GW1--07894_Well Construction - GW1_20231205

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WELL CONSTRUCTION RECORD Far irmnl tlsc ONLY:. '
The+fond sari be urnfai:siugfc sinker tnnliigk wills-;
1.Well:Cnittractoe 1nfnrtitatlon: , ._ ..
i'Ld.1YitTititZONFS. - . -
Scott Hunt, Jr FROM. TO ' DESCRIPTION -
Yea COutiaOorNast4, 20 ft: 35 it, tight silts hard to determine . '
4561-A •
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NC,WellContfacttirCcrtificittosNwrhe `LSD[1TERCAS[NG'(forriiitlI-*iittP4tlsftRLLNERiif>lnapevblcj, ,
FRO3f • I To ntA�nv,•r1 R ' IIIICT. ss•" _MATERIAL
f4� , rL.
Compaq-Noma.. t54NNER:CA51NG mft•L'frBLN.'(t lrotberatut'el ti loi nP,, ,' .
• FROM ' To tttAME'CRK., 'rtffCNNF.SS. MATERIAL •
2.Welt Construction Permit 0 -ft. 25 .ft.- 1- i Sex-40 PVC,
L,sr arlt aniiii ubl I pranri°s.fi r.Ccu ntv:•Stet.:,irariwrcr,if fee rrf rtc,P . - tL h. i>t
3:Wclt_Use(cbvdc,eidl rise): • ;I7:54 ItEEN ;
Water Supp1L WAIL: _ .FROM• : TO. urAHVTPR: MMOTSf71: 1111CR tESS- , unTRnr tr, r
' ' l:Jrlgrteultuial . rg4daictpi1/Piitilic- 2s_ it 35 it: 1 In 010 sex-ao rvc
. fG il:. iat j
• l Geothx:nnat(T1eating1Cooliug'Suupply), I IRes dentiat•Water S upiil}.(single) .
®gidustrialICotuntetcial ClResidenfial Watef Sri ;tB 1,1, , -_ .. ....,:-,;
PP '(slLlfrd'}'. FRorr. [u. ,rfATERIu,` eaPLACert rhfErffan,FAuoovr-
Dlifit attian' .. 0. ..'ft.. 21 1. • Portland Tremie' . '
Non Wi�er Supply Well:. ,
f Mgnitonng _ • IlRecgtiet}. ,
Et1Jeetion Wctt: . ' ft.: ft,
tiAtlttiferRctlrargc IlG0tndtratcrR.cmcdiabiou.' 19i`SANl11C.I{AVELL•ACKiifuiiItlii'�Dlt•i - : "" . = •,.=
•&Ron TO' 3fATPRtAL RIIPLACEmENTmETRRon
• • i7Agttffcr Storage-anvil Re0yei3 l7Sahnily.Battier 23 •• •R: 35 fL Filter,Sand #2
i7Agtrfier Tesl CiSlviinwater•iursiaiage.
ItIEVenntcntat Tcchaoto 4 l7Subsirtcncc: annul - •
It.- ft. ! _
• 11VOR1LLING�L:oGfaltaef addiiioiialihralifiteccssin. -
DGeo11ulnnat(ClaseilL;oop)' DTr.ieer• -FROM, -TO nrsCR�nO:�fobr.haiirw ,XIEMCitytx:,$La"+A%sfr3
.
DGeotlteIuIal(fleminga'CooltngRetum) Hillier.(explaiftunder;#21 Reruaiiits) 0 ft.. 10 ft, black/gray silts .
10 ft:. ' 20 ft.' tight ;tan. compacted silts
.•f.•Data•WalI(s)•Canhillttedt•9-28-23. W411D#PZW-14 _ • 20 f. 35 fl: tight 'compacted silts/pwr red
54.Well Eneatttin: .
rL ft. �.'*•_ r
Apex C&D Waste Landfill fl.- ft ''�' + ,, a
Facitiip,Dd•ocrNatma F'orlIW 1Dk Zifapplicuble), d
- :fi. it, i; EC
5940 Old Smithfield Rd.. ; Apex,,NC, 27539 . iG fi. . . ' '
P10'.* )Addtess.Citp;;itiai l xREINIAl • Inb .1.:.1 "`.'= E' r
tsa
Wake
Bentonite seal from 21-23' - �':eCtiBto ..
