GW1-2021-00205_Well Construction - GW1_20210125

WELL CONSTRUCTION RECORD
rlv,tot inbe Ioed m..I 10:n.In11II I Ple.,c l is
I.\\ell(bnlractor Information:
Virgil Wilson Ia.WATER ZONES
FROM To OEM RIM ION
vanl-onlroch,,,aloe 13.35 °' 25 ft. Wet
4473 ft. ft.
�r\\ell untuom.n Ib. It!cauan 41.nlmr IS.OUTER CASING if.,mNd-cued weRr ORLINIE Ha bk
FROM T11 DI\METER I'HKKNFSS I MVTER1\L
Parratt-Wolff, Inc. ft. I ft. I
r,,n.... Name. IG INNER CASING OR TURING roMermol dined-too
FROM 'fa pt\METER TIII('KNEtiS Nt\TERI M.
2.\Fell(onslruction Permit p: 0 to 15 ft. 2 in' SOh40 PVC
,, di✓/.pL.vblr nvlll'i urn. ,. neon. "I'li I"er rem.. 'oil n.tin .n t
❑. ft. t
3.\\ell 1 se(check well use): 17.SCREEN
\\Inner Supply\\ell: FROM 111 DHx1FTER SLOT SIZE TmCKNfSS M:\i'ER]U.
I gncultuml rylunlcr A Pnhllc 15 OE 25 ft' 2 ' .010 SCh40 pvc
-(icuthcnnal l llceune('rwhne Supplcl -Kc.Idenual Nitcl 5upph l;mglc) R. I n. I in.
-Industn.d Commercta[ _Rc,ldcaual ll'.ucr Supple lsh.lrcdl 13.GROUT
FROM TO xl.\TER]el. EMPL\CF'MENT MIT[to[)&%MOI VF
�trncatlon 0 ft
ft. Portland Cam Tremie
N tin-M ater Supple\\'ell:
2Vton along _Raulcn
11 ft- 13 R Bentonite Tremie
Injection\\'eIL ft. ft.
\quit,,Recharge ❑ iruund,atei Remed ration 19.SAND/GRAVEL PACK fs stile
FROM TO M\TFRHI. F 'Ev"MENTMETIOD
Aywict St orage and Rec...o.c� �Sahnm Burnet
13 R. 25 ft- #1 Sand Tremie
\yotl,r Test -�Slurmvsutcr Drainage
- ft. ft.
❑FNpenmcntal fcchn0101_'< LISuhsldencc Control
20.DRILLING LOG ofheh additi nad sh ssu f oecnu
_l,2nfheflna (Closed Loop) ❑Tracer FROM TO DESCRI" IN Ilion.hardness.sl,dmchb men.,
_Ceothennal(l leauna C online Return? Other(,clam under all Rcn)arks, n. ft.
ft.
Dale"'ell(s)('ompleteJ: 12/21/20 \i'ell[Do DU-MW-05R h
ft. ft.
ia.\\'ell Location: ft. ft.
Exxon-Mobil-VCC
n. a.
Fuala,O.cncrAmne hedul lD=lit llppbnlhlel
2714 Angier Avenue, Durham NC 27703 rt rl
I'In.ral>ddmss.LIt}.and lip
21.REMARKS
Durham 4"Procover w/24"sonotube and 3 bollards
r11u11, ry rccndenll rc2nun G, I pry I
Sh.Latitude and 1 ongitude in degrees/minutes/seconds or decimal degrees: 22 ffiftcalinn:
n1 w01 field_nnc[in lon_o,nlliaenn
35.58585 -78.52226
Slgnat a,or('amtied Al dl('onuacml Dale
6.Is(are)the well(s): P1Permanem or 71remporan'
III ,µ,,terry Ill,,ler Ill. I her,hl .earn turn ore null,r, I. u.mnuv.lnl rn e...vJuu.e
n III,IIIVI>I( ON "I'll,"I .I VSI,-o, 0,00 Itch I..nvnrt uon SrunJerz/.and,Irmo
7.IS this a repair to an existing well: [INC, or 'Nu ..p,..itlu.reumJ arm M1ern pnanlrJ w,he uelhu.uor.
ll'l,n n a till nul kn,...rr..ell..nr.rnr.rvnr u for maum..... r.phuu the nano.ui qm
r...nr..... ]I I..nerk,..,u.,n..r.wit,he.F ellhr,p.n,. 23.Site diagram or additional well details:
) ,it coal use the hack of this page to pro\IJc addewnal well site details 01 cell
S.Number ofwells constructed: 1 construct.. Jet.], You mac also attach uddniunal pages itnecessun
I...mono"/.one....rn...nem..mcr.upp, n ell.O VL I'n uh,bl gain,am.va.o... I au.nrr
. o,.......n.I, StBAll"IT.V.INSTI(-TIONS
9,Total well depth below land surface: 25 If, 24a. For All Wells: Submit this form mthln S of O du.s completion of well
I-.,rnu.It'll nellJra all Jeprlr.pJrlleis ..enrple-v_`Ub dad_'rf,Iuo'I ti0 \ ttmstiUetion to the fidluwme_
p I
11).Static water level below top ofcasing: 13.35 \ U `'� (ft.) Division of"aler Resources,Information Processing(nit.
h..Ines,/...1.,ah.,,..e,.nr.,.,. �� 1617 Mail Sen'ice('enter,Raleigh.N('27699-1617
11.Borehole diameter: 2 (in.) 24b. For Injection Ni ells 0N1A In addm(.n to sending the turn to the address In
HSA 1Ja chore also subut It a cola of illIs form uIthIit 31) Jars of coal plettoo of hell
12.Well construction method: cunsmctiun w the Inlluwmg
IIc allRCT lta�.cable ducu push cic I
Division of Water Resources.I nderground Injection(moral Program.
FOR\\':\TER St'PPL\'W ELLS ONI.1'I 1636 flail Service Center,Raleigh,N( 27699-1636
13a.\idd(gpm) Method of fee, 24c. For\\Race Supply&Injection"ells:
VGu euhnvt one cop, of this form svah n YI dmsof completion tit
13h.Disinfection n'pe: \mount: ..ell coo,nicuon Rt the comm health depaninent of the count (Mere
cDltStiucled
I.....I<iAA-I Aollb Cmol.nu Dcp:nmwnl.d I I,and Aauual Kccow.cx-Dn...en tit O:ncl Resourc. Rarad Au,na'01!