GW1-2021-01324_Well Construction - GW1_20210329

WELL CONSTRUCTION RECORD ,,,,,,,,,,,I, ,;,,�I v
I h,1,;,,,I CA„he 1„,d n,I.I,e_I,F nl,ll,l,:,,en,
I.\Nell(Fort,'act."[oformall.,.
Kevin White 14.WATER ZONES
FROM TD to RIM m\
65 r` 198 n. wet
2973
\1 `F J1('.,nuawrn('C,nllem,nll cumhc, 15.Col CASING One mold-rand w.1h)OR LINER iIa a
FRf1\I TO UI\\IFTER TIII('KVFtiS \I\TERIU.
Parratt-Wolff, Inc. ft. I ft.
m q.:,n.camp 16.INNER CASING OR TUBINGfince,lbelmtd clmedaex
Most TO h. DIAAIFTFR TunKVFSS N\TFRIV.
2.Fit,ell Construction Permit d: fr. in.
.,.el epplee,hl:,,.11 p: ...... ,. "tall Iles hu.un. s, ,r.
3.Weli I se Icbeck Nell use): 17.SCREEN
\N Ater Supply AN ell: FROM 10 DI,\IETFR ,FOTSV.11 I'HIf6\ESc \I\I'ERI:\I.
D. h.
-A[I wulmul -A1 tin,.,pal I'u hl,C
-G,other,nal l llem,n_(oolin_u supok) —ResidentialAAatnr Supply lSln_ICI h. r(.
-1,lduArlal Cl11Im10tCla1 -i RcsWcnual Paler Suppl, I,hatcdl I&GROUT
FRr»I TD \rxn:Rl It I:NRI-u'FNEv\trnt(Rts,NnrNr
-.Irnuduon n. H.
Non-\Water Supple Well:
NLmnun no -Rea.,cn
Injection N-elh
-:\quite, Rcchurec —riround(aatel Rcn,cdml,o11 19.SAND/GRAVEL PACK Na
FR11N To \rATERI\I. F\IPL\CEN TNT NFTHOD
oquller Storage and RCcscn ❑Sul,n,t, Burnu ft ft
-:Aywfer Test -1Somn„ucr Dmrmgc
1-cprnmcnttd I'd hnnln", ❑Suhs,dcncc Comn,l
211.DRILLING LOG attach additional cbeem tf.To.a
-Geu1112n11aC0.aedlw,)., -�I�mR'r FR FRO" TO DFSIRIPFIOCIcalon Furdos.aoit rvA.b .elel
-(rcnthenn:d l l leami(oulme Return, -Other levplain under 9'-1Remarks,
2/27/21
J. Date NN'rll(s)('omplrlyd: NN'rll Illk MW-14D - -
❑. fr.
5T`Aell l ncation:
Colonial Pipeline Company 21
F.r.IIIO U..nc,en,ue Faehn11) Ita,plmv6ir) 9.
ITT
14511 Huntersville-Concord Road, Huntersville, NC 28078 n rr
rh,vanl \aa,cs...(,h.and Ill -
tl.REMARKS
Mecklenburg Open hole
I-
II'll. Pu,ed Iden1I11121llu,I
5b.latitude and Lm>;itu Je in degrees/minutes/seconds or decimal degrees:
I u..dl lirld_one Tilt 11 It.rtia,u,u 22. erlifiealinn:
35.412585 -80.805547
s 11111IN a IT(1.1111I M cn Ih,,l,sell., l IT
6. Is(are)the wellls): t_Permanent or ::]Tempora^ in , ..Ib„1.., ,. I bn,e; rm ,/m,FILL „eon, .,n„r,,.Id .I L—J.,n.I
,..obit II 11V( Ir 11" JI/o —141 „ .II 11" ""'I Ill 11, .nnrnne„e„anl.v,l wnlr0el11
'. Is this a repair to an el,isling well: ❑Nes or ?No ..,pl .g ill,r..Ill bu,,seer, 1111ul,•'ill n ell nu Too
O di o repine.fin.vu d-ruu v urumu,n :I)c n m n.uJ 11011 rnr.n , upl in Fse em du nl lbe
Iti—I„nd.-r J nvu..rl...cu,.0.,r„n me hn.k nl lb„po,n 23.Site diagram or additional well Details:
You mac use the hack I)( thi_s page to provide additional well site details or.vell
8.Number of Nell,constructed: 1 eurolma,on delad5 V'OF mac aGo attach addwonal pa_es itnccessan
lishl"b ape,"I'll nor„u-,,„,.r",11 IF"I O N IA a nb rh, sum'cunevurHun v.....m
„Is I...v„ SI RNIITTAI.INSTF CTIONS
9.Total well depth helow land surface: (T.) 24a. For :UI Wells: Bohol, Iha Ilrtm oohm 3u dins of completion O(well
I...nmR,ph I'll,lu„dl a"sh,UJ9M1n",r('.ozple-9:u]ore .usl_I lnn'I consW[t,Ili,In the to IIIIAmv
III.Sla a water level bell." tap of rasing: 65 M.I Division of NNater Resource,.Information Processing I nil.
if".u.,l.rcl„,rd,,,,.e„na, „. 1617 Afail Service Center.Raleigh.NC 27699-1617
11.Rarehole diameter: (in.) '-Jh. For Infection AN ells ONI.A: In addmon it,sci,dotz the tiam to the address In
8" pvc casing & 4" Air Hammer '_Ja ah,,,e also suhmn a a,p% (,(this Ism, ..ohm 31, Ja%, Ot conlpletll,n I.(„e11
12.IN ell corl Action method: UOli 1,tic 1,on mthe lid l Os,ILL•
ucu_ ratan.cable.dlraa pu.h.n�
Division of Water Resources 1-n JergmmnJ Injection Control Program,
FOR NNAT t l SI PPLN N E1.15 OM 1 1636 Nlait Se ice(enlet.Raleigh.NC 27699-1636
13a.N idd Igptn) Method if te,(: 24c. For\\at. S.PpI\toInjection Wells:
\he, ,uhnut one cop, O(tha Won ,alhm it, dins of completion of
13h.Disinfection I'll _. NnmunC „CH umetn,ct,on m We count' Ila'altl, dCpunnmm of the Count, ohCrc
__— coneuucled
Lnm,lAA-I \,,IIh(a-L e,.I )c isl l i1icill Boll„nl Ill l.u,dA:uulaIRc,vmm-U n 1,i en..I AA ale i It Ill wIII Itc.ncJAucu+,'ul: