Well Construction Records Rutherford 4 CY2000

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 2785
1
2
3
4
5
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9
10
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12
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14.
15
2134;31
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
------------------------------------------------------------
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN BOSTIC COUNTY: RUTH
WASHBURN COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
OWNER MAX MILLER FROM TO FORM. DESC.
ADDRESS _2809_PINEY _MTN._CH. _RD.
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE c- `''--
DATE DRILLED: 06/30/00 USE OF WELL: HOUSE
TOTAL DEPTH: 605'
CUTTINGS COLLECTED: YES NO XX��-
DOES WELL REPLACE EXISTING WELL? YES NO XX n
STAT. WAT. LEVL. BEL.TOP OF CASING _80_FT.
(USE + IF ABOVE TOP)
TOP OF CASING IS 18" ABOVE LAND SURF.'
YIELD (GPM): 3 METHOD OF TEST-ARD
WATER ZONES (DEPTH):
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
CASING:
W.
THICK.
DEPTH
DIA OR.WT/FT.
MTL
FROM _0_TO_90_FT._6-14/"
_PVC_
LOCATION SKETCH
FROM
TO
FT.
GROUT:
BUS. 74 E. FROM FOREST CITY
DEPTH
MATERIAL
METHOD
LEFT ON BOSTIC/SUNSHINE HWY
FROM
FT.
_ CEMENT
_ _PRESS_
RT. ON PINEY MTN. CH. RD.
_0_TO_20_
FROM
TO
FT.
1ST HOUSE ON RT.
SCREEN:
DEPTH
DIA SLOT
SIZE MTL
FROM
-TO
-FT.-
IN.
IN.
FROM
TO
FT.
IN.
IN.
FROM
-TO
-FT.
IN.
IN.
SAND/GRAVEL
PACK:
DEPTH
SIZE
MATERIAL
FROM
-TO
-FT.
16. REMARKS:
I DO HEREBY
15A NCAC 2C,
HAS BEEN PRC
CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
VIDE TO THE WELL
OW
� ) C k I N' � I `4 Y EOM L�
GNA E F CONTEFACTOR OR AGE
Yb
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
213411
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN : FOREST CITY COUNTY:
RUTH
SUMMER SLOPE DR.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER KENNETH_CHEATHAM
FROM TO FORM. DESC.
ADDRESS
_SUMMER_SLOPE_DR.
NC 28043_
_FOREST_CITY
CITY OR TOWN STATE ZIP CODE
c�
3.
DATE DRILLED: 06/30/00 USE OF WELL: HOUSE
C-
4.
TOTAL DEPTH: 185'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
rn
(USE + IF ABOVE TOP)
T m
8.
TOP OF CASING IS 18" ABOVE LAND SURF."
s -
9.
YIELD (GPM): 20 METHOD OF TEST-ARD
_ m
10.
WATER ZONES (DEPTH):-
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
T-
12.
CASING:
W.
THICK.
DEPTH
DIA OR
WT/FT. MTL
FROM_0_TO_50_FT._6-1/4"
_PVC_
LOCATION SKETCH
FROM TO
FT.
13.
GROUT:
HWY.
221 S. FROM RUTHERFORD
DEPTH
MATERIAL METHOD
TON.
LEFT ON HENSON RD.
FROM
_PRESS_
CROSS BRIDGE & LEFT ON SUM -
_0_TO_20_FT.
FROM TO
FT.
_CEMENT_
MER
SLOPE DR. ON LEFT ON
14.
SCREEN:
TOP
OF HILL.
DEPTH
DIA SLOT SIZE MTL
FROM TO
FT.
IN.
IN.
FROM TO
—FT.
FT.
IN.
IN.
FROM —To
IN.
IN.
15.
SAND/GRAVEL PACK:
DEPTH
SIZE
MATERIAL
FROM TO
FT.
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
- WELL PNSTRUCTION STANDARDS, AND THAT
�iiwffUl
VIDED PO THE WELL OW ER.
IGNATUR OF CONTRACTO OR AGENT
IN ACCORDANCE WITH
A COPY OF THIS RECORD
DATE

313443
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
-----------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
LAMB'S GRILL COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER SHANE_DAMICO
FROM TO FORM. DESC.
ADDRESS 933 CHESNEE RD.
NC 28139_
_RUTHERFORDTON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06-29-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 52'
5.
CUTTINGS COLLECTED: YES NO XX
c
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX_
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
_40_FT.
(USE + IF ABOVE TOP)
__9m
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*
4 x_
9.
YIELD (GPM): 12' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
n —
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
m -
W. THICK.
o
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_52_FT. _24"_ _CONC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
POORS FORD RD. FROM SHILOH.
DEPTH MATERIAL METHOD
LEFT ON MCMURRY RD. AFTER
FROM FT. _POURED_
RIVER. RT. ON OLD CHESNEE
_0_TO_20__CEMENT—
FROM TO FT.
RD. APPROX. 3/4 MILE ON
14.
SCREEN:
LEFT.
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —FT. IN. IN.
—TO
FROM —TO —FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM 40 TO 52 FT. NO. 6M STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT
HAS BEEN PROVIDED CO THE WELL OWNER.
IN ACCORDANCE WITH
A COPY OF THIS RECORD
`R^E ) &'`.JC /_R OR
DATE

21344�i
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
------------------------------------------------------------------------
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN ELLENBORO COUNTY: RUTH
WILSON ST.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER RAY_GRINDSTAFF FROM TO FORM. DESC.
ADDRESS WILSON_ST.
_ELLENBORO NC 28040
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 06-29-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 46'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _26_FT.
(USE + IF ABOVE TOP) o
8. TOP OF CASING IS 18" ABOVE LAND SURF.' — c
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE r
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GALs
12. CASING: 3c Tg
r
W. THICK. — m
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_46_FT. _24" CONC LOCATION SKRPC6F
FROM TO FT. `
13. GROUT: BUS. 74 E. FROM ELLENBORO.
DEPTH MATERIAL METHOD LEFT ON N. GLEN ST. RT. ON
FROM _0_TO_20_FT. _ CEMENT _ _POURED_ WILSON ST. 1/4 MILE ON RT.
FROM TO FT. AT DEAD-END.
14. SCREEN:
DEPTH
FROM —TO —FT
FROM —TO —FT
FROM TO FT
15. SAND/GRAVEL PACK:
DEPTH
FROM 26' TO 46' FT
16. REMARKS:
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A-NCCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
n; ESl,-,B#E&' PROVIDED T r HE WELL OWNER.
S�GNATtJRE F CON ACTOR OR AGENT DATE

NC DEHNR 21 3 4 4 50
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
--------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN ELLENBORO COUNTY:
RUTH
WALLS CHURCH RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH
DRILLING LOG
2.
OWNER GRETCHEN_TRULL
FROM TO
FORM. DESC.
ADDRESS
_1395_WALLS_CHURCH_RD.
NC 28040_
_ELLENBORO
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06-28-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 45'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _25_FT.
p o
(USE + IF ABOVE TOP)
�onr-
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*
r -�
9.
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
9 m
12.
CASING:
cf`E2
W. THICK.
_
c'M
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_45_FT._24"_ _CONC_
LOCATION
SKETCPP
FROM TO FT.
13.
GROUT:
HOLLIS RD. FROM ELLENBORO.
DEPTH MATERIAL METHOD
LEFT ON WALLS
CHURCH RD.
FROM FT. _ CEMENT _ _POURED_
LAST DRIVE ON
RT. BEFORE
_0_TO_20_
FROM TO FT.
CPA BUILDING.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT.— IN. IN.
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_25'_TO_45'_FT._NO. 6M_ _STONE
16. REMARKS:
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 O THE WELL OWN R.
SIGN URE OF CONTRACTOR OR AGENT DATE
1 F:roundwah Sec'inn
. }hev_. isle I'eor�I O --

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
2131132
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN UNION MILLS COUNTY: RUTH
TELEFAIR ST.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER EARL_STOTT FROM TO FORM. DESC.
ADDRESS 158_TELEFAIR_ST.
UNION_MILLS NC 28167
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 06/28/00 USE OF WELL: HOUSE _
4. TOTAL DEPTH: 145' r c
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX-
7. STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT.
(USE + IF ABOVE TOP) n
rn
8. TOP OF CASING IS 18" ABOVE LAND SURF." �
9. YIELD (GPM): 20 METHOD OF TEST-ARD D
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM _0_TO_30_FT.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM _0_TO_2
0_FT .
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
—TO
—FT.
FROM
—TO
—FT.
FROM
—TO
—FT.
15. SAND/GRAVEL
PACK:
DEPTH
FROM
—TO
—FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_ LOCATION SKETCH
MATERIAL
METHOD
_CEMENT_
_PRESS_
DIA SLOT
SIZE MTL
IN.
IN.
IN.
IN.
IN.
IN.
SIZE MATERIAL
HWY. 64/74A W. FROM RUTHER-
FORDTON. RT. ON COVE RD.
RT. ON PAINTERS GAP RD.
CROSS BRIDGE & LEFT ON
HEMPHILL RD. RT. ON TELE-
FAIR ST. 1ST HOUSE ON RT.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT
HAS BEEN PROVIDED TJT THE WELL OWNER. n 11
IN ACCORDANCE WITH
A COPY OF THIS RECORD
OF CONTR TOR OR aAGE:
DATE

21.3433
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
-----------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN FOREST CITY COUNTY:
RUTH
DOGGETT RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER CHESTER_MELTON
FROM TO FORM. DESC.
ADDRESS DOGGETT-RD.
NC 28043_
—FOREST _CITY
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06/27/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 505'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
o
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _40_FT.
E2 -'
(USE + IF ABOVE TOP)
Tyr
8.
TOP OF CASING IS 18" ABOVE LAND SURF.`
cry
9.
YIELD (GPM): 25 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
s m
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_80_FT._6-1/4" _PVC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM _0_TO_20_FT. _CEMENT— _PRESS_
FROM TO FT.
14. SCREEN.
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT.— IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16. REMARKS:
Q� o
LOCATION SKETCH
BY-PASS 74 E. FROM FOREST
CITY. RT. ON BETHANY CHURCH
RD. LEFT ON DOGGETT RD. 1ST
HOUSE ON LEFT PAST MORNING -
STAR LAKE RD.
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',',BgtN PROVIDE
T THE WELL OWNER
�tiUl Y
_)_ _�..J
SIGE T ACTOR G�
-Ttq
DATE
:'rn indwa
~

NC DEHNR 2113 4 3 4
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT._
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
WILKINS FOREST W.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER COLIN_CAMPBELL
FROM TO FORM. DESC.
ADDRESS WILKINS_FOREST_W.
NC 28139_
_RUTHERFORTDON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06/24/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 455'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT.
c—
R
(USE + IF ABOVE TOP)
C o
8.
TOP OF CASING IS 18" ABOVE LAND SURF.`
-
9.
YIELD (GPM): 100+ METHOD OF TEST-ARD
rn
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
_
12.
CASING:
DEPTH
FROM _0_TO_60_FT.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM _0_TO_20_FT.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
-TO -FT.
FROM
-TO -FT.
FROM
-TO -FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM
-TO -FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
LOCATION SKETCH
HWY. 64/74A W. FROM RUTHER-
FORDTON. RT. INTO WILKINS
FOREST W. 1/4 MILE ON RT.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCA,,, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
BET RR fFIDED THE WELL OWN R
i� AUG � 7�n T R OF CONT AC R OR / 'GENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 2785
213435
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
------------------------------------------------------
------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : HARRIS COUNTY: RUTH
ROSEMONT FARM RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER JOE_CARSON
ADDRESS —ROSEMONT—FARM—RD.
_HARRIS NC 28074
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 06/22/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 205'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _40_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.`
9. YIELD (GPM): 8 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_75_FT._6-1/4" _PVC_
FROM —TO —FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT.CEMENT_ —PRESS—
FROM—TO—FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16. REMARKS:
DEPTH DRILLING LOG
FROM TO FORM. DESC.
o
r�m
r
cm
rn
y
m -r_
0
Q%
o
LOCATION SKETCH
HWY. 221 S. FROM RUTHERFORD
TON. RT. ON HARRIS/HENRI-
ETTA RD. RT. AT STOP SIGN.
CROSS RR & LEFT ON JACK
MCKINNEY RD. RT. ON DUNCAN
RD. RT. ON ROSEMONT FARM
RD. 4/10 MILE ON LEFT.
i-D6?� K�RFRY CERTIFY THAT THIS WELL WAS CONSTRUCTED
AA,"l C iL ONSTRUCTION STANDARDS, AND THAT
HAS BE "X'r%tb/ TO THE WELL OWNER .� � .
IN ACCORDANCE WITH
A COPY OF THIS RECORD
SI: T 7C_ F CiO15TRAlT7OR GENT DATE

213449
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
--------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN FOREST CITY COUNTY: RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER HUGH_HENSON FROM TO FORM. DESC.
ADDRESS DUNCAN_RD.
FOREST_CITY NC 28043_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 06-22-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 81, c
5. CUTTINGS COLLECTED: YES NO XX O n
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _61_FT. r c
(USE + IF ABOVE TOP)T
8. TOP OF CASING IS 18" ABOVE LAND SURF." no
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
fn
10. WATER ZONES (DEPTH):-
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING: ut
W.
THICK.
Z
DEPTH
DIA OR
WT/FT. MTL
FROM _0_TO_81_
FT.
_24"_
_CONC_
LOCATION SKETCH
FROM TO
FT.
13.
GROUT:
BIG ISLAND RD. FROM SHILOH.
DEPTH
MATERIAL
METHOD
LEFT ON HARRIS/HOLLY SPRGS.
FROM _0_TO_20_FT.
_CEMENT_
_POURED_
RD . RT . ON DUNCAN RD . 1ST
FROM TO
FT.
DRIVE ON LEFT.
14.
SCREEN:
DEPTH
DIA SLOT
SIZE MTL
FROM —TO —FT.
IN.
IN.
FROM —TO —FT.
IN.
IN.
FROM —TO —FT.—
IN.
IN.
15.
SAND/GRAVEL PACK:
DEPTH
SIZE
MATERIAL
FROM 61 TO 81'
FT.
NO. 6M
STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
15A NCAC 2C, WELL gONSTRUCTION STANDARDS, AND THAT
HAS(';BEEN PROVIDED THE WELL OWN R. T
r ,, I J
IN ACCORDANCE WITH
A COPY OF THIS RECORD
�IGNATTE QF.-CONTAA,CJTOR OR DATE

2134Su
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO. _
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT. -
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
LAMB'S GRILL COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER ALBERT_LAUGHTER FROM TO FORM. DESC.
ADDRESS OLD_CHESNEE_RD.
_RUTHERFORDTON NC 28139
CI _
TY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 06-21-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 45'
5. CUTTINGS COLLECTED: YES NO XX-
6. DOES WELL REPLACE EXISTING WELL? YES NO XX"-
7. STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'_ —
9. YIELD (GPM): 15' METHOD OF TEST -STEEL TAPE o
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL-
--I
12. CASING: Wv
W. THICK. 2
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_45_FT._24"_ _CONC_ LOCATION SKETCH
FROM TO FT.
13. GROUT: POORS FORD RD. FROM SHILOH.
DEPTH MATERIAL METHOD LEFT ON MCMURRY RD. AFTER
FROM _0_TO_20_FT. _CEMENT_ _POURED_ RIVER. LEFT ON OLD CHESNEE
FROM TO FT. RD. 3/10 MILE ON RT. PAST
14. SCREEN: LAMB'S GRILL.
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. —IN. —IN.
FROM TO FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_30_TO_45'_FT._NO. 6M_ _STONE
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL ONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
gjv)
SAS B�EN_PROVIDED TO THE WELL OWN R.
a i
DATE
�i SIG TORE O CONTRACTOR OR AGENT

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
�13451
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
LAMB'S GRILL COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
2. OWNER DWIGHT_LAUGHTER FROM TO
ADDRESS OLD_CHESNEE_RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 06-21-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 47'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _29_FT.
(USE + IF ABOVE TOP)
S. TOP OF CASING IS 18" ABOVE LAND SURF.`
9. YIELD (GPM): 18' METHOD OF TEST —STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM
_0_TO_47_FT.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM
_0_TO_20
FT.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
—TO
—FT.
FROM
—TO
—FT.
FROM
—TO
—FT.
15. SAND/GRAVEL
PACK:
DEPTH
FROM_29_TO_47'_FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_24 "_ _CONC_
-------------
DRILLING LOG
FORM. DESC.
LOCATION SKETCH
z
POORS FORD RD. FROM SHILOH.
MATERIAL METHOD LEFT ON MCMURRY RD. AFTER
_CEMENT_ _POURED_ RIVER. LEFT ON OLD CHESNEE
RD. 3/10 MILE ON RT. PAST
LAMB'S GRILL.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREEBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
a_XWELL CONSTRUCTION THE WELL OSTANDARDS, AND THAT A COPY OF THIS RECORD
SIGNATURE OF CONTRACTOR OR AGENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
21.3452
QUAD NO. SER. NO.
LAT LONG_
BASIN CODE
HEADER ENT. GW-1
ENT.
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
----------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN FOREST CITY COUNTY:
RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER JOEL_MORROW
FROM TO FORM. DESC.
ADDRESS BIG_ISLAND_RD.
FOREST_CITY NC 28043_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06-20-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 55'
5.
CUTTINGS COLLECTED: YES NO XX
_C:)_
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
„
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _43_FT.
(USE + IF ABOVE TOP)
S.
TOP OF CASING IS 18" ABOVE LAND SURF.'
cn
9.
YIELD (GPM): 12' METHOD OF TEST -STEEL TAPE
-
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
m
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_55_FT. _24"_ _CONC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
BIG ISLAND RD. FROM SHILOH.
DEPTH MATERIAL METHOD
1 MILE ON LEFT.
FROM_0_TO_20_FT._CEMENT_ -POURED-
FROM-TO-FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT. IN. IN.
FROM -TO -FT. IN. IN.
FROM -TO -FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM 43 TO 55 FT. NO. 6M STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC.2C, WELLCONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
. HAS.', F#� ' V*O,VVIDED TO THE WELL OWNER.
l Lo - -2 0 C.\)
48 1 SIGNATURE
/\JO��F ONT ACTOR OR 'jAGGEEN7 DATE

2134.19
NC DEHNR
DEM — GW SECTION
P.O. BOX 29535 QUAD NO, SER. NO. _
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
--------------------------------------------------------------
1
-----------------------------------
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN ELLENBORO COUNTY:
RUTH
PIONEER RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _TERRY_HORN
FROM TO FORM. DESC.
ADDRESS PIONEER_RD.
NC 28040_
_ELLENBORO
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06/20/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 605'
p
5.
CUTTINGS COLLECTED: YES NO XX
.. m
o
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX C
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _50_FT.
(USE + IF ABOVE TOP)
Q' "
S.
TOP OF CASING IS 18" ABOVE LAND SURF."
D —
9.
YIELD (GPM): 3 METHOD OF TEST—ARD
—
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
C:)
--vs—a-
12.
CASING:
_
DEPTH
FROM _0_TO_80_FT.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM _0_TO_2
0_FT
.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
TO
FT.
FROM
—TO —FT.
FROM
—TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM
TO
FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_ LOCATION SKETCH
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
NEW HOUSE RD. FROM
ELLENBORO. RT. ON E. BUTLER
RD. LEFT ON PIONEER RD. 1ST
DR. ON RT.
DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
5lQ *AC ''`2C, WELL CONSTRUCTION STANDARDS, AND THAT
M"gA�t�cBErNPROVIDED HE WELL OW E�\
IN ACCORDANCE WITH
A COPY OF THIS RECORD
��IYATURj-0'F' CONT1 ACTOE OR AGENT
DATE

NC DEHNR 213453
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
-----------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN UNION MILLS COUNTY:
RUTH
GILKY COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _RANSOME_MCENTIRE
FROM TO FORM. DESC.
ADDRESS _636_PINEY_KNOB_RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06-19-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 46'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX-'
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _31FT.
o
(USE + IF ABOVE TO_P)
S.
TOP OF CASING IS 18" ABOVE LAND SURF.`
r-
9.
YIELD (GPM): 15' METHOD OF TEST -STEEL TAPE
w �<
10.
WATER ZONES (DEPTH):
>
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
T
W. THICK.
o y
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_46_FT._24"_ _CONC_
LOCATION SKETCHz
FROM —FT.
13.
—TO
GROUT:
HWY. 221 N. FROM RUTHERORD-
DEPTH MATERIAL METHOD
TON. LEFT ON SCHOOLHOUSE RD
FROM _0_TO_20_FT. _CEMENT— _POURED_
IN GILKY. LEFT ON PAINTERS
FROM TO FT.
GAP RD. LEFT ON PINEY KNOB
14.
SCREEN:
RD. LAST DRIVE ON RT. BE -
DEPTH DIA SLOT SIZE MTL
FORE CROSSING BRIDGE.
FROM —TO —FT.— IN. IN.
FROM TO FT. IN. IN.
FROM —TO —FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM 31 TO 46' FT. NO. 6M STONE
16.
REMARKS:
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
/OOW E
—� �Y-_ 6 "/ci - 6)
ti GNATUF-L% Oi) CQNTRArCTOR RR Aq�ENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
34N
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN LAKE LURE COUNTY: RUTH
BILL'S CREEK COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
2. OWNER SARAH_NOBLITT FROM TO
ADDRESS _839_BILL'S_CREEK_RD.
LAKE_LURE NC 28746
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 06/19/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 165'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF."
9. YIELD (GPM): 50 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
13
14
15
16
DEPTH
FR0M_0_T0_50_FT
.
FROM
-TO
-FT.
GROUT:
DEPTH
FROM _0_T0_2
0_FT .
FROM
TO
FT.
SCREEN:
DEPTH
FROM
-TO
-FT.
FROM
TO
FT.
FROM
-TO
-FT.
SAND/GRAVEL
PACK:
DEPTH
FROM
-TO
-FT.
DIA OR WT/FT. MTL
_6-1/4" _PVC_
MATERIAL METHOD
_CEMENT_ _PRESS_
I DO HEREBY CERTIFY
15A NCAC 2C, WELL C
HAS BEEN PROVIDED
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
DRILLING LOG
FORM. DESC.
------------------
LOCATION SKETCH
HWY. 64/74A W. FROM RUTHER-
FORDTON. RT. ON BILL'S CRK.
RD. DRIVE ON LEFT JUST BE-
FORE DAISY'S SANDWICH SHOP.
THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
NSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
THE WELL OWNER,-, .
lK C0NTRAC Q�OR(� AGENT R
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
21343'7
QUAD NO. SER. NO. _
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN BOSTIC COUNTY:
RUTH
WASHBURN COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER PAUL ADAMS
FROM TO FORM. DESC.
ADDRESS _182_HALSEY_TRAIL
BOSTIC NC 28018_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06/17/00 USE OF WELL: HOUSE
c
1T
4.
TOTAL DEPTH: 505,
i e�
5.
CUTTINGS COLLECTED: YES NO XX
a' _
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT.
3zT
—
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
o -
9.
YIELD (GPM): 2 METHOD OF TEST-ARD-
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_70_FT._6-14/" _PVC_
LOCATION SKETCH
FROM
13.
—TO —FT.
GROUT:
BUS. 74 E. FROM FOREST CITY
DEPTH MATERIAL METHOD
LEFT ON BOSTIC/SUNSHINE HWY
FROM FT. _PRESS_
RT. ON SALEM CHURCH RD. RT.
_0_TO_20__CEMENT_
FROM TO FT.
ON HALSEY TRAIL. 1/8 MILE
SCREEN.
ON RT. RED BRICK HOUSE ON
DEPTH DIA SLOT SIZE MTL
TOP OF HILL.
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT.— IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL ONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
HAS BEEN PROVIDED �TO�THE WELL OWNEP,
(LA
AW 6 W91
" `- IGNATU� F CONTR TOR OR AGENT DATE
}

213454
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
QUAD NO.
SER. NO.
RALEIGH, NC 27626-0535
LAT
LONG
[phone]
BASIN CODE
HEADER ENT.
GW-1
ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1
------------------------------------------------------------------------
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
MTN. CREEK SUBDV.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _DAVID_EDGERTON
FROM TO FORM. DESC.
ADDRESS _MOUNTAIN _CREEK _RD
RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06-16-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 32'
5.
CUTTINGS COLLECTED: YES NO XX
L
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _20_FT.
�
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF."
m
9.
YIELD (GPM): 12' METHOD OF TEST -STEEL TAPE
^F
10.
WATER ZONES (DEPTH):
"^
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
�—
ca e
12.
CASING:
z
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_32_FT._24" _CONC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
HWY. 221 N. FROM RUTHERORD-
DEPTH MATERIAL METHOD
TON. LEFT ON MTN. CREEK RD.
FROM _0_TO_20_FT. CEMENT— _POURED_
RT. INTO MTN. CREEK SUBDV.
FROM TO FT.
GO TO 2ND CUL-DE-SAC. LAST
14.
SCREEN:
LOT ON LEFT.
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT. —IN. —IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_20_TO_32_FT._NO. 6M_ _STONE
16. REMARKS:
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 TITHE WELL OWNER. (\ , I
$IGNATUR,E QF CONTRACTOR O� DATE

213455
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : RUTHERFORDTON COUNTY: RUTH
PLEASANT GROVE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER BOBBY_BROWN FROM TO FORM. DESC.
ADDRESS _PLEASANT-GROVE-RD.
_RUTHERFORDTON NC 28139_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 06-16-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 30'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _20_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.* c_r
9. YIELD (GPM): 10' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH): O1
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL 3
12. CASING:
W. THICK. _ z
m :u
DEPTH DIA OR WT/FT. MTL
FROM 0 TO 30_FT._24"_ _CONC_ LOCATION SKET69 z
FROM TO
FT.
13.
GROUT:
HWY.
64/74A W. FROM RUTHER-
DEPTH
MATERIAL
METHOD
FORDTON. RT. ON COVE RD.
FROM_0_TO_20_FT._CEMENT_
_POURED_
LEFT
ON PLEASANT GROVE RD.
FROM TO
FT.
6/10
MILE ON LEFT. (METAL
14.
SCREEN:
GATE
AT DRIVE)
DEPTH
DIA SLOT
SIZE MTL
FROM TO
FT.
IN.
IN.
FROM TO
FT.
IN.
IN.
FROM -TO -FT.
IN.
IN.
15.
SAND/GRAVEL PACK:
DEPTH
SIZE
MATERIAL
FROM_20_TO_30_FT._NO.
6M_
_STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT
HAS BEEN PROVIDED fb THE WELL OWNERX--T\
0 CONTRACTOR OAR AG NT
IN ACCORDANCE WITH
A COPY OF THIS RECORD
& - /6
DATE

213438
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
---------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN : LAKE LURE COUNTY:
RUTH
LUREWOOD FOREST RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _TERRY_DUFFEY
FROM TO FORM. DESC.
ADDRESS LUREWOOD-FOREST _RD.
_
LAKE LURE NC 28746_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06/16/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 185'
—�-
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
��-
_50_FT.
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'-
9.
YIELD (GPM): 60 METHOD OF TEST-ARD
moo_ m
10.
WATER ZONES (DEPTH):
s ��
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
^
W. THICK.
Q' o
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_30_FT._6-1/4" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
HWY. 64/74A W. FROM RUTHER-
DEPTH MATERIAL METHOD
FORDTON. RT. ON BOYS CAMP
FROM _PRESS_
RD. RT. ON CHAPEL POINT DR.
_0_TO_20_FT. _CEMENT_
FROM TO FT.
LEFT ON LUREWOODS MANOR DR.
14.
SCREEN.
RT. ON LUREWOOD FOREST RD.
DEPTH DIA SLOT SIZE MTL
2ND DRIVE ON LEFT.
FROM —TO —FT. IN. IN.
FROM TO FT. IN. IN.
FROM —TO —FT.— IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT
HASnP2VIDED THE WELL OWNE
2p r P r�vr,R AGE
TR TOR O(J/��
IN ACCORDANCE WITH
A COPY OF THIS RECORD
ob
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
113439
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
-------------------------------------------------------------
1
----------------------------------
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN : LAKE LURE COUNTY:
RUTH
BILL'S CREEK COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER WAYNE_PARRISH
FROM TO FORM. DESC.
ADDRESS
_620_CEDAR_CREEK_RD.
LAKE LURE NC 28746_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06/15/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 205'-
5.
CUTTINGS COLLECTED: YES NO XX
^ a -
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX o
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _40_FT.
s—
(USE + IF ABOVE TOP)
r-
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 50 METHOD OF TEST-ARD
�e
10.
WATER ZONES (DEPTH):
= r
an�--
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
a
W. THICK.
a�
z
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_40_FT. _6-1/4" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT.
HWY. 64/74A W. FROM RUTHER-
DEPTH MATERIAL METHOD
FORDTON. RT. ON BILL'S CRK.
FROM_0_TO_20_FT. _PRESS_
RD. LEFT ON CEDAR CREEK RD.
_CEMENT—
FROM TO FT.
1ST DRIVE ON LEFT PAST CE-
14.
SCREEN:
DAR CREEK STABLES.
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM TO FT.
16.
REMARKS:
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 BEN PROVIDED fO THE WELL OW ER
I� is /
SIGNATUR�OF CONTRACTOR OR AGENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
213410
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
--------------------------------------------------
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : BOSTIC COUNTY: RUTH
SUNSHINE COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER KENT_JONES
ADDRESS _356_CHERRY_MTN._RD.
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 06/14/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 265'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.`
9. YIELD (GPM): 12 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_90_FT._6-1/4" _PVC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT._CEMENT_ —PRESS—
FROM—TO—FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16. REMARKS:
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
n
O
G
®
L7 T
C
r
��m
fm
Q1
a=m
�
s
errx-
ma
er
—ar�-
---------------------
LOCATION SKETCH
BUS. 74 E. FROM FOREST CITY
LEFT ON BOSTIC/SUNSHINE HWY
RT. ON CALTON DAIRY RD. RT.
ON CHERRY MTN. RD.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT
HAS BEEN PROVIDED TO THE WELL OWNE .
l iI GN T CON \,A) R OR AGENT
IN ACCORDANCE WITH
A COPY OF THIS RECORD
& /q"-uu
DATE

NC DEHNR
2'13441:
DEM — GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
-------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN BOSTIC COUNTY:
RUTH
GOLDEN VALLEY COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER KEVIN_TOWERY
FROM TO FORM. DESC.
ADDRESS _1001_GOLDEN_VALLEY_CH._RD._
BOSTIC NC 28018_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06/13/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 525'
5.
CUTTINGS COLLECTED: YES NO XX
r
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX — p
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _50_FT.
` —
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*
r=
9.
YIELD (GPM): 1 METHOD OF TEST—ARD
10.
WATER ZONES (DEPTH):
v
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM _0_TO_6
0_FT
.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM _0_TO_20_FT.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
—TO —FT.
FROM
—TO —FT.
FROM
—TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM
TO
FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_
MATERIAL
CEMENT
LOCATION SKETCH
BUS. 74 E. FROM FOREST CITY
METHOD LEFT ON BOSTIC/SUNSHINE HWY
_PRESS_ LEFT ON HWY. 226. RT. ON
GOLDEN VALLEY CH. RD. LAST
HOUSE ON LEFT BEFORE CHURCH
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
I DO HEREBY CERTIFY
15A NQ C 2C, WELL 6
`HAS 1,B4EN'_PROVI
`a
j a AU[i Ca ^tl'l9
THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
NSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
21.3456
QUAD NO. SER. NO._
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
-------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN : BOSTIC COUNTY:
RUTH
GOLDEN VALLEY COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _FAYE_PANTHER
FROM TO FORM. DESC.
ADDRESS _ WEEPING —WILLOW _CT.
BOSTIC NC 28018_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06-13-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 54'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
c—
_36_FT.
(USE + IF ABOVE TOP)
r-
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*
l
9.
YIELD (GPM): 18' METHOD OF TEST —STEEL TAPE
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
N
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_54_FT. _24"_ _CONC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
BUS. 74 E. FROM FOREST CITY
DEPTH MATERIAL METHOD
LEFT ON BOSTIC/SUNSHINE HWY
FROM FT. _POURED_
LEFT ON HWY. 226. LEFT ON
_0_TO_20__CEMENT_
FROM TO FT.
WEEPING WILLOW CT. LEFT AT
14.
SCREEN:
FORK. HOUSE AT DEAD—END
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_36'_TO_54'_FT. _NO. 6M_ _STONE
16.
REMARKS:
I DO HEREBY_ CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
IN—It
.n WELL C NSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
D POVIDED O THE WELL OW ER
NATUR OF CONT ACTO OR AGENT DATE
�Nb,, y)\-c-i

2131124
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN FOREST CITY COUNTY:
RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _NEIL_SAYERS
FROM TO FORM. DESC.
ADDRESS _STONEYWAY_LANE
NC 28043_
_FOREST_CITY
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06-13/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 245'
-
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX-
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
-o
S.
TOP OF CASING IS 18" ABOVE LAND SURF.'
rn
9.
YIELD (GPM): 20 METHOD OF TEST-ARD_
10.
WATER ZONES (DEPTH):
o
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
rjw-
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_56_FT.-6-1/4" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
BIG ISLAND RD. FROM SHILOH.
DEPTH MATERIAL METHOD
RT. ON STONEWAY LANE. 1ST
FROM _0_TO_20- FT. _ CEMENT _ _PRESS_
HOUSE ON RT.
FROM TO FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —FT. —IN. —IN.
—TO
FROM —FT. —IN. —IN.
—TO
FROM —TO —FT. —IN. —IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL C NSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
HAS BEEN PROVIDED O THE WELL OWN R.
IG`NA RT �OF"CO A�RACTORJ R AGENT DATE
�J�� 1

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
2I344ti
QUAD NO. SER. NO._
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
HWY. 108 W.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _LINDA_ROBERTS FROM TO FORM. DESC.
ADDRESS _1369_HWY._108_W.
_RUTHERFORDTON NC 28139_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 06/10/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 285'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX_
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 25 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM _0_TO_60_FT.
FROM TO FT.
13. GROUT:
DEPTH
FROM _0_TO_20_FT.
FROM TO FT.
14. SCREEN:
DEPTH
FROM -TO -FT.
FROM -TO -FT.
FROM -TO -FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM -TO -FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-14/" _PVC_
MATERIAL METHOD
_CEMENT_ _PRESS_
I DO HEREBY CERTIFY
t�7 � 2C, WELL C
�yyOROVIDED T
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
LOCATION SKETCH
HWY. 108 W. FROM RUTHERFORD
TON. LEFT ON DRIVE 1/10
MILE BEFORE J.J. GUFFEY RD.
(1369 ON BOX) 1ST DRIVE ON
RT.
THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
NSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
THE WELL OWNER(.\
\\,of,\
- / 0 -cA-)
GENT
DATE

NC DEHNR .l 3 `I 2) J
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN CLIFFSIDE COUNTY:
RUTH
CHURCH ST.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER CARL_WHITLOCK
FROM TO FORM. DESC.
ADDRESS 307_CHURCH_ST.
NC 28024_
_CLIFFSIDE
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06/09/00 USE OF WELL: HOUSE_
4.
TOTAL DEPTH: 145'
�-
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
r-
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT._
(USE + IF ABOVE TOP)
e o
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
r� n
9.
YIELD (GPM): 20 METHOD OF TEST-ARD-
10.
WATER ZONES (DEPTH):
—e—�
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
rn
12.
CASING:
x
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_20_FT._6-14/" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
HWY. 221A S. FROM CLIFFSIDE
DEPTH MATERIAL METHOD
LEFT ON BEASON RD. RT. ON
FROM FT. _PRESS_
CHURCH ST. GO STAIGHT AT
_0_TO_20__CEMENT—
FROM TO FT.
STOP SIGN. 307 ON MAILBOX
14.
SCREEN:
POST ON LEFT.
DEPTH DIA SLOT SIZE MTL
FROM —FT.— IN. IN.
—TO
FROM —TO —FT. IN. IN.
FROM —TO —FT. —IN. —IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16.
REMARKS:
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 f THE WELL OWNER.
!l I�,U�OF CONTRAC�AGENT DATE

21.3457
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
----------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
J.J. GUFFEY RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER WALTER_GUFFEY FROM TO
FORM. DESC.
ADDRESS
_275_J.J._GUFFEY_RD.
NC 28139_
_RUTHERFORDTON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06-09-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 77'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX-
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _62_FT.
�-—
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 15' METHOD OF TEST -STEEL TAPE
+�
10.
WATER ZONES (DEPTH):
o m
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
m
c� —
12.
CASING:
DEPTH
FROM _0_TO_7 7 FT.
FROM TO FT.
13. GROUT:
DEPTH
FROM _0_TO_2 0_FT .
FROM TO FT.
14. SCREEN:
DEPTH
FROM —TO —FT.
FROM —TO —FT.
FROM —TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM_62_TO_77'_FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_24 _CONC_
MATERIAL METHOD
_CEMENT_ _POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
LOCATION SKETCH
HWY. 108 W. FROM RUTHERFORD
TON. LEFT ON J.J. GUFFEY RD
1ST HOUSE ON RT.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL NSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
HAS BEEN PROVIDED TO THE WELL ER.
(. Y /1,1 _Ar�OW� �, ll (� i cc� i9 q1 -C u
IGNA E OF�CONTRAC OR OR AGENT DATE
P_11� 1y\_c (r}a-

NC DEHNR 2 13426
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
--------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN : BOSTIC COUNTY:
RUTH
WASHBURN COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING
LOG
2.
OWNER _NORMAN_HOLLIFIELD
FROM TO FORM.
DESC.
ADDRESS _712_ENGINEER_RD.
BOSTIC NC 28018_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06/08/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 445'
S.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
p
o
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
_80_FT.
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*
t
9.
YIEL➢ (GPM): 100 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
-
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL_
ER'
12.
CASING:
DEPTH
FROM _0_TO_70 FT.
FROM TO FT.
13. GROUT:
DEPTH
FROM _0_TO_20_FT.
FROM TO FT.
14. SCREEN:
DEPTH
FROM -TO -FT.
FROM -TO -FT.
FROM -TO -FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM -TO -FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-14/" _PVC_
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
LOCATION SKETCH
BUS. 74 E. FROM FOREST CITY
LEFT ON BOSTIC/SUNSHINE HWY
LEFT ON ANDREWS MILL RD. RT
ON ENGINEER RD. APPROX. 1.5
MILES ON RT.
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 %PO THE WELL OWES(
4AT E GOF CON RA TOROR AGENT ATE

