HomeMy WebLinkAboutGW1-2021-01740_Well Construction - GW1_20210209 WELL CONSTRUCTION RECORD (GW-1) For Internal Use Only:
1.Well Contractor Information:
Ronald Barron 14.WATER ZONES
R'ell Contractor Name FROM TO DESCRIPTION
h. ft.
2091-A
ft. ft.
NCW'ell Contractor C onficatlon Limber 15.OUTER CASING !dti-ravedwells ORL[NER ifa livable
Piedmont Industrial Services FROM DIAMEfFB THICKNESS }I ATER[AL
ft. ft. to.
Company Name
N/A 76 INNER CASING OR TUBING eothermal IIJCN too
2.W'ell Constrnetlon Permit#: FROM TO DI{Nl FlffR '1'111CKNF.SS MATERIAL
1,1 all oppn�-onle t,eoe„....aen"n�er,'n,re. nrz,nn,t,nr"scot,. lar,,,,tre.erca 0 h. 8' ru 2 ' Seh40 PVC
3.Well Use(check well use): ft. H. '17.SCREEN n.
Water Supply Well:
FROM TO DL{MErEa SLOT SIZE TIIIC6NESS MATERIAL
Agricultural []Municipal/PubGc 8' f- 18' fn 2 1°' .010 Sch 40 PVC
Geothermal(Heating/Coorne Supply) []Residential Water Supply(single) ft. ft. in.
Industrial/Commercial Residential Water S Lipp ly(shared) VLGROUT
Irrigation FROM TO 11lT'ERIAI. EMPLACEMEN'TMETHOD&AMOUNT
Non-W'aterSupply Well: 0 fu 4' f- Concrete Mixed&Poured,160#
x Monitoring %[]Recover,
Injection Well:
ft. ft.
Aquifer Recharge []Groundwater Remediation 19.SAND/GRAVELPACK ifa liable
Aquifer Storage and Recover- []Sahrao, Barrier FROM 90 PI:NTERIAL EMPLNCEMENTMETHOD
Aquifer Test []Storm,sater Drainage 6' ft. 18' ft- #2 Filter Sand Trimied
Experimental Technolog, []Subsidence Control 4' f- 1 6' f- 3/8 Bentonite Chips I Poured
Geothenmal(Closed Loop) []Tracer 20.DRILLING LOG attach additional sheels if aeceasa
Geothermal(Heating/Cooling Return) MOther(exlain under#21 Remarks) FROM To DES(RmrwN colon,nardn� soiEmes I, te,etcu
D fn See attached log
A. Date YVell(s)Completed: 1-6-2021 WellID#MW-8 ft. H.
Sa.W'ell Location: ft. ft.
J.J. Gouge & Son Oil Co. N/A ft. ft.
Fnc,hty/OwnerName Facility ID=(If applicable) ft. H.
112 Greenwood Rd.,Spruce Pine,28777 ft.
Physical Address,City,and Zip ft. ft.
Mitchell N/A 21.REMARKS
Ccunp Pored Identification Na (PIN) well set with flush ffieunt well easing and eeneFete P-aet
5b.Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if,ell field,one tat/long is sufficient) 22.Certification:
35 54.9560 �. 82 4.5020 NNu
1-8-2021
6.laurel the well(s)Ex Permanent or []Temporan Siwrnmm of t enified Well Comracmr Date
Hr agmng In,, I herehr cnn/i Thar the u,/1(,) n..0.")cun.. .....I m a ..donor
7.Is this a repair to an existing well: []Yes or x[]N'o ,ruin 1.i.l,V(4('02('-0/00 nr 111 V ff OY' 0200 it 1/(\nrrtnmvmn st....h"I.tie.I rh"a
IfPn,Is a repair,fill mu kno.rn udl ounnrnmmon..farmmmn ar,a u<plew(he nalme 110h, ,npr ,foes record has been prandrd m the,all corner.
