GW1--07888_Well Construction - GW1_20231205

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WELL.CONSTRUCTION RECORD VC:Internal tAcoi‘ity:. . .
TF4s.form can basal]aft stitg19.or tmiliiiik wcIla•
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I..Wat..COotrarter.NfortitAtion: . - • - - - •
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f4:1VATER-ZONES. • ,
John Eisenman : rtiONI-." .TO 'DP,SCIttPTION
W011 COtitrador Narrit-: ft.:
...A. H. ..1 . . .
4 439-li ' I
NC Well Conttactot ConifttaioaNtuuber ,-A&OUTER-CASING'ffiii*.iiiittlPernitIrsiellsi ORLINERtit-aW ticablef. ..
FROM - TO - ,-IttANIF,THIC- - intuastss • ITATEtilAl,
SAEDACCO . .h.. :tt. , -. . ...-- .t - . . .
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, ComstakNama:: • ' ,I6,INNER CASINGOR,TURING(teidilictrerad'clak(140iiikty-' _ •, _
. . • . FROM ' -TO DIMIETER. TartcRterss• 'MATERIAL
2..81111 to nstruttioin Pontiff li: • 0 'litt 40 ft. 1 l• ;"'1II. SCH-40 - PVC
LirittlIski/i41e,till4 permit*fre.Crwitry.;•Swei..VOriaoro,.100'0;074
. 'ft.- - ft, ' 1 -'ht.. . • .
3.''W.CIIii.ISO-(irlt#Id!I1S0 . . ••'-47:SCREEN• . . . . .
- .- W,StOe•StIllitiy _ - , Faust. , TO I'DIAMETER .'SLOT SITE TOICKNMs ItIATEstAt.
Will' • -
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. • ClAgrkujitttal . , • •. • •
LlMtiiiicipat/PA!ia. . 40 It 50 II! 1 - Ia. i .010 SCH-9 0 PVC. •
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EIGetititellIttlI(lileafingtooliugStipply) .10Restdentiat.Water.gonilk(s(single) I .
ft;•. . . . .
18-GROUT .
ClillthIStrialiC0111111.4fCitil : CIResideatiat Water.Suppli•(sixttOY. '- .'osi --...4-6,..
.NIATERCAL - ENIPLACENIENT'METRO')&AMOUNT'
DIITORIIIIIi. . . . . . 0 :ft. 36 ft, Portland - Trerai.e'
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NotrAVaitcr Supply Welt: • •
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. ' EMI otiittitinp - . . • 1313,eco.14ty • ' , •• • „ ' 'Ittjecttott Wdl: - • • • . .. . ft. . • rt.; • ; ' ' .
OA4tiifrit4liargi • - • liGioulitlwatet Rolitcdiatiou, - ,,192SANIWGILWEL.PACKfifigittAiontal"?- ----' r.'';',--.7 '-: . •-.". . -.--.,7 -
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-n1011 TO'• ' atanutut I.' • -8N1pi.actati:NT Itirrtion
. 0A8111(Cf-Sh:HOgc•attz!Itectlyeky. .0 alitif"Eldiriei.:
....„... • , . 38 ft., '90 ft, . sand I: - #2 *.* • .
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' . 17.11tetfci'Rif IZIStOti-PotiOtt
I.
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..,. . . . ,. . . .. 'i . ,tt..
DEVeripictilal TcchrOtotr. PSfibOdcocc..tdOtrcit
.,20:DRILLINGLOG(attsChltdditioaitl skits-ifteccessirSf - -•
't:10etilltennal.(cleed Loop) . • *E3Tracpr • • • -- 10 • DESCRIPTION(oalir.hantneti,tOrmck opt:area sifts,dr.)
EIGNEllentlartiiealitIgiCOOlitlg%SUM/ Mother(edplain•aider.421,Rotuaits) 0 :ft. 50' ft, .Silt/,and/clay
•. . ft:, ft. . • •
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4:Date:Well(s).031iiplele&18-1-2- 8 Welt[Dig PZW-20 . . . •. • L.--; •••••••
.-, • • ft: " ft..
. . . . r i,i... T.:. r•-•a,,5 ,
' -54.Wdl Locatitint •
ft.
- ;f•L -.... tz" -?,...,_•„,.....1.4
• If1c.L.,,- .
Apex CsD Waste Landfill ft.- ft, DEC.0.:54 •
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t:Ic0 !Olvocri9nme • - - Fa.41i*iDAA Ot.appjk.:-ablei ft,.. -
• ..r,t, .