213459
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT
NUMBER:
DRILLER REGISTRATION NO: 2567
------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
MILLER RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH
DRILLING LOG
2.
OWNER PATSY HODGE
FROM TO FORM. DESC.
ADDRESS MILLER_RD.
NC 28139_
_RUTHERFORDTON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06-08-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 79'
5.
CUTTINGS COLLECTED: YES NO XX
p
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
o
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _67_FT.
T6—
(USE + IF ABOVE TO
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
a' -
9.
YIELD (GPM): 12' METHOD OF TEST -STEEL TAPE
c
10.
WATER ZONES (DEPTH):
Y'
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GALS_
12.
CASING:
p
W. THICK.
r-n o
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_79_FT. _24"_ _CONC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
HWY.
108 W. FROM RUTHERFORD
DEPTH MATERIAL METHOD
TON.
RT. ON MILLER RD. 1/2
FROM _0_TO_20_FT. _CEMENT— _POURED_
MILE
ON LEFT.
FROM TO FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT. —IN. —IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM 57 TO 79' FT. NO. 6M STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
15A NCAC 2C, WELL ONSTRUCTION STANDARDS, AND THAT
HAS BEEN PROVIDEDTOTHE WELL OWNER.)
IN ACCORDANCE WITH
A COPY OF THIS RECORD
1pf ( 6 ?': ,, sICNATu 0 co 'A_t oR
DATE

2134,99
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT._
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN FOREST CITY COUNTY:
RUTH
WHITESIDE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER JEFF_ENSLEY
FROM TO FORM. DESC.
ADDRESS
_WHITESIDE_RD.
NC 28043_
_FOREST_CITY
CITY OR TOWN STATE ZIP CODE
—
3.
DATE DRILLED: 06-08-00 USE OF WELL: HOUSE
o 0
4.
TOTAL DEPTH: 57'
L
---Cam`.-r-
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX '
7.
STAT. WAT. LEVL. BEL.TOP OF CASING 37_FT.
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*
�>
9.
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE"
10.
WATER ZONES (DEPTH):
en =
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
=
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_57_FT._24"_ _CONC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
BUS. 74 W. FROM FOREST CITY
DEPTH MATERIAL METHOD
RT. ON HUDLOW RD. RT. ON
FROM _POURED_
WHITESDIE RD. 1/2 MILE ON
_0_TO_20_FT._CEMENT_
FROM TO FT.
LEFT. (BRICK HOUSE)
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_37'_TO_57'_FT._NO. 6M_ _STONE
16.
REMARKS:
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 BEE--N.-:PROVIDED TV THE WELL OWER F-\ rr I
OF CONTRACTOR OF AGENT
,w
DATE

NC DEHNR 2 1 3 4 R 0
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
-----------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN ELLENBORO COUNTY:
RUTH
NEW HOUSE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH
DRILLING LOG
2.
OWNER CLINTON_BRUCE_LOWERY
FROM TO
FORM. DESC.
ADDRESS _ NEW _HOUSE_RD.
NC 28040
_ELLENBORO
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06-07-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 49'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
__®_
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
o
_29_FT.
(USE + IF ABOVE TOP)
—
8.
TOP OF CASING IS 18" ABOVE LAND SURF.`
—r
9.
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
C
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
m a
DEPTH DIA OR WT/FT. MTL
______________==�==a=====
FROM FT.
LOCATION
SKSTCIZ
_0_TO_49__24"_ _CONC_
FROM TO FT.
13.
GROUT:
NEW HOUSE RD.
FROM ELLEN-
DEPTH MATERIAL METHOD
BORO. LOT ON LEFT JUST BE -
FROM _0_TO_20_FT. _ CEMENT _ _POURED_
FORE BLACK RD.
FROM TO FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. —IN. —IN.
FROM —FT. —IN. —IN.
—TO
FROM —TO —FT. —IN. —IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_29'_TO_49'_FT._NO. 6M_ _STONE
16.
REMARKS:
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
O THE WELL OWN
1
SIGNATURE-P1F CO�TR
CTOR OR
DATE
4AGENT

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
----------------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE
LOCATION BELOW)
NEAREST TOWN ELLENBORO
COUNTY: RUTH
NEW HOUSE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH
DRILLING LOG
2.
OWNER _JERRY_ANNAS
FROM TO
FORM. DESC.
ADDRESS _961_NEW_HOUSE_RD.
_ELLENBORO NC
28040
CITY OR TOWN STATE
ZIP CODE
3.
DATE DRILLED: 06/07/00 USE OF WELL:
HOUSE
4.
TOTAL DEPTH: 345'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES
NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
�-
(USE + IF ABOVE
_80-
TOP)
r �"-r-
8.
TOP OF CASING IS 18" ABOVE LAND
SURF.'
9.
YIELD (GPM): 15 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):-
11.
CHLORINATION: TYPE CLOROX AMOUNT
1/2 GAL
- �^
12. CASING:
DEPTH
FROM _0_TO_7
5 FT.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM _0_TO_2
0_FT .
FROM
TO
FT,
14. SCREEN:
DEPTH
FROM
—TO
—FT.
FROM
—TO
—FT.
FROM
—TO
—FT.
15. SAND/GRAVEL
PACK:
DEPTH
FROM
—TO
—FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
--------------
LOCATION SKETCH
NEW HOUSE RD. FROM
ELLENBORO. HOUSE ON LEFT
(TWO RED BRICK COLUMNS WITH
961)
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT
HAS BEEN PROVIDED TQa THE WELL OWNER. r�,
OR AGENT
IN ACCORDANCE WITH
A COPY OF THIS RECORD
a
DATE

2134218
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 2160
1
F
3
4
5
6
7
8
9
10
11
12
QUAD NO. SER. NO._
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
-------------------------------------------------------------
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN ELLENBORO COUNTY: RUTH
HOLLIS COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
OWNER _MARY_DUNCAN_BLANTON FROM TO FORM. DESC.
ADDRESS _425_GETTYS_RD.
_ELLENBORO NC 28040_
CITY OR TOWN STATE ZIP CODE
DATE DRILLED: 06/07/00 USE OF WELL: HOUSE
TOTAL DEPTH: 145'
CUTTINGS COLLECTED: YES NO XX r
DOES WELL REPLACE EXISTING WELL? YES NO XX
STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT.
(USE + IF ABOVE TOP) Q'
TOP OF CASING IS 18" ABOVE LAND SURF."
YIELD (GPM): 40 METHOD OF TEST-ARD
WATER ZONES (DEPTH):°
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_20_FT._6-1/4" _PVC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM _0_TO_20_FT. CEMENT- _PRESS_
FROM TO FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT.- IN. IN.
FROM -TO -FT. IN. IN.
FROM -TO -FT. -IN. -IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM -TO -FT.
16. REMARKS:
------------
LOCATION SKETCH
HOLLIS RD. FROM ELLENBORO.
LEFT ON GETTYS RD. 9/10
MILE ON LEFT.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT
HAS BEEN PROVIDED fO THE WELL OWNER. _
IN ACCORDANCE WITH
A COPY OF THIS RECORD
C --)-()o
' ^IURE OF COI�TRACTOR OR AGENT
DATE

"1349"9
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO._
RALEIGH, NC 27626-0535 LAT
[phone] BASIN CODE
HEADER ENT
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
SER. N0.
LONG
GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
-------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
GILKY COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER DANTE_RIOS FROM TO FORM. DESC.
ADDRESS WORTH-RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 06/06/00 USE OF WELL: HOUSE
0
4. TOTAL DEPTH: 525'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX �-
7. STAT. WAT. LEVL. BEL.TOP OF CASING 80 FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.' zr`.
9. YIELD (GPM): 7 METHOD OF TEST-ARD a
10. WATER ZONES (DEPTH): �-
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING: m
DEPTH
FROM 0 10_7 5_F T .
FROM TO FT.
13. GROUT:
DEPTH
FROM 0 T0_20_F T .
FROM TO FT.
14. SCREEN:
DEPTH
FROM —TO —FT.
FROM —TO —FT.
FROM —TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM TO FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_PVC_
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. —I N
IN. —I N
IN. —I N
SIZE MATERIAL
-------------
LOCATION SKETCH
HWY. 221 N. FROM RUTHERFORD
TON. LEFT ON DARLINGTON RD.
RT. ON ELLIOTT RD. RT. ON
WORTH RD. LAST DRIVE ON RT.
BEFORE HARMONY HILLS. TAKE
LEFT FORK IN DRIVE.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT
HAS BEEN PROVIDED TITHE WELL OWNEQ,
�GNATU OF CONTRACTOR OT2 AGENT
IN ACCORDANCE WITH
A COPY OF THIS RECORD
vo
DATE

213430
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO.
SER. NO.
RALEIGH, NC 27626-0535 LAT
LONG
[phone] BASIN CODE
HEADER ENT.
GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL
CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
WILKINS FOREST E.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER JIMMY_HOOPER FROM TO FORM. DESC.
ADDRESS WILKINS_FOREST_E.
NC 28139_
_RUTHERFORTDON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06/02/00 USE OF WELL: HOUSE
0
4.
TOTAL DEPTH: 325'-
5.
CUTTINGS COLLECTED: YES NO XX
C
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
r
(USE + IF ABOVE TOP)-
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
=
9.
YIELD (GPM): 12 METHOD OF TEST-ARD-
10.
WATER ZONES (DEPTH):-
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12
CASING•
rn ^
W.
THICK.
_
DEPTH
DIA OR
WT/FT. MTL
FROM _0_TO_90_FT._6-1/4"
_PVC_
LOCATION
SKETCH
FROM TO
FT.
13.
GROUT:
HWY. 64/74A W.
FROM RUTHER-
DEPTH
MATERIAL
METHOD
FORDTON. RT.
INTO WILKINS
FROM
_PRESS_
FOREST E. RT.
AT FORKS. AT
_0_TO_20_FT._CEMENT_
FROM TO
FT.
DEAD-END TAKE
PAVED DRIVE
14.
SCREEN:
TO LEFT. RT.
AT END OF DR.
DEPTH
DIA SLOT
SIZE MTL
FROM
-FT.
-IN.
-IN.
-TO
FROM
-FT.
IN.
IN.
-TO
FROM -TO
-FT.
-IN.
-IN.
15.
SAND/GRAVEL
PACK:
DEPTH
SIZE
MATERIAL
FROM -TO
-FT.
16.
REMARKS:
_
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 O THE WELL OW ER
i;�GN�AT E OF CO �TJA�C�TOR OR AGENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
(It 3461
QUAD NO. SER. NO._
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN BOSTIC COUNTY: RUTH
SUNSHINE COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _CHARLIE_FREEMAN FROM TO FORM. DESC.
ADDRESS _1848_DEPRIEST_RD.
BOSTIC NC 28018_
CITY OR TOWN STATE ZIP CODE o
3. DATE DRILLED: 06-02-00 USE OF WELL: HOUSE e o
4. TOTAL DEPTH: 57' o
5. CUTTINGS COLLECTED: YES NO XX �-
6. DOES WELL REPLACE EXISTING WELL? YES NO XX-
7. STAT. WAT. LEVL. BEL.TOP OF CASING _37_FT.
-
(USE + IF ABOVE TOP)
—
8. TOP OF CASING IS 18" ABOVE LAND SURF.'-
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
—
10. WATER ZONES (DEPTH): -�-�--
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL Z
12.
CASING:
W.
THICK.
DEPTH
DIA OR
WT/FT. MTL
FROM_0_TO_57_FT._24"_
_CONC_
LOCATION SKETCH
FROM TO
FT.
BUS. 74 E. FROM FOREST CITY
13.
GROUT:
DEPTH
MATERIAL
METHOD
LEFT ON BOSTIC/SUNSHINE HWY
FROM_0_TO_20_FT._CEMENT_
_POURED_
LEFT ON WHITESIDE RD. IN
FROM TO
FT.
SUNSHINE. RT. ON DEPRIEST
14.
SCREEN:
RD. GO ABOUT 2-1/12 MILES
DEPTH
DIA SLOT SIZE MTL
& CROSS BRIDGE. 2ND HOUSE
FROM TO
FT.
IN.
IN.
ON RT. AFTER BRIDGE.
FROM TO
FT.
IN.
IN.
FROM TO
FT.
IN.
IN.
15.
SAND/GRAVEL
PACK:
DEPTH
SIZE
MATERIAL
FROM_37'_TO_57'_FT._NO.
6M_
_STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL C NSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
HAS BEEN PROVIDED 0 THE WELL OWN R.
SIGNAT E OF CONT ACTOR OR AGENT DATE

NC DEHNR 213462
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
---------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN FOREST CITY COUNTY:
RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER MICKEY_SISK
FROM TO FORM. DESC.
ADDRESS BIG_ISLAND_RD.
FOREST_CITY NC 28043
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06-02-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 56'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX�
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _36_FT.
(USE + IF ABOVE TOP)
C
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
ai
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
= ��
12.
CASING:
W. THICK.
o
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_56_FT._24"_ _CONC_
LOCATION SKETCff
FROM TO FT.
13.
GROUT:
BIG ISLAND RD. FROM SHILOH.
DEPTH MATERIAL METHOD
3RD DRIVE ON LEFT PAST
FROM _0_TO_20_FT. _CEMENT_ _POURED_
TOM' S LAKE RD .
FROM TO FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT. -IN. -IN.
FROM -TO -FT. IN. IN.
FROM -TO -FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_36_TO_56'_FT._NO. 6M_ _STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
s ,1tWELL C�zuilo_ll
UWELOLNOSTANDARDS, AND THAT A COPY OF THIS RECORD
IDED
16 -z -cb
6 NER
� ti
E 6F CON RA TOR OR AGENT DATE
� cmee —

213463
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
QUAD NO. SER. NO._
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER
REGISTRATION NO: 2567
----------------------------------------------------------------
1.
---------------------------------
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
CHILLY BOWL RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _MIKE_CARVER
FROM TO FORM. DESC.
ADDRESS 573_CHILLY_BOWL_RD.
NC 28139_
_RUTHERFORDTON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 06-01-00 USE OF WELL: HOUSE
s
4.
TOTAL DEPTH: 78'�-
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX C-
T—
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _58_FT.
� o�
(USE + IF ABOVE TOP)cn
-m
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
y `�
9.
o
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE = a pi
10.
WATER ZONES (DEPTH):
,
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
o
a
12.
CASING:
--
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_78_FT._24"_ _CONC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
HWY. 221 N. FROM RUTHERORD-
DEPTH MATERIAL METHOD
TON. RT. ON GILBOA CH. RD.
FROM_0_TO_20_FT. _ CEMENT _ _POURED_
RT. ON CHILLY BOWL RD. 1
FROM TO FT.
MILE ON LEFT.
14.
SCREEN.
DEPTH DIA SLOT SIZE MTL
FROM —FT. —IN. —IN.
—TO
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_58_TO_78'_FT._NO. 6M_ _STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
15A,NCAC 2C; WELL CO STRUCTION STANDARDS, AND THAT
}AS. BEEN PROVIDED TO THE WELL OWN R.
.1
IGNA E OF CONTRAC R R AGENT
IN ACCORDANCE WITH
A COPY OF THIS RECORD
I
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
�P/lllq�
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER
REGISTRATION NO: 2785
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN UNION MILLS COUNTY:
RUTH
GILKY COMMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER JOHN_BRADY
FROM TO FORM. DESC.
ADDRESS
_4010_PAINTERS_GAP_RD.
NC 28167_
_UNION_MILLS
CITY OR TOWN STATE ZIP CODE
S
3.
DATE DRILLED: 05/31/00 USE OF WELL: HOUSE
o c
4.
TOTAL DEPTH: 305'
5.
CUTTINGS COLLECTED: YES NO XX
C
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX-
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT.
rn_
(USE + IF ABOVE TOP)
--
8.
TOP OF CASING IS 18" ABOVE LAND SURF.`
9.
YIELD (GPM): 5 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
-'
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
DEPTH
FROM _0_TO_40_FT.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM _0_TO_2
0_FT
.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
—TO —FT.
FROM
TO
FT.
FROM
—TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM
—TO —FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
I DO HEREBY CERTIFY
. 1-9A NCAC 2C, WELL C
LOCATION SKETCH
HWY. 221 N. FROM RUTHERFORD
TON. LEFT ON SCHOOLHOUSE RD
IN GILKY. LEFT ON PAINTERS
GAP RD. GO PAST WELCOME
HOME CHURCH & RT. ON BRADY
PLACE. PINK HOUSE ON TOP OF
HILL
THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
NSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
THE WELL 6WXER.n
ALIN 2 8 2000 ! 1 M S
MA:�G.ENIT
DATE

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 2160
------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN LAKE LURE COUNTY:
LUREWOODS MANOR DR.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER _BUDDY_KEETER
ADDRESS _LUREWOODS_MANOR_DR.
LAKE LURE NC 28746_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05/31/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 265'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20 METHOD OF TEST—ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM _0_TO_100_FT.
FROM TO
FT.
13.
GROUT:
DEPTH
FROM _0_TO_2
0_FT .
FROM TO
FT.
14.
SCREEN:
DEPTH
FROM TO
FT.
FROM TO
FT.
FROM TO
FT.
15.
SAND/GRAVEL
PACK:
DEPTH
FROM —TO
—FT.
16.
REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
------------
LOCATION SKETCH
HWY. 64/74A W. FROM RUTHER—
FORDTON. RT. ON BOYS CAMP
RD. RT. ON CHAPEL POINT DR.
LEFT ON LUREWOODS MANOR DR.
STAY RT. AT FORK. 1ST NEW
DRIVE ON RT.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
,4 a" � 1R�r& •Y22C,�-WELL CONSTRUCTION STANDARDS, AND THAT
l & R IDED THE WELL OW ER.
TU OF CO TRA^, q[TO,,R OR AGENT
� C*ourdxa;t
IN ACCORDANCE WITH
A COPY OF THIS RECORD
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1 WELL LOCATION (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
COVE CREST DR.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER ROBERT_LANGILLE FROM TO FORM. DESC.
ADDRESS COVE_CREEK_DR.
_RUTHERFORDTON NC 28139_ —
CITY OR TOWN STATE ZIP CODE CD
3. DATE DRILLED: 05-30-00 USE OF WELL: HOUSE—
C o r
4. TOTAL DEPTH: 55,Ep
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX a`
7. STAT. WAT. LEVL. BEL.TOP OF CASING _35_FT. m
(USE + IF ABOVE TOP) �i
8. TOP OF CASING IS 18" ABOVE LAND SURF.' -
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
—
10. WATER ZONES (DEPTH): _
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
n T C TTTI _
W.
THICK.
DEPTH
DIA OR
WT/FT. MTL
FR0M_0_TO_55_FT._24"_
_CONC_
LOCATION SKETCH
FROM TO
FT.
HWY. 64/74A W. FROM RUTHER-
13.
GROUT.
DEPTH
MATERIAL METHOD
FORDTON. RT. ON COVE CREST
FROM_0_TO_2 0_FT
.
_POURED_
DR. RT. ON COVE CREEK DR.
FROM —TO —FT.
_CEMENT_
1ST DRIVE ON RT.
14.
SCREEN:
DEPTH
DIA SLOT SIZE MTL
FROM TO
FT.
IN.
IN.
FROM TO
FT.
IN.
IN.
FROM TO
FT.
IN.
IN.
15.
SAND/GRAVEL PACK:
DEPTH
SIZE
MATERIAL
FROM_35_TO_55'_FT._NO.
6M_
_STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
�TELONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
S B R DE TO THE WELL OWNER
JUN 2 8 2TIO 161 s
AGENT
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
QUAD NO. SER. NO._
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD T/ / /'941
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
MOSS RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER DAN_MCENTIRE FROM TO FORM. DESC.
ADDRESS MOSS_RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE r+
3. DATE DRILLED: 05-30-00 USE OF WELL: HOUSE o
TC3-
4. TOTAL DEPTH: 68' r ^
5. CUTTINGS COLLECTED: YES NO XX m
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _48_FT. D—
(USE + IF ABOVE TOP) _ x
8. TOP OF CASING IS 18" ABOVE LAND SURF.`
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH): S'� �-
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_68_FT. _24"_ _CONC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM _0_TO_20_FT. _CEMENT_ _POURED_
FROM TO FT.
14. SCREEN.
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT.— IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_48_TO_68'_FT._NO. 6M_ _STONE
16. REMARKS:
-------------
LOCATION SKETCH
HWY. 64/74A W. FROM RUTHER-
FORDTON. LEFT ON MAPLE CRK.
RD. LEFT ON MOSS RD. TURN
RT. ON 1ST DRIVE AFTER BOX
W/328 ON IT. SINGLE -WIDE
OVER THE HILL & DOWN IN THE
PASTURE.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
lgn NrAr 9r_­WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
Hws %MEW? gilt IhED('PO THE WELL OW,NE4 .
nil DATE
,JUN �� SIGNATURE OF CONTRACTO OR GENT
C.�wAme}o. Cwrlinn ?� 4tiN-C

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD ;L
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
1 WELL LOCATION (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN LAKE LURE COUNTY: RUTH
BILL'S CREEK COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _CHRIS_EARNEST FROM TO FORM. DESC.
ADDRESS _3691_BILL'S_CREEK_RD.
LAKE_LURE NC 28746_ �---
CITY OR TOWN STATE ZIP CODE— —
3. DATE DRILLED: 05/30/00 USE OF WELL: HOUSE
T�
4. TOTAL DEPTH: 305'
5. CUTTINGS COLLECTED: YES NO XX ;r
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT. _ �e
(USE + IF ABOVE TOP) -- -R= —
8. TOP OF CASING IS 18" ABOVE LAND SURF.` W m,;o
9. YIELD (GPM): 5 METHOD OF TEST-ARD —�
10. WATER ZONES (DEPTH): Z
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_90_FT._6-1/4" _PVC_ LOCATION SKETCH
FROM TO FT.
13. GROUT: HWY. 64/74A W. FROM RUTHER-
DEPTH MATERIAL METHOD FORDTON. RT. ON BILL'S CRK.
FROM_0_TO_20_FT._CEMENT_ _PRESS_ RD. GRAVEL DRIVE 1/4 MILE
FROM TO FT. PAST BOLAND RD.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM TO FT.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
_ 15� NCAC 2C, WELL ONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
D N N NHtSMBI -,PROVIDED TO THE WELL OW R
i��J�l ^ � (� SIG U�/EO�C TT A��R AGENT DATE
L
AsF

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO.
SER. NO.
RALEIGH, NC 27626-0535 LAT
LONG
[phone] BASIN CODE
HEADER ENT.
GW-1 ENT.
A / %
/ f
WELL CONSTRUCTION RECORD
DRILLING
CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : BOSTIC COUNTY: RUTH
FREEWILL BAPTIST CHURCH RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER FRANKIE_HOYLE FROM TO
FORM. DESC.
ADDRESS
_FREEWILL_BPATIST_CH._RD.
BOSTIC NC 28018_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 05/30/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 605'
tea-
5.
CUTTINGS COLLECTED: YES NO XX
---
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX-
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _80_FT.
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.`
cn
9.
YIELD (GPM): 1 METHOD OF TEST-ARD
'-
y°
10.
WATER ZONES (DEPTH):
nt
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
G
12.
CASING:
ko
DEPTH
FROM_0_TO_60_FT
.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM_0_TO_2
0_FT
.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
TO
FT.
FROM
TO
FT.
FROM
TO
FT.
15. SAND/ —GRAVEL —PACK:
DEPTH
FROM
TO
FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-14/" _PVC
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
LOCATION SKETCH
BUS, 74 E. FROM FOREST CITY
LEFT ON BOSTIC/SUNSHINE HWY
RT. ON SALEM CHURCH RD. RT.
ON FREEWILL BAPTIST CHURCH
RD. 3/4 MILE ON LEFT.
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
;4A-9--%9&N--PRGVIDED M THE WELL OIJNEP\ ,
op
0 -0 J
SIG Tt CONTRA CTOROR GENT DATE
JUN 2 8 2000 �. U��

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 2160
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
�/i/-1 it
STATE WELL CONSTRUCTION
PERMIT NUMBER:
----------------------------------------------------------------------------
----------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : BOSTIC COUNTY: RUTH
GOLDEN VALLEY COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER EDIE_SHEHAN
ADDRESS JOHN_HUDSON_RD.
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05/30/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 145'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 35 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_70_FT._6-1/4" _PVC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT._CEMENT_ —PRESS—
FROM—TO—FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16. REMARKS:
DEPTH
FROM TO
DRILLING LOG
EOR8. DESC.
R 2
a
------------
LOCATION SKETCH
BUS. 74 E. FROM FOREST CITY
LEFT ON BOSTIC/SUNSHINE HWY
STRAIGHT AT GOOD OLE BOYS
ONTO JONESTOWN RD. CROSS
BRIDGE & LEFT ON JOHN HUD -
SON RD. 7/10 MILE ON LEFT.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL ONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
� IE9N iPF40VIDED TO, THE WELL O f�n
JUN ? � '� n') 3) '•�$'�I�G�NAT E OF CtONTRACTOR OR AGENT DATE
Croljndw t'
Esyewi_ie iz, a �..n

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN C ODE
HEADERENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN FOREST CITY COUNTY: RUTH
GOODES CREEK COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
FROM TO FORM. DESC.
2. OWNER KEVIN_WATERS
ADDRESS _TIMBER_CREEK_DR. ----------
FOREST CITYNC 28043_ -g-�-
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05-26-00 USE OF WELL: HOUSE ^�
4. TOTAL DEPTH: 35' —T o S. CUTTINGS COLLECTED: YES NO XX Gp5n
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
ao
7. STAT. WAT. LEVL. BEL.TOP OF CASING _20_FT.—
(USE + IF ABOVE TOP) to um,
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 15' METHOD OF TEST -STEEL TAPE L-
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_35_FT._24"_ _CONC_ LOCATION SKETCH
FROM TO FT.
13. GROUT: BY-PASS 74 E. FROM FOREST
DEPTH MATERIAL METHOD CITY. RT. ON HWY. 221A S.
FROM_0_TO_20_FT._CEMENT_ _POURED_ RT. ON CHASE RD. LEFT ON
FROM TO FT. FERRY RD. RT. ON GOODES CRK
14. SCREEN: CHURCH RD. RT. ON TIMBERCRK
DEPTH DIA SLOT SIZE MTL DR. CROSS CREEK. 1ST LOT ON
FROM TO FT. IN. IN. RT.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_20'_TO_35'_FT._NO. 6M_ _STONE
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
A NCAC 2C, WELL FNSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
0 }� ED O THE WELL OWN
lrJ C _ Zr„
JUN SIGNAT p C.ONTR CTOR O AGENT •J vDATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER
REGISTRATION NO: 2567
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN : SPINDALE COUNTY:
RUTH
OLD STONEUCTTER RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _JOHN_KLART
FROM TO FORM. DESC.
ADDRESS
_854_OLD_STONECUTTER_RD._
NC 28139_
_RUTHERFORDTON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 05-25-00 USE OF WELL: HOUSE
o
4.
TOTAL DEPTH: 76'
---p- = —
0
5.
CUTTINGS COLLECTED: YES NO XX
o
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX-
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _56_FT.
z
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
no
9.
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
—L?--
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
—
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_76_FT._24"_ _CONC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
BY-PASS 74 E. FROM RUTHER-
DEPTH MATERIAL METHOD
FORDTON. EXIT RT. ON OAK-
FROM_0_ TO_20_FT._CEMENT_ _POURED_
LAND RD. RT. ON POORD FORD
FROM TO FT.
RD. RT. ON OLD STONECUTTER
14.
SCREEN:
RD. 1/2 MILE ON LEFT.
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_56'_TO_76'_FT._NO. 6M_ _STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL NSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
VIDED TO THE WELL OWN R
� 1
.UN < IGNAT OF CONTRACTO OR AGENT DATE
Tob,-N

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
RECORD
A114
WELL CONSTRUCTION
'A/%
DRILLING
CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER
REGISTRATION NO: 2785
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
ZION RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER TOM_DIXON
FROM TO FORM. DESC.
ADDRESS ZION_RD.
a
NC 28139_
��—
_RUTHERFORDTON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 05/25/00 USE OF WELL: HOUSE
ym
4.
TOTAL DEPTH: 705'
5.
CUTTINGS COLLECTED: YES NO XX
-- nip,
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _80_FT.
(USE + IF ABOVE TOP)
Wes_
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*
B -
9.
YIELD (GPM): 2 METHOD OF TEST-ARD
z
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
DEPTH
FROM_0_TO_80_FT
.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM_0_TO_2
0_FT
.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
TO
FT.
FROM
TO
—TO —FT.
FT.
FROM
15. SAND/GRAVEL PACK:
DEPTH
FROM
TO
FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_ LOCATION SKETCH
NEW BY-PASS 74 W. FROM FOR -
MATERIAL METHOD EST CITY. EXIT ON UNION RD.
_CEMENT_ _PRESS_ RT. AT STOP SIGN. LEFT ON
ZION RD. LOT ON TOP OF HILL
AT DEAD-END.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
I DO HEREBY
a-:.-. j5A,,NC r,, 2C,
CERTIFY THAT THIS WELL WAS CONSTRUCTED
WELL CONSTRUCTION STANDARDS, AND THAT
IN ACCORDANCE WITH
A COPY OF THIS RECORD
D (� �A$ NERN'p`PROVIDED O THE WELL OWNE
SIGNAT� Q�O�
T rRn`
R AGENT
DATE
I�

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING
CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT
DRILLER REGISTRATION NO: 2160
1
WELL LOCATION (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
GILKY COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER TOM -STOVER
FROM TO FORM. DESC.
ADDRESS
_1888_DARLINGTON_RD.
NC 28139_
r
_RUTHERFORDTON
CITY OR TOWN STATE ZIP CODE----
3.
DATE DRILLED: 05/24/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 265'
C�---
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX m -Er"
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)—
S.
TOP OF CASING IS 18" ABOVE LAND SURF.'
w —
9.
YIELD (GPM): 12 METHOD OF TEST-ARD
� o
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_80_FT._6-14/" _PVC_ LOCATION SKETCH
FROM TO FT.
ORD
13. GROUT: HWY. 221 N. FROM INGTONRUTHERFRD.
DEPTH MATERIAL METHOD TON. LEFT ON DARLINGTON RD.
FROM _0_TO_20_FT._CEMENT_ _PRESS_ APPROX. 5 MILES ON RT. 1ST
FROM TO FT. DRIVE ON RT. AFTER GOING
14. SCREEN: PAST HAMPTON RD.
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
Sh E 6VIDED THE WELL OW E
k '
SUN o 8 2090 GNATU OF CON ACT R OR AGENT CVV/ DATE
�.,2� Srr,M3r ,

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING
CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER
REGISTRATION NO: 2160
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _WILLIAM_MATTHEWS
FROM TO FORM. DESC.
ADDRESS
_180_BOYD_COURT
NC 28139_
_RUTHERFORDTON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 05/23/00 USE OF WELL: HOUSE
o 0
4.
TOTAL DEPTH: 145'
5.
CUTTINGS COLLECTED: YES NO XX
�m
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX 1 <
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
D '�
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*
9.
YIELD (GPM): 30 METHOD OF TEST-ARD-
10.
WATER ZONES (DEPTH):—
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
Z
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_60_FT._6-1/4" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
BIG ISLAND RD. FROM SHILOH.
DEPTH MATERIAL METHOD
RT. ON 1ST DARK CORNER RD.
FROM FT. _PRESS_
RT. ON BOYD CT. LEFT AT
_0_TO_20__CEMENT—
FROM TO FT.
FORKS. SINGLE -WIDE 1/8 MILE
14.
SCREEN:
ON RT.
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM —FT. IN. IN.
—TO
FROM —TO —FT. —IN. —IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
IN ACCORDANCE WITH
�� LL CONSTRUCTION STANDARDS, AND.THAT A COPY OF THIS RECORD
LSI1 P O
ED T HE WELL OWN
J
JU ,,_ `� 2��
I
TE
ftnNAT11PV`<)F rnNTRACT�AGENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
QUAD NO. SER. NO._
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN LAKE LURE COUNTY: RUTH
NELONS RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _DAVID_DOTSON FROM TO FORM. DESC.
ADDRESS _553_NELONS_RD.
—MILL SPRING NC 28756_ b
CITY OR TOWN STATE ZIP CODE a nn
3. DATE DRILLED: 05/22/00 USE OF WELL: HOUSE_
4. TOTAL DEPTH: 125' �' E
5. CUTTINGS COLLECTED: YES NO XX zm
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _40_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.`—
9. YIELD (GPM): 40 METHOD OF TEST-ARD co
10. WATER ZONES (DEPTH): Z
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W.
THICK.
DEPTH
DIA OR
WT/FT. MTL
FROM _0_TO_40_FT._6-14/"
_PVC_
LOCATION
SKETCH
FROM TO
FT.
13.
GROUT:HWY.
64/74A W.
FROM RUTHER-
DEPTH
MATERIAL
METHOD
FORDTON. LEFT
ON HWY. 9. RT
FROM
FT.
_ CEMENT
_ _PRESS_
ON GIRL SCOUT
RD. RT. ON
_0_TO_20_
FROM TO
FT.
NELONS RD. DRIVE
ON LEFT AT
14.
SCREEN:
DEAD-END.
DEPTH
DIA SLOT
SIZE MTL
FROM
—FT.—
IN.
IN.
—TO
FROM
—FT.
IN.
IN.
—TO
FROM —TO
—FT.
IN.
IN.
15.
SAND/GRAVEL
PACK:
DEPTH
SIZE
MATERIAL
FROM —TO
—FT.
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
�w15A•,NCAC,.2C., WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
�ES�'N;-PROVIDED O THE WEL��__����
ATUFJF� O,1F CONTRAUMP OR AGENT DATE
6.rnmdwe'er Sec,iP
Ashe'vilie R+ monai Of.

