10002_ROSCANS_1996

North Carolina - Department of Environment, Health, and Natural Resources
Division of Environmental Management - Groundwater Section
P.O. Box 29535 - Raleigh, N.C. 27626-0535
Phone [phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: Alpha Environmental Sciences, Inc.
FOR OFFICE USE ONLY
QUAD. NO. SERIAL NO..
Lat. Long.
Minor Basin
Basin Code
Header Ent. GN
Pc
STATE WELL CONSTRUCTION
DRILLER REGISTRATION NUMBER: PERMIT NUMBER:
1. WELL LOCATION: (Show sketch of the location below)
Nearest Town: Burnsville County: Yancey MW - G
NC - 80
(Road, Community, or Subdivision and Lot No.) DEPTH DRILLING LOG
2. OWNER Yancey Co. Board of Commissions From To Formation Description
ADDRESS BOX 11 Courthouse 0 35 Mottled, red, gray,.
(Street or Route No.) back silt
Burnsville NC 28714
City or Town State Zip Code
3. DATE DRILLED 11-15-96 USE OF WELL Monitor
4. TOTAL DEPTH 35' -
5. CUTTINGS COLLECTED YES® NO❑
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO®
7. STATIC WATER LEVEL Below Top of Casing: 22 FT.
(Use "+' if Above Top of Casing)
8. TOP OF CASING IS 2"5 FT. Above Land Surface'
• Casing Terminated aVor below land surface Is illegal unless a variance Is Issued
In accordance with 15AVCAC 2C .0118
9. YIELD (gpm): NAA METHOD OF TEST N/A
10. WATER ZONES (depth): 30'
11. CHLORINATION: Type NIA Amount N/A— If additional space is needed use back of form
12. CASING:
Wall Thickness LOCATION SKETCH
Depth Diameter or Wei ht/Ft. Material (Show direction and distance from at least two State
From 20.0 To 2�. Ft 2'-' ' Sch 40 PVC Roads, or other map reference points)
From To Ft.
From To Ft.
13. GROUT:
Depth
From 16.5 To 0
From To —
14. SCREEN
Mat real Metho
Ft. Neat �ement pumped
Ft.
r Depth t 2 Diameter
From 35 To 20 Ft in
From To Ft. in
From To Ft. in
15. SAND/GRAVEL PACK:
Depth gglze
From 35.5 To 18 #1
Ft.
From To Ft.
16. REMARKS:Bentonite seal from 18' to 16.5'
Slot Size Material
-010 in PVC
in.
in.
aterial
Fil er sand
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
'CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
MESA 0191151v' I
SIGNATURE OF CONTRACTOR OR AGENT DATE
GW-1 REV. 5W Submit original to Division of Environmental Management and copy to well owner.

EllNW
.� r
400DELLN'OODRD. • BUILDING A,SUITE 2
POST OFFICE BOX M • N'AYNESVILLE, NC 28786
704-432-3449 - 1-600.326-0299 - FAX [phone]
MONITORING WELL SCHEMATIC
2"
'i\ELL NO. MW - G LD. OF CASING
15,
DACE COMPLETED 11-15-96 LENGTH OF SCF.EEN
PROJECT NO.
6428.01 SCREEN OPENING S;ZE •010"
PROTECTIVE CASING
PROTECTIVE CASING LENGTH 5'
PROTECTIVE CASING STICKUP_ i
GROUND -SURFACE ELEV.
GROUT ,
NEAT CEMENT
(TYPE)
CASING
2 IN PVC, THRD I'
(.SIZE 9: TYPE)
BENTONITE _
1/4 IN PELLETS
(TYPE)
I +
I i
i
i=
+
GRAVEL/SAND
_ I-
I ' t
SCREEN
0.010 1;1
(SLOT)
WELL CASING STICKUP
i
J
.i
i
•i
I
i
(•'•'• - DEPTH TO TOP OF BENTONITE 16.5'
DEPTH TQ TOP OF GRAVELSAND 18.0'
DEPTH TO TOP OF SCREEN 20
35
i
DEPTH TO WELL POINT -
TOTAL DEPTH 35.5
NOT • ALI,
Cenral]
REFERENCED FROM GROUND SURFACE
aced @ 19' & 2.5'

