GW1-2021-00256_Well Construction - GW1_20210125

WELL CONSTRICTION RECORD
th,.IB,ill.an be u.al L„ I L cic,., muluplc..ell,
I.Nil ell If Inforni.tion:
Virgil Wilson 14.WATER ZONES
rnoM To nFscnlrnoN
tc,u r��mmtmr N.,o,� 45 It. 58 It. wet
4473 " rh
VC to dl Cnnp;,am t'ahli..un.n Aumhc, 15.OCTER CASING Ifor mdti-eaaedwella OR LINER ifs lica6le
FnrIM Ttl DI\NE'in l'lllC6N F55 NI\TERI U.
Parratt-Wolff, Inc.
..l'y,,n„\,up, 16.INNER CASING OR TU Gjclhecan. dosed-o6
168-96-MW60-RW25 o a. 2 SCha s mirOtm
IRONI TU Itl\MFTFR fll l('HNFS
'_.Nell Constrnelinn Permit a: I. ft. 0 pvC
I.u.eu.. .u._
ft. ft. n
3.\\ell 1 se lehrek well use 1: 17.SCREEN
\Aster sluri NN elh FROM Tll "I%%IFTI:R 110111Z1 Illlf-R\tS MkItRICU
-.A"ucu truest -.Slun,a p.d Puhhc 43 R. 58 It. 2 In. 01C SC h40 pv
-(imt[101 ndl l l lChmle C"Ohl-'tillpplcl RCadeJlual Ualcr tiupph smvl❑ IL IC 2 In. .010 SCh40 pvc
-lnduallel(om mcloal Lltcs,dcnua AAJeCe Supplt lShandl 18.GROUT
HUNT 1 10 NIMRI\I. INYI.MFNt I:NI MIIIIo11Y\NOT NI
-Il " "ion 0 ° 39 IT. Portland Cem Pour
Non-\Haler Supph'\Nell:
ZVll....I e CReatten 39 1 41 ft Bentonite Ch Pour
Injection\\ell:
--Ayudcl kedmtic -Gmwnd.vucr RC,lIId,awpD 19.SAND/GRAVEL PACK if a Ii'll
FROM TO NI\TFRI\I. FNII`L\t"FNIFNI NIFTITOD
--Ayudcl Storage and Rccocer< �Suhmtt lihrner
41 ft. 58 f` #1 Fine Sand Pour
-Ayudcr T cst LSnrtnitcater Dlalllp"e
ft. ft.
-P spcnmantal Technuloet -:SnhStde11000 onlrul
20.DRILLING LOG Onal addithand aheeta if neceaaa
-GCJIhCnn11 (C losed Loop, L-Iraeer FROM TO DESCRIPTION .I..6:Mness.sail.rockry a e.eh.,
-6,"d..r,nal(I I"T in,_:Couh n"Rman) COthei (eNplom under 121 Rcntorksl n, ft, 24"Sonotube
12/10/20 2W-27 ft. ft. with 8" FMC
J. Date\Yr14sl(hmpleteJ: Nell 119d
n. n.
5A.Nell Location: n ft
Plantation Pipe Line Co 3571 n n
Fualur O..ncr Naum Fa.,liq 11)-1 d.,ppl,c:IMcl
n. a.
2617 Quaker Landing Road, Greensboro, 27455 „ —
P1......d 4dd,crc Ila.and/,,, —
21.REMARKS
Guilford 7847837248
t-.. Pam,l l den,uteauh o Na ,PINT
5b.I.a litude and I.ongitude in degrees/minules/seconds or decimal degrees: 22 ( ertitication:
d.,,It Geld_.nm to Iona o mlllacnu -�
36.146787 N -79.850586 vv
S,enaun�I(b,hfied Dell lAnV,aeGn Dale
6.Is(are)the ilelh%): G Ile,ntanent or -1'1 cntporam m ,n,e rho lw,a I hneh, r„n rt„u,h; 11", 1 ��........ .... .a a wd ....-
.,,ncl t, omr ulna„rl+l \r rt , ,eau nrur so,,,d.,,,n.,,,d,n„le
�. Is this a repair to an esisling"ell: ❑ I or z\o .,.pt,onu•,..,,rJ lm,.nee,p.,,.nled,,,n„ ,..11„,,,.,
lr,hn u. repo. lilt no.km11L ,„Gl.. nOV.1Oo1 minr..soon,urJ np/em the nmurc ul IL.
,ndr) ]I rAl l..rI"»'If"I,h.It'll d..I tln.l.Iro, 23.Sut Wa,{ram or additional ntll details:
1 qnr\ Abu m lc u_e the bavk of thu pa It) ploside add,uvnll lwll .uc details to vNell
% Number of wells constructed e� {.V construhuon dIt"I1 1 uu may ulx It.adl adiltit n-d fuss itne'Csson
Ir1/ 1 '1 .„ n .uu vlpl ell.llbL1' uh lh.vu turf}y .u,
rn,t n.f ot,. ���� St B,AIIII it INSTIt CT10NS
9. LOOT well depit,he law land surface: 58 Ifl.l 24a. For All Ni: Suhmu Ih,n lot', v"Llf'n 3u dots of con.plenon of twill
I,rm../I,M ludA by ill d,ptlr•ad .nor I...ll,h J,i]nn .,nJ'e lou'I a,rouueuon to Lhe ttdlott,n"
III.Static Neater level below lop of casing: 45 IfLI Dis i si nn 9f Na ter RI rc es,In forma Linn Processing 1 nil
n,­f.l&,d r..,h,.,e.e•nm.e•. 161-%fail Senor('en ter,Raleigh,NC 27699-1611
11.Borehole diameter: 8 114 find 24b. Far Iniecton IN ells ONI.1`. In additoo to send,.._III firm m the address in
Hollow Stem Auger14a ohot1 also Suhmu a cops of thu tbrnl mahm 3w dacs of rn,nplel,on ul' tech
12.AA'ell construction method nlnsu'uctum to the fidl'tmil"
,,. _ mtnn.eohle.dvrn,pu.h.el. _
IliNisian of Water Resources.I ndergatmtJ Injection('ontrol 1'rngrant.
FOR N V'1 f R SI PPI l NM IS ONI So 1636 V Ili it Saniee Center,Raleigh,NC 27699-1636
13a.\'ield fart Melhnd of test: 24c. Fur\\alci Supple& Injection\\ells:
Vlao Suhmu one cope nl this town ttrlhm iu devsol rnlnpleunn of
13b.1limilleelion I,pe: _ AmnunL tell CU,I>tll,Ct10.. In the court health department of the munn ethers
cunalucfcd
I.nm„AA-I Ao„L[-auLv,,Dgc,h..a n„ill muuuwan,u,aAd"ItAlliz<•mcc. 1VAa,o R....... Ida.,.cd t"i"t lol: