GW1-2021-00659_Well Construction - GW1_20210203

WELL CONSTRUCTION RECORD(GW-1) For Internal Use Only:
1.Well Contractor Information:
VINCE FEDERLE 14.WATER ZONES
Well Contractor Name FROM TO fL ft DESCRIPTION
A - 3552
D. is.
NC Well Contractor Certification Number 15.OUTER CASING(for WNERSfa
MOHIC RALGEOLOGIC EXPLORATION Dse
ft. fL in.
Company Name 16.INNER CASING OR TUBING thermal clmed-loo
2.Well Construction Permit M: FROM TO DIAMETER THICKNESS MATERIAL
List a(!applicable coal!comrrucuon permitr(i.e.UlC,Cowry,Smte,4'ariance,et</ 0,0 fL 5.0 ft 1.0 'n' SCH 40 PVC
3.Well Use(check well use): ft it
Water Supply Well: 17.SCREEN
FROM TO DIAMETER SLOTSIZE THICKNESS MATERIAL
❑Agriculmml OMunicipal/Public 5.0 fL 15.0 fL 1.0 "` .010 SCH 40 PVC
OGeothennal(Heating/Cooling Supply) ❑Residential Water Supply(single) R ft. ,
❑Industnal/Commemial ❑Residential Water Supply(shared) IS.GROUT
01trigation OWelis>100,000 GPD FROM TO MATERIAL EMPLACEMENTMEIROD&AMOUNT
Non-Water Supply Well: 0.0 n' 1.0 fL PORTLAND BEnrOunE SLURRY
09Mcnitoring ❑Recovery f. fL
Injection Well:
ft. fL
CAquifer Recharge OGroundwater Remediation
19.SAND/GRAVEL PACK ifa itable
OAquifer Storage and Recovery ❑Sehnity Barrier FROM TO MATERAL EMPLACEMENT METHOD
CAquifer Test ❑Stormwater Drainage 3.0 fL 15.0 rL 20-40 FINESILICASAND
❑Experimental Technology ❑Subsidence Control fL R.
OGeothermal(Closed Loop) ❑Tracer 20.DRILLING LOG atrub additional sheets if mainua
OGeothermal(Heming/Cooling Retain) OOther(explain under 021 Remarks) mom To DESCIUMON lcobr,hardness.saamock true,graia we.ale.
0.0 fL 1.0 IL GRAVEL
4.Date Well(s)Completed: 01/06/21 Well IDN PZ-5 1.0 fL 15.0 D' GRAY CLAYEY SAND
Sa.Well Location: ft. R
INTERNATIONAL PAPER R R.
Facility/Owner Name Facility IDN(if applicable) ft ft
1785 WEYERHAEUSER ROAD VANCEBORO 28586 ft. fL
Physical Address,City,and Zip ft ft.
CRAVEN 21.REMARKS
County Parcel Identification No.(PIN) BENTONITE SEAL- 1.0-3.0 FEET
Six Latitude and longitude in degrees/minutes/seconds or decimal degrees: "`PRE-PACK SCREEN""
(ifwell field one lat/long is sufficientt 22.Certification:
350 13' 38.39" N 77" 06' 27.73" W Vaal R L4.A_
1/15/2021
6.Is(are)the weli(s): gPermaeeot or OTemporary s� 10Signatue of Certified Well Cantracrm Date
XJ f(By signing this fans,!hereby certtjy that the wadi("/woo(were)constructed in accordance with
7.Is this a repair to so existing well: Oyes or ONo k C-� 15A NC,4C 02C.0100 or 15A NCAC 02C.0200 Welf Comt.,,..Stw dardr arrd that a copy
fjthis is a repair,fit!our krmun wet/comvucaon mformaoon atd explain the nature oJtbe of this record has been provided to the well owner
repair under#21 remarks section or on the back of this form.
23.Site diagram or additional well details:
E.For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same You may use the back of this page to provide additional well construction info
construction,only 1 GW-1 is needed. Indicate TOTAL NUMBER of wells (add'See Over in Remarks Box).You may also attach additional pages if necessary.
drilled: 24.SUBMITTAL INSTRUCTIONS
9.Total well depth below land surface: 15.0 (ft)
Far multiple wells lar all depthsfdrj(erent(example-3Q200'ad 2®100') Submit thisGW-1 within 30 days of well completion per thefollowing:
10.Static water level below top of casing: 7•0 (fL) 24a. For All Wells: Original form to Division of Water Resources (DWR),
ryxater level is above casing,use' Information Processing Unit,1617 MSC,Raleigh,NC 27699-1617
11.Borehole diameter: 8.0 (in.) 24L For Ioiection Welt:Copy to DWR,Underground Injection Control(IUC)
AUGER Program• 1636 MSC,Raleigh,NC 27699-1636
12.Well construction method: 24c.For Water Su I and O n-Loo Geothermal Return Wells:Copy to the
(i.e.auger,rotary,cable,direct push,etc.) county environmental health department o the county ere m
FOR WATER SUPPLY WELLS ONLY: 24d.For Water Wells producing over 100,000 GPD:Copy to DWR,CCPCUA
13a.Yield(gpm) Method of test: Permit Program,1611 MSC,Raleigh,NC 27699-1 6 1 1
13b. Disinfection type: Amount:
F omi Get-I North Carolina Department of Environmental Quality-Division of Water Resources Revised 6.6-2018

• SOIL BORING I MONITORING WELL ID:
® EngineeringLLc Ch2aa0I%SWav-aS0 Road29407 PZ-06
a Member of The GEL Group,Inc, (843)7692378 Fax[phone]
ENVIRGNWW&I ENG VEERING I SURVEYING ~.gelmm PAGE 1 OF 1
problem ashes PERMIT NO: PERMIT DATE:
CLIENT: International Paper•New Bann PROJECT NAME: Landfill monitoring
PROJECT NO.: Inpa00720 PROJECT LOCATION: International Paper-New Bern,NC
DATE STARTED: 11612021 COMPLETED: 1I6l2021 BOREHOLE DIAMETER: 84n.
DRILLER: Geologic E0oration CERT.NO.: NC CWD#3552 GROUND SURFACE ELEVATION:
DRILLING METHOD: DPTMSA NORTHING: 538,161.504
LOGGED BY: BPB APPROVED BY: GAD EASTING: 2,565,782.492
NOTES: TOC Elevation=3.88 GROUNDWATER LEVEL(24 Iv): 0.97 feet from top of casing
Z J
3 c o Tests cc Description Well Construction
E —a w
0 Sandy Clay:Black,damp,20% 0 Grout
medium and 20%fine sand,60%
clay
0.1 CL
K. Bentonite
—' Clayey Sand:Dark brown,damp,
— —' 30%medium,30%fine sand, V diam.PVC
40%Gay
0.2 SC —
5 -5
Gravelly Sand:Brown,moist,
W.::: 25%coarse,50%medium,25%
fine sand
0.1 GP
•/• Sand Peck
10 10 1•Diam.Slotted
• Sandy Clay:Gray,wet, 10% PVC Screen
• medium,30%fine sand,60%clay
CL

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