GW1--00012_Well Construction - GW1_20231218

. . .
. .
-.WELL CONSTRUCTION RECORD \‘/ &. For isrefoauwotirA,: i .- •
,. 1-114-ferril can be.tiserlfoi sinee•ormultipliwcIli
/N .
. . . . 1
I.Well Confrictiir Information: , \ -:It.WATERZONE.V. . .• ,
' . . • • .
Rich Lemire FROst Mr • DFS('MPTION- -
•Well CortiOulorNatito,. ft, • ft. I I • I • -
• .. 2593-A - . .
NC Well Contractor Cal ifteztion Number 413.:4DUTER CASING'tfderifittgasiedireffsVOR LINER(if folifIeM3k)i: . .
FROM I To. • . DE/ TER"I - -111TEXNESS . ""MATFIITAI. -
. SAEDACCO . . . . ft.:.1 '.1.14, • I 1#1: •• • - • •. .
, Compoty Nm • " " • -I6.INNERCASING ORTIMING7(geOtheirmat ckSed-ItiotO e.-!: •.r.. •....• ,
FROM • 10 . • DEAmETER ' TOIC'KNESS , IIATERIAL -
`,-.Alia!ConStrtittion'tierrnit#: +3 Ity, 55 ft; 2 i:hi' SCH40 PVC
1,iit'off iiiiiicable wr if priniits fi.o.einuityAitru .140riarrce.14tectiprigsr)._. . . .
•R.' 'ft,• :'iti,
. ..
• . . , . ,
3AVell Use(cheek Well use)•• . •
' . 17i SCREEN . . - - - . •
Water Stultify,:Well: : FRON1 .TO • DIAMETER • SEA1%17,E TIOCKNES'S" MAMMAL -
°Agricultural • .• • • -
Ol4tittidipaliPublie , 5,5"- ff.: 65 ft: 2 -11 :;010 SCH40• PVC'• - •
: • • - •, . . , ;. •
alGeotitottnit aleatingICOOling,SupplY1- • 1:Residential Water Supply(single) •• •.II!: - • ft "V . . ,
OltidostriaUEontmcrcial • °Residential Water Supply(slated) '
silos!.Orr
.TO" - ;OATMEAL . EMPIAMNIENT.strrnott&ANIOUNT- .
. , lairtioatitin. .-. . . „ . . , . .. . • ; 0 . ff,: • 45 ft, ,PORTLAND- TREMMIE -
• • NottAirtitcr StiEttgy WgVI:• • ' . . . '. . .. . , . . .. . ,
:: .: ft:' . f..
&Monitoring • • - • . IDIssetwory .
- . _ • • •
InjoettottAyelt:-
• .El AquiferRcelidtge- C3GioluidwalcrAcmciliation ' •• 7
..ESI.:SAND/GRAVEL PACK filitmitiitibtel . ---.Y-•- -. ,-,-.-,. .,.' .. .-:...- - - .• • -
. 'ROM• .1.0• .• - 51.13-ttettai; • EOM ArrmeNt METH011
pAiptiter.Stoingeaol 13:4Weiy- " t4Salinity•HitrCe"' " •
..-. • - 52 .ft. • 65'. ft.. SAND ' • #2
1:1Agnifertest OSiortirnater Orniti)ge; • • • • .
".' -• • • . - •It.r. .1t.- ' • '. . " "
. 03..xpetintental Technology- . IDISoltiidence.Contiol.
. •
-,- ., •. .AtIARILLINGIOG ftiffreli:OdditiOntilShMilf metes-sat-0' • - • •
ICIcreoiltennak.(P1*tt LOOO) • rittocer — GRO.NI' 10 ' OBScrurrioN tear.hardneti,ion:11*k one:M•siti airette,1 . - •
. ...
EIGr011tetotat(lleatinWCoottiig Return). • °Oilier(e1plain tinder//2.1 Retuailts)' 0 -IL 29 ft.. RED SILT
' . " • 29' -ft., 65' •fL: PER
. .
. -4;mite wiitt(s)€7,300eteAft.3.1-2 8-2023.wdt m#14te-3.9D - • . • i:4_....1, ,• ".... A'i t..,,,,,, '
... - ft.. • • . ...- .
. .
. .
