BL-1977-001-00_lithological_log

• NORTH CAROLINA DEPARTMENT OF NATURAL AND ECONOMIC RESOURCES
OLE— "" OFFICE OF WATER AND AIR RESOURCES
WELL RECORD GROUND WATER DIVISION i3 L / 2,
P. 0. BOX 27687 — RALEIGH, N. C. 27611
DRILLING CONTRACTOR Sydnor Hydrodynamics, Inc. REG. NO. 144 WELL CONSTRUCTION PERMIT NO• 2454
I . WELL LOCATION: (Show a sketch of the location on back of form) B 1 aden
Nearest Town: County:
Dublin Y cf�
0 o ty or Subdivision and Lot No. Quadrangle No.
2. OWNER: County f' 1B �'66 well #2 (Dublin
3. ADDRESS: P.O. Box 36 - Dublin, N.C. 28332 r DRILLING LOG
4. TOPOGRAPHY: dx*X)fgd*X>6)Q]j G)M)toVX flat
5. USE OF WELL: Municipal DATE: 7/22/77
6. DOES THIS WELL REPLACE
AN EXISTING WELLS No
7. TOTAL DEPTH: 450'
RIG TYPE OR METHOD: Rotary
8. FORMATION SAMPLES COLLECTED: E!nCYES No. of B.�i_
9. CASING:
Inside Wall thick.
+2 t Depth 57
or
t?ypm.A wei ht/ft. —ee
T1 ��'_11
From to
+2' 6" 34 3
ft. St, I
8 322 Steel
spacers �422-
8 -322— Steel
10. GROUT: Depth Material Method
From 0 to 57 ft Cement pumped
I[. SCREEN: Depth Diam. Type and Opening
From 343 to 353 f1. 8 S.S. #30
361 3371 8 S.S. #30
—#> 12 —g— S . S . 30
12. GRAVEL: Depth Size Material
From 310 to 430 ft. #2 Mor i e We] 1 Gra-
vel
13. WATER ZONES(depth): 343-353 361-371
3 3- 39 02- 12
14. STATIC WATER LEVEL! 93'Z" ft. 114 top of cosing.
below
Casing is ft. above land surface. ELEV.
DATE MEASURED: 7/20/77
15. YIELD(gpm): ?00 METHOD OF TESTING: pump
16. PUMPING WATER LEVEL: 1211511 ft. after 24
hours
of 200 gpm
17. CHLORINATION: Type )i TH Amount 5 1 bs .
18. WATER QUALITY: TEMPERATURE("F)
19. PERMANENT PUMP:(Show a sketch of well head on back of form)
Date Installed Type Make
Capaci ( pm) HP
Intake pth f.. Airinef D MI.;
20. HAVE FO TH L 0 N R; OF. Tr $
DEPA NTS _ S 7
21. REMARKS:
I do hereby certify that this well record is true and exact.
290 320
320 350
350 420
42 o 425
425 435
435 450
rf !
7
V r
Top Soil
Yellow and Red Sandy Clay
R,ed Sandy Clay
Yellow Sandy Clay
Gray Sandy Clay
Gray Sand with Thin Streaks of
rown n
ray an � grown Sand
Gray Sand, Wood and Mica
Gray Sandy Clay
Gray Sand
Gray Sand with Clay
Gray Sand
Gray Clay
Gray Sand, Some Gray Clay
Dark Tough Gray Clay
Light Gray, Sandy Clay
Gray Sand
Tough Light Gray Clay
Brown Sandy Clay,
Coarse Sand -Brown Clay
Gray Sand with Streaks of
G ray ' C 1 ay, Sand & Wood
Tough Red and Pink Clay
Tough Rt!d Clay
Green
SIGNATURE OF CONTRACTOR OR AGENT DATE

