GW1--02519_Well Construction - GW1_20240422

WE'LL CONSTIttJCTIO`N RECORD Farb crtial itsc{3NLl : ..:.:..• • '
r.s.-.onus bc.;acd.fur'su'hOf•cigt l�ncu -: '..
•1 lv t Coutractorl6(00•4 toli f ��j�y��y�� 5
• 1J;tV�I�"i/�I��A�1w�wT'it 'a: iFF :.1! b�.. iL vv.::ih.c i� a43N »4.':roi -. 2..
John Eisenman : FROM 'TO D09RiPn!)?.i..
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NSAGVDcAiCtCnOit-::.o rcnt .ittfln hillihei :. :.. t O ifrGWG4-nii"nut :i aV1rORIL1NEFe0t`n Unbfet•
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FRO t TO P1AA1)TTR TlnCK ESS ArAIR1AL.: - 0 • It, 35 ts. 6" •• tn. 'SCH 40 - PVC
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4tls in514g dk7"' •• ••• Y6-lNriElR -R4i1 ('OR=7'illJt$gtOtillutro u�d iti •,.:ram . gAi 4 ''.
.:FROM .:TO ;DZA.'D TER t;=THICKNES4••• ' ALi 1 f RrAL r: .
2.WellConlructrn•Peim t# 0 tt 40 fi 2" ; .. '"•SCH 40 :. PVC'
tuiallcp$a.ki..: 'flp,ri ir.' County$14- 'anrurt,'1i&ttc4`ct..J ' . . . :
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lYiftei Sup1►h:,1'ilitI FROM TO DiAairTER SLOTst T18CKSt'S4 ' MATERIAL
QA.gn.-n1mul 1Muntcipa1/Pnbbic 40 :ft 50' ft. is 010 SCH 4Q., PVC
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GCut nuatiNatin ontt Su 1 ; DRestdeittla1 WatcrSu l (sto le) 'ft iG iri
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DIn• •..- ••(,... .-cia l'JRtsidenuat WttterSU • 1&;GROU7T x `- i. iV {.Z to� k .:, -v ';
• pply(shat 1 11101 '4 11.ATFRIAt 1•.V.MPLiCElHLNiTNIETHOD ; IOU.NT. :; `
❑Irnp tlgfl.'';. 0. ft .';34 tt...
.Portland. Pour
Non Water Pli0$ Witt •tt h
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1n#000tt lV:01: • • • ;;
. . '.'.1fcr Rcahia n c ; •'13Cround ttef lieinetitanisn •• ;19 'RA D1GliA,Va,P.i• iGK braiiiiIir ti) �', X -. : ;
fROM O 11A R LWt P.fitPLAi E-iiI.1'1ITnOD
fatVikitfcrSiorage 91id Rc oyiezy i*)Satfntt<Barney -;38. R : .`50 •tt :. Sand •.• #2 :
: t7A�gt tfer YYcst .;PSlorui tier Dla'inagc . .
tat #11! c sf•techiiaki y . 1 5ubsiilcRcaC'4mtrat,
1Q_oR><tifiNG AIGliatiiiliWiltirtaitit�cisyt nicer 3•. ..
' 7Geottteittu►1(Clt�edl aafi)' =1:1Trdeer
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- • • _FROJI. •TO -:DFSCRiP710�itl+�bKhar4nas�,autYnicictIiht&tC.t#.1..
oc o mttitt(Fleabtfc1Cn6144 R Iurii}.: Deiiiki a pIiiin°undi:t.#2.t:Reuuati;s) t. ft,.:
d Date V.di )Coniplcted 3-19-24: . Wet1 WO:MN ;148 _
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5a WellLOcatIun tG h. • �}
Former Tarheel:Ariny..Missile-plant $ t1.. i V27.
APR G
t1ityii*S i*ast4 - F,c 1tt►lA#1itayplrcablc):: ' /y
201'.tN Graham Hopedale'.'Rd ,,-8url.ngton, C, 27217`` ��}q , (t tt, I 4f° ' "�"
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' . .P1:0sjCul ivu,00• and 4'jilt . y" e 5-,�. ,.$._:.: �. ..:f d4Y,a_'sa r+,.k''� a 11 T. a�,fi-i
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Alainance::... ..
