1107_Buncombe_MSWLF_PermitCell7_WellInstallations_FID1748887_20221205

Environmental Consultants & Contractors
December 5, 2022
Ms. Jaclynne Drummond
North Carolina Department of Environmental Quality
Division of Waste Management - Solid Waste Section
Asheville Regional Office
2090 US Highway 70
Swannanoa, North Carolina 28778-8211
Subject: Buncombe County, North Carolina
Permit No. 11-07
Buncombe County MSW Landfill - Cell 7 Expansion
Monitoring Well Installation Notification
Dear Ms. Drummond:
On behalf of Buncombe County, SCS Engineers, PC (SCS) presents this letter report documenting the
installation of two groundwater monitoring wells (MW-16 and MW-16D) and two gas monitoring wells
(M-5 and M-6) at the Buncombe County MSW Landfill. The monitoring wells were installed as part of
the Cell 7 MSW Landfill expansion.
In September 2022, SCS noted location conflicts for the proposed wells during the Cell 7
construction. On behalf of the County, Bunnell Lammons Engineering submitted revised well
locations on September 16, 2022, which the SWS approved.
Upon approval of the revised locations, SCS contracted with MW Drilling, a licensed North Carolina
drilling contractor, to install the wells. On September 27, 2022, SCS personnel and MW Drilling
mobilized to perform the well installation. MW Drilling advanced the borings using air rotary
technology.
Monitoring Well MW-16 was advanced to 46 feet below ground surface (ft. bgs.) and was installed
with 10 feet of two-inch diameter 0.010-inch slotted Schedule-40 PVC screen followed by two-inch
Schedule-40 PVC riser to approximately three feet above ground surface. MW Drilling emplaced
clean filter sand in the boring annulus to two feet above the top of the screen, followed by three feet
of hydrated bentonite chips and neat cement grout to ground surface. A three-foot steel stick-up
casing encased in a concrete pad provided the surface completion. The top of the well casing was
fitted with a locking expansion plug. Initial depth to groundwater measured 13.2 ft. bgs.
Monitoring Well MW-16D was advanced to 76 ft. bgs. and was installed using 15 feet of two-inch
diameter 0.010-inch slotted Schedule-40 PVC screen followed by two-inch diameter Schedule-40
PVC rise that extended to three ft. above ground surface. MW Drilling emplaced clean filter sand in
the boring annulus to two feet above the top of the screen, followed by three feet of hydrated
bentonite chips and neat cement grout to ground surface. A three-foot steel stick-up casing encased
A
2520 Whitehall Park Drive, Suite 450, Charlotte, NC 28273 1 704-504-3107 %1A

Ms. Jaclynne Drummond
December 5, 2022
Page 2
in a concrete pad provided the surface completion. Table 1 presents the monitoring well details and
Appendix A presents the monitoring well construction diagrams.
Upon completion of the groundwater monitoring wells, MW Drilling installed the two gas monitoring
wells, M-5 and M-6. Gas Monitoring Well M-5 was installed to eight ft. bgs., based on the initial
depth -to -groundwater measurement collected from newly installed MW-16 of 13.1 ft. bgs. The M-5
construction included 3 feet of two-inch diameter 0.010-inch slotted PVC screen followed by five feet
of two-inch PVC riser to approximately three ft. above ground surface. MW Drilling emplaced clean
filter sand to 0.5 ft. above the top of the screen, followed by 2.5 ft. of hydrated bentonite pellets, and
neat cement grout to the ground surface. A PVC cap with a quick connect fitting sealed the pipe and
MW Drilling installed a locking steel stick—up completion set in a concrete pad.
Gas Monitoring Well M-6 was installed to 25 ft. bgs with 20 ft. of two-inch 0.010-inch PVC screen,
followed by two-inch PVC riser to three ft. above ground surface. Clean filter sand was emplaced to
0.5 ft above the top of the screen, followed by 2.5 ft. of hydrated bentonite pellets, and neat cement
grout to the ground surface. A PVC cap with a quick connect fitting sealed the pipe and MW Drilling
installed a locking steel stick—up completion set in a concrete pad. Table 1 presents the monitoring
well details; and Appendix A presents the monitoring well construction diagrams. Boring logs are
provided in Appendix B, and the well completion reports are provided in Appendix C.
Should you have questions, please do not hesitate to contact Candy Elliott at 919-368-9615 or via
email at [e-mail] .
Sincerely,
Candy E Elliott, PG
Senior Project Geologist
SCS ENGINEERS, PC
Attachments: Table 1 - Well Construction Details
Kenton Yang, PE
Project Director
SCS ENGINEERS, PC
Appendix A - Well Construction Diagrams
Appendix B - Boring Logs
Appendix C - Well Records

