GW1-2022-03743_Well Construction - GW1_20220406

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NORTH CAROLINA
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WELL CONSTRUCTION RECORD (GW-1 )
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Form GW-1 Well Construction Electronic Form
North Carolina Department of Environmental Quality
Division of Water Resources
November1
Submission ID#
G W 1-2022-03743
Are you submitting a scanned form?* Yes
No
CONTACT INFORMATION
.......................................................................................................................
Contact Name* Email Address*
John Switzer [e-mail]
Is this a revision to the form you have previously submitted?*
Yes No
WELL CONSTRUCTION INFORMATION
..... ......... ......... ......... ......... ..... .........
1.Who is installing these wells?*
Owner Well Contractor
1.Well Contractor Information:
Certiticate# Cert Level First Name Last Name Company Name
4160 A JOHN SWITZER TRADER CONSTRUCTION COMPANY
2.Well Construction Permit#:
WS0701161,CU1007
List all applicable well construction permits(i.e.Monitoring Wells,UIC,County,CCPCUA,etc.)
What type of well is this?* Injection Well Non-Water Supply Well
Water Supply Well (includes irrigation wells)
3.Water Supply Well* Geothermal (Heating/Cooling Supply) Industrial/Commercial
Irrigation Municipal/Public/Community
Residential Water Supply(single) Residential Water Supply(shared)
Wells> 100,000 GPD
4.Date well was completed and ID#
Date Well Completed* Well ID# Well Yield
3/18/2022 Line 49-1-25 35
(gallons per minute)"

3/25/2022 Line 50-1-30 35
(gallons per minute)"
4/1/2022 Line 51 -1-30 35
(gallons per minute)"
5.Well Location
............ .............
Facility/Owner Name*
PCS Phosphate Company, Inc.(Nutrien) Facility ID#
(Required) (If applicable)
County*
Beaufort
The selected county is within the Central Coastal Plain Capacity Use Area. Please reference your Capacity Use Water
Withdrawal Permit Number(CUxxxx)in Section 2.above.
Parcel Identification No.(PIN)
Physical Address* Street Address
1530 Highway 306 South
Address Line 2
City State/Province/Region
Aurora NC
Postal/Zip Code Country
27806 us
Latitude* 35.3254230000 Longitudet76.8494570000
Decimal degrees Decimal degrees
6.Is(are)the well(s):* Permanent Temporary
7.Is this a repair to an existing well:* Yes No
If this is a repair,fill out known well construction information and explain 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: 85
9.Total well depth below land surface: (ft.) 9a.What is the depth of the casing from ground
78' surface?
For multiple wells list all depths if different 22'
(example-3@200'and 2@100') in feet
10.Static water level below top of casing: (ft.) 11.Borehole diameter:
8' 7.25"
If water level is above casing,use"+" in inches
12.Well construction method:
Auger Air Rotary Cable Tool
Direct Push Mud Rotary Rotosonic
Other

13. FOR WATER SUPPLY WELLS ONLY:
13a.Yield(gpm) 13a.Method of test:
If applicable
13b. Disinfection type:* 13b.Amount:
HTH Shock-calcium hypochlorite 1/4 pound
14.WATER BEARING/FRACTURE ZONES
From To Description
0 12 Sand Ridge-Tan-Brown Poorly graded sand
in feet in feet
30 40 Sugar Sand-Gray poorly graded sand
in feet in feet
50 78 Sand Scour-Course Sand w/shells
in feet in feet
15.OUTER CASING(for multi-cased wells)OR LINER(if applicable)
From To Diameter Thickness Material
in feet in feet in inches
17.SCREEN
..........................................................................
From To Diameter Thickness Material
22.00 78.00 4.00 Sch.40 PVC
in feet in feet in inches
18.GROUT
From To Material Emplacment Method&Amount
22.00 0.00 TD-16-.25"pellet Grout Gravity-3(501b bags)
in feet in feet
19. SAND/GRAVEL PACK(if applicable)
From To Material Emplacment Method
78.00 22.00 3/8"-1/2"pea gravel Gravity
in feet in feet
20. DRILLING LOG
From To Description(color, hardness,soil/rock type,grain size,etc.)
0.00 12.00 Sand Ridge-Tan/Brown poorly graded sand
in feet in feet
12.00 30.00 Post Croatan Sand-Silty sand w/gumbo clay strands
in feet in feet
30.00 40.00 Sugar Sand-Gray poorly graded sand
in feet in feet

40.00 50.00 Shell Bed-Green/gray-Clayey/Sandy Shell hash
in feet in feet
50.00 78.00 Sand Scour-Gray course sand w/shell mixture
in feet in feet
21. Remarks
Prestrip Dewatering wells-Drilled in a series of wells lines.Wells are spaced 75'apart and well lines are spaced 250'
apart.Wells are temporary and approximately dewater for 3 months.The location is in the active mining area of Bonnerton
within 500'of the prestrip highwall.To clarify...these are not down in the actual mine bench. Prestrip dewatering wells are
located on existing ground elevation and are drilled after land clearing to advance the mining operation as needed.
Wells are all constructed the same and wells are identified by well line identification(internal numbering system)per
Nutrien request. For the sake of simplicity, I have also used the same numbering system.
85(80'Dewatering Wells)
3 wells line-line 49-25 wells
line 50-30 wells
line 51 -30 wells
Well lines act as a curtain wall to advance prestrip.
22.Site diagram or additional well details:
You may upload additional well construction information here.
pdf only
CERTIFICATION INFORMATION
* 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
Signature of Certified Well Contractor