingi 12 00 Dhisitto of Witter ittits 0 reeS,sInfit ruiatiOD Ikiacessing UDR,
elouter level is dove cosia,,,r,ow . . 1617 l'iLtitSthiceitenter,Raleigh,NC.27699-16 t7
t 1..nurchole diameter:8•.28"/4" 4.10 24b.Fur hisiectIon Wells ONLY: !Itta,dditio n tosetid lug the Om to ilia address in'
244-oleo-ie.also siihtitit 4..c90 of'this fottit within 30 dabs,'of completion of well .
112.-Welloottstruction method:HSA/Air coustructioa to the folloWing:• i '
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(Lc.eager,nstaty..cahtc,..cliicrt Fish.etc4
. Diltiott of Water tiOspurcC's,ilkittemround injection ContiolPiOgroi.
- FOR SVATt R SUPPOr WELLS ONLirf ' -1636 Mali tervIce;Center,Raleigh.NC 27699436 .
24c.for Vi'ater Sttitnlv.It Injectiori Wefts:.
13a,141(gitta) Nlethod.01 tot
, 'Also submit'Olio copy: of this;faint Within:SO daysof cinnillition.of
1.34.-DisinfectiOn, .type: Amount: well-conStruction to the'colony he'olth department,of the coimty'whom.
conitructa
Film Mg. Nenh6rollna bepannnu.of EnVita,MUCill and Natural Resources-DIvislon el'Water Recotrces keviscri August 24)13