TABLE
2520 Whitehall Park Drive, Suite 450, Charlotte, NC 28273 1 704-504-3107 Coll

Table 1
Monitoring Well Details
Buncombe County Municipal Sold Waste Landfill
Alexander, North Carolina
SCS Engineers, PC Project No. 02220306.17
Top of
Date
Elevation
Casing
Total Depth
Screened
Initial Depth
Static Depth
Well ID
Installed
Northing
Easting
(ft. NAVD88)
Elevation
(ft. bgs.)
Interval
to Water
to Water
(ft. bgs.)
(ft. bgs.)
(ft. bgs.)
(ft. NAVD88)
MW-16
9/28/2022
739637.401
922561.248
1970.88
1973.88
46
36-46
13.56
24.41
MW-16D
9/29/2022
739640.388
922565.66
1970.44
1973.44
76
66-76
37.11
25.55
M-5
9/28/2022
739642.579
922571.236
1972.612
--
8
5-8
NA
NA
M-6
9/29/2022
738924.71
923676.939
2046.278
--
25
5-25
NA
NA
Notes:
ft. NAVD88 - feet above National Vertical Datum of 1988
ft. bgs - feet below ground surface

APPENDIX A
2520 Whitehall Park Drive, Suite 450, Charlotte, NC 28273 1 704-504-3107 Coll

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DATE INSTALLED: 9/28/22
DRILLING TECHNOLOGY: 6" AIR HAMMER
BOREHOLE DIAMETER: 6"
TOTAL DEPTH (FT. BGS.): 47
SCREENED INTERVAL (FT. BGS.): 37-47
GEOLOGIST: CANDY ELLIOTT, PG
EASTING: 922561.248
WELL CAP
NORTHING: 739637.401
TOP OF CASING ELEVATION (FT NAVD88): 1973.88
3' STEEL STICK-UP
SURVEYOR'S PIN (FLUSH MOUNT)
CONCRETE PAD - SLOPE TO DRAIN
GROUND SURFACE
2" OD PVC RISER
CEMENT GROUT
3
BENTONITE LAYER
47'
—
SAND FILTER PACK
10, —
0.010" SLOTTED PVC SCREEN
12' —
BOTTOM CAP
SCS ENGINEERS
MW-16 GROUNDWATER MONITORING WELL

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DATE INSTALLED: 9/29/22
DRILLING TECHNOLOGY: 6" AIR HAMMER
BOREHOLE DIAMETER: 6"
TOTAL DEPTH (FT. BGS.): 77
SCREENED INTERVAL (FT. BGS.): 62-77
GEOLOGIST: CANDY ELLIOTT, PG
EASTING: 922565.66
WELL CAP
NORTHING: 739640.388
TOP OF CASING ELEVATION (FT NAVD88): 1973.44
3' STEEL STICK-UP
SURVEYOR'S PIN (FLUSH MOUNT)
CONCRETE PAD - SLOPE TO DRAIN
GROUND SURFACE
2" OD PVC RISER
CEMENT GROUT
3
BENTONITE LAYER
77'
—
SAND FILTER PACK
15' —
0.010" SLOTTED PVC SCREEN
17' —
BOTTOM CAP
SCS ENGINEERS
MW-16D GROUNDWATER MONITORING WELL

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DATE INSTALLED: 9/28/22
DRILLING TECHNOLOGY: 6" AIR HAMMER
BOREHOLE DIAMETER: 6"
TOTAL DEPTH (FT. BGS.): 8
SCREENED INTERVAL (FT. BGS.): 5=8
WELL CAP
GEOLOGIST: CANDY ELLIOTT, PG
EASTING: 922571.236
3' STEEL STICK-UP
NORTHING: 739642.579
DRAIN/WEEP HOLE
SURVEYOR'S PIN (FLUSH MOUNT)
CONCRETE PAD - SLOPE TO DRAIN
L__,,�GROUND SURFACE
2" OD PVC RISER
2'
CEMENT GROUT
2
BENTONITE LAYER
8'
—
SAND FILTER PACK
3' —
0.010" SLOTTED PVC SCREEN
3.5' —
BOTTOM CAP
SCS ENGINEERS
MW-5 LANDFILL GAS MONITORING WELL

