GW1--07895_Well Construction - GW1_20231205

WELL CONSTRUCTION RECORD •
Filrinternaii*plkity:-.•
1;10.fans cat be'used(di iliglo sr multiple*elk
1. .
WO:11•Catttinetuiiitf0rittitticHlt- ' • • . ,.
. . .... • •
st4tWATER-ZONES.
Scott Hunt, Jr FROA1, •ttl - seiCRIPTION• -
WCII tointrattSrttsni4.- . .. ft:- rt. • - - I I . • --
45 61-A • ff. . I
- ,
NC-Well Cantfactor eel-1111=1ns Number ','ISAIUTEttCASINattinttkikdrwerlsVORLINERIRSti'litableIt ,
nom: • . 'TO -- "DIAMETER, - 112110:NESS - • MATEIVAL
•
SAEDACCO . . . ,• -
. .
Conouq•Name, • • . . .',1aINNEFiCASING'ORTUHING(iSithiiiitil ehl -loSit(7..,'' . •
SR031 .To -• DIAMIKT. CR' , TERCKNESS. ,, MATERIAL
2AW:11(COIli011ifiRil sliCilii it 4: . 0 'ft. 11 ft,• 1 i III," SCH—40 PVC
4ti 411 apyil.icubfe h'perytiipt.e.Cpsoty.;-.401,..troriairce.fr.11004.1.410' . . . .
•11.• . - ft. . --..I •-•tl'' .
. . . .
3..WeilLtisO-(e*Ic WO ti...,ic)sz • . -17:SCREEN . . '. . .
Water.Sopply•Well:' - •FROM" - 10 , •DIAMETER: SIDTS173: TIOCKNESS I MATRRIM,
...„ . , .aftiti ,
• 121Agricultitta - • • •
gidipatiPublia, . . 11 Ft 21 It. 1 • 10.1' .010 sex-40 PVC
- ' • •' •
•
• CiOstitheimat aleatinktooliag'Sttiviy): 1:1Restdefitiat.Watir Supiilk(stogie) ' 'ft' ' !''' • 'I"'; . • •
" • r ,' . -_.
' 0 InduAttal/ConunaCial - 1:Residential.Watet,Stipply(shared) IttGROUT, ::
FROM. ' .-10. MATERIAL. i EMPLACENIINT 51E1110D&AMOUNT I
, El kripation . . . . . . . .. - 0 . . ...ft.' 7 , . ft; Portland - Trende
• - Nou.:-Witer SO*Wen: . -
. .. . . . , .. . . . . ,, _._ .. ._ . ., . _ . . ...„ . . ..
to
. . . . . . . ft.. • (4,- . ' •
.mstnitc.irilig
'carta:Q.viely - .IttJect too Well: ' • 'ft: ' rt. 1 • .
. Elkituifcr.BcOi;irge' . - Ocii.9tuidiratci,Rent4iiiiiop-. 492SANINGRAVELTACKlitajailicON11-
,. . -..:,.-. .• „ . 414014 -- TO MATERIAL' ' Ss1PLACIAIKNT strrsou - .. .
li
1:1 Aijilif g atg!er:$10raegifew - -iialiSity Bair)ei: - .
—...,... 9 •R.. '21 ft. Filter Sand I#2, •
. El Attnitsit6t- gliSine•Orittage• " " • ,
,. . . . .. , ., . • . •ft.. -.(t,
• DE:;:pciiniantal Tech 'oolon.. p,,SubOdettectotitnal.
• ,aw•DRILLINGIOGIaltieli idditian'al ifkaffilsecL41sinf " •
- - infOzOtitenual.kclosed Leap) - .'El teaSer, . • • ..FRO31, • TO'' - ' 0FM010.PTION(o)bn barlks,vgnsnlypegrais Itin7.40 • ,
. . . . . . , ...
1:3 . t, •
. G.VtIletinal.(HealinSiCOOlitlg-Retum) it iither.(explaia tauler..#21•Retuatt 0 f, 21 ft, red/brown pwrisi . . .
ft., . ft.. . . .
4 Dath:Welf(s):Campleted:-972 9- 3 -3k4.1.1111/#1.3.zw-1•9 ' • ' "
. . 'ft, • ' ft;
. .
•
, .
54Areil Lkiyatiuti: . .
ft.
. . :
. _
Apex C&D Waste Landfill . ,ft, ' - r
IL'
_...„ .. . .
tX:00.1.a:Tiqiim4 Ficeilitr 10#4407010. . — .
