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HomeMy WebLinkAboutBL-1981-002-00_lithological_log8 L-T-3- S/ NORTH CAROLINA DEPARTMENT OF NATURAL RESOURCES & COMMUNITY DEVELOPMENT DWELL RECORD DIVISION OF ENVIRONMENTAL MANAGEMENT, GROUNDWATER SECTION P.O. BOX 27687 - RALEIGH, N.C. 27611 DRILLING CONTRACTOR REG. 140. WELL CONSTRUCTION PERMIT NO. 1. WELL LOCATION: (Show sketch of the location below) Nearest Town: Ke I' y 0 (Road,Community or Subdivision and Lot No.) 2. OWNER: C}- W - f 3. ADDRESS: R A,-).* / 4 4. TOPOGRAPHY: draw,valley,slope,hillto ,fla (circle one) WNW 5. USE OF WELL: C)&S DATE: 4-30- a) 6. DOES THIS WELL REPLACE AN EXISTING WELL? 7. TOTAL DEPTH: 6 a o RIG TYPE OR METHOD:f^a 8. FORMATION SAMPLES COLLECTED: YES NO 9. CASING: Depth Inside Dia. From�to 00 ft a i Wall thick. or weight/ft 10. GROUT: Depth Material Method From_Aqto&! (�-.i,�4 11. SCREEN: Depth Dia. From toA�g_ft a L 12. GRAVEL: Depth Size From to ft ty: R J "'U Tangle No. 414 39 Nam_ DEPTH FROM TO JRILLING LOG FORMATION DESCRIPTION If additional space is needed, use back ot torm Type & Opening p'a.o SI LOCATION SKETCH (Show distance to numbered roads, or other map reference points) Material 13. WATER ZONES(depth): p V 14. STATIC WATER LEVEL: 'below op of casing Casing is ft. above land surface ELEV: 15. YIELD(gpm):3_METHOD OF TESTING 16. PUMPING WATER LEVEL: ft. after hours at gpm- 17. CHLORINATION: Type Amount L 18. WATER QUALITY: TEMPERATURE (of)�-i°[✓ 19. PERMANENT PUMP: Date nstalled Type Capacity (gpm)HP Make Intake Depth Airline Depth N 20. HAS THE OWNER BEEN PROVIDED A COPY OF THIS RECORD AND INFORMED OF THE,DEPARTMEN S/4QU REMENTSf�' RECOMMENDATIONS? j�� % %�- , o .I>i/;-J A('5 �,('0 "OF } ?+� 21. REMARKS !k CtTl�.b' �6aa� �•AAs A'" �` -+µme r2 0-,r1i►'—�iQt&* 4-o.M -j I do hereby certify that this well was constructed in acc rdance with N.C. Well Constdfuction Regulations and Standards and that y.this ( well �/rr ecord is true and exact ,`/ e SIGN URE OF C NT CTOR OF AGENT 6A 5 ..........-, ce..�;.,.. A !•n via owner. 0C� L1�4G K, o` r 13L-T--3 8 1 t NORTH CAROLINA� DEPARTMENT' OF NATURAL AND ECONOMIC RESOURCES GROUNDWATER SECTION Lit ologic Log Well No.: Field—.... Log by: —J)MM%4 Date_ y- 13-�) County R I A-1-EA) Location, Town /< 2 I k Owner cr LDrillei LL Date Drill Z Depth it. Diam._x in.; Cased to ft.; Elev. ft. above MSL Cuttings „Elec. Log--- Gamma log,, - Description feet Thickness to I , (feet) F yy - Ent M --sue%- "W-491MOV-0 `t5 0 / h. 0 s Lo w o a� ss .� 0 S,n 0 s t 03 ' a poc�kod Lu)'O" 13L.-T-3- $/ f LITHOIAGIC LOG (continuation sheet) Well No.: Field Office USGS Depth (feet) Thickness mm M. M &MI- �W-M-Alfflpg � , ' ♦� !lam � - J 6- 11 , , j-710LOGIC Well LOG (continuation sheet) We_� No.: "meld - �> USGS Depth (-'eet) Thickness FM C .-- .• 0 -14FAM/t11 L• r r _ .. _ — A M& A MAX F MO M-.q �30 - % 4 0 /�- ; Form (;Iv-2a K .