Asheville Airport GW1

NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2402
1. WELL CONTRACTOR:
MIKE MCCONAHEY
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Contractor Company Name
STREET ADDRESS 176 COMMERCE BLVD
STATESVILLE NC
28625
City or Town State Zip Code
( 704 )- 872-7686
Area code- Phone number
2. WELL INFORMATION:
SITE WELL ID #(if applicable)
MW-2A
STATE WELL PERMIT#(if applicable)
DWQ or OTHER PERMIT #(if applicable)
WELL USE (Check Applicable Box) Monitoring E Municipal/Public
Industrial/Commercial ❑ Agricultural 0 Recovery 0 Injection 0
Irrigation0 Other 0 (list use)
DATE DRILLED 10/06/09
TIME COMPLETED AM 0 PM 0
3. WELL LOCATION:
CITY: ASHEVILLE COUNTY BUNCOMBE
WRIGHT BROTHERS WAY 28732
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING:
ID Slope DValley. ❑Flat ❑Ridge 0 Other
(check appropriate box)
LATITUDE
LONGITUDE
May be in degrees,
minutes, seconds or
in a decimal fortnat
Latitude/longitude source: ❑GPS ❑Topographic map
(location of well must be shown on a USGS topo map and
attached to this form if not using GPS)
4. FACILITY- is the name of the business where the well is located.
FACILITY ID #(if applicable)
NAME OF FACILITY ASHEVILLE AIRPORT
STREET ADDRESS WRIGHT BROTHERS WAY
ASHEVILLE
NC 28732
City or Town State Zip Code
CONTACT PERSON ASHEVILLE REGIONAL AIRPORT
MAILING ADDRESS 61 TERMINAL DRIVE
FLETCHER NC
28732
City or Town State Zip Code
)-
Area code - Phone number
5. WELL DETAILS:
a. TOTAL DEPTH: 15.0 FEET
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO E
c. WATER LEVEL Below Top of Casing: 3.0 FT.
(Use "+" if Above Top of Casing)
d. TOP OF CASING IS 2.5 FT. Above Land Surface*
'Top of casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): N/A METHOD OF TEST NIA
f. DISINFECTION: Type N/A
g. WATER ZONES (depth):
From
From
From
To
To
To
Amount N/A
From To
From
From
To
To
6. CASING: Thickness/
Depth Diameet�er Weight Material
From 0.0 To 5.0 Ft,21NCH SCIi40 PVC
From To Ft.
From To Ft.
7. GROUT: Depth Material Method
Ft.Portland bentonite
From 0.0 To 1.0 SLURRY
From To Ft.
From To Ft.
8. SCREEN: Depth Diameter Slot Size Material
From 5.0 To 15.0 Ft. 2.0 is .010 in PVC
From To Ft. in. in.
From To Ft. in. in
9. SAND/GRAVEL PACK:
Depth Size Material l ICJ
From 3.0 To 15.0 Ft. 20-40 FINE SILICA SAND 1'.'I
ti
From To Ft.
From To Ft.
10. DRILLING LOG t�
From To Formation Description
0.0 1.0 RED/BROWN SANDY SILT
1.0 10.0
10.0 15.0
SILVER/GRAY SILTY SAND
ORANGE/BROWN SANDY SILT.
„ Tr
NOV
11. REMARKS: '
Ir�r1t �r. aii.
BENTONITE SEAL FROM 1.0 TO 3.0 FEET
essing Unit
I DO HEREBY CER
15A NCAC 2C,
RECORD HA
THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
CONSTUCTION STANDARDS, AND THAT A COPY OF THIS
PRL, a ED TO THE ri
/09/09
SIG 'TURE
MIKE MCCONAHEY
CERTIF
WE LCIN
ACTQE DATE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn: Information Mgt,
1617 Mail Service Center- Raleigh, NC 27699-1617 Phone No. [phone] ext 568.
Form GW-lb
Rev. 7/05

NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2402
1. WELL CONTRACTOR:
MIKE MCCONAHEY
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Contractor Company Name
STREET ADDRESS 176 COMMERCE BLVD
STATESVILLE NC
28625
City or Town State Zip Code
( 704 )- 872-7686
Area code- Phone number
2. WELL INFORMATION:
SITE WELL ID #(if applicable) MW-4A
STATE WELL PERMIT#(if applicable)
DWQ or OTHER PERMIT #(if applicable)
WELL USE (Check Applicable Box) Monitoring 81 Municipal/Public ❑
Industrial/Commercial ❑ Agricultural p Recovery p Injection 0
Irrigation[' Other 0 (list use)
DATE DRILLED 10/06/09
TIME COMPLETED AM ❑ PM ❑
3. WELL LOCATION:
CITY: ASHEVILLE
WRIGHT BROTHERS WAY 28732
COUNTY BUNCOMBE
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING:
❑Slope ['Valley ❑Flat ❑Ridge 0 Other
(check appropriate box)
LATITUDE
LONGITUDE
May be in degrees,
minutes, seconds or
in a decimal format
Latitude/longitude source: ❑GPS ['Topographic map
(location of well must be shown on a USGS opo map and
attached to this form if not using GPS)
4. FACILITY- is the name of the business where the well is located.
FACILITY ID #(if applicable)
NAME OF FACILITY
STREET ADDRESS
ASHEVILLE
ASHEVILLE AIRPORT
WRIGHT BROTHERS WAY
NC 28732
City or Town State Zip Code
CONTACT PERSON
MAILING ADDRESS
ASHEVILLE REGIONAL AIRPORT
61 TERMINAL DRIVE
FLETCHER NC
28732
City or Town State
Area code - Phone number
5. WELL DETAILS:
a. TOTAL DEPTH:
45.0 FEET
Zip Code
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO
c. WATER LEVEL Below Top of Casing: 33.0 FT.
