GW1-2021-00573_Well Construction - GW1_20210224

"'ELL CONSTRUCTION RECORD I ,, Int:,ndl t ..,,M)
fm.t.,,,,,:,i,L:n..,l lo—i-,I:,•i ,.nanpl,
I.%Nell('untractor Information: A ^49`
Virgil Wilson l ry ` 14."0%1 RZONES
fxosl TO
Den(xlrum
\cru I ft. I wet
4473 " f.
v s,n....1 ,,,h, B.OI:TER CASING for muhi-aced wells TMIaL' R ifa tint-,
1R11\I Ill III 1\,,,Ex TIIIC!"r \I\ffHl U.
Parratt-Wolff, Inc. n.
16.INNER CASING OR TUBING eoMermal rimed-too
{Haq T1) n.1111 H TDKR\F55 N\TOoll
2.N\ell('un.tructiun Vernlil=: p n. 20 n. 2 in. SCh40 PVC
3.N\ell 1 .e(check well use): 17.SC'REEN
\\a lee Supply"elh Fli Ira m1wl,,:x lOf Wf IISM tisfi. V1l llxt\I.
-A_n.ultur.Il -\hlm;,Pal 1'uhl lc 20 f'" 30 f° 010 ISM
PVC
-Goothcnnal Il lmune C ouhns I -Re,ldenual AA'dtel Supply RII>_lel ft. R. 1
n.
-11)JUIOUl i'omnlCnal 1-Re,,JenualAC'.uer Cuppl% shored( Is.GROUT
IROM 10 11tilIli I:NYI_1CI:wfVT Millm115.%%101 AT
-lrr""two 0 f 16 ° Portland Cem Tremie
Non-TNaler Supple ReII:
\Lmnun nil CRccm cn
16 ft 18 D Bentonite Chi Tremie
Injection\Nell: D. h.
-.\umlti Rcdhuru- _0t,nd\latcl RUnledlal"m 19.SAND/GRAVEL PACK ifa iraNe
1BIIN 1'll \IITFHI\I. FTIPI.\fENEST NFTIit)n
-Aquite,Sw,,we and Reco)en =Salmus Bxt,cl
18 #1 Sand Tremie
-Aywti',Test -Smnmsate,Dramuue
(t. p.
-1-.Penmcntul TcUhnnloe, -Suhsdando Control
- 20.DRILLING LOG Omnirh additional sheet if neemani
-Geothenmzl(Cllued Luopl .-Tracer fRaw To DFa(RIM[ON u.1i hs.dn.....eD...G n .. ema
Oeothennal(l-eau n,Cuul I nR RCurti) -Ui(cvslam ands,P21 R,ft,il ft. ft.
ft. ft.
J. Dale NNeR(s)C 2-11-21 unlrleted: ReII IUa P-33
ft. ft.
5a.Bell Location: p, ft.
Granville County f, f,
I tot."0onc1 Atime Fuala, IU= 0 a1
R. ft.
6584 Landfill Road, Oxford, INC 27565 ft ft.
I'I,A.,zal Wdme-z t'm and/,).
21.REM ARKS
Granville
-.,a.i P t„I,dart-,renm,n v1, rt
5b.Latitude and Longitude in degrees/minutes/seconds or decimal degrees: 22 (�Erlificaliun:
il l,,ell I'®Id.Cur tat long o.,nu,ec 1,
36.370871 N -78.619621 A/
1m rnium ,t lit.1111 Well -. Dille
6. Is(are)the well(s): GPermanem or 11emporan ,n,,, I,,,.... l ha ,.... ..1a ,. „nl.....-
„Id,I A, I, ,_ oluu or Lr l A, I, nu 11, .u.o-,,.u.,n ,,n,J.v�l.end,G.0 e
,Y nt u] .
'. Is this a repair to an existing well: Cl e, or "so ,.q., en........l.d,.,Ih,
ldl.la fn.,no.,,ii,..,.v un "If"? v m n ne,..n.u,.l, ne 04 Ih.
23,]ile diagram or additional well derails:
n v IT ,,, use the back ill this Page to pros Ids adduamdl dell-.tie Jctad.,of sell
g.Aumber of wells constructed: 1 (li,ui miou details Nnu ma aka attach Ad.uowl pa ec If neaeman
/III il nrlupl.,n/e,mm Ill non-1„u„ ,upp1 "it,0A11 ,„tlr uo wm,umerruclt"n. n,o.an
,,,ho„t.n,./,,,,,, SIBVfITT.AL INSTF(-T 10AS
9.Total well depth belon land surface: 30 11'L) 2Ja. For All Bells: Suhmu thi.. (rzm ssuhin Ju doss of complcbon of well
I.e muf,q,h a/A,Inn nil d.rylr,n,/,u..r,n m..u...)I lu'rm .....I at l cunnmcuon it,the lollo,tai-
11).Static laver level below top or casing: None M.) Dn isiun of\\'titer R semi Information Processing I nil.
n /1 ,/n ehin-..,v 7, 1617 Nail Smice Center.Raleigh.N(C 27699-1617
11.Borehole diameter: 2 (in.) 24b. For Injection %%ells ON1A: In addiuun to.endure the town to the addles, m
_- uhosc aka whma a cops of till, loon scrthul 91' dacs of amIPlCwn ill sell
12.R u ell rnnslrclimn method: 8 1/4 HSA with 4 PdC bit fluid rotary Uon9,ucuon n,the Ibllou m.
41. RE_fF Ildit .ahl,.durcl p ,h a. _
Ifivisiwn(FIN ater Resources,I ndervrnund Injection Control program,
FOR NN.%T F:R SI-PPLN RFLI S 0\I.1'. 1636 Mail Sunice Center.Raleigh.\( 2'699-1636
13a. 1 orld(groat _. Method of lest: 24c. Fur\%tiler Supi & Injection NNells:
VLn suhmm one cops of tor. Goon vvToro $I Jds s nr almplcuon nF
13b.Disinfection type:. _. .%mount: ,ell co,,,tuaunn lu the euunt hcallh depaltmmill of file count olic,c
rurot I ucled
�.,nrt�AA-I Canh t'amhn.,Pcpartn¢mt n11 muon,u.w ,nJ v:uwnl Rc>numc.-Dnnion,d".el, It"IT". li.,ned vu. I IDIs