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DATE INSTALLED: 9/29/22
DRILLING TECHNOLOGY: 6" AIR HAMMER
BOREHOLE DIAMETER: 6"
TOTAL DEPTH (FT. BGS.): 25
SCREENED INTERVAL (FT. BGS.): 5-25
WELL CAP
GEOLOGIST: CANDY ELLIOTT, PG
EASTING: 923676.939
NORTHING: 738924.71
3' STEEL STICK-UP
DRAIN/WEEP HOLE
SURVEYOR'S PIN (FLUSH MOUNT)
CONCRETE PAD - SLOPE TO DRAIN
L__,,�GROUND SURFACE
2" OD PVC RISER
2'
CEMENT GROUT
2
BENTONITE LAYER
25'
—
SAND FILTER PACK
20' —
0.010" SLOTTED PVC SCREEN
20.5' —
BOTTOM CAP
SCS ENGINEERS
MW-6 LANDFILL GAS MONITORING WELL

APPENDIX B
2520 Whitehall Park Drive, Suite 450, Charlotte, NC 28273 1 704-504-3107 Coll

MW-16
0
Its]
20
30
.N
ueatn (tt
0.0-26.0: SM-
Reddish Brown Silty
Sand, dry, firm
26.0-46.0: ML:
Brown silt, hard

MW-16D
IN
10
20
30
m
50
.E
70
Depth (ft. bgs.)
' 0.0-22.0: SM:
Reddish brown Silty
Sand
22.0-48.0: ML:
Reddish brown
Sandy Silt
48.0-76.0:
Undefined: Granitic
Rock

M-5
uepth (It
0.0-13.0: SM:
Reddish Brown Silty
Sand
10

M-6
Depth (ft. bgs.)
10
0.0-25.0: ML:
Reddish Brown
Sandy Silt
20

APPENDIX C
2520 Whitehall Park Drive, Suite 450, Charlotte, NC 28273 1 704-504-3107 Coll

WELL CONSTRUCTION RECORD (GW-1)
1. Well Contractor Information:
Print Form
se Only:
John Schappell
Well Contractor Name
2332-A
NC Well Contractor Certification Number
M&W Drilling, LLC
Company Name
2. Well Construction Permit #-
List all applicable well construction permits (i.e. UIC, County, State, Variance, etc)
3. Well Use (check well use):
Water Supply Well:
]Agricultural QMunicipal/Public
]Geothermal (Heating/Cooling Supply) QlResidential Water Supply (single)
31ndustrial/Commercial EIResidential Water Supply (shared)
Non -Water Supply Well:
X Monitoring QRecovery
Well:
Recharge
QGroundwater Remediation
Storage and Recovery
Salinity Barrier
Test
QI Stormwater Drainage
rental Technology
QlSubsidence Control
mat (Closed Loop)
DTracer
4. Date Well(s) Completed- 9/27/22
5a. Well Location:
Buncombe County Landfill
Main under #21 Remarks
Well ID# MW-16
Facility/Owner Name Facility ID# (if applicable)
85 Panther Branch Road, Alexander, NC 28701
Physical Address, City, and Zip
Buncombe
County Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)
35043'39.32" N—82037'53.94" W
6. Is(are) the well(s)OPermanent or : Temporary
7. Is this a repair to an existing well: QYes or )No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this.form.
8. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only I GW-I is needed. Indicate TOTAL NUMBER of wells
drilled:
t
9. Total well depth below land surface: 4 (ft.)
For multiple wells list all depths ifdierew (example- 3@-200' and 2@a,100')
10. Static water level below top of casing:
Ifirater level is ahove casing, use "+"
11. Borehole diameter:
6"
(in.)
12. Well construction method: Air Rotary
(i.e. auger, rotary, cable, direct push, etc.)
14. WATER ZONES
FROM
TO
DESCRIPTION
ft.
ft.
ft.
ft.
15. OUTER CASING for mule -cased wells) OR LINER (if a licable
FROM
TO
DIAMETER
THICKNESS
MATERIAL
ft.
ft.
in.
16. INNER CASING OR TUBING(geothermal closed-loo
FROM
TO
DIAMETER
THICKNESS
MATERIAL
0 It.
36 ft.
2 in.
SCh 40
PVC
ft.
ft.
in.
17. SCREEN
FROM
TO
DIAMETER
SLOT SIZE
THICKNESS
MATERIAL
36 ft.
46 tt•
2 in-
0.010
Sch 40
PVC
ft.
ft.
in.
18. GROUT
FROM
TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
0 ft.
32 ft.
Portland Cement
Tremied
32 ft-
35 ft-
Bentonite Chips
Poured
ft.
ft.
19.SAND/GRAVEL PACK ifa licable
FROM
TO
MATERIAL
EMPLACEMENT METHOD
35 ft.
46 ft.
#2 Sand
Poured
ft.
ft.
20. DRILLING LOG attach additional sheets if necessary)
FROM
TO
DESCRIPTION color, hardness, soil/rock type, grain size, etc.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
21. REMARKS
22. Certificatioid
i
11 /23/22
Signature of Ce ed YVell Contractor Date
By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL INSTRUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
(ft.) Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Iniection Wells: In addition to sending the form to the address in 24a
above, also submit one copy of this form within 30 days of completion of well
construction to the following:
Division of Water Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield (gpm) Method of test: 24c. For Water Sunnly & Iniection Wells: In addition to sending the form to
the address(es) above, also submit one copy of this form within 30 days of
13b. Disinfection type: Amount: completion of well construction to the county health department of the county
where constructed.
Form GW-1 North Carolina Department of Environmental Quality - Division of Water Resources Revised 2-22-2016