(Use "+" if Above Top of Casing)
d. TOP OF CASING IS 0.0 FT. Above Land Surface*
'Top of casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C .0118,
e. YIELD (gpm): N/A METHOD OF TEST N/A
f. DISINFECTION: Type N/A
Amount N/A
g. WATER ZONES (depth):
From To From To
From To From To
From To From To
6. CASING:
From 0.0
Depth
To 30.0 Ft
From To Ft
From To Ft
7. GROUT:
From 0.0
From
From
2DiINCHer
Thickness/
SCR4O MaCterial
Depth Material
Portland bentonite
To 23.0 Ft.
To Ft.
To Ft.
8. SCREEN: Depth
From 30.0 To 45.0
Diameter
Ft. 2.0 in.
From To Ft. in.
From To Ft. in.
9. SAND/GRAVEL PACK:
Method
SLURRY
Slot Size. Material
.010 in, PVC
in
n
Depth Size Material
From 27.0 To 45.0 Ft, 20-40 FINE SILICA SAND
From
From
To Ft.
To Ft.
10. DRILLING LOG
From To
0.0 1.0
1.0 10.0
100
20,0
Formation Description
GRASS/TOPSOIL
RED/BROWN SANDY SILT
BLACK/RED SANDY SILT
C)
r
20.0 45.0 TAN/ORANGE SANDY SILT
NUV30
11. REMARKS: t'
` r" ii unitBENTONITE SEAL FROM 23.0 TO 274o,f4 Tno
I DO HEREBY CER
15A NCAC 2C,
RECORD HA
Y THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
" CONS ' UCTION STANDARDS, AND THAT A COPY OF THIS
N PR r-a DED TO THE
/09/
9
SIG
TUR O CERTIF
MIKE MCCONAHEY
D WELL C•N RACT
DATE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn: Information Mgt.,
1617 Mail Service Center- Raleigh, NC 27699-1617 Phone No. [phone] ext 568.
Form GW-1 b
Rev. 7/05

NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2402
1. WELL CONTRACTOR:
MIKE MCCONAHEY
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Contractor Company Name
STREET ADDRESS
STATESVILLE
176 COMMERCE BLVD
NC 28625
City or Town State Zip Code
( 704 )- 872-7686
Area code- Phone number
2. WELL INFORMATION:
SITE WELL ID #(if applicable) MW-5
STATE WELL PERMIT#(if applicable)
DWQ or OTHER PERMIT #(if applicable)
WELL USE (Check Applicable Box) Monitoring 0 Municipal/Public 0
Industrial/Commercial ❑ Agricultural 0
IrrigationD Other 0 (list use)
DATE DRILLED 10/06/09
Recovery 0 Injection ❑
TIME COMPLETED AM ❑ PM ❑
3. WELL LOCATION:
CITY: ASHEVILLE COUNTY BUNCOMBE
WRIGHT BROTHERS WAY 28732
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
TOPOGRAPHIC/LAND SETTING:
DSlope OValley ❑Flat ❑Ridge 0 Other
(check appropriate box)
LATITUDE
LONGITUDE
May be in degrees,
minutes, seconds or
in a decimal format
Latitude/longitude source: ❑GPS Topographic map
(location of well must be shown on a USGS topo map and
attached to this form if not using GPS)
4. FACILITY- is the name of the business where the well is located.
FACILITY ID #(if applicable)
NAME OF FACILITY
STREET ADDRESS
ASHEVILLE
ASHEVILLE AIRPORT
WRIGHT BROTHERS WAY
NC 28732
City or Town State Zip Code
CONTACT PERSON ASHEVILLE REGIONAL AIRPORT
MAILING ADDRESS 61 TERMINAL DRIVE
FLETCHER NC
28732
City or Town State
Zip Code
Area code - Phone number
5. WELL DETAILS:
a. TOTAL DEPTH: 57.0 FEET
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO
c. WATER LEVEL Below Top of Casing: 44.0 FT.
(Use "+" if Above Top of Casing)
d. TOP OF CASING IS 2.5 FT. Above Land Surface*
*Top of casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): N/A METHOD OF TEST N/A
f. DISINFECTION: Type N/A
Amount N/A
g. WATER ZONES (depth):
From To From To
From To From To
From To From To
6. CASING:
Thickness/
Depth Diameter Weight Material
From 0.0 To 42.0 Ft. 2 INCH SCITito PVC
From To Ft
From To Ft
7. GROUT:
From 0.0
Depth Material
To 36.0 Ft.Portland bentonite
From To Ft.
From To Ft.
Method
SLURRY
8. SCREEN: Depth Diameter Slot Size Material
From 42.0 To 57.0 Ft. 2.0 in. .010 in. PVC
From To Ft. in. in.
From To - Ft. in, in.
