GW1-2021-00579_Well Construction - GW1_20210224

WELL CONSTRUCTION RECORD I... I,a,nul l ,.I1.1 t
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1.Well('ontraclnr Information:
Virgil Wilson 14.WATER ZONES
FxD\I TO Dlsrxlrnu.
tAdlI-annadu.Aan,a U. (I.
4473 ft. ft.
�r tc ll t',.naac.rn tbnul.m.nn�u.nl,a IS.OUTER CASING for mRhi-rued"<W OR LINER B• Scoots
FNUM TIl 111\\IFTFx TIIICKSf55 MlTFRI11.
Parratt-Wolff, Inc.
. „......... 16.INNER CASING OR TU 2e6Mermal rimeda
FROM To DI\\I FT Of 1 TIII(A[F]5 \1QFRIM.
2.W ell Construction Permit a; 0 fI. 16 n 2 in SCh40 PVC
n. n. in.
3.Well I se Check Hell use):
17.SCREEN
\Ater Snppls'\\'ell: FROM I to DI IHITIR SL(ll'M/.E TUIc'K\F]G \I U'F.RI.\I.
\enCulun.6 -\hm.ckpal PI 16 °' 26.5 b- 2 ' 010 SCh40 pvC
(leothmnal II IeaDne.Couhna iupplV -Rcvdenual ACate,iuppl, IsmgIC) fr. R. I m
-lndustrnd lbnmtem.al GRzadenaal U]ie, itlPpl, 1hur1d1 19.GROUT R
IRI/\I ll) \L\TERL\L EMPL\CEME\l Mf1 HOD.4\NOF\T
:-filled(.on p n. 12 n. Portland Cem Tremie
Non-Water Supple\Fell:
Vlon.tnnng ElRee,,,en Bentonite Chi Tremie
nice don Well: fl, n.
-.-Ayud2r Recharrvro -timm..d„ater RemcdmUnn 19.SANINGRIVEL PACK if 'able
FROM 'Flo %1OFRI\i. FMPI U'FMF\'Fmi MFTIIIID
:\yudzr S«nine and Rzco,zn ❑Sohn uc Borneo
14 f' 26.5 ° #1 sand Tree
-:1yu der Tcst ❑Shum„mcr Drunagc
=1'ypenntenml Technoloe, ❑Suhs.dence Con trol
30.DRILLING LOG I.ttuh aES(Fil 1 aheela if o.h.nau
-Gnnhennal t(lused I iwpl CTraCCr FRIIM 1f) DFSCRIPflO\Icalor.M1erdnesc swl.­ko,l o.iii
-Geothermal l l lcating Ckill...g Reum l E:0dicrlccpla.nunderh2l Remarks) fl. f.
J, hate Well(s)(bmpleteJ: 2-10-21 Well IDa P-31
n. n.
52."ell Location:
fI. fl.
Granville County ft. f
t.
l i'do.0„....\Is e I...la.11)-lot apph.ahln
6584 Landfill Road, Oxford, NC 27565ft. rl c
I'h.,,al >dd,,s (-it,_and
21.REMARKS
Granville
roa.... rated mcnn hza.,..,yo IPn
5b I.atnude and Longitude in degrees/minutes/seconds or decimal degrees: 22 (edification:\
f 111H idd. ,u h l l,ku 'litillk.11l
36.371033 N -78.617853 W
5.,...amn, Y-.viW\\ellC nua.1,r _ ._ Dmc
6. Is(are)the wellst; t Permanenl or -Temporan "I ""I'll,look/✓ion. [/m.o ,, ,un kh.k,kb, l„,) .„ -or I........k„old.k o,i...
n.,1leaV, Ir o} aluu."li,IAId, k uYvk❑bllr,en.....m,.rk.uelerJ,end 111me
7. Is this a repair to an existing"ell: ❑ol es ar 'rNo ,..p,�a klu,r...ml be,hued pren,kd"l is ..ell,...urr
Ii folio o of repo..till nw An,n.n o ell,.,rr,voomn m/mnsvron eud.rplenr ill eekern o/ob.
r,..k. ....look 'I runork,,,, ...........I,e, Is,A of da,/...... 23.Site diagram or additional"ell details:
11m mm use the hack lot this page to po,c.de additional dell +ic details of,yell
8.\umber if"ell,constructed: 1 aonsuu:uo,details You was also attach adds Oodl page.dnceessa,c
I„...... . eneon.eur u......wrtr•uppl, I,Ill ONJI look the xame omsntiawn. . .,en _
,.k SI RVIITTAI_INSTI CTIONS
9.Dotal well depth belocs land surface 26.5 fill 24a. For UI Wells: Suhmn this loom wahin $I da,n of Complctl ill of,wll
Ill .nuoeplo..ell,Ink oil depd„kl dginrmrcnnnple-3vI]no end Jelmrl nn,Stmclan,to the tollao,n.•
III.sta Rc MNlel Ir,'et tight" top of cafing: None oft) Dirisiun of Water Resources,Information Processing I nit,
I, I.nerh of.,oi... .,,,on; .... lot-Mail Service Center,Raleigh,AC 27699-1617
11.Borehole diameter: 2 Iin.I 24b, For Iniecfiun M'ellx ON IA In addmon to sending the fill,, to the a id'e".n
8 1�4 I LSA '_Jeaho,e also suhnut a op% of this boon unhol 9l dads of completion of„ell
12.Kell construction method: clonsuuct mn to the toll ooum
U c :n1Ea.n,um.cubic d.¢u pa,h.cIC.
Disisinn of Water Resources.I-nJerground Injection('moral Program,
FOR W:fil l St M N W FI.I_S ONI of 1636 Mail Sol(-enter,Raleigh,NC 27699-1636
13a.it IgpnO Method of test: 24c. For T\Ater Supph&Injection W ells:
VIan auh.n rt lone cop, lot till, tnnn ,vibe a, Ja,sot corns lfl.on lot
13h.Disinfection tape: Amount: „ell euneVUCLon to the County IoCakh Jcpartment of the Couni, ohac
,00,mmtcd
I.,nn,ltA-I Ao.I 1.t au[".a Uq..,unan It 11loon.u.n..old\anu.dKowuca,-Unuen. lf A1aer Ke,oumc, Re,.,.d AaFua'nI