,,pmr nnder 21 remark, .....or nn the hack Jlhl.v f era
23.Site diagram or additional well details:
S.For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same You may use the back of this page to provide,additional cell site details or well
construction-only I GW-1 is needed. Indicate TOTAL NUMBER of wells construction details. You may also attach additional pages if necessary
drilled.N/A St:BMITTAI.INS'I'RCCTIONS
9 Total well depth below land surface: 18 f71 24a. For All Wells: Submit this form within 30 days of completion of well
I' nnlrzple ar/Is ll,r au depehn tfdeff a,n1(e, ngl +�2011'and2 'IIIU') V C� _ 7C construction to the following
10.Static water level below top of casing: 15.50 (ft.) Division of Water Resources,Information Processing Unit,
Ifuorer level l.,obore oo.ring.n.. - 1617 Mail Senice Center,Raleigh,NC 27699-1617
11.Borehole diameter: 10 (in.) 24b. For Inieetion Wells: In addition to sending the form to the address in 24a
Auger above_also submit one copy of form
m within 30 class of completion of well
(i
6 e au ger construction method:r.auger,rotary,cabin-dimes construction to the following_push.etc.)
Division of Water Resources,Underground Injection Control Program,
FOR WATER St PPLY'WELLS ONLY: 1636 Mail Senice Center,Raleigh,NC 27699-1636
13a.field(gpm) Method of test: 24c. For Water Supply& Inieetion Wells: In addition to sending the form to
the address(es) above, also submit one copy of this form within 30 days of
lips.Disinfection type: Amount: completion of well construction to the county health department of the county
,,here constructed.
Pon.GW-I Rmih Carolina Defeat n,ent of Fnvimnmental(luau¢-Di,-ision of W ester Resonacs Re,.,12-22-2016
MW-1 (next to SB4)
1/5/21
Sample
Interval type/ Blow count VOC
(feet) number per 6-inches (ppm) Description
0-5" DC NA concrete
5"-8" Stone-oil smell
3-5' DC NA 605 Grey brown sandy soil,strong gasoline odor
8'-10, DC NA 720 Grey brown sandy soil,strong gasoline odor.
13-15 DC NA 1,225 Red brown silty clay,strong gasoline odor,
sample collected at 10 foot for lab SB1-10.
16' Refusal-rock. Groundwater. Set 4"well MW-1
Notes: ppm=parts per million AS=auger sample
VOC=Volatile organic compound DT-21 =Geoprobe Dual Tube
S=split spoon sample DC=drill cuttings
MW-2
0/21
Sample
Interval type/ Blow count VOC
feet number per 6-inches (ppm) Description
0-5" DC NA grass
3-5' DC NA 13 Grey brown ,sandy soil, no odor
8'-10, DC NA 6 Grey brown, sandy soil, no odor.
13-15 DC NA 720 Grey brown sandy soil with larger rocks, slight
gasoline odor
16'.5 Refusal-rock.Groundwater.Set 2"well MW-2
Notes: ppm=parts per million AS=auger sample
VOC=Volatile organic compound DT-21 =Geoprobe Dual Tube
S=split spoon sample DC=drill cuttings
MW-3 (next to SB7)
1/5/21
Sample
Interval type/ Blow count VOC
(feet) number per 6-inches (ppm) Description
0-5" DC NA Asphalt/stone
3-5' DC NA 426 Grey brown ,sandy soil,slight to moderate odor
8'-10, DC NA 229 Grey brown, sandy soil,slight odor.
13-15 DC NA 160 Grey brown sandy soil with larger rocks,strong
gasoline odor
19 Refusal-rock.Groundwater.Set 4'well MW-3
Notes: ppm=parts per million AS=auger sample
VOC=Volatile organic compound DT-21 =Geoprobe Dual Tube
S=split spoon sample DC=drill cuttings
MW-4
0/21
Sample
Interval type/ Blow count VOc
(feet) number per 6-inches (ppm) Description
0-51, DC NA Asphaft/stone
3-5' DC NA 40 Grey brown ,sandy soil,slight odor
8'-10' DC NA 85 Grey brown, sandy soil,slight odor.
