GW1--07891_Well Construction - GW1_20231205

• WELL.CONSTRUCTION RECORD FerltmcmaiUsc.ONLi'::
' This•farm san:be•uscd fit-siirgfeortnultipkwelts.
I.Wdl.Cgntractoclttto uththom• r •
-
lJ:WATER:ZONES.
Scott Hunt, Jr . . FROM. - TO DESCRIPTION_
WdtCoiirdetorN,iw, . . it. It. I•
4561-A f4 •
fG • I i
NC.WcIICorn arCeni0citionNutrlict '35 OUTERCASiNG'(foitslti€asctl ieRsYORLINER`(lf.alitrticabk)t .. '
FROfi - ' TO .OTAMF.THR, THICOJESS ' MATERIAL
•
SAEDACCO . . �►. fL I to
Comynurylianre. • ':eGcINNER.CA:SiNG'OR-TUBING.(teatheritllif eluit Hoop•-' _.
-FROM TO ' DIAMETER TnIICKNESS•. MATERIAL
2.WcltConstrvctitin Pei'atit 4: 0 :R. 27 It. 1 ''tl. SCH-90 . PVC
•pi itllal143:061ewe'lpOr.1 11.7.;Ccuru y;seine,l(.riairer,iffectienetc)' .
-ft. ft: (n:
3:Wcl1:Use•(chccl:Wellac) • - 47:•St':REEN "«'aterSupplF Well: tHOM• . TO UTAMRP:Rt 'Bt.OTST7. TRICKNnSS ' I .IATRRIAL i
C111grieitltuial. •
CilvliinicipolPubilc.; - 27 ti, 37 ff. 1 ` 14 .Oho SCH-90 PVC• '
• ®Geothetittat, Hcatin C.00li 1 l ) EiRestideiitial Water Su t'•(sin e1 ' R,' ':rtr. is •( Jli OS R R} 11P} .
•
©industriallConmtcrcial - ©Residential Waters;ppl}'(sietted) - `dti:GRO1Tf:.-.._ _ ., . _ ,• .
FRoyt. To: MATERIAL ' GMPLACE.ytrnlT MEiHOD&AMOUNT
•
ElIni titian• . . . - 0 'ft.: 23 ft.• Portland Tremie •
. Noti=WtiterSurlily`Ycll:' ' ...':
• @6MpnilgnnG. fIRCCoYrty ft. fl.
l tlectlon Welt: ft. . rt. - •
•
GlAniufcrltecliarge• . . thGionndtr,ilcrRcntcdiotioo ,tstsAND!GRAVHLPACK(ir'>yiplicsbtsr : ..
,'s • ,•in' MATSR1AI . •tMr�vDL.IF'T mutton
• i]A•ginfcr Storage aiti!Rgcovet'. d9Saliinity sa•mc nort r 25 rt:: 37 p. • Filter Sand #2
El Agirifcir Tcst 1]5loiiriiti;itcr Ori nagc; ,
ft.. fG
. D perimcntal Talmcilogs E]5tibsidencc,Cannot
,20 DRILLING�LOG7ateach-•addltiooal`ibeeis IIaeccssarvt`
�G 11mral(ClosedLoop) DTricer• .Poore, TO ' r ' DEICIOTIONCCObt%haMnca0oRhictttent:,a ,tsto,(v0 • - -
IDGeothermat(Heati»g1CaoliagRetuml Mather(explain untler.#21 Rematlisl 0 :It,, 10 :ft, red/brown compacted silts '
- 10 ft:' 25 IL red PWR .
