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HomeMy WebLinkAboutGW1--05488_Well Construction - GW1_20230825 i ,,,,, rArf;i . . I �. I P , , „- ' RESIDENTML WELL CONSTRUCTION RECORD ` P B North Carolina Department of Environment and Natural Resources-Division,of Water Quality «FBI''I* WELL CONTRACTOR CERTIFICATION# 3489 220155 I 1.WELL CONTRACTOR: f. DISINFECTION:Type' HTH Amount 138 i RICKY HUFFMAN • g. WATER ZONES(depth): Well Contractor(Individual)Name • From 440 To 480 From 820 To 900 DEWEY WRIGHT WELL&PUMP CO., INC From To ! ' From To Well Contractor Company Name From To i' From To STREET ADDRESS PO BOX 308 7. CASING: Thickness/ Depth Diameter Weight Material BOONE NC 28607 From 0 To 40 Ft. 6 1/8 350 PVC City or Town State Zip Code From To_ I Ft. (828 )_264-2651 From To Ft. Area code- Phone number 2.WELL INFORMATION: ,' 8. GROUT: Depth Material Method SITE WELL ID#(if applicable) From 0 To 20 ! Ft. BENTONIT GRAVITY From To - l Ft. 18 BAGS . WELL CONSTRUCTION PERMIT#380176 From To I Ft. OTHER ASSOCIATED PERMIT#(if applicable) 9. SCREEN: Depth , Diameter Slot Size Material 3.WELL USE(Check Applicable Box): Residential Water Supply X From To Ft. in. in. DATE DRILLED 8/9/2023 From To Ft. in. in. TIME COMPLETED 03:00 AMU PM OX From To Ft. in. in. 4.WELL LOCATION: . 10.SAND/GRAVEL PACK: CITY: BOONE COUNTY WATAUGA Depth Size Material From To I Ft. OFF BROOKSHIRE RD OFF HWY 421S OFF HWY 1 From To I Ft. (Street Name,Numbers,Community,Subdivision,Lot No.,Parcel,Zip Code) From To i Ft. TOPOGRAPHIC/LAND SETTING: - 0.Slope 0 Valley X Flat 0 Ridge 0 Other (check appropriate box) 11. DRILLING LOG May be in degrees, From To 1 Formation Description LATITUDE — 36.23856N minutes,seconds or 0 15 DIRT LONGITUDE 81.64575W' in a decimal format 15. 28 GRANITE — — 28 30 DIRT I Latitude/longitude source: X. .GPS I Topographic map 30 210 - GRANITE (location of well must be shown on a USGS topo map and 210 280 _- SHALE . • attached to this form if not using GPS) 280 440 GRANITE 440 480 GRANITE QUARTZ 5.WELL OWNER 480` 670 SHALE OWNER'S NAME DANNY WILLIAMS 670 820 GRANITE STREET ADDRESS 563 PINE HILL RD 820 900 GRANITE QUARTZ BOONE .. - - NC ' . 28607 ."� r, �'L.. City or Town State Zip Code • ( 828 )- 964-3642 Area code- Phone number 12. REMARKS: 1 AUG 2 2023 6.WELL DETAILS: 2 GPM 440-480 .15,f ie.7 Urs1 p a. TOTAL DEPTH: 900 ' 1 GPM 820 900 i tnto+l:m`'DWOJ� b. DOES WELL REPLACE EXISTING WELL? YES 0 NOX I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS •c. WATER LEVEL Below Top of Casing: 180 t FT. RECORD HAS BEEN PROVIDED TO THE WELL OWNER. (Use"+"if Above Top of Casing) , l, d. TOP OF CASING IS I s ' FT.Abo6e•,Land Surface* ILt/l 7�1� .23 *Top of casing terminated at/or below land surface may require SIGNATLIYCE OF CE IFIED WELL CONTRACTOR DATE a variance in accordance with 15A NCAC 2C.0118. j• RICKY HUFFMAN ,• e. YIELD(gpm): 3 METHOD OF TEST AIR • PRINTED NAME OF PERSON CONSTRUCTING THE WELL I Submit the original to the Division of Water Quality within 30 days. Attn:Informatioi IMgt., 1617 Mail Service Center—Raleigh, NC 27699-1617 Phone No.(919)733-7015 ext 568. . ', Form Reev.v.3/0707 . . . .. . . . . . . . . . ......•-•,,s, .. . . . s. . . , .1? . . 4-4 ) 1 •, . ..0 `..._... •' (ii. 7 . . . . . .• ' •• . - .--. I . ' . .. . , .. . . . , . . . . . . ---' •' ., • .. .. . °".. \\\d'r ......d:c • • • 300k•Stt;ii -' RA -;13 ' ;I . . . • . , .. . . . , . •-•:•............" . . . . • . • • . %YA •, •,.."'"-------- i 0 •' ..'. . ' 1 : , , . • . . . . . . i . r.. . , . . . .. . .. .. ,.... 1 • . . . i . .. • , , . . . , , • . . . .. .. . ., . . . . ' . , , .. .... ... 1 . . . . . . , • • , . , .... . , . . .. i . . . . . . ; • . . . : . . . •; • . . . . i ,,._ . . '..." ... • j • . . • . . . , • .• . . .. , .. . . ••• . . - . . . . ' . . . . . : . . ................_.........________......""" .......... . ..- '... . .. .. . - .. . . • ': 1 . . . . ...., - . .... . .• II •. , ' —• - ' .0,,,e.• . .. . • . • , . . ••. . . . . . .. • . . , . . . . . . ,. . . . . . . . . . -. . , .. . i . . . . • .- •. ''';.-• :i . e' -446,1.1.,„, .. ... . . . . . . ,! . • . . .. . . , .' •. . . . i . . . . . .. . .. . . . . . .. . . . . . .'i .. . . . . .. ' . . • : . .. .. . . • . . . . . . i . . . . . . . . . . * 4/' •. . . . . . . . I . . . . . . . ..::„....„.• .. . . . . . . . . . • e . i . .e. ...,...-4. . • , . . . . . . . . .. . . . . . . .. ,• . . . . • 0 •. . . .. . . . . . . . ., . . . . . . . I. • . . .. . . • . . . . . .. . . • l . . . . . • . . • ' .., i ..