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Home My WebLink AboutGW1--05581_Well Construction - GW1_20240913 i WELL C,ONSTRUCTIONRECORD(GW-1) For Internal Use Only: • , 1.Well Contractor Information: Eddie Thomas (Brian) .14.WATER ZONES ' - - 'FROM TO ' 'DESCRIPTION . Well Contractor-Name ft. ft. 2581=A ft. ft. .. . • NC Well Contractor Certification Number • IS.OUTER CASING(for multi-cased rdells)OR LINER(if ap licable) Geologic Exploration, Inc, FROM TO" . -DIAMETER 1 THICKNESS MATERIAL . Conmpany Napie- 16.INNER CASING OR TUBING(geothermal closed-loop) • - - -2,Well Construction Permit#:. _ _ FROM •TO'•• ' . DIAMETER', ,THICKNESS MATERIAL';List a licable well constructionpermits i.e.U/C,-Count,'Smte,Variance,etc. ft ft.• t4' np. ( v J 0;0 150:0 2 •I, . SCH 40 PVC 3".Well Use,(checkweiluse): _ 170.0 ft.' 175.3 ft 2 in': SCH 40. _ PVC. _ 17.SCREEN ' • Water Supply Well .. FROM' '' TO• DIAMETER •SLOT SIZE THICKNESS MATERIAL• •' ❑Agricultural ❑.. Municipal/Public ' . ' 150 0,fc_ 170:01 ft,, 2 1°• , 0 010 inch SCH 40 • PVC" OGeothennal(Heating/Cooling Supply). ❑Residential Water'Supply(single) ' ft. ,ft. tn,- - . ' ❑lndustrial/Commercial ❑Residential Water Supply(shared) '18.GROUT ❑Irrigation ' • . D Wells>100,000 GPD . . . -FROM.'. ; . TO , MATERIAL.. ' EMPLACEMENT METHOD&AMOUNT Non=Water Supply Well: 0 0° - 'ft '139.5' 'ft•' PortlandBenton to 'Tremie ' it itMonitoririg_'? • . ()Recovery ' ft. ft:,; ', - . Injectidn,�Vell: - .. . . ft. ft. . OAquifer Recharge ❑Groundwater Remediation - .' - 19.SAND/GRAVEL PACK(if applicable) ` ❑Aqulfef Storage and Recovery ❑Salinity Barrier • FROM ., .TO'. ''.MATERIAU, : EMPLACEMENT METHOD:. ' " ❑Aquifer Test OStormwater Drainage 144 9 fr 147,4 ft- Secondary Filter(GP#1) Gravity/Pour r ❑Experimental^Technology ❑Subsidence Control ' 147.4' ft 1-75:8- ft• Pnmary Filter(GP#2) Gravity/Pour . ' . • ❑Geother nal_(Closed Loop) ❑Tracer 20.DRILLING LOG(attach additional sheets'if necessary) ❑Geotherm'al'.'(HeatingLGOohng Retum): p :FROM , TO :1 . .•DESCRIP.TION(color,hardness,soiliMcktype:gram sire etc.) '.❑Other.(ex lain-under#21 Remarks) •., - , 0 ." ft- 2' ft:' Brown Well•Graded Sand ' . • • 4.Date Wells)Completed .O7/1 8/2024 :Well ID# DIN-1 2 $• 24••' Brown Red Yello• w Silty Sand „ "" ' '24 fr 28 fi: Brown Pi%oriy Graded Gravel with-Sand Sa`.Well Location - Belews'Creek Steam Station 28 fr 34 - 'ft. Yellow Brown Silty Sand; R '�;.;--t r 41-..,-. Facility/Owner Name ' •• Facility ID#(if applicable) 34 ft;• 44 >.' ft...Yellow Brown.Sandy Silt .. . ' t '�-' I-`/' 31,95 Pine Hall•Road, Belews Creek, NC 27009 44 ',,I,..`..'52 f, ft• Yellow Brown Silty Sand'; ,.SEP 1 •,i'2024 , Physical Address,City and Zip 52 'ft, 175.8 'ft': 'Rock ;Gneiss/Schist',,Ic` .,,.t r; Stokes .. . . ' 21 REMARKS .y e 4 '1UM • I BENTONITE SEAL 139.5 to 144 9 ft,, r •j County'' i - Patcel.Identi,ficahon No j nN) - - - Drilling`,Log Depths(Except Termination):Approximated to Nearest Foot 5b:Latitude and longitude in degrees/minutes/seconds or decimal degrees. (ifivell field one'lat/lona is sufficient) , .22 Certification I' a;36.2828 .N 80 0480. W ' ,-.,.,.,,, :, ', . -. • r. qT • '. (:,-.f Stafore of Certified Well Contractor Date 6.Is_(are)the well(s): n1Permane'nt or . ❑Temporary O i' ' • • • By signing this form,1 hereby cert fy that the refs)iras(were)constructed in accordance with • 7:Is'this a repair to an existing well Oyes or nNo.•. 1SA NCAC 02C.0100 or ISA-NCAC 02C'10200 Well Construction Standards and that.a copy If this'is a repair fiill orut known is;e1l construction information add explain.the nature of the, of this record h as'been pros to the u elbow ner: - repair'under#21,remarks section or on the back of this 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 construction info construction'only'I GW=1 is needed. Indicate TOTAL NUMBER of wells , (add'See Over'in Remarks Box).Youlmay also attach additional pages if necessary. ''' drilled ± '24.SUBMITTAL`INSTRUCTIONS , . • ' 9.Total well depth below land surface '1 75.8 (ft.) Submit this GW-1 within 30 days of well completion per the following: For multiple rills list all depths if different(sample 3 a 00'and 2Ca 100') • 24a For All-Wells:'Original Orin'to Division•of,Water Resources,.(DWR), - 10.Static water level below top of casing: (ft.) Informon Pr If atiocessing Unit, 1617 MSC,Raleigh,NC 27699-1617 rater level is above casing,use"-" ; e nominal(0;50 ft) 24b. For'Injection Wells: Copy to DWR,Underground Injection Control(IUC) 11.Borehole diameter: 6 5 nominal(50 ns a ni•:(m) Program, 1636MSC;Raleigh NC 276991636 12.Well construction method.!DOWIi'The Hole'(DTH) Harrlmer 24c.For Water Supply-and Open-Loop Geothermal Return Wells:Copy to the (i.e.auger,rotary;cable direct push etc.) county''environmental_health.department of the county where installed FOR WATER SUPPLY WELLS ONLY:' 24d.For Water Wells producing over 100,000 GPD:Copy to DWR,CCPCUA • 'Permit Program,161 f MSC;'Raleigh;q,NC 27699,1611 :,', 13a.Yield(gpm)' • Method of test: • - 1 ' 13b.Disinfection type: 'Amount: - ' • Feat 6W-1•'"` -. North'Caiolina Department'of En.'fr inetitill Qoality'Dlvislott Of water Resourde • ' Revised 6-6-2018