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD P/ ID
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN UNION MILLS COUNTY: RUTH
GILKY COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _RONNIE_CRANE FROM TO FORM. DESC.
ADDRESS _831_PINEY_KNOB_RD.
UNION_MILLS NC 28167_
CITY OR TOWN STATE ZIP CODE —
3. DATE DRILLED: 05-22-00 USE OF WELL: HOUSE
n
4. TOTAL DEPTH: 36' --�1
5. CUTTINGS COLLECTED: YES NO XX z�
6. DOES WELL REPLACE EXISTING WELL? YES NO XX o {
—vr �rr-
7. STAT. WAT. LEVL. BEL.TOP OF CASING _21_FT.
(USE + IF ABOVE TOP) m
8. TOP OF CASING IS 18" ABOVE LAND SURF.* W m
9. YIELD (GPM): 15' METHOD OF TEST —STEEL TAPE _ �-
10. WATER ZONES (DEPTH): W
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_36_FT._24"_ _CONC_ LOCATION SKETCH
FROM TO FT.
13. GROUT: HWY. 221 N. FROM RUTHERORD—
DEPTH MATERIAL METHOD TON. LEFT ON SCHOOLHOUSE RD
FROM_0_TO_20_FT._CEMENT_ _POURED_ IN GILKY. LEFT ON PAINTERS
FROM TO FT. GAP RD. LEFT ON PINEY KNOB
14. SCREEN. RD. 1 MILE ON LEFT.
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_21_TO_36'_FT._NO. 6M_ _STONE
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
RR RR WELL NSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
0 NISP IDE TO,,THE WELL OA
_
AT QF fC NTRACT��t �OQ_R�P GENT DATE
Cunaa-ate•Sectlr. ���
k;hev'.ilt '�'ceiooa; �r;.1

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
j )121 d 0
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : LAKE LURE COUNTY: RUTH
BILL'S CREEK COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER RON_DALTON FROM TO FORM. DESC.
ADDRESS _361_MCDANIEL_RD.
LAKE_LURE NC 28746_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05/22/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 605'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _600_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 0 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING: —
DEPTH
FROM_0_TO_60_FT.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM
0TO_2 0_FT
_
.
FROM_
TO
FT.
14. SCREEN:
DEPTH
FROM
TO
FT.
FROM
TO
FT.
FROM
TO
FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM
TO
FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_ LOCATION SKETCH
HWY. 64/74A W. FROM RUTHER-
MATERIAL METHOD FORDTON. RT. ON BILL'S CRK.
_CEMENT_ _PRESS_ RD. LEFT ON MCDANIEL RD.
BROWN HOUSE ON LEFT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
15A NCAC 2C, WELL C TRUCTION STANDARDS, AND THAT
AS BEEN PROVIDED O HE WELL O
�.. - f)
JUN 2 8 2000 1Lj
OF
OR AGENT
IN ACCORDANCE WITH
A COPY OF THIS RECORD
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
QUAD NO. SER. NO._
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2425
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN ELLENBORO COUNTY: RUTH
DOBBINSVILLE COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER MICHAEL_MOORE FROM TO FORM. DESC.
ADDRESS _784_DOBBINS_RD.
_ELLENBORO NC 28040_ oo
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05-20-00 USE OF WELL: HOUSE c
4. TOTAL DEPTH: 72' z ��
5. CUTTINGS COLLECTED: YES NO XX Q+-
6. DOES WELL REPLACE EXISTING WELL? YES NO XX ao
7. STAT. WAT. LEVL. BEL.TOP OF CASING _52_FT. 22
(USE + IF ABOVE TOP) W�-
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM
_0_TO_7
2_FT .
FROM
TO
FT.
13. GROUT:
DEPTH
FROM
_0_TO_20_FT.
FROM
TO
FT.
14. SCREEN -
DEPTH
FROM
TO
FT.
FROM
TO
FT.
FROM
TO
FT.
15. SAND/GRAVEL
PACK:
DEPTH
FROM_52'_TO_72'_FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_24 _CONC_
MATERIAL METHOD
_CEMENT_ _POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
------------
LOCATION SKETCH
BUS. 74 E. FROM ELLENBORO.
RT. ON RACE PATH CHURCH RD.
RT. ON DOBBINS RD. 1/4 MILE
ON LEFT.
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
HAN MEEMnPR-OV ED(TO THE WELL OWNER.
u a u ,'
JUN 2'
)s
Groundwa .�
AC
T
OR OrR, AGENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
al/��jC'�
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1
------------------------------------------------------------------------
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN UNION MILLS COUNTY:
RUTH
DOCKRIDGE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _MELVEENA_LYNCH
FROM TO FORM. DESC.
ADDRESS _221_DOCKRIDGE_RD.
UNION_MILLS NC 28167
CITY OR TOWN STATE ZIP CODE
`o
3.
DATE DRILLED: 05-20-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 79'
Z o
5.
CUTTINGS COLLECTED: YES NO XX
t 9_.-
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
rn
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _59_FT.
o—
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
'A
9.
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
z
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_7
9_FT .
FROM
—TO
—FT.
13. GROUT:
DEPTH
FROM_0_TO_2
0_FT .
FROM
—TO
—FT.
14. SCREEN:
DEPTH
FROM
—TO
—FT.
FROM
—TO
—FT.
FROM
—TO
—FT.
15. SAND/GRAVEL
PACK:
DEPTH
FROM_59_TO_79'_FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
24" CONC LOCATION SKETCH
HWY. 221 N. FROM RUTHERORD-
MATERIAL METHOD TON. RT. ON OWENS CHAPEL RD
_CEMENT_ _POURED_ RT. ON DOCKRIDGE RD. 3/4
MILE ON LEFT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
U TIn ELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
fr�A$ SEWN I,PFdQVDED THE WELL OWNER,
JUN 2 8 20�''' U IG�S NATURE OF CONTRACTOR OR AGENT DATE

D
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER: __
DRILLER REGISTRATION NO: 2567
----------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
MAPLE CREEK RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER L.B._BROWNING FROM TO FORM. DESC.
ADDRESS 1523_MAPLE_CREEK_RD. O
_RUTHERFORDTON NC 28139_ o -
CITY OR TOWN STATE ZIP CODE —� T
3. DATE DRILLED: 05-19-00 USE OF WELL: HOUSE sC c
4. TOTAL DEPTH: 35'
5. CUTTINGS COLLECTED: YES NO XX-
6. DOES WELL REPLACE EXISTING WELL? YES NO XX a '
7. STAT. WAT. LEVL. BEL.TOP OF CASING _20_FT. —_�-
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.' 25
9. YIELD (GPM): 15' METHOD OF TEST -STEEL TAPE �-
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_35_FT. _24"_ _CONC_ LOCATION SKETCH
FROM TO FT.
13. GROUT: MAPLE CREEK RD. FROM RUTHER
DEPTH MATERIAL METHOD FORDTON. 1ST DRIVE ON LEFT
FROM _0_TO_20_FT. _ CEMENT _ _POURED_ PAST PIEDMONT RD.
FROM TO FT.
14. SCREEN.
DEPTH 7A SLOT SIZE MTL
FROM —TO —FT.- IN. IN.
FROM —TO —FT.- _IN. IN.
FROM —TO —FT.— _IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SI MATERIAL
FROM_20_TO_35'_FT._NO. SM_ _STONE
16. REMARKS:
I DO HEREBY CERTIFY THAT TE S WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C WEL CONSTRUCT_ N STANDARDS, AND THAT A COPY OF THIS RECORD
OBFE2J2 ID TO THE WEL. OW ER
pAGENT 60
JUN 2 8 2000 �R ON RACTOR OR DATEbi

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD/ /
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
--------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN UNION MILLS COUNTY: RUTH
FORNEY RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER DARRELL_BURGIN FROM TO FORM. DESC.
ADDRESS _129_FORNEY_RD.
UNION_MILLS NC 28167_ o
CITY OR TOWN STATE ZIP CODE 9
3. DATE DRILLED: 05-18-00 USE OF WELL: HOUSE CD
4. TOTAL DEPTH: 83' —
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _63_FT.
�
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE -
10. WATER ZONES (DEPTH): N i
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM _0_TO_83_FT.
FROM TO FT.
13. GROUT:
DEPTH
FROM _0_TO_20_FT.
FROM TO FT.
14. SCREEN:
DEPTH
FROM —TO —FT.
FROM TO FT.
FROM —TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM_63_TO_83_FT .
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
24" CONC LOCATION SKETCH
HWY. 64 E. FROM RUTHERFORD-
MATERIAL METHOD TON. LEFT ON HUDLOW RD.
_CEMENT_ _POURED_ LEFT ON FORNEY RD. 1ST DR.
ON LEFT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL 3;QNSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
HAS [TO .THE WELL OWNER.n�,
D���auu�
y S / ,a
)NT ACrnTO�R R� DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. ____GW-1 ENT.
' w-61
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
----------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN FOREST CITY COUNTY: RUTH
SHILOH COMM.
(ROAD COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _DON_OWENS
ADDRESS _STONEYWAY_LANE
_FOREST_CITY NC 28043_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05/18/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 345'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _80_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.`
9. YIELD (GPM): 40 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM _0_TO_100_FT .
FROM TO FT.
13. GROUT:
DEPTH
FROM_0_TO_2 0_FT .
FROM -TO -FT.
14. SCREEN:
DEPTH
FROM -TO -FT.
FROM -TO -FT.
FROM -TO -FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM -TO -FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_
FROM TO FORM. DESC.
------------
LOCATION SKETCH
BIG ISLAND RD. FROM SHILOH.
MATERIAL METHOD RT. ON STONEWAY LANE. 1ST
CEMENT PRESS HOUSE ON RT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
�Hp PjE1T Fjmtd FLIED TO THE WELL OWNER. /
y 8 2000 SIGNA OQFes` I�inTRACTOR OR AGENT DATE

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
�/p-/ O
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN FOREST CITY COUNTY: RUTH
OAKLAND RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _LISA_WILSON
ADDRESS _1829_OAKLAND_RD.
FOREST_CITY NC 28043
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05-17-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 70'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _52_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 18' METHOD OF TEST —STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM _0_TO_70_FT.
FROM TO FT.
13. GROUT:
DEPTH
FROM _0_TO_20 FT.
FROM TO FT.
14. SCREEN:
DEPTH
FROM —TO —FT.
FROM —TO —FT.
FROM —TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM_52'_TO_70'_FT.
16. REMARKS:
FROM TO FORM. DESC.
W. THICK.
DIA OR WT/FT. MTL
24" CONC LOCATION SKETCH
BY—PASS 74 E. FROM RUTHER—
MATERIAL METHOD FORDTON. EXIT RT. ON OAK-
-CEMENT_ _POURED_ LAND RD. 1ST DRIVE ON LEFT
AFTER MCDADE RD.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
� 1BOVIDED IPONTHEUWELLNOSTANDARDS, AND THAT A COPY OF THIS RECORD
SIIGyN�A�`
TU E OlF(�CONT AACCT�OI
2J6/i�, R`\ORAGENT DATE
�'rounAwake' �ecsioa — 1 V
.1— i. p„n�nnal Affira

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD * k/ /
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
1
------------------------------------------------------------------------
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
HOLLY HILLS SUBDV.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER ROBERT_WHITESIDE
FROM TO FORM. DESC.
ADDRESS CLEGHORN_MILL_RD.
_RUTHERFORTDON NC 28139
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 05/17/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 505,
5.
CUTTINGS COLLECTED: YES NO XX
o
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX_
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
_60_FT._
(USE + IF ABOVE TOP)
m
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'_
9.
YIELD (GPM): 3 METHOD OF TEST-ARD
of `m
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GALS
12.
CASING:
mom,,
W. THICK.
o -+
DEPTH DIA OR WT/FT. MTL
_________________z=====
FROM_0_TO_60_FT._6-14/" _PVC_
LOCATION SKETCH
FROM -TO -FT.
13.
GROUT:
CLEGHORN MILL RD. FROM SHI-
DEPTH MATERIAL METHOD
LOH. LEFT INTO HOLLY HILLS.
FROM_0_TO_20_FT._CEMENT_ _PRESS_
2ND LOT ON LEFT.
FROM -TO -FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT. IN. IN.
FROM -TO -FT.- IN. IN.
FROM TO FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM -TO -FT.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WEL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
HM TMWMVIDE TO THE WELL OWNER,.
AGENT
/ 7
DATE
11
..,
n.
_ t

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
----------------------------------------------------------------------------
----------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
SIMS SANDPIT RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER CARL_SEARCY FROM TO FORM. DESC.
ADDRESS SIMS _SANDPIT _RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE_
3. DATE DRILLED: 05-16-00 USE OF WELL: HOUSE c m
4. TOTAL DEPTH: 77' a<
5. CUTTINGS COLLECTED: YES NO XX as
6. DOES WELL REPLACE EXISTING WELL? YES NO XX o f o
7. STAT. WAT. LEVL. BEL.TOP OF CASING _57_FT.
—
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.' y r
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE z
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W.
THICK.
DEPTH
DIA OR
WT/FT. MTL
FROM_0_TO_77_FT._24"
_CONC_
LOCATION SKETCH
FROM —TO —FT.
13.
GROUT:
HWY.
108 W. FROM RUTHERFORD
DEPTH
MATERIAL
METHOD
TON.
LEFT ON PLEASANT HILL
FROM_0_TO_20_FT._CEMENT_
_POURED_
RD.
LEFT ON SIMS SANDPIT
FROM —TO —FT.
RD.
1ST TRAILER ON RT.
14.
SCREEN:
DEPTH
DIA SLOT
SIZE MTL
FROM —TO —FT.
IN.
IN.
FROM —TO —FT.
IN.
IN.
FROM —TO —FT.
IN.
IN.
15.
SAND/GRAVEL PACK:
DEPTH
SIZE
MATERIAL
FROM 47 TO 77'
FT.
NO. 6M
STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
.lsn Urnr. I)rWELL ONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
*IN 41W RR �DED TO THE WELL OW E . S � /� c�
j l ? 2000 A U F CON RACTOR OR AGENT DATE
md«a t

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : ELLENBORO COUNTY: RUTH
PINEY MTN. CHURCH RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
2. OWNER —BOBBY—GREEN FROM TO
ADDRESS
PINEY—MTN.-CHURCH-RD.-ELLENBORO NC 28040
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05-16-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 53'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _33_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_53_FT
.
FROM
—TO
—FT.
13. GROUT:
DEPTH
FROM _0_TO_20
FT.
FROM
—TO
—FT.
14. SCREEN:
DEPTH
FROM
—TO
—FT.
FROM
—TO
—FT.
FROM
—TO
—FT.
15. SAND/GRAVEL
PACK:
DEPTH
FROM
33' TO
53' FT.
16. REMARKS:
DRILLING LOG
FORM. DESC.
W. THICK.
DIA OR WT/FT. MTL
24" CONC LOCATION SKETCH
BUS. 74 W. FROM ELLENBORO.
MATERIAL METHOD RT. ON PINEY MTN. CHURCH
_CEMENT_ _POURED_ RD. TRAILER PARK ON RT. BE-
FORE OLD HOLLIS RD.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
NCAC 2C WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
0 F S win wcw 1�b THE WELL OWNER(.
��N 8 2�001� ( SIGNATU
i ��
s -/6 -db
OR AGENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 2425
--------------------------------------------
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN FOREST CITY COUNTY:
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER JAMES_HARRIS
ADDRESS DARK—
CORNER—RD.
FOREST CITY NC 28043
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05-13-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 66'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _46_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_66_FT
.
FROM
—TO —FT.
13. GROUT:
DEPTH
FROM
_0_TO_2 0_FT
.
FROM
—TO —FT.
14. SCREEN:
DEPTH
FROM
—TO —FT.
FROM
—TO —FT.
FROM
—TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM_46_TO_66'_FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
24" CONC
MATERIAL METHOD
_CEMENT_ _POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
STATE WELL CONSTRUCTION
PERMIT NUMBER:
----------------
BELOW)
RUTH
DEPTH DRILLING LOG
FROM TO FORM. DESC.
------------
LOCATION SKETCH
BIG ISLAND RD. FROM SHILOH.
RT. ON 1ST DARK CORNER RD.
1/2 MILE ON LEFT. (OPEN
FIELD W/LOGGING ROAD) WELL
AT END ON RT.
I DO HEREBY CEERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
H�1TLL VrI®ED CTO\THEUWELLLNOWNER..STANDARDS, AND THAT A COPY OF THIS RECORD
JUN'� l l �� V ) v �Ll' 1• vlA' V
"` S- GNATURE OF C NT/2ACTOR OR AGENT
hevdle Reba'° 'm _ �J
_ b
DATE

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2425
------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN FOREST CITY COUNTY: RUTH
MCABEE PLACE
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2
3
4
5
6
7
8
9
10
11
12
13
14
15
OWNER _ROBERT_RAPE
ADDRESS _117_MCABEE—PLACE
FOREST_CITY NC 28043
CITY OR TOWN STATE ZIP CODE
DATE DRILLED: 05-13-00 USE OF WELL: HOUSE
TOTAL DEPTH: 45'
CUTTINGS COLLECTED: YES NO XX
DOES WELL REPLACE EXISTING WELL? YES NO XX
STAT. WAT. LEVL. BEL.TOP OF CASING _25_FT.
(USE + IF ABOVE TOP)
TOP OF CASING IS 18" ABOVE LAND SURF.'
YIELD (GPM): 20' METHOD OF TEST —STEEL TAPE
WATER ZONES (DEPTH):
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
CASING:
DEPTH
FROM _O_TO_45 FT.
FROM TO FT.
GROUT:
DEPTH
FROM OTO_2 O_FT .
FROM__TO FT.
SCREEN:
DEPTH
FROM —TO —FT.
FROM —TO —FT.
FROM —TO —FT.
SAND/GRAVEL PACK:
DEPTH
FROM_25_TO_45'_FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
24" CONC
FROM TO
------------
LOCATION SKETCH
HWY. 221 S. FROM RUTHERORD—
MATERIAL METHOD TON. RT. ON TOM'S LAKE RD.
_CEMENT_ _POURED_ APPROX. 1/4 MILE PAST LAKE,
TURN RT. ON MCABEE PLACE.
1ST DRIVE ON LEFT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
ELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
JAI #EVN(k �jflj tDEr THE WELL OrKER.
JUN 2 8 U � TUBE^ O� NTRAC TOR OR AGENT DATE
Groundwater Section
;heville Rectional Office

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
4114��
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
-----------------------------------------------------------------------
-----------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : RUTHERFORDTON COUNTY: RUTH
2
3
4
5
6
7
8
9
10
11
12
13
14
15
CIRCLE DR.
(ROAD, COMM., OR SUBDV. & LOT NO.)
OWNER _HERMAN_GILBERT
ADDRESS _7336_US_221_S._HWY.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
DATE DRILLED: 05-13-00 USE OF WELL: HOUSE
TOTAL DEPTH: 54'
CUTTINGS COLLECTED: YES NO XX
DOES WELL REPLACE EXISTING WELL? YES NO XX
STAT. WAT. LEVL. BEL.TOP OF CASING _34_FT.
(USE + IF ABOVE TOP)
TOP OF CASING IS 18" ABOVE LAND SURF.*
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
WATER ZONES (DEPTH):
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
CASING:
DEPTH
FROM_0_TO_5 4_FT .
FROM -TO -FT.
GROUT:
DEPTH
FROM_0_TO_20_FT .
FROM -TO -FT.
SCREEN:
DEPTH
FROM -TO -FT.
FROM -TO -FT.
FROM -TO -FT.
SAND/GRAVEL PACK:
DEPTH
FROM 34 TO 54' FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_24"_ _CONC
MATERIAL METHOD
_CEMENT_ _POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
DEPTH DRILLING LOG
FROM TO FORM.
DESC.
c.
b�
s
�o
-----------------
z
----------------
LOCATION SKETCH
HWY. 221 S. FROM RUTHERORD-
TON. GO UNDER RR TRESSELL.
RT. ON CIRCLE DR. 1ST HOUSE
ON RT.
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
f fB! T THE WELL OWWNNE
JUN 2y9 poll r SIGNAPRE O_ F CON(YT\R�Af FOR AGENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
/l q& y
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
--------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN UNION MILLS COUNTY:
RUTH
PINNACLE MTN.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER DEE_PRESTON
FROM TO FORM. DESC.
ADDRESS DOUBLEVIEW_RD.
UNION MILLS NC 28167
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 05/12/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 445'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX T-
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
_
(USE + IF ABOVE TOP)
^� rn
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*
Do
9.
YIELD (GPM): 12 METHOD OF TEST-ARD
3 M„a�
10.
WATER ZONES (DEPTH) :
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GALco
oT
12.
CASING:
DEPTH
FROM 0 TO 70_F T .
FROM TO FT.
13. GROUT:
DEPTH
FROM 0 TO 2 0_F T .
FROM TO FT.
14. SCREEN:
DEPTH
FROM TO FT.
FROM TO FT.
FROM TO FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM TO FT.
DIA OR WT/FT. MTL
_6-1/4" _PVC_
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
----------------
LOCATION SKETCH
HWY. 221 N. FROM RUTHERFORD
TON. LEFT ON SCHOOLHOUSE RD
IN GILKY. LEFT ON PAINTERS
GAP RD. RT. ON NANNEYTOWN
RD. LEFT ON PINNACLE PARK-
WAY. LEFT ON DOUBLEVIEW RD.
1ST LOT ON RT.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
ELLPQN STRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
asL DED TO�THE WELL NE
i
tl` P-6F CO RACTOR OR AGENT DATE
k>

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER: _
DRILLER REGISTRATION NO: 2159
-----------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN ELLENBORO COUNTY:
RUTH
NEW HOUSE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH
DRI INP LOG
2.
OWNER DAVID_OWENS
FROM TO
FO 9ESC.
ADDRESS NEW—HOUSE—RD.
NC 28040
_—
_ELLENBORO
CITY OR TOWN STATE ZIP CODE
of
3.
DATE DRILLED: 05-11-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 54'
Z ^'o
7�
5.
CUTTINGS COLLECTED: YES NO XX
w_
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
r
_40_FT.
(USE + IF ABOVE TOP)
_
S.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 14' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO-54_FT._24"_ _CONC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
NEW HOUSE RD. FROM ELLEN-
DEPTH MATERIAL METHOD
BORO. DRIVE
ON RT. 1/10
FROM _0_T0_20_FT._CEMENT_ _POURED_
MILE BEFORE
BLACK RD.
FROM TO FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —FT. —IN. —IN.
—TO
FROM —TO —FT. IN. IN.
FROM —TO —FT.— IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM 40' TO 54' FT. NO. 6M STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
8 � WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
�YS IRS n7 DED THE WELL OWNF�
'it II'Ij II ��]] ( l AA ...� /�j(Q I JI ro r� 4 - l I CAD
JUN 2) 8 2P'ii,
S
OR AGENT
DATE

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
---------------------------------------------------------
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
GRASSY KNOB COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
2. OWNER —RAY—TURNER FROM TO
ADDRESS _675_ROCK_SPRINGS_CH._RD._
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05-11-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 81,
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _61_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF."
9. YIELD (GPM): 20' METHOD OF TEST —STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_81_FT._24"_ —CONC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT._CEMENT_ —POURED—
FROM—TO—FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM —TO —FT.— IN. IN.
FROM —TO —FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM 61' TO 81' FT. NO. 6M STONE
16. REMARKS:
DRILLING LOG
FORM. DESC.
0
--------------
LOCATION SKETCH
HWY. 64/74A W. FROM RUTHER—
FORDTON. LEFT ON ROCK SPRGS
CH. RD. GO PAST GRASSY KNOB
RD. 1/2 MILE & TURN LEFT ON
DIRT RD. 1ST DRIVE ON LEFT.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
A� , WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
NCOVIDED 7U.THE WELL OWNED t—"1
JUN' 8 2000 i�) `t4.�)Ay,l\0/ I ,�
scc ryRE o CON
Groundwater Section
- 11 -vb
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 2567
------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN UNION MILLS COUNTY:
GILKY COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER _ARNOLD_KELLEY
ADDRESS HWY._221_N.
UNION_MILLS NC 28167
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05-10-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 73'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _55_FT.
(USE + IF ABOVE TOP)
S. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 18' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_7 3-FT.
FROM TO FT.
13. GROUT:
DEPTH
FROM _0_TO_20_FT.
FROM TO FT.
14. SCREEN:
DEPTH
FROM —TO —FT.
FROM —TO —FT.
FROM —TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM_55'_TO_73'_FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_24"_ _CONC
'_2///-/54
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
--------------------------
LOCATION SKETCH
HWY. 221 N. FROM RUTHERORD-
MATERIAL METHOD TON. GO THRU GILKY. HOUSE
_CEMENT_ _POURED_ ON LEFT ACROSS FROM B.P.
STATON.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
S ME4 Mcmrr)ED TO THE WELL OWNS, (\ ,
JUN 2' 8 2000
SIGNATU
W
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
--------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN UNION MILLS COUNTY:
RUTH
GILKY COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _LORENE_RHODES
FROM TO FORM. DESC.
ADDRESS _2821_PAINTERS-GAP _RD.
UNION MILLS NC 28167
r,
CITY OR TOWN STATE ZIP CODE
c —
3.
DATE DRILLED: 05-10-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 34'
Cm
5.
CUTTINGS COLLECTED: YES NO XX
� =m
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
cn
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _20_FT.
�+ r-
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 14' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
_-_
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
13
14
15
16
DEPTH
FROM _0_TO_34_FT.
FROM TO FT.
GROUT:
DEPTH
FROM 0_TO_20_FT.
FROM_TO FT.
SCREEN:
DEPTH
FROM TO FT.
FROM TO FT.
FROM TO FT.
SAND/GRAVEL PACK:
DEPTH
FROM_20_TO_34'_FT.
REMARKS:
W. THICK.
DIA OR WT/FT. MTL
24" CONC
LOCATION SKETCH
HWY. 221 N. FROM RUTHERORD-
MATERIAL METHOD TON. LEFT ON SCHOOLHOUSE RD
_CEMENT_ _POURED_ IN GILKY. LEFT ON PAINTERS
GAP RD. GREY HOUSE ON LEFT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
isa Nrnr Or WELL ��iiONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
ASRAEV OR(G�}I�DED (TO THE WELL OWNER--
JJN 2 8 2000 L:J
SI ATTUR F CONTR OR AGENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD _�/A/� /
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
---------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER WANDA_HALL FROM TO FORM. DESC.
ADDRESS _461_GRAYS_CREEK_CHURCH_RD._
_RUTHERFORTDON NC 28139_
CITY OR TOWN STATE ZIP CODE o
3. DATE DRILLED: 05/10/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 225'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX ® me
7. STAT. WAT. LEVL. BEL.TOP OF CASING _50—
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.* s--�
9. YIELD (GPM): 6 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_8 0_FT .
FROM TO FT.
13. GROUT:
DEPTH
FROM 0 TO 2 0_F T .
FROM TO FT.
14. SCREEN:
DEPTH
FROM —TO —FT.
FROM —TO —FT.
FROM TO FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM TO FT.
W. THICK.
DIA OR WT/FT. MTL
_6-14/" _PVC_
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
---------------------
LOCATION SKETCH
POORS FORD RD. FROM SHILOH.
RT. ON GRAYS CREEK CH. RD.
7/10 MILE ON LEFT.
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
IN ACCORDANCE WITH
1,si LL
CONSTRUCTION STANDARDS, AND THAT
A COPY OF THIS RECORD
,4
�EN�P� �7ED
THE WELL OWNE
3
, 1�
o-va
NATU F CONTRAC OR OR AGENT
DATE
P

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER RICK_DAVIS FROM TO FORM. DESC.
ADDRESS CLEGHORN_MILL_RD.
_RUTHERFORDTON NC 28139_
CITY OR TOWN STATE ZIP CODE c
3. DATE DRILLED: 05-09-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 50' C m
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX rn Imo
7. STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT. ¢
(USE + IF ABOVE TOP) s o
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE -
10. WATER ZONES (DEPTH): ----
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_50_FT._24"_ _CONC_ LOCATION SKETCH
FROM TO FT.
13. GROUT: CLEGHORN MILL RD. FROM SHI-
DEPTH MATERIAL METHOD LOH. LAST HOUSE ON RT. BE-
FROM_0_TO_20_FT._CEMENT_ _POURED_ FORE BURGANDY LANE.
FROM —TO —FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM —TO —FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_30_TO_50_FT._NO. 6M_ _STONE
16. REMARKS:
DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
C, ELL CO STRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
OV DED Tp THE WELL OWNE .
on NI r 1
QC3ICNATU 0 GONTRF TOR QR?p ENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
QUAD NO. SER. NO.
LAT LONG_
BASIN CODE
HEADER ENT. GW-1
WELL CONSTRUCTION RECORD j
I2jaw
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
1.
------------------------------------------------------------------------
WELL LOCATION: (SHOW SKETCH OF THE
LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON
COUNTY:
RUTH
HUDLOW RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER ED_SMEAL
FROM TO FORM. DESC.
ADDRESS HUDLOW-RD.
_RUTHERFORTDON NC
28139
CITY OR TOWN STATE
ZIP CODE
3.
DATE DRILLED: 05/09/00 USE OF WELL:
HOUSE
4.
TOTAL DEPTH: 505'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES
NO XX
p
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
_60_FT.
c_ 22�
(USE + IF ABOVE
TOP)
z cm
8.
TOP OF CASING IS 18" ABOVE LAND
SURF.'_
9.
YIELD (GPM): 2 METHOD OF TEST-ARD
pro
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT
1/2 GAL
, z
12. CASING:
DEPTH
FROM_0_TO_40_FT
.
FROM
—TO —FT.
13. GROUT:
DEPTH
FROM_0_TO_20_FT
.
FROM
—TO —FT.
14. SCREEN:
DEPTH
FROM
—TO —FT.
FROM
—TO —FT.
FROM
—TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM
—TO —FT.
16. REMARKS:
—p m
W. THICK. C) ::!—
p o
DIA OR WT/FT. MTL____________________
_6-14/" _PVC_ LOCATION SKETCH
HWY. 64 E. FROM RUTH. LEFT
MATERIAL METHOD ON HUDLOW RD. 1-1/2 MILES
_CEMENT_ _PRESS_ ON RT. JUST BEFORE ROY
GOINS RD.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
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
FM'21'- A--EBDVIDEff­TO THE WELL OWNER.._
3 T19
SI� 1� O CONTc ACTOAGENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
--------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : BOSTIC COUNTY: RUTH
WASHBURN COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER ELSIE_LOGAN FROM TO FORM. DESC.
ADDRESS _609_CORBIN_DIARY_RD.
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05/09/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 345' o
5. CUTTINGS COLLECTED: YES NO XX v
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _80_FT.
(USE + IF ABOVE TOP) a' S. TOP OF CASING IS 18" ABOVE LAND SURF.'_
9. YIELD (GPM): 20 METHOD OF TEST-ARD �,r
10. WATER ZONES (DEPTH): �''� Ux
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL �—
12. CASING: _
DEPTH
FROM _0_TO_80_FT.
FROM TO FT.
13. GROUT:
DEPTH
FROM _0_TO_2 0_FT .
FROM TO FT.
14, SCREEN:
DEPTH
FROM —TO —FT.
FROM TO FT.
FROM TO FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM TO FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-14/" _PVC_ LOCATION SKETCH
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
I DO HEREBY CERTIFY
15A_.NCAC 2C, WELL C
[W�- PROVIDED 7�
BUS. 74 E. FROM FOREST CITY
LEFT ON BOSTIC/SUNSHINE HWY
LEFT ON GUN CLUB RD. LEFT
ON ROBINSON CREEK RD. RT.
ON CORBIN DAIRY RD. ON LEFT
AT DEAD-END
THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
NSTRUCTION STA ARDS, AND THAT A COPY OF THIS RECORD
THE WELL O E .
N TU9d VF CON T TO OR AGENT � -� DATE
my

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD��L/��
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN UNION MILLS COUNTY: RUTH
GILKY COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _TERRY _CANTRELL FROM TO FORM. DESC.
ADDRESS HWY. 221_N.
UNION_MIL_S NC 28167
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05-06-00 USE OF WELL: HOUSE e o
4. TOTAL DEPTH: 49'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XXEl t9
z
7. STAT. WAT. LEVL. BEL.TOP OF CASING _31_FT.
<n
(USE + IF ABOVE TOP)
S. TOP OF CASING IS 18" ABOVE LAND SURF.'
: M^
9. YIELD (GPM): 18' METHOD OF TEST -STEEL TAPE _ :•+—W A
10. WATER ZONES (DEPTH): —�-�-
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL —
z
12. CASING:
W.
THICK.
DEPTH
DIA
OR
WT/FT. MTL
FROM _0_TO_49_FT._24"_
_CONC_
FROM
TO
FT.
13.
GROUT:
DEPTH
MATERIAL
METHOD
FROM _0_T0_20_
FT.
_CEMENT—
_POURED_
FROM
TO
FT.
14.
SCREEN:
DEPTH
DIA
SLOT
SIZE MTL
FROM
—FT.
IN.
IN.
—TO
FROM
TO
FT.
IN.
IN.
FROM
TO
FT.
IN.
IN.
15.
SAND/G
MATERIAL
FROM_31
V
U
l,6M_
IJUN
2 8 2000
' i
16.
REMARK
LOCATION SKETCH
HWY. 221 N. FROM RUTHERORD-
TON. GO THRU GILKY & PAST
BP STATION. DRIVE ON LEFT
AT END OF GUARDRAIL.
I DO H RE ctr HIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NC he�?n TRU TION STANDARDS, AND THAT A COPY OF THIS RECORD
HAS BEEN PROVIDED TO`, TH ELL OWjIE
OR AGENT
DATE
l

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
---------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER SAM_GETTYS FROM TO FORM. DESC.
ADDRESS _HESTER_MILL_RD.
_RUTHERFORTDON NC 28139_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05/05/00 USE OF WELL: HOUSE o
4. TOTAL DEPTH: 505' CD5. CUTTINGS COLLECTED: YES NO XX —�
6. DOES WELL REPLACE EXISTING WELL? YES NO XX _
7. STAT. WAT. LEVL. BEL.TOP OF CASING _40_FT.
(USE + IF ABOVE TOP) Q'o
8. TOP OF CASING IS 18" ABOVE LAND SURF.' o m�
9. YIELD (GPM): 1-1/2 METHOD OF TEST-ARD -
10. WATER ZONES (DEPTH): cJ A
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL o '
E-
12. CASING: _
DEPTH
FROM _0_TO_100_FT.
FROM TO FT.
13. GROUT:
DEPTH
FROM _0_TO_20_FT.
FROM TO FT.
14. SCREEN:
DEPTH
FROM —TO —FT.
FROM —TO —FT.
FROM —TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM TO FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-14/" _PVC_ LOCATION SKETCH
POORS FORD RD. FROM SHILOH.
MATERIAL METHOD LEFT ON HESTER MILL RD. RT.
_CEMENT_ _PRESS_ ON 1ST DRIVE. 1/2 MILE ON
RT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
15A NCAC 2C, WELL RNSTRUCTION STANDARDS, AND THAT
1*j_gROVIDED UOTHE WELL OWN R
Ali
�y p SIGNA71NRE OF CONTRACTOR OR AGENT
ur A va*e see,
tin r;ln Rpainn z qf{:r
IN ACCORDANCE WITH
A COPY OF THIS RECORD
S -s- do
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
----------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : RUTHERFORDTON COUNTY: RUTH
GREENHILL FARMS (LOT 26)
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER MARK GRAHAM FROM TO FORM. DESC.
ADDRESS CENTER_RIDGE_RD.
_RUTHERFORDTON NC 28139 ca
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05/04/00 USE OF WELL: HOUSE��
4. TOTAL DEPTH: 605' z _
5. CUTTINGS COLLECTED: YES NO XX a
6. DOES WELL REPLACE EXISTING WELL? YES NO XXt�_
7. STAT. WAT. LEVL. BEL.TOP OF CASING _80_FT. ;urn
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF."
9. YIELD (GPM): 4 METHOD OF TEST-ARD z
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH
DIA
OR WT/FT. MTL
FROM_0_TO_100_FT._6-14/"
_PVC_
LOCATION SKETCH
FROM
13.
-TO
GROUT:
-FT.
HWY. 64/74A W. FROM RUTHER-
DEPTH
MATERIAL
METHOD
FORDTON. LEFT INTO GREEN -
FROM
FT. _ CEMENT
_ _PRESS_
HILL FARMS (JUST PAST CH.)
_0_TO_20_
FROM TO
FT.
RT. ON GREENHILL FARM DR.
14.
SCREEN:
RT. ON CENTER RIDGE RD.
DEPTH
DIA
SLOT SIZE MTL
LOT 26 ON LEFT.
FROM -TO
-FT.-
IN. IN.
FROM -TO
-FT.
IN. IN.
FROM -TO
-FT.
IN. IN.
15.
SAND/GRAVEL
PACK:
DEPTH
SIZE
MATERIAL
FROM -TO
-FT.
16.
REMARKS:
I DO HEREBY
CERTIFY THAT
THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
1,5A .�TrAr. 7c
LL NSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD
k
FSNBEV ED TO THE
�2
WELL OWNER
L%,,
33
IGNAT
0F C NTR_ ICTOR OR
AGENT DATE

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2159
---------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : ELLENBORO COUNTY: RUTH
PINEY MTN. CHURCH RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER BOBBY GREEN FROM TO FORM. DESC.
ADDRESS PINEY_MTN. _CHURCH_RD._ _
_ELLENBORO NC 28040_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05-03-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 57'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _37_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20' METHOD OF TEST —STEEL TAPE
10. WATER ZONES (DEPTH): —
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL _
12. CASING: —
DEPTH
FROM _0_TO_57 FT.
FROM TO FT.
13. GROUT:
DEPTH
FROM _0_TO_20_FT.
FROM TO FT.
14. SCREEN:
DEPTH
FROM —TO —FT.
FROM —TO —FT.
FROM —TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM_37'_TO_57'_FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
2 4 "_ CONC
MATERIAL METHOD
_CEMENT_ _POURED.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
------------
LOCATION SKETCH
BUS. 74 W. FROM ELLENBORO.
RT. ON PINEY MTN. CHURCH
RD. TRAILER PARK ON RT. BE—
FORE OLD HOLLIS RD.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL ONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
VIDE TO THE WELL O WN
p 65�
art 2 '(U) SIGNAT E F C MTR OR AGENT DATE
Gmundwate, Section
Lcheville Reeioc+' "';ce _

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 2567
1 WELL LOCATION (SHOW SKETCH OF THE
NEAREST TOWN FOREST CITY
TED SMITH RD.
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
LOCATION BELOW)
COUNTY: RUTH
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER _PAM_EZELL
ADDRESS 4318_TED_SMITH_RD.
-FOREST _CITY NC 28043_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05-02-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 57'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _37_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_57_FT._24"_ _CONC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM _0_TO_20_FT. _CEMENT_ _POURED_
FROM TO FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM 37 TO 57' FT. NO. 6M STONE
16. REMARKS:
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
----------------
LOCATION SKETCH
HWY. 221 S. FROM RUTHERORD-
TON. RT. ON HARRIS/HENRIETA
RD. RT. AT STOP SING. CROSS
RR & LEFT ON JACK MCKINNEY
RD. RT. ON W.V. THOMPSON RD
LEFT ON TED SMITH RD. 1ST
DRIVE ON RT. BEFORE CREEK.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
CONSTRUCTION STANDARDS, AND THAT
!1'RE TO WELL OWNER .
SIG O�R `� �R V
IN ACCORDANCE WITH
A COPY OF THIS RECORD
J � d
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT, GW-1 ENT.
WELL CONSTRUCTION RECORD(���lP
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1 WELL LOCATION (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN FOREST CITY COUNTY: RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER MARK _WHITAKER FROM TO FORM. DESC.
ADDRESS _HARRIS/HOLLEY_SPRGS_RD.
_
FOREST_CITY NC 28043_
CITY OR TOWN STATE ZIP CODE
—
3. DATE DRILLED: 05-02-00 USE OF WELL: HOUSE o 0
4. TOTAL DEPTH: 60, na
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _40_FT. iru—
(USE + IF ABOVE TOP) _s:�;' o
S. TOP OF CASING IS 18" ABOVE LAND SURF.* R'
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE —
10. WATER ZONES (DEPTH): �—�-
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL =
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_60_FT._24"_ _CONC_ LOCATION SKETCH
FROM TO FT.
13. GROUT: BIG ISLAND RD. FROM SHILOH.
DEPTH MATERIAL METHOD LEFT ON HARRIS/HOLLY SPRGS.
FROM_0_TO_20_FT._CEMENT_ _POURED_ RD. 1/10 MILE ON LEFT.
FROM TO FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_40_TO_60'_FT._NO. 6M_ _STONE
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL CO STRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
2 a
E WELL OWNER �i SIG TURE O CONT ACT{ORR ORR AGE T CD/ATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: dI(�o
------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN RUTHERFORDTON COUNTY:
MAPLE CREEK RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER DOUG_HIGGINS
ADDRESS _MAPLE_CREEK_RD.
_RUTHERFORTDON NC 28139_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05/02/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 365'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _80_FT.
(USE + IF ABOVE TOP)
S. TOP OF CASING IS 18" ABOVE LAND SURF.`
9. YIELD (GPM): 4 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_90_FT._6-14/" _PVC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM _0_TO_20_FT. _ CEMENT _ _PRESS_
FROM TO FT.
14. SCREEN.
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT.- IN. IN.
FROM -TO -FT. IN. IN.
FROM -TO -FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM -TO -FT.
16. REMARKS:
//-///'/`/'
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
------------
LOCATION SKETCH
MAPLE CREEK RD. FROM RUTHER
FORDTON. 1ST HOUSE ON RT.
PAST RIVER RD.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
15A NCAC 2C, WELL ONSTRUCTION STANDARDS, AND THAT
HAS BEEN PROVIDED T THE WELL OWN
h,
jA NATURJ€�OF CO R ,CT7OR, OR AGENT
Groundwater Section '�
Asheville Re¢innal tlffi"m
IN ACCORDANCE WITH
A COPY OF THIS RECORD
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
'� ///� qv
WELL CONSTRUCTION RECORD
DRILLING
CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
1
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
CIRCLE DR.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLI%G LOG
2.
OWNER HERMAN_GILBERT
FROM TO FOAM.ODESC.
O
ADDRESS _ _
_7336_US221S._HWY.
NC 28139_
$ m
_RUTHERFORDTON
CITY OR TOWN STATE ZIP CODE��,
3.
DATE DRILLED: 05/01/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 605'
— —
5.
CUTTINGS COLLECTED: YES NO XX-
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX-
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _600_FT.
m 2 --
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.`
9.
YIELD (GPM): 0 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_60_FT. _6-14/" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
HWY. 221 S. FROM RUTHERFORD
DEPTH MATERIAL METHOD
TON. 2ND DR. ON RT. AFTER
FROM_0_TO_20_FT. _CEMENT_ _PRESS_
GOING UNDER RR TRESSELL.
FROM TO FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM —FT.— IN. IN.
—TO
FROM TO FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL NSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
4 S BEEN PROVIDED O THE WELL OWN
�IGNAT E OF C TRACTOR OR AGENT DATE
Croundwate° Section
Asheville Pm onal_Offise iii

