Ch CY2004

WELL CONSTRUCTION RECORD 3 9 5 9 01
North Carolina Department of Environment and Natural Resources-Division of Water Quality 3295
CERTIFICATION II WELL CONTRACTOR(INDIVIDUAL)NAME (print) LARRY F.JONES PHONE 0 f 8A0I 6N7-a _
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING
ASSOCIATED WQ PERMITa
STATE WELL CONSTRUCTION PERMITN if a licable
if a icable - t.
Agricultural 0 4
1. WELL USE(Check Applicable Box): Water Injectiontial rl ❑�O er❑❑If Other,List Ustrial❑se __ =
Monitoring 0 Recovery 0 Heat PumpCl.,)
2. WELL LOCATION: Topographic/Land setting ,—. jr„
Nearest Town:MURPHY County CHEROKEE l❑Ridge ❑Slope ❑Valley ❑Flat _
(check appropriate box) 'g
LOVINGOOD RD Latitude/longitude of well location _
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) !;'
350ude/lo I8357.673W
(degrees/mmutes/seconds) - .
3 OWNER: 7015&RUTH TURSE Latitude/longitude sourcel❑GPS❑Topographic map
Address CANDY MTN.RD (check box) - -- ---- - -- -
(Slrcel or Route No.) DEPTH DRILLING LOG
MURPHY z'NC 28906 To Formation Description
From
City or Town Slate W cede 0'TO 8_ 0_ RED CLAY
Area Phonecde494 number 80'TO 100 SANOSTONE/SURFACE WATER
coda 100'TO 130�_ BLUE SLATE
4. DATE DRILLED
ED 12-10-20 a4 _.—
130'TO 160_ BLUE SLATE
6. TOTAL DEPTH: 405_ _6. DOES WELL REPLACE EXISTING WELL? YES 0 NO 0 160'TO 405' GRANITEIOUARTZ
7. STATIC WATER LEVEL Below Top of Casing: 120 FT. _____
(Use"+"if Above Top of Casing)
S. TOP OF CASING IS 1 FT.Above Land Surface'
•Top of casing terminated aUor below land surface requires a -----
variance in accordance with ISA NCAC 2C.0118. AIR
9. YIELD(spray6 METHOD OF TEST
10.WATER ZONES(depth): 160' 320' LOCATION SKETCH
Show direction and distance in miles from at least
11. DISINFECTION:Type CHLORINE Amount Thickness PPM two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material
12. CASING: Wall numbers and common road names.
From 0 To 130 Ft. 6 va^ sDR 21 PVC
*.
From To Ft. 1� '�/ t'.'`:y
From TO FL x= �".
Material Method t� �1
13. GROUT: Depth GRAVITY
From 0 To 20 Ft.CEMENT C3, (11 �', ,
From To FL it.,
14. SCREEN: Depth Diameter Slot Size Material 7ij1yV O cT'`t
From To Ft. in. in. -?. n,-"`
From To Ft. in. in. -
15. SAND/GRAVEL PACK:
i }
Depth S`�
Size Material C.) .,,) it 2
From To Ft. it it cP
From To Ft.
16. REMARKS:
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A PY OF TillT;1MECO D HAS BEEN PROVIDED TO THE WELL OWNER
f DATE
SIGN RE OF :RSON CON CTING THE WELL
Submit the original to the Division of Water Quality,Attn: Information Management,1617 Mail Service Center-
Raleigh,NC 27699-1617, Phone No.[phone],within 30 days. GW-1 REV.09/2004

305900
WELL CONSTRUCTION RECORD O"4�J
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section q '`��
WELL CONTRACTOR(INDIVIDUAL)NAME (ring 1A /
RI2- ' • -ror-k S CERTIFICATION II 3, c/5
WELL CONTRACTOR COMPANY NAME CHEROKEE 14Q-1-1- "RI Lu106- PIIONE N lg 18.37'g
STATE WELL CONSTRUCTION PERMITN ASSOCIATED WI)PERMITN
(if applicable) / (if applicable)
I. WELL USE(Check Applicable Box):Residential 19" MunicipaVPublic❑ Industrial 0 Agricultural❑
Monitoring❑ Recovery ❑ Heat Pump Water Injection 1 Other❑ If Oder,List Use y
2. WELL LOCATION: /1�_ � 1� Topogrr ic/Landselling CO
Nearest Town: 47ar /1.y CounutyCile-P'&'- ❑Ridge Whine ❑Valley ❑Flat —
/-IUL4/�'ye�P / l.O-r I0 (check appmpriatcbox)
RI
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: 2336 /2✓. blcgrmcminutcssecond)
Address Po. Box /5/ Latitude/longitude source:DGPSOTopographic map - - _.
(Sucet or Route No.) (check box) _-
4lwcpky VC 2'g7O6 DEPTH DRILLING LOG
City or own/ Slate tip Code From To Formation Desc4dption
(K S)- g37-- 0/S55 0 - yo' geb ci4eiv 6RA veL
Area code-Phone number �1 HO'-6 p' Ss-'b ")C.
4. DATE DRILLED lg-IT"-O,l no S'o ' 6,R4^7) t.
5. TOTAL DEPTH: DDS ' ^/ got - c ' 4-P-19,11 iE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO yr
7. STATIC WATER LEVEL Below Top of Casing: 75 FT.
ruse"I-"if Above Top of Casing)
8. TOP OF CASING IS / FT.Above Land Surface*
*Top of using terminated at/or below land surface requires a
variance In accordance with ISA NCAC 2C.OILtk
9. YIELD(grim): 30 METHOD OF TEST /4-/�
10.WATER ZONES(depth): / gD '
LOCATION SKETCH
I I. DISINFECTION:Type %74/31e 73 Amount /DO ?PM Show direction and distance in miles from at least
12. CASING: Wall'fhickness two Stale Roads or County Roads. Include the road
Depth Diameter or Weight/Er Material numbers and common road names.
From 0 To �iO Ft. (,% SbR I I PVC
From To Ft. 4 r k
4 o
From To Ft.
I3. GROUT: Depth Material Method
From C) To ;20 Ft. CQMW I QP-saver 2A--, C
From To Ft. ✓ /t 1,
14. SCREEN: Depth Diameter Slot Size Material / '-,eat
From To Ft. in. in. '
From To Ft. in. in. a: .49
I5. SAND/GRAVEL PACK: \ Jr a ,
Depth Size Material
-i is
From To Vt. _ 'n -toFrom To Ft. US `I tl7 r 73--
16. REMARKS:
^;,
E1t 1 DO 11EBY CERTIFY TIIATTIIIS WELL WAS ONS'IROCTEI)IN ACCORDANCE.WI III I5A NCAC 2C,WELL i Y_,
M1-
CONSTRUCTION STANDARDS,AND ThIAT A Y OF'I111S RECORD S BEEN PROVIDED 10-I11E WELL OWNER tJ n
SIGNAT E OF P SON CONST ZING*HIE WELL DAME
Submit the original to(he Division of Water Quality,Groundwater Section, 1636 Mall 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 p
WELL CONTRACTOR(INDIVIDUAL)NAME (print) I Aft}/ F. t©ti G5 CERTIFICATION 0 3?95
WELL CONTRACTOR COMPANY NAME C1-1ERoJLEt W€.LL. _7,J?)1-L4"- PIIONE r (3) )A<7-g
STATE.WELL CONSTRUCTION PERMITM ASSOCIATED WO PERMIT# .. _. _.
(if applicable) (if applicable) - --
I. WELL USE(Check Applicable Box): Residential{d'/Municipal/Public❑ Industrial❑ Agricultural O
Monitoring❑ Recovery ❑ Heat Pump Water Injection❑ Other❑ If Other,List Use C.
a
LZ
2. WELL LOCATION: �
/nl/ fopograpitic/Land setting
Nearest Town: Ad County L,�/tc120 ®Ridge ❑Slope [Walley ❑Flat ce
J - 1-D.F. 3) (cheek appropriate box) y
(Sheet Name,Numbers,Community,Subdivision,Lot No.,Zip Gak) Latitude/longitude of well location p
3. OWNER: Seeds G-06-( >4&) (degrces/minutes/seenmk) t0�
Address /075Q 1414-n iD!J-J kb Latitude/longitude source:OGPSMTopographic map
(Streelor yum No.) .(� (check box)
33Sou'I I I e I 1— L �� 1 DEPTH DRILLING LOG
City or Town Swig_ zip Code From To Formation Description
(�)- 3r,1- 2a9 C.) ' - 0i /Reb �-'i�
Arta code-Phone mamba ;a 0 r—3 0' ( T "0)T
4. DATE DRILLED l;-/6-0q co ' - FSo71 64r= A)ITC
5. TOTAL DEPTH: go7' /
G. DOES WELL REPLACE EXISTING WELL? YES 13 NO 4X
7. STATIC WATER LEVEL Below Top of Casing: I 20 FT.
(Use"t"if Above Top of Casing)
8. TOP OF CASING IS / FT.Above Land Surfaces
*Top of easing terminated at/or below hind surface requires a
variance in accordancep ith 15A NCAC 2C.0110.
9. YIELD(gpm): Y'i METHOD OF TEST �)R.
10.WATER ZONES(depth):
//��
LOCATION SKETCH
II. DISINFECTION:Type 02 Lea/VC Amount /0O PP44 Show direction and distance in miles from at least
12. CASING: Wall Thickness two Slate Roads or County Roads.Include the road
Depth Diameter or WeigIWFt. Material numbers and common road names.
From O To S f) Ft. G Y.9 " SDR 3-) . v( no`
From To Ft. V �y
From To Ft. e
13. GROUT: Depth Material Method i
From_QTo 20 Ft. Ce472-7)+ GkA✓I I jV
From To Pt. / �`
14. SCREEN: Depth Diameter Slot Size Malerial `� 3)
From To rt. in. in.
From, To Ft. in. in. „L
15. SAND/GRAVEL PACK: ILL RD
Depth Sin Material (-t ;r?`"'
From To Ft. �' and
From To Ft. n r.2
=� -Oc
16. REMARKS: 0 c,`.
r';`. -
I DO HEREBY CERTIFY TIIAT TIIIS WELL WAS CONSTRUCTED IN ACCORDANCE WI'III I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A C Y OF Tills RECO(I)IIAS DEEN PROVIDED TO'ME WELL OWNER :-�
14~ f 3--/6-D v
SIGNAT -OF itSONCO . UCiINCGTIIEWELL DATE -J
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

NC _ OWN LI? (_ f4Ii71 rij
WELL CONSTRUCTION RECORD 305911
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
CERTIFICATION a c2VO SI
WELL CONTRACtOR(INDIVIDUAL)NAME (print)SCAMP V.. 1 �+,50Y1
I t+ PHONE a fS.20 t.nZ2- 2Qc i
WELL CONTRACTOR COMPANY NAME Vvt',llPf Ib;NII elf, n ,
STATE WELL CONSTRUCTION PERM I'IN ASSOCIATED WI)PERMIT,/ .
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box): Residential 0— Municipal/Public❑ Industrial 0 Agricultutal O ' --
Monitoring 0 Recovery O heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: TopogrnphidLand settiliR
Nearest Town:Y''Iuipkt! Couu4ylNt ern ke9 ❑Ridge ❑Slope Walley LWlat
(check appropriate box) !
(Sheet am ft_P Greek , ubtlia '-,lo'ilb _ —.._
(Sheet Name,Numbed,Community,$mbdivinbn,lot No.,Zip Code)
Latitude/longitude of well location
3. OWNER: �if lk EiS F' (degrees/minutes/seconds) ----- —
Address J 0 6 nX (-1 A Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check boa)
___Atk.cp h� .�(/(✓Z ijC(r7( PERM
I2RJLLI_NQLQQ.
City or lbws Stale Zip Code From To Formation Description
( )- () . )1). 1 e
Arra cede-Phone number 1t - 50'
4. DATE DRILLED ),) - .2a — Del VD. - Ih5
5. TOTAL DEPTH'_ or.). -7;.-•
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO 0 �^ , a^^
7. STATIC WATER LEVEL Below Top of Casing: a D ' 1'. r� �
(Use-t-If Above lop of Caning)
8. TOP OF CASING IS_ I VI. Above Land Still—ace r `
car z.
•Top of coring tenntuited al/or brlow land our face fermi,ea a A
variance In accordance with 15A NCAC 2C.01111. ?Cs """--
9. YIELD(gpm): S ME-riioD OF TEST A ;rZ - `'`--;
10. WATER ZONES(depth): LOCATIQLI�IS->;TCil opr`r
I I. DISINFECTION:Type '-M .Poll As Amotnit t S Show direction and distance in miles from at least
12. CASING: Wall"thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
Front Q To tic Ft. (n, )S )D`i2( `11ii
From To FL
From . To Ft. -
13. GROUT: Depth Mntetial 1 Method
Front 0To -)Fr' TOT r\Ir,yr d i rsSrcrr
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
Front To Ft. in. ill. �fCCHIS h j ! Pi'�ti fir,
1°tom _To Ft. in. in. ctin, j`2c,o/
15. SAND/GRAVELPACK:
Depth Size Mnletinl
Front To FL
Front To Ft.
16. REMARKS:
I DO IIERFBY CERTIFYTIHATT11IS WELL WAS CONSTRUCIOD IN ACCORDANCE WITH I5ANCAC 2C,WELL
CONSTRUCLION STANDARDS,AND THAT'A COPY OF TIIIS RECORD HAS BEEN PROVIDED TOME WELL OWNER
(...„0 /.J -42 -Ott
�-
SIGNAT(IRE OF PERSON CONSTRUCTINGTIIB WELL DATE
Submit the or Iglus!to the Olvillon of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699 1636 Phaor Na. (vl")7)]-1?21, trllhin 79 ri::}'t.
OW-I REV. 0712001

NC ✓ OWNER MWD _ 01C.QJ
305909
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) . 1GW1'EIS 9.. t 1311 SOn CERTIFICATION.2 YL24
vELLcoNTRAaOR COMPANY NAME W11I I e r t_apII dr, 1 ' i (t PHONE g fs'?A<-.37-29'7
STATE WELL CONSTRUCTION PERMITS_ ASSOCIATED WQ PERMITM
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box): Residential U.—Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery ❑ heat Pump Water Injection 0 Other 0 If Other,List Use
co a--;-3
2. WELL LOCAT4ON; Topographic/Land setting .--
Nearest Town:
1Qt$5 Countyf it0:MCOP_ ❑R Wi
idge ❑Slope ley ❑Flat=
. r S Tr7( K r�A, (check appropriate box) -- -_
(Street Name,Number.Community.Subdivision.Lot No.,Zip Code) Latitude/longitude of well location- Tdri
f'(( N35'I I'AC e3"W83°k-4'et":.
3. OWNER: vvi Hn1i t•izi_ (degrees/minutes/seconds)
Address '(2Y9 8r1.5f /t-J-e Latitude/longitude source:❑GPS❑Topograpltic_map - - .--
(Street or Route No.) (check box)
An kre w c A/c 7—S40( DEPTIU DRILLING LOG
City or Town State Zip Code From To Formation Description
Arm code-Phone number int - tObt s)ni e'
4. DATE DRILLED c - 1(D-Odl
5. TOTAL DEPTH: 105'
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO D— ;-1-:.--;
=
7. STATIC WATER LEVEL Below Top of Casing: 1 A I FT. nil
(Use"+"If Above Top of Casing) Cr\ t'r`>CC
8. TOP OF CASING IS 1 FT.Above Land Surface" ' - c'r
*Top of using terminated at/or below land surface requires a W C
variance In accordance with ISA NCAC IC.al16. tri
9. YIELD(gpm): ) METIIOD OF TEST (%.1?
10.WATER ZONES(depth): % (-1----..
LOCATION SKETCH - --
1 I. DISINFECTION:Type\nk-�n�Q11eVS Amount 1� Show direction and distance in miles from at least i.?'�
12. CASING: k Wall Thickness two State Roads or County Roads.Include the Fa
Depth Diameter or Weight/Ft. Material numbers and common road names.
Front fl To D/O1 Ft. loi g 5 .c;Dfc,( pJf
From, To Ft.
From To Ft.
13. GROUT: Depth Mat rural Method b
From To . h ( Ft. Dn-a -c escu d r° er
From To Ft. 1 a
14. SCREEN: Depth Diameter Slot Size Material Ale y°t
From To Ft. in. in. Rd, Q`
From_ To Ft. in. in.
15. SAND/GRAVEL PACK: p
Depth Size Material P's9G6
From To Ft. go:
From_To Ft. 3
16. REMARKS: .
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND TIIAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
7.-Zr� ,--pag,.SIGNATURE OF PERSON CONSTRUCTING TI1E WELL DATE
•
Submit the original to the Division of Water Quality,Groundwater Sectlon,1636 Mall Service Center-Raleigh,NC
17699-1636 Plume No.[phone],within 30 days. GW-I REV.07/2001

NC / OWNER h1WD _ �"`-r`'CJ
WELL CONSTRUCTION RECORD 3 0 5 9 0 7
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) 5 et WI P‘ hi t s 1 S D r. CERTIFICATION 0.20)1/
WELL CONTRACTOR COMPANY NAME Ifni tIPC i,3Q,II ar:Q;✓1 j PHONE a fSON) 7r7-2G97
STATE WELL.CONSTRUCTION PERMITN ASSOCIATED WQ PERMITN
(if applicable) (if applicable) _
cm
I. WELL USE(Check Applicable Box): Residential CA--Municipal/Public 0 Industrial ElAgricultural 0 ,a. 0,
Monitoring❑ Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use u� --
2. WELL LOCATION: Topographic/Land setting
Nearest Town:4na�rewc County cieroec`PF q&idge OSlope ❑Valley OFIat
Ar 1r ec c, n 5oph Rai (check appropriate box)
f
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
7 /Q;cc 'Ot"� 1�83°9//40"
3. OWNER: I ;I1 -1\es (degreeelminuteyeeconds)
Address P 0 13oX I 15 Latitude/longitude source:DGPSDTopographic map
(Sneer or Route No.) (check box)
An c-YeWS A/C- 2`BgOI DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
l_--/ - ID t
Area code-Phone number Jo ' - c(S` el /X at
4. DATE DRILLED)D- 3- D a - //o S` G
5. TOTAL DEPTH: /6,5'
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO IG-
7. STATIC WATER LEVEL Below Top of Casing: tO' Fr. `.'''.
(Use'+"if Above Top or Casing) .r :cc%i
8. TOP OF CASING IS I FT.Above Land Surfaces c."'n 1.-
•Top of casing terminated Wor below land surface requires• -, -O'T,
variance In accordance with ISA NCAC 1C.0118. . c?:w;
9. YIELD(gpm): 5 METHOD OF TEST AL
10.WATER ZONES(depth): = -`v_
1. DISINFECTION:Type 14� el4 e13 Amount 15 Show direction and distance in m' es from attCast
.
12. CASING: Wall Thickness two State Roads or County Ro,•s.Include thetoad t-'(
Depth Diameter or Weight/Ft. Material numbers and common road ' mes.
Ill
Fron(_Q_To 5S` FL ;a5 sGEZI /pin. p y Lj! i p,
From To FL r y s
Front cgul To FL r 44
13. GROUT: Depth Ma)etnal Method
From ?7 To .20` Ft. TI /reerc2ic
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
Front To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material rtc9cM
Front To Ft. '?at
From _To Ft. -.---- -- c
t"4;ihz-c AJ
16. REMARKS:
1 DO I►EREBY 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 TITE WELL OWNER
7 /^,( i&tc -- /..2- 3 -0y
SIGNATURE OF I'ERSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall 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 3 0 5 9 0 2
WELL CONTRACTOR(INDIVIDUAL)NAME (print) LARRY F.JONES CERTIFICATION#3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING PHONE a [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable) -..
I. WELL USE(Check Applicable Box):Residential xI Municipal/Public El Industrial 0 Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
'2. WELL LOCATION: Topographic/Land setting 2 �'
Nearest Town: MURPHY County CHEROKEE £❑Ridge ['Slope ❑Valley ❑Flat =
TARHEEL PROPERTIES-FARMER'S TOP (check appropriate box) US
--,
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location _
3. OWNER: TRENT ANDERSON (degrees/minutes/seconds)
Address P.O.BOX 1382 Latitude/longitude source:❑GPS❑Topographic map, -_: Ti
(Street or Route No.) (check box) -i . ....
MURPHY NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
(828 )-835-8380 0'TO 20' RED CLAY
Area code-Phone number 20'TO 41' GRANITE
4. DATE DRILLED 12-08-2004 41'TO 807' GRANITE
5. TOTAL DEPTH: 807'
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El
7. STATIC WATER LEVEL Below Top of Casing: 250' FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface*
•Top of casing terminated attor below land surface requires a
variance In accordance with ISA NCAC 2C.6118.
9. YIELD(gpm): 1/2 PINT METHOD OF TEST AIR
10. WATER ZONES(depth):
LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 41 Ft. 6 1/8" SDR 21 PVC
From To FL x
From To Ft.
13. GROUT: Depth Material Method
From 0 To 20 Ft.CEMENT GRAVITY
From To FL Qt ;--...,-.7,
14. SCREEN: Depth Diameter Slot Size Material C? <= =�
From To Ft. in. in. --
f,,
From To Ft is in. . 1
IS. SAND/GRAVEL PACK: Tee �� `"`
Depth Size Material1/4; t ,co a o.,
From To Ft. t-;1±�1
From To FL 7 —'.'-.
16. REMARKS: 's='
0I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH l5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A Y OF THISJt$CORD JA BEEN PROVIDED TO THE WELL OWNER
S[GNATU OF PN CO G THE WELL DATE
SubmIt the original to the Division of Water Quality,Attn: Information Management,1617 Mall Service Center-
Raleigh,NC 27699-1617, Phone No.[phone],within 30 days.
GW-1 REV.09/2004

NC ✓ OIYNI.It �) HIV _
WELL CONSTRUCTION RECORD 3 0 6 9 0 9
North Carolina-Department of Enviromncnt and Natural Resources-Division of Water Quality-Groundwater
Section
tion c/
T
WELL CONTRACTOR(INDIVIDUAL)NAME (print)- 7C'.wtP`� E. t�: 5nr'1 r���� t�Y—Zy%r
WELL CONTRACTOR COMPANY NAME l�liC(vr t�vT( dc:((in9
PHONE s ,x.,,.,
ASSOCIATED WQ PERMIT#
STATE WELL CONS ON PEMfITs (ifapplicable)
(if applicablcablee))
I. WELL USE(Check Applicable Box): Residential 0 Municipal/Public 0 Industrial 0 Agricultural O
Monitoring O Recovery O Heat Pump Water Injection 0 Other O If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town:fYlurhL\f CountyfinerApe. OR)dge G18(Ope Malley OFlat
(check appropriate box)
(Sued Nii bentrvts.C <.iur Latitude/longitude of well location
(Sued Name, nmbera,Community,Subdivision,Lot No.,Zip code) N 3S-oo t /r vI,Z cr c/ Gs"
3 'r
1 (degrees/minutesfeeconds)
3. OW Address
3�u+ nni sq 4 l Latitude/Iongitudesource:OGPSOTopographicmap
AddfCs9 30 (StreetS /e or nrnq /✓ SI Lane (check box)
or Routetfo.) pLPTU MILLING LOG
or of by to Z g9Zi 6 _ Formation Description
I ZipCode From To
City or Town State _ 10 t 'G
AttC emit-Phone number I f)' 11 Sr
4. DATE DRILLED ID-.)3- O4 ) is' - .2OS'
5. TOTAL DEPTH: ?nS'
6. DOES WELL REPLACE[XIS'rING WELL? YES 0 NO IA- t�
7. STATIC WATER LEVEL Below Top of Casing: S r
rr.n ',a t •
(We"+"If Above Top of Casing) Y
8. TOP OF CASING IS 1 FE.Above Land Surface* CO
*Top of using terminated at/or below land surface ink es a
variance In accordance with 15A NCAC IC.011e. O
9. YIELD(gpm): K METHOD OF TEST IQ :P CJe
10.WATER ZONES(depth): LOCATION SKETCH '
Show direction and distance in miles from at least
12.
11. DISINFECTION:"type h�In Q olle(c ArnAmounttwo State Roads or County Roads.Include the road
CASING: Wall'Ihicknass
Depth Diameter or Weight/FL Material numbers and common road names.
From 0 To ta5' FL (o,x Gor.>I i✓r r
Front To Ft.
Front____To_ Ft.
pnorntt% n)
13. GROUT: Depth Material Method
From, 0 To �tri ' Ft. Pork-LwS cCF«rrito 6�
From To Ft. _ :ri
14. SCREEN: Depth Diameter Slot Size Material
Front To Ft. in. in.
Front To Ft. in. ice.
15. SAND/GRAVEL PACK: t'
Depth Size Material
From To Ft. A
Front To 1't. rs
16. REMARKS:
I DO HEREBY CERTIFY T)IATTHIS 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
��w Lr21 �c_>� DATE
SIGNATURE OF PERSON CONS'I'RUCfING TILE WELL
•
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center t RalB8Vgh,NC 2001
27699-1616 Phone No.[phone],w Rhin 30 days.

WELL CONSTRUCTION RECORD
307036
North Carolina Department of Environment and Natural Resources-Division of Water Quality
WELL CONTRACTOR(INDIVIDUAL)NAME (print) TARRY F.JONES CERTIFICATION it 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMITH
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential XI Municipal/Public❑ Industrial 0 Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town:MURPHY County CHEROKEE )]Ridge ❑Slope OValley ❑Flat
LAKE WELLS (check appropriate box)
(Street Name,Number,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: RICHARD 8 MARIE MCGHEE (degrees/minutes/seconds)
Address 257 JAMES RD Latitude/longitude source:❑GPS❑Topographic map
(Street or Route No.) (check box)
MURPHY NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
(828 )- 361-2868 0'TO 30' BROWN DIRT
Area code-Phone number 30'TO50' SANDSTONE
4. DATE DRILLED 12/29/2004 50'TO 68' BLUE SLATE
5. TOTAL DEPTH: 705' 68'TO 705' SLATE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO 0 .
7. STATIC WATER LEVEL Below Top of Casing: 120 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surfaces -", K
surface'Tap of casing terminated at/or below land requires a 03 rs
variance in accordance with 15A NCAC 2C.0118. I - f
9. YIELD(gam): 1/2 METHOD OF TEST AIR t
10. WATER ZONES(depth): LOCATION SKETCH 17
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from atS ast
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 68 Ft. 61/8" SDR21 PVC
From To Ft. /�
From To Ft. 131
13. GROUT: Depth Material Method
From 0 To 20 Ft.CEMENT GRAVITY
Front To Ft. �/
14. SCREEN: Depth Diameter Slot Size Material / ��� 5From To Ft. in. in. I i'lk.
From To Ft. in. in. f1 v
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft. St
From To Ft. ..J\'dt'
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 RECORD HAS BEEN PROVIDED TO THE WELL OWNER
j�l f /z D_'3-cL-(
SIGN ATTU`RE OF,RSON ON ' CTING THE WELL DATE,
Submit the original to the Division of Water Quality,Attn: Information Management,1617 Mall Service Center-
Raleigh,NC 27699-1617, Phone Na(919)733-7015,within 30 days.
GW-1 REV.09/2004

WELL CONSTRUCTION RECORD 302011
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)CHRISTOPHER L DICKEY CERTIFICATION a 2281
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE if 1828) 837-8008
STATE WELL CONSTRUCTION PERMITa ASSOCIATED WQ PERMITM
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential tgl Municipal/Public❑ Industrial❑ Agricultural 0
Monitoring❑ Recovery ❑ Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge 0Slope ❑Valley ❑Flat
RANGER ESTATES (check appropriate box)
(Street Name,Nombcrs,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: MICHAEL&JESSICA WALLACE (dcgroes/minules/secmrds)
Address 188 GAME BIRD LANE Latitude/longitude source:❑GPS❑Topographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 837-0653 0'TO 45' BROWN DIRT/GRAVEL
Area code-Phone number 45 TO 67 SLATE/GRANITE MIX
4. DATE DRILLED 09-08-2004 67 To 245' GRANITE
5. TOTAL DEPTH: 245'
6. DOES WELL REPLACE EXISTING WELL/ YES❑ NO 131
7. STATIC WATER LEVEL Below Top of Casing: 80 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface• T
*Top of sing terminated Mier below land surface regorequiresB a Cr_
Jr
variance In accordance with ISA NCAC 2C.011& ""n^'
9. YIELD(gpm): 15 METHOD OF TEST AIR N rt -
10.WATER ZONES(depth): 160',240' i'O ern
LOCATION SKETCH IN :o
1
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at let
12. CASING: Wall Thickness two State Roads or County Roads.Include the t d ��
Depth Diameter or Weight/Ft. Material numbers and common road names. E
From 0 To 62 Ft 6 1/8 SDR 21 PVC -2,c
From To Ft. ro
From To Ft. -
13. GROUT: Depth Material Method S�
From 0 To 20 Ft. CEMENT GRAVITY 0)
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material flp ba
From To Ft. in. in. /� fFQ f Si,�
From To Ft. in. in. ✓ S ��
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS L WAS CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS, TI PY FTHIS "inORD HAS BEEN ROVIDED TO THE WELL OWNER�
s t
ATURE PERSON CONSTRUCTING THE W 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 311Mt 0)
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (prio LARRY F.JONES CERTIFICATION it 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE s [phone]
STATE WELL CONSTRUCTION PERMITX ASSOCIATED WO PERMTTM
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential 181 Municipal/Public 0 Industrial 0 Agricultural❑
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope ❑Valley ❑Flat
HILL TOP LN (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3502.306W8406.852W
3. OWNER: THOMAS L ADKINS (degrees/minutes/seconds)
Address 17943 NASSAU DR. Latitude/longitude source:KIGPS❑Topographic map
(Stitt or Route No.) (check box)
JACKSONVILLE. FL 32226 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 904)_ 757-1964 0'TO 15' RED CLAY/SANDSTONE
Area code-Phone number 15'TO 3T GRANITE
4. DATE DRILLED 09'08-2004 3T TO 605' GRANITE
5. TOTAL DEPTH: 605
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El
7. STATIC WATER LEVEL Below Top of Casing: 125 FT. :r
(U,c"+"if Above Top of Casing)
c C -
8. TOP OF CASING IS 1 FT.Above Land Surface' s 7W-:
'Top of casing terminated aUar below hod surface requires• N G
,.thnee In accordance wihlSA NCAC 2C.01la. -j -Ora
9. YIELD(gpm): 12 METHOD OF TEST AIR iV oa
10.WATER ZONES(depth): o _40
LOCATION SKETCH -o r
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at hffist
12. CASING: Wall Thickness two State Roads or County Roads.Include the,prad ZQ
Depth Diameter or Weight/Ft. Material numbers and common road names. s- Ica
From 0 To 37 FL 6 1/8 SDR 21 PVC UI c>
From To FL /-
From To Ft. C
13. GROUT: Depth Material Method ,3 0EP
From 0 To 20 Ft. CEMENT GRAVITY From To Ft. S k
14. SCREEN: Depth Diameter Slot Size Material t �\!up L
From To Ft. in. in.
From To Ft. in. in. \v
15. SAND/GRAVEL PACK:
Depth Size Material
From To FL
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I 5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A C PY OF THIS KCORD BEEN PROVIDED TO THE WELL OWNER
�}ft`' • 9_6
SIGNA OF P ON CAR G THE WELL DATE
Submit the original to the Division of Water entity,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

DP
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)
CHRISTOPHER L.DICKEY CERTIFICATIONS 2261
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE a [phone]
STATE WELL CONSTRUCTION PERMITS/ ASSOCIATED WQ PERMITS
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El Municipal/Public El Industrial 0 Agricultural O
Monitoring❑ Recovery 0 Heat Pump Water Injection 0 Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope OValley OFlat
1098 SANDY GAP RD (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: PATRICK DICKERSON (degrees/minutes/seconds)
Address 674 TWIN POND RD Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 361-5262 0'TO 20' BROWN CLAY
Area code-Phone number 20'TO 30' SANDSTONE
4. DATE DRILLED 09-13-2004 30'TO 43' BLUE SLATE .._
5. TOTAL DEPTH: 40' 43'TO 405' SLATE CI5----:
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El
75 FT. .fi P•.;
7. STATIC WATER LEVEL Below Top of Casing: A
(Use"+"if Above Top of Casing) 'n �7G
8. TOP OF CASING IS 1 FT.Above Land Surface" 0 C
o
*Top of casing terminated alior below land surface requires a n
variance in accordance with ISA NCAC 2C.011& 'V fn.-
9. YIELD(gpm): 2 METHOD OF TEST AIR .
OG
10.WATER ZONES(depth): t %
LOCATION SKETCH °'
rrk
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show
o Sadirection e Roads ord distance
isCo a cy in miles
ds. s from
de atthe least
rotd e
12. CASING: Wall Thickness
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 43 FL 6 1/8" SDR 21 PVC
From To Ft.
From To Ft. p
13. GROUT: Depth Material Method loopy
o j X
From 0 To 20 Ft. CEMENT GRAVITY
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. C
From To Ft. in. in. J
15. SAND/GRAVEL PACK: •
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL S CONSTRUCTED IN ACCORDANCE WITI l I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AN6 THAT OP TI RECORD HAS BEEN PROV )ED TO THE WELL OWNER
1-/6—Ur/
IG RE OF PE ONCONST CI IN THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mail Service Ceenter'RaleiREVgh,NC
27699-1636 Phone No.[phone],within 30 days.

301566
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and NaturalResources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) r K&&K7.. ?. V.I Cl Ot? CERTIFICATION#3175
WELL CONTRACTOR COMPANY NAME 13 YERS Wet / DRILL110 Co 3NC. PHONE # WO 745•C/64
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) J (if applicable)
I. WELL USE(Check Applicable Box):Residential!B Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other 0 If Otter,List Use
2. WF.T.T LOCATION: Topoc/Land setting
Nearest Town: fuQ24Y County CUE e0Ee-E ❑Ridge EBSlope ❑Valley ❑Flat
HaMGINr., Doh RD. IfaNe.ls6tx6 22lo6 (cheek appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
N 350/o. $.4.,
3r W OtYu03. 033e
3. OWNER: LOReM DevIS (degrees/minutes/seconds) -Address 75 D?HI c CRtc RD Latitude/longitude source:Elt iS❑Topographic map
(Street or Route No.) (check box)
ni UR Y 14 c... 2890 6 mill DRILLING LOG
g)- 8City or oo�_ Z State Zip Code From To Formation Description
O - 7G, ' WHIS!{-TAY C1a+V
Area code Phone number , `4. - 1? (�R 2 SiCue ergH Rac?Ed /c
4. DATE DRILLED 9- C.- O H /9 - 2L gaus(WEa7flc-RC-0 "nu%
5. TOTAL DEPTH: S 2 S 26 — Go //2R0 6¢2V go(-A
DOES WELL REPLACE EXISTING WELL? YES 0 NO 60 - 70 Zan itav-r., r.,rrizer,t
7. STATIC WATER LEVEL Below Top of Casing:IDRY Iao(E FT. rt _ /SG L/6 seat'testa
(Use"+"if Above Top of Casing) /Se - 217 j,L2a Gz2Y/Taut
8. TOP OF CASING IS 2 FT.Above Land Surface' T/7 - 3/5. S i 6 zee;tea oh
'Top of casing terminated at/or below land surface requires• ;/S _ 3S e/ �F1L'/�ae.I*
variance in accordance with ISA NCAC 2C.011g.
9. YIELD(gpm):DR1 I-(& METHOD OF TEST AIR 33-y-3(o2 G/76.area--6/zceNa .c
10.WATERZONES(depth): JDRY blot 367 - 4104 4/nEG/r2Yl2oe-A
).00ATION SKETCH
11. DISINFECTION:Type 14TR Amount //h Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From Toil_Ft EAR I PVC.
From I To *2 Ft (a sY ,,SZM727.5 i✓C ' r0((- 'SZ 5 GReV Rem
From To Ft 90 l c.'/O
13. GROUT Depth Material Method 9 F
From G.� To O Ft. CEWIGIGKi- ( 9v,tY tPe '9022.t�
From To Ft 'Pj
14. SCREEN: Depth Diameter Slot Size Material 0s utid�,/;
From To Ft in. in. 4Ot7 CEO
From To Ft in. in. - 4,
15. SAND/GRAVEL PACK
Depth Size Material
From To Ft.
From. To Ft._
17 ._ +
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUL Itd)IN ACCORDANCE WITH 15A NCAC 2C,WELL _
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
,mitt d. 11,4, 9 - 3— Oy
4 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-1 REV.07/2001

3015d5
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) FR 214 Z P. kik tat CERTIFICATION a 3/75
WELL CONTRACTOR COMPANY NAME B Yeas U)at. Dt21LLI MG, Sbl C... PHONE a (7o074S-Z/6Ce
STATE WELL CONSTRUCTION PERMIT* _ASSOCIATED WQ PERMIT*
(if applicable) - (if applicable)
1. WELL USE(Check Applicable Box):Residential l /Municipal/Public 0 Industrial❑ Agricultural 0
Monitoring❑ Recovery ❑ Heat Pump Water Injection❑ Other❑ If Other,List Use
2. WELL LOCATION: opographic/Land setting
Nearest Town: 1LlUIRD14Y County HEROK[-e Mdge ❑Slope ❑Valley ❑Flat
OWL C2GQk RD 14aNaisic,Do6 (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitudeAl qC o D it l n pY°oof well laSn2
3. OWNER:CaaQC)- ( WS'/46N OOJ ( /F ut y0�oo0nddsr)
Address PO Roc 3 t 5 Latitude/longitude source:I8GPS❑Topographic map
(Street or Route No.) (check box)
4tzRCGS iic ZsGo1 DEPTH DRILLING LOG
g7A>City)_ 3 Z 1 - `I(0/5 zip code From- ,i K6 COY lormation Description
Arca code-Phone number LI — 1(0 3t?p,..nIsu-re+C Cl.2Y
4. DATE DRILLED 9-3i-oq 16 - IS Weane1eo gibe4c
5. TOTAL DEPTH: C,25 It{ - 3 7 N D6�a,' cacfc
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO L 39 - j-74 Luc ?mcic
7. STATIC WATER LEVEL Below Top of Casing: I SU Ff. 174 - L I S GREY Rock.
(Use"+"if Above Top of Casing) 7 (g - 3Z7 Dark C2d)r 'ramie
8. TOP OF CASING IS . FT.Above Land Surface* ,3 27 - 4 oe. Gee'? 2muc
'Top of casing terminated at/or below land surface requires a L,1� - L(80 (�j(.ZUc 1.�e-te
variance in accordance with ISA NCAC 2C.0118.
9. YIELD(gpm): V2. METHOD OF TEST aiR 4 70 - viq/ Doiccee.-i) Iacac
10.WATER ZONES(depth): y 20 4CtZ- S o 0 L/, rr Gitri'Coca
LOCATION SKETCH
11. DISINFECTION:Type L-IT a Amount ;0 0= Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Diameter or Weight/Ft Material numbers and common road names.
ta From TDo�2.0 Ft (p'/4 SDR27.$ PVC. Sob - 561 Cagy./ i?.r,K
From_____To Ft. SG I - b25 OaR1cl* e tea
From To Ft F' t%G
13. GROUT: Depth - Material Method ?A,pFO/
From 0To 20 Ft (-F-rMC-t..0 Ravi
n.' 0, oe
From To Ft. a
14. SCREEN: Depth Diameter Slot Size Material 8 ., tiLP %
From To Ft in. in. 4From To Ft. in. in. Q
15. SAND/GRAVEL PACK:
Depth Size Material
From_ To Ft.
From To Ft.
16. REMARKS: ..C ' 1 7
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRULLW IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUSTANDARDS, THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
t1/_)t ?- z-o ev
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-1 REV. 07/2001

C .V U11/,LI( ,.r Pi
3 01'7'T.
WELL CONSTRUCTION RECORD
North Carolina -Department of ERvilounent and Natural Resonates-Division of Water Quality-Otoundwatcr Section
WELL CONI RACTOIL(INDIVIDUAL)NAME,� (print) . )01W1P.5_ R L&31 CERTIFICA1 ION No Wit/
^
WELL CONTRACTOR contemn'NAME '•`;kkx t.•JPi1I f f-,IL-1(5 FIIONE a J42 q) 157- 7
STATE WELL CONS f R UCIIUN FERMI!N ASSOCIATED WQ PERMITS
(if npplicnblc) (if applicable)
I. WELL USE(Check Applicable Ilox): Itesideutinl Ill Municipal/Public O Indust'ial 0 Agricultural
Ll
Monitoring Cl Recovery O I neat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION ' Topographic/Land selling
NeatestTown:1 n1 i"P1AJS County Caaeroh,C Calkhrge [Slope ❑Volley Llilat
(check approprlae box)
(Surer None,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: AG/N/��S pn (der,eeminermull)
Address I L Cl2.� Latitude/longitude ✓ Nnh source:OGPSOTopographic map
(Sheet or Rnut "C., f (check bus)
i 2 G�l<'p ULl''111 12ji1LL1NQLUQ
Pon lion Descri Ilion
City or Ion Stale Zip Code 1,�Dvor �u3Y ( Sc/ 1
Area rode.flume number
4. DATE DIALLED 7 77 O -\ c
5. Torn), opera _
6. DOES WELL REPLACE EXISTING WELL7 YES L7 NO r O
rya
7. STATIC WATER LEVEL Below Top of Casing: ton' Ff. G sars
(We-4.-I f Above lop of Caving) t'.1
8. TOP OF CASING IS 1 Irr. Above Land Surface• a:
•l op a nJnr ter minuted Win below lend pm Ian requlr es• S v.�
nu lints In accordance with ISA NCAC 2C.01Ia. --p r?,',O
9. YIELD Wm): 1 METI►OD OFTEST A; 2 y
m,
It). WATER ZONES (depth): ea c
LOCATI• S EICJH rr,,��
Show direction and distance in miles Flom alrlsast i
12. DISINFECTION:ING: 'fype 1 �h p�\\a�5 Amount luul ess two State Roads or County Roads. Include the road
12. CASING: Wall Thickness ,
Depth Diameter or 1VeighUFt. main la' numbers and common road names.
From D To 3/4 Ft. (.p,.2t sUC 2L e yr
Flom To Ft. .r
From Tn Ft.__
13. GItOU1: Depth Mntetial Method
From f7 To .D ' Ft. ,lnft(a.+c) \,/, SSW'P
Flinn To Ft. �`"
14. SCREEN: Depth Diameter Slot Size Material
Flo❑ To Ft. in. In. A(no h
Flom To Ft. hi. in. ,C
15. SAND/GRAVEL PACK:
Depth Size Material feq.r✓,'.e.<✓ L. ._ - .
Rom T' Ft.
Front To Ft.
16. REMARKS:
I DO I IURFUY CERTIFY TI IAT 1I115 WELL WAS CONS111UCFED IN ACCORDANCE W1111 I5A NCAC 2C,WELL
CONS1 IWC1 ION STANDARDS,AND TIIAT A COPY OF TIIIS RECORD IIAS BEEN PROVIDED TO TIIE WELL OWNER
?„,,,,44.4..
LAouzi----- 17- 7--b y
SIGNATURE OF PERSON CONSTRUCTING TIIE WELL DAZE
Submit the etIglunl to (Inc Division of Water Quality,Groundwater Sectlol, 1636 Mall Service Center-Raleigh,NC
27699-1616 Flume Nu.[phone],tslthbn 3U days. OW-1 REV.07/2001

WELL CONSTRUCTION RECORD 30075 4
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (prino DAVID F.MCKINNON CERTIFICATION 0 2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE [phone]
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WQ PERMITS
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential RI Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE
®Ridge ❑Slope ❑teb ❑Flat
MARTINS CREEK NEAR STILES FARM (check appropriate box)
(Street Name,Numbers,Commwity,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: JOHN CHASTAIN
(deprees/minuirs/seccmds)
Address 3757 BRASSTOWN RD Latitude/longitude source:❑GPS❑Topographic map
(Street or Route No.) (check box)
BRASSTOWN, NC 28902 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 837-8706 0'TO 20' BROWN SLATE
Area code-Phone number 20'TO 60' BROWN/GRAY SLATE n
4. DATE DRILLED 08-11-2004 sec TO 66' GRAY SLATE
5. TOTAL DEPTH: 705' 66'TO 705' SLATE C' r•-
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO RI 'a
7. STATIC WATER LEVEL Below Top of Casing: 160 FT. on rn
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surfaces s---crn
0
'Top of caring terminated anor below land surface requires a -i,,,
variance in accordance with 15A NCAC 2C.0118. —CO rnq
9. YIELDMETHOD OF TEST AIR s cr rn
(gpm):
ZON1 CUP ca ri=
10.WATER ZONES(depth):
LOCATION SKETCH to '
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least t
12. CASING: Wall Thickness two State Roads or County Roads. Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 66 Ft. 61/8" SDR 21 PVC r,♦t1
From To Ft. 1""
From To Ft.
13. GROUT: Depth Material Method t.
From 0 To 20 Ft. CEMENT GRAVITYOP
From To Ft. \ y
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK: Vef
Depth Size Material \Ip. CD
From To Ft. '�1�� -S
From To Ft. r kb
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I 5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF Tlrf CORD HAS/� PROVIDED TO THE WELL OWNER
r
alaigettj tit
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service.Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I'REV.07/2001
1

WELL CONSTRUCTION RECORD 3007 J ti
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)CHRISTOPHER L DICKEY CERTIFICATION r 2281
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE a [phone]
STATE WELL CONSTRUCTION PERMITN ASSOCIATED WO PERMIT#
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential Igl Municipal/Public❑ Industrial 0 Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: ANDREWS County CHEROKEE ®Ridge OSlope ❑Valley ❑Flat
HEALEY FIELDS(PAST POND) (check appropriate box)
(Street Name,Numbers,Community,Subdivision,lot No.,Zip Cock) Latitude/longitude of well location
3. OWNER: DONNE SIKES (degrees/minutes/secends)
Address P.O.BOX 10245 Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
BROOKSVILLE, FL 34603 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 352 )- 585-3079 0'TO 40' RED SLATE
Area code-Phone number 40'TO 60' BROWN/TAN SLATE
4. DATE DRILLED 07-30-2004 60'TO 80' BROWN/GRAY SLATE
5. TOTAL DEPTH: 705' 80'TO 100' GRAY SLATE
6. DOES WELL REPLACE EXISTING WELL/ YES 0 NO gl 100'TO 705' SLATE
7. STATIC WATER LEVEL Below Top of Casing: 120 FT. L--
(Use"+"if Above Top of Casing) 9 ciM
8. TOP OF CASING IS 1 FT.Above Land Surface' 0 c`m
`Top of casing terminated as/or below land surface requires a _ etc
variance In accordance with 15A NCAC 2C.0116. �. -' rn
9. YIELD(gpm): 2 1/2 METHOD OF TEST AIR yip
10.WATER ZONES(depth): 260',680',700' 3 �m
LOCATION SKETCH r� m.-
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at Teast el
12. CASING: Wall Thickness two State Roads or County Roads. Include th ' ad
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 100 Ft. 6 1/8" SDR 21 PVC
From To Ft. _
From To Ft. p�
13. GROUT: Depth Material Method ' �
From 0 To 20 Ft. CEMENT GRAVITY t�
From To Ft. f-f-5 TY
14. SCREEN: Depth Diameter Slot Size Material
From _ To Ft. _ in. in. e4'
From To Ft. in. in. r
15. SAND/GRAVEL PACK: p�
Depth Size Material ir\
From To Ft. t'
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WI II I 5A NCAC 2C,WELL
CONSTRUCTION STANDARDS, 8�fIh T CO Y OF HIS RECCOORp HAS BEEN PR IDED TO THE W�-E7LL OWNER r
ATURE OF RSON CONSTRUCTING THE WE DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699.1636 Phone No.[phone],within 30 days. GW-1 REV.07/2031

WELL CONSTRUCTION RECORD 3 0 0'7 51
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)DAVID F.MCKINNON CERTIFICATION 0 2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. pppptE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box): Residential El MunicipalPublic❑ Industrial 0 Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: ANDREWS County CHEROKEE ®Ridge OSlope ❑Valley ❑Flat
SHERWOOD FOREST (cheek appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot Na,Zip Code) Latitude/longitude of well location
3510.561N/8350.565W
3. OWNER: WINDELL ANDERSON (degrees/mimes/seconds)
Address 1425 BURNT SCHOOLHOUSE RD Latitude/longitude source:RlGPSlTopographic map
(Sheet or Route No.) (check box)
HAYESVILLE, NC 28904 DEPTH DRILLING LOG
City m Town State Zip Code From To Formation Description
( 828)_ 389-8986 0'TO 20' FILL DIRT
Area code-Phone number 20'TO 80' BROWN SLATE
4. DATE DRILLED 08-03-2004 80'TO 93' BLUE SLATE el
5. TOTAL DEPTH: 706'
93'TO 705' SLATE ?_
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El G o
7. STATIC WATER LEVEL Below Top of Casing: 200 FT. t' en-13
a ;.,,
(Use"4"if Mx,ve Top of Casing) G Gm
8. TOP OF CASING IS 1 FT. Above Land Surface• o�
`Top of caning terminated atior below land surface requires a - rn
d
variance hi accordance with ISA NCAC 2C AD D S. --
9. YIELD(gpm): PINT METHOD OF TEST AIR -o ell ci
o
10.WATER ZONES(depth): _ S Nz
LOCATION SKETCH W �-+�
I I. DISINFECTION: Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least.) o
12. CASING: Wall Thickness two State Roads or County Roads. Include the toga' Z.
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 93 Ft, 61/8" SDR21 PVC A1Q-JtEU Alb
From To Ft.
From To Ft.
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY
From To FL �Q
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in. ^
15. SAND/GRAVEL PACK: Y 'J
Si
Depth Size Material �V
From To Ft. k
•
From To Ft.
16. REMARKS:
1 DO HEREBY CERTIFY THAT TIIIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF TI S RECOttQ HAS BE. PROVI TO THE WELL OWNER
SIGNATURE OF PERSON CONSTR .PING TI E WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001 '

300719
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)CHRISTOPHER L.DICKEY CERTIFICATION a 2261
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. pnoNE a i 828) 837.8008
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WQ PERMITS
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential P3 Municipal/Public❑ Industrial 0 Agricultural O
Monitoring O Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ❑Ridge ❑Slope ❑Valley EFlat
PEACHTREE-RACOON RIDGE (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: HAROLD WILSON (degrees/minutes/seconds)
Address 2505 HWY 141 Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
MARBLE, NC 28905 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 837-5082 0'TO 10' RED DIRT/SANSTONE
Area code-Phone number 10'TO 20' GRANITE
4. DATE DRILLED 07-23-2004 20'TO 705' GRANITE
5. TOTAL DEPTH: 706' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO ® 0 fl
7. STATIC WATER LEVEL Below Top of Casing: 120 FT. C 73
(Use"i"if Above Top of Casing) yin 'rek
8. TOP OF CASING IS 1 FT.Above Land Surfaces G —n
`Top or lasing terminated abor below land surface requires a t? O i
variance In accordance with ISA NCAC 2C MI IN. fin
9. YIELD(gpm): 0 METHOD OF TEST AIR CM v°
10.WATER ZONES(depth): —a rzla
LOCATION SKETCHco
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at lea"? n�
12. CASING: Wall Thickness two State Roads or County Roads.Include the rope —t
Depth Diameter or Weight/Ft. Material numbers and common road names. — Z
From 0 To 20 Ft, 6 1/8" SDR 21 PVC
From To Ft.
From To Ft. (�_ 1%6
13. GROUT: Depth Material Method C
From 0 To 20 Ft. CEMENT GRAVITY
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. 511/1.
From To Ft. in. in.
ct
15. SAND/GRAVEL PACK:
Depth Size Material j
From To Ft. 4vs��1 An
From To Ft. ,`O
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WE����'��a'��j AS CONSTRUCT D IN ACCORDANCE W ITII 5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND • I COPY • Till*1' ;CORD S BEEN P OVI ED TO THE WELL OWNER
'SIG r4 OF PER' IN CONSTRUCTING TIE WELL / DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall✓Service.Cent rr_Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001
-1

WELL CONSTRUCTION RECORD 300748
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)CHRISTOPHER L.DICKEY CERTIFICATION a 2261
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. P11ow a [phone]
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WQ PERMITS
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential El Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring❑ Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ❑Ridge ®Slope ❑Valley ❑Flat
PEACHTREE-MCCOMBS RD (check appropriate box)
(Sane Name,Numbers,Community,Subdivision,to No.,Zip Code) Latitude/longitude of well location
3. OWNER: DEVIN DECKER (degcestminutes/seconds)
Address 642 MCCOMBS RD Latitude/longitude source:❑GPS❑Topographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828 )- 837-5420 0'TO 20' BLACK DIRT/RED CLAY
Area code-Phone number 20'TO 40' BROWN DIRT
4. DATE DRILLED 08-09-2004 40'TO 60' BROWN SLATE
5. TOTAL DEPTH: 605' 60'TO 78' BLUE SLATE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ® 78'TO 605' SLATE G
7. STATIC WATER LEVEL Below Top of Casing: 75 FT.
(Ilse"+^if Above Top of Casing) el t
8. TOP OF CASING IS 1 FT. Above Land Surface' 9 r A
'Top of casing terminated at/or below land aorface requires a C.yet
variance in accordance with ISA NCAC 2C.011S. G
St. YIELD(gpm): 2/3 METHOD OF TEST AIR .r^
TP 10.WATER ZONES(depth): ��
LOCATION SKETCH 'a nrrs
o
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at leas` rc
12. CASING: Wall Thickness two State Roads or County Roads. Include the mace ca
Depth Diameter or Weight/Ft. Material numbers and common road names. a
From 0 To 78 Ft. 6 1l8- SOR 21 PVC .
From To Ft.
From To Ft. ^
13. GROUT: Depth Material MethodV41.(1
R 0
From 0 To 20 Ft. CEMENT GRAVITY
From Toe Ft. ��
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK: / y
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COLOF THIS REC RD HAS SEEN PROVID TO THE WELL OWNER
t� 8 5
SIGNATURE 0 PERSON CO) STRUCTING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

WELL CONSTRUCTION RECORD 301311
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION it 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. pgoNE µ [phone]
STATE WELL CONSTRUCTION PERMITµ ASSOCIATED WQ PERMITS
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial 0 Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
NearestTown: MURPHY County CHEROKEE ❑Ridge ❑Slope ®Valley ❑Flat _
SPUR SPUR 60-RIVER VIEW RIDGE (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3501.524N/8407.01 oW '
3. OWNER: JASON TIPTON (degrees/minutes/seconds) .
Address 75 WINDMILL LN Latitude/longitude source:®GPS❑Topographicmap
(Street or Route No.) ( '.
check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
city or Town Slate Zip Code From To Formation Description__.__ _._.
( 828)- 644-5781 0'TO 80' SANDSTONE
Area code-Phone number 80'TO 120' RED CLAY
4. DATE DRILLED 08-26-2004 120'TO 180' SAND/SURFACE WATER
5. TOTAL DEPTH: 605' 180'TO 200' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El 200'TO 605' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 125 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING l5 1 FT.Above Land Surface' Ir
*Top of casing terminated al/or below land surface requires a
variance In accordance with ISA NCAC 2C.011S. Og�a
9. YIELD(gpm): PINT METHOD OF TEST AIR ,� �.
10.WATER ZONES(depth): LOCATION SKETCH Ix) ,c'*h
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at Icei P
12. CASING: Wall Thickness two State Roads or County Roads.Include the t � ('1,3.
Depth Diameter or Weight/Ft. Material numbers and common road names. t , O
From 0 To 200 FL 61/4" .188 STEEL / S�` or
From To Ft. CO �`f, r
From To Ft. Q>
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY .rid /
From To Ft. Q' „Pi
14. SCREEN: Depth Diameter Slot Size Material �f 0-)
From To FL in. in. @. 4 A
From To Ft. in. in.
15. SAND/GRAVEL PACK: G. G
Depth Size Material t),
From To Ft.
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT OPY OF TIIIS jtECORD S BEEN PROVIDED TO THE WELL OWNER
SIGNA URE OF SON thT ING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

301310
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION#3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone] •
------ - -
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box): Residential El Municipal/Public❑ Industrial 0 Agricultural 0
Monitoring❑ Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting Nearest Town: MURPHY County CHEROKEE ORidge ®Slope OValley OFlat
TARHEEL-FARMER'S TOP-BOTTOM OF HILL (check appmpriate box)
(Sorel Name,Numbers,Community,Subdivision,lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: 1 s
Address 181 TEN ST Latitude/longitude ographic map
(Street or Route No.)
(check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 837-6010 0'TO 20' FILL DIRT
Area code-Phone number 20'TO 30' RED CLAY/GRAVEL
4. DATE DRILLED 08-27-2004 30'TO 57' GRANITE
5. TOTAL DEPTH: 305' ST TO 305' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El
7. STATIC WATER LEVEL Below Top of Casing: 75 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface*
*Top of casing terminated at/or below land surface requires a
variance In accordance with 15A NCAC 2C.0118. PiF�:0
9. YIELD(gpm): 12 METHOD OF TEST AIR A F
10.WATER ZONES(depth): 80' t� n
LOCATION SKETCH < �Ui O
II. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from aljlpast �Ica
12. CASING: Wall Thickness two State Roads or County Roads.Include thei3ad �S/D4Y
Depth Diameter or Weight/Ft. Material numbers and common road names. C'�a /G�
CCe.Q
From 0 To 57 Ft. 6 1/8" SDR 21 PVC fr lr,
From To Ft. Y
From To Ft.
13. GROUT: Depth Material Method QS wP
From 0 To 20 Ft. CEMENT GRAVITY
From To Ft. r.
14. SCREEN: Depth Diameter Slot Size Material ,. 04
From To Ft. in. in. © i Nit-
in
From To Ft. in. in.
15. SAND/GRAVEL PACK: vy�
Depth Size Material V
From To FL /P Sec
From To Ft. n
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH l5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COP OF THIS RECORD HAS EN PROVIDED TO THE,WELL OWNER
yui5 9 - -ot
SEGNATUR OF PERS ONSTR CT HE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

3 01
v41
WELL CONSTRUCTION RECORD , 3
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.BONES CERTIFICATION 4 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE R [phone]
STATE WELL CONSTRUCTION PERMITR ASSOCIATED WQ PERMITH - . .
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial❑ Agricultural 0
Monitoring❑ Recovery ❑ Heat Pump Water Injection❑ Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting .
Nearest Town: MURPHY County CHEROKEE ORidge ®Slope ❑Valley ❑Flat
BURRELL MTN RD (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location '
3. OWNER: CHARLES BENGE (degrees/min teslseconds)
Address 12275 56TH PLACE N. Latitude/longitude source:❑GPS❑Topographic map---- --
(Street or Route No.) (check box)
ROYAL PALM BCH, FL 33411 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 561 )- 792-3917 0'TO 20' RED CLAY/GRAVEL
Area code-Phone number 20'TO 40' BLACK DIRT
4. DATE DRILLED 08-23-2004 40'TO 61' GRANITE
5. TOTAL DEPTH: 1100' 61'TO 800' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El 800'TO 1100' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 200 FT.
(Use"*"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface'
*Tap of casing terminated allot below land surface requires a
variance In accordance with 15A NCAC 2C.011R.
9. YIELD(gpm): PINT METHOD OF TEST AIR
10.WATER ZONES(depth):
LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names. BOG' '.
From 0 To 61 FL 6 118" SDR 21 PVC i t'Z'
From To Ft. 0t 9-,,,ea
-
From To Ft. _ �l� 9 fA j,a
13. GROUT: Depth Material Method .Y n. a �F.y�
From 0 To 20 Ft. CEMENT GRAVITY \ , p '
From To Ft. ? 1- 0
14. SCREEN: Depth Diameter Slot Size Material i I. ��, �0 e
From To Ft. in. in. *'' `-�' R`
From To Ft. in. in.
15. SAND/GRAVEL PACK: IIJ 09-t
Depth Size Material r; �.,\
From To Ft. 7-i h
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,
IGTHAT
O I E PROVIDED TO _WELL
p q2ii
SN REOFP ON � 1 WELL
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

301308
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (pring LARRY F.JONES CERTIFICATION N 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY, INC. PHONE N (828) 8318009 r,.
STATE WELL CONSTRUCTION PERMIT,/ ASSOCIATED WO PERMIT# -
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential® MunicipaVPublic 0 Industrial❑ Agricultural❑
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ORidge ❑Slope ['Valley ®Flat
BOURNE DRIVE (check appropriate box)
(Street Name,Numbers,Cormnsmity,Subdivision,tot No.,Zip Code) Latitude/longitude of well location
3. OWNER: DANNY THOMPSON (degrees/minutes/seconds) I
Address 19 TENN ST Latitude/longitude sotrce:OGPSOTopogra hic map
(Street or Route No.)
(check box) Q._..__._..-_.._...: _.. _
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)_ 837-6715 0'TO 80' RED CLAY/GRAVEL
Alen code-Phone number 80'TO 100' SANDSTONE
4. DATE DRILLED 08-31-2004 100'TO 135' GRANITE/QUARTZ
5. TOTAL DEPTH: 385' 135'TO 385' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO RI GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 109 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface*
'Top of casing terminated at/or below land surface requires a
variance in accordance with 15A NCAC 2C.011&
9. YIELD(gpm): 100 METHOD OF TEST AIR
10.WATER ZONES(depth): 370'
LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the t
Depth Diameter or Weight/Ft. Material numbers and common road names. co
From 0 To 135 FL 61/8" SDR21 PVC -P ic'
From To Ft. cil POD
From To Ft. d� Fc.).*
13. GROUT: Depth Material Method 13
O
From 0 To 20 Ft. CEMENT GRAVITY D \ ��Oly
42
From To Ft. gglle DF— N. Oc-- ��
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in. 3
15. SAND/GRAVEL PACK:
Depth Size Material a
From To Ft.
From To Ft.
—I40.Sk46 .) R_Q -
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE W ITII I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT PY OF THIS�E�CORD 1 S BEEN PROVIDED TO TIIE WELL OWNER
ezt ` 9-/-try
SIGN RE OF SON NS TING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

i ' liii ,il a
IV ill i1, CUNS'I'RUC'l•ION KECUI(I) 300887
IJvlih Oil uli ,a - I Irpalllucnl ul Uiivinnnncul and Ile Wl 'trimmers- IJlviniull of Wniel Qulility - (iimtittlwnlel :rclinu
i
r
fee ec2 Cruu I IF ICA I INN p.se yo3
1writCIINIIIACI onIIN n11'IUl1Al.)NAM F. (prlul) /
-_-__
//JJ))_•de-/' ruunr w !jai 61? - dSS ,
((rl.l,l'UNIIUCI(11l Cilnll'AN 1'NAME___JL(.__ -
SIAIF. (Mi.( ONC Iln IC 1 ION I'r IID11 IN____________ ASSIICIAIPII wi)l'rllnlilR
inn ',held,' it n ' ,iic nl.lr
I, R'PI I, I IS11 Whet Appiitnidr Ilup) Ilccidcnliel 1-Kbli ririllol/I'IIIIIIe LJ IndunItinl I:1 Alniculinlnl LI
hlunitulinµ LI Ilrcuvcly Ii Ilral runty Wain Iujccliuu U Ulhct Li If WIN, Llsi Use
2. WI'I.I. I urn I IUII: ' lipiirtepliic/I.nnd el:llinl{
I lunirci l u,(ut- _.���%L'/y __ __, _ri 1 iiiy_ C'/e-roAC C Ullidµc LI!;lupt I:IVnllry L_Il hio/.y";// 4,1, _._ (rllrrl •plm'nletr bn•)
Icnrrl(lour.Nmnlr,.,Ilanonoriry,Sohn%ielnl.,I oil I i„,7111 1'Idr) I,nliliot1rilu11µil111iC of well Ilit'nlii,ii
.vtt' OS Yl•s''rvo83` .5?',1O:Y''
/,w ii• f' 1'rPrerJ,nLruL.'r.nnd'1
Addlrsc _ LI-Ltt'7 \Al I v.t i n1i_gateJ_-Vr -_ Lnlituildlimµitude oulce:l 11;1'511Iupugtnphic null
(cLrcl t..)
(Cnrrl,n Ilnntr ill) '
'1 3 5 rig PLL'lll pitILI•IIIt; LuV
yR I i .Lt:=-- FL --- I _ --- ---- 1:vnn:lliuu 1)CSUIillliun
-- _ L1l w In,.„ `Wr 'q,1'ndr I'IUnI IU
1 I -
nor.r,.Ir. 1 L..r um,d r1 p - /s-� - cl Q
,1. 1)AiI' U1t11 I 'I)_7-27- /r0 - et),
______ S/` 7'
e-
,
5. 'WI AI. Il1'PlII' _9%S- r ---- -
G. I)I)FS WI:1,1, ItFPIACP.. I'\ISI-IIIU \VPI.I.1 IFS L1 NO LIB
7. SIAIIC \VAII:III.IiVI'.Lllcluwlnpull'ucin)!: /Plus _PL.
R. 11 tr ul" ( l.., inHi IS _•t L n I . Abner I nod !nnince• o
•1rl,rl...l' In rub„Ird •Ir,, n.in.. land.,,,b,•mp,h^ • _- _-.-_CL2=�-
(to I.,,rrin•rn hn adente.. l A NI'AI' 11'AMR � 9
U. 1'IPI I111'I`ut): - C...) _ hll•.IIIUUIII' II!!;I_../1:_._1" __ _--- -�z:en
T—
11). WA l iflt :.l)I11'S (Jrpth): ----- fJ
�----_ - — - ___ l.v.alwll sr.11 cl L
7�, slow tlilculkii mod distance in Wilt% liou49 le.•r*-
II. Itl�IfiIfCIIV11: l)pr �fT7 -- Am"ul `� P
Well 166-0nrn% two Sink )(owls or County Ronde. Inclull tt ic Io�N,
11. CASING We
anti cuuuuun lurid nnnlcs. IV r-.1
1`•' dhr Ill Wright/FL hlnlrtial .-I
I Ilimurlt t
Ilnul_-- la ��S _ i'LE_�3' Sd/tC/_ tile.- _ cp o
Ilnnl .1 a--- 11 -_..-----
llnlll ill I•i.__- --__--
13. lilt))I: lirplll Lliiimial 1)lclhnd
fl WT./lyre-
nom __lu I'L__ .. . . ---- - ------
l4, St IlIiEtl: I)rplh Uinincicr SIM Size hlnitilnl
Film 'IuVI. iu. --- in.
Elvin 10- --_ It M. ----- M. -
IS. SAIJI)/UIIAV1I. I'AC1.:
Itrrlli Size Hetetint
Iluill to II._
16. RI'HARKS:
I I)O I11'PI'll'i LTA I11'1. 111A 1 1I IIS R'PI,L WAS I'1 illS I1l1ICl fl) IN ACCORDANCE WI111 15A IKCAC 2C, WV! I.
CUI1SI RUC'IVIJSIAIJUARUS,AHD J'IIIAI CUI'YUP'IIIISIILCUIW11AS BEEN I'1lUVI000IU•IIIL WELL UWIILE
/Lrfi cct r'/F 0y
SIGIIA t?Ill!UPI'IIIISUi000NSIIWCIIIJU'JIllWELL VAIV
Sulnnll Iite o111;11Ia1 lu the UIr111on ul \Ynlri 1)IIIIIIJ,l:ruwidnnler Section, I6J6 Mall Service CUIVrI IOW.torgl, rii:
27Ga0 % 1( I'bunr Ho, [phone],i llhhi 111 du)e.

