WI0700087_Inspection_20201209

North Carolina Department of Environment and Natural Resources
Division of Water Quality — Aquifer Protection Section
INJECTION FACILITY INSPECTION REPORT
PERMIT NO. WI0700087
DATE OF INSPECTION: 12/9/20
INSPECTOR: R. Sipe
NAME OF PERMITTEE(S) Ashton Lewis Lumber
MAILING ADDRESS OF PERMITTEE PO Box 25, Gatesville, NC 27938
PHYSICAL ADDRESS OF SITE (if different than above) Lewis Mill Rd., Gatesville, NC 27938
PERSON MET WITH ON -SITE Michael Lancaster; TELE NO. [phone]
WELL(S) STATUS:
XExisting and operating Class V Well
Existing well proposed to be converted to Class V well
Proposed/not constructed
LAT/LONG OF WELL(S)
Well #1 (Supply Well): 36.397778N; 76.767222W
Well #2 (Inj. Well):36.398056N; 76.7675W
Appx. distance of well to property boundaries: _200 feet (Well #1- Supply); 60 feet (Well 42-Inj.)
Appx. distance of well from foundation of house/structure: _15 feet (both wells)
Appx. distance of well from septic tank/field (if present): _400 feet (Well #1- Supply): 450 feet (Well 92-Inj.)
Appx. distance of well to other well(s) (if present)
Appx. distance to other sources of pollution: _None
150 feet between Well 91 and Well 92
Flooding Potential of Site: high moderate Xlow
Comments: This system is designed so that the two wells can be interchangeably be used for either supply or
injection. Both wells appear to be in good condition consistent with findings of prior inspection and operating
adequately.
Injection Facility Insp. Report (Rev. Sept 2009) Page I of 4 Pages

See Attached Map
DRAW SKETCH OF SITE ABOVE (Show property boundaries, buildings, other wells, septic tanks/drain fields, other
potential pollution sources, roads, approximate scale, and NORTH arrow)
Well construction information was provided with the last inspection report. There have not been any changes
in well construction since that time.
Draw Schematic of well above showing TD, casing depth, grout, etc.
Injection Facility Insp. Report (Rev. Sept 2009) Page 2 of 4 Pages

Well Construction Information
Date Constructed: Well #1 (9/19/05); Well #2 (9/16/05)_
Well Contracting Company: _Magette Well and Pump Co., Inc.
Well Driller Name: _Bobby Harrell
NC Well Cert. No.: 2936-A
Address:_2342 US Hwy 13 South, Ahoskie, NC 27910
Telephone No.: _(252)332-2265 ; Cell No.:
Email Address:
Proposed Depth of Well(s): _N/A
Total Depth: _331 feet (Well #2) 346 Feet (Well 41)_
Casing:
Depth: 315 feet (Well 92); 321 (Well 41); Diameter: 4 inches Type: PVC; Stick Up: 3 feet.
Grout
Depth: 0 - 20 feet (both wells); Type Cement; Placement: Pumping.
Depth: 20 - 285 feet (Well 92); 20 — 300 feet (Well 41); Type Bentonite; Placement: Pumping
Well ID Plate Present (Y or N): N ;Heat Pump ID plate present (Y or N): N
Influent spigot (Y or N): Y Effluent spigot (Y or N): Y
Well Sampled? (Y or N): N ; If Yes, Lab Sample ID numbers:
Static Water Level: not measured
Injection Information (if applicable):
Injection Rate:
GPM
Injection Pressure:
PSI
Injection Volume:
GPD
Temperature- Summer:
F°
Temperature- Winter:
F°
Comments/Notes: This system is designed so that the two wells can be interchangeably be used for either supply
or injection. Both wells appear to be in good condition consistent with findings of prior inspection and operating
adequately. The wells were not sampled due to the current sample submittal restrictions at the DWR Central Lab.
Samples may be collected at a later date when these restrictions are lifted.
Injection Facility Insp. Report (Rev. Sept 2009) Page 3 of 4 Pages

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Injection Facility Insp. Report (Rev. Sept 2009) Page 4 of 4 Pages