Cd CY2002

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater SSt}gbbUU
rl,.,
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
705
7. DOES WELL REPLACE EXISTING WELL? YES I I NO
8. STATIC WATER LEVEL Below Top of Casing: 80 FT
(Use "+' if Above Top of Casing)
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: 2878
020588 STATE WELL CONSTRUCTION PERMIT#: Steve Pnce
1. WELL USE (Check Applicable Box): Residential Municipal fl Industrial n Agricultural El Monitoring
Recovery I I Heat Pump Water Injection Other 0 If Other, List Use:
I XI
I I
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
FRANKLIN RD. OFF HWY 90 OFF SE IZER CREEK OFF
(Road Name and Numbers, Community, or Subdivision and Lot No
3. OWNER PAULINE BRISTOL
Address 5238 FRANKLIN PLACE ,
COLLE I I SVILtE"OSe N° ) NC 28611 34 130 GRANITE
DRILLING LOG DEPTH
From To Formation Description
0 34 DIRT
city or Town State zip code 130 131 QUARTZ
4. DATE DRILLED 8/15/2002 131 185 GRANITE
5. TOTAL DEPTH 205 185 188 QUARTZ
6. CUTTINGS COLLECTED YES n NO X 186 205 GRANITE
Xi
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.01118
10. YIELD (gpm): METHOD OF TEST Air
11. WATER ZONES (depth):1 ppm 130-131 3 ppm 185-188
0 ppm 0 ppm
12. CHLORINATION: Type Hll-I Amount 28
13. CASING
Depth
From 0 To 40 Ft 6 1/8
From To Ft
From To Ft.
14. GROUT:
Depth
From 0 To 20 Ft Cement
Diameter
From To Ft
15. SCREEN:
Wall Thickness
or Weight/Ft. Material
.350 PVC
Material Method
Gravity Flow
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
17.
o Ft
Material
DO H REBY CERTIFY THAT TH S WE
ONS RUCTION STANDARDS ' ND
GROUNDWATER SECTION CE
F
Ii:13F1aWYn :1ifYlsIgalY
Quad No:
If additional space is needed use back of form
LOCATION SKETCH N
(Show direction and distance from at least tw@,i5tate;r. -_
Roads, or other7rrap reference points) --CD
C
3a,1
GIP e
L WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
HAT A COPYOFTHIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
✓4�/r-/ni b l o -004
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
fV
J
rd—
.z3
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Secti76 6 97
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION it.2886
020517 STATE WELL CONSTRUCTION PERMIT#: Leshe Reece
1. WELL USE (Check Applicable Box): Residential 0 Municipal
Recovery El Heat Pump Water Injection Other
Industrial 0 Agricultural CI Monitoring CI
If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
RACHEL PLACE OFF I -WY 90 OFF SEIGtR CREEK RD.
(Road Name and Numbers, Community, or Subdivision and Lot No.)
DRILLING LOG DEPTH
3. OWNER LILLIE S. GREENE From To Formation Description
DIRT
LENOIR (Street or Route No.l NC 28845 40 331 GRANITE
Address 2154 RACHEL PLACE , 0 40
City or Town State Zip Code 331 332 QUARTZ
4. DATE DRILLED 8/5/2002 332 348 GRANITE
5. TOTAL DEPTH 365 348 349 QUARTZ
6. CUTTINGS COLLECTED YES 0 NO 0 349 385 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES NO El
8. STATIC WATER LEVEL Below Top of Casing: 30 FT
(Use "+" if Above Top of Casing}
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.011,8
10. YIELD (gpm) METHOD OF TEST Air
11. WATER ZONES (depth):1 ;mm3310-332 3 ppm 348-349
0 ppm 0 ppm
12. CHLORINATION: Type HTH
Amount 88
If additional space is needed use back of form
13. CASING: Wall Thickness LOCATION SKETCH
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least two State
From 0 To 48 Ft 6 1/8. .350 PVC 'y Roads, or other map reference points)
From To Ft. ,y 39.I
From To Ft "1 IP
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft. in in
From To Ft in. in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth
From To
17.
p, Itn L
RKS•
Ir EREBYCERTIFY THAT
0 0-ROC1ION STANDARD
Size
Material
ELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
�.c
i IA cuv* t 4
SIGNATURE OF -PERSON CONSTRUCTING THE WELL DATE
Submit original to Division o Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
260696
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #- 2686
020541 STATE WELL CONSTRUCTION PERMIT#: Leslie Reece
1. WELL USE (Check Applicable Box): Residential 0 Municipal ❑ Industrial ❑ Agricultural
Recovery ❑ Heat Pump Water Injection I I Other If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
CELIA CRK RD. OFF HARThAND RD OFF HWY 18 OFF
Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER TOM ARNEY
Address 4621 CELIA CRK. RD. .
LENOI R (street or Route No./
City or Town State
4. DATE DRILLED 8/13/2002
5. TOTAL DEPTH 305
6. CUTTINGS COLLECTED YES ❑ NO 7
7. DOES WELL REPLACE EXISTING WELL? YES ❑ NO
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use'+° if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
'Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.011
10. YIELD (gpm) '25 METHOD OF TEST Air
11. WATER ZONES (depth)•1.25 ppm 263-264 0 ppm
NC 28645
Zip Code
0 ppm 0 ppm
xI
DRILLING LOG
From To
0 78
78
263
264
263
284
305
I I
Monitoring ❑
DEPTH
Formation Description
DIRT MUD GRAVEL SIN
GRANITE
SHALE
GRANITE
12. CHLORINATION: Type HTH
13. CASING:
Amount 57
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 84 Ft. 8 1/4 .188 GALV
From To Ft
From To Ft.
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
17
Depth
From To Ft.
From To Ft
From To Ft
RE ARKS.
I D• HEREBY CERTIFY THAT
CON ,, • S TION
ASHEVILLE REGIONAL OFR .F
FOR OFFICE USE ONLY
Quad No:
Diameter Slot Size Material
in in
in. in
in in
ze Material
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least twp State.
Roads, or other map reference pointsl.7'
/COI —�
E:kJt/ Ig
ELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF RSON CONSTRUCTING THE WELL DATE
Submit original to Division oYWater Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
Groundwater Section
WELL CONSTRUCTION RECORD
260695
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: 2686
020542 STATE WELL CONSTRUCTION PERMIT# Leslie Reece
1. WELL USE (Check Applicable Box): Residential
Agricultural El Monitoring
Recovery I .1 Heat Pump Water Injection Other I I If Other, List Use.
I XI
1
Municipal 0 Industrial
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town:
LENOIR County' CALDWELL
CELIA CRK RD. OFF HARTLAND RD OFF HWY 18 OFF H
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER
Address
BOB PAIR
P.O. BOX 812,
LENOIR (Street or Route No.)
City or Town state
4. DATE DRILLED 8/14/2002
5. TOTAL DEPTH 425
6. CUTTINGS COLLECTED YES El NO 389 425
7. DOES WELL REPLACE EXISTING WELL? YES I I NO 0
8. STATIC WATER LEVEL Below Top of Casing: 40 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.017$
10. YIELD (gpm)• L METHOD OF TEST
11. WATER ZONES Idepth)•1 ppm361-362 1 ppm 388 389
0 ppm 0 ppm
12. CHLORINATION: Type HTH Amount 76
NC 28645
DRILLING LOG
From To
0 57
DEPTH
Formation Description
DIRT
57 361 GRANITE
361 362
QUARTZ
Zip Code
Air
362 388
388 389
GRANITE
GRANITE
GRANITE
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft.
From 0 To 63 Ft 6 1/8 .350
From To Ft
From To Ft.
14. GROUT:
From
Material
PVC
Depth Material Method
0 To 20 Ft Cement
From To Ft
15. SCREEN:
Gravity Flow
Depth Diameter Slot Size Material
From To Ft. in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
1
De.th
REMARKS: •
I DO HEREBY CERW Y Int
CONSTRUCTION STAN n
GROUN
II1
Size Material
ARD
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two:State)
Roads, or other map reference points) ; d I
koSt
� a.a
' i
\citt too' -- •
1-1-oli IS
HIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
CO
1-oa
SIGNATURE 0 RSON CONSTRUCTING THE WELL DATE
Submit original to Division o Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
I)l

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section 6 0 6 9 4
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: 2686
020539 STATE WELL CONSTRUCTION PERMIT#• Leslie Reece
1. WELL USE (Check Applicable Box): Residential I Xl Municipal I I Industrial LI Agricultural 0 Monitoring El
Recovery 0 Heat Pump Water Injection Other El If Other, List Use'
II
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County' CAI DWELL
MATH RD OFF OVERLAND RD. OFF ABINGTON RD OFF
(Road Name and Numbers, Community, or ubdivision and Lot No.)
3. OWNER CHARLES N. SUDDRETH
Address
1300 MATH PL. ,
LENOI R (Street or Route No.)
NC 28645
City or Town State
4. DATE DRILLED 8/9/2002
5. TOTAL DEPTH 305
6. CUTTINGS COLLECTED YES 0 NO
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO 0
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 1.25 METHOD OF TEST
11. WATER ZONES (depth)•1/2 ppm84-85
0 ppm
12. CHLORINATION: Type HITH
DRILLING LOG
From
0
To
DEPTH
Formation Description
32 DIRT
32 84 GRANITE
84 85
SHALE
85 253
13. CASING:
Zip Code
I xl
Air
3/4 ppm 253-254
0 ppm
Amount 57
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 36 Ft 6 1/8 .350 PVC
From To Ft
From To Ft.
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in. in
From To Ft in in.
From To Ft in in
0
ep
om To
17. R MARKS:
I IO HEREBY CERTIFY TH ' THI
TACO VB INslDS,
ASHEVILLE REGIONAL OFFICE
Size Material
FOR OFFICE USE ONLY
253 254
254 305
GRANITE
QUARTZ
GRANITE
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points) 1
it �l
k 2
CV
Q ` -
l
)
U o+?
ti
WO/ goo4:+
t
(-
1
WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
ND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
ApAci 9-/2 0R
Quad No:
Serial No.
SIGNATURE OF P SON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

WELL CONTRACTOR COMPANY NAME
260867
WELL CONSTRUCTION RECORD
North Carolina - Depar(ment of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CO.NTR.%CTOR (INDIVIDUAL) NAME (print) JCirJ oLrr• (yI ✓15 CERTIFICATION # d�SZ
Yadkin Well Company Inc. PHONE#[phone]
STATE YELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
I. WELL USE (Check Applicable Box): Residential ❑ Municipal/Public ❑ Industrial ❑ Agricultural ❑
Monitoring ❑ Recovery ❑ Heat Pump Water Injection ❑ °thereat IrOther, List Use)/4', to-,,,,
2. WELL LOCATION:
Nearest Town: 10'1sc, JCCounty/14/4,47/
gray if
(Street Name. Nu tiers. Community. �SS'ubdivision, Lot No., Zip Code)
3. OWNER3(gle. i4cfl'tf
Address ttr6S t,✓r'/ker 4
(Street or Route No.)
�on) late le' t#tc a
City or Town State Zip Code
(Pa'7-9'— 3S63
Area code- Phone number' la/ 0
2
4. DATE DRILLED 8
Topographic/Land s6tti
ORidgeeSSlope ❑Valley
(check appropriate box)
Latitude/longitude of well location
41-.2I),
❑Flat
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DRILLING LOG
Formation Description
Soil
Soo BIue ltaritdr°
6rOca Coc k
uwed, AL.? c&nron; i'
DEPTH
From To
,O — FJS
�J 833o 3 33 I
5. TOTAL DEPTH: 9 a� Q/ad1/4 • ( 3-0- MO)
6. DOES WELL REPLACE EXISTING WELL? YES NO 0
7. STATIC WATER LEVEL Below Top of Casing: 7C) FT.
(Use'•+•' if Above Top of Casing)
8. TOP OF CASING IS I FT. Above Land Surface'
`Top of casing terminated at/or below land surface requires a
variance in accordance with 15A NCAC 2C .0118.
9. YIELD (gpm): 11 METHOD OF TEST
10. WATER ZONES (depth): 330
/7
I I. DISINFECTION: Type H'lH
12. CASING:
From 0
From
From
13. GROUT:
From 0
From
14. SCREEN:
From
From
I5
Depth
o TCia
To
To
To
Depth
To Ft.
To Ft.
Depth
To Ft
To Ft.
SAND/GRAVEL PACK:
From
16. REMARKS:
Dia eter
Ft.
Ft.
Ft.
Material
en 4-
CC)
air pump Bit Ser.
# Size off
027138 `17 (0r07S
r _
Amount / <4Z CUPS Show direction and distance in miles from at-IWst
Wall Thickness two State Roads or County Roads. Include the road`
or Weight/Ft. Material numbers and common road names.
StEa% Pt, C
Method
90014
Diameter Slot Size Material
in. in.
in. in.
Depth
To Ft
Ft
1 I Da(3'ERE33' CT$sR` IFY
CONSTRUCTION STANI
GROUNDWATER SECTION
AS JILLE IUNAL OFFICE
Size Material
doh
�y}- ?-6-0Z/
LOCATION SKETCH
p.tebTHIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
RDE, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
gI2102-
(Z . LJ
NATURE OF PERSON CONSTRUCTING THE WELL DATE
/2
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center -Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-I REV. 07/2001

WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) WAYNE LONG CERTIFICATION # 2343
WELLCONTRACIOR COMPANY NAME HICKORY WFTI DRTTI TNG CO. PHONE # R2A1 324-0035
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): Residential ISIX Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION: CALDWELL
Nearest Town:) •F.NOIR County
1940 ZACK'S FORK RD.
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
3. OWNER: R11TH ADAMS
Address 1940 ZACK' S FORK RD.
(Street or Rome No.) 28645
LENOIR NC
City or Town State Zip Code
(828)- 758-9965
Area code- Phone number
4. DATE DRILLED 08-21-02
5. TOTAL DEPTH: 305
6. DOES WELL REPLACE EXISTING WELL? YES CVNO ❑
7. STATIC WATER LEVEL Below Top of Casing: 10 FT.
(Use "+^ if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface*
*Top of casing terminated at/or below land surface requires a
variance in acmedaace with 15A NCAC 2C .0118.
9. YIELD (gpm): 5 METHOD OF TES
10. WATER ZONES (depth):
261401
Topographie/Land setting
❑Ridge ❑Slope OValley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DRILLING LOG
Formation Description
DEPTH
From To
T
BY AIR TEST
11. DISINFECTION: Type EDT ;ABS
12. CASING:
Dep
From 0 TToth105 Ft
From To Ft
From_____ To Ft
13. GROUT: Depth
From 0 To 20 FL
From To Ft.
14. SCREEN: Depth Diameter
Frort_To Ft. in.
From To FL in.
15. SAND/GRAVEL PACK
Depth Size Material
From To Ft
From _To Ft.
16. REMARKS:
Diameter
64
Amount 62
Wall Thickness
or Weight/FL Material
GALV. STEEL
Material
GROUT.'
Method
POURED
Slot Size Material
in.
in.
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RD HAS BEEN PROVIDED TO THE WELL OWNER
08-28-02
SIGN OF PERSON CONS TI IC7;ING THE WELL DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center- Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-1 REV. 07/2001

WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
TANG CERTIFICATION #
WELL CONTRACrOR(IPiDP✓IDUAL)NAME (print) WAYNE8r(F_—Q035
WELL CONTRACTOR COMPANY NAME HICKORY WELL DRILLING CO. PHONE #( 21
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable)
(if applicable)
261400
1. WELL USE (Check Applicable Box): ResidentialKK Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery D Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town: T FNOTR County CAT DWET.T.
1965 ZACK'S FORK RT1
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
3. OWNER: HAZET, KTRBY
Address 1965 ZACK' S FORK HT)
(Street or Route No.) 28645
LENOIR NC
City or Town State Zip Code
( 82f)- 754-5725
Area code- Phone number
4. DATE DRILLED 08-21-02
5. TOTAL DEPTH: 165
6. DOES WELL REPLACE EXISTING WELL? YES XKNO 0
7. STATIC WATER LEVEL Below Top of Casing: 10 FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface'
'Top or casing terminated at/or below land surface requires a
variance In accordance with 15A NCAC 2C .0118.
9. YIELD (gpm): 40 METHOD OF TEST BY ATR TEST
10. WATER ZONES (depth):
Topographic/Land setting
ORidge ❑Slope OValley OFlat
(check appropriate box)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DEPTH DRILLING LOG
From To Formation Description
11. DISINFECTION: Type HTH TABS Amount 33
12. CASING: Wall Thickness
Depth Diameter or GAIN.
Material
From 0 To 80 Ft.
L
From To Ft.
From To Ft.
13. GROUT: Depth Material
From 0 To 20 Ft. GROUT
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
Method
POUR -FM
From To
From To
16. REMARKS.
Ft.
Ft.
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common mad names.
tifi,'v/P-2
H
jIt
r:TH
ca
I DO HEREBY CERTIFY THAT THIS WELL AS CONS I RU
CONSTRUCTION STANDARDS, AND ThAT A
SIGNATURE OF PERSON C
IN ACCORDANCE WITH 15ANCAC 2C, WELL
CORD HAS BEEN PROVIDED TO THE WEI I OWNER
08-28-02
CTING THE WELL DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Ceenterl RREVgh, NC
27699-1636 Phone No. [phone], within 30 days.

WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) WAYNE LONG CERTIFICATION # 2343
WELL CONTRACTOR COMPANY NAME HT(.KORY WFlT DRTTI TNG (Y) PHONE Si 8281 374-0035
261416
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): Residential$$ Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery ❑ Heat Pump Water Injection ❑ Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town: LENOIR County CALDWELL
1975 ZACK'S FORK RD.
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
3. OWNER: JUNIOR PIERCE
Address 19/5 ZACK'S FORK RD.
(Street or Route No.)
LENOIR NC 28645
City or Town State Zip Code
(828)- 758-1437
Area code- Phone number
4. DATE DRILLED 08-21-02
5. TOTAL DEPTH: 17 5
6. DOES WELL REPLACE EXISTING WELL? YESA5t NO ❑
7. STATIC WATER LEVEL Below Top of Casing: 10 FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface`
"Top of casing terminated at/or below land surface requires a
variance In accordance with ISA NCAC 2C mitt
9. YIELD (gpm): 30 METHOD OF TEST BY AIR TEST
10. WATER ZONES (depth):
Topographic/Land setting
❑Ridge ❑Slope ❑Valley OFlat
(check appropriate box)
Latitude/longitude of well location
(degreeshninutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DEPTH DRILLING LOG .
From To Formation Description
11. DISINFECTION: Type HTH TARO Amount 24
12. CASING:
Depth
From To 48 FL
From To Ft.
Froth_ To Ft.
13. GROUT: Depth Material Method
From O To 20 Ft. TROUT PfN MP")
From To Ft
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVELPACK:
Depth Size Material
From To Ft.
From To Ft.
Wall Thickness
Diameter or Weight/Ft. Material
64' GLAV. STEEL
16. REMARKS:
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSI KUCTED IN ACCORDANCE WITH I5ANCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIRD HAS BEEN PROVIDED TO THE WELL OWNER
08-28-02
SIGNATURE OF PERSISNCOJS RUCTING THE WELL DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-1 REV. 07/2001

WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) W, &MQF T (17, CERTIFICATION # 7R113
ERGS WELL In CO.
WELL CONTRACTOR COMPANY NAME
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
261427
PHONE # $28) 324-0335
1. WELL USE (Check Applicable Box): Residential ❑ Municipal/Public Industrial 0 Agricultural ❑
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town: ODLIMESVIIIE County CALTTr&LL
WAN MIN. BEACH RD./WILTN (PEEK VISITORS QN[FR
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
3. OWNER: CATSIELL COEMY
Address FO B]( 22C0
(Street or Route No.)
TFMTR iS 7fz6G5
City or Town State Zip Code
( 828 )- 728-8125
Area cede- Phone number
�_14-02
4. DATE DRILLED
5. TOTAL DEPTH: 185
6. DOES WELL REPLACE EXISTING WFT T ? YES ❑ NO II
Topographic/Land setting
[Midge ❑Slope ❑Valley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DEPTH DRILLING LOG
From To Formation Description
7. STATIC WATER LEVEL Below Top of Casing: 20 FT.
(Use "+^ if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface'
*Top or casing terminated at/or below land surface requires a
variance la accordance with 15A NCAC 2C .0118.
9. YIELD (gpm): 3) METHOD OF TEST BY AIR '1SF
10. WATER ZONES (depth):
11. DISINFECTION: Type
12. CASING:
0
From
TDepth7
EIITT TARS
From To
From To
13. GROUT: Depth
From 0 To 70
From To Ft.
Diameter
Ft. 64
Ft.
Ft.
Material
FL Cal W
Amount 35
Wall Thickness
or Weight/Ft. Material
QAV. 51FFL
14. SCREEN: Depth Diameter
From_ To Ft. in.
From To Ft. in.
15. SAND/GRAVEL PACK
Depth Size Material
From To Ft
From To Ft.
Method
WI JRFT)
Slot Size Material
in.
in.
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names. t.)
N
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RD HAS BEEN PROVIDED TO THE WELL OWNER
Are- 09-16-02
SIGNOF PERSON CONS 'G THE WELL DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-1 REV. 07/2001

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section J A rJ
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone] `i /
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 279/
010652 STATE WELL CONSTRUCTION PERMIT#• Jerry Wilson
1. WELL USE (Check Applicable Box): Residential X Municipal
Recovery 0 Heat Pump Water Injection CI Other
Industrial El Agricultural El Monitoring ❑
If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWELL
FORREST OAKS RD. OFF YADKINj RIVER RD OFF HWY
(Road Name and Numbers, Community, or Subdivision and Lot No.)
WALTER E. MCKINNEY
P.O. BOX 54 ,
3. OWNER
Address
PATTE'iSONRonte No.)
NC 28881
City or Town State Zip Code
4. DATE DRILLED 8/22/2001 186
5. TOTAL DEPTH 226 210
6. CUTTINGS COLLECTED YES 0 NO 0 x
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO 0 X
8. STATIC WATER LEVEL Below Top of Casing: 50 FT
(Use "+' if Above Top of Casing)
9. TOP OF CASING IS 1FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C 0118
10. YIELD (gpml' 12METHOD OF TEST Air
11. WATER ZONES (depth): 1 ppm 165-188 11 ppm 210-211
0 ppm
12. CHLORINATION: Type HTH
13. CASING:
0 ppm
Amount 38
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 61/8 .350 PVC
From To
From To
14. GROUT:
Depth
From °To
From To
15. SCREEN:
Ft
Ft
DRILLING LOG
From
0
55
To
DEPTH
Formation Description
55 DIRT, SHALE,GRANITE
185 GRANITE
165 188 QUARTZ
210 GRANITE, QUARTZ
211 QUARTZ
211 225 GRANITE
v CD
m
.Z•) OC'
I3 ^t
1/40 *rr1
If additional space is needed use bac 37forr '-
IV to=
LOCATION SKETCH rn
(Show direction and distance from at lea6/7wo late
Roads, or other map reference points)
Material Method leg
20Ft Cement Gravity Flow OL
Ft CEMENT GRAVITY FLOW
Depth
From To Ft
From To Ft
From To Ft
Diameter Slot Size Material
in
in
in
16. SAND/ (p rik
ELPIYEK:,
L
I I Ueptfi
From I To Ft
From Li To Ft
17. REMA
I DO HEREBY TII
CONSTRtn-Mtn+Fs
in
in
in.
Material
R KS:
a
atps
m
� 1t1�WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
'� AT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
4/i�ODa
FOR OFFICE USE ONLY
NATURE OF PERSON CONSTRUCTING THE WELL
Submit original to Division of Water Quality, Groundwater Section within 30 days
DATE
Quad No:
Serial No.
GW-1 REV. 12/99

WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) WAXW IftE CERTIFICATION # 2343
ITDCWRY WELL LR LIN (D. PHONE # (RA VA -rim
WELL CONTRACTOR COMPANY NAME
261422
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable)
(if applicable)
1. WELL USE (Check Applicable Box): Residential Municipal/Public ❑ Industrial ❑ Agricultural ❑
Monitoring ❑ Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use
2. WELL LOCATION: CAMEL
Town: LENDIR County
1Q/42 WY 268
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
-3. OWNER: FARM
Address 10442 EMI 268
LENDIR (StreetRoute No.) 28645
City or Town State Zip Code
678 )- 757-0261.
Area code- Phone number07-19-02
4. DATE DRILLED
5. TOTAL DEPTH: 05
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO Etc
7. STATIC WATER LEVEL Below Top of Casing: 70 FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface*
*Top of casing terminated at/or below land surface requires a
variance In accordance with 1SA NCAC IC .0118. BY AIR TESL
9. YIELD (gpm): 7 METHOD OF TEST
10. WATER ZONES (depth):
11. DISINFECTION: Type ERH TABS Amount 49
12. CASING: Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To101 Ft. R ' PVC PLASTIC
From To Ft.
From To Ft.
13. GROUT: Depth Material Method
From 0 To 70 Ft. malt R11RF71
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From
From
16. REMARKS:
To Ft.
To Ft.
Topographic/Land setting
[Midge OSlope OValley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude solace:❑GPS❑Topographic map
(check box)
DEPTH PRILLING LOG
From To Formation Description
0
v
_D
LOCATION SKETCH = -
Show direction and distance in miles fromleas�-� _-
two State Roads or County Roads. Include a road
numbers and common road names.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RD HAS BEEN PROVIDED TO THE WELL OWNER
ergs 07-24-02
SIGNATURE OF PERSON CONS G THE WFI I DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center- Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-1 REV. 07/2001

WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) WAYNE TIN.; CERTIFICATION it 7341
WELL CONTRACTOR COMPANY NAME EMERY WFTT. FRIT) TIDY: M. PHONE it (RA) 326-a)RS
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT%
(if applicable) (if applicable)
261419
1. WELL USE (Check Applicable Box): Residential Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other ❑ If Other, List Use
2. WELL LOCATION:
Nearest Town: LEIM County CN mil'
7395 CCGA CD VISTA
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
3. OWNER: GUY (DEWY
Address 2395 FITIf1) VISTA
(Street or Route No.)
TFNDIR NC
28645
City or Town State Zip Code
(32R1- 728-1325
Area code- Phone number
4. DATE DRILLED 07-16-02
5. TOTAL DEPTH: 245
6. DOES WELL REPLACE EXISTING WELL? YES Fi CNO 0
7. STATIC WATER LEVEL Below Top of Casing: 50 FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface'
*Top of casing terminated ator below land surface requires a
variance in accordance with 15A NCAC 2C .0118.
9. YIELD (gpm): 6 METHOD OF TEST BY AIR 'TEST
10. WATER ZONES (depth):
11. DISINFECTION: Type HTH TARS
12. CASING:
Depth D� eter
From 0 To 41 Ft. bx'
From To Ft.
From To Ft.
Topographic/Land setting
❑Ridge ❑Slope OValley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DEPTH DRILLING LOG
From To Formation Description
LOCATION SKETCH
Amount 41 Show direction and distance in miles from at least
Wall Thickness two State Roads or County Roads. Include the road
orWeight/Ft to 'ill numbers and common road names.
FVC
13. GROUT: Depth Material Method
From_p _ To 20 Ft. C RCUT FCURED
From To Ft
14. SCREEN: Depth Diameter
From To Ft. in.
From To Ft. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To FL
From To Ft.
Slot Size
in.
in.
16. REMARKS:
0
N
LA/
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C, WEI r
CONSTRUCTION STANDARDS, AND THAT A COPY OF Till CORD HAS BEEN PROVIDED TO THE WELL OWNER
CS-02-02
SIU of PERSON CON
NG THE WELL DATE
Submit the original to the Division of Water Quality, Groundwater Section,1636 Mail Service Center- Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-1 REV. 07/2001

261418
WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) W&M1E TINS CERTIFICATIONI#2343
WELL CONTRACTOR COMPANY NAME
[[EOM WELL LMI% CD• PHONE # (828) .324-CC135
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): Residential i Municipal/Public 0 Industrial ❑ Agricultural ❑
Monitoring ❑ Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town-IENDIR County CALDWE L.
KITT.TER ETANE
(Stint Name, Numbers, Community, Subdivision, Lot No., Zip Code)
3. OWNER: AIIAS CCNER6CERS
Address FO BJ( 19 i4
IFNI)IR (StreetRoute No.) NC 28645
City or Town State Zip Code
(32DD- 758-L338
Area code- Phone number
4. DATE DRILLED 24-02
5. TOTAL DEPTH: 42
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO
7. STATIC WATER LEVEL Below Top of Casing: 80 FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surfaces
*Top of casing terminated at/or below land surface requires a
variance in accordance with 15A NCAC 2C .0118.
9. YIELD (gpm): 1 METHOD OF TEST BY AIR 11'
10. WATER ZONES (depth):
Topographic/Land setting
❑Ridge ❑Slope ❑Valley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(cheek box)
DEPTH DRILLING LOG
From To Formation Description
11. DISINFECTION: Type hth'IPBS Amount 72
12. CASING:
Depth Dirypeter
From 0 To 28 Ft. OT,
From To Ft
From To Ft.
13. GROUT: Depth Material Method
From 0 To 20 Ft. (RIJF [CURED
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth
From To Ft.
From To FL
Wall Thickness
oPVC
gWlEtie
Size Material
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names.
A/
r Gr 1\i e
alcj
ft
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5ANCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT�Y OF THIS RD HAS BEEN PROVIDED TO THE WELL OWNER
08-13-02
SIGNATURE OF PERSON CONS
IG THE WELL DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center -Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-1 REV. 07/2001

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2878
020428 STATE WELL CONSTRUCTION PERMIT#: Steve Pnce
WELL USE (Check Applicable Box): Residential E Municipal I Industrial I I Agricultural 0 Monitoring 0
Recovery El Heat Pump Water Injection El Other If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
MAPLE TREE PLAZA OFF MAPLE GROVE RD. OFF HWY
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER CHARLES C. SANDERS
Address 6850 MAPLE TREE PL. ,
COLLET I'$`V?Lir.l lute No.l NC 28611
city or Town State Zip Code
4. DATE DRILLED 7/3/2002
5. TOTAL DEPTH 205
6. CUTTINGS COLLECTED YES I NO El
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.01143
10. YIELD (gpm) METHOD OF TEST Air
11. WATER ZONES (depth):1 ppm 130 131 1 ppm 160 161
1 ppm 180-181 0 ppm
DRILLING LOG DEPTH
From To Formation Description
0 55 DIRT
55 130 GRANITE
130 131 QUARTZ
131 160 GRANITE
160 161 QUARTZ
161 180 GRANITE
180 181 QUARTZ tj
181 205 GRANITE C
C,
C:
CO
X
12. CHLORINATION: Type HTH Amount 39 If additional space is needed use b
of fgEm
13. CASING: LOCATION SKETCH
Wall Thickness
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least two State
From 0 To 55 Ft 6 1/4 .188 GALV. Roads, or other map reference points)
From To Ft Q,D,g'�" 3a1
From To Ft V
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth
To
Tn
From
From
17. REMARKS.
I DO HEREBY
CONSTRUC-10
Ft
Ft
Size
Material
I
A
S
TIFY THAT THIS WELL WA
TANPeD. AND THAT
LY
610
�/ ,C�C�SricPSS
o
vE- I m —3
Qi
NSTRUCTED IN ACCORDANCE WITH 15A NCAC ELL
LOF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
FOR OFFICE USE
Quad No:
S GNATURE OF PERSON CONSTRUCTING THE WELL DATE
GROi111pN ATEF SE Cr�I�,(kit_origin d to Division of Water Quality, Groundwater Section within 30 days
AS°F�/iLLE GEGOPiAL Q Fll.t GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
Groundwater Section
257217
WELL CONSTRUCTION RECORD WELL CONTRACTOR- Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 28/8
020424 STATE WELL CONSTRUCTION PERMIT#: Steve Pnce
1.
WELL USE (Check Applicable Box): Residential El Municipal Industrial 0 Agricultural 0 Monitoring ICI
Recovery C7 Heat Pump Water Injection CI Other CI If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
3. OWNER
Address
FRANKLIN RD. OFF FIWY 90 OFF SETZER CRK RD. OFF
(Road Name and Numbers, Community, or Subdivision and Lot No.)
MICHAEL WRIGHT
2776 KEYES PLACE ,
LENOI R (Street or Route No.)
NC 28845
City or Town State Zip Code
4. DATE DRILLED 7/1/2002
5. TOTAL DEPTH 305
6. CUTTINGS COLLECTED YES 0 NO
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO
8. STATIC WATER LEVEL Below Top of Casing: 80 FT
(Use'+" if Above Top of Casing)
X
9. TOP OF CASING IS 1 FT Above Land Surface*
`Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.01713
10. YIELD (gpm): 4 METHOD OF TEST
11. WATER ZONES (depth):1 ppm220-221 1 ppm 250-251
DRILLING LOG
From
0
DEPTH
To Formation Description
110 DIRT/SAND
110 220 GRANITE
220
221
250
251
270
271
221 QUARTZ
250 GRANITE
251 GRANITE/QUARTZ
270 GRANITE
271 GRANITE r-,
305 GRANITE N
a
c � ;
Air
2 ppm 270-271 0 ppm
12. CHLORINATION: Type HTH Amount 46
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 118 Ft 6 1/8 .350 PVC
From To Ft
From To Ft
14. GROUT:
From
From
Depth
0 To 20
15. SCREEN:
To
Depth
From To Ft
From To Ft
From To Ft
16. SAND/GRAVEL PACK:
From
From
17. REMARKC
I DO HERE
CONSTRU
FOR OFFIC
Material Method
Ft Cement Gravity Flow
Ft
Diameter Slot Size Material
in in
in in
in in
'^
T;�
ii-,
i..rFtl'
f
Fa it
I
'CE
I JJI
,1
BTIFY THAT THIS WELL WRSC
CTIOIjSTANDARDS, AND THA—
A CC
GROUNDVVA'ER SECTION
Fir
IONAL OFTh"E
tica:(44141ALLL
.^
Material
If additional space is needed use b*hof f6 n
LOCATION SKETCH
(Show direction and distance from at least two State ,
Roads, or other map reference points) �11II
G1,r
G
0\
Se+zev Civeek
NSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
PY-OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
Lttii
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Quad No:
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
nr t'1
3. OWNER
Address
WELL CONSTRUCTION RECORD
WELL CONTRACTOR- Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: 2686
020451 STATE WELL CONSTRUCTION PERMIT* Lealie Reece
1. WELL USE (Check Applicable Box): Residential 0 Municipal I Industrial
Agricultural fl Monitoring 0
Recovery El Heat Pump Water Injection 0 Other 1E1 If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWELL
WHEELER RD OFF HUSBAND CREEK RD OFF GREASY
(Road Name and Numbers, Community, or Subdivision and Lot No.)
LYNDA WHEELER
1616 WHEELER HOLLOW PL.
From
0
I I
DRILLING LOG
To
61
DEPTH
Formation Description
DIRT
LENOIR (Street or Route No.) NC 28645
61 374 GRANITE
City or Town
4. DATE DRILLED
5. TOTAL DEPTH
6. CUTTINGS COLLECTED YES 0 NO
7. DOES WELL REPLACE EXISTING WELL? YES EI NO
8. STATIC WATER LEVEL Below Top of Casing: _ 50 FT
(Use "+' if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.01 a
10. YIELD (gpm): METHOD OF TEST Aar
11. WATER ZONES (depth):3 ppm 374-375 0 ppm
0 ppm
State Zip Code
7/10/2002
425
0 ppm
IX
IX
374 375 QUARTZ
375 425 GRANITE r-,
N
a
TTi
rn
:ca
cJ1
0
o
c
tit
N G
12. CHLORINATION: Type HTH Amount 74
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 67 Ft 6 1/8 .350 PVC
From To Ft
From To Ft
14. GROUT:
From
From
Depth
0 To 20
15. SCREEN:
If additional space is needed use back of form
`/LtCO`{
Material Method
Ft. Cement Gravity Flow
To Ft
Depth Diameter Slot Size
From To Ft in in
From To Ft in in
From To Ft. in in
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
17. REMARK
I DO HERE
CONSTRU
FOR OFFIC
Quad No:
R�TIFYTHAT THIS WELL
STANDARDS, AND THA
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
AS I • NSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
o PY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
U
SIGNATURE
` E CTSlibmit orig nal to Division o
ASHEV _LE kFP� r'4L OFHCE
ecc
7-Z,-OL
ERSON CONSTRUCTING THE WELL DATE
Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
020468
257207
WELL CONTRACTOR- Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION St.2685
STATE WELL CONSTRUCTION PERMIT# Lel(e Reece
1. WELL USE (Check Applicable Box): Residential X Municipal P Industrial 0 Agricultural fl Monitoring 0
Recovery P Heat Pump Water Injection 0 Other If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWELL
DRILLING LOG DEPTH
3. OWNER ANTHONY JEROME CLARK From To Formation Description
Address 407 CARRITUCK COURT N.E. . 0 95 DIRT
LENOIR (Street or Route No.) NC 28545 95 441 GRANITE
city or Town stele Zip Code 441 442 QUARTZ
4. DATE DRILLED 7/11/2002 442 525 GRANITE
5. TOTAL DEPTH 525
6. CUTTINGS COLLECTED YES h NO n
7. DOES WELL REPLACE EXISTING WELL? YES El NO n
8. STATIC WATER LEVEL Below Top of Casing: 100 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
Air
10. YIELD (gpm)' 3'S MST OD OF TESMom
0
T 0 cn--
11. WATER ZONES (depth).qpm 0 CIPMom
12. CHLORINATION: Type HTH Amount 88
TICK NOCK RD OFF BILL TUTTLE OFF INDIAN GRAVE R
(Road Name and Numbers, Community, or Subdivision and Lot No.)
C
ro
a
C)
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 98 Ft 8 1/4 .350 PVC
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth
From To Ft
From To Ft
From To Ft
Diameter Slot Size
in
in
in
in
in
in
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
17. REMARKS
I DO HERE
CONSTRL
FOR OFFIC
Quad No:
Serial No.
I; I
RTIFYTHATTHIS WELL
f STANDARDS, AND THA
rr.
If additional space is needed use back -of found
LOCATION SKETCH tv
(Show direction and distance from at least two State
Roads, or other map reference points)
vial i a a v¢Ud e veoP
,k 4-- .a
"C
1)
ONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
)PY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE O6,PERSON CONSTRUCTING THE WELL DATE
Sub it oric inal to Division of Water Quality, Groundwater Section within 30 days
GROLIRDWA'ER SECTION GW-1 REV. 12/99
ASHFC'il E RE;IONAL OFFICE
V
ONLY IL