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD1��7�
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1
WELL LOCATION (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN BOSTIC COUNTY:
RUTH
WHITESIDE RD.
LOG
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DR.I�yLIRG
2.
OWNER JEREMY_GREEN
FROM TO FCi�M.%ESC.
ADDRESS WHITESIDE
�_RD. 7 A
BOSTIC NC 28018_—
CITY OR TOWN STATE ZIP CODE
6�
3.
DATE DRILLED: 05-01-00 USE OF WELL: HOUSE
ao
4.
TOTAL DEPTH: 55'
5.
CUTTINGS COLLECTED: YES NO XX
�a
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _37_FT.
�—
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 18' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_55_FT._24"_ _CONC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
BUS. 74 E. FROM FOREST CITY
DEPTH MATERIAL METHOD
LEFT ON BOSTIC/SUNSHINE HWY
FROM_0_TO_20_FT._CEMENT_ _POURED_
LEFT ON PEARIDGE RD. IN
FROM TO FT.
BOSTIC. RT. ON WHITESIDE RD
14.
SCREEN.
NEXT TO LAST DR. ON LEFT
DEPTH DIA SLOT SIZE MTL
BEFORE BRIDGE.
FROM —FT. IN. IN.
—TO
FROM TO FT. IN. —IN. -
FROM TO FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_37'_TO_55'_FT. _NO. 6M_ _STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
15A Nc'Ac: 2,a SWELL CONSTRUCTION STANDARDS, AND THAT
i- a; (hmm PiibWIDED 3M'- THE WELL OWNER.
JUN 2 3 200,
G�T�tE O� F�COI�TRACTOR OR AGENT
72
IN ACCORDANCE WITH
A COPY OF THIS RECORD
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD A//gxI"5
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
TAYLOR RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER LISA_SMITH FROM TO FORM. DESC.
ADDRESS TAYLOR-RD.
_RUTHERFORDTON NC 28139_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 05-01-00 USE OF WELL: HOUSE �-
4. TOTAL DEPTH: 81'=o
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _61_FT.
(USE + IF ABOVE TOP)
rn
S. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE s �o
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL —
12. CASING:W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_81_FT._24"_ _CONC_ LOCATION SKETCH
FROM TO FT.
13. GROUT: MAPLE CREEK RD. FROM RUTHER
DEPTH MATERIAL METHOD FORDTON. RT. ON TAYLOR RD.
FROM_0_TO_20_FT._CEMENT_ _POURED_ 3/4 MILE ON LEFT.
FROM —TO —FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_61_TO_81 ' _FT . _NO . 6M_ _STONE
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
4S�EWE VIDED THE WELL OWN
JUN!'Nn" �ISG(�yN�AT E F tCONTRAC OR R AGENT DATE
�

NC DEHNR 2 0. j 0 7 i
DEM — GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
----------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN BOSTIC COUNTY:
RUTH
SUNSHINE COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER TORRAN_PITTMAN
FROM TO FORM. DESC.
ADDRESS
_BOSTIC/SUNSHINE_HWY.
BOSTIC NC 28018_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03/31/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 605'-
5.
CUTTINGS COLLECTED: YES NO XX
7"
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
ro
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*"
9.
YIELD (GPM): 2-1/2 METHOD OF TEST—ARD_
10.
WATER ZONES (DEPTH):-
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_60_FT._6-14/" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
BUS. 74 E. FROM FOREST CITY
DEPTH MATERIAL METHOD
LEFT ON BOSTIC/SUNSHINE HWY
FROM FT. _PRESS_
1ST HOUSE ONLEFT PAST OLD
_0_TO_20__CEMENT—
FROM TO FT.
STORE BLDG. IN SUNSHINE.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. —IN. —IN.
FROM —FT. IN. IN.
—TO
FROM TO FT. IN. IN.
15.
S C: n
A In IZE MATERIAL
16. REMARKS": 2
15 O HyRe
HAS BEEN PROVIDED
THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
CTION STANDARDS, AND THAT A COPY OF THIS RECORD
WELL
C'raund va` Ccucn
DATE

NC DEHNR 'j., W .j
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER_GRAYS _CRK._BAPTIST_(PARSONAGE)_
FROM TO FORM. DESC.
ADDRESS
_659_GRAYS_CREEK_CHURCH_RD._
NC 28139_
_RUTHERFORTDON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03/31/00 USE OF WELL: HOUSE
�-
4.
TOTAL DEPTH: 605'
5.
CUTTINGS COLLECTED: YES NO XX
DTr
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX �-
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _80_FT.
o _
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.`-
9.
YIELD (GPM): 1-1/2 METHOD OF TEST-ARD
o ''
co
10.
WATER ZONES (DEPTH):
ca o
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_80_FT._6-14/" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
POORS FORD RD. FROM SHILOH.
DEPTH MATERIAL METHOD
RT. ON GRAYS CREEK CH. RD.
FROM _PRESS_
4TH HOUSE ON LEFT BEFORE
_0_TO_20_FT._CEMENT_
FROM TO FT.
CHURCH.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15.
S GRA
IZE MATERIAL
D
FR TO FT
,RAJ 2 1 W
16.
RE S:
I 0 H
AT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
TRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
THE WELL OWNERN .1
OR AGENT
DATE

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN BOSTIC COUNTY: RUTH
HOLLIS COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER CECIL_MARTIN FROM TO
FORM. DESC.
ADDRESS _1846_SALEM_CHURCH_RD.
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03/30/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 405'
r+ is
5.
CUTTINGS COLLECTED: YES NO XX
o
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
`—
_50_FT.
( USE + IF ABOVE TOP)
`__
8.
TOP OF CASING IS 18" ABOVE LAND SURF.`_
9.
YIELD (GPM): 6 METHOD OF TEST—ARD
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
�.
12.
CASING:
— ;
DEPTH
FROM _0_TO_7 0_FT .
FROM TO FT.
13. GROUT:
DEPTH
FROM _0_TO_2 0_FT .
FROM TO FT.
14. SCREEN:
DEPTH
FROM TO FT.
FROM —TO —FT.
15.
16. REMARKS:
I DO HER BY
15A NCAC 2C
HAS BEEN!PR
r! AR:
W. THICK.
DIA OR WT/FT. MTL
_6-14/" _PVC_ LOCATION SKETCH
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
MATERIAL
BUS. 74 E. FROM FOREST CITY
LEFT ON BOSTIC/SUNSHINE HWY
RT. ON SALEM CHURCH RD. 3RD
DRIVE ON RT. PAST HARVEY
LOGAN RD.
S WELL WAS CONSTRUCTED IN ACCORDANCE WITH
ON STANDARDS, AND THAT A COPY OF THIS RECORD
VIDE? TQ THE WELL O
SIGN U0R�OF CO �jjC O� R OR AGENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SEA. NOr) n'II S�'Y
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
TRAIL RIDGE
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
FROM TO FORM. DESC.
2.
OWNER BILL_LATTIMORE
ADDRESS TRAIL_RIDGE
NC 28139_
_RUTHERFORTDON
CITY OR TOWN STATE ZIP CODE
U
o
3.
DATE DRILLED: 03/30/00 USE OF WELL: HOUSE
�---
4.
TOTAL DEPTH: 605'
5.
CUTTINGS COLLECTED: YES NO XX
�
_
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
^�
-
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _80_FT.
T_ —
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
o�—�-
9.
YIELD (GPM): 25 METHOD OF TEST-ARD
y
ca
10.
WATER ZONES (DEPTH):
---�-
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
13
14
15
16
DEPTH DIA OR WT/FT. MTL
FROM 0 TO_90_FT._6-14/" _PVC_
MATERIAL METHOD
_CEMENT_ _PRESS_
DEPTH
FROM_0_TO_2
0_FT .
FROM
TO
FT.
SCREEN:
DEPTH
FROM
TO
FT.
FROM
TO
FT.
FROM
TO
FT.
SAND/GRAVEL
PACK:
DEPTH
FROM
TO
FT.
REMARKS:
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
LOCATION SKETCH
HWY. 108 W. FROM RUTHERFORD
TON. LEFT ON UNION RD. RT.
ON J.J. GUFFEY RD. LEFT ON
TRAIL RIDGE. 2ND DRIVE ON
LEFT.
t CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
WEL NSTRUCTION STANDARDS AND THAT A COPY OF THIS RECORD
z(jVIDED TOE THE WELL OWN. j1r� M R m_
OR(IT
DATE

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER-�N_7
U7
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
-----------------------------------------------------------------------
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN BOSTIC COUNTY: RUTH
WALKER MILL RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _LARRY_DALJEV FROM TO FORM. DESC.
ADDRESS _211_WALKER_MILL_RD. _
BOSTIC NC 28018 _
CITY OR TOWN STATE ZIP CODE _
3. DATE DRILLED: 03-29-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 70'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _50_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 20' METHOD OF TEST —STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W.
THICK.
DEPTH
DIA OR
WT/FT. MTL
FROM_0_TO_68_FT._24"
_CONC_
LOCATION SKETCH
FROM —TO
—FT.
13. GROUT:
BUS. 74 E. FROM FOREST CITY
DEPTH
MATERIAL
METHOD
LEFT ON BOSTIC/SUNSHINE HWY
FROM_0_TO_20_FT._CEMENT_
_POURED_
RT. ON WALKER MILL RD. 1/4
FROM —TO
—FT.
MILE ON LEFT.
14. SCREEN:
DEPTH
DIA SLOT
SIZE MTL
FROM —TO
—FT.
IN.
IN.
FROM —TO
—FT.
IN.
IN.
FROM —TO
—FT.—
IN.
IN.
15. SAND/GR
`
V
FROM_50
� _
^ T� .
NO .�I_
STONEAL
16. REMARKS R =1� 20 (U)
I DO HE EB EIS AT T IS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
Rfr rXVCA ION STANDARDS, AND THAT A COPY OF THIS RECORD
n T (- EEA PROVIDED O THE WELL OWNER
v d" aq-U�
APR - 7 2000 _ i ; }
ATUFj ©�CQNTRACTO_$ OR _AGENT DATE
1 Lcsnd.�

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO,� ti?;n.:3
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
-------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER BETTY -EARLY
FROM TO FORM. DESC.
ADDRESS BIG_GUM_COURT
NC 28139_
_RUTHERFORTDON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03/29/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 605'
5.
CUTTINGS COLLECTED: YES NO XX
_
o
a
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX +.--
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _600_FT.
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*
o
9.
YIELD (GPM): 0 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
w -'
W. THICK.
-'
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_60_FT._6-14/" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
POORS FORD RD. FROM SHILOH.
DEPTH MATERIAL METHOD
RT. ON BIG GUM COURT. RT.
FROM _PRESS_
AT 1ST FORK. LEFT AT NEXT
_0_TO_20_FT._CEMENT_
FROM TO FT.
FORK. HOUSE AT DEAD-END.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM -FT. IN. IN.
-TO
FROM -FT. IN. IN.
-TO
FROM -TO -FT. -IN. -IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM -TO -FT.
16.
REMARKS:
I DO HEREBY CERTIFY
THAT THIS WELL WAS CONSTRUCTED
IN ACCORDANCE WITH
15A NCAC 2C, WELL
NSTRUCTION STANDARDS, AND THAT
A COPY
OF THIS RECORD
HAS BEEN PROVIDED
O THE WELL OTW.[)�
�\
ATUR CON` RAC�T R OR AG
O p� E
lUN ?
12000 ! I�
r-..:

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
209975
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 2785
------------------------------------------------
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN BOSTIC COUNTY:
WASHBURN COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER RUSS_ISHAM
ADDRESS _255_SALEM_CHURCH_RD.
BOSTIC NC 28018_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 03/29/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 605'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 1-1/2 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM _0_TO_60_FT.
FROM TO FT.
13. GROUT:
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
W. THICK.
DIA OR WT/FT. MTL
_6-14/" _PVC_ LOCATION SKETCH
DEPTH MATERIAL
FROM _0_TO_20_FT. _CEMENT_
FROM TO FT.
14. SCREEN:
BUS. 74 E. FROM FOREST CITY
METHOD LEFT ON BOSTIC/SUNSHINE HWY
_PRESS_ RT. ON SALEM CHURCH RD. OLD
SCHOOL HOUSE ON LEFT AFTER
GOING INTO CURVE
DEPTH
DIA SLOT
SIZE MTL
FROM -TO -FT.-
IN.
IN.
FROM -TO -FT.
IN.
IN.
FROM -TO -FT.
-IN.
-IN.
R�AUS
SIZE MATERIAL
IFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
L,6QNSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
TO \THE WELL
AGENT
DATE

NC HNR
DEM - GWESECTION
P.O. BOX 29535 QUAD NO.
SER. NO.
RALEIGH, NC 27626-0535 LAT
LONG
[phone] BASIN CODE
HEADER ENT.
GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
----------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN BOSTIC COUNTY: RUTH
PEARIDGE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER DANNY_FLYNN FROM TO
FORM. DESC.
ADDRESS
_2013_PEARIDGE_RD.
BOSTIC NC 28018_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03/28/00 USE OF WELL: HOUSE
o
4.
TOTAL DEPTH: 605'
?� f
5.
CUTTINGS COLLECTED: YES NO XX'
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
N_
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _50_FT.
_
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF."
9.
YIELD (GPM): 2 METHOD OF TEST-ARD_
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W.
DEPTH DIA OR
FROM _0_TO_40_FT . _6 -14 / "
FROM TO FT. _
13. GROUT:
DEPTH MATERIAL
FROM_0_TO_20_FT. _CEMENT_
FROM TO FT.
14. SCREEN:
15
16.
THICK.
WT/FT. MTL
PVC LOCATION SKETCH
BUS. 74 E. FROM FOREST CITY
METHOD LEFT ON BOSTIC/SUNSHINE HWY
_PRESS_ LEFT ON PEARIDGE RD. IN BOS
TIC. 1ST DRIVE ON LEFT PAST
COLLINS RD.
DEPTH DIA SLOT SIZE
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FT
2 ► ?MO
15 O HER Rn
HAS BEEN:PROVIDED
MTL
IZE MATERIAL
AT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
TRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
THE WELL OWNER.
$i4�NATU��CONTI
V
AGENT
DATE

NC DEHNR n,{Nvy-�
DEM - GW SECTION ��s�J �-
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN CLIFFSIDE COUNTY: RUTH
ISLAND FORD RD.
(ROAD, COMM., OR SUBOV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER DOUG_JONES FROM TO FORM. DESC.
ADDRESS ISLAND_FORD_RD.
CLIFFSIDE NC 28024
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 03/27/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 585' o
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _100_FT.
(USE + IF ABOVE TOP) o
8. TOP OF CASING IS 18" ABOVE LAND SURF.*— --
9. YIELD (GPM): 35 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH): o ' -
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL ca
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_30_FT._6-14/" _PVC_ LOCATION SKETCH
FROM TO FT.
13. GROUT: HWY. 221A S. FROM CLIFFSIDE
DEPTH MATERIAL METHOD RT. ON ISLAND FORD RD.
FROM _0_TO_20_FT._CEMENT_ _PRESS_ APPROX. 3 MILES ON LEFT.
FROM TO FT. (RIVERSIDE KARTWAY)
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15. SA
T� IZE MATERIAL
FR TO FT.
16. R E S':JW 2 1 2000
I 0'r dnFY T AT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
5 RUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
HAS' �E ltr �pR6�VIDED T THE WELL 0W,NEJR.
2WO
�DATE
CONTRACTOR OR AGENT Cnsindrn`,e'S=coon '
Ash?aPe ne�ion�l Oti'--� '

NC DEHNR �,,•
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER.�'�'
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING
CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT
DRILLER REGISTRATION NO: 2785
1
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN FOREST CITY COUNTY:
RUTH
HOPPER RD.
('ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _PHILLIP_ROBBINS
FROM TO FORM. DESC.
ADDRESS
_789_HOPPER_RD.
NC 28043_
_FOREST_CITY
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03/26/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 245'
o
5.
CUTTINGS COLLECTED: YES NO XX
-
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX --
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _50_FT.
o
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'-
9.
YIELD (GPM): 60 METHOD OF TEST-ARD
o
10.
WATER ZONES (DEPTH):
ca
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
s-�--
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. PVC
--
FROM _0_TO_90_FT._6-14/" __
LOCATION SKETCH
FROM TO FT.
BIG ISLAND RD. FROM SHILOH.
13.
GROUT:
DEPTH MATERIAL METHOD
LEFT ON HOPPER RD. 1-3/4
FROM_0_TO_20_FT._CEMENT_ _PRESS_
MILES ON RT. (BRICK HOUSE
FROM TO FT.
W/BRICK DRIVE)
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15
SIZE MATERIAL
TO
WMARV
i�o16
I
RTI THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
, CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
?ROVIDE THE WELL OWN
SIG�RCO RAqO�ENT DATE

NC DEHNR
o o v 1" 0
DEM - GW SECTION
lLw
P.O. BOX 29535 QUAD NO.
SER. NO.
RALEIGH, NC 27626-0535 LAT
LONG
[phone] BASIN CODE
HEADER ENT.
GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL
CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN FOREST CITY COUNTY: RUTH
HOPPER RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER LARRY_COLE FROM TO FORM. DESC.
ADDRESS HOPPER-RD.
FOREST CITY NC 28043_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03/25/00 USE OF WELL: HOUSE
�-
4.
TOTAL DEPTH: 305'
5.
CUTTINGS COLLECTED: YES NO XX-
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
=_
_60_FT.
(USE + IF ABOVE TOP)
7wS.
TOP OF CASING IS 18" ABOVE LAND SURF.*_
9.
YIELD (GPM): 12 METHOD OF TEST-ARD
=
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
—
12.
CASING:
DEPTH
FROM_0_TO_6
0_FT
.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM_0_TO_2
0_FT
.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
TO
—TO
FT.
FROM
—FT.
15.
A
16
I DO HER JL
15A CJIJEAWLL
- A B Ej�yj PROVIDED
I!� 9
1 �
W. THICK.
DIA OR WT/FT. MTL
_6-14/" _PVC_
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
-; IN. IN.
MATERIAL
-----------
LOCATION SKETCH
HWY. 221 S. FROM RUTHERFORD
TON. RT. ON HOPPER RD. 1ST
DRIVE ON RT. PAST SCHOOL.
THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
CTION STANDARDS, AND THAT A COPY OF THIS RECORD
WELL OWNE /1
�E OF CON Tk qR OR AGENT DATE
6l t h�1-`

NC DEHNR
DEM - GW SECTION O ?
P.O. BOX 29535 QUAD NO. SER. N
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1
WELL LOCATION: (SHOW SKETCH OF THE
LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON
COUNTY:
RUTH
MAPLE CREEK RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH
DRILLING LOG
2.
OWNER BILL_SUTTLE
FROM TO
FORM. DESC.
ADDRESS 4108_MAPLE_CREEK_RD.
_RUTHERFORDTON NC
28139
CITY OR TOWN STATE
ZIP CODE
3.
DATE DRILLED: 03-24-00 USE OF WELL:
HOUSE
4.
TOTAL DEPTH: 37'
c:
5.
CUTTINGS COLLECTED: YES NO XX-
6.
DOES WELL REPLACE EXISTING WELL? YES
NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
_22_FT.
_�-
(USE + IF ABOVE
TOP)
S.
TOP OF CASING IS 18" ABOVE LAND
SURF."
9.
YIELD (GPM): 15' METHOD OF TEST -STEEL
TAPE
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT
1/2 GAL
c-)
12. CASING:
DEPTH
FROM_0_TO_3
7_FT
.
FROM
-TO -FT.
13. GROUT:
DEPTH
FROM_0_TO_2
0_FT
.
FROM
-TO -FT.
14. SCREEN:
DEPTH
FROM
-TO -FT.
FROM
TO
FT.
FROM
TO
FT.
15. SAND/GRAV
FROM-2
16. REMARKS:
I DO
7
i
W. THICK.
DIA OR WT/FT. MTL
_24 "_ _CONC_
MATERIAL METHOD
_CEMENT_ _POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
' ■_FT . _NO .
i�J{J1� 1
THE
SIGNAT
MATERIAL
_STONE
---------------------
LOCATION SKETCH
HWY. 64/74A W. FROM RUTHER-
FORDTON. LEFT ON MAPLE CRK.
RD. 1-4/10 MILES ON LEFT.
THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
CTTON STANDARDS, AND THAT A COPY OF THIS RECORD
CONTRACTOR OR AGENT
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
20000''7
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
--------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN LAKE LURE COUNTY: RUTH
RIVERBEND SUBDV.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER RICK_SEGUIN FROM TO FORM. DESC.
ADDRESS _RABBIT_LANE
LAKE LURE NC 28756_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 03/23/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 305'
o
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.—
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.`_
9.
YIELD (GPM): 15 METHOD OF TEST-ARD
=-^
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_60_FT._6-14/" _PVC_
FROM TO FT.
13. GROUT.
DEPTH MATERIAL METHOD
FROM _0_TO_20_FT. _ CEMENT _ _PRESS_
FROM TO FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
15. SAND/['R�_RAQ& -1
16
I DO
2 1 200!1
E MATERIAL
------------
LOCATION SKETCH
HWY. 64/74A W. FROM RUTHER-
FORDTON. RT. ON BILL'S CRK.
RD. LEFT ON SPARROWS WAY.
(RIVERBEND) RT. ON RABBIT
LANE. LAST LOT ON RT.
THAI THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
ULWPOUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
O THE WELL OWNEnR.
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 2785
1
2
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
208�'r0
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
--------------------------------------------
--------------------------------------------
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN LAKE LURE COUNTY:
RIVERBEND SUBDV.
(ROAD, COMM., OR SUBDV. & LOT NO.)
OWNER RICK_SEGUIN
ADDRESS DOVES -WAY
-LAKE _LURE NC 28756
CITY OR TOWN STATE ZIP CODE
DATE DRILLED: 03/22/00 USE OF WELL: HOUSE
TOTAL DEPTH: 405'
CUTTINGS COLLECTED: YES NO XX
DOES WELL REPLACE EXISTING WELL? YES NO XX
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
TOP OF CASING IS 18" ABOVE LAND SURF.*
YIELD (GPM): 40 METHOD OF TEST-ARD
WATER ZONES (DEPTH):
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
CASING:
DEPTH DIA
FROM_0_TO_5 0_FT . _6 -14 / "
FROM -TO -FT.
GROUT:
DEPTH
FROM_0_TO_2
0_FT .
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
-TO
-FT.
FROM
-TO
-FT.
FROM
TO
FT.
16. REMARK
APR - 7 2
W. THICK.
OR WT/FT. MTL
_PVC_
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
MATERIAL
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
o
-=
s
o
-
:a r
O
cn ,r
r
o
LOCATION SKETCH
HWY. 64/74A W. FROM RUTHER-
FORDTON. LEFT ON PHEASANT
ST. (ACROSS FROM RIVERBENDS
GUARDHOUSE) RT. ON DOVES
WAY. 1ST LOT ON RT.
S WELL WAS CONSTRUCTED IN ACCORDANCE WITH
ON STANDARDS, AND THAT A COPY OF THIS RECORD
SIGNATURE OF
&;
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. N26 0gn;8
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
------------------------------------------------------------------------
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : BOSTIC COUNTY: RUTH
MAMIE HAMILTON RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER BOBBY_MOORE
ADDRESS _536_MAMIE-HAMILTON _RD.
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 03/21/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 265'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF."
9. YIELD (GPM): 30 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_90_FT._6-14/" _PVC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT._CEMENT_ -PRESS-
FROM-TO-FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT. IN. IN.
FROM -TO -FT. IN. IN.
FROM IN. IN.
15. SA L P C :
D ZE MATERIAL
FR TO __ET.
16. REMR
I D HEREBY CERTI'
-,_-15A-NCAC 2C, WELL
i HA$ BEEN PROVIDED
DEPTH DRILLING LOG
FROM TO FORM. DESC.
0
LOCATION SKETCH
BUS. 74 E. FROM FOREST CITY
LEFT ON BOSTIC/SUNSHINE HWY
LEFT ON PEARIDGE RD. IN
BOSTIC. RT. ON SANDY SPRGS
RD. LEFT ON MAMIE HAMILTON
RD. CEDAR HOUSE ON RT.
Y_TUAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
TfS`¢'HE WELL OWNER.
OF
OR AGENT
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
1099S
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
------------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN ELLENBORO COUNTY:
RUTH
DOBBINSVILLE COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER DEWAYNE_RAY
FROM TO FORM. DESC.
ADDRESS
_1209_HARRIS/HENRIETTA_RD._
NC 28040
_ELLENBORO
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03/21/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 505'
5.
CUTTINGS COLLECTED: YES NO XX
o
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _40_FT._
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF."
o -
9.
YIELD (GPM): 2 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
'
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL—
n
12.
CASING:
w
W. THICK.
-
DEPTH DIA OR WT/FT. MTL
__________________________
FROM _0_TO_70_FT._6-14/" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
BY-PASS 74 E. FROM FOREST
DEPTH MATERIAL METHOD
CITY. EXIT RT. ON HARRIS/
FROM FT. _ CEMENT _ _PRESS_
HENRIETTA RD. HOUSE ON LEFT
_0_TO_20_
FROM TO FT.
(1209 ON BOX)
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
FROM TO IN. IN.
1I_l
�"�FT.
Itlll SIZE MATERIAL
j .Z0rn1
y"HASBEEN PROI
F
FY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
r-TO THE WELL OWNER,
SIGNATURE
go
- D 1--0 a
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 2159
QUAD NO. SER. Nd- J()
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
----------------------------------------------------------------------------
----------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : UNION MILLS COUNTY: RUTH
PINNACLE MTN.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER DEE_PRESTON
ADDRESS _LOT_09,_DOUBLEVIEW_RD.
—UNION _MILLS NC 28167
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 03/19/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 800'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _800_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 0 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_58_FT._6-14/" _PVC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT._CEMENT_ —PRESS—
FROM—TO—FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
15. SAND/ RAVEL PACK
I EoTq ';ZE MATERIAL
FROM
16. REMAR rl JUN 2 1
I DO ER=
15A;N nll
HAS'.BEEN PROVIDED
DEPTH DRILLING LOG
FROM TO FORM. DESC.
—CD
r_,
a
w
c�
---------------------
LOCATION SKETCH
HWY. 221 N. FROM RUTHERFORD
TON. LEFT ON SCHOOLHOUSE RD
IN GILKY. LEFT ON PAINTERS
GAP RD. RT. ON NANNEYTOWN
RD. LEFT ON PINNACLE PARK-
WAY. LEFT ON DOUBLEVIEW RD.
LOT 9 ON RT.
THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
CTION STANDARDS, AND THAT A COPY OF THIS RECORD
WELL OWNER./
SIGNATURE OF
OR AGENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 2785
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
---------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : FOREST CITY COUNTY: RUTH
CISCO LANE
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER DISAN_YAP
ADDRESS CISCO_LANE
—FOREST _CITY- NC 28043_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 03/17/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 305'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF."
9. YIELD (GPM): 10 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_90_FT .
FROM TO FT.
13. GROUT:
DEPTH
FROM 0 TO 20_FT .
FROM TO FT.
14. SCREEN:
DEPTH
FROM —TO —FT.
FROM TO FT.
FROM TO FT.
15. SAND/GRAVEL PACK:_
HA
W. THICK.
DIA OR WT/FT. MTL
_6-14/" _PVC_
DEPTH DRILLING LOG
FROM TO FORM. DESC.
a
O
�
�
in cl
o
------------
LOCATION SKETCH
HWY. 74 W. FROM FOREST CITY
MATERIAL METHOD RT. ON HUDLOW RD. LEFT ON
_CEMENT_ _PRESS_ WHITESIDE RD. LEFT ON CISCO
LANE. 4TH HOUSE ON LEFT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
MATERIAL
THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
CTION STANDARDS, AND THAT A COPY OF THIS RECORD
WELL OWNER,. r-, _
SIGNATURE OF
OR AGENT
_7 ) _N
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 2567
1
`a
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
0
QUAD NO. SER f0- my.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN BOSTIC COUNTY: RUTH
WASHBURN COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
OWNER _JIMMY_ANDREWS FROM TO
FORM. DESC.
ADDRESS MILL _RD.
_667_ANDREWS_
BOSTIC NC 28018_
CITY OR TOWN STATE ZIP CODE
DATE DRILLED: 03-17-00 USE OF WELL: HOUSE
TOTAL DEPTH: 68'
�.
—
CUTTINGS COLLECTED: YES NO XX_
DOES WELL REPLACE EXISTING WELL? YES NO XX
a
STAT. WAT. LEVL. BEL.TOP OF CASING _48_FT.—
(USE + IF ABOVE TOP)
N
TOP OF CASING IS 18" ABOVE LAND SURF.'
?_
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
WATER ZONES (DEPTH):
a ^'
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL_
CASING:
DEPTH DIA
FROM _0_TO_68_FT. 2 4 "_
FROM TO FT.
13. GROUT:
DEPTH
FROM
_0_TO2
0FT .
_
FROM
TO_
FT.
14. SCREEN:
DEPTH
FROM
TO
FT.
FROM
—TO
—FT.
`I&7
16
'O 68' FT.
JJN 2 1 2D
W. THICK.
OR WT/FT. MTL
CONC
MATERIAL METHOD
_CEMENT_ _POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
MATERIAL
6M_ _STONE
---------------
LOCATION SKETCH
BUS. 74 E. FROM FOREST CITY
LEFT ON BOSTIC/SUNSHINE HWY
LEFT ON ANDREWS MILL RD. AT
WASHBURNS STORE. NEXT TO
LAST BRICK HOUSE ON RT.
WITH CIRCULAR DRIVE BEFORE
BRIDGE
2 DO ERE j° r-,,THA THIS WELL WAS CONSTRUCTED
CTION STANDARDS, AND THAT
VIDED T HE WELL OWN R.
APR - 7 2000ii'; SIGNATURE OF CONTRACTOR OR AGENT
IN ACCORDANCE WITH
A COPY OF THIS RECORD
DATE

NC
HNR
OEM - GWESECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2159
1
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
------------------------------------------------------------------------
BELOW)
NEAREST TOWN UNION MILLS COUNTY:
RUTH
PINNACLE MTN.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER DEE_PRESTON
FROM TO FORM. DESC.
ADDRESS _ LOT _10,_DOUBLEVIEW_RD.
-UNION _MILLS NC 28167_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03/17/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 500'
5.
CUTTINGS COLLECTED: YES NO XX
a
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
o
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
_500_FT.
(USE + IF ABOVE TOP)
a =-
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
c-n
9.
YIELD (GPM): 0 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
_
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
o
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
__________________________
FROM_0_TO_20_FT._6-14/" _PVC_
LOCATION SKETCH
FROM -FT.
13.
-TO
GROUT:
HWY. 221 N. FROM RUTHERFORD
DEPTH MATERIAL METHOD
TON. LEFT ON SCHOOLHOUSE RD
FROM_0_TO_20_FT._CEMENT_ _PRESS_
IN GILKY. LEFT ON PAINTERS
FROM TO FT.
GAP RD. RT. ON NANNEYTOWN
14.
SCREEN:
RD. LEFT ON PINNACLE PARK -
DEPTH DIA SLOT SIZE MTL
WAY. LEFT ON DOUBLEVIEW RD.
FROM -TO -FT.- IN. IN.
LOT 10 ON RT.
FROM -TO -FT. IN. IN.
FROM -TO -FT. IN. IN.
15.
FERK SIZE MATERIAL
16.
1.0 2 1 -
HAS,,BEEN; PROVIDED
i'.
HAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
STRUCTION STANDARDA, AND THAT A COPY OF THIS RECORD
THE WELL OWNER.
SIGNATURE OF
OR AGENT
DATE

NC DEHNR n st)
DEM - GW SECTION i.
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2159
------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN UNION MILLS COUNTY:
RUTH
PINNACLE MTN.
(ROAD, COMM.; OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER DEE_PRESTON
FROM TO FORM. DESC.
ADDRESS
_LOT-7,_DOUBLEVIEW-RD.
NC 28167_
_UNION_MILLS
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03/16/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 400'
5.
CUTTINGS COLLECTED: YES NO XX
,
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX o
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _400_FT.
o
(USE + IF ABOVE TOP)
v
8.
TOP OF CASING IS 18" ABOVE LAND SURF."
9.
YIELD (GPM): 0 METHOD OF TEST-ARD
o
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
_
W. THICK.
w
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_26_FT.-6-14/" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT.
HWY. 221 N. FROM RUTHERFORD
DEPTH MATERIAL METHOD
TON. LEFT ON SCHOOLHOUSE RD
FROM FT. CEMENT _ _PRESS_
IN GILKY. LEFT ON PAINTERS
_0_TO_20__
FROM TO FT.
GAP RD. RT. ON NANNEYTOWN
14.
SCREEN:
RD. LEFT ON PINNACLE PARK -
DEPTH DIA SLOT SIZE MTL
WAY. LEFT ON DOUBLEVIEW RD.
FROM —FT. IN. IN.
LOT 7 ON LEFT.
—TO
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. IN. IN.
15.
-
SIZE MATERIAL
8 O F
D
16.
NN��E��
KJM 2 1 M
I_D iferOMWIFY HAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
STRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
-HAS BEEN -PROVIDED O THE WELL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
tbs"13
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
RIVER RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER MATTHEW_FARISS FROM TO
FORM. DESC.
ADDRESS RIVER—RD.
NC 28139_
_RUTHERFORTDON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03/16/00 USE OF WELL: HOUSE
_ T
4.
TOTAL DEPTH: 445'
p —
5.
CUTTINGS COLLECTED: YES NO XX
CD
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _80_FT.
-
(USE + IF ABOVE TOP)
S.
TOP OF CASING IS 18" ABOVE LAND SURF."
�`--
9.
YIELD (GPM): 6 METHOD OF TEST-ARD
"r
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_100_FT. _6-14 / " _PVC_
FROM TO FT.
13. GROUT:
DEPTH
MATERIAL
METHOD
FROM _0_TO_20_
FT.
_CEMENT_
_PRESS_
FROM
TO
FT.
14. SCREEN.
DEPTH
DIA SLOT
SIZE MTL
FROM
—FT.
IN.
IN.
FROM
—TO
—FT.
IN.
IN.
FROM
—TO
TO
FT.
IN.
IN.
15
16. RE4S'AN 2 1 ?0010
I 5 O wa
u; ...' a 1'WY3IhT^
, ka HA BEEN PROVIDED O
SI
ZE MATERIAL
---------------
LOCATION SKETCH
MAPLE CREEK RD. FROM RUTHER
FORDTON. LEFT ON RIVER RD.
2ND TO LAST DRIVE ON LEFT
BEFORE BRIDGE.
THIS WELL WAS CONSTRUCTED
CTION STANDARDS, AND THAT
WELL OWNER. (1_ ,
OF
OR AGENT
IN ACCORDANCE WITH
A COPY OF THIS RECORD
DATE

NC DEHNR
DEM - GW SECTION
//�� pp
tO. V J 9 If, 8
P.O. BOX 29535
QUAD NO. SER. NO.
RALEIGH, NC 27626-0535
LAT LONG
[phone]
BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2159
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN UNION MILLS COUNTY:
RUTH
PINNACLE MTN.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER DEE_PRESTON
FROM TO FORM. DESC.
ADDRESS
_LOT_7,_DOUBLEVIEW_RD.
UNION MILLS NC 28167_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03/15/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 505'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO
XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _100_FT.
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF." �
9.
YIELD (GPM): 10 METHOD OF TEST-ARD
Ea
10.
WATER ZONES (DEPTH):
' —
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
c is
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_21_FT._6-14/" _PVC_
LOCATION SKETCiF
FROM TO FT.
13.
GROUT.
HWY. 221 N. FROM RUTHERFORD
DEPTH MATERIAL METHOD
TON. LEFT ON SCHOOLHOUSE RD
FROM _PRESS_
IN GILKY. LEFT ON PAINTERS
_0_TO_20_FT._CEMENT_
FROM TO FT.
GAP RD. RT. ON NANNEYTOWN
14.
SCREEN:
RD. LEFT ON PINNACLE PARK -
DEPTH DIA SLOT SIZE MTL
WAY. LEFT ON DOUBLEVIEW RD.
FROM TO FT. IN. IN.
LOT 7 ON LEFT.
FROM TO FT. IN. IN.
FROM —TO —FT. IN. IN.
15.
SAND/GRAVE
,DWP H� C SIZE MATERIAL
Fr.
1
�� Ct
15
c
j iJ i.l
a
THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
NSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
THE WELL OWNER.,,
SIGNATURE OF
*� 'Z� - /S -c )
OR AGENT DATE

NC DEHNR
DEP O GBOXE29535 QUAD NO. SER. N209976
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
RAINBOW RAPIDS RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER MICHAEL_BERRY FROM TO
FORM. DESC.
ADDRESS
_281_RAINBOW_RAPDIDS_RD.
NC 28139_
_RUTHERFORTDON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03/14/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 505,
o
5.
CUTTINGS COLLECTED: YES NO XX�
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
-'-'
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _100_FT.
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF."
a :;�
9.
YIELD (GPM): 3 METHOD OF TEST-ARD
�—
10.
WATER ZONES (DEPTH):
=�
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
ca
12.
CASING:
0
-
W. THICK.
DEPTH
DIA OR WT/FT. MTL
FROM _0_TO_80_FT._6-14/"
_PVC_
LOCATION SKETCH
FROM
TO
FT.
13.
GROUT.
HWY. 64/74A W. FROM RUTHER-
DEPTH
MATERIAL METHOD
FORDTON. RT. ON MCENTIRE
FROM
FT.
_PRESS_
RD. LEFT ON RAINBOW RAPIDS
_0_TO_20_
FROM
TO
FT.
_CEMENT—
RD. 4/10 MILE ON LEFT.
14.
SCREEN:
DEPTH
DIA SLOT SIZE MTL
FROM
—FT.
IN. IN.
FROM
—TO
TO
FT.
IN. IN.
FROM
TO
FT.
—IN. —IN.
15.
SAND
SIZE MATERIAL
D
16
001I
TI Y
THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15h
oic(IE
C
STRUCTION STANDARDS,
AND THAT A COPY OF THIS RECORD
N PROVIDED
HE WELL OWN
Od
SIGNATURE OF CONTRACTOR
OR AGENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. ''Nf7? `)'? r
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
-----------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN MOORESBORO COUNTY: RUTH
GREEN ACRES DR.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER JIMMY_HARDIN FROM TO
FORM.
DESC.
ADDRESS GREEN -ACRES -DR.
NC 28114_
_MOORESBORO
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03/14/00 USE OF WELL: HOUSE
p_
4.
TOTAL DEPTH: 505'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
r
—
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
T--
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
-
-=
9.
YIELD (GPM): 6 METHOD OF TEST-ARD
s�
=
10.
WATER ZONES (DEPTH):
Fj
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
o
12. CASING:
W.
THICK.
DEPTH
DIA OR
WT/FT. MTL
FROM_0_TO_70_FT._6-14/"
—PVC—
FROM—TO—FT.
13.
GROUT:
DEPTH
MATERIAL
METHOD
FROM _0_TO_20_FT._CEMENT_
_PRESS_
FROM
TO
FT.
14.
SCREEN:
DEPTH
DIA SLOT
SIZE MTL
FROM
TO
FT.
IN.
IN.
FROM
—FT,
IN.
IN.
FROM
—TO
—TO —FT.
IN.
IN.
15.
SAN
ZE
MATERIAL
FRO
'.� 2 �
2n
16.
REM
.
I D HERG3
15A Ie RE
HAS BEEN`,;PROV
:
-------------
LOCATION SKETCH
HWY. 221A S. FROM CLIFFSIDE
LEFT ON GREEN ACRES DR. 3/4
MILE ON RT.
;Off 1Y THAT THIS WELL WAS CONSTRUCTED
gigEltO�NS'1)RUCTION STANDARDS, AND THAT
DED µ",THE WELL OWNF .
SIGNATURE OF
OR AGENT
IN ACCORDANCE WITH
A COPY OF THIS RECORD
`f'-dd
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER2 I10. n�2
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
---------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : BOSTIC COUNTY: RUTH
FREEMAN RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER BRUCE EARLEY
ADDRESS _483_FREEMAN_RD.
BOSTIC NC 28018_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 03-13-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 75'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _57_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 18' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
13
14
15
itjoi2ll
FROM _0_TO_7 5_FT .
FROM TO FT.
GROUT:
DEPTH
FROM _0_TO_20_FT.
FROM TO FT.
SCREEN.
DEPTH
FROM TO FT.
FROM TO FT.
FROM TO FT.
SAND/GRA"� ^v'
FROM_57
'
16. REMARKS;
DEPTH DRILLING LOG
FROM TO FORM. DESC.
� t
0
-o -
l o
0
o
cog
cl
tD o
W. THICK.
DIA OR WT/FT. MTL
24" CONC LOCATION SKETCH
MATERIAL METHOD
_CEMENT_ _POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
tD o
W. THICK.
DIA OR WT/FT. MTL
24" CONC LOCATION SKETCH
MATERIAL METHOD
_CEMENT_ _POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
'
I DO HER
15A NCAC�
1
APR - 7 2000
MATERIAL
_STONE
BUS. 74 E. FROM FOREST CITY
LEFT ON BOSTIC/SUNSHINE HWY
LEFT ON PEARIDGE RD. IN
BOSTIC. LEFT ON WHITESIDE
RD. RT. ON FREEMAN RD. 3/4
MILE ON LEFT. (483-479 ON
BOX) DRIVE ON LEFT. 2ND
HOUSE ON RT.
ea. T S WELL WAS CONSTRUCTED
ION STANDARDS, AND THAT
TO THE WELL OWNER.
SIGNATURE OF CONTRACTOR OR
IN ACCORDANCE WITH
A COPY OF THIS RECORD
DATE

