GW1-2021-07113_Well Construction - GW1_20211006

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WELL CONSTRUCTION RECORD(GW-1) For Internal Use Only:
1.Well Contractor Information:
Cascade Drilling 14.WATER ZONES i
FRONT TO DMSCRiPTTO11
Well Contractor Name h, ft.
Donald Myles 4525A
R. ft.
NC Well Contractor Certification Number iS.OMR CASING for maltl-cased wells MOM
if a Ifenble
Cascade Drilling FROM TO DLIMETER', TfncxNEss MATERIAL
ft. ft. In.
Company Name 16.iNNER CASING OR TUBING(geothermal dosed-loop)
2.Well Construction Permit#• PROM 'ro1 1111AWTHR I THICKNESS MATHRIAI.
List all applicable xrll construction pernlis f.e_UIC.Connh;Slate.Variance,eta) ft. R. In
3.Well Use(check well use):
fl. ft. in.
Water Supply cL 17•SCREEN
llpl W1 FROM 'I'0 DIAMICIER SLOTS)%t; MATERIAL:
Agricultural DMunicipal/Public 156 fL 176 ft- 2 in. 0.01 Sch 40 PVC
(Geothermal(Heating/Cooling Supply) DResidential Water Supply(single) n. ft. i"•
IndustriaUCommercial DResidential Water Supply(shared) 18.GROUT
-Irrigation FROM I TO MATERIAL EMPLACEMM METHOD AsAhfOUNT
Non-Water Supply Well: 0 n• 150 rt. Aqua Guard 1 inch tremie pipe
.V Monitoring DRecovery ft. ft- (bentonite)
Irtiectiion Well: ft. ft.
Aquifer Recharge DGroundwater Remediation
19.SAND/GRAVEL PACK f n tleable
Aquifer Storage and Recovery DSoUnily Barrier FROM TO I MATERAAT: I EINPLACRMENT MIMTOD
Aquifer Test DStormwater Drainage 152 ft• 176 ft• #1 Sand' Pre-packed screen&
Experimental Technology DSubsidence Control R. R. gravity
Geothermal(Closed Loop) Tracer 20.DRILLING LOG attach Additional sheets if necessary)
Geothermal(Heating/CoolingReturn) Other(explain under#21 Remarks) FROM To DMSCRTPTION talor,henlncsa,soiUrack htarr>x.cm.
0 ft. 41 ft. Undifferentiated Deposits
4.Date Well(s)Completed:6-22-21 Well ID# PD-SW 41 ft. 68 n• Lower Sands Deposits
Sa.Well Location: 68 ft. 114 R Castle Ha ne Formation
Duke Energy Brunswick Nuclear 114 176 n Peedee Formation
Facility/Owner Name Facility lDO(if applicnble) ft. ft.
8520 River Road SE,Southport,NC 28401 m R
Physical Address,City,and Zip ft. rt. 1
Brunswick 20600001 21.REMARKS
County Paul Identification No.(PIN)
PJ
Sb.Latitude and longitude In degree0miautes/seconds or decimal degrees:
(if well field,one lat/long is sufficient) 22.Certificn(ion V�0`� oNv
334 57'23.22" N 78'00'43.29" W
6.Islam)the well(s)OX Permanent or Temporary ��ofCcrttfied Well Con ctor Hate
0y signing Nits form,/hereby certify that the well(v)was(ivere)constnicred in accordtnlcc
7.is this a repair to an existing well: Dyes or JDNo ivith 15A t'VCAC 02C.0100 a'15A NCAC 02C.0200 rt ell Cansrruclian Standarrtr and that a
IJ'lhis is a repair•Jill wit knosoi nxrN eanstratrton hefonnation raid erplain the nature of the copy ofthis record htcv been provided to the shell owner.
mpalr under 921 remarks section or on the back of/his form.
23.Site diagram or additional well details:
8.For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same You may use the back of this page to provide additional well site details or vlcll
construction,only 1 GW-1 is needed. Indicate TOTAL NUMBER of wells construction details. You may also attach additional pages if necessary.
drilled: SUBMITTAL.INSTRUCTIONS
9.Total well depth below land surface: 176 (ft•) 24a. For All Wells: Submit this form within 30 days of completion of well
Fa•mithiple wells list all depths ifd(tTareni(example-3@200'and 2@1001 construction to the following:
10.Static water level below top of casing:11.80 (ft.) Division of Water Resources,Information Processing Unit,
Ifimler level&above casing,use"+" 1617 Mail Service Center,Raleigh,NC 27699-1617
11.Borehole diameter:6 (in.) 24b.For Injection Wells: In addition to sending the form to the address in 24a
Sonic above,also submit one copy of this form within 30 days of completion of%yell
12.Well construction method: construction to the following:
(i.e.auger,rotary,cable,direct push.etc.)
Division of Water Resources,Underground Injection Control Program,:
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center,Raleigh,NC 27699-1636
Ian.Yield(gpm) Method of test: 24c.For Water Sup
nly&Injection Wells: In addition to sending the fond to
the address(es) above, also submit one copy of this form within 30 days;of
13b.Disinfection type: Amount: completion of well construction to the county health department of the county
where constructed.
i
pone GW-1 North Carolina Depatwtent of Environmental Quality-Division of Watcr Resou ices Revised 2-22416
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September 16,2021
North Carolina Department of Environmental Quality
Division of Water Resources—Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attention: Information Processing Unit
Reference: Well Construction Records(GW-1 Forms)
Brunswick Nuclear Plant
Southport, North Carolina
S&ME Project 210059
Ladies and Gentlemen:
On behalf of Duke Energy and Cascade Environmental, S&ME, Inc. (S&ME) is submitting the attached completed
and signed Well Construction Record (GW-1)forms for ten groundwater monitoring wells installed at the Brunswick
Nuclear Plant.
Thank you for receipt of these records. Should you have any questions or need additional information, please do
not hesitate to contact us at 864-574-2360.
Respectfully,
S&ME, Inc.
Armstrong, Nathan Williams, P.G.
Principal Engine Senior Geologist
Attachments: Well Construction Records (GW-1)
cc: Brent Elvington, Duke Energy,via [e-mail]
Mark Herndon, Cascade Environmental, via [e-mail]
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S&ME,Inc.19751 Southern Pine Boulevard I Charlotte,NC 282731 p 704.523.4726 1 www.smeinc.com