260916
WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
\\ El.1. COSTRAC7012 (INDIVIDUAL.) NAME (print) 5kc A a (.J4 11A' CERTIFICATION # .2H/S
\c EEL CONTRACTOR COMPANY,NAME Yadkin Well Canpany Ind. PHONE # (33�-468-4440
STATE WEI,I. CONSTRUCTION PERMIT# ASSOCIATED \\'Q PERMIT#
if applicable) (if applicable)
I. WELL USE (Check Applicable Box): Residential Municipal/Public 0 Industrial ❑ Agricultural 0
Monitoring 0 Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use
2,
\VEI-L LOCATI N:
Nearest Town: R61rt- terms/Countye 4 ,-0-0
5770 Lay Yew
(Street Name. Numbers. Ctdnmunity, Subdivision, Lot No.. Zip Code)
3. OWNER: Erie
Address S'7 t O 6, J
Street or Rome o.)
( %SS-/92z k"ifiKfSO-/Sr./ 9/9s 7S
Area code- Phone number
4. DATE DRILLED LIP -4 --O.R P14—I�-7
5. TOTAL DEPTH: aa0 Tilk-t-. AP- a2D
L STA IC WATER LEVEL Below Top of Casing. iJ
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS FT. Above Land Surface*
'Top of casing terminated at/or below land surface requires a
variance in accordant; with ISA NCAC 2C .0118.
9. YIELD (gpm): U METHOD OF TEST air pump
1(). WATER ZONES (depth): 93.45"
' cups
6
7
t /X1
Topographic/Land setting
❑Ridge5lope ❑Valley ❑Flat
(check appropriate box)
Latitude/longitude of well location
/ lea- (degrees/mi notes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DEPTH DRILLING LOG
city or Town Stave zip Code Prom To • Formation Desc r i pt i on
CD. I
6-7 a ei IA 6, c7
5-el4y(1k (3ro(rr
a•A- Am
DOES WELL REPLACE EXISTING WELL? YES 06 O ,k
FT.
II. DISINFECTION: Type riTH Amount
12. CASING:
Depth Diameter
6 To Sb Ft. Genf
To Ft
To Ft
Depth
To PO
From
From
From
13. GROUT:
Front 0
From
Id. SCREEN:
From
From To
15. SAND/GRAVEL PACK:
rl Tth
To�S
Ft.
Material
fie) f' .-nk
To Ft.
Depth Diameter
To Ft. in.
FL in.
11
ize
Slot Size
in
in.
Wall Thickness
or Weight/Ft.
foe -i(
Material
O(/c- Qd
dig.'" 7.---,10.1bb • f
t/I 144IC
` l i v ittA
t / VAS fN , ' 0Yr 1—
1 r
0
IJ
t c 'S 0?ODG 3S :ter
LOCATION SKETCH
Metho
Material
Show direction and distance in miles from atlleast
two State Roads or County Roads. Include tlgroacE
numbets and commo9ad names.
3.Y •�/ Co0
.
gco J&itac
J
BY CERTIFY THAT
tIWOflAAA
T IIS
NNE
N 'LL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
AT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
VVV `ny�'Z'
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
r
Submit the original to the Division of NVater Quality,'Groundwater Section, 1636 Mail Service Center - Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-I REV. 07/2001

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
n t�
C-:;r/_1
WELL CONSTRUCTION RECORD
020214
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2878
STATE WELL CONSTRUCTION PERMIT# Steve Price
1. WELL USE (Check Applicable Box): Residential 0 Municipal 0 Industrial Agricultural 0 Monitoring 0
Recovery 0 Heat Pump Water Injection 0 Other If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
NearestTown• LENOIR County. C.ALDWELL
PRIVATE DR. OFF RICHLAND RD. OFF I -WV 321
(Road Name and Numbers, Community, or Subdivision and Lot No.)
Zip Code
DRILLING LOG DEPTH
3. OWNER TODD E. BUMGARDNER From To Formation Description
Address 1033 MAPLE STREET , 0 85 DIRT
GRAN TE(sr"a0uttNn.) NC 28630 85 440 GRANITE
City or Town State 440 441 GRANITE
4. DATE DRILLED 8/18/2002 441 520 GRANITE
5. TOTAL DEPTH 705 520 521 GRANITE
6. CUTTINGS COLLECTED YES I I NO X 521 570 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES NO XI 570 571 GRANITE
8. STATIC WATER LEVEL Below Top of Casing: 300 FT. 571 850 GRANITE
(Use'+" if Above Top of Casing) 850 851 GRANITE C=
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.01
10. YIELD (gpm): 4 METHOD 40 441 Ar
2wpm 41/2 opm 520-521
11. WATER ZONES (depth):
851 705 GRANITE a-3
1/2 ppm570-571
1/2 qpm 850-651
12. CHLORINATION: Type HTH
13. CASING:
Amount 85
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 84 Ft 6 1/4 .189 GALV.
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
17. REMARKS• RR , ' u I--1
I DO HEREBYC,rR(fIF THA+'THVStMELLIVAI�CN
CONSTRUCTION' 41DARDS, AND TEXT A L, PY
FOR OFFICE USE
If additional space is needed use back of tom '7)
C
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
A3 500.
{2aP
0, Qcal V
c ,LIaud
K �r
RUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
F THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
'7 -ooL
Quad No'
Serial No.
GROUPL1WATER SECTION
ASHEVILiE REGIONAL OFFICE
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit on inal tc Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
C i -.. 3
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION It2876
020385 STATE WELL CONSTRUCTION PERMIT#: Steve Price
1. WELL USE (Check Applicable Box): Residential X Municipal ❑ Industrial n Agricultural Monitoring El
Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use:
fI
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County. (7ALDWFI L
HIDDEN COVE LANE OFF KNOX Well LS OFF COTR
I Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER BILLY JOE PHILLIPS
Address 1188 KNOX SHERRILL RD N.E. , 0 35
LENOIR (street erRouteNo.) NC 28645 35 320 GRANITE
City or Town State
Zip Code
DRILLING LOG
From To
DEPTH
Formation Description
DIRT
320 321 QUARTZ
4. DATE DRILLED 6/20/2002 321 507 GRANITE
5. TOTAL DEPTH 545 507 508 QUARTZ
6. CUTTINGS COLLECTED YES ❑ NO n 508 545 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES 7 NO In
8. STATIC WATER LEVEL Below Top of Casing: 50 FT.
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 6 METHOD OF TEST Ar
11. WATER ZONES (depth):1 gpm 320-321 5 gpm 507-508
0 ppm 0 ppm
12. CHLORINATION: Type HTH Amount 98
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 42 Ft. 6 1/4 188 GALV
From To Ft
From To Ft.
14. GROUT:
From
From
Depth Material Method
0 _ To 20 Ft Cement Gravity Flow
To Ft
15. SCREEN:
From
From
From
Depth Diameter Slot Size Material
To Ft in in. Luke
0
N
rrri—
G7 r=
S �-
If additional space is needed use back of foer 9
gQ
LOCATION SKETCH
how direction and distance from at least two State
Roads, or other map reference points)
4,7
To Ft. in in
To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
To Ft
From
From
To Ft
17. REMARKS.
I DO HEREBY
CONSTRUCT
Ir2
T TI1.T' l WFFII Vv
ITANDARDS, AND THAT A
FOR OFFICE v
Quad No:
Y
co
/.$" Rod.
C% STRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
0 OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
r7?-�9.t.d " SL
SI 3NATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit origina to Division of Water Quality, Groundwater Section within 30 days
1-2 — o.A
GW-1 REV. 12/99
Serial No.
GRCI!ND
ASHEViULE
',AiER SECTION
REGIONAL OFFICE

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
n!ryr
C_ t ! r_
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2878
020402 STATE WELL CONSTRUCTION PERMIT#• Steve Price
1. WELL USE (Check Applicable Box): Residential I XI Municipal ❑ Industrial ❑ Agricultural ❑ Monitoring ❑
Recovery ❑ Heat Pump Water Injection I I Other ❑ If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR. County. SAIPWFl J
PRIVTE DR_OFF NORWOOD DR OFF I -WY 1R OFF HW
(Road Name and Numbers, Community, or Subdivision and Lot No.)
DRILLING LOG DEPTH
3. OWNER JACK L CHURCH From To Formation Description
Address 805 S AS .F AVE NW SUITE 201 0 ?3 DIRT
(Street or RouteNo.l 24 36D GRANITE
LENOIR NC 28CG�5d
City or Town State e 360 362 QUART?
4. DATE DRILLED 6/21/200? 382 375 GRANITE
5 TOTAL DEPTH 405 375 376 QUARTZ
6. CUTTINGS COLLECTED YES ❑ NO El 376 390 GRANITE r-, u
7. DOES WELL REPLACE EXISTING WELL? YES I I NO ❑ 380 392 QUARTZ N r-
8. STATIC WATER LEVEL Below Top of Casing: 60 FT 392 405 GRANITE ='
(Use "+' if Above Top of Casing) C—) c ^i
9. TOP OF CASING IS '1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.011e
10. YIELD (gpm): 40 METHOD OF TEST Ar
11. WATER ZONES (depth).2 MPn•I3E0-362 3 ppm 375-375
35 ppm 390-392 0 ppm
12. CHLORINATION: Type HTH Amount 70
If additional space is needed use ba40of foim
13. CASING: LOCATION SKETCH
Wall Thickness
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least two State
From 0 To 4f1 Ft Fi 1!R 3F+!1 PVC Roads, or other map reference points)
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft
From To Ft
From To Ft
16. S
Fr
Fr
17. R
C
in
in
in.
s cPePih [I'' l
MAR S
0 HE CERTIFY THAT THIS WEL
NSTRL TiO :$9,Ti ._ s 1"s •p ; D TH
ASHEVILLF REGIONAL OFFICE
in
in
in
Material
FOR OFFICE USE ONLY
Quad No:
WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
T A COPY -OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
25•7Z 0
WELL CONSTRUCTION RECORD
020384
WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2878
STATE WELL CONSTRUCTION PERMIT#• Steve Price
1. WELL USE (Check Applicable Box): Residential n Municipal Industrial ❑ Agricultural ❑ Monitoring ❑
Recovery ❑ Heat Pump Water Injection ❑ Other If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County. CALDWFI L
QUAIL RUN RD OFF HIGHLAND MEADOWS OFF TACKS
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER MILLER H NANCE
Address 5315 GRANDIN RD ,
LENOIR (Sheet orRoute No.) NC 28645 45 100 GRANITE
City or Town State Zip Code
100 101 GRANITE
4. DATE DRILLED 6/24/2002 101 270 GRANITE
5. TOTAL DEPTH 505'F 270 271 QUARTZ
6. CUTTINGS COLLECTED YES U NO 271 310 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES P1 NO n 310 311 QUARTZ
8. STATIC WATER LEVEL Below Top of Casing• 100 FT. 311 350 GRANITE
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface* 351 370 GRANITE
*Top of casing terminated at/or below land surface requires a variance in accor- 370 371 GRANITE
dance with 15A NCAC 2C.0118 O
10. YIELD (gpm): 4 METHOD OF TEST Air 371 405 GRANITE N
11. WATER ZONES (depth)•1/2 qpm 100-101 1 ppm 270-271 405 505 GRANITE A
1/2 ppm 310-311 1 ppm 350-351
12. CHLORINATION: Type HTH Amount 85
x
DRILLING LOG DEPTH
From To Formation Description
0 45 DIRT
350 351 GRANITE
c)
If additional space is needed use back of krm cd-c
13. CASING: LOCATION SKETCH
Wall Thickness
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least tyro Stfr:
From 0 To 50 Ft B 118 .350 PVC Roads, or other map reference point&lt
From To Ft l,L`� 3a-i N a
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth
From To Ft
Size
Material
From To Ft
17. REMARKS' *
I DO HEREBY C
CONSTRUCTIO
j1
THAYXHISWfLL,1N'A8-C
lt1ABL1$. ANDLTHAT ACO
FOR OFFICE USE ON
Quad No:
AZ
%
N9
UCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
7-29-0,2?
aTURE OF PERSON CONSTRUCTING THE WELL DATE
Division of Water Quality, Groundwater Section within 30 days
Serial No.
Subm
oridinalto
PVttiT,TER SF ON
E RE(T'flN.IL OFFICE
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
25'7209
WELL CONSTRUCTION RECORD
020380
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2878
STATE WELL CONSTRUCTION PERMIT#• Steve Price
1. WELL USE (Check Applicable Box): Residential I Xl Municipal 0 Industrial 0
Agricultural Monitoring 0
Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR
PRIVATE DR. OFF HWY 321
I Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER THOMAS L. DOLL
Address P.O. BOX 82
PATTERSON' or Route No.1 NC 28661
City or Town State Zip Code
4. DATE DRILLED 6/27/2002
5. TOTAL DEPTH 405
6. CUTTINGS COLLECTED YES 0 NO El
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO 0
8. STATIC WATER LEVEL Below Top of Casing: 80 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 4 METHOD OF TEST Air
11. WATER ZONES (depth)•1 ppm 215-218 3 Qom 370-372
0 ppm 0 qpm
12. CHLORINATION: Type HTH Amount 67
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 120 Ft 8 1/8 .350 PVC
From To Ft
From To Ft
14. GROUT:
15
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
SCREEN:
Depth
From To Ft
From To Ft.
From To Ft
Diameter Slot Size
16. SAND/GRAVEL PACK:
-Depth
I _Ltil lit?
From
From
17. REM
I DO
CON
I To
F
County: CALDWELL
DRILLING LOG
From To
0 114
DEPTH
Formation Description
DIRT
114 215 GRANITE
215 216 QUARTZ/GRANITE
218 370 GRANITE
370 372 QUARTZ/GRANITE
372 405 GRANITE
rV
n
c
If additional space is needed use back of fpnn
LOCATION SKETCH
(Show direction and distance from at least twwttat--
Roads, or other map reference pointsN J
ltvi{ k 6 Ri
in in Per
Material
in in
in in
Material
CO
e
a
,T
EREB? CERTIFY THAT THIS WgLL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
RUCTION STANDARDS, AND THAT P COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
. TIOR
OFFI 7—) 9— 02,
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

255858
WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print)1/4-rn 4-I CI,IC l[ \r )CL CERTIFICATION#"?`Aa-at
WELL CONTRACTOR COMPANY NAME r1 K Vt 1nr 1 tYYI fi Y 11i 0 (/ PHONE # n L1-hF)
LIZ
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): Residential Hf Municipal/Public 0 Industrial 0 Agricultural ❑
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town.--av-7/Ct-rCounty Cc'JU Uj(
..2/9 %�I!/1/11J zfkit*/,,i ,0 orit• G c, hG
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
3. OWNER: 62Y/,,r) ✓'/,
Address JY>,'n//v VT) r
(Street or Route No.)
City or Town State
(!?7 )- , ;?%
Zip Code
Arta code- Phone number
4. DATE DRILLED I. D- a G 0?_
5. TOTAL DEPTH: 3 2,5
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ICJ
7. STATIC WATER LEVEL Below Top of Casing: FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS / FT. Above Land Surfaces
'Top of casing terminated at/or below land surface requires a
variance in accordance with 1SA NCAC 2C .011#.
9. YIELD (gpm): a) METHOD OF TEST 4/1/4
10. WATER ZONES (depth):
12. CASING:
Depth
From_ To (\ Ft.
From To Ft.
From To Ft.
13. GROUT: Depth Material Method
From U To erg Ft. fn P� /.tl'%t ,t#
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
E (i I 'REMARKS: - —1
11. DISINFECTION: Type 22LGttbf Amount / Cltf)
Wall Thickness
Diameter or Weight/Ft. Material
6 7-I Par
I DO HEREBY CE tTI • THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRU IONSf
S, AND THAT A COPY aF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
cam- ,?-62
Topographic/Land setting
❑Ridge ❑Slope ❑Valley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(cheek box)
PEPT$ DRILLING LOG
Formation Description
S/3m)e-(' Pt'
From To
( SJ
- C -'
LOCATION SKETCI-[
Show direction and distance in miles from at least
two State Roads or County Roads. Include the mad
numbers and common road names.
L-=
T
0
C_
c
r-
0
v
3
0
a
Cri
ASHEvGROUNC!,VATE—C; SECr
L F uGr ,•
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
bil*Inal t the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-1 REV. 07/2001
C
c3
13
i-t

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
255180
4. DATE DRILLED
5. TOTAL DEPTH
6. CUTTINGS COLLECTED YES I I NO
7. DOES WELL REPLACE EXISTING WELL? YES NO Imo"
8. STATIC WATER LEVEL Below Top of Casing: 200 FT
(Use'+" if Above Top of Casing)
WELL CONSTRUCTION RECORD
WELL CONTRACTOR -
Wright Well
Pump
Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #- 2878
020359 Steve Pnce
STATE WELL CONSTRUCTION PERMIT#•
1. WELL USE (Check Applicable Box): Residential Municipal I I ndustrial
Recovery 0 Heat Pump Water Injection
Agricultural El Monitoring 0
Other 0 If O.her, List Use:
I I
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
PRIVATE DR. OFF TOLBERT RD. OFF I -MN 20 OFF ANT
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER CHRISTOPHER N. TRUNDY
Address 4500 TOLBERT RD. ,
DRILLING LOG
From To
0 74
DEPTH
Formation Description
DIRT
COLLETT9,FLL@"ute No.) NC 28611
74 450 GRANITE
City or Town State
6/10/2002
605
Zip Code
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): LL METHOD OF TEST
11. WATER ZONES (depth):1 ppm 45°4 1
0 gpm
Air
1 ppm 550-551
0 c1Pm
450 451 QUARTZ
451 550 GRANITE
550 551 GRANITE/QUARTZ
551 605 GRANITE
12. CHLORINATION: Type HTH Amount 85
13. CASING:
Depth Diameter
From 0 To 81 Ft 6 1/8.
From To Ft
From To Ft
14. GROUT:
Wall Thickness
or Weight/Ft. Material
.350 PVC
frrikt
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft.
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in. in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
17. REMARKS:
I DO HEREBY
CONSTRUCT
illy -RAT NisiivvEa
0N�TANDA'RDS AND THA t
FOR OFFICE U
S
LY
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
3,ra 1
STRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
GNATURE OF PERSON :ONSTRUCTING THE WELL
Submit .rigina to Division of Water Quality, Groundwater Section within 30 days
DATE
Quad No:
Serial No.
GRr1lIFL7 CTcR SECTION
SIIEVILLE rEGIONAL OFFICE
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
255184
4. DATE DRILLED
5. TOTAL DEPTH
6. CUTTINGS COLLECTED YES I I NO
7. DOES WELL REPLACE EXISTING WELL? YES I I NO 171
8. STATIC WATER LEVEL Below Top of Casing: 80 FT
(Use "+" if Above Top of Casing)
WELL CONSTRUCTION RECORD WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2878
020170-2 STATE WELL CONSTRUCTION PERMIT* Steve Price
1. WELL USE (Check Applicable Box): Residential 0 Municipal 0 Industrial 0 Agricultural ❑ Monitoring 0
Recovery 0 Heat Pump Water Injection El Other 0 If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
MUD PUDDLE LANE OFF HWY 288 OFF HWY 321
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER JAMES E. DUDLEY
P.O. BOX 2309 ,
Address
LENOI R (Street or Route No.)
City or Town State
6/6/2002
305
NC 28645
Zip Code
DRILLING LOG
From To
0 130
DEPTH
Formation Description
DIRT/SAND
130 220 GRANITE
220 221 QUARTZ
221 280 GRANITE
280 281 QUARTZ
281 305 GRANITE
I XI
9 TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C o1 yb
10. YIELD (gpm): METHOD OF TEST Air
11. WATER ZONES (depth):2 ppm 220-221 18 PPm 0 ppm 280-281
0 ppm
12. CHLORINATION: Type HITH
13. CASING:
Amount 49
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 135 Ft 6 1/4
From To Ft
From To Ft.
14. GROUT:
Depth
From 0 To 20
From To
15. SCREEN:
Depth
From To Ft in.
From To Ft in
From To Ft. in
.188 GALV.
16. SAND/GRAVEL PACK:
Depth
From To Ft
Size
Material
Ft Cement
Ft
Diameter Slot Size Material
in
in
in
Material
From To Ft
17. REMARKS:
I DO HEREBY
CONSTRUC1I
IFY THIATTH1S V '�L uVA:
TANDARDS AN HATA
FOR OFFICE L.
ONLY
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
knr�f
. H
&6i� NSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CC1iY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
✓S GNATURE OF PERSON CONSTRUCTING THE WELL DATE
o iginal to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No:
Serial No.
Submit
lGf_
v'FFIC

•
r
255735 ()
WELL' CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
11 E:LI. CON!It WI (INDIVIDUAL) NAME (print) 5 kc nc. L-)4 f&(er
Yadkin Well Company Ind.
1YE1.1. coNTItACTOR COMPANY NAME
CERTIFICATION a Vh
PHONE a J33f-468-4440
STATE \YE1.1. CONSTRUCTION PEItMI'1'a ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
2.
1. \VELL USE (Check Applicable Box): RcsidenliaK Municipal/Public ❑ Industrial ❑ Agricultural ❑
N1oniloring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
Topographic/ and e ti/�� ng
❑Ridgeslope ❑Valley ❑Flat
(check appropriate box)
Latitude/longitude of well location
WELL LOCAT N:
Nearest Town: 4 (pert-- fa r`� Couniy(Ct J . ?t/
Cy to LG)4e
yyt#& ,41
I Street Nano. Numbers. C,dninunity, Subdivision, Lot No., Zip Code)
3.OWNER: FN;t
Address SYn
X
Street or IttoouteAJu.)
Vor o t G
Cltc or fu,vn State Zip Code
?It -/%2 2 wr flg-fs0-3Ss.2
Area code- Phone number
4. DATE DRILLED Lf -447-02,
5. TOTAL DEPTH: 2Zo Sppry` I47- a� t'
6. DOES WELL REPLACE EXISTING WELL? YES, �, NO,41
7. STATIC WATER LEVEL Below Top of Casing: WU FT.
(Use "+" if Above Top of Casing)
S. TOP OF CASING IS 1 FT. Above Land Surface*
•Tnp or easing terminated at/or below land surface requires a
variance in accordantF with ISA NCAC 2C .0118.
9. YIELD(gpm): accordant
METHOD OF TEST air pump
ID. WATER ZONES (depth): 93- `3" '
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
tdxek box)
DEPTH DRILLING LOG
From To Formation Description
9*95 ( 61ar lisl, Cc.-/
Y4 --1 L-17 soF;Gli°i.Ok. 3rot. ';
1n,09S aC " "
LOCATION SKETCH r c•
I I. DISINFECTION: Type
H.I. Amount 37,,401PS Show direction and distance in miles from 9frast ci
12. CASING: Wall Thickness two State Roads or County Roads. Include the roaif:E;
Depth Diameter or Weight/Ft. Material numbcts and cotnmo/road names. _ N�
From To D 0 Ft. 4,/zl' said `it eve . • p to
mti
Sg�- gi o /•bbir ,CJ c_
safe / 2
From To
From To Ft.
13. GROUP: Depth Material
From I To PO Ft. /90 dtel /X.
ye-/e/w
p NO( / X P
From To Ft. j / IV , /
14. SCREEN: Depth Diameter Slot Size Material 'ir 1
From To ht. in. in. ( h S/LA jf/'/O�*-
From To Ft. in. in. 1t,,,r-jblt' 1'(
FLE !n I (�) S, NL)/�Gftl)V ACK: I r to/O
!
Size Material ( j„� �•�
FromI 4 Ft. If g Z 6�
From! Ft. (
lU coal oat(
iLL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C, WELL
AT A COPY OF TFIIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality,'Groundwater Section, 1636 Mail Service Center - Raleigh, NC
227699-1636 Phone No. [phone], within 30 clays. GW-I REV. 07/2001

255805
WELL CONSTRUCTION RECORD
North Carolina -Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) WAYNE TONG CERTIFICATION it 736.1
WELL CONTRACTOR COMPANY NAME HICKORY WELL DR TT JJNG CO.
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WQ PERM T8
(if applicable) (if applicable)
PHONE d £378)32h=0035
1. WELL USE (Check Applicable Box): Residential lax Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town: T.FNOTR County CAT.DWEI T.
3725 FRANK MARTTN TANE
(Street Name. Numbers, Community, Subdivision, rut No, Zip Code)
3. OWNER: MARTINS OONCRh
Address 3225 FRANK MARTTN TANE
(Street or Route No.) 28645
LENOIR NC
City or Town State Zip Code
(R7R)- 754-47R7
Area code- Phone number
4. DATE DRILLED 06-13-02
5. TOTAL DEPTH: 345
6. DOES WELL REPLACE EXISTING WET T? YES 0 NO
7. STATIC WATER LEVEL Below Top of Casing: 60 FT.
(Use"t" if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface'
`Top of casing terminated at/or below land surface requires a
variance In accordance with ISA NCAC 2C .0118.
9. YIELD (gpm): 15 METHOD OF TEST BY AIR TEST
10. WATER ZONES (depth):
11. DISINFECTION: Type NTH TABS
12. CASING:
102 Ft.
From 0 Depth
� 6ttt�leter
From To Ft. 4
From_______ To Ft.
13. GROUT: Depth Material
From 0 To 20 Ft. GROUT
From To Ft.
14. SCREEN: Depth Diameter
From _ To Ft. in.
From_ To Ft. in.
15. SAND/GRAVEL PACK:
Depth Size
From To Ft.
From To Ft.
Amount 60
Wall Thickness
or l
Weight/Ft.
t STEEL
Topographic/Land setting
❑Ridge ❑Slope [Walley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DEPTH DRILLING LOG
From To Formation Description
Method
POURED
Slot Size Material
in
in.
Material
16. REMARKS:
0 REBERJIF
.N i ICC N SCPPJ
D
T THIS WELL
LLWAS CON
eS; / A CO Y
SIGNATURE OF PERSO
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names.
N
i
Hwy; l 4lA/
5
c- ��
C ^n
r EEE
0
CTED IN ACCORDANCE WITH 15A NCAC 2C, WELL o
S RECORD HAS BEEN PROVIDED TO THE WELL OWNF
06-18-of'
TRUCTINGTHE WELL DATE
I Submit the original Ito the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
i' j'B 636 Phiiiialo. [phone], within 30 days.
GW-1 REV. 07/2001
_EF___.0 I OFFICE

CERTIFICATION # co<
WELL CONSTRUCTION RECORD 260509
North Carolina Department of l -_ .. p Environment and Natural Resources - Division of Water Quality -Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (yet) WELL eONTRACTOR COMPANY NAME a r�4'r—t _ _PHONE --.... _
STATE WELL CONSTRUCTION PERMIT# - ASSOCIATED WQ PERMIT#
1. WELL USE (Check Applicable Box): Residential tiA Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION: n I `�
Nearest Town: Le.A/a t r• County C a of t / P
/{read— 8r .,,.. % „Li Alturin.r
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
Hoene Piece
3. OWNER: ayttrl.ck✓ o
Address
(Street or Route No.)
MonKS V, HE- "4"
c -¶ -ocWy
Area code- Phone number
4. DATE DRILLED 5 `G - D a
Zip Code
5. TOTAL DEPTH: 3 '/
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO (B
7. STATIC WATER LEVEL Below Top of Casing: 3 S FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS ` FT. Above Land Surface*
*Top of casing terminated at/or below land surface requires a
variance in accordance with 15A NCAC 2C .0118.
9. YIELD (gpm): 3 METHOD OF TEST milt
10. WATER ZONES (depth): 3 / O
11. DISINFECTION: Type %6 he'll' Amount 3
Wall Thickness
Depth Dial ter or Weight/Ft. Material
From To i Cr Ft. 6/tr CDA2/ Vc
From To 9 S ' Ft. G 37e- . in- �s4 v
From To Ft.
13. GROUT: Depth AMaterial LL�� Method
From 0 To 1/ Ft. (�o.✓cte2 e It iYCut
From To Ft.
14. SCREEN. Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
12. CASING:
15. SAND/GRAVEL PACK:
Depth S
From To Ft.
From To Ft.
Material
Topographic/Land setting
❑Ridge `J�Slope ❑Valley ❑Flat
(check appropriate box)
Latitude/longitude of well location .
35 °rsr Q32 "'OSi' 31, 2ylw
(degrees/minutes/seconds)
Latitude/longitude source:4r]GPS0Topographic map
(check box)
DEPTH DRILLING LOG
From To For on Description
D /.'S Le the
/5 - 9©
qo - 3 V3
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names.
16. REMARKS:
THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WFI T
THAT A COPY F THIS RECORD HAS BEEN PROVIDED TO THE WFT T OWNER
IGNATURE OF PERSON CO TRUCTING THE WELL DATE
itArc
SEP 2 7 2002
Submit the original to the Div
i9 SSPIOAtE18010lf ) 733-,
ASHEVILLE REGIONAL OFFICE
sion of Water Quality, Groundwater Section, 1636 Mail Service Center -Raleigh, NC
221, within 30 days. GW-1 REV. 07/2001
0

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section 25 4524
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION Si- 2686
020275 STATE WELL CONSTRUCTION PERMIT#• Leslie Reece
1. WELL USE (Check Applicable Box): Residential 0 Municipal El Industrial CI Agricultural ❑ Monitoring CI
Recovery 0 Heat Pump Water Injection r I Other CI If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: BOONE County CALDWELL
KENDALLTOWN RD. OFF DARBY & ELK CRK RD. OFF E
(Road Name and Numbers, Community, or Subdivision and Lot No.)
DRILLING LOG DEPTH
3. OWNER CHAD L. HENDRIX From To Formation Description
Address % HOMES AMERICA , 3700 HICKORY BLVD. 0 61 DIRT/SAND
HUDSON Street or Route No.) NC 28638 61 93 GRANITE
city or Town State zip Code 93 94 QUARTZ
4. DATE DRILLED 5/7/2002 94 265 GRANITE
5. TOTAL DEPTH 265
6. CUTTINGS COLLECTED YES 0 NO FRi
7. DOES WELL REPLACE EXISTING WELL? YES El NO 71
8. STATIC WATER LEVEL Below Top of Casing: 30 FT
(use "+' if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 1.5 METHOD OF TEST Air
11. WATER ZONES (depth):1.5 ppm 93-94 0 gpm
0 ppm 0 ppm
0
C o
cn.m
r_t
—1 gri
rn�
..1
rri:0
12. CHLORINATION: Type HTH Amount 47
If additional space is needed use bacJf font
13. CASING: Wall Thickness LOCATION SKETCH
Depth Diameter or Weight/Ft. Material
From 0 To 65 Ft 6 1/8 .350 PVC Roads, or other map refs en e points)
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN
16
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
7 rya , .1 1
7
A D/fRn41Pl PACK -
Depth j Sze Material
oil To Ft
o " '- To •- - Ft
1
(Show direction and distance from at least two State
ftr
lo
E»xbj 4 U k Cvk
17. REMABK$Wdf WATFP SFCTIpnl
I DONitg8g-lf tekVIM1HArlftrigIS W ELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, ANITTHAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
FOR OFFICE USE ONLY
2 W c
SIGNATURE OF PEr$N CONSTRUCTING THE WELL DATE
Submit original to Division of Wa Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2888
020284
STATE WELL CONSTRUCTION PERMITW Leslie Keece
254518
1. WELL USE (Check Applicable Box): Residential 0 Municipal 0 Industrial n Agricultural 0 Monitoring ❑
Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town:
LENOIR County: CALDWELL
PRIVATE DR. OFF PRVT RD. OFF OLD HOMESTEAD RD.
(Road Name and Numbers,Community, or Subdivision and Lot No.) DRILLING LOG DEPTH
3. OWNER TREVA M. YOUNG From To Formation Description
Address 1316 7 STREET NW . 0 57 DIRT
HI cKORY5 or Route No.1 NC 28601 57 883 GRANITE
City or Town state
Zip Code
683 885 SHALE
4. DATE DRILLED 5/9/2002 685 690 GRANITE
5. TOTAL DEPTH 890
6. CUTTINGS COLLECTED YES El NO
7. DOES WELL REPLACE EXISTING WELL? YES El NO
8. STATIC WATER LEVEL Below Top of Casing: 300 FT
(Use'+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0114,
10. YIELD (gpm): Qu METHOD OF TEST Air
11. WATER ZONES(depth):5° pPM ppm683-6850 0 ppm
12. CHLORINATION: Type NTH
Amount 77
XI
13. CASING: Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 61 Ft 6 1/8 .350 PVC
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in. in
From To Ft in in.
16. I D/FRAiVEL ACK i`
ept; _LII Ze Material
To
Tcr Ft.l
17. REMARKS: I±
DO F f Ifld 1h4Tt1IIHlS W LL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
ONE 1 \WPANDApfF3CRtND HAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
Wca Ant 6 -7-o a
n
_
N
L c2:m
2 c
— a
-crn
Dc
•O
r1
c,
If additional space is needed use bacgf form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
Sal
FOR OFFICE USE ONLY
SIGNATURE OF P,Et ON CONSTRUCTING THE WELL DATE
Submit original to Division of *ter Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater co'p( (} Q
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone] J v v v 2
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #' 2878
020251 STATE WELL CONSTRUCTION PERMIT#' Steve Price
1. WELL USE (Check Applicable Box): Residential I XI Municipal 1 1 Industrial 0 Agricultural 0 Monitoring 0
Recovery 0 Heat Pump Water Injection E Other I i If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town. LENOIR County CALDWELL
PRIVATE DR. OFF ROBY MARTIN RD. OFF I-NNY 321
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER RANDY C. LAWS
Address 2864 ROBY MARTIN RD.
LENOI R (Street or Route No.) NC
City or Town State
4. DATE DRILLED 5/1/2002
5. TOTAL DEPTH 305
6. CUTTINGS COLLECTED YES 0 NO
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO
8. STATIC WATER LEVEL Below Top of Casing: 80 FT
(Use'+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
'Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118 Air
10. YIELD (gpm): 12 METHOD OF TEST
11. WATER ZONES (depth).1 ppm 241-242 1 ppm 265-288
10 ppm 288-289 0 ppm
1Jd
28 ip Code
12. CHLORINATION: Type HTH Amount 49
13. CASING:
1 xl
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 103 Ft 6 1/8 .350 PVC
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth
From To Ft
From To Ft
From To Ft
16. S
Fr
Fr
Diameter Slot Size Material
in in
in in
in in
17. R: MAR
I '0 HE
�VI%L7 PACK:._..
epth
To
To
ts
Ft
Ft
$ire Material
SE
FOR OFFICE USE ONLY
Quad No:
DRILLING LOG
From To
0 85
95 241
241 242
242 285
385 368
386 388
DEPTH
Formation Description
DI RT/ SAND
GRANITE
QUARTZ
GRANITE
QUARTZ
GRANITE
388 388 QUARTZ
329 305 GRANITE
n>, z m
W -crn
If additional space is needed use bac f fermi.,
m
=
LOCATION SKETCH -• �cma
(Show direction and distance from at IetetwoG ate
Roads, or other map reference points) z
WEL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
' - • T A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater 525r3 0 8 1
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2878
010562 STATE WELL CONSTRUCTION PERMIT#: Steve Price
WELL USE (Check Applicable Box): Residential I XI Municipal ❑ Industrial ❑ Agricultural Monitoring ❑
Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CAI OWFI L
D
PRIVATE DR OFF ROCKY RD OFF GRFAFY CRK R
(Road Name and Numbers, ommunity, or Subdivision and Lot No.(
3. OWNER GEORGF C GREENE JR
Address 4350 ROCKY RD. .
LENOI R treet or Route No.l
City or Town State
NC 28645
Zip Code
4. DATE DRILLED 5/1/2002
5. TOTAL DEPTH 165
6. CUTTINGS COLLECTED YES ❑ NO ❑Y
7. DOES WELL REPLACE EXISTING WELL? YES ❑ NO LAI
8. STATIC WATER LEVEL Below Top of Casing: 30 FT 136 165
(Use'+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 12 METHOD OF TEST Air
11. WATER ZONES (depth):1 ppm 100-102 5 qpm 122-123
8 ppm 135-136 0 ppm
12. CHLORINATION: Type HTH Amount _ 27
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 81 Ft 6 1/8 350 PVC
From To Ft
From To Ft
14. GROUT:
From
From
15. SCREEN:
Depth Material Method
0 To 20 Ft Cement Gravity Flow
To Ft
Depth
From To Ft.
From To Ft
From To
Diameter Slot Size Material
in in
in in
in. in
Size Material
DRILLING LOG
From To
0 56
DEPTH
Formation Description
DIRT
56 100 GRANITE
100 102 ERN QUARTZ
102 192 GRANITE
172 123 QUARTZ
123 135 GRANITE
135 136 QUARTZ
—C
IV
cn
o tir
a
If additional space is needed use bavltof fc6.5r9
Ca) ---1
LOCATION SKETCH C' 3
(Show direction and distance from at least two5tate
Roads, or other map reference points)
3a1
ELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
ANDARDS, AND THAT A COPYQF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
.�i1T/ l7 o,Z
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
FOR OFFICE USE ONLY
Quad No

WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural oorces - Divis nn of Water Quality - Groundwater SectionWELL CONTRACTOR
WELL CONTRACTOR COMPANY NL) )NAME (print) I let )/�//v'�I P CERTIFICATION a `-� 06
%h .. `-.'. N/"r r 6ri�/l£r,' PHONE # ec' R
STATE WELL CONSTRUCTION PERMIT* �+✓ ASSOCIATED WQ PERMIT*
(ifapplicable) (ifapplicable)
252507
1. WELL USE (Check Applicable Box): Residential C Municipal/Public 0 Industrial 0 Agricultural ❑
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town. ,LtAhr
countyCas,
hive-1/ op°gaan
phicdLd setting
dge ❑Slope ❑Valley ❑Flat
(check aPpmpriate mod
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
Latitude/longittide of well location
3. OWNER: rfrls ROMS (dewew/minuua/sccouds)
Address $60 ,Ve.11 v3 %y Latitude/longitude source:❑GPS❑Topographic map
` r (saeet 99j( E�outo No.) (cheekbor)
/'� a Ap , I /CC- QRILLING LOG
city or Town Stitt; tip Code From ToFormation Description
(.--)- CAI',521le,
Area code -Phone number
4. DATE DRILLED
5. TOTAL DEPTH: Yoe ' /
6. DOES WELL REPLACE EXISTING WELL? YESp NO be/
STATIC WATER LEVEL Below Top of Casing: .
/ (the irAbove Top of Casing)
8. TOP OF CASING IS / FT. Above Land Surfaces
DEPTH
ssr
001
6 6A
6y/d-r; ,'t
c
n
'Top et cyan terwlaated WVor below land surface requires a n
♦erhace la accordance with ISA NCAC IC .0118. , , -�c ni
9. YIELD (gym): METHOI/O'EST At f 1; C _ v
10. WATER ZONES (depth): 66 r n
n,
..-c
c
m
4 Cr)
CFI n
CPI 2-,
11. DISINFECTION: Type
12. CASING:
Depth,
To g3 Ft. 4.yl
Front_ To Ft.
From _ To Ft.
13. GROU�
From L ToFt.
From_ To . Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
Frortt,_______To Ft.
From To Ft.
/-,1ril Amount % 0 Oz
Wall Tbiclmess
• or Wei t/Ft. Material
�b
Depth Material Method
awes* ;card
LOCATION SKFTC
Show direction and distance in miles From at l tt
two State Roads or County Roads. Include the ad
numbers and common road names.
m
/ve/ys .,
16. REMARKS:
1'DO HERESY (;ER T THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSAUCTidi r ST S, N THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
SIGN
OF PERSON CONSTRUCTING THE WELL DATE
Submit the original tel the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
27699-1636PhdttelNo.'[phone], within 30 days. OW -I REV, 07/2001
Ed Wd6T:LO EGOE PT •hew
ZZCTE9671212_ : 'ON Xtid dWfd '8 113f1 Zl9?JOW ' WO?Jd