4:DiiKi WOO: 10-19,-23' !Wel1.tID#PZW-12 . . • 25 It, •37 - fL tan white PWR
•
Sir;Well 1.0catfoni •ft. f. -. ,„
Apex C&D Waste Landfill il,- ft, . e
•
Li
ti cilifyxlicocrNumc . Faciltl?•tii C+fappli able}... a R. ft. C m
5940 Old.Smithfield Rd. , Apex,,NC, 27539 - - ft.: ft. . nC C COZJ
Physiea1Add_iess,City_andZip ,2t:RIMMARI S' Ant:. 'raisC 1 'r�-^.. r Ur
•
Wake Bentonite seal from 23-25' GWt�r',R«r,,O
County • Marcel l'AmtiCc itlofNU;(PIN) •
iG:.Latitadcanitistiti Rail-!iitdegreds7minute/sendsar'deeirital-dcgi�.�cs: .22,Certitleatioa:
(ituell fict4;uric f itrldua issnlflc r4): ' .
N ) f . 10/1/2023
Pf-..-;tel;.?"
• .Sigi.a,,. aiirractoi Dale
. 6:Is'COI the:well(S}t XlPennattent. or -J7Temporai}' I .stsnini Rhea farm;.!her,L;e'erh(r[kt,th4*erns)kw(t u)l)c4jr tintckd 1 r;Attenr[rrlce
- riltk'ISM NCtC 02C-.0100 fir.154 NCAC 02C:.11:OO•R'e7l Cotrinlicr(nrr Standards and them a
7:Is'thiss a ripafr:fa aA cti tini;y..ell- ®'1'e ;or ONO ' "tt-q'oftll(.r rtcrini i no h''n plririi&:t'ri?a6 mmli oiui'rr
If tbfs h o r4xr)r Jill oo; uouw it 11 olltsirtictt64 l,IJrtrr iatton tmd r_ipraltt dio.rhtritre al Mg.
re(rair wide't2l fmnmiriti worm-ar•im the bark of thiihrm. '23:Sited iSl rum or additional well.detaiLs: •
. Yon May,use the back of this pug;to ptd1de additional well site details,or belt
S.Ikutnhcrof is'ells.coustriteted: 1 COttsuuctian details, You.uta}attso,auaeti"additionalpiiges if itecessnry.
Port ituhiplc.lr fecilOn[rr Taro--writer supply u�etls O?1.)ivItli rho note cotrstruc0ou,you emi '
aa6mit a:4E fume: $UBMrITAL iNSTCTCTIONS•
9.11'Ota.lwell deplli tietoi`land-stirfiicer- 37 - - • 0,). 2-0;t..Far All.Wells: Submit thus'form wilhlti 30 thtjrs of'edmpfetiga''of well
For malg*icrlls�'isr Oil'de ikiiftiOi,Trottexa fro-.3@*7'owl.2@'l00) ' 'constmCtion'tothefoitot<iog:
fa.Static ivuter level lleluit�,tnit of ea itti ((I,) • Divisi�n of'4Vnter Resources,Informutiaa Ftueessing Unit,.
if nuire true'is dboir,c Wog,iise"+" 1G17:11iuil.Scrvicr,:arciitcr,1ialcigly NC 27699-1611,
IL BorchOhe diameter '
8•,25" - (in,) 24ri:Fnrr litfgedit►n Wctiv ONLY -In•addition to sending Ilre.fomr to the address in
24aahote also submit a:cop},of tinss-fottit ivithiu 30•dat's-of.cotupletion at'Well
• 12Wellcandructign method: RSA • constnictionto Clue foilotiins::- I
(i.e.auger,,ro(aty,cable;direct push,.ete:) i.
RivCsioit of Water Resources,Nitdetgt'ouud Itsjeeeton Control.PrOgram,
FOR WATER SUPPLY WELLS-ONLI -1636 Mal[Service Center,Raleigh,NC 27699.1630
63a,)Add° 2dc.For Water Sripply�&liijeci[tin`%elts:
(lryfm} Mcchatlaftcs� Also submit'one'cop}y of this fdini Within"30.;day'sofcotnpletion.of
lib:ifisinfietian,i♦-pei Amount:- well:censiniction-to the county health department of'the candy where.
- consttocted.
• Farm GW-1 North C`u ellna Depurtment.of Eu iranntcrti and Mat'Resources-9h•it bo of Water RewtiraK -Revised August 20l3