WELL CONSTRUCTION RECORD (GW-1)
1. Well Contractor Information:
Print Form
For
John Schappell
Well Contractor Name
2332-A
NC Well Contractor Certification Number
M&W Drilling, LLC
Company Name
2. Well Construction Permit #:
List all applicable well construction permits (i.e. UIC, County, State, Variance, etc)
3. Well Use (check well use):
E)Municipal/Public
(Heating/Cooling Supply) DResidential Water Supply (single)
:)mmercial ]Residential Water Supply (shared)
Non -Water Supply Well:
Recharge Groundwater Remediation
Storage and Recovery Salinity Barrier
Test I Stormwater Drainage
ental Technology Subsidence Control
nal (Closed Loop) OTracer
Other (explain under #21 Remarks
4. Date Well(s) Completed: 9/28/22 Well ID# MW-16D
5a. Well Location:
Buncombe County Landfill
Facility/Owner Name Facility ID# (if applicable)
85 Panther Branch Road, Alexander, NC 28701
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one lat/long is sufficient)
35043'39.32" N-82037'53.94" W
6. Is(are) the well(s)�IX Permanent or OTemporary
7. Is this a repair to an existing well: nYes or XMNo
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.
8. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only 1 GW-1 is needed. Indicate TOTAL NUMBER of wells
drilled:
9. Total well depth below land surface: 76' (ft.)
For multiple wells list all depths if different (example- 3@200' and 2@,100')
10. Static water level below top of casing:
Ifwaier level is above casing, use
11. Borehole diameter:
6"
(in.)
12. Well construction method: Air Rotary
(i.e. auger, rotary, cable, direct push, etc.)
14. WATER ZONES
FROM
TO
I DESCRIPTION
ft.
ft.
ft.
ft.
15.OUTER CASING (for multi -cased wells) OR LINER if a livable
FROM
TO
DIAMETER
THICKNESS
MATERIAL
ft.
I ft.
I in.
16. INNER CASING OR TUBING (geothermal closed400
FROM
TO
DIAMETER
THICKNESS
MATERIAL
0 ft.
66 fL
2 in'
SCh 40
PVC
ft.
ft.
in.
17. SCREEN
FROM
TO
DIAMETER
SLOT SIZE
THICKNESS
MATERIAL
66 ft.
76 ft
2 in.
0.010
SCh 40
PVC
ft.
ft.
in.
M GROUT
FROM
I TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
0 ft.
61 ft-
Portland Cement
Tremied
61 ft-
64 ft-
Bentonite Chips
Poured
&
ft.
19. SAND/GRAVEL PACK if applicable)
FROM
I TO
MATERIAL
EMPLACEMENT METHOD
64 ft-
76 ft.
#2 Sand
Poured
ft.
ft.
20. DRILLING LOG (attach additional sheets ifnecessary)
FROM
TO
DESCRIPTION color, hardness, soil/mck type, gnin size, etc.
ft.
ft.
ft.
fL
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
21. REMARKS
22. Certifica ' n
L C� 11 /23/22
Signature of ertified Well Contractor 0 Date
By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL INSTRUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
(ft) Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Iniection Wells: In addition to sending the form to the address in 24a
above, also submit one copy of this form within 30 days of completion of well
construction to the following:
Division of Water Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield (gpm) Method of test: 24c. For Water Supply & Iniection Wells: In addition to sending the form to
the address(es) above, also submit one copy of this form within 30 days of
13b. Disinfection type: Amount: completion of well construction to the county health department of the county
where constructed.
Form GW-1 North Carolina Department of Environmental Quality - Division of Water Resources Revised 2-22-2016

