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.
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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
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0
s Lo w
o a� ss
.�
0 S,n 0 s
t 03 ' a
poc�kod Lu)'O"
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LITHOIAGIC LOG (continuation sheet)
Well No.: Field
Office
USGS
Depth (feet) Thickness
mm
M.
M
&MI-
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, '
♦�
!lam
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j-710LOGIC Well
LOG (continuation sheet) We_� No.: "meld -
�> USGS
Depth (-'eet) Thickness
FM
C
.--
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0
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L•
r
r _
.. _ —
A M& A
MAX
F MO
M-.q
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Form (;Iv-2a
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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
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Q IS,
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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)
,,
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SUPPLIES COST
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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
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