GW1--07899_Well Construction - GW1_20231205

. 1.
WELL CONSTRUCTION RECORD . Ftit Tercrnal irsc.04f.:V:.
11*.fono sat bc.mwd aft siiigto tir tmultigk was'
1• • - •
1.'4110117iitttritttot PefttituAt!ottt- . . . •
• ,--.14.AVA1ERZONES..- • " ••
Scott Hunt, Jr FRONI, ' ITO •orSCRIPTION
Win coiiituCtorls4irno• ft; ft.
.14 ti-.
4561-A . •
tS-,--.011TER:CASING:trite.iiiitilk-44iidlii-tfhl OR LINER:fitlitiOrkilaki-, .. •
NC Well Contractor Cat ifkatioa Narkter
-FROAI ' •I-TO " DIANIETER', 11FIKUNTSS.- • 'MATERIAL
•
SAEDACCO I i ft.- I, !!0.
Couviliq-tiaptc, • r,-18,INNEWCASING'Oftlf1D8INGltheiteat dokif-lo -ii,012...•-•'
FROM 'TO . DIAMETER• TIRCICNESS: - - MATERIAL
• 2..Well:Conitivrtinit PerrOit lit; . 0 ft. •12 •It, 1 l• E't. SCH-40 PVC
Lisi oft aiyilicabli we'll pririts.(to.County .VOriarr.er,-140001'.0'0' - ,
FL-. . • ft, • .' '1#...
. , . .
. ..NY,r.,.1i_ii (th.celi.welt it0),: . • 47.:SCREEN - . . . •
• FO051, 70 • tRANIETIIR •storsin TIIICKN'ZS' MATERIAL
Water Supply WOII. ,. . . . . . . 12 :ft. 22 -'ft • 1- , -11..' .010 . SCH-40 PVC
atigrkulitira1 pMtiniciFti)P,ttb.pc- ,
. An; • •
C3GedthOmtat(Heating/Coat*.&TOD:. tIResidentiat-Water Sup*(single) • .1ri! . .r!' . . . .
„
Olodustfialltoutotercial OResidentiat Water Supply(sittd) -tiGARI°.T.IT.'.:7-.-0-'
NIATERIAL -ENWLACEMENT MEIMOD&AMOUNT
- . .
El kripation . , . , . - 0 ' :ft... 8 , . (t:, ,poitland , Tremie
Neu-Water Supply Well:' . . • - • - .
ft,
. - 0Monitoriag ._ - .. . 014cOvew, - ' . ..._ • , • •
.- . •
Ittlectiun Welt: • ' - It. . ft. • .
•
PAquitriteetiargi ElOtOutitittat4 Radiatiou. 14'28A.NIMGRAVEL,PACK7ildittitkabfor . -----,:-..,--.'--:.-- . .--•'-.-.:•-',. •--
,.... .. ..•.• ,.. :WHOM 10 _ MAXIMAL ' - RM.LACEMENT M MHO n
- • 0 MIIITCE$101RgC:Oil RccOVOy' PSalitisityTairie( -
, . .•.-... ..... 10 ff., 22 .ft, Filter Sand 82.
El Aquifer Test . IZIStainiii6tir Bratiogc •
.... ,_ . . - . .B.• . ft. •
• • DEVetimental TOlulorogy •- '- . : ' •
ElSobsikocc_toutrut . • . .
— . .111.-DRILUINGILOGIaltakli•additiohirl'ittaitilttvearisaril• - - - -. - - •
: dOeotiOntett kchisect Loop) .bTr.teer • •FRG:it•-. - -TO • DESCRIPTION kair.ianfom stAnick opt:01011 SEM du)
• . EIGe.othenital(FleatingiCooling:Rctuni? ElOther(explain under.021.-Retnathsi 0 „It... 22 (I,. red pwr . '
• .ft.., ' It. . 1
. . •
' . 4:Date:WOR(S):COttipletett:"10-16-23• vett in#PZW-;2 • . • •
'11: • (t. i. . 6i, • -.
Sit;Well toiatiout • .B.- - ft. . . I... .1, . 1 t. cia .
Apex C8D Waste Landfill . ft.. .ft, . DEC 0 a 2023
Fac8ityaKilvocrislEutto FOrit.OP(!eappfiObleY, .