Cotmly Panel lt,itiOrtwpion No;onto , ,,
SO,faititiide ind l en tails iii fl - 5lminufcslsf eond54r'dceiftatl'tt L'CC3:eg�et -.22:,Ccrtificatioar
O.tirell fictd,*tie lainoit 1x stdflei.to.
Igivi'l 1
i. d • 10/12/2023-.Sigra Ye•.Will Cantracter- ♦ . Dale
6:Is(;ttr.)We\ve(I(s)t;x1Penntnteut• at' 17T'entiorarr f1r.vigrtin.thin J6.rne 1 hereby eerhfv 00 she netf(s•J tsar(tiwrel cYrrsifrifeterl hr;mr:orrfiefre •
- •.i irh•l54-ANC.0 02C.91ps orrI5A.1t'CrtC'02C.'1.701?Wei/ColcFrrtcrfw"Srarrt(artfs and t at er
7:L,this' at twit tic[a ad ezisim,s ell;' DVct, .or ®Ni} 'ir+iir,'offraf r.coni bilk here i.rou fed fo ilia tneIl tncr_ier;
(f rhts:tr a repair fall rnvrkon i0 ii;It a�a urtn'erlati 14srttrarlovt wig!r pf<hr the/nrrare of the 1' ;
reiiarrtarelet'ds21 revnterl srrinrn arivr the bitil of this forric : ' 13:Stte db1tgrant or'•additional sett detati1S: .
• Yon ma} use the back of this page;(o provide.tdiIlionai.011 site details;or•tselt.
8:1Ctatnlierof.Welts cotititra ted: 1 coast netiortdetaits; You inay:tlso atlactt`:rdd;ilonat pages if itecessatty.
For ititiiiige..IrtjthipoW'r!Toweer suppiy itcfds0NLYielth�he.striaecorrsrixeritott,jou-e+ard 'i
sar(rmatwie fortis. . :. suuMrrPAL iNSTUiCTIONS f• ,
9.Totait*elt depth 16:loic'Iand itirftce • 35 -- - . (ft.) '2.Ia. For Alt Win $ubritit this!faun‘yilhitic 30 days cif anmptciiau rOf 4relt
for it.11Vpjoiee//r'I7srhEIdtmi*I(di�ilrrntictettOte-3el200°eat it.;2e1410) ' '.constri"ictionta the fottoitingg: '; ',•
10:Statie_ivater.Iei'ellbelpsv top of eashar.'20 • (D) t}Ms'sau of Water Re.ourcc t,lnfitrniaftanPiidi.essing-Unit,
if itvinr keel is hboru tvlsto,;iue"t" 161714iail Service CCtitef,Italcigli,NC 2764'J-[G 17
Li,Borehole diameter.8••25"/4". lip.) 24b::Fier Ilidediptt Wltetf.ONLY: tin'addition to•sending-.t a fomrto...he address in .
24aaboN:e also•submit a copy ofa:copy-of thiS faint within 30 diWs'of completion of Wilt
12.Well etrnctntetiou method;NSA/Air colaSfincUatt(tithe follotiving;•'
(i c.auger,iatay,cubic,direct punk etc.} .
- Divisionof Water[fcsourcc-g,Uttdergrouitil Injection Control:Pin_gratty
. CGR WATER SUFPLY WELLS ONLY1 1636 Alit Service Center,Raleigh;NC27699.1636
D'3a,:h'icld(gym). 1''Yciltod of test: ?4e,For WAtii^Sulinli,St[n.. .- -Wats:
Also submit'one eopy of this form within 30daysofconipletibttof
131r:Uislnteetiun arprr Amount: ever!constnfction to the'calmly Wilt*:department-at the coin*nbcie •
y - -. • constricted.
' - - PenaGW-[ - Noah CamhrraDcpaamsts.ofEnIitatuucanaildNaturalReteurces-DivisionofWaterRgaat Revised A ugtel2013. '