„ fflfor, .,,. . . •
5940 Old Smithfield Rd., Apex,.NC, 27539 " ft.- fl. ' - : - - .
1kic
• - 0144.120G fl2 thrtl,
- • • .• .. . -• .- I •• ,1.•.0- 0 Ai41! 5;.a4'-11.04 PP ' kn.:.REMARKS' ' • •. . •
. Wake • - . Bentonite seal from 36-38' . '
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County• . . Parcel 1(kutit*tiion No.(PIN) , • .
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' Sli,..Littitittland:LOnAiiitde in dcgtvadmiitutcsise0o0 Or itccion41 detro*F. .22:Certificatiorm 1 '
(if.% u nod;Dile,iatitotig tirsitinitei) i.
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::_;....,---- ' ---------- 10/28/2023 •
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• .SigFatum..ol ,.........11.STiatatli;.•C---77 .• ...ge.6.19(ere)the-Welf(s)t ilOentrattent or Efremporary ,. . ..
)4-0" ' 71•7-litc.00-t-4:4 . --if"•',:s*.r.:,-,..--i-••••, .....-a ' . ..„ . ..
py..0.„9thiii..,...i.,q,9a„. 'le •..e.wg..111.1:nu.:,91;.!,.:441,i?::ifiy )trr4lp!Clefl 1.1fSerNanViider
. , , • . • ••Oh'IKNptc 02C OiC.41200 Well Conshprrtiin Sranoerrdseind than
Is this airrcfraleftt an.ciiStin.gwelft Elyes- or EINo TrOof;lily ieciiiy1 ithk two?if:milledratter sivii iiirrier,
1,'ill(s:17vg ty,OTOr,fall ourk.oivi u'Cilivigrtradori WorytatiOst ed;1.i.i.plqht die.moire of the .
Op*woke#21-reolorkt seriiin aeon iticluick of rfri.vforin:. •- , . ,' 3,i 4itediwitm•Or.ati4.411.1M11.WDLOjL;TaitS1
'You may..use tile back•of this peke fa*.provide"adifillotial well site ditgils:or*ill' .
8:Nttotherof ki(ells Foustmeted: 1 . • . , -coosttuction tietaiti: You in aliO•attatft additional pages if treceSity.
For'Analtiple AgfeciitirCor oroi-itvuer
q.grouir.o:1!f firm: supplylT fpONLY m NAY -
r' - ' y' SURIETT ,6gructiON§ !,
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9.1rotitAvdt.00poi beloW•laud stirfacit: 50 . •(fie).':24.lr. For Alt Wefts •Submit this.iiinu within Stl thtyS.of,paruptellOtt of well
For Otaiziple ireilali sr rill&Arks'Marren:leroolpte-3€,200'ant12@ IRO) 'constnittion.to fite taming-. ' - • ' ' ' •-
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ill.StatieWater levef.below topof easing: • . (ft.)- ifisisiOn of-Water RctSourds,Inforofatian OrdeeSiing Unit,.
• 4iliyure tfs'vf Is aliopu cask*.&tr."+" . . .. IGI1,11LailSaiice•tLeiiiir,fita,lei411,,N •11699-1617 "
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11.•i3orcludc diameter:8••25"/4". -(la.) 2413:&OP ream'Wells ONLY: Irtadditionito•seodirigilie.ram to the address in
24aaltoie,.also submit a•cOpy'Of qiiis faint willtin•30'days'of.cotmletion of Well
12.-WcIrcoustntetion method:NSA/Air • •eons suction to-the following-'
(i.e.auger-,rotary,catile,direct poslt,.etc:)"
. . PlviSiloir of Water Riesou reett, tl.,iittergrottod Rejection Control Program
FOR WATER SUPPLY WELL,ONLY:: ' 1636 Malt Service Center,Raleigh",Nc.276994636
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• 24e.For Witt&Stippl &Eitfreitint liklEs:.
. 13a,-Yidd•WO Isfefliod of tat:
• Also•sttliftlit'one cop of tins:'fecal Withitt,10:days of couiPletiOttof
1134:DisinfectiOn.orpo . . . Amount .well:cohilniction to the county health department of the coantywliero•
. ettaStrtictcd.. .
•Farru GW-1 NoniCerolina 0,.-part mere.ef Enviroluecnt or1 Natural Rcsourccs,PRisloo ofWaierfreatrt itcdsed Augtst 2013,
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