GW1-2021-01195_Well Construction - GW1_20210902

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WELL CONSTRUCTION RE •RD ,
NORTH CAROLINA
EnWronmental Quullty
•rm GW-1 Well Constructon Electronic •
North Carolina Department of Environmental Quality
April 1,2021
Submission ID#
G W 1-2021-01195
Are you submitting a printed form?* r Yes
r No
CONTACT INFORMATION
.........................................................................................................................
Contact Name* Email Address*
Alyce Bean [e-mail]
Is this a revision to the form you have previously submitted?
r Yes r No
WELL CONSTRUCTION INFORMATION
1.Who is installing these wells?*
r Owner r Well Contractor
1.Well Contractor Information:
Certiticate# Cert Level First Name Last Name Company Name
2412 A DONALD CUMMINGS,JR. APPLIED RESOURCE MANAGEMENT
2.Well Construction Permit#:
N/A
List all applicable well construction permits(i.e.IVbnitoring Wells,UIC,County,CCPCUA etc.)
What type of well is this?* r Injection Well r Non-Water Supply Well
f Water Supply Well(includes irrigation wells)
3. Non-Water Supply Well* r Monitoring
r Recovery
4. Date well was completed and ID#
Date Well Completed* Well ID# Well Yield
8/3/2021 TWPD-12B 75-100
(gallons per minute)"
5.Well Location

Facility/Owner Name*
AFTEW Properties LLC Facility ID#
(Required) (If applicable)
County* Parcel Identification No. (PIN)
New Hanover 07600-006-012
Physical Address* Street Address
Jacob Mott Drive
Address Line 2
City State/Province/Region
Silver Lake NC
Postal/ZZp Code Country
28412 us
Latitude* 34.1302880000 Longitude*77.9004900000
Decimal degrees Decimal degrees
6. Is(are)the well(s):* 6- Permanent r' Temporary
7. Is this a repair to an existing well:* r Yes F No
If this is a repair,fill out known well construction information and e)plain the nature of the
repair under#21 remarks section or on the back of this form.
For multiple Geoprobe/DPT or Closed-Loop Geothermal Wells having the same construction, only 1 GW-1 is needed.
8a. Indicate TOTAL NUMBER of wells drilled:
9.Total well depth below land surface:(ft.)
175 9a.What is the depth of the casing from ground
Formultiplewells Iistall depths ifdifferent surface?
(example-3@200'and 2@100') in feet
10.Static water level below top of casing:(ft.) 11. Borehole diameter:
28 12,8
If water level is above casing,use"+" in inches
12.Well construction method:
r Auger c- Air Rotary r Cable Tool
• Direct Push Mud Rotary r Rotosonic
• Other
14.WATER BEARING/FRACTURE ZONES
From To Description
in feet in feet
15.OUTER CASING(for multi-cased wells)OR LINER(if applicable)
From To Diameter Thickness Material
0.00 80.00 8.00 Sch40
in feet in feet in inches
17.SCREEN

From To Diameter Thickness Material
145.00 175.00 4.00 Sch 40 PVC
in feet in feet in inches
18.GROUT
From To Material Emplacment Method &Amount
0.00 3.00 cement poured
in feet in feet
3.00 140.00 bentonite poured
in feet in feet
19.SAND/GRAVEL PACK(if applicable)
From To Material Emplacment Method
140.00 175.00 #2 Well Gravel poured
in feet in feet
20.DRILLING LOG
From To Description (color, hardness,soil/rock type,grain size,etc.)
in feet in feet
21.Remarks
22.Site diagram or additional well details:
You mayupload additional well construction information here.
210268_TWPD-12B boring log.pdf 23.11 KB
pdf only
CERTIFICATION INFORMATION
...................................................................................................................................................
*PF By signing this form, I hereby certify that the well(s)was(were)constructed in accordance with 15A NCAC 02C
.0100 or 15A NCAC 02C.0200 Well Construction Standards and that a copy of this record has been provided to
the well owner.
23.Certification*
ow r"ff'W-Vd
Signature of Certified Well Contractor
Submittal Date 9/2/2021

Peedee Test Well #12B Boring Log
AQUA North Carolina
Jacob Mott Drive
Wilmington, North Carolina
Drilled by: Applied Resource Management, P.C.
Logged by: J. Zuncich/CJ Cornette
Date: 7/29/21 thru 8/3/21
Depth Description
Surficial Aquifer
0' - 15' Medium to dark brown, fine to medium grained sands with organics and minor
root fragments.
15' - 40' Medium gray, silty dense clay with few gray sand lenses.
40' - 50' Gray, silty clay with shell hash and fine sand.
50' - 70' Shell hash and gray clay with alternating soft and hard rock limestone at 62'.
Castle Hayne Aquifer
70' - 85' Weathered fossiliferous limestone with abundant shells. Soft limestone between
79' and 85', transition to dense limestone rock at 85' with good circulation and
return. At 80', set 8"casing and sealed with bentonite grout.
85' - 117' Dense, light gray limestone with shell fragments and interbedded greenish gray,
very fine to fine grained sand. Good circulation and return with little to no loss.
Transitional Zone
117' - 125' Alternating gray limestone and shell and clay mixtures with minor fines.
125' - 140' Gray to dark tan, soft sandstone with shell fragments. Moderate return.
Pee Dee Aquifer
140' - 165' Gray to dark tan, soft sandstone with shell fragments, some silt and clay.
Persistent drilling fluid loss while maintaining recovery.
165' - 175' Gray to dark tan, hard sandstone with little to no silts and fines. Persistent drilling
fluid loss while maintaining recovery (~45 gallons per minute) through the
remainder of drilling.
175' - 178' Gray to dark, soft sandstone with increasing silts and fines mixtures.