WELL CONSTRUCTION RECORD (GW-1)
1. Well Contractor Information:
Print Form
For Internal Use
John Schappell
Well Contractor Name
2332-A
NC Well Contractor Certification Number
M&W Drilling, LLC
Company Name
2. Well Construction Permit #:
List all applicable well construction permits (i.e. UIC, Coun),, State, Variance, etc.)
3. Well Use (check well use):
Water Supply Well:
Agricultural
Geothermal (Heating/Cooling Supply)
D Industrial/Commercial
Irrigation
Non -Water Supply Well:
DX Monitoring
Injection Well:
Aquifer Recharge
DAquifer Storage and Recovery
DAquifer Test
71Expertmental Technology
DGeothennal (Closed Loop)
Geothermal (HeatinglCooling Return)
4. Date Well(s) Completed: 9/28/22
5a. Well Location:
Buncombe County Landfill
E]Municipal/Public
DResidential Water Supply (single)
DResidential Water Supply (shared)
QGroundwater Remediation
QI Salinity Barrier
01 Stormwater Drainage
[3Subsidence Control
Tracer
under #21 Remarks
Well ID# MW-5
Facility/Owner Name Facility ID# (ifapplicable)
85 Panther Branch Road, Alexander, NC 28701
Physical Address, City, and Zip
Buncombe
County Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)
35043'39.32" N-82037'53.94" W
6. Is(are) the well(s)Permanent or DTemporary
7. Is this a repair to an existing well: QYes or XX No
If this is a repair, fill out known well construction information and explain the nature of the
repair under 421 remarks section or on the back of this form.
8. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only 1 GW-1 is needed. Indicate TOTAL NUMBER of wells
drilled:
r
9. Total well depth below land surface: (ft.)
For multiple wells list all depths ifdifferent (example- 3@200' and 2@100')
10. Static water level below top of casing:
If water level is above casing, use
811
11. Borehole diameter:
12. Well construction method: Auger
(i.e. auger, rotary, cable, direct push, etc.)
14. WATER ZONES
FROM
TO
DESCRIPTION
ft.
ft.
ft.
ft.
15.OUTER CASING (for multi -cased wells) OR LINER (if a licable)
FROM
TO
DIAMETER
THICKNESS
MATERIAL
ft.
ft.
I in.
16. INNER CASING OR TUBING(geothermal closed -loop)
FROM
TO
DIAMETER
THICKNESS
MATERIAL
0 It.
5 fL
2 in-
Sch 40
PVC
ft.
ft.
in.
17. SCREEN
FROM
TO
DIAMETER
SLOT SIZE
THICKNESS
MATERIAL
5 ft.
8 ft.
2 in.
0.010
Sch 40
PVC
ft.
ft.
in.
18. GROUT
FROM
TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
0 ft.
2.5 ft.
Portland Cement
Poured
2.5 ft.
4.5 ft.
Bentonite Chips
Poured
ft.
ft.
19. SAND/GRAVEL PACK if applicable)
FROM
TO
MATERIAL
EMPLACEMENT METHOD
4.5 ft.
8 ft.
#2 Sand
Poured
ft.
ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM
TO
DESCRIPTION color, hardness, soit/rock type, grain size, etc.
ft.
ft.
ft.
&
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
21. REMARKS
Landfill Gas Well
22. Certific 'o
11 /23/22
Signature of ertified ell Contractor Date
By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL INSTRUCTIONS
24s. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
(ft) Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Iniection Wells: In addition to sending the form to the address in 24a
above, also submit one copy of this form within 30 days of completion of well
construction to the following:
Division of Water Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield (gpm) Method of test: 24c. For Water Supply & Iniection Wells: In addition to sending the form to
the address(es) above, also submit one copy of this form within 30 days of
13b. Disinfection type: Amount: completion of well construction to the county health department of the county
where constructed.
Form GW-1 North Carolina Department of Environmental Quality - Division of Water Resources Revised 2-22-2016