9. SAND/GRAVEL PACK: j
Depth Size Material
From 40.0 To 57.0 Ft. 20-40 FINE SILICA SAND
From
From
To
To
Ft.
Ft.
10. DRILLING LOG
From To Formation Description
0.0 1.0 WEEDS/TOPSOIL
1.0 10.0 RED/BROWN SANDY SILT
10 0 35.0 BROWN/RED SANDY SILT
35.0 57.0 TAN/ORANGE SANDY SILT
NUV 8 0 2039
TN
g „1:t"
11. REMARKS:
BENTONITE SEAL FROM 36.0 TO 40.0 FEET
100 HEREBY CE
15A NCAC 2C
RECORD H
SI
FY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
CONSTRUCTION STANDARDS, AND THATA COPY OF THIS
EN P•. IDEO TO THE, ELL�rIW
A U t ERTI
MIKE MCCONAHEY
11/09/09
-cDATE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn: Information Mgt.,
1617 Mail Service Center- Raleigh, NC 27699-1617 Phone No. [phone] ext 568.
Form GW-lb
Rev. 7/05

NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality"
Cti
WELL CONTRACTOR CERTIFICATION # 2402
1. WELL CONTRACTOR:
MIKE MCCONAHEY
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Contractor Company Name
STREET ADDRESS
STATESVILLE
176 COMMERCE BLVD
NC 28625
City or Town State Zip Code
( 704 )' 872-7686
Area code- Phone number
2. WELL INFORMATION:
SITE WELL ID #(if applicable) MW-1A
STATE WELL PERMIT#(if applicable)
DWQ or OTHER PERMIT #(if applicable)
WELL USE (Check Applicable Box) Monitoring E Municipal/Public ❑
Industrial/Commercial ❑ Agricultural ❑ Recovery ❑ Injection ❑
IrrigationD Other ❑ (list use)
DATE DRILLED 10/06/09
TIME COMPLETED AM ❑ PM ❑
3. WELL LOCATION:
CITY: ASHEVILLE COUNTY BUNCOMBE
WRIGHT BROTHERS WAY 28732
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING:
❑Slope DValley ❑Flat ❑Ridge ❑ Other
(check appropriate box)
LATITUDE
LONGITUDE
May be in degrees,
minutes, seconds or
in a decimal format
Latitude/longitude source: ❑GPS ❑Topographic map
(location of well must be shown on a USGS topo map and
attached to this form if not using GPS)
4. FACILITY- is the name or the business where the welt is located.
FACILITY ID #(if applicable)
NAME OF FACILITY ASHEVILLE AIRPORT
STREET ADDRESS WRIGHT BROTHERS WAY
ASHEVILLE
NC 28732
City or Town State Zip Code
CONTACT PERSON
MAILING ADDRESS
FLETCHER
ASHEVILLE REGIONAL AIRPORT
61 TERMINAL DRIVE
NC 28732
City or Town State
Area code - Phone number
5. WELL DETAILS:
a. TOTAL DEPTH: 20.0 FEET
Zip Code
b. DOES WELL REPLACE EXISTING WELL? YES O NO
c. WATER LEVEL Below Top of Casing: 5.0 FT.
(Use "+" if Above Top of Casing)
6. CASING:
4 1
d. TOP OF CASING IS 2.5 FT. Above Land Surface'
'Top of casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): N/A METHOD OF TEST N/A
f. DISINFECTION: Type N/A Amount NIA
g. WATER ZONES (depth):
From To From To
From To From To
From To From To
Thickness/
Depth Diameet�er Weight Material
From 0.0 To 5.0 Ft. 2INCH SCliao PVC
From To Ft.
From To Ft.
7. GROUT: Depth Material
To 1.0 Ft Portland bentonite
From 0.0
From To Ft.
From To Ft.
8. SCREEN:
From 5.0
Depth
To 20.0
Method
SLURRY
Diameter Slot Size Material
Ft. 2.0 in .010 in PVC
From To Ft. in. in.
From To Ftin. in.
9. SAND/GRAVEL PACK
Depth Size Material I
From 3.0 To 20.0 Ft. 20-40 FINE SILICA SAND
From
From
To Ft.
To Ft.
10. DRILLING LOG
From To
0.0
1.0
10.0
to
10.0
20.0
Formation Description
RED/BROWN SANDY SILT
SILVER/GRAY SILTY SAND
ORANGE/BROWN SANDY SILT
TY,
Nov 3 u 200
Incur crud Unit.