R.' ft, - t Informa,v, ;?,r,' . .
• • . •
5940 Old Smithfield Rd. , Apex, NC, 27529 , - ' fte" ' "4.- I . ' •-• '''''N-74 14/1/ -
1..4-4.,y'ecia
PlOifo0 Ai10iis;..Ci*:•.'06.013 ' •-•, .•REMARKS . . . . •
Wake •Bentonite seal from 8-10'
Camay. • Parcel Wiltifiillop No:(nil) '
. • . . .
SiiLittitUdeUailtrittiii0dolidcgreesttninotesiOttlsOr tfeCitual•de4rici: •22:.ci'nificati,in,
(it vearghli one latIlotig.i$100100•14)
. . N - . -
.- .
. ,
10/1/2023
Sigep0CCftq Wilcq actof Dale
6.1s(art.)the-W ell(s); 3E1Pei-nianent or .oTentpOraty 6 si.Oinet.Jirit;kiwi.1 Figral.err*4w4 ilig went's)16-ar(ian)eirapigled Akfro:cipladre
.tritliFM-NAC 02C..0190 tir.15it stYC4c:OC.:0200 Well Cotstlyiericur Sroofirreis and thy ir •
• 7.1s&Ls a repair In au.o.:oitinvet4 loves, .or giN0 . . ..670,:i.lifdiq.:6refiiys tiro kre11 pristiiffrd Oho firii fill'ijer,
. If FIVSla a Fil.v/k.flit.ot.,(70tif vat coni-mkrimi Inforywaion-awl(*Fob,rhonopre of rlie•
iiiiair fader 02.1:reviatle.'%‘:thaion aron Mu bark-Of(his:form:. - • '23:Site tIltagrapt•or..a1141tiana1.u'ell derails: • ,. . _ - .
You thay...use the back of this page to".'piosiicto"additional.well site,ciktails;.-,or*Cit
•
8:Sutuherof Wells otistrettItedt 1- • construction details..You inay:11.96attacti additional pages if necessary
For iiraltii?Ir IrdevalOkii-nOn'lreirr r supply.liTt1g ONLY uldi rhosoniq'constryition,yam gro
sgtviiit wic form. SUBNIRTFA•1;INST1TC.TiOSTg. .
9."T0till itiilltlepthlielair land stirfacei 22 • ' •• . , (f )•,2244..For ACE %%rift Subunit this forth‘yithio.-.30.ftays•of•completion of .elt
For multiplc irellslist all depth's ird1ffi'rent(ermriple-3@2130 and4,0100) 'construttioa to Ike fbifodilg: • • - •
.. . .
19:Statfc.water lei-el below fau.of easing,. (6.) Itiiision of Water ReScHure8. ,Inforniation.Pineessitig Unit,
emikr ioei is itilave dafol,,,iise+" . . - 1617 Ailti1.5eniceiiiir,Raleigh,$C-27659-/6 17
i . .
. . .
it.Borehole diameter:8. 5" 'Om) 21b. or Infection WellIONLY: '1n•acttlition to•seeiling.1Ig-fomt to the Address in
24a iti&e,also submit a:copy of this faun withiti 30-dal's of completion of welt
12 Well construction method:USA - COnshUCticili tb the fotIO‘iing.l:
ft.e..ouger,*ay,c.411?le,•airtct tiastt.etc...} .
• . 0.1%.1Aott of Water IteSeu tees,'Underground IttleCtlau CoUtr-01PrOgram.
FOR WATER SUFFIX WELLSONLY:' . - 1636 Mail ScrvlcdCènccr,RaleiWii.:NC 27699,1636
'7,4c.For Water Soli*.Stiojectrou Welts:.
141fiFld WO Meth('4 of tat: •
' AlsO submit-otit'copy Of.this fonu*Unto-30:ilayS of completion.of-
13b.111istitfeetion.titei Antitunt:. well:totiOnictign to. the county hcalth deportment a.the county were
. . ebnstujetiit..
. tofu GW-.4. North Catolpa EAvartutc tu.of Etwitonntela and Natural Renounces,Billiton of Water Reeotre • --Revised August 2013.
• • • . . . .