V Il ll ill l( "'"'
\YTi,I c:UNSI JUC► ►UN ►tECU►tu 300886
Nlglh l'nn,lioa - Urpminrenl of Eucinnnncnl nod lJn1 1al Itenlllrlcen- Division of Wale! Quality- (huuodv:nlcl Section o
1sFLl,arnrnncnnlpnun�Iuunl,)nsnll: wino_
�• y� �12 ec 1� UIIU IF IUA I urlp �Y -?
de rllur1P. I 11.ef) p3/ - 1Sf ,
tcel,I,conntnclullcvnn'nnsr+nnu: , ..1,- r
S IA I F. Al FI.I.( IINS I lllll Burl l'F.IUIIIp ASSIICIA I PI) %VI)FERMI IN
it n 'lit nI,Ir if n , ditnldr
I. WIWI, I ISt. (Chrrk A1;Jin.hir Ilea) Ilr.^.idrulin) I-IiMunirilml/I'ulrlic U Indunllinl III Aplicullulal U
Monitor jog LI Recovery Li Ilr:d Pump Willer Injccliuo U Gillet U Ifulhcl,List Use ----
7. \VFt 1. I (WA III III: / '1'opOLnnp11it1Lfln iliol'11 •n
IJcnrccl lu,vn' Q?�cd --_-_-Comity_ C`1/P_oaGC Ultidge I iSlupe LlVnllry LII131
Q01/"'liJ. 4A, - -_ _ - -- _ - -- (cheek.0 u,gnln4 ben)is r
Ici rrl ,Nm vbr,..l'munm,n),$ubdivieloo,I.a lit,.711,1',.lr) Latitude/longitude of well Iucnliun ,.
,1/ f 4'35° ofWfl.el' 61.)0;Lel? e43. Y
1, OWM:Al' 41,_.1 („1rl,- p d leivernilnnlra'r•-,nnl.)
Adduce 44 D 7 W IA ', ny_�}LCL_.Ylt_-_-- Lntiludcllungiludc somce:l.l(il'Sl J Follownphic roll,'i (cIu k h.,.)
(`n rrl In ninon llo
fLt. ))i:L'III DIULLIIJU LUV
f 1f, ;r_ 3
l�
l lly m Iv.n $lnr lip 1'nde 1'I0111 '1'u Emulation Descliplion
1 _ C. 33' C/�
A,.r r.lr. I ,,.n,mm�rrr _� U V. - —
•I. IIAI I: NMI FU_ �,�
9- - - — 35 _ gVi S/a le-
i. luIAl. III'I'Ift - 5. r. ._ _ _ ---
6. pus N'FI,I. IPFI'I All'. IXISVINO WI'1 1.7 YES LI NU 1-r
7. SI A I IC N'A I F.It l.EV 1!L Helms.]up of l llrllir Ali<1 _Ft. -0— .
A. It II' III, CASH J11 IS ..7 . FT. Above 1 nod Sullice• -- a o Sf
•Iry ri r.di,r l.nnln.lr,1'Ifni l,rlor• lord out l.rr nnullrr • - _ G G^
..,I„vrL. urns nllh I5A NUM. /,i/ _.—Q
u. } Ifllsll'I'll') pllillh)Nlll 11f51_-___ 0--
III. WAII'It7.111,11'S (drplll): LTh-__—_-------- --
LUC:n1 IUItSKI .I U I
r
r .---- - Show diteclims and distance in miles lium al c''1ct%-rn
II. CA INITLIIl11J: 'I)pr /-1T/7 Alnu'llll _ _`fie,_� r
Wall-I Wulf Iwo State hoods or County hoods. Include I ana.-,�
1I. CASUAL itunthcrs and common load Drupes. r
I/r dh iljnulrl or ll'eil;hl,l 1. f.lnlcrial 3
1/c ri. G 25 Svc' ( '',-'c- .n z
F10n1_ .111---- II.
hlPlll 111 --- I'I. - -- ------ -I). Ull(Jll I : I'rplh /41101131 lclhnd
horn 0 to ,., 0 It /zi_711F///-- t[fvr'C- -
lii i lu I'L_-- . --__-_.--
II, SCELEIJ: Urplh Dimncicr Slot Slit Illnlrlinl - -
Fnno 'l o Ft hi. _-- in. —_ ; I
flor -_ lo __- 11. _in. __-- in.
I5. SAIJI'/UnAVFI. I'ACK: i
I\•rill Slit Mldrlinl
f nnll__ In I'I. ____-_._
Iron to Il. - --_ —
Ili. REMARKS:_.---
I1)11 III RFII'i CFRI l ll'V -I I IA l l III S WELL WAS 11)NS I1lDC II',D IN ACCORDANCE W1.111 15A IJCAC 2C,WELL
CONS I RUCI10N S I AWARDS,AND'1IlAI A CDRi U '1111S RECUR')HAS BEEN I'ROVIDED'IU 111E WELL UWNER
SWIM II11(1!IN' I'EI(SUNCUIJSIRUC11NU111L1 WELL I)AII!
Suliunht the in1,:lllal hi the Division of\Toter Duality,Groundwater'Section, 1636 Mall Service CU\Vrl IIPVglli, n c l
27(99 IG16 1'honr No. tofu)711 1211,nit)iln :III drips.

NII /i) )i rill lr _
l'I'I LL CUNsritUCIIUN ItJCUI(i) 300885
IJotih l-an.liva - Derailment oll?ncinnunrul uud lliij ial Iteitniice9-Uiviniuo of Wnlct ()unlit), - Ofoundwnicr eLlinu
1%FFI.CONMIIAUI Olt(1NN11 IP(IAI.)NAME toIii1)_ re/12/ tee ect CFI(I If ICA I ION 1125/03
11F1.l.CON II(ACIO1l COMI'ANI NAME //!.•//e-/' Ilion R GO i f3 - d4S ,
-
S I A I F 11 F 1"1.(ONC I1111(-11ON 1'FILMI1X ASSOCIAI PII 1Vt)VERMIN 1
til n • 'lit ill,I( ifnp 'Roble
)
I
I. W1LI" USE (Cllrl k Appliu rade Ilon): Rrsideidiul IrKMuuieipnl/Public U ludunitinl 11 Aglicullutn1 U ,
I
Mount,'Mg U Reeovrty U Item romp 1Vnlrl Injection U Other U If Other, LIST Use
2. N1'11.1. I WA I I(IIJ: � ` 'fopulpnpltic/I.nnd •rltinl; -
� .'C'/ / Could), C�Ie/aac C Ullidge I lSlopr I IVnllry LW lai
Wcmrsl7utvn _
Dayl'1Il 4r�, - .._ (rlvrk rrrlolnini.Inn.)
(Curti Holm?.Nnnll•ri'.t,n„Inlntii)',S,11 af,l.lmi,I Ili Nr..711,('iwir) Lntilude/luugilude of well location a•`
)" OR•IJliitt .4(i "_ hill e — (Arplrrdu.innlregero l.)
Addlrsq it DCO T W 1 n e... t nr.ne f__ll Y_ Lnlilude/longilude su(uec:l ll il'SU fupu{Inphic map
(curd IN IOmir No)-' (dirclr I .)
— I/a _I r t
,
FL3 L f,ct P1 1UilU11 UItILLUIU I,i)U
rap,�, l,•,.�I Since 7i1,r.,dr Puuu Ib I'vunnliuuUcsuipliun
( ) - -- 7
A,.n r,-lr. fLwrmn„i-r. o - 41 sa/C- -(4y
.1. I)A II, vim.l F i l er_iri- c _ 1714 - )» S/4/e
5. li)IAI. Pit I11 ? 71) - _
G. i)UIiS WI'l I. 1111'1 All! I'XIS IIIJN Wfl ■.7 YES lJ No 1-1'
7. SIAIIC \VAI Ell I.IiVELItclalv'Iopofl•nring: 2 _FT. --_--
t(6r•',"If Ahoy?I,•p of i•n.ii. ) G
A. l(II. OF CASH it IS it-- I'I Above I and Sin lace• 0 n
•Irp PI r..l,q tombnlyd min. Inlnn law).o.l.re,twilit'• _ r 0-I
..,Ivor In ono'dime n lilt IRA NI'AI' II'.nt IR. -- �✓r*c
1 /l f.11•IIII)I) llf II?SI__ !/_ G err
Q. l ll'1I tpinnP ! +n
t). N'AII It ;.l)NI'S ktIrpili) 7 S's-- -------- --- ----- ------- cv ` •.
LuCAllu►+_sKELC.11 •c--
---- - -- nvl mG
I. I)ISINIII'IIUN: '1)pr /7r Anhui /9.� Show dilcclionnnd distance in miles lJomnl6
12, CASING: \Vail I Iiirtnres Iwo Slate Roads or County Ronda. Include IIAon1:
lirplh IliRInrlcr in 1Vri liL'f1. hlntclial 1nn1t1bei1 and Cm iiiioi11oad iianirs. t ��
rlt,,,, O ln_ l ft. (Xs' _ soet/_ �c c- are
Ilom_. _1._ In-O _ f1. G".JT- i/bj--- sf't. >
I'ionl lu EL_.
13. UMW 1 : I'rplh 14Intriial — yelliud �.rcr .(�d•
7`r/4i7'� j/'CIf✓re_
fun❑ to I'1. ----- -
I4, SCR INTO' Uimueicr Slid ';ire Malt-dal
floe\ lo IA in. III )]t
f1
15. SAND/UItAVI:I. PACT,: Pei ji
l ,i,th Sire Lborlinl
I11110 10 fl. _ _--_—_--
I`N,nw f„ Pi. Alvg it dd,
ii
16. tllirIAItLS:
D0IIIRI:III ( IItIi1.1 DIAL lIllSWELL WAS t'1)IJS17tt1C'I'DINACCUIIUANCEWfIII I5ANCAC2C,WELL
CONS I IIUU ION S IANDAIU)S,AND I11A f A CUI'Y OF 111111 IIECUIIU IIAS BEEN PIIUVIUEU 10711E WELL UWIIER
stialAIURI!UI:VERSON CONS UtUelINUILIEWELL PMfi
n .
Via .

V u1ru rt If
WELL CONSTRUCTION RECORD
30rQ . 1
nth Carolina-Depar uncut of Cavitmmrcut and Nnlural Resources-Division of Water Quality-Oroundwaler Section
ELL CONTRACTOR(INDIVIDUAL)NAME En (ptini)JGtNI tab R. V:). SCif1 CERTIFICAl1UN F.<yoy
ELL CUNTRACIURCOa1PANYNAME VA ;\k( LA)GU ( c',\\ t'1o5 rnone a matt hsi--2r-Kct. __,_
ATE WELL CONS[RUCI ION rERn1Ts ASSOCIATEDWQ FERMIIN - -
(ii npplicnblc) (if applicable) -
\VELL USE(Check Applicable Bon): Residential IIVMunicipalA'ublic U Industrial U Agricultural U
Monitoring U Recovery ❑ Ilcal Pump Water Injection U Other U If Other,List Use -
WELL LOCATION: Topographi✓Land setting
Nearest Town:
,(`nufphiI County Cn 11PIiikrp UiUdge USlope Walley UFlal
<all.)Cr LLp t' K--- (check.ppioprixte box) ,-
(Sheet Name,Numbeu,Couumudly,Subdivision,Lot No.,Zip Code) Lali ude/h.mgilude of well location a ;.,
_..
OWNER: DC'Y1`('el:I Cis n-S (degteeshnlnnletfreeond.) -)
7
Address 4 c n-1 9Ek Latitude/longitude source:OGPSUropograpltieinap__
(Stied or Route No.) (check box)
_ Srcck_5 6 A 3cAL05 Ugt'Tll 12BJLkiiQJ Q
City or Ion" Siete Zip Code Front To •om lion Description ,
t
Ain rode-Hume m l0 - gPIunbcr DAFEDRILLED "i - (25 - ou i-1 20' - 0b
TOTAL DEPTH: LCJ t; '
DOES WELL REPLACE EXISTING WELL? YES ❑ NO U—
STATIC WATER LEVEL Below Top of Casing: \5. _I T.
(Use'4-If Above lop of Casing) `I
TOP OF CASING IS ______I__ FT. Above Tend So face* e p
•!op or ruing let,ninxled .l nr below lend rut lute erquh IS a y J
•ar lance In accordance with ItA NCAC IC.011 a. .1- _, Pn t
YIELD(rpm): h METHOD OF TEST A;2 o°
WATER ZONES(depth): c ;
LOCATION SKGLCII ro
DISINFECr1UN:'fype\lk\1 y4. Ile S Amount 15 Show direction and distance In miles from at Fast
CASING: Wall Thickness Iwo Stale Roads or County Roads. Include the St! ;FA
Depth Diameter or Weighing. Material numbers and common road names.
N rnZ
From C) To 4,` Ft. (o.jh SD11-\ P✓r t -+
From To FI. 3
/ cr.I
z
Front To FL J
j5` „it,
GROUP: Depth Material Method
From 0 To 2G' Ft. • - pi PLSTjr6>
From To_ El.
SCREEN: Depth Diameter Slot Size Material
Front To ft. in. in.
From To Ft. in. in.
SAND/GRAVEI. PACK:
Depth Size MainUri sue 1,4 i'�r
Ft out In Ft.
Front 'lo El. t
REMARKS:
0IIPREEY CERTIFY MAT 1111S WELL WAS CONSI IWCfED IN ACCORDANCE WITH ISA NCAC 2C,WELL
INS RUM ION STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO TIIE WELL OWNER
SIGNATURE OF I'EItSON CONSTRUE INO TIIE WELL DATE
built the or Iglnal to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
G99-106 Plante No.(919)733-J211,within 7O days. OW-1 REV. O7/20OI

y Il ll (/I /( no 0-
we;i,1, CUNs'rltuC'rloN IRECuitI)
300883
Nvllh Cnlolina - Urpailmcnt of P.nvilumncul and Nor' Itcsotnces- Division of Wine' Qualify- lboundwnlei Secliuu
WilI.,Cl)1+17(AUL till 111+1)1cluunl.I t+AnIE Unlit!) Ac//Y /aCC — us:muCA11WN N rec/02
ntl.I.CNN I RACI Olt Cunu•ANV NAME _77''/(e- ruulvr N 184j $J1 99)
SIAIF.. IIEI.I.CONS IIINC-I Il1N 1'EI1N111N -__— ASSIICIAI NI)Iv1)I'rllflll N — __. _ _
itn • rlilnbll. ifnrdit nblr - - -
I. \el'I I. (INI' (Clink Appiirnhle Ilan): Itrsilrulinl I-I Atuiik ipnl/I'ulrlic U Indanhinl 11 Aglicultlunl U
Mouiluling LI Rralvcl}• U Ilcnl Pomp 1\'nlrl Injection U Ulhcl U If llfber, Lisl hit
2, \1'PI.I, I i n'A I II)H::r /" Tnpuprnphidl.and oiling .
Nuniccllnwu'_/J,/4fait- Cloudy U"'iet0ice Ullidge I ISlupr I-IVnIIry UI1aI1
fern 4'ot'A 4,7 _ -- (rinr& •Ign,nnlnIe hn.)
(Sore(Nnrrrr•Nn ll'rl. 1 r nrrnlll,cut J..rIloo I a Ile.7Ip 1-10r) Inliluddlungihule of well Incalillll ‘ , -.
/A' � N3,5°//'S6 o"we43'5S r2y-0 _
3. tI\\ IH it: V"eS/) S /�7LVJ.:-,'1— (,ng,retrnlnnva'.r-'n'It) '
Adlhrcc P&Bi A 6 0 l - _ ___.-_-- _ Lnlilullefluugilude nonice:Ill il'SU I t i .j inphic limp — "-
($lirrl al Rmnr Nu) Wird bow) - .
41c,Irb1r --- NL Z_5sg05 J)LLW URILl,1111Trig
co)II) II loan Seto- Zip Cole Taunt lu l'unnalion Drsciij lion
1 )- /� JJ
Ate.rnlrIh'-,.'mmir 3V el U — (Icy
•1. IIAIIil)uillpll 9—/7�0 ,/ 3o - /VA. & •ie
5. .11)FAL I WI'I I I lya --- -
(i. 1)(IPS WI•I.I. PHI ALP I:NISIINU \VP.I.I.'7 l'p.S U 140 Y--- --
7. SIAIICWAIIiltI EVIL Below'Illpof(•ncing• uu "_FI'.
` to.."I••If Above Hit of 1'11.40
R. ItlI' ttl' CASE 1(JIti I1/ 1- ' AbnvrI 'mil `;ullice'
•in,nl r.dnf bin littl.d .1/nr brine, loud titulary rr rink to•
.or hence In .rrn,Joint n111115A NI'AI' 71"AMR.
u" Till IItri'nll' _J __ 1.1EIIiUI) (Uri L.r;Lett__
IV. WAIfRLt)11PS (drplll): iczo /5fGfy7 —_-
/yx ' Jo 6/1r17 --_-- LUCAI IUILSt' L.I(:R
H. I IIsi:al C I any 1)1'r heetif Amount f y c." Show dilcctiun nod dinlauce in miles fium nt Icict
12. CASII-It' \':Idl I hit k 'cc+ two Stale !toads or County Rood+. Inchuk the loud
Nrplll I)inweter Ill'�/W/rigllt/It I'Inlellal minibus mad common fond mown. a
nom_ C .II'_1_Z[ rt. L.$)p5 ,w//i?/ F(vc_ O 6
hum _ 11, fl. - _— a7
cit.CA
13. GEM)I: PrpIlt z-t` nIrnnl lipltibud N �`.
/� J ila G� ff�a c
Ilvm � 111C I'1. j�c/
Ilom to Ft. - m%'rrn
14. SCItlliti: Prplh Dinnelcr Slit sum Mnletinl N A z
IIom to N_PI. in. in. .0" -I
flow o II. --in. in. -- - as Z
IS. SANUl1;ItAVr1. l'ACk:
PTO; Size Mulct in!
Ilom__ 111 rt.
I'lom I o if. —
IC'. IUit'IARLS:I _— —_ --
PO 111:1IFIII CPRIII'1' IIIAI7111SW11.1,WAS('UIJSIIl11CIP1) INJACCUIU)ANCPW1111 ISAIICAC2C, WEI I.
CONS I Ii.UCI Rill S I AHI)M US,AND' AI'A C UI''I IIIS RECORD 11AS IWEN 1'IWVIDED lU 1111!WILL UWNLIt
c., C--/7-- -' c/
Sit itIA 1111tP UP FIRS(IN uuHS I1lUCI1Nu 1111!WELL 1A71!
Submit the ul Ir.lonl It, the 1111111uu of\Vnlrl t)unllly,GIoundnnter Secllun, 1636 Mull Servite Center- Itnlelkh,TN'
I7b"9 I('1 1.hmn Nv. (9IQ)7131121, Illlhl❑ 10 iln)i. WV-I REV. 071:11111

C v i UUNLH Nam
WELL CONSTRUCTIONItECORll 300881
North Carolina-Department of ERvirotunent and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (ptlrn) 1/4._ vvtP S p. 1AI\so, CERI IFICAl ION II,2VO4
WELL CONFRAC)OR COWAN VNAME M.\\PA \/ P, 1 el`` 1C cit vt5 matte N JV A 737-�947
STATE WELL CONS!RUCTION FERMI IN ASSOCIATED WI)PERM'I0
(if applicable) (II applicable)
I. WELL USE (Check Applicable Dox): Residential L4--Muuicipnl/Public C.1 Industrial O Agricultural Ll
Monitoring U Recovery U Ilea(Pump Water Injection U Other 0 If Other,List.Use
2. WELL LOCATION: Topographic/Land ceiling
Ncoreft Town: friurpkki County C keel)ke,9. UlUdge USiope tf7Vnlley Ullat
f t us -reorA _ ____.-_ (clutch epp'nprinie bog)
(Surer Name,Numbest.Cmnnmpuity,Subdivision,lot No.,7.1p Code) Latitude/longitude of well location
3. OWNER: el II R e E C f (degteethnlnoteWrrmult)
Address f AZ a Latitude/longitude source:OGPSO Topographic map
(Sued hr Route No.) (check box)
Art f k NC Z B'O I Dual p_[(1LL114(LLU(3
Ciiy of l own Sole Zip Coale Flom To Formation Description
( )- /7 - l of /4
Ate.rnlr-rimne mmtber /O I • ;56'
4. DATE DRILLED `6 " Co -05/ fro' — //5 ' u
S. TOTALDE)'fIL_ /VS ' / l5' - l30' /On
6. DOES WELL REPLACE EXISTING WELL? YES U NO hY I3n' — /YG' i'11ar6/e.
7. STATIC WATER LEVEL Below Top of Casing: Jn' _Ff.
(Use"F-if Above lop or Caging)
8. 101'DE CASINO IS_ I Icf. Above Land Sur face c
•'1 np el cnbq let mintiest slier below land nulste requites -
estlinte In accordance wllh ISA NCAC IC.011a. C., v
9. YIELD(grin): lCD METIIODOP.1ESFAIC - c ca
9 r._,
JO. WATER ZONES (depth): -- G n
'' LOCATION s�ric)t GI •-
I I. DISINPECrION:Type14 1 pt� Auwuut i c Show direction and distance in miles Eol at lest:
12. CASING: Wall'thickness two State Roads or County Roads. Include the
3
()TM Diameter or Weight/FI. Material numbers and coliunon road names. cn
y
flour b 'to 7/' Ft. 6..15 .Skirl/ (PC? 1• nr3
horn 7/ ' To 9ai ' Ft. Cc, D . / S`I .Sfrcei Cis- /2 J r 07 o
From To Ft. 0(-ue
ll z
13. GROU I': Depth Mate'rJial Method
from 0 To dA ' IT fcr/Ln d ,O eslen-i- ew
From To rt. .44,-
c, ^i
14. SCREEN: Depth Diameter Slut Size Material 1€4``
Front To Ft. in. in.
From To II. in. in.
IS. SAND/GRAVEL I'ACK:
Depth Size Main ial I
Front I n Ft. .
Front to Ft.
ov. •
16. REMARKS: _-
DO I IERFDY CERTIFY 111AT 1IIIS WELL WAS CONS MUD ED IN ACCORDANCE WIT11 ISA NCAC 21 ,WELL ------
CONS-IRUCi ION STANDARDS,AND� mkt A COPY OF T►IIS RECORD IIAS BEEN PROVIDED TO TILE ELL OWNER
7JA#t . l! j LIE. t _— r - - /
SIGNALU1tE OF PERSON CONSTRUCTING TIIE WELL U 1E
Subndt the el'gloat to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1616 Phone No.(919)7)3-32I1,nithhr 30 days. OWI REV. 07/2001

V/ Ullfii /i llllU
wc►,►, CUNSTItUC ION ItEC01R1)
30 11 0Ss0
Not Carolina - Irpat Intent of Rnvinnunclti and With tat Reset ices- Division of Wnter Quality - Choundwatcr Section
W E1.I,CUN I RACI OR(INDIVIDUAL)NAME (pump /i" 7 �r r-� CEIU If ICA IIONQ I 'E rJ 5'
%SELL CON I RACI OR COMrANY NAME_ , -7/er rIIONE N tA�81 oC3?-2992
SI A I II ELL CONS I IUICIliN riIU,II IN ASSUC'IA IvI)WI)rinMIIN
it n • ilk able if n ,dicnble
I. W rid.LISt (Check Applicnhle Ilea): Residential I Nluniripal/I'ublic U Industrial 1.1 Agricullittnl U
Idouitutiug LI itecovcly U Ilent l'uuq, \\'nier Injection lJ Other U If Oilier,List Use
2. W I:1.1. I Ul'A I ION: ,/ l Topographic/Land ceiling
Nearest 1 o,.,c �C4d e' --Couuly Cit_/-07C':- a Ultidge L1SIupe LlVnllry UI-Int
fu Pc'.Z cc' 4'd (rhtrk Iggnop,Init hot)
(SVrel Ilsme,Unminr,l'anunmriln,Subdi.i.lon,I of Inn,7111 Four) I-atitude/longitude of well location
/ / NIP/d Yd./" vog..1t52' /0.e' r
3. 111':IJI'll: (74-2_1 r-',4/''/ (drp,erd nrtU mItnifmld,)
Adutr<s 2.16 3 Fa I ULeiSr _R4 —._ Latitude/longitude sourcc:Cl(iPSUlopogtnphic imp
(Shrrl,n Nude Nn) ((he'd Ivn)
n 1 ) ' NULL(' WU
LI n_e i WI Z—_ l(�_ —Z'Co-Ic .._-__ __ 1 1:1�U. -
Ciy of loln Slno- 7yCode nOiii lb Ruination Drscliplion
tut,.r..lr. Ilnwr mind et " _ 0 — /i�% (7 /
a. I)AIUnilll I I'•D__ r' l o` - 60 - 3o:L 34, ie
5. l O f n l. D r r f n• _.YCj,C ' _- — -- ----
(,. nl)I:S VA TL1. IIrl'IACV I,xrditJO Wm 67 1'R:; L.I. NO W
7. SIAIICWAIRItIUVULIlelow don offiring 6-6 _t I.
(ll.e"i 'If AI-. a Inv of1'n,Inp)
8, l l II' (II' UASINII IS /L FT. Alive I and SirIacc•
•I rn II re.Lnr trim elhn briar.html sou Iere,nl7d,n•
,n l.me In .rrnnlnue n&ih 15,1(11',11'IC.111in. A —'
o. 11111) (jinni 75 r.11•.IIIOI) I Uri FSI_ /^ ______ —_
IP. WAIl'li /Utlf S (drink): 27o?' _____-_ _ —__
tucAl wl+sr;l l.ci l
1 i. I1sitar('IIUN: 'h pc /WI/ Auannt k/c-i) Show direction nod distance in miles hone nl lead
12. CASIIIO: Wall l kid weds two Stale Roads or County Ronda. Include the toad
D'plh Dinwrter tic Weight:N. Mnlet ill numbers and collllllon road mimics. £
l ionl__- o___ to 9? rt. (/..ZS _SOij.?r fun 0 0
firm 4'? In /0�' Ft ¢ v.. .pC; _lie''' _ ffee / c�
RI G c"
Flom _.. l,l - - --_..- -- ------- 0 -2-in
13. liEtEll : Ihptll �c
Nlylelt I lclhod pa ^c
so
L' 'I0 . It.�% O ct . Jf"C t �-
Elvin '--
ruin, lo la._..-- -- __- i rIc
--rw
14. SCREEN: Drplli Uiano:ter Slot Sire Ntnlelinl •ma
Flinn lo It. in. --- in. n?..
IS. SANI)/URAVI'I. I'AL : „
It-rllh Sire Ntnierinl _ 1
Ft otn Tn It - --
lb. REMARLS:__-_
I D(1 I111'.I:III VIE 11I'1"MAT 1I II 5 WI:.l.i,WAS CUI45IRUCI1F1)It-I ACCORDANCE WITH I5A NCAC 2C, WEll,
CONS IRUCIION51ANDAILUS,AND 11IAI.A COPY Ur'I7115RECURDHASBEENPROVIDEDlO11IEWELLOWNER
/ texA 5'-/7- e V
SI( NAILIitti OE PERSON CONS IRUCIINOIIIE WELL DAIS
Submit Ilse nl Iglual to (lie DlvNun of 11'n(cr ()wilily,Gruund%rnter Section, 16)6 Mall Service Center- Itairlgli, nu
1761,0 WF Phone No.(9Io)7)1-ilia, nllhin 10 till)(. (1W-I REV. (17/2(1(11

300906
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) DAVID F.MCKINNON CERTIFICATION a 2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE 4 f 828) 837-8008
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMITH
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential tirl MunicipaVPublic❑ Industrial ❑ Agricultural❑
Monitoring O Recovery 0 Heat Pump Water Injection 0 Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ❑Ridge ®Slope ❑Valley ❑Flat
MARTINS CREEK RD (check appropriate box)
(Sheet Name,Number,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3500.711N/8403.829W
3. OWNER: BILL HEMBREE/PAUL VOEBEL (degrees/minutes/seconds)
Address P.O.BOX 1048 LatitudeAongitude source:IDGPSOTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)_ 837-0195 0'TO 20' BLACK DIRT/GRANITE
Area code-Phone number 20'TO 3T GRANITE
4. DATE DRILLED 08-13-2004 3T TO 385' GRANITE
5. TOTAL DEPTH: 305'
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO Ea
7. STATIC WATER LEVEL Below Top of Casing: 75 FT.
(Use"+"if Above Top of Casing)
t•
8. TOP OF CASING IS 1 FT.Above Land Surfaces O o
*Top of casing terminated ahoy below land surface requires a C. Os
variance In accordance with 15A NCAC 2C.0ilt '� 2
9. YIELD(gpm): 80 METHOD OF TEST AIR 0 cm,
10.WATER ZONES(depth): 340',360' 1v o
LOCATION SKETCH fr c
II. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles fron+ t lea
12. CASING: Wall Thickness two State Roads or County Roads.Include rog
Depth Diameter or Weight/Ft. Material numbers and common road names. cn
From 0 To 37 Ft. 81/8- SDR 21 PVC — ''
From To Ft. al 0Z
From To Ft.
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY Air
From To Ft. ,1^ gi)
14. SCREEN: Depth Diameter Slot Size Material es
From To Ft. in. in.
From To Ft. in. in. i
15. SAND/GRAVEL PACK:
Depth Size Material 1Q
From To Ft.
From To Ft.
•
16. REMARKS:
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITII I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF HIS ' -a e ' a HAS EN PR !cD TO THE WELL OWNER
SIGNA RE OF PERSON CON TRUCTING THE WELL._.- __.. . DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mali Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001 '
• ' 1

300805
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME Quinn CHRISTOPHER L.DICKEY CERTIFICATION if 2261
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential RI Municipal/Public❑ Industrial 0 Agricultural❑
Monitoring❑ Recovery ❑ Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE / Ridge El Slope OValley ❑Flat
HEDDEN RD-DOVE LN-HOOT OWL (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3501.224N/8404.366W
3. OWNER: RAY NEWCOMB (degrees/minules/seconds)
Address 93 ROCKRIDGE RD Latitude/longitude source:SIGPS❑Topographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town Stale Zip Code From To Formation Description
( 828 )- 835-7849 0'TO 40' BROWN/RED SANDSTONI
Area code-Phone nabs 40'TO 120' BROWN/TAN SANDSTONE
4. DATE DRILLED 08-19-2004 120'TO 165' BLUE SLATE
5. TOTAL DEPTH: 305' 185'TO 305' SLATE/GRANITE MIX
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO
7. STATIC WATER LEVEL Below Top of Casing: 75 FT. 9
(Use"+"if Above Top of Casing) 0we
c
8. TOP OF CASING IS 1 1/2 FT.Above Land Surface' C
'Top of casing terminated al/or below land surface requires a m
variance In accordance with ISA NCAC 2C.0114 Ga C r
hI
9. YIELD(gpm): 30 METHOD OF TEST AIR _<
10.WATER ZONES(depth): 220',240' cI1 =o
LOCATION SKETCH mo
II. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at at ^F'
12. CASING: Wall Thickness two State Roads or County Roads.Include thaiad rrnn 3
Depth Diameter or Weight/Ft. Material numbers and common road names. — -
From 0 To 165 Ft. 6 1/8" SDR 21 PVC ,F� al -
/ I.f Z
From To Ft. l.:J
From To Ft. J1 V
13. GROUT: Depth Material Method . 0
From 0 To 20 Ft. CEMENT GRAVITY N0°
From To Ft. 1 e
14. SCREEN: Depth Diameter Slot Size Material -
From To Ft. in. in.
From To Ft. in. in. 12/
. 11:VC
15. SAND/GRAVEL PACK:
Depth Six Material
From To Ft.
From To FL HebbeN PA
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS, HAT A C PY THIS REC9 D HAS BE PROVIDED TO THE WELL OWNER _,
ATURE PERSON CONSTRUCTING 7H@IIVELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW:I REV.07/2001
•
7 0 1 ,f

300804
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (prino DAVID F.MCKINNON CERTIFICATION#2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY.INC. ppoNE a [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMITS/
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential tili Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring❑ Recovery 0 Heat Pump Water Injection❑ Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope ❑Valley ❑Flat
UNAKA-BEAVER DAM RD (check appropriate box)
(Street Name.Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3512.509N/8407.170W
3. OWNER: STAN CARTER-SPIRIT COVE PROPERTIES,LLC. (degrees/mimics/seconds)
Address 37 GROUSE HOLLOW Latitude/longitude sotrce:KlGPS❑Topographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town Stale Zip Code From To Formation Description
( 828)- 835-9039 0'TO 50' RED CLAY/GRAVEL
Area code-Phone number 50'TO 80' GRANITE
4. DATE DRILLED 08-16-2004 80'TO 245' GRANITE
5. TOTAL DEPTH: 245'
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO
7. STATIC WATER LEVEL Below Top of Casing: 80' FT. Cr
(Use"+^if Above Top of Casing) F. ')rn
8. TOP OF CASING 15 1 FT.Above Land Surface' Cr,C. r
`Top of casing terminated at/or below land surface requires a Cr) „es..2
variance In accordance with ISA NCAC 2C.0118 Pa - Scrn
9. YIELD(gpm): 40 METHOD OF TEST AIR al ap
10.WATER ZONES(depth): 220' A en
LOCATION SKETCH g rr
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
el
12. CASING: Wall Thickness two State Roads or County Roads.Include the road. o
Depth Diameter or Weight/Ft. Material numbers and common road names. tf
From 0 To 80 Ft. 6 1/8- SDR 21 PVC w
From To Ft. LS.�GQ.C�
From To Ft. V,
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY (4-
From To Ft. f'
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 CONSTRUCTED IN ACCORDANCE WITH I SA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THE CO S PROVIDED TO THE WELL OWNER
$-46-Olt
SI NATURE OF PERSON CONSTRUCT! G THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC.
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2QQI
HI( 1 i 1 . i;
(
i ,._, s
`

01
WELL CONSTRUCTION RECORD 3
North Carolina-Department of Environment and Natural Resources-`Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAMES (print) F R ail Z P. Y. i � O R CERTIFICATION#3/ 5
WELL CONTRACTOR COMPANY NAME 3V*2S WELL Prz. LL1 t4 Co TNC. PHONE # f%OA Vic-2/66
STATE WELL CONSTRUCTION PERMIT# _ ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential❑ Municipal/Public LB/Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: Topogravhic/Land setting
Nearest Town: m err 13 It County tht t o IL f f_ ❑Ridge p Slope ❑Valley ❑Flat
VELLFY R(ve-Q cuP) IC sus. a89o5 (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/lon/�( 35 dog. 85gtuWflfw' locationde of well 56.°SC"
3. OWNER: it 4 R r)qh UP lop ere vd- (degrees/minutes/seconds)
Address P. 0 i X 58 1 Latitude/longitude source: 5❑Topographic map
(Street or Route No.) (check box)
el Air5U Alt- GG, a051,-. DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
OO(0)- 8q1 - arm 0 — 145 ORaHOL,Pip.m &tau"( cis,/
Area code-Phone number .{$ - ea CRa Y/y4 N. weerliarrso t2o..e4.
4. DATE DRILLED B-ao-Oy 6,0 - to-7 Ikea. stack Roux
5. TOTAL DEPTH: A05 b7 — 147 }{alto GQate txe
19
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO Iq7 - at 5 flatto Grove Rack"-rca gatsr
7. STATIC WATER LEVEL Below Top of Casing:_AO -FT. ats - 311 iiaro 4e41-fecZa s,-w te++cr eec.t
(Useme if Above Top of Casing) %12- - 3So 14 EJ2o 62EYt`GeZ¢�el tZxk
8. TOP OF CASING IS a FT.Above Land Surface" 3 50 - 375 hero ZD G2ay t�uc
`Top of casing terminated at/or below land surface requires a 2�.75 — [�$ Ciao 61t2Y GkS 2oct<
variance In accordance with ISA NCAC 2C.0118.
9. YIELD(gpm): 30 METHOD OF TEST Sig
10.WATER ZONES(depth): i07-4 GPM .212-1GF41 375-141GPry
LOCATION SKETCH
11. DISINFECTION:Type HT a Ammmt /2 °Z Show direction and distance in miles from*least
Wall Thickness two State Roads or County Roads.n�udeOle road
12. CASING: Depth Diameter or Weight/Ft. Material numbers and common road names. y G
From 9 To 29 Ft. (OW' 5X 2/ PVC C c%
From a9 To 0 Ft (o Vt 5OR77.5 PVC. ra g`
From To Ft
13. GROUT: Depth Material Method 3 z r
From �.C7 To 0 Ft��-t t r->�avnY cn.^,
From To Ft (el n
14. SCREEN: Depth Diameter Slot Size Material cJ G
From To Ft in. in. cn, z
From To Ft. in. in. a
15. SAND/GRAVEL PACK )1 . s �_ L t_i '�
Depth Size Material I 7- ,
From To Ft. H
From To Ft. � I SEP — 1 2004
16. REMARKS: L
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUL Ien IN ACCORDANCE;WIT¢I 1'SX NCAC 2C,WELL
CONSTRUCTION ARDS, THAT:A CO Y OF THIS RECORD HAS BEEN PROVIDED TO THE WFLI OWNER
air 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-1 REV.07/2001

301189
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (prin0 CHRISTOPHER L.DICKEY CERTIFICATION N 2261
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE N [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMITN
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El 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: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ❑Ridge ElSlope ❑Valley ❑Flat
TANGLEWOOD RD (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: ALTON CRISP (degrees/minutes/seconds)
Address 1796 TANGLEWOOD RD Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town Slate Zip Code From To Formation Description
( 828)- 361-1756 0'TO 20' CLAY/BROWN SANDSTOI
Area code-Phone number 20'TO 40' BROWN/RED SLATE
4. DATE DRILLED 08-23-2004 40'TO 42' GRANITE
5. TOTAL DEPTH: 505 42'TO 505' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El
7. STATIC WATER LEVEL Below Top of Casing: 50 FT.
(Use"+"if Above Top of Casing) a
8. TOP OF CASING IS 1 FT. Above Land Surface* "O`
*Top or aging terminated at/or below land surface require!a Q G.,4r
variance in accordance with ISA NCAC 2C.011 S. m
9. YIELD(gpm): 1 t/a METHOD OF TEST AIR r
n x
10.WATER ZONES(depth): LOCATION SKETCH rA o
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at leases T.. —r<n
12. CASING: Wall Thickness two State Roads or County Roads.Include the roams �., 2
numbers and common road names. gr'-
Depth Diameter or Weight/Ft. Material „�
From 0 To 42 FL 6 1/8" SDR 21 PVC Cr
From To Ft. � Z
From To Ft �'" \13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY p_
From To Ft. C
j41
14. SCREEN: Depth Diameter Slot.Size Material
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK: T v E-Cu o D n n
Depth Size Material f�
From To Ft.
From To Ft.
16. REMARKS:
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND T A C�OF HIS RECORD S BEEN P VIDED TO THE WELL OWNER
1
liie
A URE OF ERSON CONSTRUCTIN THE WEL y DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mal!R�et ccj enk tIefth,I((t "
1 F--6W=i-R£�+:-0N20@t r
27699-1636 Phone No.(919)733-322t,within 30 days. --,
It ILI! SEP - 1 2004 w-�'
c ',GI'. ;,,

WELL CONSTRUCTION RECORD 301203
Notth Catolina - Department of Envilmanent and NalVral Resources- Division of Water Quality-Groundwater Section
6� V 4e,c e_ CER1IFICAT 019&0
WELL CONTRACTOR(INDIVIDUAL)NAME I("1nl) i L fT PHONE M JJ,t31 ION )
WELL CONTRACTOR COMPANY NAME. %//._...2
ASSOC IATED WO FERMI I N _—....
STATE WELL CON
UCIIUN I'EllalrlR if n I rlicnblc
i(aidicacnblc
I. WELL USE(Check Applicable Box): Residential FrMunicipal/Public O bullish ial 0 Agriculdual 0
Monitoring 0 Recovery U Heat Pump Water Injection LI Other O If Other, List Usc
2. WELL LOCATION: Topographic/Land selling
��,:/�lr County C6/JJ s£�'C ❑Ridge OSlope OValley Uflat
Neatest l U,c'It—_--i-- (check appropriate box)
�jtN,rne ree iii v„ -__—_-_.-_ Zi Code)
Latitude/longitude of well location
(Suva Name,Numbers,Community.Subdivision,Lid No., I )
Cue"
(degTeca/urinnted/e•cnnd')
3. O\v----.,. ��2//rs --- LatiwdcJlongiiudcsourcc:UUl'SO"fupugl amide nlap
----_-____----
Address `/� 4Stied•-_cute No.) (check bo()
--
Pied or itnum No.) pr:r4 ftf l p RIL.,LIt1QI,U0.
_ To r'nrnlatiu,r .:.;c;iplion
City or Town
Stale Zip Code F1U111
(—d O 22S 4
Arta cnir-Elinor number Z -C -- - 2 YCfe 4 ' //e=-
A. DATE DRILLED C
5. ToTAL DE ---
6. DOES WELLWELLL R REPLACE Li\ISTING \VF.I,L7 YES� NO—
ICE
_
7. STATIC WATER LEVEL Below Top of Casing: -__
(We-1-if Above'I op of Casing)
8. TOP OF CASING IS�w El'. Above Land Sill NCO.
•Top of c terminated•Uor below lord•'mate 1egn6a
In ar
..,.are n accordance with ISA NCAC 2C.0118.
,-.. roan Alf'1'PST /n( r _— - -
10. WATER ZONES (depth): Y,P (,( (V'LIQN_S.KUSTL
7_____“—_ Amount //yam— Show direction and distance in r: !ex ftout at least
11. DISINFECTION:ION:Type / Wall'Iltickness two State Roads or County Reads. It' trade (lre roa
12. CASING: numbers and couunon road names. 9 ,
Dcpll, Diameter or Wei hUfL hiolctial
g f e./ -
F1unt ' T o -2n Ft. 6, S- //fi ar / Gn n
From 'f51 To fPc Ft. S.o /Se S Pal J �.�
Picini z 2 'fo Zb D FLU-- 1
hinteStint /Method X e•0
13. GROUT: Depth /a�7� /%esJua'C = �T
a.
From O To —It./e'f — V
Flout. To_ 1't —Diameter Slot Slot Size Material 2
14. SCREEN: Depthoin.
Rmq To Ft_in.
Ptmn
To _ Ft. in. ---- in. rAc�at r
15. SAND/(iRAV De 'PACK: Size Material
'`v '
D
pth
)7.--%\---- __,„,
Frmu 'fo H, — ya
From To Ft. _� - <,—I 11 ( _ t i
Ih. REMARKS: l'1,,, I
I DO nest ov Lunn''TI lAT THIS\e .�}.(�LV;ns eEpswQciapa4N rat til )AN • WIIII I sA Acne 2C,WELL
CONSTRUCT ION STANDARDS,AND T TAT 4LCOI'Y OF T I ITS RECORD IIA BEEN PROVIDED 0 THE
WELL
E L OWNER
SI( Nn'I111LLR3F l'1. - PISi-R ' IIR WELL
Submit the original to the DII kin it of Water Quality,Groundwater Section, 1436 Mad Service Centerl RaRaleigh,C
2740Q-1636 r hone No.(9I9)733 322I,within 30 days.

tic y rul rrr I? ._. unu
IYI?l.II, t:uNSI RUCTION ltI Lt),R1)
©4032
Notch Cmulina- Drpattmenl of 1?nvilou111c111 and I1nit lal Itcsoutccs-Division of Writer Quality-Ulonndwnlcl Scutinu
II El I.CON IItACI011 RN11Iv11rtIA1.)NAME (plil'I)) f_t /7CGGli- CF.It1IrICAIIUN 1290'
\v ELI,QIN I IUC I WI ClIB1I'AN 1'NAME___
'11/L*E 1'UUNP, II Ind1
51 Al E %%ELI,(•UNS I IIIIC I ION I'FIUII I N— ___ --__ ASSUCIAI FA/ WI)FERMI IN
Ifn • dicnldr
if • dicnblr .-
dicnble iI.0 Ittaidruliul 1=17 Municipal/Public U Indnnhinl I.1 Aµlicultul:d Ll
I. \VP1.1. USIi. (Check AI'I )' -
hlouiluliuµ LI Itecovrty U Ilral Pump \1'nlrl Injection U (Met U If Other, List Use
2. \1'I(1.1. I I/CA!lull:
fupulpnpiuicI.nnd ceiling
I enrcl'1 cw n: 9UC/4,]y/ CouuhCAer et&e [ildµe _ISlupc IlVnlry _ r lat
(rhrrk.gq,n.p.Inlrho•)
�1j�.e.t nid Ciononu etie —
'r,srhdl,lnhm,I nl nn.II Code) Lntihuldhntµilude of well location
($Irrrl flume.thnnbn.,Cornuurrul I' 1
L y L L I 1erJndnnb•.r nnd.)
J. t uWIJER:_. All ? 1 A4.c&fS1.l.�lc llp .nt-ig }1nen/� (' a
Add'ccs 20Z2__pe/tOr-S_F-Rai-7___t`J_-/VW5EeL3Lnliluie/Iuuµl7udenotuce:LifI SUlbpo):Inphiclap
(chrck h.n)
(Stun!o. IOndr lln) , ►1111LLIIJIJ LLRJ
A last 9 _50_3Ig _ - 1)1.1-I11
-4 _G1 _ — — hIu111 .1 u
- Ibnnnliou Ucsu iplinn
Cily of Im.n Slnlr 7�p 1'aJe
( ) ------ O _�� GIL� -----
NA is W i nnmkrr le- 6� frj `7e
A. 1 rr\l P. UIU1.1 I'U_�Q_'"/S J�-1/____. ---
5. -111IA1 IDEI'[IL Q.2; ... ._ '---
lt, DI IFS WELL LI, Ill?I 1 Al II I°.XISIlIlU \'.'1.1.1 1 IFS LI Flu t ; _ O =-?:
7. S LAl1C WA 1 Ell LEVEL Below'rop of Caring!. _ .._ _Ir r. — ,� _ .<',
/ (Or"."II Alive lop DI l'n,hrp) >r
8. l 111' 11r CASIN111S _ 1-1-. Ahuvr I and Smfice• _ ��--i
•I rp rl e• ing in nnbr.bd•Uo,hrinn 1•nrl•urbrr.rrgnhre• /'
.nl.m.,In•rrn.dn¢e nllh I5A NUAI'IC Arun. t--
_ 1
Q. 1ml.n(ppllr): _ /s__ _NIEfnuDluE1FSr__/91—r— ---- 40
tr."'`'
10. 1VA1 ER TONES (drptll): 7s ---__— ___ - -- n j
WeATIQ1�_StU IciI
mount 7j�� Show Jilccliun end distance in miles liuln nf*nc;
I I. I CASING:
I IUN:'fypr /TT Ath h 11h r P s Iwu Stale Roads or County Runde. Include tllgund 2;
12. CASIfJU: R'nlllhirl/Ft.
11cpil, Diameter in Wright/Ft. hhdctinl II1111111C19 and l'11111111011 wad IInI11C 9.
c, /,_y p Jove-
Flnt_�—�I�Ir_L/-- 1`l F" Sc- --
pm11.__---_.10 El. - -_-__--
SfiAlii
Gook L1
1 h{nlcd:d lclhu.I
II. FIVIII 1 rplh r2�
nnnD To_.3 _II._ActL W i
x
14. SCREEN: Depth Uinnlcicr Slot')ile hlatrlinl 014 arlia
honk_ l o_ rt. _in. in. Creek *440
Moor_ -- Iu-- _. rl. _in. ------- ill. --
15. SAIJN/UILAVNl. l'ACI:: hlnlrlinl %<rJ{owl WA
I Sire f f/G
Pmllt I Ti,p__—_--I t._ -- --------- /i
II DIIL- I u'----I1. --
Ili. REMARKS: _
—
•
I D(1 I IFR1:11y CEII I11'1'1 I IA I MIS WELL 1.WAS('UIC I Ill ICI1r.I) IN ACCORDANCE WI III I5A!CAC 2C,WELL
. CONS I IIULI ION S UANA/AIUIS,AND' I IA F COI'Y OF'I IIIS ILI:CUIW IIAS BEEN PROVIDED 1U'I11E WELL OWNER —
Pely�( t-
- --- SICINA I OK II OE I'RILSIIN CONS IIRA:IMO'II 11?WELL DAVI
.• .._... ...- ...I..I—IInii.. lilt{dim or\vote! minim.l it nominate"Section, 16J6 Moll Service Cenier-IlnirigIi, fc

RC oll/u /I
•
WELL CONSTRUCTION RECORD % 4014
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-(itoundwater Section
WELL CON I JtACIOR(INDIVIDUAL)NAME (piny) . \n'me-c Pi, tA SF)r)I'
ll`` l CEICrIFlCA"I ION II
WELL CON IRACIOrt COMPANY NAME. }'1/II1IE-[ (.)t-, tl r1r.11:✓15 nano,. II )
5 IA1 E WELL CONS 1 IDIC(ION rumla ASSOCIATED WQ PERMIT/1
..�.1.f ,pHcnUlel . , , ....,. n,". _ . . , fifnlydicnble) .. w r - , -- _ _
I. WELL USE (Check(Applicable boa): Residential kV Municipal/Public U Industrial U Agricultural U
Monitoring U Recovery ❑ 1 leat Pump Water Injection U Other U If Oilier,List Use
2. R'ELI. L.UC;A()CATION: , 'Topographic/Land sellingNeatestTown:� tN t`1 CouutSLHNfhe&' Midge filMope UValley U latL uc r h �ie (check appropriate bill)
(Sneel thine,Nun'he,r,Commitu,ity,SuI divi<ion,Lot No.,lip Cr de) LRI I tude/long it tide of well location
fJ3Se'. sr" r W ati_e el "
3. l)WNIER:fi) 'e l (degreenlminnler/seconr}in)
Address 393_3__Mr_b_diS_crk Ra Latitude/longitude source:UGPSUlopographicmap
(Sneer or Poole No.)
(check box)
A &r Av NC 28 1OE.-- __-- UI?Llll iL>1tLt,iNc_(.uv
City or'Imo' / Stale lip Cole Prow To formation Description
( _)-- _n - )0' ,
Ann voile- Mote number 10 " I JD' a (La4. DATE DRILL.ED )p- x7-act - Ian - a(05r
5. TOTAL. DEI'1'I1:_ D-(Q5/_-_— --
6. DOES WELL REPLACE EXISTING WELL? YES Li NO ID-
7. STA TIC WATER LEVEL Below Top of Casing:._V'_Fr. Q .
(U!e"i-"If Above lop of Casing) C :y
S. TOPOF CASING IS (_._-__ 1 1'. Above band Surface• — r.
'-I op of crying re,°dnnlnl ill/or below land rill lnre unlike'n _ Y`+
v n,lance In accordance with IR,t NCAC IC.9I IX. t t �2_
9. YIELD (gran): _12__—_t1E111OD OF 1 ESTLK__ — -'1 r,
IR. WATER ZONES (depth): — o �` -
LLLcAI:LON SY(zF.cJi c?C,
I I. Dlslr1F11GIION:Type 15 c,t " -
i hit y(Al01c Amount_ Show direction and distance in miles from at (cast co
12. CASING: Wail'thickness Iwo Stale (loads or County(toads. Include the roi n
Depth Diameter or Weight/PI. Material numbers and cone ion road names.
yrmri O To_L2Sr. II._4„a.S 2s,:21. f< ti
from To Ft. s_
(Torn To FL
13. GRUUI: Depth Material Method
from 0 Tu 20'_ I'L_ 2pj}'iy yfessu
from To 1'1.
14. SCREEN: Depth Dimnelei- Slot Sire Material
From 'Fo__— Ft. in. _- ill.
Flom 'Fo H. in. iII. kC
IS. SAND/GRAVlil. l'ACK: — — �MU/�
Depth Sire Material
From To Ft.
•
From To Ft. - - -IN
16. REMARKS: utree ""0'
I DO IIFRFEY CERTIFY'HIAI'71IIS WELL WAS CONSTRUCT ED IN ACCORDANCE WITII 15 NCAC 2C,WELL.
. CONS"I RLICIION S IANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO TILE WELL OWNER
SIGNALGI1lEOF PERSON CONSIRUCIIDATETIIEWELL DATE7 0�
Su built the or Iglu al to the Division of Water Quality,Groundwater Section, 1636111all Service Center-Raleigh, NC
27699-1636 Plume No.(91e)733-322I,wItliIn 311 days. (IW-I IW O 117/7nnI

NC V r111111 l(
ono
304015
WELL t.UNs l'ItUc'1 IUN RECUR I)
Ninth(.nrulina - Urpailmcut of lhiviluuuteul and Unload Amulets-Division of Water Quality- lliotiodwnler Seclion
vEI.1,Cuuh ltAcluu(INDIVIDUAL)NAME 1pllnl)_ C�J I.J, IS6"1�.t_ _ CFR I It ICAI ION• _
S%EI.I,CON MAGI 011 COMPANY NAME__—LZ//e_C.wJ<J / PII(INE. N
1 1 --
SIAIF. 'S ELL CONS IIIIICI ION PEllall IN____ ___— ASSIICI'AlF11 WI)I•ERMI IN
''II ,I IIdicnblr)t \f a licnblrl ---
t _
K... �.hsr>AM ... 6� r.., -.m .. ova• "..rr��..r M d rn . ..
I. WFI.I. USE (Check Applicable Ilos): Itrsideolinl Yrf frtwliripnl/I'uldic 1_1 lndunhinl IT Agliculhnnl IJ
t,lunitoriiig L_I Recuvet), L I Head Poop Waler htjecliuu Li (Mier Li IfOlhcr, List Use
2. WEl.l. 1.0CAlION: /I 'Fopopin '(/I.:ntd selling
Huai Ibon y!_R�1y __ l _—_ (check.Flnnlninre Inn)
(Sheri New. hnohr,,,('ovunnnity.S d rh.inlon,I et Ito,/i r Code)) I,nliuulrJlyngihnlc of wrJ�ucalion
r 9 5 / M
3. U5V td l i l t:_3C(SMppl--frt<`❑d��1'G'!� NegrerdnJnnlreircomh)
Addlrss _S 3 5 0L�L_-3gtKlrr 1.S.51 _— ---- Laliluddlungilude sow ce:[ I(il'SOI(polo vide Map
` (Berri or Dune tin) (check Mon)
/Ular t1 /VC_—,Z q.0_Cr _- — ___-_-- ULIPIll Uitl►.LINV LOU
Lily,Pin, n Sale Yip Code From To F t nation Description
5. IDEALDEPIIL• _ _ ___/_Ar5!_._ _
6. IVIES WELL Rlil'LACI'. HXISLINO Wlil.l.7 1'liri Li Nl) LI C a;e,_•.
7. STAIICWAIlItI.IiVELllclow Top ofl'nsiug: I I. —"� —�
(the"I"II'Above lop or Coning) — -- ---aoT=S
A. .1 OP IF CAN I NU IS _ 1 ,_ ___._ IT. AboveI.nodSulfncc• — --t----
•Iry rr toting lnmh,.Ird el/et below hod violate sequins a --- —__rn --1 1
I Welt('to arronluot nine ISA NCAI'IC.et 18. _ Vic::
V. liEl I)(Finn): .4_0._.__AIIi111UD OF 1 E S f�iC._ Z
10. WA11ilt ZONES (depth): WO -_"__- co? p a
LUCA"I:IQLSISIat'll ot n
I I. II SINIFC11uN: 'Fype_}I+ It"1oa� An uuul Show direclilnr and distance in miles horn nhlcesl t
12. CASINO: Wall'Thickness Iwo Stale(fonds or County Ronda. Include the toad
I trpilr vintner or W.ighl/FL,rlhin(clial Irnlllllelf and Cor1r1r1o11 load rinlllcn.
Bolin ( To 6C FL B i-I SQ�'�t y(/(i
Filrllt_ To FI.
Enont -In El._
I). (iiU UI: Depth tlniainl Method
frvnt_ _ `� To 6 Et. pa 'T�v51)
— i- -_ p
norn •Io Ft.
psi-
14. SCItNF(d: I Dinturlcr Slut Size Mnlrnint
Bonn •fo FI. io. M.
loon To ---_- FI. in. in.
IS. SAND/URA1'FI. l'ACK_ -
Ilrpol Sire Material
limn To II.
Iinnl To FI. -----
16. IlliMAItKS:
I DO I i ii It FRY'CEPA IF1'MAT II IIS WPM,WAS COILS URUCIPI)IN ACCORDANCE WI711 ISA IICAC 2C, WI?LI,
CONS I ItUCI ION S EANDAIWS,AND 11IA l COPY OF'11115 Ill: OIID IIAS BEEN I'ItoVIDCD 10111E WEI. OWNER
SIONAI lll(1'.UV PERSON CONS I ItUCIINII TIII! WELL I DA1 .
.
Submit the to11,6nl In II.. 116Q.1.... tit nW..I....11....Ili..

•
v uu /1) 7i
nun
Illifi1 I, CUNS'I'Jwu' 'HON ►tsECOltn, ccJJyy ',{t0
16
Nig th umolio:I - Depailoitot of Plivit mimeo' and 14litutal Itenotocen-Division of %Valet Qualily- (houttdmiirt 1rcli
on
iv ELI.CUI11RAC!u1((Illnl%7uiAI.)NAME C12_(pllnp_JUrvle.s R. tn)1
II� � -tLel�.rlf, , _ r —�a----- cclun lcAllonN344 0
11 rl.l.cuU l I(AUlult Cunn'ANI NAtIIC 1 ' -
I rlwrle. �
--- 1.Yd41.br-.2S9 7
SIA Ir Ir Ell, CUN,S IIIUCII(Al l'Eltnll IM ASSUC'IAIPA WIJ 1'El(nll l II
itIII diul1,1 . _... .J .,r.,... ,.-........~, ,...,, .,4Ii: . . r......_,.. ,
I. 1t'll I, I Ise: (Clunrk Alldicublr rin,Y)' Ilraidrnliul 111rhhuliripnl/public U Induniiinl I I Aylicullurai L1
Monitoring 1_I Itecurciy 1.1 Heal l'uugl Wain Injection U Vibes U If Oilier, Hal We
2. WITI. II)CAI1(111: --_----
Ncmrcl lblc,,. rnUf U 'fupuprnpliitJI.mld rrtlinp
''11 R� 1._-_.__-.__._ Cininl)'_Ckerok.te_ Lllthlge I L lop) W nlbry I_Iflnl
-Hot Roc e LOW11M1'(. ()Purr&•nrnpllnr.Pun.)
(SIrreI Nvnr•Nnrnbrt, 1'mnnnrrray,Svb,n.inlan,1 ml Ili,,lip 1'I41r) ----
LnliludrlltrllµiluJe of well Incntinn
• ft "
J. n vill:Il LEI . 1 L Ir�B.i u.) -
�� 1�_..__YY_5.--�jlhl�� �;_ IrlrRrrrdm�lnlrrr n,h1
Mill rss 13_70 TO ni Sq er J.pj j C Lnli(udc'/Iunyiiude noult:c:I.It fl SU I opuptnphic imp
(Sp rr1 nl 1)0Wr Nr) (chuck I),.e)
1314.iresIL Me _&- _o5J - PM'Ili pit l(.LllI() Llu;
("il) pt i(1,i, mir Zip Code 17rou1 To
Polnmlion Ilcccliplion
1 ) - C cGI(
- 1D
.1. A4n nn+ln l'Ir•, nnmbrr 1 --- -----
,rnr, Mil I1:it 1p_.as -Oct _.lam_ d.g__-- s/J_ec es_r@ck
_ ao5 ' - _ .
('. I)i)IIS MU.i, it Uri.ACP. VMS rim; \\HI 1.7 YES f-1 Il(I 1 I ----------------
7. S IA I IC \l'Al lilt l.INN, 11ciow Top of( t nj a•S iI. — —
(li.r"I"IIAi -I oprll vupl --- -- -- ----- -'1..,
B. I(II' HI* CASH II; IS I ' IT. Abolr l nod Surince•
' rrp rl)subs In nrindnl Mini Talon Inn,&imbue ngnlne•
.shirr litmicro,thump mill ISA H A1'/I".1)I III, _ -da'---�'r�
(li ) %_-__ hlliMOD 111'7l ';h O'
�,a
_ 1tzcn11t111_5x,ilcii
i I. I IISIIIFR:i it IN: t)liel k_pvap}S— Alumna \g- Show dilecliust and dlslaoce ill miles lion nlCRa;l ao
12. CASING: Wail)I Iris knrsi Iwo Stale Itundi or Couu(y Ronde. :mimic th+ nd rvi
Itrlull Diameter ni \Vright/f(. t,inlcrsll II(nllheis and C0111111011 load ilnlilen.
rnml-__Q-- lu__,S_%1 1.l._.(yi35__ -D[2(_
I II,1II -I 1,
_pa
II
fluor._-- lu _ ll.
R. I;It it)I : Ilrptli - --I\him ial _-�-- blclbod
how v Iu_slQ' I'I.,r( 4ibid_.-_ . _rec tc .
from I u Id. ..*—i op
14. SCItl Ir1: Itrplh Iniu Jirlet Slot Sin, Ivinlrrinl �.✓
lion( In I1. in. _--_-- in. ���-
I}unI •il) --II. in. III. �� Gp l den �d
IS. SAIJU/GItAVII. I'ACI:
1)1,111 Sire hhurtinl
Muni To It,
how Tt —__ IA. -- -- /o cc
16. l(ISIIAiLS:
I Uu I11;M:Ili CFR I II'V 1IIA I I HIS WELL WAS t VMS I RIR:IlU)HI ACCURDANCII,W1111 I5A tICAC IC,WELL
CONS I RUCI IUN S IAllDAIWS,ANU'IIIAr A CUM' ul,'I IIIS itECUWJ HAS UBEN i'ItJVIDLIU 1U 111E WELL OWNER
P. 24 l_, a s -O ci
slut in l(11(1!(JrI'RItSUN(201.4711UCIMU'17111WELL. IJAI)!
Suhnlll Ilse Illihlrlal to the DliNun of Wnl ', Quality, Graundtraler Section, 16J6 Alan Service Center-Italrlgh,(IC
I7(,97 1616 Minor No. 010)711.WI ..lil.i,. vl .1... -

NC iI (Ill// /S /III I
WELL CONS'I'RUCTION RECORD 304031
Not lh Untolina-Depallmmnt of liavifmuncnt nod Ila/jygal Itesoul es-Division of Water Quality- Uloutldwatcr Section
wE IA,CON I RACIOD(INUI VILMA')NAME (pi Int refry ee G C- CER I IFICA I ION N pZ41..1
WELL CON I RAC'OR COMPANY NAME,__- t'/�t rlmuNE N aka"?"nle2
SI Al E WELL CONS ItOC17ON rEltatl IN ASSOCIA'1Ell WI)PERIMIN
if n j Ili(nble if n I dienbic
I. Will USE (Check Applicable 'lox): Recideulild Municipal/Public Ll ludunh'nl LJ Aglicullutal LJ
Monittlling O Recovely I] Ileat Pump \Vnler Injection ❑ Other CJ If Other,List Use
2 WEI.LIOCAIION: TopuprnplliC/i.andselling
Neatest I o vlt_ 9171.7 f0(7 ___l curdy__ '4ee
[Midge l ISiope 1 'Valley LJf lal
fie/f611.-_iS d r _ ._ _- (rhrd spproprIn'r how)
(Sorel Newer.Nmnbrn Conulnlnil)',Snhdninlon.I nt I!,-7ip CI,lr) Lnlitude/longilude of well location
N
J. O WElt: � dOok/' J _ (drareedod m n .elr .11411)
AddieSS 2`f�_�e ion .RJ- _- Lntitudc/loogilude nouscc:LJE,I SLJ I optiglaphic now
(Stied vi Route No) (check I.),)
M.
Grp),y_ �/I 2t�906 --__ _ J)Ji1i11 uitlLLlliULI-HF
Coy or loin' / SIntr Zip code hr uul "Ib formation Deno ipliun
I — ._)-_._ __ ------ --A, 0 6 J' Gla y
rw rrrlr- rllnnr Ilunlher
a. 'Ai , IRILI ED 14 -iii-' 4Y € 5-- 1,22- 6-1-An/
—
5. 'WEAL I)FI'FIE_ 2 z<..-- ____ -.
E. DOES WELL RGJ'I.ACR. EXISfING WII1.I,7 YES Ll NO L.1--•
7. STATIC WATER LEVEL itelow Top of Casting! „ dEf.
•'
(Ike I"If Ahnvr'I Ian of('nnlap-._)
B. TOP (II' CASING IS--/ El . Above I.nud Souhee• — C I-__:'
•l rp of rwdog Iry'Windt l*Um below Wit;no line legolvr• �
n.el.nrr In•rrmrinae nitb t5A NCAC IC,IIIIL -- r�1
9. ITN in(Pro ): -_----MRENODyf I ES IL ___ — _—��
ILL WAl Elt ZONES (depth): 2./.�_ _ __ --- - ---
hi. PISINFECIIUN:Type /7 Teir Atnoaltl 74&.O Show direction and(Balance in miles fiouu least .--(?
12. CASING: Wall Il,ickness two Stale (toads or County Road!. Include Lis tondo2
nrplll Uinw�cr or 1VcigllVht. 1.1atetinl ntnnbcrs and common road unmrs. O n?.
humc 'Io ea ft. `•25 _ .s6�./ p-c-_ /ti .vit
loon To II.
Plum To_. IT
IJ. CJ ROIL I: Dep2thp. O. �ne1 method
Plow 10 IT --
14. SCREEN: I Dimncter Slot Sire Multi in' (MN-1
Eton( - '1st _ Et. in. - in. /'�'
from •foIt. _in. — in. V
I5. SAND/GRAVE'. PACK:
Urplh Sire ttldrtinl
flon TN FL - 6q west
from_ 10 EL_
16. REMARKS: _
DO IIPItFNY CER NIT IIIAT'IIIIS WELL WAS CONSI1tllAAED IN ACCOIDANCE WITH 15A IJCAC2C,WELL,
CONS IIIUCI ION SVAN AIDS,AND''IIAIACOPYOF11118RECOIDHASBEENPItOVIDED10TIILIWELLOWIJER
SIUNA I UItE 0E PERSON CONS]RUCIINO 111E WELL DAM E
.
C..I.,.d1 1Ln ...L.Innl In Ihn Illvldon or\S'nler °minty-Cfflllltlwatel'Section. 1636 trial'Service Cettler- Raleigh,NC

;i�„� 1111l1, 71 l,nn
WELL CONS•►'RUCT•LON atECOIWW 3'0028
North Caution - Vero Intent of Elicit oilmen(and Halm al Resoutces-Division of Water Quality-(roundwater Section
WELL CUNT IIACI Olt(INIIIYInUAL)NAaIE (punt) 1 r,rn P . 1 >, \s0 CERI mmumi oN N,)Q'D 4
ty
WELL CON IIIACIOIt COMPANY HARE VI7i 11 Qi LA) C U dr1 )I,vicc r11UNE N (Se211 ' 7-2QC1
l)
STAE WELL CONS I IIIICI ION PEILIII IN AlE
__ ASSOCI
T l) WQ rERh1I IN
if n , rlicnide if n 1 Ilicnhle
I. \%'Eli_USE (Check Applicable Dos): Residential hJ/htuuicipal/I'uhlic LI ludunlainl El Agricultural LI
hlunitotiug ❑ Recovely Li I Teat Pump Wider Injection Li Other EJ If Other,List Use
2. WELL L(1Cnl(,l)u:1 'Topograpllic/1.:n d selling
Niftiest Town://✓✓l)�r✓nn1 die Li) C, County/ p Ultidge U Slope C�llcy IJPIat
KO�b4I'13t27�1 ISlt 1 (check oppioptlate box)
(Sorel Nome.Number',Conununily,Subdicieloo.Im Nu..lip Cole) Latitude/longitude of well location
N3S'.li ,V�i- 13' _3°
I a Y V I.(r y, (drpleee/lnlnnl.i'tr.nml1)
Address 3(-] KQ_ -a sot1 A Latitude/longitude sourceEIGPSC1Topugtnphic map
S ier! -_-- (check box)
(Sheri of ilnule Nn.)
4n4rpVic Al( 7_RqQ / 1)JLU1 uiJJLL1t_,QWQ
CII)of to"a, Stop lip Code Mow To Puunalion Description
( 1r rh — inf s'11—
_._ _.—
N mar-lr- rhino cumber i O a/70 r , ed c C
4. DATE DINLLED c7-023 - nQ 270 _ -7 55.` ' Mee . /
5. TOTAL DEP1.1I:_ ______ a 8fC' -.2c7U' /- /
F. DOES WELL REI'LACI! EXISTING WELL'? YES U NO Id -.a cj0 _ 2 gs• G lL
7. STATIC WATER LEVEL Below'Fop ofCasing:-_c ___._I 1'. ; jS - Soo r V 7 /a
(flee•'I 11 Above 1"P of Toeing)
8. 1Y_ I' UI' CAS1141; IS FT. Above I nod Sutlace+
•titnleaeing In ndnoled ovmr below lewd tm lore 1violltt• 0 '^"'.-•
rnlnrce In *cm the me nllh I5A NCAC IC.tll IN. --�-�j'' '
9. VIEI1) ( pm): __t9F7 ME:MOD OFTESI. h.;P--_ - a .
Ill. WATER ZONES (dcpllu): - s
LC/QM:NILS tCi LC I s o
`f1 ter.
`` Illt-- Show direction and distance ill miles hunt act/least r�';'
1 I. CISIIJUiCfIUN:'fypc 11 rh P I(p�SAlll1I,ic n s 5 two Slate Roads or County Roods. Include tll;oad -'',"
12. CASINO: Wall I6icknessnp"
Depth Diameter of Wcighl/Et. Material numbers ad common toad t annex. c e? ;n,.
o taal( :0
Mont F2 To / t Et. (0, Z5 sa L _rc
nowt n/&f9-o Jet 1:1• for U 15Lt_ .<k
float To Et. - ---_- L1
13. URUU P. Depth Mimi MI Method
' tole 0 To .1G /' EL /90SL, __ / 7-4-4<iv//' • izObv./' 6iA
Ern, To El.-____-- _--- d_
14. SCREEN: Depth Diameter Slot Sire tvinietial
trout "Io PI. in. iu.
Eo m To El. in. ---- iu.
15. SAND/GRAVEL PACK:
Depth Size hinterinl
Ernm To Et.
Enmt To Ft. - -- --
16. REMARKS:— . Iiihd'e ,"''
I DO I If REBY CER fll'Y'II IM 'II IIS WELL WAS CONS IntlelEI)IN ACCORDANCE WITH ISA NCAC 2C,WELL
CONJSI IWCCI ION S FANDARDS,AND'111AT A COPY OF I IIIS RECORD HAS BEEN PROVIDED"10lill!WELL OWNER
lr : -- --- -- 2 3 " 0
ci
SIC;IJAIUItEDfI'I',RSONCONOtJSIItUCI1NU'iIIL' 1yELh DALE
Submit the of IgIual to the Division of Water Quality,GI outldwater Section, 1636 Moll Service Center-Raleigh NC
-.- _ mu I Inn/ rl7/71111t

n„. v -... �� n �� i n -- 'Q $(�i�u a i� e
WELL, CONSTRUCTION RUCTION ItJ1,COItI)
North l.'mulina - Urpat Miens of Pnvitonnlcul and 19nimi I Itcnonicces- Division of Wale' t)unlily- Urtlaudwnict Section
?
Writ.CON I IRACI Olt(IUDR'1I111A1.)NAM: Irrlul)_- flh// ((�G�"C _—.--- CEIi I11IC 11/tA110N 7 `.
It EL.I.cuN I RAC)On CUnn'ANS NAnui—_-2J7,72r— _.--- PIIUNP, e 180/8J 93)-IFS,
S I A I E.WELL Cl/NS I ItUC111)N 1'EI@II IM_ _ ASSt/CIAlF.0 W4)Pr thll t1
iIn • 'Lit Hilt iIn , dicnblr ,
I. R'EI I. 11SE (Check Applicable Ilex): Rrsidrnlinl Er-M wicipnl/I'uhlic U Induntlin' I1 Alpieullulnl U
Monitoring U Itrcuvety 1_I heal Pump Wales Injection U Usher U If011ci, Lisi Use _
2. \VEI.1. LI/CA-i mill: I .._ "Ibpogtnphie/Isnml selling
Ilewest owl': 'v,L/ ( unul} C.I�e,r0 e e Ultidge I ISlope l IVnlley 1 11-sal
_ 544/ Cred ee , _ (rlitrk ggnvp,lnlr bow)
(Sires Runt,fluud•r,r,t ,nunnniiy.Sul di Vlon,I el I l ,7i11 Ct.lr) LnliluJdbllgittide of Well Ito:anotl
4 e. /*tief- Irleg,rrnhnLmleer.ranks
11(Ilh r•SS __I�_ hod I Cr h_ ipO�] Lntitudc/Iotlgihule rumen:LI(UPSUTopol;,nphic map
_ _"_4.__. -_—_ -
(Sorel,n Houk.N� ) (check ben)
lurphv_IV_C. _zi w6 G1_
_ 1) 111 D1Uu.IIIULUU
44 t-it) n 1 Of,I Suit- :rip l'nlr I7I011l TO l`ununliunucscnptiun
I _ )-_ -- o—sa or/,An
r'•Ir- rl ii I nnu d•tl O // 6 rry4�'V
I. DAlfDUllIPD. ! ^[ ' _- _ 50 — sriJ'
S. l(IEAI. IUPTIL_ _ 9_' _ --- —
6. I)I1PS WELL 111:1'I,ACR ❑XISIINU \VP.1 1.1 YES LI Ho LIB — — —__--
7. STA1ICWAIElt LEVEL Below lop of('naiitg: . 0.6__I'F. _ --
( rr"I"Ir Almvr lip of 1-ntinpt
S. 11)1' (II CASIIJU IS _ `_ . IT. Above, Ilmn1 Stulucc' _
•I rp of r•,hi)Inmi n•Ird•Ism htlnn 1•uJ.,ulrre Irquhrr• __--
,nl•nrr In nrcnnlu,rr nIlh ISA NCAC IC 1)1111.
Q. I AP1 11 trim* _LQ-__MP;III00 0P'IPS I— /c __
I(I. 'WA run ZUPIRS (ulepliq: _ SQL_i_______ -- LCZ A"I:IVIi.5kaiLCl l
i i. i IISIIJI'IiC I KIN:1).111, 277F Amount _ rya Show tlliccllon and distance III miles 10111 at least
12. CASINO:
Wall-I hirkners two Slate hoods or County Itonds. Include the toad
/, urpll, Dinurckr or \1'ri)�hll19. Ivintctinl !lumbers and common wad onuses. ';._.,.
hunt.._-CITo_/QO I`I,_ G.�S .C42,2 i Oat_--G.—
lioun "Iv _ Il. ---_—
I.t °c�
lions.--- To ---- ---- - -- p
liens - �
I). tiltUI)I: Depth rcT I Z �Ic(hml
D_ l uyv 11. �� --0
Hon lo_ I1. _-- -- — 0,
I't. SCREEN: Irptli Diameter Slot Sire Mnirlinl •• "
n
moos 10 II. _ in. ----- in. -- — ren0
limas Io-._. 11. in. --- in. 0
IS. SAIJUNUItAV 1:1. I'AU::
Ilrrlii Si:r Muir,inl
stool Il, 1'1. __—
h om— I o II.___--- --.-.—_-- .
16. REMARKS: --
I DO I IRIll91I Cr lei Ill' I nor I I II S WILT,WAS(ill IS I ROAN) IN ACCORDANCE Wfl II ISA I1CAC 2C,WELT.
CUIISIRUl:I ION S[ANDAI(US,AIJD'II lAf ACUP'i UI'IIIIS RECORD HAS BEEN 1'itUVIDL'D'IU11IE WELLUWNUt
tl/i4--C—
SIUNAI URI!(IF PERSON CON; HWIJIlNU 111E WELL DA 111
Sobntlt Ilie tip ll,lnal to Ilse 'Whilst! of\1'nlcr (Juulllp,Grounthvntel Section, 1636 Mall Scrvice Center-Ilnlrletl,NC
n .,...._ (1W-I REV. ninon!