WELL CONSTRUCTION RECORD (GW-1)
1. Well Contractor Information:
Print Form
se Only:
John Schappell
Well Contractor Name
2332-A
NC Well Contractor Certification Nmnber
M&W Drilling, LLC
Company Name
2. Well Construction Permit #:
List all applicable well construction permits (i.e. UIC, County, Slate, Variance, etc)
3. Well Use (check well use):
Water Supply Well:
Agricultural
Geothermal (Heating/Cooling Supply)
D lndustrial/Commercial
Irrigat ion
Non -Water Supply Well:
D Monitoring
Injection Well:
Aquifer Recharge
DAquifer Storage and Recovery
DAquifer Test
Experimental Technology
DGeothennal (Closed Loop)
Geothermal (Heating/Cooling Return)
4. Date Well(s) Completed: 9/28/22
5a. Well Location:
Buncombe County Landfill
0 Municipal/Public
DResidential Water Supply (single)
DResidential Water Supply (shared)
0 Groundwater Remediation
DSalinity Barrier
DStormwater Drainage
DSubsidence Control
DTracer
Other (explain under 421 Remarks
Well ID# M W-6
Facility/Owner Name Facility ID# (if applicable)
85 Panther Branch Road, Alexander, NC 28701
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)
35043'34.52" N—82037'50.41"
6. Is(are) the well(s) fgPermanent or DTemporary
W
7. Is this a repair to an existing well: Dyes or JNo
If this is a repair, fill out known well construction information and explain the nature of the
repair under 921 remarks section or on the back of this form.
8. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only 1 GW-1 is needed. Indicate TOTAL NUMBER of wells
t
9. Total well depth below land surface: 25
For multiple wells list all depths ifdierent (example- 3@200' and 2@100')
10. Static water level below top of casing:
If ivaier level is above casing, use
11. Borehole diameter:
8"
12. Well construction method: Auger
(i.e. auger, rotary, cable, direct push, etc.)
14. WATER ZONES
FROM
TO
DESCRIPTION
ft.
ft.
ft.
ft.
15.OUTER CASING for multi -cased wells OR LINER if a licable
FROM
TO
DIAMETER
THICKNESS
MATERIAL
ft.
ft.
I in.
16. INNER CASING OR TUBING (geothermal closed -loop)
FROM
TO
DIAMETER
THICKNESS
MATERIAL
0 ft.
5 ft.
2 i°'
Sch 40
PVC
ft.
I ft.
in.
17. SCREEN
FROM
TO
DIAMETER
SLOT SIZE
THICKNESS
MATERIAL
5 ft•
25 ft•
2 in.
0.010
Sch 40
PVC
ft.
ft.
in.
18. GROUT
FROM
I TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
0 ft.
3 ft.
Bentonite Chips
Poured
ft.
ft.
ft.
ft.
19. SAND/GRAVEL PACK if applicable)
FROM
TO
MATERIAL
EMPLACEMENT METHOD
3 ft
25 ft.
#2 Sand
Poured
ft.
ft.
20. DRILLING LOG attach additional sheets ifnecessary)
FROM
TO
DESCRIPTION (color, hardness, soittrock type, grain size, etc.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
21. REMARKS
Well
Landfill Gas
22. Certifi tin:
C'IS,
11 /23/22
Signature of Certified Well Contractor Date
By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or I5A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL INSTRUCTIONS
(ft.) 24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
(ft) Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Infection Wells: In addition to sending the form to the address in 24a
above, also submit one copy of this form within 30 days of completion of well
construction to the following:
Division of Water Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield (gpm) Method of test: 24c. For Water Supply & Injection Wells: In addition to sending the form to
the address(es) above, also submit one copy of this form within 30 days of
13b. Disinfection type: Amount: completion of well construction to the county health department of the county
where constructed.
Form GW-1 North Carolina Department of Environmental Quality - Division of Water Resources Revised 2-22-2016