GW1-2023-00836_Well Construction - GW1_20230113

WELL CONSTRUCTION RECORD(GW-I) ForinumalUseOnly:
I.W NI Contractor hGrmadea:
Kelly Grant 14.WATER ZONES
Wdl C.nlr.elor N.me _ ra0M r0 trLt(111RNyN
2730-A n °'
FL
I'll Wall con"",CmlSotinn NumM /�,�� )
J/'II'1 S -„� 201J IS.OUTER CA/ING rw raltl.e�ed ww, OR INNER
ac—de Drilling LP IaON In D4Mrrca "a"NLN MA . IAL
ItV INNER CASINO OR TURINC d
2.Well Construrtwo vernit N: PEREPAAPPROVAL FROM TIP MAMrin nocknr3m AFGgi,
LN all gg,h.ahlr xrll r.xurrvrnonp.xrnr p r.U/C,t m,wn Amrr. I orMw[T,rfr.l IL ft. la
3.WITH Use(check well one): n. n. is,
Welter Supply W'e6: 17.S ETJI
-7 AA•ninl•.ur:ll '7Mlmtcipall"ic ra0M 'r0 mAN[Ra sLOrum T111CYN[0 MAWMAL
R n. la
(malrermallNeatml,/CnOhng$Itpplyl ❑Residential WaWS I sin Icl Supply( g ti n. In.
�InJuslrlaVCommeruial ❑Rtldenlial Watt Supply(shared)
:31m Uun 1a.C.ROIIT
DWdls>1116(NIII GIU rattM TO MA7{mA( LMNA(LM[ MnrRODa AMOIM
Noo-Weller SUDpb M'NI: �•
I lReco\ n. n.
I nJectbn Well:
OAwler Rtthul'c OGMDdwutt Remediation n' IT.
(7Ayul Ter Stung,and Raaym FISO4nity Bonier FILDIRUILIJNGLOG(onothadianionst,
AVEL►
YATINIAI. GMrtAC{)1(Nr elrnao
IJAquiln less ❑Stwmwmtt Drairegc n.
OExpenmenlal l echlxdugy LISubsidence Cuntml N.
OCxMhernival(Closed loop) I]Tractt serns B.r'frauhennal ntia rolin Ns A.Date WeUM Campleled: ' - > WOULD# SMO—I(eSo.Nell Location: , n.
Former Battery Tetls LL It. R Z c e f�
Fw1l11y;Owna Name
F.cllnp ID.(if.pplkabk) n• It.
305 E US H Mway 64.Lexington.NC IT IT.
Phrek.l AOM1em.,City.aad Zq R R
Davidson 21,Mail
C«vrtr I'xrttlldeMrrrnlgn Vo.I L 0RZ/V&
SIT.Lalilash,SNd iO•K(rade 10 dear"vo,laurts/seconds or decirmal degrees:
l ofwrll FICK—YVkNly i.Wlkr i 22.Ce"Hication:
7600 11 - 0V N w
6.11(era)Ibewdksk •'.:Itrwaaent or ®T'em"rary Srpa111m ofC-Ifcd Welll'a w, qK
�/ brmi{rACO2C.UI Mrrlm[wuA ,Aa, .O.,Wlnr wa lxmAroa•,r.rrN may wJuarx.rh�.Is Ohio arspa41Ou rsiMfag well: DYn Or 1]IYe IJA NCAC UIC.UIW or IJA A'CAC U:C.O:W N'N![owrmcuuSWcNr,rwl
rl rrprs,ru.a.d rn,021 Jrriwll.orN rMorn xrnll:on.wnx.n f,*i,tm iw. and rgdaln IM nrurr Mdf mjlks record Am Bernyrvrdrd ra de rwY O-an.
23.She diagram er additions)well decslb:
a.Far(;mpmbt)DPI or(losed-Lapp Geothertpl W ells haying the name YOU MO use the back of this page to prov lde adchwnal well Q rditwro,v lnlo
tanln.nlun,only I GW-I Is necded Indiule TOTAL NUMBER of wells (add'See Over in Rematlu IkAt IT Us,my alwr mts.h ad hoousl pages if o,,V wry.
drJiml
-- —"--- - S 34.SURSIITTAL INSIRUCnON5
d g
1.Tatal well dtpte below lanrace: (IL)
.Ah lu,,,u&,".nd.Nrrnn 1-14r 3;200 —17w loot Sabink this CIA-1 wuhisi M day.Of wtR compied"per Me rolbwlKe
IO.St.fk w.lsr level below top efeadag: -2 f1- �a O (nl 24s. For All \Veils: Original Font lu Domlun of water Rea[wrco IUWR),
ll-wr.r rr,dn„r.:•r,�rlwe .rr Inbnnullml irnlcersing Unh,IM 7 MSC,Raklgh,N("_7600-1617
11.Rorelwlr dbsecer, L (la.l lib, tar Injection Will Copy to UWR,UnJvgnrol!Nh<siun Control(IUCI
Pmliforn 106 Nil,('.Raleigh.NC 27M1w1n36
12.Weil construction rtstebed: Sonic
r.r.r,,u k dn[,-MA.ce 1 It par W.IYr$atledY end OWa-I olrrt.Coal M Ml MNeta IYelb;Copy N the
,,.In"rrlvlfVlrlllrlllot ce 1 ctionoN11 O 1 yYNa11Y w RC pbl l
FUN w A ILN NUIIIA ITT MLA ONLY: 21d 1r WNer 1\' ddyr�lny_a.er Ieu 000 CID:C.ps e•DqR,CMUA
13..IT field(gpml A)elh.J.I Test __ 1'munl marmn, 1 �L',Rafcix}r.hr n r.T
I lb.I/isialertlns t)pr: Aasuunt.
1 n t,u I Mm41.WIrY lkl.nnrr olhnNYaMMIJ..py•mYn.'ot%.I'll.arucr. accr nnl66-!rll v.

20.DRILLING LOG(aaaeh additional sheets ifneeessary)
FROM '1'O DESCRIPTION(color,hardness,soil/rock type,grain size,etc.)
0.0 ft. 5.0 ft. Red to dark brown fine sand,silt,and clay
5.0 ft. 11.5 ft. Red silty sand,silt,and clay,soft,dry
11.5 11. 14.0 ft. Red ochre/ochre fine sandy silt,soft,dry
14.0 ft. 26.0 ft. Light brown silt and silty sand,loose,moist to wet
26.0 ft. 29.0 ft. Metaquartz Diorite
29.0 ft-1 30.0 ft. INo recovery
30.0 ft.1 35.0 ft. lGray,black and white metaquartz diorite
ft. ft.