GW1--02784_Well Construction - GW1_20240507

WELL CONSTRUCTION RECORD .
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Injection.WOW 0 1.: 55' tt. PORTLP•N1 T.REMIE.•••
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• 58 `t- 70 tl 'SAIiD #2
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❑G:otiicmtat(lltaiiii•fCo6litl Retort 0Other:(t:hplainlitider#11:Retnatics) 0 ,/•i 18- • tr TAN SANDS, .
,.h 27.;_ ::h:' TANISIi:CLAY SILT ,
4 Date N'elifs)Complete h 0.4/2.4/24• Rc41I ID DW-13D , •
27 (1 60 tt:: GRAYISH:SAND
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;a.WdLLtitotnrd.` 60p, 70:. tt,•. _BLACK:SILT/SAND •
BUTTERBALL::LLC.
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.938.•Miller:Chapel:Rd GOLDSBORO,;.:NC, 27534•,..,'••••.: 'tt, •tt. • •• '
Pliysual rlddt x City end Ztp fi 3#:ttTe"ht lltf .. «. .. .. _
WAYNE 3528388906'. '' :bentonite.from 554.to 58"
Caum`:. • • . .••pane ldtiit;('t0OliA4Np;.(t'1 4} . . ..
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�tXC.1G'n2C.?l(kt yr£Sc1 NCrtCt 2C•0300.11'el etiii o*i.len'Stima.forii rein thrii:+i
-7lathii.arepairtosneastlnniv0ts DYcs or `18iNo 'rapvofrlifrrcr'nlhrshptn4.V?r•41iA MrUaHi,r•. -
//ibis It a'repab-fi1£0rktonrxterlie3441.trrn'a-iilrifn**rtarliapttthsli.&tsar offor
additional• • will details
You ivany.use th`.,ae1,of aiis page do ptollide additional tsell site details or hall•
8 fintnbe`of wells codstrtntcd" 1. :cattstniciion Qctiiil Ytiu inns also i it icli adtaitonal pages if n eerier
For m itit,1.0 lrtjet'-#0,i trr act,na.erupper n eUs OT�`LY iftrli the sent consh'actlo+r.vcra czot. - -.
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wel 709 Total: t dciitlt dtoyc itadMrfi ce (• t) , Zt.i For att «`Etta: Siibiutt this form within 3U dais of complolion.ot*tall
. Formarll pfo wells:l£.r.►0-it ki i f dlffl.r'i'ri 6(,400. .,3 9IP:;ir`mct 203100)': constttit tiont4 the folloinci , '..
ib $tailowater local belotr top of Bashi t ;4•. - (lk) • lln:l tun of WatcrResources,Information Pniccssing Unit,<.
lJi,rirctr4t ri ll a£idt'o 14.rii:i. +" : 4417 Mad,Sein ice Cei ter.IRaleigh NC 2.769P-1617;:
i t Borchote diatnctcr:6". • tin,)' 24b 1lnr in jectiou*ellcON 1.Yi hi addition io seeding the font•to thte-addtess.i 1 -
2.3a abose. also submit cops of thus fort:y4ltlnn 30:days of.completiofl of w Il.:
':El Welleoltstruttton method SONIC ;e1lstluctiou•tD t1iil following° j -
(te •r rotiri calif duecres1i etc
.. Dhlslon of NYtttet Rtsourtcs,,Underground In,cctlon ControlPrugrant, :-
coR WATER$IJPPLI':w I.•I S•01.10' • • ntl Srin ice C eiiter,Ralcit h-\'C:27b99463C
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13x Y"trld CBpni)i icttiod of fast 24e.PorWatcr Stivnli Jt Inlobtit►n titielts
. ;Also submit ono cops' of this i'orni within't0 daysofeoaiplelton of.. •
131i 111siufeetiuu;A44, .. .. :_ ::Amount: . .' .
*ot!Constntchan::to;hc county r h altb dcliaiinirnt nt..thd oounli t>;heic:.;
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