GW1-2021-00447_Well Construction - GW1_20210319

WELL CONSTRUCTION RECORD
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I.Nell Contractor "
Information: fE CJ v w:U
IL WA
C. FUTRAL IRo11 v, I oesrxle nov
5A ell Cnmruaol Kunz MAR 9 IMn. n_
4330-B
Iffarmat�rrr cesslrq 'n/" '
NC R'all Conuucmr( wol'amin NumhcrOR
' VtP Opn 15'
FiI, TO DId.UYILR IIIIr 6VE4 VIAn=RIi1.
CATLIN Engineers and Scientists n n
C ompao, A'Tina fill.OUTER CASM
R(uV To ❑IA4FI}R Tllli'FC4 C, AIAIiRI:AI
2.\\ell Construction Permit#: N/A a. (I TIL
l n;.d!.;ppL.uhl.;,Wll.n,»n, o. [)nun,.AY,n,; Ilvt✓u,:.Gnc.rmut..r,l
o. n.
3.\\ell l se(check well use): �
\N ater Supple\\ell: uw tn1 10 1 ul I'll it st ornln= Till(R.stu aunn:Rru.
❑Agricultural ❑M......qml Tubbs C n. 12 a. Z SIot.010 Sch. 40 PVC
❑Gmolcnnnl I llcm ma Cnohng Supph I ORestdcNml Ralcr Supph ut -le) 1L GROUT
n. III,❑Indt�mal C'mnmemwl ❑ResWcnnaltimet Supph lsharcd' From To \LMRnL tout urstrs t so-num K
❑Imcanon
a.
\Tin-NIater Supple\\ell:
X%Ionnonnc El au„cn n. a
Injection\\ell: n. n.
❑Act der ltcdurla ❑Gr;vnd;catcr Natkdwhon 19.SANDIGMAVELPAIX f
kNml Ft) ,LA ItRIdL lOffLi('L,AIF]'r Alb:nl0n
OAquuct 5a;racc anJ ltc.a,cn ❑Svlmu, Hmuar
n. n.
C:Ayuda Tell =tiny nucan Drum^_c
❑I'vpemuewal Iechn...h, ❑Suh,Wasc Commt 0 or 12 n- Natural Backfill
SY.DRILLING LOG fiini 1f
❑Gaol hermul t(losd l nap, ❑Tm.er IKIM 'ru nr_n'Rlrnos,Tito,.Ludna .mot.;.
O Gcmhcrmal�I l,,to,,oolme Rtu;mi ❑t th"rc,.lam tinder-'-112aueb.n r,_ n.
4. Date N Cm N'ell(s) opleted: 03112/21 \ ell ID#: TMW-01 n. n. ��— O
5a.Nell Location: n. n.
NCDOT NCDOT-ROW Orphan Tank r` r` -.9po
♦ �� V
Faeiltg<hmcr Name Suc.Aline
n.
-3500 Rockhill Rd..CASTLE HAYNE NC
Ph,>mul Addreca Gh and/Ip rt R
1.
NEW HANOVER
Count, P,ucel Id,rnlicanon N,, IP1A
5b.Latitude and Longitude in degrees/minute.,econd,or decimal degrees: 22.Cerlificalion:
of I'll held.one Ial loue is Fultlacm
34.307253 N -77.922001 3/15/2021
St�tanue nl('nnlint Tin ell(onnaa,v Uam
6.I5(are)the well(s): ❑Permanent or M Iemlwran
k; u;u;br;/nno.l LoebI%, 1, then p lr.mJlr,lu ou'.r. „Inur..lmu.,„rAuu.v wtM1
Iii nt_11'a W]r' Ulnn„rl°:I .b'nt' 'pn ll iJl<buani.o,m�P;,;u.lor.M1
7. Is this a repair to an existing well: Ones or ®No te,. n..m,,,,u.......I
,u"I I'd....... ,.nrtrvi.lt r ;.. ILIA', t 1 1,4Itl I'll nrzu.
