GW1--07896_Well Construction - GW1_20231205

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WELL CONSTRUCTION RECORD' reaIntertia11*.ONLY:: . . ,
' lilds•formean•be•used•fiirtingteot multiple was" '
1.Woli..Ctititrattuir Intolinn1Lott:. • .
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't.s:WATERZONF-S,. . .
Scott Hunt, Jr PROST. .TO DESCRIPTION
Won Contrainprtimee; 25 ft; ft. fracturre in pwr .- - • .
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4561-A • ,
q&.OUTERVASING1forinittPnisainells1OR LINEIttiflui tiestki. ...
NC.Well Canino:or Ccnifialion Nuwhei
FROST - •. •TO -• DTAMETER, • TITICKNESS'• MATETITAI.
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AEDACCO
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Company Nemo, - •• " • 46'.;INNER CASINGORTURIKG:fggethiithat elekil4oiiitly.`.- _
FTtONT -TO . DIAMETER• , 'ITTICKNESS'. NIATERIAL
2..Wr:lICConStrnetiakFcr14 itlii• • 0 :ft, •2 0 , ft,' 2. I :O. SCR-40 - PVC
• ii.I.i Oil aP01010$.941 Pe:714(iie.-epuoity:'.5.4wr,',Variquce,fifectk4 a:).
' ft - r I':14.•
3,I.V0i*S (0;;14A(It50 , • ,
. . : -.-17:-SCREEN- • •Water Supply Welh• • • - : •E1101,1- TO 'DIAMETER' STITT SIZE 1111CWNESS• MATERIAL
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0 AgnilultittaI CliqiinidipaRtitdic 20 ft 30 ft 2 111. 010 SCH-4 0 PVC.: • - • - • • t •
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1:1Credtlicrmal(fienting/Cooliug:Stipply). .C1Restdentiat•Watir•SupPik(stngte) . ft.: • ,16. -.in,I
. ClInduArtaliCoututcrcinl. - . Clitcsidential WateC Sop*(slutted)' '18'GR°UT!' - ' -r "''`:.'''''' ' '-'-' ' - ' - ' -''... - -'- "-•
PROS!. • ' %TO. - . MATERIM. .CAME-ACM[1NT MEMOD.D&MOUNT
El Irriputian• . - . - . • •• • - ' • 0 ' ;•ft,,:- 16 ,- -Ilk Portland Tremic
NotiAirajtcr Stigtply WOE: . .r. ft . .._. . . .. . .t. .. . . . . . . .. , . ..
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RMOIiikititig - . lZIRccovcrY • -. - ,‘ , ,
• Injection Weil: -. • • • • - . :ft. ' 'ft,• ' I, . • • • • •
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: • ClAiiiiifirltiClintge- - . 17,1tOtidiftiatci RcinO4inlio8 : =19 SAND,T1RAVEL-PACK(ifiiitp0icabter - - -.--?.
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ilAintiferrSfoftigo:titilftcCOety, r3Snlinity Sitffic!
. ....•..., • --- . . . 18 ft.: 30 ft.- Filteri Sand #2. .. • ,. ..-, ; ., ,
El AqUitcrTcsi • . 1:1Stoini‘Vatei Itlnilitrigc-
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itiglxxintental TechnotOg IZISithidcucc't intim( • . . . . .
•• . ',.20:DRILLINGLoatatisekadditioniil itieetiiinee6-sar01
e,Tentitenual( ltised Loop) " ' - tin:deer -' • ' • . 'FROM-' • TO DMERIPTIOR(cokir.hamMis..sillAixtt Otx.-nrOci*,...MO
CIGmthennal(11cating(COoliti2 Return) . 1:Other(explain,under.#2l.Retuatti.$) 0 :tt„.. 30 • .(t. red/tan pwr
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•. - ..i. Date Weit(s)Oiiitidglidt"1.9.-2573. Ai/CU IlDitmw-19 ,_ 1 ' • . • • • • • • '
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• S1-1 Well LecatiOtif • . .(L.• ft, • 1: Cl.7"." '....N;r:,.., .• . . •
i-,..-, let,..L..,._ .1 I r o r r....,
. %'.... 17 il t f i..-)
Apex C&D Waste Landfill . • . it... . ff4 '
• tecilityii3woir-1.14nK Feeftity iIi#04Poii.014,. ,, __ •-•,_ „._..__".....,--;.----a Ee...0-5.....20tr...==.,—
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5940 Old Smithfield Rd. , Apex, NC, 27539 • ' (L.; : .• TT.- • • ' - IftfOrrrt‘74i.7ft rr,•0". ••• •
iili,16.1b.1_055;,CitYa.04 Zip -2.1..REniAit1cs-. ' ulivi...yltr1(.1 - • .