NC DEHNR n o�
DEM - GW SECTION 2n J 0 it
P.O. BOX 29535 QUAD NO. SER. O.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN BOSTIC COUNTY: RUTH
FREEMAN RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER MICHAEL_YELTON FROM TO FORM. DESC.
ADDRESS FREEMAN-RD.
BOSTIC NC 28018_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 03-13-00 USE OF WELL: HOUSE
0
4. TOTAL DEPTH: 79'
5. CUTTINGS COLLECTED: YES NO XX o �_
6. DOES WELL REPLACE EXISTING WELL? YES NO XX =T
7. STAT. WAT. LEVL. BEL.TOP OF CASING _59_FT.
(USE + IF ABOVE TOP) N
S. TOP OF CASING IS 18" ABOVE LAND SURF.*�-
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GALS_
12. CASING:
W. THICK. `
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_79_FT._24"_ _CONC_ LOCATION SKETCH
FROM —TO —FT.
13. GROUT: BUS. 74 E. FROM FOREST CITY
DEPTH MATERIAL METHOD LEFT ON BOSTIC/SUNSHINE HWY
FROM_0_TO_20_FT. _ CEMENT _ _POURED_ LEFT ON PEARIDGE RD. IN
FROM TO FT. BOSTIC. LEFT ON WHITESIDE
14. SCREEN: RD. RT. ON FREEMAN RD. 1/2
DEPTH DIA SLOT SIZE MTL MILE ON LEFT.
FROM —TO —FT. —IN. —IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15. SAND/GRAVEL PACK::
FROM_59DE 7R'v 'j� ff6 MATERIAL
16. REMARKS:
uu
I DO HERE Y
15A NCAC C,L
FY THAT HI WELL WAS CONSTRUCTED IN ACCORDANCE WITH
.CON TI N STANDARDS, AND THAT A COPY OF THIS RECORD
THE'
m
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NQ Ji
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN ELLENBORO COUNTY: RUTH
OLD HOLLIS RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _JERRY_STROBOT FROM TO FORM. DESC.
ADDRESS _510_OLD_HOLLIS_RD.
_ELLENBORO NC 28040_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 03/13/00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 565' o
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
T—
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.' -
9. YIELD (GPM): 3 METHOD OF TEST-ARD
c>
10. WATER ZONES (DEPTH): w
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL �¢
12. CASING:
W. THICK.
DEPTH
DIA OR WT/FT. MTL
FROM _0_TO_30_FT._6-14/"
_PVC_
LOCATION
SKETCH
FROM
TO
FT.
13.
GROUT:
BUS. 74 FROM
ELLENBORO. RT.
DEPTH
MATERIAL
METHOD
ON PINEY MTN.
CHURCH RD. RT
FROM
_PRESS_
ON OLD HOLLIS
RD. 1 MILE ON
_0_TO_20_FT._CEMENT_
FROM
TO
FT.
RT.
14.
SCREEN -
DEPTH
DIA SLOT
SIZE MTL
FROM
—FT.—
IN.
IN.
FROM
—TO
TO
FT.
IN.
IN.
FROM
—TO —FT.
—IN.
—IN.
15.
SA
RR
TA
r
SIZE
MATERIAL
FR D
TO
FT. f
2�'
�{
16.
REM
Z D
0j:TH
T THIS
WELL WAS CONSTRUCTED IN ACCORDANCE
WITH
15A
RUCTION
STANDARDS,
AND THAT A COPY
OF THIS RECORD
_
HAS BEEN PROVIDED r,THE
WELL
OWNER.
7
SIGNATURE
CO TRACTOR
OR AGENT
DATE
c
-
-

NC DEHNR
DEM - GW SECTION
n
(1
P.O. BOX 29535 QUAD NO.
SER.
RALEIGH, NC 27626-0535 LAT
LONG
[phone] BASIN CODE
HEADER ENT.
GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN ELLENBORO COUNTY: RUTH
LAKE DAVIS RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER AMY_ELLIOTT FROM TO
FORM. DESC.
ADDRESS LAKE_DAVIS_RD.
NC 28040_
_ELLENBORO
CITY OR TOWN STATE ZIP CODE
6
3.
DATE DRILLED: 03/13/00 USE OF WELL: HOUSE_
4.
TOTAL DEPTH: 125'
^
5.
CUTTINGS COLLECTED: YES NO XX
T �'
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _40_FT.
(USE + IF ABOVE TOP)
_
8.
TOP OF CASING IS 18" ABOVE LAND SURF.`
9.
YIELD (GPM): 35 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
ca
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
o �?
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_30_FT._6-14/" _PVC_
FROM TO FT.
13. GROUT:
DEPTH
FROM
_0_TO_20_FT.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
-TO
-FT.
FROM
-TO
-FT.
FROM
TO
FT_.
15. SAN
�o�M
C
16
_TO FT.
i" 20
P R-7
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
11!1SIZE MATERIAL
---------------------
LOCATION SKETCH
BUS. 74 FROM ELLENBORO.
LEFT ON BEAMS MILL RD. RT.
ON LAKE DAVIS RD. 1/4 MILE
ON RT.
4T THIS WELL WAS CONSTRUCTED
RUCTION STANDARDS, AND THAT
THE WELL OWNE
In^A,.,�,i . 0)i1-`
SIGNATURE OF
m
IN ACCORDANCE WITH
A COPY OF THIS RECORD
I
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2159
1
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH
DRILLING LOG
2.
OWNER —BETTY-EARLY
FROM TO
FORM. DESC.
ADDRESS BIG_GUM_COURT
_RUTHERFORTDON NC 28139
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03/13/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 500,
o
5.
CUTTINGS COLLECTED: YES NO XX-
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _500_FT.
(USE + IF ABOVE TOP)
o
S.
TOP OF CASING IS 18" ABOVE LAND SURF."-
9.
YIELD (GPM): 0 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
o
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
w `
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_46_FT._6-14/" _PVC_
LOCATION
SKETCH
FROM —TO —FT.
13.
GROUT:
POORS FORD RD.
FROM SHILOH.
DEPTH MATERIAL METHOD
RT. ON BIG GUM
COURT. RT.
FROM_0_TO_20_FT.CEMENT_ _PRESS_
AT 1ST FORK. LEFT
AT NEXT
FROM —TO —FT.
FORK. HOUSE AT
DEAD-END.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT.— IN. IN.
FROM —TO —FT.— IN. IN.
15.
SAND/GRAVEL PACK:
M'- $IZE MATERIAL
16. RE Sc',
I O ERE
A fF�
A, '
T THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
RUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
E WELL OWNER.
Im
SIGNATURE OF
me,
DATE

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535 QUAD NO. SER. Nki r �f)
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2159
1
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH
DRILLING LOG
2.
OWNER —BETTY—EARLY
FROM TO
FORM. DESC.
ADDRESS BIG_GUM_COURT
_RUTHERFORTDON NC 28139
r
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03/12/00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 600,
5.
CUTTINGS COLLECTED: YES NO XX—
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
o —
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _600_FT.—
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*
9.
YIELD (GPM): 0 METHOD OF TEST—ARD
w
10.
WATER ZONES (DEPTH):
CD
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_37_FT._6-14/" _PVC_
LOCATION
SKETCH
FROM —TO —FT.
13.
GROUT:
POORS FORD RD.
FROM SHILOH.
DEPTH MATERIAL METHOD
RT. ON BIG GUM
COURT. RT.
FROM_0_TO_20_FT._CEMENT_ _PRESS_
AT 1ST FORK. LEFT
AT NEXT
FROM —TO —FT.
FORK. HOUSE AT
DEAD—END.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. IN. IN.
FROMTO IN. IN.
_
15.
SAND/ i
LIZH MATERIAL
OR
I DO REBShe HAT ;'HIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A N LL—CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
_ „HAS, BEEN ,PROVIDED THE WELL OWNER
SIGNATURE OF CONTRACTOR OR AGENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NOON,
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
----------------------------------------------------------------------------
----------------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN : RUTHERFORDTON COUNTY:
RUTH
OLD UNION MILL RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER CLINT_LONG
FROM TO FORM. DESC.
ADDRESS _ OLD _UNION _MILL_RD.
UNION_MILLS NC 28167
CITY OR TOWN STATE ZIP CODE
T
3.
DATE DRILLED: 03-11-00 USE OF WELL: HOUSE
�L
4.
TOTAL DEPTH: 230'
_.
5.
CUTTINGS COLLECTED: YES NO XX-
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
m
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
o :=r
_40_FT.
(USE + IF ABOVE TOP)
-
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
-'
9.
YIELD (GPM): 6 METHOD OF TEST-ARD_.
10.
WATER ZONES (DEPTH):
w
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_80_FT._6-1/4" _PVC_
LOCATION SKETCH
FROM —TO —FT.
13.
GROUT:
HWY. 221 N. FROM RUTHERFORD
DEPTH MATERIAL METHOD
TON. RT. ON OWENS CHAPEL
FROM_0_TO_20_FT._CEMENT_ _PRESS_
RD. RT. ON OLD UNION MILL
FROM —TO —FT.
RD. LAST HOUSE ON RT. BE-
14.
SCREEN:
FORE SHARP CURVE TO RT.
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT. —IN. —IN.
15.
SAND/GR ' T s2 _o l MATERIAL
FROM
16.
t
REMARKS UN 2 i
I DO HE E�2 BY Jh
15R-_NCA Ash
,'HAS HEED PROV.
IS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
ION STANDARDS, AND THAT A COPY OF THIS RECORD
-/t'
OR AGENT
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NCfCJSnt)';
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2159
-----------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH
DRILLING LOG
2.
OWNER DOUG_MILLER -
FROM TO
FORM. DESC.
ADDRESS 3121_POORS_FORD_RD.
NC 28139_
_RUTHERFORDTON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03-11-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 200'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
o
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _50_FT._
(USE + IF ABOVE TOP)_
8.
TOP OF CASING IS 181, ABOVE LAND SURF.`
_^
9.
YIELD (GPM): 10 METHOD OF TEST-ARD
o-
10.
WATER ZONES (DEPTH):
"
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
c�
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_63_FT._6-1/4" _PVC_
LOCATION
SKET6
FROM TO FT.
13.
GROUT:
POORS FORD RD.
FROM SHILOH.
DEPTH MATERIAL METHOD
APPROX. 1/4 MILE
ON LEFT
FROM _0_TO_20_FT._CEMENT_ _PRESS_
BEFORE HESTER
MILL RD.
FROM TO FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM -�- --FT. - IN. IN.
15.
SAND/G C
`l�JJ� a
MATERIAL
FROM OFT
16.
REMARK :
I DO HELEBY1uiM
_.L5� —NCAC-2C, WEL
i?A92 BEEN PROVIDE
111 ,
A!
94T—T*IS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
STRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
THE WELL OWNER. ,
SIGNATURE OF
OR AGENT
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER."M M.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 2785
------------------------------------------------
------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN RUTHERFORDTON COUNTY:
COVER RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER JIM_KEECH
ADDRESS 3102 COVE RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 03-11-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 185,
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _80_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 40 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_60_FT._6-1/4" _PVC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT._CEMENT_ _PRESS_
FROM TO FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT.— IN. IN.
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. IN. IN.
15. SAND/GR
MATERIAL
FROM pp
16. REMAR
;, i HA�BE3 OV:
_ 7 Kj
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
LOCATION SKETCH
HWY. 64/74A W. FROM RUTHER-
FORDTON. RT. ON COVE RD. GO
6-1/2 MILES & RT. ON DR.
W/3102 ON BOX. RT. AT FORK.
HOUSE AT DEAD END.
HAT THIS WELL WAS CONSTRUCTED
CTION STANDARDS, AND THAT
THE WELL OW
R
SIGNATURE OF"CONTRACTOR OR AGENT
IN ACCORDANCE WITH
A COPY OF THIS RECORD
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
. ")-nnr)
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.__
DRILLER REGISTRATION NO: 2785
------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN RUTHERFORDTON COUNTY:
DOCK RIDGE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER _KATHLEEN_MCELRATH
ADDRESS _162_DOCK-RIDGE _RD.
UNION MILLS NC 28167
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 03-10-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 425'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.`
9. YIELD (GPM): 3-1/2 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM _0_TO_60_FT.
FROM -TO -FT.
13. GROUT:
DEPTH
FROM _0_TO20FT.
FROM TO__FT.
14. SCREEN -
DEPTH
FROM -TO -FT.
FROM -TO -FT.
FROM -TO -FT.
15. SAND
FRO Dmq .
16. REM 1 1.JUN 2 12000
I
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
�} E MATERIAL
t.� �E�I���PgOVIDED�
APP - i S
STATE WELL CONSTRUCTION
PERMIT NUMBER:
------------------
------------------
BELOW)
RUTH
DEPTH DRILLING LOG
FROM TO FORM. DESC.
T
C
0
T
O
o
------------
LOCATION SKETCH
HWY. 221 N. FROM RUTHERFORD
TON. RT. ON OWENS CHAPEL
RD. RT. ON DOCKRIDGE RD.
1/4 MILE ON RT.
H4T THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
$RUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
THE WELL OWNER.r
OF CONTRACTOR OR
I
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
109�'�3
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: J946 g2 %l
------------------------------------------------
------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN UNION MILLS COUNTY:
THERMAL CITY
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER _SHIRLEY_KNOX
ADDRESS 142 THERMAL CITY RD.
UNION_MILLS NC 28167
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 03-10-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 59,
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _41_FT.
(USE + IF ABOVE TOP)
S. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 18' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM _0-TO_5 9_FT .
FROM TO FT.
13. GROUT:
DEPTH
FROM _0_TO20 FT.
FROM TO_FT.
14. SCREEN:
DEPTH
FROM TO FT.
FROM -TO -FT.
15
16
I DO
W. THICK.
DIA OR WT/FT. MTL
_24 "_ _CONC_
MATERIAL METHOD
-CEMENT_ -POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
U S MATERIAL
TO 59' _ 6M STONE
2
-- r.HAS fp�EN PROVIDED
i j1 i APR - 7 21Pri�� :.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
----------------------------
----------------------------
BELOW)
RUTH
DEPTH DRILLING LOG
FROM TO FORM. DESC.
i„
� r
�D o
------------------:K------
- -------------------------
LOCATION SKETCH
HWY. 221 N. FROM RUTHERORD-
TON. LEFT ON THERMAL CITY
RD. 1ST DRIVE ON RT.
THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
CTION STANDARDS, AND THAT A COPY OF THIS RECORD
WELL OWNER.
SIGNATURE OF -CONTRACTOR OR
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
QUAD NO. SER . 410.901
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 44-5- P-Sto-1
----------------------------------------------------------------------------
----------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : UNION MILLS COUNTY: RUTH
2
3
4
5
6
7
8
9
10
11
12
13
14
15
THERMAL CITY
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
OWNER _RICHARD_DUPREE
FROM TO FORM. DESC.
ADDRESS _THERMAL _CITY _RD.
UNION —MILLS —NC 28167
CITY OR TOWN STATE ZIP CODE
DATE DRILLED: 03-10-00 USE OF WELL: HOUSE
TOTAL DEPTH: 49'
CUTTINGS COLLECTED: YES NO XX
o r
DOES WELL REPLACE EXISTING WELL? YES NO XX
t. �-
STAT. WAT. LEVL. BEL.TOP OF CASING _29_FT.
(USE + IF ABOVE TOP)
TOP OF CASING IS 18" ABOVE LAND SURF.'
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
WATER ZONES (DEPTH):
-
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
•P
CASING:
�--Ei
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_49_FT._24" _CONC_
LOCATION SKETCH
FROM —TO —FT.
GROUT:
HWY. 221 N. FROM RUTHERORD-
DEPTH MATERIAL METHOD
TON. LEFT ON CRUTCHFIELD RD
FROM_0_TO_20_FT._CEMENT_ _POURED_
LEFT ON THERMAL CITY RD. DR
FROM —TO —FT.
ON LEFT AT LAKE.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT.— IN. IN.
FROM TO FT. IN. IN.
SAND/
" t_� u YZ MATERIAL
FROM_ TOp_p4�9'_FT._ 6M_ _STONE
16. REMAR
I DO ERE3J, �° HAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A ,, CTION STANDARDS, AND THAT A COPY OF THIS RECORD
- l ' 1� P �IDED HE WELL OWN R .
APR — 7con , SIGNATU E O CONT ACTOR OR AG NT DATE

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535 QUAD NO. SER. I 4•
RALEIGH, NC 27626-0535 LAT LONG 4. j
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
��//
DRILLER REGISTRATION NO: 9.4'6 P,5;i
-----------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN ELLENBORO COUNTY: RUTH
WALLS CHURCH RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER CLIFFORD_JONES FROM TO
FORM. DESC.
ADDRESS
_1355_WALLS_CHURCH_RD.
NC 28040_
_ELLENBORO
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03-09-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 67'
5.
CUTTINGS COLLECTED: YES NO XX�
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
rr
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _47_FT.
7=7
(USE + IF ABOVE TOP)
v-
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*
9.
YIELD (GPM): 20' METHOD OF TEST —STEEL TAPE_
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
_
12.
CASING:
•� �,
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_67_FT. _24"_ _CONC_ LOCATION
SKETCH
FROM TO FT.
13.
GROUT. HOLLIS RD. FROM
ELLENBORO.
DEPTH MATERIAL METHOD LEFT ON WALLS
CHURCH RD.
FROM FT. _ CEMENT _ _POURED_ 1ST HOUSE ON
RT. PAST TV
_0_TO_20_
FROM TO FT. REPAIR SHOP.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15.
SAND/G M R
E�I' U �'` ALE MATERIAL
FROM 71_FT._ 0- 6M_ _STONE
_
30N .. Z�CL l j
16.
REMAR
I DO H R g 0 AT HIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NC C hev on TION STANDARDS, AND THAT A COPY
OF THIS RECORD
f
(jH1�F2N��PROVIDED O THE WELL OWNER.
#')I_ APR — 7 2000 �1, `, � SIGNATURE O CO TRACTOR OR AGENT
DATE

NC DEHNR
DECTION
P.O.GBOX E295335 QUAD NO. SER " e(a f_
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO:-9+1.6a!z,%
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN : FOREST CITY COUNTY:
RUTH
MORNINGSTAR LAKE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER DON_ROBERSON
FROM TO FORM. DESC.
ADDRESS LAKE _RD. _
_557_MORNINGSTAR_
FOREST CITY NC 28043_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03-09-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 65'
5.
CUTTINGS COLLECTED: YES NO XX
Ca
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _47_FT.
r+
(USE + IF ABOVE TOP)
o c_:_
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 18' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
—
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
Fa
—te—�--
W. THICK.
x
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_65_FT._24"_ _CONC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
BY-PASS 74 E. FROM FOREST
DEPTH MATERIAL METHOD
CITY. RT. ON BETHANY CH. RD
FROM . _POURED_
AT KFC . LEFT ON DOGGETT RD.
_0_TO_20_FT _CEMENT_
FROM TO FT.
RT. ON MORNINGSTAR LAKE RD.
14.
SCREEN:
WHITE TRAILER W/GREEN SHUT -
DEPTH DIA SLOT SIZE MTL
TERS ON RT. PAST BRIDGES
FROM TO FT. IN. IN.
FARM RD.
FROM TO FT. IN. IN.
FROM TO FT. —IN. —IN.
15.
SAND/G Wd apuagsg
DEP jKemalhm3 SIZE MATERIAL
FROM_4 ' _ _FT . _N M_ _STONE
_
,,�
16.
REMARK
�5�-'lze
}iA BEEN ,PRC
_ 7 MY
HA JHIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
STR TION STANDARDS, AND THAT A COPY OF THIS RECORD
THE WELL OWVR, ,
DATE
SIGNATURE
m

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
20Is9r:.3
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT._
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
----------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
MOSS RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER JEFF_ENSLEY FROM TO
FORM. DESC.
ADDRESS MOSS-RD.
NC 28139_
_RUTHERFORDTON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03-08-00 USE OF WELL: HOUSE
o j
4.
TOTAL DEPTH: 345'
5.
CUTTINGS COLLECTED: YES NO XX-��
P-
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
PC
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
3
S.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 15 METHOD OF TEST-ARD
o -'
10.
WATER ZONES (DEPTH):
w
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
Z
12. CASING:
DEPTH
FROM _0_TO_9
0_FT
.
FROM
TO
FT.
13. GROUT.
DEPTH
FROM _0_TO_20_FT.
FROM
—TO —FT.
14. SCREEN:
DEPTH
FROM
—TO —FT.
FROM
—TO —FT.
FROM
—TO —FT.
15. SAND/
n"'eeserrd_E-L_PA —ti'-=_
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_ LOCATION SKETCH
HWY. 64/74A W. FROM RUTHER-
MATERIAL METHOD FORDTON. LEFT ON COOPERS
_CEMENT_ _PRESS_ GAP RD. RT. ON MOSS RD. 1
MILE ON RT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
16. REMARM 0_2 1 2000
MATERIAL
14AT THIS WELL WAS CONSTRUCTED
S=JJCTION STANDARDS, AND THAT
THE WELL OWRER.r\ ,
OF
OR AGENT
IN ACCORDANCE WITH
A COPY OF THIS RECORD
-2 'co

NC DEHNR nn
DEM - GW SECTION Q J l 1 J
P.O. BOX 29535 QUAD NO. SER.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2567
----------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. &-LOT NO.) DEPTH
DRILLING LOG
2.
OWNER DAVID_NOLAND FROM TO
FORM. DESC.
ADDRESS 1624_DARK_C0RNER_RD.
NC 28139
_RUTHERFORDTON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03-08-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 65'
5.
CUTTINGS COLLECTED: YES NO XX
r+
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
'
_45_FT.
( USE + IF ABOVE TOP)
�v
==
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
T
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
o_{°
12.
CASING:
W. THICK.
`D
DEPTH DIA OR WT/FT. MTL
a
FROM _0_TO_65_FT. _24"_ _CONC_ LOCATION
SKETCH
FROM TO FT.
13.
GROUT: BIG ISLAND RD.
FROM SHILOH.
DEPTH MATERIAL METHOD RT. ON 2ND DARK CORNER RD.
FROM _0_T0_20_FT. _ CEMENT _ _POURED_ 1ST HOUSE ON
LEFT.
FROM TO FT.
14.
SCREEN.
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_4 5_TO_6 5 ' _FT . _NO . 6M_ _STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A N TRUCTION STANDARDS, AND THAT A COPY
OF THIS RECORD
d _ S` G�IJEIHE WELL OWN
Mt
APR
- 7 20 ( �� �r B OF CO TRACTOR OR AGENT
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
((�� n 1 4
QUAD NO. SER . rw
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
----------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN BOSTIC COUNTY: RUTH
SUNSHINE COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _ROSS HILL BAPTIST CH.(PARSONAGE)_ FROM TO FORM. DESC.
ADDRESS BOSTIC/SUNSHINE_HWY. _
BOSTIC NC 28018_ _
CITY OR TOWN STATE ZIP CODE _
3. DATE DRILLED: 03-07-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 75'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _55_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF."
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM _0_TO_7 5_FT .
FROM TO FT.
13. GROUT:
DEPTH
FROM _0_TO2 0FT .
FROM TO__FT.
14. SCREEN:
DEPTH
FROM -TO -FT.
FROM -TO -FT.
FROM -TO -FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM_55'_TO_75'_FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
24" CONC
---------------
LOCATION SKETCH
BUS. 74 E. FROM FOREST CITY
MATERIAL METHOD LEFT ON BOS.TIC/SUNSHINE HWY
_CEMENT_ _POURED_ WHITE HOUSE ON CORNER OF
BOSTIC/SUNSHINE HWY. & CAL -
TON DAIRY RD.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY CERTIFY
15A.NCAC 2C, WELL C
-`';'HAS BEEN PRO B�
APR - 7 2000
THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
RSTRUCTION STANDARDS.. AND THAT A COPY OF THIS RECORD

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER .:J 1 ��
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2785
-------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN BOSTIC COUNTY: RUTH
SUNSHINE COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER MICHAEL_PEARSON FROM TO FORM. DESC.
ADDRESS PEARSON_MOSS_DR.
BOSTIC NC 28018_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 03-07-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 34'
5. CUTTINGS COLLECTED: YES NO XX —'
6. DOES WELL REPLACE EXISTING WELL? YES NO XX --o — L3
7. STAT. WAT. LEVL. BEL.TOP OF CASING _22_FT.
(USE + IF ABOVE TOP)=`
S. TOP OF CASING IS 18" ABOVE LAND SURF.' N�
9. YIELD (GPM): 12' METHOD OF TEST —STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL'
12. CASING:
W. THICK. woo
DEPTH DIA OR WT/FT. MTL_______________________
FROM _0—TO_34_FT. _24"— _CONC_ LOCATION SKETCH
FROM TO FT.
13. GROUT: BUS. 74 E. FROM FOREST CITY
DEPTH MATERIAL METHOD LEFT ON TONEY RD. IN SUN —
FROM _0_TO_20_FT. —CEMENT— _POURED_ SHINE. GO STRAIGHT AT SHARP
FROM TO FT. CURVE TO LEFT ONTO PEARSON
14. SCREEN: MOSS DR. GRAVEL DRIVE ON RT
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
FROM __ Q FT. IN. IN.
15. SAND/ V A&KO M
U MATERIAL
FROM TO_34'_FT. 6M STONE
16. REMAR S:
i
_� I DO f{IERE�S6ev --— ��yT'HAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
—�] �NAC`2C, WELL CTION STANDARDS, AND THAT A COPY OF THIS RECORD
7. SAS';M _. ,PROVIDED TO THE WELL OW
I±a APR - 7 KDGO
SIGNATURE CONTRACTOR OR AGENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. 218�q 0 0 3_
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
1
------------------------------------------------------------------------
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
HOGAN RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER DAVID_MCPEAK
FROM TO FORM. DESC.
ADDRESS HOGAN_RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03-07-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 525'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _50_FT.
r -
(USE + IF ABOVE TOP)'
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 1-1/2 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
-
12.
CASING:��
W. THICK.
�� =
fl
DEPTH DIA OR WT/FT. MTL
o
FROM_0_TO_50_FT._6-1/4" _PVC_
LOCATION SKETCH
FROM -TO -FT.
13.
GROUT:
HWY. 221 S. FROM RUTHERFORD
DEPTH MATERIAL METHOD
TON. RT. ON HOGAN RD. 2
FROM_0_TO_20_FT._CEMENT_ _PRESS_
MILES ON RT.
FROM -TO -FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT. -IN. -IN.
FROM -TO -FT. -IN. -IN.
FROM -TO -FT. IN. IN.
15.
SAND/GRAVEL PACK'--
DEPTH;_ MATERIAL
FROM TO - FT.
B
16.
REMARK$�i4l'
L41-9101
F� HAS P3�E�, PTOVII
�iAT tHIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
TION STANDARDS, AND THAT A COPY OF THIS RECORD
THE WELL OWNERr,, ,
SIGNATURE
A
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER.4w
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
-----------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN UNION MILLS COUNTY:
RUTH
CAMP CREEK RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER JAMES_NORTON
FROM TO FORM. DESC.
ADDRESS _822_CAMP-CREEK _RD.
_MILLS NC 28167
_UNION
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03-06-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 30'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
o
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _20_FT.
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
ram_
9.
YIELD (GPM): 10' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
—
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
o
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_30_FT. _24"_ _CONC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT.
HWY. 64 E. FROM RUTHERFORD-
DEPTH MATERIAL METHOD
TON. LEFT ON CENTINIEL RD.
FROM _CEMENT_ _POURED_
RT . ON CAMP CREEK RD. 1
_0_TO_20_FT.
FROM TO FT.
MILE ON RT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
15.
SAND/GRA
MATERIAL
FROM_20T
_STONE
16. REMARKS:
I DO HER!
._._.___l_5A.,NCACt
HAS BEEN
APR - 7
!: t
BY ; g TH S WELL WAS CONSTRUCTED IN ACCORDANCE WITH
2C,,,,,A.y�gl^PRUCT ON STANDARDS, AND THAT A COPY OF THIS RECORD
PROVIDED THE WELL OWN
I
OR AGENT
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER.
LAT LONG "
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2159
-------------------------------------------------------------
-------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN ELLENBORO COUNTY: RUTH
NEW HOUSE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
2. OWNER _W.C._EDWARDS FROM TO
ADDRESS 1937_NEW_HOUSE_RD.
_ELLENBORO NC 28040
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 03-06-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 205'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _40_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 100+ METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_60_FT._6-1/4" _PVC_
FROM -TO -FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT . _CEMENT_ -PRESS-
FROM-TO-FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT. IN. IN.
FROM -TO -FT. IN. IN.
FROM TO __ IN. IN.
15. SA /G L P�C�:�
�9 IZE MATERIAL
FR TOT.
J Ey ' f
16. RE .
DRILLING LOG
FORM. DESC.
LOCATION SKETCH
NEW HOUSE RD. FROM ELLEN-
BORO. LAST DRIVE ON LEFT
BEFORE BLACK RD.
I D HEM t mu�T THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
HAS BEEN PROVIDED T )HE WELL OWN R.
;I APR - ( SIGNATURE OF CONTRA OR OR AGENT DATE

NC DEHNR O
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER
REGISTRATION NO: 2160
1
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
-----------------
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
COVE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER MRS._MCENTIRE
FROM TO FORM. DESC.
ADDRESS COVE RD.
_RUTHERFORDTON NC 28139_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03-03-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 405'
5.
CUTTINGS COLLECTED: YES NO XX
o
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX-
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
a. r'--
(USE + IF ABOVE TOP)
—
8.
TOP OF CASING IS 18" ABOVE LAND SURF.`
9.
YIELD (GPM): 3 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL—
12.
CASING:
W. THICK.
c.T�
DEPTH DIA OR WT/FT. MTL
O o
FROM_ 0_TO_80_FT._6-1/4" _PVC_
LOCATION SKETCH
FROM —TO —FT.—
13.
GROUT:
HWY. 64/74A W. FROM RUTHER-
DEPTH MATERIAL METHOD
FORDTON. RT. ON COVE RD.
FROM 0_TO_20_FT._CEMENT_ _PRESS_
2ND HOUSE ON LEFT PAST OAK
FROM —TO —FT.
RIDGE BAPTIST CHURCH
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
FR TO IN. IN.
15.
SA
DEPTH D IZE MATERIAL
FR Sg'T .
16.
RE R
ndwate' n
R Office
I T THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL C STRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
-HAS-BEEN
PROVIDED O HE WELL OWNE .
did
_ SIGNATURE 000NTRACTOR OR
AGENT DATE

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 946
QUAD NO. SER .�
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
-----------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : RUTHERFORDTON COUNTY: RUTH
MAPLE CREEK RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER _JOE_CARSON
ADDRESS MAPLE_CREEK_RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 03-03-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 185F
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60FT.
(USE + IF ABOVE TO_P)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 15 METHOD OF TEST—ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_80_FT .
FROM —TO —FT.
13. GROUT:
DEPTH
FROM_0_TO_2 0_FT .
FROM —TO —FT.
14. SCREEN:
DEPTH
FROM —TO —FT.
FROM —TO —FT.
15. S
F
T(
16. R
K
I DO
(qAp
PEM"
l7`_I
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
0
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_ LOCATION SKETCH
MAPLE CREEK RD. FROM RUTH—
MATERIAL METHOD ERFORDTON. 2 MILES ON RT.
_CEMENT_ _PRESS_ PAST THOMPSON ROCK QUARRY.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
TIN. IN,
11 SIZE MATERIAL
ZEWJ FY7HAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
'WELL STRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
OVIDE TO HE WELL OWNF,Rc�
'SIGNATURE OF CONTRACTOR OR AGENT DATE

0
NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
nn ,.
As
2-0� 1. c
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 2160
1
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN CLIFFSIDE COUNTY:
RUTH
CHESTERFIELD RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER NUBERTO_JIMENEZ
FROM TO FORM. DESC.
ADDRESS 617_CHESTERFIELD_RD.
CLIFFSIDE NC 28024
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 03-02-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 205'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
— p
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
—��_—
_50_FT.
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 15 METHOD OF TEST—ARD
10.
WATER ZONES (DEPTH):
�'--
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:_
W. THICK.
o
DEPTH DIA OR WT/FT. MTL
________________________
FROM _0_TO_50_FT._6-1/4" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT.
HWY. 221A S. FROM CLIFFSIDE
DEPTH MATERIAL METHOD
LEFT ON 2ND CHESTERFIELD RD
FROM_0_TO_20_FT._CEMENT_ _PRESS_
1/4 MILE ON RT.
FROM —TO —FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT. —IN.
FRO
—IN.
.._.. TO FT•.----• IN. IN.
15.
SANI
C4R.�V
?AEK• !S
y
_
ZE MATERIAL
FRO
TO
16.
REMI
RK
Groundwater Section
I DC
THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL C NSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
" HP�S—B �rEN-! O HE WELL OWNE
tU,
R-OVIDED
L
t
r
APR _ Z�Ij,� �; f SIG TURE CO TRACTOR OR
AGENT DATE

L
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
20900"
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
------------------------------------------------------------------------
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
2
3
4
5
6
7
8
9
10
11
12
13
NEAREST TOWN RUTHERFORDTON
COUNTY: RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH
DRILLING LOG
OWNER DWIGHT_FERGUSON
FROM TO
FORM. DESC.
ADDRESS 2374_POORS_FORD_RD.
_RUTHERFORDTON NC
28139
CITY OR TOWN STATE
ZIP CODE
DATE DRILLED: 03-01-00 USE OF WELL:
HOUSE
TOTAL DEPTH: 305'
CUTTINGS COLLECTED: YES NO XX
c� f
DOES WELL REPLACE EXISTING WELL? YES
NO XX
STAT. WAT. LEVL. BEL.TOP OF CASING
_50_FT.
(USE + IF ABOVE
TOP)
TOP OF CASING IS 18" ABOVE LAND
SURF.*
YIELD (GPM): 6 METHOD OF TEST-ARD��_
WATER ZONES (DEPTH):
CHLORINATION: TYPE CLOROX AMOUNT
1/2 GAL
CASING:
0
W. THICK.
—
DEPTH OR WT/FT.
FROM _0_TO_90_FT.
FROM TO FT.
GROUT:
DIA
_6-1/4"
MTL
_PVC_
DEPTH
MATERIAL
METHOD
FROM
_0_TO_20_
FT.
_CEMENT—
_PRESS_
FROM
TO
FT.
14. SCREEN:
DEPTH
DIA SLOT
SIZE MTL
FROM
TO
FT.
IN.
IN.
FROM
TO
FT.
IN.
IN.
FROM
TO
FT.
IN.
IN.
15. SAND/GRA
16
I
APR -72"', t
LJ
ZE MATERIAL
-------------
LOCATION SKETCH
POORS FORD RD. FROM SHILOH.
YELLOW HOUSE ON RT. 1-3/10
MILES FROM CHURCH.
H4T THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
UCTION STANDARDS, AND THAT A COPY OF THIS RECORD
THE WELL OWNER (1 ,
u�vAlom . [ 1 �4 ) YQ/r\ �� -1 O U
SIGNATURE OF CONT ACTOR OR AGENT DATE

NC DEHNR >
DEM - GW SECTION 0 0 � n 1 �)
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : HARRIS COUNTY: RUTH
W.V. THOMPSON RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER —TERRY-STOCKMAN FROM TO FORM. DESC.
ADDRESS _1885_W.V._THOMPSON_RD.
HARRIS NC 28074_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 03-01-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 205'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX n_
7. STAT. WAT. LEVL. BEL.TOP OF CASING _50_FT.�_
(USE + IF ABOVE TOP) _
8. TOP OF CASING IS 18" ABOVE LAND SURF.' o
9. YIELD (GPM): 15 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL o
12. CASING: w�
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_50_FT._6-1/4" _PVC_ LOCATION SKETCH
FROM —TO —FT.
13. GROUT: HWY. 221 S. FROM RUTHERFORD
DEPTH MATERIAL METHOD TON. RT. ON HARRIS/HENRI-
FROM_0_TO_20_FT. _CEMENT— _PRESS_ ETTA RD. RT. AT STOP SIGN.
FROM TO FT. CROSS RR & LEFT ON JACK MC-
14. SCREEN: KINNEY RD. RT. ON WV THOMP-
DEPTH DIA SLOT SIZE MTL SON RD. APPROX. 3-1/2 MILES
FROM TO FT. IN. IN. ON LEFT.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15. SAND/ y_pnrir.M_R
FROM 0 ER� 0 U L 1fIZ$ MATERIAL
16. REMAR C 2l1LiD L v
I DO E, A THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
.__...1SAe �,q; CTION STANDAR S, AND THAT A COPY OF THIS RECORD
�'H BFtEI 7 lit v = 1ED THE' WELL OWNE
7 2000 SIGNATURE OF CONTRACTOR OR AGENT DATE
i
-�'4'ft n"SiOPJI ii"