11. REMARKS:
BENTONITE SEAL FROM 1.0 TO 30 FEET
YIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
.STRUCi1ON STNDA'DS, AND THAT A COPY OF THIS
VIDEO TO T� .= OR,
S('GNATURE OF CER
MIKE MCCONAHEY
FIED WELL CONTRAC
11/09/09
DATE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn: Information Mgt.,
1617 Mail Service Center- Raleigh, NC 27699-1617 Phone No. [phone] ext 568.
Form GW-lb
Rev. 7/05

NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2580
1. WELL CONTRACTOR:
JASON MANTAK
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Contractor Company Name
STREET ADDRESS 176 COMMERCE BLVD
STATESVILLE NC
28625
City or Town Stale Zip Code
( 704 )_ 872-7686
Area code- Phone number
2. WELL INFORMATION:
SITE WELL ID #(if applicable) PZ-1
STATE WELL PERMIT#(if applicable)
DWQ or OTHER PERMIT #(if applicable)
WELL USE (Check Applicable Box) Monitoring LI Municipal/Public ❑
Industrial/Commercial ❑ Agricultural 0 Recovery 0 Injection ❑
IrrigationD Other D (list use)
DATE DRILLED 12/07/09
TIME COMPLETED AM ❑ PM D
3. WELL LOCATION:
CITY: ASHEVILLE COUNTY BUNCOMBE
WRIGHT BROTHERS WAY 28732
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING:
❑Slope ❑Valley ❑Flat ❑Ridge 0 Other
(check appropriate box)
LATITUDE
LONGITUDE
May be in degrees,
minutes, seconds or
in a decimal format
Latitude/longitude source: OGPS ❑Topographic map
(location of well must be shown on a USGS topo map and
attached to this form if not using GPS)
4. FACILITY- is the name of the business where the well is located.
FACILITY ID #(if applicable)
NAME OF FACILITY ASHEVILLE AIRPORT
STREET ADDRESS WRIGHT BROTHERS WAY
ASHEVILLE
NC 28732
City or Town State Zip Code
CONTACT PERSON ASHEVILLE REGIONAL AIRPORT
MAILING ADDRESS
61 TERMINAL DRIVE
FLETCHER NC
28732
City or Town State
( )-
Area code • Phone number
5. WELL DETAILS:
a. TOTAL DEPTH: 50.0 FEET
Zip Code
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO
c. WATER LEVEL Below Top of Casing: 18.0 FT.
(Use "+" if Above Top of Casing)
d. TOP OF CASING IS 2.0 FT. Above Land Surface'
'Top of casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): N/A METHOD OF TEST N/A
f. DISINFECTION: Type N/A Amount N/A
g. WATER ZONES (depth):
From To From To
From To From To
From To From To
6. CASING:
Thickness/
Depth Diameter Weight Material
From 0.0 To 20.0 Ft. 2 INCH Sc a PVC
From To Ft.
From To Ft.
7. GROUT: Depth Material Method
From 0.0 To 12.0 Ft Portland bentonite SLURRY
From To Ft.
From To Ft.
8. SCREEN: Depth Diameter Slot Size Material
From 20.0 To s0.o Ft. 2.0 in. .010 in. PVC
From To Ft. in. in.
From To Ft. in. in.
9. SAND/GRAVEL PACK:
Depth Size Material
From 16.0 To 50.0 Ft. 20-40 FINE SILICA SAND
From To Ft.
From To Ft.
10. DRILLING LOG
From To
0.0 50.0
Formation Description
BROWN SANDY SILTY CLAY
Nnrgrn,-*inn Processing Unit
11. REMARKS:
BENTONITE SEAL FROM 12.0 TO 16.0 FEET
I D0 HEREBY
15A NCAC 2(1
RECORD HA
NSTRUCTED IN ACCORDANCE WITH
ARDS, AND THAT A COPY OF THIS
OWNER.
12/10/09
SIGNAT {' E OF CERTIFIED WELL CONTRACTOR DATE
JASON MANTAK
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn: Information Mgt„i,
1617 Mail Service Center— Raleigh, NC 27699-1617 Phone No. [phone] ext 568.
Form G W-1 b
Rev. 7/05

NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources -Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2580
1. WELL CONTRACTOR:
JASON MANTAK
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Contractor Company Name
STREET ADDRESS 176 COMMERCE BLVD
STATESVILLE NC
28625
City or Town State
( 704 )- 872-7686
Area code- Phone number
2. WELL INFORMATION:
SITE WELL ID #(ir applicable) PZ-2
STATE WELL PERMIT#(if applicable)
Zip Code
DWQ or OTHER PERMIT #Of applicable)
WELL USE (Check Applicable Box) Monitoring E Municipal/Public 0
Industrial/Commercial❑ Agricultural 0 Recovery Injection
Irrigation❑ Other D (list use)
DATE DRILLED 12/07/09
TIME COMPLETED AM ❑ PM ❑
3. WELL LOCATION:
CITY: ASHEVILLE COUNTY BUNCOMBE
WRIGHT BROTHERS WAY 28732
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING:
❑Slope DValley ID Flat ❑Ridge 0 Other
(check appropriate box)
LATITUDE
LONGITUDE
May be in degrees,
minutes, seconds or
in a decimal format
Latitude/longitude source: ❑GPS ❑Topographic map
(location of well must be shown on a USGS topo map and
attached to this form if not using GPS)
4. FACILITY- is the name of the business where the well is located.
FACILITY ID #(if applicable)
NAME OF FACILITY ASHEVILLE AIRPORT
STREET ADDRESS WRIGHT BROTHERS WAY
ASHEVILLE
NC 28732
City or Town State Zip Code
CONTACT PERSON ASHEVILLE REGIONAL AIRPORT
MAILING ADDRESS
FLETCHER
61 TERMINAL DRIVE
NC 28732
City or Town State
Area code - Phone number
5. WELL DETAILS:
a. TOTAL DEPTH: 30.0 FEET
Zip Code
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO E
c. WATER LEVEL Below Top of Casing: 15.0 FT.
