HomeMy WebLinkAboutGW1--05488_Well Construction - GW1_20230825 i
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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
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1.WELL CONTRACTOR: f. DISINFECTION:Type' HTH Amount 138
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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
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( 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
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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
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