GW1--07901_Well Construction - GW1_20231205

WELL:CONSTRCJCT[ON'NECORD• Ilur:ttgcriiul t4c.9NLY:.
"This form sari bc'uscd far:single at tmdtipk walls- !
1'.Welt.CoinfptttnirInfoimatiott:. I
'IJcIVATER,ZONPS '
Scott Hunt, Jr EROM: 'TO DESCRIPTION 1
WOE CaiittactorNam , • ft: • ft. ` '
4561-A ft. fl. I I
NC Well Contractor Cenifii ition Nutnce t&OUTER CASING tro iuttkiisrd tctlsl OR-LiNERflrap'ticabk);= .:
FROM' ' •TO - - DIAAMETER. TnICKNFSS \TATrtitA1.
SAEDACCO fl,: f4 I `ln.
CompRij-NapIC :-16 INNER.CASING'OR,TUDINGfkititlXitifal d -loom _
PaOM. - TO DIARMETER: TUUICKNESSS. MATERIAL
• 2.WcIE Constrrtetirin Feiwit 4: 0 R. 35 ft.' 2 '' ;in. SCH-40 PVC
•
Litt'adl rppfiriike xch perno;adic County,•Slate,.trarinrttr,Wert ci;.etc./P
• ft... h
3:Wcii:Tsc.(dreeicw.01asc)9 t17:SCREEN
Water Supply Wellt- • TFROTT. TO 'AMAMP.TI R' SLOT SIZE TIOCKNI S TIATERIAI. _.
tJttgticulttual, C114MtimtidpabPub)Ic; 35 R. 45 ft. 2 in. • ,010 SC - C
H 40 of
• I3Gcodiennat(I1cating1Caolinr Stgtpty): - 17Resiidentia(•WWateir,Sitppl}'(single) •'• R.• fr. . in,' ' •
©hidttsttiaUCoamtcrcial ®Residentiat W dcr Supp>S'(sl ttcd) oat. TO MATERIAL earoLAcEM T ME OD vE AMotNT
0litigation • • • • 0 ;ft.': 31 ft, Portland Tremie
. .Non;W:itrSgpptyWOR:: . . . . - . .. . .
ft.. d;
' Ilhi nitoring . llitcemxtp ,
tnjecdalce Weft: n. rti. .
GlAquifcr Rccliarge ' CIGTonlidnutcr Rciiicdiatiou• . ' rtO SAND1GRAVLL PA(:R of ulrlplicabii) - - ._
BROhr TKr' ¶IATERtAI. RSIPr.ACEMENT 1Inion
E1AgnrfcrStor,igc ael Rccoyety• ilSllinity f9mcf • 33. •R. 45 fa sand 2
El Agiifcr'Ccst ' IZStonmritcr Dri i ago R.. ff. 1 .. . . .
RE'verincntalTcclmotosv CI$nhsidcncc.Giiirlro4 • •
-
2u DRILLING'LOG(uttich additional steelsiincceissarff•
flGeotltemiat:(ClosedLoop) . ;DT eer FROST--• TO D..SCluwnON(wbr.taaroncra;xffnic>a hie:cra+ngn\da)
DGcodiemra6(HeatinilCoolitiaReturn) ❑Outer(eXplairtunderit-Retuatts) 0 .it.' 45 ft,_ red per with rock •.
•
•fr:: ft.. '
4:Date�Velt(s)Canipieftdt 10-25-23 WeLI mtMW-18 tt. ft.
34:Well Lrcatinu: ft, i i v,.+' ��
Apex CED Waste Landfill . . It,. f(,' •
F0.111•:iwnor,Na nto Facpi4'.OA'OrappJicablc).. - -- - -ii, ; 1�F Q (
5940 Old Smithfield Rd. , Apex, NC, 27539 ft: ft, I tn1 Jr(r.irt.".n Prc.c• ueuf.i ij y '
Physical elddies City.:.**i CANc'sda?gi
Wake 'Bentonite seal from 31-33'
Conniy' . Pared Id•.ntific dlon No..(P1Ny' .
•Sti.,i aude Ai
d- _in dcgnelinilittitcs/seconds Qt•.d rees:csiniul deg .22:CeLT reatinm
(if:yell 1-tatd,otic latiloiig is-satlilckra)
N. .W l*AE:;eie7, . . j . 10/1/2023
• Sigea ,i ,WelCaatractor ." Dale
6.Is`(nt)the:wetI(s)t EPertuAitent or .DTemporaryfry r 4rtnt thit.anti l herrh eernYY 1:/tat the ird).i liar Wane ctiariyirirerer!trkavtomiirnce
:With I5,4'.A'C1C OW.Oh M or 15et sVCAC 02C,'#2PR 1hl1 C'ytrt(ITirtttua Standarea(yid Oyu/l
7.Ea tids•a riej}uic;ft►an eii tiij.,eli: ®Yes• .nr KINo '- iarfiro;t/ahrrccuni lir'•s Gecn ptiri s kd(ailic sni viol.,r.
If this.lt'o Rp rIr fill oye lTrithivi ii'Cl1 i»rurnictfarJ IVrorrararlen hula!Og.phi dip tuarere of rile
reapyir under t»Lremier5s.rcrtiainprintlhrbaukoftill:•fornc' 23:Sitedhil;ran1oCadd11ionit.w011Itetnits: • •
• ' • You may'.use the.back of this page Co:provide'addi iouai scell site detai_ls:ortselt.
8:'1�umberofWells constructed: 1 . ' •coiisiructlon detuiLs; You ina$••also attach additional pages if necessary:
Per ittaliiple,lrgiee:h,i'srmio- tatfr supply-ts,.,f.$OAVIV'itrJili-rhO.saine cw1slrialitiOr,jou.a.A - `
silt:matt*firm. ' - - ' SUBMITTAL INSTLTCTiONS.•' .
9.Total*ell depth betonlattd stirface.i 45 ((i;) 21.r:.Far All•Willsi Subunit illiS forte within 30 d iys-of.conipteiou'of lyell
for itusWplciitlls-list ail drprlistrdl,arm:(exaatnpfe-3@200°arut.20)10+0) ' 'eonslrictionto the fbitoninS; - - -
I.
10.Static ivuter leiet below top of easiugt 20. (jr) - Itiyisitiu of•WnteriteSources,Infornintrtin Prcicessirtg Unit,'
*)it itr tetrel iiabairo edits„:iiv:-"+" t017 Mail.Sariice Cofer,liaileigk NC 27699-I07
11;liorehoic diamcler.8.25"/4" (In) •24b:1 n injection welts ONLY: in addition to•senditig.lhe font:to the address in
24a aboee;.,also submit a•copy of this;fanit svitlun )O dacs'of completion of it It
12:-Wellarnstnrctiou method:HSA/Air . -constmetlan talk following: ' •
(lc.aupei:•ochry,cnblc,'a$icct push etc:} • I -
1!ivlsioit of Water Resour ,-Undergrouied rejection Conttgl.Prugraln.
' . , FOR WATER SUPPLY WELE,S,ONLY1' - .•1636 Alali Service Ceteler,Raieigli,NC 27699-1636 -
l3at fciil(glint) S'iCfdgil of test: 24e.For%rate:°Supply&injection Waist. •
- Also subnit-one'copy of tins:Finn'within;10 daysofcotupletion.of
lab.Dislnfectien tyjiet Amount: :yell:ciTunniction-to the county health;department of the_saint'%Oleic-
constnicted. .
Fann GW-1 NoghCaralina tkpattment.of Purirotuncntand Natural Resources-Divvlon of WaierEt otit • -Revised.August 2013
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