(Use "+" if Above Top of Casing)
d. TOP OF CASING Is 2.0 FT. Above Land Surface'
*Top of casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): N/A METHOD OF TEST N/A
f. DISINFECTION: Type N/A
g. WATER ZONES (depth):
Amount
From To From To
From To From To
From To From To
N/A
6. CASING: Thickness/
Depth Diameter WeightMaterial
From 0.0 To 10.0 Ft, 2 INCH SCH4U PVC
From To Ft.
From To Ft.
7. GROUT: Depth Material Method
From 0.0 To 4.0 Ft. Portland bentonite SLURRY
From To Ft.
From To Ft.
8. SCREEN: Depth Diameter Slot Size Material
From 10.0 To 30.0 FI. 2.0 in. .010 in. PVC
From To Ft. in. in.
From To Ft. in. in.
9. SAND/GRAVEL PACK:
Depth Size Material
From 8.0 To 30.0 Ft. 20-40 FINE SILICA SAND
From To Ft.
From To Ft. t-.e
10. DRILLING LOG
From To Formation Description
0.0 10.0 ORANGE CLAY Cif
10.0 50.0 ORANGE SILTY CLAY Pro
11. REMARKS:
BENTONITE SEAL FROM 4.0 TO 8.0 FEET
RECEIVED
i_'t L 2 1 2009
ift;gsr :i r aLt, liUp1
Inform ion Processing Unit
I DO HEREBY CERTIFY THAT THIS W
15 CAC 2C, WELL C0STR
R ut-RD HAS BE
A
S i NATURE OF CERTIFIED WELL CONTRACTOR DATE
JASON MANTAK
WAS CONSTRUCTED IN ACCORDANCE WITH
STANDARDS, AND THAT A COPY OF THIS
THE WELL OWNER.
12/10/09
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn: Information Mgt.,
1617 Mail Service Center— Raleigh, NC 27699-1617 Phone No. [phone] ext 568.
Form GW-lb
Rev. 7/05

NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 25ao
1. WELL CONTRACTOR:
JASON MANTAK
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Contractor Company Name
STREET ADDRESS 176 COMMERCE BLVD
STATESVILLE NC
28625
City or Town State Zip Code
( 704 )- 872-7686
Area code- Phone number
2. WELL INFORMATION:
SITE WELL ID #(if applicable) MW-3
STATE WELL PERMIT#(if applicable)
DWQ or OTHER PERMIT #(if applicable)
WELL USE (Check Applicable Box) Monitoring E Municipal/Public 0
Industrial/Commercial ❑ Agricultural Recovery Injection 0
Irrigation❑ Other 0 (list use)
DATE DRILLED 12/08/09
TIME COMPLETED AM p PM p
3. WELL LOCATION:
CITY: ASHEVILLE COUNTY BUNCOMBE
WRIGHT BROTHERS WAY 28732
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING:
p Slope ❑Valley ID Flat ❑Ridge p Other
(check appropriate box)
LATITUDE
LONGITUDE
May be in degrees,
minutes, seconds or
in a decimal format
Latitude/longitude source: ❑GPS Topographic map
(location of well must be shown on a USGS topo map and
attached to this form if not using GPS)
4. FACILITY. is the name of the business where the well is located.
FACILITY ID #(if applicable)
NAME OF FACILITY
STREET ADDRESS
ASHEVILLE
ASHEVILLE AIRPORT
WRIGHT BROTHERS WAY
NC 28732
City or Town State Zip Code
CONTACT PERSON
MAILING ADDRESS
ASHEVILLE REGIONAL AIRPORT
61 TERMINAL DRIVE
FLETCHER NC
28732
City or Town State
)-
Area code - Phone number
5. WELL DETAILS:
a. TOTAL DEPTH: 35.0 FEET
Zip Code
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO
c. WATER LEVEL Below Top of Casing: 11.0 FT.
(Use "+" if Above Top of Casing)
d. TOP OF CASING IS 2.0 FT. Above Land Surface'
'Top of casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): N/A METHOD OF TEST N/A
f. DISINFECTION: Type NIA Amount N/A
g. WATER ZONES (depth):
From To From To
From To From To
From To From To
6. CASING: Thickness/
Depth Diameter Weight Material
From 0.0 To 15.0 Fl 2 INCH SCH40 PVC
From To Ft.
From To Ft.
7. GROUT: Depth Material Method
From 0.0 To 9.0 Ft. Portland bentonite
SLURRY
From To Ft.
From To Ft.
8. SCREEN: Depth Diameter Slot Size Material
From 15.0 To 35.0 Ft. 2.0 in.
From To Ft. in. in.
From To Ft. in. - in.
010 in PVC
9. SAND/GRAVEL PACK:
Depth Size Material
From 13.0 To 35.0 Ft. 20-40 FINE SILICA SAND
From To Ft.
From To Ft.
10. DRILLING LOG
From To
10.0
0.0
10.0
20.0
Formation Description
ORANGE SILTY CLAY
20.0 GRAY SILTY CLAY
35.0
YELLOW SILTY CLAY
RFC E1 E
DEL 2 y 2009
triton
11. REMARKS:
BENTONITE SEAL FROM 9.0 TO 13.0 FEET
100 HE
15A N
RECO
BY CERTIFY THAT HIS S CONSTRUCTED IN ACCORDANCE WITH
2C, WELL CO UC TANDARDS, AND THAT A COPY OF THIS
BEEN WELL OWNER.