343682
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)James B.Brown CERTIFICATION#2045
WELL CONTRACTOR COMPANY NAME Hedden Brothers Well Drilling,Inc PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMITS(
(if applicable) - (if applicable)
1. WELL USE(Check Applicable Box):Residential® Municipal/Public❑ Industrial 0 Agricultural❑
Monitoring❑ Recovery 0 Heat Pump Water Injection 0 Other O If Other,List Use
2. WELL LOCATIO : /��� Topographic/Land setting
Nea stTown: County 0.4(C2etece_ ORidge ❑Slope OValley OFlat
Cie c, — CreI G( Writ- (check appropriate box)
(Street Name,Numbers,m Community, msion,Lot No.,Recces
Zip Code) Latitude/longitude of well location
3. OWNER:J I m ,p',���/� I 10 CJ ces (degrees/minutes/seconds)
Address 3 � I[lQ.[.it.__ LA-ric Latitude/longitude source:OGPSOTopographic map
(Street or Route o.) (check box)
MaePty 70Zo DEPTH DRILLING LOG
City or Town / State Zip Code Fr T r Formation Description
(gZg)e �}3 7 1 70 �1d clay&sand
Area code-Phone number O / 0 r granite
4. DATE DRILLED �O ' 11
5. TOTAL DEPTH: ari O j
6. DOES WELL REPLACE EXISTING WELL? YESn O 0A
7. STATIC WATER LEVEL Below Top of Casing: cii()U 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 w th 15A NCAC 2C.0118.
9. YIELD(gpm):ZONJ`p MET�Ia,9F ES BLOW
10.WATER ZONES(depth): // g/ r'J
LOCATION SKETCH
11. DISINFECTION:Type H T H Amount 16oz Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth . Diameter or Weight/Ft. INcal numbers and common road names.
From (J To /r-4 Ft. (P r
From To Ft. 'M:=�2`-?c`,1,,
From To Ft. :.G'„-%') .
13. GROUT: Depth Material Method o * �,
From 0 To 20 Ft. benonite&cement pumped t^T :;�
From To Ft. < %. °+`C-.
14. SCREEN: Depth Diameter Slot Size Material %,-12
From To Ft. in. in. �COf '-j2,
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 CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C,WELL
CONSTRUCTION STA S,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
t r A, — E
SIGNAT 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-1 REV.07/2001

303681
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)James B.Brown CERTIFICATION#2045
WELL CONTRACTOR COMPANY NAME Hedden Brothers Well Drilling,Inc PHONE # f 828) 369-9591
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential O Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATI �� Topographic/Land setting
Nearest Town: ( iti County e /CQfl/2f DRidge ❑Slope OValley OFlat
(r l is Y1L Lac_- 6 ei ww.., (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: (degrees/minutes/seconds)
Address Latitude/longitude source:OGPSOTopographic map
(Su or Route No.) / (check box)
�L L1eP/+r IWO Q 9 (t7 DEPTH DRILLING LOG
CityAr fpw�, n sia Zip Code From T Formation Description
�) YJJ er 3 clay it sand
Area code-Phone number granite
4. DATE DRILLED /U ' `7'0171
5. TOTAL DEPTH: 30?) '
6. DOES WELL REPLACE EXISTING WELL? YES O NO h.
7. STATIC WATER LEVEL Below Top of Casing: SOD 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 w I5A NCAC 2C.0118.
9. YIELD(gpm): METHQD40�'TiSUT27BL BLOW
;
10.WATER ZONES(depth): c
LOCATION SKETCH
11. DISINFECTION:Type H T H Amount 16oz Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From ) To. bFt. to '� s
From_ [pit To /o,3 Ft.to" d 188 $ Y`,;
From To Ft. ' /C/,`
13. GROUT: Depth Material Method t r �,,
From 0 To 20 Ft. benonite&cement pumped CJ' ^` ,
From To Ft. , .y �'� ' ',>.'
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. auS( '`%r'
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 CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION ST S,AND THAT A CO Y OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
t u er,J /O- 7—DV
SIGNATU 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

nO 303 '710
WELL CONSTRUCTION RECORD V`
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATIONS(3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PRONE a (828) 837-008
STATE WELL CONSTRUCTION PERMITS( ASSOCIATED WQ PERMITS(
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El MunicipaVPublic❑ Industrial❑ Agricultural❑
Monitoring❑ Recovery ❑ Heat Pump Water Injection❑ Other❑ If Other,List Use
2. WELL LOCATION: TopographiclLand setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope ❑Valley ❑Flat
FIVE FORKS-LOT 96 (check appropriate box)
(Street Name.Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: FIVE FORKS (degrees/minutes/secands)
Latitude/longitude source:❑GPS❑Topographic map
Address 1151 WEST U.S.HWY 64 (check box)
(Street or Route No.)
MURPHY, NC 28906 DEPTH DRILLING LAG
City or Town State Zip Code From To Formation Description
828 361-4500 0'TO 20' RED CLAY/GRANITE
( )Area code-Phone number 20'TO 707' GRANITE
4. DATE DRILLED 10-12-2004 GRANITE
5. TOTAL DEPTH: 707'
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO ED
7. STATIC WATER LEVEL Below Top of Casing: 20
(Use"+"if Above Top of Casing) C7 p
8. TOP OF CASING IS 1 FT.Above Land Surfaces .1- crs
c n
*Top of casing terminated at/or below land surface requires a t"r ,rrirri
o<
variance in accordance with 15A NCAC 2C.0118. C �S
9. YIELD(gpm): 5 METHOD OF TEST AIR I -alto
urn
10.WATER ZONES(depth): LOCATION SKETCH --t-to
un
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from east �=
12. CASING: Wall Thickness two State Roads or County Roads.Include#3 roaraCW i
nre
Depth Diameter or Weight/Ft. Material numbers and common road names. _ —_-
to
From 0 To 20 Ft. 6 1/8' SDR 21 PVC CO
From To Ft. .._.%Ij t
From To Ft. �S r/
13. GROUT: Depth Material Method 3j
From 0 To 20 Ft. CEMENT GRAVITY /�;� 1., (�
From To Ft. !(137
14. SCREEN: Depth Diameter Slot Size Material 111
rprF��(�S
From To Ft. in. in.
\,, -3
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH l5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND TtIQCy'A COPY OF THIS R' RD HAS BEEN PROVIDED TO THE WELL OWNER
CJ /v -I).-ai
SIG TURE PERSO CO UCTING TIIE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mail Service Ceenter'RaleiREVgh,NC
27699-1636 Phone No.[phone],within 30 days.

303 *1 1
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groudwater Secti 228t
on
WELL CONTRACTOR(INDIVIDUAL)NAME (ono CHRISTOPHER L.DICKEY
CERTICHEROKEE WELL DRILLING AND PUMP COMPANY,INC. Mote I828) 8� 97AOOB
WELL CONTRACTOR COMPANY NAME ASSOCIATED WQ PERMIT"
STATE WELL CONSTRUCTION PERMITN if licable
if livable
1. WELL USE(Check Applicable Box):Residential 1E0 Municipal/Public 0 Industrial❑ Agricultural Cl
Monitoring O Recovery ❑ Heat Pump Water Injection❑ Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope OValley OFlat
(check appropriate box)
HYATTS CREEK CHURCH ROAD Latitude/longitude of well location
(Sheet Name,Numbers,Community,Subdivision,Lot No.,tip Code)
(degrees/min(degrees/minutes/seconds)3. OWNER: MARBLE WATER Latitude/longitude source:OGPSOTopographiti map
(Street or Route No.)
Address P.O.BOX et (check box)
DEPTH DR>1'LINGLOG
MARBLE NC 28p Code Formation Description
From To
City 3Town State Zip 0'TO 20' BLACK DIRT
( 82c d_ Pho.enu7 20'TOs_ BROWN DIRT
_.---
Area code-Phone number 8U TO 7V GRANITE
4. DATE DRILLED tat4_ 4_— — — GRANITE
5. TOTAL DEPTH: g ____— — 7D TO ems_
6. DOES WELL REPLACE EXISTING WELL? YES O NO l C
7. STATIC WATER LEVEL Below Top of Casing: 80 FT.
(Use"+^if Above Top of Casing) C ern
-rim8. TOP OF CASING I3 1 FT.Above Land Surface'
`Top of casing terminated atfor below land surface requires a �(7
variance to accordance with ISA NCAC IC.611a t CO Tn<
9. YIELD(gpm): 5 METHOD OF TEST AIR
t
M.WATER ZONES(depth): LOCATION SKETCH o On
CHLORINE Amount 100 PPM Show direction and distance in miles from m Dast
11. DISINFE
SING:
N:Type Wall Thickness two State Roads or County Roads.Include the roaE
Depth Diameter or Weight/Ft. Material -<
12. CAnumbers and common road names.
From 0 To 70 FL 6 114' .188 GALV S1
From To Ft. 129
From To Ft. Ni.) ( � Cy♦
13. GROUT: Depth Material Method
prom 0 To
70 Ft. CEMENT TREMIE PIPE
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
15. SANDlGRAVEL DepthPACK: Size AIt2PQRl R.
Depth
From To Ft.
From To Ft.
us ►9
16. REMARKS:
I ON HEREBY CERTIFY THAT THIS W r WCOP OF/ S RECO HAS BEEN ACCORDANCE P W VIDED TO THE WELL OWNER
L
CONSTRUCTION STANDARDS,AN
URE OF P- ' ON CONS UCTING THE DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Ceenterl REV.h,NC
27699-1636 Phone No.[phone],within 30 days.

343716
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (prtoQ LARRY F.JONES CERTIFICATION A 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE A [phone]
STATE WELL CONSTRUCTION PERMIT. _ASSOCIATED WQ PERMITS/
(if applicable) Of applicable) . .
1. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial❑ Agricultural❑
Monitoring❑ Recovery Cl Heat Pump Water Injection Cl Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope OValley ❑Flat
VALLEY RIVER MTN-DAYLILY DR TO LOOP LANE (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Tot No.,Zip Cade) Latitu3508.ngitude e of well location
3. OWNER: JOHN 8 LYN MARSHALL (degashamateslseoonds)
Address 25345 EVALINE ST Latitude/longitude sou ce:IDGPS❑Topographic map
(Street or Route No.) (check box)
BROOKSVILLE, FL 34801 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 352)- 584-5401 0'TO 20' BLACK DIRT
Area code-Phone number 20'TO 70 RED CLAY
4. DATE DRILLED 10-22-2004 70'TO 90' GRANITE
5. TOTAL DEPTH: 80T 90'TO 807' GRANITE i
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El 0-
7. STATIC WATER LEVEL Below Top of Casing: FT.
(Use"+"if Above Top of Casing) we *r.
8. TOP OF CASING IS 1 FT.Above Land Surfaces i .xAn
`Top of casing terminated slier below land Imam requires a W 70variance In accordance with SSA NCAC 2C Silt
9. YIELD(gpm): 0 METHOD OF TEST AIR cp
10.WATER ZONES(depth): — r
LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show Stated Boon ns nd dince r Comity Rn miles
ds. s from at leasi3,
nclude the
12. CASING: Wall Thickness
roia
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 03 Ft. 8 1/8' SDR 21 PVC 1 rt 5 ( �I / \ ,,�
From To Ft /l
From Ft.
De da
(� C%
13. GROUT: Depth Material Method CIFrom 0 To 20 Ft. CEMENT GRAVITY
From To Ft \
14. SCREEN: Depth Diameter Slot Size Material \
From To Ft in. in.
Is
From To Ft. in. in. -1
15. SAND/GRAVEL PACK: P R.0
Depth Size Material Nrr a
From To Ft
From To Ft
tr ,‘ t -
16. REMARKS:
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 RECORD HAS BEEN PROVIDED TO THE WELL OWNER
SIGNA OF PN CONST INC THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center Raleigh,
BV h NC
27699-1636 Phone No.(9t9)733-3221,within 30 days.

303115
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
TARRY F.JONES CERTIFICATION#3295
WELL CON7RAC7'OR(INDIVtDUAL)NAME (print)
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#(if applicable) - `
(if applicable) .._
1. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial O Agricultural O
Monitoring❑ Recovery ❑ Heat Pump Water Injection❑ 'Other❑ If Other,List Use
2. WELL LOCATION:
Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope Walley OFlat
(check appropriate box)
HUNTER RIDGE LOTIS 5 Latitude/longitude of well location
(Street Name,Numbers,
rA Community,Subdivision,the No.,Zip Code)
(degrees/minutes/seconds)
3. OWNER: 1415 S E.N 5THGR ST Latitude/longitude source:OGPSOTopographic map
Address S.E. eeH ST (check box)
(Street or Route No.) DEPTH DRILLING LOO
DEERFIELD
BEACt FLl 33441 Formation Description
ZipCode From To
City or2 Town State 0'TO 20' GRANITE
( SSA)_ Phone numberub 20'TO 707' GRANITE
Asa code-Phone
4. DATE DRILLED 10.16-2004 0
5. TOTAL DEPTH: 707'
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El ? o
7. STATIC WATER LEVEL Below Top of Casing: CD '71
(Use"+"if Above Tap of Casing) .E.--n 0
8. TOP OF CASING IS 1 FT.Above Land Surface*
*Top of easing terminated at/or below land surface requires a Co.) earn
variance in accordance with 15A NCAC 2C.0118. wt
9. YIELD(gpm): PINT METHOD OF TEST AIR �D
10.WATER ZONES(depth): LOCATION SKETCH r-
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at lease
Wall Thickness two State Roads or County Roads.Include the read
12. CASING: Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 20 Ft. 8 118" SDR 21 PVC /
From To Ft. y
From To Ft.
13. GROUT: Depth Material Method D
From 0 To 20 Ft. CEMENT GRAVITY
From To Ft. 14 ,
14. SCREEN: Depth Diameter Slot Size Material r From To Ft. in. in. 'Fe Y
From To Ft. in. in.
15. SAND/GRAVEL PACK: Q �-,Z‘
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH l5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A CO OF THIS RECORD
RD S BEEN PROVIDED TO THE WELL OWNER
SIGNATU F PER CON RU THE WELL
DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center RREVgh,C01
27699-1636 Phone No.[phone],within 30 days.

}
15-9-{9
WELL CONSTRUCTION RECORD 3 0 3 1 14 '
4
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
p 1
WELL CONTRACTOR(INDIVIDUAL)NAME (prim)LARRY F.JONES CERTIFICATIONS 3295 ti,
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. mow g (828) 8374008 °_;it;
STATE WELL CONSTRUCTION PERMITS _ASSOCIATED WQ PERMITS J i.
(if applicable). (if applicable)
An
1. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial❑ Agricultural❑
Monitoring❑ Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use iw
2. WELL LOCATION: Topographic/Land Setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope Malley OHM
(check appropriate box) 41;
FIVE FORKS-LOT 89
(Street Name,Numbers,Community,Subdivision,Lot No.,ZipLatitude/longitude of well location
Code)
3. OWNER: FIVE FORKS (degreeshmhmtes/seconds)
Latitude/longitude source:❑GPS❑Topographic map
Address 1151 WEST U.S.HWY 64 (check box)
(Saar Route No.) DEPTH DRILLING LOG
MURPHY, NC28906
City or Town sure lip Code From To Formation Description
( 828)- 361-4500 0'TO 30' RED CLAYBOULDERS
Area code-Phone rumba 30'TO 50' GRANITE
4. DATE DRILLED 10-08-2004 50'TO 200' GRANITE
5. TOTAL DEPTH: 200'
6. DOES WELL REPLACE EXISTING WELL', YES 0 NO El
7. STATIC WATER LEVEL Below Top of Casing: 80 FT.
(Use"+"If Above Top of Casing)
8. TOP OF CASING IS I FT.Above Land Surface" el
`Top of casing terminated aaor below hod surface requires• 4
variance In accordance with ISA NCAC 2C.011S. in9. YIELD(gpm): 50METHOD OF TEST AIR x _r1�
10.WATER ZONES(depth): tom' LOCATION SKETCH pc
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from attee � L W
12. CASING: Wall Thickness two State Roads or County Roads.Include se
Depth Diameter or Weight/Ft. Material numbers and common road names. o to
From 0 To 50 Ft 6 1/8" SDR 21 PVC . r
From To Ft ""'I
From To Ft.
13. GROUT: Depth Material Method C i
From 0 To 20 Ft. CEMENT GRAVITY
From To Ft. 1
14. SCREEN: Depth Diameter Slot Size Material i' tk
From To Ft. in. in. z \
0
From To Ft in. in. z $ C,.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT PY OF THISRECO9HAS BEEN PROVIDED TO THE WELL OWNER
�L., , /O og e✓
SIGNA E OF P�JtSON CG elS INO THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Centteer'RRaallle 0 NC
27699-1636 Phone No.[phone],within 30 days.

WELL CONSTRUCTION RECORD 012B
302 4
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) CHRISTOPHER L.DICKEY CERTIFICATION a 2281
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP PAN COMY,INC. ',DONE If (828) 837-008
STATE WELL CONSTRUCTION PERMIT* ASSOCIATED WQ PERMIT*
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial ❑ Agricultural❑
Monitoring❑ Recovery ❑ Heat Pump Water Injection❑ Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE R]Ridge ❑Slope ❑Valley ❑Flat
SHADOW PINES ESTATES (check appropriate box)
(Street Name,Numbers.Community.Subdivision.Lot No.,Zip Code) Latitude/longitude of well location
3504.111N/8357.009W
3. OWNER: DAVID OSGOOD (degrees/minutes/seconds)
Address 1183 E.HERMOSA AVE. Latitude/longitude source: 1GPS❑Topographic map
(Street or Route No.) (check box)
BARTOW, FL 33830 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 863)- 533-0290 0'TO 60' BROWN SLATE
Area code-Phone number 60'TO 80' BROW WBLUE SLATE
4. DATE DRILLED 10-07-2004 80'TO 100' BLUE SLATE
5. TOTAL DEPTH: 205' 100'TO 205' SLATE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO Ea
7. STATIC WATER LEVEL Below Top of Casing: 75 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 _ FT.Above Land Surfaces
*Top of casing laminated af/er below hod surface requires a
variance In accordance with 15A NCAC 2C.011b.
9. YIELD(gpm): 20 METHOD OF TEST AIR
10.WATER ZONES(depth): 160'
LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names. '..2,
From 0 To 100 Ft. 6 1/8" SDR 21 PVC 0 r=
01
.C.- art,
c
From To Ft. F� o ^�
From To Ft. �1 y Wit I
13. GROUT: Depth Material Method 1\�J1 it
ob am
From 0 To 20 Ft. CEMENT GRAVITY 4�j .G'
From To Ft. - rr
14. SCREEN: Depth Diameter Slot Size Material �* = ? ,_
From To Ft. in. in. W baESc
From To Ft. in. in. ;; --
I5. SAND/GRAVEL PACK: •` CO ma
Depth Depth Size Material P
From To Ft.
From To Ft.
16. REMARKS:
1 DO HEREBY CERTIFY THAT THIS i
• WAS CONSTRUCTED IN ACCORDANCE W TH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,A • Caj OF ' IIS RECO: 1 HAS BEEN P' I VIDED 1O THE WELL OWNER
i An Al 41 Ar__ / v ; -os
er URE OF ' RSON CO TRUC ING THE Wippr DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

393282
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME amino LARRY F.JONES CERTIFICATION•3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE g (8281 837-8008
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT*
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial 0 Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE #]Ridge ['Slope ❑Valley ❑Flat
EBENEZER RD (check appropriate box)
(Sired Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: JAMES W.KEPHART (degrees/minutes/seconds)
Address 184 JIM KEPHART DR Latitude/longitude source:❑GPS❑Topographic map
(Sheet or Route No.) (check box)
MURPHY, NC 28908 DEPTH DRILLING LOG
city or Town State Zip Code From To Fonnation Description
( 828)- 837-3838 0'TO 40' RED CLAY
Area code-Phone numbs 40'TO 50 SANDSTONE
4. DATE DRILLED 10-02-2004 50'TO 70' GRANITE
5. TOTAL DEPTH: 485' 70'TO 485' GRANITE r __
6. DOES WELL REPLACE EXISTING WELL? YES 13NO Elp G_
7. STATIC WATER LEVEL Below Top of Casing: 150 FT. i `C
(Use"+"if Above Top of Casing) CS .��- -c
n
8. TOP OF CASING IS 1 FT.Above Land Surface' . c
"'Top of casing terminated actor below bad surface requires a Cr
variance In accordance with ISA NCAC 2C.01111.
9. YIELD(gpm): 7 METHOD OF TEST AIR o n
10.WATER ZONES(depth): 450' v 'SC
LOCATION SKETCH (.7
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at lento c*c•
12. CASING: Wall Thickness two State Roads or County Roads.Include the roe a
Depth Diameter or Weight/Ft. Material numbers and co en road names.
From 0 To 70 FL 6 1/8" SDR 21 PVC a eCtt
From To Ft. lP3
From To Ft. /
13. GROUT: Depth Material Method Q
tE
From 0 To 20 Ft. CEMENT GRAVITY Q�
7
From To Ft. '3 0
14. SCREEN: Depth Diameter Slot Size Material ilit
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material -
From To Ft.
From To Ft. 't
16. REMARKS:
_
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WQLL, '
CONSTRUCTION STANDARDS,AND THAT A PY OF THIS BECO BEEN PROVIDED TO THE WELL OWNER
SIGNA OF ON NS 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-I REV.07/2001 _,.

WELL CONSTRUCTION RECORD 3 0 3 2 g 1
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)CHRISTOPHER L.DICKEY CERTIFICATION a 2281
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PAOf a [phone]
STATE WELL CONSTRUCTION PERMIT* ASSOCIATED WQ PERMIT"
(if applicable) (if applicable) •
I. WELL USE(Check Applicable Box):Residential l Mtnlicipal/Public 0 Industrial 0 Agricultural❑
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope ❑Valley ❑Flat
CANYON RD 1527 (check appropriate box)
(Street Name,Numbers,Community,Subdivision,lot No.,Zip Code) Latitude/longitude of well location
3507.699N/8355.921W
3. OWNER: GEORGE VAN BUSKIRK (degrees/minutes/seconds)
Address 2675 TOMOTLA RD Latitude/longitude source:RlGPS❑Topograpbic map
(Street or Raute No.) (check box)
MARBLE NC 28905 DEPTH DRILLING LOG
City or To State Zip Code From To Formation Description
( 828)- 837-8452 0'TO 20' BROWN SLATE
Area code-Phone number 20'TO 40' BLUE SLATE
4. DATE DRILLED 10-08-2004 40'TO 505' SLATE
5. TOTAL DEPTH: 808'
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO
7. STATIC WATER LEVEL Below Top of Casing: 100 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface'
"Top of casing terminated sUor below land surface requires a
variance in accordance with r SA NCAC 2C.bill
9. YIELD(gpm): 1 METHOD OF TEST AIR
10.WATER ZONES(depth): LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least S
12. CASING: Wall Thickness two State Roads or County Roads.Include Melted o 7
numbers and common road names. C =rT+
Depth Diameter or Weight/Ft. Material Th
-rtr
From 0 To 40 Ft. 81/8' SDR21 PVC CD ��
From To Ft. 6 ^ao
From To Ft. 1 -1 x
13. GROUT: Depth Material Method co cr.-
...IC
From 0 To 20 Ft. CEMENT GRAVITY = o=
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material ),.. .-"C.N1/19!`‘..
IV
From To Ft in. in. r.J m0
From To FL in. in. OS '
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft. \I 0
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS W S CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL ___
CONSTRUCTION STANDARDS,AND OPY F T S RECO BEE PRO IDED TO THE WELL OWNER -
G RE OF PE ON CONST CTING THE WE DATE
)�_
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Senice Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001 i + ,., LT,j
i �)
i

Ile / Illl/i/ li _ nun
11'►i;I,L CUNS'FitUC 'ION ►tiCultu 3 0 315 4
IJullii l'nioliva-Ucpattorcnl of Luvinnuucul mid 1Jnlural Itcsuutces- Division of\Valet 11u11lily- thuundwnlet Section
WELL CON IItAIIVII(INOIVIIIUAL)NAIOIE 'piing ,�JI^('S 1", ' CCIIIIrICA I MN A tg-Q Q(4
a l Ivl I 1 ' t rltUNr. lc' ago *S7-29c•:7
tc ELL CUNIIUCillll l'OnIFAN}'WAMI: 1I PC �P`'—������(�
•;livable ASSOC IAI Pi)W/l I'Eilnit IN
SIAIF,t4ELLC ;li UC11Or11'F.IIMIIM— .---- ifn ,ilk-able
if n •dirnk
1, AVE I.L USE(Clrrt'k Applicable Iloa)r Residential Its hllmieipnl/Public U InJun4inl l:l Agticulnunl U
I,lunitoling LJ ltccovely U I lead I'ulup \Vinci Injection U Other U If Oilier, List Use
2. 'WEI.1. LOCATION: TupofnnphieIi:unl ceiling
Ncmesi i own:M ta4 tt_t__------Culnlly.CS\Q.CO ek. [Midge 1%.,151upr. I IVnIlcy Uflat
(r heck nlgnep,Inlr Fn.I
(Sx�C ..Ra,-- — - - .S . _ . _.
LnliluJdlungiluJc of well location
(Sore!IJ•n,r,Nmul•1n.,Crnunnnil),$nl•Jividrn,I nl No,7;p 1'iwlr) - —
J. OW NEIt:V rA WrycrdnJmn.d'KnndQ—
�, l�_tM on�E__-
Addirss -_t.5_.117;12b'ert--�Jn- it_,yC—.__ Latitude/longitudesumce:LIIH'SU7upoglnpncmiry
(cbrrL Irv)
1?12111 UItILL ipi.LUt;
5aa rp roar pnnu TO Ivtulaliml lJcsct ipliun
l'ilym Inn' C - 1 O, --
Flume mm�4rr
Air l--1 \tot - IOC
Nr•r••Ir-1'
Tf.
5. 10rAI. Oil'Tll'_�t)5'- __ ____ -- o-- p-fY'
G. DUES WELl, REPLACE I!XIS FIND NMI..? YES U 110 laa- ZT 'sr
7. SIN'l IC WA'I I:it LEVEL hclow Top of I'asingl ._QD__..._1;I.
1't
(tlr"'"If Above'lop al l'rinp) l 0 O
IT. Above I and Stulacc• Irk
R. "1 Ie UP CASINO IS --_I__._-_ . — .a �
•Ieprl rr.Io lnnme'vi •1lo, below land men st,ngnl'n• 1 G-
,n6nrr In•rtn'd.IIU'vine ISA NUAI'it p1ln.
nn h11i l liul til IlES E a 1 r
IU. AVM-lilt TUNES 0e1419: L_tLt;M IVILSKI:iC7t e;,1ell
W pI(° S AIIIHIMI - t k Show ditceliun end distance in Miles Gum nl least n
12. CISIINO iCfIUN:'f r }l Iwo Stale hoods or Comity Roods. Include the Iona
12. CASINO): \Vn1111igio/1 ss
Ilrplh Uimnckr nu WciyhVPI, hlntaia) IIIIIIIbCIn and common load mints.
\Tani O To )IG ' it (n. 25 .5i2C2S pv(
f'om To Ft. —_ ------- WQ(E.
r,'�
I). 1i11UUf: Drrlli pinterinl p Method
Flom b -ro ,2R ' 1I.2 -lc. __ 1 Cr ccrA(e -
fnnn 'in_ 1'1. -
14. S[ItliEN: Perth Diameter Slot Sire Material
Ptonl 'fu_ Id in. hi.
Prom ---:I t, --Fl. _ill. ----- in. i
•
15. SAIJD/UIIAV P.I. PACK.:Perth Sin. hbdrlinl
fu'uit To El. - -- --
Ploul Tt'
Ili. HLMAI(I:S:_ --
I IA/ I IL•VtIll' CISII I II'1'MAT 1I II S Will,WAS(UIJ S I ittJui I D IN ACCUItVANCP WIl 1115A!MAC. 2C,W ISI I
CONS I ItUCI ION S 1 ANDAIIDS,AND MAT A CUI'Y OF l IIIS I(ECUIID IIAS ULJEN I'l(UVIDL'U•1U 111E WELLUtttiliR
Slt;NA I t lltI!of l'EIlSI IN CON:;I RUC'MU 1111! WELL
NNI I!
Submit lite in1ghtal Iu the 1)1rIlion of \Vnlrr Quality,GIoulnitrnler Section, 1616 pall Service Cniler-Raleigh, NC
(1W-I 1(I!V. U7/21R)I

NI V/ 1111/I/ R )JIIII _-- - ,-- -
303153
117131,1, Cl1NS17LUC'17UN 1tli:Cl)ltI)
Notll,Candiva - Ilrpal linen! of Ellyn oilmen! and N�otinal Rcsoinccs- Division of Wnlct Quality- Urtnurdwnlei Section
nFI.L CON I JLACIun(INull'I1rnAl.)NADI I: UnmI.ILd/7y 446Ce -- CFilIIFICA 11U11N
/9 non 111Q,?b'1��7-.1YF,
+vF1.1,CON I unu tnl cool rink'NAME---/1Jc %r
ASSUCIAI Ell WI)1'FIRMI IN
SIAIF.wEl,l,I n 14'1I11N 1'F.Iiplilp_ _—_-- if n , ,licnblr
it rr di,
able
I. WI'I I,I.ISI' (Check Applicable Ihn). Rrr:iilrnlial I tturicipal/I'ublic U holunhinl III Agticulhnnl U
hluuilulinµ U Reeueety U ilea! I'mup \Valet Injeclion U Ullicr U II(Mitt. LIST Use
2. \V I l,l. I.I)CAII )14: / 'fupolnnpllic/I,nnd eeithip
Ilcm l ti
me '114i ----- Comity_ ,,.�--�iefdIe2 Ultidge CISlope LJVnliey Uflnt
(rbrrk.proptlnr how)
a (�. o!/t✓Jf 2d ' n.I l _. LnliluddluugiluJcof+vclllucnliun
'Stint tl.nv Nvmin•,(lnn1nain),Snlnli,inlrn, Ili III/ lip Ciwle)
// N35°O100,5 " hJa0I.'. 06 O)•Z
n/ Qr4/)f 0/I (drgierdnd,u„ d,•rnn,h)
AJJIres 70 (}f 0.0 K e. .. Lam_ -_____-- l,ntihuldluugddc somcc;l II il'SI_1 fupo);Inp nc wap
(check In.)
(Saul in Ihmnr Nn.) URILLIiIU LOU
-- i�V--` — --- - I'unnaliun Ilcscnplion
I-in) , Io it $INr 71p('odr hlUni 1 U
t ) — — 0 — !3v Ceti
Air,r•ilr. I I'.i•nnnd•rr
•L IIAIN'. DIM I l) Y- y—�`� _/30" ! S Gr //het
5. -ini AI. NEI'IIE ..565
6. It(1RS \\'PI,1, REPLACE, I'.XIS TINti WEI.t.7 YES U NU Ik ---
7. 51AIIC1\'A1lilt LEVEL Pclu+v'Ilp, of1Ivr I t _-1_tit
U 0 I f.
_ — —
Ilbr'•,.•ItAhoy- or al n.iop)
B. I ,p UI 1'AS
I INti IS ... _ .- I I . Above 1 nod Si nlacc• _—
•Irp rl rndnr ,rnnIo.niI.Ili, below I.oil ninny•,r,p,hr,•
...ninny In.rrnnlu,rt nllb 14A NI'/t1'11'.al In.
NI. WA] hit ZONES (depth): _-S.2' GF -- — LttClCl lVl��Y.I'1l'll
SSS- /rt 6/"7
hi Aua,unl #c O Show dilet:lion and distance in miles !loan nt lend
1 . I CASINO:
VN: 'hppc_ \vnll1hicknres Iwo State Roads or County bonds. Include the.�,9nd
12. t /\$IIJIi: iltllllhcts and continual wad names. o �
IIrpU, Uinn:cni or lYriyhUl'I. hlnlclial CI fi'
loon D Io /y� n `•2,5 3022/ "VC
how Tu- .--PL_ __-_ ------- -_.----..— 1 �c
11. IMOD I: 1+9p111 1. nlrikl hlrlbud to
lion,--- lo_ PI`--..- . -.__- ------ tN
oa
14. SCREEN: Urplll Dimnrlcl Slot Size binlrlint
,10 fl. in, in. .,U__- n
!loin -- ------
"fo II in, in.
15. S,\I41)/U I(AV El I'ACI':_ Si,r hlnlr,inl -
Ivplln
Ii om`_To_ PL_---- -----
liol❑ 10 11'— ,
16. ItIf.I ARKS:— ---
I Pt111f1U11 i CER IIEV 111A111BS WEl,L WAS 11 UNSIll1ICIP1) IN ACCORDANCE WFI II I5A NCAC 2C,\VE1.L
CONS mud ION SEAWARDS,AND-II IA I.A COPY UI'1111S RECORD 11AS BEEN PROVIDED 1011111 WELL OWNER
y -.2 51:-0/
� `` - --
------ SItulAitlltI III I'FItSU4LUNSIltUeIltU11113 WELL DAII!
Simon( the in Iglual to the Uhltlno ul \Vntrr t)unRlp,GI uundYIliel Set:lluu, 1636 Alall Service Center
REIVKll,18001 2
,•,.,n icy.. 111i.nr yin-In.le17111111, II WWI IO !last.

lrc Hilo ri ryllu .
WELL CUNSTJ(UC•a'WUN It i;CUHL) 3 0 315 2
IJutlh Cal Winn - Ur1'aiuncut of liitvilnuntcut unit Nnluial Remount!'- Uiviniiuu of Wnlet ()wilily- Unnrtulwnlem Section
WELL CON I PAC,Olt(INI,IVIlIUA1)NAoIE whin, ‘)("\vVvrP < f'.11 (_,I, <Ali1 trill IF ICA I NM o.2110y
WELL CON IMCIOIICOMI'ANC NAME-li Vv.f ,Ap_e-11 car,11: h 5 i'IIUNe • tut) SS 7- acycel
S I A I EWELL CONS I MICA ION I'EINII I N _________ ....._ ASSUCIAI rn t91)1'El1Al1IN
if n . di'nble if n "licnlllr
•
1. WELL 1)SL• (Chrrk Applinrhie Dun): Itrsidrutinl I\J-Afinlii ipal/Public LI Indun4inl fit Aglicuhulal IJ
I'louiluling IJ Itccovcty U Ileal fumy \Valet Inlet-lion U tither U IlUlbet, List we
2. WELL. I OCAIION: 11 'IYipulpl Ihidi.nnd ceiling
Nearest •FlIWII� _—____ County Ullidge 'lope L]Vnllcy Urla1
-SafJ1`'I1 6,0p__ IZd•_. ._. .-. _ - If ltrrl .e(n,•pdnsr Inn)
(Sum NJen1Y,ILnnbei..l'nuunninit).SuLAi'irlon•I Jot Nu,7ip I'i-In) !.nlultlllerltiitglhttle of Well 1(w:o ,lll
_-- _\Q `- (.IrgireJnilnnlra'.anml.)
J. U\l't1I'li _ y I `L�--D Q----tie Te-- -�k_Cn�_
Adthcss 1-1314 a 5 IR--__ Lnlilu leflooyihtde soulce:Ci(il'SLJ l()powaiibic imp
(Sheet to Itoulr tin.) ((Lett M,.)
-- JUlt1Y NC 2-_9 06 IHALM UUI1.LIU(1 LI Ai
ray nl soda / 5thle 7ip Voile. Flom 'fu I'ou,1nalion Ucscnpliun
l ) — n - 11(9 ' .{� ,
Airs'male- I'In.a•nnmbrr tn. ` 5C:' C,n Q
4. NA] r Willi VI) cl- Q7- CCI—.-- Sr>' - (ssr _ Sk ccct
S. ItihAI our in_ _C)5 '._.__-_. _-_ 6S ' - (Qnc' ern F. -
6. i)Ol S WELL RENAL!? I:AlsllNt; 1VFLLi vl'ss U NU LI
7. S IA I IC WAFER LEVEL Below Tor or l'nciug' ._ •C!.±. ._El.
‘2-.:'''.
�..
(llrr•'r'If nLonr'1 tie of i'minpl 'r
FT. Above I null rim �.
A. 'llIl' I11r l'ASIIJ(i IS _,—-j-_-_-- O cll.-Cc
•Ire nitnl,g Ire inLnlr'I.are belo..Wool too l.re rrga ,ro• — 0 te''
',Omni?In•rtnr dints wills ISA NCAI'11'111 III. 0� �G
C. YIPI U (ppll'): _`Jf —I'111111000p TES I A'a - , ��p
It). WATER ZONES (depth): _—_ — — �J '
�
ll)SAI;IULJ r��.ILCI I �o i
-_ _-. Show inledion nod distance in milts twin nt Ie * 0o.-
II. NISINI'p.CIIUN:'lype�.�� pP\lrr� c AJnuuut_._�6 �' '
Iwo Slate Roads or County hoods. Include the tl lA ��'
12. CASING: Wulllhirknrs7 i 0
Urplll I)intuctci in wrighUpt. Idnininl uuulbers and continuo load names.
nook (r) to '1S' pt. (c'2-c_ ,91C21 -VC
Pan❑ 'I o It .-_—. )-krw°yd_r
\'Bust_ _ 'ru FI._---- -- ------ I'� aCit4- In le 4
1 Alain Method 11�J
IJ, IiRUU1"; Perth C)e 144
El Cl 1'n 7Cr) I p1.4 x 1d—_._ RCLSS1re
e
I4. SCREEN: I)rpdi Diameter Slot Sire Malriint --. .
\Tool 'I.. rt. _in. in. .J
E 10111_ It, II. in. in. lT
Is. SAND/GRAVEL PACK:
Itrp(Ii Size Alnlrlinl
pang In I'L_ -
nom Tm 1.1. --
-S
16. R!ENIAltL S:
1 lit) IlpltpNY CFICI IFY MAT 1111S WELL WAS CONS INS Ill1I1;I pl) IN ACCORDANCE WII11 ISA IICAC 2C,WELL
CONS I IIUCI ION S IANUAIU)S,AND 1IIAI A COPY i OF'II 11S RECORD HAS DEEN I'ROVIDU)10111E WELL'OWIW it
- E7m� — -- 9- .27- cc./
SWIM ItIlli!OF I'IIIItitIN CUNsfllUCI1N4U11111 WilV------
li 1)A71!
Submit the ill ightal Ili the Illtitluu 01 Wain 1)unlil),GI uuidlrater Seaton, 1636 Moll Sersire Crider- Ilnlrlklt, Nr
27(.7e 16161'hlan No.(':1C)711 If!, nllliln 1111 d:tr•. (1W-1 I11!V. 1M)110I

I/r ✓ Hu l,, ,t nil
51 _
\1'I1LL l':uNs77tuCTION RECORD
Nolo,Guolina - Drpnl lineal of l'll1'iinlllltral and IJnlntal Rcsoulcen- Division of Wnlcr()wilily- lhonndwntcl Section
WELL Cl1NIIlAC101t(INDIVIDUAL)NAME tin hd)—J GI,v14iy.,—
CEIIIIrICA I I UN n agog
Will.CUNI ItAC1 Olt C11PlI'AN1 NAME.-)_1i1ILel_.-\A)E11 At-,II'.v1 G,i _ rl norir. N IC0((NV!-,7-4Q1
SIAIF.WEI,L( TINS I ItlIr 1 IUNI'EIUI11/I ASSUCIAI Fn \VI)I'EItMI IN
it n • die vide if n i dicnble
I. \\'PLI. (1St: Il:hrrk AI'1'liruldc Iloz): It,'sidenlinl IBiKluniripal/Public U Indunllinl lJ Atiicullulnl U
hluuililing U Itecnvcly IJ hind faun, Wilts' hljccliun LI Ulhcl U If(Olin, List Use _-
2. R'PIA. LUCA 1dliA2.
Itll'I: 'Iupu1'Iniilric/I.mNl r.rlliug
Nemest sow'n:Ane. s_—___ _t 'nudyC`ieio /(S lidfidge 1JSIopc LIVn11cy Ufiat
(ehrrk.ptn.gnln,e ban)
ISnrrl Nnmr,Nnml•n..t-vnimmiili,Snbdl.lnh'n,I oI IL'.lip I',.Ir) Lnlilude/lungilude of well locnlion
1, ()W'NP.It: OGIU 1 6 \-<clickar--_.- - _ IrinevoiinnLdrMnnd.)
Ad'llrsc 8 Q BOY. 6 _._.__—__ -. ___ ___— Lnliluddlungilndc sumce:Lll;1'SU I°pownpbic tulip
(Bard ot Rowe No) (chrrk Inn)
pp 11 '/ 1));LU1 LIULLIIJI, LUI,
--.17-NcLf. nnut .ALL_---2-�� e --- ---- 1:1uu1 To PonnstionNesctiptiuu
1�i1)a, Ivan Sine 7ir Code
0 - 1 SO' �1i1C) P_
nog rrlr. rb,•,,.,innnlo
I `SO I - 30S. 1a P
,1. DAIP. UItII.I PI) <i- .2FLL_ 2_`-f___
5. lulAl. Nf1'JN __3.'_b - _._ _._ --
1. DUP.S \NISI, Ill 1l.Al'I) I'\I;lINU \VII1.7 Yli:; LI NO 1.1 _
7. S I A I IC WA 1 lilt I.IiVIll. Below Tup of('using[-_ 14e`._Fr
Noe","II Above lop of I•n.inp) -----'---_--- ' _-
8. 10P OF CAS''- ; IS _ I __ _ - 171'. Abovr 1 nod Sin Ince• -
•try nt',slog ir,^'Li.Ird'Poe helm. Ion)•u l.re tripling• ••.,lever In Reconfigure nIlh 11A Nt'Ai')I'.Irlln. 1 _
.
u Y Ill I1)(1,1,111) .-4o _bll 111UDO }�,1-tL ----f IliSl -
I().. \anrPlt zuNr .1 s (depth): —_. — - -- LULAiIU SKI CCII —
�\ �'Vle\S Allnllllll _l_ Show dileclion and distance in miles 11�itlt Ici'I
12. CISIING: IIOtJ: 'I }pe_ Iwo Stale Roads ur County Roads. lugl Idglhe load
12. CASING: NnI1 lldrfncss
,lr,,l1, Dimurlrt in 1Vcil,1V11. Ianlaia, nu abets and cuuunun wad nnntcs. H77 --
1 o_7 ICO' I:t. S— _<Dc L nn v
hoot l rtQ—1 o__19r916,D S yi. S.a.e./
.e./
14aai_ 1tt it.--.___- -- ------
I). DRUU I: 14pp, Nlnlninl Melhu,l r�1� 'V`
ftplll_� 'fo_2L ` - fL cl00/1. . _._ .pLe xt.trC
D.
Plum- i° 4 O a:,
14. SCItliEll: Nrplh I./inflicter Slot8i7e hlntelini S' c
hunt '10 II. in. _._ ill. _ O rr
Tn --
fl. in. in. —I 2rn
IS. SAIJU/URAV PI, PACE::
ivpll, Sue M1Lda inl en
To It. S —+^
Ito°1 - ---- CG
hem To PI' — S tV
`1
Ip �)1re,V� co cr.:::
16. Itl:MMAltLS: W
I DO I IPRPI,Y CI'll I WY i l lA 11I IIS WP.LI,WAS t'OIJS IlU IC1 P.D IN ACCUIWANCR W Ill1 I5A NCAC 2C,WELL
CUNSI ItUCI IUIJ S IAIIUAR.DS,AND 1IIA1'A CUI'1' UP 11118 IIECUIW 11AS BEEN PROVIDED1O1111!WELL OWNER
7
--r"'-- /- - ------ — — —
SI(;NA I lllll!OI' I'ISiq;UN I;UIJ:i I IIUCI IIJU llll? WILL DA1R
Submit the III i Iiint ill the III)Non ill \Vniri 1)unlhj, GIoundlrnler Scilluti, 1636 hall Service CeiitrI RLVg071112
-runv.v. Piave N,�.I')Ic)71L1221, nlll,ht Hi inn s.

WELL CONSTRUCTION RECORD 3 0 3 2 ° 4
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)James B. Brown CERTIFICATION#2045
WELL CONTRACTOR COMPANY NAME Hedden Brothers Well Drilling, Inc PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WO PERMIT#
(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 LOCATIC),N: q Topographic/Land setting
Nearest Town: I r) Q$lc County" a_r is ORidge ❑Slope OValley OFlat
VCNCENCE EL 2n -O NA UD LL (check appropriate box)
(Street Name,Numbers,Community,Subdivision,n,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: JERt�l fli WI.I.Etl (degrees/minutes/seconds)
'
Address Y 18 V6 6ENCE GL6 G is Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
MA213(.E, NC 0189o5 DEPTH DRILLING LOG
City or Town State Zip Code From To t Formation Description
(841)- 837 3(Ptt clay a sand
Area code-Phone number (,d 3' t granite
4. DATE DRILLED /O J, C ,/
n
5. TOTAL DEPTH: Ob
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO O,
7. STATIC WATER LEVEL Below Top of Casing: 300 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): CO METHOD OF TEST BLOW
10. WATER ZONES(depth): J Z3' t 2121
LOCATION SKETCH
11. DISINFECTION:Type H T H Amount 1602 Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Di meter or Weight/Ft. Mntenot numbers and common road names.From A To Ft. . PVC. Oarn
From (ea' To Ft. " An Stu' '
Tc,
min--
From To Ft. C) )
13. GROUT: Depth Material Method �r7
From 0 To 20 Ft. benonite&cement pumped rJl ea-
From To Ft. min
—o -4::-4
14. SCREEN: Depth Diameter Slot Size Material iC.
From To Ft. in. in. c2 =�
From To Ft. in. in. -
15. SAND/GRAVEL PACK: .G' rn
ci
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION ARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER ,-- - -- .
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE : I
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 3 0 3 0 3 7
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)CHRISTOPHER L.DICKEY CERTIFICATION#2261
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE M 18281 837-8008
STATE WELL CONSTRUCTION PERMITM ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial 0 Agricultural Cl
Monitoring❑ Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope ❑Valley ❑Flat
SHENANDOAH ESTATES (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: DENNIS KURZ GO PETE BURCH (degrees/minutes/seconds)
Address 150 VERONICA LN Latitude/longitude souree:❑GPS❑Topographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING WO
City or Town State Zip Code From To Formation Description
( 352)- 795.1607 0'TO 60' BROWN DIRT/SLATE
Arta code-Phone number 60'TO 100' BROWNIBLUE SLATE
4. DATE DRILLED 09-23-2004 100'TO 765' GRANITE
5. TOTAL DEPTH: 185'
6. DOES WELL REPLACE EXISTING WELL/ YES❑ NO El
7. STATIC WATER LEVEL Below Top of Casing: 125 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface" '7
flop of casing terminated at/or below land surface regnires a Tn
variance In accordance with ISA NCAC IC.0118. cn
9. YIELD(gpm): 20 METHOD OF TEST AIR O
10.WATER ZONES(depth): 780' �O
LOCATION SKETCH t p
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least tP V"xty
12. CASING: Wall Thickness two State Roads or County Roads.Include the road y �:0
Depth Diameter or Weight/Ft. Material numbers and common road names. tS e t?�
From 0 To 100 Ft. 6 1/8" SDR 21 PVC / 0 Jr 2
,
From To Ft. M�1 1J rn
—i 0
From To Ft. U O
13. GROUT: Depth Material Method
From 0 To 20 R. CEMENT GRAVITY 1�
From To Ft. ' IN "-1
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. •y,
From To Ft. in. in. (LI
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS: 1.-" 4
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND TI .OPT F T IS RECORD HAS BEEN PRO IDED TO THE WELL OWNER
�/y• ^�`'''�- 9--23-o y
SIGNA RE OF PE ON CONS RUCTING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

WELL CONSTRUCTION RECORD 3 0 3 0 3 6
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)CHRISTOPHER L.DICKEY CERTIFICATION*2261
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PI10NE * [phone]
STATE WELL CONSTRUCTION PERMIT* ASSOCIATED WQ PERMIT*
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El MunicipaVPublic❑ Industrial ❑ Agricultural 0
Monitoring❑ Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ['Ridge 9Slope ❑Valley ❑Flat
COOK BRIDGE RD TO LITTLE LN (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Inc No.,Zip Code) Latitude/longitude of well location
3. OWNER: TRAVIS DECKER (dem:es/minutes/seconds)
Address P.O.BOX 1528 Latitude/longitude source:❑GPS❑Topographic map
(Street or Route No.) (check hex)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 837-5753 0'TO 40' BROWN RED SLATE
Area code-Phone number 40'TO 60' BLUE SLATE
4. DATE DRILLED 09-27-04 60'TO 505' SLATE
5. TOTAL DEPTH: '
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El
7. STATIC WATER LEVEL Below Top of Casing: 100 FT.
(Use"+"if Above Top of Casing) iy- 1:1'
8. TOP OF CASING IS 1 FT.Above Land Surface* — c" ---n
*Top of casing terminated at/or below land surface requires a O Cr‘G
variance In accordance wish I5A NCAC 2C.0118.
9. YIELD(gpm): 5 METHOD OF TEST AIR ��
10.WATER ZONES(depth): —+�
LOCATION SKETCH �'
I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least"
12. CASING: Wall Thickness two State Roads or County Roads.Include the roa OG
Depth Diameter or Weight/Ft. Material numbers and common road names. 1--, f+�
From 0 To 60 FL 6 1/8' SDR 21 PVC o
From To Ft. �d
From To Ft. %7 '
13. GROUT: Depth
From 0 To 20 FL CEMENT GRAVITY
From To Ft.
14. SCREEN: Depth Diameter Slot Siva Material ^
From To Ft. in. in. Y W
From To Ft. in. in. Zik
15. SAND/GRAVEL PACK: 0 JV-.-
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS: -'-
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE Wm I I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND A C P F TI S RECO HAS BEEN PR IDED TO THE WELL OWNER
GN RE OF P SON CON RUCTING THEW L 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
303035
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)CARRY F.JONES CERTIFICATIONS 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONES (828) 837-800e
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WO PERMITS
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial 0 Agricultural O
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope OValley OFlat
LOVINGOOD RD TO SUNNY LN (check appropriate box)
(Street Name,Numbers,Cmommdty,Subdivision,Lot No.,7ip Code) Latitude/longitude of well location
3. OWNER: KEVIN LEE (dcgreesimbmteslseconds)
Address P.O.BOX 954 Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 361-6700 0'TO 40' RED CLAY
Area code-Phone mamba 40'TO 60' SANDSTONE
4. DATE DRILLED 09-16-2004 60'TO 100' RED SLATE
5. TOTAL DEPTH: 405 100'TO 130' BLUE SLATE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El 130'TO 405' SLATE
7. STATIC WATER LEVEL Below Top of Casing: SO FT.
(Use"+"if Above Top of Casing) GRANITE
8. TOP OF CASING IS I FT.Above Land Surface'
*Top of casing terminated atior below hod surface requires a
variance In accordance with ISA NCAC 2C.0115.
9. YIELD(gpm): 1 METHOD OF TEST AIR �2t
10.WATER ZONES(depth): 0 fn^
LOCATION SKETCH O lade.
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least -o p
12. CASING: Wall Thickness two State Roads or County Roads.Include the road% 3_
Depth Diameter or Weight/Ft. Material numbers and common road names. pac13r"
From 0 To 130 Ft. 61I8' SDR21 PVC 9
From To FL o
From To Ft.
13. GROUT: Depth Material Method ` C-3
From 0 To 20 Ft. CEMENT GRAVITY f
From To Ft. a
14. SCREEN: Depth Diameter Slot Size Material (0///
744From To Ft. in. in.
From To Ft. in. in. vp15. SAND/GRAVEL PACK: ` a 0 ► s D
Depth Size Material
From To Ft.
From To Ft. O
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL- - -- - -
CONSTRUCTION STANDARDS,AND THAT A PY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER - -
T 8 ` Y
SIGNAT OF SON NST ING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 M all Service Center-Ralelght NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV-07/2001

0 /Lv
WELL CONSTRUCTION RECORD 3 0 4 416
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)CHRISTOPHER L DICKEY CERTIFICATION#2261
'WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]-- - -
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WQ PERMITS
(if applicable) (if applicable) -
----
I. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial O Agricultural❑
Monitoring❑ Recovery ❑ Heat Pump Water Injection O Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE
❑Ridge chSlope ❑Valley ❑Flat
LOT 7-WELL SITE#5 (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) LatitudeAongitude of well location
3. OWNER: THE SANCTUARY AT VANCE MOUNTAIN ,.
(degreet/minutes/sccands)
Address 4750 ANDERSON RD Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
BLAIRSVILLE, GA 30512 DEPTH DRILLING LOG
City or Town Sate Zip Code From To Formation Description
( 706)- 835.8300 0'TO 20' BROWN DIRT/BOULDERS
Area code-Phone number 20'TO 40' BROWN DIRT/GRANITE
4. DATE DRILLED 10-21-04 40 TO 60* GRANITE
5. TOTAL DEPTH: 805' 60'TO 805' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO 131
7. STATIC WATER LEVEL Below Top of Casing: 120 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surfaces O r
*Top of easing terminated at/or below land surface requires a 1rr
variance in accordance with ISA NCAC 2C.011R. x„s C.
9. YIELD(gpm): 3 METHOD OF TEST AIR O �111
10.WATER ZONES(depth):
LOCATION SKETCH LP D, u
I. DISINFECTION:Type CHLORINE �'�'
yp Amount 100 PPM Show direction and distance in miles from at least � �.�0
12. CASING: Wall Thickness two State Roads or County Roads.Include the road S `,fal
Depth Diameter or Weight/Ft. Material numbers and common road ,ames. -`"
•
From 0 To CO Ft. 6 1/4" .188 GALV S. O n'
From To Ft. '1 (P
From To Ft. ��
13. GROUT: Depth Material Method U"t�-r2ti QA 41
From 0 To 60 Ft. NEAT CEMENT TREMIE PIPE /�y
p. rw
From To Ft. / / 414. SCREEN: Depth Diameter Slot Size Material �L
From To Ft. in. in. Tka 54,c t
i
From To Ft. in. in. fi
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft. -�tt (p y toe5 -c-__________
16. REMARKS:
I DO HEREBY CERTIFY THAT THI ' EL WAS CO STRUCTED IN ACCORDANCE WIT I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS I D T COP OF S REECC��q^o.���-����hhhS PRO DED TO THE WELL OWNER
/4 ,-l( =(f /0'-2/-b if
s ATURE OF RSON CONSTRUCTING IF. ELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

u W--
WELL CONSTRUCTION RECORD 3 0 4 417
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)CHRISTOPHER L.DICKEY CERTIFICATION 0 2281
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE if [phone]
STATE WELL CONSTRUCTION PERMITS, ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential gl Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring❑ Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ❑Ridge ❑Slope E Valley ❑Flat
LOT 110-111-WELL SITE#1 (check appropriate box)
(Street Name,Number,Community,Subdivision,Tut No.,Zip Code) Latitude/longitude of well location
3. OWNER: THE SANCTUARY AT VANCE MOUNTAIN (degrecs/minute✓seconds)
Address 4750 ANDERSON RD Latitude/longitude source:❑GPS❑Topographic map
(Street or Route No.) (check box)
BLAIRSVILLE, GA 30512 DEPTH DRILLING LOG
city or Town State Zip Code From To Formation Description
( 706)- 835-6300 0'TO 20' BROWN DIRT
Area code-Phone number 20'TO 40'
4. DATE DRILLED 11-01-04 BROWN DIRT/SAND
40'TO 60' BROWN DIRT/GRANITE
5. TOTAL DEPTH: 805' 60'TO 80' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El 80'TO 805' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 653 FT.
(Use"+"if Above Top of Casing) T
8. TOP OF CASING IS 1 FT.Above Land Surface` 0C}
*Top of using terminated anor below land surface requires■ G2, %l
variance In accordance with ISA NCAC 2C.0118. ' r';
9. YIELD(gpm): 1/2PINT METHOD OF TEST AIR 0 "r 1'1
10.WATER ZONES(depth): , . �G'
LOCATION SKETCH -JP 11c"'
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least n;`,
12. CASING: Wall Thickness two State Roads or County Roads.Include the road t %_7
Depth Diameter or Weight/Ft. Material numbers and common road names. .c-
From 0 To 80 Ft. 81/4" .188 GALV S' • '.' ,=5
KFrom To Ft. `�
From To Ft.
13. GROUT: Depth Material Method ©e�Q
From 0 To 80 Ft, NEAT CEMENT TREMIE PIPE N Q:\N--.__---41e
To Ft. N �'
14. SCREEN: Depth Diameter Slot Size Material w S�"a'c ,s4
�T
From To Ft. in. in. .,I(o,/1
From To Ft. in. in. cY
15. SAND/GRAVEL PACK:
Depth Size MaterialE.
From To Ft.
From To FL N w V 2±y LA&S L_
16. REMARKS:
I DO HEREBY CERTIFY TIIAT THIS W WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AN CO Y O/fF TINS RE HAS B ZWIDED TO THE WELL OWNER
�c �a / fir' /1- 4/—O`i
5161� RE O ERSON CONSTRUCT NG THE W DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