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO. 20759�_
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
----------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER BETTY LINDER FROM TO FORM. DESC.
ADDRESS 711_CLEGHORN_MILL_RD. _
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-29-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 43' C3
5. CUTTINGS COLLECTED: YES NO XX�
6. DOES WELL REPLACE EXISTING WELL? YES NO XX o;
7. STAT. WAT. LEVL. BEL.TOP OF CASING _23_FT.
t
(USE + IF ABOVE TOP) CC) �^
8. TOP OF CASING IS 18" ABOVE LAND SURF.` 7
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE 51�
10. WATER ZONES (DEPTH): «�_
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL CD
12. CASING: W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_43_FT._24" _CONC_ LOCATION SKETCH
FROM -TO -FT.
13. GROUT: CLEGHORN MILL RD. FROM SHI-
DEPTH MATERIAL METHOD LOH. GRAVEL DRIVE ON LEFT
FROM_0_TO_20_FT._CEMENT_ _POURED_ BEFORE WEEKS RD. 1ST TRAIL -
FROM -TO -FT. ER ON RT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT. IN. IN.
FROM -TO -FT. IN. IN.
FROM -TO -FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM 23 TO 43' FT. NO. 6M STONE
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
_- 4A-NCAr---2C-,_..WEIL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
A 4NW?i1jfDED THE WELL W
i- •----_ ii�
•� y P Ton ji SIGNATURE 6F CON ACTOR OR AGENT ?� DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
20759'S
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 946
------------------------------------------------
------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN BOSTIC COUNTY:
BOSTIC YARD RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER JEANETTE_BARNETTE
ADDRESS _280_BOSTIC_YARD_RD.
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-29-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 47'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _27_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_4 7_FT .
FROM —TO —FT.
13. GROUT:
DEPTH
FROM_0_TO_20_FT .
FROM —TO —FT.
14. SCREEN:
DEPTH
FROM —TO —FT.
FROM —TO —FT.
FROM —TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM 27' TO 47' FT.
16. REMARKS:
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH
FROM TO
DRILLING LOG'
FORM. DESC.
W. THICK.
DIA OR WT/FT. MTL
_24"_ _CONC_ LOCATION SKETCH
BUS. 74 E. FROM FOREST CITY
MATERIAL METHOD LEFT ON BOSTIC/SUNSHINE HWY
_CEMENT_ _POURED_ LEFT ON PEARIDGE RD. IN
BOSTIC. LEFT ON BOSTIC YARD
RD. 1/2 MILE ON RT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ —STONE
—
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
--i G.r.. ELL CONSTRUCTION STANDARDS, AND THAT A gAP-Y-4;FP�Fl-S RECORD
SBEWt DED THE WELL OWNER.
ill q_Q
�- SIGNATURE OF CONTRACTOR OR AGENT'IYIMR t bATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
20'7592
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1. WELL LOCATION (SHOW SKETCH OF THE LOCATION
NEAREST TOWN RUTHERFORDTON COUNTY:
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER MIKE SUMMERS
ADDRESS _480_HESTER_MILL_RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-28-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 75'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _57_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 18' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_75_FT._24"_ _CONC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT._CEMENT_ -POURED-
FROM-TO-FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT. -IN. -IN.
FROM -TO -FT. -IN. -IN.
FROM -TO -FT. -IN. -IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM 57 TO 75' FT. NO. 6M STONE
16. REMARKS:
BELOW)
RUTH
DEPTH DRILLING LOG
FROM TO FORM. DESC.
-------------------
LOCATION SKETCH
POORS FORD RD. FROM SHILOH.
LEFT ON HESTER MILL RD. 1/2
MILE ON LEFT.
IFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
L CONSTRUCTION STANDARDS, AND THAT•=-A`COPY,OF THIS RECORD
D TqTHE WELL OWNER.
- o D
OF CONTRACTOR OR AGEI wj

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER . NO.207591
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 946
------------------------------------------------
------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN ELLENBORO COUNTY:
WALLS CHURCH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER DEBBIE_DYER
ADDRESS WALLS—CHURCH—RD.
_ELLENBORO NC 28040
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-28-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 38'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _20_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 18' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_3 8_FT .
FROM TO FT.
13. GROUT:
DEPTH
FROM_0_TO_2 0_FT .
FROM —TO —FT.
14. SCREEN:
W. THICK.
DIA OR WT/FT. MTL
_24"_ _CONC_
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH DRILLING LOG
FROM TO FORM. DESC.
0
i
co
o--I
lD O
LOCATION SKETCH
BUS. 74 W. FROM ELLENBORO.
MATERIAL METHOD RT. ON PINEY MTN. CHURCH
_CEMENT_ _POURED_ RD. LEFT ON WALLS CHURCH RD
2ND DRIVE ON LEFT.
DEPTH
DIA SLOT
SIZE MTL
FROM
—TO
—FT.
IN.
IN.
FROM
—TO
—FT.
IN.
IN.
FROM
—TO
—FT.
IN.
IN.
15. SAND/GRAVEL
PACK:
DEPTH
SIZE
MATERIAL
FROM
20' TO
38' FT.
NO. 6M
STONE
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
�IAf CAC 2C, WELL NSTRUCTION STANDARDS, AND THAT
A01,BEEN PROVIDED TO THE WELL OW ER.
SIGNATURE OV CONTRACTOR OR AGENT
IN ACCORDANCE WITH
A { ._Y QF. THIS RECORD
fl- k I

NC DEHNR
DEM - GW SECTION
207568
P.O. BOX 29535
QUAD NO. SER. NO.
RALEIGH, NC 27626-0535
LAT LONG
[phone]
BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING
CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER
REGISTRATION NO: 946
I.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
HOGAN RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER DAVID_MCPEAK
FROM TO FORM. DESC.
ADDRESS HOGAN—RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 02-28-00 USE OF WELL: HOUSE
�-
4.
TOTAL DEPTH: 645'
5.
CUTTINGS COLLECTED: YES NO XX
o-
3 —
6.
DOES WELL REPLACE EXISTING WELL? YES NO
XX a
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
_
o
_645_FT.
(USE + IF ABOVE TOP)ea
sm�
o
8.
TOP OF CASING IS 18" ABOVE LAND SURF.•-
9.
YIELD (GPM): 0 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
o
12.
CASING:
co .5
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_55_FT._6-1/4" _PVC
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
HWY. 221 S. FROM RUTHERFORD
DEPTH MATERIAL METHOD
TON. RT. ON HOGAN RD. 2
FROM _0_TO_20_FT._CEMENT_
MILES ON RT.
_PRESS_
FROM TO FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM TO FT.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
E Cq STRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
�? 96 TP THE WELL OWNER.
MAR -s2000 1' - D?J
SIGNATURE OF'CONTRACTOR OR AGENT }, DATE
Emundwate- Sedim
&ViN Reg e ial �;_

NC DEHNR
DEM - GW SECTION n//��
P.O. BOX 29535 QUAD NO. SER. NO.20q 5 6 4
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
----------------------------------------------------------------------------
----------------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN BOSTIC COUNTY:
RUTH
WASHBURN COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)'
DEPTH DRILLING LOG
2.
OWNER RONALD_TONEY
FROM TO FORM. DESC.
ADDRESS _300_ENGINEER_RD.
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 02-24-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 605'
5.
CUTTINGS COLLECTED: YES NO XX
o
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
—
(USE + IF ABOVE TOP)
rn
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*
o
9.
YIELD (GPM): 3 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
T na
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
r,
12.
CASING:
cc) o
W. THICK.
`
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_80_FT._6-1/4" _PVC_
LOCATION SKETCH
FROM —TO —FT.
13.
GROUT:
BUS. 74 E. FROM FOREST CITY
DEPTH MATERIAL METHOD
LEFT ON BOSTIC/SUNSHINE HWY
FROM_0_TO_20_FT._CEMENT_ _PRESS_
LEFT ON ANDREWS MILL RD. RT
FROM —TO —FT.
ON ENGINEER RD. 2ND DRIVE
14.
SCREEN:
ON RT.
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. —IN. —IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE
FROM —TO —FT.
16. REMARKS:
MATERIAL
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
6'--2C1., WELL NSTRUCTION STANDARDS2, AND THAT A COPY OF THIS RECORD
NRPFOVIDED TO THE WELL OWN
_- I0
MAR - r SIGNATURE OF CONTRACTOR OR AGENT DATE

NC DEHNR
DEM — GW SECTION 207565
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1
----------------------------------------------------------------
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN BOSTIC COUNTY:
RUTH
WASHBURN COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER DONALD_RUSS
FROM TO FORM. DESC.
ADDRESS _791_ENGINEER _RD.
BOSTIC NC 28018_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 02-24-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 305'
— C — —
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
_300_FT.
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 0 METHOD OF TEST—ARD
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
_
12.
CASING:
co
W. THICK.
DEPTH DIA OR WT/FT. MTL
FR0M_0_T0_60_FT._6-1/4" _PVC_
LOCATION SKETCH
FROM —FT.
13.
—TO
GROUT:
BUS. 74 E. FROM FOREST CITY
DEPTH MATERIAL METHOD
LEFT ON BOSTIC/SUNSHINE HWY
FR0M_0_TO_20_FT._CEMENT_ _PRESS_
LEFT ON ANDREWS MILL RD. RT
FROM TO FT.
ON ENGINEER RD. 1-1/2 MILES
14.
SCREEN.
ON LEFT.
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
--lSA—NGAC-2Cx7--WELL PONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
D JA� @3*WtC9VpDED O THE WELL OWN R.
Cj-�
MAR— S 2000 SIGNATURE Ofr CONTRACTOR OR AGEN{P ;' DATE
Croundwater Section —TM
Asheville R PJiLnzl Of ce

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
20'758
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 946
------------------------------------------------
------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN : HARRIS COUNTY:
ROLLING HILLS CIRCLE
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER _KATHY_RAINS
ADDRESS _ROLLING_HILLS_CIRCLE
HARRIS NC 28074
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-23-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 50,
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _35_FT.
(USE + IF ABOVE TOP)
S. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 15' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_50_FT .
FROM -TO -FT.
13. GROUT:
DEPTH
FROM_0_TO_20_FT .
FROM -TO -FT.
14. SCREEN:
DEPTH
FROM -TO -FT.
FROM -TO -FT.
FROM -TO -FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM 35 TO 50' FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_24 "_ _CONC_
MATERIAL METHOD
_CEMENT_ _POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
LOCATION SKETCH
HWY. 221 S. FROM RUTHERORD-
TON. RT. ON JACK MCKINNEY
RD. AT RR TRACKS, STAY RT.
ON JACK MCKINNEY RD. LEFT
ON ZSISMOND RD. RT. ON
ROLLING HILLS CIRCLE. 2/10
MILE ON LEFT.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
Ux=WELLNSTRUCTION STANDARDS, AND THAT
VtDEDl TO, THE WELL OWNER(.\ -i I
IN ACCORDANCE WITH
A COPY OF THIS RECORD
sw...®

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
QUAD NO. SER. NO. 20756f
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1
01
3.
4.
5.
6.
7.
8
9
10
11
12
13
14
15
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
GREENHILL COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
OWNER BERTHA _GERAGHTY FROM TO FORM. DESC.
ADDRESS _LOT_23_GREENHILL_FARMS
_RUTHERFORDTON NC 28139_
CITY OR TOWN STATE ZIP CODE
DATE DRILLED: 02-23-00 USE OF WELL: HOUSE _
TOTAL DEPTH: 445'
CUTTINGS COLLECTED: YES NO XX o
DOES WELL REPLACE EXISTING WELL? YES NO XX
STAT. WAT. LEVL. BEL.TOP OF CASING _160_FT.
(USE + IF ABOVE TOP) -*
TOP OF CASING IS 18" ABOVE LAND SURF.'
-
YIELD (GPM): 40 METHOD OF TEST-ARD
WATER ZONES (DEPTH):
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
CASING•
W.
THICK.
_
DEPTH
DIA OR
WT/FT. MTL
FROM _0_TO_90_
FT.
_6-1/4"
_PVC_
LOCATION SKETCH
FROM
TO
FT.
GROUT:
HWY. 64/74A W. FROM RUTHER-
DEPTH
MATERIAL METHOD
FORDTON. LEFT INTO GREEN -
FROM
FT.
_PRESS_
HILL FARMS (JUST PAST CH.)
_0_TO_20_
FROM
TO
FT.
_CEMENT_
STRAIGHT AT CROSSROADS. LO'P
SCREEN:
ON RT.
DEPTH
DIA SLOT SIZE MTL
FROM
TO
FT.
IN.
IN.
FROM-TO--FT.-IN.
IN.
FROM
TO
FT.
IN.
IN.
SAND/GRAVEL PACK:
DEPTH
SIZE
MATERIAL
FROM
TO
FT.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS
-j&A-NCAC 2C, WEL ONSTRUCTION
_ L BEFN;PROVID D TO THE WELL
L U
MR - 6 211 it - SIGNATURE OF
i
WELL WAS CONSTRUCTED IN ACCORDANCE WITH
STANDARDS, AND THAT A COPY OF THIS RECORD
OWN R.
CONTRACTOR OR AGEN : + ° MAR 0 ) U DATE
NIL'
u `

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
20'758G
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
----------------------------------------------------------------------------
----------------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE
LOCATION BELOW)
NEAREST TOWN ELLENBORO
COUNTY: RUTH
HOPEWELL COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH
DRILLING
LOG
2.
OWNER JIMMY_HOOPER
FROM TO
FORM.
DESC.
ADDRESS HOLLIS_RD.
_ELLENBORO NC
28040
CITY OR TOWN STATE
ZIP CODE
3.
DATE DRILLED: 02-22-00 USE OF WELL:
HOUSE
4.
TOTAL DEPTH: 68,
�-
5.
CUTTINGS COLLECTED: YES NO XX
o
6.
DOES WELL REPLACE EXISTING WELL? YES
NO XX
-
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
(USE + IF ABOVE
_48_FT.
TOP)
=
8.
TOP OF CASING IS 18" ABOVE LAND
SURF.*
9.
YIELD (GPM): 20' METHOD OF TEST -STEEL
TAPE
a
10.
WATER ZONES (DEPTH):
ten-
11.
CHLORINATION: TYPE CLOROX AMOUNT
1/2 GAL
r-r
12.
CASING:
ko
DEPTH DIA
FROM-0—TO-6 8—FT. 2 4
FROM —TO —FT.
13. GROUT:
DEPTH
FROM_0_TO_2 0_FT .
FROM —TO —FT.
14. SCREEN:
W. THICK.
OR WT/FT. MTL
_CONC
MATERIAL METHOD
_CEMENT_ —POURED—
DEPTH
DIA SLOT
SIZE MTL
FROM
—TO —FT.
—IN.
—IN.
FROM
—TO —FT.
—IN.
—IN.
FROM
—TO —FT.
—IN.
—IN.
15. SAND/GRAVEL PACK:
DEPTH
SIZE
MATERIAL
FROM
48' TO 68'
FT.
NO. 6M
STONE
16. REMARKS:
LOCATION SKETCH
HOLLIS RD. FROM ELLENBORO.
DRIVE ON LEFT JUST BEFORE
SALEM CHURCH RD.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
�C � � � mITHIS RECORD
l�' 2C, WEL ONSTRUCTION STANDARDS, AND THAT A COPY OF�P '-VID T THE WELL OW ELMAR - g "MAR
JD SIGNATURE OF CONTRACTOR OR AGEN (1 �171 D fiE'
Aks
hr ilpdva'Section

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 946
1
E
3
4
5
6
7
8
9
10
11
12
13.
14
15
QUAD NO. SER . NO207562
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN BOSTIC COUNTY:
GOLDEN VALLEY COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
OWNER _MIKE_PRICE
ADDRESS _2342_DUNCAN'S_CRK._RD._
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE
DATE DRILLED: 02-22-00 USE OF WELL: HOUSE
TOTAL DEPTH: 365'
CUTTINGS COLLECTED: YES NO XX
DOES WELL REPLACE EXISTING WELL? YES NO XX
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
TOP OF CASING IS 18" ABOVE LAND SURF.'
YIELD (GPM): 20 METHOD OF TEST-ARD
WATER ZONES (DEPTH):
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
CASING:
DEPTH
FROM_0_TO_90_FT
.
FROM
-TO -FT.
GROUT:
DEPTH
FROM_0_TO_2
0_FT
.
FROM
-TO -FT.
SCREEN:
DEPTH
FROM
-TO -FT.
FROM
TO
FT.
FROM
-TO -FT.
SAND/GRAVEL PACK:
DEPTH
FROM
-TO -FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH DRILLING LOG
FROM TO FORM. DESC.
,--,
o n
T-
m
cn -
co o
z
------------------
LOCATION SKETCH
BUS. 74 E. FROM FOREST CITY
LEFT ON BOSTIC/SUNSHINE HWY
GO THRU SUNSHINE & RT. ON
DUNCAN'S CREEK RD. 1-1/2
MILES ON LEFT.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
7,_i: NPAG--=,_.WELL ,CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
THE WELL
MAR - 6 2000 i s
m
DATE
mil"R % 0 2000 c`"
i

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
207561
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 946
------------------------------------------------
------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN BOSTIC COUNTY:
GOLDEN VALLEY COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER _RANDY_CRUMP
ADDRESS _233_CAMP_MCCALL_RD.
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-22-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 385'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _40_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.`
9. YIELD (GPM): 80 METHOD OF TEST—ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_80_FT .
FROM TO FT.
13. GROUT:
DEPTH
FROM_0_TO_2 0_FT .
FROM —TO —FT.
14. SCREEN:
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
--------------------
LOCATION SKETCH
BUS. 74 E. FROM FOREST CITY
MATERIAL METHOD LEFT ON BOSTIC/SUNSHINE HWY
_CEMENT_ _PRESS_ LEFT ON HWY. 226 AT GOOD
OLE BOYS. RT. ON CAMP MC —
CALL RD. 1/2 MILE ON LEFT
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. —IN. —IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
WELL STRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
OVIDED TO THE WELL OWN R
1'PaN
SIGNATURE OF CONTRACTOR OR AGE E
4s
- �_� !€' MAR 2 0 2000 tr
=section :.

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
20'75GO
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
-------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : BOSTIC COUNTY: RUTH
GOLDEN VALLEY COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER PAM CHAPMAN FROM TO
FORM. DESC.
ADDRESS
_2378_NC_HWY._226
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 02-21-00 USE OF WELL: HOUSE
cm
4.
TOTAL DEPTH: 265'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
%
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT.
(USE + IF ABOVE TOP)
a ^�
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*
9.
YIELD (GPM): 7 METHOD OF TEST—ARD
10.
WATER ZONES (DEPTH):
o
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
—
12.
CASING:
DEPTH
FROM _0_TO-40_FT.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM _0_TO_20_FT.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
—TO —FT.
FROM
—TO —FT.
FROM
—TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM
—TO —FT.
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_ LOCATION SKETCH
BUS. 74 E. FROM FOREST CITY
MATERIAL METHOD LEFT ON BOSTIC/SUNSHINE HWY
_CEMENT_ _PRESS_ RT. ON HWY. 226. 3/4 MILE
ON LEFT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
1-5A_NCAC 2C, WELL CpNSTRUCTION STANDARDS, AND THAT
'( HASSBEEN PROVIDED O ITHE WELL OWN R
MAR — 6 2000 a SIGNATURE OF CONTRACTOR OR AGEN
L
groundwater Section
Asheville Reeional 0ffv: „^._._;
IN ACCORDANCE WITH
A COPY OF THIS RECORD
MAR 2 0 2090' '::.
2)

NC DEHNR
207559
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT.
GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
------------------------------------------------------------------
1
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER _BETTY_LINDER FROM TO
FORM. DESC.
ADDRESS _711_CLEGHORN_MILL_RD.
NC 28139_
_RUTHERFORDTON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 02-18-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 605'
5.
CUTTINGS COLLECTED: YES NO XX_
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _605_FT.
v ^'
(USE + IF ABOVE TOP)-
8.
TOP OF CASING IS 18" ABOVE LAND SURF."
Co
9.
YIELD (GPM): 0 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
^ m
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
o -
W. THICK.
z
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_70_FT._6-1/4" _PVC_ LOCATION
SKETCH
FROM TO FT.
13.
GROUT: CLEGHORN MILL
RD. FROM SHI-
DEPTH MATERIAL METHOD LOW. GRAVEL DRIVE ON LEFT
FROM FT. _CEMENT— _PRESS_ BEFORE WEEKS.
RD. 1ST TRAIL
_0_TO_20_
FROM TO FT. ER ON RT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16. REMARKS:
ET—Y"RTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
ELL ONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
rHASEEN ED TO THE WELL OWNER6 2000
S NATURE OF CONTRACTOR OR AGENT s;'.� 0 )(',q(j DATE
Croundwate' Section
sheville Re .cnal Office ! _. J9 k.
oundxa`e S C, 1
m.....' }n tie keu

NC DEHNR
DEM - GW SECTION 207584
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
----------------------------------------------------------------------------
----------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : BOSTIC COUNTY: RUTH
MT. LEBANON CHURCH RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER JERRY_BURKE FROM TO FORM. DESC.
ADDRESS _438_MT._IEBAN0N_CH._RD._
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-16-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 75' F
5. CUTTINGS COLLECTED: YES NO XX r,
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _55_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF."
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE_
10. WATER ZONES (DEPTH): z
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL -
12. CASING:
W. THICK. o
DEPTH DIA OR WT/FT. MTL
FROM_0_T0_75_FT._24" _CONC_ LOCATION SKETCH
FROM -TO -FT.
13. GROUT: BUS. 74 E. FROM FOREST CITY
DEPTH MATERIAL METHOD LEFT ON BOSTIC/SUNSHINE HWY
FROM_0_TO_20_FT._CEMENT_ _POURED_ LEFT ON PEARIDGE RD. IN
FROM -TO -FT. BOSTIC. RT. ON MT. LEBANON
14. SCREEN: CHURCH RD. 8/10 MILE ON RT.
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT. IN. IN.
FROM -TO -FT. IN. IN.
FROM -TO -FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM 55' TO 75' FT. NO. 6M STONE
16. REMARKS:
--I_.DO_HERE_BY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
i �5, N'C C� WELL STRUCTION STAND DS, AND THAT A COPY OF THIS RECORD
�� iY FD TOHE WELL OWN001
3�
SIGNATURE OF CONTRACTOR OR AG '...R TE

NC DEHNR
DEM - GW SECTION 207551
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
COVE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER JANE_HAWKINS FROM TO FORM. DESC.
ADDRESS 1291_COVE_RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-16-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 305'
5. CUTTINGS COLLECTED: YES NO XX o
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _50_FT. c
(USE + IF ABOVE TOP) o<
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 6 METHOD OF TEST-ARD-
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_60_FT .
FROM —TO —FT.
13. GROUT:
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_
DEPTH
MATERIAL
METHOD
FROM_0_TO_20_FT._CEMENT_
—PRESS—
FROM—TO—FT.
14. SCREEN:
DEPTH
DIA SLOT
SIZE MTL
FROM
—TO
—FT.—
IN.
IN.
FROM
TO
—FT.
—IN.
—IN.
FROM
TO
FT.
IN.
IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
co —
LOCATION SKETCH
HWY. 64/74A W. FROM RUTHER-
FORDTON. RT. ON COVE RD.
APPROX. 2 MILES ON LEFT.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
19ANrnO_�C,._WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
�EVt iDED Trl,HE WELL OWNER.
62000 SIGNA URE OF CONTRACTOR OR AGENT DATI
CmunAwate Section
Asheville Re"ional OiYice _ . , •M t

NC DEHNR DEP O.GBOXE29535 QUAD NO. SER. N2.0 ` r�
5 5 6
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1
------------------------------------------------------------------------
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN BOSTIC COUNTY:
RUTH
WASHBURN COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER DAVID_RENO
FROM TO FORM. DESC.
ADDRESS _973_GUN_CLUB_RD.
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 02-15-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 205'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
o
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
_40_FT._'�
(USE + IF ABOVE TOP)
az
8.
TOP OF CASING IS 18" ABOVE LAND SURF."
�m
9.
YIELD (GPM): 20 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GALS_
12.
CASING:
W. THICK.
co o
DEPTH DIA OR WT/FT. MTL
________________________
FROM_0_TO_60_FT._6-1/4" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
BUS. 74 E. FROM FOREST CITY
DEPTH MATERIAL METHOD
LEFT ON BOSTIC/SUNSHINE HWY
FROM_0_TO_20_FT . _CEMENT_ _PRESS_
RT . ON SALEM CHURCH RD . 1-
FROM—TO—FT.
1/2 MILES ON LEFT. (CEDAR
14.
SCREEN:
SIDING HOUSE)
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. —IN. —IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
C Cf Z,L CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
ED O THE WELL OWN R. -
I
MAR - 6 20N i
SIGNATURE OF CONTRACTOR OR AGENT DATE
o,i- nd c, cn
Ash_ villa-2 lion I ONiza

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
4)()"rA,r
C.
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
------------------------------------------------------------------------
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : FOREST CITY COUNTY: RUTH
DANIELTOWN COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER _HARRY_TAYLOR
ADDRESS 250_TOM'S_LAKE_RD.
FOREST_CITY NC 28043
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-11-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 53'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _33_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_5 3_FT .
FROM TO FT.
13. GROUT:
DEPTH
FROM_0_TO_20_FT .
FROM -TO -FT.
14, SCREEN:
DEPTH
FROM -TO -FT.
FROM -TO -FT.
FROM -TO -FT.
15. SAND/GRAVEL PACK:
W. THICK.
DIA OR WT/FT. MTL
_24"_ _CONC_
MATERIAL METHOD
_CEMENT_ _POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
DEPTH SIZE MATERIAL
FROM 33 TO 53' FT. NO. 6M STONE
16. REMARKS:
D
DEPTH DRILLING LOG
FROM TO FORM. DESC.
23
LOCATION SKETCH
HWY. 221 S. FROM RUTHERORD-
TON. RT. ON TOM'S LAKE RD.
5TH HOUSE ON RT.
Y CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
6-WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
ya DZZIN PROVIDED O -.THE WE��vn
MAR -
--�' S N TURE OF CONTRACTOR °, GFR DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 946
20'755'
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
----------------------------------------------------------------------------
----------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : RUTHERFORDTON COUNTY: RUTH
COX RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER SCOTT_KIRKPATRICK
ADDRESS COX-RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-11-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 705'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _80_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 3 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_60_FT._6-1/4" _PVC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT._CEMENT_ -PRESS-
FROM-TO-FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT.- IN. IN.
FROM -TO -FT. -IN. -IN.
FROM -TO -FT.- IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM -TO -FT.
16. REMARKS:
DEPTH DRILLING LOG
FROM TO FORM. DESC.
0
O n
0
------------
LOCATION SKETCH
HWY. 221 S. FROM RUTHERFORD
TON. RT. ON COX RD. 7/10
MILE ON RT. PAST TOM CAMP
RD. (DRIVE W/BRIDGE ACROSS
CREEK)
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
S B � JELL T NSTRUCTIOONE WELLOSTA DARDS, AND THAT A COPY OF THIS RECORD
( H
MAR - 6 2000 1.��
SIGNATURE OF
OR AGENT �j j - DATE

NC DEHNR
DEM - GW SECTION 7
P.O. BOX 29535 QUAD NO. SER. Wo. ��?
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER
REGISTRATION NO: 946
1
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN CLIFFSIDE COUNTY:
RUTH
SIX POINTS COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER JAMES_HELTON
FROM TO FORM. DESC.
ADDRESS 240_GILLESPIE_RD.
_MOORESBORO NC 28114
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 02-10-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 425'
5.
CUTTINGS COLLECTED: YES NO XX
o
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT.
(USE + IF ABOVE TOP)
�
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 3 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
—
12.
CASING:
o
W. THICK.
z
DEPTH DIA OR WT/FT. MTL
__________________________
FROM_0_TO_60_FT._6-1/4" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
BUS. 74 E. FROM ELLENBORO.
DEPTH MATERIAL METHOD
RT. ON RACE PATH CHURCH RD.
FROM_0_TO_20_FT._CEMENT_ _PRESS_
RT. ON HWY. 120. RT. ON
FROM —TO —FT.
GILLESPIE RD. 1/2 MILE ON
14.
SCREEN:
LEFT. (WHITE HOUSE W/240 ON
DEPTH DIA SLOT SIZE MTL
IT)
FROM —TO —FT. —IN. —IN.
FROM TO —FT. —IN.
—IN.
FROM —TO —FT. —IN.
15.
—IN.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL ONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
_RR _aH_._ R�b.EEN PROVIDED TO THE WELL OWNE !nt
SIGNATURE OF CONTRACTOR OR AGENT T
MAR - 6 2000 0 2N
.. u - ate_ Section4ill D 1.1. i r

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 946
207551
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
------------------------------------------------------------------
------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN ELLENBORO COUNTY: RUTH
LEDFORD RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER LEE_EDWARDS
ADDRESS —LEDFORD—RD.
_ELLENBORO NC 28040
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-09-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 425'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
S. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 2-1/2 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_5
5_FT
.
FROM
—TO —FT.
13. GROUT:
DEPTH
FROM_0_TO_2
0_FT
.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
—TO —FT.
FROM
—TO —FT.
FROM
—TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM
—TO —FT.
16. REMARKS:
DEPTH DRILLING LOG
FROM TO FORM. DESC.
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_ LOCATION SKETCH
BUS. 74 W. FROM ELLENBORO.
MATERIAL METHOD RT. ON PINEY MTN. CHURCH
_CEMENT_ _PRESS_ RD. RT. ON OLD HOLLIS RD.
LEFT ON LEDFORD RD. 1ST
DRIVE ON RT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
ian tern[+ �WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
Ha IU3ftW PRAF7IDED TO THE WELL OWNER. /�
MAR - 6 2000 Di SIGNATURE OF CONTRACTOF
OR AGENT MAR

NC DEHNR
DEM - GW SECTION 907548
P.O. BOX 29535 QUAD NO. SER. NT..
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER
REGISTRATION NO: 946
----------------------------------------------------------------------------
----------------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN FOREST CITY COUNTY:
RUTH
HONEYDEW PLACE
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _ERIC_GOLD
FROM TO FORM. DESC.
ADDRESS 144 HONEYDEW PLACE
FOREST CITY NC 28043
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 02-04-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 305'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX r;n:
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
�
sa -
(USE + IF ABOVE TOP)
r
8.
TOP OF CASING IS 18" ABOVE LAND SURF.`-
9.
YIELD (GPM): 7 METHOD OF TEST-ARD
_ N
rn�
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
`
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_70_FT._6-1/4" _PVC_
LOCATION SKETCH
FROM —TO —FT.
13.
GROUT:
HWY. 64 E. FROM RUTH. LEFT
DEPTH MATERIAL METHOD
ON HUDLOW RD. LEFT ON HONEY
FROM_0_TO_20_FT._CEMENT_ _PRESS_
DEW PLACE. HOUSE AT DEADEND
FROM —TO —FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM TO FT. IN. IN.
FROM —TO —FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16.
REMARKS:
-
DBB,YyCERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
04 44 �) WELL NSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
D
AAS�BEEOVIDED TO THE WELL OWNER.,
n i i, ,R
— 6 200f! E j
�ll
SIGNATURE OF CONTR CTOR OR AGE T < d Fah r �) �G.jPATE
._
7 .AS :.

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
QUAD NO. SER. NO. ? 0 r 5 8 `
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
------------------------------------------------------------------------
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : RUTHERFORDTON COUNTY: RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER DAVID_MCPEAK
ADDRESS GRAYS—CREEK—RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-11-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 52'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _32_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_52_FT._24"_ _CONC_
FROM TO FT.
13. GROUT:
DEPTH
MATERIAL
METHOD
FROM_0_TO_20_FT
.
_CEMENT_
—POURED—
FROM—TO—FT.
14. SCREEN:
DEPTH
DIA SLOT
SIZE MTL
FROM —TO —FT.
—IN.
—IN.
FROM TO —FT.
—IN.
—IN.
FROM —TO —FT.
—IN.
—IN.
15, SAND/GRAVEL PACK:
DEPTH
SIZE
MATERIAL
FROM 32 TO 52'
FT.
NO. 6M
STONE
16. REMARKS:
Me
r: HA �41B'E -eNR�
6 W
DEPTH DRILLING LOG
FROM TO FORM. DESC.
CD
O G
n r
M+
c�
----------------
LOCATION SKETCH
POORS FORD RD. FROM SHILOH.
RT. ON GRAYS CREEK RD. 1/2
MILE ON LEFT.
IFY THAT THIS WELL WAS CONSTRUCTED
L CONSTRUCTION STANDARDS, AND THAT
D T HE WELL OWNER 4 -\ , i , _' -
IN ACCORDANCE WITH
A COPY OF THIS RECORD
SIGNATURE OF CONTRACTOR OR AGJM2 0 2000

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
2075841
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 946
------------------------------------------------
------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN RUTHERFORDTON COUNTY:
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER LARRY_DOBBINS
ADDRESS _270_JIM_DOBBINS_RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-11-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 58,
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _38_FT.
(USE + IF ABOVE TOP)
S. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 20' METHOD OF TEST —STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_58_FT._24"_ _CONC_
FROM —TO —FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT . _CEMENT_ —POURED—
FROM—TO—FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM 38 TO 58' FT. NO. 6M STONE
16. REMARKS:
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH DRILLING LOG
FROM TO FORM. DESC.
------------
LOCATION SKETCH
POORS FORD RD. FROM SHILOH.
RT. ON GRAYS CREEK RD. LEFT
ON JIM DOBBINS RD. CROSS
BRIDGE. 1ST DRIVE ON RT.
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
THE WELL
SIGNATURE OF CONTRACTOR OR
-
S^coon
mj! Office

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER . NO 2 0 5 u O
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
KINDLEWOOD DR.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
2. OWNER _JOHN_NEAL FROM TO
ADDRESS KINDLEWOOD_DR.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-10-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 59,
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _39_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.`
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_5 9_FT .
FROM -TO -FT.
13. GROUT:
DEPTH
FROM_0_TO_2 0_FT .
FROM TO FT.
14. SCREEN:
DEPTH
FROM -TO -FT.
FROM -TO -FT.
FROM -TO -FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM_39_TO_59'_FT.
16. REMARKS:
DRILLING LOG
FORM. DESC.
o
�
a
c�'
Tc
N J'
n
co
0
W. THICK.
DIA OR WT/FT. MTL
24" CONC LOCATION SKETCH
MATERIAL
METHOD
_CEMENT_
_POURED_
DIA SLOT
SIZE MTL
IN.
IN.
IN.
IN.
IN.
IN.
SIZE MATERIAL
_NO. 6M_ _STONE
LEFT ON EDWARDS ST. IN
RUTHERFORDTON IN FRONT OF
HOSPITAL. LEFT ON KINDLE -
WOOD DR. 1/10 MILE ON LEFT.
RE•B ERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
IS 5�]� O C�2 :WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
T ;HAS EE IDED 0 THE WELL OWN
000
S GNATURE Of"CONTRACTOR O N 2 ; DATE
oundw& S n I
Croundwatr "

NC DEHNR
DEM - GW SECTION 207579
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : BOSTIC COUNTY: RUTH
GOLDEN VALLEY COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _SCOTT_HOUSER FROM TO FORM. DESC.
ADDRESS NORTHFORD_RD.
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-09-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 75' o
5. CUTTINGS COLLECTED: YES NO XX o n
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _55_FT.
-�
(USE + IF ABOVE TOP) i
8. TOP OF CASING IS 18" ABOVE LAND SURF."
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_7
5-FT.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM_0_TO_20_FT
.
FROM
—TO —FT.
14. SCREEN:
DEPTH
FROM
—TO —FT.
FROM
—TO —FT.
FROM
—TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM
55' TO 75'
FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_24"_ _CONC_
MATERIAL METHOD
_CEMENT_ _POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HERUY-CERTIFY
_..15A" NCA&?,26, .WELL C
Au J�EEv4ROVIDED 0
�g ! SI
%a p?cral Uti'•ice.
------------------
LOCATION SKETCH
BUS. 74 E. FROM FOREST CITY
LEFT ON BOSTIC/SUNSHINE HWY
LEFT ON HWY. 226. RT. ON
NORTHFORK RD. 1/2 MILE ON
LEFT.
THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
STRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
E WELL OWNE
OF
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
20757E
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
--------------------------------------------------
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN FOREST CITY COUNTY: RUTH
OLD ROSS RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER _MIKE_LANCASTER
ADDRESS _581_OLD_ROSS_RD.
-FOREST _CITY NC 28043
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-09-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 48'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _28_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF."
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_48_FT . _2 4 " _CONC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT . _CEMENT_ -POURED-
FROM-TO-FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT. IN. IN.
FROM -TO -FT. IN. IN.
FROM -TO -FT.- IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM 28' TO 48' FT. NO. 6M STONE
16. REMARKS:
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
------------
LOCATION SKETCH
BUS. 74 W. FROM FOREST CITY
RT. ON HUDLOW RD. LEFT ON
OLD ROSS RD. 9/10 MILE ON
RT.
13R£&Y--CERTIFY THAT THIS WELL WAS CONSTRUCTED
42d, WPLL ONSTRUCTION STANDARDS, D THAT
HAS �TDE TO THE WELL OWN
hWR - 6 2000 I m l PaL
SI
IN ACCORDANCE WITH
A COPY OF THIS RECORD
9
Flj DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
QUAD NO. SER. NO.205 1
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
----------------------------------------------------------------------------
----------------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
CENTINIEL RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER BOBBY_BOWEN
FROM TO FORM. DESC.
ADDRESS CENTINIEL_RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 02-08-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 37'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _20_FT.
c,
(USE + IF ABOVE TOP)_T_
r—
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 17' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
s
12.
CASING:
W. THICK.
o
DEPTH DIA OR WT/FT. MTL
_
FROM _0_TO_37_FT. _24" _CONC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
HWY. 64 E. FROM RUTHERFORD-
DEPTH MATERIAL METHOD
TON. LEFT ON CENTINIEL RD.
FROM_0_TO_20_FT._CEMENT_ _POURED_
CROSS 1ST BRIDGE. 1ST DR.
FROM —TO —FT.
ON RT. PAST HORIZAN HILL.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT. —IN. —IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM 20 TO 37' FT. NO. 6M STONE
16. REMARKS:
M1 A NiA'
HA� S BE��
PAR 6 2000
i �'�o;md:rate-Sect�n
ERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
WELL C)DNSTRUCTION STANDARDS';--.Nq—%HAT A COPY OF THIS RECORD
IDED 0 7TH,� WELL OW C '
'LIiICA
SIGNATURE OF
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER. NO2 V (5 ( 6
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1
WELL LOCATION: (SHOW SKETCH OF THE
LOCATION BELOW)
NEAREST TOWN UNION MILLS
COUNTY: RUTH
NANNYTOWN RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH
DRILLING LOG
2.
OWNER _RICK_CAVENDER
FROM TO
FORM. DESC.
ADDRESS _871_NANNYTOWN_RD.
UNION_MILLS NC
28167
CITY OR TOWN STATE
ZIP CODE
3.
DATE DRILLED: 02-08-00 USE OF WELL:
HOUSE
a
4.
TOTAL DEPTH: 70'
oa o
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES
NO XX�
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
_59_FT.
=_
( USE + IF ABOVE
TOP)
co ==L'
S.
TOP OF CASING I5 18" ABOVE LAND
SURF.*
o ,
9.
YIELD (GPM): 15' METHOD OF TEST -STEEL
TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_70_FT._24"_ _CONC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT._CEMENT_ _POURED_
FROM TO FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT.- IN. IN.
FROM -TO -FT. -IN. -IN.
FROM -TO -FT. -IN. -IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_55_TO_70'_FT._NO. 6M_ _STONE
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CC
15A NCAC 2C, WELL qQNSTRUCTION STANDARDS,
H*Vt-�MIDEDIrO THE WELL OWNER. r-
u is u u is MAR- 62000 ,,) SIGNATURE OF
------------------
LOCATION SKETCH
HWY. 221 N. FROM RUTHERORD-
TON. LEFT ON NANNYTOWN RD.
APPORX. 1-1/2 MILES ON
LEFT. (DOUBLEWIDE)
OPPRDANCE WITH
CdP OF ;THIS RECORD
20;_8-��
DATE
f round ea'e- Saciion