263027
WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural 74 Resources/ -// Division it
of Water Quality - Groundwater Section ,Ifh? rl/ 0. exoki � CERTIFICATION -ZC).
WELL CUNlli:\ClY)It (INUI\'IUUAL)NAM F. (print) /^�I'+Cr
WEl.l. tom RACroR (O\u•ANY NAME Yadkin Well Company Inc.
rnoNF if (33-468-4440
STATE \\ EI.I. CONSr RucrloN PERMIT# ASSOCIATED wQ PERMIT'S
(if applicable) (if applicable)
I. WELL USE (Check Applicable Box): Residential% Municipal/Public ❑ Industrial ❑ Agricultural ❑
Monitoring 0 Recovery 0 Heat Pump Water Injection ❑ Other ❑ IfOther, List Use
2. WELL LOCATION:
Nearest Town: ,ni, 6 V
County�L'GLY
. O / 9 F� .z/ 4 ,r/ p,�.
(Scree( Name. Numbers.C'onunun Suhdivisiun, Lot No., Zip Code)
3. OWNER: I? bk A-4dr
( 'tree( or Ruum N
Address 1 n 1 Q ! a `I,0 U .7
P.h-i 6 y PM,
City or Town State Zip Code From To
'.7s7'—ao6� A8'1d'_3/?-.s—,I, f19 ig,
/
Area code- Phone number
4. DATE DRILLED I+�r- ->- 0.2.
5. TOTAL. DEPTH: �Cc1,2 ' /0dr b h,Yfe/
6. DOES WELL REPLACE EXISTING WELL? YES NO ❑
Topographic/Land setting
DRidge AiSlope ❑Valley ❑Flat
(check appropriate box)
Latitude/longitude of well location
7. STATIC WATER LEVEL Below Top of Casing: '7 L FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS + FT. Above Land Surface"
*Top of casing terminated at/or below land surface requires a
variance in accordansp with ISA NCAC 2C .0118. ._
9. YIELD (gpm): OD METHOD OF TEST air pump aarcfc(
10. WATER ZONES (depth): Uo, Cif/ / SX = ,,a€ 15 [ - J f:6,0IIt 2 t) - $
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DEPTII DRILLING LOG
Formation Description
tie& 501Y. &cc
4//f-05�o
C)
rn
/» . OOC-) dC LOCATION SKETCH
11 DISINFECTION: Type HcA Amount rg C"lr
12. CASING: Wall Thickness 7y Depth Diameter or WeightiFI.\ 'Material
From To 7B•-SFt. 6.,Jr Szlf- 2) 49:47C
From To Ft.
From, To Ft.
13. GROUT: Depth Material Method
Front D To ;O Ft. fr s.� Ia"�
Front To Ft. et M f 4 t
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To
15. SAND/GRAVEL PA
Depth
Front T o
From To
16. REMARKS:
C.)
PS Show direction and distance in miles from at kast (—
two State Roads or County Roads. Include thurnad E;
numbers and common road names.
GROUNDWATER SECTION
1 DO HEREBY CERTIFY TI ACCORDANCE WITH ISA NCAC 2C, WELL
CONSTRUCTION STA DARDS, ND THAT A COPY OF TIllS RECORD HAS BEEN PROVIDED TO THE WELL OWNEt 7.1r'
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-I REV. 07/2001

25:844
WILL CONSTRUCTION RECORD.
Not& Carolina -Department ofEsvLmrmot ardNatural Rnsowees -Division of Water Quality-CxaodMfet Station
WELL CONTRACTOR le+otvmlliwNAME mews We� WIC coallPlcAllolee
2343
wars corux*CroacOMPANYMae HT(WW WFII.'Tall TTS; (Ti. mole a (82S 324,-W35...
sTATs WELL emorraOCifott ISPMltn ASSOCIATE) wQ rmmT*
(ifmolie*le) Ord
1. WELL USE (Cheek Applicable Box) Residential 12 Mialcipallubtic 0 Indesurial 0 Agiatltoral 0
Moaltotitg O Recovay !I Hat Pomp Watts Injection D Other O If Other, Lutist
2. WELL LOCATION:
Neatest Mont EMI County CAIAAHL
3949 WIIIARD PL
CimetNars, Nuadan. Casio. Sa►ieitira. LatNw.SP Cake
3. OWNER- DALE CALM`
Address 1455 FIATT MfTTFR RD
RDSCN (Sur oarRIarNo)
IC 28638
t4
Sat ZIpCoda
Ana oada Phase sea
4, DATE DRILLED (S( 2
5. TOTAL DEPTH: 1
6. DOES WELL REPLACE EXISTING WELL/ YES 0 NO
7. STATIC WATER LEVEL Below Topo(Caitrd 23 FT.
(We'4" ilAkwwTYpdCwirtl
8. TOP OF CASINO IS. 2 FT. Above Land Sa ce"
clap desks It S s 4 War How tad mates rapine a
aedaaee!te sduue Bib 15ANCAC SC MIL
9, YIELD (spin) l'UWJ METHOD OF TEST BY AIR TEST
10. WATER ZONES (depth):
11. DISINFECTION: Type HIII TABS
12. CASINO:
Depth
Finn+ D Trt_�
Fir
Ansoeat 76
West{ Tilclmass
or
ASiiC
From,,_ To Ft
From_^. To FL
13. GROUT); Dew 11Far
From To_ 1ai Ft.
From_ To Ft,
14. SCREEN: Napd, Dias
From To Ft_in,
From To Ft,,.,_•.}o.
15. SAND✓GRAVELPACK:
Depth Sian Material
From To Ft.
Frost To F
Topographic/Land setting
DRidge OSlope Walley OFlat
Ptak pacer box)
LNitoddioagitrido of well location
yaprod�erOde nonroaOGPSQTopogmphic map
(disk Ws)
DEEM DRILLING LOG
From To FotaatioaDescription
Sin Site Maeda'
in.
in.
r—.-r.•=��Mxattxtx
^� CONSTRUCTION
J`
T THIS WELLL. WWAS CU
AND ',COPY OP
0
itviileit
n1
c
V
I-
0 Ttc-
LOCATION SKBfCH
Show direction and distance In miles from jTlastw
two Slate Roads or County Roads. Include t mace;
mambas sad common toed names. F-
N o
/g- �GENcI�
‘__ cgticv 1W -
G
�— tatmir
</96tit
ACCORDANCE WPIN ISA NCAC IC, WE71.
HAS BEEN PROVIDED TO THE WELL OWNER
04-10-02
OUNL. OW -I REV.07/2001
ns_+F��i��Eylyd�clE@w•P �nssut,..itiu3ldays.
SlG4A1LIREOFPERSON CC»STRUCTI NGTHE WELL
DATE
Division of Water Quality, Gretadwater Seetter,1636 Hats Sonia CaaNr-Raleigh, NC

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
251431
WELL CONSTRUCTION RECORD WELL CONTRACTOR. Dewey Wright Well Pump Ca., Inc.
WELL CONTRACTOR CERTIFICATION #• 2878
020194 STATE WELL CONSTRUCTION PERMIT#• Steve Price
1. WELL USE (Check Applicable Box): Residential ❑ x Municipal ❑ Industrial n Agricultural ❑ Monitoring ❑
Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
PRIVATE RD. OFF WATERFALL RD. OFF KIRBY MIN RD
3. OWNER
Address
(Road Name and Numbers, Community, or Subdivision and Lot No.)
GREGORY V. COFFEY
1322 RAVEN ROCK LANE ,
DRILLING LOG
From To
0 43
DEPTH
Formation Description
DIRT
LENOI treet or Route No.) NC 28845
City or Town State ZIP Code
4. DATE DRILLED 4/3/2002
5. TOTAL DEPTH 205
6. CUTTINGS COLLECTED YES ❑ NO ❑ X
7. DOES WELL REPLACE EXISTING WELL? YES ❑ NO ❑ X
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use "+' if Above Top of Casing)
1
9. TOP OF CASING IS FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15ANCAC 2C.011S 0 D Air
METI Dp9,}EST2 2 ppm 12u-121
11. WATER ZONES (depth)• 1 MPm 150-1,1 1.5 ow(5-110
10. YIELD (gpm):
43 70 GRANITE
70
72 120 GRANITE
120 121 GRANITE
121 150 GRANITE r-, .
150
151
175
176
72 SHALE
151 GRANIIINOLFERTZ
175 GRANT c,
176 GRAN
205 GRANIZ zf^
Jo
12. CHLORINATION: Type Amount --
13. CASING:
Wall Thickness
From DDToFC ,Depth Diame rl/8 or Weght6 Material
PVC
From To Ft •33 UU
From To Ft
14. GROUT:
From
From
15. SCREEN
From
From
From
epth Material Method
0 2°Ft Cement
To Ft
Depth
To
To
To
16. SAND/GRAVEL PACK:
From
From
I" I
17. REMARKl' II
I DO HE RZ "l
CONSTF UCTI
Ft
Ft.
Ft.
3 o
N rna
If additional space is needed use batof form
Gravity Flow
Diameter Slot Size
in in
in in
in. in
Material
Material
�• V
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
E
tvby A/1 . - -
•
4
4
ERT1IFY THAT THIS WEL WA CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
N STANDARDS, AND T T A OPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
GROI LR SECTION
FOR OFFI,E u4# t #-Y' tt"." OFFICE
r
IgeoagocktA
t'
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
Quad No:
Serial No.
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
251437
WELL CONSTRUCTION RECORD
WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 28/8
020171 STATE WELL CONSTRUCTION PERMIT#: Steve Pnce
1. WELL USE (Check Applicable Box): Residential X Municipal 0 Industrial ❑ Agricultural 0 Monitoring
Recovery 0 Heat Pump Water Injection Other 0 If Other, List Use:
1
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWELL
POWELL BRICKYARD RD. OFF ABINGTON RD. OFF N.M
(Road Name and Numbers, Community, or Subdivision and Lot No.l
DRILLING LOG DEPTH
3. OWNER GEORGE BERRY From To Formation Description
Address 2488 POWELL BRICKYARD RD. 0 45 DIRT
LENOIRtreetorRoute Nn.) NC 28845 45 120 GRANITE
City or Town State Zip Code 120 121 QUARTZ
4. DATE DRILLED 4/3/2002 121 183 GRANITE
5. TOTAL DEPTH 205 183 185 QUARTZ r.
6. CUTTINGS COLLECTED YES 0 NO 0 X 185 205 GRANITc c
Ns
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO 0 x
8. STATIC WATER LEVEL Below Top of Casing: 20 FT -0 a"i
(Use"+" if Above Top of Casing) Zm
9. TOP OF CASING IS 1FT. Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 5 METHOD OF TEST Aar
11. WATER ZONES (depth)2 • ppm 12a121 3 ppm 183-185
0 ppm 0 ppm
12. CHLORINATION: Type Amount 38
HTH
ma
r -1
If additional space is needed use bacWif for
13. CASING: Wall Thickness LOCATION SKETCH
Depth Diameter or Weight/Ft. Material Show direction and distance from at least two State
From 0 To fQ 8 1/8 .350 PVC 11 0Y Roads, or other map reference points)
From To Ft
From To Ft
14. GROUT:
Depth
From GTo 2CFt
From To Ft
15. SCREEN:
From
From
From
16. SA
Fr
Fr
17. RE
ID
CO
Material Method
Cement Gravity Flow
Depth Diameter Slot Size Material
To Ft. in
To Ft in
To Ft in
math
To Ft
To Ft
ARKS.
HEREBY.Q5RTIFY Fii
STR&$CTION 5TANDARP
FOR OFFICE USE ONLY
in
in
in
Material
V
H. MaLi eteekAJ';
AS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
T A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No:
Serial No.

252158
WELL CONSTRUCTION RECORD
North Carolina — Department of Environment And Natural Resources — Division of Water Quality — Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) ROBIN MCNEELY CERTIFICATION # 2567
WELL CONTRACTOR COMPANY NAME PITTMAN WELL BORING, LLC PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT # _ ASSOCIATED WQ PERMIT #
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): Residential ® Municipal/Public ❑ Industrial 0 Agricultural ❑
Monitoring ❑ Recovery ❑ Heat Pump Water Injection D Other ❑ If Other, List Use
2. WELL LOCATION:
Nearest Town: LENOIR County CALD
FRED WATSON RD.
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
3. OWNER: FRED WATSON
Address 1551 FRED WATSON RD.
(Street or Route No.)
LENOIR NC 28645
Cityor Town State Zip Code
(828) — 754-3612
Area Code Phone number
4. DATE DRILLED 04/02/02
5. TOTAL DEPTH: 78
6. DOES WELL REPLACE EXISTING WELL? YES ® NO ❑
7. STATIC WATER LEVEL Below Top of Casing: 63 FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS 1-1/2 FT. Above Land Surface*
*Top of casing terminated at/or below land surface requires a
variance in accordance with 15A NCAC 2C .0118.
9. YIELD (gpm): 15 METHOD OF TEST STEEL TAPE
10. WATER ZONES (depth):
11. DISINFECTION: Type CHLORYTE Amount 6.9
12. CASING: Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 78 Ft. 24" CEMENT
From To Ft.
From To Ft.
13. GROUT: Depth Material
From 0 To 20 Ft. CEMENT
From To Ft.
l4.SCREEN: Depth Diameter
From To _ Ft.
From To Ft.
15. SAND/GRAVEL PACK:
Depth Size
From 63 To 78 Ft. 78M
From To Ft.
16. REMARKS:
Method
POURED
Slot Size Material
in. _ in.
in. in.
Material
GRAVEL
Topographic/Land setting
❑ Ridge ❑ Slope 0 Valley 0 Flat
(check appropriate box)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude source: ❑ GPS ❑ Topographic map
(check box)
DEPTH
From To
DRILLING LOG
From To
LOCATION SKETCH
Show direction and distance in miles from at least
Two State Roads or County Roads. Include the road
number and common names
HWY. 64 E. FROM MORGANTON. LEFT ON
BEACHER-ANDERSON RD. (1ST LIGHT PAST
GAMEWELL F.D.) LEFT ON HUFFMAN RD. LEFT
ON FRED WATSON RD. LEFT A FORK. 1ST HOUSE
ON RIGHT.
Cr?
c
O
c,a
o'-)
c�
T_m
oLed rn
.0
Do
nia
m
cn
rrmo
�
r7
0
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
S, AND THAT A COPY OF
THIS RECORD HAS BEEN PROVIDED TOOT/HE WELL OWNER
I'[[JhjhEE OF EI'S NCO STRUCTING THE WELL Mint n DATE
JUL 1 a
bmit the original to
GROUNDWATER SE_Gll(
ASHEVILLE REOL9H.A n-RGE
ivis on of Water Quality, Groundwater Section, 1636 Mail Service Center — Raleigh, NC
73 3221, within 30 days. GW-1 REV. 07/2001

eao(
WELL CONSTRUCTION RECORD. 250795
North Carolina - Department o(Eariroamrst and Nasal Re,omeas -Division of Warr Quality - Graadwter Section
WELL CONTRACTOR (UtV.MI4 NAME ambit GIAYNF TM; cnttrncanoNe 2343
WELL CONTRACTOR COMPANY NAME F IUCRY WELL FRIILEC Co. MONK a C2.81 324-0035
STATE WELL CONSTROCTION mama IID WQ MINIM
Of applicable) (1f siolkablol
1. WELL USE (Cbeck Applicable Box): Residential I Ifimicipullublic 0 Ind 0 Agricultural 0
Monitoring Q Recovay O Heat Pump Water Injection O Odor 0 If Ocher, f inthe
2 WBLL LOCATION:
Nearest Town- PATTFRS N County CAT TUT I
4920 PINEY PRAATH TN
(SawtNan, Numbs%. Cureaitl. SYti.iraa, Lot No..As Coda)
3. OWNER: FRYF CTNSTRITTTCWPFTF FRYF
Address % FEIE WE 4920 PTNFY PRANCH T N.
LENDIR (SSMtar>t Nees 28&i5
Coy or Ran (828)- 7SR-9()4R Sere ZIP Cads
Aran eat hsiwshe
4. DATE DRILLED (Y+-( -C - 17
5. TOTAL DEPTE:__1425
6. DOES WELL REPLACE B)QS U4O WELL? YES O NO
7. STATIC WATER LEVEL Babw Top of Caving 50 Fr.
Ober irAbavaTort Odin)
8. TOP OF CASINO IS 2 FT. Above Land SScc•
ajar of e W ae her iwa ahhr MMw amd s tan reeks •
warm i aewednee with 1SA NCAC 2C.mI/
9. YIELD Wm): I) METHOD OF TEST RY ATR 'TM'
10. WATER ZONES (depth):
11. DISINFECTION: Type H1H 1
12. CASINO:
Depth Dimmer
From 0 To 1 t 7 FL CW'
From To Ft
From_, To FL
13. GROUT: Dept
From 0 To 20
Frond To Ft.
as size )aaanial
in.
TcpographiulLand setting
LTRidge OSlope Malley OFlat
(aheaaplaaPrishe box)
Latibddloagittide of well location
reepeurieueseakeeio
Lalmde lon mle opographtc map
(aaaa.q
RCM DRD.IJNG LOG a
From To Fonaation Dereptiog
Amount /9
Wall Michas,
orwdjlulPt, Maid
AA' AACTTr
Materiel
Ft. GROUT'
14. SCREEN: Depth Diaes ler
From To Ftti_m
From To Ft r jm
15. SAND/GRAVELPACK:
Depth Size Material
Front _To Ft
MSS
FTIJRFT)
From To FL
. Oa
c sin sin
0
LOCATION SKETCIU
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
wmbeta and common road names.
a
.7
�i: viEy-
/4,..,
cen
16. REMARKS.
2 6 2002
Submit the original to the
M)
-„, 'LE RF GIONAt. OFFICE
SR3NATORE OF PERSON
THE WELL DATE
shim of Water Quality, GYaaadwate Saeda, UM matt Sank* Caesar -Rakich, NC
I, within 30 days. OW-1 REV. 07/2001

North Carolina - Department of Environment and Natural Resources . Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD WELL CONTRACTOR• Dewey Wright Well Pump Co., Inc.2687
WELL CONTRACTOR CERTIFICATION #: Steve Reece
010093 STATE WELL CONSTRUCTION PERMIT*
250318.
1. WELL USE (Check Applicable Box): Residential I XI Municipal
Recovery I I Heat Pump Water Injection I I Other
1 J
IJ
Industrial
If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below) y. CALDWELL
Nearest Town: LENOIR Count
NOTf1NGHAM WAY OFF HEADWATERS RD. OFF BOLIC
(Road Name and Numbers, Community. or Subdivision and Lot No.i
3. OWNER FELIX M. ZARZECKI
Address 2425 WINDING FOREST TRAIL ,
WAKE FOtZES 1o°te N°.' NC 27587
City or Town State
4/5/2001
4. DATE DRILLED
5. TOTAL DEPTH
6. CUTTINGS COLLECTED YES NO
7. DOES WELL REPLACE EXISTING WELL? YES NO
8. STATIC WATER LEVEL Below Top of Casing: 100 FT
(Use "a' if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with `ith 15A NCAC 2C 0118
600
Zip Code
1 XI
10. YIELD (gpm) /4 METHOD OF TEST Air
11. WATER ZONES (depth) 3/4 ppm 186-190 0 gpm
0 Wm 0 opm
HfFH Amount 105 If additional space is needed use bacYc of form
12. CHLORINATION: Type .. ..:-.
(XI
Agricultural I r'J t:_ ;:Monitoring:LJ
DRILLING LOG
From To
0 78
:DEPTH
Poritiatibn Description
DIRT/SHALE
78 140 GRANITE
140 143 QUARTZ
143 186 GRANITE
186 190 QUARTZ
190 600 GRANITE
0
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 85 Ft 6 1/8 .350 PVC
From To Ft
From To Ft
14. GROUT:
From
Depth
0 To 20 Ft Cement
Material
From To Ft
15. SCREEN:
Method
Gravity Flow
Depth Diameter Slot Size Material
From To Ft in. in
From To Ft in. in
From To Ft in. in.
16. SAND/GRAVEL P
De
From
From
17. REMARKS:
I DO HEREBY CE
CONSTRUCTION
TIFY
STAN C(A7i IDA
ASHEVILLE
NST
Y OF
REGIONAL OFFICE
rial
LOCATION SKETCHrL j —
(Show direction and distance from at least blast) Slate
Roads, or other map reference points(
ACTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
a k Ct? 3-3h- O
L `l�
4r
FOR OFFICE USE ONLY
Quad No:
Serial No
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 'Jay', w

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
251438
4. DATE DRILLED
5. TOTAL DEPTH
6. CUTTINGS COLLECTED YES ❑ NO X
7. DOES WELL REPLACE EXISTING WELL? YES ❑ NO n X
8. STATIC WATER LEVEL Below Top of Casing: 30 FT
(Use'+" if Above Top of Casing)
9. TOP OF CASING IS 1FT. Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 10METHOD OF TEST
WELL CONSTRUCTION RECORD
020175
WELL CONTRACTOR:
Dewey Wright Well Pump Co.. Inc.
WELL CONTRACTOR CERTIFICATION #•
2878
STATE WELL CONSTRUCTION PERMIT#4 Steve Price
1. WELL USE (Check Applicable Box): Residential
Recovery ❑ Heat Pump Water Injection
X Municipal
Other
Industrial ❑ Agricultural ❑ Monitoring ❑
If Other, List Use•
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWELL
3. OWNER
Address
STEEP WAY OFF SUMMERTON PLACE OFF St ILER CR
(Road Name and Numbers, Community, or Subdivision and Lot No.)
BOBBY C. BEAVER
P.O. BOX 2198 ,
LENOI tfitreet or Route No.)
City or Town State
3/27/2002
145
NC 28645
Zip Code
Air
11. WATER ZONES (depth): 4 ppm 60-62 4 qpm 85-86
2 ppm 135-136 0 ppm
12. CHLORINATION: Type HTH Amount 23
DRILLING LOG
From
0
To
DEPTH
Formation Description
35 DIRT
35 80 GRANITE
80 62 SHALE
62 85 GRANITE
85 86 QUARTZ
86 135 GRANITE
135 136 QUARTZ
136 145 GRANITE r,
O C
N �
n
.13 prct
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 41..
From To Ft
From To Ft
14. GROUT:
8 1/8 .350
PVC
Depth Material Method
From °To 20Ft Cement Gravity Flow
From To Ft
15. SCREEN:
From
From
From
16. SAND/GRA
From
From
17. REMA
I DO H
CONS
S
REB CERTIFY THAT THIS WE L WA
RUC : , .,, • .c '� AT
AS` EV.,IL..LE REGIONAL OFFICE
Depth Diameter Slot Size Material
To Ft in in
To Ft. in in
To Ft in in.
Material
If additional space is needed use baciecf fotAic
LOCATION SKETCH C. -'1
CJ7
(Show direction and distance from at least twothtate
Roads, or other map reference points)
3 al \es
CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL'S
COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
e,2
Cie

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section 23 43 3
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
020004
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #- 1818
STATE WELL CONSTRUCTION PERMIT#: bteve Nnce
1. WELL USE (Check Applicable Box): Residential X Municipal
Recovery I I Heat Pump Water Injection Other
I
Industrial 0 Agricultural 0 Monitoring
If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
3. OWNER
Address
PRIVATE DR. OFF HWY 268
(Road Name and Numbers, Community, or Subdivision and Lot No.)
FRED W. LAWS
3822HWY268,
DRILLING LOG DEPTH
From To Formation Description
0 55 DIRT
FERGUSOlt Route No) NC 28624
City or Town State Zip Code
4. DATE DRILLED 3/26/2002
5. TOTAL DEPTH 145
6. CUTTINGS COLLECTED YES NO I I X
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO
8. STATIC WATER LEVEL Below Top of Casing: 30 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C 011a
X
55 70 GRANITE
70 72 QUARTZ
72 90 GRANITE
90 91 QUARTZ
91 130 GRANITE
130 132 QUARTZ
132 145 GRANITE
10. YIELD (gpm): 15METHOD OF TEST Air
11. WATER ZONES (depth): 2 ppm 70-72 3 ppm 90-91
0
N
10 ppm 130-132 0 ppm �--forr�app c,
NTH 23 If additional space is needed use bacf.3Ulc, 12. CHLORINATION: Type Amount r
N 6
1/40 13. CASING: LOCATION SKETCH Do
Wall Thickness '-O "t
Depth Diameter or Weight/Ft. Material (Show direction and distance from at leaawo om
From 0 To 6? 6 1/8. .350 PVC Roads, or other map reference pcis) f.Cn i
From To Ft -C- ca tLC
From To Ft cr, a
V
14. GROUT:
Depth Material Method
From °To 20Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. S
r
Fr
..
I L' ➢with (7
To Ft
To Ft
17. RE AR S:
I DI1 HER e
CO STRUOTIM8lt
ASHLVILLE REL
Material
FOR OFFICE USE ONLY
ELL AS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
LD TH a T A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
Y-2 4 -6
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
251432
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION Sr28/S
020170 Steve Pnce
STATE WELL CONSTRUCTION PERMIT#-
1. WELL USE (Check Applicable Box): Residential 0 X Municipal 0 Industrial n Agricultural Monitoring 0
Recovery 0 Heat Pump Water Injection Other 0 If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
MUD PUDDLE LANE OFF HWY 268 OFF HWY 321
(Road Name and Numbers, Community, or Subdivision and Lot No.)
JAMES E. DUDLEY
3. OWNER
Address
P.O. BOX 2309 ,
LENOI Wee' °r Route No.) NC 28645
City or Town State Zip Code
4. DATE DRILLED 3/28/2002
5. TOTAL DEPTH 245
6. CUTTINGS COLLECTED YES 0 NO
7. DOES WELL REPLACE EXISTING WELL? YES I I NO n X
8. STATIC WATER LEVEL Below Top of Casing: S0 FT
(Use "+" if Above Top of Casing)
X
DRILLING LOG DEPTH
From To Formation Description
0 110 DIRT/SAND
110 140 GRANITE
140 142 SHALE
142 215 GRANITE
215 216 QUARTZ
216 245 GRANITE
IV �
9. TOP OF CASING IS 1FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 50METHOD OF TEST Air
11. WATER ZONES (depth): 40 ppm 140-142 10 ppm 215-216
0 ppm 0 ppm
12. CHLORINATION: Type HITH Amount 35
13. CASING: Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 11EP 61/8 .350 PVC
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From Oio 20Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
To Ft
From
From
17. REMAR<
I DO HER
CONSTR'
To
71.7
mrrl
rV U
♦D ern
.t"
3 �m
If additional space is needed use back DE]forn-
at
LOCATION SKETCH z
(Show direction and distance from at least two State
Roads, or other map reference points)
ERTIFY THAT THIS WELL W48 CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
N STANDARDS, AND THA :, COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
FOR OFFICE USE ONLY
S hJi"
Quad No: ac) cv L
: SE CTION SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
{ OF(160bmit viginal to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
251428
WELL CONSTRUCTION RECORD WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #. 2887
020181 STATE WELL CONSTRUCTION PERMIT#• Steve Reece
1. WELL USE (Check Applicable Box): Residential D X Municipal 0 Industrial I I Agricultural 0 Monitoring
Recovery I I Heat Pump Water Injection 0 Other 0 If Other, List Use•
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town:
LENOIR County. CALDWELL
NOTINGHAM WAY OFF HEADWATER RD. OFF BOLICK R
DRILLING LOG DEPTH
From To Formation Description
0 45 DIRT
3. OWNER
Address P.O. BOX 2581 ,
BLOWI G`R CK'Nnl NC 28605
City or Town State Zip Code
4. DATE DRILLED 3/25/2002
5. TOTAL DEPTH 205
6. CUTTINGS COLLECTED YES 0 NO 0 x
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO 0 X
8. STATIC WATER LEVEL Below Top of Casing: 50 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 8 METHOD OF TEST Per
11. WATER ZONES (depth)• 1 gpm70 73 5 qpm 175-180
45 60 GRANITE
60 62 SHALE
62 70 GRANITE
70 73 SHALE
73 90 GRANITE
90 93 QUARTZ
93 175 GRANITE
175 180 SHALE
180 205 GRANITE
0 qpm 0 qpm
12. CHLORINATION: Type HTH Amount 31
—
oti
If additional space is needed use back NJorn61-2
Do
13. CASING: LOCATION SKETCH 3 =n
Wall Thickness cn
Depth Diameter or Weight/Ft. Material (Show direction and distance from at leaflno SFeit+
From 0 To ft1. 6 1/8 .350 PVC Roads, or other map reference pow) y A
From To Ft,,/
From To Ft /}00°'
\s t
A
Depth Material Method 634.
0 � he ,' ��
From OTo 20Ft Cement Gravity Flow 4 / p'
From To Ft
14. GROUT:
(Road Name and Numbers, Community, or Subdivision and Lot No.)
EDDIE C. LIPFORD
15. SCREEN
Depth Diameter Slot Size Material
From To Ft. in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
From
From
bp((:
17. REMARK. •
I DO HEREBY I¢¢ERTIFYTHAT THIS WEL WAS
CONSTF UCTIOT;T7RNtTA kAT A
E\,PL it ICE F, AL OFFICE
To Ft
Material
4-
k
dead Pi
CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
OPY OF THIS RECQRD HAS BEEN PROVIDED TO THE WELL OWNER.
FOR OFFICE USE ONLY
Quad No:
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Pd.
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
251434
WELL CONSTRUCTION RECORD
020143
WELL CONTRACTOR Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2878
STATE WELL CONSTRUCTION PERMIT#• Steve Price
1. WELL USE (Check Applicable Box): Residential 0 X Municipal Industrial 0 Agricultural Monitoring 0
Recovery 0 Heat Pump Water Injection Other I If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County. CALDWELL
GLASS RD. OFF HWY go OFF SETZER CREEK RD. OFF
(Road Name and Numbers, Community, or Subdivision and Lot No.)
DRILLING LOG DEPTH
3. OWNER NELSON K. MILLER From To Formation Description
Address 2107 GLASS RD. , 0 225 MUD/SAND/DIRT
LENOIfitfeet'Dr RoeteNo.I NC 28645 225 240 GRANITE
City or Town State ZIP Code 240 242 QUARTZ
4. DATE DRILLED 3/25/2002 245 265 GRANITE
5. TOTAL DEPTH 286
6. CUTTINGS COLLECTED YES 0 NO 7 X
7. DOES WELL REPLACE EXISTING WELL? YES 7 NO n
8. STATIC WATER LEVEL Below Top of Casing: 50 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1FT Above Land Surface*
`Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.011e
10. YIELD (gpm)• 10METHOD OF TEST 'c r �+ *-4
11. WATER ZONES (depth) 10 ppm 240-242 0 ppm
0 ppm 0 ppm
12. CHLORINATION: Type HTH Amount 44 If additional space is needed use back at -forma
s
aD
rn
�D gm
N tnz
13. CASING:
Depth
From 0 To
From To Ft
From To Ft
14. GROUT:
i
Wall Thickness LOCATION SKETCH
Diameter or Weight/Ft. Material (Show direction and distance from at least two State
21 6 1/4 .188 GALV. Roads, or other map reference points)
Depth Material Method
From OTo 20Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
17. RE
ID
CO
tBY CERTIFY THAT THIS VTELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
UCTION STANDARDS, AND T rIAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
K G Or-c-;2- 4/ -A 9-o1
FOR OFFUSE ONLY
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Quad No: • - SECTION Submit original to Division of Water Quality, Groundwater Section within 30 days
ASHEViLLE REGILLAL OFFICE GW-1 REV. 12/99
Serial No

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
251435
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: 2878
020142 STATE WELL CONSTRUCTION PERMIT#: Steve Price
1. WELL USE (Check Applicable Box): Residential
Recovery DI Heat Pump Water Injection
X Municipal 0 Industrial n Agricultural 0 Monitoring El
El Other 0 If Other, List Use'
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CRLDWELL
PRIVATE RD. OFF GLASS RD. OFF HWY 90 OFF St lit
DRILLING LOG DEPTH
3. OWNER NELSON K. MILLER From To Formation Description
Address 2107 GLASS RD. , 0 245 DIRT
LENOI(@treat°rRoute re" NC 28845 245 270 GRANITE
City or Town State Zip Code 270 273 QUARTZ
4. DATE DRILLED 3/21/2002 273 285 GRANITE
5. TOTAL DEPTH 285
6. CUTTINGS COLLECTED YES 0 NO 0 X
7. DOES WELL REPLACE EXISTING WELL? YES El NO 0 x
8. STATIC WATER LEVEL Below Top of Casing: 100 FT
(Use'+" if Above Top of Casing)
9. TOP OF CASING IS 1FT Above Land Surface*
Top of casing terminated at/or below land surface requires a variance in accor- 0 O
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 4 METHOD OF TEST Air
11. WATER ZONES (depth): 4 ppm 270-273 0 ppm
0 ppm 0 ppm �7
12. CHLORINATION: Type HTH Amount 39 If additional space is needed use back of fcjciU
=C am
13. CASING: LOCATION SKETCH IV cnz
Wall Thickness f+T al
Depth Diameter or Weight/Ft. Material (Show direction and distance from at lust twty1State
From 0 To 2ftQ 6 1/4 .188 GALV. Roads, or other map reference Pin ts)o
From To Ft 30-1From To Ft. /
C
3 �a
;7 cc-,
IV <
(Road Name and Numbers, Community, or Subdivision and Lot No.)
14. GROUT:
Depth Material Method
From °To 20Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft. in in.
From To Ft. in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
To
From
From
17. REMAR
I DO HER CERTIFY THAT THIS WELL
CONSTF U liPN STANDARDS, AND TH
FOR OFFICE 4 ONLY
Tn
Ljji
Ft
Et
r
givy 90
Nq,. CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
T h :OPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
4' 2 y-al-
EC"�Ot SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
mit original to Division of Water Quality, Groundwater Section within 30 days
OFF �i GW-1 REV. 12/99
Quad No:
GROUNDY.'_TL
ASHE1/ILLE REL
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
251436
WELL CONSTRUCTION RECORD WELL CONTRACTOR.
WELL CONTRACTOR CERTIFICATION #• 2878
020149 STATE WELL CONSTRUCTION PERMIT#• Steve Price
1. WELL USE (Check Applicable Box): Residential X Municipal I Industrial Agricultural Monitoring ❑
Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use•
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County- CALDWELL
3. OWNER
Address
PRIVATE DR. OFF DRACO RD. OFF UNION BAPT. RD. 0
I Road Name and Numbers, Community, or Subdivision and Lot No.)
CHARLES B. HERMAN
1421 HOYLE DR. ,
LENOI lltreet or Route No.)
city or Town State
4. DATE DRILLED 3/19/2002
5. TOTAL DEPTH 406
6. CUTTINGS COLLECTED YES ❑ NO X
7. DOES WELL REPLACE EXISTING WELL? YES ni NO n X
8. STATIC WATER LEVEL Below Top of Casing: 100 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 4 METHOD OF TEST Air
11. WATER ZONES (depth)' 1 ppm350-351 1 ppm 375-376
2 ppm 390-392 0
12. CHLORINATION: Type HTH Amount
Dewey Wright Well Pump Co., Inc.
DRILLING LOG
From
To
0 85
DEPTH
Formation Description
DIRT
95 240 GRANITE
240 300 QUARTZ
300 350 GRANITE
360 361 QUARTZ
351 375 GRANITE
375 378 QUARTZ
376 390 GRANITE
390 392 QUARTZ
392 405 GRANITE
O
13. CASING:
NC 28845
Zip Code
ppm
64
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To
From To Ft
From To Ft
14. GROUT:
1441 61/8 .350
PVC
N C
o rn
�7 r7
If additional space is needed use backNof forK
Depth Material Method
From OTo 20Ft Cement Gravity Flow
From To Ft
15. SCREEN:
From
From
From
Depth Diameter Slot Size Material
To Ft in in
To Ft in in
To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
To Ft
From
From
17. REMA
I DO H E CERTIFY THAT THIS WE Illpi S CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONS .ION STANDARDS,:AND COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
Cif— 0-1-
CE U,^raT�`' ER �,ECTIGIl SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
I. ASHEVILLE RFCIG'' `L CFFICBubm original to Division of Water Quality, Groundwater Section within 30 days
GVJ-1 REV. 12/99
✓cv
LOCATION SKETCH = mo
(Show direction and distance from at leMtwo1 t$1
Roads, or other map reference p ts) 255
3P-I ..
FOR OF
Quad N
Serial No.