I
CL T/t
WELL CONSTRUCTION RECORD g
71
North Carolina Department of Environment and Natural Resources-Division of Water Quality
WELL CONTRACTOR(INDIVIDUAL)NAME (print) WILLIAM BRADLEY LEWIS CERTIFICATION N 3368
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,IP PHONE ,/ [phone]
STATE WELL CONSTRUCTION PERMIT,/ ASSOCIATED WQ PERMIT,/
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential ICI MunicipaVPublic 0 Industrial❑ Agricultural 0 -
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town:MURPHY County CHEROKEE ❑Ridge ❑Slope ❑Valley IOFIat
UNAKA-BRYSON RD (check appropriate box)
(Sheet Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: TIM&MARY BEAVER (degees/minutes/seconds)
Address 267 BRYSON RD Latitude/longitude source:❑GPS❑Topographic map
(Street or Route No.) (check box)
MURPHY NC 28908 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
(828 )-837-5374 0'TO 100' BROWN DIRT/SAND
Area code-Phone number 100'TO 120' GRANITE
4. DATE DRILLED 11-10-2004 120'TO 205' GRANITE
5. TOTAL DEPTH: 205'
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO 0
7. STATIC WATER LEVEL Below Top of Casing: 75 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface*
*Top of easing terminated at/or below land surface requires a
variance In accordance with ISA NCAC 2C.0118.
9. YIELD(gpm): 10 METHOD OF TEST AIR
10.WATER ZONES(depth):
LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 120 R. 6 1/8" SDR 21 PVC
From To Ft. -
From To Ft.
13. GROUT: Depth Material Method _,
From 0 To 20 Ft.CEMENT GRAVITY = rfl
0 7,—.0
From To Ft. -;r
14. SCREEN: Depth Diameter Slot Size Material W —"_,
0 0--
From To Ft. in. in. 0
r*iP%
From To Ft. in. in. --Ye � "
15. SAND/GRAVEL PACK:
Depth Size Material Sr? CD
From To Ft. N w�$
From To Ft. w r)
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RD HAS BE PROVIDED TO THE WELL OWNER
fla
SIGNATURE OF PERSON CONSTCTIN TI{E WELL DATE
Submit the original to the Division of Water Quality,Attn:Information Management,1617 Mall Service Center-
Raleigh,NC 27699-1617, Phone No.[phone],within 30 days.
GW-I REV.09/2004
I11

0126),
WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources-Division of Water Quality
WELL CONTRACTOR(INDIVIDUAL)NAME (print) WILLIAM BRADLEY LEWIS
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY, IP CERTIFICATION N 33613
STATE WELL CONSTRUCTION PERMITN PHONE IIf941 j 63743006
if licable ASSOCIAif a WQ burble
ifa licable
I. WELL USE(Check Applicable Box): Residential TO Municipal/public 0 Industrial❑ Agricultural CIMonitoring 0 Recovery 0 Heat Pump Water Injection❑ Other ElIf Other,List Use
2. WELL LOCATION:
Nearest Town:PORT CHARLOTTE LOT
County CHEROKEE Topographic/Land setting
SHADOW PINES ❑Ridge (checknSlope OValley Name,Numbers,Community,Subdivision,Lot Na.,Zip Code) a ❑Flot
appropriate
Latitude/longitude of well location
3. OWNER: GLENN TAYLOR
Address 24454 NOVA LN _3504.099N/8356.936W
(deynees/minutes/seconds)
(Street or RouteNo.) ----- Latitude/longitude source7❑GPS❑T PORT CHARLOTT FL 33980oPDBraphic map
City or Town DEPTH (check box)
(941 )- 743-3877 State
Zip Code DRILLING LOG
From To Formation
Area code-Phone number 0'TO 20' Description
4. DATE DRILLED 11.16-2004 20'TO 85' RED CLAY
5. TOTAL DEPTH: 405' -------'-- 20'TO 1_3—' BROW WI'AN SLATE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO ❑ �30'TOTO 405' SLUT SLATE
7. STATIC WATER LEVEL Below Top of Casing: 50 SLATE _----
(Use"+"if Above Topof Casing) FT. ----
8. TOP OF CASING IS 1 — ---
*Top of casing terminated atlar below land narFT. te Aboverequires Land Surface* ------
varianceinaccordancewilhISANCAC2C.011$ a _— ______________
9. YIELD(gpm): 5 METHOD OF TEST AIR
10. WATER ZONES(depth):
11. DISINFECTION:Type CHLORINE ----LOCATIONSKETC�
12. CASING: Amount_100 PPM Show direction and distance in miles from at least
Depth Wall Thickness two State Roads or County Roads. Include the mad
From 0 Diameter or Weight/Ft. Material numbers and common road names.
From To 130 Ft. 6 1/8" SCR 21 PVC
To FL r,
From To Ft -----
13. GROUT: Depth — O C
ir
From Material -e1=?,
From 0_To 20 Ft.CEMENT GRAVIMTY
r ,
To Ft. "
l4. SCREEN: . . -`t tt a
rri
From Depth Diameter Slot Size --Material-- - �-
FL
From in. -- in. in,-•
To FL in. — -. c�-15. SAND/GRAVEL PACK: -- in. j L
-- c ti
From Depth FL Size Material CO.r.
From TToa - ----
Ft. r s
16. REMARKS: ---------- ---- ..
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I 5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OFT IS RE , D HAS BEE PROVIDED TO THE WELL OWNER
IGNATURE OF PERSON CONSTRU NO IE WELL 't—/ 7'a�
Submit the original to the Division of WaterDATE
Quality,,within
30Attn:d Information Management, 1617 Mall Service Center-
Raleigh,NC 27699-1617,, PhoneDi isi n )733- , days.
GW-1 REV.09/2004

WELL CONSTRUCTION RECORD 3 0 4 312
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)CHRISTOPHER L.DICKEY
CERTIFICATION.2261
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. piton . f 828)837-8008
STATE WELL CONSTRUCTION FERMI'. ASSOCIATED WQ PERMIT.
(if applicable)
(if applicable)
I. WELL USE(Check Applicable Box):Residential IE0 Municipal/Public❑ Industrial O Agricultural Cl
Monitoring❑ Recovery ❑ Heat Pump Water Injection 0 Other O If Other,List Use
2. WELL LOCATION:
Nearest Town: MURPHY County CHEROKEE Topographic/Land setting
HYATTS CREEK CHURCH ROAD Subdivision,
❑Slope Ote box) OFiat
(Street Name,Numbers,Community,Subdivis ,lot No.,Zip Code) (check appropriate box)
Latitude/longitude of well location
3. OWNER: MARBLE WATER
Address P.O.BOX 274 (degces/mitmtes/seconds)
Latitude/longitude source:OGPSOTopographic map
(Street or Route No.)
(check box)
MARBLE, NC 28905
City orTown StateDEPTH DRILLING LOG
( 828)- 837-6377DIRT D
Tip Code From To FormationDescription
Area code-Phone number 0'TO 20' BLACK DIRT
4. DATE DRILLED 10-14-2004 20'70 80' BROWN DIRT
5. TOTAL DEPTH: 805' 60'TO 70' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO III77 rDeoS GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 80 FT.
8. TOP OF CASING IS I (Use"+"ifAbove Top of Casing)
FT.Above*Top of eating terminated at/or below land surface requires•d urfflce'
variance In accordance with ISA NCAC 2C.011R +a
9. YIELD(gpm): 5 METHOD OF TEST AIR " cs
^7
10.WATER ZONES(depth): a' rrtCr
u Tin
I I. DISINFECTION:TypeCHLORINE LOCATION SKETCH - ��
Amount 100 PPM Show direction and distance in miles from at lest •o,
12. CASING: Wall Thickness two State Roads or County Roads.Include theiaad ci
t?,
Depth Diameter or Weight/Ft. Material numbers and common road names. —= tTrr=,
From 0 To 70 Ft. a 1/4" .188 GALV S1 f'=
From To Ft
o\
From To Ft.
Y. <Q
13. GROUT: Depth Material ) CO
From 0 Method r' c(-f
To 70 Ft. CEMENT TREMIE PIPE W, / C
From To Ft. S41
14. SCREEN: Depth Diameter Slot Size Material kJ
From To Ft. in. in.
From To Ft. in, in. -
r
15. SAND/GRAVEL PACK: S
Depth Size Material 'L
From To Ft. - � tZQ f�D
From To Ft. I
16. REMARKS:
i- 19
I DO HEREBY CERTIFY THAT THIS W' WAS CONSTRU TED IN ACCORDANCE W TH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AN s COP OF S RECO HAS BEEN P' t VIDED TO THE WELL OWNER
RE OF P ON CONS Ul rING THE 110 DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Melt Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days.
GW-I REV.072001

UM*
WELL CONSTRUCTION RECORD *
North Carolina Department of Environment and Natural Resources-Division of Water Quality tf
WELL CONTRACTOR(INDIVIDUAL)NAME (print) CARRY F.JONES CERTIFICATION#3295 3 0 5 3
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential h1 MunicipaUPublic O c Industrial❑ Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town:JACKSONVILLE, County CHEROKEE )#Ridge OSlope ❑Valley ❑Flat
DEERWOOD MTN.ESTATES,LOT 63,END OF RD ON RIDGE (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: STEVE GOGGINS (degrees/minutes/seconds) n
Address 10750 HAMPTON RD Latitude/longitude source:OGPSOTopogralhic m
(Street or Route No.) (check box) W
JACKSONVILLE, FL 32257 DEPTH DRILLINGOG
City or Town Stale Zip Code From To Formation Degalptio
(828 )- 361-2929 0'TO 20' RED CLAY
Area code-Phone number 20'TO 40' SANDSTONE
4. DATE DRILLED 11-09-2004 40'TO 60' RED CLAY
5. TOTAL DEPTH: 807' 60'TO 80' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES O NO ❑ 80'TO 807' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 250' FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT. Above Land Surface* 3R0 UDC LA-- h 1L,LEb A-T e-tb of RD
•Top of casing terminated al/or below land surface requires a
variance in accordance with I5A NCAC 2C.01IS.
9. YIELD(gpm): ----- METHOD OF TEST AIR
10.WATER ZONES(depth):
LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names. e-i
From 0 To 60 Ft. 6 1/8" SDR 21 PVC /)
From To FL I
From To Ft. • " !iQ
13. GROUT: Depth Material Method •C+
From 0 To 20 Ft.CEMENT GRAVITY
From To Ft. Q
14. SCREEN: Depth Diameter Slot Size Material
1.
From To Ft. in. in. t' '-
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material `J] tJ 1-�/
From To Ft. ^rl w 1.... ' 1
1
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C.WELL
CONSTRUCTION STANDARDS.AND THAT A Y OF THIS RECORD BEEN PROVIDED TO THE WELL#OWNER
4,,..„,_ /t— ! --Ott
RE OF P ON CO STRU G TIIE WELL DATE
Submit the original to the Division of Water uality,Attn: Information Management,1617 Mail Service Center-
Raleigh,NC 27699-1617, Phone No.[phone],within 30 days.
GW-1 REV.09/2004
i

ISS
WELL CONSTRUCTION RECORD N '
North Carolina Department of Environment and Natural Resources-Division of Water Quality
WELL CONTRACTOR(INDIVIDUAL)NAME (print) LARRY F.JONES CERTIFICATION(0 3295 3 0 5 3 ly 3
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PRONE # f 828)837-8008 7
STATE WELL CONSTRUCTION PERMITS/ ASSOCIATED WO PERMIT#
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial❑ Agricultural❑
Monitoring❑ Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town:JACKSONVILLE, County CHEROKEE )❑Ridge ❑Slope OValley ❑Flat
DEERWOOD MTN.ESTATES,LOT 48 (check appropriate box)
(Street Name,Number,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location0 al
rn 4
3. OWNER: STEVE GOGGINS (degrees/minutes/seconds) n
Address 10750 HAMPTON RD Latitude/longitude source:❑GPS❑Topogragitic ma�
(Street or Route No.) (check box)
JACKSONVILLE, FL 32257 DEPTH DRILLINGFOG
City or Town State Zip Code From To Formation Descriptiona0
(828 )-361-2929 0'TO 60' RED CLAY/SANDSTONE
Area code-Phone number 60'TO 80' SURFACE WATER/GRAVEL
4. DATE DRILLED 11-05-2004 80'TO 106' GRANITE
5. TOTAL DEPTH: 807' 106'TO 807' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO )Zi
7. STATIC WATER LEVEL Below Top of Casing: 200' FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS I FT.Above Land Surfaces 74ab weLt, i O
'Top of casing terminated at/or below land surface requires a """'''�^�
variance in accordance with ISA NCAC 2C.0118. hunt TE2Si fEt.&'N I.1% 4,lei
9. YIELD(gpm): 1/2 METHOD OF TEST AIR
10.WATER ZONES(depth):
LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the mad
Depth Diameter or Weight/Ft. Material numbers and common mad names. "Oa
From 0 To 106 FL 61/8' SDR21 PVC rot)
From To Ft. W. ''
From To Ft. (��
13. GROUT: Depth Material Method D�.
From 0 To 20 Ft.CEMENT GRAVITY
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material Q'
From To Ft. in. in. \I'
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material . r_g---) N
(INDH:T
(L
From To Pt.
From To Ft.
•
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL S CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND TH COPY OF T}I(a5 RECO HAS BEEN PROVIDED TO THE WELL OWNER
/lGC'� Il�s-D
SIG TURE O,FjPERSON TINE THE WELL if
DATE
Submit the original to the Division of Water Quality,Attn: Information Management,1617 Mall Service Center-
Raleigh,NC 27699-1617, Phone No.[phone],within 30 days.
GW-1 REV.09/2004

a
WELL CONSTRUCTION RECORD 3 0 5 3 7 2
North Carolina Department of Environment and Natural Resources-Division of Water Quality
WELL CONTRACTOR(INDIVIDUAL)NAME (print) LARRY F.JONES CERTIFICATION If 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # f 828)837-8008
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential t] Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring❑ Recovery ❑ Heat Pump Water Injection❑ Other❑ If Other,List Use o sue-:,
y. an
il TiJ o
trt
2. WELL LOCATION: Topographic/Land setting a
Neatest Town:JACKSONVILLE, County CHEROKEE )❑Ridge ❑Slope ❑Valley ❑Flat 1 —r:
DEERWOOD MTN.ESTATES,BETWEEN LOTS 40 Si 34-A (check appropriate box) CD p-
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location 3,,. -
r%
3. OWNER: STEVE GOGGINS (degrees/minutes/seconds)
Address 10750 HAMPTON RD Latitude/longitude source:❑GPS❑Topograpinee map •i
(Street or Route No.) (check box) 0 cu
4
JACKSONVILLE, FL 32257 DEPTH DRILLING L`6ZI rc;
City or Town State Zip Code From To Formation Description
(828 ) 361-2929 0'TO 20' RED CLAY
Area code-Phone number 20'TO 50' GRANITE
4. DATE DRILLED 10-29-2004 50'TO 807' GRANITE
5. TOTAL DEPTH: 807'
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO
7. STATIC WATER LEVEL Below Top of Casing: 300' 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 i Sr 1.l> -L+ (Lei L- W, f„f n�F�Qu
variance in accordance with I5A NCAC 2C.01I8.
9. YIELD(gpm): PINT METHOD OF TEST AIR Pat Tt$t- y Ie beA t,I-f ont
10.WATER ZONES(depth):
LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 50 Ft. 6 1/8^ SDR 21 PVC
From To Ft.
From To Ft. D MA)
13. GROUT: Depth Material Method ��
From 0 To 20 Ft.CEMENT GRAVITY ,y,
From To Ft. \l'P Ol. .-
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in. ta
15. SAND/GRAVEL PACK:
Depth Size Material `cJ
From To Ft. '` (, f-()LL
From To Ft.
/
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A CQPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
G \ - /0 -2,9--a `f
SIG URE 0 PE CONSTRUCTING THE WELL. DATE i;:.
Submit the original to the Division of Water Quality,Attn: Information Management,1617 Mail Service Center-
Raleigh,NC 27699-1617, Phone No.[phone],within 30 days.
GW-I REV.09/2004

C
305361i2D
WELL CONSTRUCTION RECORD 91
North Carolina Department of Environment and Natural Resources-Division of Water Quality
WELL CONTRACTOR(INDIVIDUAL)NAME (print) DAVID F.MCKINNON CERTIFICATION#2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE# [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential(3 Municipal/Public D Industrial❑ Agricultural❑
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other❑ If Other,List Use
'2. WELL LOCATION: Topographic/Land setting
Nearest Town:MURPHY County CHEROKEE ): Ridge ❑Slope OValley ❑Flat
JOHNSONVILLE RD-ROLLING HILLS LOT 9 (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: G&H INVESTMENTS (degrees/minutes/seconds) 1" ll
Address P.O.BOX 295 Latitude/longitude source:❑GPS❑Topographic map
(Street or Route No.) (check box) %`./)
MURPHY NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description :
(828 }835-3234 0'TO 20' RED DIRT F
Area code-Phone number 20'TO 60' RED/BROWN DIRT
4. DATE DRILLED 11/30/2004 60'TO 75' SANDSTONE
5. TOTAL DEPTH: 305' 75'TO 125' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO ❑ 125'TO 140' GRANITE/QUARTZ
7. STATIC WATER LEVEL Below Top of Casing: 120 FT. 140' BREAK-12 GPM
(Use"+"if Above Top of Casing) 140'TO 180' GRANITE
S. TOP OF CASING IS 1 FT. Above Land Surface' 180• BREAK-3 GPM
*Top of casing terminated at/or below land surface requires a 180'TO 305' GRANITE
variance in accordance with ISA NCAC 2C.0118.
9. YIELD(gpm): 15 METHOD OF TEST AIR
10.WATER ZONES(depth): 120',140',185' LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 91 Ft. 61/8" SDR21 PVC V „y
From To Ft. t ‘ t-- „
From To Ft. , ev1A (`9 "cam 's
13. GROUT: Depth Material Method Il7YS 2' an
From 0 To 20 Ft.CEMENT GRAVITY t1 ,�� b
From To Ft. 05 �of'�>
14. SCREEN: Depth Diameter Slot Size Material L) =a. T
From To Ft. in. in. i (�,,
W.--.
From To Ft. in. in. : + o�
15. SAND/GRAVEL PACK: t 7 '=-"-
Depth Size Material `bW cn"t
From To Ft. ko (7-2
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C.WELL
CONSTRUCTION STANDARDS.AND THAT Y OF THIS RECORD HAS P�
OVIDED TO THE WELL OWNER
r{. t
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality,Attn: Information Management,1617 Mail Sen-Ice Center-
Raleigh,NC 27699-1617, Phone No.[phone],within 30 days.
OW-1 REV.09/2004

ecke
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) �Z YVI (..10t w TT ciaactON it 317C
WELL CONTRACTOR COMPANY NAME l3YEIZ S COCCI Dr (ILI N G T.N C. PRONE # (mod 7q5-2 i/v 6
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) / (if applicable)
1. WELL USE(Check Applicable Box):Residential lH MunicipalRublic 0 Industrial❑ Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other O If Other,List Use
2. WELL LOCATION: r'-'
f1�URN Y Comm Midge
t e/lrand settingt
Nearest Town: tyG�-'u.c C— ❑Ridge lope ❑Valley ❑Flat F,_,
325 Couon29 on its LA (eheekappropriatebox)
(Street Name,Numbers,Community,Subdivision,lot No.,Tip Code) Latitude/longitude of wEll location r-d
ot
3. OWNER:LSRV C&w1Reu-- V_ c (degre cvOrS4ods)
Address ;25 Cmvr:2u nAiCS LA/ Latitude/longitude source: S❑Topogmphicmap
(Street�y No.) (check box) ....
xv(Ut2jW /v 2 SS Q O to DEPTH pRILLlNG LOG
City orTown State Zip Cade From To Formation Description
__Q2 } 237 - 3+0 C — 3o 2 co--rald ri
Mae code-Phone numbed 30 — -6-'74/6 aadfiz-o zocK
4. DATE DRILLED I I - 17— l')4 5.9 /74 /-Fa°ORS,e ck
5. TOTAL DEPTH: J it S — /77 ZAidr6127y / c�=z-)
6. DOES WELL REPLACE EXISTING WELL? YES NO ❑ /77-- zne /fPROc,22y fleck
7. STATIC WATER LEVEL Below Top of Casing: dl/0 FT. Z2_g-233 tua aC Per 4c
(Use'+"if Above Top of Casing) 737— Zisd 6iZa,✓J -k
8. TOP OF CASING IS 02. FT.Above Land Surface ad-_ 45 liaeoeagy1Rss tr
`Top of casing terminated odor below land surface requires a
variance in accer q with ISA NCAC 2C.011& 44r—Sig itentre� i+�t*
9. YIELD(gpm):_r. ME'fh-IOD OF TEST a//8 L S/r —6—fr i20ck
10.WATER ZONES(depth): 5/5
LOCATION SKETCH
11. DISINFECTION:Type 1/7W Amount / . 02 Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
�/ DeP� or Weight/Ft numbers and common road names.
From 4(jb To L S Ft'csiR?i VG
From To a—Ft (O ' y CDR Z75 ,VG 0='
0 c:.r'
From To Ft :;.,')
13. GROUT: Depth Material Method 0 c
From 'fl To 0 Ftf(-Mr-,v7— G1i2.viit %r -0 '
From To Ft _ t
14. SCREEN: Depth Diameter Slot Size Material roa'!,
From— To Ft in. in. ' L3
From To Ft in. in. — ;p,o
15. SAND/GRAVEL PACK: F^'3
Depth Size Material s*l
From To Ft. C)
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONS ON STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
%Ail
O SIGN OF PERSON CONSTRUCTING THE WELL // DAT)
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

If I' V O11/!/ /i �"
if III)
NVI!:LIJ CONS'IltUC]'LON ►tECOI{u z ® 5 % 3
Nnilh (motion - Ucpailwcnt of Environment and Natural Resources- Division of Water Quality- (hnmldwatcr Srciion
welt CON IIUCI OR(1NJR'lnitAr.)NAME (whit) /—_
7 ie t-CL ._-- CElfiirzCAIloNn ✓ gef."
w rut cur;nUci ou COMPANY NAME._------7/l C✓' 41 PTJ 2.
SIA IE MELT,Curls I 1t114711 IN i•ElttNrin - -_--ASSNCIA I ED wQ l•Ennk1.1%
(if n1,t iit il Ir) t••�
I. %VPI I. l ISft (('hrrk Applical/1r Ikea): Rrcidrnlial IV tunicipal/Public Li Industrial I7 Agricultural
LI
Monitoring Li Recwcry I_I Heat Pump Wain Injection LI Other CI If Oilier,List Use
2. \Cf I I. I l'FA lit't J:
Topol'rapllidLmrd ceiling;
Ncarrsl Tmvn:-I(i,% j/ 1'nunly _C-Xei-o_�Ge- Llltidge LISlope I)Valley IJflal "
__. ic007.5thr ,&i (cheek nnpinptinlr hn.)
1st/1,1 r llms,I llnnba i.Crn nuunilv it h'i.ian I ipt11'•7in l ,+Ir)
ntiluddlougiiudcof well location , �
1. I Iv:IJI R: '4c-Pr7 yr -- — (deRirreffiiirmfretee- ----- - -otek) -
Adlrrc :TEA (ernric UI( I( )._nnC Laliluddlongiludecourcc:IJ(II'SIJTopu)onphicnlnp
(Ste t or Ihmir Nu) .
(died(hn.)
(---Ah.c( ), yy ✓f---- 7 4�1 C16 UI'CI1
I it,nii,•,(n •:r,lr I)IJ)_LIIr i I,111 i
�1 r„•Ir 19um 'in 1-onualion Uc-cliplinn
I l
1t.n rd. rl it 1,i'm1r,
•i. I)A II: Dull I i'N // d'I"-D y -- --u4 y--___ ----
S. rnrAi. nit! II: /2,Z - -- o-i2y Gi-L�, _, _------ -
6. I)(TS \\'p1.I, IUII'I.AI'11 IINIs1�IIJ(i \VI'1.1.7 \TS I I NU 1-1— -- -- . ---------
7_ S rA III' 1\';\I [It. I EVI 1. Ilelow T ip of('•I^iug: 3(] PT -"---- --- — — -
io I"If AI bin nil Living)
-
R. FIll' 1)frACIIJ17IS _ / Et, AI ivrI.IntSIntilcc' v
--- -_---- -_ - -�g--
_-- --<—
•Inn of<•.hey Irnnin alyd nl/or brine, bind tether stolid!rn• ---- - . rn
Implant,In Run;diluteIIII I5A NI ('YU.eila - C,
o }III I) (rpm).__74 m ii II IOU On,.1I ;1 n7i( at
II) WAFER TONES (dcpol): //O '-- o "
LQcAJ.i-UIJ SI:FiciI r
I I. NISIIFIII IION: fypc__f r// Amou ilt'z-✓J - Show (litcclion and distance in miles Dunn al Jr.
12. CASINU: Will'Ihi,knr•s Iwo Slate Roads or Comity (Loads. Include the i . d r.
Orgill Dinnlcier or\Veiyht'JI. Material ovulbers and couunun toad nooks.
flow_O-_ in.os It. 6 f_ ,SQe.2l..._ /az-
I'I VIII to it �a(v,E0 ',I've,IOIIL to IIV
11. Olt.l/U I : Drptli Material Method
now Q I o- l---- 1t.%//74 7i C✓.r.----e-
loon -I ir IL
Id, SCREEN: Depth Diameter Slot Sint tlaiclial -
Prnnl Tri It in. --- ill. _
how 111 Id in. in.
- - �J.7f.'u
IS SANn-( hA11'LI'A(_F :
nrpUl Size Morning --• /Q. Ftrfvnfo,r
ii.
now TO 11 I
------- ----
how- ---1 o--- It.- ---- ---------- — tel
16. 11FMA------;
I DO llI I ll'i(-IT.I try 1IIA I.'MIS WI'l-1, WAS 11)I IS77!IJCI El) IN ACCORDANCE WII1I 15A MAC 2C, WI] 1.
CONS I RUCI 10N S I AFJUARUS,AND'IIIAT A COPY OF 1111 S RECORI)HAS BEEN PROVIDED-10111E WELL OAVN[R
� " Ci // - 6',1—d /
SIUIIA I1I1th I I PHIS(ltS(IN CON I ItUC1lN(I111P WELL DAIII �-
Submit the or Iglus! to the Dh;slim of Water Qualify,(;iotrndnnter Section, 16..16 Ma11Service Center- Raleigh,NC
276"9 16`I l''rn:r Nci. ("I") 7)1 1 2I, vd('lln 't! 'h•r^ eau I u r.v n]firm l

HI. V I;II 11/ li l;ll ll
\YEL t.Ct)NS ►7tuC'I'ION ►tr;Luau
3p511 °
L
No1111('al olina - I)rparinlc•u! of Fuvinnuacul toll Naltual Resources - Division of\Vale(Quality-Cronnd,vater Srctinn
VIFI.I.CON I IIACrt/it(INPIVIPIIAL)NADI,' (p,lnll _ i Ullt`I_—L,__`>„`y:�Y ii___ --- C FnIII'ICAIIUN n ,,,tUQc(
VVFLI.('NN I I(AITI Olt CI IMPANV NAPIF i\A;1't_ <- v.� (L.\1_ _15.1_ilua() --------------rllOtir If f 1-___-_____
SIAIFUF1.L(IINSIItI'rll(IN I'FI0111fl ASSOCIA I PI)IVOPFltAllln
yY(11,TlicallIcil ..
I. \VI'I I. I'Sr (Chr-uk Aplrlir:ii Ie Nos): Rr,,:ilrnlial III-t,luuiripnl/l'ublic LI Indusiiinl CI Aptit:ohm:d IJ
t itnlilnting LI Rerocely 1 I llrnl luny %Valet loin-lion IJ 011icr U If Oilier, List Use
7. W I'I 1. 1 11l'Alll yJ: '1 opl)grnplli111nnd crllin)'
14cnrect Inwn.1\(\I-`(:pil ill._ ._ I'tnlnit L_�'1e(.0 'Q-C`'. _ IJRidyc 11JSIupc 1IVallry I-Iplat
( C:_i *Ck `" ,, (rhr.ik rppnninb,Int.)
(Slim(Him.,Ni ln.,t'muunn,ily SnIJI,i•inn, I ni I I..,it(-oar) Eat ntc/loupitule of(yell location
q-1? rJ7
} ( IV:tlR l \ T - - -
: �-. . �-1d1)S.YU. __ (drpvrd ntlrmitt rcnml+)
U L
AtLhncs fi IV)/ 6 f� Il .,x -4. _ _... _ _ __ LaliludrJloul;ilndo..^,om cca I(iPSUlopulttapliic ono
i(punt.n Ibnnr Na I (cltrck 1,,:,.)
1 ;" / i 1__-1C 11'), 1 i1 7 3 '( I I)ILCIII IJIU1,1,11l1; u)(.;
co) I.. im.n stntr Lip n,ar fmul 10 PunuatirnI Ies.:riplinu
( ) 0_ DUI Ci(llI --
1 n r:.l I I i•rnl r I 1 r
1 I`11-I' Dim i RU_ CI - QI/ I l
s II11Al PIT III: duE.Dr - - U�r -L79^Gr/7�7_C'
(i. 11(I1:S R I 1 1 ltT I 1 AI It ll'4;I ,I IN(J ll'I I.1 7 vi r; 1 1 NO Ill- -- -- — -- —__ 1�
-- ------ -- ---.Cl -.G.._
7. SIAill' 11'A 1 FR I Il LI. Ilrlow"I op orl Ling. 'SO ' _ F1'. rr1
(11r I"II AI I p nitn•inpi - — - -- C,
R. l I II' Ill CASINU IS 1 VI Alwyn Land Sot lace' - -- .____ __._ _-_. t
•Irp rr rrdng frimbigi.il mini L.I n NMI rntl rr rtnnli rrn — -- -- --c., -
'Elliott In •rrn,dvnrreliteI$,1tll VI 11'All In _ -Q;___
Q. '�iffLI) (ppm):_ 1U__-__ M11IIOD (Jl OF-IFS .-
10 \VATlilt :(IfIF3 (de1,110. ----- -- - --
1 __ L.QcAII.ON SFc I l,'LI ��
II. I 'ICU IIrt i lul : 1)1'ct1_� Q,Ile_ Amount
s. Au' llt- I( -_—__ Show ditcction arid distance in wiles horn nlleast
12. CASINO: Wail I Ii rkc ess Iwo Stale Roads or County Roads. Include the road,
/� D'•pllr(�' Pinii,ellccr or W'ciyhil I. 1M/atctial llumbcls and common road names. ✓� i f/},�
FI"111,—_V --- I"—.JD 1-- 1 1 CD_>_:]_ .-5U 2I Q-VG-_--- '{r
(loin —._To fi. h o
y
Pnnn fo FI. r t
&li13. (MIDI: Urplh It +fiIn� ial 6lelhod
Ilom )_A, _- fo_ 1.1.-00(_11Gt'1 I -. -V rtSS(AL.0 ----- --------
now In 11 i ,
Id. S('Itl'LIJ Urpih ILnutcicr Slot i,-c plurrinl y_/
Fenn ln FL iu, _ - m _.-- �/ /� ----.
I lone fo hl. in. in. CD
15. SANIIRSI A1'1'L PACK:
Ilrplli Sir. t.lnierial
um I" II. 4iv�nS)e lJ
8
n ml I o I L ,__ �C1
If,. I'EGtAI'I:S:
1 pc) t ii-roil i cri, 1 irv'111A Il l lls IVFt.i, WAS CHI IS l h11CI liD IN ACCORDANCE W1111 I5A NCAC 2C, IVEI.I.
CONS(RUC(It)14 S IAIJI IARDS,ANI)111A1'A COI'1' OF 1711S RECORD IIAS BEEN PROVIDED 1p'I11Lt WELL OWNER
�� ) - 14.
/ SlordAltlltI ill:1'rlt.';(IN( t)NSIItDCinit;'Inv writ, DAIE
Submit the of I,:dual In the UI(idol] of\Va(rr Quality, Grouudlvaler Section, 1636 Mall Service Center- Itnleipll, tiC
PG',, IL`(. Pi:-ine1'n. yip) ;II 1221, uilhio it' d;, n, CW-1 PEV. 1INZIIUI

(I( _ (Ill fl l I? G
If II li
wr;r,R, CONS't'ItuC ION RECORD 3 0 510
Nollh ('nrolina - I)rpmli nen! of Rnvitnrincnt and llrI yal Resumers-Division of Water Quality-(ilonnt•walcr Section
Writ,CON I ItAI_-IUtt(ININ19DIJAl.)NAME (p,in ) iet27 /e, e C�-.
) rr-�-- ----___- ------ cFa(u ur(n rlcn- o ���
11T1.I.CIIN I II WI MI COMI•ANYtJA ME "/11i(�e6r• - -----_--1•noNE tl
SIAIEWE'LI.('I,NSIIINCIIVrt l'F:Ithllln A S(1(_IA'I Ell WI)1'F.Ilmlln
it..- Ii nii'lit ill) , p n�r�
.(ifdleuhle) --
ifn
I. 1VF1I. I;SF (Clic(k Applicable Ilos): Rrsidrntial1�clunicipal/I'tlblic LI Indushial 17T Apiittditnal LI
Alonilm Mg I.I !termer), LI I lea/ l' unp 1l'atrt Injection LI Other 1.1 II other, List Ilse
2 11, 1'I I. I I ICAIIt N1:
Topographic/Land selling
1 Jcalrst low it. -017€4; y 1'oonlp C/Le/o/L/ee, LlItidµe IlSlope EIVallry 1_11 cal
-. 0Jl CL�4 �L ( 1, k nplm,l,inrlr.,.)
I slivl`f lni t.%Nnmlt ,. t piamitnitv, il-di,H— I ot tin_lip 1 .d.) f.allluIIe/iltllpii me of well toroth i
/ 35 °O_f /S8' c✓ CI7°e2 V2-I '
J tIC.IJIp /�a det / �S.% C�c.gA -.-- I -
- - -
AIIdrriS _ 35 ('9Y C. t J i _-- d Latitude/lunyilude source:rl(,1SLl fopopl;gdlic nrip
( h I o, Ilonl Not (cli ck hn)
/I1 ri rf1 i y y ( 1lI6 1)BI1I71 URII,LINtI LUU
l n, ni 4 d ;:(no- lip runt 110111 TO Emulation Description
1 )-
nrtnr,..1 — /.� �C4 //
UAINI,LIIIIN /1 -Os - OY - --- -
5 lIl I�AJ. I II I Ill: / rf0 '
( DOES (III I, PHI A tI I'VIS1IIl(11VI/I1 '/ 1I . 1 1 NO I-! In
— - —
7. S1:1111. 'A ,1fl'RII-1'1'LIirlonTnpmF('n-inp In - -
(il , 'II AI..rr I�p I('n•iup) _.._-. — C!'t
S. Ii JI' I PF ('ASIN( IS _ / NE Above I •i d Sul lace' -- - - ---- - — - --._
•Irp..l r..Iufl In itiltinterl nib , briny lni.I.nt InrrrravL n.st -
%c rnnrr In cc ndnre mill 15.1 NI AI 71'.allfl - d
Q. }'II'I1) (LIn,)' FS5-' RIF 11101) (IF 1 .74 / -
In. WAIER , 0NFS (d(ptl): /-3-)-_ '
yy — -- - -_-- LWA CUN_s-INF,I_1.I
It NISR7l'It NUN: I}pc /f rl7` __ Amount >c c Show ditcciion and distance in miles flow at least
12. CA,SIN(l: Wall'I IIREnrss two Stale Roads or County Roads. Include the toad
U'-jilt�7 ^7 Iinm�)etrt or tveiyhlft. Mmeijal numbers and common toad nm aes.
FlmlltC 10 cZ! I�1- V/)_Cut,S_ .SA ( / !ic
num 10 II.—_ ---
F win fo FI. .-J
11. t I t)t I I: until Trial A elhod
C�From TO i' Ft _t0/1`C,c- -- eSSd---e
pion, -10 1't.
II. SCRI3F11: I)rplh Diameter Slot Si:r Alalrlinl _
honl 10--- I.I.---_--_in. ill.
Flom I n___ II. in. in.
15. SAND/ORM/1 1, PACK:
I lrplb Si.-r Material
horn -I0 1't.
Ilonl Io__.._ fL_
Ili IJir-IARLS:
I PO III'1'111'i CEP IITV 1IIAI IIIIS WEI I, WAS rl It ElIIII ICI El) IN ACCORDANCE W1111 I5A NCAC 2C, WEI I.
CONS I RLICI IUN S IANIIARUS,AIM IIIAFA COPY(W 11lis REC(3RD HAS BEEN IROVIDED10111E WEI.I.OWNFR
7""- ecvC _ //-d.1�Ct V
SItINA1 o! i 1 LS(Ilicows IROC(INO711E WEL1. DA11 -------
Submit Ilir tit iylnal to the DE;slim of \Valrr Qua lill-,I;Ionudrvnler Secllon, 16161Nall Set vice Cruder-I!nlrlgh,Ne
27V/7 RN- Eli int No. ("I°)711 1_"1, I.iron in II .
FJl7.l pry 07nnnl

NC ✓ Vifrint till) _
WELL CONSTRUCTION RECORD
306464
North Carolina-Deparlrnent of Envirmunent and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAflIE (ph lnt) JG1,1442-S. 1V1 . 1AD,1 so CERTIFICATION II 200(
WELL CONTRACTOR COMPANY NAME M,lIO � (A)01‘ Cf,lli✓1�) Pnona a f5a9c 31-21)47
STATE WELL CONSTRUCTION Mutt it ASSOCIATED WQ PERMIT/
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box): Residential IEY Municipal/Public❑ Industrial ❑ Agricultural❑ n
Monitoring❑ Recovery 0 Heat Pump Water Injection 0 Other❑ If Other,List Use
2. WELL LOCATION Topographic/Land setting
Nearest Town:14 n orvcaS Couuq c_rf \I P- O1Gdge ❑Slope ❑Valley ❑Flat a
P, c n _ (check appmprl.te box) a
(Su Name,Numbers,Community,Subdivision,rut No.,Zip Code) Latitude/IOngitUde of well location
wcr Tar/1 c-Jgi' a'& - -
3. OWNER:QIQI(( IA,11A p (degrees/minutes/seconds)
Address 13 B16 IA S H w Jf_ 19 Latituddlongitude source:OOPSOTopograpbic map ,
(Sued or Komi Nu.) (check box)
4vtticvwc Nil Z-VOI , PUPTii 12fflkLINGLO_G
Front To Fo motion Description
City or Town State Zip Code t ,
(�l so '- ‘no,
cats Phone number
4. DATE DRILLEDIa-- 1l\- UQ i OQ' - 1 7
5. TOTAL DEPTH: 5SO' 1 7 '— �c•Cr.
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO tit" -+;(„s`-- S0'
7. STATIC WATER LEVEL Dclow Top of Casing: Fr.
(We"✓'If Above lop of Casing)
8. TO OF CASING IS ( rf.Above Land Sur face•
nap of citing terminated atfor below hand our lace rental es■
variance In accordance with ISA NCAC 2C.01 IS. U .-'
9. YIELD(gpm): fl METHOD OF TEST 14, _ rt
10.WATER ZONES (depth): : b ^''
LOCATION SKETch o--
Show direction and distance in miles fro*rat IessF 2
11. DISINFECTION:ION:Type l ,�G11r�rS Alill Thic 1 ss two State Roads or County Roads. Mehra the ro 4
12. CASING: WnlWelgiants
Depth Diameter or Wcight/Fl. Material mmmhecs and common road names. 72. G ,
From V To lls Ft. to..2.. SDCa1 /
From 1 la' To 3(0S Ft. 5, n • 145Y 4eo I nh D
• From To Ft. b
13. GROUT: Depth hlnterial Method 16 ,
(L Om
From C To ' Ft. ph1HGvrtS ytc cccrlf_ f
From To Ft. e
14. SCREEN: Depth Diameter Slot Size Material
Frorn To_Ft. in. in. J
From To Ft. in. in.
15. SAND/GRAVEL PACK: 1,
n
Depth Size Material r tq 4
Front To Ft.
Prow, To It ."{ t
16. REMARKS:
1 DO HEREBY CERTIFY THAT TI II,S 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
/�. c e. --
SIGNATURE or PERSON CONSTRUCTING TILE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
OW-1 REV. 0712001

NC _ I OI'N( /i N a 0 _
WELL CONSTRUCTION RECORD 3 0 6 4 6 3
North Carolina-Depattrncut of Environment and_Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) )C4W16)S LCh I SU4'1 CERTIFICATION P 09c,c(
42c/
WELL CONTRACTOR COMFANY NAME MAI P 1( i,C)O CI ['AV.TIC) PHONE 0 f %C57- qq
STATE WELL CONSTRUCTION PERMIT,_ ASSOCIATED WQ PERMIT/ T -
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box): Residential Q Municipal/Public 0 Industrial 0 Agricultural❑ a
Monitoring 0 Recovery 0 Heat Pump Water Injection CI Other Cl If Other,List Use -
py _
2. WELL LOCATION: Topographic/Land setting :_n r
Nearest Town:A (Id i zt.,?c County ('lie rul(ec_ ❑Ridge I71Bfope ❑Valley ❑l tat
) 1 O
1U n41ra S1(c; RA, (cheek appropriate box)
(Sued Name,Number,.Community.Subdivirlon,Lot No..lip Code) Latitude/longitude ilude of well location
N./W° 10'a3",hd 0,4°%,' 3` '
J. OWNER: 7
S L. ('Q W (de(degrees/minutes/tetanal) .•
Addreesss Zi Owtt2a_) To eta 114 s kr{ Rd Lntituddlougitudo source:❑GPS❑Topographic wasp
(Street or Route No.) (check box)
Rnc)rrtOs NL 25'701 , PEFTU 12SJLUIiQLOSi
City or Town State Zip Cole
Front To t:ormation Description
0 - 10 ,
Art.code. Phone number Ihl — 70'
4. DATE DRILLED I,) - a.7 - pc/ f7R ' /(o.$' `
5. TOTAL DEPTH: I 105'
6. DOES WELL REPLACE EXISTING WELL? YES LI NO ❑
7. STATIC WATER LEVEL Below Top of Casing: o ' Fr.
(Use'•+"If Above top of Casing)
8. TOP OF CASING IS / Fr. Above Land Surface*
•Top of cuing ter-rninaled atior below land our face requlro a
whiner In accordance with ISA/CAC IC.0111.
9. YIELD(gpm):—.CO MITT(IOD OF TEST JQrle
10.WATER ZONES (depth): LOCATION SKETCI I
Show direction and distance in miles Born at leet�;t
11. DISINFECTION:CASING: 'fypc�t�ti /Oo//e%s Amount s, two State Roads or County Roads. Inc�c the ivad
12. Wall Thickness :_r -
Deptit Diameter or WeighUPt. Material numbers and common rod names. c� :-
Ftom O To 521 Ft. G>,. 5 SD(ll. p//( ,_�. -n
Prom To Ft. --
v c
Flom To Ft. •.,«u "-`n+i
cii
13. GROUT: Depth MaterialI Method y i
Front 0 To .ZO ' Ft. //nr Jie r-r r I {i2i'CS1 r --,
From To Ft. rP 4_
14. SCREEN: Depth Diameter Slot Size Material '"
Front To Ft. in. in. •
from To Ft. in. in. Lor-.% any
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft. ,I,..,a(4e
16. REMARKS:
I DO IIERUUY CERTIFY TIIAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF TIIIS RECORD HAS BEEN PROVIDED TO TILE WELL OWNER
12.;ez.. (4.2- 2-,Win.-- ._ /,,,)-- „92 - O c/
SIGNATURE OF PERSON CONSTRUCTING TILE WELL DATE
Submit the original to the Division unVater Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
OW-1 REV.07/2001

•
WELL CONSTRUCTION RECORD cf v 3 0 6 4 0 7
North Carolina Department of Environment and Natural Resources-Division of Water Quality
WELL CONTRACTOR(INDIVIDUAL)NAME (print) WILLIAM BRADLEY LEWIS CERTIFICATION#3368
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WI;)PERMIT#
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential Z3 Municipal/Public❑ Industrial 0 Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE $]Ridge OSlope OValley ❑Flat
KEENER RD TO HAMPTON RD TO BEE TREE LN (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: GABRIEL HEMBREE (degrees/minutes/seconds)
Address CIO TRINTY HOMES Latitude/longitude source:❑GPS❑Topographic map
(Street or Route No.) (check box)
MURPHY NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
(828 )- 837-7648 O'TO 20' RED CLAY
Area code-Phone number 20'TO 120' BROWN/RED SLATE
4. DATE DRILLED 12-14-2004 120'TO 137' BLUE SLATE
5. TOTAL DEPTH: 305' 137'TO 305' SLATE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ❑
7. STATIC WATER LEVEL Below Top of Casing: 100 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surfaces ':ram
'Top of casing terminated at/or below land surface requires a CD cif^1,
variance in accordance with ISA NCAC 2C.0118. Cr' -+i{fl
9. YIELD(gpm): 10 METHOD OF TEST AIR rye. �;
10.WATER ZONES(depth): 280' n
LOCATION SKETCH �`�
Show direction and distance in miles from at lease, e,�
1 I. DISINFECTION:Type CHLORINE Amount ne10s PPM two State Roads or County Roads.Include the roar r.C.ck
12. CASING: Wall Thickness _. .
Depth Diameter or Weight/Ft. Material numbers and common road names. s ...--._
From 0 To 137 Ft. 61/8" SDR21 PVC r
From To R. f.� `"
From To Ft. ,
13. GROUT: Depth Material Method
ilt
From 0 To 20 Ft.CEMENT GRAVITY ey
From To Ft. he,
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. t
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft. Q..%-'e—
From To FL .
/
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 R CORI HAS BEEN P OVIDED TO THE WELL OWNER
SIGNATURE OF PERSON CONSTRUCT( WELL DATE
Submit the original to the Division of Water Quality,Attn: Information Management 1617 Mai Service Center-
Raleigh,NC 27699-1617, Phone No.[phone],within 30 days. ,� Ii, It (.: 1....
- GW-1 REV.09/2004
JAN 2 5 2005 •
i
i
, „ nvlEA'tTFf SEC 10N
prtup f.!I k HF(3M:4i i, ;i

41)
WELL CONSTRUCTION RECORD 3 0 6 4 0 8
North Carolina Department of Environment and Natural Resources-Division of Water Quality
WELL CONTRACTOR(INDIVIDUAL)NAME (print) WILLIAM BRADLEY LEWIS CERTIFICATION#3368
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT!! ASSOCIATED WQ PERMIT!! - ---
(ifapplicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential0 Municipal/Public 0 Industrial❑ Agricultural 0 - ,';r,.
Monitoring❑ Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use -
2. WELL LOCATION: Topographic/Land setting = _ Na . TT]
Nearest Town:hglDgtt, M``(4 L1,e County CHEROKEE ❑Ridge tOSlope OValley OFIat sn cm _
MCCOMBS RD (check appropriate box) r
(Street Name,Number,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location C_
3. OWNER: DAVID CHARLEBOIS (degrees/minutes/seconds) j. i
Address 11104 S.W. 119TH ST. Latitude/longitude source:OGPSOTopographtetnap--- ....
(Street or Route No.) (check box) _
MIAMI, FL 33176 DEPTH DRILLING LOG _
City or Town State Zip Code From To Formation Description
(828 )- 361-7236 0'TO 20' BLUE SLATE
Area code-Phone number 20'TO 40' BOULDERS/SLATE
4. DATE DRILLED 12-27-2004 40'TO 165' BLUE SLATE
5. TOTAL DEPTH: 165
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO 0
7. STATIC WATER LEVEL Below Top of Casing: 25 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• 0 Cr `
variance in accordance with ISA NCAC 2C.0118. r tl "r'!ri
9. YIELD(gpm): 60 METHOD OF TEST AIR c.. r
10. WATER ZONES(depth): LOCATION SKETCH ="rJ
c �
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at lent r"t
12. CASING: Wall Thickness two State Roads or County Roads.Include the relit °Y-
Depth Diameter or Weight/Ft. Material numbers and common road names. — ---^-
From 0 To 40 Ft. 61/8" SDR21 PVC
From To FL )1°N'
W _From To Ft.13. GROUT: Depth Material MethodFrom 0 To 20 Ft.CEMENT GRAVITY
From To Ft.14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. A�)From To Ft. is in. \ G15. SAND/GRAVEL PACK: D �ASsoDepth Size Material y ^^Ci
From To Ft. '
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A/COppPY OF THIS RECORD H S BEEN PR VIDED TO THE WELL OWNER
?atl !a—].7-rx'
SIGNATURE OF PERSON CONSTRUCTIN IE ELL DATE
Submit the original to the Division of Water Quality,Attn: Information Management,1617 Mail Service Center-
Raleigh,NC 27699-1617, Phone No.[phone],within 30 days.
GW-1 REV.09/2004

WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources-Division of Water Quality !.
WELL CONTRACTOR(INDIVIDUAL)NAME (print) LARRY F.JONES CERTIFICATION'S 3295 U h
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE 'S [phone] e,�e77 A
STATE WELL CONSTRUCTION PERMIT'S ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential h] Municipal/Public❑ Industrial❑ Agricultural❑
Monitoring❑ Recovery 0 Heat Pump Water Injection 0 Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town:JACKSONVILLE, County CHEROKEE [Midge )0SIope ❑Valley ❑Flat
DEERWOOD MTN.ESTATES,SWITCHBACK IN HOLLOW (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: STEVE GOGGINS (degrees/minutes/seconds)
Address 10750 HAMPTON RD Latitude/longitude source:❑GPS❑Topographic map
(Street or Route No.) (check box)
JACKSONVILLE, FL 32257 DEPTH DRILLING LOG
City or Town Slate zip Code From To Formation Description
(828 ). 361-2929 0'TO20' BOULDERS/GRANITE
Area code-Phone number 20'TO 807' GRANITE
4. DATE DRILLED 11-18-2004
5. TOTAL DEPTH: 807'
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO 0
7. STATIC WATER LEVEL Below Top of Casing: 300' FT. � Q
(Use"+"if Above Top of Casing) Srk. taTAl, l)KTus°b 1,,,) H I etc
8. TOP OF CASING IS I FT.Above Land Surfaces
'Top of casing terminated at/or below land surface requires• Ce
variance in accordance with ISA NCAC 2C.0118. JT.
9. YIELD(gpm): METHOD OF TEST AIR
10. WATER ZONES(depth):
LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or WeighVFt. Material numbers and common road names.
From 0 To 20 Ft. 61/8" SDR21 PVC ./((2
From To Ft. /'
From To Ft. P
13. GROUT: Depth Material Method �;
From 0 To 20 Ft.CEMENT GRAVITY ,.(Ji � R
From To Ft. UJ I
14. SCREEN: Depth Diameter Slot Size Material '2
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material a
From To Ft. . Lt.
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT OPY OF THIS RECORD S BEEN PROVIDED TO THE WELL OWNER
SIGN URE O RSON NST NG THE WELL DATE
Submit the original to the Division of Water Quality,Attn:Information Management,1617 Mai Service Center-
Raleigh,NC 27699-1617, Phone No.[phone],within 30 days.
OW-I REV.09/2004

WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources-Division of Water Qualityan
WELL CONTRACTOR(INDIVIDUAL)NAME (print) TARRY F.JONES CERTIFICATION#3295 OSt?
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone] 0)t�
STATE WELL CONSTRUCTION PERMIT!! ASSOCIATED ASSOCIATED WQ PERMI t/
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential El Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring❑ Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town:JACKSONVILLE, County CHEROKEE ❑Ridge IOSlope Malley OFlat
DEERWOOD MTN.ESTATES,LOT 67 (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: STEVE GOGGINS (degrees/minutes/seconds)
Address 10750 HAMPTON RD Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
JACKSONVILLE, FL 32257 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
(828 )- 361-2929 0'TO 40' SURFACE WATER/BOULDERS
Area code-Phone number 40'TO 80' RED CLAY
4. DATE DRILLED 11-15-2004 80'TO 110' GRANITE 0 9
5. TOTAL DEPTH: 1007' 110'TO 1007' ri
GRANITE 0
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ❑ _
a
7. STATIC WATER LEVEL Below Top of Casing: 280' FT.
(Use"+•'if Above Top of Casing) a171- W DRit"
8. TOP OF CASING IS 1 FT.Above Land Surface*
-f /l �jl� L
*Top of casing terminated aUor below land surface requires a -'
variance in accordance with I5A NCAC 2C.0118.
9. YIELD(gpm): QUART METHOD OF TEST AIR
10. WATER ZONES(depth): LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
ft
Depth Diameter or Weight/Ft. Material numbers and common road names. 9
From 0 To 110 Ft. 61/8" SDR 21 PVC tP
From To Ft. �From To Ft. /13. GROUT: Depth Material MethodFrom 0 To 20 Ft.CEMENT GRAVITYFrom To FL
14. SCREEN: Depth Diameter Slot Size Material
NI
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK: •
Depth Size Material `1 LL
From To Ft. Y' ew HL
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I 5A NCAC 2C.WELL
CONSTRUCTION STANDARDS.AND THAT OPY OF THIS RECORD S BEEN PROVIDED TO THE WELL OWNER
SIGMA RE O SON NST INCr THE WELL DATE
Submit the original to the Division of Wate Quality,Attn: Information Management,1617 Mail Service Center-
Raleigh,NC 27699-1617, Phone No.[phone],within 30 days.
GW-1 REV.09/2004

WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources-Division of Water Quality O 5 5 9 2
WELL CONTRACTOR(INDIVIDUAL)NAME (print) WILLIAM BRADLEY LEWIS CERTIFICATION.,3368
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE N [phone]
STATE WELL CONSTRUCTION PERMIT., ASSOCIATED WQ PERMITS/
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential U Municipal/Public 0 Industrial El Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection El Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: PALM HARBOR, County CHEROKEE £)Pidge ❑Slope OValley ❑Flat
DIE BEND RD TO NOTTLEY LANE(AVALON WOODS) (check appropriate box)
(Street Name,Numben,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3502.536N/8407.007W
3. OWNER: BILL 8 MARY JO SWINGLE (degrees/minutes/seconds)
Address 160 CHERRY LAUREL DRIVE Latitude/longitude source)❑GPS❑Topographic map
(Street or Route No.) (check box)
PALM HARBOR, FL 34683 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
(727 )- 787-4592 0'TO 20' RED/BROWN DIRT
Area code-Phone number 20'TO 60' TAN SLATE r.
4. DATE DRILLED 12-08-2004 60'TO 80' BROWN/BLUE SVTE -a`
5. TOTAL DEPTH: 705' 80'TO 91' BLUE SLATE O Tin
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO 0 91'TO 705' SLATE fll m m
7. STATIC WATER LEVEL Below Top of Casing: FT. — �-n
(Use"+^if Above Top of Casing) .+: to`
O
8. TOP OF CASING IS 1 FT.Above Land Surface' --in
•Top of casing terminated at/or below land surface requires• - PI rrl
variance in accordance with HA NCAC 2C.0118 '"`-`5
9. YIELD(gpm): 1/7 METHOD OF TEST AIR c.a ` '
10.WATER ZONES(depth): r— en—
LOCATION SKETCH wr
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least 2
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 91 Ft. 6 1/8" SDR21 PVC
From To Ft.
From To Ft. Q Ud X
13. GROUT: Depth Material Method
From 0 To 20 Ft.CEMENT GRAVITY From To FL14. SCREEN: Depth Diameter Slot Size MaterialK6.4:331471
��/�From To Ft. in. in FromTo Ft. in. in. I15. SAND/GRAVEL PACK: (p
Depth Size Material
From To Ft. tiMv.r 1
From To Ft. t
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND�YCOPY�I'Ft.OF THT �COjtD HAS BEEN OV(DED TO THE WELL OWNER
SIG ATURE OF PERSO CONSTRUCTING E WELL DATE
Submit the original to the Division of Water Quality,Attn: Information/ Management,1617 Mall Service Center-
Raleigh,NC 27699-1617, Phone No.[phone],within 30 days. ,
OW-I REV.09/2004
DEC 2 8 2004

lll. V !)II r/l rr a(--
%VELL, CONSTRUCTION JtECURtu 3 0 510 3
North Carolina - Octal Intent of Environment and Llalutal Resoutees- Division of Water Quality-Utoundwaler Section
%%ELI,CON I ILACr(I((iNIIIVIDIFAI.)NAME (pth,p___YCAVI'LQS 1`4 LA..) kOn CErt i iEICA 11MN N)NO(-1
M'EI.L CON MAC!Olt COMPANY NAME. 1.,Je-C__t.,,,ast-1Lc-jUt _5. -- _rnuNE N IVas1437_.2C47
STATE,‘VELI,CONS I IIOICI ION I'EIlM11N___ _ __-___-ASSOCIATED WI)PERMIAN
`if n ilicnldr)
a .r,,,,......,.. ,,,ivi .....,,.e..... (ifnpplicablc)
-
I. WEI I. USE (Chick Applicable Hos): Itecidrnlial 10' Municipal/Public LI Industrial LI Apticaltutal LI
P.Iori;ioi lop U itecovwy iJ Ilcat romp Wafer Injection Li Other U If Oilier, List Use
2. WFI.1. I ()CA.ION: ,
fopogrnpludLand selling
Neatest town: ck Lt )ckeffike __
I_-�Ly a11
( tonal L URidgc L13fopc UVnliry Uflnt
(check•ppt opt;rile ben)
(Slier!Nmnq Nombrt ,tummuri,l, ,nA dnnion 1 01 No,lip( i•Ic) LAhtude/I(I rrgilu tle of Well Iucahnlr
�c�s urn _ cZ'Y`t ti t u85°°B sT&
3. (11VNP.R'_t _ 1� degterdminutr✓srcom.I,)
Address I �( y-
--�+>_' U Laliluddlougiludc somcc:UGI'SO fopugmphic neap
(Slier!or It Route No (check Mn)
•
,M tkr p liy ?(a�70� (check-- - 1_4CLI1 URILI,LIIU WI]
( it yP! tot,n Stab lip Cmle from To Emulation Description
Arrn c�elr- I'hwm numb ((�
er _� ' el(,01 �}")Q'I. PA IFDINHlil)J S. t4
5. .10FALPEI'Ill: Tr1o51
. —C(DI �LOS' G11i P
f. DOES WELL REPLACE FNI SIIN(; Wilt.? YES II IR) LIB
7. S IAIIC \VAI ER 1 EVIL Below Top of('acingr_101_, __FT. — ---
(Ihr"✓'If Allow,lop of Cn•ing) ----ram-_--
A. .1(1' OF l'ASINt; IS 1.1.. Above Land Surface' ---j T
' n Mfrs rp rf rrdng Irolnnted hn briar,band unfree mph rr•
notion.In•Ernrt4ure nitb I5A NCAC 1C 1111N. _
9. Yn'LD(Prlt!): y_ METHOD ul I1 r-{�, L_______ c p
10. WA.' 7t1NES (depth): __ —_ _ - -- — -
j LSAAL_LQft$I,I:l_t 7 L
I I. 1)ISIrII LCI Rill: 'I)pe11(-Ii(Io - S Amount l5 Show direction and distance in miles from at (cast
12. CASINO: Wall'thickness Iwo Slate Roads or County Roads. Include the toad
Depth Di�nute n
let or Weight,'fl. Material ournbers and common toad names.
Prom (') io_ioU Ft. -/Ll_a_S_ SOral �t7C-
from to ___ It. I
--------- --------
now 'fo II
11. (;ItDII I-: Drptll PLnni;i 11 Alrlhod -
I ,aril-(2,'tt'_.,2 _ F
6)/ t. Diak'wvla. _ pti'SScdf_e_ j.
hum 'fo H.
-- - ------ }ti,z! Io4
Id. SCREEN: Depth Diameter Slot Site ?Amelia! Leo .�
Flom Ili --- II. in. -----_-._ in. its
From To _ FLht. ------ iu. _.---- 'N_
15. SAND/O1tA\'FI. PACK:
Irprh Sir^ r. rl h,l inl Pu
(loot l.o "'
Front_ 1.11 . fl. --- --- ---
16. ItErdniz1:S: — V-1
I Do I II:Rim-CER 1 WY'I11AT I I II S WFI.I,WAS CONSIIR 11C117)IN ACCORDANCE WIT!! ISA NCAC 2C, WELL
CONSI RUCI ION S[AWARDS,AND Il IAT A C01'Y OF'II IIS RECORD IIAS BEEN PROVIDED TO THE WELL OWNER
SIurIA I(IRE OF Jun50IN CONS I RUC!INO 11111 WELL DAIL------
Suhull the of I{tlnal to the Nh;stun of 1Vatrr Quality,GIoundivater Section, 1636 Mall Service Center-Raleigh,NC
27G"•') IEt51'h 'nr No. (1P,) 711 3721, tilthhr 111 darn. (AV-i Itl?V. 01/71101

II( V/ 1111 /1 I l( Oil 1,
IV ELL CONS't'JtUCI'LON it IAA)RI) 3b k1Z
Noiill Uniolina - I)epalnucnl of Etiviiimmeul and Hamm' Resuulees- Division of Wait.'Quality- Unnuld,vnlci Section
1Vfft.corgi ltncIUn(INn11In0nl.)NAME (Wan). /J r le-e-c(i CEI(IIrtUA I ION M. ay f..?
NI fr f cor:I it,ACt on conlrANV NAME __-A ./(.. _ . - _-- -_--rnuNen .44,71J-2U 2
srnle META,cuNsl WWI ultvt•FJtnntx__._
_-...----_..----_AssoCIA I ITO NV()l'Eltatilx _ ------__--_--
if n)`J'linildrl 4if nl+illtrnblc x„ p„T„ .
I. \IFI I. I ISE (Check Applicable Ilna)Y 'tes1'111Mnl Iii-t---ftunicipal/Public U Indusllird IL Aglicultulal U
Melillo;myI..I Perm cly LI Ilea( Pump Wain Injection U OlhetLI IfOlhcl, ListUsc
—
2. W 1I I. I OVA I It IN: / /� Topngtnp6idl.and retling
Nea f redIowa vr,/� Y ( Ilunly 2Cro/iGe Ultidµe ['Slope UValley UFtat
-_ /Wow/thy. . //I• -.. . _. .-_---_ (rhrrk npr,nlirnl.Inn)
(Cllr(-I Ile , 1 ,nnl••n,Comirmistily, d In hinn,I,I II ,'fly('(.lr) Lati!II(lC/Ioi)Niluile of well location
(.lrglr Juu❑Ilrt1 n 1i)
AIM!css 1 ri'I)1c1, U I(,4' i t- II E. _-..-- Lailludrllungitudc uulcc U(,I +U ropnpiaphic nlap
Sl t(t Pons 11 ) (chn-k hn.)
!/' 2 ( 1)1:C_iit
pRILI,INU LOU
�i'j(,r , 10Y , ( 4 i
chv In,l,1 .•ino- :q,rode nn,ul Tn hurl/Mimi Ur^a ijd inu
)-Au-
,r,.ar. i I n.•(intuit! O'6i) _— — `W - - --
( I),\1I: PPUI IP_ // Milt __-- I -,Zi _G-rLn fc—_
5 -10FAl. PI Pfv: /.42 ' - - -- --_.
F. PHIS \\ 111. lu'rl A( 1 ',XIS I IIJU WII I.l IFS I I I11) IA-- J -- -_
7. S I y%I IC \C,\II FP. I1.1I'I. Below'fnpnfl t nq, 5.6) _Fr.
((Pr"t"II Al mr Lop nl Living)
ing)
S. TI T OF ('ASINI; is _ .. Ih. Ali r• Land Suil:a e' __. rn 7._
•Ilp otr hg Intln 11n1!nr l.rl nl nd an Inc wild(r•n
}
'silent—I(In *run(Inure n1111 15 NI'Ar Ir MI la -- ---
Q. )( IPI.P (II "). _/ -- p11III1)111)1'1 FS 11_ _ .//' _—
LV_GAILw1+ sr,I lI.N
—" ' Show dncction and distance in miles from al le
1I. cASINPA;fll)tJ: "Ippcf7rj _ AuuIId Y4 _
Wall*I hicknr.^•+ two Stale Roads or County Roads. Include the t • d
12. CASINh: numbers and common toad names.
Uimncicr or\\'cil;bl,El. hbdaial
Flom O -I o_oS- I71.-_-,4 ,fOe.zl Az_ ,.nl uTc,, �,'✓G
—--
13. (IROII I Urptlt pl�n�tr,ial Method 0Flom d fa-/ PI.4/774/7I - -yle'JY.--.e �.r
Plom._ o I:I. - .---- __ - _._. ----- --��
H. SCREE'I: l)rplh I!ianl^Ice Slot Si;e Molehill
I-tnin to I i in. in. /
Ilnm___ lo__---- N"---in. _._._ in.
I5. SANP;URAVEI. I'ACF: hl:u."u 4/.5,),,ro/ it.
U(ldh Sin` 111±1
it(MI lit 1t11 bil
Ili. RELI All I:S'
I Ill) I IFRIAI'i CI;RI III]IIAT'1IIIS Will,WAS('0I IS RIKA ED IN ACCORDANCE W1111 I5A NCAC 2C,\Ilil I.
cons I RUCI 101 J S I ANUAI! IS,AND 11 tA"f A COPY or HITS RECORD IIAS BEEN PROVIDED TO TI IE WELL OWNER
/,7'.�-7 .4C-`C-= //-671-d Y
----�---- - SIOIIAII lltl!1)I i IT1;1.IN CONS 11tUCUlJ(i IIIB WIiL1. IIAI
Submit the of Iglus' to the Million of \Valet Quality,Utoundrrnter Section, 1616 Mall Service Cenler-Ilalniril,tic
na, I ul:tr II ZPIIIII

lrr j/ 1111111 r 0IIIJ0
341l0
vYELL C:ONS'IitUCrION ►tr;CORI)
Nollll (':nolina - Dcpntttucnt of Fitvinnuornl and Nnlurd Itcnomccs- Division of Wntri Qunlily- (hounthvnicl Srtlion
1VFl1,C UN I ItAVI Itil(IN1111lnllAL)NAM' QnluO -(Lkullt!5-1\_,\s.,;Aciart--._ -
CEItlIIICA IIUNh (_4(YrI
lcrl.l.cuN nt,t(2llnl cunlrnriv NAnlE Vl_U.c<.—vJQ-kl_.AIiAL111C)---...---
ruuNE n I 1___--
SIAI FUEL!.cnNSIlttu7lON rrltnrllll,.-. . _ ---_-_---ASSOCIA 1E1/AVOFERMI IN __--ii J ni'plic:ddl ._.----
( � t,j.h
, .,, ..-n•. ....Efhvnhlcl m... .... . ... ._ n
Al ., --
I_ WI'l I. I IS II (Cl rck Applicable Iloz)' Itrndl nlial III-Municipal/Public L1 Induntlinl Cl Agliculinlal Ll
Mount,'nig LI Vecncrly I I Ilral Pomp It drt Injection I_I Olhct Li II Olhct, I.is1 Iisc __.-- - ---
I o u„r I ,hit/I.nntl exiling
1 1 I'I1. 111Cr\ I1011 �I I L %I
Ncmcsl l 1\ u•1\(j L((?1111 _ - _ ('mid•;L l'te_CC)-`QF_ iJltldge II,1SIupr I IVnliry I.II I:II
1'f LL-OECC _Y �.. _ _ _ ( lurrk rwprorilnl 1 <1
(rtirrt N-I n•,IJund•rr<,L n nndty,S,l L,i'iou.I m 1 b,,it 1l.ar) Cal nticllooyiludc of well bleat nn .7 14 el 2?"� SY/Z � "".
1, 1 , I I l'l'. ) :-.C L '—LAI c,t-u rel _ _. (drgtr dniinw.d nmIQ
A(6I1rce ✓II-L6' F .V I)':'X Z1, - _.. Lldiludrllongiiutic umcc:l_IrllSllfopogiaphicmrgl
__ _ _
lisle 1 nr !limit-11 t I (clrzk 1,9
ro 1 lr„n Loco d _1 it,1j,; it _ I II,hIII Ultll.Lllll r Li it i
ji I
1 �, I � Ii - �,„Ir liono lb _formation Uc. :nplinn
1 rnrry Jr. Il - II n,rri - 1.0I__ 2yL)I--- )1'l Li
;\ \LATI _._
i nfE DRIB 1 I D11 c.( oU 541 Uc,' jxrri7'/c
5 Illrnl nrrrn ,JDS _ -- - -
6. 11(11:S \\'1;1 1, RI:PI At'I' I'SI:IINN U'I.I.I I YE:; 1.1 NO IIP _-_ __.y7 _.IQ
rrl
7 SI \Hi'. -\r111.ltll \ Il, llclun cr -oof t 'rI oII i I I _-- --� —
(11 r it Al r Iry dl mnl
R 11 1' Of ( ASINI I IS I _.. fl. Above I..md Siltlntee ----- Q�
•l rr rf rr.i ne inmingled Mini trim,lnnJ r !Inrr smolt or•
.•Ilrnrr In rrrmdvnrr nllh 15.1 Nl \I rc.111In Y' -
) 'ii1'I.D ((I'IO) 1U _._- 1\11Ill0l) Or1IS14I'Q - -- - — — __
m l';nr Fit ; ,NES (dt) III): __ 1AGALIQtdSKIlclI I -1
1i IIISItTTITiioI1: '1)pc ?QL�4a_ Amount _ If) ___ show dilection and distance in miles hoot ntlenslT��,
Wnll l Ilic4nccs Iwo Slate Roads or County Emil,. Include W toad,;
12. Cr1SItJl;: k numbers and conulntll road names. 7 1
13)
N�•1�111 I.inwrlrr in lVri ;hUPI. blots inl s'I
I:Imn,.—_I]— fn-__rlp _ a _Co_L.,1 _ _SUs2l 4ic_---- �ry"
Pir -, ---Il,-- - 11. _ --- II' t
------- ------
r ;
I). 11 ItOUI I'rplh nn Dlldrlial MCITod
I lolll_�__ 1" �_ 4J'—It.-I�€allL4rl I._.-. .�rE:-sS(,ILL_ .
11. SCRI°I N: Ilrplh IJnmcter lot ;i:e 4Ldrlinl /Im;yet r-`I
1 tool t o 11-----._in. --- --- - in. --
15. SANIv(;RAVl:1. I'ACI::
Penh Sirr r.lnfclild Lrtl�
1 110 I li:Rrll'1 CI:R I WV 111A F l i llS \VI:L1, WAS 1-1)1IS I RI JUI N. ) IN ACCORDANCR WI111 I5A fICAC 2C,WIII I,
COI IS RNLI ION Si// ANI IAltI2S�,{Ah1U 111ACI A COPY 01:11IIS ItEECORU IIAS BEEN PROVIDED 1OT IIE WELL)OWNER
[;ltduAlt nut ill I'f.It',1IN ( ONSIRUCIIN(11IIEWELL DAIR
' Submit Mr in'glint In the Dlt iclon o1\Valet Quality,Cruaodwalct Sectluo, 1636111n11 Scrvlce(:rider-Ilnlrigh, ri :
rim I II I:V 11 1 1 7 1111 1