Ft . - , 'fi,. " ID (....4..' URN•' '
R.
ft. foir 14.E.Con.::5203ix5ae44 . .
., ..
5940 Old Smithfield Rd. , Apex, NC, 27539 : ' . .
• Phrkii4lak440gs; it'-:•.4.114 4 '• s21'.RERIAIIKS-. • •
•
•Bentopite seal from 7-9'
• Wake •
. . .
County• _ Farrel 1(kntiflemion No;.(t411). . ' , •
Slit Lititilde4Nitlittgilitil6 in dcgrcrsiminuiteV*iimtn't rdcriinni degrees:. „22.,cittificatii•,,,, • .
(it%I-01404one 13.1flong iicstc01a.kni) • .
. .
N 1.* ___Ifid—,• : , . : 10/1/2023
*- .1 1.W..i
• . • Sigesi'n: 1Cenll:ententa - • ' Dale
.
- , •....- - •.•.. .- ... .:i. .
. ' 6.IS(0[41110Vell(s)::X1Penonent or .LITottporaiy . ify.siriing Mit-Aim"trek;eettifir Aty::64 we/ifs)t-ar Os'tiriq cire)4ifilczeX1 In fneyeirdwier •
.. - ,.1 iirh'1M,IVCAC 020;WOO or 254 svp4c12c..:.w0co weir Cogstrortion SrarXi'er.nis eirid that d
. '
7:Lii•thisa ireitak(O itO'grilitiog v Of .014es' :or it%) - • 'icitietitkieOni Iiiii..been ptilyitleel rii-ilre te,,:11 flieli,er, '
Vrks:k.a rgixiii.fill an kpiroli.,fromigructo,ti litfproir7i)6n drlid eiplqin the iterate of rhe
• itiliairrailki'P21:iiintinti'icrtion ci-isn the baik.e,fifth form.: .23:Site iliagrootor additional v6.01 iletiiits: ... ' .
You hay use ill).back of this page idioiide.AddOonil well Site iiiititi,4:or belt
8.-Nutitheirof Wegs con$nietedl: 1 . , , . .coosiniction delait'i. You ina'yalsO,at'tieft additional,pages if titeOSSary:: • .• .
For AitaliWittfee01-ii;r:govi:•ittirei'supplyveys..ONLYiritfi'thestripc,nxistruilkin,yioaoto . • . -. .. ' .• , .,•.- i
..sabsCittiSefOns., - - ' .- - '- • • SLIBIWITTAL INSTUCTIONS' i.
.. .
. .
0.•Ifotal.*41,deptli lietoiviland stirfate: • 21 • - . (ft.).•:144 Par All Wills Submit this focal with*.30(tais:of coingtoiOn.of welt
for mithiplvils list ell 4408.ff(*.Foy texcafpre-.S@ZOOtdrid20100) '- .constmettos to the follow tig;. •. •
. .
la.Static water;eve!Oeloyr top of easiimt. . (It) Divisiiip of Watei Reiou ,Information Frocessing link,
,. _, , . . -
.*Ittiove/4,1,e/Iv idia IT f'diffq,.ate..4.", • 1617 Mail.Seilic0 Ce4fcr,Raleigh,Ne.27699-/6 17
i
'Ili-Roretuiie diamCter;8.25"/4". . • •(In.) 246:Fig-Itijeitiott We'll ONLY': tii,addiiion to•seoditigIlte.lam to the addre%fa
240"ab60,also submit•a•.opi*-of this letat iiitkia 30-d*s'of.colopletion of Weft..
. ,•12,Welyeonstructiou method:-HSA/Air • . 'consiinetton to the folki‘ting.!:r .
fle.atigei,0)6R',Pal.AC;difCC:i puslf..ete: - • ' - - -
• . ,PivIL4Ipit of Water Resources,VadergrottOd IttleCtlien COotrOl•PrOgram,
FOR WATER SUFFIX WELLS ONLY , .
1636 Milt_ erTice,Coiter,,Raleigh,NC 216994636
. . .
. • , . Ile.For Watti Soionlv.&Injection Welts:, ..
,
13;10field(dim) _ - _ Mithod-oft
Alsd.,snInnit one- "cony of this:'faith i Within10:003*of conifiletinn.of "
well:ebitIturtiOn-to the county health'department of'the:coanti wliete-
131).DisinfectiOn,qp-el - Anthont:. -
' constructed.
I ' -
•
Farm GW-,1 - NonItCStalina 15,:p-aanteni.et Environment and Natutal Iteourecs 1:(h.isloa St ArnIerRettnrap itevised.August 2013
. .