Pe
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section 250 3 I
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co
WELL CONTRACTOR CERTIFICATION #- 2687
020106 STATE WELL CONSTRUCTION PERMIT#: Steve Reece
Inc.
1. WELL USE (Check Applicable Box): Residential
Recovery I I Heat Pump Water Injection
X
I I
Municipal n Industrial Agricultural E Monitoring ❑
Other I I If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
PRIVATE DR. OFF WINKLER WAY RD. OFF HIWY 268 OF
(Road Name and Numbers, Community, or Subdivision and Lot No-1
GARY L. GREENE
3. OWNER
Address
2699 WINKLER WAY RD
LENOIR (Street or Route No.1
City or Town State
4. DATE DRILLED
5. TOTAL DEPTH
6. CUTTINGS COLLECTED YES NO
7. DOES WELL REPLACE EXISTING WELL? YES NO 0
8. STATIC WATER LEVEL Below Top of Casing: Q0 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 40 METHOD OF TEST
11. WATER ZONES (depth)40 ppm 230-233
0 ppm
3/12/2002
245
DRILLING LOG
From To
0 88
DEPTH
Formation Description
NC 28645
Zip Code
88 230 GRANITE
230 233 QUARTZ r
233
245
GRANITE
I I
I xl
Air
0 ppm
0 ppm
12. CHLORINATION: Type HTH
13. CASING
Depth
From 0 To 84
From To
From To
14. GROUT:
Depth
From 0 To 20
From To
15. SCREEN
From
From
From
Depth
To
To
To
Diameter
Ft 6 1/4
Ft
Ft
Amount 43
Wall Thickness
or Weight/Ft. Material
.188 GALV
Material Method
Ft Cement Gravity Flow
Ft
Diameter Slot Size Material
Ft in
Ft in
Ft in
in
in
in
16. SAND/GRA :O "A1.ig IE M V
a-kth Size
From o Ft
From n o �!, Ft 2002
17. REMARKS:
Material
IDOHEREBiYCER ,��
CONSTRUCTIONSTAND
tl'.1`11_I�
FOR OFFICE USE ONLY
SC
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, orotther map reference points)
STRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
/fT R
Quad No:
Serial No.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
020125
250316
WELL CONTRACTOR: Dewey Wright Well Pump Co.. Inc.
WELL CONTRACTOR CERTIFICATION #• 2687
STATE WELL CONSTRUCTION PERMIT#- Steve Reece
1. WELL USE (Check Applicable Box): Residential I XI Municipal ❑ Industrial ❑ Agricultural I Monitoring n
Other If Other, List Use: -.
Recovery ❑ Heat Pump Water Injection
I I
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County- CBLDWELL
SUN PLACE OFF HWY 268 OFF YADKIN RIVER RD. OFF
(Road Name and Numbers. Community. or Subdivision and Lot No.)
DRILLING LOG —DEPTH
3. OWNER PAMELA S. GREENE From To For95tat1on:Desoription
Address 3009 SUN PLACE , 0 75 DIRT
LENOIR (Street or Route No.) NC 28645 75 293 GRANITE
city or Town State Zip Code 293 296 QUARTZ
4. DATE DRILLED 3/11/2002 296 340 GRANITE
5. TOTAL DEPTH 340
6. CUTTINGS COLLECTED YES ❑ NO
7. DOES WELL REPLACE EXISTING WELL? YES NO I X I 10
8. STATIC WATER LEVEL Below Top of Casing: 50 FT T
(Use "." if Above Top of Casing)
I xl
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 5 METHOD OF TEST
11. WATER ZONES (depth):5 ppm 293-296 0 ppm
0 ppm 0 ppm
12. CHLORINATION: Type HTH Amount 58
If additional space is needed use ba6Paf form
13. CASING: LOCATION SKETCH
Wall Thickness
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least two State
From 0 To 82 Ft 6 1/8 .350 PVC Roads, or other map reference points)
From To Ft ,
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material �a
From To Ft in. in
From To Ft. in in
From To Ft in in.
16. SAND/GRAY
From
From
17. REMARKS'
I DO HEREBY CER
CONSTRUCION
tFt
Fc 1 2002
Material
E_ I r 5
\locien /�f,✓ev
airy
oo
WELL
�OthivnyMAS
ALRCk.Ai G4 COP OF TH SED RECORD HAS BEEN PROVIDED TO HEIN ACCORDANCE WITH 15A NCACCWELL OWNER.
0
FOR OFFICE U
Quad No:
R -Lea
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days G`,v 1 REV. 12/99
Serial No.

a( 28... dill S°"
Aar meisPas umber
4. DATE DRILLED fl7 77-n2
S. TOTAL D-FTIt LDS
6. DOES WELL REPLACE EXISTING WELL? YES D NO O
7. STATLC WATER LEVEL Below Top of fldu.g 5(1 Fr.
Aber itAloweRep oltamieth
8. TOP OF CASINO IS 2 Fr. Above Land Surfaces
vole demise tanebera war Miss tan MINIM mit ata m
niece he acautmre with ASA NCAC SC.salt
9. YIELD GM): 12 METHOD OF TEST RV 4TR TV W
10. WATER ZONES (depth):
11. DISINFECTION: Type FUR TABS Amount 45
12. CASING: Wall
Depth Aiwasta aS.WatimiVt
Frotti0 To 65 Ft. a YVL Fttrit
From_ To Ft
From To Ft.
GROUT: Depth Makehl Method
Frottt_a_To 2f) Ft, GFCIW FORMFrom _- To Ft
14. SCREEN: Depth Darwin Sloe Size Material
To Pt _io IR.
From To Ft_ Jo, is
1S. SAND/GRAVELPACK:
Depth Site Material
From_To Ft
From._�To Ft.
Thickness
no Cott
250824
Mien
datedi thIc) (PiR
WELL CONSTRUCTION RECORD.
North Carolina-Deputment of Environment and Natant Ras anew -Division of Water Qrlily - Grotmdrater Section
WELL CONTRACTOR (morvmuAnNAME (prim) WAYNE Lac c atratcanoi 1 2_'A3
watt CONTRACTOR COMPANY Nan Irony WEI L MDT TIC (D. PRONE 1 128) 324-0035
Mai tKEI.taalTa Vnt (ifa�liaale)
1. WELL USE (Clteck Applicable Bo» RaideatiaEE MutidpaVFu*lic D Industrial D Agricultural O
Monitoring 13Recovay D Heat Pump War Injection Cl Other CI If Other, Lilt Use
2. WELL. LOCATION:
Natal Town- IIIVTR Comity CALLwlL
2644 WESTOVER HEIQ-ES RD.
(Seer Naar, Numbers, Camrriry. SMirwoa. Laths, tip Cale)
3. OWNER- TTh MAN
Address 7F,GL. t3P 1fl7FR FIFTCNTC Rfl
(EnnaRew4No.)
EMIR[li✓
28645
Topogtaphic/Land setting
Midge Mope Malley OFlat
(cheat animas tuna)
Latitud&Aoagitode of well location
geedwassaaado
Latimdeikogiinde sourceneSQFopogtephie map
(Oak boo
DFP1 DRULING LOG
From To Famatim Description
4
s
rV
ag„
rn
m
n
J.00AS1CTION TCI Cn o
Show direction and distance in ales from at leatT
two State Roads or County Roads. Include the road
inters and common toed Ma me
7-9CL�'S
Z
uJ
t
.,
E
16. REMARKS:
I ,
LSabanit the withal to t
ti
OF PERSON CONSTRUCTING THE WELL
a of Warn n Quality, Gradwater Satiny 106 MaSail* CenterCenter-Raleigh, NC
3rfbl4
QMPiteatit* 1, within 39 days. OW-1 REV. 07/2001

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
2503C8
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: 2687
010341 STATE WELL CONSTRUCTION PERMIT#: Steve Reece
1. WELL USE (Check Applicable Box): Residential I XI Municipal I I Industrial CI Agricultural I Monitoring 0
Recovery I I Heat Pump Water Injection CI Other I I If Other, List Use•
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWELL
SUN PLACE OFF HWY 268 OFF YADKIN RIVER RD. OFF
(Road Name and Numbers, Community, or Subdivision and Lot No,)
3. OWNER JACK B. HOWELL
Address 1346 BATON CHURCH RD .
DRILLING LOG DEPTH
From To Formation Description'
0 80 DIRT
GRANITE tf1et°°`°"°) NC 28630 80 89 GRANITE
City or Town State
4. DATE DRILLED 2/20/2002
5. TOTAL DEPTH 400 on
6. CUTTINGS COLLECTED YES El NO T--
7. DOES WELL REPLACE EXISTING WELL? YES I NO I XI
8. STATIC WATER LEVEL Below Top of Casing: 50 FT I
(Use "+" if Above Top of Casing) '- 9. TOP OF CASING IS 1 FT Above Land Surface* 'v r
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 1/2 METHOD OF TEST Air
0 ppm
Zip Code
88 80 QUARTZ
90 400 GRANITE
11. WATER ZONES (depth):1/2 ppm 89-90
0 ppm 0 ppm
X
12. CHLORINATION: Type HTH
13. CASING:
Depth Diameter
From 0 To 88 Ft 6 1/4
From To Ft
From To Ft
14. GROUT:
Amount 71
u
If additional space is needed use back of form
Wall Thickness LOCATION SKETCH
or Weight/Ft. Material (Show direction and distance from at least two State
.350 PVC Roads, or other map reference points)
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft
From To Ft
From To Ft
16. SAND/GRAVEL PACK:
KS
RE: RTIF THI
UCTION STANDARDS,
in
in
in
in
in.
in
Depth Material
•
yacit n 1"1 i ✓eY c(
WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
AT A COPY OF THIS RECORD �HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
250304
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey Wright Well Pump Co.. Inc.
WELL CONTRACTOR CERTIFICATION #: 2886
020060 STATE WELL CONSTRUCTION PERMIT#: Leslie Reece
1. WELL USE (Check Applicable Box): Residential El
Recovery 0 Heat Pump Water Injection
Municipal fl Industrial
Agricultural F 1 Monitoring
Other If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
PRIVATE RD. OFF HOWARD ARNE I I E RD. OFF NUWAY
(Road Name and Numbers, Community, or Subdivision and Lot No.)
DRILLING LOG - DEPTH
3. OWNER JEAN GONZALES From To Formation Description
Address % DONALD MORETZ , 2410 HOWARD MORETZ RD. 0 78 DIRi
LENOIR (Street or Route No NC 28645 76 841 GRANITE
city or Town State Zip Code
4. DATE DRILLED 2/12/2002
5. TOTAL DEPTH 700
6. CUTTINGS COLLECTED YES NO 0
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO 0
8. STATIC WATER LEVEL Below Top of Casing: 200 FT
641 642 QUARTZ
842 700
GRANITE
(Use'+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
'Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): METHOD OF TEST Air
11. WATER ZONES (depth)4 ppm641-642 0 ppm
0 ppm 0 ppm
--a
12. CHLORINATION: Type HT}I Amount 105
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 84 Ft 6 1/4 .188 GALV.
From To Ft ,(
From To Ft \ L4�'
If additional space is needed use bapk.of fQgn -
—t
LOCATION SKETCH �' o
(Show direction and distance from at least two State
Roads, or other map reference points)
14. GROUT: 6(%
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
17. R
C
FO
Quad No:
Serial No.
(
Y
.I!
1_4F(
S:
H EB 'TIFYTHAT THI` tr
NST UCTION STANDARDS, A D T
Material
GROUNDWATER SECTION
Tfl!' 11 113 its
NAL
FFICE
•3-3
WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
T A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF PEON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
250310
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION Sr 2687
020088 STATE WELL CONSTRUCTION PERMIT# Steve Reece
1. WELL USE (Check Applicable Box): Residential n Municipal Ti Industrial El Agricultural 0 Monitoring
Recovery I I Heat Pump Water Injection Other I I If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
IVAN WAY RD. HWY 321
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER FLOYD L. BOLICK
Address 6050 IVANS WAY .
LENOIR (Street nrRoute "°.) NC 28645 68 80 GRANITE
DRILLING LOG DEPTH
From To Formation Description
0 68 DIRT
City or Town State Zip Code 80 83 SHALE
4. DATE DRILLED 2/21/2002 83 200 GRANITE
5. TOTAL DEPTH 200
6. CUTTINGS COLLECTED YES NO
7. DOES WELL REPLACE EXISTING WELL? YES I I NO El
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
use "+' if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.01118
10. YIELD (gpm): 2 METHOD OF TEST Air
11. WATER ZONES (depth):2 ppm 80-83 0 ppm
0 ppm 0 ppm c1
tv
3
73
X
r cn _t
12. CHLORINATION: Type HTH Amount 38
13. CASING:
Depth
From 0 To 73 Ft 6 1/8
From To Ft
From To Ft
14. GROUT:
Depth
From 0 To 20
From To
15. SCREEN:
Depth
From To
From To
From To
16. SAND/GRAV
From
From
17. REMARKS.
I DO HEREBY
CONSTRUCTI
Wall Thickness
Diameter or Weight/Ft. Material
.350 PVC
Material Method
Ft Cement Gravity Flow
Ft
Diameter Slot Size
Ft in in
Ft in in
Ft • r�'
If additional space is needed use backjif fop
FOR OFFICE USE ONLY
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
Lem-c'ir 0
\la c
GC),(\Gk
ANZ
RUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF PERSON CONSTRUCTING THE WELL
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
ik
DATE
Quad No:
Serial No.

249147
WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WEll. CONTRAn OR (INDIVIDUAL.) NAME (prtnq_slQ5 K. S_teeLe Jr. CERTIFICATION 2317
wE1.1.('ONTItACrtitCOMPANY NAaiEmils—Sou t1L_Wall _..Company _Inc PHONE a f704=539 5515
STATE MILL ('o:SIIttCIION PERMIT( ASSOCIATED WQ PER irra
(Ir applicable) (if applicable)
I. WELL USE. (Check Applicable Bo.x). Residential* Municipal/Public 0 Industrial 0 Agricultural ❑
:Nloniloring 0 Recovery 0 Heat Pump Water Injection 0 Other ❑ I(*Other. List Use
2. WEL1. LOCATION.
Nearest Town �.T4r1L1r' Count v CO/Ctt,OLI
(Street N'nimc, Numbers, Community Subdivision. Lot No.. Zip Code)
3. OWNER: (her;cc'3 Ocin..0 (cc e
Address
ISInuel or Rona No.1
k-p nor l C
(let or Io,o timie Zip Code
- sc38 58bb
(
Area code- Phone number
4. DATE DRILLED — 17-0 a,
5. TOTAL DEPTH. jX)
6 DOES WELL REPLACE EXISTING WELL? YES 0 NO $
7. STATIC WATER LEVEL Below Top of Casing: IC) FT.
(Use "+" if Above Top of Casing)
8. TOP OP CASING IS I )5FT. Above Land Surface'
'Top orcasing terminated at/or below land surface requires a
variance to accordance with 1SA NCAC 2C .01
9. YIELD (gpm): 6C) METHOD OF TEST
10. WATER ZONES (depth)- �,�CIO I
II. DISINFECTION. Type itrnulc,,r Amount IC'r_N-Q
12. CASING: Wall Thickness
Depth Diameter or Weight/Ft. Material
From C) To Q / Ft. CA SVR2t P1
From To Ft.
From To Ft.
13. GROUT: Depth �1JM aterial Method
From O To QC..) Ft. f{r, U. X-cS iN
From To Ft. 's
14_ SCREEN: Depth Diameter Slot Size Malenal
From To
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
Topographic/Land setting
❑Ridge ❑Slope *Valley ❑Flat
(check appropriate hoz)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude source:OGPS❑Topographic map
(check hot
DRILLING LOG
Formation Description
Oct yss,J/ 41.rA .krr
(c.r Fc-c0 t
I D 4 1'rrt,n; }Q
6-tein,'4P
re
DEPTH
From To
�— IN
Qi—it'.
LOCATION SKETCH cd
Show direction and distance in miles from at least
two State Roads or County Roads. Include the wad
numbers and common road names
lQn Or
(� Rp
k I PntvrCr!'(y Sr A_
I6 REMARKS- (s�C,�kr l-'?('�5 a 9 C
IorCc(Q to -t k FK
•yet F'(klrPS y(� 18/Pr.t7 (1P6r
TR2FCTION'ST
THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C, WELL
AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
G ATURE OF PERSON CONSTRUCTING THE WELL
DATE
Submit the or'ininal to he Di 'ision of \\'ater Quality, Groundwater Section, 1636 Mail Service Center- Raleigh, NC
GY KK99UMICfiPI'ht€xi(Ni09 9) 733-3221, within 30 days. GW-I REV 07/2001
ASHE yiLLF R1'C C fir': ;CIE

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
24823'3
WELL CONSTRUCTION RECORD WELL CONTRACTOR-
020021
WELL CONTRACTOR CERTIFICATION #•
STATE WELL CONSTRUCTION PERMIT#• `•te1�
1. WELL USE (Check Applicable Box): Residential - Municipal 0 Industrial 0 Agricultural I I Monitoring
Recovery Heat Pump Water Injection I I Other If Other, List Use•
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: -_ .-. County' '- 'tp""-'
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER B .a.t.4 `_-.
Address - .
ri rn.
(street or Route No.)
DRILLING LOG DEPTH
From To Formation Description
_
RT
22615 115 GRANITE
City or Town State
4. DATE DRILLED 2 L/2'C0
ip cnoe
215 21 QUARTZ
5. TOTAL DEPTH --- 27U QU
6. CUTTINGS COLLECTED YES I NO I A 271 2''05 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES NO
ICI
8. STATIC WATER LEVEL Below Top of Casing: CC FT
(Use "+" if Above Top of Casing/
9. TOP OF CASING IS FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): METHOD OF TEST
11. WATER ZONES (depth)'`' f-'-�-r"'`'15-`1'7C
fV
270-271
12. CHLORINATION: Type tTR Amount
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft.
From 11 To 120 Ft = _
From To Ft
From To Ft
14. GROUT:
Material
Depth Material Method
From 0 To Ft Cerrerit
From To Ft
15. SCREEN:
V r
If additional space is needed use bacKyf fore:-.7.
Depth Diameter Slot Size Material
From To Ft in in a
From To Ft in in Q
From To Ft -- in. in
16. SAND/GRAVEL PACK:
Depth
From To
From
17. R
C
S
Size
Ft
Material
EBY CERTIFY THAT THIS
UCTLNST,AAIDM, A
FO OFFI
E USE ONLY
Qua' No. S inIINDWATER SEC
ni
ION
OFFICE Su
LOCATION SKETCH fl
(Show direction and distance from at least two State
Roads, or other map reference points)
aa-\
WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
T A COPYOFTHIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
Seri/eri/�
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
mit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Serial No

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD WELL CONTRACTOR.
020022
248234
DEWWright 1•41_1 Pump Co., Ir1C.
WELL CONTRACTOR CERTIFICATION #•
zit
STATE WELL CONSTRUCTION PERMIT#• -'- - - -
1. WELL USE (Check Applicable Box): Residential
Recovery I I Heat Pump Water Injection
II
Municipal n Industrial Agricultural Monitoring
Other I If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LEtC'!R' County: --- _--
(Road Name and Numbers, Community, or subdivision and Lot No.)
3. OWNER IAnr1FSTIM PUE1
Address BOX �'°
t__.`-4$treet or flout°No) aJ
GGF'
City or Town state
4. DATE DRILLED
5. TOTAL DEPTH
6. CUTTINGS COLLECTED YES I NO
7. DOES WELL REPLACE EXISTING WELL? YES I NO
8. STATIC WATER LEVEL Below Top of Casing: =1- FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS ' FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): METHOD OF TEST A"
11. WATER ZONES (depth):'' 150-1c.c Gorr 130-1'21
^• ciom 230-231 0 coral
265
If) code
DRILLING LOG DEPTH
From To Formation Description
is QT
13
TE
GC ';= GNP.IVI
.?1 UcRTZ
GRANITE
230 221 ORA.i,_a-iE
28cR'4Pt:.
1 ?1
rn
rV
CD
—0 --
12. CHLORINATION: Type •
13. CASING:
Amount =_
Wall Thickness
Depth Diameter or Weight/Ft.
From 0 To 147Ft ••4 •--
From To Ft
From To Ft
Material
14. GROUT:
Depth Material Method
From 0' To 22 Ft _ Errant
cr_....
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
To Ft
From
From
17. REMA
I DO H
CONS
FOR OF
Quad No
If additional space is needed use bac- bf form
C
0
(Show direction and distance from at least twetate
Roads, or other map reference points)
LOCATION SKETCH O
CEITIJIY T T fl(SWEIV\ CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, . LL
IONMANPIIIAUDScibIlLND T Ar P COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
_-,.7- fice-1-2- 2 -.2 a -0-2CE U3ROpU'P7DYVATER SECTION SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
ASHFVII I F RPRIMAL OFFICEithmir original to Division of Water Quality, Groundwater Section within 30 days
I I
GW-1 REV. 12/99
Serial No

Groundwater Section
North Carolina - Department of Environment and Natural Resources - Division of Water Quality
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD WELL CONTRACTOR:
02005S
248I94
Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #.
40(d/
STATE WELL CONSTRUCTION PERMIT#: Steve rreec?
1. WELL USE (Check Applicable Box): Residential I -" I Municipal
Recovery Heat Pump Water Injection 1 1 Other
Il
Industrial Agricultural El Monitoring FT
Il
If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County' r
AOKS F _RD RD. !OFF N t I a' CIRCLE
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER NELLIE C. GREER
Address ib MI KEIL GREER 4012 R,,ELa..:•J•TiON PLACE
LENOIR or Route No.) 1`»C 28845
City or Town State Zip Code
4. DATE DRILLED 214/2002
5. TOTAL DEPTH 185
6. CUTTINGS COLLECTED YES El NO
7. DOES WELL REPLACE EXISTING WELL? YES I I NO
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use "+" if Above Top of Casing)
1 >1
I
DRILLING LOG
From To
58
DEPTH
Formation Description
DIRT
5e 70 GRANITE
70 7L SHALE
72 123 GR MITE
120 123 SHALE
_
123 185
GRANITE _
N~.
7.7;
_
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0116 ➢.r
10. YIELD (gpm): METHOD OF TEST
1 1n .1
Priirt
11. WATER ZONES (depth):) POY' '0-7`
0 corn
0 Porn
12. CHLORINATION: Type HTH Amount 25
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To e4 Ft 5 1/8 .188 GAD)
From To Ft
From To Ft
14. GROUT:
Depth Material
From 0 To Ft '-ement
From To Ft
15. SCREEN:
From
From
From
0
o
re
If additional space is needed use backeefornW
LOCATION SKETCH
,(dhow direction and distance from at least two State
��l6'" Roads, or other map reference points)
Method
G-ao-•., c c. Q
<11
Depth Diameter Slot Size Material 4
To Ft in in
To Ft in in
To Ft in in
16. SAND/GRAVEL PACK:
Depth
To
To
From
From
17. REMARK
I DO HER
CONSTR
FOR OFFICg USE ONLY
Quad No: GFOokLJVAT H SECTIV
ASHEVILLE REGIONAL OFFICE
Serial No
Size
Material
,V u kV'a j Nick
q
NSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
PY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
— O
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
on final to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

WELL CONSTRUCTION RECORD.
Nest Carolina - Department ofBavnnomeetsod Named Rala.e-DivisionofWSrQuay-GrouniwaterSeaton
emu. coNtRAcron p nrvISUAt4NAME tall cxax�x�noN �a �7%3
WRU.COrrrRAC1'On COMPANY NAME
ECM 1R.L ERM CO. Mote • LL 5
STATE WELL CDNeTRic71ONPERINRe_ ASSOCIATED WQ meant
(if meltable)
I ,vIIasDlel
1. WELL USE (Check Applicable Box): ResidrnlialU Idu nidpalWPublie D Industrial 0 Agricultural D
Monitoring D Recovery 0 Heat Pump Water Injection Cl Other D If Other, List Use
2. WELLLOCATIONNearest : County tAi)IL
3045�.J
Geed Nana
aNN rme e. Cash. Seli+tis lett48PCod
3. A 3D45 JI`LSt �WAriE RD.
HEB2N (Seed rear ) 28638
GeyeTa,,, Sate rdpCait
( jJ'77R-G777
Area code Mae mate
4. DATE DRILLED 01-02-02
5. TOTAL DEPTH- F05
6. DOES WELL REPLACE EXISTING WELL? MESA NO D
7, STATIC WATER LEVEL Below Top of Casing: Ft.
(Os•4•'twaseSTWet eind
8. TOP OF CASING IS 9 FT. Above laid Stacie•
•Tep Seaga, late4 eVee Ldew hod she rates
vcr.e watrsw
9. YIELDIELD(spit OD OF TEST BY AIR 1E51
10. WATER ZONES (depth):
II. DISDWECnON:Typo IMI Rlffi
12. CASINO: Wall liddmess
Depth rim aegis/R. users
From_2 % a PVC =IC
F• n To_Ft
From To FL
13. GROUT: Depth Wahl Mod
Prom 9__To-21)—Ft ran' WI
From To P'
14. SCREEN: Depth ntiemeree Slot Sim LMeial
F,om, Tg._ Ft m In.
Front... To Ft,r.Jn. in
IS. SAND/GRAVELPACK: Sim i a1
Pram Depth F'
From T^ - - - -
Topographic/Land setting
Mope Malley
ErnstWok appaprise ha)
L�itimddlmgiti8e of location
gawp taletrdnerdd
Luonsddlmgiede scanow0GPSCITtspothopide neap
(e>ttsW
DMZ DRILLING LOG
Fantadon Description
From To
rob
r- r,
N art
-:o
I.00ATION SKETCFI; N m
Show direction and ASMOee bs miles . _ a st3inist
two Slate Roads or County Past. InmWe Ihoroad
numbers si dcemtmtn road names. Z tle
• A
W6LL
r /
pw6 M(0` E
S
THAT THIS WELL WAS CONSTRUCIWOINA
AND THAT ACOPY OFTHIS RE •,
ANCB WITH 15ANCAC 2C. WELL
BEEN PROVIDED TO THE WELL OWNER
01-10-02
SIGNATURE t FPERSON CONSTR I ; e ` " I WE L DATE
the Division of Waler Quality, Grontdwstit Section, 136 Mall Seats Center
GWr1RBVeh, NC
in733.4211, within 30 days.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
248235
WELL CONSTRUCTION RECORD
rnn=2
WELL CONTRACTOR:
r.
WELL CONTRACTOR CERTIFICATION #:
STATE WELL CONSTRUCTION PERMIT#:
1. WELL USE (Check Applicable Box): Residential I �' I Municipal Industrial Agricultural D Monitoring
Recovery fl Heat Pump Water Injection I I Other I I If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town. ^ , I G4untYrY'�L...
3. OWNER
Address
I Road Name and Numbers, Community, or Subdivision and Lot No.)
DRILLING LOG DEPTH
From To_ .9rmation Description
:-,
— _ ,_ - IStreet or Route No.)
city or Town
4. DATE DRILLED
5. TOTAL DEPTH
6. CUTTINGS COLLECTED YES I I NO ''I
7. DOES WELL REPLACE EXISTING WELL? YES I._ I NO 0 <-J
8. STATIC WATER LEVEL Below Top of Casing: FT ---
(Use "a" if Above Top of Casing)
1
9. TOP OF CASING IS FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.01/8 10. YIELD (gpm): METHOD OF TEST -
state Zip code
11. WATER ZONES (depth): --
;R.,-:'.. is _
r')
a
n, (n ,_
CT
12. CHLORINATION: Type Amoun
13. CASING:
Depth Diameter
From 0 To -" Ft VS
From To Ft
From To Ft
14. GROUT:
Wall Thickness
or Weight/Ft.
R
Depth - -_._Material
From To Ft _
From To Ft C L\
q V
15. SCREEN: adcQ,\r 0 \.9
Depth Diameter Slot Size Material t
From To Ft in in. god- C'
From To Ft. in in
From To Ft in in
Material
G (C.
_Nlgihod:.,.
If additional space is needed use bacbof fags
LOCATION SKETCH
(Show direction and distance from at least two State
L$�ctr
Roads, .r other map reference points)
16. SAND/GRAVEL PACK:
Depth
To Ft
From
From
17. REMARICSD
IDOHER _fl
CONSTRUCT
Size Material
l5 c LSr0 U E
ERTIFY THAT THIS WELL
N StrAylE§S, ANQ TH Y l
AYY y LUUL
FOR OFFICE US E ONLY
ONSTRUCTED IN ACCORDANCE WITH 15A NC r C 2C, WELL
)PY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
Cy'
2 --G —U2
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
inal to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12.99
Quad No:
GROUNDWATER SECTION,it
ASHEVILLE REG ONAL OFFICE—
f1 o
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
246653
WELL CONSTRUCTION RECORD
WELL CONTRACTOR.
Dewey Wright Well Pump Co., Inc.
2b!8
WELL CONTRACTOR CERTIFICATION #:
020006 .eve rnce
STATE WELL CONSTRUCTION PERMIT*
1. WELL USE (Check Applicable Box): Residential
Recovery I Heat Pump Water Injection
I x I
Municipal I I Industrial 0 Agricultural I I Monitoring P
Other I I If Other, List Use•
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: C:Ai DWELL
HWY 90 OFF SETZERS CREEK RD. OFF WARRIOR RD.
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER SANDRA C. COFFEY
Address P.O. BOX 100 ,
COLLETT'"3'LetLYraute No.i NC 28611
DRILLING LOG
From To
0 GO
80
90
DEPTH
Formation Description
DIRT
GRANITE
City or Town State
4. DATE DRILLED
5. TOTAL DEPTH
6. CUTTINGS COLLECTED YES 0 NO
7. DOES WELL REPLACE EXISTING WELL? YES Ti NO I -I
8. STATIC WATER LEVEL Below Top of Casing: 25 FT
(Use "+" if Above Top of Casing)
1/7/2002
125
Zip Code
9J
on
91
115
116
QUARTZ
115 GRANITE
116 QUARTZ
125 GRANITE
I }i
9. TOP OF CASING IS 1 FT Above Land Surface*
'Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 30 METHOD OF TEST
11. WATER ZONES (depthl' 15 gpm 90-91 15 qprn 116-1;6
0 gpm 0 ppm
12. CHLORINATION: Type HTH Amount 21
o r
rnr _•
vni
Yri
13. CASING:
Depth
From 0 To 35Ft 61/3
From To Ft
From To Ft
14. GROUT:
Air
Wall Thickness
Diameter or Weight/Ft.
.18B
c-
0
rn
4- CO ...1"
If additional space is needed use baCWof focril
LOCATION SKETCH
Material (Show direction and distance from at least two State
GAL`.; �v Roads, or other map reference pints)
LLt
Depth Material Method
From 0 To 20 Ft Cement Ore'dty Plan.
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft __ in. in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
17. REMAR
I DO HER
CONSTRQC^`
Ili
FOR OFFIC
Quad No
Serial No.
P,
Et/ .IFYTH CT TWISWE
id-3fiAN17AAI , ' D TH
,
IA t ' IIONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
A ' �`f'Y IF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
cM
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
nal to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
246652
WELL CONSTRUCTION RECORD WELL CONTRACTOR
02000E
Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #•
Ili IS
STATE WELL CONSTRUCTION PERMIT Steve vnce
PERMIT*
1. WELL USE (Check Applicable Box): Residential El Municipal Industrial 0
Recovery I I Heat Pump Water Injection 0 Other If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LEN(..)IR County CALD'v''VELL
PRIVATE DR. OFF PINEY GROVE CIRCLE OFF H'( 268
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER HA.RVEY VV. DLILA
Address % TERESA MEAGHER
FOUNTA) treet or Route No.) CO 80817
City or Town State Zip Code
874 SQUARE DANCE LANE
Agricultural I I Monitoring
DRILLING LOG DEPTH
From To Formation Description
0 70 DIRT/MUD
70 85 GRANITE
85 85 FNf uUARTZ
4. DATE DRILLED 1/9/2002 86
5. TOTAL DEPTH 125 110
6. CUTTINGS COLLECTED YES I I NO i 11
7. DOES WELL REPLACE EXISTING WELL? YES I —I NO 71
S. STATIC WATER LEVEL Below Top of Casing: 30 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (ppm): 20 METHOD OF TEST_Air
15 ppm 110-111
11. WATER ZONES (depth):5 t'pm 855-8b
0 Pon- 0 ppm
12. CHLORINATION: Type HMI Amount
13. CASING:
From
From
From
Depth
To
To Ft
To Ft
14. GROUT:
Diameter
775Ft 61/4
Depth
2fJ CEt
From 0 To Ft
From To Ft
15. SCREEN:
From
From
From
Depth
To
To
To
16. SAND/GRAVEL PACK:
Depth
From To
From To Ft
Wall Thickness
or Weight/Ft. Material
.188 GALV.
Material
Ent
Method
Gravity Flow
Diameter Slot Size
Ft in
Ft in
Ft in
Size
Ft
in
in
in
Material
Material
17. REMARKS:
Pm 1
I DO HERM •. R-TlFY F1 TAT Tt IIO •'•
CONSTRUtTrEfNISTANDARDS, AND THAT
,l
FOR OFFICE! tSE—hNLY
If add
110 GRANITE
111 QUARTZ
125 GRANITE
C
V O
N
—r1 c2_
o-'
'C rn-
"
ional space is needed use backof forO
C)
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
(a.)
0
NSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
Y aF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
IGNATURE OF PERSON CONSTRUCTING THE WELL DATE
alto Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No:
Serial No.
origi

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD WELL CONTRACTOR.
246 50
Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION A.
167J
020029 STATE WELL CONSTRUCTION PERMIT#• verrey Vnctnt
1. WELL USE (Check Applicable Box): Residential ^ Municipal
Recovery n Heat Pump Water Injection FT Other
Industrial FT Agricultural I Monitoring
I I
If Other, List Use•
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LINVILLE County' CALDWELL
EDGEMONT F.D. OFF HWY 221 OFF HAN 105
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER KEN COFFEY
Address 609 SOUTH MAIN ST. ,
BELMO• •-fStreet or Route No.)
City or Town State
NC 28012
Zip Code
4. DATE DRILLED 1/4/2002
5. TOTAL DEPTH 125
6. CUTTINGS COLLECTED YES FT NO
7. DOES WELL REPLACE EXISTING WELL? YES FT NO
8. STATIC WATER LEVEL Below Top of Casing: 21E FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
'Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C 01 m
I XI
10. YIELD (gpm)' °I-) METHOD OF TEST Air
11. WATER ZONES (depth): 15 gtpm60-63 15 gm 90-93
0 ppm 0 ppm
12. CHLORINATION: Type HTH
13. CASING:
Depth
From 0 To
22
Amount
Wall Thickness
Diameter or Weight/Ft. Material
42Ft 6 1/4 1E8 GALV.
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement
From To Ft
15. SCREEN:
Gravity Flow
Depth Diameter Slot Size
From To Ft in in
From To Ft in in
From To Ft in in
Material
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
17. REMARKS:
I DO HEREBIM
CONSTRUCT'
I
PV TLIAT TH1Ci/I/Fil WASC(
Al TANDARDS, AND THAT A , 0
FOR OFFICE
E ONLY
DRILLING LOG
From To
0 35
DEPTH
Formation Description
DIRT
35 60 GRANITE
60 63 QUARTZ
63 90 GRANITE
90 93 QUARTZ
9:3 125 GRANITE
m
f.1
-n-
If additional space is needed use baC of
W ti
LOCATION SKETCH CO
(Show direction and distance from at least two State
Roads, or other map reference points)
c & I ill ✓efS/w e%f
C
\ c7
\y i
u„
ode—
c4
5TRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
I —aia,-tea
Quad No
Serial No.
SIGNCIL RE OF PERS016L2ONSTRUCTING THE WELL DATE
-_. Submit.brigina to Division of Water Quality, Groundwater Section within 30 days
;.- _ r i'',',, G W-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
246649
WELL CONSTRUCTION RECORD WELL CONTRACTOR:
Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #•
2 t4
O10956 STATE WELL CONSTRUCTION PERMIT#• t-'ewey vvngnc
1. WELL USE (Check Applicable Box): Residential E
Recovery Heat Pump Water Injection
Municipal I I Industrial
I I
Agricultural I I Monitoring
I
Other I I If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LINVILLE County `
EDGEMONT RD OFF HWY 221 OFF HWY 105
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER IvLA"!NE PROP_T
Address % ROY MCGEE 7495 LAUREL ST.
C-Ol LE 113(??L ILEo"te No./ NC
28216
DRILLING LOG
From To
0 35
35
49
DEPTH
Formation Description
DIRT
GRANITE
City or Town State
4. DATE DRILLED
5. TOTAL DEPTH
6. CUTTINGS COLLECTED YES I NO El
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO
8. STATIC WATER LEVEL Below Top of Casing: 2l0 FT
(Use "+" if Above Top of Casing)
113/2002
1'25
Zip Code
I Al
9. TOP OF CASING IS FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.01
10. YIELD (gpm): - METHOD OF TEST A'"
i0 ppm 1Lt5-1U
49 53 SHALE
53 105 GRANITE
105 107 QUARTZ
107 125 GRANITE
N
C
CD
—77
to c
G<
>c
11. WATER ZONES (depth):2111 ppn114E153
- Porn
0 pprn
V
r
rri
9C
r1
e• i-i--i
C)
HTH Lt
12. CHLORINATION: Type Amount
13. CASING:
From
From
From
Depth
0 To
To Ft
To Ft
14. GROUT:
Diameter
42 Ft 6 1/4
Depth
From 0 To 20
From To Ft
Wall Thickness
or Weight/Ft. Material
.1e8 GALV.
15. SCREEN:
Material
Ft Cement
Method
Gravity Plc:;. -
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft. in in
16. SAND/GRAVEL PACK:
Depth
To
To
From
From
17. REMARK
I DO HERE
CONSTRU
f
Size Material
Ft
Ft
STANDARDS, AND THAT
FOR OFFICEIWSE-ONLY
Quad No:
mi[ origi
If additional space is needed use bacr,7of fcgin
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
i
1V1v`Ilf
NSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
Y OF THIS RECORD HAS-BEEN PROVIDED TO THE WELL OWNER.
IGNAT
alto Di
OF PERSO
n of Water Q
l yt ie,v3tt;el
NSTRUCTING THE WELL DATE
ty, Groundwater Section within 30 days
GW-1 REV. 12/99
Serial No. AS".EV'.LL%(�cdi�.._ 01 ELL

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
246644
WELL CONSTRUCTION RECORD WELL CONTRACTOR:
010961
Dewey `Alright Well Pump Co., Inc.
6dr
WELL CONTRACTOR CERTIFICATION S.
_ceve rceece
STATE WELL CONSTRUCTION PERMIT#:
1. WELL USE (Check Applicable Box): Residential EN Municipal Industrial LI Agricultural r I Monitoring
Recovery I I Heat Pump Water Injection Other LI If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: BLOW NG ROCK County CAL DWELL
EDGEMONT P.D. OFF HWY 221
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER NEIL SCRUGGS
Address % ROY MCGEE , 7495 LAUREL ST.
COLLETi'B911fl: °ute No.) Nr 23216
City or Town State Zip Code
DRILLING LOG DEPTH
From To Formation Description
0 10 DIRT
10 50 GRANITE
50 55 SHALE
4. DATE DRILLED 1/3/2002 55 90 GRANITE
5. TOTAL DEPTH 125 90 93 SHALE
6. CUTTINGS COLLECTED YES NO I )1 93 925 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES EI NO El
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
"Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.011B
10. YIELD (gpm): 20 METHOD OF TEST Air
11. WATER ZONES (depth)• 20 Clprn 50-55 0 ppm
0 ppm 0 porn
12. CHLORINATION: Type HITH Amount
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 21 Ft 6 1fu .96E Ci.ALV
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From O To zu Ft 'uerireiu Gravity Row
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in.
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
17. REMARKS:
I DO HEREBY C
CONSTRUCTIpjd
FOR OFFICE
try TI IAT TI IIS WELL WA'
TANDARDS, AND THAT AlI
1
L
C
Ozsz
IV o
f
rT1
N r
1
-r - m
Ce-
v 2
m r
If additional space is needed use baQryf foal
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
\ S oak
STRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
OF THIS RECORD HA
BEEN PROVIDED TO THE WELL OWNER.
-e — r)
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Vbmitorigina to Division of Water Quality, Groundwater Section within 30 days
:,t (i3A: GW-1 REV. 12/99
it ) .L DFH'„E
Quad No:
Serial No

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
246643
WELL CONSTRUCTION RECORD WELL CONTRACTOR:
Dewey \},Tight Well Pump Co., Inc.
LodI
WELL CONTRACTOR CERTIFICATION #•
010959 "teve Neece
STATE WELL CONSTRUCTION PERMIT#•
WELL USE (Check Applicable Box): Residential n Municipal
Recovery Heat Pump Water Injection Other
Industrial I I Agricultural I I Monitoring
I I
If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: SLOWING ROCK County: ` .ALDWELL
EDGEMONT F.D OFF H(VVY 221
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER BARRY WESTMORELAND
Address 2414 W. MARKET STREET ,
DRILLING LOG DEPTH
From To Formation Description
l 55 DIRT
GREENSeDRO Rout0 NJ" NC 27409 55 GRANITE
City or Town State Zip Code 64 NA QUARTZ
4. DATE DRILLED 1/2/2002
5. TOTAL DEPTH 125
6. CUTTINGS COLLECTED YES NO x�
7. DOES WELL REPLACE EXISTING WELL? YES I -I NO
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use'•+' if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.011,l,
10. YIELD (gpm): �L METHOD OF TEST AirgGp 3
11. WATER ZONES (depth): 1- gpm 64-6`� n ppr
0 ciprn 0 pprn
12. CHLORINATION: Type HTH
Amount
22
65 90 GRANITE
90 93 QUARTZ
9 125 GRANITE
C
O �=
rn
m-...
If additional space is needed use battof
.. CD
ti J
13. CASING: WauThickness LOCATION SKETCH . o \3"
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least twState Z.
From 0 To 63Ft. 61/4 .188 GALV
Roads, or other map reference points) �yrci+`
From To Ft �'
From To Ft L\t^\\Q. a-1
14. GROUT:
Depth Material Method
From 0 To 2i1 Ft Cement Ora' ty ACV./
From To Ft
15. SCREEN
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
From _ To Ft
From To Ft
r= (f
P\ii 1=
17. REMARKS• r.) iL
I DO HEREBY CE«T Y I HAI I HIS WELL WAS _ONOLTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION'S, ANDARDS, AND THAT A C DP" OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
.a
CALefAjitk
FOR OFFICE USE MCI_
Quad No: L
revitx-
/-a3 -off
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
. : rtppr ginal t Division of Water Quality, Groundwater Section within 30 days
,i()'.I NI ICE GW-1 REV. 12/99
urAt.'LJ
f S.!EVi,.
Serial No