So.Will LoCattnuf • • • ' ft.' • ft. DEC 1 8 j1)2'3
APEX C/D LAND FILL . . MW-18D • •... ft.. • ft, Infcr.X.,atiC;1 Pr.7•-".1.:7...:',-, •! :;
• FaaphrOtivrNrigaipq. - . •• - . facjiity'MP(i:f applicable)• , _
ft, - ft. . • . ! p'1;•`v'i:fil?,
5940 Old Smithfield:Rd, APEX, pc, 27539 . - ' . - . ' it. . ' It. • .
. .
.. .,
. . . - . Plo*illAddt0s.,City,and Zip• -IL REMARKS' • "
.• .
WAKE . • • BENTONITE FROM 45'T052 ' . • . .
• •
.
:Coutuy •' •, Panel IdentiftemloiJ No,(PIN).- " - .- '
• . , . "
Sh.littittide'and 1.tingitutle:itt degivisfrnittn*Aceands or dee' inial degrees:
.
. %v l ,o • 1 . , ' -N• • "' ' '-•' •• W- 5i4,....-:0f--1C-...:o.r.'.rIr.C"a,.a 4'in1•t
iOfeil idelt004is Soniiiii) . • ' . -. ..14•.4..
*-.c ci•
..'...',4
._ .
12/2/2023
C ' '.
Won tontractOr 1, Date • -6.Is.(.ire)the wells): NFerittattent,'or -1:1TeisttHitircy;
liy..?ignini.thi v Pm.1 beech ecriifie that ihv ii44.51 tlur(privi‘relypuirt4 kited:474race
. . - . . . . .. . . iii4V.1 54 Ayc'Ac 02C.,0i0 0 fir-/5.4 ATAC 4:2C,0201)Welt Corihrierk!n Sraudatiliod r10.41 a
•7.:L.this i repdir0 an distiag MicIlt Infos tir NM)- mi,oftil It ict:o of laies•bien'Orotided kiAl'ilirli fric.her.
if alefsli.6 re,tioir;fill all kqviyn welt c-osnuellolliftiimatio anti atplaht the.w.Ore of die,. . • . • _- •
rikiair tiriddr-6121 rcuitaks.i*likin.tir.r.yr the bad of this form ;IS.Site diagram or additional well details;
. . YOU may use the bitch of this pdge;rn';provide additional well site detail's Or Well
. .
8.Nuttiber of welts kotistruttecit 1 cOnsirnction details".'You'nay also all additional pages if iteceistny.. • '
For sttatrilige lafraiv,i •r•Ni'101Tlip,i,e,supply•itigli,ayLE 1146 4 '50111 castriirtion,yo co '_ • . - . .. -
. -.5rityitit oxiclarvi; .10 • . . S UBNIntA I MST UCTIONTS . I:
, •
4.4 T4 t41 Well deptli.lteruirtiud,Surfaief 65 • . .04 /4;r; For All'Wells: 'Submit this feint within 30 days..ofeoinptetien Of well
Kir nrallalpft,ivelik list all depths tf diroit(0orfe-3@2110'ami 20/007 .ConstinettOn to the-folItnying; . .1
'.II S'fdtie waterlevel below hip of easing: 53 4) -661siaii of Water ReSouries;Infitrniatititt Processing Unit,
//wive',Niel is alq.ii.c custeag;Litt'"4" 1617 Maul Cc:Rigel',Raleigh,-Ne-27699,1617
11,Borehole diameter:.8•25/4 • • 24b.For-tnicetion Vi/e1140NLY ht addition to sending ilie.fonn to the.addims,in
.
24a abde. also'submit a copy of this fonts within 30 days•-•of conipletibit,of well •
•
CI.Well construction thethod:AUGER/ROLLER CONE . . •construction to theTolloWitig!, . 1
(in auger rotary.cable:direct Fink eto.) I
. . Division Of Water*len rees,Underground injecilotiCrnitrtil Progrnm,
FUR WATER.SUPPLY WEPSONLY: - 1636 Mail ServiceCenter'Raleigh.NC 27699-1636
• : Ste.For WaterSitutill.•&loicethio Wells:
- • 113o;Yield(gPm) 11ctitod"of tar
AlsO Subtnit.One cOpy of this fiinn ivithiu.30't14,sof.cournletion of
well constmetion to the.county health deportnient of OM•tonlity.whcre-
OIL Disinfection tyPer . .A:mount:
• , consnucted. 1
1
•. .
Form G'A'.4 NotthCaraltmakponMent of EMIDDR111:111.and Naritml Resources-DIviston or Water uosoircm Reilsed Atgust101:1
1 I
1 •
i
i !