GW1--06395_Well Construction - GW1_20241025

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! NKET.T►CONSTRUCTION RECO.. (GW 1l : For Internal Una Only ' •
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1.Well Contractor. orioat era I
14.WATI<a7Af1>itl •
• • WallConh■etarNu.2 1 nOM 70' I 1 DD�IION
• ''• R 1R .
: NC Wall C'd,ucQcNtilCStioaNao,bac • ' I .
I3.OIIriE CASINO(fur sa■Lts■sd walk OE IJI'iiR Prim Ie■ate) -
et: i✓ 13 rev ill•w s � . r I Main"
IRRE lNea MATERIAL
CompeayNusa y 1t iR d� • :
'1 i
v 1 .INNER CASING ORTUDIIIG(te�tierid ddei-bed
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2.Well CertenetlerlerdtN: a Z ("irk*.
t/ weal Ter. r DLuuirl* I>Qaotas5 j� L ,
LotdUapp{teibtr wellawsreratonpmwis(te ma/;GuKj; irk*..rodaneR uleJ' + R R to
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3fI is /a' I h",rr. ►ate
3.Weil Use(check well roe): tt I'. R 'Lill.
o. �..
Water Gamily Well: • i7.SCRIM i,
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nom TO - I : Duna= ILorum unarms . ma nc
: • • OAgticrdhual • •OMaaioipalIPublio i R R _ IL
' - • OGootermul(Heating C ooling Supply) idential Water Supply( Io) m IR, la..
• . , OlnduatridlComme:cW ' ORwidentid'WaferSupPly,(FFilurad)
• l�.amour ' {
Olrriigslimn ' OWdIs>100.001)GPD I!• • FROM TO MATERIAL >�uaaunraafEOD aatfa
Nr Water Supply Well: -..•.- .-. 1 :0 R• - . 22R• ive0+ 4 .-)1
• OMcaitcdng pR y • I
. Injection Well: � P.' R �,rig 1'tir( 1 .,1.
OAquiferRechugo OGroundvratcrRemediaHou. it• R r" ;
OAquiter,Stange and Rtxovery OSdinityBatrierII, 1l.8A1tDHiltAYl:I.lACKllf■esWa)
noel - TO - MATERIAL ZMILACIANIf 1117 l0D
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DAquiferTest • •['Storm/tier Dratnage I' R R
' • Olixperimeam Terboolopy O3ubudenoe Control ft 1: R
, • • • OOeolhremd(Quad Loop) •• • - OTi . 1. 'IL DRILLING LOG(attack■laden■!sheen if imera■rr) .:
OOeolhermal glealin firoullnR Return) • OOtlter(sxpldn under 121 R11 PRO
emarks) 11 fi: TO .I; .i R RI
DISCRi4N twkr kwii■a,ed►,ec Inc•ar■i ebe,a6
•
4.Date Wells)Completed• (0-1(-2-q 'Well IDIF I. t4 a
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5i.Well Leader: ILR
• •,�epp bolder � n�
R R 1 , ,,
Far■ltyrlOwnerN■we P■oilltyID!<(Ifapptkalla)I - R .11' , ,
. • (Act::42)" _ 5-4 Mil-is• (eq. 7Z'1, /. , _ . IL ,. t�• � � ,.rC24
PliyilA?Adam;Citg.dpp .
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R . R it:N,
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V1/ l�¢.f/ 1LRSIKARRH,(
Caentg,• •
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PsaedldpatlQWiorNa ON)•
r ,• ;
56.LLal(adeopd longitude la degreedndnrtdseceada or decimal d I u: •
E l
(ifwaq tint{a:.lrly Y wlfiriese) jl 11 Cer don: .
• • , �' S' • G' N <53� I• 'I nAego...ez
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L(are)�hr wep(■): erirarert or OTemprnry /• Sy■abtei dfCatiioY ydl �� /��� _Z Z—L
l.. ,Coo4■crsr �"' /
7.L tkls a repair to an sxls Wg well• Dyes• orIN.. i Ity M ing AC 02 no.IArraycat y tart rh rialIN vas lwa■1 oewerresd_'e,anil t wen• ,
((thrrtid•o a repair
n cdjuJl wwtd.. 'i - 1Jtisnc 02C:0100■r7JA111CdCQ1C.0700 Wd1 Crouttzewi.SircJank ilk.■
t+r■r■ratron, y**tAa neht4i the 9rdw ram*has iseisprertld M dm I'd sewer.
•repairwatcrlllnomadsseeMongranesetbacktealslon I- .
f.For Gee be/D 13.81te diagram or aaldlt(od well detour:
t PT or Clued-Loop Geethena.l Wells having the ° e , . You may uae'the back of this pane 10 provide additional well coosgtictiao m
comb hoe,�otly 1 GW 1)u needed. I id'eata TOTALNumBER of- ` : (add Sea Ovc?in Rdt aim Baer).You may 1110 attach uddiliooal i papa if uousr
li • •.14.SUBMITTAL NOT RUCTIONS . •
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!.Thiel well depth belies land surface: •• 6 • 4 •. FwInr1H arreUidrr■I1 jftk;rl�iow( . •Submit this GW 1 rlthlr 30 days dwell completion per the following:
10.$4lle water,level bete v tap.etwing. (� (� • •I'
(rwerv/aee/Laioseaarsry ire-+- 11 • . •24a. Far ."�8� term to DiviaIon of Water Re:Miera
/- / Infoirnati wg Unit,161?MSCr'Raleigh,NC Z7649-1617 ��
11.Borehole diameter. LD f/ N) • Zd6.For Irleetlon�weal:
• • n ?sopa!,1636 MS �N b D )echo Ccahul(B
' 12.Welk e■mtrrctl■r method: . tS"'a r{� Q 4 Raleigh,NC Z769w9-163'Underground�.
(Le. .r i.ecbi dIL:spk�sa)' !' ' ' 14e:Far Waler3r� udO r-lwo Gn
Icounty,"nor" tc linty Rehm Wens:Copy to
• , M1R IVA.1• 11 BOTTLY WILLS ONLY: vestment county
1dd.For Water Tf/e1>, radii
131:Yield Will*_ I ).1 Method of teal: " i r' F ! gum, suer l00 000 GPD:Copy to DWR,ac�C
13k Dlstrfectlii type: Asap I ! - ? 1 �' •