HomeMy WebLinkAbout7502_PolkCoCDLF_WellConstructionRecords_DIN27323_20150613I /O(L)()
'oVELL CONSTRUCTION RECORD --
For [I l'flkllUlC ONT.'1':This fcnn elm 00 used fll!'siQij:lc(If lllllll'ililc"ells
1.Well C4lllh"lC'IOr In'rorrnatiftu:
t.•.WA1'EJlWNL'>
Robert Miller FRO~I TO DEsfRIPni)'i
Well Cl>r4rJ~11)t Nanoc n.fl.
It.n,2675
NC wen Co~IJ'J(IQrCcr1if,c:llillllNIIJlDC'f 15.OUTERCASlNG (r!lr mubHiI!1td wellS!OR LINER {if a.nnrkablrl
fRO'1 I TO (lt~'I(TER TfII(,KNfSS ~Un:RHI.
SAEDACCO Inc 0 fl.122'n,2"ili~SCH40 PVC
("(1lI'J1:U1r N~tlle 11l.'N1II£}t cAsJN~OR 'WOJNG •••••I~Rlliil clilliCd-I,)fill
fROM TO Dl.••.\If.TER TlII('KNt:SS M.urRHL
2.W~lI (:On~tl'!ll;'!illll PC;I·mi·t#~ft.fl.ilL
Jjs.tatt .l.·pptifYiPIt~~j.JJ {.wJJujlJ.(i_it..CfJlmry~Stmo,\'ariwrc.,..irjectjal ~JI-.)ft.[I.,sn,
J.Well l"~(th«l.wcllll.\iC);n.SCRtl:N I
Water Su,I,II)""Ydh F"ROM yi)DI.~M.:TF:R !;1.{lT $17.•..ylllOC';F:SS I ~IMF.R1>\I.
122'ft.142 '(1.2"ill..010 SCH40 I PV(Cl,o\~fkuIIU nil ClMullio;ipaLPublic
ClOroil!.eIDIaIHiC;J!illg.iCoolil1g Slll>Ply)ORl!SidlillIial Walcr Supply (sin!l-l~)n,fl.ift,Io!udUSIJial.'C'ommcrcial ClRl!Sidtlltial Water Supply (slnred)tll.GROUT I
FROM TO !\fATERt~L E.'fP'L\(Iltf£.Yi'~iI:"TIIOII"I.-~IO!JNT
D!mg)tl.iOH 0 n.118''t.Portland Trimie
NItti-W.itr:r Su liP I;,;'Well:rt.n,IXIM(llIi10rill.~.[JR~(I'Y(:I)'I
ltl.jenilltl.Well:ft.n..I
tJ Aq~lif(:r Hcchargl'tJGroundw,ucr RCIlLCdimi(lfl IIf,S.>\NDrGRAVliL "ACt{{J'aa".lic:iIlM
.·RI)~1 "In ~.I,\"rKII[~f.nlP1 .•\n~'n:STMKTI )11DAqllrf<;r SIOlllgC ~11);:IR~Q\'cl}'D Salini!)'Barrier 120'11••144'ft.Silica Sand 20/30
D Aquifer Test DSlomm-atcr Dr.liflllge ft.ft.DE~ril\fcnl,d Tl;\;lm(ll"g~'DSubsjdcn.;c CQl;\1ll1
DG::.~111t!11l1iJ.1(Closed Loop'.211.DRILU!,;G WG (aUIK"additional sbm.ir II«Cli~8"1DTrucC'r .·~Q~I TO P.E'oj(OlllpnO"ll'9I9••.•,,~nI""'~.!IiI.Ji.,ln","k "Ik ••~qjp'..;.(:,("t(\J
pG::.'lOlIlenlial <H<!a!illJ!!'Coolirl~Return)DOlller le!I:!11ainunder #21 Remaeks)It.rL
n,It.