13-15 DC NA 63 Grey brown sandy soil,slight gasoline odor
15 Refusal-rock.Set 2"well MW-4-dry well
Notes: ppm=parts per million AS=auger sample
VOC=Volatile organic compound DT-21 =Geoprobe Dual Tube
S=split spoon sample DC=drill cuttings
MW-5
1/5/21
Sample
Interval type/ Blow count VOC
feet number per 6-inches (ppm) Description
0-51, DC NA Asphalt/stone
3-5' DC NA 172 Grey brown ,sandy soil,slight odor
8'-10, DC NA 222 Grey brown, sandy soil,slight odor.
13-15 DC NA 65 Grey brown sandy soil,slight gasoline odor
18 2800 Refusal-rock. Set 4"well MW-5
Notes: ppm=parts per million AS=auger sample
VOC=Volatile organic compound DT-21 =Geoprobe Dual Tube
S=split spoon sample DC=drill cuttings
MW-6
1/5/21
Sample
Interval type/ Blow count VOc
(feet) number per 6-inches (ppm) Description
0-5" DC NA concrete/stone
3-5' DC NA 21 Orange,slightly clay rich,sandy soil,slight odor
8'-10' DC NA 33 Orange,slightly clay rich,sandy soil,slight odor
12-13.5 DC NA 22 Orange,slightly clay rich,sandy soil,slight odor
13.5 Refusal-rock.Set 2"well MW-6
Notes: ppm=parts per million AS=auger sample
VOC=Volatile organic compound DT-21 =Geoprobe Dual Tube
S=split spoon sample DC=drill cuttings
MW-7 (same location as S69)
1/5/21
Sample
Interval type/ Blow count VOC
(feet) number per 6-inches (ppm) Description
0-4" DC NA concrete
4"-8" Stone
8"-5' DC NA 90 Grey brown sandy soil,gasoline odor
5'- 10' DC NA 250 Grey brown sandy soil,strong gasoline odor
10'-15' DC NA 1260 Grey brown sandy soil,strong gasoline odor,
15.5' 1 1 1 Refusal-set as 2"well-MW-7 _
Notes: ppm=parts per million AS=auger sample
VOC=Volatile organic compound DT=Geoprobe Dual Tube
S=split spoon sample DC=drill cuttings
MW-8
1/6/21
Sample
Interval type/ Blow count VOC
(feet) number per 6-inches (ppm) Description _
0-4" DC NA asphalt
4"-8" Stone
8"-5' DC NA 400 Grey brown sandy soil,gasoline odor
5'-'10' DC NA 1600 Grey brown sandy soil, strong gasoline odor
12-15' DC NA 3000 Grey brown sandy soil,strong gasoline odor,
18.5' Refusal-set as 2"well-MW-8
Notes: ppm=parts per million AS=auger sample
VOC=Volatile organic compound DT=Geoprobe Dual Tube
S=split spoon sample DC=drill cuttings
North Toe River
Figure 1 o/w separator
Sample Location Map discharge pipe
JJ Gouge & Son Oil Company
Spruce Pine, NC
o/w separator
tank
Q
SB6 SB5
M1,N-` product t"
oe
mud tank j �
tank SB7 MW-3IP
1
Diesel kerosene kerosene � '� �
SB8 i
AST2 AST1 Above Ground Pumps � MW 8
nwood
fi S. Gas R. Gas MW-1 " i.
SB4 1■
1■
AST3 AST4 j; SB9 �
#2 Fuel Oil SB10 SB3 1■ � MW-7
MW-4
S62 1■
1
•• Soil Boring Locat s61 " ,* Rhk
torn wuater coil
- - Buried Gasoline pump rack
Burled DleSel/k above around
-.�EST�Extent Ab line ® Mw-s