North Carolina - Department of Environment, Health, and Natural Resources
Division of Environmental Management - Groundwater Section
P.O. Box 29535 - Raleigh, N.C. 27626.0535
Phone [phone]
WELL CONSTRUCTION RECORD
ING CONTRACTOR: Alpha Environmental Sciences, Inc.
FOR OFFICE USE ONLY
QUAD. NO. SERIAL NO.
Let Long. Po —
Minor Basin
Basin Code
Header Ent. GW-1 Ent
DRILL
STATE WELL CONSTRUCTION
DRILLER REGISTRATION NUMBER: PERMIT NUMBER:
1. WELL LOCATION: (Show sketch of the location below)
Nearest Town. Burnsville county: Yancey
MW - H
NC - 80
(Road. Community. or Subdivision and Lot No.) DEPTH
DRILLING LOG
2. OWNER Yancey Co. Board of Commissioners From To
Formation Description
11 Courthouse 0 35,
Brown clayey silt
ADDRESSBox
(Street or Route No.) 351 62,
hard gravelly silt
s Burnvilla NC 28714 62' 63,
rock
City or Town State Zip Code
3. DATE DRILLED 12-4-96 USE OF WELL Monitor
4. TOTAL DEPTH f
5. CUTTINGS COLLECTED YES ® NO❑
6. DOES WELL REPLACE EXISTING WELL? YES NO®
7. STATIC WATER LEVEL Below Top of Casing: 2 FT.
(Use "+' if Above Top of Casing)
8. TOP OF CASING IS .1 FT. Above Land Surface`
" Casing Terminated atior below land surface Is illegal unless a variance Is Issued
in accordance with 15A NCAC 2C .0118
9. YIELD (gpm): N/A METHOD OF TEST N/A
10. WATER ZONES (depth): 60ft.
11. CHLORINATION: Type N/A Amount N/A
12. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 471 To 3 Ft 2" sch 40 PVC
From To Ft.
From To Ft.
13. GROUT:
Depth Material Method
From 43 r To 0 Ft. Neat Cement pumped
From To Ft.
14. SCREEN:
Depth Diameter Slot Size Material
From 62 To 47 Ft 2 in.-010in. PVC
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From 62 To 4_ Ft. 41 fi ltar cand
From To Ft.
16. REMARKS: Bentonitp coal frnm 451 to all
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
��f r 12 /31116
SIGNATURE OF CONTRACTOR OR AGENT DATE
GW-1 REV. 551 Submit original to Division of Environmental Management and copy to well owner.

Al
ETVD20\?Iv1E 71•AL SCIENCES RAC
400DELLIVOODRD. - BlILD1NGA,SL'ITE2
POST OFFICE BOX M - N'AYNESVILLE, NC 28766
704-452-3449 I-SO0-326-0299 - FAX 704- -7626
NFLL NO. MW - H
DATE COMPLETED 12-4-96
PROJECT NO. 6428.01
PROTECTIVE CASING
PROTECTIVE CASING LENGTH 51
PROTECTIVE CASING STICKUP
I
GROUND SURFACE ELEV.—
MONITORING WELL CHEMATIC
GROUT i ow
NEAT CEMENT
(TYPE)
CASING
2 IN PVC, THED �•`�•'
(SIZE & TYPE) !�:••�
BENTONITE _
1/4 IN PELLETS
(TYPE)
�.+-I
I + I
+y�
GRAVEL/SAND +
+ —
T�I
SCREEN
0.010 IN
(SLOT)
I.D. OF CASING 2f1
LENGTH OF SCREEN 151
SCREEN OPENING SIZE -0101,
WELL CASING STICKUP
I
I`
i
•i
i
'• i
i
1 `••' DEPTH TO TOP OF BENTONITE 43
1
DEPTH TO,TOP OF GRAVEL/SAND 45
I
DEPTH TO TOP OF SCREEN 47
DEPTH TO WELL POINT 621
TOTAL DEPTH I
NOTE: ALL DEPTHS REFERBNJED FROM 2GROUND SURFACE
Centralizers place 4p