GW1--02458_Well Construction - GW1_20240423

WELL CONSTRUcrr®rr RECORD' • • Fpr factual UscO LY:. ' . ' f. E
•Ths form canoe ascdifor tinglear malupk iccfs
I.WdhCoutrtctor titformatiau: -
•
" ltAVAT1 R ZONIES' - ..•,.. ,
Tyler Brown . ' . . . ' -. - . FROM ' • TO -' • DESCRIPTION • ' • • •
ttall4Eoi csraorNarm; - • ft: ff.: I I.• .
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NC Well ConuactoreeriitioatiortNuntert • t5<011TIIR CA SING(Forinutli-€tiled wcUs1'OR LlNIItfifan Ticahlcl
' FRONT TO 'DIAMETER THICKNESS-' MATERIAL•
• SAEDACCO 0 • ".it, 15 it: 6.,25" in. SCH-'40 • PVC
,a6.;INNERCASiNG'OR`-7718ING' rtherinal"elged-FOiijil;i• --_.
FROM - TO " DIAMETER:• TtHC!NF.SS: MATERIAL
2.Welt'Constructionrcrm(t#:' • • . . . 0 - -ft., 18 -if. 2° •'•' "SCH-40 • PVC .
List irl1R ilicab)r,r.01•Isanaits fr ,e-:CPunhy.:SNrt;:1•arineer,'Ilhre ti c!l sc.!" "
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• 3.%Vctl.11se(ehedc Welt u'e):. ea SC N`
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WaterSupply Well . . -•FRO'1- • TO - -DIArstFTI'R' SLOr'in: T1IICKYKI•S i MATERIAL;
ncuitntal . : . - • ©IvfunicipaliPubtiq: "- s 18 ft; 28 ft. 2° i 010 SCH-40 PVC
CIAg
®Grptltennat(Ucatiogkooling Suppty�). ®Residential Water Suppl}`(singlet .! ti It in.
• OliidostiiallClimutenaal • ' • 'DResiilential I4rater,Supply•(shared) 18:GRQ trr.4
• ❑hripatian " - . . , O o.. .tt. 2 It BentO ite e erhie ' h ••
\T iEiHOD AMOUNT
Ngu-Watcr Suppty WYett:: - •
-
�Manitoiigg .1[ecovery .
Injoction W •ell:- . .ft. . rt., • j . " .
. CIAgtafcr Recharge IIG[ounclnttler ttcntcdi•.ation , : , :tv:SANel1CCRAVEI,I•PACK(itaitohc4►ttc1 - :>-: -
•E'ROtI .TO AltrI Rrat - tzsllH�aCr�iFVt'NRtNOq
DAtlutfcrStota c"andRccovciy: ❑SilinityHarrier 16 • 'It. -28 ft.' Filter sand #2 - " ,
- I7Amaifer test• IDSlormttatcrDriinaga. . . " -
it. ft
❑1_vrtimcnrrtITechtioto 17Subsidettcr;"Gofdrtrt•'. '- ' . '
102DRILU G'LOG fslloco'aitditiooal.tlieds firfccessnnJ: . .-=. . •
❑Geodtennal(ClasedLoop) ❑Tracer -.FROM :VI "DESCRIPTION(tobr.hardncci,saWnukLrur:Cr i,i e,too .
. • ❑Gentltenual(Ileatinetooling Return} ❑inlet fexplrtin under#21.Retuad s) -:ft. ft.• • ` ,
it. fL . 1•.7c, .t�,• {
• 1 i 1j c
4:Date•Wcttfs)Cauiphtcd: 2-29-24 'wen noMpi-PO3-CH . .
;41Vid1 Locatt+tn • •
. t. fL- Q �. o L�2
• Chemours - • fL It; "{'' tf;a.C' :P� • >;: 12 s
-Faoil4101gticrNamc- ' . FaFpityUPtifagpliablc};. . ' �'�:4 r
• 401 Aquarius Dr., Wilmington,. NC, 28411-' • • • - . ft, • ft.- f.