North Carolina - Department of Envinnment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
248199
WELL CONSTRUCTION RECORD WELL CONTRACTOR:
020059
De:vey `r°-'Iigi 'Weil Pump
WELL CONTRACTOR CERTIFICATION #•
2dr
STATE WELL CONSTRUCTION PERMIT#• breve -nca
1. WELL USE (Check Applicable Box): Residential vl Municipal
Recovery Heat Pump Water Injection Other
Industrial Agricultural 7 Monitoring
If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CAD'Yv''ELL
PRIVATE DR. OFF MOTHERS WAY OFF HUFFMAN RD 0
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER LARRY D. RUDISiLL
Address 1;'3E' 1,r1:_' IL., . V,LAa
DRILLING LOG DEPTH
From To Formation Description
r^.n
O., (Street or Route No.) Ir- 2 5E
�EtJ .'R D._ 364- 60 170 GRANITE_
City or Town state Zip Code 170 ^. 1 QUARTZ
4. DATE DRILLED 1/31/2002
5. TOTAL DEPTH 405
6. CUTTINGS COLLECTED YES NO
7.
8.
DOES WELL REPLACE EXISTING WELL? YES I NO
STATIC WATER LEVEL Below Top of Casing: 80 FT
(Use •4" if Above Top of Casing)
9. TOP OF CASING IS • FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 1 METHOD OF TEST Ai
11. WATER ZONES (depth).1/2 pprn'170-171 172 Qom 350-351--
n• s
0 „pm 0 yard
171 350 GRANITE
750 351 MI OA1 AI N! YI ITEL_
351 405 GRANITE
C
12. CHLORINATION: Type HTH Amount i37
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 55 Ft 6 1/8
From To Ft
From To Ft
14. GROUT:
.350
PVC,
Depth Material Method
From - To 20 Ft Cement Gravity Fion
From To Ft
If additional space is needed use backTgf ford"
LOCATION SKETCH tv
(Show direction and distance from at Ienttwotate
Roads, or other map reference points) o
kleCtlit
CAI eyeek (,3
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
17. REMARKS
I DO HERE
CONSTRU
FOR OFFICE
Quad No.
Serial No.
n+�r+'�tllLfb LL'•• • t�
TANDARDS, AND [HAI
ONLY fli/
l_. Submit origi
GROOfJOWATER SECTION
ASHEVILLE REGIOINAL OFFICE
STRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
Y OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
10-o.Z
IGNATURE OF PERSON CONSTRUCTING THE WELL DATE
alto Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

1. WELL USE (Check Applicable Box): Residential Municipal Industrial Agricultural D Monitoring
Recovery r I Heat Pump Water Injection I I Other I I If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: 1 = County.
F^;cf,i,',i'dT M<-/V 7/21 rEP LSUVV 1fl
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER IHANN=R
Address 2117 NA;-i .7 "RM Pr)
_ I Street or Route No
1 r'_b —0117
City or Town State Zip Code (ST _ 61 _-J,“: oP
4. DATE DRILLED 1 ' "'•1-2 F 'eP ,a'l•Tr:
5. TOTAL DEPTH 2::F
6. CUTTINGS COLLECTED YES 0 NO
7. DOES WELL REPLACE EXISTING WELL? YES D NO n �=
0
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use ••+" if Above Top of Casing)
9. TOP OF CASING IS FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): - METHOD OF TEST ss' U
11. WATER Z0NES (depth):2 r4crn 50-E l 0 oorr.
0 porn 0 non
12. CHLORINATION: Type i1TH
Amount 46
r)
N cnU-
If additional space is needed use back of farm
O o
13. CASING: Wall Thickness LOCATION SKETCH
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least two State t
From (1 To .7 Ft 6 1/- 1-;8 �_; .I -MV Roads, or other map reference points) • . TIA
From To Ft
From To Ft Lin lll�0k
k
14. GROUT:
Depth Material Method NS
From - To =0 Ft Cement
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft. in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth
From To Ft
Size
Material
From To Ft
17. REMAR
I DO HE
CONST
FOR OFFI
Quad No:
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone],1
248205
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey'Nn H+WeJi Pump r7oInc.
WELL CONTRACTOR CERTIFICATION #: 2
020032 STATE WELL CONSTRUCTION PERMIT#: Steve Reece
r�E
STANDARDS, AND TH
I
I NJ
iJND'- VATEP SE bmi
ASHEViLLE REGi(NAL OFFICE
Serial No.
DRILLING LOG DEPTH
From To Formation Description
FeR,
N
—D
I I
^2 6 1
%F. Dr.
A 8
▪ v./
ONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
OPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
iginal to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
246642
WELL CONSTRUCTION RECORD
WELL CONTRACTOR Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: tbd
010958 -4-eve Keece
STATE WELL CONSTRUCTION PERMITS:
WELL USE (Check Applicable Box): Residential Municipal I I Industrial El Agricultural Monitoring
Recovery Heat Pump Water Injection I I Other Li If Other, List Use-
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: SLOVv1NG ROCK County: ALDV>'ELL
EDGEMONT RD. OFF HWY 221 OFF HWY 221
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER JAMES DELOCHE
Address 1251 HOLROYD COURT ,
CH.4 RLC i'LRf C t or Route No
NC 28211
I I
DRILLING LOG DEPTH
From To Formation Description
0 ,40 DIRT
40 60 GRANITE
City or Town State
4. DATE DRILLED 1/2/2002
5. TOTAL DEPTH i25
6. CUTTINGS COLLECTED YES 0 NO
7. DOES WELL REPLACE EXISTING WELL? YES NO
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use "+' if Above Top of Casing/
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0112
10. YIELD (gpm): 10 METHOD OF TEST A r
11. WATER ZONES (depth):''ID Clpm60-63 0 pprn
0 Qom 0 ppm
Zip Code
1 i
60 63 SHALE
63 125 GRANITE
r
O
r0
rn —
W 0
c
12. CHLORINATION: Type HTH Amount 2
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To _ 47 Ft. 6 1/4 .188 GALV
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement _ Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft _— in. in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
17. REMARKS LT� 1"'
I DO HEREE TIFY THAT THIS WELL
CONSTRUCflN STANDARDS, AND THA
FOR OFFICE USE i NLY
Quad No:
If additional space is needed use baoF.3f fob
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
Up
4
t INSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
c SPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
L►� �Qil/„ /,t5C1L / -et R - O
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
al to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
L
Serial No
auhmit orig

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
248186
WELL CONSTRUCTION RECORD
020034
WELL CONTRACTOR:
U8e5ey WV! lyr IL Yrcli rurnp
WELL CONTRACTOR CERTIFICATION SP 20
d/
STATE WELL CONSTRUCTION PERMIT „Jaye „Jaye rceece
PERMIT*
1. WELL USE (Check Applicable Box): Residential
Recovery I I Heat Pump Water Injection
I AI
Municipal
Other
I I
Industrial I I Agricultural I I Monitoring
If Other, List Use
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town:
LINVILLE County'_, n1;L-
EDGEMONT RD. OFF HV`.rY 221 OFF HWY 105
IRoad Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER BETTY OVERCASH
Address o i0' h?ra.YO STH'EET
t_ iJp,j jj'.,f Ell@treet or Route No.)
db13
DRILLING LOG
From
0
DEPTH
To Formation Description
DIRT
30 00 (01-0\1\117t
City or Town
4. DATE DRILLED
1/14/2002
5. TOTAL DEPTH 185
6. CUTTINGS COLLECTED YES I I NO I `I
7. DOES WELL REPLACE EXISTING WELL? YESLI NO
8. STATIC WATER LEVEL Below Top of Casing: L. FT
(Use "+" if Above Top of Casing)
State Lp Code
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.013,a Air
10. YIELD (gpm)• - METHOD OE d TEST
April b' -�3 _ ggit
U Cirri
11. WATER ZONES (depth):gprn
12. CHLORINATION: Type
13. CASING:
VV
E
68 1b5 URA—JITE
C-,
IN)
Amount
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 42 Ft C 1(4 .192 LALV.
From To Ft.
From To Ft
14. GROUT:
Depth „, c
_ Material Metho_dv
ram
From
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size
From To Ft
From To Ft
17. REMARKC
I DO HERE
CONSTRU
Material
TI-SWELL
STANDARDS, AND THAT
FOR OFFICE
Quad No:
S
ONLY
S
A (
Submit orig
GROUNDWKER SECTION
ASHEVILLE REGIONAL OFFICE
If additional space is needed use back -of foF[?C
LOCATION SKETCH co -,
(Show direction and distance from at least twcState
Roads, or other map reference points)
L\nV ‘\\2
S-Icve 6
c-1'(a
C-�
CCMR.h coN,-I- e r
NSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
Y OF THIS RECORD HAS BEEN PROVIDED TOTHE WELL OWNER.
Qd?r',( a— IS - O o7.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
nal to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Serial No

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
248187
WELL CONSTRUCTION RECORD WELL CONTRACTOR:
Deney Wright Welt Pump Co., Inc.
eta/
WELL CONTRACTOR CERTIFICATION #:
010060 bteve neece
STATE WELL CONSTRUCTION PERMIT#:
1. WELL USE (Check Applicable Box): Residential
Municipal
Recovery I I Heat Pump Water Injection I I Other
I XI
Industrial
If Other, List Use•
2. WELL LOCATION: (Show sketch of the location below)
LI NVI LLE C.ALD`�VE_L
Nearest Town: County.
EDGEMONT RD. OFF H'VVY 221 OFF ENVY 221
(Road Name and Numbers, Community, or Subdivision and Lot No./
3. OWNER H. DIXON HERIvIAN
Address F.O. ..-., "`'' '
HI UH F-'Ol I feet or Route No.) Ni;
t72c1
Agricultural E Monitoring
DRILLING LOG DEPTH
From To Formation Description
n 10 DIRT
10 40 GRANITE
City or Town State Zip Code .— i 4 i 5FLA .E
4. DATE DRILLED 1/11/2002
5. TOTAL DEPTH 105
6. CUTTINGS COLLECTED YES I I NO E9 133 165 GRANITE --
0
7. DOES WELL REPLACE EXISTING WELL? YES II. NO 1-71
8. STATIC WATER LEVEL Below Top of Casing �I''' FT
(Use "+" if Above Top of Casing)
45 140 GRANT I E
140 143 QUARTZ
—r1 =::.)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCACAI f
10. YIELD (gpm): METHOD 9 "FAST
11. WATER ZONES (depth)•� AP�fi� U g'p'`•' 1_ii-tes
gum
—G-
12. CHLORINATION: Type ""' Amount "`
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To G1 Ft e 1/4 16E GALL"
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To _0 Ft Cement Ora'nt_
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft. in in
16. SAND/GRAVEL PACK:
Depth Size
From To Ft.
From Too Ft 17. REMARKaI: S � OWE
E
I DO HERE p 1I llY IHAT THIS WELL W S
CONSTRUSTANDARDS, AND THA
Material
FOR OFFICEE ONLY
Quad No:
Iv o
r
If additional space is needed use bacCif for
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
NSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
PY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
.IGNATURE OF PERSON CONSTRUCTING THE WELL DATE
GROUNUW/TER SECi$01 it origi al to Division of Water Quality, Groundwater Section within 30 days
ASHEVILLE RI GIONAL OFFICE
Serial No.
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
248189
WELL CONSTRUCTION RECORD WELL CONTRACTOR.
Dewey 'v'sveriLl %1 r-l:
WELL CONTRACTOR CERTIFICATION #•
020033 teve Keece
STATE WELL CONSTRUCTION PERMIT#. b
Lbb
1. WELL USE (Check Applicable Box): Residential
Recovery Heat Pump Water Injection
I XI
Municipal Industrial n Agricultural D Monitoring El
Other I I If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LINVILLE County: CALDWELL
DEPOT OFF EDGEMONT RD. OFF Hb`>'y 221 OFF H`o \ 1
I Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER .=OHN HULL
Address 1015 B ST. LANE NI ,
0I^.OF,'1
(street or Route No.)
i
City or Town State
4. DATE DRILLED 1/155/2002
5. TOTAL DEPTH 185
6. CUTTINGS COLLECTED YES I NO 7
7. DOES WELL REPLACE EXISTING WELL? YES NO
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.011
0
10. YIELD (gpm):METHOD OF TEST '"'r
11. WATER ZONES (depth):2 cp'"l 5
C-c3 1 PPM '20-23
37 Mom 150-154 0 Morn
2850
Zip Code
DRILLING LOG DEPTH
From To Formation Description
0 45 DIRT
50 GRANITE
60 Fi:• SHALE
62 90 GRAM T E
EO 93 SHALE
93 150 GRANITE
150 154 SHALE
154 185 GRANITE
0
IV
-1
m
rf _
Co
12. CHLORINATION: Type HTH
13. CASING:
Amount "5
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 53 Ft B 9%8 .350
From To Ft
From To Ft
14. GROUT:
Depth Material
From 0 To 20 Ft cement
From To Ft
15. SCREEN
Method
Gravity Floc"
Depth Diameter Slot Size
From To Ft in in
From To Ft in in
From To Ft in in
Material
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
17. REMARK
I DO HER
CONSTR
FOR OFFIC
U
U
N STANDARDS, AND THA
ONLY
1
A
J
O n; s.
0
If additional space is needed use hack 6cgorrrt!
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points/
ONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
)PY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
,ee,cee. a - / 9 -
Quad No:
Serial No.
GROUNDWATER SECTION
ASHFVILLE REG ONAL OFFICE
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
inal to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
26800i
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth
From To Ft in
From To Ft. in
From To Ft in
16. SAND/GRAVEL PACK:
Depth
From To Ft
From To Ft
Diameter Slot Size
17. REMARKS:
I DO HEREBY RT EY THATTHIS WELL
CONSTRUCT I u ! STANDARDS, AND THAT A
'
Size
Material
in
in.
in
Material
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2688
021020 STATE WELL CONSTRUCTION PERMIT#- Leslie Reece
1. WELL USE (Check Applicable Box): Residential r XI Municipal
Recovery I I Heat Pump Water Injection 0 Other
I
Industrial
Agricultural In Monitoring
If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: I FNOIR County: CAI FANFI t
PRIVATE DR OFF BEE MTN RIDGE RD OFF RFF MTN R
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER PARRY T VOLINCF
Address 2670 ROBY MARTIN RD
LENOIR (Street or Route Nod NC 28845
City or Town State Zip Code
4. DATE DRILLED 12/31/2002
5. TOTAL DEPTH 305
6. CUTTINGS COLLECTED YES I I NO
7. DOES WELL REPLACE EXISTING WELL? YES C NO n
8. STATIC WATER LEVEL Below Top of Casing: 100 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 50 METHOD OF TEST Ar
11. WATER ZONES (depth):2 ppm 255-258 48 ppm 275-277
0 ppm 0 ppm
12. CHLORINATION: Type HTH Amount 43
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To PDFt 61/8 350 PVC
From To Ft te, ��tAL
From To Ft I � •0.1-i/j7
E
c
DRILLING LOG
From To
0 87
87 255
255 256
256 275
275 277
277 305
vti
DEPTH
Formation Description
DIRT
GRANITE
QUARTZ
GRANITE
SHALE
GRANITE
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
r Roads, or other map reference points)
A ArAs�
TRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
F THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SI $ NATURF,¢F PERSON CONSTRUCTING THE WELL DATE
$u bmit-ongina to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
ICE
OIL

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Secro
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
8000
WELL CONTRACTOR: Dewey Wright Well Pump Co
WELL CONTRACTOR CERTIFICATION # 2688
020948 STATE WELL CONSTRUCTION PERMIT# Leslie Reece
Inc.
1. WELL USE (Check Applicable Box): Residential
Recovery Heat Pump Water Injection
N.
Municipal I I Industrial D Agricultural 0 Monitoring El
Other 0 If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LFNOIR County CALDWELL
PRIVATE DR OFF VALLEY VIFW CIRCLE OFF HVVY 90
(Road Name and Numbers, Community, or Subdivision and Lot No.l
3. OWNER CRESTON RESOURCES
City or Town State
4. DATE DRILLED 17/30/7002
5. TOTAL DEPTH 185
6. CUTTINGS COLLECTED YES NO
7. DOES WELL REPLACE EXISTING WELL? YES n NO
8. STATIC WATER LEVEL Below Top of Casing: 210 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (ppm). 10 METHOD OF TEST Air
11. WATER ZONES (depth). 1 Wm 57-58 9 ppm 153-154
0 ppm 0 ppm
DRILLING LOG
From To
0 41
DEPTH
Formation Description
MUD/GRAVEL
41 57 GRANITE
57 58 SHALE
5$ 153 GRANITE
153 154 SHALE
154 185 GRANITE
Address % FRANCES BRYANT . P 0 BOX 10
COLLETI` L`�tnte No.) NC 28Z811da
I>1
12. CHLORINATION: Type HTH Amount 35
13. CASING:
X
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 43 Ft 6 1/4 .188 GALV
From To Ft
From To Ft
14. GROUT:
From
From
Depth Material
0 To 20 Ft Cement
To Ft
15. SCREEN
Method
Gravity Flow
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
r_FIfis SAND/GRAVEL PACK:
Depth rm Size Material
) IrFrom To -- hR)
From To i 1R
itII
I'
1/. REMARKS.
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
5.1
D Dr -
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
FOR OFFICE USE"ONL
Quad No:
t/-e I - 3 1- 03
SIGNATURE 0 ERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days GW-1 REV. 12I99
Serial No.

WELL CONSTRUCTION RECORD 270263
North Carolina • Departmatt of Environment and Natural Resources -I Division of Water Quality - Groundwater wax-
�l
WcortraAcroa (UrvroumI NAM(priat),CKtM het
ue1 lt.� /l ii k�' [C1,e rIPICAnONJ a V'v
DpILLING, INC. Paoras?2i 327 n263
�OC1ATLn wQ P01M TTd
(if applicable) Of applicable)
vats coNTRAcroacows arts Hann PRICE WE'LL
STATE WELL CONSTRUCTION PERMITS
1. WELL USE (Check Applicable Box): Residential ICY Municipal/Public ❑ Industrial C Agricultural CI
Monitoring 0 Recovery ❑ Heat Pump Water Injection o Other CI If Other, List Use
2. WELL LOCATION:
Neagent
Town: Le +!.
/c t-eefl
(Seep Name. Numbaa. Conaway, Sub/vision. Lot No., Zip Code)
3. OWNER: Ch 1 5 13C)l-4mrrkU hart -
Address c=J97[ 131_:)," t° rcrr(
(Sant or Roues No.)
/v.G Jae <lc—
Citycaoren Stab Zip Code
(r)- 7,16 —6 7.E q
Ats )home numb«
4. DATE DRILLED /D--//'O
5. TOTAL DEPTH: / S f l =t
6. DOES WELL REPLACE EXISTING WELL? YES C NO Cr
7. STATIC WATER LEVEL Below Top of Casing: LiCJ Ff.
(Use `#' if Above Top of Ca.
B. TOP OF CASING IS / FT Above Land Surface*
'Ter ofmni% trrtde•red mew hdow Wd aemce omelet
mince In sccerdsacc vita ISA NCAC SC.dt Ice.
YW=LP (gpm): ?4ETHCD OF TEST t d eozn
10. WATER ZONES (depth): 7 O C(" / 3 S (Jlf
Topographic/ and setting
Ridge °Slope °Valley °Flat
(cheer appropriate belt)
Latitude/longitude of well location
(dsOaaaecoedt)
Latitude/longitude stemma OGPS°Topographic map
(check box)
DEP_Tii D. T 1Q_ are
From To F
60
Cotmty CG/d t,c //
11. DISINFECTION: Type 5c n �'c .i Amount sQ rap)
12. CASING: CS rr) Pal C Will Thickness
Frotn_a Depth, _ Dinar or Weight/Ft. Maamitl
Ft__L_ U
Ft
From... To
From To
13. GROUT: Depth
From r) To 7C
From To
14. SCREEN: Depth
From To
From To
15. SAND/GRAVEL PACK
Ft
Material.
Ft Ct A crc FC
Ft.
nn naava
Diameter Slot Sim Material
in.
Ft. in in.
Depth Size Menial
Fror__To Ft.
From To Ft.
16 EEMARKS:
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road cames.
(s
6 'f-9a
A
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED M ACCORDANCE WITH ISA NCAC 2C, WELL zy ri
CONSTRUON WELL
A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE OWNER
/ \7 _L
/3—// �� '
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE w —
thtj oxt
bllthose Nix (9t
sf Water Quality, Groundwater Section, 1634 Mali Service Center - Raleigh, NC
1, within 30 days. GW-1 REV. 07/2001
0

270260
WELL CONSTRUCTION RECORD
North Carolina - Depettment of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (DfD1VmhfAt) NAME (Fiat) ) cvtd La 5 h r CERTIFICATION a 3 0070
wan. coNrRAcroacOMrANYNAME PRICF WELL °PILLING, INC. PHONES(329 327 Ci2E3
STATE WELL. CONZZTRUCTION PERMITS �cCSOCTATED WQ PEMMrrd
Of applicable) (if applicable)
1. WELL USE (Check Applicable Box): Residential Municipal/Public 0 Industrial 0 Agricultural ❑
Monitoring ❑ Recovery 0 Heat Pump WaterInjection 0 Other 0 If Other, List Use
2. WELL LOCATION: )
Nearest Town: L 0. /leO / f' County to l d 4/II
H,Si et 6f.Pf4 Lof /
(Sant Nam. Numbers. Caosmmry. Suhdf vLsion. Lot No.. Zip Code)
3. OWNER: fit' yylrf7�M L 6F606 tlx
Address CO 7 '"i4)tgI,rrexKrr-ea.'
�1R r& (Sew or Rom No.)
Cray or 7ow2 Stan Zip Code
Ara coda Thom aumbri
4. DATE DRILLED It. /8— 0 -
S. TOTAL DEPTH: u au F t
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO
7. STATIC WATER LEVEL Below Top of Casing:
(Use's' if Above Top of cubit
8. TOP OF CASING IS PT. Above Land Surface'
*Tap of mhg terminated avow below taad sorter requires a
vulgar* tn sooardaan Irk 15A NCAC 2C.0I111. n /
o "MI n ? (spin): / METHCD OF TEST !1//4/mirk
10. WATER ZONES (depth): .3S'0 FY> 7 it
11. DISINFECTION: Typo 34 // / JAI; do Amount
12. CASING: Will Thickness
Diameter or Wd NFL
From_a_ To/ 5J
From_ To Ft.
From To Ft
13, GROUT: Depth Material Maaoa /
From (7 To 3 0Ft L Gilt/4 /-L Pn mite d
From To Ft.
14. SCREEN: Depth Diameter Slot Sim Mateaal
From To Ft_in. in.
From__ To FL_ in. in.
15. SAND/GRAVEL PACK:
Depth Sim Material
From To Ft.
From -..,To Ft.
Material
Par
16. REMARKS:
Topographic/Land setting
tidgc ❑Slope ❑Valley ❑Flat
(check swooprioe box)
Latitude/longitude of well location
(Mpeesemiomeolse000dt)
Latitude/longitude source: ❑OPS❑Topographic map
(check box)
DIM DRILLING LOG
From To Formation Description
a l05' A/$- PacA
loses- AGO (//silt
100 ' aon /Van. 9c
von - c00 6r4441-4am
COO - cso Attie ,-f_
G.5--0 $60 6E44 i -71'c
LOCATION SICETCI( rPt
Show direction and distance in miles from at least
two State Roads or Comty Roads. Include the road
members and mad
I DO HEREBY CERTIFY THAT THIS WAS CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C, WELL
CON UCT1I-ST
S4IND�,jA/R��$ T A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER 5
IGNATURE OF PERSON CONSTRUCTING THE WELL i i DATE
<<_ S(Ibi hgiorkinal o
176944636 Phase No.{q
ion of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
221, within 30 days. GW-1 REV. 07/2001

WELL CONSTRUCTION RECORD
North Carolina • Department of Environment and
/Natural 1Resomua - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) 7✓,-!/ Ltt S A./ CYYrnRCwnoN
WELLCONTMCrOtCord:ANYNAME PRICF WELL DQILLIT'9, IT?C. reoNEai32327 02E2
STATE WELL CONSTRUCTION PERMITS aceOCµTED WQ PERMITS
(If applicable) Of applicable)
270259
I. WELL USE (Check Applicable Box): Residential MuoicipaVPublic 0 Industrial O Agricultnl O
Monitoring C Recovery 0 Heat Pump Water 'ection 0 Other 0 If Other, List Use
2. WELL LOCATION: C f�
Nearest Town: Li4y () L.e a .4 Comity d/(/i 1 /
EQus Cr er/C Lo-ni
(Street Name. Number, Cannily. Subdivision. La No.. r-0/Code)
3. OWNER: 11 L� DTr*- 9e
Address
(Sant or Roues No.)
l`enicr— (Le‘Cc
Cay ar Teen State IMp Cede
Ate code- plow aetbw
4. DATE DRILLED 1l',3U-Od�
5. TOTAL DEPTH: / .) Uc a,,!(
6. DOES WELL REPLACE EXISTING WELL/ YES O NO ,JaL
7. STATIC WATER LEVEL Below Top of Casing: .3CC FT.
(Use'#• if Above Top of Colin)
B. TOP OF CASING IS I /e- PT. Above Land Surface'
*Tap of casing termktued Wee below lead surface rewrites a
varleaee he uc,rduce with 15A NCAC 2C.in IR
o Yrx'Ln rgpm):fl- 5 MfEfHCD OF TEST fl t (t Id 4l yt
10. WATER ZONES (depth):
11. DISINFECTION: Type -Sol 4/-f-G P%0(1 Amount
12. CASING: 6/any /-o Wall Thickness
Depth Dinner or WSgh'Ft.
From 0 To / 73 Ft A b'/4 V C
From To Ft.
Front To Ft
13, GROUT: Depth Material Method
From O To 9-6 Ft. Cc/I(/tic An fe a
From To Ft
14. SCREEN: Depth Dinners Slot Sim Material
Frooi__ To
From_____ To Ft in. in.
15. SAND/GRAVEL PACK:
Depth Sim ?ductal
Frorri__To Ft.
From, To Ft.
16. REMARKS:
�:ATopographic/Land setting
Lidge OSlope Malley CFlat
(cheek apprapriale noes)
Latitude/kegitude of well location
(aegmeMaimamgecoadr)
Ladtudedlongitoda soul er. OGPSOTop,graphic map
(check box)
D PTH DRILLING LOG
From To Formation Description
O (l3 ,0,"1¢ Roe,k
(7S' 100 ,/a411.4.
y/oni ft
`i Leif? ; fi/
TC\C ' 70 r.) e/G,t;iG
7/70 .-6027 cvc_:,fe
rot- QOn (6.-a,>.4>n
ion R7rriy;lc
s—
ipS— 1-7tin 3 eon. 4--
3O - goo
NUo- Sce
LOCATION SKETCH.
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names.
I i-ia,i l r ` ks"
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WIIx 15A HCAC 2C, WE
CONS'RQJCTION STANDARDS. AND THAT A COPY OP THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
` LS (19uHn�'ttqtebr$gip,
"176 R1616 Phone No.
SIGNATURE OF PERSON CONSTRUCITNG THE WELL
f /Jc Oat
DATE
'vision of Water Quality, Groundwater Section, lei WO Service Cater - Raleigh, NC
3-3221, within 30 days. GW-I REV. 07/2001

263491
WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) WINE ILM CERTIFICATION # 2343
HICEM W IL IRIILTN CD. PHONE # f 32443MS
WELL CONTRACTOR COMPANY NAME
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT/1
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): Residential) Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town: LENDIR
13751I / RD.
County CAT.D1I1T
(Street Name, Numbers, Community, Subdivision Lot No., Zip Code)
3. OWNER: WILLIAM PIERCE
Address 1375 I:WHIN RD.
(StreetR,, I CRouteNa)
LIIJJ28645
City or Town State Zip Code
(828 )- 728-4%6
Area code- Phone number
4. DATE DRILLED 10-02-02
5. TOTAL DEPTH: 205
6. DOES WELL REPLACE EXISTING WELL? YESYI NO ❑
7. STATIC WATER LEVEL Below Top of Casing: 40 FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface*
`Top of casing terminated actor below land surface menthes a
variance In accordance with ISA NCAC 2C .0118.
9. YIELD (gpm): 25 METHOD OF TEST BY AIR TEST
10. WATER ZONES (depth):
11. DISINFECTION: Type HIM TABS
12. CASING:
Amount 35
Wall Tbicimess
From 0 Two 108 Ft Sl�lb ider ���t. Material
•
From To Ft.
From To Ft
13. GROUT: Depth Material Method
From 0 To 20 Ft CROUP TIRED
From To Ft
14. SCREEN: Depth Diameter Slot Size Material
From To Ft in. in.
From To Ft in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft.
16. REMARKS:
Topographic/Land setting
❑Ridge ❑Slope OValley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degrees(minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DEPTH DRILLING LOG
From To Formation Description
CD
LOCATION SKETCH' z
Show direction and distance in miles from at least
two State Roads or County Roads. Include the read
numbers and common road names.
REIrtIRAYTfV� AND
NSTR
Y OF
IN ACCORDANCE yam 15A NCAC 2C, WELL
RD HAS BEEN PROVIDED TO THE WELL OWNER
10-11-02
U
SIGNATURE/OF PERSON CONSTRUCTING THE WELL DATE
RSSuubmitt rho originiigiQal
Ng
t�othe E ivision of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
ASHE104)fiEifD OFF 59)733-3221,within30days. GW-1 REV. 07/2001

3. OWNER:
Address
HIQ(CRY
City or Town State Zip Code
( )- 3%-0189
Area code- Phone number
4. DATE DRILLED c8-29-(V
5. TOTAL DEPTH: 7F,5
6. DOES WELL REPLACE EXISTING WELL? YES)51 NO ❑
7. STATIC WATER LEVEL Below Top of Casing: 53 FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface`
*Top of casing terminated at/or below land surface requires a
variance in accordance with ISA NCAC 2C .0118.
9. YIELD (gpm): 2 METHOD OF TEST FW ATR TEST
10. WATER ZONES (depth):
11. DISINFECTION: Type EQ11 1 Amount 45
12. CASING: Wall Thickness
Depth �% Diameter��or Weight/Ft. Material
From , Fyn 11 ASTTC.
From
From
rl
WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) WAVE IOU - CERTIFICATION#
WELL CONTRACTOR COMPANY NAME 1-II(WRY UFII FRITI ITC m PHONE # B28. i24 35
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): ResidentiaREl Municipal/Public CI Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town: GRANITE FALLS County Cam'
6155-1 ICARD I2�M IOD
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
BRENT+ FEUSICN
b173-1 1CARL) LAN KMKM(Street or Route No.) 28601
261395
Topographic/Land setting
❑Ridge ❑Slope OValley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DEPTH DRILLING LOG
From To Formation Description
0 To Fi7
Ft
To FL
To Ft
13. GROUT: Depth Material
From 0 To 20 Ft GRaJ1
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACIC:
Depth Size Material
From To Ft.
From To Ft.
Method
FCURED
16. REMARKS:
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names.
N
oL'
c)
CD
C?
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED
CONSTRUCTION STANDARDS, AND THAT OF THIS
SIGNATURE OF PERSON CONSTR
CORDANCE WITH I5A NCAC 2C, WELL
HAS BEEN PROVIDED TO THE WELL OWNER
NG THE WELL DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-1 REV. 07/2001

WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) WINE TIM CERTIFICATION St 2343
WELL CONTRACTOR COMPANY NAME [KM VI MUM CD. PHONE # t378) 3244035
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
261410
I. WELL USE (Check Applicable Box): Residentia# Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town: (42WNPIF FAT T S
5532 T REIN RD.
County CAIThKL
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
3. OWNER: ROHM WILSON
Address 5532 LIBERTY RD,
FAI Street«Route No.)S NC
GRANITE
28630
City or Town State Zip Code
(878 )- 778-7%0
Area code- Phone number
4. DATE DRILLED
5. TOTAL DEPTH: 505
6. DOES WELL REPLACE EXISTING WELL? YES (NO ❑
7. STATIC WATER LEVEL Below Top of Casing: 100 FT.
(Use 4+" if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface'
*Top of casing terminated at/or below land surface requires a
variance is accordance with ISA NCAC 2C .0I18.
9. YIELD (gpm): 1 METHOD OF TEST BY AIR 'ma
10. WATER ZONES (depth):
Topographic/Land setting
❑Ridge ❑Slope ❑Valley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DEPTH DRILLING LOG
From To Formation Description
11. DISINFECTION: Type KRA TABS Amount 85
12. CASING: Wall Thickness
Depth Dianjtfr or Weieht/Ft. Mate ' C numbers and common road names.
From 0 To 1GD Ft. bb''4'' Fv
From To FL Al
From To FL
13. GROUT: Depth Material Ii(Metod
Frottt_Q_ To 20 Ft. (TOUT
ED
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
rib.
ai
tin `lr
(/
rV
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RE!) HAS BEEN PROVIDED TO THE WELL OWNER
,�f���},�/j�� Q8-14-02_
SIGNATIJI2E OFPERSON CONSTRU« THE WELL DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-1 REV. 07/2001

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
266964
WELL CONSTRUCTION RECORD WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2686
020943 STATE WELL CONSTRUCTION PERMIT'S-
Leslie Reece
1.
WELL USE (Check Applicable Box): Residential
Recovery Heat Pump Water Injection
Ix
Municipal Industrial
Other E If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: BLOWING ROCK County CALDWELL
HEADWATERS RD. OFF BOLICK RD. OFF BLACKBERRY
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER STEPHEN SULLIVAN
Address 2825 DUNKIRK DR. ,
RALEI GH(stteet °r Route N°.1 NC 27613 144 161 GRANITE
Agricultural n Monitoring
city or Town State
Zip Code
DRILLING LOG DEPTH
From To Formation Description
0 144 DIRT
161 162 SHALE
4. DATE DRILLED 12/17/2002 162 257 GRANITE
5. TOTAL DEPTH 300 257 258 QUARTZ
6. CUTTINGS COLLECTED YES NO X 258 300 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES I NO
XI
8. STATIC WATER LEVEL Below Top of Casing: 50 FT
(Use "." if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 10 METHOD OF TEST Air
11. WATER ZONES (depth):2 qpm 161-162 B qpm 257-258
0 qom 0 qpm
12. CHLORINATION: Type HTH Amount 52 If additional space is needed use back of form
13. CASING
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 147 Ft 6 1/8 .350 PVC
From To Ft
From To Ft
14. GROUT:
l(*g\r4‘2'C'
C/ `k
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft. in in
16. SAND/GRAVEL PACK:
Qppth
From
From 1W To Ft
17. REMAR
I DO HEBY RTIFY THAT THIS WELL AS
CONSTR CTI f4RARa T Ai
E L OFFICE
Material
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
c
T
P j
'ONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
OPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
0
CD
Kpoicie yor ,/ er.k 3 - a
SIGNATURE OF PE N CONSTRUCTING THE WELL DATE
Submit original to Division of W r Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

266144
WELL CONSTRUCTION RECORD
North Carolina -Department of Environment and Natural Resources
WELL CONTRACTOR (INDIVIDUAL) NAME (print) WAYNE ILLC
WELL CONTRACTOR COMPANY NAME FQQ(RY WELL a W.
- Division of Water Quality - Groundwater Section
CERTIFICATION # 73/43
PHONE # (822, 324- 0035
STATE WELL CONSTRUCTION PERM1T14 .ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): Residentialf Municipal/Public 0 Industrial O Agricultural ❑
Monitoring ❑ Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION: G4LII�L
Nearest Town: IIlMIR County
4()7 RTTTF ST
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
3. OWNER: SAS & PAT GRIT
Address 402 REGE sr:
T FPOI�R, N oute Isi) 29E45
City or Town State Zip Code
( 828 )- 754-2088
Area code- Phone number-1
4. DATE DRILLED
6-02
5. TOTAL DEPTH: 305
6. DOES WELL REPLACE EXISTING WELL? YES INO ❑
7. STATIC WATER LEVEL Below Top of Casing: 20 FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface'
`Top of casing terminated atlor below land surface requires a
, variance In accordance with ISA NCAC 2C .0118.
9. YIELD (gpm): J0 METHOD OF TEST BY AIR TFSI'
10. WATER ZONES (depth):
11. DISINFECTION: Type 1HH TABS Amount EQ
Wall Thickness
Depth Ft Diame6 S or ght/Ft t% C
FL low
Ft
12. CASING:
From 0 To 105
From To
From To
13. GROUT: Depth Material
From_()___ To 70 Ft. OTIW
From To Ft
14. SCREEN: Depth Diameter Slot Size
From To Ft in.
From To Ft in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From,_ To Ft.
Topographic/Land setting
(Midge ❑Slope ❑Valley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degreeshninurca/seconds)
Latitude/longitude source:OGPSOTopographic map
(check box)
DEPTH DRILLING LOG
From To Formation Description
Method
R7 BFT)
Material
in.
in.
16. REMARKS:
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names. o
N deF°'
N o
o m
co, yrn
m
j/u y I8
t z
5
JAN - 7 2003 LV
Submit the on i Div
27.yygMygrthi,T(9).4) 733-
ASHEVILLE REGIONAL OFFICE
WI T WAS CONSTRUCTED IN A
t THAT A COPY OF THIS RECtjifl
d
IGNATURE OF PERSON CONSTRU
RDANCE WITH 15A NCAC 2C, WELL
S BEEN PROVIDED TO THE WELL OWNER
12-18-02
'f�1E DATE
WELL
on of Water Quality, Groundwater Section, 1636 Mail Service Center -Raleigh, NC
21, within 30 days. GW-1 REV. 07/2001

266143
WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) 4I M E I(I CERTIFICATION # 2341
WELL CONTRACTOR COMPANY NAME Hltla W WFTT TIRE' T (2Q1 PHONE # [phone]C 0.35
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
I. WELL USE (Check Applicable Box): Residential 6( Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town: BIM County CAMEL
3315 BFF MIN. RD.
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
3. OWNER: C AYKN FHQFS
Address T315 PFF MIN 1211
(Sweet or Route No.)
III\DIR, NC 28645
City or Town State Zip Code
( 828)- 754-4471
Area code- Phone number
4. DATE DRILLED 11-26-02
5. TOTAL DEPTH: 3)5
6. DOES WELL REPLACE EXISTING WELL? YES NO ❑
7. STATIC WATER LEVEL Below Top of Casing. Y FT.
(Use"-- if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface'
• 'Top of casing terminated at/or below land surface requires a
variance hi accordance with ISA NCAC 2C .OI1&
9. YIELD (gpm): 3 METHOD OF TEST RV ATR TR1'
10. WATER ZONES (depth):
11. DISINFECTION: TypdI1H TARS Amount 57
12. CASING: Wall Thickness
Depth Diameter or Weight/Ft. Material
From_9_ To 87 FL 6Wt F C MASTIC
From To FL
From To Ft.
13. GROUT: Depth Material Method
From-0_ To 70 Ft. Ma Tr FII HFD
From To FL
14. SCREEN: Depth Diameter Slot Size Material
From To Ft in. in.
From To FL in. in.
15. SAND/GRAVEL PACK
Depth Size Material
From To Ft.
From To Ft
16. REMARKS:
LOCATION SKETCH
Show direction and distance in miles from at leash
two State Roads or County Roads. Include& roan
IV
0
m
N
W
Topographic/Land setting
❑Ridge ❑Slope ❑Valley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DEPTH DRILLING LOG
From To Formation Description
numbers and common road names.
N
JN - 2 2003
Submit the original to a Di
27699-1636 Phone No. ) 73
GROUNDWATER SECTION
ASHEVILLE RE3jCiNAL OFFICE
THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
AND THAT A COPY OF THIS 4'I RD HAS BEEN PROVIDED TO THE WELL OWNER
17-1 R- 02
SIGNATURE OF PERSON CO
THE WELL DATE
ision of Water Quality, Groundwater Section, 1636 Mail Service Center -Raleigh, NC
221, within 30 days. GW-1 REV. 07/2001