III 17 I11I111 Ii 111111• -. - -
\YELL UUNSTILUcTUUN ItECUttu 3 0 510 9
mil th Cm(dina - I)!patUncut of Rnviunoncnt and Ilan al Itesoutcrs-Division of Water Quality-0lonnd'satcr Section fin ,
C e C C rfl 1 IFIuit inn;n oC._! w
II Ft cUNIIt,\l101t IINIIICII111AIJNMIF, (pllr,ll9 eit/ 0� _ —_-- �g7� `
1{FII.CiINntnci nit(-111VrAN1'(IAsir .--_/21////61- __-_—.. --_---- ---1'1itn(r. N pr...''L_'eC/,-)
51 AIr.t1-F IA,C(INS 111UCi ION 11R5111N _ ___-__-- ASSOCIAIEll %%I)F'EiINII IN ____——-_ -_—_ _ _
(If nh,l,licable1 if nkliciahlcl .... ,.„. ., ,..- . „,. . , n
I. \VFI I I ISI; (Check Apphea111c Doi): Residential N---Khuricipal/Public LI Indnsttial 11 Alpicullolal LI
hlonilolinF;CI Rrci'vei ' I IIr:It Pump 1\'atet Injection LI 011ie' 11 11 011ict• List l)se_-
2 V, RI I. I t rCA Ill ll l
/
_ *I opo aplti/Land selling
Iracst 'loc. 0Jv/"J t'oomy C-1e/o,/e0 Llltidµc (.!Slope lVnllry 1-
11 1nl -
(/gtC-t�4 /
_ -_ _ flier,nlplopOrO lo0)
Ir• rrl lno L ollo-0 I,,mmm{M, d di khcu,l 1 II,,. 7fp 1 ,.dr) Latiluddlyttgilullc of well lot ��
/ /v33 aoi /s'8' w-at/°a2 rsi -S
1, t )A:IIt I' /D let fC/1e.,/y.) (drg,erJumnnrd ndr)
ndrhrss 1 3 S -i.''9Y-f. L 1-0 r d_ Lnlihldclloogihldc suwcc.l If il'SCI Fopnprgr uc map
Itr I,I Itoulr N, ) (clink la,•)
URILLNJ(I LOI i
l in , ,11,,., l i ;y,, „I, - - ..__-. Purut 'fo lot nalio❑ Dcsclildinn
( 1 7
n n An -IT II ,,,,,hl — U --- - C � --
I. I I, I I: lift! I !'!) / / US - a y _ /<`- /4�r] _ _lsrFe7,re
c t(ItAt ! riii' - / YD r. .
6 I ci!•S \\•I I.I, I!I°PI All' I'\IC111I0 WI 1 I.7 •i I1S 1-I DO I-I _._ --. - --..—_. a 1
7. S I AI IC. \V I-ER I I \I I llclo11 I op of l r up,. 20 1.I rrt
(I I ."II Alone. hp of( our) - _-_ 1 8 TI)I' ( Jr ( A INI) 1 l f I Mole I 111,1 Sultacc"
•I rp ni titlingl 010, 11al/,n briny,lent nnl ramyth r•• .
v„Haar!In arnnllanre n't1415A N( m'II'.ntlr —' ------
o yin no Ilrr. 5' NIl won (in F• ;fjf ,/-__- — —
io. \\'n l i It 7()14E.S (do-plli): /s s- __ ---
LOK:AliQI StcLIU1
I I. DI R I I I C i 1011: I Hie /l_.r(f Amount. -. �`f_= —_ Show direction and distance In miles from nt Icact
R. CASING.
Wall 1 hit knr5.v two State Roads or County Roads. Include the lord
117 Ih Uimnelrl or Wrigh6'Fl, hinkti.d numbers and common toad names.
r om-._C.) 11' Ft. `.25" Belie?/ _ c--c
--
1 tom lo I L _.- ------
11. tiR /III --_ Ur1th—�- Al urn :d Aclhud
II-I. i (A"Jc- es. a--B
rim', it, I't.
14. SCRUM:fl: Urplli Diameter Slat Sire htalrtial
Irinnl ho fl.--- III. -.. in. _-----
lllvn 'I• i ---Ft. in. in. ----_—
15. SAND:GRA1'F1. 1'ACK:
I)rpth Sire Matrrial
hula ----ln I I --- --- -- -------- -
III I('iii-- —I o ---11.__-__._ -. _ -- ----- --
16. RIit.IARI;S: —
11)0IIFFF11I CII' I IFY 11IAI 1IIIS WI'I I,WAS 1'Ut)SI It1)CIII.D RJ ACCORDANCE WI111 15A NCAC 2C, WE1.1.
CONS I RUCt Intl S I/VdUAttUS, AtmU MAT A(7)I''i 0E'1HIS RECORD HAS BEEN PROVIDED 10711E WELLOWIJI:R
dS a Y
-- r
----.__ - - SHll,nlll P.u1 I I rz d7 SUrllhlSI1t0CIRJl,'IIiER'CLL Unll.
Submit the in(gins! to the Ilk isn't of Wale; Quality,l;lotutd{vnler Section, 16161NaIl Seance Center- Rnlrlt!11,to:
(Mil 11117V Il THlllll

NC v unfelt . rills . _
vVE►,L, CONSTRUCTION ►tECO►tll 3 0 51 ° 3
North Carolina -1)rpalltncnt of Environment and rinlural Resources-Divisions of Water Quality- Ormmdwaict Section
WELL CONI ItACrI(ll(INI/1VIIIUTAL)NAME������ (�p��aid)__j.�(ahges R._ LAD:1Snrn CEit I(FICA I ION N..UDy
WFI.I,CON I IIACI Olt COMPANY NASIF.A tt.f.(. QL nktiea5 _motif. N fYasi437_.261s7
S I A I F.WELL CONS I III N:I ION EERIIIIIM _.-...--_.-__—_-------ASSOCIA'I Eli WI)11E11E111 N if❑ , dicnblr) if a I livable , -
I. \EI.I, IISE (fleck Applicable Dux): Residential KY Municipal/Pllhlic L1 Indusllial IA Agricultural LI
Monitor hip IT Recovery U I teal Pump Water Injection Ll Other IJ If Other, List Use
2. W'E.1.1. I UCATION: Topographic/Land Seitinit
Neatest l cnvlI:iM( kH.- .______CountyCkc& t.__ ❑Itidge L#'ilopc ❑Volley LJfht
la( (- ae CI 11 (cheek appugninf Ina)
CI_ (cheek
Nil nr 1JnniLn. Cm ununily,Sahli) lot I7n,7ip fi lo) _-�--� Latitude/longitude of well location t'
3. MY V. Nl'it:._r_ _-. C-k CtLQ (deweeliminulrtlnrcrn.11)
�.h( ./ _2f - Lasimdc/longilude soulce:UOl'S❑Dopoglaphie leap
Address .� �( -- ---V y- - ---- ----
(CbeN PI Itoi a Na ) (check box)
1l'^-c o liv -Qfc, `61/0t( — 1)L Lill u►lIL1,10li-LU!
City of limn F /Sitar Lip Cods h ion( To Pmnmtion Description
1 _ .1 — (7 - 1p(n� ' ( �?y
Airs taxis- Chun.bomber (Ina - etUt n e_-
s. TUFAL PIT'111 L1W51 _-- -- - -
6. POPS VVf1 1 RIU.I I ACI? E XIS 1INti WIT.1.7 YES I I NO I _ _
7. SFAJII. \VAI ER. 11,VI.Lllclon 'Fop of( tnlgl - N.ht. ._EI'. —C- Is__
(urr-I.•If Above lop ill('nringl ----__ n
R. 'TOP OF ('ASINI, IS _1_ __ IT. Above hind Surl:rcc• ---
H� —
•l ep of tnlog In inboard ntlaa beton Innsraalnre trip))n a _-
nn i.or,In.ccnrtliotenllh1SAN(AClC IIIIIL O
4 YIELD (glint): 4___METHOD OFTESFAe_ .---
IU. WATER 7,UNIiS ((kptb): ------
— — — — -
_ LQC;AlLQI4ySf 41(;I►
it. IJIS11111CIlUll Ibpc14k$tkk_P_`_t- lfn
S Altlilt (Ij— Show direction and distance its (Hiles flout at least
IL CASING: Wall'thickness No Slate (toads or Coulrly Roads. Include the road
Drptl � � Diameter or\'eight((. tdnteiial minibus and common road names.
Irtnn 0_ IOJDLf1._ I't._l�-I2� .SQ1.�1 _ate—
faun —_ 11' I-( - -.-_--- ------- C v,d
how To Ft _._---- -----
13. (iROIII: Perth bintctint 11 Method
I-rout C_ . 'fu „2iw' _EI l)c);X Gy'lt:l lit-esscAt 't_ i �zC 40(' ��
Prom To_----II--f------- -__-_— .en}
14. SCREEN: IPept11 Diameter Slot Sirs Material
From 'Fri --Ft. in. ------- iu. ----
now To-..-- ---1'1.-----Ili. ill. ------
15. SANI)iUItA\'1'I, PACK m�
Drplli Sire Idnle'inn 7
rout fi EL
I'I Alm--- T ---- FL --- ------...._ •
VI
1 DO I11'RI'I)Y CER I IFY'I I IA'f I I11S WEI.I,WAS('(INS I RIICII)D IN ACCORDANCE W III 115A NCAC 217. WELL
l
CONS(RU('I ION STANDARDS,AND THAT A COPY Op'I711S RECORD IIAS BEEN PROVIDED TO I11E WELL OWNER
SI('IIA 1 uitit(IF II'RS(IN tows RMA WO111E WELL UAIE
Submit the ur Iglnal to the Ph'slim of Water Quality,(;iomrdnater Section, 1636 Mall Service Censer-Raleigh,NC
n .I ... OW-I 1U V. ON70gl

VD P�
WELL CONSTRUCTION RECORD 3 0 6 0 ry
North Carolina Department of Environment and Natural Resources-Division of Water Quality ( 5
WELL CONTRACTOR(INDIVIDUAL)NAME (print) TARRY F.JONES CERTIFICATION',3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PRONE 0 f828)83743008
STATE WELL CONSTRUCTION PERMIT', ASSOCIATED WO PERMIT',
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential XI Municipal/Public 0 Industrial 0 Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting .
Nearest Town:MURPHY County CHEROKEE )0Ridge ❑Slope OValley OFlat -
WILLOW TREE LANE (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
-
3. OWNER: RAY NEWCOMB (demos/minutes/seconds)
Address 93 ROCKRIDGE RD Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
MURPHY NC 28906 DEPTH DRILLING LOG
city or Town State Zip Code From To Formation Description
(828 )- 361-5545 0'TO 80' RED CLAY/GRAVEL '
Ares code-Phone number 80'TO 100' BLACK DIRT/SURFACE WATER
4. DATE DRILLED 12-23-2004 100'TO 130' GRANITE
5. TOTAL DEPTH: 305' l 130'TO 305' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO
7. STATIC WATER LEVEL Below Top of Casing: 120 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surfaces
'Top of cuing terminated at/or below land surface requires a
variance in accordance with 15A NCAC 2C.0118.
9. YIELD(gpm): 20 METHOD OF TEST AIR
10.WATER ZONES(depth): 280' LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from atC pst ;._
12. CASING: two State Roads or County Roads.Include the.pad r!{{''
Wall Thickness A
Depth Diameter or Weight/Ft. Material numbers and common road names. ".-• -ro..
From 0 To 130 Ft. 61/8" SDR21 PVC 1 cy--.
From To Ft. u
From To Ft. �._
CI
13. GROUT: Depth Material Method
From 0 To 20 Ft.CEMENT GRAVITY -� +fin
From To Ft. Co .
c-
14. SCREEN: Depth Diameter Slot Size Material a
From To Ft. i . in. lD +,1; r�,_!,
From To Ft, in. in. /�1�-- 'cC.
15. SAND/GRAVEL PACK: d') �Y ,
Depth Size Material \� V
From To Ft.
From To Ft.
16. REMARKS: •
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT 4.COPY OF THIS RE ORD HAS BEEN PROVIDED TO THE WELL OWNER
• 22 la a8 ELF
SIGMA OF,�ERSON UCTI15G"fllE WELL DATE
Submit the original to the Division of Water(Quality,Attn: Information Management,1617 Mail Service Center-
Raleigh,NC 27699-1617, Phone No.[phone],within 30 days.
GW-1 REV.09/2004

WELL CONSTRUCTION RECORD e 3 0 6 0 7 3
North Carolina Department of Environment and Natural Resources-Division of Water Quality
WELL CONTRACTOR(INDIVIDUAL)NAME (print) WILLIAM BRADLEY LEWIS CERTIFICATION g 3368
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE [phone]
STATE WELL CONSTRUCTION PERMITS/ ASSOCIATED WQ PERMITS/
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential I) Municipal/Public 0 Industrial 0 Agricultural 0 -77
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use :
2. WELL LOCATION: Topographic/Land setting -
Nearest Town:MURPHY County CHEROKEE $]Ridge ❑Slope OValley ❑Flat -
KEENER RD TO HAMPTON RD (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location -
3503.373N/8400.482W 3. OWNER: BRANDON DOCKERY (degrees/minutes/seconds)
Address 880 KEPHART RD Latitude/longitude source)OGPSDTopographic map
(Street or Route No.) (check box)
MURPHY NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
(828 }837-6033 0'TO 120' BROWN/TAN SLATE
Area code-Phone number 120'TO 151' BLUE SLATE
4. DATE DRILLED 12-10-2004 151'TO 205' SLATE
5. TOTAL DEPTH: 205'
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) tj1 Sri,.
8. TOP OF CASING IS 1 FT. Above Land Surface*
*Top of casing terminated at/or below land surface requires a ?..0' CC:;
variance in accordance with ISA NCAC 2C.0118 1 p"
9. YIELD(gpm): 50 METHOD OF TEST AIR v)
10.WATER ZONES(depth): 220'
LOCATION SKETCH
Show direction and distance in miles from at least -_,,I, wL'
11. DISINFECTION:Type CHLORINE Amount 100 PPM ,� ,"
12. CASING: Wall Thickness two State Roads or County Roads.Include the road N crfc
Depth Diameter or Weight/Ft. Material numbers and common road names. :
From 0 To 151 El. 6 1I8' SDR 21 PVC
From To Ft. O
From To Ft.
13. GROUT: Depth Material Method
From 0 To 20 Ft.CEMENT GRAVITY -- �p From To Ft. Cup
14. SCREEN: Depth Diameter Slot Size Material 'CO ., ItY'
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 CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN P VIDED TO THE WELL OWNER
1 �4 12-a.--o1/
SIGNATUREEOF�CONS�TI,P HE ELL DATE
Submit the original to the Division of Water Quality,Attn: Information Management,1617 Mall Service Center-
Raleigh,NC 27699-1617, Phone No.[phone],within 30 days.
GW-1 REV.09/2004

WELL CONSTRUCTION RECORD 2 9 4 27 8
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (piing DAVID F.MCKINNON CERTIFICATION 0 2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE [phone]
STATE WELL CONSTRUCTION PER11RTa ASSOCIATED R'1)PF,it.MITN - -
(ifapplicable) (if applicable) I
r. `:.—.
I. WELL USE(Check Applicable Box): Residential® MunicipaUPublic 0 Industrial 0 Agricultural 0 ---
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use '� _
2. WELL.LOCATION: Topographic/Land selling
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope ❑Valley ❑Flat'
6081 CANDY MTN RD (check appropriate box) I i
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location - i
3. OWNER: RICHARD MCKINNEY (degrees'minutes/seconds) _ I • `.
Address P.O.BOX 1276 Latitude/longitude souree:OGPSOTopograpl tomd y
(Street or Route No.) (check box) t �__,j)
MURPHY, NC 28906 DEPTH DRILLING L-1G ___,.
City or Town Stale Zip Code From To Formation Description
( 828 ). 837.6361 0'TO 20' BROWN DIRT
Area code-Phone number 20'TO 40' BROWN DIRT/GRAVEL
4. DATE DRILLED 04-21-2004 40'TO 60' GRAVEUGRANITE
5. TOTAL DEPTH: 385' 60'TO 82 GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El 82'TO 385' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 94 _FT. GRANITE
(Usc"+"if Above Top of Easing) '-'
8. TOP OF CASING IS 1 FT.Above Land Surface' 0 0
-C 7-,
*Top of casing terminated atlor below land surface requires a .p, -�
variance in accordance with ISA NCAC 2C.0110. l
9. YIELD(gpm): 20 METHOD OF TEST AIR N 13 r-,---
I 0.WATER ZONES(depth): --
LOCATION SKETCH C' -�=
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at Ieast-'0S 1".,.
12. CASING: Wall Thickness two State Roads or County Roads. Include the ro W tT ,
Depth Diameter or Weight/Ft. Material numbers and common road names. c?,
From 0 To 82 Ft, 61/8" SDR21 PVC o
From To Ft.
From To Ft.
13. GROUT: Depth Material Methodkani
From 0 To 20 Ft. CEMENT GRAVITY
CV
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
�J
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To_ Ft. -
From To Ft. °Y-1
16. REMARKS:
I DO HEREBY CERTIFY TILAT TII1S WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND T,H,AT A COPY OF' MIIS RECORD HAS BEEN PROVIDED TO TIIE WELL OWNER
SIGNATURE OF PERSON ONSTRUC'fINGTI(E WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. G W-I REV.07/2001

WELL CONSTRUCTION RECORD 294277
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) DAVID F.MCKINNON CERTIFICATION S 2411
w'F.LI.CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY, INC. mow, a [phone]
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WQ I'ERMITN
(if applicable) (if applicable) _ .
1. WELL USE(Check Applicable Box):Residential El Municipal/Public 0 Industrial 0 Agricultural C
Monitoring El Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use -
2. WELL LOCATION: Topographic/Land sepia$
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope ❑Valley bP S$ i
HWY 294-WHIYE PINE DR. (check nppmpriate box) -
(Street Name,Nwnbcrs,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location)
I
i
3. OWNER: ARVIL COOK ISTEVEWALDROUP (devees/minutcs/scconds) - ____
Address 865 PENLAND RD Latitude/longitude sourc:e:EIGPSDTopigraphic nfa _--
Mrz) \ ';
IStreet or Route No.) (check ._-_ -_--
BRASSTOWN, NC 28902 DEPTH DRILL NO LOU
City or Town State Zip Code From To Formation Description
( 828)- 837-7566 0'TO 20' BROWN DIRT
Area code-Phone number 20'TO 40' BROWN DIRT
4. DATE DRILLED 04-20-2004 40'TO 60' SANDSTONE
5. TOTAL DEPTH: 605' 60'TO 80' SANDSTONE/GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El 80'TO 90' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 120' FT. 90'TO605' GRANITE c
(Use"f"if Above Top of Casing)
S. TOP OF CASING IS 1 FT.Above Land Surface' P0
'Top of casing terminated at/or below land surface requires a y
variance in accordance with I5A NCAC IC.0118. — 2
9. YIELD(gpm): 10 METHOD OF TEST AIR o--
tv `c
10.WATER ZONES(depth): — Q' yo
LOCATION SKETCH —t—
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at lea m
12. CASING: Wall Thickness two State Roads or County Roads. Include the ro� ,��
Depth Diameter or Weight/Ft. Material numbers and common road names. tV
From 0 To 90 Ft. 6 1/8" SDR 21 PVC r
From To Ft.
From To Ft.
13. GROUT: Depth Material Mel hod f
From 0 To 20 Ft, CEMENT GRAVITY a� Q(ti.F
From To FL \C (161:11)
14. SCREEN: Depth Diameter Slot Size Material .,From To Ft. in. in. �
From_ To Ft. in. in. l �J
15. SAND/GRAVEL PACK: \C'9
Depth Size Material --..- -,t\ a�.'re- s.? 1)Dp
From To Ft. -_ / \�A, I r.
From To Ft. �_.
16. REMARKS:
I IO)HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCI ED IN ACCORDANCE WIT II I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RECORD
HAS B/F.EEN PROVIDED'I O THE WELL OWNER
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. OW-I REV.07/2001

294276
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)DAVID F.MCKIINON CERTIFICATION# 2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY, INC. PHONE a [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WO PERMIT#
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box): Residential ® Municipal/Public 0 Industrial ❑ Agricultural❑ ;..
Monitoring❑ Recovery ❑ Heat Pump Water Injection❑ Other❑ If Other,List Use -'7
I c 1
2. \VEL1, LOCATION: 'fopographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope ❑Valley ❑Plait.- !
SUNNY POINT RD (check appropriate box) j
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well locatiollt:,- -,
3502.627N/8412.723W I --b,
3. OWNER: BOBBY JONES __— (dc17eJminutes/scumds)
Address 1066 SUNNY POINT RD Latitude/longitude source:KIGPSOTopo phis Snap
(Buret or Route No.) (check box) I -- � ,i
MURPHY, NC 28906 _ D[ilf1 DRILLIN LOG t1'�__ _._. )
City or Town Stale Zip Code From To Formation De. ----_.
( 828 )- 644-9767 0'TO 20' RED CLAY
Area code-Phone number 20'TO 40' SANDSTONE
4. DATE DRILLED 04-21-2004 40'TO 60 SANDSTONE
5. TOTAL DEPTH: 265' 60'TO 140' _ SANDSTONE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NC) 113 140'TO 160' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 50 FT. 160'TO 170' GRANITE
(Use"r"if Above Top of Casing) 170'TO 265' GRAY GRANITE
8. TOP OF CASING IS 1 l/2 FT.Above Land Surface* -------- t
*Top of racing terminated at/or below land surface requires a —-- 0 CD
variance in accordance with ISA NCAC 2C.0118. --.--
9. YIELD(gpm): 13 METHOD OF TEST AIR _- ag- c)
10.WATER ZONES(depth): 220'-260' ___ DRILLED 51/8'HO[tl xm
LOCATION SKETCH C,
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at last =-o
12. CASING: Wall Thickness Iwo State Roads or County Roads. Include the r1d m-IG
numbers and common road names.
Depth Diameter or Weight'Ft. Material LP -
From 0 To 170 Ft. 6 1/8" SDR 21 PVC CR cr '
�
From To Ft. — lv
From_ To Ft. -._ _ C o
-L
13. GROUT: Depth Material Method
From 0 To 20 Ft, CEMENT GRAVITY y
From To Ft. J
14. SCREEN: Depth Diameter Slot Size Material
Front To _Ft. in. in. __-- (L
g:.:-11.)
From To__Ft. in. in. _
15. SAND/GRAVEL PACK: a
Depth Size Material ;\
From To Ft. - SU^f^'y tbla)i-, Rp
From To Ft. 0.
1 -
16. REMARKS: 1194.
(<
I DO HEREBY CERTIFY THAT'I IIIS WELL WAS CONSTRUCTED ED IN ACCORDANCE F:WI111 I5A NCAC 2C WELL
CONS'FRIICl ION STANDARDS,AND TIIAT A COPY F THIS FORD HAS BEEN N PROVIDED CO TII WELL OWNER
r/
�. c r> 77'-a/ 1-
SIGNATURE OF PERSON CON. 'IRUCTING Ti IF WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

WELL CONSTRUCTION RECORD
294275
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL.CONTRACTOR(INDIVI DUAL)NAME (print)LARRY F.JONES CERTIFICATION#3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. ppoNE N [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERM ITN
(if applicable) (if applicable) _ 'i
n
I. WEL1,USE(Check Applicable Box): Residential ® Municipal/Public 0 Industrial ❑ Agricultural❑ I '
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use
I '
2. WELL LOCATION: TopographidLand settin "
Nearest Town: ANDREWS County CHEROKEE IDRitlge OSlope CI Valley la S
PISGAH RD (check appropriate box)
I
(Street Name,Number,,Comimmity.Subdivision,let No.,Zip Cede) Latitude/longitude of well loc✓1tion.'.
3510.432N/8349.337W --.-•
3. OWNER: EDDIE TRULL Idc1,eeJminules/seumds) , . - ; -
•
Address P.O.BOX 1936 ___ Latituddlongitude source:KIGPSOTo 15 adhirmapv J
(Street or Route No.) (check box) II c --I :i
ANDREWS, NC 28901 DEPTH DRILIU L.t;2St _
City or Town Sane Zip Code From To Formation Description
( 828 )- 321 4794 0'TO 60' RED CLAY
Area cede-Phone number 60'TO 100' SAND
4. DATE DRILLED 04.21-2004 100'TO 160' BLACK DIRT
5. TOTAL DEPTH: 505' 160'TO 210' RED CLAY/SLATE
6. DOES WELL REPLACE.EXISTING WELL? YES C NO ® 210'TO 238' SLATE
7. STATIC WATER LEVEL Below Top of Casing: 80 FT. 238'TO 300' CLAY/UNCONSOLIDATED '
(Use"I-"if Above Top of Casingl 300'TO 320' SLATE
8. TOP OF CASING IS I FT.Above Land Surface* 320'TO 340' UNCONSOLIDATED
`Top of easing terminated et/or below land surfsee requires a 340'TO 360' SLATE
variance in accordance with ISA NCAC 2C.01IR. 360'TO 505' SLATE
9. YIELD(gpm): 3 METHOD OF TEST AIR
10.WATER ZONES(depth): 240' 360'TO 505' DRILLED 5 1/T HOLE
LOCATION SKETCH o
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at Vat O
12. CASING: Wall Thickness two State Roads or County Roads. Include theoad ?m
Depth Diameter or Weight/Ft. Material numbers and common road names. Gm
From 0 To 210 Ft. 8 1/4" .188 STEEL N `S{n
`
From To Ft. — - _c
+—
From To_ Ft. _-_ m 0
13. GROUT: Depth Material Method IS
-
from 0 To' 20 Ft. CEMENT GRAVITY1_
Front To Ft. r tv
14. SCREEN: Depth Diameter Slot Size Material /� 1Cs"-!'Ra
From To Ft. in. in. / r
From To Ft. in. in. � 0 J Y-
15. SAND/GRAVEL PACK: w7V
Depth Size Material QA
From _To Ft. - 1
From To Ft. —
16. REMARKS: .
I DO HEREBY CERTIFY'TIIAT THIS WELL WAS CONSTRUC'IEI)IN ACCORD ANC'F.WIT!! 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND T ACOPY OF Tills RECORD I FAS BEEN PROVIDED TO T IIE WELL OWNER
C��r� �t Q.� Y-at Lt
-
-
SI NATURE PER N ' ."IRUCITNG 33 IF..WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mail Senire Center-Raleigh,NC
27699-1636 Plume No.[phone],within 30 days. OW-I REV.07/2001

2942'74
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIYIDUAL)NAME (prin0
LARRY F.JONES CERTIFICATION ti 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE 8 i828) 837-8008
STATE.WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT4
(if applicable) (if applicable)
G
I. 1V ELL USE(Check Applicable Box): Residential ElMunicipal/Public❑ Industrial ❑ Agricultural 0 i'2 F. - —
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use p
2. WELL LOCATION: Topographic/Land setting I
Nearest Town: MURPHY County CHEROKEE ISDRidge ❑Slope ❑Valley gFlat'
PUETT COVE (check appropriate box) - i
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location,
I
3. OWNER: LARRY LITTLE tdcprees/minutcs/seconch) ,
souree:
Address 298 SNOWBIRD TRAIL Latitude/longitudeO PSIJToF o. aphc map
t
(Street nr Route No.) (check
MARBLE, NC 28905 DEPTH DRILL! G L
City or Town State Zip Code From To Formation f - - '
( 828)- 736-1778 0'TO 20' RED CLAY
Area code-Phone number 20'TO 60' SANDSTONE
4. DATE DRILLED 04-22-2004 60'TO 100' SAND
5. TOTAL DEPTH: 305' 100'TO 140' BLACK DIRT Ca
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ® iao'TO 1sB' SLATE p
58'FT. TO
7. STATIC WATER LEVEL Below Top of Casing: 80305' SLATE C c?Ae)
(Use"F"if Above Top of Casing) 70 `e)
8. TOP OF CASING IS 1 FT. Above Land Surface" -� -
*Top of casing terminated al/or below land surface requires a (V G-^
variance in accordance with I5A NCAC 2C ADMal -,
O. YIELD(gpm): METHOD OF TEST AIR -
(gP ) 5 me
10.WATER ZONES(depth): 240' S L
rn
LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least? en
12. CASING: Wall Thickness two State Roads or County Roads. Include the roadON 2
Depth Diameter or Weight/Ft. Material numbers and common road names. /�
From 0 To 158 Ft. 6 1/8" SDR 21 PVC 1I ela �_k�`/V
From To Ft. —v' V'
From To Ft.
13. GROUT: Depth Material Method
Front 0 To 20 Ft. CEMENT GRAVITY �y
From To Ft. ('J,3
14. SCREEN: Depth Diameter Slot Size Material
From To_ Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK: •�„
ii
Depth Size Material
From To Ft. — I — p J
From To Ft. _
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 RECORI IAS BEEN PROVIDED TO THE WELL OWNER
c_..
— -- '-}x,,�;,
v_,.,_,,,,i_
SIONATU AF PICRfiON C NS .D N(:i"f I IF WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1616111ail Senlce Center'REV.
21 01
27699-1636 Phone No.[phone],within 30 days.

WELL CONSTRUCTION RECORD 297675
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)DAVID F.MCKINNON CERTIFICATION N 2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING PHONE N [phone]
STATE WELL CONSTRUCTION PERMITN ASSOCIATED WQ PERMITN
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential® Municipal/Public❑ Industrial 0 Agricultural❑ .
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting ,
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope [Walley ❑plat,
MARTINS CREEK NEAR STILES FARM (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location '
3503.061N/8401.173W
3. OWNER: JOHN CHASTAIN (deg eeriminuteshccnds) 1-7 i
Address 3757 BRASSTOWN RD Latitudc/longitude source:ElGPSOTopograp is map
(Street or Route No.) (check box)
BRASSTOWN, NC 28902 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828 )_ 837-8706 0'TO 20' RED CLAY •
Area code-Phone number 20'TO 40' BROWN DIRT
4. DATE DRILLED 06-09-2004 40'TO 60' BROWN SANDSTONE
5. TOTAL DEPTH: 705' 60'TO 80' TAN&BROWN SLATE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO RI 80'TO 100' BROWN SLATE
7. STATIC WATER LEVEL Below Top of Casing: 100 FT. 100'TO 120' SLATE r _.
(use"1--if Above 7op of Casing) 120'TO 705' SLATE
8. TOP OF CASING IS 1 FT.Above Land Surface'
*Top of casing terminated at/or below land surface requires a
variance in accordance with ISA NCAC 2C.0118. CJl
9. YIELD(gpm): 1/4 METHOD OF TEST AIR -'
10.WATER ZONES(depth): la
LOCATION SKETCH o r,
I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from a.Ueast—J
12. CASING: Wall Thickness two State Roads or County Roads.Include th4 road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 120 Ft. 6 1/8' SDR 21 PVC P
From To Ft. /cs2 ,_From To Ft. X(S13. GROUT: Depth Material Method GCLdFrom 0 To 20 FL CEMENT GRAVITYFrom To Ft.14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. 5
t.
From To Ft. in. in. 4 M 111
15. SAND/GRAVEL PACK: Silk P
Depth Size Material
From To Ft. Q2,iS
From To Ft. , ✓ RD
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 RECO IRS BEEN PROVIDED TO THE WELL OWNER
SIGNATURE OF PERSONCONSTRUCfING TIIE 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

WELL CONSTRUCTION RECORD 297700
North Carolina-Department of Environment and Natural Resooutces-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME. (print) /ibr y,2eACcde CERTIFICATIONM
may,., PHONE N ft2S) eii-4i52
WELL CONTRACTOR COMPANY NAME /������
ASSOCIATED NV I)PERMIt II ___ _
STATE
WELL CONSTRUCTION 1•t:{N11TN ifn)riicahlc
ifar licablc I. WELL USE (Check Applicable Box): Residential C!' Municipal/Public ❑ Industrial ❑ Agricultural 0 1 T
Monitoring ❑ Recovery ❑ Heat Pump Water Injection ❑ Other 0 If Other,List Use
2. WELL LOCATION: / Topographic/Land selling
/ 14/.7 County C/�e" ‘ c.'e ❑Ridge ❑Slope ❑Valley ❑Plat
Nearest To1wn:/7 TO/r&' g//. __—_ (check appropriate boa)'. `>
Latitude/longitude of well location t G
(sued Name,Numbers,Community,Subdivision,Lot No., Lat
Zip Code) id" wa89a SL " JP S'
N3,i°b7 �/l.l C
ia
OWNER
/0 .e 64-e 'G f (JegreeshninuteJeecnnds) i..
3. Owe ss / +I Latitude/longitude source:LIGPSOTopographic map
Address or Route H TOP — (check hoe)
C p($�trttt or Nu.) 50S YI.r,-f"II p)GLLINII`JU,...- . ...
City orTown �L Z$ From To r'nnnati on Csc;ipt ion
City or Town Stale Zip Code
( ) p--/2r7 CA/
Arta code-Phone number n_ v izo g v o ,514 ! e
4. DATE DRILLED 2lt-D0 0
5. TOTAL DEPTH: 3 YO ' --
6. DOES WELL REPLACE!EXISTING WELL? YES ❑ NO C3-
7. STATIC WATER LEVEL Below Top of Casing: 9 O _It
r (Use•'+"if Above'fop of Casing)
8. TOP OF CASING IS hi— Err. Above Land Surface*
•Top of cuing terminated aVor below lend snr lace requires
.Fiance In accordance with ISA NCAC 2C.0118.
9. YIELD (grin). _. _ i.i:L:ilnrl or' PST /ialr -- - _-
10. WATER ZONES (depth): J 00 LOCATION KE hCII
1fi` Amount .9ed c�P Show direction arid r3ialancc in miles from aLlcast
1 I. DISINFECTION:Type /� Wall Thickness two State Roads or County Roan . !:cbde die road
12. CASING: numbers and conunon road names. c_
,—
Depth Diameter orWcighUPt, blatuial
Front 0 To /2e Ft. C. .feed/ "tic_
From To Ft.
From To It. — — v
Ia crinl Method
13. GROUT: Depth J� � � Method
o�� ,-
From 0 To to FL f o r�
From— To FL — —
14. SCREEN: Depth Diameter Slut Size Material p o z
From To Ft. in. in.
From To Ft. in. ill. -
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft. .
From To Ft.
IG. REMARKS:
I DO I IEREBY CERIIFYTIIAT Tills WELL WAS CONSTRUCTED IN ACCORDANCE WI111 I5A NCAC 2C, WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED 70 Ti IE WELL OWNER
��rc,--u_ 4,4 -0 f- ° Y
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality, Groundwater Section, 1636 Mail Service Ceentterl Raleigh,C
27699-1636 Plume Na.[phone],within 30 dnys.

WELL CONSTRUCTION RECORD 297699
North Carolina - Department of Environment and Nat rat Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) t't/7 /Cetc._ CERTIFICATION a24zr03
Yler rnoNE a f84') 93J-2ff?
WELL CONTRACTOR COMPANY NAME /f7'
ASSOCIATED\VO PERMIT STATE WELL CONS ON PERMIT" AS ifa„licnblc -. __--
if a„licable cablc
I. WELL USE(Check Applicable Box): Residential Municipal/Public 0 Industrial 0 Agricultural ❑
Monitoring ❑ Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION: _// Topographic/Land setting
Nearest Town: 27e:/i`� County C/---1I 6 ❑ILidge DSlope ❑Valley ❑flat
/,t N m,N rra, o id.
(check appropriate box) ,1
(Sn<ct Namq Numbers,Cnnuuunity,Subdivision,l,rd Nu.,lip Crxlc) Latitude/longitude of well location -:
�/ (degrecs/minutethecnnds)
3. OWNER. ,Ue//�5� CD��ran
Address %o Crva/L: .1/F''%!,y Latitude/longitude saurce:UUtSDTop ographic map
(check bo() I
(Street or Route No.) r.trrii 1.15_IL.Lf1Tcill,_UG: -
City or Town State Zip Code
From To Fnrntation Ucscription
( )- o - zzs- �7ur
Area code-Phone number 2 SD a�MI.-
4. DATE DRILLED ✓Z -- 22r- y�D
5. TOTAL DEPTH: 9 3'0 ' -
6. DOES WELL REPLACE EXISTING WELL? YES U NO a"
7. STATIC WATER LEVEL Below Top of Casing: 200 IT•
(Use'F'if Above Top of Coxing) G
8. TOP OF CASING IS /yv Fr. Above Land Surface• r
Top of using ler mingled at/or below laud surface requt!es■
'.rl.nre In•ccordanre with ISA NCAC 1C.0118.
.,-TnaOl:TES I' C -. - - -
9. YIELD (gpml i.r y70 -.
10. WATER ZONES (depth): j OCA'CIUN ICI f�li ,,
I I. DISINFECTION: Type //me Amount //yC,�/ SHOW direction and:Iialatice in m Ins from it Irnst ,
Wall'Thickness two State Roads or County ltcmu:.. :rcl'"ide pie r`oaiF
12. CASING: numbers and common road names. --
Depth Diameter or Weight/Ft. Material <
From 0 To zs�- FL 4.:�r dirr s
Front VIZ To `/T° Ft. 5,D r Sd Stott
From 72,2- To 2b'v Ft. 5 0 ,!$'r S/eti
13. GROUT: Depth „Material Method \
From 0 To ;2-fJ Ft.A5--lt 'and /-esivi-tom �
From To Ft. ---
14. SCREEN: Depth Diameter Slot Size Material V �
Front To Ft. in. in.
•
�
r
From To Ft. in. — in. Or<«'�,I
15. SAND/GRAVEL PACK:
Depth Size Material �As '
From To Ft. ---- '+fs t 4
From To Ft. it Ye
16. REMARKS:
I DO IIFREBI'CERTIFY TIIAT77IIS WELL WAS CONSI'RUCERD IN ACCORDAN • will' 15ANCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF TI ITS RECORD I IAS BEEN PROVIDED TO TI IE WELL OWNER
2 7-ey
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit the original to the ilk of\Voter Quality,Groundwater Section, 1636 Mail Service Ceentterl REVRaleigh,NC
176g9-1636 Phone No,[phone],vvhhin 30 days.

296116
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) FR2N2— A VI Gr OR CERTIFICATION# 3 1 75
WELL CONTRACTOR COMPANY NAME 8 VG:Rs &etc oatLLrN6 PRONE # (Xfd 745-21b6
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) _/ (if applicable)
1. WELL USE(Check Applicable Box):Residential lk Municipal/Public 0 Industrial ❑ Agricultural❑
Monitoring❑ Recovery ❑ Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: • epographic/Lend setting
Nearest Town: 114UR-PI4Y CountyC.-1-IC-(ROLC4C 'dge ❑Slope ❑Valley ❑Flat
GU IJTF I Q elf A ' (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
N3y59' 711 w CRY,a. 772•
3. OWNER:W2•Yn'18N GUi'4T"6I (degrees t nds)
Address 3PI Sum icon' n2 Latitude/longitude source: GPSDTopographic map
(Street or Route No.) (check box)
WOOTSTu4< M. 3 at S$ DEPTH DRILLING LOG
City or Town state zip Code From To Formation Description
(2W- 1:06-Sy94 0 9 Re') CLaY
Area code-Phone number —'d_ O ,r 9 .31 CW7aniGe an
y
4. DATE DRILLED ^I 34 2 2. GR2 'OQEoN 4 eal-4 k Scor%
5. TOTAL DEPTH: 2 ?5 R Z /2 2 stare • rad
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO Lid /2 2 /4 5 f461Z0 rat' Roc
7. STATIC WATER LEVEL Below Top of Casing: &0 FT. /6 5 2 a 5 /JaPO real/Racee
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 2. Fr.Above Land Surface'
'Top of casing terminated actor below land surface requires■
variance in accordance with 15A NCAC 2C.0118. �.
9. YIELD(gpm): METHODOF TEST aiR
10.WATER(Z t c(depth): /25 cnrt /65 96.'•4 cD
LOCATION SKETCH
11. DISINFECTION:Type HT/I Amount Fl °z Show direction and distance in miles from mast
12. CASING: Wall Thickness two State Roads or County Roads.Include thgload , .
Depth Di ter or Weight/Ft. Material numbers and common road names. o _,
From/la. To 62 Ft. (011t CDR 2f PVC '
From&o 2_ To d-2. FL 6 4/4 GDP 77.A PVC ., -=.
From To Ft. W
13. GROUT: Depth Material Method O
0 Ft. Ca-Mar47— ate v(1V 6
From .?v To
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material I
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 CONSTRUCTED IN ACCORDANCE WITH ISA NCAC et 1 I
CONSTRU ION STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
Ali_ P . U 5-�- ay
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-1 REV.07/2001

297341
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)DAVID F.MCKINNON CERTIFICATION 8 2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE a 1828) 837-8008
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WQ PERMIT#
(if applicable) (if applicable) --------. .
1. WELL USE(Check Applicable Box):Residential El Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring❑ Recovery ❑ Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: ANDREWS County CHEROKEE ❑Ridge OSlope OValley IDFlat
SHERWOOD TO HORSELEG (check appropriate box) 1
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: DENISE AYOTTE (degrees/minutes/seconds)
Address P.O.BOX 1446 Latitude/longitude source:DGPS0Topographic map
(Street or Route No.) (check box)
ANDREWS, NC 28901 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description. __.
( 828)- 321-6030 0'TO 20' BROWN SLATE
Area code-Phone number 20'TO 40' TAN SLATE
4. DATE DRILLED 06-08-2004 40'TO 60' TAN/GRAY SLATE
5. TOTAL DEPTH: 745' 60'TO 81' GRAY SLATE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El 81'TO 745' SLATE
7. STATIC WATER LEVEL Below Top of Casing: 500 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface* _
*Top of casing terminated ator below land surface requires a 0 f-)
variance In accordance with 15A NCAC 2C.0118. C'.t
9. YIELD(gpm): 1 METHOD OF TEST AIR
10.WATER ZONES(depth):
LOCATION SKETCH N
1 I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least - _
12. CASING: Wall Thickness two State Roads or County Roads. Include the road,
Depth Diameter or Weight/Ft. Material numbers and common road names. l c�
From 0 To 81 Ft. 6 US" SDR 21 PVC ---- i
From To Ft. 'c�
From To Ft. Co t.2-
13. GROUT:0DepthoMaterial Method �� X
From 0 To 20 Ft. CEMENT GRAVITY
From To Ft. ,�.
14. SCREEN: Depth Diameter Slot Size Material p�
From To Ft. in. in. 8
From To Ft. in. in.
15. SAND/GRAVEL PACK: i S
Depth Size Material � l�l,� �
From To Ft. \ - J k
From To Ft. •
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 HIS REQORD IRS BEE .N PROVIDED TO THE WELL OWNER
NER
SIGNATUR 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

29 '7340
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) DAVID F.MCKINNON CERTIFICATION.2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. pIIONE 4 [phone]
STATE WELL CONSTRUCTION PERMIT. ASSOCIATED WQ PERMIT.
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential NI Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use 1
2. WELL LOCATION: Topographic/Land selling ,
Nearest Town: MURPHY County CHEROKEE ❑Ridge ❑Slope ❑Valley KiFIat
395 RANGER ESTATES (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: JOHN M.FRYE (degrees/minutes/seconds)
Address 12420 BLASINGIM RD Latitude/longitude source:DGPSlTopographic map
(Street or Route No.) (check box)
FT.MYERS, FL 33912 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 239)_ 277-0564 0'TO 60' BROWN DIRT -_._. .__.
Area code-Phone number 60'TO 80' BOWN DIRT 8 ROCK
4. DATE DRILLED 06-18-2004 80'TO 90' GRANITE
5. TOTAL DEPTH: 605' 90'TO 605' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO RI SLATE
7. STATIC WATER LEVEL Below Top of Casing: 75 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 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): 1 1/2 METHOD OF TEST AIR o _ (--)
10.WATER ZONES(depth): 586' cr)---
LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least" Cr- -
12. CASING: Wall Thickness two State Roads or County Roads. Include the rooi
Depth Diameter or Weight/Ft. Material numbers and common road names. (^�.
From 0 To 90 Ft. 6 1/8" SDR 21 PVC
From To Ft. c.
From To Ft.
13. GROUT: Depth Material MethodI e d2From 0 To 20 Ft. CEMENT GRAVITY
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. 6S1rifS .
From To Ft. in. in. ` e�15. SAND/GRAVEL PACK: `v
Depth Size Material ` ,
From To Ft.
From To Ft.
16. REMARKS:
I DO IIEREBY CERTIFY THAT TI IIS WELL WAS CONSTRUCTEDftF IN ACCORDANCE WITII I5A NCAC 2C,WELL
jJ
CONSTRUCTION STANDARDS,AND THAT A COPY n THISORD ECORD HAS BEEN PIWVIDED TO THE WELL OWNER
SIGNATURE OF PERSON COIRUCTING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

WELL CONSTRUCTION RECORD 2 9 7 3 3 9
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION 8 3293
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE 8 f 828) 837-8008
STATE WELL CONSTRUCTION PERMIT(' ASSOCIATED WQ PERMIT('
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial 0 Agricultural 0 -
Monitoring❑ Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting,
Nearest Town: MURPHY County CHEROKEE Ea Ridge ❑Slope ❑Valley ❑Flat
GREASY CREEK RD (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: GARY 8 KAREN CHAMBERLAIN (degrees/minutes/seconds)
Address 82 WILDFLOWER LN Latitude/longitude source:DGPSlTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG ..
City or Town State Zip Code From To Formation Description
( 650)- 400-1765 0'TO 60' BLACK DIRT/GRAVEL
Area code-Phone number 60'TO 80' SANDSTONE
4. DATE DRILLED 06-18-2004 80'TO 100' GRANITE
5. TOTAL DEPTH: 385' 100'TO 385' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO I81
7. STATIC WATER LEVEL Below Top of Casing: 80 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 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): 20 METHOD OF TEST AIR O
10.WATER ZONES(depth): 360' �J
LOCATION SKETCH c-
1 I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from arTeast `c-1
12. CASING: Wall Thickness two State Roads or County Roads. Include the -
Depth Diameter or Weight/Ft. Material numbers and common road names. 1_�?.:;
From 0 To 100 Ft. 6 1/8" SDR 21 PVC f - r:
r
From To Ft. D rr
From To Ft. C
13. GROUT: Depth Material Method r w4,/ r�
From 0 To 20 Ft. CEMENT GRAVITY Y
From To Ft. W\
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. E
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft. -
From To Ft. rQVLQ v "
16. REMARKS:
l DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT OPY OF TI11S RECORD BEEN PROVIDED TO THE WELL OWNER
SIGN URE OFSON C S'f NG TIIF.WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mali Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

al
" `1• ( 413
WELL CONSTRUCTION RECORD
North Carolina -Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION#3293
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT# - ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: BRASSTOWN County CHEROKEE 9Ridge ❑Slope OValley ['Flat
WILDLIFE HAVEN WELL#3 (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: JAMIE COOK (dr-gees/minutes/seconds)
Address 71 WILDLIFE HAVEN Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
BRASSTOWN, NC 28902 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 226-1569 0'TO 60' RED CLAY
Area code-Phone number 60'TO 100' BLACK DIRT/GRAVEL
4. DATE DRILLED 06-17-2004 100'TO 120' RED CLAY
5. TOTAL DEPTH: 505' 120'TO 150' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO Rl 150'TO 505' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 110 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface*
*Top of casing terminated at/or below land surface requires a
variance In accordance with 15A NCAC 2C.0I18.
9. YIELD(gpm): 12 METHOD OF TEST AIR
10.WATER ZONES(depth): 460'
LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads. Include tlse road
Depth Diameter or Weight/Ft. Material numbers and common road names. -
From 0 To 150 Ft. 61/8" SDR21 PVC C 1:1-
_
From To Ft. `—r
From To Ft. N,a�e :•0
13. GROUT: Depth Material Method 10I LDLAre r-i
From 0 To 20 Ft. CEMENT GRAVITY "
From To Ft. ec, t,,' :
14. SCREEN: Depth Diameter Slot Size Material ft�,
From To Ft. in. in. ci"
From To FL in. in. \ • �0
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft. .
•
From To Ft. NS _c-ctoe<
16. REMARKS: ��. "-F'
l DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITII I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY F THIS RECORD IIAS :EN PROVIDED TO THE WELL OWNER
i�t1 _ `
1a-00. 6 -17--O `f-
SIGNATURE PERSO ONST Tl1E WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. G W-1 REV.07/2001

1 II
29741F
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION 0 3293
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE H [phone]
STATE WELL CONSTRUCTION PERMIT/ ASSOCIATED WQ PERMITX
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential D MunicipaVPublic 0 Industrial ❑ Agricultural 0 :
Monitoring 0 Recovery 0 Heat Pump Water Injection D Other❑ If Other,List Use .
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE El Ridge ®Slope ['Valley ❑Flat ; -"
HWY 141 -160 MTN.VIEW (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3507.155N/8356.192W
3. OWNER: PAUL VERTUOSO (degrees/minutes/seconds) . . _
Address P.O.BOX 9376 Latitude/longitude source:IDGPSOTopographic map - .. -
(Street or Route No.) (check box) I, --
PORT ST.LUCIE, FL 34905 DEPTH DRILLINt1LL t _
City or Town State Zip Code From To Formation Description
( 772)- 398-8179 0'TO 40' SANDSTONE
Area code-Phone number 40'TO 60' BLACK DIRT
4. DATE DRILLED 06-08-2004 60'TO 100' RED CLAY
5. TOTAL DEPTH: 607' 100'TO 140' BLUE SLATE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El 140'TO 607' SLATE
7. STATIC WATER LEVEL Below Top of Casing: 100 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface*
*Top of casing terminated al/or below land surface requires a
variance in accordance with I5A NCAC 2C.0118.
—
9. YIELD(gpm): 6 METHOD OF TEST AIR
10.WATER ZONES(depth): 589'
LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads. Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 140 Ft. 6 1/8" SDR 21 PVC
From To Ft.
From To Ft. -`� �IEy.2 O r
13. GROUT: Depth Material Method tp
From 0 To 20 Ft. CEMENT GRAVITY c— =2-
From To Ft. ` _ = _-
14. SCREEN: Depth Diameter Slot Size Material N =
From To Ft. in. in. CO
From To Ft. in. in. O_C)
15. SAND/GRAVEL PACK:
Depth Size Material J) a-)- r~,„
From To Ft. , ' c.> `_'
From To Ft. Cn c
16. REMARKS:
l DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A C Y OF THIS RECORD S BEEN PROVIDED TO THE WELL OWNER
CJ • a -x '-Cxf
SIGNAT OF PE . N COI STR C NG TILE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

WELL CONSTRUCTION RECORD 297416
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION S 3293
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE S [phone]
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WQ PERMITS - ---- -
(if applicable) (if applicable) -:
1. WELL USE(Check Applicable Box): Residential El Municipal/Public 0 Industrial 0 Agricultural D
MonitoringRecovery❑ 0 Heat Pump Water Injection 0 Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Landsetting
Nearest Town: MURPHY County CHEROKEE ❑Ridge ®Slope OValley ❑Flat
680 GRAPE CREEK RD (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: TERRY HALL (degrees/minutes/seconds)
Address 680 GRAPE CREEK RD Latitude/longitude source:❑GPS❑Topggraphiemap
(Street or Route No.) (check box)
DRILLENG LOG _
MURPHY, NC 28906 DEPTH
City or Town State Zip Code From To Formation Description
( 828)- 837-5180 0'TO 15' RED CLAY
Area code-Phone number 15'TO 20' GRANITE BOULDER
4. DATE DRILLED 06-16-2004 20'TO 30' RED CLAY/GRAVEL
5. TOTAL DEPTH: 645' 30'TO 51' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO lill 51'TO 645' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 300 7 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): PINT METHOD OF TEST AIR
10.WATER ZONES(depth): LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least -
12. CASING: Wall Thickness two State Roads or County Roads. Include the rend
Depth Diameter or Weight/Ft. Material numbers and common road names. , :1_
From 0 To 51 Ft, 6 1/8" SDR 21 PVC r ,.
From To Ft. w Q
From ToFL �'
13. GROUT: Depth Material Method - .,
From 0 To 20 Ft. CEMENT GRAVITY ../
From To Ft. \ L c? C° ;
r- J
14. SCREEN: Depth Diameter Slot Size Material 1'� C..J n
From To Ft. in. in. '9, , Cn _
From To Ft. in. in. 'L, p' `
15. SAND/GRAVEL PACK: 1 V�
Depth Size Material
From To Ft. -
From To Ft.
16. REMARKS: .
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITII I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT COPY OF TIHS RECOst HAS BEEN PROVIDED TO THE WELL OWNER
hti 4. ., 1r c - cry
SIGNA URE OF;-RSON CON ' .CTING TIIE 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

I II
WELL CONSTRUCTION RECORD ` `i ' `y
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION 8 3293
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PRONE 8 [phone]
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WO PERMITS '. _ ��_-
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El 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: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ORidge ®Slope OValley ❑Plat'
WILDCAT-CROSSOVER TO END OF PAVEMENT,THEN LEFT (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: ARVIL COOK (degrees/minutes/seconds)
Address 865 PENLAND RD Latitude/longitude source:OGPSOTopbgraphic map
(Stet or Route No.) (check box) '
BRASSTOWN, NC 28902 DEPTH DRILLING'LOG "• -- -
CityorTown State tip Code From To Formation Description
( 828)- 837-7566 0'TO 60' SANDSTONE
Area code-Phone number 60'TO 80' QUARTZ
4. DATE DRILLED 06-10-2004 80'TO 104' BLUE SLATE
5. TOTAL DEPTH: 807' 104'TO 807' SLATE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El
7. STATIC WATER LEVEL Below Top of Casing: 100 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface'
*Top of casing terminated at/or below land surface requires a
variance in accordance with I5A NCAC 2C.0118.
9. YIELD(gpm): 2 METHOD OF TEST AIR
10.WATER ZONES(depth): 360'
LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from afaast c
12. CASING: Wall Thickness two State Roads or County Roads. Include t to road 77
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 104 Ft. 6 1/8" SDR 21 PVC '
From To Ft. r C..) a-
From To FL -,. r, . 1
13. GROUT: Depth Material Method -Z '-•
From 0 To 20 Ft. CEMENT GRAVITY a- c2:c
From To Ft. L
cz
14. SCREEN: Depth Diameter Slot Size Material F x t74 E,
From To Ft. in. in. V ,yP
From To Ft. in. in. ,( ('1
15. SAND/GRAVEL PACK: J C T
Depth Size Material Z-
From To Ft. -
From To Ft. _
AA ' e )Ic -
16. REMARKS: .
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITl I I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A C Y OF THIS RECORD BEEN PROVIDED TO TILL/Esx WELL OWNER
l r� .4,4 LIT_vo . V-
SIGNATURE OF P ON CONSTR G'THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

97085
WELL CONSTRUCTION RECORD 2
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) l=Rentz. F. V I CT OR- CERTIFICATION#V 75
WELL CONTRACTOR COMPANY NAME -'G-S (U Ct-L Oa-ILLI tit le, .XIvC. PHONE # i706)795-2/6 i
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT# ------- -
(if applicable) / (if applicable)
1. WELL USE(Check Applicable Box):Residential E Municipal/Public❑ Industrial 0 Agricultural❑}
Monitoring❑ Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use
•
2. WELL LOCATION: � opogaphic/L,and setting
Nearest Town4'%lU2PPI49 County eikg0rc-e ®Ridge ❑Slope ❑Valley ❑Flat
12,5 Fox see(t4c, Lau. Rani e-t2 2 R906 (check appropriatebox)
(Street Name,Numbers,Community subdivision,Lot No.,Zip Code) Latitude/lonpitude of well location
rIRlS 1�e�2exJ R. /.✓351,2, 353 w .w/o io, .97
3. OWNER:C+ (degreeslminutes/seconds)
Address 125 rox SPRtrib LJ Latitude/longitude source:BGPS❑Toppgraphicmap
(Street or Route No.) (check box)
fil u 1'0H y ANC- ES'5V6 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
(Fag} (0q4- 97:.3Co C1 - 6 f=lt1-
AreaA E DRILLED
number W - go-B +a,u d- a
4. DATE DRILLED (o""3n-Oy / a $Raw,vwcer��c-n pock
5. TOTAL DEPTH: (,2 5 ,A3 _ 628Y/.tX2r/4ER-n Zou;
6. DOES WELL REPLACE EXISTING WELL? YES NO ❑ 4 4- 9(, ha i tests 6.< //'</eo 6/7a9)/20 C k
7. STATIC WATER LEVEL Below Top of Casing:),3- FT. &do yraacec state
(Use'WI ._if Above Top of Casing) , „2/3 ( cbrr ax Ic SNE-
at
8. TOP OF CASING IS 02 FT.Above Land Surface" 026 - 373 is/&e-s or/Eaa)COdY Rook
'Top of cuing terminated atter below land surface requires a
variance to accordance with 15A NCAC 2C.0118. �, eNo c$ec -&ae l, ��2tC
9. YIELD(gpm): 1/4 METHOD OF TEST 2iZ sT3 - S%S Naga C, e/ 200c
10.WATER ZONES(depib): $75- 625 //camL4r/TGReYRock
LOCATION SKETCH
11. DISINFECTION:Type f n+ Amount /1z //, Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Di ter or Weight/Ft Material numbers and common mad names.
From 'IS To 2.? Ft (^ £Y2c2/ pvt
From dd V To-1-.2 Ft 4 Y4 (sole&7,5 ,VC-
From To Ft o =
13. GROUT: Depth Material Method 'c- c
From :.© To 0 Ft. CFsstt : G Re t!i T'r' _
From To Ft. -"
",
14. SCREEN: Depth Diameter Slot Size Material ��i --7--
From To Ft. in. in.
From To Ft in. in. _
15. SAND/GRAVEL PACK:
Depth Size Material _ ^1:5
From To Ft.
From To Ft. -
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONS,UCTION STANDA,RDDS,AND THAT A COPY OF THIS 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
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

29'728f
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION#3293
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE it 1828) 837-8008
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential ® Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE @Ridge ❑Slope OValley [Flat
RED HAWK HILLS (check nppmpriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: CATHERINE THOMAS (degrees/minutes/seconds)
Address 588 NW CAMBO CT. Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
PORT ST.LUCIE, FL 34986 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 772)- 336-2165 0'TO 20' BROWN DIRT/GRAVEL
Area code-Phone number 20'TO 40' GRAVELBROWN SLATE
4. DATE DRILLED 06-22-2004 40'TO 60' BROWN SLATE
5. TOTAL DEPTH: 165' 60'TO 79' ROCK
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ® 79'TO 165' ROCK
7. STATIC WATER LEVEL Below Top of Casing: 10 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 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): 30 METHOD OF TEST AIR n
10.WATER ZONES(depth): 120', 140' .- c
LOCATION SKETCH
I L DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads. Include the;&jd
Depth Diameter or Weight/Ft. Material numbers and common road names. =r,�
From 0 To 79 Ft. 61/8" SDR21 PVC %"�.
From To FL CA,:. c tr_ "
From To Ft. ^, Ro )
13. GROUT: Depth Material Method .-4.11- r�
From 0 To 20 Ft. CEMENT GRAVITY
From To Ft. Ka.N /ya�khp_� ..
14. SCREEN: Depth Diameter Slot Size Material ✓ \ 0.I _
From To Ft. in. in.
From To Ft. in. in. le
15. SAND/GRAVEL PACK: t5I
Depth Size Material
From To Ft. - \ '
From To Ft.
16. REMARKS: .
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I 5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RE HAS BEEN PROVIDED TO THE WELL OW$Eli--__ _
G— a -0
SIGN UREO O ERSON CO RUCTING TIIE 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

rN -(? .)
nt�'
fits
WELL CONSTRUCTION RECORD r•
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION N 3293
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE N [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El Municipal/Public 0 Industrial ❑ Agricultural 1
Monitoring❑ Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: ANDREWS County CHEROKEE ❑Ridge KISlope ❑Valley ['Flat
GRANNY SQUIRREL GAP (check appropriate box)
(Street Name,Numbers,Community,Subdivision,tot No.,Zip Code) Latitude/longitude of well location
3. OWNER: JERRY RIDDLEBARGER (degrees/minutes/seconds)
Address 705 NEW JERSEY ST. Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
CLEARWATER, FL 33756 DEPTH DRILLING LOG
From To Formation Description
City o2 Stale Zip Codc
( 828)- 226-7409 o•TO 20' BLACK DIRT/GRAVEL
Area code-Phone number 20'TO 37' QUARTZ/BLACK ROCK
4. DATE DRILLED 06-23-2004 37'TO 300' GRANITE
5. TOTAL DEPTH: 605' 300'TO 605' GRAY GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El ROCK
7. STATIC WATER LEVEL Below Top of Casing: 75 FT.
(Use••+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surfaces
'Top of casing terminated at/or below land surface requires a :2 .}
variance in accordance with ISA NCAC 2C.0118. �, -r
9. YIELD(gpm): 1/3 METHOD OF TEST AIR cA c',
10.WATER ZONES(depth): LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Mount 100 PPM Show direction and distance in miles from at .-...0 t `(
12. CASING: Wall Thickness two State Roads or County Roads. Include the f ad „ :
g numbers and common road names. r''
Depth Diameter or Weight/Ft. Material W "
From 0 To 37 Ft. 6 1/8' SDR 21 PVC W -
From To Ft. Q cJt
From To Ft. Q
13. GROUT: Depth Material Method ,.jt
From 0 To 20 Ft. CEMENT GRAVITY (.9
From To Ft. Qv
14. SCREEN: Depth Diameter Slot Size Material \ t0y
From To Ft. in. in. t,
From To Ft. in. in. S
15. SAND/GRAVEL PACK:
Depth Size Material (I'
From To Ft.
From To Ft.
_ 1
16. REMARKS: I
11)0 HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RECORD HAS B EN PROVIDED TO/TTIIIE WELL OWNER
SIGNATURE( • PERS ONS'fRUCI ' IIE 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 2 9 2 $4
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) DAVID F.MCKINNON CERTIFICATION N2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PIIONE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential El Municipal/Public 0 Industrial 0 Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ElRidge OSlope OValley OFlat
SPUR 60 TO TOMMY LN (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: CLAYTON HOMES(TERRY GRAVES) (degrees/minutes/seconds)
Address 5405 US 19/74 Latitude/longitude source:OGPSOTopographic map
(Street or Rome No.) (check box)
MARBLE, NC 28905 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 835-7333 0'TO 20' RED CLAY
Area code-Phone number 20'TO 40' CLAY/BROWN SLATE
4. DATE DRILLED 06-22-2004 40'TO 80' BROWN SLATE
5. TOTAL DEPTH: 405' 80'TO 100' BROWN/GRAY SLATE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO EI 110'TO 113' GRAY SLATE
7. STATIC WATER LEVEL Below Top of Casing: 75 FT. 113'TO 405' SLATE
(Use"+"it Above Top of Casing)
8. TOP OF CASING IS I FT.Above Land Surface`
*Top of easing terminated at/or below land surface requires a
variance in accordance with 15A NCAC 2C.0118.
9. YIELD(gpm): 2 METHOD OF TEST AIR o .
W.WATER ZONES(depth): s'"
LOCATION SKETCH c� ?
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at�--te_ast c_,
12. CASING: Wall Thickness two State Roads or County Roads.Include tbecroad-_-
Depth Diameter or Weight/Ft. Material numbers and common road names. e) -
From 0 To 113 Ft. 61/8" SDR21 PVC —o
N.-
From To Ft. cn
From To Ft. W c--Vs
13. GROUT: Depth Material Method c. a;From 0 To 20 - Et. CEMENT GRAVITY c t Z
From To Ft. ^
lD
14. SCREEN: Depth Diameter Slot Size Material D Wv
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK: Q'
Depth Size Material \'
From To Ft. -
From To Ft.
-
Ib. REMARKS:
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A C PY OF TILLS RECORD HAS BEEN
ROVIDED TO scJ THE WELL
ELL OWNER
tx �. or.N-r� —7-7-—0 1-7
SIGNATURE OF PERSON CONSFRUCTLNG TIlE 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

298335
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION X 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE X f828) 837-8008
STATE WELL CONSTRUCTION PERMITX ASSOCIATED WQ PERMITH
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box): Residential VI MunicipaVPublic 0 Industrial El Agricultural 0
Monitoring❑ Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope OValley °Flat
INDIAN ROCK SPRINGS-LOT 15 SECTION 4,SAHKANAGA DR (check appmpriate box)
(Street Name,Numbers.Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: JAMES&GRACE STADOLA (degrees/minutes/seconds)
Address 21 WHITE DEER LN Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
PALM COAST, FL 32184 DEPTH DRILLING LOG
City or Town Slate Zip Code From To Formation Description
( 386 )- 445-6721 0'TO 20' SANDSTONE
Area code-Phone number 20'TO 47' QUARTZ&GRANITE
4. DATE DRILLED 03-22-2004 47'TO 707' GRANITE&QUARTZ MIX
5. TOTAL DEPTH: 70T
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO RI
7. STATIC WATER LEVEL Below Top of Casing: 650 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING 1S 1 FT.Above Land Surface*
*Top of casing terminated at/or below land surface requires a .L" `-r
variance in accordance with lSA NCAC 2C.0115. S e—h
9. YIELD(gpm): 1/2 PINT METHOD OF TEST AIR
en
10.WATER ZONES(depth): — r l
LOCATION SKETCH a'--
II. DISINFECTION:Type CHLORINE Amount 100 RPM Show direction and distance in miles from att Ieasr:o
12. CASING: Wall Thickness two State Roads or County Roads. Include-lie rots=
Depth Diameter or Weight/Ft. Material numbers and common road names. en=
From 0 To 47 R. 6 1/8" SDR 21 PVC -_-I D�
From To Ft. c.*
From _ To Ft. �Rb'� Xv
13. GROUT: Depth Material Method [� 5 <�Att
From 0 To 47 Ft. CEMENT GRAVITY �t c�a5
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material / w,'FlV'
From To Ft. in. in. �I
From To Ft. in. in. 17
15. SAND/GRAVEL PACK: Av
Depth Size Material
From To Ft. Bin)t! (ail tuebT
From To Ft.
16. REMARKS:
l DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC2C,WELL
CONSTRUCTION STANDARDS,AND THAT A C PY OF Tills RECORD HAS BEEN PROVIDED TO THE WELL OWNER
SIGNATU OF P SON CANS' C J
I'INGTIIE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Seriice Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

298333
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION# 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY, INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERrIIT#
Iif applicable) (if applicable)
I. WELL USE(Check Applicable Box): Residential El Municipal/Public❑ Industrial 0 Agricultural
Monitoring❑ Recovery 0 Heat Pump Water Injection❑ Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE [Midge ®Slope OValley O Flat
LAURELBROOK ESTATES-LOT 32 (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3502.623N/8411.811 W
3. OWNER: PETER WALMSLEY (degrces/minutes/seconds)
Address 390 PINE TWIG LN Latitude/longitude source:E1GPSUTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828 )- 644-5635 0'TO 40' RED CLAY
Area code-Phone number 40'TO 65' BROWN DIRT
4. DATE DRILLED 03-17-2004 55'TO 82' GRANITE
5. TOTAL DEPTH: 525 82'TO 525' _ GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES D NO RI
7. STATIC WATER LEVEL Below Top of Casing: 50 FT.
(Use"+"it Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface' tn
`Top of casing terminated at/or below land surface requires a ,L--- `r
variance in accordance with 15A NCAC 2C.0118. r'-
9. YIELD(gpm): 10 METHOD OF TEST AIR -a r.T
10.WATER ZONES(depth): 480' IV a
LOCATION SKETCH t.n :-ram
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles front at leas\
12. CASING: Wall Thickness two State Roads or County Roads. Include4Rye ro�'o
Depth Diameter or Weight/Ft. Material numbers and common road names. cnz
From 0 To 82 Ft. 61/8" SDR21 PVC ry.
L f, O yam,
From To Ft. 4- a
From Do Pt.13. GROUT: Depth Mater al MclhodFrom 0 To 20 Ft. CEMENT GRAVITY
From To Ft. ��t �Iy7(f�14. SCREEN: Depth Diameter Slot Size Material !.
From To Ft. in. in. . •
From To Ft. in. in.
15. SAND/GRAVEL PACK: ` K
Depth Size Material '(
From To Ft. - ,
From To Ft.
16. REMARKS:
• I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WI'FII I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A C,nPY OF Tills RECORD HAS BEEN PROVIDED TO THE WELL OWNER
SIGNATURE OF P . SON COy: IJCTING'I'I IF 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. OW-I REV.07/2001

WELL CONSTRUCTION RECORD 299369
69
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION 8 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE u J 828) 837-8008
STATE WELL CONSTRUCTION PERMITN ASSOCIATED WQ PERMITN
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential ® Municipal/Public❑ Industrial O Agricultural ❑
Monitoring❑ Recovery ❑ Heat Pump Water Injection❑ Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope ❑Valley OPlat
WILCAT TO CROSSOVER,STAY RIGHT TO TOP (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: ARVIL COOK (degmeslminutestseconds)
Address 865 PENLAND RD Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
BRASSTOWN, NC 26902 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828). 837-7566 0'TO 60" SANDSTONE
Area code-Phone number 60'TO 80' BROWN DIRT
4. DATE DRILLED 02-26-2004 80'TO103' GRANITE
5. TOTAL DEPTH: 790' 103'TO 760' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El 760'T0790'
7. STATIC WATER LEVEL Below Top of Casing: 160 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface`
`Top of casing terminated at/or below land surface requires•
variance In accordance with 1SA NCAC 2C.0118.
9. YIELD(gpm): 1 3/4 METHOD OF TEST AIR
10.WATER ZONES(depth):
LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads. Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 103 Ft. 6 1/8" SDR 21 PVC
From To Ft. 0
F
From To Ft. S
13. GROUT: Depth Material Method A
ni
From 0 To 20 Ft. CEMENT GRAVITY
S r
From To Ft. ' r ter"
14. SCREEN: Depth Diameter Slot Size Material v t., mC
From To Ft. in. in. rnm
From To Ft. in. in. N m
15. SAND/GRAVEL PACK: CZ c'
Depth Size Material ' i.) o
From To Ft. _-
From To Ft. ----_MILL-5- -
16. REMARKS:
•
l DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC2C,WELL
CONSTRUCTION STANDARDS,AND THAT 4OPY OF THIS RECORD IlAS BEEN PROVIDED TO THE WELL OWNER
�ti i .: ) 2-2/0 —e t/
SIGNAT RE OF SON(t�O— /1P$J1(A000TING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mali Service Center-Raleigh,NC
27699.1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

WELL CONSTRUCTION RECORD C.
n 9 S36S
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION S/3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE a [phone]
STATE WELL CONSTRUCTION PERMITS/ ASSOCIATED WQ PERMITS/ -- ..
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box): Residential 131 Municipal/Public 0 Industrial 0 Agricultural 0 i
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use -.
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MARBLE County CHEROKEE ®Ridge ❑Slope OValley OFlat
ZEKE'S TRAIL (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: WINDELL ANDERSON (degrees/minutes/seconds)
Address 1425 BURNT SCHOOL HOUSE RD Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
HAYESVILLE, NC 28904 DEPTH DRILLING LOG City or Town State Zip Code From To Formation Description
( 828 )- 389-8986 0'TO 5' RED CLAY
Area code-Phone number 5'TO 25' GRANITE
4. DATE DRILLED 03-03-2004 25'TO 767' GRANITE
5. TOTAL DEPTH: 767'
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ID
7. STATIC WATER LEVEL Below Top of Casing: 555 FT.
(Use"F"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surfaces
"Top of using terminated at/or below land surface requires a
variance in accordance with ISA NCAC 2C.0118.
9. YIELD(gpm): 0 METHOD OF TEST AIR
10.WATER ZONES(depth):
LOCATION SKETCH
II. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads. Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 25 Ft. 6 1/8" SDR 21 PVC
From To Ft.
From To Ft. r
Ilr
13. GROUT: Depth Material Method .G' �,
From 0 To 25 Ft. CEMENT GRAVITY 31/4w sin
From To Ft. I cm
14. SCREEN: Depth Diameter Slot Size Material ice=
From To Ft. in. in. t\i y,m
From To Ft. in. in. \/ L "ram
nt,.-,
15. SAND/GRAVEL PACK: \); •P a co r T.
'
Depth Size Material `, r 1.;
From To FL - h(w"y Ni —"i
From To FL ' - -
z
•
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITI 115A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT PY OF TT�S RECO HAS BEEN PROVIDED TO TIIE WELL OWNER
11 •
-eV
SIGNATU OF P SON CONST CTINGTIIE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

298367
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION#3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY, INC. PHONE # j828) 837-8008
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box): Residential tgl 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: Topographic/Land setting
Nearest Town: MARBLE County_CHEROKEE E?Ridge ❑Slope Malley ❑Flat
ZEKE'S TRAIL (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: WINDED.ANDERSON (degrees/minutes/seconds)
Address 1425 BURNT SCHOOL HOUSE RD Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
HAYESVILLE, NC 28904 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 389-8986 0'TO 3" RED CLAY
Area code-Phone number 3'TO 19' GRANITE
4. DATE DRILLED 03-09-2004 19'TO 1007' GRANITE
5. TOTAL DEPTH: 1007'
6. DOES WELL REPLACE EXISTING WELL? YES O NO El
7. STATIC WATER LEVEL Below Top of Casing: 400 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surfaces
'Top of casing terminated aUor below land surface requires a
variance In accordance with 15A NCAC 2C.0118.
9. YIELD(gpm): PINT METHOD OF TEST AIR
10.WATER ZONES(depth):
LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
Front 0 To 23 Ft. 8 1/8" SDR 21 PVC V
From To Ft. A
From To Ft. /
13. GROUT: Depth Material Method i O f�
Front 0 To 23 Ft. CEMENT GRAVITY ��
From To Ft. ('� , , c
14. SCREEN: Depth Diameter Slot Size Material ZC'
From To Ft. in. in. \ 4-A,, 3T
From To Ft. in. in. t? r " o
l co
15. SAND/GRAVEL PACK: �% ,/ I 1. I.__ ' 3
Depth Size Material r !�)
. /y --��rn�
From To Ft. - tV rn70
From To Ft. W
i
16. REMARKS:
I DO HEREBY CERTIFY TI LAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A�JOF Tills RECORD HAS BEEN PROVIDED TO'DIE WELL OWNER
�',ys/� t .� � - 9-0'
SIGNATURE F PEI;CONSTPJ3 'rLNG TILE WELL DATE
V l.i
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

M CONSTRUCTION RECORD 29853
WELL u
North Carolina -Department of Environment and Natural Resources Division of Water Quality-Groundwater
Section
ctio�T)�!
WELL CONTRACTOR(INDIVIDUAL)NAME (print) )Cyvm CG K 1A
PHONE N J!]�) ���- 1oc
WELL CONTRACTOR COMPANY NAMEV�IIIF� h,OII �f'11'�_1
ASSOCIATE!)WO PE,RhffIM --
STATE WELL CONSTRUCTION PT:FNIITg if n t dicnble
if a,tlicabie
1. \VELL USE(Check Applicable Box): Residential D-...--Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring ❑ Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. \VELL LOCAT OM Topographic/Land setting
Nearest Town: County(tbect-A,0.e, Midge ❑Slope Willey ❑Plat
(check appropriate box)
firer _ ---- latitude/longitude of well location
(Street Name,Numbers,Community.Subdivision,Lot No.,Zip Code)
(degrees/nrinutodsrconds)
3. O\'vW `JC��'re\l _ t . 1far , :
Address °J\�f1 1 �n(�h Latitude/longitude sourccaJGtSGTop.ogtaphic map
(check bo r)
(""`NC lit No.) 2440I "1)- rl L..ULL111040Q.
f T n'•�n union .,.. i ttiun
Zip Code Front 'fo -) ni V
City or Town Stale I 0 - IO'
Mn code-D RILenumber Dint WIPCCb"v
4. DATE DRILLED z- ^' t U �I�
-
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO IP-
7. STATIC WATER LEVEL Below Top of Casing: 5f, _ h•
(Use•'I-'if Above Top of Casing) p
8. TOP OF CASING IS_I t r. Above Land Surface o
•Tap or r.sing r ed IS below dud striate requites a
r
1.nlsnre In accordance with ISA NCAC IC.0119. 4,12 ff„, e12,
10. WATER ZONES (depth): L52Q1 QN_aKE7SS' DO s
Show dir•ctOnt aiid Oiala1100 in mites (Willi itiQs(
I I. DISINFECTION: Type( �In e IAA Amount \S two State oads or County Road:,. I,• do toad
Wait Thickness 9 �'�'
12. CASING: numbers an common road names. rn1
Depth Diameter or Weight/lit. Material n
lrmlt�_IO7 1'I. rWJ ae�.? Zt To Ft. �✓}Ue
From To I t. - — CI,v;et.; ,
Material MethodA
13. FromGRO Depth FAA-old prec5 IfP_
From O To ,gyp r Ft. P
Ft. -r—
From To --
14. SCREEN: Depth Diameter Slot Size Material From -
T'o -Ft. in. in.
�f
From To Pl. in. in. XJ ctri.
15. SAND/GRAVEL PACK:Depth Size Mattiial
From To Ft. .
From To Ft.
S r eY/r-
16. REMARKS:
I DO I IE.RE13Y CERTIFY TI IAT THIS WELL WAS CONSIRUCI'ED IN ACCORDANCE WITTI ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF TI IIS RECORD I IAS BEEN PROVIDED TO TI IE WELL OWNER
7..4.4.4-r--
14� lh 64"- SIGNATURE OF PERSON CONS'rRUClINGf11E WELL DATE
Ral-
Submit (lie original to the DI%Hon of Water Quality,Groundwater Section, 1636 Mall Service Ceenterl RLVgh,NC
27699-i636 Phone No.[phone],within all days.

WELL CONSTRUCTION RECORD 298537
North Carolina- Department of Environment mid Natural Resources-DivisionM of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) Jame.5 R. l..) 1scon CERTIFICATION oayay
`' PHONE If fy�rl y77-2�7
WELL CONTRACTOR COMPANY NAME (VY II Pf \A)€i1 Ar,V,.g
ASSOCIATED WQ PERMED/ —_..
STATE WELL fa 1 Halide
CONSTRUCTION PF:INIITN if n ,licnble
ifa, licablc ..
1. WELL USE (Check Applicable Box): Residential 1a-"Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection ❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
n C CountyCherokee ❑Ridge @Slope ❑Valley ❑Flat
Nearestlo,vn:Yt(ld(�l�) (check appropriate box)
(Street Name, •
Numbers,Community,SubJry
ealc • . S —ision,lx,l Nu.Zip Code) Latitude/longitude of well location
(degrees/minutes/seconds)
inutedsecnnJQ
3. OWNER.Jam e_s 4 Laube- -Ear to� — Latitude/longitude sourcc:UUl'S❑Topographic map
Address pQ i .91C r" 1___ _.- (checkba l)
(Street or Route No.) ,;u"r l.) ;ILLItJt�l,i)G
rt�� � Zip de01 p
t 1f� it orT �CFront To Immation D)csaiption
0 City or Town Slate Code -
` Ci_ 1
Qll
Or —
(---)_ �, - O r
Arta cod Phone number 4. DATE DRILLED n2- aD - oU (0n' - LIDS Trnn, -
e a S1a P
5. TOTAL DEPTI1:_g_Qsr--_ --
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO ❑ c
7. STATIC 1VATERLEVEL Below Top ofCasing: /00 ' FT. o ^—
(Use"✓'if Above lop of Casing)
8. TOP OF CASING IS i I-r. Above Land Surface•
•l'np or casing terminated oVnr below laud o:r race rrq ulr es• b ern'm
v..I.nee In accordance with ISA NCAC 2C.0110.METHOD or TISI' 0D�, vs - -- r\] 0z
road Darn s
conunon . 5- gm
10. WATER ZONES (depth): —ram
LOCH"CIQ�I K._4�5 m
�S Amount \S Show direction and•tivtance in mites Ir�an, .i 9st
12. CASING:
1 I. CIS ION:Type h Wall'thickness two State (toads or County Roads. Ir Qde t r@ ad
vo
Depth Diameter or Weight/It. Material numbers andz
a From O To "1D' Ft. (0,25 Spt•2\ PVC -
Frmm To Ft. d
Front To 1 t. _ --- at Id�°O
�o_^��Ma�`t�^e�,r��iala Method
13. GROUT:m Depth_ Pres Sur'e Hsi
From O To2_Ft.
1'I�.S tt(� a crOSJ uCGlt'
From 3' To ao ' Ft. s-- T
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
Front To Ft. in. in. -
15. SAND/GRAVEL PACK: -
Depth Size Material / /y
Prom To Ft. e
From To Ft. V er/-
�7 4 r� -
16. REMARKS:
1 DO HEREBY CERTIFY TIIAT TillS WELL WAS CONSI'RUCfED IN ACCORDANCE WI11I I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND TIIAT A COPY OF 1111S RECORD IIAS BEEN PROVIDED TO TIIE WELL OWNER .5r
9 cmµ
Gt_a..P�'L .2- at, - (,>a/ r
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
r_,
Ra
Submit the original to the DIN islon of 11'ater Quality,Groundwater Section, 1636 Mall Senlce Center l REVgh7 21p1 J
27600.I6)6 Phone No.(919)7t).3221,within 3l1 days. _...

WELL CONSTRUCTION RECORD • __.
North Carolina -Department of Environment and Natural Resources-Division of Water Quality- Groundwater Sc I
as536
jJ 1
WELL CONTRACTOR(INDIVIDUAL)NAME (print)JGWIP S e1• �`r`toh CERTIFICATION N4 0q
11 PHONE N f$U.4)_t3l -}9q`I
WELL CONTRACTOR COMPANY NAME ,miII�Pr ta7pll d�i ,n�
STATE WELL CONSTRUCTION PERMITH ASSOCIATED WQ FEMALES/ ..
(ifa ipliedle (if applicable)
flAr�Q7____ RI QnL'@>0 71Z�#'IfOcittstN •�
1. WELL USE(Check Applicable Box): Residential Whtunicipal/Public 0 Industrial 0 Agricultural 0
Monitoring ❑ Recovery ❑ neat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION: Topographic/Land selling
Nearest Town:'Mr.ir0, Countyf'.ftPCo k.e. ❑Ridge ❑Slope 1g-19-"alley [Mat
U S(nes.6 ct rdn n (check npproprinle box)
i.
(Sweet Name,Numbers,Community,Subdivision,bit No.,Zip Code)
Latitude/longitude of well location
3. O - ^5Q(\ (degrees/minuteJercond+)
dres 0
Address 4rj) 1A(1L 1PSi( klttr tY iThj ___ Latitude/longitude source:U(il'S❑Topographic map
(check bo e)
(Sired or Route No.)
NC 2Squtt F; j.rPN Pi;ILLltigl,JG.
r
Ciiy'or Tod�a State Zip Code Fro To Farm, Doti :)csct ipl ion
( )- 1D •
Area code-Phone number I b - lob'
4. DATE DRILLED 0- lt-i-ocl exo — IZS r
5. TOTAL, DEPTH: Ia51 _ o
6. DOES WELL REPLACE EXISTING WELL/ YES ❑ NO ❑
o n
7. STATIC WATER LEVEL Below Top of Casing: .3'
of
_I 1`. n�
n. : m
(use"t"II Above fop of Caing) ��
8. TOP OE CASING IS I PI'. Above Land Surface -.n—) sm
Top of cuing terminated auor below land rerface requhef
yr.-lance In accordance with ISA NCAC 2C.01111.
A ��
9. YIELD (ppm): _ (9 ._1•,,..HO
o (IF TEST• 10. WATER ZONES (depth): rn`
LOCATIQN. K N ��
11. DISINFECTION: TypchAAn 9alle4s Amount 16
Show direction aid_11'atance i r .: les •rn stleast
Wall Thickness two State Roads or County It 'ad.,. r.:• bideroad
12. CASING: gnumbers and colunon road 'antes.
Depth Diameter or Weight/Ft.hUFI. Material
From F) To its ' Ft. ro,as SOCaI !Air Tlrs►n Pi
From To Ft. QJ(
.vs
From To FL
13. GROUT: Depth Material Method
From b To act' Ft.pnri .od prpssuRe
From To Ft. —
14. SCREEN: Depth Diameter Slot Size Material aipa
Front To Ft. in. in. y •
From To Ft. in. _ in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft. 00 iNnny Po;Rr
From To Ft.
h
16. REMARKS:
I DO I'FRET)).CERTIFY TIIAT'FIBS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C, WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF 1T II5 RECORD I IAS BEEN PROVIDED TO T11E WELL OWI lER
7,4.444.4-
�P� ca- av-ov
SIGNAIURI OF PERSON CONSTRUCITNG THE WELL DATE
Subunit the original to the DIsIslon of Water Quality', Groundwater Section, 1636 Mail Service Center n REVRaleigh,NC
27699-1616 Phone No.[phone],within MI days.

WELL CONSTRUCTION RECORD 298535
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) 0 nvv es R (y-),1•Se7h CERTIFICATION N a gCJ4
WELL CONTRACTOR COMPANY NAME 10 1:I\P(- l.s>P1\ dr: A5 PHONE N f5(151 y37/_Q99Z
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WQ PERMITS
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box): Residential L-Municipal/Public 0 Industrial ❑ Agricultural 0
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other Cl If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town:011ta1 *l\k CountyCAMP enkPP DRidge DSlope ❑Valley, ❑Flat
rLkAlon QA i-Loi \41 (check appropriate box)
(Street Name,Numben,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: N.1. M urcMi (degrees/minutes/seconds)
Address 1y0.14 JOP c 3V\ \' 4 _— Latitude/longitude source:IJGPS❑Topographic map
(Street or Route No.)
(check box)
^s� EPT}I DRILLING LOG.
Mar C�hy Ne q0�
From To F•� atiou DescriptionCity orT Town State Zip Code � _ (�
(--d L�' - � I z- •
Area code-Phone number 4. DATE DRILLED*- I I-pc/ -snt — lib ' 1 e ! -
5. TOTAL DEPTH: IDS
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO 07-
7. STATIC WATER LEVEL Below Top of Casing: SD ' FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface• e
*Top of cuing terminated at/or below land surface requires■ r0 O
variance in accordance with ISA NCAC 2C.0118. ��
9. YIELD(gpm): F;F) METHOD OF TEST 41 e 3 C
10. WATER ZONES (depth):` LOCATION SKETCH N.) cc
11. DISINFECTION:Type QlkekS Amount 15 Show direction and distance in miles fare attest
12. CASING: Wall Thickness two State Rr ads or County Roads. Incl3de t)Jread
Depth Diameter or Weight/Ft. Material numbers am common road names. 0 m.,
n
F4rom {� To �1S` FL /2 a� SO �l PVf r o
From To Ft. canyon, z
From To Ft.
13. GROUT: Depth Material // Method
From h To 20 i Ft. /3 Evsln/7, le }/0; A z1 f efrif t c w
it
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in. Qc4rott a
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft. R
From To Ft. l\A\
16. REMARKS:
I DO HEREBY CERTIFY THAT TINS 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
/5.4--t4 LA .1,::-P.0_1,44
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mail Service Ceentteer'Raleigh,
NC
27699-1636 Phone No.[phone],within 30 days.

WELL, CONSTRUCTION w,COR►D )p }q
North Carolina - Deparnucnt of Environment and Natural Resources- Division of Water Quality- Groundwater Sc2o9 8 5 3 4
R'E.LL CON FRACTOIt(INI)IV10UAL)NAME (prinr) uOYnQS hRI 1 Lit\Siaka CERIIFICAI tors N ,g4UC-f
R'ELL CoNI ItACTOIt COMPANY NAME nl I) 0 r Y,s10l (lf r ft rf 93 PHONE If Nail s 5 4-2c 7
5 VA I E%%ELL CONS1IWC IION PEIRMIT/I ASSOCIAI El wo PERIMII N
(if applicable)
�•
licable) � ifJn(,�licnblc� _ __ _
ana.su...,.... Sao, a .......L w.vonia.ar++uu...✓ua• rm.+.wrarrove 9 av _
I. WELL USE (Check Applicable Bus): Residential P Mmricipal/Public D Industrial 0 Agricultural
Monitoring 0 Recovery 0 Ilcat Pump \Valor Injection 0 Other D If Other, List Use
2. \VELL LOCATION: TopograpItic/Land selling
Nearest Town: muff k c CounlyCLekaius. DRidge DSlope UW lley ❑Plat
(IppQ{ For-Ai-CPP 14 . —_______.___. (check appropriate holy,
(Sheet Name,Nunlher,,Community.Subdivision,Lel No.,lip Code) Latitude/longitude of well location
3. OWNER. 2ClnAO S 73C1UP Lr) (degrees/rninotestsecond.)
Addles \O85 (14)9Pr.Yen,CY Xtee_ l __. _- Latitude/longitude sourcc:UGI'SDTopograplue map
(Sneer or Rome No.) (check tor)
fJC
C ity or 1 o n Stole zip Code From To Qr.ur natiioon Dcscriplion
( .)- 0 - ll0r 1
Arra code- Phone number I er - I ;V) t
4. DATE DRILLED 9- Va.04 ,I ' ,
5. TOTAL DEPTH:_�a5' -___ ___
6. DOES WELL REPLACE EXISTING WELl.7 YES Id NO El-
7. STAFIC \VATEIt LEVEL Below Top of Casing: _bO`_I1'.
(We"r"if Ahoy('lap of Casing) O
8. TO!' OF CASING IS ET. Above Land Swfrcc• — ,� o
•Top or rasing ter minaled aUor below land surface requiter a
,-,.l.nee In accordance with 1SA NCAC 2C.011a.
9. YIELD (frl„) _ 3 _ METHOD flcTI:Sl[Aria_ O
V Ccm
10. WAFER ZONES (depth): ti -rt
LOCATIQ1 SKE7_C11 :gig
I I. DISINFECTION: TypeWrVt 9o1,cotc Amount IS Show direction aiid distance in miles from atqtast�o
12. CASING: Wall thickness two State Roads or County Road_,. !:"hide l�load,*
er.
Depth Diameter or Weight/Ft. Material numbers and collation road names. W nY'-o
Front 0 To ige21 It /e, .S Sinn p\IC
From To It,
From To FI. ��
13. GROUT: Depth R krtate1\nd ` 1J Method a.isFrorrl (7 To ;�c,' 1'I.t.JVrtelxfA Q-1PntI :✓d Yt PSU'df
Frllr To FI. ___— Nj::7;c,
M. SCREEN: Depth Diameter Slut Size Material
Front To Ft. in. in.
From_ To Ft. in. __-- in. _
15. SAND/GRAVEL PACK: h2'
Depth Size Material ktr, �7
�- v'-3
From To Ft. _ ��c� r
From To It. Q,if
�P .
16. REMARKS:
I DO HEREBY CERTIFY lItAT MIS WELL WAS CONS I ItUCIED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCT ION STANDARDS,AND TEAT A COPY OF TIES RECORD i IAS BEEN PItOVIDED 70 TI1E WELL OWNER
at. LY%2;i�sti4 - 0 /� -bd/
SIGNATURE OF PERSON CONSTRUCTING I TIE WELL DATE
Submit the original to flue 0111%10o of Water ()wilily,Groundwater Section, 1636 Mall Service Center- Raleigh,NC . -
27699-1636 Phone No.(919)73 -3121,within 3U days. OW-I REV. 07/2001

55
WELL CONSTRUCTION RECORD 2 1
North Carolina•Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) FR eNz P. V/GmR CERTIFICATION 3i7
WELL CONTRACTOR COMPANY NAME 3c162s to at d/rvuez,g, 7-NC. PHONE I f76l 75/5-7/06
STATE WELL CONSTRUCTION PERMIT' ASSOCIATED WQ PERMITS
ifah licable if �•licable '
1. WELL USE(Check Applicable Box):Residential Ef/MunicipaYPublic 0 Industrial 0 Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection O Other 0 If Other,List Use
2. WELL LOCATION: Topographie/Lantj,setting
Nearest Town: Wag?) CountyS'/ tceG ORidge OSlope Malley DFlat
393 kizatuhqz kNoB Lrt. 7 g90 0 ! (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: I�ODUfttq NRRY 36c.03'..4Oro ©84°63, 79S
(degnieltrainuteron ds)
Address 313 KM RMEa k Non Lu. Latitude/longitude source:0GPS0Topographic map
(Street or Route No.) (check box)
_MURPt(c) Nc 2g90c0 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 22)- ?35 -9 075 O - / 7VP J'oi(-
Area code.Phone number / - � (7Jd0wAt" C.4 R 1, '�lv/
4. DATE DRILLED_ ?i -1 S o . - S oReuic. CL4.9
5. TOTAL DEPTH; .S P S S - if GJC-e WeReet Roc -
6. DOES WELL REPLACE EXISTING WELL? YES NO ❑ <l - a2m fd Gt2, V Rack
7. STATIC WATER LEVEL Below Top of Casing: (o n ‘0e - /66 LC5ti?c-ea il‘ c.-ic 1 CWe et,rzacf
Noe"4."it Above Top of cuing) /6(0
da) - ,2e f-' Ma�et L/6lr gg
B. TOP OF CASING IS FT.Above Land Surface* q_ 3 o S 6/26 re 20c-ic
'Top of casing terminated ab'ur below land innate requires a 3 3 5" L PY D Ste Ca F G4 V R.variance In'cordate wish 15A NCAC 2C.0115.. S'-
9. YIELD(gpm): I METHOD OF TEST Hl S -344 Rd yv Recoc
10. WATER ZONES(depth): 34 Q -4 2 3 B CaC/c /Zo e-k
1,OCATION SKETCH
11. DISINFECTION:Type I4T FI Amount I rat lb Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads,Include the road
Depth Di r or Weight/Ft. Material numbers and common road names.
Roma_ /S ...I ZZ STeeL ' 23 - 5r48 CR ,/ goc-e<
From P2.- To 2 _Ft. C, IA' S?RPI NC 4(4F _ 5-2S 9.t2eY Pao<
From_2_To__0 Ft, G r/4 $-0R27.5 _ Pvc
13. GROUT; Depth Material Method C
From 2.7 To U Ft C'Cjvlea-er _gR2wry o 0
From To Ft. ' o r
14. SCREEN: Depth Diameter Slot Size Material
From. -To Ft_-_,in. in. A om
From To Ft. jn. in. , -
15. SAND/GRAVEL PACK: r.o
Depth- Size - Material i ,-,
From To Ft. _ (,-
From To Ft. - c.?
•
0 J
16. REMARKS: .
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED TN ACCORDANCE WITH 1SA NCAC 2C,WELL
CONSTRUCTION!STANDARDS TR4T A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
t/Y vk (/J,4v 3 - l7 -©g
SIGNATURE OF PERSON CONSTRUCT'INO 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, OW-1 REV. 07/2001

WELL CONSTRUCTION RECORD 298550
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION a 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE N [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WO PERMITN
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box): Residential ® Municipal/Public E Industrial ❑ Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ❑Ridge ❑Slope ®Valley ❑Flat
GRACE MTN RD (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: WINDELL ANDERSON (degrees/minutes/seconds)
Address 1425 BURNT SCHOOL HSE RD Latitude/longitude source:OGPSOTopographie map
(Street or Route No.) (check box)
HAYESVILLE, NC 28904 DEPTH DRILLING LQ(C
City or Town State Zip Code From To Formation Description
( 828 )- 389-8986 0'TO 15' BROWN DIRT
Area code-Phone number 15'TO 20' - GRANITE
4. DATE DRILLED 03-12-2004 20'TO 887' GRANITE
5. TOTAL DEPTH: 867'
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El
7. STATIC WATER LEVEL Below Top of Casing: 753' FT. c
(Use"+"if Above Top of Casing) O
8. TOP OF CASING IS 1 FT.Above Land Surfaces
*Top of casing terminated at/or below land surface requires a
variance in accordance with 15A NCAC 2C.0118. -' Gm
9. YIELD(gpm): 0 METHOD OF TEST AIR a
1� S_
10.WATER ZONES(depth): PI- _A
LOCATION SKETCH a po
I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at leastg
12. CASING: Wall Thickness two State Roads or County Roads. Include the roa&,, "n
Depth Diameter or Weight/Ft. numbers and common road names.Material � --6'From 0 To 20 Ft. 6 van SDR 21 PVC
From To Ft. 0
From To Ft.
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY -C
.2 8. ,
From ToFt.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
I5. SAND/GRAVEL PACK: _
Depth Size Material
From To Ft. 1st;'- c pfre
From To Ft. t
16. REMARKS:
I DO HEREBY CERTIFY TI IAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THA COPY OF' 1�RECO HAS BEEN PROVIDED TO THE WELL OWNER
�Q 3-1?--o Li
SIGNATURE ERSO ON
C4OCfING T'IIE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 alai)Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/200I

297987
WELL CON,STRUCTjON RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR aroatv1nUAL)NAMEE (print) 8NZ V/CT0/2 CERTIFICATION n3 —/S/
WELL CONTRACTOR COMPANY NAME 13j62s Goat- &2Kufi(G r r. PHONE w 1706174/6a/66
STATE WELL CONSTRUCTION PERM31'# f P•b g5QCIAT WQ PERMrrl1
e>. (ifa pplica
v ble (ifronticahseassoniagessamasslel
I. WELL USE(Check Applicable Box):Residential W(MunicipaVPublic 0 Industrial 0 Agricultural 0
Monitoring❑ Recovery Q Heat Pump Water Iq{ection 0 Other 0 If Other,List Use
2. WELL LOCATION:
Nearest Town:/{9U/ZPd CountyCE(E7�4Ke& Topog aphic/Land setting
.SYr7 Mu2Tivf c72l c_, W. ag9od, Midge OSlape ❑Valley ❑Flat
•
(Seat Name,Numbers,Community,Subdivision,tat No.,Z1p Code) (checkg trade of well
Latltudellvngitdda of location
3. OWNER:SIWt ARN0(p N35°OLSo7j /n? 'oz. bge/
Address 5Y!2 t kl>NS CA SO. :(degneehnisuteshecondt)
Ladtude/Iongitude source: check OTopographic-nano
tut2 P4V (5 tior No.) a 5906 (theca boa)
City or Town State ZipCode D PTFI Formation
DRILLING LOG
(�6)- 991 caTown Z7 From To Formation Description
Aran code•Fianna numb% U Y 7'pA�-O!L
• 4. DATE DRILLED_k-/O-o'f / 023 Ref) CIS y
.5. TOTAL DEPTH;.C,OS - 3 8 RGoocss! !,2waE/ CC 9y
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO RI 0/ /IS 7 / 6Q2YG'edr+(a Rack
-
7. STATIC WATER LEVEL Below Top of Casing; QO Kit', o, .A 6���ta
s (Use'4"If Above Top cifCuina) /�2 'o t� 20 GRet1c�e4e/7ac!-e
8. TOP OF CASINO IS AC FT.Above Land Surface' 'F Z a po - 6RSY/2ac.q
*Tap ur mina terminated ab'ur below land suntan regaira I
a 9O ��� �/N,(-7'6lJ3yy�C�
variance In accordant with USA NCAC 2C,el1R; _
9. YIELD(gpm); /00 METHOD OF TEST 2/,S
10. WATER ZONES(depth); a 90
LOCATION SKETC9
11. DISINFECTION:Type Air Amount - //2 Show direction and distance in miles from at least
12. CASING; . Wall Thickness two State Roads or County Roads,Include the roQ
Depth Diameter or WeighvPt. Material numbers and common road names, e� o
From/O7 ,To a7 FL 6 'VI • mal/C r n_
From__ _To_tZ Ft, 6 /Y p- arn
From To Ft, rn
Z_
13. GROUT; Depth Material Method .r n
From 2,o To 0 Ft C�I•>/N(yv7 ' (�tan,tGf TY nn
From To Ft. ap'
14. SCREEN; Depth r"ep • Demeter SlotSiu Material Nz
From, To Ft,-_-__in, in. N c2rn ro
From To Ft.•e-jn, in, art —,
15. SAND/GRAVEL PACK: cm z
Depth Size Material -
From To Ft.
From To Ft. -
16. REMARKS:
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C, WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
o rRE4 vL �, 3—z-0{
SIGN OF PERSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mail Setvtce Center-Raleigh,NC
27699-1636 Phone No.[phone],Within JO days, OW-1 REV. 07/2001

WELL CONSTRUCT{ON RECORD
29798 r
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(IrrDIVIDtiAL)NAME Quinn FRenz P. V t Crop CERTIFICATION#-i 75
WELL CONTRACTOR COMPANY NAME Rc4RS Cuerl, &2/U/NE, Z/VC. PHONE # fa, -Z/66
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMiTU
s (ifapplicablo sansissinswpsftppllcable)
1. WELL USE(Check Applicable Box);Residential l8`• Municipal/Public❑ Industrial 0 Agricultural 0
Monitoring 0 Recovery ❑ Heat Pump Water Injection CI Other 0 If Other,List Use
2. WELL LOCATION: Tope c/Land setting
NearestTown:P/URP/1Y CountyC./-/a0kFG ORidgo Iope ❑Valley ❑Flat
315 0-O Saavt Roao Jr (chock appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Cede) Latltudenongltlido of well location
3. OWNER: Tames kvbmoNEc/ J>t35 ao.344 CO O�{/7. 783
Address �H s OLD S2LEw4 RowLatitude/longitude
d venviimiautahecoodr)
_�ylU(2Pt�Y (s or oute No,) a $906 Latstudelortgirudesource:@tckbox)ographiamap
'(etieck�boz)
D.EPT13 DRILLING LOG
City or Town State Zip Code From To Formation Description
l J Zi get-7644 O & /320 art crag-sa.40
Area code-hoax numbe
4. DATE DRILLED a -As-� e23-0 c3 8 €ec per
5. TOTAL DEPTH: &25 dclo 225 t P&Ck 6RA,V Rerk
6. DOES WELL REPLACE EXISTING WELL? YES O 0 A s c 3 G c
7, STATIC WATER LEVEL Below Top of Casing; Lenoir x
(Ure"4"IT Above Top of acing) T/"S .SOS (�Js*-rRa
8. TOP OF CASINO [S 4 FT,Above Land Surface• Soy h 2S L/r�rlrr,,2ay lack
*Top of wins tsnntnattd et/ur below land sut ee requires+
variant In accords .01 p ce with ISANCAC 2C 1G. /
9. YIELD(gpui):,LU aPfr METHOD OF TEST R/R
10. WATER ZONES(depth); Q 25
LOCATION SKETCH ca
11. DISINFECTION:Type i/T/-f Amount - 2.,/b Show direction and distance in miles from aast o
12, CASING: Wall Thtckaeas twoC'a
Fro a Depth Diameter or Weight/Ft, Material numbers and common road names, o �c
trt�_To -/-2. Ft. G'/N
I 611.1
�
From To FL _ �-
�m
From To_,-„Ft, �
�O rn-,
13. GROUT; Depth Material Meth m
�0
Fro To O Ft allegver 1 N mI.
From To Ft.
14. SCREEN; Depth Diameter Slot Size Maurlel 01 a
From To Ft.,___in, in. z
Front_ To Ft...p in, in,
15, SAND/ORAVELPACK:
Depth. Size Material -
From To Ft. ,
From To Ft. ,
16, REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED 1N ACCORDANCE WITH ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
SIGNATURE OFPERSON 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 90 days, OW-1 REV. 07/2001

WELL CONSTRUCTION RECORD0 J a
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwate edt
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION N 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC PHONE P [phone]
STATE WELL CONSTRUCTION PERMIT!! ASSOCIATED WQ PERMITN
(if applicable)
(if applicable) "
1. WELL USE(Check Applicable Box):Residential tgl Municipal/Public❑ Industrial O Agricultural❑ ` -
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE @Ridge ❑Slope ❑Valley ❑Flat
877 HAMPTON WAY (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: ROBERT SPECTOR (degrees/minutes/seconds)
Address 36735 ROLLING AC.RD Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (checkDRILLING LOG
FRUITLAND, FL 34731 DEPTH
City or Town State Zip Code
From To Formation Description
0'TO 60' RED clay
( 828)- 269-6094
Area code-Phone number 60'to 80' SAND
4. DATE DRILLED 07-07-2004 80'to 116' BLUE SLATE
5. TOTAL DEPTH: 185 116'TO 185' SLATE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El GRANITE O
7. STATIC WATER LEVEL Below Top of Casing: 80 FT. -
(Use"+"if Above Top of Casing)8. TOP OF CASING IS 1 FT.Above Land Surface*
*Top of casing terminated atfor below land surface requires a — -[
variance in accordance with 15A NCAC 2C.0118. 'V
9. YIELD(gpm): 50 METHOD OF TEST AIR _w -
10.WATER ZONES(depth): 160' LOCATION SKETCH
,
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show
µo State Roads d distance Roads.l Include oad
12. CASING: Wall Thickness ;_
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 116 Ft. 6 1/8" SDR 21 PVC
From To Ft. tC
From To Ft. 3l
13. GROUT: Depth Material Method
From 0 To 20 Ft, CEMENT GRAVITY c ^1
From To Ft. (� /O
14. GREEN: Depth Diameter Slot Size Material p
From To Ft. in. in. ,.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft. _ -)R
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY TIIAT TIIIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND TIIA COPY OF THIS RECO )HAS BEEN PROVIDED TO THE WELL OWNER
SIGN TURF PERSON CO UCTING'IIIE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center'RaleiREVgh,NC
27699-1636 Phone No.[phone],within 30 days.

WELL CONSTRUCTION RECORD 299101
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)
DAVID F.MCKIINON CERTIFICATION*2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC PHONE It [phone]
STATE WELL CONSTRUCTION PERMIT* ASSOCIATED WQ PERMIT*
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial ❑ Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE KIRidge ❑Slope ❑Valley ❑Flat
FIVE FORKS LOT 168 (check appmpriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: MANNY HERNANDEZ (de-gees/minutes/seconds)
Address 1151 WEST U.S.HWY 64 Latitude/longitude source:OGPSElTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)_ 837-3002 0'TO 40' BROWN DIRT
Area code-Phone number 40'TO 60' TAN DIRT/GRANITE
4. DATE DRILLED 07-01-2004 60'TO 71' GRAY GRANITE
5. TOTAL DEPTH: 645' 71'TO 645' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El
7. STATIC WATER LEVEL Below Top of Casing: 50 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface`
'Top of casing terminated atior below land surface requires a ,]
variance in accordance with 15A NCAC 2C.0118. . -.
9. YIELD(gpm): 2 METHOD OF TEST AIR
-
10.WATER ZONES(depth): - -
LOCATION SKETCH _
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from ableast .
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names. . --
From 0 To 71 Ft. 6 1/8" SDR 21 PVC <p �I
From To Ft. .. y,
From To Ft. Cl) c_,
13. GROUT: Depth Material Method ,�/
fr
From 0 To 20 Ft. CEMENT GRAVITY nQ� p
From To Ft. R �K" \
14. SCREEN: Depth Diameter Slot Size Material �7/ 4.21
From To Ft. in. in. \' /,
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft. \ /11004SSf,O CQEx[r-K
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITII ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY 0 RE;QRD HAS B E PR IDED TO TILE WELL OWNER
SIGNA'VF PERSON CONST C 1NG 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

WELL CONSTRUCTION RECORD 29910
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION,#3295 _
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC PHONE [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable) _
I. WELL USE(Check Applicable Box): Residential 181 MunicipaVPublic El Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other El If Other,List Use 2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE 9Ridge ❑Slope OValley ['Flat .
946 BOURNE DRIVE (check appropriate box) -
(Street Name,Numbers,Community,Subdivision,tart No.,Zip Code) Latitude/longitude of well location
3503.275N/8400.527W
3. OWNER: ROY 8 DEBRA MARTINEZ (degrees/minutes/seconds) ,
Address 8205 S.W.72ND PLACE Latitude/longitude source:ElGPSOTopographic map
(Street or Route No.) (check box)
GAINESVILLE, FL 32608 DEPTH DRILLING LOG
City or Town Siam zip Cade From To Formation Description
( 828)_ 342-5446 0'TO 40' RED SLATE
Area code-Phone number 40'TO 60' SAND
4. DATE DRILLED 07-06-2004 60'TO 80' BROWN SANDSTONE
5. TOTAL DEPTH: 305' 80'TO 117' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO kl 117.70305' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 90 FT.
(Use"+"if Above Top of Casing) a_8. TOP OF CASING IS 1 FT.Above Land Surface' — r:
*Top of casing terminated adur below land surface requires a ` _
variance in accordance with ISA NCAC 2C.0118. i—
9. YIELD(gpm): 10 METHOD OF TEST AIR
10.WATER ZONES(depth): 220'
LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from Mast _
12. CASING: Wall Thickness two State Roads or County Roads.Include thel oad-`'
•
Depth Diameter or Weight/Ft. Material numbers and common road names. _--.
O
From 0 To 117 Pl. 6 1/8" SDR 21 PVC G7
From To Ft.
From To Ft.
13. GROUT: Depth Material Method N
From 0 To 20 FL CEMENT GRAVITY O 'C /
From To Ft. S
14. SCREEN: Depth Diameter Slot Size Material 4J
From To Ft. in. in. c
r�
From To Ft. in. in. ,�
15. SAND/GRAVEL PACK: Ke�r�
Depth Size Material
Eb
From To Ft. -
From To Ft.
16. REMARKS: •
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT OPY OF THISR CO HAS BEEN PROVIDED TO THE WELL OWNER
SIGNA RE OF P SON CONS 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-I REV.07/2001

299110
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)
DAVID F.MCKINNON CERTIFICATION a 2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE a [phone]
STATE WELL CONSTRUCTION PERMITS, ASSOCIATED WQ PERMITS! --
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial 0 Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use __
2. WELL LOCATION: Topographic/Land setting --
NearestTown: MURPHY County CHEROKEE ElRidge OStope ❑Valley ❑Flat
MT PLEASANT RD TO KENWWOD TRL (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: KEN GALLOWAY (decrees/minutes/seconds)
Address P.O.BOX 883 Latitude/longitude source:OGPSOTopographicmap
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG _.._.--.--
City or Town State Zip Code From To Formation Description
( 828)- 361-2096 0'TO 20' RED CLAY
Area code-Phone number 20'TO 40' BROWN DIRT
4. DATE DRILLED 07-07-2004 40'TO 60' BROWN SLATE
5. TOTAL DEPTH: 705' 60'TO 80' BROWN/GRAY SLATE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO gl 80'TO 98' GRAY SLATE
7. STATIC WATER LEVEL Below Top of Casing: ? FT. 98'TO 705' SLATE
(Use'•+"if Above Top of Casing) O 7-3
8. TOP OF CASING IS 1 FT. Above Land Surface' -" .. —
*Top of easing terminated aiior below land surface requires a � _
variance in accordance with 15A NCAC 2C.0118. __ _
9. YIELD(gpm): CUP METHOD OF TEST AIR - -
!J
10.WATER ZONES(depth): LOCATION SKETCH _� -
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from two State Roads or County Roads.Include att oad„?,,5
12. CASING: Wall Thickness ••
Depth Diameter or Wcight/Ft. Material numbers and common road names. 0
From 0 To 98 Ft. 6 1/8" SDR 21 PVC CO ES
From To Ft.
From To Ft.
13. GROUT: Depth Material Method Ai F- ,LE79'SAi7r
Rio
From 0 To 20 Ft. CEMENT GRAVITY ('
From To Ft. V
14. SCREEN: Depth Diameter Slot Size Material L '
From To FL in. in. c0 T
Ntp
From To FL in. in. K��.ic
15. SAND/GRAVEL PACK:
Depth Size Material
From To Pt. -
From To Ft.
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 TIIIS RECORD HAS
BEEN PROVIDED TO TILE WELL OWNER
SIGNATURE OF PERSON CONSTRUCTING TILE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mail Service Ceenter'RaleiREVgh,NC 1
27699-1636 Phone No.[phone],within 30 days.

WELL CONSTRUCTION RECORD n n C e)
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION it 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE S/ [phone]
STATE WELL CONSTRUCTION PERMITS/ ASSOCIATED WQ PERMITS/
(if applicable) (if applicable) d •
I. WELL USE(Check Applicable Box):Residential ® Municipal/Public❑ Industrial ❑ Agricultural O
Monitoring❑ Recovery ❑ Heat Pump Water Injection 0 Other 0 IFOther,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope ❑Valley ❑Flat
2744 MOCASSIN CREEK RD (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3459.162 N/8401.634 W
3. OWNER: JIM HIGH (degrees/minutes/seconds)
Address 2580 SUGARLOAF CLUB DR. Latitude/longitude source:E1GPSOTopographic map
(Street or Route No.) (check box) '
DULUTH, GA 30097 DEPTH DRILLINQ LOG
City or Town State Zip Code From To Formation Description
( 828)- 837-8454 0'TO 60' RED CLAY&GRAVEL
Area code-Phone number 60'TO 80' BLACK DIRT
4. DATE DRILLED 07-08-2004 80'TO 100' RED CLAY
5. TOTAL DEPTH: 405' 100'TO 130' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El 130'TO 405' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 120 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface* C
*Top of casing terminated at/or below land surface requires a variance in accordance with I5A NCAC 2C.4118. Ci
9. YIELD(gpm): 2 METHOD OF TEST AIR
10.WATER ZONES(depth): 290' �
LOCATION SKETCH J
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at Ieas't GP
12. CASING: Wall Thickness two State Roads or County Roads.Include the roam `.-!i /e
g numbers and common road names. �,, `i 4 t p (r
Depth Diameter or Weight/Ft. Material ` .
From 0 To 130 Ft. 6 1/8" SDR 21 PVC ,,ll V
From To Ft. ��K
01
From To Ft. !�
13. GROUT: Depth Material Method n,
From 0 To 20 Ft. CEMENT GRAVITY
O
From To Ft. Or
14. SCREEN: Depth Diameter Slot Size Material S/.,
From To Ft. in. in. 'y
From To Ft. in. in. •
15. SAND/GRAVEL PACK: Ira to
Depth Size Material O
From To Ft. - a
From To Ft. 0
16. REMARKS:
l DO IIEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT COPY OF THIS REC.RD HAS BEEN PROVIDED TO TILE WELL OWNER
ti in��JJ}}`- A. 7^(' ^` Li
SIG TURFL ERSODTCONitUCTING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

299645
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION 0 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMAPNY,INC. PHONE I [phone]
STATE WELL CONSTRUCTION PERMIT,/ ASSOCIATED WQ PERMIT,/
(if applicable) (if applicable) .... _.._.--
1. WELL USE(Check Applicable Box):Residential ® Municipal/Public❑ Industrial ❑ Agricultural❑ __
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use - -
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope OValley ❑Plat
SUNNY POINT RD TO ORCHARD RD (check appropriate boz)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location.
3502.336N/8412.791W
3, OWNER: JOHN LETO (degrees/minutes/seconds) -'
Address 3100 STIRLING RD Latitude/longitude source:R1GPSOTopographic map
(Street or Route No.) (check box) -
HOLLYWOOD, FL 33021 DEPTH DRILLING LOG
City or Town State lip Code From To Formation DescjQjo Qn__n
( 954)- 829-2411 0-TO 40' SANDSTONE
Area code-Phone number 40'TO 60' BLACK DIRT/GRAVEL
4. DATE DRILLED 07-16-2004 60'TO 80' RED CLAY
5. TOTAL DEPTH: 365' 80'TO 100' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ® 100'TO 365' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 90 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surfaces
'Top of casing terminated at/or below land surface requires• -t
variance In accordance with ISA NCAC 2C.0118. _
9. YIELD(gpm): 100 METHOD OF TEST AIR t_
10.WATER ZONES(depth): 340.360' C
LOCATION SKETCH `_
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from ytjeast: 77
12. CASING: Wall Thickness two State Roads or County Roads. Include the road-
Depth Diameter or Weight/Ft. Material numbers and common road names. --„
From 0 To 100 Ft. 6 1/8" SDR 21 PVC
From To Ft. ;„-
From To Ft. Cr 7.1
13. GROUT: Depth Material Method P_
From 0 To 20 Ft, CEMENT GRAVITY (,)� a
From To Ft. >l1V
QL
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. I"a
From To Ft. in. in. W O
15. SAND/GRAVEL PACK: r RO
Depth Size Material Ava 5. n u(
From To Ft.
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE.WITI 115A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A f0 Y OF THIS�E_CORD S BEEN PROVIDED TO THE WELL OWNER
SIGNAT E OF P . N COJJCf G THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

WELL CONSTRUCTION RECORD 2 9 9 6 47
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)CHRISTOPHER L DICKEY CERTIFICATION N 2261
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMAPNY,INC. PHONE N [phone] -----
STATE WELL CONSTRUCTION PERMITN ASSOCIATED WQ PERMITN
(if applicable) (if applicable)
•
1. WELL USE(Check Applicable Box):Residential Ed 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: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE KlRidge ❑Slope ❑Valley ❑Flat - !`'> l
R.J.MTN.VIEW DR. (check appropriate box) ___,
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3511.835N/8407.472W ---- -- -
3. OWNER: BILL ROSE (dewecs/minutcs/seconds)
Address 868 OLD RANGER RD. Latitude/longitude source:KIGPSOTopographic map
(Street or Route No.) (check box) -__-
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828 )- 827-9269 0'TO 20' BROWN DIRT
Area code-Phone number 20'TO 40' BROWN/BLACK SLATE
4. DATE DRILLED 07-08-2004 40'TO 60' BROWN/GRAY SLATE
5. TOTAL DEPTH: 605' 60'TO 80' GRAY SLATE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO RI 80'TO 100' BROWN/GRAY SLATE
7. STATIC WATER LEVEL Below Top of Casing: 360 FT. 100'TO 120' GRAY/BROWN SLATE
(Use"+"if Above Top of Casing) 120'TO 140' GRANITE
8. TOP OF CASING IS 1 FT.Above Land Surface' 140'TO 148' GRANITE r,
*Top of easing terminated atlor below land surface requires a 148'TO 605' HARD GRANITE
variance in accordance with 15A NCAC 2C.0118. . -
9. YIELD(gpm): METHOD OF TEST AIR
r-
10.WATER ZONES(depth): N _
LOCATION SKETCH GI
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least`-, --
12. CASING: Wall Thickness two State Roads or County Roads. Include thi road -
Depth Diameter or Weight/Ft. Material numbers and common road names. _ CC.:
From 0 To 148' Ft. 6 1/8" SDR 21 PVC f - c;
From To Ft. ,
From To Ft. "-
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY IFrom To Ft.14. SCREEN: Depth Diameter Slot Size Materialfj DFrom To Ft. in. in. }� (—
From To Pt. in. in. 43
)LF'
IS. SAND/GRAVEL PACK: `L /Depth Size Material ) v6From To Ft. -
From To Ft. "^•1T-V ,t ,`4-0 AP
16. REMARKS: \
I DO HEREBY CERTIFY THAT - IIS ' ELL WAS CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C,WELL
CONSTRUCTION STANDA' YS,AN� •T COP OF THIS CORD IAS B N PROVIDED TO THE WELL OWNER
4 $. 7-xi-ay
SIGNATU OF PERSON CONSTRUCTING . ELL DATE
Submit the original to the Division of Water Quality,Groundwater S ction,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

• NC' \/ UIVNEN MVO
—
WELL CONSTRUCTION IU;COIW 2 9 9 7 6
North Carolina-Department of Environment and Nn oral Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAAIE.(prbm) Pt/'cr A ece CERTIFICATION a 2yD3
WELL CONTRACTOR COMPANY NAME 7J,'//ley Fiume a j92Y) S9?-d 9P j
STATE WELL CONSTRUCTION PERMIT Si ASSOCIATED WO FERMI IF
•
(If npplicnblc) (if applicable)
I. WELL USE (Check Applicable Box): Residential I:+ Municipal/Public U Industrial C) Agricultural
Monitoring O Recovery 0 heat Pump Water Injection CI Other 0 If Oilier,List Use
2. WELL LOCATION: 1'opogrnphLa it/ nd selling
Nearest Tow�nn: /,/% County Ulc/al ()Midge OSlope UN/alley ❑Flat
AU /Y„/Jr/r (check.pp.oprl&e bin)
(Sure!Nome,Numbers.Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
/ pj3�•S 6-3") 1/✓53SStj55"
3. OWNER: A1"),'d y�1j / rei2 // (degtee./minnlefheconds)
Address 3,27 Ph&Cactm i- ?up Latitude/longitude source:OGPSOTopograpllic amp
(Suet!a Route.N.) (check box)
Mi.{cphi, AC off, M DEFILE DRILLING LPG
City or Town Stile Zip Code Front To Formation Description
A( t cod)
e-rbnne number Q — /{C (7 z I
4. DATE DRILLED 7 —Or Oct 9fC-- e- 3e s/ 67
5. TO FAL DEPTH:_ d 30 '
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO 9
7. STATIC WATER LEVEL Below Top of Casing: /`'O Ft c ;
Bice"+"If Above lop of Cnning)
8. TOP OF CASING IS ls2.- UT. Alcove Land Surface _
flop of wing NI mIn.led.tor helot land run late wink es• -
' ♦.,lance In•ceord.nct will,ISA NCAC 2C.0118.
9. YIELD(gpnt): 3// METHOD OF TEST '/" -`;
10. WATER ZONES(depth): ,%',-
LOCATION SKLTSll=
I I. DISINFECTION:Type pith` Amount k{c.f Show direction and distance in miles Eom alteast
12. CASING: Wall'Ihick:ess Iwo State Roads or County Roads. 1Gjaudelhe road
Depth Diameter or Weight/Ft. Material number and common road names. :.:
From t' To Ve) Ft. ce/%e-r Sae_re2/ PUS
From To Ft.
Front To Ft.
13. CROUP: Depth A1n)e`ial Method Q
Front l' To d/c I'I.ntom/a/ i'eSr✓/e, A
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material , ,
Front To Ft. iu. in.From, To _Ft. in. hi. fti1 Branch
15. SAND/GRAVEL PACK:
Depth Size Matettni "" " "'
Frain jto Ft. )n„r
1:Iotn To Ft. t,\ fht
16. REMARKS:
I DO IIEREBY CERTIFY THAT THIS WELL WAS CONSI'RUCIED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONS1RUCI ION STANDARDS,AND THAT A COPY OF TIIIS RECORD HAS BEEN PROVIDED TO TILE WELL OWNER
may, L'eGG yi7 —/2 ASS
SIGNAT RE OF PERSON CONSTRUCTING 771E WELL DATE
Submit the orlginnl to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
17 69 9-163 6 Name Nu.[phone],n9(hhr 30 days. OW-1 REV. U7/2001

NC J !MICR NIVD
WELL CONSTRUCTION RECORD 2 9 9'7 6 5
North Carolina-Dcpar uncut of Enviromncut and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONI RACfOR(INDIVIDUAL)NAME (pilot) --Sr/NW c Kv1 W m lSrn V) CER1IFICAlION N .24/0y
WELL CO � La
N1RAC[OR COMPANY NAME t� m t.,6On Cim11m n ( rJtONE N f$2Y) SS7-Z�'Y
STATE WELL CONS TIIUCrION FERMI I N ASSOCIATED WI)FERMI'IN
Or npplicnbk) (if applicable)
• I. WELL USE (Check Applicable Pox): Residential 13—Municipal/Public ❑ hiduslrtnl Cl Agricultural L'1 _ "
Monitoring❑ Recovery 0 Heat Pump Water Injection 0 Other O If Other,List Use
2. WELL LOCATION: Topographic/Land setting `')
Nearest Town:IHGrip '1L County(\'Igto kP C Oltldgo OSlope l ialley Ul lat TIC
2a (check.pprnprlele box) (-Jr I C
(Street Name, umbe r,UntilI:mintunity.Subdivi,ion,Lot No.,Zip Cale) Latitude/longitude of well location e. 3
Ir-- c a
3. OWNER: &0d3-1Q'Q 11 L Ict t/Gr (depreee/minmohecondv)
Address /30 DON C ✓Vc 'RD• Latitude/longitude source:OGPSOTopogrulihjc nrap'
(Street Of Route No.) (check box) 'i
/y1GlR/161 V, A/C c2 jGtf' PE('TT! 12Lt1! LIN( 4VU
City or Town State Zip Cale From To Fomnllion Deic0)itiun
© — lam'
Area crde-rh um nne number 1K)� — CIS'
4. DATE DRILLED 1—i''i-oq Lin' iy5'
5. TOTAL DEI'TIL•_ ILLS'
6. DOES WELL REPLACE EXISTING WILL? YES 0 NO Ig--
7- STATIC WATER LEVEL Below Top of Cnsing: it' Fr.
(We"+"If Above Top or Coxing)
8. TOP OF CASING IS i IT.Above Land Surface" . ..
•'Top of marlin tennln.led Weir below land am race requh Cl■
nrimre In accordance with ISA NCAC 1C.01111. y _
9. YIELD(gran): METHOD OE TEST all
1U. 1VATEIt ZONES (depth):
LOCATION SKETCJl_
I I. DISINFECr10N:Type\i1r\A Qallo--s Amount Show direction and distance in miletfrorkaileast
12. CASING: Well Thickness two Stale Roads or County Roads. iircludeLWe road
Depth Diameter or Weight/ a. Material numbers and conmion road namcsr-o
Froth O To 6to' Ft. le..?r; Spu31 pJ(
From To FL �1
• from To Ft. A, 1 TRon
13. GROUT': Depth M ter al Method 6,qa
Front 0fob' FL _ �f@SSucC /
From To Ft. !(
14. SCREEN: Depth Diameter Slot Size Material
Front To Ft. in. iu. -
Trout To Ft. in. in. _
15. SAND/GRAVEL PACK:
Depth Size Mete'int 3 won
front To It. SpciHc3S Q)
Front To Ft.
16. REMARKS:
I DO HEREBY CERTIFY T11AT1111S WELL WAS CONS'I'ILUCIED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCI ION STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO TILE WELL OWNER
A. LA ,LC-.).a tii tin. 47-19-tx)
SIGNATURE OF PERSON CONSTRUCTING TIIE WELL DATE
Submit time mTglual to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
1/r99-rrtr Plump Na 1919)713-1221.11ithin 30 days. OW-1 REV. 07/20U1

� J WELL CONSTRUCTION RECORD 299762
North Carolina-Department of Environment and Nat'l"'Resourcesrc -Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)riin 7t7 ACC e CERTIFICATION$ t'y�
WELL CONTRACTOR CGF::.'NY NAME 0.4/4,- -_ PHONE M f/PM P)2--??p ?
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMITM
(if applicable) (ifepp1icab) nit m a IN Ina ra s mi aR
I. WELL USE(Check Applicable Box): Residential I-Municipal/Public 0 Industrial ❑ Agricultural it
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: / `/ Topographic/Land setting
Nearest Town: 04'/7 County CIEtorie ❑Ridge ❑Slope ❑Valley , ❑Flat
a 25� ct.se s f- / (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location - r i
� /025° 69 '141c`tsv 05T°<7 0 Si-0
3. OWNER: .7e 6 C7�C4'4/'�fp� (� (degrees/minutes/seconds)
Address r2/6 ? C�� _r1pL D '1 ED. Latitude/longitude source:❑GPS❑Topographic map
(Street or Route No.) (check box)
✓hc&PwV/ At 4)F76 0 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
Arca code-Phone number 0 - fl O C/c/
4. DATE DRILLED 7`.?<-Cc/ //O - /f?7 6 'n7• f'e
5. TOTAL DEPTH: ` ci 7
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO @- _
7. STATIC WATER LEVEL Below Top of Casing:SET,
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS / FT.Above Land Surface* t
*Top of casing terminated at/or below land surface requires•
variance In accordance with ISA NCAC 2C.0118.
9. YIELD(gpm): fo METHOD OF TEST Ii-'!- c' j
10.WATERZONES(depth): yqo r t' '`
LOCATION SKETCH w
11. DISINFECTION:Type //T%" Amount k2 20 Show direction and distance in miles from at,least,., # C
12. CASING: Wall Thickness two State Roads or County Roads. Include the roa '
Depth Diameter or Weight/Ft. Material numbers and common road names. 1nri'-' 1
From Cs To //2 FL C s- SOii,g/ J L
From To Ft. o k
From To Ft. ''
13. GROUT: Depth M en9l/ Method c..
From O To,24 Ft. iv-7%/d Ic ffc,..-Le - _ _
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in. -_
15. SAND/GRAVEL PACK: _ NJ
Depth Size Material r-a
From _To Ft.
From To Ft.
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 THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
/fin �G c'_e 7 -.2/-0 y
SIGNATURE F PERSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV. 07/2001

NC J OWNEl? MIf0
-- 299759
WELL CONSTRUCTION RECORD
North Carolina-Depatmncnl of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (prhd) )r)rm€5 Q, L Oi kso rt CERTIFICAyl�I�ON#.2442 rl
WELL CONTIIACfOR COMPANY NASIE 1Mi1li r 1ADElI CI1:1\i rionE I JIir,if firr-29c7'
STATE WELL CONSTRUCLION mERMIU ASSOCIATED WO MEMO
. (if applicable) (if applicable)
•
I. WELL USE(Check Applicable Box): Residential LTV Municipal/Public❑ Industrial ❑ Agricultural ❑
Monitoring❑ Recovery ❑ Ileat Pump Water Injection ❑ Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearestr���_ Town:l�ur��� County ri1 .1OI�OL, ❑Ridge QJFifope DValley ❑flat
Don an'tV PS `Z y s�••Yl� `5 rid _-- (check appropriate box)
(Sheet Name,Number',Cnumlllay,Subd i ion,Lot Ng.,Zip Cole) Latitude/longitude of well location
f,) 3s°%r yr"e we Er zit 2N
3. OWNER: —7 n rAIG (degreedndnuredsecnndr)
Address ��jc/ � 91/r5 f Lalituddlongilude source:OGPSOTopographie nap
(Sheet or Route No.) (check box)
ThaPHV Ale —W0 0 PEP Ill ILRILLLQ LPQ
City or Town Sure Zip Code From To 'Of nation Description
( )- t) - 10' C.
Airs coda None numberI/o'— 020 r
4. DATE DRILLED a 7-/4'6O4 ,770' - o2‘c'
5. TO FAL DEI'TI I: o?l,S '
6. HOES WELL REPLACE EXISTING WELL? YES ❑ NO ❑
7. STATIC WATER LEVEL Below Top of Casing: ' it
(Use"+"if Above lop of Cueing) -_
8. TOP OF CASING IS_ / FT. Above Land Sot face" c
clop of wing lertnlnsded el/or below land sus fare require a `" -,
♦nlxnce In sccordxnce with 1SA NCAC IC.01111. // ,
9. YIELD(gln): q METHOD OF TEST)- Ur po//ct :-•
10.WATER ZONES (depth): LOCATION SKETCH '`-'
III Show direction and distance in miles:from¢1 feast
11. CIS N:'1'ype)nt! t po U p k AAmountk'2` two State Roads r r County Roads. lnc btudc road
12. CASING: Wnll'Ihickness _
Depth Diameter or Weight/Ft. Material numbers and con non road names. r J
Egoist C To ,7A9r Ft. 70(25 <):2/ pyr co
Frunt To Ft.
Front Tv FL II
13. CROUP: Depth Material , Method a Ja
Front. 0 To ,/Or Ft. icy //And ,UireQ,,,p 1.
From To Ft. /
14. SCREEN: Depth Diameter Slot Size Material
Front To Ft. in. in. r . l /; r
Front Tv Ft. in. in. \ l Sfyr 7 noel
15. SAND/GRAVER. PACK: v if'
fiC.1
Depth Size Wes lid — 4I
rim il .I.o Ft. 'I
prom To Ft. a
16. REMARKS: n
0
I IX)IIFRELIT CERTIFY TIIATTIIIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND Tim"A COPY OF TI IIS RECORD HAS BEEN PROVIDED TO TILE WELL OWNER
/ SIGNATURE OF PERSON CONSTRUCTING 771E WELL DATE
[Tr r .-
Wind( the orlglnal to the DIvlsloit of Water Quality,Groundwater Section, 1636 hall Service Center Italelgli NC
OW I RE V. U7l200-F-

WELL CONSTRUCTION RECORD 299824
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION#3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMAPNY,INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WO PERMIT#
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El Municipal/Public 0 Industrial 0 Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope OValley ❑Flat
MESSER RD TO MESSER PLACE (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3506.537N/8357.687W
3. OWNER: TIM BERGERON (degeeJminutes/secands)
Address P.O.BOX 1195 Latitude/longitude source:K1GPSOTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 835-8303 0'TO 40' RED SLATE
Area code-Phone number 40'TO 60' SANDSTONE
4. DATE DRILLED 07-15-2004 60'TO 82' BLUE SLATE
5. TOTAL DEPTH: 705' 82'TO 705' SLATE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO RI GRANITE
7. STATIC WATER LEVEL Below Top of Casing 120 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface*
*Top or easing terminated alor below land surface requires a _
variance in accordance with ISA NCAC 2C.0118.
9. YIELD(gpm): 1 METHOD OF TEST AIR r-r __
10.WATER ZONES(depth):
LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least..
12. CASING: Wall Thickness two State Roads or County Roads. Inclug the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 82 FL 6 1/8" SDR 21 PVC -From To Ft.
From To Ft. tJt
13. GROUT: Depth Material Method --I cle
From 0 To 20 Ft. CEMENT GRAVITY �-
From To Ft. F9
14. SCREEN: Depth Diameter Slot Size Material NitFrom To Ft. in. in.
From To Ft. in. in. kb 5
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
l DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A PY OF THIS RECO�N PROVIDED TO THE WELL OWNER
SIGNAT RE OF VON C GANG TILE WELL DAI `' 1
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service patter-Raleigh,NC I
27699-1636 Phone No.[phone],within 30 days. I qW-1 REI% /21/03 2004 '
L4
� .
( -,i 'E

WELL CONSTRUCTION RECORD
299 ,1":
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION 8 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PIIONE 8 [phone]
STATE WELL CONSTRUCTION PERMITS_ ASSOCIATED WQ PERMIT/
(if applicable) (if applicable) - _-
I. WELL USE(Check Applicable Box):Residential El MunicipallPublic 0 Industrial❑ Agricultural O ---
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting .
Nearest Town: MURPHY County CHEROKEE El Ridge ❑Slope ®Valley OFlat'
CULBERSON-CEDAR VALLEY FARM RD (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: MARVIN RAPER (degrees/minutes/seconds)
Address 1241 WEST U.S.HWY 64 Latitude/longitude source:OGPSOTopographia.,map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG -.
From To Formation Description-
Cityo33n State Zip Code
( 828)- 835-7324 0'TO 20' RED DIRT
Area code-Phone number 20'TO 40' RED DIRT/SAND
4. DATE DRILLED 07-20-2004 40'TO 80' SAND
5. TOTAL DEPTH: 465' 80'TO 103' GRAY SLATE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El 103'TO 465' SLATE
7. STATIC WATER LEVEL Below Top of Casing: 10 FT.
(Use"+"if Above Top of Casing) -
8. TOP OF CASING IS 1 FT.Above Land Surfaces r
*Top of casing terminated at/or below land surface requires a
variance In accordance with 15A NCAC 2C.0118. ,_�
9. YIELD(gpm): 6 METHOD OF TEST AIR 1 10.WATER ZONES(depth): 3W' LOCATION SKETCH ")
1 I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from-at least;
12. CASING: Wall Thickness two State Roads or County Roads. Includt6e road..-
g
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 103 FL 6 1/4" .188 STEEL _I c.
From To Ft.
From To Ft.
13. GROUT: Depth Material Method
v D
From 0 To 20 Ft. CEMENT GRAVITY
From To Ft. C,'W
14. SCREEN: Depth Diameter Slot Size Material 'e
From To Ft. in. in. E�c q
From To L Ft. in. in. y /LA `Y
15. SAND/GRAVEL PACK: l
Depth Size Material C�st
SP
From To Ft.
From To Ft. IT (r-
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT COPY OF REC HAS BEEN PROVIDED TO THE WELL OWNER
4 f,,,_ 7 Via•-O V
SIGNA RE ORSOtNS CTING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Ceenter'RRLVgh,NC
27699-1636 Phone No.[phone],within 30 days.

