GW1--06402_Well Construction - GW1_20241025

WELL CONS` RtJCT[ON RECORD r FdaTi!c tutlUsct NL} ;~ .
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NC NcT1.Cntttrit oC.Cctiilt tlenNuwbcr �t'K of Ftt_r_CA iNG'ltormaltt easeilakitsi QRJ`th1FR.tifap Iffi6te ,• :�y
SAEDACCO ::.. . FROM t. - r tsu •
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.FROM TO. • : :DLI.RIF,TER THICKNESS MATERIAL•'
•2.11W tli CoriCftvcttrn Permit 0 ,ft 5 • (4• 4" U SCH4 0 ' PVC
iiii: l+rp;hcobtkss+ill m+ft l'�€Grninh Sfatc176.rtant'c 1!3'ectic4:0.: '
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11'atcrSUllpli Well , -.IRONY, { 70 '` AI.V11Vrett 'SLOT I1 t XNt :l AIATERtAl
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5 fE, ` 15 ft. 010` SCH40 PVC
ta8gtte iltnral i5bititrlctpaUPAtbLtC: '• , . .
la]Gsotllemxtl>ilenfing.rtooltng Suppl}) Residential WV�l+ir Supplt(sia. lc) rt: it. • in
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htln 11:ttt;C Suliiils•11'clt„•. ,:•'- . , , ,
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C3Agtui'Ctttccti+atrg EtGrQundt►htcrRent 1iatlo4:-.•.. 19'SAND/GRAVEL}PA:is'r;fappheatil[e} :,,, ,
: . 1glAgirilcrStorageaO41.4 a1*S t1S•itlm :'eamcx - FROM.- 'ft : SANRfl , t�1Pt,+tct+tEr�►tr:rrton
4 (t 15• ft , SAND •• - #2
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OEgi+tinit ntat Tcchnolo ElS bt t c •a Cot4u l' 20 DRIi.t.(NGIfiCaittterti: ddituin'iitthects f iierrsiiiii ._.•,._• . ,,,gs
t7Goo'tlten»al(Clbstiltppp). titaurt :FlfOli••, -TO.' : .`-:Dr:SGRIPitON 16.oKtedi,c t:'s 0 n tito i i #c; c t
:' •❑Cr•oii nttai'(Fleatrnij/C ioilu Rettiriii . .:•:+Cotltct•(expl irtmull(IW' lt'.i(e•niail+s•) 0 itt. 7' , rt... •RED':SILTY CLAY.. .
4 Date %eil(S)completed .•9-26-2024 .,VF'CtI IDf SVEr100 . .. . :
Sa. Ltr well catlimf.: ft t4 +T - - . r
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MECKLENBURG. BENTONITE:FROM' 0
COIIti::: • ' .':•. - t 114ki(nir4;10 i No(P.114) .-. _
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sip I an cr ttr sr :,Hr•14.A0 g rk efrnr Ar h i rr ihr cltr nlNt s 44.-0.•cn.srStled irt v r/U0
`riiih 1SriYCACO2C:91xiim Sa h'CC1..iC 430P 1{dl.ColcF,rran:100.ti!Is arlhtt a
r+,i•afri'taonl7prbeen•priiv*idto•11vtittlrm+er..7 hs fi•repit n c +dt We1 €Y or ;0$ h
fiks r c,, rrfii:kii ktnyi i.-11 uctvak f mam alitabr clwrtrur fih i .
i*iciirtdn 121 iciiuukr sPelarr nraitlulick. aftht.fpntr . ' 23Sitediairanoradditional scl it4is•
Y01 ma}u theabak oftttis page.o poide:ddi(3ttil iedSite 44aiis a wef
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8 11,iii tticrat'stls eonstrttcmd 1 .con�tn�retioadetatis Y• ou,it is atsai lttai tt uddition•nt•paa s if n cessan -
Form.clrt1*lnfc riiin yr acii i,o rr,mtpp r gall OMN'}u trli rho..sauie construefto, . r crin
sii Tura? Inmt.: • S .—- .T 1TNS ....-.OtS• is ..
9 Total well depth bototv;l.tudsurfuee. '•••15 • • -.. (it):'_2J.t. @or Ali ltirelic Submit this:fond'within 3_ '•dais of..ijmpletion welt
Fornuial�Iau,rlt`l suiilde rlrrfdip t�+it(c rn}rlcr �2Ot?wraf2 lt&t}. SCcon tiiicttonto:lhefollossina. , r. •'.
1tt StadeIvater tccci beliitt top oftiaving ..NONE• :' • • (It.) 11iki-'t 40f••%atir.•44ugnefi,:Ir t'nrmation ineesstng Vnit,i
1�ir�trrlea 1Sclirriccatsfe7 = • .161• crticeCenter�R,11ttjth SC27649-1617,
f i kl - 7111ad 5
II Borehote diamctcr:10 5/e (in) :'2ab Fur role ftfitsnr\ydL'ONLY tit addition toaending the fort to the'addt .ii -
• . . . . <24a abu also submit a:*rapt of Hits forth_ssltlun 34 da}s of.completion of well;; '
12.11`ell eotiatrnction method AUGERS • •:4:O11SitiiCtipn10 tit4 folioWing - : ,
eaa r t t} as au , iblw dtrCl�etc);
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. Dhiskiir of Witter R ourc ,lfndet unit Tp ection Control Program. ,
FOR Wr1Tl;;RSG"PPLS"wRI,LS•OI4Lit ' 4636Mall Service Center Ri lcigb,.C27b994636: • :
13a Ycld( ptu) DitclhDd oftest.. : 4c•,1<orWatcrSaptiii de tilittioti.'tills
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13b Drsinfeeticio t rpc =: Amount:. ,�5ell Zonsilnictii_;to the ro nil li`c lth,depititmeut ii (e Counts-nbem- .
cattstrttCfed. - .
FomiC3Wis tanh,t ofiiinD. St eeipOiuyiaiurentai4 at1tn Besouiev :Divsionof N. le RM.litts, ``RciisedAugu42O1t '