: '' .bentonte:seal'from 34,
38 ..
.'Cotitlik; .' .• • k'artO1104ttliteUor N0.:.fP11V}
cb L tlltudc and Loogitade tii degttect/minutcs gp.9d*of dcctmttl 1.:sss.,• . ZZ C"ertrRr ttiitin
1tf�►cfl t ld,:ule;:fittlei g it':u1fl.kttf}:•:
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Signuuraof Y ..7.�kei4n^ 17dts
(an the nel l(s) .Z 6 7sPettttauent or tTempora s4;n,; ;/'•„� ??$1I:tf.•�, 'r E3 is ikriiiiii recl t»oci.v,4kriir:
uttit 1Se1 AtCACO2C u-..4Tt^gi , i.O Ott)leII.coi.onn/rir Stclq.egrk.}rust rhyir.o
7'Y thtsa1 ptdrttt- .t sttt► YdL c1Yc or:. 1 N'' •• • c' a ii, '-ieccrrl1+ualmrrjna1011 t iiii:ittlfntinfr •
1/Arts. ,a rrperlr,fill eat£rFrrct,'l'a'4Arb�rtnrctl r kl/ii?rI ut:kvr awl r titter lu tuuura aftlrce i
• r4141 surdcrr l:is mw#s.lm7 tKo.i.vu b k ifttcrs f.iran:. . . 23 Sh.e d111y1r8iit or Addhionitt tl`c t detail
• You mas tf,e the batch of this page to 11for daaddtaenal well.stte delatls or 1+e11.
8'Nonberolwellsc iigiiietetl: 1- cotr5tnrctSoude1I is YtU'mn)•also'iumIiiidihttoualp_agestf . .
Foi=>ioilrtlrlr tt'e/.0)ar!*•nrtr 41.0 tr n�llr_Qt ..tttth:rhe same cnttsfut'ttarr ter t atrt=
tB t"t .1NS`IITf^7'LONC
riYtict�/nMi: � AZC AY :
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Ttit • e 50
al erc1l if Wh beto}r iaPt! dac� : : ' : (ft} ita. fir Xlt tt'etis: Sub►lttt this fauir*ithi>►3U ids elf comp'ltttoi af't:iielF•
Farir(uhip1.ru'iikititnlirl rhftj`4Aitciit(rriivo,3O2O w1.t2aqtVY) con5.tnwti0ntotherolto4nittt;
• lnfitrn at onPreeesstn
1u.Stittiel►atcr tarot halotii to tifrsslu tiff `to f terR arcce, };Qntt;
- lyiki$ b O '�1tx Cld
( ) 1d17 Mad Slit tceCentert Raliikii•SIG'2761a=1617-
l. sew{r.440, .*04#.4 i `# • -:. ,
1 1.Biitettolc tliatnctrr:12°/6' • (fi.' :24b fir iniectio Wells ONLY t adduion to scndwg the.fomi to t7 addr, s ttr,
24a ail t e,,414 subluut a copy of tilts fonjt wflun.,30 da%s;of completion of well
12 Wdleinnstt'RCtiolntnCtUDd HSA/AIR • 16fistznfloatothefotlowiu
• (t c nu rutaip; blcsic disbct stt,# cic?
-. Dl,lslea_ttif Wair ci eso urces,llhdergroi nd itiject nC'ou trol io•gi'.uu,
FORi�PA1 RS" GPPL'1'1i'F.LiS ONLY , • • 1 636b1ntl Service Cuiter. alcl• Rih,\'C27691.463Cr . :: .
L3a.Yie(I iR) -. Method of test - - :•:
24c.For'Water Suppt &1n,t tiou��clts
.A15d sttUuift,7t1i e+Dp}'of ihts i'4tw tcYtbllt Zt1•da•�softcotlgrlettoii o1'
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13t► l)isinfiitlan ti'1tt� Amount ty-e}I eonstnutios to tlic roRPt' ltcatth dcparttne>It of the crn ltt;,rs..: :-
o Pstlitcicd
Ponu Cif.l;^ North.CCioAifaa ainfidutot oiliaiuucrtt'aim�lai 4—ftc p.picrs btvulDP ofll`atcrRe�otr _ tteJsed Aiigu'Ktli,