-r_3- g/ .. IA--3 ' L1 ,40 'OGtC LAG (tontih'uation" Sheet) ``'�' Well No.: 'Field ,�.. • Office USGS- ' Depth feet Thicknets, Description from to (feet) • 10S s e ... o 66 o S 4Ss Form m -` A 13L-T- 3 - 8 '14 '"I Q IS, Ira irk -r � I %P So Wei' GL-7-3 Ao `•riell� /J G RESEARCH STATION NAME .D9 R �vc�TT 14X 7A-, 3, _ 14 a OC Al DATES: STARTED �__ Jam/ LEFT l_ �_ _'E ,� ._y_ g� COMPLETED ti'ELL TOTAL _ SWL i FLEV SWL iITEM-PI , r TH DIA or 01! (LS) M) ,, - 13oh'i - I o /�. t _► l0 -6m 1 ��-30 - / , how l7, �-, es ss�.P� i O a '21G S ,vo � r i ( I .3,/- -I 19 /Y,�> ,.5O v2 .Z !/i! S f3 lD - / -�l y. I �'• �� I i O o c , S,44W l;Z �.! I ,ZO-33 I - - l ��3 I Fs.ci�✓ ,v2�^O�i ( 30 / o SANo 5 ' I 3:'0 C1,19 0 .21 cos D `2 7 - gq I - t- / 2 Wa , S3 ; c. S NO , ® '' ►mom arm 15 FUM SUPPLIES COST SITE PREPARATION OTHER 3 4: 3.5'n . 0 r - NORTH CAROLINA DEPARTMENT OF NATURAL RESOURCES C COMMUNITY DEVELOPMENT WELL RECORD DIVISION OF ENVIRONMENTAL MANAGEMENT, GROUNDWATER SECTION _ 75 P.O. BOX 27687 - RALEIGH, N.C. 27611 DRILLING CONTRACTOR REG. NO. WELL CONSTRUCTION PERMIT NO. 1. WELL LOCATION: (Show sketch of the location below) (Road,Community or Subdivision and Lot No.) 2. OWNER: (,' Lj 3. ADDRESS: 1++( 4. TOPOGRAPHY: draw,valley,slope,hillto fl (circle one) 5. USE OF WELL: J p/►��i �s� DATE: 7 �� 6. DOES THIS WELL REPLACE AN EXISTING WELL? 7• TOTAL DEPTH: SS_y RIG TYPE OR METHOD:. B. FORMATION SAMPLES COLLECTED: YES NO 9. CASING: Depth Inside Wall thick. type Dia. or weight/ft. From0 tocJ3.Yft g 2-- ,I, " 10. GROUT: Depth Material From to ft 11. SCREEN: Depth Dia. Fro'ay_to,���ft y 12. GRAVEL: Depth Size From to ft 13. WATER ZONES(depth): Method County: 13 1 "V A) Quadrangle No. 14 -� S — /Jagn DRILLING LOG DEPTH FROM TO FORMATION DESCRIPTION ■ a ;AO �r If additional space is needed, use bacX ot torm Type 6 Opening L2o S Air• LOCATION SKETCH (Show distance to numbered roads, or other map reference points) (14 r4e, V %'o 5 Material 0 4 14. STATIC WATER LEVEL S 3 -row ��csj. Casing ift. above lan surface ELEV: 15. YIELD(gpm): METHOD OF TESTING: j `1+7 16. PUMPING WATER LEVEL: ft. after hours at gpm. 17. CHLORINATION: Type A�rq- Amount 1 C—L*e 18. WATER QUALITY: TEMPERATURE(URE(i)) °G 19. PERMANENT PUMP: Date Installed Type Capacity (gpm)HP Make Intake Depth Airline Depth 20. HAS THE OWNER BEEN PROVIDED A COPY OF THIS RECORD AND INFORMED OF THE DEPARTMENTS REQUIREMENTS AND RECOMMENDATIONS? 21. RENARKs . ckle I do hereb certify that this well was constructe in accordance with N.C. Well Construction Regulations and Standards and that this well reec�o ddis true and exact. SIGNAL E OF CON CTOR OF AGENT DATE • . V "w L%.Ln kleMUL1114A I --4 ' DEPARTMENT OF NATURAL AND ECONOMIC RESOURCES GROUNDWATER SECTION Lithologic Log Well No.: Field Office Log by: -' Date County ,� ,��f u �,� USGS Location, Town �= ' Owner - Driller _1 )'11L( Date Drilled Depth ft.; Diam. in.; Cased to ft.; Elev. ft. above MSL Cuttings Elec. Log Gamma log Description Depth (feet) Thickness from to (feet) r / } A U o/ J I • /. s/ r+�i .Ir ♦ fJ ;, y3 fir r, / ! .-r,,. 1 -mot '1 l L4 7 rJ Scu ci'% 3n, r GW-2