4.D;it~Weli(s)Compl~lcll:1--11-2018,'r'€-JIID#MW-04CD II.a,
5:..Wclll...o~lItion:ft.n,
POLK COUNTY TRANFER STATION H.n,
Fa.ci1i1',Th'oor NUIlI¢FaClll1rJD#(if ~lic.,bJc~ft.fl,
322 LANDFILL RD,MILL SPRING,NC,28756 ft.fl.
PI"j\'sicalAdd.ress.Cil)'.and Zip U.REMAKKS
POLK Bentonite seal from 118'to 120'
('ClllIll~JJ:an:c]]do~lIi:lrLCi!lifn!lNet (I~IN)I
5b,L._tiwl'lt ;!ndl.{).1I!!itu!le in 'kgn.:t~min!lt~/sc;eQI!I!~1)1'd«imlll d\':gl'«~:22.Cct1if"lcalion:(If"dll>':ld,(liIC lal.',)u,yi••"rfie bJl}
"'m,""~~.a::"~41~N W 1/11/20 6.DaJ~
6.I!J (lIrc)the'~t!lIl.!i):iiDPc-milillelil (II'oTelflponry By ~:t!;nrIIS lhu ftJmr,.J lfl;~JJy •.'rrrih'aW!Ihe weiUSIIo\:(,'l'f"'i'?,f:i·J C071'iU'JU'IW ,ifr (.'ll:on},((lJct:"·,,ft IH Io.'C,\C ()J(,,.1)[(10 ,JI'I.1A Io.'C,I('()~C »s»w.·,'J Ci>.U'{rl"llli(!I1 Sr()l~M'd$olt:f rJ)J.p<T
't,'oS thi~.11n:,'lIITtu an r:xhtin1;"'ell:;::J\'.1."!i or !X1NfI l'l;Py "-Irlti'f rN£mi has be~1Jlunl'l,L'd rlt'Jh.,moll Uk'JI,·y,
If lIds lj.11'fJ~lir.p,ll {~i ~i'il".""'~h.'df {'{l'Ib'IIlft./I{lfJ 1JI'ft.-·~iI.'[»1(Il~·f/l.'~pl!Jhl rhe JItWJf<t"0/rJI 23.She di~rllm or additional well detaib;n!t'-'{,'jr rmd.'rr,ejT"marks xt!'L·.riJR Dr 0,11t1J~hCIJ:J.:oJ tlli.!f form.You may use tlie back of ihis.[XIge to prmide .illdilional well site detai or we'll
8.JtiiJitlber of wells oon:slJ'tttted;1 construction details.You may also <llIach.•i.dditiolliil P<'I.(",!S;ifll~ess.n:)".
l.r-vr lttilillple ir{f.n:rl.f.~1 t.q (,1j.yI-If.'!;!;t'"SJIPP."il'.'lis ONJ~r 1l'Irit rill'Stitt/p'('(l'lfstr.u<'fimt ..\;f..'lI nlr~SUBMITIAL lNSTUCTJQNSf.o!l/lJlIit ()UC jorm.
!.I.Total"(,'11dellih b~/i)wland.surface:142'(fl.)2·b.For All Wdh:Submi:Ihis form witlnn ;U days of complctio of well
~(,oP'JHMlsipIr 1':I,'.'If.H.\i (,'If di.'prhi il"r.1if/i".'JI!t~~.Y(I/.llpf~'·J@JOO'".J/l4t 'IV!'IfNi)consrrncrion to 11K:follo'l\in~r
lU.Statie \nttL:'r l~n~1 bclu\\'luP lIf £li~in::;133'(fl.)J}h'i~illn uf\"atl:r Resnurees,Infurmation Prncc~~in~Unit
If 'J'd/"'"1t'\Jr!J is .{(bf.ti'.f.'f..;'Uill~·.uJ.t!•...;.,.1617 Mall Service Center,Rald::".:'iC 2769")-1611
It.BnI'l:blllt!diamfOtcrl 8 "(in.)2~b.Fnr Jnftt!!on w~nsONLY:In addition to sendill-J!.l~fonn 10 Il e address ill
Hi!above.also ~i1b1liiI a copy of lliis form Iritbln 30 days (If camp].[ion of well
12:.W"I!~••)tl5Iruetiol!n~tl!od;Auger/Air Drill censrructieu [I}lilt!,follo\\illg:
'l.c.311~r.rC4UI}·.ceble,diTl.'C41l'.l51l etc.f DMsioH of Water Rescnrces,Ui1d('rgI'ollllll[lIj~~CiCHl COlltrolPI gr-.lm,
FOR \VATIR SL"l'PLY WELLS ONLY:1636 Mliil Serviee Celller,R:tl~i~h.XC 17t)~)9·16J6
13a.Yield (j,OPIll)MC:~IO"!If test:2.1~FlU'W",ter-S!'l!ply &Inj«1iotl W~Il~:
Also sl1i:}mi[one cop}'of this form wi thin 30 days of ~ompM iOIl of
JJU.Di~illh'i:til!u Iyper Aultlunl;well cousnucrion !D the "QUlCllyhcahh depanl1l~lt of the C~lIll1~'wbcn
;;OflMIlIC!:;Q
~nllGW-l Nfm.1tCarohna ~JI<lnjJlC1l£of Em jlO}fl1l~IU3111IN:ttur.1lResources -Dit'iSlollofWmcr R.~l.f"CE!!;R,:,·iscd.ugUSOIH:i
I ---
SS
SS
SS
SS
SS
SS
75
38
0
33
83
71
ML
ML
SW
SW
SM
SM
SM
SM
SM
4.0
5.0
9.0
14.0
19.0
24.0
29.0
34.0
SILT with trace sand and mica, light brown, dry.