NC DEHNR
DEM - GW SECTION 2 0 "7 5 i v
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1.
WELL LOCATION: (SHOW SKETCH OF THE
LOCATION
BELOW)
NEAREST TOWN : ELLENBORO
COUNTY:
RUTH
PINEY MTN. CHURCH RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER WAYNE_YORK
FROM TO FORM. DESC.
ADDRESS _216_PINEY_MTN._CHURCH_RD._
_ELLENBORO NC
28040
CITY OR TOWN STATE
ZIP CODE
3.
DATE DRILLED: 02-07-00 USE OF WELL:
HOUSE
4.
TOTAL DEPTH: 82'
5.
CUTTINGS COLLECTED: YES NO XX
G
o
6.
DOES WELL REPLACE EXISTING WELL? YES
NO XX
o r
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
_62_FT.
(USE + IF ABOVE
TOP)
8.
TOP OF CASING IS 18" ABOVE LAND
SURF.'
q
9.
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT
1/2 GAL
12. CASING:
DEPTH DIA
FROM-0-TO-8 2-FT. _2 4
FROM -TO -FT.
13. GROUT:
DEPTH
FROM_0_TO_20_FT .
FROM TO FT.
14. SCREEN:
DEPTH
FROM -TO -FT.
FROM TO FT.
FROM -TO -FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM 62' TO 82' FT.
16. REMARKS:
W. THICK.
OR WT/FT. MTL
_CONC_
MATERIAL
_CEMENT_
o
co E
---------------------
LOCATION SKETCH
BUS. 74 W. FROM ELLENBORO.
METHOD RT. ON PINEY MTN. CHURCH
_POURED_ RD. HOUSE ON RT. W/CONCRETE
DRIVE JUST BEFORE PADGETTE
RD.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY CERTIFY THAT THIS WELL WAS CC
SWELL C�ONSTRUCTION STANDARDS,
H -__P OVIDEDITO THE WELL OWNER. ,
MAR- 6 2000 91 J I SIGNATURE 1 NATURE OF
MAR 2 0
J� WITH
ITS RECORD
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
207574
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 946
--------------------------------------------
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN : ELLENBORO COUNTY:
HOPEWELL COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER JERRY_BRIDGES
ADDRESS 2571_HOLLIS_RD.
_ELLENBORO NC 28040
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-05-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 69'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _49_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_6
9_FT
.
FROM
—TO —FT.
13. GROUT:
DEPTH
FROM_0_TO_2
0_FT
.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
—TO —FT.
FROM
—TO —FT.
FROM
—TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM
49' TO 69'
FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_24 "_ _CONC_
MATERIAL METHOD
_CEMENT_ _POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY CERTIFY THAT THIS WELL WAS CC
44A-4CAG-2Z WELL ONSTRUCTION STANDARDS,
No P jlIDED�TO, THE WELL OWNER. r-,
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH DRILLING LOG
FROM TO FORM. DESC.
cn'--
co o
----------------
LOCATION SKETCH
HOLLIS RD. FROM ELLENBORO.
6TH HOUSE ON LEFT PAST
HOPEWELL STORE.
)RDANCE WITH
OF THIS RECORD
DATE

NC DEHNR
DEP GSECTION
O'75'73
O.BOX 29535
QUAD NO. SER. NO.
RALEIGH, NC 27626-0535
LAT LONG
[phone]
BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING
CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER
REGISTRATION NO: 946
1
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV.'& LOT NO.)
DEPTH DRILLING LOG
2.
OWNER JOHN_CURTIS
FROM TO FORM. DESC.
ADDRESS 185_WINDY_KNOLL_RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 02-05-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 79'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO
XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _59_FT.
— o
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
a F_2
9.
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
�,-
W. THICK.
o "�
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_79_FT. _24"_ _CONC_
LOCATION SKETCH`
FROM TO FT.
13.
GROUT:
BIG ISLAND RD. FROM SHILOH.
DEPTH MATERIAL METHOD
LEFT ON WINDY KNOLL RD.
FROM_0_TO_20_FT._CEMENT_ _POURED_
(DIRT -JUST BEFORE RESTHOME)
FROM —TO —FT.
HOUSE ON LEFT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT.— IN. IN.
FROM —TO —FT. —IN. —IN.
FROM TO FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM 59 TO 79' FT. NO. 6M STONE
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONS C�E jyaf
155A N�_3C., WELL C STRUCTION STANDARDS, -61bi
N M ISO qER �tOVIDED O THE WELL OWNER
li'J,j � 1 AR 2 0'
j MAR - 6 2000 J SIG ATURE OF C NTRAC OR O A"'^vr� i
*NCE WITH
?Ck1IS RECORD
o
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER . NO. 2 O 7 5 r G
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 946
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN RUTHERFORDTON COUNTY:
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER DAVID_MCCRAW
ADDRESS _2262_POOR5_FORD_RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-04-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 58'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _38FT.
(USE + IF ABOVE TO_P)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_58_FT
.
FROM
-TO -FT.
13. GROUT:
DEPTH
FROM_0_TO_2
0_FT
.
FROM
-TO -FT.
14. SCREEN:
DEPTH
FROM
-TO -FT.
FROM
TO
FT.
FROM
-TO -FT.
15. SAND/GRAVEL
PACK:
DEPTH
FROM 38
TO 58'
FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_24 "_ _CONC_
MATERIAL METHOD
_CEMENT_ _POURED
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ -STONE
-
I DO HEREBY CERTIFY THAT THIS WELL WAS CC
R WELL C STRUCTION STANDARDS,
I H [�>�IV P�tOrZpED THE WELL OWNE�2 .�
MAR- 6 2000 (IUI S GI N URE `OF
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
e
0
I-
�s
------------------
LOCATION SKETCH
POORS FORD RD. FROM SHILOH.
1ST HOUSE ON RT. PAST BIG
AL'S.
f3RDANQE WITH
{ Pif k'Fl-plIS RECORD
2 0 ,fr6b
DATE

I9
NC DEHNR
DEM - GW SECTION 207571
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER
REGISTRATION NO: 946
1
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN : RUTHERFORDTON COUNTY:
RUTH
LOGAN STATION COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER EDDIE_YELTON
FROM TO FORM. DESC.
ADDRESS HWY. _64_E.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 02-03-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 65'
5.
CUTTINGS COLLECTED: YES NO XX
a
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
c
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _50_FT.
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF."='
9.
YIELD (GPM): 15' METHOD OF TEST -STEEL TAPE
co
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
, a
W. THICK.
-�
oco
DEPTH DIA OR WT/FT. MTL
=________________ _�_____
FROM_0_TO_65_FT.-24 "_ _CONC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
HWY. 64 E. FROM RUTHERFORD-
DEPTH MATERIAL METHOD
TON. GO TO LOGAN STATION.
FROM_0_TO_20_FT._CEMENT_ _POURED_
BEIGE HOUSE ON LEFT ACROSS
FROM —TO —FT.
ACROSS FROM PARTON LUMBER.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. —IN.
—IN.
FROM —TO —FT. —IN.
—IN.
FROM —TO —FT. —IN.
15.
—IN.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_50_TO_65'_FT._NO. 6M_ _STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTR
15A NCAC 2C, WELL �QNSTRUCTION STANDARDS, AND
R$S,B TROVIDED�I0 THE WELL OWNER.
y IS u_V L5
MAR - 6 2C00
SIGNATURE OF
m
ITH
RECORD
C�

N'..
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
QUAD NO. SER. N2" ` 5 ` O
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 946
---------------------------------------------
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN FOREST CITY COUNTY:
CROWE DIARY RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER _LARRY_HEAD
ADDRESS _412_CROWE—DAIRY _RD.
FOREST NC 28043
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-03-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 68'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _48_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_68_FT._24"_ _CONC_
FROM —TO —FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT . _CEMENT_ —POURED—
FROM—TO—FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM TO FT. IN. IN.
FROM —TO —FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_48_TO_68'_FT._NO. 6M_ _STONE
16. REMARKS:
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH DRILLING LOG'
FROM TO FORM. DESC.
LOCATION
n
0
0
0
T
�
m
mac,
co
a
—
m v
o
--
-+
SKETCH
BY-PASS 74 E. FROM RUTHER-
FORDTON. EXIT RT. ON OAK -
LAND RD. RT. ON CROWE DAIRY
RD. WHITE HOUSE ON RT.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
il`NPyG �Cj WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
MAR - 6 2000
OR AGENT
DATE

NC DEHNR
DEM - GW SECTION 207546
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1
------------------------------------------------------------------------
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
CISCO LANE
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER NOEMI_UY
FROM TO FORM. DESC.
ADDRESS CISCO_LANE
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 02-03-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 285'
g�
o 0
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _50_FT.
-_-_
sa
(USE + IF ABOVE TOP)
>�
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*
T_
9.
YIELD (GPM): 12 METHOD OF TEST-ARD
N-
10.
WATER ZONES ): (DEPTH
c�
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL_
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_50_FT._6-1/4" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
BUS. 74 W. FROM FOREST CITY
DEPTH MATERIAL METHOD
RT. ON HUDLOW RD. LEFT ON
FROM_0_TO_20_FT._CEMENT_ _PRESS_
WHITESIDE RD. LEFT ON CISCO
FROM —TO —FT.
LANE. 2ND HOUSE ON LEFT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. —IN.
15.
—IN.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16.
REMARKS:
R I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
D 2 VIDED WELL C HEUWELLLNOWNARDARDS, AND THAT aC�OPY OF THIS RECORD
D.
SIGNATURE OF CONTRACTOR OR AGENT Uj�j MAR DATE
1 i

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
Loll slonel
LAT_
BASIN
HEADER
SER . NO. 2 0'7 5 4
LONG
CODE
ENT. GW-1 ENT.
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER
REGISTRATION NO: 946
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN BOSTIC COUNTY:
RUTH
SUNSHINE COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER DAVID_WATERS
FROM TO FORM. DESC.
ADDRESS 360_LUCKADOO MTN._RD.
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 02-03-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 305'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
—-
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _50FT.
(USE + IF ABOVE TO_P)
T—
rn
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
s c
9.
YIELD (GPM): 14 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
c
12.
CASING:
J o
W. THICK.
�—
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_75_FT._6-1/4" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
BUS. 74 E. FROM FOREST CITY
DEPTH MATERIAL METHOD
LEFT ON BOSTIC/SUNSHINE HWY
FROM_0_TO_20_FT._CEMENT_ _PRESS_
GO THRU SUNSHINE & LEFT ON
FROM —TO —FT.
LUCKADOO MTN. RD. 1/2 MILE
14.
SCREEN:
ON RT.
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM TO FT.
16.
REMARKS:
IFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
L CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
D M THE WELL OWNER.(
TURE OF CONTRACTOR OR AGENT
MAP ,
):�

NC DEHNR
DEM — GW SECTION P.O. BOX 29535 QUAD NO. SER. NC20 7
56C
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN ELLENBORO COUNTY: RUTH
SIX POINTS COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER RONALD_BLANTON FROM TO FORM. DESC.
ADDRESS PEBBLE —DR.
_ELLENBORO NC 28040
CITY OR TOWN STATE ZIP CODE _C
3. DATE DRILLED: 02-02-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 60' o _
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _45_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 15' METHOD OF TEST —STEEL TAPE
10. WATER ZONES (DEPTH): r�
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL o
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_60_FT._24"_ _CONC_ LOCATION SKETCH
FROM TO FT.
13. GROUT: BUS. 74 E. FROM ELLENBORO.
DEPTH MATERIAL METHOD RT. ON RACE PATH CHURCH RD.
FROM_0_TO_20_FT._CEMENT_ _POURED_ AT 6—POINTS, GO STRAIGHT AT
FROM TO FT. STOP SIGN. LEFT ON PEBBLE
14. SCREEN: DR. 2ND HOUSE ON LEFT.
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT.— IN. IN.
FROM TO —FT. —IN. —IN.
FROM TO FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_45'_TO_60'_FT._NO. 6M_ _STONE
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS
WELL WAS CONSTRUCTED
IN ACCORDANCE
WITH
15A_NCAC
2C, WELL
CONSTRUCTION
STANDARDS, AND
RECORD
HAS BEEN 'PROVIDED
TO THE WELL
8 ,s
u0paS 9"e�npmo;4,
jj
SR.
SIGNATURE OF
CO TR CTOR OR A �'
TIJATE
i
Groundwater Section
Asheville Re anal Office_,_____
21�� --
e

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 946
lop 7_1own4
LAT_
BASIN
HEADER
SER. NO2y 7544
LONG
CODE
ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
-------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : RUTHERFORDTON COUNTY: RUTH
COVE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER _BURWELL_KING
ADDRESS 1330_COVE_RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 02-02-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 505'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 2 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_80_FT._6-1/4" _PVC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT._CEMENT_ —PRESS—
FROM—TO—FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. —IN. —IN.
FROM TO —FT. —IN. —IN.
FROM —TO —FT. —IN. —IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16. REMARKS:
DEPTH DRILLING LOG
FROM TO FORM. DESC.
---------------------
LOCATION SKETCH
HWY. 64/74A W. FROM RUTHER-
FORDTON. RT. ON COVE RD.
APPROX. 2 MILES ON RT.
CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
WELL TONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
VIDED T THE. WET.L OWN
OF CONTRACTOR OR AGENT Pri

NC DEHNR
DEM - GW SECTION nn �
P.O. BOX 29535 QUAD NO. SER. N6}J / l \)
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER
REGISTRATION NO: 946
1
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN HENRIETTA COUNTY:
RUTH
HAMES RIDGE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _JERRY_AKERS
FROM TO FORM. DESC.
ADDRESS _589_HAMES_RIDGE_RD.
MOORESBORO NC 28114
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 02-01-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 245'
s
5.
CUTTINGS COLLECTED: YES NO XX
o p
G.
DOES WELL REPLACE EXISTING WELL? YES NO XX
.7
7.
STAT. WAT. LEVL. BEL.TOP OF CASING 80 FT.
cM
(USE + IF ABOVE TOP)
T
rn -
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 20 METHOD OF TEST-ARD
3 a
10.
WATER ZONES (DEPTH):
`
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
J o
W. THICK.
�—
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_100_FT._6-1/4" _PVC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
HOGPEN BRANCH RD. FROM HEN -
DEPTH MATERIAL METHOD
RIETTA. LEFT ON HAMES RIDGE
FROM_0_TO_20_FT._CEMENT_ _PRESS_
RD. (589 ON BOX)
FROM —TO —FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. —IN.
—IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT. —IN.
15.
—IN.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16.
REMARKS:
CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
WELL QNSTRUCTION STANDARDS, AND THAT A_-;OY 17F;-THIS RECORD
VIDE TO\THE WELL OWNER._ };� L' 1
MAR - 6 2000
T .� -.0 0
SIGNATURE OF
h
AGENT

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER . N90 6 5 21
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
----------------------------------------------------------------------------
----------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : BOSTIC COUNTY: RUTH
2
3
4
5
6
7
8.
9.
10.
11.
12.
SALEM CHURCH RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
OWNER LINDA_STIVER FROM TO FORM. DESC.
ADDRESS SALEM-CHURCH-RD.
BOSTIC NC 28018_
CITY OR TOWN STATE ZIP CODE
DATE DRILLED: 01-28-00 USE OF WELL: HOUSE
TOTAL DEPTH: 48' o
CUTTINGS COLLECTED: YES NO XX off_
DOES WELL REPLACE EXISTING WELL? YES NO XX
STAT. WAT. LEVL. BEL.TOP OF CASING _36_FT.
(USE + IF ABOVE TOP) ,
TOP OF CASING IS 18" ABOVE LAND SURF.* p '
YIELD (GPM): 12' METHOD OF TEST -STEEL TAPE
WATER ZONES (DEPTH):
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL r
CASING: G
DEPTH
FROM_0_TO_4
8_FT
.
FROM
—TO —FT.
13. GROUT:
DEPTH
FROM_0_TO_2
0_FT
.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
—TO —FT.
FROM
—TO —FT.
FROM
—TO —FT.
15. SAND/GRAVEL
PACK:
DEPTH
FROM 36'
TO 48'
FT.
16. REMARKS:
I DO HEREBY CERTIFY
WELL �G�
IDED /1'
—ro-v
W. THICK. ..-
DIA OR WT/FT. MTL
_24"_ _CONC_ LOCATION SKETCH
BUS. 74 E. FROM FOREST CITY
MATERIAL METHOD LEFT ON BOSTIC/SUNSHINE HWY
_CEMENT_ _POURED_ RT. ON SALEM CHURCH RD.
YELLOW HOUSE 4 MILES ON
LEFT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
E
THAT THIS WELL WAS CONSTRUCTED IN 1Cd;OR ANCE WITH
"TRUCTION STANDARDS, AND THAT A COPY`dir THIS RECORD
T E WELL OWNER `
ONAt RE OF NTRAC ORy bR " n DATE

NC DEHNR
DEM - GW SECTION L�+
P.O. BOX 29535 QUAD NO. SER. N9�}UrJ.�vO
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER
REGISTRATION NO: 946
1
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
MTN. CREEK SUBDV.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _HOYLE_EDGERTON
FROM TO FORM. DESC.
ADDRESS _MOUNTAIN_CREEK_RD
RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 01-27-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 54'
ci o
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _39_FT.
=�
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.`-
9.
YIELD (GPM): 15' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
'-
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
"
12.
CASING:
Pa Z
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_ 0_TO_54_FT._24"_ _CONC_
LOCATION SKETCH
FROM —TO —FT.—
13.
GROUT:
HWY. 221 N. FROM RUTHERORD-
DEPTH MATERIAL METHOD
TON. LEFT ON MTN. CREEK RD.
FROM_0_TO_20_FT._CEMENT_ _POURED_
RT. INTO HTN. CP.EEK SUBDV.
FROM —TO —FT.
LOT 3, 3RD ON LEFT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO —FT. —IN.
—IN.
FROM TO FT. —IN.
15.
—IN.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_39_TO_54'_FT._NO. 6M_ _STONE
16. REMARKS:
D
I DO HEREBY CERTIFY
THAT THIS WELL WAS CONSTRUct sD iN DAVCE WITH
NSTRUCTION STANDARDS, AND,'THAT A COPY OF:'THIS RECORD
THE WELL OWNER
oo
SIGRATURE OF
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
20651E
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT._
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
MTN. CREEK SUBDV.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER _HOYLE_EDGERTON FROM TO
FORM. DESC.
ADDRESS _MOUNTAIN _ CREEK _RD
RUTHERFORDTON NC 28139_
CITY OR TOWN STATE ZIP CODE
-
3.
DATE DRILLED: 01-27-00 USE OF WELL: HOUSE
c� a
4.
TOTAL DEPTH: 43'
o r
5.
CUTTINGS COLLECTED: YES NO XX
m �>
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _23_FT.
m :=
(USE + IF ABOVE TOP)r-
8.
TOP OF CASING IS 18" ABOVE LAND SURF."
z
9.
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
= �=
10.
WATER ZONES (DEPTH):
c�
o -
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
N
12.
CASING:
DEPTH
FROM
_0_TO_43_FT.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM
0TO20
_
FT.
FROM_
TO_
FT.
14. SCREEN:
DEPTH
FROM
—TO —FT.
FROM
TO
FT.
FROM
TO
FT.
15. SAND/GRAVEL PACK'
DEPTH
FROM_23_TO_43'_FT.
16. REMARKS:
I DO HEREBY
O R THJSUB'W'E
- 3 no
W. THICK.
DIA OR WT/FT. MTL
24" CONC LOCATION SKETCH
HWY. 221 N. FROM RUTHERORD-
MATERIAL METHOD TON. LEFT ON MTN. CREEK RD.
_CEMENT_ _POURED_ RT. INTO MTN. CREEK SUBDV.
6TH LOT ON RT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
CERTIFY THAT THIS WELL WAS CONSTRUCTED III
(WELLCTION STANDARDS, AND THAT;A
UIDED TO HE WELL OWN
SIGNATURE OF CONTRACT sh81ON
;ORDANCE WITH
OFF THIS RECORL
^rJ�"0�)
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
QUAD NO. SER. NO.0651
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : FOREST CITY COUNTY: RUTH
CROWE FARM TRAIL
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _JAMES_A._CROWE FROM TO FORM. DESC.
ADDRESS CROWE_FARM_TRAIL
FOREST_CITY NC 28043 _
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-26-00 USE OF WELL: HOUSE o e
4. TOTAL DEPTH: 61'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX _-
7. STAT. WAT. LEVL. BEL.TOP OF CASING _41_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH): N o
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL =
12. CASING:
DEPTH
FROM_0_TO_61_FT
.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM
_0_TO_20
FT.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
TO
FT.
FROM
TO
FT.
FROM
TO
FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM
41 TO 61'
FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_24 -CONC.
MATERIAL METHOD
_CEMENT_ _POURED
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY CERTIFY THAT THIS WELL WAS CO 1
15A NCAC 2C, WELL CONSTRUCTION STANDARDS,'a
RED jfO \THE WELL OWNER.
I�Gn
a zr� D —�
- SIGNATURE OF CONTRAclrORj6R
------------------
LOCATION SKETCH
HWY. 221 S. FROM RUTHERORD-
TON. RT. ON TOM'S LAKE RD.
APPROX. 1-1/2 MILES, RT. ON
CROWE DAIRY TRAIL. 1ST DR.
ON LEFT.
THAT A COPY
FED V t M-0
ANCE WITH
THIS RECORD
Z7 4-Mard

NC DEHNR n 3-1DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
WHITESIDE COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _ARTHUR_HARRIS FROM TO FORM. DESC.
ADDRESS 997_MCENTIRE_RD.
_RUTHERFORDTON NC 28139_
CITY OR TOWN STATE ZIP CODE t'
3. DATE DRILLED: 01-26-00 USE OF WELL: HOUSE o 0
4. TOTAL DEPTH: 265'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX s-n
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT. co_-�
(USE + IF ABOVE TOP)
-
8. TOP OF CASING IS 18" ABOVE LAND SURF.' -
9. YIELD (GPM): 8 METHOD OF TEST-ARD C
10. WATER ZONES (DEPTH): --�—�
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_60_FT._6-1/4" _PVC_ LOCATION SKETCH
FROM TO FT.
13. GROUT: HWY. 64/74A W. FROM RUTHER-
DEPTH MATERIAL METHOD FORDTON. RT. ON MCENTIRE RD
FROM _0_TO_20_FT._CEMENT_ _PRESS_ CROSS BRIDGE & LEFT (STILL
FROM TO FT. ON MCENTIRE) 1 MILE ON LEFT
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM TO FT.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTQTjD3�N, I�CCORDRNCE WI-
WELL STRUCTION STANDARDS, ANDllRA-T A Z0PY-'DF THIS RECORD
D B IDED PO THE WELL OWNER. FEB -
320 IMI
SIGNATUR OF�C`ONTRACTO OR, AGENT 3, DA T E

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
206516
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
-----------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER ROGER_RUPPE FROM TO
FORM. DESC.
ADDRESS BIG _ISLAND _RD.
_2310_
RUTHERFORDTON NC 28139 _
_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 01-26-00 USE OF WELL: HOUSE
r� c
4.
TOTAL DEPTH: 66'
o
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
_
�—
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _46_FT.
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.`
-
9.
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
o
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
N o
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_66_FT._24"_ _CONC_ LOCATION
SKETCH
FROM TO FT.
13.
GROUT: BIG ISLAND RD.
FROM SHILOH.
DEPTH MATERIAL METHOD RT. ON 2ND DARK
CORNER RD.
FROM _0_TO_20_FT. _ CEMENT _ _POURED_ 1ST DRIVE ON
LEFT.
FROM TO FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_46_TO_66'_FT._NO. 6M_ _STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS COI 'RU£TD'=IN,.,C(;pRDANCE
WITH
i5 N QC 2C,._WELL C STRUCTION STANDA S, N)] THAT A COPY
-,DED
d"THIS RECORL
0 1pjBFET ER THE WELL OWNE
-ou 'll
D
K 1(0 SIGNATURE OF CONTRACTOR JOR AqE"'`7v,
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER . N9.0 6 4 J 1
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
---------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _MIKE_WILSON
ADDRESS 203_HOWARD_COLE_RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-20-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 485'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
S. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 30 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_60_FT._6-1/4" _PVC_
FROM —TO —FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT._CEMENT_ —PRESS—
FROM—TO—FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
FROM —TO —FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS C*ST;
RR EL NSTRUCTION STANDARDS,'lW
DE TO',,THE WELL OWNE
FE3 - 3 ?MpITI N�
SIGNATURE RE OF CONTRACTOR OR
FROM TO FORM.oDESC.
------------
LOCATION SKETCH
BIG ISLAND RD. FROM SHILOH.
RT. ON DEWITT OWENS RD. RT.
ON HOWARD COLE RD. 2ND
HOUSE ON LEFT.
Lift .-IN.-ACCORDANCE WITH
THAT A COP7 OF THIS RECORD

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
206515
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN MOORESBORO COUNTY:
RUTH
HICKS GROVE RD. EXT.
(ROAD, COMM., OR'SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _PATRICIA_CARR
FROM TO FORM. DESC.
ADDRESS _230_HICKS_GROVE_RD._EXT._
_MOORESBORO NC 28114
CITY OR TOWN STATE ZIP CODE
c
3.
DATE DRILLED: 01-20-00 USE OF WELL: HOUSE
off_
4.
TOTAL DEPTH: 51,
m ' r
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX�-
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _36_FT._
(USE + IF ABOVE TOP)
3
8.
TOP OF CASING IS 18" ABOVE LAND SURF.*
9.
YIELD (GPM): 15' METHOD OF TEST -STEEL TAPE
-,
10.
WATER ZONES (DEPTH):
N o
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL�-
12. CASING:
DEPTH
FROM_0_TO_51_FT .
FROM —TO —FT.
13. GROUT:
DEPTH
FROM_0_TO_2 0_FT .
FROM —TO —FT.
14. SCREEN:
DEPTH
FROM —TO —FT.
FROM —TO —FT.
FROM —TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM 36 TO 51' FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_24"_ _CONC_ LOCATION SKETCH
HWY. 221 S. FROM RUTHERORD-
MATERIAL METHOD TON. RT. ON HICKS GROVE RD.
_CEMENT_ _POURED_ LEFT ON HICKS GROVE RD. EXT
4TH HOUSE ON RT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ —STONE
—
I DO HEREBY CERTIFY THAT THIS WELL WAS COt
15A NCAC 2C, WELL CONSTRUCTION STANDARDS,
SrffE , PR2OVIDED O THE WELL OWNER
lUJ L� L
FEB- J L_ '; ( SIGNATURE OF CONTRACTORI
CTED'TN—ACCORDANCE WITH
T121 A RR'YfdF,THIS RECORD
DATE

NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 946
QUAD NO. SER . N9.06 4 &
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : BOSTIC COUNTY: RUTH
S. MOUNTAIN RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER _MIKE_MCCRAW
ADDRESS S._MOUNTAIN_RD.
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-17-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 605'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 3 METHOD OF TEST—ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH DRILLING LOG
FROM TO FORM. DESC.
W.
THICK.
DEPTH
DIA OR
WT/FT. MTL
FROM_0_TO_80_FT._6-1/4"
_PVC_
LOCATION SKETCH
FROM
TO
FT.
13. GROUT:
BUS. 74 E. FROM FOREST CITY
DEPTH
MATERIAL
METHOD
LEFT ON BOSTIC/SUNSHINE HWY
FROM_0_TO_20_FT._CEMENT_
_PRESS_
RT. ON S. MOUNTAIN RD. 1
FROM
TO
FT.
MILE ON RT.
14. SCREEN:
DEPTH
DIA SLOT
SIZE MTL
FROM —TO
—FT.
—IN.
—IN.
FROM TO
FT.
IN.
IN.
FROM —TO
—FT.
IN.
IN.
15. SAND/GRAVEL
PACK:
DEPTH
SIZE
MATERIAL
FROM —TO
—FT.
16. REMARKS:
I DO HEREBY CERTIFY
D @HRS�BVEq MVI
F - 3 2"
;raundwate Section
AshevilleReaio181Office___._)
WELL C
DED 7
E^
THAT THIS WELL WAS CC
NSTRUCTION STANDARDS,
HE WELL OWNERe
OF
9 rJ f j J.;C I ..
OR AG , ,.
,NCE WITH
THIS RECORD
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. N9.06512
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN FOREST CITY COUNTY:
RUTH
BIRCH HUTCHINS RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _GERALDINE_ROBERTS
FROM TO FORM. DESC.
ADDRESS BIRCH_HUTCHINS_RD.
FOREST_CITY NC 28043
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 01-17-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 45'
5.
CUTTINGS COLLECTED: YES NO XX
r
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _33_FT.
c
(USE + IF ABOVE TOP)
rn
8.
TOP OF CASING IS 18" ABOVE LAND SURF."
--�
9.
YIELD (GPM): 12' METHOD OF TEST -STEEL TAPE
co
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
o—
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_45_FT._24"_ _CONC_
LOCATION SKETCH
FROM —TO —FT.
13.
GROUT:
HWY. 221 S. FROM RUTHERORD-
DEPTH MATERIAL METHOD
TON. LEFT ON BIRCH HUTCHINS
FROM_0_TO_20_FT._CEMENT— _POURED_
RD. 1/4 MILE ON LEFT.
FROM TO FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_33_TO_451_FT._NO. 6M_ _STONE
16. REMARKS:
I DO HEREBY CERTIFY
15A NCAC 2C, WELL Q
EG�dT[
FEB - 3 2009 1
THAT THIS WELL WAS CC
NSTRUCTION STAN DS,
\THE WELL OWNVAR
IGNATURE
_1
TED IN ACCORDANCE WITH
CyOPl. OF THIS RECORD
!ouu
-( ,�
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
205511
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
--------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
HOPPER RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER _JIM_HOPPER FROM TO
FORM. DESC.
ADDRESS _1086_HOPPER_RD.
NC 28139
_RUTHERFORDTON
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 01-17-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 60'
o
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
W-
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _40_FT.
<
(USE + IF ABOVE TOP)—
8.
TOP OF CASING IS 18" ABOVE LAND SURF.`
m —
9.
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10.
WATER ZONES (DEPTH):
m�
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL—-
12.
CASING:
Z
DEPTH
FROM
_0_TO_60_FT.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM
_0_TO_20
FT.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
—TO
—FT.
FROM
—TO
—FT.
FROM
—TO
—FT.
15. SAND/GRAVEL
PACK:
DEPTH
FROM_40_TO_60'_FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
24" CONC
MATERIAL METHOD
_CEMENT_ _POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY CERTIFY THAT THIS WELL WAS CC
ellC�IELL CONSTRUCTION STANDARDS,
d DED O THE WELL OWNER. r\
3 n IUI (� ��
FEB— �� SIGNATURE OF
LOCATION SKETCH
HWY. 221 S. FROM RUTHERORD-
TON. RT. ON NEWTON COLE RD.
RT. ON HOPPER RD. HOUSE ON
RT.
CRUCTEb IN-ACb0AD4bdE WITH
M THAT A COPY OF 'PHIS RECORD
s; 4 p 1A.111
�jl-oJ
!k R 'pn�q rir n DATE

NC DEHNR
DEM - GW SECTION 2 0 5 510
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1.
WELL LOCATION: (SHOW SKETCH OF THE
LOCATION
BELOW)
NEAREST TOWN ELLENBORO
COUNTY:
RUTH
ZENO MCKINNEY RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER _EDWARD_MDCANIELS
FROM TO FORM. DESC.
ADDRESS _132_ZENO_MDKINNEY_RD.
NC
28040_
_ELLENBORO
CITY OR TOWN STATE
ZIP CODE
c
o
3.
DATE DRILLED: 01-14-00 USE OF WELL:
HOUSE
4.
TOTAL DEPTH: 51,
m c
5.
CUTTINGS COLLECTED: YES NO XX
c1 c^
6.
DOES WELL REPLACE EXISTING WELL? YES
NO XX
w ='
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
_33_FT.
-
(USE + IF ABOVE
TOP)
-
8.
TOP OF CASING IS 18" ABOVE LAND
SURF."-
9.
YIELD (GPM): 18' METHOD OF TEST -STEEL
TAPE
10.
WATER ZONES (DEPTH):-
11.
CHLORINATION: TYPE CLOROX AMOUNT
1/2 GAL
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT.
MTL
r
FROM_0_TO_51_FT._24"_
—CONC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
NEW HOUSE RD. FROM ELL£N-
DEPTH MATERIAL METHOD
BORO. RT. ON ZENO MCKINNEY
FROM_0_TO_20_FT._CEMENT_ _POURED_
RD. 1ST HOUSE OIi RT.
FROM TO FT.
14. SCREEN:
DEPTH
DIA SLOT
SIZE MTL
FROM
—TO
—FT.
—IN.
—IN.
FROM
—TO
—FT.
IN.
IN.
FROM
—TO
—FT.
IN.
IN.
15. SAND/GRAVEL
PACK:
DEPTH
SIZE
MATERIAL
FROM-33'_TO_51'_FT._NO.
6M_
_STONE
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN._,ACCOR,DANCE WITH
RR RR p WELL CONSTRUCTION STANDARDS, AND THAT A COP i, THIS RECORD
D B Al NN IDED O THE WELL OW ER f 2B
FEB — 3 2000 U _ -o
SIGNATURE OF CONTRACT ORa e_ftL DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
206508
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 946
--------------------------------------------
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN FOREST CITY COUNTY:
OLD ROSS RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER ROBBY_BRIGHT
ADDRESS _ OLD _ROSS_RD.
_FOREST_CITY NC 28043
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-13-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 68'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _48_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W.
THICK.
DEPTH
DIA OR
WT/FT. MTL
FROM_0_TO_68_FT
.
_2 4 "
_CONC_
FROM TO
FT.
13. GROUT:
DEPTH
MATERIAL
METHOD
FROM_0_TO_20_FT._CEMENT_
_POURED_
FROM TO
FT.
14. SCREEN:
DEPTH
DIA SLOT
SIZE MTL
FROM -TO -FT.
-IN.
-IN.
FROM -TO -FT.
-IN.
-IN.
FROM TO
FT.
IN.
IN.
15. SAND/GRAVEL PACK:
DEPTH
SIZE
MATERIAL
FROM 48' TO 68'
FT.
NO. 6M
STONE
16. REMARKS:
I DO HEREBY
15A NCAC 2C,
CERTIFY
WELL C
VIDED rT
STATE WELL CONSTRUCTION
PERMIT NUMBER:
----------------------------
----------------------------
BELOW)
RUTH
DEPTH
DRILLING LOG
FROM TO
FORM. DESC.
O
c-
k
cory
o -+
z
----------------
LOCATION SKETCH
BUS. 74 W. FROM FOREST CITY
RT. ON HUDLOW RD. LEFT ON
OLD ROSS RD. CROSS CREEK.
1ST DRIVE ON RT.
THAT THIS WELL WAS CON TRUCTED IN
NSTRUCTION STANDARDS', fig DFffjTj
I,THE WELL 7ERD' '
SIGNATURE OF
NCE WITH
THIS RECORD
-o')
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 946
QUAD NO. SER . N6 0 6 5 4 9
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN ELLENBORO COUNTY: RUTH
HOPEWELL COMM.
(ROAD, COMM.,'OR SUBDV. & LOT NO.) DEPTH
2. OWNER HUGH_GREENE FROM TO
ADDRESS _221_DYCUS_RD.
_ELLENBORO NC 28040
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-13-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 48'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _28_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM-0—TO-4 8—FT.
FROM —TO —FT.
13. GROUT:
DEPTH
FROM_0_TO_2 0_FT .
FROM TO FT.
14. SCREEN:
W. THICK.
DIA OR WT/FT. MTL
_24 "_ _CONC_
MATERIAL METHOD
_CEMENT_ _POURED_
DEPTH
DIA SLOT
SIZE MTL
FROM
—TO
—FT.—
IN.
IN.
FROM
—TO
—FT.
—IN.
—IN.
FROM
—TO
—FT.
—IN.
—IN.
15. SAND/GRAVEL
PACK:
DEPTH
SIZE
MATERIAL
FROM
28' TO
48' FT.
NO. 6M
STONE
16. REMARKS:
DRILLING LOG
FORM. DESC.
—B—y—
N o
-----------
LOCATION SKETCH
HOLLIS RD. FROM ELLENSORO.
LEFT ON DYCUS RD. 2 MILES
ON RT. (ROCK HOUSE)
I DO HEREBY CERTIFY THAT THIS WELL WAS -i5LA RE
15A NCAC 2C_l WELL C STRUCTION STANDARDS � HAT A CA9) )0F
[ROV`dDED THE WELL OWNE ;� 96 1 f �
�� llhh ILSS �u �u { i i 7��
M-32000 SIGNATURE OF CONT AC _QWh* ns, C-11r i:,.,.
Groundwater Seaton
._.Male Om6mA nffin
NC£ WLTH
THIS R'.ECORD
D3,TE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
?OG457
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
--------------------------------------------------------------------
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : RUTHERFORDTON COUNTY: RUTH
01
3
4
5
6
7
8
9
10
11
12
13
14
15.
GUN CLUB RD.
(ROAD, COMM.,
OR SUBDV. & LOT NO.)
DEPTH
DRILLING LOG
OWNER _DAVID_FRANKLIN
FROM TO
FORM. DESC.
ADDRESS
GUN-CLUB-RD.
BOSTIC
NC
28018_
T_
CITY OR TOWN
STATE
ZIP CODE_
DATE DRILLED:
01-13-00 USE OF WELL:
HOUSE
-
-4 a
TOTAL DEPTH:
365'
,...
rn -
CUTTINGS COLLECTED: YES NO XX-
DOES WELL REPLACE EXISTING WELL? YES
NO XX
co
STAT. WAT. LEVL. BEL.TOP OF CASING
_60_FT.
—
(USE + IF ABOVE
TOP)
TOP OF CASING
IS 18" ABOVE LAND
SURF.`
YIELD (GPM):
10 METHOD OF TEST-ARD_
WATER ZONES (DEPTH):
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
CASING:
W.
THICK.
DEPTH
DIA OR
WT/FT. MTL
FROM _0_TO_90_FT._6-1/4"
_PVC_
LOCATION SKETCH
FROM
TO
FT.
GROUT:
BUS. 74 E. FROM FOREST CITY
DEPTH
MATERIAL
METHOD
LEFT ON BOSTIC/SUNSHIrZE HWY
FROM
_PRESS_
LEFT ON GUN CLUB RD. AT
_0_TO_20_FT._CEMENT_
FROM
TO
FT.
SAMMIES STORE. 1ST WHITE
SCREEN.
HOUSE ON LEFT.
DEPTH
DIA SLOT
SIZE MTL
FROM
—TO —FT.
—IN.
—IN.
FROM
—TO —FT.
IN.
IN.
FROM
—TO —FT.
—IN.
—IN.
SAND/GRAVEL PACK:
DEPTH
SIZE
MATERIAL
FROM
—TO —FT.
16. REMARKS:
FFB - 3 2MO
ERTIFY THAT THIS WELL WAS CFICE� N RAANCE W=TH
WELL CONSTRUCTION STANDARDS, - 4e R THIS RECORD
IDED 0 THE WELL OWWE
AGENT, _. DATE
SIGNATURE OF