PL}sical-il+tdiesr.City_and Zip 3t.'REhiAttKS'' •
• New•Hanover •
. ' Ben£oaite seal;'12'-16' i
(*misty" - - • • • Parrc]Id:s illOtim Ne (PIN) I Coa .
ib:Littiinde and L nbiferde in degrees/mitrutesheitnnds'ur'decimal degrees.' • l
• (If irll Ikid om.I t*/loalg is tidlltki4) 22.Cettilicatuan:
. fir, _ ,:• 2/29/2024
- Signori,al Ceittfted Well Cantrm,.tar i• - Date-
6:Is(art)`ILN.3vell(s) Xll-ktiiianeftt or. .aj�emporuty " ! '
'B 3ign/:rg 143.Egan,l lrrreby arrf+3,.., ak tlu:vretkv)was(r,rrr.)'ttirtsst./yek l iit wearriAnce
with lid NGIC( C:O!(At ar lSd NCi(C(1:C„0204)tl'rll C+irrs(r,+rtiwt•Stnrhiards and Om a
7.Is thiis a'mepair to an eaisting4e11:• pit •or ffilvtf. . ' •.rap'if ibis.ratonihos b ern pro;ukif w.,,,%IVU on•;rcr•
Ifit:fils ill+t•1.galr fillair,
Welt cnruy+trc+laic"brfarwitalon rrarlscpkilirlaC+u+i++reejthe- "
' recirrcrnlell•421rerri,?eti•aaciamrni-oil tlu bark.ofthisformt.: "- 23.Shedie);rantoradditianat Weil details
You iva}•.use the this page to provide addititatat'tcell'site:details:or welt
8.1\urtber•of Wells cotistntcted: 1 cotlsttuetion details. Von itiaa also attach additional pages if itei;essary.
Foe nuatlrlple.frlkeihui oroor l;nrer.sspph itkrlis.OtSLV..nhh rbrrssrtinireo;rstrucria+t*lam -
,ar(Rnr$erre fiarra: , . CUJ MtTTA 1.iNS'1'UCTIONS'
•
9.Total well depth helow land surface: • 28 (tp:) 24a. Far WelI ' Submit thiS•itai l.wiihiu 30 days of"completion of well
for'arrnlr+phiicclls"Hir ail rlrprhs(fdfrrNIP-lemtrrptc-3@'00`-a+ul?s'100)° • COfllflICtt0Il CO Cite FOtto wing j •
10.Static Water lcvei below topOf easingt= OILY lh Division of Water Re nurser,Information Prdeessink Unit,,
lf!tutor let.:)is rebore crash%me '+" , - 1017 Mail Serviee.tteitteri Raleigh,NC-27699-1617
r
11.Borehole fliameter:10°/6° • _ (in,) ' ' 24h.For lt'eti t�tl tiv ONLY in addition to sending the.fomt to the.address•in.
24iiaboWe, also subMit u:copy of this:fottu within.30'days'of completion of tell '
• 12.Well-construction metbad:Roto-sonic" , - coustmction to'fltefollowing:. -
(i-e.nug:r..rotatp,cable direct-ptsh.cee.) - - . '
• . • "IDivislattof Water Resources, uderground Injection Control Program,
'FOR IVA'I'ER SUPPLY WELLF ONLY:' 1636 Mail Service i enter Raleigh,NC.27699-1636
I:
13a<,k field(gum) fethod of'test: 21G For.Water'Sultrily&ly Injection Wells.
- Also su[iniit one copy of this:foini within 3ail:days Of completion_of-
13b.likinfeetiun type: -- Amount: • well consinrctitlf►to the county h'calth department of the coinUy where'
con.4inletcd.
Farm GW-t .: -twnh Cantina Dcpramftam of Eat•iinunicna and Natuial ltcsotrees-Dii•faloa of Water 863tram Revised August NIA.