8" of SILT with trace sand and mica, light brown, moist, soft.
4" of SAND with pebbles, dark grey to light black, dry, loose.
SAND with gravel, white, loose, dry.
SAND with pebbles, reddish brown to orange and tan, loose, dry.
No recovery.
SAND with silt, reddish brown to tan, loose, dry.
Same as above.
SAND with silt, white, iron stained, medium density, dry.
SAND with silt, white and brown, thin banding, medium density, dry.
6-4-8-6
(12)
5-6-4-5
(10)
9-6-5-7
(11)
4-4-6-8
(10)
5-4-7-9
(11)
6-7-9-10
(16)
6-7-10-14
NOTES HSA on D50 Turbo to 134', then Gus Pech 1100E air rotary to 164'.
GROUND ELEVATION
LOGGED BY Brett Engard
DRILLING METHOD HSA AT TIME OF DRILLING 133.0 ft
AT END OF DRILLING ---
AFTER DRILLING 132.4 ft
HOLE SIZE 8" auger diameter
DRILLING CONTRACTOR SAEDACCO GROUND WATER LEVELS:
CHECKED BY
DATE STARTED 1/5/16 COMPLETED 1/11/16
SA
M
P
L
E
T
Y
P
E
DE
P
T
H
(f
t
)
0
5
10
15
20
25
30
35
(Continued Next Page)
PAGE 1 OF 5
WELL NUMBER MW-04CD
PROJECT LOCATION Mill Spring, NC
CLIENT Polk County PROJECT NAME (NUMBER)Route 9 Landfill (2036)
NORTHING, EASTING ,
RIV
E
R
B
E
N
D
/
J
B
D
R
I
L
L
I
N
G
L
O
G
S
.
G
P
J
G
I
N
T
U
S
.
G
D
T
5
/
2
0
/
1
6
RE
C
O
V
E
R
Y
%
U.
S
.
C
.
S
.
MATERIAL DESCRIPTION
GR
A
P
H
I
C
LO
G
BL
O
W
CO
U
N
T
S
(N
V
A
L
U
E
)
WELL DIAGRAM
SS
SS
SS
SS
SS
SS
SS
SS
63
42
83
63
75
83
79
88
SM
SM
SW
SW
SM
SM
SM
SM
SM
40.0
44.0
49.0
54.0
59.0
64.0
69.0
74.0
SAND with silt, white and brown, thin banding, medium density, dry.(continued)
SAND with silt, light tan to white, medium density, dry.
10" of SAND with pebbles and trace silt, white, medium density, dry.
10" of Silt with sand and mica, light brown to reddish brown, mediumdensity, dry.
10" of SILT with sand and mica, light brown to reddish brown, medium
density, dry.5" of SAND with pebbles, gravel, and trace silt, white, medium dense todense, dry.
SAND with silt and trace pebbles, olive grey to olive brown, dense, dry.
10" of SILT with fine sand and mica, olive brown to tan, loose, dry.
SAND with silt and trace pebbles, light orangish tan to pinkish tan,
medium density, moist to dry.
SAND with silt and mica, light grey to light tan with white, medium
density, dry.
SAND with silt, light tan to grey, medium density, dry.
(17)
7-6-10-13
(16)
8-7-7-10
(14)
6-9-10-22
(19)
13-16-19-10(35)
7-7-8-18
(15)
8-8-12-16
(20)
7-8-10-12
(18)
7-9-11-15
Cement grout
between riserand 8"borehole
2-inch PVCRiser
SA
M
P
L
E
T
Y
P
E
DE
P
T
H
(f
t
)
35
40
45
50
55
60
65
70
75
(Continued Next Page)
PAGE 2 OF 5
WELL NUMBER MW-04CD
PROJECT LOCATION Mill Spring, NC
CLIENT Polk County PROJECT NAME (NUMBER)Route 9 Landfill (2036)
NORTHING, EASTING ,
RIV
E
R
B
E
N
D
/
J
B
D
R
I
L
L
I
N
G
L
O
G
S
.