7 7
WELL HEAD COMPLETION
installer
Name Address Reg. #
Meets Min. Standards
Measure Yes No Remarks
Enclosure
.0001-
Enclosure floor
—� `
Casing height
Access port
,!
/
Valved flow
Water tight pipe entry
Well entry
ode
Vent
Z
Hose bib
Tee (Jet)
Suction line
.001,01
Chlorination
Temporary Aband.
f�
Date Well Constructed7/,&77
Date Pump Installed 010 IV
Signatage
Witness
Name Address Type
1 `
Name Address �. - Type
tot
a.r
M of •
N
r � •t
o

�SGJ
DIAGIUM OF PROPOSED 'I
CONSTRUCTION SPECIFICATIONS
_ned
iced Well
a unconsolidated formations)
13L,-P-/-77
Open —End Well
(Constructed in consolid—
ated formations)
--- land surface
i
Casing:
i 1) Inner: S��rI type 9 I..D.,Q2 SJ lbs./ft.
' 3 S O ft. (depth) ft. (into rock)
i
2) Outer: Sir type 19 I. D. 71• 6 lbs./f t.
L
5 O ft. (depth)
Er B) Cement:
1) Inner Casing: 300 ft. to ^ 3 / O h.
2) Suter Casing: O ft. to S'O ft.T�717T1T
�~ Sfc • Rock
C) Screen(s):/J/css type -I . D.
r SS D ft. to 371' ft.
2� ft. to Y1O ^ ft.
34�
_— D) Gravel: :t. to -s o ft. OVO in.
3 "11 1r — — ` � • (size)
(Fill in each blank that applies and use appropriate diagram
to show proposed construction includine, but not limited to,
casing.(outer and inner), sealing material (cement, clay,
T = etc.), packers, screens, gravel, chemical feed lines, etc.)
Location Diagram: (Previously prepared maps may be submitted provided they con—
tain information required in item (g) of the application).
GW 22A-5/70 21
Rock

NORTH CAROLINA DEPARTMENT OF NATURAL AND ECONOMIC RESOURCES
OFFICE OF WATER AND AIR RESOURCES
WELL RECORD GROUND WATER DIVISION j L
P. 0. BOX 27687 - RALEIGH, N. C. 27611
DRILLING CONTRACTOR Sydnor Hydrodynamics, Inc. REG. NO. 144 WELL CONSTRUCTION PERMIT N0. 2454
I. WELL LOCATION: (Shaw a sketch of the location on back of form) B1 aden
�
Nearest Town' U� In — County:
_ Quadrangle No.y 7 - CZ
Count °f .B o���ty or�ubdivision and Lot NoT
2. OWNER: Y Well =.2 (Dublin)
3. ADDRESS' P.O. Box 36 - Dublin, N.C. 28332
4. TOPOGRAPHY: d9wxxR)M>o)pAK>tU4ltQVX flat
5. USE OF WELL: Mun i c i pa I DATE: 7/22/77
6. DOES THIS WELL REPLACE AN EXISTING WELL? No
7. TOTAL DEPTH:_ 450' RIG TYPE OR METHOD Rotary_
8 FORMATION SAMPLES COLLECTED: YES No. of Boil1'S
`). CASING:
+2' Depth
From to 57 ft.
+2'6" 343
spacers -422—
Inside Wall thick
Cr
{� ./4ii we.I hl Tie.
-� Steel
8 .322 Steel
— 8— -322— S e e
10.
GROUT: Depth Material
Method
From 0 to 57 ft Cement
pumped
II.
SCREEN: Depth clam
Type and Opening
From 343 to 353 ft 8
S.S. ;''=30
361 371 8
S.S. ==30
3�3 — 399- �—
—#D2— —#. 2 _ 8
S.S. ' 30
--S -Fl Or
12.
GRAVEL: Depth Size
.
Material
From 310 to 430 ft. 112
Mori e We] 1 Gra
vel
343- 353
3 6 1 — 371
13.
WATER ZONES(depth):
3 3— 39
02- 12
14.
STATIC WATER LEVEL: 931 Z" ft. ��
top of casing.
below
Casing is ft. above land surface.
ELEV.
DATE MEASURED: 7/20/77
15.
YIELD(gpm): 700 METHOD OF TESTING:
pump
121' S"
24
16.
PUMPING WATER LEVEL: ft. after
hours
200
of gpm
a
I . TH
5 1 bS .
17.
CHLORINATION: Type Amount
16. WATER QUALITY: TEMPERATURE(°F)
19. PERMANENT PUMP:(Show a sketch of well head on back of form)
Dote Installed Type Make
capacity (9pm) HP
IntakeZ'91"O
th :; _ 9 } Airline; Depth
20. HAVE ED` THE",WJ^LL OWNER OF THE
DIE PA NTS I S� .660 N l�21Q�JS7 r-
21. REMARKS:
I do hereby certify that this well record is true and exact
DRILLING LOG
FOPMATION DESCRIPTION
EROM
TO
0
1
Top Soil
2
10
Yellow and Red Sandy Clay
10
20
Red Sandy Clay
20
30
Yellow Sandy Clay
30
48
Gray Sandy Clay
48
58
Gray Sand with Thin Streak
58
90
raynan3n rown Sand
90
100
Gray Sand, Wood and Mica
100
118
Gray Sandy Clay
118
140
Gray Sand
140
170
Gray Sand with Clay
170
180
Gray Sand
180
190
Gray Clay
190
200
Gray Sand, Some Gray Clay
200
230
Dark Tough Gray Clay
230
240
Light Gray, Sandy Clay
240
248
Gray Sand
2
290
Tough Light Gray Clay
290
320
Brown Sandy Clay
320
350
Coarse Sand -Brown Clay
350
420
Gray Sand with Streaks of
420
425
GrClay, sand &Wood
a
425
435
Tough Red and Pink Clay
435
450
Tough Red Clay
s of A
Green
SIGNATURE OF CONTRACTOR OR AGENT DATE
Form GW-I VIPsP CnpV- Oift-p f an`nr and Air Resources; Blue -Drillers Copy; Green- 00efS Copy