12/10/09
SIG -fTURE OF CERTIFIED WELL CONTRACTOR DATE
ASON MANTAK
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn: Information Mgt.,
1617 Mail Service Center- Raleigh, NC 27699-1617 Phone No.[phone] ext 568.
Form GW-lb
Rev. 7/05

NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2580
1. WELL CONTRACTOR:
JASON MANTAK
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Contractor Company Name
STREET ADDRESS 176 COMMERCE BLVD
STATESVILLE NC
28625
City or Town Stale Zip Code
( 704 )- 872-7686
Area code- Phone number
2. WELL INFORMATION:
SITE WELL ID #(it applicable) PZ-4
STATE WELL PERMIT#(if applicable)
DWQ or OTHER PERMIT #(if applicable)
WELL USE (Check Applicable Box) Monitoring ® Municipal/Public ❑
Industrial/Commercial❑ Agricultural 0 Recovery Injection 0
IrrigationD Other 0 (list use)
DATE DRILLED 12/08/09
TIME COMPLETED AM ❑ PM ❑
3. WELL LOCATION:
CITY: ASHEVILLE COUNTY BUNCOMBE
WRIGHT BROTHERS WAY 28732
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING:
❑Slope ❑Valley ❑Flat ❑Ridge 0 Other
(check appropriate box)
LATITUDE
LONGITUDE
May be in degrees,
minutes, seconds or
in a decimal format
Latitude/longitude source: ❑GPS ❑Topographic map
(location of well must be shown on a USGS opo map and
attached to this form if not using GPS)
4. FACILITY -is the name or the business where the well is located.
FACILITY ID #(if applicable)
NAME OF FACILITY
STREET ADDRESS
ASHEVILLE
ASHEVILLE AIRPORT
WRIGHT BROTHERS WAY
NC 28732
City or Town State Zip Code
CONTACT PERSON ASHEVILLE REGIONAL AIRPORT
MAILING ADDRESS
FLETCHER NC 28732
61 TERMINAL DRIVE
City or Town State Zip Code
)-
Area code - Phone number
5. WELL DETAILS:
a. TOTAL DEPTH: 25.0 FEET
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO
c. WATER LEVEL Below Top of Casing: 5.0 FT.
(Use "+" if Above Top of Casing)
d. TOP OF CASING IS 2.0 FT. Above Land Surface*
*Top of casing terminated al/or below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): N/A METHOD OF TEST N/A
f. DISINFECTION: Type N/A Amount N/A
g. WATER ZONES (depth):
From To
From To
From To
6. CASING:
From
From
To
To
From To
Thickness/
Depth DiAme1er We ht Material
From 0.0 To 10.0 R. 2 INCH 5Gli4o PVC
From To Ft.
From To Ft.
7. GROUT: Depth Material
Ft. Portland bentonite
From 0.0 To 4'0
From To Ft.
From To Ft.
8. SCREEN:
From 10.0
Method
SLURRY
Depth Diameter Slot Size ...material
To 25.0 Ft. 2.0 in. .010 in. P
From To Ft. in. in.
From To Ft. in. in. '
9. SAND/GRAVEL PACK:
Depth
From 8.0 To 25.0
From
From
a 5-
Size Melefiiat �}
Ft. 20-40 FINE SILIGliMa ND
(0
To FL rZ3
To Ft
10. DRILLING LOG
From To
0.0 25.0
Formation Descriptiozz
BROWN SILTY CLAY Q
na
ca
LiEC 2 1 2009
11. REMARKS: WATEK LµUAi-I ; Y EEL, )ION
BENTONITE SEAL FROM 4.0 TO 8.dttB1 Rsion Processing Unit
100 HEREBY CERTIFY THAT THIS WELL W CONSTRUCTED IN ACCORDANCE WITH
15A NC 2C, WELL CONSTyy CTIn N- DARDS. AND THAT A COPY OF THIS
RECO ! AS BEEN PELL OWNER.
12/10/09
SIG
URE OF CERTIFIED WELL CONTRACTOR DATE
SON MANTAK
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn: Information Mgt.,
1617 Mail Service Center — Raleigh, NC 27699-1617 Phone No. [phone] ext 568.
Form GW-1 b
Rev. 7/05

NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2580
1. WELL CONTRACTOR:
JASON MANTAK
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Contractor Company Name
STREET ADDRESS 176 COMMERCE BLVD
STATESVILLE NC
28625
City or Town Slate Zip Code
( 704 )_ 872-7686
Area code- Phone number
2. WELL INFORMATION:
SITE WELL ID #(if applicable) PZ-3
STATE WELL PERMIT#(it applicable)
OWQ or OTHER PERMIT #Of applicable)
WELL USE (Check Applicable Box) Monitoring D Municipal/Public D
Industrial/Commercial D Agricultural O Recovery O Injection ❑
IrrigationD Other O (list use)
DATE DRILLED 12/08/09
TIME COMPLETED AM D PM D
3. WELL LOCATION:
CITY: ASHEVILLE COUNTY BUNCOMBE
WRIGHT BROTHERS WAY 28732
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING:
❑Slope ❑Valley OFlat ❑Ridge D Other
(check appropriate box)
LATITUDE
LONGITUDE
May be in degrees,
minutes, seconds or
in a decimal format
Latitude/longitude source: ❑GPS ❑Topographic map
(location of well must be shown on a USGS topo map and
attached to this form if not using GPS)
4. FACILITY- is the name of the business where the well located.
FACILITY ID #(if applicable)
NAME OF FACILITY
STREET ADDRESS
ASHEVILLE
ASHEVILLE AIRPORT
WRIGHT BROTHERS WAY
NC 28732
City or Town Stale Zip Code
CONTACT PERSON
MAILING ADDRESS
ASHEVILLE REGIONAL AIRPORT.