G
P
J
G
I
N
T
U
S
.
G
D
T
5
/
2
0
/
1
6
RE
C
O
V
E
R
Y
%
U.
S
.
C
.
S
.
MATERIAL DESCRIPTION
GR
A
P
H
I
C
LO
G
BL
O
W
CO
U
N
T
S
(N
V
A
L
U
E
)
WELL DIAGRAM
SS
SS
SS
SS
SS
SS
SS
SS
83
92
83
79
100
100
92
75
SM
SM
SM
SM
SM
SM
SM
SM
SM
79.0
84.0
89.0
94.0
99.0
105.0
109.0
114.0
SAND with silt, light tan to grey, medium density, dry. (continued)
SAND with silt, orangish tan, loose, dry.
SAND with silt, light greyish tan, medium density, dry.
SAND with silt, light grey, medium density, dry.
SAND with silt, light brown to grey, medium density, dry, with quartz
veins (GRAVEL with sand, white).
SAND with silt, orange and tan, medium density, dry.
11" of SAND with silt, grey with white lenses, medium density, dry.11" of SILT with sand, light orangish brown, medium density, dry.
SAND with silt, white with orange and brown, dense, dry.
SAND with silt, white with orange and brown, dense, slightly moist.
(20)
6-7-10-13
(17)
8-9-11-13
(20)
8-10-12-18
(22)
9-12-18-34
(30)
10-10-4-14
(14)
10-11-16-20(27)
16-21-28-28(49)
7-20-22-35
SA
M
P
L
E
T
Y
P
E
DE
P
T
H
(f
t
)
75
80
85
90
95
100
105
110
115
(Continued Next Page)
PAGE 3 OF 5
WELL NUMBER MW-04CD
PROJECT LOCATION Mill Spring, NC
CLIENT Polk County PROJECT NAME (NUMBER)Route 9 Landfill (2036)
NORTHING, EASTING ,
RIV
E
R
B
E
N
D
/
J
B
D
R
I
L
L
I
N
G
L
O
G
S
.
G
P
J
G
I
N
T
U
S
.
G
D
T
5
/
2
0
/
1
6
RE
C
O
V
E
R
Y
%
U.
S
.
C
.
S
.
MATERIAL DESCRIPTION
GR
A
P
H
I
C
LO
G
BL
O
W
CO
U
N
T
S
(N
V
A
L
U
E
)
WELL DIAGRAM
SS
SS
SS
83
67
80
SM
PWR
PWR
PWR
PWR
PWR
COMP
119.0
124.0
134.0
135.0
140.0
144.0
SAND with silt, white with orange and brown, dense, slightly moist.(continued)
SAND with silt, white and light brown, very dense, dry.
SAND with silt and some pebbles, white and light brown, very dense,
possible epidote/pyroxene/apatite present, dry.
Auger at refusal. Use tricone bit to clean borehole, then swith to air
rotary to advance boring.
Drilling very dry, no moisture, cuttings are fine dust white with some
quartz grains and mica visible.
No moisture, cuttings are fine dust, white, some quartz grains and micavisible.
Same as above, but light grey cuttings.
Competent bedrock. Air rotary hammer in and out of hard material. No
water.
Cuttings light grey, quartz grains and mica present.
(42)
18-31-42-50(73)
50/5"
2-foot
bentonite seal
#2 sand filterpack0.010 mill slot
20-footscreen,prepacked
with #2 sand
20-feet of #2sand below
screen
SA
M
P
L
E
T
Y
P
E
DE
P
T
H
(f
t
)
115
120
125
130
135
140
145
150
155
(Continued Next Page)
PAGE 4 OF 5
WELL NUMBER MW-04CD
PROJECT LOCATION Mill Spring, NC
CLIENT Polk County PROJECT NAME (NUMBER)Route 9 Landfill (2036)
NORTHING, EASTING ,
RIV
E
R
B
E
N
D
/
J
B
D
R
I
L
L
I
N
G
L
O
G
S
.
G
P
J
G
I
N
T
U
S
.
