GW1-2021-00577_Well Construction - GW1_20210224

WELL CONSTRUCTION RECORD I,,,I,,,,,,,,,I I 11
n.'s r rm h.n"d It 111A. Ilollo"Ie ,,It,
I.%%ell(\..tractor Information:
Virgil Wilson 14.WATER ZONES
FROM Itl UE\(RIP11t1\
Vtill f..poolA... %as" b. (1.
4473 n.
�r tt dl Canvucn,rlbm6cau,.n 4.mfial 15.OUTER CASING if.,mtdli-n dis R O LINER ifa EcaMr
ill0\i TO Ills\I ETF.R I'IiIf6SE�S \1 UERI U.
Parratt-Wolff, Inc. ft. ft. in.
. ..n,...,n. 16.INNER CASING OR TUBING eorhrmalcI-ed-lu6
FROMTO Dls\IETER llli('It wsTERl11
2.\\ell(onslruclion Permit a: 0 ft 17 ft. 2 SCh40 PVC
ft. ft.
u.
3.N ell Ise(check xell use1:
17.SCREEN
%%atPr Supple\fell: !'RIIN ❑1 UI1\IFfER SLAT cI/E IIVIcA\L.\ \t\rl Rl sl.
\enculturil -\Iun.apal 1'uhh; 27 ft. 27 R. 2 '" 010 sch40 PVC
m
-(ieothennal 0Acoupe Coohm" ,uppltl -Rcs.Jcnual llater tiupph l+.nplcl it. ft.
-.Induunal.'C'umnlercul DRenldenhal lIt Supph \+hared\ IS.GROUT
h'RO\I 10 wAI I FT AL E\rP1-it Est 1`1 it'11101),x N101 xT
`trr'='atwn 0 ° 13 ft Portland Conti Tremie
Non-N'ater Supple(fell:
?,Uonion nu :]Recoten
13 h' 15 b Bentonite Chi Tremie
Injection Nell: h. I a
-.-\quite,Rechui -linnald'I Remedloloo 19.SAND/GRAVEL PACK ffs itable
FROM TO M%I*[sI. rNPL\CEME\TNETIIOD
-. uit21 Storage and Rmnm -Seluitb Harper
15 °� 27 °� #1 sand Tremie
-.-Agwlcr Tcv -Stunnu;ucr Dclma�c
ft. ft.
-Fcpennumal I« C hnoln�t ZSuhsldence omnd
_ 3Q DRILLING LOG aMch N W ditia I s.if oeceua
-Grof112fn1a (C l racer li.npl � Uer FROM lal OF_C(RIPflON O\(color.Food ness..oir.ockne .etc\
-Geothermal ll leuung Conlin,,Return) COther lc" lam under all Iten,arksi h. R'
t. U.
4.Date N'rlllsl('omplrtrd: 2-2-21 N'ell IDk P-30
n. n.
Sa.%Nell Location: ft. to
Granville County rt 2
FLN Ill(T,nu Dune fault ln=ntepplmehle. ft ft
6584 Landfill Road, Oxford, NC 27565 to ft
1'hnraal \dd,,,, t'it.and Lip
21.REMARKS
Granville
I bun¢ Pam,IJcnu icmmn Ao I'1y
Sh I.autude and I.ongilude in degrees/minutes/seconds or decimal degrees 22 -eciRtanon
of"t,11 hod_ r l I .ufti- nu /J
36.370767 -78.616805
S.po,Ie, .n❑ul t6ll C,nrraa,
6.Is(are)The well(%): fiPermaneN or ❑Temporarr In 1"er)n. lul Ilao1, . ool, lbw16„n-ll., I.,.,. ..u.."..d ill
.r✓,"..1}n /1 , l I I I
uuh l�.l tl 11 IL't olorl."I I�I t1.1, ",I I.....111 C/. .,u,r.II."en dl."o-lw'd..urtI III,,,
'. Is this a repair to an existing well: -1les or ?No ...�I.o nll�r..,..d L,l.IL I P.,..Id..l ,,d" ,,,I/.......I
11 till'I.✓rrpev.Gll m✓kill'It e:wll,um tin.".1"1"1' m.rr.uel I It'll"''It' n✓nn.ulIL.
.gx".ewdn 'II."wrk'IL I"It" 1 .'nc nucd.n'I'll'11-V 23.Site diagra no or additional w ell derails:
1bu mat use the hack of Ilia pace to pro.Idc add wonal well sic detail+It .cell
8.Number of wells constructed: 1 coluuucuon detads \'ou o,m also aitach additional pates dnecc>can
Ali I'nvulupI uon ll,m..nnnr-u.u.rwppl, t l/A OVf.I'lino/,I wpm—to,rumiun ......l
•"n"w.I"a nil.", SI-RNIITT II INSTI-CTIONS
9.Total well depth below land surface: 27 q'LI 24A. For All N'ells: Submit this li im wihin -0 dats tit completion o1'well
I o...... .a fl,hi.dl.lepJu q J.11crolu AI ample-3'i"Io anal ll.n'I cOn5tmcllPn R,the fullo..m,,
IO.San,"Air'1'Ir\'rl below top of insing: None (ft.) Di\'I511 u(If%`,Ater Resources,Information Processing I till,
In.elerIt II111 o)"„-.,l,"c."It 1617%fail Sen'ice Center.Raleigh,AC 27699-1 ill 7
11.Borehole diameter: 2 (in.1 24b. Far Iniection Well,(IN 1,N In add mnn to rend me the tint W the address in
H 1I4 HSA ' w__laaho also uuhn,i a cop. IT It"' ficol "'("I" ill da"s of oollllcnoo of well
12.%\'ell construction method: c,.nnmeuon to the tolluw uls
c ratan.cat,\._lire-t Pu>M1.cm .
IIi\isinn of\famr Resources,I-nJergmmnJ Injection Control I'mgrant
FOR NATI:R StPPLV N HA S ONLY. 1636%fail Senice(enter-Raleigh,NC 27699-1636
13a.f held(gpnt) Method of test: 24c.For No, ter Supplr S Injection Nells:
also uuhmi one cop" of Ih6 trmn within ill da"of completion of
131t Disinfection type: %mount: odl construcimn n, the Amon health depaoilicnt tit the count. whew
cones ucn'J
I......IAt-I Ai"h CJlol..0 Ucp.mmuuoflm..onus n...nJ\o......1Ill.ItIL11 ni.um nlAt.uo Retour.c. Rc.I.ol wcpst'_I I