GROUND WATER SECTION
Resource Planning and Evaluation
WELL AND PUMP INSPECTION REPORT
Well loc.ation��►� �P� ��� r� '�`7 Qti S* 'p
(Townie, Comm., Subdivision and Lot No.)
Owner "�7e�a1i *; �Dt,6 � 1m 'p
Addresso
WELL CONSTRUCTION
Drilling Contractor 4
Na,.,e Address
Meets Min. Standards
Measure Yes No
Permit
Location
Distance from
Pollution source
Other location standards
Total Depth
Casing
Depth
Diameter
Weight/thickness
Height
Drive shoe
Exception approved by owner
'gout:
Type
Thickness
•
Depth
Screens
Development
I. D. Plate
Abandonment (temporarv/permanent
Water level drz. 02,
Well test
Chlorination
Cuttings
Reports
Water camp (appearance)
M
..S
-.000,
M
Date 15177
Area 1;041K cti$-It.4a
County G1,4 d e?j
Read/Street Awv %
Well No.
Remarks
Reg. "
GW-36

114
WELL HEAD CI)MI111 1-.TION
I -Pump installer
Address
Meets Min. Standards
Measure Y c s No
!,:-I o.s u 2
Enclusuff
Access 2—(Lr--t
a !v- ",7
rl t i-
Well c-,i!- r
Vent
!ios(. bib
leoo*
Tee i r--t i
—
Suction iI)c
Chlorination
Temporary
.-
Date Well Constructed 7/ZZ 17-f
Datc Pumo Installed It OF f I fv
W i tn e s s
Y, + (o d -.?,-
Reg. #
Rema rk �
4� - a�vwl
SignatiF
Name Address Type
Name Address Type
tot I vool
CD

i avers
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WELL HEAD COMPLETION: Draw a sketch of the well head showing casing, pump piping,
seals, vents, access port, grout, and enclosure.
_ 4o d-
WELL LOCATION:
Draw a location sketch showing the direction and distance of the
well to at least two (2) nearby reference points such as roads,
intersections and streams. Identify roads with State Highway road
identification numbers.