G
D
T
5
/
2
0
/
1
6
RE
C
O
V
E
R
Y
%
U.
S
.
C
.
S
.
MATERIAL DESCRIPTION
GR
A
P
H
I
C
LO
G
BL
O
W
CO
U
N
T
S
(N
V
A
L
U
E
)
WELL DIAGRAM
COMP
164.0
Competent bedrock. Air rotary hammer in and out of hard material. Nowater.
Cuttings light grey, quartz grains and mica present. (continued)
Boring terminated at 164.0 feet.
SA
M
P
L
E
T
Y
P
E
DE
P
T
H
(f
t
)
155
160
PAGE 5 OF 5
WELL NUMBER MW-04CD
PROJECT LOCATION Mill Spring, NC
CLIENT Polk County PROJECT NAME (NUMBER)Route 9 Landfill (2036)
NORTHING, EASTING ,
RIV
E
R
B
E
N
D
/
J
B
D
R
I
L
L
I
N
G
L
O
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.
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P
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.
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5
/
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6
RE
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V
E
R
Y
%
U.
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.
C
.
S
.
MATERIAL DESCRIPTION
GR
A
P
H
I
C
LO
G
BL
O
W
CO
U
N
T
S
(N
V
A
L
U
E
)
WELL DIAGRAM
WELL CONSTRUCTION RECORD
This fOfm<:DI1be uscd [or ~if1t!1;:er multiple wd1s
1.Wcll Contraetcr !nforlilatilm:
Rich Lemire
2S93A
NC \Vdl COJ1lrJc~orCcr1ir"-~I.i,,,,N,,:ubet
SAEDACCO Inc
J.Well rsc (dletk wdl use):
\"at~r SUIII,I,~'Well:oo'\g.rkuJmral
DGroillenllal (lieminglCooling Supply)
o1l1dus'ri~VCol1lmercial
OMlIlli;,;i~t.liPnblic
IdResid(tlltial Wmer Supply (siJII'Je)
ORc:;i\'kmial Wilier Supply (S!~lrOO)
For fntcfIII11U!¢ONLY:
1••.WATER ZON£S
fl.fl.
(t.fl..
o it.19.5'(I.2";jj,SCH40 PVC
Ui.rNN£·lfC.ASfN'G OR TUBING 1••.•••I..,nlU].(•••iit'd~oJot)n.
FROM TO Dl~.\f[TER'TIIIC'KNESS ~Hn:RHL
ft.rt,
n,n,
Ii.SCRt:l:N I
F'RC)M TO
19.5Jl.39.5 ,ft.
fl.ft.
III.GROUT IFRO;"TO
0 fl.15'n,
n,f"
ft.II..
in,
SCH40 I PVC2"ill..010
PORTLAND TREMMIEINOtl,\ViIlN"Stl IfllI)'Well:
IXlM(llli10nll.!:l ..
hljetllM W\."1I:
o'o\Q~lifcr Hcchargc
DAQUifcr {or:.Il:W:!1:d Rl;1;cm;ry
o Aquifer Test
DExp:;rimcnml Tc.:;lm(ll(),g~·
DGooIlIfn)1il1 (Closed Loup)
DG~'tJ!II,cl1ual/H<!a[i!J!~.lO.lolir'!1!Return)
PGrouDC!w:JlcrRo;lIIo;di<!Cioll
oSalini!)'Barrier
DSc"rnlwalcr Drainage
DSubsidcnq;CQ/lIrol
DTrdl:l!'r
DOII~t (e.'(~laillllllder #21 Remasks)
4.Dilte WeLl(sl Coml.l~icd:1-5-2016 W~JIJD/if.;:MW:c..:...--=4:c,R:c..:..._
5~.Well Location:
POLK COUNTY TRANFER STATION
rao;:!li1~•.O~\rcr NUII~
MW-4R
FaOllil~'lD#if aJlPIX',lbl~1
322 LANDFILL RD,MILL SPRING,NC,28756
Pt(t.'5ical AdlICSS.Cil:..and lip
POLK
!ill,LatilU\l('alltll..ollciUld!:ill c!\:gn,:ti!llmiRi.!K51Sl.!!:1)11!h 01'd~im~1 d~I'~~;
If"l~u ik!ltt I)Ul.!I;U/h;:II.v:;.is slcl11~k:III .•
F3~S~•.;;;1~9.;;;1~0 l"82.1103
r:.Is this a rclllliT to an I:xi!l.tin1:well::::JYl!'ji IIr !XINo
'11J:i$J'J.a f4·J~ll;Y.flU 'Vi~(,tUpII IJ 1\rll ('(HJ:ilf;qtlhl/J mfi·FtJ14Ir.'\JJf (m~II.·~·,<tlt.lhlrllt'n~mJf~ul rll
i',"(;iru.mJf!r#1J'f"f·ma,k .••·.u.!'i·Ji~---n.l.lr OJ'ItIJI'11(;.'10.(J.rtfli~iliJrJJ1.