WELL CONSTRUCTION RECORD 2 9 9 8 72
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)CHRISTOPHER L DICKEY CERTIFICATION 8 2261
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMITH ASSOCIATED WQ PERMIT#
(if applicable) --.._._----- -
(if applicable) ---
I. WELL USE(Check Appl
icable Box): Residential Igl Municipal/Public 0 Industrial 1 Agricultural 0 -- :-----
Monitoring❑ Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE El Ridge ❑Slope ElValley 0 Flat
GREASY CREEK-56 WILDFLOWER LANE (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: RICK GARNITZ (degrees/minutes/seconds) •
Address 2781 CRAVEY FOREST LANE Latitude/longitude somce:OGPSOTopographic map
(Street or Route No.) (check box)
30345 DEPTH DRILLING LOG
City Town
ATL City
or GA From To Formation Description- --
( 678). 438-5851 0'TO 20'
BROWN DIRT
State Zip Code
Area code-Phone number 20'TO 60' SAND 8 GRAVEL
4. DATE DRILLED 07-12-2004 60'TO 80' GRANITE
5. TOTAL DEPTH: 305' 80'TO 305' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El SLATE .
7. STATIC WATER LEVEL Below Top of Casing: 60 FT. C
(Use"✓'if Above Top of Casing) - -
8. TOP OF CASING IS 1 FT.Above Land Surface"
'Top of casing terminated aUor below land surface requires a
variance in accordance with ISA NCAC 2C.0118. -I
9. YIELD(gpm): 6 METHOD OF TEST AIR
10.WATER ZONES(depth): LOCATION SKETCH :Z. ,-71
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles frotria—1 least: -'
12. CASING: Wall Thickness two State Roads or County Roads.Include:Dm rt d'
Depth Diameter or Weight/Ft. Material numbers and common road names. J Es
From 0 To 80 Ft. 61/4" .188 STEEL
From To Ft.
From To Ft. Ir-DFu � `�
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY \,
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in. (...1
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft. - far-vPk b6,44 t.Lj
From To Ft. -
N.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE (TH ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS,A/y T COI OF •IIS RECO HAS BEEN P OVIDED TO THE WELL OWNER
WI UREOFP,.r'SONCONS RUCTING THE WE [/ DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

WELL CONSTRUCTION RECORD
299s'7I.
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)CHRISTOPHER L.DICKEY CERTIFICATION,/2261
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PItONE # [phone]
STATE WELL CONSTRUCTION PERMIT,/ ASSOCIATED WQ PERMIT,/
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential Ea 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: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE @Ridge ❑Slope ❑Valley ❑Flat
KILBY RD TO RJ MTN VIEW DR (check appropriate box)
de/lonitu
(Sneer Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Lat 3511.85tude of well location
N/8407.472W
3. OWNER: BILL ROSE (d EAus/minutes/seconds)
Address 868 OLD RANGER RD Latitude/longitude source:@GPSOTopographic map
(check box)
(Streetor Route No.) DEPTH DRILLING LOG
MURPHY, NC 28906
From To Formation Description
( 828)- 837-9269
State Zip Code 0'TO 20' BROWN DIRT
Neu code-Phone number 20'TO 40' BROWN/BLACK SLATE
4. DATE DRILLED 07-08-2004 40'TO 60' BROWN/GRAY SLATE
5. TOTAL DEPTH: 605' 60'TO 80' GRAY SLATE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El 80'TO 120' BROWN/GRAY SLATE -.
7. STATIC WATER LEVEL Below Top of Casing: 360 Ft 120'TO 148' GRANITE -0 ,-'
(Use"f"if Above Top of Casing) 148'TO 605' GRANITE _
8. TOP OF CASING IS 1 FT.Above Land Surface* -
'Top of casing terminated at/or below land surface requires a a/ —'-
variance in accordance with ISA NCAC 2C.0118. t,I
9. YIELD(gpm): METHOD OF TEST AIR
10.WATER ZONES(depth): LOCATION SKETCH L - -
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles frorttt least
12. CASING: Wall Thickness two State Roads or County Roads. Include-the road
Depth Diameter or Weight/Ft. Material numbers and common road names. .1 �,
From 0 To 148 Ft. 61/8' SDR 21 PVC
From To Ft.
From To Ft. ��
13. GROUT: Depth Material Method `
From 0 To 20 Ft. CEMENT GRAVITY '('
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material A
From To Ft. in. in. 0 p�J
From To FL in. in. s4Sd v I"" ✓�
15. SAND/GRAVEL PACK: v 1 1.--15 47 V [//c S
Depth Size Material /`
From To Ft. ip
From To Ft. - -_ _____
16. REMARKS:
I DO IIEREBY CERTIFY THAT THIS WELL CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL-
CONSTRUCTION STANDARDS,ANDeii'*I �Y OF HIS CO�1RD F� EEN PROVI D TO THE WELT-OWNER
SIG OF PERS CONSTRUCT NG TI WELL DATE
Submit the original to the Division of Water Quality,Groundwater Sec,Non,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW I REV:07/200iti
tFIT
1.

II
WELL CONSTRUCTION RECORD 2 9 9 8' 0
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)DAVID F.MCKINNON CERTIFICATION#
2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE a [phone]
WQ PERMIT,
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED(if applicable) _.
(if applicable)
1. WELL USE(Check Applicable Box):Residential El MunicipaVPublic❑ Industrial 0 Agricultural 0
Monitoring El Recovery 0 Heat Pump Water Injection 0 Other El If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE [Midge ®Slope OValley ❑Flat
(check appropriate box)
DINKINS rn
CREEK TO END OF PAVEMENT(ON RIGHT) Latitude/longitude of well location
(Sheeteet Name,Numbers,Community,Subdivision,Lot No.,Zip Code)
DEBORAH WRIGHT (degrees/minutes/seconds)
3. OWNER: Latitude/longitude source:OGPSOTopographic map
Address 20 TEN(SST (check box) f;
(Sheer or Route No.) (check
DRILLING LOG
MURPHY, NC 28p C Formation It?ire,,scnption
ZipCode From To 'C'.__._
CityaTown Siam 0'TO 20' BLACK DIRT
( 829 do Ph1ne number 20'TO 40' SAND/GRAVEL/BOULDER:
AreaA code-Phone m GRAY GRANITE
4. DATE DRILLED 07-16-2004 40'TO 60' GRANITE
5. TOTAL DEPTH: 605' 60'TO 65'
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ID 65'TO 605' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 60 FT.
(Use"+"if Above Top of Casing) GRANITE r,
8. TOP OF CASING IS 1 FT.Above Land Surfaces
"Top of casing terminated at/or below land surface requires a
variance In accordance with ISA NCAC 2C.8118. .7 _
9. YIELD(gpm): 12 METHOD OF TEST AIR -
10.WATER ZONES(depth): LOCATION SKETCH
-
Show direction and distance in miles fronlll least:_
11. DISINFECTION:ION:Type CHLORINE Amount 100 PPM two State Roads or County Roads.Include-the rgad.
12. CASING: Wall orWei Thickness _
Depth Diameter Weight/Ft. Material numbers and common road names. _ —.
From 0 To 65 Ft. 6 114" .188 STEEL
From To Ft. q
From To Ft.
13. GROUT: Depth Material Method (l'/
From 0 To 20 Ft. CEMENT GRAVITY
From To Ft
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. /NK)v5 CQetk
From To FL in. in. ? ���, C.R
15. SAND/GRAVEL PACK:
Depth Size Material -
From To Ft.
From To FL -
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 THIS RECORD IiA BEEN „N PR VIDED TO THE WELL OWNER
/e) �tj t, ,�yJ 7rzo-rk 7-IG —eLl
"
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
ei
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Ceenter'REV gh,NC
27699-1636 Phone No.[phone],within 30 days.
g@ •edobae)

301533
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION N 3236
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE N f 828) 837-8008
ASSOCIATED WQ PERMITN
STATE WELL CONS PERMTTN (if applicable)
(if applicable) ..
I. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial 0 Agricultural❑
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE EIRidge ❑Slope ❑Valley ❑Flat
HWY 64 WEST TO GOLDEN RIDGE (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3500.991N/8416224W
3. OWNER: STEVE COLEMAN (degrees/minutes/seconds)
Address 880 GRAPE CREEK RD Latitude/longitude source:K1GPSOTopopraphic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRJLLJHO LOG
City or Town State Zip Code From To Formation Description
( 828)_ 837-4488 0'TO 30' RED CLAY
Area code-Phone number 30'TO 45 BLACK DIRT
4. DATE DRILLED 09-01-2004 45'TO 66' GRANITE
5. TOTAL DEPTH: 707' 66'TO 707' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El GRANITE 9 P
7. STATIC WATER LEVEL Below Top of Casing: 160 FT. 'WI;
(use"+"if Above Top of Casing) Crii
8. TOP OF CASING IS 1 FT. Above Land Surface* (P� 1 FO
*Top of casing terminated al/or below land surface requires a A ( .�{,
O
variance in accordance with 15A NCAC 2C.0I18.
9. YIELD(gpm): 3 METHOD OF TEST AIR COy
10.WATER ZONES(depth): 590' cc)p4,
LOCATION SKETCH �Op FGTP
I L DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least fa�
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 66 Ft. 61/8" SDR 21 PVC Y .--
From To Ft. ���/
From To Ft. �yo ,fri _ Q�
13. GROUT: Depth Material Method <` )_
From 0 To 20 Ft. CEMENT GRAVITY Q,
From To Ft. C
14. SCREEN: Depth Diameter Slot Size Material .19
From To Ft. in. in. a
From To FL in. in. \D
15. SAND/GRAVEL PACK: ��\
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
l DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COP OF THIS REQRD IIAS BEEN PROVIDED TO THE WELL OWNER
• —3011
SIGNATU OF PER CONS U TIFF-WELL DATE
Submit the original to the Division of Water Qua ity,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

301532
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION if 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PRONE N j 828) 837-8008
STATE WELL CONSTRUCTION PERMITN ASSOCIATED WQ PERMITO
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential® Municipal/Public 0 Industrial 0 Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ❑Ridge ❑Slope ❑Valley ❑Flat
TARHEEL PROPERTIES (check appmpriate box)
(Street Name,Numbers,Community,Subdivision,lot No.,Zip Code) Latitude/longitude of well location
3505.665N/8403.152W
3. OWNER: CHAD DECKER (deposes/minutes/seconds)
Address P.O.BOX 273 Latitude/longitude source:KlGPS❑Topographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town Stale Zip Code From To Formation Description
( 828)_ 837-5753 0'TO 60' RED CLAY
Area code-Phone number 60'TO 80' GRAVEUCLAY
4. DATE DRILLED 09-03-2004 80'TO 98' GRANITE
5. TOTAL DEPTH: 425' 98'TO 425' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El
7. STATIC WATER LEVEL Below Top of Casing: 90 FT. �
(Use"+-if Above Top of Casing) Pr
8. TOP OF CASING IS 1 FT.Above Land Surface' FAF`
rla
*Top of casing terminated alior below land surface requires a t�� PO
variance in accordance with ISA NCAC 2C.0118. Yd. ��
9. YIELD(gpm): 40 METHOD OF TEST AIR 0Oy O
10.WATER ZONES(depth): 390' LOCATION SKETCH F`0
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least c3 n
U. CASING: Wall Thickness two State Roads or County Roads. Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 98 Ft. 6 1/8- SDR 21 PVC
From To Ft.
From To FL )
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY I
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
l5. SAND/GRAVEL PACK:Depth Size Material /se'0J-- �.,�pwnFrom To FL ,, "9- 9R
From To Ft. -\
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A CO OF THIS RECORD 1 BEEN PROVIDED TO THE WELL OWNER
SIGNATU OF PE N CO TR G THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,t636 Mall Service Ceenter'RRaleigh,
NC
27699-1636 Phone No.[phone],within 30 days.

•
301727
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (prino CHRISTOPHER L.DICKEY CERTIFICATION N 2281
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE p (828) 837'6008
STATE WELL CONSTRUCTION PERMITft ASSOCIATED WO PERMITS
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential g Municipal/Public❑ Industrial 0 Agricultural 0
Monitoring❑ Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ❑Ridge ®Slope OValley OFlat
KILBY RD TO 75 RJ MTN VIEW DR-WELL 0 2 (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: BILL ROSE (degrees/minutes/seconds)
Address 868 OLD RANGER RD Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 837-9269 0'TO 140' BROWNfIAN SLATE
Area code-Phone number 140'TO 157' BLUE SLATE
4. DATE DRILLED 08-27-2004 157'TO 805' SLATE
5. TOTAL DEPTH: 805'
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El
7. STATIC WATER LEVEL Below Top of Casing: FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface' 9Q"*(k, /%
*Top of casing germinated aUor below land surface requires a ,r e
variance In accordance with 15A NCAC 2C.0118. tS A .L7�Cy
9. YIELD(gpm): 0 METHOD OF TEST AIR e C//4
10.WATER ZONES(depth):
LOCATION SKETCH 1.1 �`rC 4
I I. DISINFECTION:Type CHLORINE Amount 1 CUP Show direction and distance in miles from at least 0? Dili
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 157 Ft. 61/8" SDR21 PVC
From To Ft.
From To Ft.
13. GROUT: Depth Material Method
From 0 To 157 Ft. CEMENT TREMIE PIPE )
From To Ft. 3.3.
14. SCREEN: Depth Diameter Slot Size Material v
From To Ft. in. in.
From To Ft. in. in. AZ 0- �r4 in LC)15. SAND/GRAVEL PACK: It (�
Depth Size Material �r=J!
From To Ft. rJ
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND TACO Y OF HIS RECORD HAS BEEN PR IDED TO THE WELL OWNER
,ti
ATURE OF RSON CON TRUCTING THE WE L DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mail ServiceCenter-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. _-. GW-tREV.07/200i-

301'726
, WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) CHRISTOPHER L.DICKEY CERTIFICATION 8 2281
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. p11oNE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial❑ Agricultural 0
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ❑Ridge ❑Slope ®Valley ❑Flat
MOCCASIN CREEK (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: KEITH ZIMMERMAN (degrees/minutestscmads)
Address 1621 MOCCASIN CREEK RD Latitude/longitude source:❑GPS❑Topographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 837-7506 0'TO 20' BROWN DIRT/SAND
Area code-Phone number 20'TO 60' DIRT/SAND/GRAVEL
4. DATE DRILLED 08-25-2004 60'TO 79' GRANITE
5. TOTAL DEPTH: 205' 79'TO 205' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO KI
7. STATIC WATER LEVEL Below Top of Casing: 80 FT. �Q�,
(Use"+^if Above Top of Casing) 40� '2cC'
8. TOP OF CASING IS 1 FT.Above Land Surface* p,
*Top of casing terminated at/or below Land surface requires a '^1.�plbiCjL�
variance in accordance with ISA NCAC 2C.0118. CAA e ,Q
9. YIELD(gpm): 20 METHOD OF TEST AIR ON
10.WATER ZONES(depth): 160',200' t 5r 9 8eC 0
LOCATION SKETCH <0o /0N
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the mad
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 78 Ft. 6 1/8" SDR 21 PVC
From To Ft. Z'i^)e
From To Ft.
13. GROUT: Depth Material Method /f/o
From 0 To 20 FL CEMENT GRAVITY �� SJ/v
From To Ft. )
14. SCREEN: Depth Diameter Slot Size Material I633
From To Ft. in. in. �)
From To Ft. in. in. l/ k Re) `'I
15. SAND/GRAVEL PACK: ( ;
Depth Size Material \-`
From To Ft.
From To Ft.
16. REMARKS:
1 DO HEREBY CERTIFY THAT THIS WEL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC/C,WELL
CONSTRUCTION STANDARDS,AN A C Y O THIS REC RD HAS B PROVIDED TO THE WELL OWNER
t D q-rZ S--CI
. GNATURE O ERSON CONSTRUCTING T ELL 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. --OW-I REV,07/2001-

AI V 1111N1 li lint)
WELL CONSJRRUCT'1ON acw coiiu 302035
Nuith Carolina -1)crarIntent of Ellyn and Natural Re:mi lcees- Division of Water Quality- Utomidwaler Section
WELLCON I RAC!Olt(INDIVIDUAL)NAME (pilot) \ 1GlMP5 R. 1.-n,7 '`SOD CFuI 111CM ION 11 10(4
WELL CON I RAC(OH COMPANY NAME M \1ec kn) eAk 6i',A\cj rimier 4 1
ASSOCIATEl)WI)renetilx
S IAlE WELL CONS 1I'Ic N1'EIinII1M lifn licnirle
..a... iI nprliciinblrZa.....e-.,�._.. ....... .. .,....r ..e „i. is.
I. \\'ELL,USE (Check Applicable Ilos): Residential liP 111'icipal/Public CI Indanhinl ❑ Agricultural U
Monitoring U Rccovcly ❑ Iteat I'mup Water Injection U Other LI If Other, List Use
2. \VEI.I. LOCATION: L Topographic/Land selling
Nearest Town:�tACP k — counlyf_\4Q(n -o Midge USlupe llcy UFlal
. l I_ (AY--Qy-" __. .-__-_____-.__. __ (check epptoprinle hoe)
-et +-- Lnliqlu,d,..e7llun iludc of well Iocnlion
(Stied Nv v,NvniLrn,Cononnnily,Snbdi+inlm+,ha ilo.,lip G,k) � dS /f ls-0 ri etr7"l I
(deer redrinnledr!cnn.l.)
3. OWNER: � �rsn Dk —
Address kinio)_ l39.3- -- Laltluddlomgiludc source:Ll(JPSD 1 upugrophte map
(check bon)
(Stied et poulr No.)06 pilau NO LIJNU_LOU
M N� _ 2-�q —
ir-fQ-- lip Code From To1'onnalimlUcscliplion
City or o,,,r StifleeQ - / ,
t_ _ /0 - AO e a-
il code. Home windierd. OAIII Willi PO -3(-0Li cW - ate'
5. TOTAL DEI'l'II:_dO —__-__
6. DOES WELL REPLACE EXISTINU W(.1.1.7 YES U NU 13
7. S VATIC WATER LEVEL Below Top of Casing: " 59'._FT. y .
(lire"I"If Above lop of noting) S9"
O
8. 1 OP OP CASINO IS __J-_.__ _- (-f. Above I and Surface .0
•l re el ndnp In odnnlyd•1/or below land on hire rrqulnt• (n n.--•
A l la m e In•rrold•nce with I5A NCAI'lC.Ill la. 'Vr
o. YIEID (ppm): _7___--METHOD kW'IFS I ilrQ ra C)
,m
I u. WATER ZONES (depth): LSLCA'CIVt1 %ti:LC11 C r"z
Gjbi /)'f/g1& Amount /5 Show dileclion and distance in miles fiuiSt Icac
1 I. CISIIJEIiCTION:Type t two Slate onds or County(loads. Inclulle roan°
12. CASING: Wall-thickness i, N
Depth Uimnc/ter or weight/pi, h7nlcria) numbers at d common toad Annie. J II
Enmk 0 To �-JS ' 11.4,..S Smu 1 f pdc
•non To n
Elom to PI. ------
II. OROUI': Depth Material Method
ACC-
Mom o To eat' Et. Pot-�1c�✓l� -- _aven,p`l�'
From To ri. L`'7 a/s
14. SCREEN: Depth Diameter Slut Size Material 1-
honk To 1'I. in. in. c
Iron:__-- fu Ft. iii. in. 30
IS. SAND/URAVEI. PACK:
Depth Size Mnlrlinl
Fronk To Ft. - a
From To IT ----- f7
16. REMARKS:
LKI I IFRFDY CEII I IVY IIIAT lI IIS WELL\VAS CONS Ill11CITD IN ACCOIIDANCE WITH ISA IICAC 2C,WELL
CONSI IWCI ION STANDARDS,AND TIIAT A COPY OE 1111S RECORD IIAS BEEN PROVIDED TO111E WELL OWNER
SIGNAL OItH OF 1'IiltSUN CUNSIRUCIINU TI112 WELL DA111
Submit the or Iglnal to the Nivilhln of Water Quality,Gromidlynler Section, 1636 Mall Senlce CU\Vrl RLVgli,NC
211g1
27699-1611 l'hunr Nu.(q Iv)7313221,n ilhln 111 dap.

ut: / all r/) )t __ . . II II
WELL CUNSTltUC ION RECOI(ll 302034
iJuith Cnlolina-Ucpaltnlcnl of Gnvirmuneul mud Nnlulal Resomces-Division of Water Quality- Oluuudwater Section
R'F.1,4 CUNT MCIOII(INUI{'111UA1,)NAME Irihrl ‘‘Lir 1PM RC% U\D\l`&r'1 CEn71FICAIIUN I. a voci
{{"e1.r.CON nlncluncunirANkldnple IM1\�o t L.JP.II C1r'I \ 1n'c
rIIONe s lewd .Es57-2cn7
ASSOCIATED 1vI)FERMI IH -_.
SIAIE{vELI.fCONS
n ,)lcnble IIUN FERMI IN ifs rdicnble
ifn )licnbk
I. \1'G1.1.USE (Check Applicable Box): Residential Ij,L_ Municipal/Public U Indushin! L Agticuilutai U
Munituting ❑ Recovery LI I lad romp Winer Injection U Other Ll If Other,List Use
2. WELl. LOCATION: •lopogrnphic/l.mid selling
Neatest'lown: Vg— —Couuly e_ke Ultidgc L11FiYopc L'1Vnllcy Ullnl
MilcikA--. (check•pp,opi Isle tin•)
JDiNino?.N,t,nl'1_ I''`��- i,I - " ----- - lr Loliludellongiludeof well location
(Sheri Nino?.Nambrn,l'an;unuuly,Sahli vistas,I nl Ida..7ip 1',.le) r H O g IZV
(drprere/minulrt' rtmnl.)
J. O\\'tJ lilt: Al; KP Wla uvl✓v�eC ----
Addlcss I4541 __1-0e 8ra-'v. __.__. Latitude/longitude somce:Uril'SDlopogrnphicmap
(check Iris)
(Sheri in Route Nn)
AA IACt-ht .,LC__22_9_0
1*JIB. U11
LL1f V_LWQ
Cil) rn loon sule 7ipCr (e El ut o ralion 'reset ipti un
- D _ � ; ��vv
Airs coat-Elinor nnn6er CP - I 6 S ' rO vli f e
4. DA1E DRILL ED `S- 30- 04 TT G
5. '1Trl'AL OP.I'IlL_ 1� ._____—____ r trcri
G. DOES WELL REPLACE EXISTING WELL/ YES U NO 17 a, -_-�`
7. STATIC WATER LEVEL Below"fop of Casing: _tat _FL 01O ^T`
(Ilse"t"If Alcove lop or Opting) G-
R. TOETOEOI° CASINO IS _I _______
CASING Above loud Sul lace• 0 'lCa
c^
•l rp of ndnp In ndndr;l oilerlrrinrt lord nn lore lrgnhn• �O ^
,nlsore In arro,drnre nliiu ISA NCAC IC.ai1A. ,/�
9. 11W.I) (ppm): - 6_— MEIIODOFIFSIA 2 t;? Z9
NOnl. WALEll ZONES (depth): W_C.A7 i9E.S.ECE1, 1
11. CISIIJNiC1"ION:'f}'p°
ln\fl t&c c Amount 4 S Show ditection and distance in miles [tom al least
two Slate Roads or County Roads. Include the toad
12. CASINO: WnIWl right/Its
Depth Diameter or \l'cighVhl, h1nlctial uuutbcf9 end conutlon toad❑alllcs.
lu ( Fl. (p,.2S SOCa1
1'lom b �- �'— _ L(
Flom To Ft. [•
Flom_ 'Fit— FL__--- — ---- ok+y/
I). UROUI: Drplll Mnlla d inl Mcdm
Flom D I-o ,�r� rt. ?or4(n✓1A t-P.<S(J1'P
Flom To PI.------ ---
14. SCREEN: Depth Diameter Slot Size Mntelinl
float To Et. in. in.
Ilum To_ It, in. in.
15. SAND/GRAVEL I'ALK:
Ilrplh Sire Mnln inl horn,
Fm To Ft. - ---- SDe 131CWr11 Hwy
Iiem To It. - —
74.
16. REMARKS:
DO I IFIilBY CUt I IFY'111AT"MIS WELL WAS CONS IttIC I ED IN ACCORDANCE WITI l 15A 1JCAC 2C,WELL
CONS"IIUCI ION S IANDARDS,AND ll IAT A CUI'Y OF.11113 RECORD I IAS BEEN PROVIDED TO TI IE WELL OWNER'
SICiNA LURE OF PERSON CONS RUCIINO IIIE WELL lA1B
Submit the in Ightal to the Division of Water Quality,Groundwater Section, 16)6 Mall Service Centerl REVgh,NC
27699-1G16 I'honr No.[phone], n11111❑ 10 days.

))l. UII N) I? 141111
WELL CONS'I'ItUC1ION RECOIL') 302033
Notlh Catolina -Dcpafhnen! of Env itounlcol and Halmal Rcsomces- Division of Water Quality-Utouniwaler Section
WELL CON-IItACI Olt(INDIVIDUAL)NAME (in InN. )Oyl\9S R, l .„D, 15e-,,n CER IIEICA7 tun Nc2UDU
wELLcvn 1llncloR l unu'nn1'NAME M,IIQ-C L..^all dC,11; nc mitre N Ic-,..n) -r37-a947
ASSOCIATED WI)FERaMI IN
STA7F,IYEI,L CONSculdc 11Un 1'F.IIn117N — if n e dicnlde
I. WELL USE (Check Applicable Ilox): Residential U--Municipal/Public U Indunllinl LJ Agticultuial U
Muuihning LI Itecovcly U Bent Pump Water Injection U Other U If Other, List Use
2. WELL I OCA FION: 1 � L � ,,� Topogrnphic/I,and setting
Ncmest town:[YYif'3l p County 4'10-CA8 r_ UIUJge U1SIope Walley UI'lat
l,�- I 1 , (check.ppioptinle Fn.)
(Salo 6u-GI`�rt,Co 5-1�,ILun_IInto. '- - —
LaliluJr/lungitude of well location
(Sited I�nq Nvmbrn,Community.CubJie i.on,1n11Jo.,lip G.Ir)
i 1 - I _l l^ orplre✓ainnlednromm
3. OWNER:_ +nY1 s71S�_l_C ' 1
—
AJJlcss .7-1 Lntilude/lungitude sourceLIOPSU-fupugtaphtc nap
__ (SIto'I tin.) (check Mr.)
(Cbrcl 1n ILn it Nu.) , ►Pall U.II_IU-LUQ
Mar le MC.- 20 q D 5 —.. Pint!
Fwul lb l'ouustion Description
City of l men Mille Zip Code r n
rr_.i flume
- ,tj - 3LJ f
Mot crrin fhnur mm�b<r
4. DATE DRILL lit) 9-)D-0</
5. "10 FM. I DEi'FI l:_ . S__._____—__._
6. DOES WELL Rlit'LACI! IEXIS LINO WELl.7 YES U NO IS-
7. STATIC WA")ER LEVEL Below Toll Casing! ._LQ_—_f 1•
(Use"r"II A urvr l, r of Cn+inp) L' Wit`;
A. 'FOPOF CASINO IS___j______ IT. Above Loud Smlicc• _ F'•%
•try el e.einr Iry min.led.Um-Ireton Leal rut cequhrp• '�
O<5
+.,Leer In.eentJu¢e nllh ISA nl'AC IC,III IN. �G7
V. TIEIU (wpm): -3__— h1E11101 OE TES F 0 ��
Ill. 15'A ERI ZONES (depth): LC/CA')_LQ ,�,1:LCll -o �l�
Show direction and distance in miles hum Jcasl 00
12. IS Gt fIUN: 'I'ppc)1TY1 �e.UQ � c Alllillic-ors Iwo Slate Roads or County Roads. Include lLa toad�a
12. CASING: Wall Thickness
/� Depth I)innrctcr of Weight/It 1�hi olaial numbers and common�J mes. J c'7,
Mulct n Ile '_Dr PI. (n,o15 __�1'IV)) ,�/Ur(
flout To H.
plum To 1't.— - F�VcuR + �,
I). Ii ROU I.: Depth Nlnlnial Method
from 1) To___agat.11. p041r,vld - pcesSafc_
1,1mil To FT1
14. SCREEN: Depth Diameter Skil Size Material
heat 'fo fl. in. to. qq
Flom _To _ft. —in. ill. F p�arrch �d
15. SAND/ORAV EI. PACK:
Dr pt)1 Size Main inl
) tom Tr) it. _— I4 )
g
plum S/ai
To rt. M4,n , ,5.1e1
I6. REMARKS:
I DO I IFRFBY CERTIFY I11AT 1111S WELL WAS CONS I RIICI ED IN ACCORDANCE WWI I5A NCAC 2C,WELL
CONS I IWCI ION STANDARDS,AND 1IIAT A COPY OF 1111S RECORD IIAS BEEN I'IWVIDED 1O11IE WELL OWNER
.2-w _-_---- DA1 L
SIUIJA I Ulll! PERSON SUN CONS IRUCIINU 71IG WELL
Submit the in Iglnal to the I)Ilishin of Water Quality,Groundwater Section, 1636 NINIl Strike Center
ItEVgh,NC
Zltt)I
2709 1636 l'Iwnr No.[phone], 11 hhhl 311 day.

rlc ' ,• )/ unar lr -el au
WELL CONSTRUCTION Jt COIM 302032
North Carolina - Dcparbneal of Env itounlenl and Natural Resources-Division of Water Quality- Otomrdwater Section
WELL CON I rtncrOR(INDIVIDUAL)NAME (prnrl)_ fin'IP S e. 1�,15O'n CFRI IFIcn n0N N acl(Al
O , 11rllorle N 1W ) 517--z99)
J
we1.La,nntncluuConu'ANk NAME pJ (nit�ll AC:11inf
51AI E WELL CONS III tic'ion I'E Ith11 IN ASSOCIATED WI)IERMIIN
if n , rlicnblc if a r dienble
I. WELL USE (Check Applicable Iron): Residential 61/Mumicipal/Public U Indust'inl LI Agl;coition)! U
MoniWting U Recovery ❑ Ileat Pomp Water Injection U Other U If Other, List Use
2. WEL.I. LOCATIVE!: Topugrrylde/ nd selliml;
Nearest Town:AQu(.l-tc I _ __-Coady tech� Utilise lag lope LlVnlley Ullat
�n .— (rlurek.ppurrprinre bon)
(Stint N�nv,Nninbr n,l'ninmm�ily.Subni vinlon,1 nI 1Ju,lip G+le)
Latitude/longitude of well location
3. OWNER: l / blew erdndnntrtsrenndi)
Address r' $6 Gqj e _S[afiLrt RI -- Latitude/longitude source:Ut7I'SO Former vide clap
(clunk Mee)
(Sheet at Rowe No)
NC(nr m e Z Sa 06_ Mull U_lt!L LI1ie-LUS
Flom To Formation Description
City or I m rr Clete Zip Crnle 0
IS
I o
An,rode- thane nnnd'er
.1. DATT. DI(ILL1ED 1-a2i-D'l 3n1 - 9� '
5. .101AL DEI'TI I:___%L?__f_--_---_____ _.
6. DUES WELL REPLACE EXIS!LNG WELL? YES U NO LI- -7
hi-. p rn.
7. STATIC WA'1 ER LEVEL Below Top of Casing.. ____--__ C sm
Worn"C.O.Above lop of l-n.Iap) tr'1 n
B. TOT' OF CASING IS____1____- IT. Above Laud Surluce• v'
•'l rp el r.dnr lr nnln.bd'lino below bind no L rrq nbn• —o -o Q• J T'
vrl.nre In•rem denre nllb ISA NCAC IC MIN. �n i OQ
9. YIELD(gpm): _VS_ All(IIIUD OE TES T 4, to rn
n). WATER ZONES (depth):`` L_QCA11_1 .kC1:1C11 03
z o0
+1n pl\J2�-5 Amount IS Show direction and distance in miles horn to cast Z
1 I. CIS CASINO:
N:"1)pc r ckticsi two Stale Roads or County Roods. Include Broad P .
12. CASIfJG: \VrWeiall iht/Fl.
Depth Diameter or Weight/Et. Material numbers and common road names.
�o�
Ilmlll f� to �O' R. (oraS 5n(2/ plil eJa.. dza.,�Y
FI ml ll 1 ll Ft. t
Front_ In IL __--
a URDU f: Depth Material I Methodbran Q To rt. ?o Ctla Act Pr P<C (e
Frnm TO II.__-
14. SCREEN: Depth Diameter Slot Sire Material
I'1ortk .ho Ft. in. in. ( .
From To —Fl. in. _ in. ..
15. SAND/GRAVEL PACK: prc5t A• --
Depth Size Materiel K
Peon( 'Fur Ft. - _-- 6s1 VC4 ��3
from 'Fr( Ft._ tv
h°
16. REMARKS:
I Do I IFRIIIY CFR1I1Y"I11AT 11115 WELL WAS CONS I RI ICI ED IN ACCORDANCE WITI I I SA NCAC 2C,WELL
CONS l itUCI ION S{AWARDS,AND I IIAT A COPY D1:1111S RECORD 11AS BEEN I'IIOVIDED TO THE WELL OWNER
7,7.1.4,-- (A)47-e1349>n b-may-e y
SIGNAIUItE OF VERSON CONS-IItUCIINO171E WELL DAII!
•
Submit the of Iglual to the Division of Water Quality,Gromldlvater Section, 1636 Mall Service Center- Raleigh,
NC
01
176o0.1616 Hume No.MC)7JJJ11I,n Wan :III days.

01'
WELL CONSTRUCTION RECORD 3 0 2 0 31
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION#3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WO PERMIT#
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El Municipal/Public 0 Industrial 0 Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE KIRidge ❑Slope OValley OFlat
HAWTHORNE ESTATES LOT 26 C (check appropriate box)
(Steel Name.Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: SCOTT DYER (degrees/minutes/seconds)
Address 2780 SW 189TH AVE Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
DUNNELLON, FL 34432 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 352 )- 489-2965 0'TO 10' RED CLAY
Area code-Phone number 10'TO 21' GRANITE
4. DATE DRILLED 09-14-2004 21'TO 465' BLUE GRANITE q
5. TOTAL DEPTH: 465' c.
6. DOES WELL REPLACE EXISTING WELL? YES 13 NO El wi v
7. STATIC WATER LEVEL Below Top of Casing: 75 FT. ti) G
(Use"+"if Above Top of Casing) `t 3 Q
8. TOP OF CASING IS 1 FT.Above Land Surface" •p
*Top of casing terminated atlor below land surface requires a Q
variance In accordance with ISA NCAC 2C.011R. Cty
9. YIELD(gpm): 20 METHOD OF TEST AIR S O 0
10.WATER ZONES(depth): 449' 0 Z
LOCATION SKETCH eryip
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least5 6
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road ames.
From 0 To 21 Ft. 6 1/8 SDR 21 PVC
From To Ft.
From To Ft. Q
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY Npo i' '-""e GS
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in. a
7
15. SAND/GRAVEL PACK: {{ --
sl;
Depth Size Material VI
From To Ft. �'to, �r�
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT TIIIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A C Y OF THIS RECORD I •S BEEN PROVIDED TO THE WELL OWNER
SIGNAT E OF PF,7� N COPJStT'�at` NG TIIE 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. G W-1 REV.07/2001

WELL CONSTRUCTION RECORD 3 01 r1 2 8
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)CHRISTOPHER L.DICKEY CERTIFICATION#2261
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PRONE 0 [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT*
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential 131 Municipal/Public❑ Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE E]Ridge ❑Slope OValley ❑Flat
SHADOW PINES WELL#2 (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: BILL CARRINGER (degrees/minutes/seconds)
Address 120 CARRINGER COVE RD Latitude/longitude source:❑GPS❑Topographic map
(Street or Route No.) (check box)
BRASSTOWN, NC 28902 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828). 837-5081 0'TO 40' BROWN DIRT
Area code-Phone number 40'TO 80' BROW WEAN DIRT
4. DATE DRILLED 09-03-2004 80'TO 100' TAN DIRT/SLATE MIX
5. TOTAL DEPTH: 245' 100'To 121' BLUE SLATE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO RI 121'TO 245' BLUE SLATE
7. STATIC WATER LEVEL Below Top of Casing: 90 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface" -04 r�
'Top of casing lerminated at/or bebw hind surface requires a //..
variance In accordance with ISA NCAC 2C.a11t s/9rO TO/O�
9. YIELD(gpm): 20 METHOD OF TEST AIR
10.WATER ZONES(depth): 200' FA FCl/�p/�
LOCATION SKETCH 'rat 'tS4
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least eonC'TO
12. CASING: Wall Thickness two State Roads or County Roads. Include the road S/ ti
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 121 Ft. 8 1/8' SDR 21 PVC
From To Ft.
From To Ft. 51wcie to tue-5 13. GROUT: Depth Material Method p
From 0 To 20 Ft. CEMENT GRAVITY O�
From To Ft. r 2
14. SCREEN: Depth Diameter Slot Size Material . 0
From To Ft. in. in. 1 n
From To Ft. in. in. lb hi h
15. SAND/GRAVEL PACK: �- \
Depth Size Material a t
From To Ft.
From To FL U S G'-k E 7
16. REMARKS:
I DO IIEREBY CERTIFY THAT THIS WEL S CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND T A PY O THIS CORD EEN PR IDED' 6 THE WELL OWNER
.-C C— 9—o1
SI RE OF PE N 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-1 REV.07/2001

302013
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)CHRISTOPHER L.DICKEY CERTIFICATION 0 2261
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE s [phone]
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WQ PERMITH -_
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential E3 Municipal/Public❑ Industrial 0 Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE RI Ridge ❑Slope ❑Valley ❑Fiat
RANGER ESTATES (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3501.670N/8408.953W
3. OWNER: STEVEN BINDER (degces/minutes/seconds)
Address 670 RANGER ESTATES RD Latitude/longitude source:®GPS❑Topographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 644-0055 0'TO 15' RED CLAY/BLACK DIRT
Area code-Phone number 15'TO 30' BLACK DIRT/GRAVEL
4. DATE DRILLED 09-09-2004 30'TO 3T BLUE GRANITE
5. TOTAL DEPTH: 205' 3T TO 205' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El
7. STATIC WATER LEVEL Below Top of Casing: 25 FT.
^.
(Use"+"if Above Top of Casing) �'=
8. TOP OF CASING IS 1 FT.Above Land Surfaces t� mn
'Top of easing terminated al/or below land surface requires a cn fit--
variance In accordance with 15A NCAC 2C.0118. Cc1 ,
9. YIELD(gpm): 50 METHOD OF TEST AIR —0 -a
N ,2p
10.WATER ZONES(depth): 80',200' 0— tier
LOCATION SKETCH rtlirA
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at leas!: �ttta.
12. CASING: Wall Thickness two State Roads or County Roads.Include the matt. oC
Depth Diameter or Weight/Ft. Material numbers and common road names. N r
From 0 To 37 Ft. 6 1/8 SDR 21 PVC al ��
From To Ft.From To Ft. Ge
13. GROUT: Depth Material Method ^ '
From 0 _ To 20 FL CEMENT GRAVITY qv,
From To FL et) ce S
14. SCREEN: Depth Diameter Slot Size Material 4
From To Ft. in. in. 10
From To Ft. in. in.
15. SAND/GRAVEL PACK: %I'
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I 5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS 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 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV. 07/2001

302012
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION 0 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE S [phone]
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WQ PERMITS
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential RI Municipal/Public 0 Industrial O Agricultural 0
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ['Slope ['Valley ❑Flat
PUTT-PUTT LN (check appropriate box)
(Street Name,Numbers,Community,Subdivision,tot No.,Zip Code) LahludcAongitude of well location
3506.192NI8413.074W
3. OWNER: JIM ASHCRAFT 8 CAROLE PATELLA (dcgrccs/minutSJscumds)
Address 322 COBB BLUFF Latitude/longitude source:®GPSOTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28908 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)_ 837-6677 0'TO 15' RED CLAY
Area code-Phone munber 15 TO 20' SANDSTONE
4. DATE DRILLED 09-09-2004 20'TO 39' GRANITE
5. TOTAL DEPTH: 305' 39'TO 305' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO lit
7. STATIC WATER LEVEL Below Top of Casing: 80 FT.
(Use"+"if Above Top of Casing) G'y
8. TOP OF CASING IS 1 FT.Above Land Surface* 0 tc--r
`Top of easing terminated a0nr below bud surface requires a LP cry--
variance in accordance with ISA NCAC 2C.0118 can ^"`-
9. YIELD(gpm): 20 METHOD OF TEST AIR
HE WATER ZONES(depth): 245' ¶ 0—G
LOCATION SKETCH MA
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at leasC�� �5
12. CASING: Wall Thickness two State Roads or County Roads.Include the roar yfl
Depth Diameter or Weight/Ft. Material numbers and common road names. C. �
From 0 To 39 FL 6 1l8 50R 21 PVC n
From To Ft.
From To Ft.
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY
From To Ft. Jt
14. SCREEN: Depth Diameter Slot Size Material a
From To FL in. in. p1
From To Ft. in. in. FS1T p't� o J
j)
15. SAND/GRAVEL PACK:
Depth Size Material ,,
From To Ft. 1<‘`
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITII I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COP OF THIS RECORD HAS B N PROVIDED TO TIIE WELL OWNER
SIGNATUR PERS CONSTR CT HE WELL DATE.
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],withIn 30 days. GW-I REV.07/2001

284491
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources•Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION#3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. nun N [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable) "-.
1. WELL USE(Check Applicable Box):Residential VI Municipal/Public 0 Industrial❑ Agricultural El - _
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other❑ If Other,List Use
2. WELL LOCATION: TopographidLand setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope Malley ❑Flat
HIBBERTS MTN.-TRACT 5 LOT 4 (check appropriate box)
(Street Name,Numbers.Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: GLENN ROBERTS (degrees/minutes/seconds)
Address 6165 WEST U.S.HWY 64 Latitude/longitude sotrce:OGPSOTopographic map
(Saco or Route No.) (check box) 1 c) i MURPHY, NC 28906 DEPTH DRILLINGI8OG . -
City or Town State Zip Code From To Formation Desrnpldr
( 828)- 837-8557 0'T020' BROWN DIRT C._. Pm
Area code-Phone number 20'TO 45' GRANITE a' a cp
m
4. DATE DRILLED 1-06-2004 45 TO 445' GRANITE N �rn
5. TOTAL DEPTH: 445' — j no
6. DOES WELL REPLACE EXISTING WELL? YES El NO El _ -v —I
7. STATIC WATER LEVEL Below Top of Casing: 80' FT. DC mT
(Use"+"if Above Top of Casing) W rr1�
8. TOP OF CASING IS 1 FT.Above Land Surface* N -�-t
'Top of owing terminated at/or bekw land surface require,• p
variance In accordance with 15ANCAC 2C.0118. d.-
9. YIELD(gpm): 20 METHOD OF TEST AIR
10.WATER ZONES(depth): O60' LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weighl/Ft. Material numbers and common road names.
From 0 To 45 Ft. 6 1/8" SDR 21 PVC
From To Ft. _
From To Ft.
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY
From_ To Ft. ki
14. SCREEN: Depth Diameter Slot Size Material N
From To_ Ft. in. in. f�,
Fron-_ To Ft. in. in. "�J
15. SAND/GRAVEL PACK: Ik&1
Depth Size Material `� S�/f7 � r""
From To Ft. `
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL W CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THA C PY OF TIi1S 0 S BEEN PROVIDED TO THE WELL OWNER
SIG RE OF SON CO ST ING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001'

284492
WELL CONSTRUCTION RECORD
•
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION#.T ___
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMITN ASSOCIATED WQ PERMIT# r
(if applicable) (if applicable) I - I
I. WELL USE(Check Applicable Box):Residential® MunicipaVPublic 0 Industrial 0 Agricultural 0
Monitoring❑ Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use , -
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope OValley ❑Flab
HIBBERTS MTN.-GLENN'S LOT (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: GLENN ROBERTS (dcgrees/minutestseconds) ________
Address 6165 WEST U.S.HWY 64 Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING TO c,
City or Town State Zip Code From 'To Formation Desc ptior C
( 828)- 837-8557 0'TO 80' RED CLAY >, rD 01
Area code-Phone number 80'TO 120' BROWN DIRT Z +c^
4. DATE DRILLED 1-09-2004 120'TO 150' GRANITE r o<
5. TOTAL DEPTH: 565' 150'TO 565' GRANITE �D CD
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ® �m
a
7. STATIC WATER LEVEL Below Top of Casing: 97 FT. W m�
(Use"*"if Above Top of Casing) _ri
8. TOP OF CASING IS 1 FT.Above Land Surface' IV
'Top of easing terminated aUar below land surface requires a v
2
variance In accordance with ISA NCAC 2C.0118,
9. YIELD(gpm): 6 METHOD OF TEST AIR
10.WATER ZONES(depth): 300' LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show Stdirection annte Roans ndCounty distance in miles
ds. Includes fm at
least
e td
12. CASING: Wall Thickness
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 150 Ft, 6 1/8" SDR 21 PVC CD.
From To Ft.
Front_ To Ft. _Ay13. GROUT: Depth Material Method
From 0 To 20 Ft, CEMENT GRAVITY C V
From_ To Ft.
14. SCREEN: Depth Diameter Slot Size Material Q/
From To Ft. in. in. �h N (11
From To Ft. in. in. }'r`)� 4
15. SAND/GRAVEL PACK: CH
Depth Size Material �_
Front To Ft._
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS • -IL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS, + `D T LAT A COP]LOF,THI ORD HAS BEEN PROVIDED TO THE WELL OWNER
_ _ s f! . J- 9"O`,
S1GNA RE OF SO O. TRUCITNOTHE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Ceenter'Raleigh,
NC
27699-1636 Phone No.[phone],within 30 days.

WELL CONSTRUCTION RECORD
?, 934 7
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION N 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMITN_ ASSOCIATED WQ PERMITM
(if applicable) (if applicable) ! -
f
I. WELL USE(Check Applicable Box):Residential El Municipal/Public 0 Industrial 0 Agricultural O
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use I" "i -
2. WELL LOCATION: TopographidLand setting
Nearest Town: MURPHY County CHEROKEE ❑Ridge ®Slope OValley ❑Flaa- - ;;
12755 JOE BROWN HWY (check appropriate box)
(Street Name.Numbers.Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: MIKE&ALEX LAVASSEUR (degrees/minutes/seconds)
Address 1021 WILEY BRIDGE RD Latitude/longitude source:OGPSOTopografhic Map _
(Street or Route No.) (check box) '
WOODSTOCK, GA 30188 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Descnpnon
( 770)- 928-4814 0'TO 20' BOULDERS
Area code-Phone number 20'TO 40' SAND
4. DATE DRILLED 02-04-2004 40'TO 80' WEATHERTED GRANITE
5. TOTAL DEPTH: 807 80'TO 90' BREAK-SURFACE WATEI
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO til so'TO 109' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 80 FT. 109' SET CASING
(Use“+"if Above Top of Casing) 109'TO 807' GRANITE
8. TOP OF CASING IS 1 FT.Above Land Surface'
*Top of casing terminated al/or below land surface requires a
variance in accordance with ISA NCAC 2C.011&
9. YIELD(gpm): 1/4 METHOD OF TEST AIR 0 o
10.WATER ZONES(depth): S c:x
LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from mast_`ern
12. CASING: Wall Thickness two State Roads or County Roads. Include thb roacbz-
Depth Diameter or Weight/Ft. Material numbers and common road names. N j ca
From 0 To 109 Ft. 6 1I8" SDR 21 PVC , 3 a o
From To Ft. ( = m
u 4>
From To Ft. vj 0,�
Pi
13. GROUT: Depth Material Method ,'1-I O -i
From 0 To 20 Ft. CEMENT GRAVITY fic G
7
From To Ft. et �,�(:�`
14. SCREEN: Depth Diameter Slot Size Material �, jam'
From To Ft. in. in. 'la
From To Ft. in. in. liNi
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITI I I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COP%OF THIS RECORD I S BEEN PROVIDED TO THE WELL OWNER
SIGNATURE F PER CONS R G TIIE WELL DATE
Subndt the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

293456
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)
LARRY F.JONES CERTIFICATION#3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE a 1828) 837-8008
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable)
(if applicable) r_ ;-:_- ;'I
1. WELL USE(Check Applicable Box): Residential ® MunicipaUPublie 0 Industrial 0 Agricultural 0 „ I 'I
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use 1
1`
•
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ORidge ❑Slope ®Valley 1:1Fl41 t ;
i
RED HAWK HILLS (check appropriate box) _ I
(Street Name,Numbers,Community,Subdivision,Lot No..Zip Code) Latitude/longitude of well location! i
3. OWNER: ROBERT PUTMAN (dcgreesiminutcs/seconds)
Address P.O.BOX 350495 Latitude/longitude source:OGPSOTopograpbnc map
(Street or Route No.) (check box) I
GRAND ISLAND, FL 32735 DEPTH DRILLING +"OG ,,
City or Town State Zip Code From To Formation Desctiptioff "
( 352)- 357-6169 0'TO 20' RED CLAY
Area code-Phone number 20'TO 50' BROWN DIRT
4. DATE DRILLED 02-20-2004 50'TO 305' GRANITE
5. TOTAL DEPTH: 305'
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El
7. STATIC WATER LEVEL Below Top ofCasing 120 FT.
(Use"f"if Above Top of Casing) C O
8. TOP OF CASING IS 1 FT.Above Land Surface* _ in_
'Top of casing terminated at/or below land surface requires a -' on
m
variance in accordance with ISA NCAC 2C.0118. %n I nm
9. YIELD(gpm): 20 METHOD OF TEST AIR IV zr.-,
10.WATER ZONES(depth): o
LOCATION SKETCH a mo
11. DISINFECTION:Type CHLORINE Amount 190 PPM Show direction and distance in miles from adiast am
12. CASING: Wall Thickness two State Roads or County Roads. Include t 1['e roacft.
Depth Diameter or Weight/Ft. Material numbers and common road names. 0 —I ,,,.1L
o a
From 0 To 50 Ft. 6 1/8" SDR 21 PVC r,-,z�i 'VA
From To Ft. 1,-, • i re-*
From From To Ft.
13. GROUT: Depth Material Method —T
From 0 To 20 Ft. CEMENT GRAVITY
From To Ft. y_
14. SCREEN: Depth Diameter Slot Size Material et-
From To Ft. in. in. N
From To Ft. in. in. .
15. SAND/GRAVEL PACK: l-itt. , .?.-
Depth Size Material ( C./
From To Ft. 'E -(
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY TI-tAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT COPY OF'IIIIS R :CORD IAS BEEN PROVIDED TO TIIE WELL OWy/NER
SIGN RE OF RSONC. NST TING TIIE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

WELL CONSTRUCTION RECORD 2 9 3 4 5 5
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION 8 3295
WELL CONTRACTOR COMIPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE to [phone]
STATE WELL CONSTRUCTION PERMIT,/ ASSOCIATED WQ PERMIT/I r "-- "" ?.
(if applicable) (if applicable)
r
I. WELL USE(Check Applicable Box):Residential® Municipal/Public O Industrial❑ Agricultural❑ -
Monitoring 0 Recovery O Heat Pump Water Injection❑ Other 0 If Other,List Use F
2. WELL LOCATION: Topographic/Land setting l '
Nearest Town: MURPHY County CHEROKEE El Ridge ❑Slope OValley 0FIa1--
BRASSTOWN-WELL#2 (check appropriate box) -
(Street Name,Numbers,Community,Subdivision,LotNo.,Zip Code) Latitude/longitude of well location
JAMES COOK l
3. OWNER: de ees%minutesLeconds)
Address 71 WILDLIFE HAVEN Latitude/longitude source:OGPSOTopographic map 1 ------
(Street or Route No.) (check box) I �.__ : ___-_:_._..
MURPHY, NC 28906 DEPTH DRILLING L —
City orTown State Zip Code From To Fonnation Description
( 828 )- 226-1569 0'TO 60' RED CLAY
Area code-Phone number 60'TO 70' BROWN SANDSTONE
4. DATE DRILLED 02-18-2004 70'TO 90' TAN SLATE
5. TOTAL DEPTH: 425' 90'TO 130' SLATE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO IIl 130'TO 425'
7. STATIC WATER LEVEL Below Top of Casing: 75 FT.
(Use"+"if Above Top of Casing) O
8. TOP OF CASING IS 1 FT.Above Land Surface* v o
r
"Top of casing terminated at/or below land surface requires a C)_
variance in accordance with I5A NCAC 2C.0118. nc J r
9. YIELD(gpm): 7 1/2 METHOD OF TEST AIR moo ern
10.WATER ZONES(depth):
360',380' I T1
LOCATION SKETCH f�1 -rn
-
II. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from a}(cast-"t�
12. CASING: Wall Thickness two State Roads or County Roads. Include t troarr4m
Depth Diameter or Weight/H. Material numbers and common road names. run'
From 0 To 150 FL 6 1/8" SDR 21 PVC O
c�
From To Ft. , �\_____ _j 1
From To Ft. t t"1
13. GROUT: Depth Material Method ���...JJJ
From 0 To 20 Ft. CEMENT GRAVITY
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material 3t
From To Ft. in. in. Pt
From To Ft. in. in.
15. SAND/GRAVEL PACK: c
Depth Size Material
From To Ft. ,e /'I'� - l kb
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY TILAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE Will I I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A C Y OF THIS js,ECORU S BEEN PROVIDED TO'DIE WELL OWNER
L - 4.41 % 2-(7J -oi
SLGNATUR OF PE ON CO STR G THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

WELL CONSTRUCTION RECORD 4.9 3 4 4 5
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION', 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE ', [phone]
STATE WELL CONSTRUCTION PERMIT', ASSOCIATED WQ PERMITS .._-____
_.- ",-
(if applicable) (if applicable) i -
I. WELL USE(Check Applicable Box):Residential El Municipal/Public 0 Industrial El Agricultural O 2 -; 1
Monitoring 0 Recovery D Heat Pump Water Injection 0 Other 0 If Other,List Use
1
2. WELL LOCATION: Topographic/Land setting ,
Nearest Town: MURPHY County CHEROKEE ®Ridge ['Slope OValley ❑Flat-
ZEKE'S TRAIL (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location l •-12�
3. OWNER: WINDELL ANDERSON (degrees/minutes/seconds) j
Address 1425 BURNT SCHOOL HOUSE RD Latitude/longitude sourcc:OGPSOTopograp .it _ _
(Street or Route No.) (check box) Lr`lt
DEPTH DRILLING OG -ILT I
HAYESVILLE, NC 28904 —'-
City orTown State Zip Code From To Formation Dcscnphon
( 828 )- 389-8986 0'TO 20' RED CLAY
Arca code-Phone number 20'TO 40' GRANITE
4. DATE DRILLED 02-24-2004 40'TO 687' GRANITE
5. TOTAL DEPTH: 687'
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO tg
7. STATIC WATER LEVEL Below Top of Casing: ? FT.
(Use"("if Above Top of Casing)
8. TOP OF CASING I5 1 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): ------- METHOD OF TEST AIR 0 o
10.WATER ZONES(depth): LOCATION SKETCH = ` rt
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from least— ,
12. CASING: Wall Thickness two State Roads or County Roads. Include the road n
Depth Diameter or Weight/It. Material numbers and common road names. >o
From 0 To 40 Ft. 6 1/8" SDR 21 PVC Pm "to
From To Ft. 1 .
From To Ft. n
e.
13. GROUT: Depth Material Method o
From 0 To 20 Ft. CEMENT GRAVITY z
From To Ft. ;L
Depth SCREEN: Depth Diameter Slot Size Material 0, N
From To Ft. in. in.
From -To Ft. in. in.
15. SAND/GRAVEL PACK: 5 1{ I
Depth Size Material L� F rti' —Th
From To Ft.
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY TIIAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT COPY OF TillS RECORD HAS BEEN PROVIDED TO TI IE WELL OWNER
SIGN URE OF ERSON Nt .IC'fINGTHE WELL DNFE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center'RaleiREVgh,NC
27699-1636 Phone No.[phone],within 30 days.