266142
Sub''
276"
GROUNDWATER SECTION
ASHEVILLE REGIONAL OFFICE
WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) Wef.M ILLS CERTIFICATION S/ 2343
WELL CONTRACTOR COMPANY NAME FIKICRY WEII. =I ' W. PHONE S/ (8281 324-02135
STATE WELL CONSTRUCTION PERMITS/ ASSOCIATED WQ PERMI X
(if applicable)
(if applicable)
I. WELL USE (Check Applicable Box): Residential%$( Municipal/Public ❑ Industrial 0 Agricultural 0
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town: LFNI)TR
County CAj)7WJEIT.
4745 SADffiIENE LANE
(Street Namc, Numbers, Community, Subdivision, Lot No., Zip Code)
3. OWNER: PAUL RTBINS
Address 4745 SON5gT9E TINE
1 nte IR, or
oute No. 5
City or Town State Zip Code
( R7)Ii- 758-9796
Area code- Phone number
4. DATE DRILLED 114B 02
5. TOTAL DEPTH: 165
6. DOES WFI I REPLACE EXISTING WELL? YES Kl(NO 0
7. STATIC WATER LEVEL Below Top of Casing: 20 FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface'
`Top of casing terminated at/or below land surface requires a
variance in accordance with 15A NCAC 2C .0118.
9. YIELD (gpm): 40 METHOD OF TEST AIR TEST
10. WATER ZONES (depth):
11. DISINFECTION: Type
12. CASING:
Depth
From 0 To Fib
From
Topographic/Land setting
[Midge ❑Slope ❑Valley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degrees/mim.tesfsecoods)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DEPTH DRILLING LOG
From To Formation Description
HIFI TABS Amount 30
Wall Thickness
Diameter or Weight/Ft Material
Ft SW (WV. STFFT
To Ft.
From To
13. GROUT: Depth
From_0_ To 20
From To
14. SCREEN: Depth
From To
Ft
Material Method
Ft. Mall' DIED
Ft
Diameter Slot Size Material
Ft. in. in.
From_ To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
To Ft.
To Ft.
From
From
16. REMARKS:
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the mad
numbers and common road names.
Ty �
my/ 26g - gave
J
I.V
cd
c -?
'qlN ,
--ice
.. n
_ —t
S
G
T WAS CONSTRU
TA COPY
TUBE OF PERSON
JAN - 2 2003
t the original to the Di sion of Water Quality, Groundwater Section, 1636 Mail Service Center -Raleigh, NC
221, within 30 days. GW-1 REV. 07/2001
IN ACCORDANCE WITH 15A NCAC 2C, WELL
CORD HAS BEEN PROVIDED TO THE WELL OWNER
11-12-Ca
CTING THE WELL DATE

From
From
17. REMARKS:
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
P.O. Box 29578 - Raleigh,N.C. 27626-0578-Phone [phone]
WELL CONSTRUCTION RECORD DRILLING CONTRACTOR:
DRILLER REGISTRATION #:
231013
Nusse(I Well Dr,•I/Ins ,LNC
aa3f
STATE WELL CONSTRUCTION PERMIT#:
1. WELL USE (Check Applicable Box): Residential E' Municipal ❑ Industrial ❑ Agricultural ❑ Monitoring ❑
Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below) n n e
Nearest Town: r-�O.olQt4J County. ! (.�k-ca-cµc.t'�c—
(Road, Community, or Subdivision and Lot No.)
OWNER 73»tA . (t.. t c)
ADDRESS PO Boy, .A -a.,
(Street or Route No.)
Pre4,28.�J
City or Town State
4. DATE DRILLED //— /3- 0 P-
5. TOTAL DEPTH qt '
6. CUTTINGS COLLECTED YES I NO 1'I""
7. DOES WELL REPLACE EXISTING WELL? YES [ I NOIr�
8. STATIC WATER LEVEL Below Top of Casing: !o ) FT.
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS / a FT. Above Land Surface*
' Casing Terminated aVor below land surface is illegal unless a variance is issued
in accordance with 15A NCAC 2C .0118
10. YIELD (gpm)- S. METHOD OF TEST Glut--
11. WATER ZONES (depth) 3575
078Gb1
Zip Code
DEPTH DRILLING LOG
From To Formation Description
rock
12. CHLWRINATION: Type ACTH
13. CASING:
Amount / azaY If additional space is needed use back of form
wall Thickness LOCATION SKETCH
Depth Diameter or Weight/Ft. M� serial (Show direction and distance from at least tworState
From To g Ft Roads, or other map reference points) .
From To Ft.
From To Ft
14. GROUT:
Depth Material Method
From a To so Ft g rawf poar€r/
From _ To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
To
To
Ft
Ft
2-I
7
Tay lersvr lie
I DO HEREBY CERTIFY' )1j. F $ V,✓�LL� VA CQNS�'RU� IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANC • f✓1¢ _! a _ ••-.CORD HAS BEEN PROVIDED TO THE WELL OWNER.
F CONTRACTOR OR AGENT
to Division of Water Quality and copy to welt owner.
GW-t REV. 1/98
DATE
GROUNDWATER SECTION
ASHEVILLE REGIONAL OFFICE

266903
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
020887
WELL CONTRACTOR Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: 2681
STATE WELL CONSTRUCTION PERMIT#. bteve Petty
1. WELL USE (Check Applicable Box): Residential
Municipal I I Industrial Agricultural ❑ Monitoring
Recovery I I Heat Pump Water Injection I I Other I I If Other, List Use:
I XI
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
BRICKYARD WAY OFF POWELL BRICKYARD RD. OFF A
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER ALBERT L TOWNSEND
Address 1146 BRICKYARD WAY ,
LENOIR (Street or Route No.) NC 28645
1 I
DRILLING LOG
From To
0 80
City or Town State
4. DATE DRILLED 11/7/2002
5. TOTAL DEPTH
6. CUTTINGS COLLECTED YES I I NO I1
7. DOES WELL REPLACE EXISTING WELL? YES I I NO
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
Use "+" if Above Top of Casing)
265
Zip Code
g TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated atfor below land surface requires a variance in accor-
10. YIELD (gpm): MET
HIOD06TESkz
Air
I
18
dance with 15A NCAC 2C.01
I I
DEPTH
Formation Description
DIRT
80 180 GRANITE
180 182 QUARTZ
182 255 GRANITE
255 257 QUARTZ
257 265 GRANITE
1. WATER ZONES (depth) qpm 0 ppm 256-251
12. CHLORINATION: Type HTH Amount 49
1
13. CASING:
Depth
From _ 0 To B5 Ft
From To Ft
From To Ft
14. GROUT:
Depth
From 0 To 20 Ft Cement
From To Ft
15. SCREEN:
Diameter
6 1/8
Wall Thickness
or Weight/Ft.
.350
Material
Material
PVC
Method
Gravity Flow
Depth Diameter Slot Size Material
From To Ft. in in
From To Ft in in
From To Ft in in
16. SAND/Gq,gill<LPAeK'�-�--�"-
_._._
f "\Depth Size t Material
From -.'' To -- -Ft
From H To Ft
17. REMARK$:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A C!PY OF THIS RE ORD HAS BEEN PROVIDED TO THE WELL OWNER.
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
1.Q Roads, or other map reference points)
\
meunk
uD^
—17
fV
O
0
e•
-
FOR OFFICE USE ONLY
SIGNATURE OF PERSON CONSTRUCT! THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days GW t REV. 12/99
Quad No:
Serial No.

WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) WAYNE I CND CERTIFICATION q 234'
EIIQCRY WELL L?IE IN CD. PHONE rs 021 324-0035
WELL CONTRACTOR COMPANY NAME
STATE WELL CONSTRUCTION PER.MITN ASSOCIATED WQ PERMrf#
(if applicable) (if applicable)
267010
1. WELL USE (Check Applicable Box): Residential tiC Municipal/Public 0 Industrial 0 Agricultural ❑
Monitoring D Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town: TIWIR County G;LLWEIL
.4WI'IN CREEK RD. IDT # 3
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
naurarcra M4R1( 8,4I13N
Address FO BCK 1769
(Street or Route No.)
HIC KCRY, NC 28603
City or Town State Zip Code
( 828)- 322-9235
Area code- Phone number
4. DATE DRILLED 11-20-02
5. TOTAL DEPTH: 345
6. DOES WELL REPLACE EXISTING WELL? YES D NO &X
7. STATIC WATER LEVEL Below Top of Casing: 60 FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface*
`Top of casing terminated at/or below land surface requires a
variance in accordance with 1SA NCAC 2C .0118.
9. YIELD (gpm): 10 METHOD OF TEST BY AIR TEST
10. WATER ZONES (depth):
Topographio/Land setting
[Ridge DSlope ['Valley DFlat
(check appropriate box)
Latitude/longitude of well Iocation
(degrees/minutcshecands)
Latitude/longitude source: 0UPSDTopographit; :iiap
(check box)
DEPTH DRILLING LOG
From To Formation Description
1 i. DISINFECTION: Type HIH TABS
12. CASING:
Depth Itielneter
From 0 To 135 Ft. 4
From To Ft.
From _ To Ft.
13. GROUT: Depth Material Method
From 0 To 20 Ft. (RISC FCURED
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To FL in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To FL
From To Ft.
Amount 60
Wall Thickness
orrWWeight/Ft. AV
16. REMARKS:
gREBY CEICTIFYT
cX/NST)L(jCTION St
S WELL WAS CONSTRUC LED IN A
THAT A COPY OF THIS RECOOf
GNATURE OF PERSON CONSTRU
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names.
/V
ORDANCE WITH 15A NCAC 2C, WELL
BEEN PROVIDED TO THE WELL OWNER
12-23-02
WELL DATE
ubmit the original to tyPJl)ivis on of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
.__---- butte lve. (1.11 733 32 1, within 30 days. OW-1 REV. 07/2001
FF rd�l �JE

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
264554
WELL CONSTRUCTION RECORD WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2687
020925 STATE WELL CONSTRUCTION PERMIT# Steve Reece
1. WELL USE (Check Applicable Box): Residential
Recovery Heat Pump Water Injection
X
Municipal El Industrial El Agricultural 0 Monitoring
Other If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County- CALDWELL
SAVVBRIAR CIRCLE OFF HUSBAND CREEK OFF BEE MT
(Road Name and Numbers, Community, or Subdivision and Lot No
DRILLING LOG DEPTH
3. OWNER JOHN FRANK CHURCH From To Formation Description
Address "ru DARRELL CHURCH , 4061 SAW BRIAR CIRCLE 0 70 DIRT
LENOIR (Street or Route No.) NC 28645 70 280 GRANITE
City or Town State Zip Code
280 283 QUARTZ
4. DATE DRILLED 10/29/2002 283 320 GRANITE
5. TOTAL DEPTH 320
6. CUTTINGS COLLECTED YES NO
7. DOES WELL REPLACE EXISTING WELL? YES I I NO
8. STATIC WATER LEVEL Below Top of Casing: 60 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 6 METHOD OF TEST Air
11. WATER ZONES (depth)'8 Prim 280-233 0 prim
0 porn 0 pprn
X
X
12. CHLORINATION: Type F" H Amount 54 If additional space is needed use back of form
13. CASING:
Depth Diameter
From 0 To 75 Ft 6 1/8
From To Ft
From To Ft
Wall Thickness
or Weight/Ft. Material
.350 PVC
14. GROUT:
Depth Material Method r1
From 0 To 20 Ft Cement Gravity Flown)
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
LOCATION SKETCH
- (Show direction and distance from at least two State
Roads, or other map reference points)
N loam
e eekwJ
,
9
`t Deer'brook ;?,
*1
17. REMARKS.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 1.64. C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPYQF THIS RECORD HAS BEEN PROVIDED I THE WELL OWNER.
Zet- r t- ( e�� l/ — 1 S Oc
FOR OFFICE USE ONLY
Quad No•
Serial No.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
264555
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: 2687
020688 STATE WELL CONSTRUCTION PERMIT#: Steve Reece
1. WELL USE (Check Applicable Box): Residential I X1 Municipal I I Industrial E Agricultural I I Monitoring
If Other, List Use.
Recovery 0 Heat Pump Water Injection I I Other
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: _ LENOIR County: CALDWELL
CRUMP RD. OFF MILLER HILL OFF SW BLVD LOOP OFF
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER CARROLL JUNE WOODRUFF
Address 2830 BRANCH CIRCLE ,
LENOIR IstreetorRouteNO.l NC 28845 70 100 GRANITE
City or Town state ZIP Code 100 103 SHALE
DRILLING LOG DEPTH
From To Formation Description
0 70 DIRT
4. DATE DRILLED 10/213/2002 103 240 GRANITE
5. TOTAL DEPTH 240
6. CUTTINGS COLLECTED YES I I NO
7. DOES WELL REPLACE EXISTING WELL? YES I I NO
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.011.0
10. YIELD (gpm): z METHOD OF TEST Air
11. WATER ZONES (depth):2 porn
0 pm 100-11,,, 00 gpm
X
X
12. CHLORINATION: Type ' Amount 45
13. CASING: Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 75 Ft 6 1/0 .350 PVC
From To Ft r�,G
From To Ft \v
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
17. REMARKS•
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
/9/4-c t �� — Ste— ddo)-
FOR OFFICE USE ONLY
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
264559
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2878
020745 STATE WELL CONSTRUCTION PERMIT#. Steve Price
1. WELL USE (Check Applicable Box): Residential X Municipal
Recovery Heat Pump Water Injection 0 Other
Industrial 0 Agricultural
If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
PRIVATE DR. OFF MULBERRY CHURCH RD. OFF KIRBY
I Road Name and Numbers, Community, or Subdivision and Lot No.l
3. OWNER JAMES W. BLAKE
Address 5733 MULBERRY CHURCH RD. ,
LENOIR (Street or Route Nod NC
28845
Monitoring
DRILLING LOG DEPTH
From To Formation Description
0 82 DIRT
82 105 GRANITE
City or Town state Zip code 105 108 GRANITE
4. DATE DRILLED 10/4/2002 108 123 GRANITE
5. TOTAL DEPTH 145 123 125 GRANITE
6. CUTTINGS COLLECTED YES I I NO I xi 125 137 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES I NO I XI 137 138 QUARTZ
8. STATIC WATER LEVEL Below Top of Casing' 20 FT. 138 145 GRANITE
Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)' 20 METHOD OF TEST Air
11. WATER ZONES (depth):3 qpm 105-108 7 qpm 123-125
10 ppm 137-138 0 qpm
12. CHLORINATION: Type HTH Amount
2
13. CASING: Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 88 Ft. 6 1/8 .350 PVC
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft. in in.
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
� 1-I
17. REMARKS•
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
FOR OFFICE USE ONLY
// -IS -6,2
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
264560
WELL CONSTRUCTION RECORD
020613
WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2878
STATE WELL CONSTRUCTION PERMITS!. Steve Price
1. WELL USE (Check Applicable Box): Residential X Municipal 0 Industrial E Agricultural 0 Monitoring
Recovery 0 Heat Pump Water Injection Other If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town LENOIR County. CALDWELL
PRIVATE P.D. OFF HWY 90 OFF SEILER CREEK RD. OF
Road Name and Numbers, Community, or Subdivision and Lot No.)
DRILLING LOG DEPTH
3. OWNER DENNIS RUPARD From To Formation Description
Address P.O. BOX 314 , 0 84 DIRT
COLLEIISlVr1_ttpptallo.) NC 28611 84 235 GRANITE
City or Town State Zip Code
4. DATE DRILLED 10/10/2002
5. TOTAL DEPTH 305
6. CUTTINGS COLLECTED YES I NO
7. DOES WELL REPLACE EXISTING WELL? YES
Ix
NO
X
235 236 GRANITE
236 280 GRANITE
280 281 GRANITE
281 305 GRANITE
8. STATIC WATER LEVEL Below Top of Casing: 80 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below and surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 3 METHOD OF TEST Air
11. WATER ZONES (depth)'1 ppm235-236 2 morn 280-281
npm 0 PPm
12. CHLORINATION: Type HTH Amount 46
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 90 Ft 6 1/8 .350 PVC
From To Ft
From To Ft
14. GROUT:
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
WIC. I
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
0,ayU t 1�
17. REMARKS: ' C.�,
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE ITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
FOR OFFICE USE ONLY
< Mlds4' A9- // -/S- D
Quad No -
Serial No
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
020785
264561
WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2878
STATE WELL CONSTRUCTION PERMIT#. Steve Price
1. WELL USE (Check Applicable Box): Residential
Recovery fl Heat Pump Water Injection
x
Municipal I I Industrial I I Agricultural I I Monitoring
Other El If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County. CALDWELL
PRIVATE DR. OFF HWY 90 OFF SE IZER CRK RD. OFF
I Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER WALTER E. FERSCH
Address 2195 14 AVE. SW. ,
VERO BtkrRoeteN0,l FL 32962
City or Town State
4. DATE DRILLED 10/7/2002
5. TOTAL DEPTH 305
6. CUTTINGS COLLECTED YES I NO
x
Zip Code
DRILLING LOG DEPTH
From To Formation Description
0 83 DIRT
83 180 GRANITE
180 1131 GRANITE
181 230 GRANITE
230 22,1 GRANITE
231 268 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES I I NO 288 287 QUARTZ
8. STATIC WATER LEVEL Below Top of Casing 60 FT. 287 291 GRANITE
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface* 292 305 GRANITE
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 10 METHOD OF TEST Air
11. WATER ZONES (depth)'1 gpm 180-181 2 pprn 2300-231
2 opm 288-207 5 gpm 291-292
12. CHLORINATION: Type NTH Amount 40 If additional space is needed use back of form
291 292 QUARTZ
13. CASING:
X
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 90 Ft 8 1/8 .350 PVC
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15, SCREEN:
Depth Diameter Slot Size
From To Ft in in
From To Ft in in
From To Ft. in in.
16. SAND/GRAVEL PACK:
Depth
From To Ft
From To Ft
Size Material
QQ,G
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
re
tz'y (-veerrc a, a
-
17. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
FOR OFFICE USE ONLY
//-7s-01-
Quad No:
Serial No.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
264562
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 28/8
020625 STATE WELL CONSTRUCTION PERMIT#• Steve Price
1. WELL USE (Check Applicable Box): Residential Municipal n Industrial El Agricultural ❑ Monitoring
Recovery I I Heat Pump Water Injection Other I I If Other, List Use:
I xl
II
2. WELL LOCATION: (Show sketch of the location below)
NearestTown• LENOIR
RICHLAND RD. OFF HWY 321
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER BOYD N. GREENE
Address 6777 RICHLAND RD. •
LENOIR (Street or Route No.) NC 28645 40 70 GRANITE
County' CALDWELt
I I
DRILLING LOG DEPTH
From To Formation Description
0 40 DIRT
City or Town State
Zip Code
70 71 GRABNITE
4. DATE DRILLED 10/3/2002 71 95 GRANITE
5. TOTAL DEPTH 145 95 95 QUARTZ
6. CUTTINGS COLLECTED YES I I NO I XI 96 130 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES I I NOF I XI 130 131 QUARTZ
8. STATIC WATER LEVEL Below Top of Casing: 10 FT 131 145 GRANITE
use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 15 METHOD OF TEST Air
11. WATER ZONES (depth)•3 PPrn70-71 5 Ppm 95-96
7 qom 130-131 0 ppm
12. CHLORINATION: Type HTH Amount 27
13. CASING:
Depth
From C' To
From To
From To
14. GROUT:
If additional space is needed use back of form
LOCATION SKETCH
Wall Thickness
Diameter or Weight/Ft. Material (Show direction and distance from at least two State
45 Ft 6 1/8 .350 PVC Roads, or other map re erence points)
Ft
Ft
LPG' 1
Depth Material Method
From 0 To 20 Ft Cement Gravity Row
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft. in in.
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
3)-
t
17. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
FOR OFFICE USE ONLY
I('/S -0.2
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD WELL CONTRACTOR.
020789
264563
Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2878
STATE WELL CONSTRUCTION PERMIT# Steve Price
1. WELL USE (Check Applicable Box): Residential X Municipal E Industrial I I Agricultural Monitoring
Recovery n Heat Pump Water Injection FT Other If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: 1 ENOIR County. CAI DWFI L
PRIVATE DR OFFRICH HOI I AR RD nFF STEELTOWN
Mead Name and Numbers, Community, or Subdivision and Lot Nal
3. OWNER rHARLES T GOODE
Address 4028 RICH HOLLOW RD..
DRILLING LOG DEPTH
From To Formation Description
0 50 DIRT
City or Town State 50 115 GRANITE
LENOIR I Street or Route No.) h)r
28645
Zip Code
115 118 GRANITE
4. DATE DRILLED 10/3/2002 118 160 GRANITE
5. TOTAL DEPTH 205 180 161 QUARTZ
6. CUTTINGS COLLECTED YES NO Ei 161 165 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES NO X I 185 186 QUARTZ
8. STATIC WATER LEVEL Below Top of Casing: 40 FT 186 205 GRANITE
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT. Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)' 4 METHOD OF TEST fir
11. WATER ZONES (depth)'1 corn 1 15-1'15 1 qpm 160-151
2 ppm 185-186 qpm
12. CHLORINATION: Type HTH Amount 35 If additional space is needed use back of form
13. CASING:
Wall Thickness LOCATION SKETCH
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least two State
From 0 To Sr%+ Ft 6 1/8 jai PVC Roads, or other map reference points)
From To Ft ���i``�,(
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in. S1.. r
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material ' `°
From To Ft l. 4.
From To Ft
17. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCOR lANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
Is
FOR OFFICE USE ONLY
Quad No'
fli- a /7 -/S
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Serial No

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: 2878
020635 STATE WELL CONSTRUCTION PERMIT#• Steve Price
2G4544
1. WELL USE (Check Applicable Box): Residential
Municipal I Industrial fl Agricultural I Monitoring
Recovery L I Heat Pump Water Injection I I Other I I If Other, List Use.
I xI
2. WELL LOCATION: (Show sketch of the location below) CALDWELL
Nearest Town: LENOIR County.
BUFFALO COVE RD. OFF HWY 268 OFF YADKIN RIVER
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER DEREK E. CRUMP
Address 5131 BUFFALO COVE RD. ,
LENOI R (Street or Route No.) NC 28845
City or Town State ZIP Code 70 71 QUARTZ
DRILLING LOG DEPTH
From To Formation Description
0 40 DIRT/ROCK
40 70 GRANITE
4. DATE DRILLED 10/2/2002 71 130 GRANITE
5. TOTAL DEPTH 205 130 131 QUARTZ
6. CUTTINGS COLLECTED YES I NO x 131 170 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES I I NO I X I 170 171 QUARTZ
8. STATIC WATER LEVEL Below Top of Casing: 20 FT 171 205 GRANITE
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118 Air
10. YIELD (gpm): 10 METHOD OF TEST
11. WATER ZONES (depth):2 gprr ' 3-71 2 porn 130-.131
6 gpm 170-171 0 gpm
12. CHLORINATION: Type HTH Amount 3g
13. CASING:
Depth Diameter
From 0 To 45 Ft 6 lie .350
From To Ft
From To Ft
14. GROUT:
Depth
From 0 To 20 Ft Cement
From To Ft.
15. SCREEN:
Wall Thickness
or Weight/Ft.
Material
Depth Diameter Slot Size
From To Ft in in
From To Ft in in
From To Ft in in
Material
FVC
Method
Gravity Flow
16. SAND/GRAVEL PACK:
Depth
From To Ft
From To Ft
Size Material
I I
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
C,)
17. REMARKS'
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
PT4,e/�//31/r, // - /S - o,:-
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days GW-1 REV. 12/99
FOR OFFICE USE ONLY
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
264545
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
020890
WELL CONTRACTOR CERTIFICATION #• 2878
STATE WELL CONSTRUCTION PERMITS/. Steve Price
1. WELL USE (Check Applicable Box): Residential
Recovery Heat Pump Water Injection
I XI
Municipal Industrial n Agricultural I Monitoring
Other If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWELL
WESTFIELD CT. OFF WESTOVER HEIGHTS OFF ZACKS
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER GREGORY L. SIMMONS
Address 3011 WESTOVER LANE
DRILLING LOG DEPTH
From To Formation Description
0 100 DIRT
(meat or Route N+ 645 100 190 GRANITE
LENOIRNC 280.
City or Town State Zip Code
190 191 GRANITE
4. DATE DRILLED 10114/2002 191 270 GRANITE
5. TOTAL DEPTH 305 270 275 GRANITE
6. CUTTINGS COLLECTED YES I I NO X 275 305 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES I I NO
X
8. STATIC WATER LEVEL Below Top of Casing: 50 FT
(use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 40 METHOD OF TEST Air
11. WATER ZONES (depth)'2 ppm 190-191 38 ppm 270-275
0 ppm 0 porn
12. CHLORINATION: Type HTH Amount 53
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 110 Ft 6 1/8 .350 PVC:
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ftin in
From To Ftin in
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
17. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
FOR OFFICE USE ONLY
Quad No•
// -/s - 0,2
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Serial No

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Sectio2 6 4 5 4
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
020734
WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #. 2878
STATE WELL CONSTRUCTION PERMIT#• Steve Price
1. WELL USE (Check Applicable Box): Residential
Recovery I I Heat Pump Water Injection
I KJ
Municipal
Other
I I
Industrial El AgriculturalI I Monitoring
If Other, List Use•
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CAI DWFI I
PRIVATE DR nFF OLD JOHNS RIVER RD OFF Wei 90
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER RUSSFI L L MCGALLIARO
Address 2724 OLD JOHNS RIVER RD
COI LETTS±if(_ifOete No I NC
City or Town State
4. DATE DRILLED 10/8/2002
5. TOTAL DEPTH 305
6. CUTTINGS COLLECTED YES I I NO
7. DOES WELL REPLACE EXISTING WELL? YES I I NO El
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT. Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpml' 2 METHOD OF TEST Air
11. WATER ZONES (depth)1/4 qpm 100-101 1/4 qpm 173-174
1/2 qpm 250-251 1 qpm 205-295
12. CHLORINATION: Type HTH Amount 57
28811
Zip Code
13. CASING:
I XI
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 35 Ft 6 1/8 350 PVC
From To Ft.
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft. in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth
From To Ft
From To Ft
Size Material
I I
DRILLING LOG DEPTH
From To Formation Description
0 3n DIRT
;n 100 GRANITE
100 101 GRANITE
101 173 GRANITE
173 174 GRANITE
174 250 GRANITE
250 251 QUARTZ
251 295 GRANITE
295 296 GRANITE
2g6 305 GRANITE
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
4
17. REMARKS: .
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
D/U-P/N% Aic_s2. // —%S —0.-2
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
2%
FOR OFFICE USE ONLY
Quad No'
Serial No

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
264548
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc
WELL CONTRACTOR CERTIFICATION #: 2878
020787 STATE WELL CONSTRUCTION PERMIT# Steve Price
1. WELL USE (Check Applicable Box): Residential
Municipal I I Industrial
Recovery I I Heat Pump Water Injection I Other f I If Other, List Use.
I xl
Agricultural Monitoring
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: BLOWING ROCK County: CALDWELL
LITTLE ROCK CANYON RD. OFF WHITE ROCK RD 0 FF
(Road Name and Numbers,Community, or Subdivision and Lot No.) DRILLING LOG DEPTH
3. OWNER CHARLES L. STRADER From To Formation Description
Address 7124 WILLOW BEND RD. , 0 140 DIRT
28227 140 315 GRANITE
CHARLO11tEt or Route No.l NC
City or Town State Zip Code 315 316 GRANITE
4. DATE DRILLED 10/31/2002 316 410 GRANITE
5. TOTAL DEPTH 465 410 412 GRANITE
6. CUTTINGS COLLECTED YES 0 NO I X1 412 465 GRANITE
xI
7. DOES WELL REPLACE EXISTING WELL? YES I 1 NO
8. STATIC WATER LEVEL Below Top of Casing: B0 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118 Air
10. YIELD (gpm)• 1 METHOD OF TEST
11. WATER ZONES (depth)•1/2 ppm 315-316 1/2 ppm 410-412
0 ppm 0 ppm
12. CHLORINATION: Type HTH Amount 76
If additional space is needed use back of form
13. CASING: LOCATION SKETCH
Wall Thickness
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least two State
From 0 To 145 Ft 6 1/8 .350 PVC P Roads, or other map reference points)
From To Ft k`'
�o� � 2-1
From To Ft \ •
D
14. GROUT:
From
Depth Material Method IZti tygv
0 To 20 Ft Cement Gravity Flow -,
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft
(C .f
i 4,2 T 4_ cti
VA17
v
17. REMARKS.
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELLOWNER.
l t I'(/j / // ±5 —o
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days GW-1 REV. 12/99
FOR OFFICE USE ONLY
Quad No:
ce,
Serial No.

263486
WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
tsar, u+ICATION # 7 43
WELL CONTRACTOR (INDIVIDUAL) NAME (print) l4A PRONE OfATI �%4"
WELL CONTRACTOR COMPANY NAMQ irWRV af'TT TIRTTTTN; m
ASSOCIATED WQ PERMIT#
(if applicable)
STATE WELL CONSTRUCTION PERMIT#
(if applicable)
I. WELL USE (Check Applicable Box): Residential 0 Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection ❑ Other 0 If Other, List Use
2. WELL LOCATION: County Cl1i 11RL
Nearest Town: SE
5469 AND 141
(Street Name, Numbers, CamounitY, Subdivision, Lot No.. Zip Code)
3. OWNER: l Aii3^h1. I(1IQIY
Address li) ILK ZA.I)
(street or RouteNa)
UMW, 1t 28645
city
wTown
(828 - 7728-81b2g5, State Zip Code
Atea code- Phone m m lO"�-OZ
4. DATE DRILLED
5. TOTAL DEPTH: 245
6. DOES WFT.r REPLACE EXISTING WELL? YES ❑ONO N
7. STATIC WATER LEVEL Below Top of Casing
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface`
*Top of cuing terminated atlor below laud sedate requires a
variance In accordance with 15A NCAC 2C Aug.
9. YIELD (gpm): 8 METHOD OF TEST BY AIR TEST
10. WATER ZONES (depth):
11. DISINFECTION: Type NTH T)1RS
l2. CASING:
Depth r
From 0 To % Ft a
From To Ft.
From To Ft.
13. GROUT: Depth Material
From_ To_— FL ciuir
From To Ft.
GRO
ASHEVILLE REGIONAL
14. SCREEN: Depth Diameter
From To FL in.
From To Ft. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From_ To FL
From To Ft.
Amount 49
Wall Thickness
or Weight/FL Material
Goa STEEL
Topographic/Land setting
[Midge ❑Slope Malley ❑Flat
(cheek appropriate box)
Latitudellongitade of well location
(degoeshnimdesisceoods)
Latitude/longitude source:OGPS❑Topographic map
(check box)
DEPTH ARILLING LOG
From To Formation Description
Method
POURED
Slot Size Material
16. REMARKS:
in.
in.
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common mad names.
s1/ It-""
p i
W Q Q
6°au. 5
T THIS WELL WAS CONSTRUCTED
S, AND THAT A COPY OF THIS
SIGNATURE OF PERSON CONSTR
CCORDANCE WITH ISA NCAC 2C, WELL
HAS HFFN PROVIDED TO THE WELL OWNER
Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
733-3221, within 30 days. GW-I REV. 07/2001

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Sectig
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
62264
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: 2878
020784 STATE WELL CONSTRUCTION PERMITt Steve Pnce
1. WELL USE (Check Applicable Box): Residential
Recovery 0 Heat Pump Water Injection
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR
INDIAN GRAVE RD. OFF HWY 321
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER HAVARD D. OLIVER/NANCY OLIVER
Address 2802 INDIAN GRAVE RD. ,
LENOIR (Street or Route No.) NC 28645
City or Town State Zip Code
Municipal Industrial 0 Agricultural Monitoring 0
Other 0 If Other, List Use
County' CALDWELL
DRILLING LOG DEPTH
From To Formation Description
0 82 DIRT SAND
82 150 GRANITE
150 151 GRANITE
4. DATE DRILLED 9/17/2002 151 258 GRANITE
5. TOTAL DEPTH 305 258 259 GRANITE
6. CUTTINGS COLLECTED AYES El NO 259 283 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES El NO 0
8. STATIC WATER LEVEL Below Top of Casing: 2 FT 285 305 GRANITE
(Use "+' if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
'Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.011$
10. YIELD (gpm)• b METHOD OF TEST Air
11. WATER ZONES (depth):1 ppm 150-151 1 ppm 258-259
3 ppm 283-285 0 ppm
12. CHLORINATION: Type NMI Amount 84
283 285 GRANITE
13. CASING: Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 90 Ft 6 1/8 .350 PVC
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN: tt
Depth Diameter Slot Size Material „J
From To Ft in
From To Ft in
From To Ft in
16. SAN
From
From
Deh
E
II
17. REM r RKS•
I DO EREB CERTIFY THAT THIS W: LL W S CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CON RUC b HAT COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
ASHEVIL'r RICO 4v ,g
To
Ft
in
in
in
Material
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
FOR OFFICE USE ONLY
Quad No:
kceaw
4-- I A 0
Irecco-
4
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
262263
WELL CONSTRUCTION RECORD WELL CONTRACTOR- Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION St. 2878
020819 STATE WELL CONSTRUCTION PERMITS/• Steve Pnce
1. WELL USE (Check Applicable Box): Residential El Municipal 0 Industrial Agricultural P Monitoring 0
Recovery El Heat Pump Water Injection f I Other I I If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR
HWY 18 OFF 1-fWY 321
(Road Name and Numbers, Community, or Subdivision and Lot No.)
I I
County: CALDWELL
DRILLING LOG DEPTH
3. OWNER OLIVER WILLARD GREENE From To Formation Description
Address 41801ti1LKESBORO BLVD , 0 1 i0 DIRT/SAND
BOOMERistreet or Route No.) NC 28606 110 135 GRANITE
City or Town State Zip Code 135 138 GRANITE
4. DATE DRILLED 9/27/2002 136 163 GRANITE
5. TOTAL DEPTH 205 183 184 QUARTZ
6. CUTTINGS COLLECTED YES 0 NO I XI 184 185 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES NO X 185 187 QUARTZ
8. STATIC WATER LEVEL Below Top of Casing: 20 FT 187 205. GRANITE
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
'Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.01
10. YIELD (gpm): 3 METHOD OF TEST Air
11. WATER ZONES (depth):1 gpm 135-136 1 gpm 183-184
3 ppm 185-187 0 gpm
12. CHLORINATION: Type HTH Amount 3g
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 120 Ft 6 1/8 .350 PVC
From To Ft
From To Ft
14. GROUT:
From
From
Depth Material Method
D To 20 Ft Cement Gravity Flow
To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in
From To Ft in
From To Ft in
16. SAND/GRAVEL PACK:
From
From
17. REMARKS.
I DO HEREBY
CONSTRUCTI
FOR OFFICE US
TIF THAT THIS WELL WAS
ST'NDARDS
ATER
GROUNDSECTION
E'REG REGIONAL OFFF,
\',�1LrL-IlIL7ri -�+
Quad No:
in
in
in
aterial
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
' of lr
to
RUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
F THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
—O
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
I�Nryw.Oi
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section 62262
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Rump Co., Inc.
WELL CONTRACTOR CERTIFICATION Sr 2878
020788 STATE WELL CONSTRUCTION PERMIT#• Steve Price
1. WELL USE (Check Applicable Box): Residential I XI Municipal E Industrial
Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWFLL
MULBERRY CRK RD. OFF KIRBY MOUNTAIN RD. OFF H
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER FRED M. EDMINSTEN
Address 3904 MULBERRY CRK RD.
LENOIR (Street or RouteNo.) NC 28845
City or Town State ZIP Code
4. DATE DRILLED 9/23/2002 170 171
5. TOTAL DEPTH 205
6. CUTTINGS COLLECTED ,YES 0 NO 0
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.01113
10. YIELD (gpm). 3 METHOD
OF TEST
1 dram 30 137 2 ppm 170 171
11. WATER ZONES (depth):
0 ppm 0 porn
II
Agricultural Monitoring El
DRILLING LOG
From To
0 45
45 130
130 131
131 170
171 205
DEPTH
Formation Description
DIRT
GRANITE
QUARTZ
GRANITE
QUARTZ
GRANITE
12. CHLORINATION: Type HTH
13. CASING:
Air
Amount 39
I XI
If additional space is needed use back of form
LOCATION SKETCH
Wall Thickness
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least two State
From 0 To 50 Ft 6 1/8 .350 FVC �q a'
Roads, or other map reference points)
From To Ftgad�' J �f Ut\t
From To Ft V
fir
14. GROUT:
Depth Material
From 0 To 20 Ft Cement
From To Ft
15. SCREEN:
Depth
From To Ft in
From To Ft in
From To Ft in
17. REMARKS:
I DO HEREBY _FRTIFY THAT THIS WEL
CONST3UCTIO RBUL P
ASHEVILLE REGIONAL OFFICE
FOR OFFICE USE ONLY
Quad No
Diameter Slot Size
Method
Gravity Flow
Material
in
in
in
l
Oto
CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
:OPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
. � /0 -75 -0a
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days GW-1 REV. 12/99
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
262261
WELL CONSTRUCTION RECORD WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2878
020837 STATE WELL CONSTRUCTION PERMIT#• Steve Price
1. WELL USE (Check Applicable Box): Residential Municipal 0 Industrial 0 Agricultural El Monitoring El
Recovery I I Heat Pump Water Injection El Other 0 If Other, List Use:
I xl
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWELL
PRIVATE DR. OFF MULBERRY CREEK RD. OFF KIRBY M
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER JOE H. SNYDER
Address 834 CREEK RD. ,
POLK CI eet or Route No.) FL 33868 54 230 GRANITE
DRILLING LOG DEPTH
From To Formation Description
0 54 DIRT
City or Town State Zip code 230 231 QUARTZ
4. DATE DRILLED 9/25/2002 231 280 GRANITE
5. TOTAL DEPTH 405 280 281 QUARTZ
6. CUTTINGS COLLECTED ;YES 0 NO I XI 281 390 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES NO I XI 320 391 QUARTZ
8. STATIC WATER LEVEL Below Top of Casing: 20 FT 391 405 GRANITE
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 4 METHOD OF TEST Air
11. WATER ZONES (depth):1 ppm 230-231 1 ppm 280-281
2 ppm 390-391 0 ppm
12. CHLORINATION: Type HTHI Amount 76
If additional space is needed use back of form
13. CASING: Wall Thickness LOCATION SKETCH
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least two State
From 0 To 60 Ft 6 1/6 350 PVCy/ Roads, or other map reference points)
From To Ft „ „6`' 3 a
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft. Cement Gravity Flow
From To Ft.
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft
From To Ft
From To Ft
16. SAND/GRAVEL PACK:
From
From
17. REMARKS:
I DO HEREB
CONSTRUC
in
in
in
in
in
in
Size Material
CER IFY THAT IS WELL W
ION ANDARDS, AND THAT £ COP
GRO
FOR OFFICE
'ATER SECTION
EGIONAL OFFI E
•
t
STRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
ie
*
v
IGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone] 60
WELL CONSTRUCTION RECORD WELL CONTRACTOR- Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #- 2818
020805 STATE WELL CONSTRUCTION PERMIT#- Steve Pnce
1. WELL USE (Check Applicable Box): Residential 0 Municipal ❑ Industrial
Agricultural Monitoring ❑
Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
BROWN MTN. BEECH RD OFF ADAKO RD.. OFF HWY 9
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER JEAN HENDRICKS
Address 10E CEDAR CREST DR. ,
LENOIR (Street or Route No.) NC 28845
City or Town State
4. DATE DRILLED 9/2/2002
5. TOTAL DEPTH 185
6. CUTTINGS COLLECTED ;YES ❑ NO
7. DOES WELL REPLACE EXISTING WELL? YES
8. STATIC WATER LEVEL Below Top of Casing: 5
(Use "+' if Above Top
I>1
Zip Code
fl
NO
FT
of Casing)
I I
DRILLING LOG
From To
0 78
DEPTH
Formation Description
DI RT/MUD
78 87 GRANITE
87 0G QUARTZ
88 115 GRANITE
115 118 GRANITE/QUARTZ
118 132 GRANITE
132 133 QUARTZ
133 185 GRANITE
9. TOP OF CASING IS FT Above Land Surface*
Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.011.5
10. YIELD (gpm). METHOD OF TEST Air
11. WATER ZONES (depth):1 ppm 7-89 1 ppm 115-115
1 ppm 132-133 0 mom
12. CHLORINATION: Type HTH Amount 4
13. CASING:
Depth Diameter
From 0 To 08 Ft 8 1/4
From To Ft
From To Ft
14. GROUT:
Depth
From 0 To 20 Ft
From
15. SCREEN:
Wall Thickness
or Weight/Ft. Material
GAL V.
Material
Cement
.188
To Ft.
Depth
From To
From To
From To
16. SAND/GRAVEL PACK
From
From
17. REMARKS
I DO HERE
CONSTRU
Method
Gravity Flow
Diameter Slot Size Material
Ftin in
Ft in in
Ft in in
Y CERTIFY THAT THIS WELL IAS C
TION utteAppeywiseFegttPlb* A C
ASHEVILLE REGIONAL OFFICE
FOR OFFICE USE ONLY
Quad No'
Material
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points) ` d
3a-1
NSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
PY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
�� ),4,G-.a,/o -/6 - o a?
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
O
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
262259
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #- 2878
020695 STATE WELL CONSTRUCTION PERMIT#• Steve Pnce
WELL USE (Check Applicable Box): Residential ® Municipal 0 Industrial 0 Agricultural fl Monitoring 0
Recovery I I Heat Pump Water Injection n Other 0 If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
KILLIAN LANE OFF BROWN MOUNTAIN BEECH P.D. OFF
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER CHARLES K. CARPENTER
Address TO C.M. CARPENTER , 7930 KILLIAN LANE
COLLE1 I J V I LLfrute No.l NC 28011
City or Town State Zip Code
DRILLING LOG DEPTH
From To Formation Description
i7 78 DIRT/MUD
78 128 GRANITE
128 129 QUARTZ
4. DATE DRILLED 9/3/2002 129 180 GRANITE
5. TOTAL DEPTH 225 180 181 QUARTZ
6. CUTTINGS COLLECTED YES NO 181 225 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES NO
8. STATIC WATER LEVEL Below Top of Casing: 5 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
"Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 3 METHOD OF TEST Air
11. WATER ZONES (depth):1 ppm 128-120 2 ppm 180-181
0 ppm 0 ppm
XI
Ixl
12. CHLORINATION: Type `TH
13. CASING:
Amount 40
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 84 Ft 6 1/4 .188 GALV.
From To Ft trap;
From To Ft
14. GROUT:
From
From
Depth Material Method
0 To 20 Ft Cement Gravity Row
15. SCREEN:
To Ft
Depth Diameter Slot Size Material
From To Ft in
From To Ft. in
From To Ft in
16. SAND/GRAVEL PACK:
Fro
Fro
17. RE
ID
CO
■11
in
in
in
Material
HER: BY CERTIFY THAT THIS ELL
STR �W'.:, .: 11 .eTH
ASHEVILLE REGIONAL OFFICE
FOR . FFICE USE ONLY
Quad No:
Serial No.
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
e}ter cot
K; (I;4k
AS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
/0/S—D,2
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
4