~.l"i.mbet flf "\."IL~cOltslrtii:!cd;..;1;...-------
-Of'ltuu1li,r>lr .riit.'('r,'-!~JI("(I fll.v!-t,'art-t'J,jIP)~'iJ't'i'J.O;\'LJ Iff/rit rlrl1Wfflf'(,(j!fsr-rucficm ..1,~:·iI('(iiI
.'iJJf1mlt Dl.h~iONl).
I9.Tmal "It'll del "II i)1'1o,,,lal1lhl.lrhe\.":3 9 •5 '(ft:,
-vy jttJJ/l;pJ~~k·l·I'/~lL'r an .dcPlllr ifdtf1i'f~"JIJ'1~'.)"~iI,ltp(('.Jf~\~O.o·al.l~J2t'.1'PIfJol~)
111.1.Sti'ltii:wat!:r I~~'L"Ibelow Iup iff I.:II~ill~~_4_'(fl.;
lfWtJ,'l"h'itf!1 J.l .UbOl't'f..U!'lf~~.aJ.l'"••.••
1L Bon!holc dian••,tcn _8_._2_5_'_'(in.)
Z.'-Vdl Wtl~lntc.tjol~method:.;;,A;.,;U;.,;G;.,;E;.,;R,;:/,..;C;.,;O;.,;R;;;E;;...._
i.c.311:[!~r.mota!}'.cable,dill.'1711lU511 etc.I
ft.ft.
#217'ft.39.5'fl.SAND
2/1,DRILL)'G WG (aUild,~ddi'io"a!sbeds it~c5~an'l
o fl..12'rl.,RED SILT
12'It..32'(I,PWR
32'II.39.5 n,ROCK
n,n,
H.IL
I n,rl"
n,II.
H.R£I\IA.RXS -
BENTONITE FROM lS'TO 17'•
"I 1/7 /20lE
DiLle
BY!fign;)I}:'JhuffJ.rrrr~/iTt'rt!by n·rrjj:'..(haI Ihe 1I't'1U-1()v.-c.'X (Pl~n-J "in!Ylnr~·l~din'c "H.m'lr.fJl'e
,,"Iit 154 "'CAC O:C .MOI}"r 1.'''\NC,t,.o~c ,0;:00 11'<-/1(,,,,,g'Y/aj,,,,SrM,f",dJ ",,1 riM'!,y
l·~-..p)~fJjrllJ-r ,.~...-oni ha~••h"t"1J iUTtI·i"~'.ff rt't JIh'ii'''''',11 (Al'Jll~Y,
23.Site d~rlllIi or additional well details;You mar use lbe back of this page to provide 'lddilional well sue detail·or well
construction d~lails.You Ifill)'also illiadl adLlitional pages if necessary.
SUBMITTAL INSTHCTIONS
2-1a.~'Dr All Wdl~:Submil Ibis Fortn within 3D'davs of complerio of well
consrrnctlon to lIte ,oltOni n!r
Dh'i~ilm ufWat~r Resources,hlruruulfiulll'm4!cssjn~Unit
1617 M.aH Service Center,Rale~,~C 2/69'J-1617
2.Jb.for Jllj~n"Wells ONL Y:III addinon [0sending Ille form to tJ.~address inUOlabo\e.also submit a copy of this form \Iilliin ~O days of compl lion of well
ceustruction [0 llieIol h:lII ing.