61 TERMINAL DRIVE
FLETCHER NC
28732
City or Town State
Area code- Phone number
5. WELL DETAILS:
a. TOTAL DEPTH: 40.0 FEET
Zip Code
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO tal
c. WATER LEVEL Below Top of Casing: 17.0 FT.
(Use "+" if Above Top of Casing)
d. TOP OF CASING IS 2.0
*Top of casing terminated at/or
a variance in accordance with
e. YIELD (gpm): N/A
f. DISINFECTION: Type N/A
g. WATER ZONES (depth):
FT. Above Land Surface*
below land surface may require
15A NCAC 2C .0118.
METHOD OF TEST N/A
Amount N/A
From To From To
From To From To
From To From To
6. CASING:
Depth Diamyyi�er
From 0.0 To 20.0 Ft. 21NCH
From To Ft.
From To Ft.
Thickness/
18II-tt40 Material
7. GROUT: Depth Material
From 0'6 To 14.0 Ft. Portland bentonite
From To Ft.
From To Ft.
8. SCREEN: Depth Diameter
From 20.0 To 40.0 Ft. 2.0
From To Ft.
From - To Ft.
9. SAND/GRAVEL PACK:
Depth
From 18.0 To 40.0
From
From To
10. DRILLING LOG
From To
0.0 40.0
Ft
To Ft. "' Q3
Ft. . cra
0 7.3
Formation Descripti pa
BROWN SILTY CLAY 0
Method
SLURRY
Slot Size Material
in. .010 in. PVC
in. in
in. in
20-40
0
Size Material
FINE SILICA ZED
.ac
CO
R F
IJF
)
ULL 61 ZUUy
11. REMARKS:
BENTONITE SEAL FROM 14.0 TO 18.0 FEET
I DO HEREBY CERTIFY THAT THIS
15A AC 2C, WELL CO
RE I //,'D HAS BE
9
'JASON MANTAK
SI
AS CONSTRUCTED IN ACCORDANCE WITH
STANDARDS, AND THAT A COPY OF THIS
THE WELL OWNER.
ATURE OF CERTIFIED WELL CONTRACTOR
12/10/09
DATE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn: Information Mgt.,
1617 Mail Service Center— Raleigh, NC 27699-1617 Phone No. [phone] ext 568.
Form GW-lb
Rev. 7/05
L:„

NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2580
1. WELL CONTRACTOR:
JASON MANTAK
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Contractor Company Name
STREET ADDRESS 176 COMMERCE BLVD
STATESVILLE NC
28625
City or Town State Zip Code
( 704 )- 872-7686
Area code- Phone number
2. WELL INFORMATION:
SITE WELL ID #(if applicable) MW-2
STATE WELL PERMIT#(if applicable)
DWQ or OTHER PERMIT #(if applicable)
WELL USE (Check Applicable Box) Monitoring ® Municipal/Public ❑
Industrial/Commercial❑ Agricultural 0 Recovery 0 Injection
Irrigation❑ Other ❑ (list use)
DATE DRILLED 12/08/09
TIME COMPLETED AM ❑ PM ❑
3. WELL LOCATION:
CITY: ASHEVILLE COUNTY BUNCOMBE
WRIGHT BROTHERS WAY 28732
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
TOPOGRAPHIC/LAND SETTING:
❑Slope DValley ❑Flat ❑Ridge 0 Other
(check appropriate box)
LATITUDE
LONGITUDE
May be in degrees,
minutes, seconds or
in a decimal format
Latitude/longitude source: ❑GPS ❑Topographicmap
(location of well must be shown on a USGS topo map and
attached to this form if not using GPS)
4. FACILITY -is the name of the business where the well is located.
FACILITY ID #Of applicable)
NAME OF FACILITY ASHEVILLE AIRPORT
STREET ADDRESS WRIGHT BROTHERS WAY
ASHEVILLE
NC 28732
City or Town
CONTACT PERSON
MAILING ADDRESS 61 TERMINAL DRIVE
FLETCHER NC 28732
State Zip Code
ASHEVILLE REGIONAL AIRPORT
City or Town State Zip Code
Area code - Phone number
5. WELL DETAILS:
a. TOTAL DEPTH: 30.0 FEET
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO El
c. WATER LEVEL Below Top of Casing: 14.0 FT.
(Use "+" if Above Top of Casing)
e
d. TOP OF CASING IS 2.0 FT. Above Land Surface'
"Top of casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): N/A METHOD OF TEST N/A
f. DISINFECTION: Type N/A
g. WATER ZONES (depth):
From To From To
From To From To
From To From To
6. CASING:
Depth Diameter
From 0.0 To 10.0 Ft. 21NCH
From To Ft.
From To Ft.