North Carolina - Department of Environment and Natural Resources - Division of Water Qual
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
Y
Groundwater Section
262258
WELL CONSTRUCTION RECORD
WELL CONTRACTOR. Dewey Wright Well Pump Co., inc.
WELL CONTRACTOR CERTIFICATION St.2878
020629 STATE WELL CONSTRUCTION PERMIT*Steve Pnce
WELL USE (Check Applicable Box): Residential ❑X Municipal 0 Industrial LI Agricultural 0 Monitoring LI
Recovery 0 Heat Pump Water Injection 0 Other I If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
PRIVATE DR. OFF BLUE DOOR SCHOOL RD. OFF TAYL
(Road Name and Numbers, Community, or Subdivision and Lot No.)
DRILLING LOG DEPTH
3. OWNER LARP.Y W. JOINS, JR. From To Formation Description
Address 3645 BLUE DOOR SCHOOL RD. , 0 78 DIRT/SAND
LENOIR (Street or Route No.) NC 28645 78 268 GRANITE
City or Town Stale Zip Code 268 270 QUARTZ
4. DATE DRILLED 9/4/2002 270 305 GRANITE
5. TOTAL DEPTH 305
6. CUTTINGS COLLECTED YES I NO 71
7. DOES WELL REPLACE EXISTING WELL? YES I I NO III
8. STATIC WATER LEVEL Below Top of Casing: 50 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118 --
10. YIELD (gpm)• 12 METHOD OF12 ppm 3 TEST
a 0 ppm
11. WATER ZONES (depth)
0 ppm 0 ppm
12. CHLORINATION: Type Amount 5.,
If additional space is needed use back of form
13. CASING: Wall Thickness LOCATION SKETCH
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least two State
From 0 To 65 Ft 6 1/8. .350 PVC Roads, or other map reference points)
From To Ft\ifij`� Sa-, �.Y
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size
From To Ft in in
From To Ft in in
From To Ft in in
Material
17. REMA
I DO H
CONS
FOR OFFICE USE ONLY
for
CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
/D -/S Oo.
Quad No'
Serial No
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
262257
WELL CONSTRUCTION RECORD
020692
WELL CONTRACTOR. Dewey Wright Weil Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION it.2878
STATE WELL CONSTRUCTION PERMIT#- Steve Price
1. WELL USE (Check Applicable Box): Residential 0 Municipal Industrial Li Agricultural ❑ Monitoring 0
Recovery Li Heat Pump Water Injection I I Other 0 If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CAL
DWELL
JOHN R. HAGAMAN RD. OFF HWY 321
3.
I Road Name and Numbers, Community, or Subdivision and Lot No.)
OWNER THOMr1AS AUSTIN
Address 2288 SCOTTISH LANE ,
LENOI R (Street or Route No.I NC 28645
city or Town State
Zip Code
DRILLING LOG DEPTH
From To Formation Description
0 50 DIRT
50 70 GRANITE
70 71 QUARTZ
4. DATE DRILLED 9/12/2002 71 90 GRANITE
5. TOTAL DEPTH 205 90 91 GRANITE
6. CUTTINGS COLLECTED YES I I NO I XI 91 180 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES El NO I XI 180 181 GRANITE
8. STATIC WATER LEVEL Below Top of Casing: 20 FT 181 205 GRANITE
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT. Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.011
10. YIELD (gpm)• '0 METHOD OF TEST Air
11. WATER ZONES (depth)1 Own 70 71 1 ppm 9D 91
B ppm 180-181 0 ppm
12. CHLORINATION: TypeHT
F' Amount 30
If additional space is needed use back of form
13. CASING: LOCATION SKETCH
Wall Thickness
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least two State
From 0 To 55 Ft o 1i8 .350 PVC Roads, or other map reference points)
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft. Cement Gravity Flow
From To Ft CEMENT GRAVITY FLOW
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From - To Ft. in in
From To Ft in. in
16. SAND/GRAVEL PACK:
Depth
From
From
17. REMARK
I DO HER
CONSTR
FOR OFFIC
Size Material
RTIEY,T, HAa 4FIIS WELL
STANDARDS, AND THA
ER SEGiION
RE-IO :AL CEHO
ONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
PY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
r
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No
Serial No

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
262256
WELL CONSTRUCTION RECORD WELL CONTRACTOR: uerrey YYrlyri YYen rump k.ati., lie.
WELL CONTRACTOR CERTIFICATION #• 2878
020628 STATE WELL CONSTRUCTION PERMIT#• Sleve Pnce
1. WELL USE (Check Applicable Box): Residential 0
Recovery ❑ Heat Pump Water Injection
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
Municipal Industrial ❑
Other ❑ If Other, List Use:
COTTRELL PLACE OFF STONE MTh. OFF BUFFALO COV
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER DENNIS G. MEEK
Address 4114 COTFRELL PALCE ,
I ENOIR (Street or Route Na) NC 28645
City or Town State
Zip Code
Agricultural ❑ Monitoring ❑
DRILLING LOG
From
0
To
54
DEPTH
Formation Description
DIRT
54 90 GRANITE
30 91 QUARTZ
4. DATE DRILLED 9/17/2002 91 130 GRANITE
5. TOTAL DEPTH 145
6. CUTTINGS COLLECTED YES ❑ NO I XI 132 145 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES n NO n
8. STATIC WATER LEVEL Below Top of Casing: 15 FT
(Use "+" if Above Top of Casing)
130 132 QUARTZ
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 15 METHOD OF TEST Air
11. WATER ZONES (depth):2 ppm 90-91 13 ppm 130-132
0 ppm 0 ppm
12. CHLORINATION: Type HTH
13. CASING:
Depth
From 0 To 60 Ft 6 1/8
From To Ft
From To Ft
14. GROUT:
From
Diameter
0 To 20 Ft Cement
From To Ft
15. SCREEN
From
From
From
Depth Diameter Slot Size
To Ft in in
To Ftin in
To Ft in in
Amount
2'
Wall Thickness
or Weight/Ft. Material
.350 PVC
Depth Material Method
Gravity Flow
16. SAND/GRAVEL PACK:
Depth Size
From
From
17. REMARK
I DO HER
CONSTR
FOR OFFIC
Quad No.
Serial No.
!RTl&1tHP4f {4F1IS WELL
STANDARDS, AND THA
ER SECTION
IONAL OFFIC
Material
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State b.ewl�
Roads, or other map reference pois)
v
lit
ONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
PY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
/72 —/5-oR
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
262255
Material
U T 17. REMAR S � 9 �t
c I DO H ERE CERTIFY THAT tMb WE _roAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C WELL
CONS —RUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE ELL OWNER.
te i ire—/5—a,)
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
G
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Weil Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION it. 2878
020552 STATE WELL CONSTRUCTION PERMIT-ItSteve Price
1. WELL USE (Check Applicable Box): Residential Municipal n Industrial n Agricultural n Monitoring 0
Recovery CI Heat Pump Water Injection n Other If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENIOR County CALDWELL
400' INTO OPEN FIELD OFF HWY 28B OFF HWY321
(Road Name and Numbers, Community, or Subdivision and Lot NO
DRILLING LOG DEPTH
3. OWNER K. HENRY FRYE From To Formation Description
Address PO BOX 1851 , 0 130 DIRT/SAND
WI BLONUstRt5�`'1iuteNo1 NC 28605 130 350 GRANITE
City or Town State Zip Code 350 351 QUARTZ
4. DATE DRILLED 9/11/2002 351 430 GRANITE
5. TOTAL DEPTH 505 430 431 QUARTZ
6. CUTTINGS COLLECTED YES n NO n 431 505 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES n NO n
8. STATIC WATER LEVEL Below Top of Casing: 150 FT
(Use'+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
'Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 2 METHOD OF TEST Air
11. WATER ZONES (depth):1f2 ppm 350 351 1.5 ppm 430-431
0 ppm 0 ppm
12. CHLORINATION: Type HTH Amount 71
If additional space is needed use back of form
13. CASING: Wall Thickness LOCATION SKETCH
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least two State
From 0 To 137 Ft 6 1/6 .350 PVC Roads, or other map reference points)
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft.
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft. in in
From To Ft in in
16. SAND/GRAVEL PACK:
From
From
FOR OF
rLor.t,
T O Ftw
t
ECTION
IrF fill* wtENREGIONAL OFFICE
GROUNOWATE
Quad No:
GW-1 REV. 12/99
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
262254
WELL CONSTRUCTION RECORD
WELL CONTRACTOR Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 28 /8
020786 STATE WELL CONSTRUCTION PERMIT Steve Fnce
#•
1. WELL USE (Check Applicable Box): Residential FR Municipal fl Industrial Agricultural n Monitoring El
Recovery El Heat Pump Water Injection CI Other I I If Other, List Use:
[I
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
PINEY GROVE CIRCLE OFF F-NY 288 OFF YADKIN RIVE
(Road Name and Numbers, Community, or Subdivision and Lot No.)
DRILLING LOG DEPTH
3. OWNER MIARVIN L. FRYE From To Formation Description
Address 2287 PINEY GROVE CIRCLE , 0 55 DIRT
LENOIR (Street or Route No.) NC 28645 55 80 GRANITE
City or Town State Zip Code 90 9 1 QUARTZ
4. DATE DRILLED 9/12/2002 81 130 GRANITE
5. TOTAL DEPTH 205 130 131 RED GRANITE
6. CUTTINGS COLLECTED ;YES NO 131 170 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO AI 170 171 QUARTZ
8. STATIC WATER LEVEL Below Top of Casing: 40 FT 171 195 GRANITE
(Use "+" if Above Top of Casing) 195 196 GRANITE
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 1'g1ETHOD OF TEST ArPm 1 ppm 1 i0-131
198 205 GRANITE
11. WATER ZONES (depth):
1 ppm 1 /U-171 1 ppm 195-196
12. CHLORINATION: Type F,IH Amount 'c
If additional space is needed use back of form
13. CASING: Wall Thickness LOCATION SKETCH
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least two State
From 0 To 60 Ft 6 1/8 .350 PVC Roads, or other map reference points)
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size Material
To Ft
To Ft
From
From
17. REMARKS:
I DO HEREB
CONSTRUC
V LE
(FY THAT THIS WELL WAi
TANDARDS, AND THAT A
JSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
FOR OFFICE USE C1NLY
SIGNATURE OF PERSON CONSTRUCTING THE WELL
Quad No: GROUNDW4TER SEC$Ifb1hit original to Division of Water Quality, Groundwater Section within 30 days
ASHEVILLE REGIONAL OFFICE
O
DATE
GW-1 REV. 12/99
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD WELL CONTRACTOR.
262253
Dewey Wright Well Pump Co., Inc.
28/8
020791 Steve Pnce
STATE WELL CONSTRUCTION PERMIT#
WELL CONTRACTOR CERTIFICATION #•
1. WELL USE (Check Applicable Box): Residential 0 Municipal ❑ Industrial n Agricultural ❑ Monitoring ❑
Recovery ❑ Heat Pump Water Injection ❑ Other If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
COOL SPRINGS PLACE OFF BUFFALO RD OFF HWY 26
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER JOSEPH D. COTTRELL From
Address 1785 COOL SPRINGS PLACE ,
DRILLING LOG DEPTH
To Formation Description
0 43 DIRT SAND
i I (Street or Route No.l
LE�.O.R NC 28645
City or Town Sate Zip Code
43 115 GRANITE
115 11 t3 QUARTZ
4. DATE DRILLED 9/18/2002 118 170 GRANITE
5. TOTAL DEPTH 305 170 171 QUARTZ
6. CUTTINGS COLLECTED YES NO
7. DOES WELL REPLACE EXISTING WELL? YES I I NO El 280 261 GRANITE
8. STATIC WATER LEVEL Below Top of Casing: 30 FT
(Use "+' if Above Top of Casing)
171 260 GRANITE
I Al
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 6 METHOD OF TEST
Air
11. WATER ZONES (depth): ' p m 1 5 2 qpm 170-171
3 qpm 260-261 0 qpm
261 305 GRANITE
12. CHLORINATION: Type "iTM
13. CASING:
Amount 56
Wall Thickness
Depth Diameter or Weight/Ft.
From 0 To 50 Ft 6 1/8 .350
From To Ft
From To Ft
14. GROUT:
Depth Material
From 0 To 20 Ft Cement
From To Ft
15. SCREEN:
Material
PVC
Method
Gravity Flow
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth
From To Ft
From To Ft
17. REMARKS
I DO HEREB
CONSTRUC
Size
Material
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
0
r)
-73
j-YCiA€TH S Li A7‘:,4DNSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
retakRBS, AND I 11 a CADDY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
I �
FOR OFFICE
U�INLeoI
//5 —/5 (2.!
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Sub t origi ial to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No:
Serial No.
GROUNOW
ACIIEVILLE R
TER SECTION
GIONAL OFFICE

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION it. 28 /U
020606 STATE WELL CONSTRUCTION PERMIT*
Price
1.
1. WELL USE (Check Applicable Box): Residential Municipal Industrial 0 Agricultural n Monitoring LI
Recovery I Heat Pump Water Injection LI Other
If Other, List Use'
2. WELL LOCATION: (Show sketch of the location below)
LENOIR CALDWELL
Nearest Town: County:
MOONAEAN LANE OFF H`7JY 90 OFF MW' 18 OFF HWY
IRoad Name and Numbers, Community, or Subdivision and Lot No.)
DRILLING LOG DEPTH
3. OWNER VARY L. SAUNDERS From To Formation Description
Address 2442 SPRING MEADOW RD. , 0 50 DIRT
LENOIR (Street or Route No.) NC 28845
50 90 GRANITE
City or Town State ZIP Code
4. DATE DRILLED 9/19/2002
5. TOTAL DEPTH 145
6. CUTTINGS COLLECTED YES LI NO
7. DOES WELL REPLACE EXISTING WELL? YES I I NO
8. STATIC WATER LEVEL Below Top of Casing: 30 FT
(Use "+" if Above Top of Casing)
Ix'
90 91 GRANITE
91 110 GRANITE
110 111 QUARTZ
111 130 GRANITE
130 132 GRANITE
132 145 GRANITE
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.01 MIn PIP
10. YIELD (gpm): O METHOD OF TEST ppm 110-111
11. WATER ZONES (depth)' pm 80 91p
45 ppm 130-132 0 porn
12. CHLORINATION: Type Hi H Amount 23 If additional space is needed use back of form
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
C .4 rn
From u To '-'L,
From To Ft
From To Ft.
14. GROUT:
t
Depth Material Method
From 0 To 20 Ft Cement
From To Ft
15. SCREEN:
Gravity Flow
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth
From To
From To
Size
Ft
Ft
Material
17. REMARKS'
I DO HEREBY
CONSTRUCT!
FOR OFFICE L
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
;j
e
S
I Ir
TFTATi+ISWPIIWAS EONSTRUCTED IN ACCORDANCE WITH iSA NCAC 2C, WELL
TANDARDS, AND THAT A. OEN/ OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
LYOCT 24:"
r_
S GNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submitorigin Ito Division of Water Quality, Groundwater Section within 30 days
GROUNDWATER SECTION GW-1 REV. 12/99
ASHEVILLE REGIONAL OFFICE
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
262251
WELL CONTRACTOR Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION it. Ld/B
020589 bteve I'n .e
STATE WELL CONSTRUCTION PERMIT#•
Y
WELL USE (Check Applicable Box): Residential Municipal I I Industrial 0 Agricultural n Monitoring
Recovery 0 Heat Pump Water Injection 0 Other n If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWELL
LOT# 14 IN AUSTIN CRK OFF ROBY MARTIN RD. OFF H
I Road Name and Numbers, Community, or Subdivision and Lot No.)
DRILLING LOG DEPTH
3. OWNER WILLIAM STROPI4CH III From To Formation Description
Address % APPLE CRKHOMES INC. , 1018 CAMBRIDGE CT 0 10 DIRT
LENOIR (Street or Route No) NC 28645 10 450 GRANITE
City or Town State Zip Code 450 451 GRANITE
4. DATE DRILLED g/212002 451 570 GRANITE
5. TOTAL DEPTH 605 570 571 GRANITE
6. CUTTINGS COLLECTED :YES LI NO 7 571 605 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES P1 NO
8. STATIC WATER LEVEL Below Top of Casing: 180 FT
(Use "a' if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.011$
10. YIELD (gpm): A METHOD OF TEST Par
1)2 ppm45C-451 1.5 ppm 570-571
11. WATER ZONES (depth):
0 p.pm 0 qpm
x
12. CHLORINATION: Type HTH
Amount 88
13. CASING: Wall Thickness
Depth Diameter or Weight/Ft. Material
From To 21 Ft 6 1/4' .136 G.ALV
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
Depth
From To Ft.
From To Ft
17. REMARKS:
I DO HEREBY C
CONSTRUCTION
Size Material
FOR OFFICE USE
Quad No:
HAT TH S WELL WAS
DARDS, AND THAT A C
OCT 2 4 2002
SIGN
GROUNDWATER W7Cti?iCddiginal to
ASREV'IL_E REGIC'NAI n`FICE
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at It two State
Roads, or other map reference paints)
li,1r =
RUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
= THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
//J /S -O ?
1TURE OF PERSON CONSTRUCTING THE WELL DATE
Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
020846
262250
WELL CONTRACTOR- Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2878
STATE WELL CONSTRUCTION PERMIT# Steve Price
1. WELL USE (Check Applicable Box): Residential 0 Municipal I I Industrial
Recovery Heat Pump Water Injection El Other ❑ If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County. CALDWELL
OLD JOHN RIVER RD. OFF HIWY 90 OFF SEILtR CREE
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER THOMAS L. MUSS
Address 404 TOMLINSON COURT
LENOIR (Street or Route No.I NC 29845
I
Agricultural El Monitoring
DRILLING LOG DEPTH
From To Formation Description
0 36 DIRT
36 70 GRANITE
City or Town State Zip Code 70 71 GRANITE
4. DATE DRILLED g/16/2002 71 130 GRANITE
5. TOTAL DEPTH 305 130 131 GRANITE
6. CUTTINGS COLLECTED YES 0 NO 0 131 250 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO I XI 250 251 GRANITE
8. STATIC WATER LEVEL Below Top of Casing: 70 FT 251 305 GRANITE
(Use °+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
"Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 5 METHOD OF TEST Air
11. WATER ZONES (depth)• 1 ppm 70-/ 1 1 ppml 130-131
3 gpm250-251 0 opm
12. CHLORINATION: Type HTH Amount 57
13. CASING: Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 42 Ft 6 1/8 .350 FVC
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To L0 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in.
From To Ft in in
16. SAND/GRAVEL PACK:
Depth Size
From To Ft
From To Ft
Material
17. REMARKS'
I DO HEREBY
CONSTRUCTI
FOR OFFICE U
Quad No:
Serial No.
E C
0
W
LS
TIIIC WC_L
CCN
C
IANDARDS,
Y TIIAT
AND THAT A
OCT 2 4 2002
S_
LY
Culprit
SR
igina
GROUNDNATER
ASHEVILLE
SECTION
REGIONAL OFFICE
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
Nit
0
TRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
P�rJ,�ii,P 3 /,7 /s—o-L
NATURE OF PERSON CONSTRUCTING THE WELL DATE
Division of Water Quality, Groundwater Section within 30 days GW-1 REV. 12/99

'WELL CONSTRUCTION RECORD
North Carolina - Department;of Environment and Natural Resources - Division of Water Quality - Groundwater Section
tu
WELL CONTRACTOR (INDIVIDUAL) NAME (print) heintcC 14-3r Coll �c,S
WELL CONTRACTOR COMPANY NAME ' Yadkin Well CORI anY Inc.
SPATE WELL CONSTRUCTION PERMIT# - ASSOCIATED WQ PERMIT#
(if applicable)
(if applicable)
CERTIFICATION # 345 2 8'
PHONE Of (33f-468-4440
I. WELL USE (Check Applicable Box): Residential' Municipal/Public ❑ Industrial ❑ Agricultural ❑
Monitoring ❑ Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use
2. WELL LOCATION:
Nearest Town: reiej tA H.- County6/cfti.a.e-Ce
(Street Name, Numbers. Community, Subdivision, Lot No., Zip Code)
3. OWNER: Q JC d
�fdWw rr .
Address 9-(89 04le,b na,
(Street or Route No.)
„ _C rv. I -VIC,
(an- 7-rel- To77
Area code- Phone number
4. DATE DRILLED 7/l°1/2a,
5. TOTAL DEPTH: • aDt)
6. DOES WELL REPLACE EXISTING WELL? YES ElNOS.
7. STATIC WATER LEVEL Below Top of Casing: '� O ` FT.
of
(Use "+" if Above Top Casing)
8. TOP OF CASING IS 11 FT. Above Land Surface'
`Top of casing terminated at/or below land surface requires a
variance in accordance with 1SA NCAC 2C .0118.
9. YIELD (gpm)• 1 3. METHOD�AOF TEST air um
10. WATER ZONES (depth): WC- I AVM) the
7 PM
From
From
From To
13. GROUT: Depth
From_a_ To a0
From To
14. SCREEN: Depth
From To
From To
15. SAND/GRAVEL PACK:
Depth
C•tle /
City or To n State
I I. DISINFECTION: Type H'PH
12. CASING:
0
Fr
°O°°����
Ert
16. RE
W
I DO HE
CONSTF
Depth Diameter
To UIFt.G,��S
To Ft.
Ft.
kH
Zip Code
orrice,
,*1-4- 7(7
Topographic/Land setting
❑Ridge '((Slope ❑Valley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DRILLING LOG
Formation Description
Soil
Gety9-(o,
n It rt y/
DEPTH •
From To '
c9
I/I r - c%dv'
Bit Ser. #
g1D9,3 -G
Size off
4rob
q� LOCATION SKETCH
Amount 4fr BPS Show direction and distance in miles from at least
Wall Thickness two State Roads or County Roads. Include the road
SDR-D
or Wei htFt. Material numbers and common road names.
I P"c
rMaterial __Method
Ft. • t' HtC► 4C - / Pei (lc
Ft. 4M„IA act are
DiaMeter Slot Size aterial
Ft.
Ft.
ttLZ
Size
inin.
in. in.
Material
Dt
J
lEBY ERTIFY THAT THIS WELL WAo
U STANDARDC AND THAT A C
R b(ATER SIC T
Ol I EIC
6d4w 11 wf(krr6-C
13 1a'
(00pef/
;s"L1Ci w:ve.(
CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
OPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE f �� ~
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center -Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-I REV. 07/2001

261394
WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) WANE KM CERTIFICATION * 2343
WELL CONTRACTOR COMPANY NAME HLQ ' WELL In1[ CO. PHONE * 628 ) 324-0035
STATE WELL CONSTRUCTION PERMIT* ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): Residential tZ Municipal/Public ❑ Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town: T FNMA County C ]I[WT L
2986 7c'ck's Fork Fd. Tenor. NC 28645
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
3. OWNER: Cathy Filer
Address 2 NbxkirgbiYd Tat
(Street or Route No.
286�
Granite Fal Ls
City or Town State Zip Code
( 828)- 758-386
Area code -Phone number
s$-02
4. DATE DRILLED
5. TOTAL DEPTH: 245
6. DOES WELL REPLACE EXISTING WELL? YES NO ❑
7. STATIC WATER LEVEL Below Top of Casing: 20 FT.
(Use "+- if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface*
*Top of casing terminated at/or below land surface requires a
variance In accordance with 15A NCAC 2C .0118. Air Test
9. YIELD (gpm): 3 METHOD OF TEST By
10. WATER ZONES (depth):
Topographic/Land setting
❑Ridge ❑Slope OValley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DEP 1 H DRILLING LOG
From To Formation Description
11. DISINFECTION: Type HIH Tabs Amount 47
12. CASING: Wall Thickness
Depth
t72 Dieter or Weight/Ft teal
0
From To Ft.
From To Ft
From To Ft.
13. GROUT: Depth Material Method
From 0 To 20 Ft GHOUL FAD
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft
16. REMARKS:
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names.
0
�.o
ra
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRU
CONSTRUCTION STANDARDS, ANDpPY OF
ACCORDANCE WITH 15ANCAC 2C, WELL
CORD HAS BEEN PROVIDED TO THE WRIT OWNER
SIGNATURE OF PERSON CONSTRUCTING THE WELL
09-23-02
DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center -Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-1 REV. 07/2001

WELL CONSTRUCTION RECORD
261403
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) 14‘)NE ILIA CERTIFICATIONS, 2%3
WELL CONTRACTOR COMPANY NAME HLQCEC W IL IIII.LIIT CD. PHONE d ( 324-0035
STATE WELL CONSTRUCTION PERMITS, ASSOCIATED WQ PERMTTO
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): Residentia00 Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery ❑ Heat Pump Water Injection ❑ Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town: T FISITR
1155 MTKF. T(IYF WW)
(Street Name, Numbers, Community, Subdivision, Lot N0. Zip Cade)
County CAT FLIEFf
3. OWNER: WV R. AN4 (72/a;
Address 1155 MIFF T(TTTI WW1
(Street or Route No.)
I1NDIR
28E45
City or Town State Zip Code
(828 )- 758-9710
Area code- Phone number
4. DATE DRILLED 09-Q3-02
5. TOTAL DEPTH: 285
6. DOES WELL REPLACE EXISTING WELL? YES YX NO 0
7. STATIC WATER LEVEL Below Top of Casing: 32 FT.
(Use "F" if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface*
`Top of casing terminated at/or below land surface requires a
variance in accordance with ISA NCAC 2C .0118.
9. YIELD (gpm): 33 METHOD OF TEST BY AIR TEST
10. WATER ZONES (depth):
Topographic/Land setting
Midge ❑Slope ❑Valley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degmea/minutaisreands)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DEPTH PRILIJNG LOG
From To Formation Description
11. DISINFECTION: Type H1H TABS
12. CASING:Depth Diameter
From 0 a Ft.
From To Ft.
From To Ft
13. GROUT: Depth Material
From 0 To 70 Ft. (SYITT
Amount 53
Wall Thickness
or Weight/Ft Material
GALV. STEEL
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names.
vAtwviv
Method Ray, /�
POEM
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From__ To Ft. in. in.
From To Ft in. in.
15. SAND/GRAVEL PACK;
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRU
CONSTRUCTION STANDARDS, ANDA COPY OF
SIGNATURE OF PERSON CONS
W
ch0
CJ�6"aEGv
S
ACCORDANCE WITH I5ANCAC 2C, WELL
RD HAS BEEN PROVIDED TO THE WELT OWNER
.UCTING THE WELL
04-ll-02
DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-I REV. 07/2001

WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) laYIE CERTIFICATION p 73/43
WELL CONTRACTOR COMPANY NAME HTQCEW WELL I JI.IX CD. PHONE 0 1328)
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WQ PERMIT.*
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): Residential IX Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring ❑ Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town: T FNYTR County CA-1'
A178 HAKIT FY—KINCATD FL.
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
3. OWNER: CHRISTINE RREW
Address 3078 EARIiW-ICIWAID FL.
(Street or Route No.) 28645
LENOIR
City or Town State Zip Code
(828 )- 7S4-9935
Area code- Phone number
4. DATE DRILLED CFMJ5C2
5. TOTAL DEPTH: 245
6. DOES WELL REPLACE EXISTING WELL? YES p NO FT.0
7. STATIC WATER LEVEL Below Top of Casing:
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface'
*Top of casing terminated at/or below land surface requires a
variance In accordance with ISA NCAC 2C .0118.
9. YIELD (gpm): 3:) METHOD OF TEST BY AIR TEST
10. WATER ZONES (depth):
261402
Topographic/Land setting
[Ridge ❑Slope ❑Valley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
(check box)
DEPTH DRILLING LOG
From To Formation Description
11. DISINFECTION: Type HTH TARS
12. CASING:
Depth
From 0 To 128
From To
From To
13. GROUT: Depth
From 0 To 20
D_;Arpeter
Ft o
Ft
Ft.
Material
Ft CRON
Amount 47
Wall Thickness
or Weight/Ft. Material
CALV. S1kL
Method
ECURFD
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common road names. C'
W
s
E,,WG
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS ! I RD HAS BEEN PROVIDED TO THE WFI I OWNER
W41-02
SIGNATURE OF PERSON CONS
G THE WELL
DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center -Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-1 REV. 07/2001

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section -
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
261772
WELL CONSTRUCTION RECORD
WELL CONTRACTOR Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #. 2645
020518 STATE WELL CONSTRUCTION PERMIT#' Uewey Wnght
1. WELL USE (Check Applicable Box): Residential El Municipal I Industrial 0 Agricultural ❑ Monitoring fl
Recovery 0 Heat Pump Water Injection Other n If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
FLORA DR. OFF CONNELLY SPRI NGS RD. OFF HWY 32
(Road Name and Numbers, Community, or Subdivision and Lot No.)
DRILLING LOG
3. OWNER ROBERT E. BROWN From To Formation Description
Address 818 PENELL STREET. 0 60 SAND/DIRT
LENOI R (Street or Route No.) NC 28845 60 78 SHALE
City or Town State Zip Code
4. DATE DRILLED 8/2/2002 380 362 QUARTZ
5. TOTAL DEPTH 425 362 425
6. CUTTINGS COLLECTED YES I I NO
7. DOES WELL REPLACE EXISTING WELL? YES I I NO 7
8. STATIC WATER LEVEL Below Top of Casing: 100 FT
(Use'+• if Above Top of Casing)
DEPTH
78 360 GRANITE
I)1
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.012
10. YIELD(gpm)• METHpOD11FrI 2Air
0 ppm
11. WATER ZONES (depth):0 Om 0 ppm
12. CHLORINATION: Type HT Amount B7
13. CASING:
Depth
From 0 To
From To Ft
From To Ft
Wall Thickness
Diameter or Weight/Ft. Material
82 Ft 6 1/8
14. GROUT:
Depth
From 0 To 20 Ft Cement
From To Ft.
15. SCREEN:
16.
.350
Material
PVC
Depth Diameter Slot Size Material
From To Ft
From To Ft
From To Ft
'J F
rd>1rIr
'Frolti To
17.REMARKS:
I DO HEREBY CERTIFY TH
CONST UCTKONSTANRAB,S, AND THAT A SPY OF THIS RECORD H»S BEEN PiOVIDED TO THE WELL OWNER.
in
in
in
GRANITE/QUARTZ
in
in.
in
ize Material
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
0
3i-i ro
f-O
0
1111I0[0t Dr.
t
FOR OFFICE USE ONLY
LL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
SIGN U'E OF PERSON TRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
261771
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION Sr 2845
020538 STATE WELL CONSTRUCTION PERMIT#• Dewey Wright
1. WELL USE (Check Applicable Box): Residential Municipal 0 Industrial Agricultural 0 Monitoring 0
Recovery Heat Pump Water Injection 0 Other If Other, List Use:
x
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR - County CALDWELL
ALBERTON LANE OFF YADKIN RIVER RD OFF HWY 321
(Road Name and Numbers, Community, or Subdivision and Lot No.) DRILLING LOG DEPTH
3. OWNER BUFORD STEVE BALL From To Formation Description
Address P.O. BOP 13 , 0 40 DIRT
PATTERS& cmAceteNO.l NC 28861 40 55 GRANITE
City or Town State
4. DATE DRILLED 8/1/2002
5. TOTAL DEPTH 125
6. CUTTINGS COLLECTED YES 0 NO 0
7. DOES WELL REPLACE EXISTING WELL? YES I I NO P
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0119
10. YIELD (gpm)• 30 METHOD OF TEST Air
11. WATER ZONES (depth)30 gpm40-55 0 qpm
0 qpm 0 qpm
55 80 GRANITE QUARTZ
80 125
GRANITE
Zip Code
12. CHLORINATION: Type HTH
13. CASING:
From
From
From
Depth
0 To 47 Ft 8 1/8
14. GROUT:
To Ft
To Ft
Amount
22
Wall Thickness
Diameter or Weight/Ft. Material
350
PVC
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft
From To Ft
From To Ft.
17. REMARKS:
IDOHEREBY CMi=1FYSee •ISW
CONSTRUCTIONSTANDAIR13s,AND HAT AAOPY OF THIS RECORI HAS BEEN PROVIDED TO THE WELL OWNER.
•'( 2FHICE
in
in
in
in
in.
in.
If additional space is needed use back of form
0)
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points).
0
V =
'y4
c
C7
—o
`caIC;ft f ter 2cf1„
FOR OFFICE USE ONLY
Quad No:
LL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
SIGN RE OF PERS ONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
261770
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2645
020563 - STATE WELL CONSTRUCTION PERMIT#• Dewey Wright
WELL USE (Check Applicable Box): Residential I X Municipal ❑ Industrial ❑ Agricultural ❑ Monitoring ❑
Recovery El Heat Pump Water Injection ❑ Other ❑ If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CAI DWELL
PRIVATE DR OFF JOHNS RIVFR RD. OFF HWY 90 OFF
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER BRENDA JUSTICE
Address 1850 OLD JOHN RIVER RD,
COLLEit vfLt a1B"al NC
City or Town
28611
State Zip Code
4. DATE DRILLED 13/7/2002
5. TOTAL DEPTH 185
6. CUTTINGS COLLECTED YES ❑ NO 0
7. DOES WELL REPLACE EXISTING WELL? YES I I NO
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 3 METHOD OF TEST Air
11. WATER ZONES (depth)•1 ppm45 46 2 ppm 110-111
0 ppm 0 ppm
DRILLING LOG
From To
0 27
DEPTH
Formation Description
DIRT
27 45 GRANITE
45 48 SHALE
46 110 GRANITE
110 111 SHALE
111 185 GRANITE
12. CHLORINATION: Type HTH Amount 35
13. CASING:
X
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To Ft 6 1/8 350 PVC
From To Ft
From To Ft
14. GROUT:
Depth Material
From 0 To 20 Ft. Cement
From To Ft
15. SCREEN:
Depth
From To Ft in
From To Ft. in
From To Ft in
Diameter Slot Size
Method
Gravity Flow
Material
in
in.
in
16. SAND/GRAVEL PACK:
rit �i.;Dgptl1‘il Size Material
/ To
till „.
17URIEMARKS:
I DHEREBY CERTIFY THAT
COI1SIRUCTION-S
'IL, N
OFFICE
Submit original to
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State n
Roads, or other map reference points)
e
N.
�I
}ray 90
ELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
THAT A COPY OF THIS RECORD j1AS BEEN PROVIDED TO THE WELL OWNER.
T
SIGN gd>'1fiE OF PERSOIb`e NSTRUCTING THE WELL DATE
on of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

261389
WELL CONSTRUCTION RECORD
North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
WELL CONTRACTOR (INDIVIDUAL) NAME (print) WAYNE UK CERTIFICATION # 7'4R
WELL CONTRACTOR COMPANY NAME HI(1((RY VI I MENG CO. PHONE # 82H) 024-aR5
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE (Check Applicable Box): Residential EK Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring ❑ Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION:
Nearest Town: ANHIR County CALMELL
ItAILL
(Street Name, Numbers, Community, Subdivision, Lot No., Zip Code)
3. OWNER: RATITE CI TPPARD
Address 7KY) M T AN A A(F
_ (Street or Route No.)
LIIWIR IC 28645
City or Town State Zip Code
( 828 )- 758-1370
Area code- Phone number 08-29-02
4. DATE DRILLED
5. TOTAL DEPTH: 175
6. DOES WELL REPLACE EXISTING WELL? YESX& NO ❑
7. STATIC WATER LEVEL Below Top of Casing: 24 FT.
(Use "+" if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surfaces
'Top of casing terminated atlor below land surface requires a
variance In accordance with ISA NCAC 2C .0118.
9. YIELD (gpm): a) METHOD OF TEST BY AIR ]IST
10. WATER ZONES (depth):
Topographic/Land setting
❑Ridge ❑Slope ❑Valley ❑Flat
(check appropriate box)
Latitude/longitude of well location
(degrees/minutes/seconds)
Latitude/longitude source:❑GPSoTopographic map
(check box)
DEPTH DRILLING LOG
From To Formation Description
11. DISINFECTION: Type HEW IPS Amount 21
12. CASING: Wall Thickness
Depth Diameter1)or Weight/Ft. Material
m_ r
FroTo Li9 FL �j t Br Ft AS'FIe
From To FL
From To FL
13. GROUT: Depth
From 0 To 20
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
Material
Ft. CR(:III'
From To Ft
From To Ft.
Method
Fa RFD
LOCATION SKETCH
Show direction and distance in miles from at least
two State Roads or County Roads. Include the road
numbers and common mad names.
L
u)
rJ
16. REMARKS: -"
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF T1II RECORD HAS BEEN PROVIDED TO THE WELL OWNER
ste/
�1� 09-12-02
la ORE OF P STRUCTING THE WELL DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Center - Raleigh, NC
27699-1636 Phone No. [phone], within 30 days. GW-1 REV. 07/2001