MItlGW·[
DMsion yfWater Resourees,Underg,rolllld llljel:lI(J[]Conn'nIP"gr-.UII,tOR WATERSLi'PPLY WELL,S Ol''LY:1636 Milil Service C~nrt!r,R:d\."i~h,XC 276~·1636
2k Fill'W:UCI"S"l!ph ,\(nj«tion Wells:Ja,Yic!d UqlI1I)Method (lftc~t:_Also submit one copy of this form within 3Cldays or complericuof
lb.ObillfL"CtillIIIYll~-'Anmullt;wctl consrmcrlon ~D11",counry 1u;<1l1hdcpanm~lil of the '01lnf~'wilenL+=..::=:::::.:::::::.:~::...:======:::.--.::===~==::::=====-J constructed
SS
SS
SS
SS
SS
SS
RC
75
83
67
100
100
100
(66)
ML
ML
ML
CL-ML
CL-
ML
ML
ML
ML
CC-
ML
SM
SM
PWR
PWR
ROCK
4.0
9.0
10.511.0
14.0
15.516.0
19.0
20.0
21.0
24.0
29.0
32.5
35.0
SILT with sand and trace mica, orangish brown, soft, moise.
SILT with minor clay, sand, and mica, orangish brown, soft, moist.
Same as above but medium density.
CLAY with silt, yellowish light brown, medium density, moderateplasticity, moist.
Same as above.
SILT with minor clay with trace sand and mica, orangish brown,
medium density, moist.
Same as above but yellow to orange to grey.
Same as above.
CLAY with silt and trace sand, orangish brown, soft, moist.
SAND and SILT, variegated reddish brown to light tan, interlayered,moist.
Same as above.
SAND, coarse to medium grained, white to light grey, very dense,
moist.
SAND, medium grained, dark grey.
White with grey fine grained foliated granodiorite, hard rock with closehorizontal fractures parallel to foliation, some weathering along
fractures.
1-2-2-3
(4)
2-3-3-3
(6)
2-3-4-10
(7)
2-2-3-5
(5)
50/4"
50/3"
Cement groutbetween riserand 8" auger
hole2" PVC riser
2' bentonite
seal
#2 Sand,bottom of
borehole to 2'above screen0.010 mill slot
20' screen,pre-packed w/#2 sand
NOTES D50 Turbo, HSA to top of rock (32.5'), rock coring to 40'.
GROUND ELEVATION
LOGGED BY Brett Engard
DRILLING METHOD HSA AT TIME OF DRILLING 2.5 ft
AT END OF DRILLING ---
AFTER DRILLING 8.2 ft
HOLE SIZE 8" auger diameter
DRILLING CONTRACTOR SAEDACCO GROUND WATER LEVELS:
CHECKED BY
DATE STARTED 1/4/16 COMPLETED 1/5/16
SA
M
P
L
E
T
Y
P
E
DE
P
T
H
(f
t
)
0
5
10
15
20
25
30
35
(Continued Next Page)
PAGE 1 OF 2
WELL NUMBER MW-4
PROJECT LOCATION Mill Spring, NC
CLIENT Polk County PROJECT NAME (NUMBER)Route 9 Landfill (2036)
NORTHING, EASTING ,
RIV
E
R
B
E
N
D
/
J
B
D
R
I
L
L
I
N
G
L
O
G
S
.
G
P
J
G
I
N
T
U
S
.
G
D
T
5
/
2
0
/
1
6
RE
C
O
V
E
R
Y
%
(R
Q
D
)
U.
S
.
C
.
S
.
MATERIAL DESCRIPTION
GR
A
P
H
I
C
LO
G
BL
O
W
CO
U
N
T
S
(N
V
A
L
U
E
)
WELL DIAGRAM
RC 100
(45)ROCK
40.0
Same as above, moderate weathering 35' to 37.5', then extremelyfractured. Close horizontal fracturing 35' to 37.5'. Close vertical and
horizontal fracturing 37.5' to 40' with moderately severe weatheringalong fractures.
Boring terminated at 40.0 feet.
0.5-feet of #2
sand belowscreen
SA
M
P
L
E
T
Y
P
E
DE
P
T
H
(f
t
)
35
40
PAGE 2 OF 2
WELL NUMBER MW-4
PROJECT LOCATION Mill Spring, NC
CLIENT Polk County PROJECT NAME (NUMBER)Route 9 Landfill (2036)
NORTHING, EASTING ,
RIV
E
R
B
E
N
D
/
J
B
D
R
I
L
L
I
N
G
L
O
G
S
.
G
P
J
G
I
N
T
U
S
.
G
D
T
5
/
2
0
/
1
6
RE
C
O
V
E
R
Y
%
(R
Q
D
)
U.
S
.
C
.
S
.
MATERIAL DESCRIPTION
GR
A
P
H
I
C
LO
G
BL
O
W
CO
U
N
T
S
(N
V
A
L
U
E
)
WELL DIAGRAM