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
2 0 G 4 G 5
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
----------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN LAKE LURE COUNTY: RUTH
ON THE LAKE
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER _TERRENCE_DUFFY FROM TO
FORM. DESC.
ADDRESS _LUREWOODS_MANOR_DR.
_LURE NC 28746_
-LAKE
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 01-12-00 USE OF WELL: HOUSE
c _
4.
TOTAL DEPTH: 665'
"-
5.
CUTTINGS COLLECTED: YES NO XX
r^
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
i c
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _80_FT.
CO =`
(USE + IF ABOVE TOP)-
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 1 METHOD OF TEST-ARD
- A
10.
WATER ZONES (DEPTH):
C
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
z
12. CASING:
DEPTH
FROM_0_TO_90_FT
.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM _0_TO_20_FT.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
TO
FT.
FROM
TO
-To -FT.
FT.
FROM
15. SAND/GRAVEL PACK:
DEPTH
FROM
TO
FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_
MATERIAL METHOD
_CEMENT_ _PRESS_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
LOCATION SKETCH
HWY. 64/74A W. FROM RUTHER-
FORDTON. RT. ON BOYS CAMP
RD. IN LAKE LURE. RT. ON
CHAPEL POINT DR. LEFT ON
LUREWOODS MANOR DR. STAY
RT. AT FORKS. 1ST DRIVE ON
RT.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
WELL ONSTRUCTION STANDARDS, AND''7H T'A COPY OF THIS RECORD
VIDED TOE THE WELL OWNER. 1
FEB - 3 2000 IU` SIGNATURE OF CONTRACTOR OR 7t 6 DATE

NC DEHNR
DEM - GW SECTION 2 0 6 4 �13 Ll
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
----------------------------------------------------------------------------
----------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
RIVERBEND SUBDV.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2. OWNER _RICK_SEQUIN
FROM TO FORM. DESC.
ADDRESS RIVER_BLVD.
—LAKE _LURE NC 28746
r
CITY OR TOWN STATE ZIP CODE
C3 `c
3. DATE DRILLED: 01-11-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 405''
5. CUTTINGS COLLECTED: YES NO XX
=r
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
co
7. STAT. WAT. LEVL. BEL.TOP OF CASING
_60_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF."
- F M
9. YIELD (GPM): 6 METHOD OF TEST-ARD
o
10. WATER ZONES (DEPTH):
�-
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_50_FT._6-1/4" _PVC_
LOCATION SKETCH
FROM TO FT.
13. GROUT:
HWY. 64/74A W. FROM RUTHER-
DEPTH MATERIAL METHOD
FORDTON. RT. INTO RIVERBEND
FROM_0_TO_20_FT._CEMENT_ _PRESS_
SUBDV. LEFT ON RAINBOW CIR-
FROM TO FT.
CLE. CROSS DAM & LEFT ON
14. SCREEN:
RIVER BLVD. 1/4 MILE ON
DEPTH DIA SLOT SIZE MTL
LEFT.
FROM —TO —FT. —IN. —IN.
FROM TO FT. IN. IN.
FROM —TO —FT. —IN. —IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED_IV__p,CQORDANCE WITH
15A_NCLC�_kr,j WELL ONSTRUCTION STANDARDS, AND
THAT A COPY OF THIS kECORD
VIDE T THE WELL OWN R
p J Ely
D
'� 3 0 SIGNATURE OF CONTRACTOR r OF2' P i�
C DATE
FEB' POPE o B7n'2 tlffirP

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
20G50'7,
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 946
--------------------------------------------
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN : BOSTIC COUNTY:
MT. LEBANON CHURCH RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER DENNIS_HURDT
ADDRESS _1102_MT _LEBANON_CH._RD._
BOSTIC NC 28018_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-11-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 73'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _53_FT.
(USE + IF ABOVE TOP)
S. TOP OF CASING IS 18" ABOVE LAND SURF."
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_70_FT .
FROM -TO -FT.
13. GROUT:
DEPTH
FROM_0_TO_20_FT .
FROM -TO -FT.
14. SCREEN:
DEPTH
FROM -TO -FT.
FROM -TO -FT.
FROM -TO -FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM_53'_TO_73'_FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
24" CONC
MATERIAL METHOD
_CEMENT_ _POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY CERTIFY THAT THIS WELL WAS CON
WELL CONSTRUCTION STANDARDS,
IDED THE WELL OWNER.1 , Rly
n
l J-F
STATE WELL CONSTRUCTION
PERMIT NUMBER:
----------------------------
----------------------------
BELOW)
RUTH
DEPTH DRILLING LOG
FROM TO FORM. DESC.
0
o p
m �^
� ^c
co
N a
LOCATION SKETCH
FVB - d 20�9 Pi I SIGNATURE OF CONT ACTOR R
PEA RIDGE RD. FROM BOSTIC.
RT. ON WHITEWISE RD. LFET
ON MT. LEBANON CHURCH RD.
LEFT AT STOP SIGN. 1ST DR.
ON RT.
R�CORD71N� WITH
Q OPh QF (� RECORD
j (,UJU g
DATE

NC DEHNR
DEM - GW SECTION
0+` S"?
J
P.O. BOX 29535 QUAD NO.
SER. N�"C)�
RALEIGH, NC 27626-0535 LAT
LONG
[phone] BASIN CODE
HEADER ENT.
GW-LENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
RIVERBEND SUBDV.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
DRILLING LOG
2.
OWNER _RICK_SEQUIN FROM TO
FORM. DESC.
ADDRESS STARLING_TERRACE
LAKE NC 28746_
CITY_OR_TOWN STATE ZIP CODE
3.
DATE DRILLED: 01-10-00 USE OF WELL: HOUSE
- D
4.
TOTAL DEPTH: 285'--a--�-
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
ryl
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
CO
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
___3�
9.
YIELD (GPM): 30 METHOD OF TEST-ARD
10.
WATER ZONES (DEPTH):
J
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
o
12.
CASING:
_
W. THICK.
DEPTH
DIA OR WT/FT. MTL
FROM _0_TO_60_FT._6-1/4"
_PVC_
LOCATION SKETCH
FROM TO FT.
13. GROUT:
HWY. 64/74A W. FROM RUTHER-
DEPTH
MATERIAL
METHOD
FORDTON. RT. ON BILL'S CRK.
FROM_0_TO_20_FT.
_PRESS_
RD. LEFT ON STARLING. RD.
FROM TO FT.
_CEMENT_
LEFT ON STARLING TERRACE.
14. SCREEN:
2ND HOUSE ON RT.
DEPTH DIA SLOT
SIZE MTL
FROM TO FT.
IN.
IN.
FROM -FT.
IN.
IN.
-TO
FROM TO FT.
IN.
IN.
15. SAND/GRAVEL PACK:
DEPTH
SIZE
MATERIAL
FROM -TO -FT.
16. REMARKS:
I DO HEREBY CERTIFY
THAT THIS
WELL WAS CONSTRUCTED IN.ACCORDANCE WITH
--YSA-AC 2C', WELL NSTRUCTION STANDARDS,
AND THAT A COPY OF THIS RECORD
VIDEUTOTHEWELL
OW
Ile
LIl1 FEB I SIGNATURE OF
CONTRACTOR
OR; DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 946
QUAD NO. SER. 1100"4S2
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
---------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : RUTHERFORDTON COUNTY: RUTH
RIVERBEND SUBDV.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER _RICK_SEQUIN
ADDRESS CHIPMUNK_TRAIL
-LAKE _LURE NC 28746
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-08-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 205'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 9 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W.
DEPTH DIA OR
FROM_0_TO_90_FT . _6 -1 / 4 "
FROM TO FT. _
13. GROUT:
DEPTH MATERIAL
FROM_0_TO_2 0_FT . _CEMENT_
FROM TO FT.
14. SCREEN:
THICK.
WT/FT. MTL
_PVC_
DEPTH DRILLING LOG
FROM TO FORM. DESC.
LOCATION SKETCH
HWY. 64/74A W. FROM RUTHER-
METHOD FORDTON. RT. ON BILL'S CRK.
_PRESS_ RD. LEFT ON SPARROW WAY. RT
ON CHIPMUNK TRAIL. HOUSE ON
LEFT AT DEAD-END
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT. IN. IN.
FROM -TO -FT. -IN. -IN.
FROM -TO -FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE
FROM -TO -FT.
16. REMARKS:
MATERIAL
I DO HEREBY
CERTIFY THAT
THIS WELL WAS
CONSTRUCTED
IN ACCORDANCE
WITH
ELL CONSTRUCTION STANDARDS, AND THAT
A COPY OF THIS
RECORD
A EVIF
IDED T15�tHE
WELL OWNE
FEB - 3 20MOO SIGNAT RE OF CONTRAC OR
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
20G506
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 946
------------------------------------------------
------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN ELLENBORO COUNTY:
COLFAX COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER JEAN_JOLLEY
ADDRESS _787_PINEHURST_DR.
_ELLENBORO NC 28040
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-08-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 50,
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_50_FT .
FROM -TO -FT.
13. GROUT:
DEPTH
FROM_0_TO_2 0_FT .
FROM -TO -FT.
14. SCREEN:
DEPTH
FROM -TO -FT.
FROM -TO -FT.
FROM -TO -FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM 30' TO 50' FT.
16. REMARKS:
'i;
W. THICK.
DIA OR WT/FT. MTL
_24 "_ _CONC_
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH DRILLING LOG
FROM TO FORM. DESC.
—+0
N
o
---------------------
LOCATION SKETCH
BUS. 74 W. FROM FOREST CITY
MATERIAL METHOD RT. ON OLD 74. RT. ON PINE -
_CEMENT_ _POURED_ HURST DR. AT CARPET BARN.
4TH HOUSE ON RT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
ERTIFY THAT THIS WELL WAS CC
WELL CONSTRUCTION STANDARDS,
'IDED 'PO\THE WELL OWNER.
ITNI T R �CE WITH
�YB�� THAT A COPY 'HIS RECORD
d�? FEB I I W
DATE

ill
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
206505
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 946
------------------------------------------------
------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN RUTHERFORDTON COUNTY:
LAMB'S GRILL COMM.
(ROAD, COMM., OR'SUBDV. & LOT NO.)
2. OWNER LEROY_MCCRAW
ADDRESS _235_LAMBS_GRILL_RD.
RUTHERFORDTON NC 28139
_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-08-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 45'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 15' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM _0_TO_45 FT.
FROM TO FT.
13. GROUT:
DEPTH
FROM _0_TO_20_FT.
FROM TO FT.
14. SCREEN:
DEPTH
FROM TO FT.
FROM TO FT.
FROM TO FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM 30 TO 45' FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_24"_ _CONC_
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
N
---------------------
LOCATION SKETCH
POORS FORD RD. FROM SHILOH.
MATERIAL METHOD LEFT ON COUNTY LINE RD.
_CEMENT_ _POURED_ LEFT ON LAMB'S GRILL RD.
3RD HOUSE ON LEFT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY CERTIFY THAT THIS WELL WAS C
N6RE�WELL CONSTRUCTION STANDARDS
P IDED/TO THE WELL OWNER. n
[_3 - 3 99
fD THAT A CO.
2MO
NCE WITH
THIS RECORD
FAM
OF
OR.
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER . 'NO D 5 Q 4
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
HOPPER RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
2. OWNER _LARRY_THOMPSON FROM TO
ADDRESS _1134_HOPPER_RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-07-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 56'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _36_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DRILLING LOG
FORM. DESC.
0
W. THICK.
DEPTH
DIA OR WT/FT. MTL
FROM _0_TO_56_
FT.
_24 "_
_CONC_
LOCATION SKETCH
FROM TO
FT.
13.
GROUT:
HWY. 221 S. FROM RUTHERORD-
DEPTH
MATERIAL
METHOD
TON. RT. ON NEWTON COLE RD.
FROM_0_TO_20_FT
.
_POURED_
RT. ON HOPPER RD. DR. ON
FROM TO
FT.
_CEMENT_
RT. PAST 8TH HOUSE ON RT.
14.
SCREEN:
(SITS OFF RD.) (1134 ON
DEPTH
DIA SLOT
SIZE MTL
GREEN MAILBOX ON LEFT SIDE
FROM -TO
-FT.-
IN.
IN.
OF ROAD)
FROM TO
FT.
IN.
IN.
FROM -TO
-FT.
-IN.
-IN.
15.
SAND/GRAVEL
PACK:
DEPTH
SIZE
MATERIAL
FROM 36 TO
56' FT.
NO. 6M
STONE
16.
REMARKS:
I DO HEREBY
CERTIFY
THAT THIS
WELL WAS CONSTRUCTED IN ACCORDANCE W:TH
15A NCAC 2C
NFT�Tn"�TION
STANDARDS, AND THAT A COPY OF THIS =ECORD
FA j
IIED�
8 ELL
OWNE
TES _ 3 F!fl `
S'I NA URE OF
CONTRACTOR OR
AGENT DATE
Csoundwater Sed.-

NC DEHNR
DEM - GW SECTION " U ,4 SO
P.O. BOX 29535 QUAD NO. SER. 11d. f
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
--------------------------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : ELLENBORO COUNTY: RUTH
CAMPFIELD CHURCH RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _RICHARD_BEHRNS FROM TO FORM. DESC.
ADDRESS _409-413_CAMPFIELD_CH._RD._
_ELLENBORO NC 28040_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-07-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 505'
5. CUTTINGS COLLECTED: YES NO XX o `K
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT._
(USE + IF ABOVE TOP) a
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 15 METHOD OF TEST-ARD -
10. WATER ZONES (DEPTH):-
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING: -'
W. THICK. z
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_50_FT._6-1/4" _PVC_ LOCATION SKETCH
FROM -TO -FT.
13. GROUT: BUS. 74 E. FROM ELLENBORO.
DEPTH MATERIAL METHOD LEFT ON CAMPFIELD CH. RD.
FROM_0_TO_20_£T._CEMENT_ _PRESS_ 2ND DRIVE ON LEFT PAST
FROM -TO -FT. CHURCH
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT. IN. IN.
FROM -TO -FT. IN. IN.
FROM -TO -FT. IN. IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM -TO -FT.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED INACCORDANCEWITH
C�-R w WELL NSTRUCTION STA ARDS, AND THAT A COPY OF THIS RECORD
N�P IDED TO THE WELL OW
f Liy
FEB - 3 2000 I ' .
SIGNATURE OF C RACTO� OR ,sa;; GATE

NC DEHNR
DEM - GW SECTION � O E 5 0 3
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN FOREST CITY COUNTY: RUTH
PINEY RIDGE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER FRANK_CORDELL FROM TO FORM. DESC.
ADDRESS _884_PINEY_RIDGE_RD.
—FOREST _CITY NC 28043_
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-06-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 44'
5. CUTTINGS COLLECTED: YES NO XX-
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _30_FT.
(USE + IF ABOVE TOP) p
8. TOP OF CASING IS 18" ABOVE LAND SURF." M�
9. YIELD (GPM): 14' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH): = _�
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL •(ate
12. CASING: N
W THICK '-
DEPTH
DIA
OR WT/FT. MTL
o
FROM _0_TO_44_
FT. _24"_
_CONC_
LOCATION SKETCH
FROM TO
FT.
13. GROUT:
BY-PASS 74 E. FROM FOREST
DEPTH
MATERIAL
METHOD
CITY. RT. ON BETHANY CH. RD
FROM_0_TO_20_FT._CEMENT_
_POURED_
AT KFC. RT. ON PINEY RIDGE
FROM TO
FT.
RD. 1-1/2 MILES ON LEFT.
14. SCREEN:
DEPTH
DIA
SLOT
SIZE MTL
FROM TO
FT.
IN.
IN.
FROM TO
FT.
IN.
IN.
FROM TO
FT.
IN.
IN.
15. SAND/GRAVEL
PACK:
DEPTH
SIZE
MATERIAL
FROM_30'_TO_44'_FT._NO.
6M_
_STONE
16. REMARKS:
I DO HEREBY
CERTIFY THAT_TH,IS
WELL WAS CONSTRUCTED IN ACCORDANCE WITH
PLI!
CT�ON
STANDARDS,
AND THAT A COPY OF THIS ?RECORD
D A E
bE[l_T
ff L
OWNER .
SIGNATFJREOF
CONTRACTOR
OR AGENT LATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER . N91/ 6 4 1 J
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : ELLENBORO COUNTY: RUTH
CAMPFIELD CHURCH RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH
2. OWNER _RICHARD_BEHRNS FROM TO
ADDRESS _409-413_CAMPFIELD_CH._RD. _
ELLENBORO NC 28040_
C_ITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-06-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 605'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _600_FT.
(USE + IF ABOVE TOP)
S. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 0 METHOD OF TEST-ARD
10, WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM _0_TO_60_FT.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM _0_TO_20_FT.
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
-TO -FT.
FROM
TO
FT.
FROM
TO
FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM
TO
FT.
16. REMARKS:
DRILLING LOG
FORM. DESC.
W. THICK. _
DIA OR WT/FT. MTL
_6-1/4" _PVC_ LOCATION SKETCH
BUS. 74 E. FROM ELLENBORO.
MATERIAL METHOD LEFT ON CAMPFIELD CH. RD.
_CEMENT_ _PRESS_ 2ND DRIVE ON LEFT PAST
CHURCH
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
I DO HEREBY CERTIFY
15A NCAC 2C, WELL C
i3AS2 JMW tPRfb( DED T
0 is U u 15
FEB - 3 2000
S
THAT THIS WELL WAS COI TRUrT,jDGIty_ E➢,ANCE WITH
ILSTRUCTION STANDARDS, AAt1 THAT A COPY ,THIS RECORL
T E WELL OWNER. (II �' A7
P4,
- l l cc)
GNATURE OF CONTRACTOR OR AGENT - DATE

NC DEHNR
DEM - GW SECTION P.O. BOX 29535 QUAD NO. SER. NO?OG4 7
S
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
--------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
BELOW)
NEAREST TOWN FOREST CITY COUNTY:
RUTH
NEWTON COLE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER BOBBY_HARRIS
FROM TO FORM. DESC.
ADDRESS _414_NEWTON_COLE_RD.
NC 28043_
_FOREST_CITY
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 01-06-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 205'
o
5.
CUTTINGS COLLECTED: YES NO XX
On n z
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
m u
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
itj �
(USE + IF ABOVE TOP)
1:0-
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 100 METHOD OF TEST-ARD
= 76�1
10.
WATER ZONES (DEPTH):
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
o
12. CASING:
DEPTH
FROM _0_TO_3
5_FT
.
FROM
TO
FT.
13. GROUT:
DEPTH
FROM_0_TO_20_FT
.
FROM
—TO —FT.
14. SCREEN:
DEPTH
FROM
—TO —FT.
FROM
TO
FT.
FROM
—TO —FT.
15. SAND/GRAVEL
PACK:
DEPTH
FROM
—TO —FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_
MATERIAL METHOD
_CEMENT_ _PRESS_
I DO HEREBY CERTIFY
15A NCAC 2C, WELL C
m R 0 w R N
FEB - 3 2000
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
--------------------------
LOCATION SKETCH
HWY. 221 S. FROM RUTHERFORD
TON. RT. ON NEWTON COLE RD.
3/4 MILE ON RT.
THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
NSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD
THE WELL OWNE
r,
DATE

D
NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 946
206502
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
------------------------------------------------------
------------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN : FOREST CITY COUNTY: RUTH
MT. VERNON COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER TED_NEWTON
ADDRESS HUDLOW_RD.
—FOREST _CITY NC 28043
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-06-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 43'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _23_FT.
(USE + IF ABOVE TOP)
S. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20' METHOD OF TEST —STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_43_FT .
FROM —TO —FT.
13. GROUT:
DEPTH
FROM_0_TO_2 0_FT .
FROM —TO —FT.
14. SCREEN:
DEPTH
FROM —TO —FT.
FROM —TO —FT.
FROM —TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM 23' TO 43' FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_24 "_ _CONC_
DEPTH DRILLING LOG
FROM TO FORM. DESC.
-------------------
LOCATION SKETCH
BUS. 74 W. FROM FOREST CITY
MATERIAL METHOD RT. ON HUDLOW RD. 3/10 MILE
_CEMENT_ _POURED_ ON LEFT PAST MEADOWCREEK DR
(JUST BEFORE OLD ROSS RD.)
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A-.NCA" C,,WELL CONSTRUCTION STANDARDS, AND THAT A_COPY OF THIS RECORD
HSSHBWEI E�Q, VIDED TJ�'THE WELL OWNER,
7
F r3
SIGNATURE
OR
R
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
20650.1
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 946
------------------------------------------------
------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN ELLENBORO COUNTY:
HOOPEWELL COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER DAVID_MCGINNIS
ADDRESS _225_HOLLIS_RD.
_ELLENBORO NC 28040
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-06-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 68'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _48_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.'
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_6 8_FT .
FROM TO FT.
13. GROUT:
DEPTH
F ROM_0_TO_2 0_F T .
FROM -TO -FT.
14. SCREEN:
DEPTH
FROM -TO -FT.
FROM -TO -FT.
FROM -TO -FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM 48' TO 68' FT.
16. REMARKS:
W. THICK.
DIA OR WT/FT. MTL
_24"_ _CONC_
MATERIAL METHOD
_CEMENT_ _POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
I DO HEREBY
'yCERTIFY
QQQ���THAT THIS WELL WAS CC
P �JIDED I)b HEUWELLNOWDARDS,
I
FEB - ZC�O I SIGNATUNN �OF CONTRACTOF
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH DRILLING LOG
FROM TO FORM. DESC.
LOCATION SKETCH
HOLLIS RD. FROM ELLENBORO.
WHITE HOUSE ON LEFT ACROSS
FROM EVAN EDWARDS RD.
CTED IN ACCORDANCE WITH
THAT A COPY OF THIS RECORD
Fftl� u
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
2064 � 6
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1 WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
SHILOH COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
2. OWNER _TIM_ADKINS
ADDRESS CLEGHORN_MILL_RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-05-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 705'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _700_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 0 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_50_FT._6-1/4" _PVC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT._CEMENT_ —PRESS—
FROM—TO—FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. —IN. —IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM —TO —FT.
16. REMARKS:
I DO HEREBY CERTIFY
WELL C
IDED 6
FROM TO FORM. DESC.
----------------
LOCATION SKETCH
CLEGHORN MILL RD. FROM SHI-
LOW. 2ND HOUSE ON LEFT PAST
WEEKS RD.
THAT THIS WELL WAS CONSTRUCTED
NSTRUCTION STANDARDS, AND THAT
-'HE WELL OWNER. ['
OF
NCE WITH
THIS RECORD

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
206500
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
WORSHAM RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING'LOG
2.
OWNER KEN_MORGAN
FROM TO FORM. DESC.
ADDRESS
_271_WORSHAM_RD.
RUTHERFORDTON NC 28139_
o
_
CITY OR TOWN STATE ZIP CODE
3.
DATE DRILLED: 01-05-00 USE OF WELL: HOUSE
4.
TOTAL DEPTH: 66'
5.
CUTTINGS COLLECTED: YES NO XX
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX
p
7.
STAT. WAT. LEVL. BEL.TOP OF CASING _46_FT.
(USE + IF ABOVE TOP)
a=
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
C
10.
WATER ZONES (DEPTH):
_
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM _0_TO_66_FT. _24"_ _CONC_
LOCATION SKETCH
FROM TO FT.
13.
GROUT:
HWY. 64 E. FROM RUTHERFORD-
DEPTH MATERIAL METHOD
TON. LEFT ON GILBERTTOWN RD
FROM FT. _ CEMENT _ _POURED_
LEFT ON WORSHAM RD. HOUSE
_0_TO_20_
FROM TO FT.
AT END OF ROAD.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
FROM TO FT. IN. IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM_46_TO_66'_FT._NO. 6M_ _STONE
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCQRDANCE WITH
15A NCAC 2C, WELL STRUCTION STANDARDS, ANDTHAT (Aj) PY"'Or" THIS RECORC
0 H�SEBEEN--PIROVIDED OJHE WELL OWNER.l� n-
I, akF 'e.�i
FEB — 3 20`10 ( "� SIGNATURE OF CONTRACTOk-IOR` ENT DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
206499
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 946
------------------------------------------------
------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN ELLENBORO COUNTY:
HOOPEWELL COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER B.B._SHORT
ADDRESS VICTORIA_DR.
_ELLENBORO NC 28040
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-05-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 65'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _45_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF."
9. YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_TO_6 5_FT . 2 4 " _CONC_
FROM TO FT.
13. GROUT:
DEPTH
MATERIAL
METHOD
FROM_0_TO_20_FT
.
_CEMENT_
-POURED-
FROM-TO-FT.
14. SCREEN:
DEPTH
DIA SLOT
SIZE MTL
FROM -TO
-FT.
-IN.
-IN.
FROM -TO
-FT.
-IN.
-IN.
FROM -TO
-FT.
-IN.
-IN.
15. SAND/GRAVEL
PACK:
DEPTH
SIZE
MATERIAL
FROM 45' TO
65' FT.
NO. 6M
STONE
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CC
15A NCAC 2C WELL CONSTRUCTION STANDARDS,
WA($ MES P�IDED T43" THE WELL OWNER.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
0
z
LOCATION SKETCH
HOLLIS RD. FROM ELLENBORO.
RT. ON HOPEWELL RD. LEFT ON
MT. OLIVET RD. RT. ON RIGHT
PRONG RD. LEFT ON VICTORIA
DR. 3RD HOUSE ON RT.
I,1Y-_`ACCORDANCE WITH
THAT A COPYrOF THIS RECORD
f
FB- 3 2r" ;) 1 S GNATURE Of CONTRACTOR i OR A ID"
DATE

NC DEHNR
OEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
QUAD NO. SER . Nb l l 6
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 946
------------------------------------------------
------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN RUTHERFORDTON COUNTY:
RAINBOW RAPIDS RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER _CHRIS_SHUTE
ADDRESS _RAINBOW_RAPIDS_RD.
_RUTHERFORDTON NC 28139
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-04-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 505'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60FT.
(USE + IF ABOVE TO_P)
8. TOP OF CASING IS 18" ABOVE LAND SURF.*
9. YIELD (GPM): 3 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
DEPTH
FROM_0_TO_7
0_FT .
FROM
-TO
-FT.
13. GROUT:
DEPTH
FROM_0_TO_2
0_FT .
FROM
TO
FT.
14. SCREEN:
DEPTH
FROM
-TO
-FT.
FROM
TO
FT.
FROM
-TO
-FT.
15. SAND/GRAVEL
PACK:
DEPTH
FROM
-TO
-FT.
16. REMARKS:
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
W. THICK.
DIA OR WT/FT. MTL
_6-1/4" _PVC_ LOCATION SKETCH
HWY. 64/74A W. FROM RUTHER-
MATERIAL METHOD FORDTON. RT. ON MCENTIRE RD
_CEMENT_ _PRESS_ LEFT ON RAINBOW RAPIDS RD.
9/10 MILE ON LEFT.
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
I DO HEREBY CERTIFY THAT THIS
15A WELL CONSTRUCTIO
[asn IMER MVIDED TO-'"E WELL
FM - 3 2000
SIGNATURE OF
WELL WAS CONSTRUCnQ,,I ZN '�CEOWANCE WITH
STANDARDS, AND THAT -AA- Ct7iir 6r THIS RECORD
7 0
p-ml / _Z 00
CONTRACTOR: OR AGES DATE

NC DEHNR 2 0 6 4 J G
DEM - GW SECTION
P.O. BOX 29535 QUAD NO. SER. NO.
RALEIGH, NC 27626-0535 LAT LONG
[phone] BASIN CODE
HEADER ENT. GW-1 ENT.
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
1
K
3
4
5
6
7
8
9
10
11
12
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY: RUTH
RAINBOW RAPIDS RD.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
OWNER TERRY_HUTCHINS FROM TO FORM. DESC.
ADDRESS RAINBOW—RAPIDS—
RD.
_RUTHERFORDTON NC 28139_
CITY OR TOWN STATE ZIP CODE
DATE DRILLED: 01-04-00 USE OF WELL: HOUSE
TOTAL DEPTH: 70' o
CUTTINGS COLLECTED: YES NO XX
DOES WELL REPLACE EXISTING WELL? YES NO XX
STAT. WAT. LEVL. BEL.TOP OF CASING _50_FT.
(USE + IF ABOVE TOP) r-O
TOP OF CASING IS 18" ABOVE LAND SURF.' �—
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE —
WATER ZONES (DEPTH):^A
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL Fa o iS
CASING: _
W. THICK.
DEPTH
DIA OR WT/FT. MTL
FROM_0_TO_70_FT._24"_
_CONC_
LOCATION SKETCH
FROM TO
FT.
13. GROUT:
HWY. 64/74A W. FROM RUTHER-
DEPTH
MATERIAL
METHOD
FORDTON. RT. ON MCENTIRE RD
FROM_0_TO_20_FT._CEMENT_
_POURED_
LEFT ON RAINBOW RAPIDS RD.
FROM TO
FT.
1ST HOUSE ON RT. PAST GAR-
14. SCREEN.
BAGE CENTER.
DEPTH
DIA SLOT
SIZE MTL
FROM TO
FT.
IN.
IN.
FROM TO
FT.
IN.
IN.
FROM TO
FT.
IN.
IN.
15. SAND/GRAVEL
PACK:
DEPTH
SIZE
MATERIAL
FROM_50'_TO_70'_FT._NO.
6M_
_STONE
16. REMARKS:
I DO HEREBY
CERTIFY THAT THIS
WELL WAS CONSTRUCTED IN ACCORDANCE WITH
WELL
STRUCTION
STANDARDS,
AND THAT' k DG3PY- :QF THIS RECORD
6 ell v
VIDED
O THE WELL
j F F-
SIGNATURE Qf
OR AGENT - = DATE
ao
{ Go:m6vate'Section
Red oaal Office

PJ
NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
DRILLER REGISTRATION NO: 946
1
2
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
20G496
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
WELL LOCATION: (SHOW SKETCH OF THE LOCATION BELOW)
NEAREST TOWN BOSTIC COUNTY: RUTH
SUNSHINE COMM.
(ROAD, COMM., OR SUBDV. & LOT NO.) DEPTH DRILLING LOG
OWNER TIM_GREENE FROM TO FORM. DESC.
ADDRESS _WALKER_DAIRY_RD.
BOSTIC NC 28018
CITY OR TOWN STATE ZIP CODE
DATE DRILLED: 01-03-00 USE OF WELL: HOUSE
TOTAL DEPTH: 65'
CUTTINGS COLLECTED: YES NO XX
DOES WELL REPLACE EXISTING WELL? YES NO XX n�
STAT. WAT. LEVL. BEL.TOP OF CASING _45_FT.--�-6-r
(USE + IF ABOVE TOP) o <
TOP OF CASING IS 18" ABOVE LAND SURF.*
YIELD (GPM): 20' METHOD OF TEST -STEEL TAPE
WATER ZONES (DEPTH):
in z_
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
CASING:
DEPTH
FROM_0_TO_6 5_FT .
FROM TO FT.
13. GROUT:
DEPTH
FROM_0_TO_20_FT .
FROM —TO —FT.
14. SCREEN:
DEPTH
FROM —TO —FT.
FROM —TO —FT.
FROM —TO —FT.
15. SAND/GRAVEL PACK:
DEPTH
FROM 45' TO 65' FT.
16. REMARKS
W. THICK.
DIA OR WT/FT. MTL
_24 "_ _CONC_
MATERIAL METHOD
_CEMENT_ _POURED_
DIA SLOT SIZE MTL
IN. IN.
IN. IN.
IN. IN.
SIZE MATERIAL
_NO. 6M_ _STONE
------------
LOCATION SKETCH
BUS. 74 E. FROM FOREST CITY
LEFT ON BOSTIC/SUNSHINE HWY
LEFT ON ANDREWS MILL RD. RT
ON JOE BOSTIC RD. LEFT ON
WALKER DAIRY RD. HOUSE 3/4
MILE ON LEFT IN SHARP
CURVE
I DO HEREBY CERTIFY THAT.. THIS WELL WAS CONSTRUCTED IN ACCQR6ANCE WITH
WELL CONSTRUCTION STANDARDS, AND THAT A COPY OFF+THIS RECORD
E 1�� VIDED 70-.,THE WELL OWNER.
FEB- 3M
S
QR
DATE

NC DEHNR
DEM - GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
45
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
DRILLER REGISTRATION NO: 946
------------------------------------------------
------------------------------------------------
1. WELL LOCATION: (SHOW SKETCH OF THE LOCATION
NEAREST TOWN RUTHERFORDTON COUNTY:
NANNYTOWN RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
2. OWNER _MICHAEL_BIRCH
ADDRESS _NANNYTOWN_RD.
UNION_MILLS NC 28167
CITY OR TOWN STATE ZIP CODE
3. DATE DRILLED: 01-03-00 USE OF WELL: HOUSE
4. TOTAL DEPTH: 205'
5. CUTTINGS COLLECTED: YES NO XX
6. DOES WELL REPLACE EXISTING WELL? YES NO XX
7. STAT. WAT. LEVL. BEL.TOP OF CASING _60_FT.
(USE + IF ABOVE TOP)
8. TOP OF CASING IS 18" ABOVE LAND SURF.`
9. YIELD (GPM): 20 METHOD OF TEST-ARD
10. WATER ZONES (DEPTH):
11. CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12. CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_0_T0_80_FT._6-1/4" _PVC_
FROM TO FT.
13. GROUT:
DEPTH MATERIAL METHOD
FROM_0_TO_20_FT._CEMENT_ -PRESS-
FROM-TO-FT.
14. SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM -TO -FT. -IN. -IN.
FROM -TO -FT. -IN. -IN.
FROM -TO -FT. -IN. -IN.
15. SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM -TO -FT.
16. REMARKS:
STATE WELL CONSTRUCTION
PERMIT NUMBER:
BELOW)
RUTH
DEPTH
FROM TO
DRILLING LOG
FORM. DESC.
LOCATION SKETCH
HWY. 221 N. FROM RUTHERFOR-
DTON. LEFT ON NANNYTOWN RD.
1/10 MILE ON LEFT.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTS
15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT
FrEN ZDED THE WELL OWN R.
D P, t �
FEB - 320 SIGNATURE O CONTRACTOR OR AGENT
)RDANCE WITH
OF THIS RECORD
DATE

0
NC DEHNR
DEM — GW SECTION
P.O. BOX 29535
RALEIGH, NC 27626-0535
[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: PITTMAN WELL BORING, LLC
206497
QUAD NO. SER. NO.
LAT LONG
BASIN CODE
HEADER ENT. GW-1 ENT.
STATE WELL CONSTRUCTION
PERMIT NUMBER:
DRILLER REGISTRATION NO: 946
-----------------------------------------------------------------------
1.
WELL LOCATION: (SHOW SKETCH OF THE LOCATION
--
BELOW)
NEAREST TOWN RUTHERFORDTON COUNTY:
RUTH
OSCAR JUSTICE RD.
(ROAD, COMM., OR SUBDV. & LOT NO.)
DEPTH DRILLING LOG
2.
OWNER DARRYL_CONNER
FROM TO FORM. DESC.
ADDRESS _42O_OSCAR_JUSTICE_RD.
NC 28139_
_RUTHERFORDTON
CITY OR TOWN STATE ZIP CODE_
3.
DATE DRILLED: 01-03-00 USE OF WELL: HOUSE
o
4.
TOTAL DEPTH: 51,
*i
c r-
5.
CUTTINGS COLLECTED: YES NO XX
p
6.
DOES WELL REPLACE EXISTING WELL? YES NO XX—
co
7.
STAT. WAT. LEVL. BEL.TOP OF CASING
_31_FT.
(USE + IF ABOVE TOP)
8.
TOP OF CASING IS 18" ABOVE LAND SURF.'
9.
YIELD (GPM): 20' METHOD OF TEST —STEEL TAPE
p
10.
WATER ZONES (DEPTH):
�-
11.
CHLORINATION: TYPE CLOROX AMOUNT 1/2 GAL
12.
CASING:
W. THICK.
DEPTH DIA OR WT/FT. MTL
FROM_O_TO_51_FT._24"_ _CONC_
LOCATION SKETCH
FROM
13.
—TO —FT.
GROUT:
HWY. 64 e. FROM RUTHERFORD—
DEPTH MATERIAL METHOD
TON. LEFT ON OSCAR JUSTICE
FROM _O_TO_20_FT._CEMENT_ _POURED_
RD. 1-1/4 MILES ON LEFT.
FROM TO FT.
14.
SCREEN:
DEPTH DIA SLOT SIZE MTL
FROM —FT. —IN. —IN.
—TO
FROM —TO —FT. —IN. —IN.
FROM —TO —FT. —IN. —IN.
15.
SAND/GRAVEL PACK:
DEPTH SIZE MATERIAL
FROM 31— TO 51' FT. NO. 6M STONE
16.
REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTEiD'ZN ACCORDANCE WITH
--- WELL CONSTRUCTION STANDARDS, AND
THAT A-c6pY O'F THIS RECORD
SD B E IDED TO E WELL OWNE
FEB
`
— 3
S GNATURE OF NTRACTOR'OR DATE
muo
v�a�°z°rn
�ashevd'e '*men€� t:if•^a