1 -,r�;;r urr l r /r mu I III n 111,;n l t ; l,rid„•(,:,Tit. 23.Site diagram or additional well details:
Sou rum ow the husk Tit thu p.gc to prondc uddtuondl cell sae detail,or sell
8. Number of wells constructed: 1 ,o,t,I ow details Ybu ma,nlst"rich Ada nanal paces Il nowsan
O;plL 'LL 111111 m.+ 11.r.I "pphu,P,(l,x'Lfuun tb;rmne tonclrurfiore. I ,,
11" r St-R\IITIAL INSTRI C'IIONS
9.Total well depth below land surface: 12 (ft.) 24a. For=AII AAells: Submit thu Innn within 311 dons of annpletion of oell
lrnrunIII/& ,,It, 1", dt de(nbn n dnpo,;¢(1emnpl1 ;11"Y' mel'It hill) Construct ion to the lollonsing
10.Static water lee el below top of casing: 10 (R,I Division of\\ater Resources,Information Processing Init.
r n,m.I le I[;,,;h„r.ILI, ;c. ; " " 1617 Mail Service Center,Raleigh,V 27699-1617
11.Borehole diameter: 4 (in.) tab.For Iniection AA-ells O,NLI: In addition to sending the limn to the
address in 24a ubme,atsnsuhmtl a copy of tht, limn within 10 dons of
12.AA'ell construction method: DPT confliction nlAncll con,trucuon m the Ihllmnine
,;. .nrAwr: rve;n .ubl, J;c.rprnh..r.l
Division of\\"ter Resources,1-ndergrwnd Injection Control Program,
FOR\NA'I ER St PPLA AA'F.I.LS ON'IA: 1636 Mail Service Center,Raleigh,NC 27699-1636
13 a.\ield(gpm) Method of test: 24c. For\\ater Svnnly&Iniection\N As:
Also ,uhnut one cop) ntlhis loon nvidtin 30 duns of Completion of sncll
13b. Disinfection hpe: :Amount: con,Inrglnn to(he countn health department Tit the countn ohere constructed
Adapted tram Fenn GA1-I Annh( arohn,D'I' ror"'I wtF III mmmmlitlodA'enn.(IRemu¢es-Umvun III Anat.r Rcamnas Re,ned

WELL LOG _ I c,TLrNN v,r.s mhs"'i4 Frain,
SHEET 1 OF 1
PROJECT NO.: 220274 STATE: COUNTY: NEW HANOVER 'LOCATION: CASTLE HAYNE
PROJECT: NCDOT-ROW Orphan Tank LOGGEDBY: C. FUTRAL WELLID:
DRILLER_: P. MCCAIN TMW-01
NORTHING: 204589 j EAsTING: 2325517 I CREW:
SYSTEM: NCSP NAD 83_f USft) BORING LOCATION: West side of orphaned UST in pavement T.O.C.ELEV.:
DRILL MACHINE: Power Probe METHOD: DPT 0 HOUR DTW: 10.0 TOTAL DEPTH: 12.0
START DATE: 3/12/21 END DATE_: 3/12/21 24 HOUR DTW: N/A WELL_DEPTH: 12.0
DEPTH BLOW COUNT OVA TAB 0 o SOIL AND ROCK WELL
-LlO.Sir osft 0sR 0So (PPm) s G DEPTH DESCRIPTION DETAIL
0.0_ LAND SURFACE 00
0.0 a s ASPHALT -_ 0.0 -
1.4 D t0 (MIT)-Gray. SILT with gravel
(CH)-Lt gray wdh orange mottling highly plastic CLAY. _
2 0 Strong HCO from 4 0-7 0 BLS
1 12.4 D F
4.0 -
'0,2- 1854 D - - -
6.0 L -d_
sod L '
z 2103 Ti,l c. M Z0 - - --- -''-
,o ✓ (CL)-Gray. Sandy mod.plastic CLAY. Strong HCO
8.0 r
DreJ_ �47.1 85
M (CH)-Gray. highly plastic CLAY
10.0 1t0 - -
(SVV)-Gray grading to dark brown. F. SAND
8--
ecr� S&IS �TMW1era Sat _
1
12.0 —_ 12.0 12.0 - 12.0
BORING TERMINATED AT DEPTH 12.0It in F SAND
1"PVC well set to 12.0'BLS
J Sampled and Abandoned on 3/1221
IL
I I
I -
Native Backfill