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Sertioo
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone] b
0732
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: 2878
020546 STATE WELL CONSTRUCTION PERMIT#: Steve Price
1. WELL USE (Check Applicable Box): Residential IE Municipal
Recovery ❑ Heat Pump Water Injection I I Other
Industrial
If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
LAYTOWN RD OFF I -WY 268 OFF HWY 321
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER DENNIS GREER
Address 5880 LAYTOWN RD ,
LENI OR (Street or Route No.)
NC 28645
Agricultural ❑ Monitoring ❑
DRILLING LOG
From To
0 73
DEPTH
Formation Description
DIRT
73 110 GRANITE
City or Town State
4. DATE DRILLED 8/6/2002
5. TOTAL DEPTH 205
6. CUTTINGS COLLECTED YES I I NO El
7. DOES WELL REPLACE EXISTING WELL? YES I NO El
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use "+" if Above Top of Casing/
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 15 METHOD OF TEST Air
11, WATER ZONES (depth)•1 ppm 110 111 1 ppm 130-131
3 ppm 100-101 10 ppm 190-191
12. CHLORINATION: Type HTH Amount 3g
110 111 GRANITE/QUARTZ
111 130 GRABNITE
130 131 QUARTZ
131 150 GRANITE
150 151 QUARTZ
151 190 GRANITE
190 191 GRANITE
191 205 GRANITE
Zip Code
13, CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 85 Ft 6 1/8 .350 PVC
From To Ft.
From To Ft
14. GROUT:
Depth
From 0 To 20
Material Method
Ft Cement Gravity Flow
From To Ft
15. SCREEN
Depth Diameter Slot Size Material
From To Ft in in
From To Ft. in in
From To in in
SANLKGR'AVE� PP �1 1 i
Size Material
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at lest wo State
Roads, or other map reference pcS[js)
rn -.
t091} F - ' WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
r DS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
9
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
FOR OFFICE USE ONLY
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section 0 (3 1
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: 2878
020518 STATE WELL CONSTRUCTION PERMIT#• Steve Price
1. WELL USE (Check Applicable Box): Residential
Recovery fl Heat Pump Water Injection
I xl
Municipal Industrial fl Agricultural ❑ Monitoring
Other Li If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWELL
HWY 90 OFF SETZER CRK OFF WARRIOR RD OFF HWY
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER RONALD KEVIN HAMBY
Address P.O. BOX 2755 ,
LENOI R (Street or Route No.)
City or Town State
4. DATE DRILLED 8/13/2002
5. TOTAL DEPTH 405
6. CUTTINGS COLLECTED YES 0 NO
7. DOES WELL REPLACE EXISTING WELL? YES NO n
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 2 METHOD OF TEST Air
11. WATER ZONES (depth):1/2 ppm230-231 1/2 ppm 340-341
1 ppm 370-371 0 ppm
DRILLING LOG
From
0
To
DEPTH
Formation Description
55 DIRT.
55 230 GRANITE
230 231 GRANITE
231 340 GRANITE
340 341 GRANITE
341
370 GRANITE
370 371 GRANITE
371 405 GRANITE
NC 28645
Zip Code
II
12. CHLORINATION: Type HTH Amount 76
13. CASING:
From
From
From
Wall Thickness
Depth Diameter or Weight/Ft. Material
0 To 61 Ft
14. GROUT:
From
From
0 To 20 Ft Cement
15. SCREEN:
To Ft
To Ft
To Ft
6 1/8
350 PVC
Depth Material Method
Gravity Flow
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
17
Quad No:
�H
Deih \�)7
To
ARILS '
-s L.
Material
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
gal
Ito 9.�
a to 1414
pDF A-
L
I DO HEREBYTn'�CERTIFY THAT —HIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CO "GF[TUP�IR'ANfppASNEI, 1 Qa, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
FOR AFFICE LE REGIONAL OFFICE USE ONLY .,S /���,- q_/) _0�
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
260730
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: 2878
020603 STATE WELL CONSTRUCTION PERMIT#: Steve Price
1. WELL USE (Check Applicable Box): Residential
Recovery El Heat Pump Water Injection
I xl
Municipal 0 Industrial 0 Agricultural ❑ Monitoring El
Other F I If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWELL
PRIVATE DR. OFF ZACKS FORK DR. OFF NLNVAY CIRC
I Road Name and Numbers, Community, or Subdivision and Lot No.)
DRILLING LOG DEPTH
3. OWNER JERRY FORD RICHARDSON From To Formation Description
Address % JERRY RICHARDSON, JR. • 2050 ZACKS FROK RD 131 180 GRANITE
LENOI R (Street or Route No.1 NC 28645 180 181 QUARTZ
City or Town state Zip Code 181 206 GRANITE
4. DATE DRILLED 8/10/2002 0 10 DIRT
5. TOTAL DEPTH 205 10 70 GRANITE
6. CUTTINGS COLLECTED YES 0 NO 0 70 71 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO El 71 130 GRANITE
8. STATIC WATER LEVEL Below Top of Casing: 20 FT 130 131 GRANITE
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0116
10. YIELD (gpm): 1 METHOD OF TEST
Air
11. WATER ZONES Idepth):1/2 ppm70-71 1/2 ppm 130-131
1 ppm 180-181 0 ppm
12. CHLORINATION: Type HTH
13. CASING:
Amount 39
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 21 Ft 6 1/8 .350 PVC
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
ASH
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
bep 9% Size Material
From o Ft
From To '„ Ft
REMARKS•
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference point) ---
3a1
N.1
rn
rn
—D
IN)
-�
77.
0
c11
THA THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
6IrS14ANDA''S, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
ZONAL OFFICE
FOR OFFICE USE ONLY
O/T0„(/"
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater SecZ6 0 7 2 9
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone] r.
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2878
020604 STATE WELL CONSTRUCTION PERMIT#: Steve Price
1. WELL USE (Check Applicable Box): Residential 0
Recovery 0 Heat Pump Water Injection
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR
BLUE CREEK RD
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER BOBBY E SEVERT
Address 3202 BLUE CREEK RD. .
LENOIR (Street or Route No.)
city or Town State
4. DATE DRILLED 8/20/2002
5. TOTAL DEPTH 305
6. CUTTINGS COLLECTED YES 0 NO
7. DOES WELL REPLACE EXISTING WELL? YES NO
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use'+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 30 METHOD OF TEST Air
11. WATER ZONES (depth).1 ppm 130-131 4 ppm 240-241
25 ppm 283-284 0 ppm
ip Cole
Municipal FT Industrial El Agricultural 0 Monitoring 0
Other I I If Other, List Use:
County CALDWELL
DRILLING LOG
From To
0 83
DEPTH
Formation Description
DIRT/SAND
83 130 GRANITE
130 131 GRANITE
131 240 - GRANITE
240 241 GRANITE/QUARTZ
241 283 GRAND
283 284 QUARTZ
284 305 GRANITE
Ix]
12. CHLORINATION: Type HMI Amount 57
13. CASING:
Depth
From 0 To
From
From
14. GROUT:
From
From
15. SCREEN:
1
Wall Thickness
Diameter or Weight/Ft. Material
90 Ft 6 1/8 350 PVC
To Ft
To Ft
Depth Material Method
0 To 20 Ft Cement Gravity Flow
To Ft
Depth
From To
From To
From To
Diameter Slot Size Material
Ft in
Ft in
Ft in
ND/GRAVEL PACK:
Depth',.)
To
To
OCT
ARKS:
FOR OFFICE USE ONLY
in
in
in
Size Material
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Road , or other map reference points)
ELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
D THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
260728
WELL CONSTRUCTION RECORD WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONTRACTOR CERTIFICATION #: 2878
020535 STATE WELL CONSTRUCTION PERMIT#• Steve Price
1. WELL USE (Check Applicable Box): Residential a Municipal El Industrial El Agricultural I Monitoring ❑
Recovery I I Heat Pump Water Injection r I Other I If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County. CALDWELL
RICH CEMETARY RD OFF TOLBFRT RD OFF HWY 90 O
(Road Name and Numbers, Community, orSubdivision and Lot No.)
3. OWNER RANDY S. ARROWWOOD
Address 75 FAIRFIELD LANE ,
TAYLORS Iti.t rule No NC 28881
City or Town State
4. DATE DRILLED 8/15/2002
5. TOTAL DEPTH 145
6. CUTTINGS COLLECTED YES NO El
7. DOES WELL REPLACE EXISTING WELL? YES El NO IT
8. STATIC WATER LEVEL Below Top of Casing: 10 FT
(Use "+' if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10.. YIELD (gpm)' 30 METHOD OF TEST
11. WATER ZONES Idepthl:3 ppm 50-51 13 gpm 70-72
14 ppm 130-131 0 ppm
Zip Code
Air
DRILLING LOG
From
0
To
DEPTH
Formation Description
25 DIRT
25 50
50 51
GRANITE
GRANITE QUARTZ
51 70
70 72
GRANITE
QUARTZ
72 130
130 131
131 145
GRANITE
QUARTZ
GRANITE
I I
12. CHLORINATION: Type HTH Amount 27
13. CASING:
From
From
From
Depth
0 To
To Ft.
To Ft
14. GROUT:
Diameter
30 Ft 8 1/8
Wall Thickness
or Weight/Ft. Material
350 PVC
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16
l ;D ptPi l
® m To
1R
u -
OCI
ARKS:
HERE
BY
PROVESTIANIARDS
AcuFolLLE REGIONAL OFRGL'
AN
FOR OFFICE USE ONLY
Quad No:
ID
CO
Size Material
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map referegcg ?faints)
I
n
c \'mot
HIS ELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
�, S i2-
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
4t1
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater SetLIJ:
i Qn
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
0727
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #. 2878
020534 STATE WELL CONSTRUCTION PERMIT#: Steve Price
1. WELL USE (Check Applicable Box): Residential
Recovery I I Heat Pump Water Injection
71(
Municipal 0 Industrial
Agricultural I I Monitoring 0
Other I I If Other, List Use-
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
RICH CEMETARY RD OFF TOLBERT RD. OFF 1-{WY 90 0
(Road Name and Numbers, Community, or Subdivision and Lot NO
3. OWNER CHARLES C. BEAN
Address
8480 RICH CEMETERY LANE ,
COLLETT/Ss:Warre "° ) NC 28611
City or Town State
4. DATE DRILLED 8/14/2002
5. TOTAL DEPTH 225
6. CUTTINGS COLLECTED YES I] NO
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use'+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
'Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 15 METHOD OF TEST Air
11. WATER ZONES (depth):1 ppm 120-121 14 ppm 215-217
0 ppm 0 ppm
Zip Code
DRILLING LOG
From To
0 84
DEPTH
Formation Description
DIRT
84 120 GRANITE
120 121 GRANITE
121 215 GRANITE
215 217 QUARTZ
217 225 GRANITE
XI
12. CHLORINATION: Type HTHI Amount 43
13. CASING:
Depth Diameter
From 0 To lOFt 81/8
From To Ft
From To Ft
14. GROUT:
I xI
Wall Thickness
or Weight/Ft. Material
350 PVC
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
From
From
From
Depth Diameter Slot Size Material
To Ft. in in
To Ft in in
To Ft in in
GRAVEL\PIAg5:
r.=
From To
From r. To
OC I
17. REMARKS:
AS1
IL Lt.
Ii7f:.L
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
69 Roads, or other map reference points) - ��
3 31 aCr1%i11CJ Rcez, , , p1Q\
I/ VV'
N
44kc113 COL
g0
K.
Size Material
f—
t. sii��1 ilff
AT HIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
RD', AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
FOR OFFICE USE ONLY
q-9 —0-2-
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
510
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
260'726
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #. 28/8
020590 STATE WELL CONSTRUCTION PERMIT#: Steve Price
1. WELL USE (Check Applicable Box): Residential I XI Municipal 0 Industrial El Agricultural El Monitoring 0
Recovery 0 Heat Pump Water Injection CI Other If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County' CALDWELL
3. OWNER
Address
PRIVATE RD. OFF HIBRITEN RD. OFF HWY 18 OFF Ewe'
(Road Name and Numbers, Community, or Subdivision and Lot No.)
ROY D. COFFEY
851 HIBRITEN DR. S.E. ,
DRILLING LOG
From To
0 34
DEPTH
Formation Description
DIRT
LENOIR (Street or Route No.)
NC 28845
34 170 GRANITE
City or Town State
4. DATE DRILLED 8/19/2002
5. TOTAL DEPTH 405
6. CUTTINGS COLLECTED YES NO ICI
7. DOES WELL REPLACE EXISTING WELL? YES
8. STATIC WATER LEVEL Below Top of Casing: 80 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT. Above Land Surface*
'Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.01
10. YIELD (gpm): /4 METHOD OF TEST Aar
11. WATER ZONES (depth)•1/4 Rpm 170-171 1/4 ppm 240-241
1/4 rpm 368-369 0 ppm
12. CHLORINATION: Type HTH Amount 70
Zip Code
170 171 GRANITE
171 240 GRANITE
240 241 GRANITE
241 265 GRANITE
285 288 GRANITE
13. CASING:
Depth
From 0 To 40 Ft 8 1/8
From To Ft
From To Ft
14. GROUT:
Depth
From 0 To 20 Ft Cement
From To Ft
15. SCREEN
Wall Thickness
Diameter or Weight/Ft.
.350
Material
NO Fr
Material
PVC
Method
Gravity Flow
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
from To
From To jI
o C.i
.. REMARKS:
'L.
TH T THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
;R DNSTRE,ICT(QNISI#ANDA DS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
AS-jEViLLE REGIONAL OFFICE
Size
Ft
Ft.
Material
288 368 GRANITE
368 369 GRANITE
369 405 GRANITE
If additional space is needed use back of form
LOCATION SKETCH
Show direction and distance from at least two State
Roads, or other map reference points)
thAil is
FOR OFFICE USE ONLY
fl
9
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
260725
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #- 2878
020587 STATE WELL CONSTRUCTION PERMIT/S.VQ Price
1. WELL USE (Check Applicable Box): Residential Municipal I Industrial 0 Agricultural 0 Monitoring 0
Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use:
X
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
• STEELTOWN RD OFF INDIAN RD OFF HWY 288 OFF HW
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER GEORGE L. GREENE
Address % MICHAEL W. PRICE , P.O. BOX 102
PATTERSO(NF' or Route No.l NC 28881
DRILLING LOG DEPTH
From To Formation Description
0 70 DIRT
70 160 GRANITE
City or Town State Zip code 180 161 QUARTZ
4. DATE DRILLED 9/28/2002 181 178 GRANITE
5. TOTAL DEPTH 205 178 179 GRANITE
6. CUTTINGS COLLECTED YES NO Xl 179 185 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO X 195 196 QUARTZ
8. STATIC WATER LEVEL Below Top of Casing: Q0 FT 198 205 GRANITE
(Use "+' if Above Top of Casing)
9. TOP OF CASING IS 1 FT. Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.01]8
10. YIELD (gpm)' 6 METHOD OF TEST Air
11. WATER ZONES (depth)1 ppm 160-161 2 ppm 178-179
3 ppm 195-196 0 ppm
12. CHLORINATION: Type HTH Amount 35
If additional space is needed use back of form
13. CASING: LOCATION SKETCH N
Wall Thickness --:it
Depth Diameter or Weight/Ft. Material (Show direction and distance from at legs twa$tate
From 0 To 75 Ft 8 1/6 .350 PVC Roads, or other map reference pests) _ _
From To Ft v: "d -7 T
-_
From
l
.,.l 1,w�
14. GROUT: pd.
T V :
J o
Depth Material Method cn
0 20 Cement Gravity Flow a-
From To Ft tY 0— xi
From To Ft
y ^4— I•�
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft. in in
From To Ft in in
NP9G,
r liD
From
FrcorO
171 REMARKS:
AS �e 11
th
0
Size Material
algq
HAT HIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
4SILS110#NDAR, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
NA,L OFFICE
FOR OFFICE USE ONLY
q-l-' -G-2-
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
260721
WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2780
020607 STATE WELL CONSTRUCTION PERMIT#: Keith Presnell
1. WELL USE (Check Applicable Box): Residential
Recovery 0 Heat Pump Water Injection
X
I I
Municipal I I Industrial 0 Agricultural I I Monitoring
Other El If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CAI T I I
CICERO VALLFY PL OFF SHALLOW CREEK RD OFF R
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER WILLARDA.BOIICK
Address 2852_CLCERO VALLEY PLACE
I ENOI R (Street or Route No.l NC 28649
City or Town State Zip Code
4. DATE DRILLED 8/213/2002
5. TOTAL DEPTH 265
6. CUTTINGS COLLECTED YES I NO
7. DOES WELL REPLACE EXISTING WELL? YES I I NO
8. STATIC WATER LEVEL Below Top of Casing: 40 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm). 12 METHOD OF TEST AIR
11. WATER ZONES (depth):2 qpm 235-236 10 qpm 250-251
0 qpm 0 qpm
12. CHLORINATION: Type HTH Amount 46
From
0
DRILLING LOG
To
210
DEPTH
Formation Description
DIRT SAND
210 745 GRANITE
7R5 7R6 Ol1ART7
7RR 790 GRANITE
750 751 Ol1ART7
251 785 GRANITE
13. CASING:
Depth Diameter
From _ 0 To 210 Ft 6 1/8 .350
From _ To Ft
From To Ft
xl
Wall Thickness
14. GROUT:
or Weight/Ft.
x
Material
PVC
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From _ To Ft
15. SCREEN:
16
17
Depth
From To Ft
From To Ft
From To Ft
Diameter Slot Size
RE ARKS•
I D• - = ERTIFY THAT
CON5RBWCTI44"
ASHF\gi L_RE.niplIAL OFFICE
FOR OFFICE USE ONLY
HIS
AN
Material
in in
in in
in in
ze Material
If additional space is needed use back of form
LOCATION SKETCH ce) c-C
(Show direction and distance from at least two Stat¢
Roads, or other rA p reference p sir s)
e
o„
ELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
THAT A COPY OF HIS RECOHAS BEEN PROVIDED TO THE WELL OWNER.
t
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
SW-1 REV. 12/99
Quad No:
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section 260718
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 2686
020662 STATE WELL CONSTRUCTION PERMIT#• Leslie Reece
1. WELL USE (Check Applicable Box): Residential
Recovery Heat Pump Water Injection
71(
II
Municipal 0 Industrial
Other If Other, List Use•
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County- CALDWFLL
PRIVATE DR. OFF CFLIA CRF.FK RD OFF HARTLAND R
(Road Name and um ers, Community, or Subdivision and Lot No.)
3. OWNER THURMAN PATTON
Address 4471 CELIA CREEK RD.
LENOIR (Street prRoute "n.l NC 28845 77 294 GRANITE
Agricultural Monitoring
DRILLING LOG DEPTH
From To Formation Description
0 77 DI RT/SAND
City or Town State
Zip Code
4. DATE DRILLED 8/16/2002
5. TOTAL DEPTH 345
6. CUTTINGS COLLECTED YES I NO 0
7. DOES WELL REPLACE EXISTING WELL? YES I —I NO P
8. STATIC WATER LEVEL Below Top of Casing: 40 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm): 4 METHOD OF TEST Air
11. WATER ZONES (depth):4 gpm294-295 0 ppm
0 qpm 0 ppm
12. CHLORINATION: Type HTH Amount 64
284 285 QUARTZ
295 345
GRANITE
If additional space is needed use back of form
13. CASING: Wall Thickness LOCATION SKETCH N Es
Depth Diameter or Weight/Ft. Material (Show direction and distance from at leas<.Dvo State,
From 0 To 83 Ft 6 1/8 350 PVC Roads, or other map reference points)
From To Ft � -,/ N
��G
From To Ft V" t —4
10 ig
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft in in
From To Ft in in
From To Ft in in
16. SAND/GRAVEL PACK:
17. R
C
FO
ri%%frrsit sariintonsrris
q.
0
KS: fi
0 HEREBY CERTIFY THAT THI WEL.. WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
NSTRUCTION STANDARDS, AjVD THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
.1 F
kitMaterial
URI
Cs
GROUNDWATER SECT ON
FFICE
l�✓a,�,f -�� 7-] a -b
c;
SIGNATURE OF PE ON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Quad No -
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
260714
WELL CONSTRUCTION RECORD
WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #. 28813
020516 STATE WELL CONSTRUCTION PERMIT#• Leslie Reece
1. WELL USE (Check Applicable Box): Residential X Municipal I I Industrial Agricultural! I Monitoring D
Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use•
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWELL
BUN BEE LANE OFF HWY �0 OFF SFTTFR C'RFFK RD.
(Road Name and Numbers, Community, or ubdivision and Lot No.)
3. OWNER BRIAN H. GRAGG
Address 2226 BUZY BEE LANE
LENOIR (Street or Route No.l NC
City or Town State
4. DATE DRILLED 8/6/2002
5. TOTAL DEPTH 240 203 204
6. CUTTINGS COLLECTED YES 0 NO 204 240
7. DOES WELL REPLACE EXISTING WELL? YES IE NO ri
8. STATIC WATER LEVEL Below Top of Casing: 40 FT
(Use "+' if Above Top of Casing)
284Zicode
5
DRILLING LOG
From To
0 75
DEPTH
Formation Description
DIRT
75 85 GRANITE
85 86 SHALE
86 203
GRANITE
QUARTZ
GRANITE
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 3 METHOD OF TEST Air
11. WATER ZONES (depth):1 ppm85-86 2 ppm 203-204
0 ppm 0 ppm
12. CHLORINATION: Type HTH Amount 42
13. CASING:
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To __82Ft. 6 1/8 450 PVC
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
16.
17.
From
From
From
Depth
To
To
To
Diameter Slot Size Material
Ft in in.
Ft in in
Ft in in
EMAKS:
DO H' REBY CERTIFY THAT TH . WE
0NSTRI jTI WST``en! •ND
ASHEVILLE REGIONAL OFFICE
FOR OFFICE USE ONLY
Material
If additional space is needed use back of form
0
LOCATION SKETCH N
(Show direction and distance from at leastitwo State
Roads, or other map reference pts) `- _
3aI
y
co Oi"
' If°
L WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
AT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
4
✓cp
7-la -o 2
SIGNATUREPERSON CONSTRUCTING THE WELL
Submit original to Division of Water Quality, Groundwater Section within 30 days
DATE
Quad No:
Serial No.
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section 2 6 0 71 3
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: 2686
020522 STATE WELL CONSTRUCTION PERMIT#: Leslie Reece
1. WELL USE (Check Applicable Box): Residential I XI Municipal 0 Industrial El Agricultural I I Monitoring El
Recovery El Heat Pump Water Injection El Other If Other, List Use•
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
MAPLE TREE PLACE OFF MAPLE GROVE CHURCH RD.
(Road Name and Numbers, Community, or Subdivision and Lot No.)
DRILLING LOG DEPTH
3. OWNER ALBERT JAY PENLEY From To Formation Description
Address P.O. BOX 118 , 0 38 DIRT
COLLE I I9VPL1_E'ute No.l NC 28811 38 47 GRANITE
City or Town State Zip Code 47 48 SHALE
4. DATE DRILLED 8/7/2002 48 206 GRANITE
5. TOTAL DEPTH 245 206 207 QUARTZ
6. CUTTINGS COLLECTED YES ❑ NO 71 207 245 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES ljl NO
8. STATIC WATER LEVEL Below Top of Casing: 20 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.o118
10. YIELD (gpm)• 4 METHOD OF TEST Air
11. WATER ZONES (depth)•1/20 ppm47-48 0 5 ppm 208-207
XI
12. CHLORINATION: Type HTH
13. CASING
Amount 46
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 43 Ft 6 1/8 .350 PVC
From To Ft
From To Ft
14. GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth Diameter Slot Size Material
From To Ft
From To Ft
From To Ft
16. SA
Fro
Fro
17. RE
ID
CO
I
To Ft
Ut_I
ARK•
HER • BY CERTIFY THAT THIS
STR r11 374 C a ,l i It a
ASHEVILLE REGIONAL OFFICE
in
in
in
ELL
TH
FOR OFFICE USE ONLY
Quad No:
in
in
in
Material
If additional space is needed use back of form
LOCATION SKETCH lv
(Show direction and distance from at lea$btwo:State
Roads, or other map reference poets) E'?
t
0
-AftCvk
aO9'\
2 Qy
AS CONSTRUCTED IN ACCORDANCE WIT�I I A NCAC 2C55, V
' OF THIS RECORD HAS BEEN PROVIDED TO THE WE LL OWNER.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99
Serial No.

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
260711
WELL CONSTRUCTION RECORD WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION St.28/8
020645 STATE WELL CONSTRUCTION PERMIT*Steve Price
1. WELL USE (Check Applicable Box): Residential 0 Municipal 0 Industrial 0 Agricultural I I Monitoring 0
Recovery 0 Heat Pump Water Injection r I Other 0 If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County' CALDWELL
SHEELY RD. OFF ROCKY RD. OFF GREASY CREEK RD.
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER MELVIN D. HOUCK
Address 3486 SHEELY RD. ,
LENOIR ,Street or Route Nod
NC 28845
DRILLING LOG
From To
0 60
DEPTH
Formation Description
DIRT
BD 130 GRANITE
City or Town State
Zip Code
4. DATE DRILLED 8/22/2002
5. TOTAL DEPTH 345
6. CUTTINGS COLLECTED YES 0 NO ICI
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO
8. STATIC WATER LEVEL Below Top of Casing: 50 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
X
130 131 GRANITE
131 210 GRANITE
210 211 GRANITE/QUARTZ
211 270 GRANITE
270 271 GRANITE
271 345 GRANITE
'Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.011
10. YIELD (gpm)• 1 METHpO
D
OF TEST-131 Air
1/2 ppm 210-211
11. WATER ZONES (depth)
1/4 ppm270-271 0 ppm
12. CHLORINATION: Type HTH Amount 59 If additional space is needed use back of form
13. CASING
Wall Thickness
Depth Diameter or Weight/Ft. Material
From 0 To 65 Ft 8 1/8 .350 PVC
From To Ft
From To Ft
14. GROUT:
Depth
From 0 To
From To Ft
15. SCREEN:
Material Method
20 Ft Cement Gravity Flow
Depth Diameter Slot Size Material
From To Ft. in in
From To Ft in in
From To Ft in in
16. S
Fr
Fr
17. RE
ID
CO
ARK.
HER:=
STR U CR OIMETWZARSETI
ASHEVILLE REGIONAL d
FOR OFFICE USE ONLY
ELL
TH
Material
LOCATION SKETCH
(Show direction and distance from at leatTtvo State
Roads, or other map reference porn)
)U
AS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
T A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF PERSON CONSTRUCTING THE WELL
q-41L o,z
DATE
Quad No:
Serial No.
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
260710
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
17. RE
ID
CO
It HER BY CERTIFY THAT THIS ELL
STR a�l.l_( 1.,.�,.. R=tri1`�TH
ASHEVILLE REGIONAL OFFICE
FOR OFFICE USE ONLY
Quad No:
WELL CONSTRUCTION RECORD
WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: 2878
020515 STATE WELL CONSTRUCTION PERMIT#: Steve Price
1. WELL USE (Check Applicable Box): Residential El Municipal ❑ Industrial I I Agricultural ❑ Monitoring ❑
Recovery Heat Pump Water Injection Other I I If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County: CALDWELL
GLASS RD. OFF HWY 90 OFF SETZER CREEK RD OFF
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER RICHARD A. HIMES
Address 2130 GLASS RD. ,
LENOIR (Street orRoute Nn.) NC 28645 160 195 GRANITE
City or Town State Zip Code
4. DATE DRILLED 8/29/2002
5. TOTAL DEPTH 225
6. CUTTINGS COLLECTED YES ❑ NO 0
7. DOES WELL REPLACE EXISTING WELL? YES El NO 0
8. STATIC WATER LEVEL Below Top of Casing: 30 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 10 METHOD OF TEST Air
11. WATER ZONES (depth):10 ppm 195-196 0 ppm
0 ppm 0 ppm
DRILLING LOG DEPTH
From To Formation Description
0 160 DIRT SAND
195 196 QUARTZ
196 225
GRANITE
12. CHLORINATION: Type I-tTH Amount 40
If additional space is needed use back of form
13. CASING: LOCATION SKETCH v
Wall Thickness
Depth Diameter or Weight/Ft. Material (Show direction and distance from at Iea9S4No State
From 0 To 168 Ft 6 1/8 .350 PVC rrrA- Roads, or other map reference poi r)
From To Ft
From To Ft
14, GROUT:
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
From
From
From
Depth
To
To
To
16. SAND/GRAVEL PACK.
o j Ft
o To Ft
Fr
Fr
Ft
Ft
Ft
Diameter Slot Size Material
in
in
in
in
in
in
Material
I
c � _3,\
%o
AS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
T A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
Serial No.
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
260709
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #- 2878
020626 STATE WELL CONSTRUCTION PERMIT#• Steve Price
1. WELL USE (Check Applicable Box): Residential 0 Municipal ❑ Industrial ❑ Agricultural Monitoring
Recovery ❑ Heat Pump Water Injection I I Other ❑ If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWELL
JIM MCCALL RD. OFF PAXHILL RD. OFF HARTLAND RD.
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER JERRY A. MCCALL
Address 1618 JIM MCCALL RD. .
MORGAN` CN°`RooteNo.1 NC 28655 20 175 GRANITE
City or Town
State 2ip Code
DRILLING LOG DEPTH
From To Formation Description
0 20 DIRT
175 177 QUARTZ
4. DATE DRILLED 8/21/2002 177 200 GRANITE
5. TOTAL DEPTH 200
6. CUTTINGS COLLECTED YES I I NO
7. DOES WELL REPLACE EXISTING WELL? YES ❑ NO El
8. STATIC WATER LEVEL Below Top of Casing: 40 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
'Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)- 50 METHOD OF TEST Air
11. WATER ZONES (depth):50 ppm 175-177 0 qpm
0 qpm 0 ppm
I XI
12. CHLORINATION: Type HTH Amount 34
If additional space is needed use back of form
13. CASING: wall Thickness LOCATION SKETCH
Depth Diameter or Weight/Ft. Material (Show direction and distance from at leaat`••two S
From 0 To 26 Ft 6 1/8 .350 PVC Roads, or other map reference,pdrrit) -�I
From To Ft f� N-- vtp74--� )
From To Ft - 3 lacCak[
r
14. GROUT: �s " �'
Depth Material Method 46,41c.kaM. T From 0 To 20 Ft Cement Gravity Flow _ Lfn r'
From To Ft E �3�1�
15. SCREEN: i . a
op
Depth Diameter Slot Size Material .( _ r Fµ
From To Ft in in I�Q
/ From To Ft in in //
From To Ft in in
16. SAND/GRAVEL PACK
From
From
17. REMA�,SS
I DO H _REB CERTIFY THAT THIS WE
CONS —RUC ION STANDARDS, AND
GROUNDWATEROSECTION
FOR OFFICE ,1CHCVILLLYRLCIOPAL OFFICE
Quad No:
Material
L WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
AT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
tare
Serial No
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section r� p
260708
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
WELL CONTRACTOR. Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #: 2878
020537 STATE WELL CONSTRUCTION PERMIT#- Steve Price
WELL USE (Check Applicable Box): Residential Municipal 1E1 Industrial 0 Agricultural I I Monitoring El
Recovery 0 Heat Pump Water Injection CI Other 0 If Other, List Use.
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWELL
HOLLYWOOD RIDGE RD. OFF YADKIN RIVER RD. OFF
(Road Name and Numbers, Community. or Subdivision and Lot No.)
DRILLING LOG DEPTH
3. OWNER JAMES O. ARNt1 It From To Formation Description
Address 3643 HOLLYWOOD RIDGE RD. , 0 78 MUD/SAND
LENOIR (Street or Route No.) NC 28645 78 100 GRANITE
City or Town State Zip Code 100 101 GRANITE
4. DATE DRILLED 8/7/2002 101 130 GRANITE
5. TOTAL DEPTH 205 130 131 GRANITE
6. CUTTINGS COLLECTED YES 0 NO 71 131 185 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO El 185 188 GRANITE
8. STATIC WATER LEVEL Below Top of Casing: 30 FT 188 205 GRANITE
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.01
10. YIELD (ppm). u METHOD OF TEST Aar
11. WATER ZONES (depthl•1 qpm 100-101 1 ppm 130-131
3 ppm 185-186 0 ppm
12. CHLORINATION: Type HTH Amount 38 If additional space is needed use back of form
13. CASING: wall Thickness LOCATION SKETCHcn
Depth Diameter or Weight/Ft) Material (Show direction and distance from at Ieasf t o Spate
From 0 To 84 Ft 6 1/4 .188 GALV.
From To Ft
From To Ft
14. GROUT:
Depth
From 0 To 20 Ft Cement
From To Ft
15. SCREEN:
Material
Depth Diameter Slot Size
From To Ft in in
From To Ft in in
From To Ft in in
Method
Gravity Flow
16. SAND/GRAVEL PACK:
Depth
Fr
Fr
17. R
ICS•
EEpUC�STANDARDS, A
OFFIQtiPULTYR SEC
AS. •La LLE REGIONAL
Size
Material
y
Roads, or other map reference poin
-L7
v
-J
0
Ul
r..0
i?% syw
ONcbgl
E c
Owl
WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
T A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
CT
7-a-0,2
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
260707
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
WELL CONSTRUCTION RECORD
020553 STATE WELL CONSTRUCTION PERMIT#• Steve Price
1. WELL USE (Check Applicable Box): Residential I X Municipal Industrial 0 Agricultural I Monitoring 0
Other
Recovery 0 Heat Pump Water Injection 0
If Other, List Use•
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWELL
WESTFIELD CT. OFF WESTOVER HEIGHTS OFF ZACKS
I Road Name and Numbers, Community, or Subdivision and Lot No.)
WELL CONTRACTOR- Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #• 28/8
DRILLING LOG DEPTH
3. OWNER CENDANT MOBILITY RELOCATION From To Formation Description
Address (LESA BAKER - AGENT) , 127 FIRST AVE. NE 0 120 DIRT/SAND
HI CKORYstreet or Route No.) NC 28601 120 150 GRANITE
City or Town State Zip Code
150 151 QUARTZ
4. DATE DRILLED 8/12/2002 151 190 GRANITE
5. TOTAL DEPTH 245 190 191 QUARTZ
6. CUTTINGS COLLECTED YES NO X 191 245 GRANITE
7. DOES WELL REPLACE EXISTING WELL? YES 0 NO
8. STATIC WATER LEVEL Below Top of Casing: 50 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)• 4 METHOD OF TEST Air
11. WATER ZONES (depth)." ppm 150-151 3 ppm 190-191
ppm 0 ppm
Amount 40
12. CHLORINATION: Type HTHI
13. CASING:
X
Wall Thickness
Depth Diameter or Weight/Ft. Material
If additional space is needed use back of-fgrm
f)
LOCATION SKETCH 'v -
(Show direction and distance from at least t\s) State__'
From 0 To 126 Ft 6 1/8 .350 PVC Roads, or other map refer nce pointsp
From To Ft -.,
From To Ft
14. GROUT: U� n a
�oVe✓ I}Ci��t15 .. ii
T rsicii
Depth Material Method r
From 0 To 20 Ft Cement Gravity Flow ,.",-
From To Ft `C' ,1 N
; � t LE —�i
15
SCREEN:
Depth Diameter Slot Size Material
From To Ft
From To Ft
From To Ft
16. SAND/GRAVEL PACK:
in
in
in
t BY CERTIFY THAT THIS ELL
- ., !''! ., )TH
GROUNDWATER SECTION
Nr1' : ''I111l OFFICE
in
in
in
Material
fNuugui CGrde_
W
AS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL RDej-
A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99

North Carolina - Department of Environment and Natural Resources - Division of Water Quality - Groundwater Section
1636 Mail Service Center - Raleigh, N.C. 27699-1636 - Phone [phone]
260706
WELL CONSTRUCTION RECORD WELL CONTRACTOR: Dewey Wright Well Pump Co., Inc.
WELL CONTRACTOR CERTIFICATION #. 2878
020565 STATE WELL CONSTRUCTION PERMIT#• Steve Pnce
1. WELL USE (Check Applicable Box): Residential El Municipal 1 I Industrial ❑ Agricultural ❑ Monitoring ❑
Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use:
2. WELL LOCATION: (Show sketch of the location below)
Nearest Town: LENOIR County CALDWELL
MELODY LANE OFF FA)RVIEW RD. OFF ABINGTON RD.
(Road Name and Numbers, Community, or Subdivision and Lot No.)
3. OWNER RONALD S. MCINTOSH
Address P.O. BOX 1893
LENOIR (Street or Route No.)
City or Town State Zip Code
4. DATE DRILLED 8/9/2002
5. TOTAL DEPTH 605
6. CUTTINGS COLLECTED YES NO 17
7. DOES WELL REPLACE EXISTING WELL? YES Il NO n
8. STATIC WATER LEVEL Below Top of Casing: 200 FT
(Use "+" if Above Top of Casing)
9. TOP OF CASING IS 1 FT Above Land Surface*
*Top of casing terminated at/or below land surface requires a variance in accor-
dance with 15A NCAC 2C.0118
10. YIELD (gpm)' 3/4 METHOD OF TEST Air
11. WATER ZONES(depth)•1/4 ppm360-381 1/4 ppm 430-431
1/4 ppm 540-541 0 ppm
12. CHLORINATION: Type HTH Amount 65
DRILLING LOG
From To
0 55
55 360
380 381
DEPTH
Formation Description
DIRT
GRANITE
WHT QUARTZ
361 430
430 431
GRANITE
WHT QUARTZ
431 540
GRANITE
540 541
541 605
WHT QUARTZ
GRANITE
13. CASING:
I I
NC 28645
From 0 To 60 Ft 6 1/8
From To Ft
From To Ft
14. GROUT:
Wall Thickness
Depth Diameter or Weight/Ft. Material
.350 PVC
Depth Material Method
From 0 To 20 Ft Cement Gravity Flow
From To Ft
15. SCREEN:
Depth
From To Ft
From To Ft
From To Ft
16. SAND/GRAVEL PACK.
17.
R
C
S.- .
Diameter Slot Size
in
in
in
u
•
o p
a Ii lil
E
NST
KS:e,
EBY RTIFYTHATTHI
UCTION STANDARDS,
in.
in
in
Material
Material
GROUNDWATER SECT ON
FO
Quad No:
Serial No.
NDT
NICE
If additional space is needed use back of f(5 n
cn
LOCATION SKETCH =o
(Show direction and distance from at least two$tate_1
Roads, or other map reference points)
WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
AT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit original to Division of Water Quality, Groundwater Section within 30 days
GW-1 REV. 12/99