7. GROUT: Depth Material
From 0'0 To 4.0 Ft.Portland bentonite
Amount N/A
Thickness/
ScIaH40 PVCerial
Method
SLURRY
From To • Ft.
From To, Ft.
8. SCREEN: Depth Diameter Slot Size .,Material
From 10.0 To 30.0 Ft. 2.0 in. .010 in. PV9
From To Ft. in. in. fp
From To Ft. in. in. m (iY
9. SAND/GRAVEL PACK: -
Depth Size Materia(' t{
20-40 FINE SILIo) $1IJD
0O
From 8.0 To 30.0 Ft
From To Ft
From
10. DRILLING LOG
From To
0.0 15.0
15.0 30.0
To Ft CO :7
b au
Formation Description
BROWN SILTY CLAY f;
GRAY SILTY CLAY
U.( 20U9
11. REMARKS: Inform:F1lon Processing Unit
BENTONITE SEAL FROM 4.0 TO 8.0 FEET
I DO
15A
RE
REBY CERTIFY TH
C 2C. WEL
BEEN
THI' —" WAS CONSTRUCTED IN ACCORDANCE WITH
STANDARDS. AND THAT A COPY OF THIS
E WELL OWNER.
12/10/09
51
ATURE OF CERTIFIED WELL CONTRACTOR DATE
JASON MANTAK
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn: Information Mgt.,
1617 Mail Service Center— Raleigh, NC 27699-1617 Phone No. [phone] ext 568.
Form GW-lb
Rev. 7/05

NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2580
1. WELL CONTRACTOR:
JASON MANTAK
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Contractor Company Name
STREET ADDRESS 176 COMMERCE BLVD
STATESVILLE NC
28625
City or Town State Zip Code
( 704 )_ 872-7686
Area code- Phone number
2. WELL INFORMATION:
SITE WELL ID #(if applicable) MW-1
STATE WELL PERMIT#(if applicable)
DWQ or OTHER PERMIT #(if applicable)
WELL USE (Check Applicable Box) Monitoring t7 Municipal/Public D
Industrial/Commercial ❑ Agricultural O RecoveryD Injection 0
IrrigationD Other D (list use)
DATE DRILLED 12/08/09
TIME COMPLETED AM ❑ PM ❑
3. WELL LOCATION:
CITY: ASHEVILLE
WRIGHT BROTHERS WAY 28732
COUNTY BUNCOMBE
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING:
❑Slope DValley ❑Flat DRidge 0 Other
(check appropriate box)
LATITUDE
LONGITUDE
May be in degrees,
minutes, seconds or
in a decimal format
Latitude/longitude source: DGPS ❑ Topographic map
(location of well must be shown on a USGS opo map and
attached to this form if not using GPS)
4. FACILITY- is the name of the business where the well is located.
FACILITY ID #(if applicable)
NAME OF FACILITY ASHEVILLE AIRPORT
STREET ADDRESS WRIGHT BROTHERS WAY
ASHEVILLE
NC 28732
City or Town State Zip Code
CONTACT PERSON ASHEVILLE REGIONAL AIRPORT
MAILING ADDRESS
FLETCHER
61 TERMINAL DRIVE
NC 28732
City or Towri State
Area code - Phone number
5. WELL DETAILS:
a. TOTAL DEPTH: 50.0 FEET
Zip Code
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO El
c. WATER LEVEL Below Top of Casing: 22.0 FT.
(Use "+" if Above Top of Casing)
tti
d. TOP OF CASING IS 2.0 FT. Above Land Surface*
'Top of casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): N/A METHOD OF TEST NIA
f. DISINFECTION: Type N/A Amount NIA
g. WATER ZONES (depth):
From To From To
From To From To
From To From To
6. CASING: Thickness/
Depth Diameet�er Weiight Material
From 0.0 TSc 4 o 20.0 Ft 2INCH PVC
From To Ft.
From To Ft.
7. GROUT: Depth Material Method
To 14.0 Ft Portland bentonite SLURRY
From 0.0
From To Ft.
From To Ft.
8. SCREEN: Depth Diameter Slot Size Material
From 20.0 To 50.0 Ft. 2.0 In. .010 In. PVC --
From To Ft. in. in.
From To Ft. in. in. CO
9. SAND/GRAVEL PACK: a
Depth Size Material z —
From 18.0 To 50.0 R. 20-40 FINE SILICASAN&
From To Ft. ..tT j 9U
From To Ft.
10. DRILLING LOG
From To
0.0 50.0
Formation Description
BROWN SILTY CLAY
cr
RECEIVED
)FI:21 211119
VVA[EF, UUUt',Li I t 5c u i tON
hvorm:-tlon Processing Un6
11. REMARKS:
BENTONITE SEAL FROM 14.0 TO 18.0 FEET
EREBY CERTIFY THAT T
CAC 2C, WELL CSTR
0 HAS BE
WAS CONSTRUCTED IN ACCORDANCE WITH
STANDARDS, AND THAT A COPY OF THIS
THE WELL OWNER.
12/10/09
S1Ti NATURE OF CERTIFIED WELL CONTRACTOR DATE
JASON MANTAK
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn: Information Mgt.,
1617 Mail Service Center — Raleigh, NC 27699-1617 Phone No. [phone] ext 568.
Form GW-1 b
Rev. 7/05