Bentonite seal from
Wake • 16-18' • • •
Parcel 1dentiriciiion No;(111N) ' ,
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. . 50;Entilinle aiii-LOnglintle in tiCgrceihninuteStseCoilS.0 irtikOt ci4tic$:- •22.,
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• ' • " .W. .. , .c..c.,.it,t•iffeat,,Omellftuoe,taloiiinufteni) ,„. ,. ,'. ," . •
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10./. 1/202.
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Sipa .ofCen 41c ittai Gale -
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6.Is(OM lheCIlfiftt,X1Pciinanont, 'or 'CreinpOraty .. .. . . .•• . .... - .-.
fty iOlin.Mix'*inn.1 Irerrhy.reroXi Alai il3v.waft!Isie.s.Iiitri!i..4igiturre4 At ficeenetroice. '
.1i:ii1i 154 Mc:ie.02e:0100 Or ISA KCACi02C:172619 Well Omit:Ode:co-§tonlares and Air ti
7.Is thts-a repair to an eid,itiFye#1:!." bYes", or 'it INo ••eeits9f rfi if"iced n1 lig 1,,en ionfirfmi raithe‘411 Oirlier, •
If this reklr,./ill Pori:no-44111:TH 000.3713,OdOti igfOrroarlonoirl Osplob;rh.'noreire of rule
ripair toidir#21.-rernarks':xectian'ae-im the back..,of this fprnc... - - . • .13:Eite.41grnatitr_adtlItiottai well tletaits: . • •
You Way use the bach of this page toiptosiiile".ailtlifiotial well site details or null
- 8..Nutultetof Wells Coastrutted: 1 • • -cousimetiint details;You indy also aidtlitiOant!rakes if nreesSOty.
For;Ouiriple Itgjecilo)kirr tiOir-.1mre,r supply it.ells QNLY it lilt rlii 1.soolg&agrarian,);Olt.r,OO • ,
sp.Onth.oi0 f Om. ' SI IRNIITTAL ISTSTi_TetiON§
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9.144 iVell il6pgli Iticedilattil stiifotei , 3P • (1,1) .214 For All Welk Sabmit this iarat within 30 days.of.:,OtaptetiOa'of well•
For ioolilplellslisr Oci deprizi ifdlifer4int(arapipte-3C,200'and 20 WO) •-- CORSIRICtiORTO'Ille•foft0Diag: • . ': ' • • " . • •'
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tO Static.ivater level lielort.tap.of cashm: 3. _ . , . - • (6.) ,Rivislita alW,iler ReOultirs,inforniatinn:Fiiiiessing tlitit,,.
If weiier keel Is.dine eiliftit„,'life"+" . ' tOl.l.hiali.Setilee Olitir,Raleigh,NC27499-10 t7•'
IL.Barehoie iliamden 10.625"/6" .•Li ) 14b.'rar itifection WcIh ONLY:. In addition to sending..the form to the address in .
2.1d-iiheie,.also submit a:;Coy of tliis',funit‘ iiltin,30'class-of.cninplcitioU of welt •
12.--WO'constructiou malted:BSA/Air Cellitilltti011 t&Ilie folloMu8::• 1, .
fie aupei-,i,olgy,e,al?,ie,',direct Pusketej I .
. . - - • Rivhle it of Water ttiesources,Undergeound fetiOtiott.ContrOlPritgram,
FOR WATER SUPPLY WELLS ONLY:, 1636.14,18.Service Ceitter,Raleigh,NC 11694636
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• 14e.For Viintei-SupOlv.&Inicetton.Watts:. •
13a,Yield Willi -'31eiltuit of'mit:
Also sobniit.Oat:ciiiv of thiS-Ilinn:n'ithitt'3ft:day's of cOmpletbn.of-
13b.-Iliiiiufcegun,typct, Antiumtl.' • 'Wcil:c4iilnictigh-to the county hc ail dcpanmenvoe'the coioty'w4c,W.
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Fari,GW-1' Noah Comdata ik-partment.of Emit-earned 34 Nanu.al Resourtes.,DiivisfouoiVoter Rtotroz 'Revised.iiupint3013 . .
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