293336
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and'Natural Resources Divisionivy of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME ((�pr�int))\A\w N\ S .• T.-- \S 1�� CERTIFICATION# AC1 M.
WELL CONTRACTOR COMPANY NAME WIN.1 4\. w W`" ` ,-VALL1. C` PHONE # ncY6 WI-its-6
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) / (if applicable) -
.
1. WELL USE(Check Applicable Box): Residential VMunicipal/Public 0 Industrial 0 Agricultural 0 _
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use -
2. WELL LOC �opographic/L.and setting ,
Nei est To• : County� MRidge ❑Slope ❑Valley Mat:-
. • (check appropriate box) j
(Street Na &um.e , un ty,Su i ' io ,Lot No.,Zip ode) Latitude/longitude of well location I
=I--
3. OWNER: • (degrees/minutes/seconds)
Address 1 Latitude/longitude source:❑GPS❑Topographic map .),,
n (Street or
�4ut�No.) Zrheck RI
U DEPTH ox)
DRILLING LOG
Ci or T n , State ip Code From To Forma 'on Description
b P-
(�_) I YS I C
Area code-Phone num• ti
4. DATE DRILLED I0C' ?� s C
5. TOTAL DEPTH: -/
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO (5 i. _c_m
7. STATIC WATER LEVEL Below Top of Casing: YID FT. t oc
(Use"+"if Above Top of Casing) — 1n
8. TOP OF CASING IS 1 FT. Above Land Surface* n0
*Top of casing terminated at/or below land surface requires a 3 o
variance in accords gqcf ith 15A NCAC 2C.0118. Oda. N=
9. YIELD(gpm):1 METHODr� OF TEST m
10. WATER ZONES(depth): dtp1 I W
LOCATION SKETCH o
z
11. DISINFECTION:TypeT1-k Amount Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
P Qia�pq r o(W�ei t/Ft. ,at 'al numbers and common road names.
From b o`l(P Ft. b%t1'w s(•rP '{'VC.. /
From To Ft. ' i
From To Ft.
13. GROUT: Deptt�,, �Ma etit Method
From D To`((-We' FtW t^ t^r`- Q ka
From To Ft. �J t
14. SCREEN: Depth Diameter Slot Size Material
-%.:N\\----1 t
From To Ft. in. in.
From To Ft. in. in. - r Q - .„//• /71d�y
15. SAND/GRAVEL PACK:
y�' s Ci"
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, LL
CONSTRU ION ARD //. THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WE L OWNER
/ SIGHNAAEOF 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-1 REV.07/2001

WELL CONSTRUCTION RECORD 2 9 3 3 3 2
North Carolina-Department of Environment and Natural al Reso r es-Division Water Quality-Groundwater Section
YLa
WELL CONTRACTOR(INDIVIDUAL)NAMEpp.���((p,,r�int) C�ff �c1r-1 CERTIFICATION NA9•jY
WELL CONTRACTOR COMPANY NAME WIZ "AU L5EIL bet I PHONE N (YI Ij),RSYI-/
STATE WELL CONSTRUCTION PERMIT*/ ASSOCIATED WQ PERMITS/ — 1- 1
(if applicable)
(if applicable) II - _ - I
I. WELL USE(Check Applicable Box): Residential 8/Municipal/Public 0 Industrial 0 Agricultural IDr
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use F,7±:1
i - j
2. WELL LO s• • • ) t Tapoc/Land setting
rat To �. County ❑Ridge lope OValley ❑ S a 1
=. :IA ' fir (check appropriate box) i
(Street Name,Numb ,, ommunity,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location '!,
`
3. OWNER: (degrees/minutes/seconds) .--�__ .
Address D 1 Latitude/longitude source:❑GPS❑Topographic map�C-
` (Street or R ute No.) (check box)
��t J �bg DEPTH DRILLING LOG
c o Town Sta a Zip code From To Format n Description
_ t
Area code-Phone number
4. DATE DRILLED t Obr tLtt t -
5. TOTAL DEPTH: i 4 / e
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO i o
7. STATIC WATER LEVEL Below Top of Casing: 4 ^•FT. 3
(Use"+"if Above Top of Casing) m
8. TOP OF CASING IS t 7 0 FT.Above Land Surfaces � ` C'
*Top of casing terminated at/or below land surface requires a I c
5cm::variance In accordance with ISA NCAC 2C.0118. •a a m�
9. YIELD(gpm):�D MEXHC1D OF TEST
10. WATER ZONES(depth): 4 Z =en
en
LOCATION SKETCH O rNrrN
I I. DISINFECTION:Type -TkA Amount Show direction and distance i miles froirj lea
12. CASING: Wall Thickness two State Roads or County Roa s..nc etlle rcl
Depth
meter or Weight/Ft. aerial numbers and common road nam
From 0 To 90 Ft.L9)/4a 1•(P
From To Ft.
From To Ft.
13. GROUT: Depth M eraal Metho 7'
From D To 00 Ft. p `�
From To Ft.
14. SCREEN: Depth Diameter t Slot Size Material '—
From To Ft. in. in. \ `•i \ck by
lC
From To Ft. in. in.
15. SAND/GRAVEL PACK: j
Depth Size Material �,
From To Ft. t4
From To Ft.
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 THIS RECORD HAS BEEN PROVIDED TO THE L 0
�e(j2 .C_ /p41le�
gg
tIGNATURE OF PERSON CONSTRUCTING THE WELL D TE
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 2 9 3 2 6 0
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)
JEREMY H.TOTHEROW CERTIFICATION N 3293
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PIIONE N 1828) 837-8008
STATE WELL CONSTRUCTION PERMITN ASSOCIATED WQ PERMITN
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ElRidge ❑Slope ❑Valley El Flat
2525 DICKEY RD (check appropriate box)
(Street Name.Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: TARRY ROBBINS (degrees/minutes/seconds)
Address 2525 DICKEY RD Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town Slate Zip Code From To Formation Description
( 828)- 644-0967 0'TO 5' BROWN DIRT
Area code-Phone number 5'TO 20' SOFT SLATE
4. DATE DRILLED 02-16-2004 20'TO 60' BROWN SLATE
5. TOTAL DEPTH: 605' 60'TO 70' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO W 70'TO 105' BREAK
7. STATIC WATER LEVEL Below Top of Casing: ? FT. 105'TO 160' LIGHT BREAK
(Use"+"if Above Top of Casing) 160'TO 605' GRANITE
8. TOP OF CASING IS 1 FT.Above Land Surface'
*Top of casing terminated at/or below land surface requires a
variance in accordance with ISA NCAC 2C.0118.
n0625 9. YIELD(gpm): 1/2 PINT METHOD OF TEST AIR `.
10.WATER ZONES(depth): t> o
LOCATION SKETCH 4--
n=
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles fromlatticasE
12. CASING: Wall Thickness two State Roads or County Roads. Include i a roam
Depth Diameter or Weight/Ft. Material numbers and common road names. ce fir,
From +1 To 70 Ft, 6 1/8" SDR 21 PVC -0 me
From To Ft. 3 .=. fro
From To Ft. re')
13. GROUT: Depth Material Method IV t
From 0 To 70 Et. CEMENT GRAVITY to 3From To Ft.
z
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. _ \
From To Ft. in. in. C/ r')*?'Q
15. SAND/GRAVEL PACK: 3)
Depth Size Material
From To Ft. r " -
From To Ft. %-..
16. REMARKS:l DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WI'ITI I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,A TAT A COPY OF THIS RECORDHAS BEEN PROVIDED TO TILE WELL OWN'Flt
4E4217y, _ rC4C4c� -�j i —
ATURF'pFPERSON CONS' 2UCTLNG T IIF;WELL DATE
Submit the original to the Division of'Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC_ , I
_H
27699-1636 Phone No.[phone],within 30 days. OW-I REV.07{�� —IL--- _—__ ._

293169
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality•Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)TARRY F.JONES CERTIFICATION N 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE N 1828) 837-8008
STATE WELL CONSTRUCTION PERMIT,/ ASSOCIATED WQ PERMIT,/ f It— �I
(if applicable) (if applicable) - ,I
f—__
1. WELL USE(Check Applicable Box):Residential I Municipal/Public❑ Industrial 0 Agricultural 0 j ' Li '''
Monitoring❑ Recovery 0 Float Pump Water Injection 0 Other 0 If Other,List Use I ?,--,;1
2. WELL LOCATION: Topographic/Land setting ' I,'
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope Malley ❑Flat
NORTH OAK ESTATES (check appropriate box) i __e 6
(Street Name,Numbers.Community,Subdivision,Lot No.,tip Code) Latitude/longitude of well locatioh - - 'j
3. OWNER: JAMES MONEYMAKER (degrees/minutes/seconds) . ( �J Li
Address 1285 WEST U.S.HWY 64 Latitude/longitude source:0GPS0Topo aphic maid- r !j
(check box) ILL__'___.
(Street or Route No.) ___—a
MURPHY, NC 28906 DEPTH DRILLIN
City or Town State Zip Code From To Formation Description
( 828)_ 837-4488 0'TO 20' RED CLAY
Area code-Phone number 20'TO 40' BROWN DIRT
4. DATE DRILLED 02-11-2004 40'TO 70' RED CLAY a SLATE
5. TOTAL DEPTH: 76r 70'TO 767' SLATE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El
7. STATIC WATER LEVEL Below Top of Casing: 250' FT. o
(use"+"if Above Top of Casing) 0� O
8. TOP OF CASING IS 1 FT.Above Land Surface* -PI �M
"Top of casing terminated at/or below land surface requires a r'r1 o t n
variance In accordance with 15A NCAC 2C.0118. CO CO
9. YIELD(gpm): METHOD OF TEST AIR — zr"
10.WATER ZONES(depth): (D
LOCATION SKETCH -o m�
II. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles frotnThl lea
12. CASING: Wall Thickness two State Roads or County Roads. Include'9ie r
Depth Diameter or Weight/Ft. Material numbers and common road names. C. �-1
From 0 To 70 FL 6 1/8" SDR 21 PVC CO 3
z
From To Ft. /
From To Ft. v
13. GROUT: Depth Material Method ��ff
From 0 To 20 Ft. CEMENT GRAVITY y/-4e.:
From To Ft. / lat. �,
14. SCREEN: Depth Diameter Slot Size Material ^`I'��.( ,1
From To Ft. F in. in. • r, i>
From To Ft. in. in. `�r iv(?, P
15. SAND/GRAVEL PACK: ro
Depth Size Material L� r pa'
From To Ft. v
From To Ft.
16. REMARKS:
l DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE.WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A C�PY OF Tt11S RECORD lAS BEEN PROVIDED'f0 THE WELL OWNER
.J c, i sJ).'l 2—//_P 4
SIGNA RE OF SON C NS ' CfING TI IE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

2931 0
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION# 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT# r---- --
(if applicable) (if applicable) I . ,11(__..
1. WELL USE(Check Applicable Box):Residential ® Municipal/Public❑ Industrial❑ Agricultural❑ � r _r I Fi=i�'I
Monitoring❑ Recovery ❑ Heat Pmnp Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting ET 9
Nearest Town: MURPHY County CHEROKEE ®Ridge OSlope ❑Valley ❑Flab.:.. _
COUNTRY MTN.RIDGE (check appropriate box)
(Street Name.Numbers.Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location t = ,
3. OWNER: ARVIL COOK (degrees/minutes/seconds) I
Fin-Pi
Address 865 PENLAND RD Latitude/longitude source:DGPSOTopograpl'is mdp-"—.' --_---
(Street er Route No.) -_____--- '
BRASSTOWN, NC 28902 DEPTH DRILLING LO --------
City or Tow,1 State Zip Code From To Formation Description
( 828)- 837-7566 0'TO 20' RED CLAY
Area code-Phone number 20'TO 60' SANDSTONE
4. DATE DRILLED 02-09-2004 60'TO 90' BROWN DIRT 8 GRANITE
5. TOTAL DEPTH: 707' 90'TO 707' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO 131
7. STATIC WATER LEVEL Below Top of Casing: 180' FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface" g
T' op of casing terminated atior below land surface requires a C1b u
variance in accordance with ISA NCAC 2C.0118. �7 C,
a us">9. YIELD(gpm): PINT METHOD OF TEST AIR rn ..rn
rn
10.WATER ZONES(depth): CD er"
LOCATION SKETCH `a<
to 11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at leas6o
12. CASING: Wall Thickness two State Roads or County Roads. Include roto
m
Depth Diameter or Weight/Ft. Material numbers and common road names. vrz
From 0 To 90 Ft. 6 1/8" SDR 21 PVC C r� I-. c-r
From To Ft. z
From To Ft. .
13. GROUT: Depth Material Method n
From 0 To 20 Ft. CEMENT GRAVITY rV
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material j �V� nF, , hf
From To Ft. in. in. Z r'V
From To FL in. m.
15. SAND/GRAVEL PACK:
Depth Size Material (V
From To Ft. F-ly____G?L1 („E',5 t
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A CO OF THIS RECORD HAS 'EN PROVIDED TO TILE WELL OWNER
SIGNATUR OF PEli l CONS'S'fILUCTII HE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Sen Ice Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

WELL CONSTRUCTION RECORD 2 9 2714
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (plot)LARRY F.JONES CERTIFICATION#3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial ❑ Agricultural❑ II
Monitoring In Recovery 0 Heat Pump Water Injection❑ Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope ❑Valley ['Flat
HEALEY FIELDS TO HIGDON FARM RD (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: JAMES BATEMAN (degrees/minutes/seconds)
Address P.O.BOX 1289 Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
ANDREWS, NC 28901 DEPTH DRILLING LOG
City or Town Stale zip Code From To Formation Description
( 828)- 321-5350 0'TO 40' RED CLAY
Area code-Phone number 40'TO 90' BROWN DIRT&SLATE
4. DATE DRILLED 01-26-2004 90'TO 121' SLATE
5. TOTAL DEPTH: 245' 121'TO 245' SLATE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ID c
7. STATIC WATER LEVEL Below Top of Casing: 50 FT. 0 K
..6-- o
(Use"+"if Above Top of Casing) T c-3
8. TOP OF CASING IS 1 FT.Above Land Surface* rT1 0-""t
*Top of casing terminated at/or below land surface requires a CO c_.
ev
variance In accordance with ISA NCAC 2C.0118. C I ore Z rya
9. YIELD(gpm): 20 METHOD OF TEST AIR 22.2.
n o
10.WATER ZONES(depth): 200'
LOCATION SKETCH 3 xi
l I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles frig-Bat I
12. CASING: Wall Thickness two State Roads or County Roads.Incly theS ad
Depth Diameter or Weight/Ft. Material numbers and common road names. CollZ
From 0 To 121 Ft. 6 1/8" SDR 21 PVC l31
From To Ft. ,,t''
From To Ft. 11� r�
13. GROUT: Depth Material Method L-er e
From 0 To 20 Ft. CEMENT GRAVITY ‘c-- ‘12 7—
From To Ft. i
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. �,(I n
From To Ft. I 1'W— p
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITII I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A PY OF Ti US RECORD h AS BEEN PROVIDED 10 THE WELL OWNER
SIGNATURE OF RSON CO f RU 1CTING THE WELL _ DATE
Submit the original to the Division of Water VVVQuality,Groundwai Section;1636 Dia1I SeMIct , r-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. I ! i —I �9 -1 REV.07/2001
L..)L<i ,/
. i

WELL CONSTRUCTION RECORD 2 9 2 713
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION N 3296
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PRONE S/ [phone]
STATE WELL CONSTRUCTION PERMITN ASSOCIATED WQ PERMITS/
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box): Residential El Municipal/Public❑ Industrial❑ Agricultural 0 I
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope OValley ❑Flat
POSEY PLACE I MTN.WILLOW LN (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: WINDELL ANDERSON (degrees/minutes/seconds)
Address 1425 BURNT SCHOOL HOUSE RD Latitude/longitude source:❑GPSDTopographic map
(Street or Route No.) (check box)
HAYESVILLE, NC 28904 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 389-8986 0'TO 50' SAND
Area code-Phone number 50'RO 60' RED CLAY 0
4. DATE DRILLED 01-29-2004 60'TO 76' GRANITE Li a
r o
5. TOTAL DEPTH: 305' 76 TO 305' GRANITE -r m m
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El � =m
7. STATIC WATER LEVEL Below Top of Casing: 80 FT. '—
(Use"+"if Above Tap of Casing) uJl rrn
8. TOP OF CASING IS 1 FT.Above Land Surface" P.O
--t O
'Top of easing terminated at/or below land surface requires a 3 CI
m
variance in accordance with ISA NCAC 2C.0118.
9. YIELD(gpm): 6 METHOD OF TEST AIR o rn70
10.WATER ZONES(depth): 200' - IV n
LOCATION SKETCH CT ES
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.From 0 To 76 Ft. 8 118" SDR 21 PVC rA t),
From To Ft.From To Ft.GROUT: Depth Material Method /JFrom 0 To 20 Ft. CEMENT GRAVITY .NfoL7.-------
13. From To Ft. 't14. SCREEN: Depth Diameter Slot Size Material `Prom To Ft. in. in. �From To Ft. in. in. /n -I5. SAND/GRAVEL PACK:Depth Size Material _From To Ft.
From To Ft. Ai
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I SA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A PY OF THISSRRECORD S BEEN PROVIDED TO THE WELL OWNER
SIGNA UREOF�SON CidiNST I THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center"Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. G.
• W;, REV.07/2001
I'
I .

WELL CONSTRUCTION RECORD 292712
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION f 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE t f 828) 837-8008
STATE WELL CONSTRUCTION PERMIT,_ ASSOCIATED WQ PERMIT,'
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box): Residential 181 Municipal/Public 0 Industrial 0 Agricultural 0 ' -
Monitoring❑ Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: TopographidLand setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope ❑Valley 10 Flat
CAMP CREEK RD (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3508.903N/8416.420W
3. OWNER: GARY BULYAR (degrees/minutes/seconds)
Address 367 KAELY DR Latitude/longitude source:KlGPSOTopographic map
(Street or Route No.) (check box)
MINERAL BLUFF, GA 30559 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 706). 374-5745 0'TO 25' BROWN DIRT
Area code-Phone number 25'to 75' LITE SLATE
4. DATE DRILLED 01-26-2004 75'TO110' GRANITE
5. TOTAL DEPTH: 405' 110'TO 405' GRANITE C
6. DOES WELL REPLACE EXISTING WELL? YES 0 NOW al rD
7. STATIC WATER LEVEL Below Top of Casing: 80 FT. SLATE C. c
(Use"+"if Above Top of Casing) —71
C
8. TOP OF CASING IS 1 FT.Above Land Surface* C
*Top of casing terminated at/or below land surface requires a 1 c
variance in accordance with I5A NCAC 2C.0118.
9. YIELD(gpm): 2 METHOD OF TEST AIR
10.WATER ZONES(depth): 280' - 3 i
LOCATION SKETCH 3
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least fV
12. CASING: Wall Thickness two State Roads or County Roads.Include the road 4r
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 107 Ft. 6 1/8" SDR 21 PVC
From To Ft. �/
From To Ft.
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY C\ 'P
'From To Ft. r\/ ef
14. SCREEN: Depth Diameter Slot Size Material 1
From To Ft. in. in.
From To Ft. in. in. 4
15. SAND/GRAVEL PACK:
Depth Size Material left. (t 1 13—
From To Ft.
From To Ft.
lb. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITIt l 5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A PY OF THIS7'CORD I EEN PROVIDED TO THE WELL OWNER
SIGNATII //B//, �'OF�-P Af N CO HE WELL_ DATE
Submit the original to the Division of Water Quality,GroundlvatekSe tip,j636 Mall Service C}enttSI -Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. 1 }r •I REV.07/2001
i; ' L)'
F

WELL CONSTRUCTION RECORD 292711
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION 8 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE ti 1828) 837-8008
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMITB
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box): Residential kli Municipal/Public 0 Industrial❑ Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection Cl Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ❑Ridge ❑Slope ❑Valley ®Flat
HWY 19-129-STORAGE BUILDINGS (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3500.995N/8452.274W
3. OWNER: TINA DIEHL (degrees/minutes/seconds)
Address 125 ANCHORAGE ST Latitude/longitude source:KlGPSOTopographic map
(Street or Route No.) (check box) 0
FORT MYERS BH FL 33931 DEPTH DRILLIN6.00*£
City or Town State Zip Code From To Formation DCs%ript§
( 239)_ 463-2546 0'TO 40' LITE SLATE —t1'''1` 7/�
Area code-Phone number 40'TO 80' RED CLAYBROys�7 St
4. DATE DRILLED 01-28-2004 80'TO 110' SLATE I cm
5. TOTAL DEPTH: 405' 110'TO 260' SLATE r.11 Sc,O
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El 260'TO 320' SOFT SLATE ��
s mo
7. STATIC WATER LEVEL Below Top of Casing: 80 FT. 320'TO 405' SLATE r^
(Use"+"if Above Top of Casing) O rNTt 33
8. TOP OF CASING IS 1 . FT.Above Land Surface` to `_.,
*Top of casing terminated at/or below land surface requires a , tT p
variance in accordance with ISA NCAC IC.0118.
9. YIELD(gpm): 10 METHOD OF TEST AIR
10.WATER ZONES(depth): 280'
LOCATION SKETCH
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads. Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 110 Ft. 6 1/8" SDR 21 PVC i
From To Ft.
From To Ft. �l \1�
13. GROUT: Depth Material Method \J
From 0 To 20 Ft. CEMENT GRAVITY
'From To Ft. /t*
14. SCREEN: Depth Diameter Slot Size Material � s
�
From To Ft. in. in. i
From To Ft. in. in. G') r
15. SAND/GRAVEL PACK: y
Depth Size Material \Zip 1
From To Ft.
From To Ft. '
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I 5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT OPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
SIGNAT RE OFRSON EONS' CLING TILE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636_ Mail Seni_c_e Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. ` ;1 ' ttlW..1 REV.07/2001
�;; i1-�9

292706
• WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural 1 TIResourcces-Division- of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) " �U.I t oue� S.—r1\,C�c.l rsat Q
CERTIFICATION pX�O
WELL CONTRACTOR COMPANY NAME WeiV ate- \..5a.L.-I 2l Lk I t j, PHONE # i)38qAISC.
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT,'
(if applicable) (if applicable) -,
1. WELL USE(Check Applicable Box): Residential("Municipal/Public 0 Industrial 0 Agr;c, It�l lipMonitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use i ; —) r ___ __
2. WELL LOC T N: C �W�SD opographi g ii J
Nearest To County Ridge ❑Slope (l ,;
l y ❑Flat II )
(check appropo(Set Name, rs,Community,Su ision,LotNo.,Zip Code) Latitude/longitudelllciti r C --��• " "\!
1 , ��CC)),A-O•.�LOA..LL1JgXX11 (degrees/minutes/seconds) ?''E
3. OWNER: � ��--
Address Latitude longitude source:❑GPS❑Topographic map
(Street or t o.) O(P (check box)
DEPTH DRILLING LOG
ci r To n, q p(e` Zip Code From To t Forma n Description
(`�) 11 �1 16161
Area code-Phone number �
4. DATE DRILLED I i lSI 31I'
• 5. TOTAL DEPTH: I VL., -
s
6. DOES WELL REPLACE EXISTING WELL? YES NO r 0
7. STATIC WATER LEVEL Below Top of Casing: O FT. "'t ��
(Use"+"if Above Top of Casing) F'I
OC
8. TOP OF CASING IS 1 FT.Above Land Surface' t orn
*Top of casing terminated at/or below land surface requires a CEI DO
variance in accordance with ISA NCAC 2C.0118. "A 1..
YIELD(gpm): SD MEg48 rOF TEST- "Ao
10.WATER ZONES(depth): ((J� o mrn
,�1 LOCATION SKETCH n
11. DISINFECTION:Type kink Amount Show direction and distance in miles from at least -_I
12. CASING: Wall Thickness two State Roads or County Roads. Include the'Tdad_z
Depth a/neter srr W,er t/Ft. ty�}�at�enal numbers and common road names.
From b To Ft. �y4tt -&"(t `�
From To Ft.
From To Ft.
13. GROUT: DepthZ) F a(`n Meth
ID Toon �AVo`
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material ft
From To Ft. in. in.
From To Ft. in. in. ..- Tc.
-
15. SAND/GRAVEL
Depth Size Material
From To Ft. O
From To Ft.
16. REMARKS:
•
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRU TION TANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO T WE OWNER
SIGNATURE OF PERSON CONSTRUCTING THE WELL D TE
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

292'700
• WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and/Naturaal Resources-ivivissioonof�Water Quality-Groundwater Sectionl 3Q
WELL CONTRACTOR(INDIVIDUAL)NAME (print) 0-->A US1 G.
`< <1K�`—GS{ . CERTIFICATIONr # r/`r 1
WELL CONTRACTOR COMPANY NAME v" ' E5>I�- LSaA-- t-L"A PHONE # ( l) t339 915S--
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable) --^^��.
A 1- I A
I. WELL USE(Check Applicable Box): Residential!B' MunicipaVPublic 0 Industrial 0 Aglieu* fl )
it i 1
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use I ` I, 1
I !I�
2. WELL LOwn: gopo p c/Lj�d sating
arest Town: i my ❑Ride Sloe �Ir-7"Nall ❑Flat
(,1,.., (checkapprop'atebox li is
(Street N e,Numbers,Community,S vision, t No.,Zip Cade) Latitude/longitude Of wel,A i,catidn , i Gf
3. OWNE (degrees/minutes/seconds)
Address Latitude/longitude source:❑GPS❑Topographic map
(Street r to a No.) (check box)
p DEPTH D•I_L' IN1 ii
'ty o r n State zip Code FromFormanq� on
tut-1—
Area code-Phone number a( VY
1
4. DATE DRILLED la' ( ' 'VR�► '
_
5. TOTAL DEPTH: to / ( tour '==�= _t ,
6. DOES WELL REPLACE EXISTING WELL? YES E9 NO 0 (
I
7. STATIC WATER LEVEL Below Top of Casing: GO 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 accordant ith 15A NCAC 2C.0118.
9. YIELD(gpm): `S3 MEITtOgn 11�tOF TEST -^
10. WATER ZONES(depth): 11 rs
cJ
LOCATION SKETCH —r'1 C�
11. DISINFECTION:Type Wl'k Amount Show direction and distance in miles fromratileas�rn
12. CASING: Wall Thickness two State Roads or County Roads.Includeife ro5dm
numbers and common road names.
Depth,..,_, er qr Weight/Ft.t/Ft. Material nCD o
From To Ft. t0'`1gE U9 P +e , a "tom
From To Ft. f 3 20
From To Ft. c4 C.:.?
13. GROUT, Dept M e(ial Metho
From To FL I . <4 Z
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: 97..kMotou-, UUU
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUC 1ED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION ST ARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO T WE L OWNER
SIGNATURE OF PERSON CONSTRUCTING THE WELL TE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mail Service Center-Raleigh,NC
27 69 9-163 6 Phone No.[phone],within 30 days. GW-1 REV. 07/2001

WELL CONSTRUCTION RECORD 2 9 2 5 8 2
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (prin0 LARRY F.JONES CERTIFICATION It 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PIIONE ( f828) 837-8008
STATE WELL CONSTRUCTION PERMIT( ASSOCIATED WQ PERMIT(
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box): Residential Ell Municipal/Public 0 Industrial El Agricultural 0
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope ❑Valley ❑Flat
BELL HILL RD TO DANA DR (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: JOHN GLADDERS (degrees/minutes/seconds) '
Address 100 FLAX DR Latitude/longitude source:0GPSOTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)_ 644-5903 0'TO 40' RED CLAY
Area code-Phone number 40'TO 60' BROWN DIRT
4. DATE DRILLED 1-22-2004 60'TO 82' GRANITE
5. TOTAL DEPTH: 807' 82'TO 807' GRAN "� --_
6. DOES WELL REPLACE EXISTING WELL? YES El NO ® 1 �L 'u t"
7. STATIC WATER LEVEL Below TopofCasing: 750 FT. -- �71
' (Use"+"if Above Top of Casing) I a t
8. TOP OF CASING IS 1 FT.Above Land Surface' I I.
*Top of casing terminated at/or below land surface requires a . .
variance in accordance with ISA NCAC 2C.0118.
9. YIELD(gpm): --- METHOD OF TEST AIR L_
10.WATER ZONES(depth): H -
LOCATIONSKE C ,:.- (cr
II. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads. Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 82 Ft. 61/8" SDR 21 PVC
From To Ft.
From To Ft. i e n _
13. GROUT: Depth Material Method y�j
From O To 20 Ft. CEMENT GRAVITY /X ) OFrom To Ft. �% —rt14. SCREEN: Depth Diameter Slot Size Material D rn m
From To Ft. in. in. I • _
From To Ft. in. in. N
15. SAND/GRAVEL PACK: rm�
Depth Size Material 9 L•i m
From To Pt. N m,3
From To Ft. .
cad
(o O
16. REMARKS: _
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT COPY OF 1-3JJQ RECOIj) IAS BEEN PROVIDED TO THE WELL OWNER
_ I— 2-O9
SIG UREO RSO CON CLING'rnE 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

WELL CONSTRUCTION RECORD 2 9 2 5 81
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION#3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE if [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box): Residential El Municipal/Public❑ Industrial❑ Agricultural❑ `
Monitoring❑ Recovery ❑ Heat Pump Water Injection 0 Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ['Ridge ❑Slope ®Valley ❑Flat
COBB DR.TO DIAMOND COVE RD (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot Na,Zip Code) Latitude/longitude of well location
3. OWNER: JOHN"BUZZ"BIDDLE (degrees/minutcs/seconds) '
Address 3483 SANTA FE TRAIL Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
DORAVILLE, GA 30340 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 835-8613 0'TO 10' BROWN DIRT
Area code-Phone number 10'TO 15' GRAVEL
4. DATE DRILLED 1-20-2004 15'TO 22' GRANITE
5. TOTAL DEPTH: 505' 22'TO 505' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO RI
7. STATIC WATER LEVEL Below Top of Casing:• ` G ' FT. -
M
(Use"+"if Above Top or Casing) I ,1�_ 1' r
8. TOP OF CASING IS 1 FT.Above Land Surface* ,
•Top of casing terminated aUar below land surface requires a
variance in accordance with 15A NCAC 2C.0118. ; ,,
9. YIELD(gpm): 1/3 METHOD OF TEST AIR I I
10.WATER ZONES(depth):
LOCATION T _
I I. DISINFECTION:Type CLORINE Amount 100 PPM Show direction and distant in miles tom acto89U' r r Ir.FI
two State Roads or Countyoad !hdt dthl3 feac�il`'PI- Y'ICI
12. CASING: Wall Thickness
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 22 Ft. 6 1/8" SDR 21 PVC
From To Ft.
From To Ft. 0
13. GROUT: Depth Material Method
From 0 To 22 Ft. CEMENT GRAVITY Q LSr��
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material U �, vg��0
From To Ft. in. in. ? .
From To Ft. in. in. O
15. SAND/GRAVEL PACK: C.) c>am
Depth Size Material 141° em
From To Ft. - I y• a<
From To Ft. rn
'V ma
16. REMARKS: s gym.
lV n-
I DO HEREBY CERTIFY THAT TILLS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL .r - 2
CONSTRUCTION STANDARDS,AND THAT A PY OF TiLIS RECORD I LAS BEEN PROVIDED TO TI IF,WELL OWPER ' z
SIGNA RE OF SON CON CTING 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

11 ' 15 tI 1" 41 ' ' p-, It III
T 1 1 , I I r I l I'
I ' ' * 1L.H1 j ' 292;5Q4
WELL CONSTRUCTION RECORD 1 ! 1 j j '
I
North Carolina-Department of Environment and Natural Resources=Division dt Water Quality-Groundwater Section 'I '
LARRY F.JON S 1 ' 11I j I CERTIFICATION II 329 '
WELL CONTRACTOR pNDIVIDUAL)NAME (plat) Fr 1 II
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLIING AND PUMP COMPANY,INC. PHONE�IM (8281831-8008' ' I
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED'WQ PERMIT*' ''i ;
'' 1 ,E
' (ifapplipblc)1 ' - ' ' ' '.'(if applicabla)' I I 1
1 1 : i i 1 t r i IL 4 I1 11<+ I ^ I I t 1 ill -..
1. WELL USE(Check Applicable Box):Residential® Municipal/Public❑ :Industrial❑ Agricultural❑ I 1 1 I;
Monitoring❑ Recovery 0 ' Heat Pump Water Infection 0 Other❑`l (attar;List Use I ! I '
, . 1,• i,`Il� 1 I I I
2. WELL LOCATION: 'I I 1,opographic/Land setting I I
Nearest Town: MURPHY County CHEROKEE ' ®Ridge ❑Slope ❑Valley ' ❑Flat I
LADYBUG LN ' I 1 I 'I (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latil ude/lnngitude of well location I 1 ;
3. OWNER: JOHN SHERIDAN I ' '1 (degrees/minutes/seconds) I 1
Address 2534 S.W.13TH ST Latitude/longitude source:❑GPS❑Topographic map II
(Street or Route No.) ; I II I I 1 ; (ebeck box)
BOYNTON BEACH, FL 33426 DEPTH' DRILLING LOG ii I
City of Town 'State Zip Code ' . :. From r o Formation Description I-
( 954)- 978-3998 0'TO 60' 1 11 , RED CLAY I' i I i I
Area code-Phone number 1 . i 60'TO 70' 1 BROWN DIRT I 1 III
4. DATE DRILLED 1-13-2004 70'TO 92' •I t BLUE SLATE ' ' I I
5. TOTAL DEPTH: 707'. ' 92'TO 70T 4, BLUE SLATE ' I ' I6. DOES WELL REPLACE EXISTING WELL7 YES❑ NO ® ' ' I 1
7. STATIC WATER LEVEL Below Top of Casing: 50 FT. j , I
(Use"+"if Above Top of Casing) '
8. TOP OF CASING IS 1 FT.Above Land Surfaces
*Top of easing terminated aUor below land surface requires a O' U
variance In accordance withlSA NCAC IC.011& ' ' F,
9. YIELD(gpm): 1/2 ' METHOD OF TEST` ' , I I rT
10.WATER ZONES(depth): t'
I I. ;!LOCATION SKETCH .'? z
11. DISINFECTION:Type CHLORINE Amount 100 PPM i Show direction and distance in miles from a ,
I2. CASING: ' Wall Thickness 1. 1 I two Stew Rdads or County Roads.Includethe I
Depth Diameter, in Weight/Ft. Material n umbers anL common road Nam l 1es. I x
Froin To 92 Ft, 6 1/8" SDR 21 '.PVC 1 / I 'I�;•) a»�
From To Ft. ,, J .
From To Ft. I r CO .i CO )
13. GROUT: Depth Material Method (�)
a vj
From 0 To 20 Ft. CEMENT GRAVITY I ' 1` �'I -1 �C I
From To Ft. • I. 1 �, I 1 f �,1 c
14. SCREEN: Depth Diameter I Slot Size Material ' I • I \ I
From l
To Ft. in. in.
From To • 1 I
I5. SAND/GRAVEL PACK: I ' 1
Depth Sim Material - I � I I
I
From To Ft.
From To Ft.
16. REMARKS:
117O HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I SA NCAC 2C,WELL 116 I' I
CONSTRUCTION STANDARDS,AND THAT A COPY OF Till CORD HAS BEEN PROVIDED
PTO THE WELL OWNER ;I 1
' ' 1 I iI ' (t'I3'Z� i I ill , 1�I ' I
II
SIONATU F PE ONSTRUCTING'IHE WEL I DATE I 1 I 1 i : I
1 • 1 1 .
Submit the original to the Division of'Water�Quality,Groundwater Section,'!634 Mall Service `-Rle�,NC Il .;1 I 7)
27699-1636 Phone No.[phone],within 30 dayi .I I I I III , rt• •, ' 1 1' 1'
! {I III 1 I1 � 1
' I I JUNjI215 200% ,,;.;,,'
1
i I ' I1
Iaou as 'A7 aI SECT olu
AEr E'<'i_I_p RBG OINA NC€

WELL CONSTRUCTION RECORD 2 9 310 8
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL conTgAaoa(INDIVIDUAL)NAME (print) _)lu'iI(ZS P \A) \ -, CERTIFICATION ad9O4'
Jf (`_ �� r
WELL CONTRACTOR COMPANY NAME rnr\k(O ( :NC'\1 c(`,\;n j PHONE 0t; ` 1 ,.
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
i
I. WELL USE(Check Applicable Box): Residential 0---Municipal/Public El Industrial 0 Agricultural d
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use j
2. WELL LOCATION: Topographic/Land setting J
Nearest Town:(Y(�iu`(�hr�r Countyl kra'1&P C. ❑Ridge Ei81bpe OValley pF7Mt —
1� o R\ 31 nci; -VCe P (check appropriate box) i
L.
„75i r'� l Latitude/longitude nude of well loco i *
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) g ,
OWNER. (degreeslminutes/seconds) I !
3. AddressLatitude/longitude source:UUPS❑Tap ra - - Ei
Addres Route
I (check box) L____) =i
1, (Street or No.) 1�woT{ L
(.(nwE orT(w OC- 2ZipCod/A04 It,� atiouDcscription
Ci9 or Town State Zip Code From To
Area
' - � ' 6hc
AsA code-R L number 1 6' S j�,(Q r r Jo f h
4. DATE DRILLED 1 - 1�"DU ~l `i
5. TOTAL DEPTH: 5cio:s i y
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO LH— p o
7. STATIC WATER LEVEL Below Top of Casing: ciSD` FT. 0
(Use"+"if Above Top of Casing) —nin
F
8. TOP OF CASING IS I Fr.Above Land Surface' ern
cti
*Top of casing terminated at/or below land surface requires a m _,--r
variance In accordance with ISA NCAC 2C.0118. '�
9. YIELD(gpm): l METHOD OF TEST Ai R. nt f N—
10.WATER ZONES(depth): LOCATION SKETCH (:? na
Show direction and distance in miles CornaQcast
11. DISINFECTION:Type h�� Pe1lEl S Amount ns 12. CASING: WallThicknesstwo State Roads or County Roads. Inc [fide di road
Depth Diameter or Weight/Ft.
atcrial numbers and common road names.
From /0 To 13O' Ft. /.,:25 ,S/752/
From /9n To .9,25 Ft. S f) 8'/S7 —
From To Ft.
13. GROUT: Depth N {erial � Method -*
From 1) To 'Qf t Ft. LC+t'SL— (3CP4341/P. API �� _
From To Ft. 1,
14. SCREEN: Depth Diameter Slot Size Material e15
- A ..e,\ tc---
From To Ft. in. in.
From
Ft. in. in. ^
IS. SAND/GRAVELEL �/PACK: Y
Vs-
Depth Size Material
From To Ft.
From To Ft.
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 RECORD HAS BEEN PROVIDED TO THE WELL OWNER
o /-1 t��"n. J /z/ G�/
/ �� w SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mail Service Ceenter1 R leig RE . h,NC
27699-1636 Phone No.[phone],within 30 days.

WELL CONSTRUCTION RECORD 2 y 31 n ,
North Carolina-Department of Environment and Natural Resources-Division of Water Quality CERTIFICATION r dwtter Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) 2\C ice N OAP`t . 1 'Lson
11 \1 PHONE II f sfl k3Y-24�i y
WELL CONTRACTOR COMPANY NAME � r n� Ct
,��p 1 01I h 11�d10 __- -
—
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WQ PERMITS '
—
(if applicable) (if applicable) C----3 l ,
--
� u J
1. WELL USE(Check Applicable Box): Residential Er-Municipal/Public
Municipal/Public 0 Industrial 0 Agricultural 0 T I'
Monitoring 0 Recovery 0 Heat Pump Water Injection El Other 0 If Other,List Use '_1 : -'r+'s -_
Gri
,,:?_ i
2. WELL LOCATION: 1 Topographic/Land setting S I cn —
Nearest Town: O`1 cm-0\1 CountyCliQ-ITAQC- ❑Ridge ❑Slope 11i11ey ❑1)'. r_>
(check appropriate box) ,A.
(PA name.Nu Latitude/ion nude of well locati rF j i �
(Street Name,Numbers,Community,n Subdivision,Lot No.,Zip Code) g �T __
3. OWIVER. �rtrV'i[CA S n11'inn r\ (degrees/minutes/seconds) 1L )
Latitude/longitude source:L1GI'S❑Topogr°pt'i''mnj
Address i23 J �� CR ute No.) (check box)
( f� (Streeto�Route No.) ,)-`6q� PEP rfl PRILLINQI.JC,
"aFrom To F•nrniatiou Dc.scription
Cityo wn State Zip Code Xrn
_ n - t n t F
Areacode-Phone number 1(� AS t
4. DATE DRILLED l - of c- r)Q
5. TOTAL DEPI i-i: SS' me n NO �' c
O o
6. DOES WELL REPLACE Exist it G WELL? YES ._ FT. 0 a
7. STATIC WATER LEVEL Below Top of Casing: .)0 - ,r c
(Use"+"if Above Top of Casing) _ Fri
8. TOP OF CASING IS 1 FT. Above Land Surfaces
*Top of casing terminated at/or below land surface requires a --Ds— 94
variance In accordance with ISA NCAC 2C.0118.
m�
9. YIELD(gpm): a5 ' METHOD OF TEST A:g_ N B
10.WATER ZONES(depth): w m-c
LOCATION SKETCH c-,
o
Show direction and distance in miles foam at gast
12. DISINFECTION:ION:Type�1� PP11 EF< Amount \ s s two State Roads or County Roads. Include thi road
12. CASING: Walweil ght/pt.
Depth Diameter or weight/pt. Material •umbers and ommon road names.
a FronQ_tTo 33 Ft. Cn„26 5)Y21 QJ/
From To Ft.
From To Ft. Et/13. GROUT: Depth M terial Method Gru✓C5
From D To ' Ft. p©PIQti� .�f essui P d- ywed
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From_ To Ft. in. in.
Cit
From To Ft. in. in.
15. SAND/GRAVEL PACK:Depth SizeMaterial
From To Ft.
From To Ft.
16. REMARKS:
1 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
7it/ r.t ���l:2(. SIGNATURE OF PERSON CONSTRUCTING THE WELL DAP:
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Ceenterl Raleigh,
lREeigh,NC
27699-1636 Phone No.[phone],within 30 days.
,

WELL CONSTRUCTION RECORD 2 9 3 41 n 0
North Carolina-Department of Environment and Natural Resources-Division of Water Quality- Groundwater Section
`�' CERTIFICATIONS. 404
WELL CONTRACTOR(INDIVIDUAL)NAME (print) � )GWI'PS Q, (w�tl5!)1'� id 4S3`1—z49r
WELL CONTRACTOR COMPANYNMIE YYI.I'P! WPI� del �'
PHONE 8 (.y2—_
nNST!Wr`TrnN PEKMliUn ASSOCIATED•A'Q'ERmrra --
STATE WELL f ap...ca-_ _- fif applicable) __
(i r a�plicablc) 1 _it
1. WELL USE(Check Applicable Box): Residential�MunicipaUPublic 0 Industrial %r ^oriculmto `�
Monitoring❑ Recovery El Heat Pump Water Injection 0 Other 0 If Other,List Use S +
1, `
2. WELL LOCATION: Topographic/Land setting ' r , ri
Nearest Town: (YIU( �'1\ County 6Pmk [Ridge U18tbpe OValley I Fhat c ,
(check appropriate bon) r,,,
�IL1P1 �tdQp Latitude/longitude of well IobatlO L ' .
rse
(Street Nem ,Numbe ommunity,Subdivision,Lot No.,Zip Code) le-::- `
r , t (degrees/minutes/seconds) JS'—i
3. OWNER.Srn1M P.Address K � 1- 1r\P1�`-21tri(�P (check box)Latitude longitude source:UUPS❑Tcpographi� ,
4
(Street or Route No.) ,gg Tfi DRILLING 1,6G
\iyorr'nm1atiouDescription
"City or Town ��, no State Zip Code Fromc - «,e
Art code-ode-Phone number 3 -
9r9
•
4. DATE DRILLED I- 30- Oil /) i — icOS r
5. TOTAL DEPTH: 305 r
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO m-
7. STATIC WATER LEVEL Below Top of Casing: fIO a o
(Use"+"if Above Top of Cuing) 0 S
FT.Above Land Surface r o
8. TOP OF CASING IS —*I �=
r
*Top of casing terminated at/or below land surface requires■
variance In accordance with ISA NCAC 2C.0118. i t r n
9. YIELD(gpm):.�__METHOD OF TEST 4r'2 — — o�
10. WATER ZONES(depth): LOCATION SKETCH U., >0
I ri.S Show direction and distance in miles frfn al*
11. C SINFECTION:Typc�7ri o/� S Amount ess
12. CASING: Wall Thickness
two State Roads or County Roads. Incksle the mad
Depth Diameter or Weight/Ft. Material nurnkts and common road names. o ,<'.,
.6-- o
From 0 To /D.01 Ft. 4,,a5 ADO,/ AYe' j a
From To Ft. P,rneY
From To_Ft.
13. GROUT: DepthMater Method e
prr_°SSUrP
From__To a0' Ft.
From To Ft.
14. SCREEN: Depth Diameter Slot Sizc Material r,
. r
From To Ft. in. in. �C� lul
From To Ft. in. in. ,it
,r Rb 'kW/15. SAND/GRAVEL PACK:Depth Size Material
From To Ft. , nf
FrWni To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A riC,C 7C.WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL o NE?.
7cm-4-- ti -2/4-2_11/4",--- /-- SO - egi
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mail Service Ceenterl�Vgh,C01
27 69 9-1 63 6 Phone No.[phone],within 30 days.

295909
WELL CONSTRUCTION RECORD
North Carolina-Department of Environtnent and Natural Resources-Division o(Water Quality-Groundwater Section '
WELL CONTRACTOR(INDIVIDUAL)NAME (print)DAVID F.MCKINNON CERTIFICATION#2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]
---
STATE WE CONSTRUCTION PERMIT# __ASSOCIATED WQ PERMIT,/ — --
11.
(if applicable) (i(applicable)
_
I. WELL USE(Check Applicable Box):Residential® Municipal/Public 0 Industrial 0 Agricultural El
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other 0 If Other, List Use
2. WELL LOCATION: Topographic/Land setting ,
Nearest Town:.MURPHY_ County CHEROKEE KIR idge ❑Slope ❑Valley DFIat.
SOARING EAGLE _--__ (check appropriate box) '
(Street Name.Numbers,Community,Subdivision.tot No.,Zip Code) I.atiltide longitude of well location
3. OWNER:-BOB EARVER Idgscca/minutrs/seconds)
Address P.O.BOX 151 _-_ Latitude/longitude source:DGPSOTopt)graphic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEI'T I I DRILLING tOG----- ,
City or iowa Slate Zip Code From TO Formation Description ,
1828 )--837-0185 0'TO 20' -_ BROWN DIRT
Area code-Phone number 20'TO 40' SANDSTONE
4. DATE DRILLED_05-24-2004 40'TO 60' BROWN SANDSTONE
5. 'I'OTAi. DEPTH: 605' - 6- TO 92' ROCK
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ® 92'TO 6o5. ROCK
7. STATIC WATER LEVEL Below Top of Casing: ma FT.
(Use'v'if Above Top of Casing) — O
8. TOP OF CASING IS I FT.Above Land Surface' -----""---"- — - 4.
`Top of caving terminate,)at/or bekrw land surface requlrex a ----'-"'_-"`-'—'— -- C . n=
variance in accordaner with ISA NCAC 2C RIM --- - a
9. YIELD(gpm): 25+ _ METHOD OF TEST AIR --- -- --- — — r �."
10. WATER ZONES(depth): 160',540' —__-__ — .m
L ATIQNSKETCH -pp ;�
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from aast -
12. CASING: Wall Thickness two Stale Roads or County Roads. Include thgyoa 0
Depth Diameter or Weight/Ft. Material numbers and common road names. a.
From 0 To02,-_FL 6 1/8" SDR 21 PVC r a '
From To Ft. — 1'
From, To Ft. --_--
13. GROUT: Depth Material Method QQ C7
From 4 To 20 Ft, CEMENT GRAVITY e
From To Ft. (, J'
14. SCREEN: Depth Diameter Slot Size Material t.
Frei __—To Ft. in. in.From To Et. in. in. .
I S. SAND/GRAVEL PACK:
Depth Size Material <Kr_i '`� „
Front To _Ft. 4,4 �`
From To —Ft.
16. REMARKS:------- ----- ------------ -
I DO I IEREI3Y CERTIFY TIIAT THIS WELL WAS CONSTRUCTEl)IN ACCORDANCE WIl II 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY 0-Luis RECORD IIAAS BEEN I'ItOVII)E D I O t DIE WELL OWNER
o ~ . 7�A'Nyu�` s`zt1/=p1-
SIGMA rUREOF PERSON CON-'1'RUC IING'IIIF WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. C W-1 REV.07/20)1

295010 •
WELL CONSTRUCTION RECORD
North Carolina- Department of Environment and Natural Resources-Division of Wang Quality-Groundwater Section
MELT.CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION if 3293
WEI.I.CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. P1n/NE p [phone] -
STATE MITI.CONSTRUCTION PERMITi ASSOCIATED WO PERMIT" - -
(if applicable) (if applicable)
I. WELL.USE(Check Applicable Box):Residential 1E1 Municipal/Public 0 Industrial❑ Agricultural 0 -
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 if Oilier,List Use
2. WELL.LOCATION: Topographic/Land setting
Nearest Town: MARBLE County CHEROKEE KIR.idge ❑Slope ❑Valley El Flat
H_WY 141 -NEAR STATE SHED I check appropriate box)
I Street Name,Numbers.Community,Subdivision,lot No.,lip Code) Latitude/longitude of well location
•
3. OWNER: DENNIS"SKIP-HUSKINS I dgtrr<s'niinutrdseconds)
Address P.O.BOX 690 Latitude/longitude source:OGPSOTopoErzaphie-mat - - - - -
(Street or Route No.) (check boa)
_ MARBLES NC 28905 DEP1-'H DRILLING LOG
City or Town State Zip Code From To Formation Description
828 y 837-8255 - 0'TO 20' RED CLAY
Ares code-Phone number ' • 20'TO 60' CLAY&GRAVEL '
4. DATE DRILLED 05-25-2004 60'TO 100' __ CLAY&SLATE MIX
5. TOTAL DEPTH: 345' 100'TO 120' _ SLATE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El 1z0'To 300' SLATE
7. STATIC WATER LEVEL Below Top of Casing: 80 _ _-FT. 300' WATER ZONE
------
(Use"I"if Above Top of Casing' 3(l0' :i T034 SLATE O
8. TOP OF CASING IS 1 FT.Above Land Surface — -- - CD
`Top of easing terminated Woe below land turner require§• - '-------_--'--
varianceinaccordance a ilk 15A NCAC 2C.0118. Ca
Tre en
9. YIELD(gpm): 9 _____ METHOD OF TEST AIR--_-_-___ c-
III.WATER ZONES(depth): 3°°' _-___..--_ - —.._.------------- 1
L(IC471ON SKETCH — r-r,
I I. DISINEI CTION:Type CHLORINE Amount 100 PPM_ __ Show direction and distance in miles front at.-.ast
12. CASING: Wall Thickness two Slate Roads or County Roads. Include thCroaC om
Depth Diameter or Weight/Ft. Material numbers and common road names. (-p N
From 0 To_I20 Ft a 1/8" SDR 21 PVC — -I CO I
From To _ Ft. o
From To... Ft. _ _
13. GROUT: Depth Material Mclhod
From 0 To_20 FL CEMENT GRAVITY di
From __ To FL __ /
14. SCREEN:N Depth Diameter Slot Size Material \ ex.
From To Pt. in. in. U' �y
From To Ft. in. in. —_-----_
15. SAND/GRAVEL. PACK:
Depth Size Material
From To Pt. -
�
From -----hO------Ft. — ----.-- 1- ' .jC
I6. REMARKS: ___"_"_—_____.___
I DO HEREBY CERTIFY 1 HAT THIS WELL WAS CONSTRI ICI ED IN ACCORDANCE WI'l II I5A NCAC 2C,WELL
('OVS'II(IJ(�CIONSIADIU,1RUS,AN�H ''ACOP�ry71�R��OR��FIACBIffNPROVIUI'D1O�IIFs�W�LLvWNhit
S ,NATURE f�F Ph SO ( STRUC RING FlIE WELL DATE.
Submit the original to the Division or Water Quality,Groundwater Section,1636 NI all Service Center-Raleigh,NC
27699-16:16 Phone No.[phone],within 30 days. GW-I REV.07/2001

295911
WELL CONSTRUCTION RECORD
North Carolina olina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION 0 3293
WEI.1.CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE [phone] -------
STATE WELL CONSTRUCTION PERMIT"' ASSOCIATED WO PERMIT"
me
(if (if applicable)
I. WELL USE(Cheek Applicable Box):Residential tia Municipal/Public 1 Industrial ❑ Agricultural 0 •
Monitoring❑ Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION: Topographic/Land setting .
Nearest Town: MURPHY County CHEROKEE RIRidge ❑Slope OValley ❑slat'
OLD HWY 64 TO SHADE TREE LN _ (check appropriate box)
(Sum Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: FREDDIE COOK it/egrets/minutes/woods) - -
Address 1161 HWY 64 WEST Latitude/longitude source:OGPSOTopograpliic map
(Street or Route No.) (check box)
-.-_._-_-_ _._-.._. ..-
MURPHY, NC 28908 DEPTH DRILLING LOG
City or Town State Zip Code --- From To Formation Description
( 828)_ 837-5717 0'TO 20' RED CLAY
Area code-Phone number ' ' _20'TO 90 SANDSTONE
4. DATE DRILLED 05-21-2004 n0'TO11r MARBLE
5. TOTAL DEPTH: 70T 112'TO 300' _ MARBLE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO 10 500'To 670' _ GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 120 _ _FT. 676' WATER ZONE
(Ilse"+"if Ahwe Top of Caving 670'TO707' _--- MARBLE
8. TOP OF CASING IS I FT. Above Land Surface' -- -- -- ------ -- ---
`Top of riving terminated allnr below land surface requires a
variance In accordance with ISA NCAC 2C.011A _----------- r'
). YIELD(gpm): 10 METHOD OF TEST AIR_ __. o
1(L WATER ZONES(depth): M. _ ------......---_--_-- -- n
___ LOCATION SKETCH a
1 I. DISINFECTION:Type CHLORINE Amount 100 PI'M__— Show direction and distance in miles from af' ast cF -
12. CASING: Wall Thickness two Stale Roads or County Roads. Include tbc„r(rad_
Depth Diameter or Weight/El. td,nerial numbers and common road names. - —
Four 0 To 112 P[. 6 1!8' SDR 21 _PVC ''-
Z
From To-------FL -----_-- -' co T,
From - ---To------Ft. — - ------- V L c-i"
13. GROUT: Depth Material Method ,y cJi a
Friuli 0 TO 20 Et. CEMENT GRAVITY RDA 'fin„oLP
From To - It. ---_...---- ) lM�--
14. SCREEN_ Depth Diameter Slot Size --__Material "'I
From.-. . To Ft. in. in. --,-_-_ I\ \`�
From---- To Ft. in. in. J
15. SAND/GRAVEL PACK: — - \) )VCR A
Depth Sirr Material f-__!
From To Ft. ..........
Front- -----'rn__. ._-Ft.
16. REMARKS:__--- --------------
I DO I IERF[lY CFERIIFY 1I TAT THIS WELL WAS CONSIRUCI EI) IN ACCOR DAN(.'I,. WI 111 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND TII ' *COPY OF THIS REC91 )IlAS BEEN PROVIDED 1OTIIE WELL OWNER
}
SIG ATURE PRSO CON fit CI I'IIE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Sec(loll, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. G W-1 REV.07/2001

•
•
WELL CONSTRUCTION RECORD 2 9 J 912
North Carolina-Department of Environment and Natural Resources- Division of Water Quality -Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (Prl LARRY F.JONES CERTIFICATION M 32922
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE N [phone] '
STATE WELL CONSTRUCTION PERMITM ' ASSOCIATED WO PERMUTE
(if applicable) (if applicable)
Its
I. WELL USE(Check Applicable Box):Residential® MunicipaUPuhlic❑ Industrial ❑ Agricultural❑
Monitoring O Recovery ❑ Heat Pump Water Injection O Other❑ If Other,List Use
•
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE _ FORirlgc ❑Slope ❑Valley ❑Flat •
TAKE WELLS Lubeck appropriate hoz)
(SOCt'r Name,Numbers,Cotmnanity,Subdivision.Lot No.,7ip Cale) L:II101(10longi luck of well location
3501.017N/8406.186W
3. OWNER: DAVID ACQI.IAVIVA Ilit;mcdminuledcc(mds)
Address 1120 U.S.HWY 64 WEST Lallimit:'Iongitude,so urceliaPSOTopographic map -
-- (Steel or Rmde No.) I,check box)
MURPHY. NC 28906 DIjPTtI DRILLING LOU
City or Tonn Stale 7ip Code Front to Formation Description
f 828 ). 837-7658 0'TO 2(Y __ RED CLAY
Awn tale-Phone number 20'TO50' _ SANDSTONE
4. DATE DRILLED a5-?4-2004 50'TO70' SLATE
5. TOTAL DEPTH: 405'. 70'TO 405--_--- SLATE '
6. DOES WELL REPLACE EXISTING WELL? YES U NO RI _
7. STATIC WATER LEVEL Below Top of Casing: 120 _-.FT. •
(Use"r'if Above Top of( rsinp)
R. TOP OF CASING IS-I FT.Above Land Surface* --
:c
*Top or casing terminated aUor below land anther requires a --- O!--- CD '.
variance in accordance with I5A NCAC 2CAIIS. ----------------- ----- ,,,r T, '
9. YIELD(grim): 10 ____METHOD OFTEST AIR_ _-- ----------____-- -- c
10.WATER ZONES(depth): IHQ%345' z •'__`_-'-,
LOCATION SKETCH 1
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show( iieclion an('distance in miles from at least
12. CASC`1C is Wall Thickness two State Roads or County Roads.Include LIT-oad^o
Depth Diameter or Weight/Ft. Material numbers and common road names. cn rz !
From 0 T o 70 Ft. 6 1/8" SDR 21 PVC .) ref
From To Ft. -, (/�-4
Front To It.
13. GROUT: Depth Material Method
From 0 To20 FL CEMENT GRAVITY
From To Ft. (7_O
14. SCREEN: Depth Diameter Slot Sin Material ,35 • (04
From To Ft._ in. in. -----_— J
From,.----ToFt. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material H t,O 19 ` I�C�
From TO El
From------TD-------Fl. — ---- ---
16. REMARKS: -- ---------_._--
I DO IIFREHY CERTIFY'I'IIAT TIIIS WELL WAS CONSTRUCTED IN ACCORDANCE WI'f11 I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT COPY OF THIS RECORD HAS BEEN PROVIDED TO THE.WELL OWNER
ii-SIGN RE OFP'F.RSON CONS" C IING'111E WELL DATE. '
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mail Senice Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. (iW-I REV.07/20t)1

908
WELL CONSTRUCTION RECORD 295
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME trim) DAVID F.MCKINNON CERTIFICATION 0 2411
WELT.CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE p f 828) 837-8008
STATE WELL CONSTRUCTION PERMITO _ASSOCIATED WI)PERMITN
(i[applicable) Of applicable) ! ..
I. WELL USE(Check Applicable Box):Residential Ea Municipal/Public❑ Industrial 0 Agricultural 0
\L'nitoring❑ Recovery 0 Heat Pump Water Injection O Other 0 If Other,List Use
2. WELT.LOCATION. Topographic/Land setting
Nearest Town:-MURPHY County CHEROKEE- FiRidge ❑Slope [Walley ❑Plat
WOLFE MTN-OLD FAINRD-LOT 164 (check appropriate box)
,Street Name,Numbers_Crenmunity,Subdivisirm.lot No.,Zip Code) I-atihlde/longitude of well location
3501.939N/8417 200W
3. I)WNER: HARRY MICKA tdcgmdn,imitrdsecnnds)
Address 1815 HAVERTON CROSSING -_.. Latitude./loneilude sourcc:KlGPSOTopographic map
(Stray or Route No.) (check box) _ ._
HIXSON, "rN 37343 _.. DITTII DRILLING COG - - -
-- City of Tawn Stale Zip Code From To Formation Desctiption __
423 .t8 78135 0'TO 20' BLACK DIRT _ ._.__.
Ana coda Phone member • . 20'TO 40' _ SAND 8 GRAVEL
4. DATE DRLLLED_OS-21-2004 40'TO nil _____ __ GRANITE
5. TOTAL DEPT11:._265' 60'TO 265' __ _GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ® _
7. STATIC WATER I EVEL Below Top of Casing: 100___ - Fr, - _.,_--_--_--___-__
(Ilse"i"irAbovc Top of(hsirip --
8. 'FOP OF CASING IS I _FT.Above Land Surface` --------_._...---- _ o r
*Top of casing Terminated War below bad sorrier requires a --.--' —"�_ n T ,
variance la acmrdancr with I SA NCAC 2C MIA ------------- - r
9. YIELD(gpm): 100 - METHOD OF TEST_AIR ____ - _------_----- --- j c
10.WATER ZONES(depth): 250' —.-----_ - I
LOCATION SKETCH — ='^r,
I I. DISINFECTION:Type CHLORINE Amount 100 PPM.__- Show direction and distance in miles from at-Isast —
12. CASING: Wall Thickness two Stale Roads or County Roads. Include the-Coat)~'
Depth Diameter or Weight/Ft. Material numbers and common road names. N-r
�� 1
Erotic() -__To Ci0 _FL 6 1/8" SDR 21 ,,.PVC Vikr- 0.1
--I
From N To -' Ft. ---- �V}� G. ia
From To Ft. _ �\ J /er i y /
13. GROUT: Depth Material NIethod OK ``((VV/
From 11 Ft. CEMENT GRAVITY ,? yS Vd 1
From To__ Ft. ` v
14. SCREEN:
Depth Diameter Slot Size Material (�'rh O
From To Ft. in. in. ----._._---- •
-
From_._-----To - -- Ft. in. in. ----... '1
I.5. SAND/GRAVEL PACK: ()4'
Depth Size Material
From_-------TO_._.._._. Ft. -----_.._ L
FramrnFL c'
16. REMARKS: -- .
I DO I lRFOY CERTIFY TIIKF Tills WELL WAS CONSTRU('l El)IN ACCORDANCE WI Ill 15A NCAC 2C,WELL
CONSI RIICUON STANDARDS,AND THAT A COPY OF TI ITS RECORD IRS HIl�I N PROVIDED TO THE WELL OWNER
i\I Off_ r2-1?�Nti-, -..--_s 2.(-a y
SIGNATURE OF PERSON CONS'IR ICI :✓C�INCIN I'I IF WELL DAT F
Submit the original to the Division of Water Quality,Groundwater Section, 16.36 Mall Service Center-Raleigh,NC
27699-106 Phone No.[phone],within 30 days. (iW-I REV.07/20N)I

295427
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION M 3293
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE a [phone]
STATE WELL CONSTRUCTION PERMITH ASSOCIATED WQ PERMIT#
(if applicable) (if applicable) -
I. WELL USE(Check Applicable Box): Residential El Municipal/Public 0 Industrial 0 Agricultural❑
Monitoring❑ Recovery ❑ Heat Pump Water Injection❑ Other 0 If Other,List Use .
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope Malley ❑Flat
SING BRANCH RD (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3507.833N/8407.014W
3. OWNER: BRUCE LONDON (degrees/minutes/seconds)
Address 1250 GRAPE CREEK RD Latitude/longitude source:KIGPSOTopogmphic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town Slate Zip Code From To Formation Description -- - -
( 828 ). 835=9995 0'TO 20' RED CLAY
Area code-Phone number 20'TO 50' SANDSTONE
4. DATE DRILLED 06-03-2004 50'TO 70' GRANITE
5. TOTAL DEPTH: 205' 70'TO 205' GRANITE O
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ® GRANITE .
7. STATIC WATER LEVEL Below Top ofCasing: 50 FT. 0 n
(Use"+"if Above Top of Casing) r� �;,r-.
8. TOP OF CASING IS 1 FT. Above Land Surface* `
*Top of casing terminated at/or below land surface requires a 1 C.
variance in accordance with 15A NCAC 2C.0118. -..S z
9. YIELD(gpm): 15 METHOD OF TEST AIR ''--
10.WATER ZONES(depth): 140' -o mac.
LOCATION SKETCH :r%-
cr
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least c.?
12. CASING: Wall Thickness two State Roads or County Roads. Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0' To 70 Ft. 6 1/8' SDR 21 PVC
From To Ft.
From To Ft. l
13. GROUT: Depth Material Method 3
From 0 To 20 Ft. CEMENT GRAVITY �'
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material v>yst Lt"�
From To Ft. in. in. Aga rJ6,
From To Ft. in. in. t \
15. SAND/GRAVEL (V �j'�
Depth Size Material g /a'V)
From To Ft.
From To Ft. _
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE writ I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT COPY OF TIES RECO' a HAS BEEN PROVIDED TO TT�I(_E�WELL OWNERW
SIG CURE O ERSON CONS+,IJ(CCING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

295426
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION N 3293
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE N [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMITN
(if applicable) (if applicable) ...._ .
I. WELL USE(Check Applicable Box): Residential El Municipal/Public 0 Industrial 0 Agricultural❑ •
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ElRidge ❑Slope ❑Valley ❑Flat
OFF OF JOE BROWN HWY NEAR KILBY ROAD (check appropriate box)
(Street Name,Numbers,Community,Subdivision,tot No.,Zip Code) Latitude/longitude of well location
3. OWNER: SVEN DEMONT (degrees/minutes/seconds)Address P.O.BOX 478 Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
INDIAN ROCKS BE FL 33785 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 727)- 517-7879 0'TO 10' BLACK DIRT
Area code-Phone number 10'TO 37' GRANITE
4. DATE DRILLED 06-02-2004 37'TO 1007' GRANITE
5. TOTAL DEPTH: 1007' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El
7. STATIC WATER LEVEL Below Top of Casing: FT. c
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface" n`-,
*Top of casing terminated atlor below land surface requires a v .'-i
variance in accordance with ISA NCAC 2C.0118. -- C ,
9. YIELD(gpm): 0 METHOD OF TEST AIR
n
10.WATER ZONES(depth): -1 n-:
LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least. 2;
12. CASING: Wall Thickness two State Roads or County Roads. Include the road w `r-
Depth Diameter or Weight/Ft. Material numbers and common road n
From 0' To 37 Ft. 6 1/8" SDR 21 PVC 4. C.r C
From To Ft.
From To Ft.
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY Z
From To Ft. t
14. SCREEN: Depth Diameter Slot Size Material 1.
From To Ft. in. in. tL
From To Ft. in. in. ,_
15. SAND/GRAVEL PACK: E
Depth Size Material
From To Ft. kIU
From To Ft. _
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE.WCCII I 5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF TillS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
`�
SIG ATURE 9 PERSONCQN.1KRUCCING 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

295125
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)DAVID F.MCKINNON CERTIFICATION 2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PilONE p [phone]
STATE WELL CONSTRUCTION PERMIT,/ ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential El Municipal/Public❑ Industrial O Agricultural❑
Monitoring❑ Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting .
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope ❑Valley ❑Flat
SIMONDS CHAPEL RD- WELL#3 (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No..Zip Code) Latitude/longitude of well location
3. OWNER: MARK EDWARDS (degrees/minutes/seconds)
Address 1151 WEST U.S.HWY 64 Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check hoz)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
828 837-3002 0'TO 20' BLACK/BROWN DIRT
Area code-Phone number 20'TO 40' BROWN DIRT/ROCK
4. DATE DRILLED 06-03-2004 40'TO 80' ROCK
5. TOTAL DEPTH: 405' 80'TO 405' ROCK
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO ® GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 150 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface'
*Top of casing terminated aUor below land surface requires a O—
variance in accordance with ISA NCAC 2C.0118. - C?p
9. YIELD(gpm): 11 METHOD OF TEST AIR _ c
rn
10.WATER ZONES(depth): 160' :
i-
( -LOCATION SKETCH -
-
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least 44-12. CASING: Wall Thickness two State Roads or County Roads.Include the wag
Depth Diameter or Wcight/Ft. Material numbers and common road names. 0'.,--
From 0' To 80 Ft. 6 118' SDR 21 PVC W C.
From To Ft. r b
From To Ft.
13. GROUT: Depth Material Method 5
From 0 To 20 Ft. CEMENT GRAVITY 4 f�
From To Ft. fF�/
14. SCREEN: Depth Diameter Slot Size Material �L
From To Ft. in. in. �1R
From To Ft. in. in.
15. SAND/GRAVEL �� 'f1�U \
Depth Size Material
From To Ft.
From To Ft.
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 TII S RECORD HAS `
EEN PROVIDED TO TIIF WELL OWN,ER,
analik de*.
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

295424
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) DAVID F.MCKINNON CERTIFICATION#2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # f 828) 837-8008
STATE WELL CONSTRUCTION PERMITH ASSOCIATED WQ PERMIT# _
(if applicable) (if applicable)
•
I. WELL USE(Check Applicable Box):Residential® Municipal/Public 0 Industrial 0 Agricultural D
Monitoring❑ Recovery ❑ Heat Pump Water Injection 0 Other❑ If Other,List Use
2. WELL LOCATION: TopographidLand setting .
Nearest Town: MURPHY County CHEROKEE 0 Ridge ❑Slope 9Valley ❑Flat
SIMONDS CHAPEL RD- WELL#1 (check appropriate box)
(Street Name,Numbers,Community,Subdivision,1st No.,Zip Code) Latitude/longitude of well location
3. OWNER: MARK EDWARDS (deyrces/minutes/seconds)
Address 1151 WEST U.S.HWY 64 Latitude/longitude sauce:DGPSOTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG.. _ _ _
City or Town State Zip Code From To Formation Description
( 828)- 837-3002 0'TO 20' RED CLAY
Area code-Phone number 20'TO 40' BROWN SANDSTONE
4. DATE DRILLED 05-28-2004 40'TO 60' SANDSTONE/BOULDERS
5. TOTAL DEPTH: 405 60'TO 92' ROCK
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO ® 92'TO405• GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 120 FT.
(Use"t"if Above Top of Casing) C '--'
8. TOP OF CASING IS 1 FT.Above Land Surface*
`Top of casing terminated at/or below land surface requires a D
f >-‘
variance in accordance with ISA NCAC 2C.01 IS. _
9. YIELD(gpm): 100 METHOD OF TEST AIR
10.WATER ZONES(depth): —y
LOCATION SKETCH -a r"'_,
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least -
12. CASING: Wall Thickness two State Roads or County Roads.Include the road r!? �~
Depth Diameter or Weight/Ft. Material numbers and common road names. t o
From 0' To 92 Ft. 61/8" SDR 21 PVC r,.7 --
From To Ft.
From To Ft.
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY Pr
From To Ft. L.
14. SCREEN: Depth Diameter Slot Size Material (2
From To Ft. in. in. C k
From To Ft. in. in. 51,4/11Y4
b5 a
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
t DO HEREBY CERTIFY THAT TIttS WELL WAS CONSTRUCTED IN ACCORDANCE.WITH I 5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OFT 11S RECORD IIAS BEEN PR VIDEO TO THE WELL OWNER
. n. s.2s-01(
SIGNATURE OF PERSON CONSTRUCTING TIIE 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

295423
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) DAVID F.MCKINNON CERTIFICATION 8 2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE [phone]
STATE WELL CONSTRUCTION PERMIT,/ ASSOCIATED WQ PERMIT# -- - i
(if applicable) (if applicable) L
I. WELL USE(Check Applicable Box):Residential ® Municipal/Public 0 Industrial 0 Agricultural 13 �I
Monitoring❑ Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting .
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope OValley ❑Flat
SIMONDS CHAPEL RD- WELL#2 (check appropriate box)
(Street Name,Numbers,Community,Subdivision,lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: MARK EDWARDS (degrees/minutes/seconds)
Address 1151 WEST U.S.HWY 64 Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOU _.. _ -
City or Town State Zip Code From To Formation Description
( 828)_ 837-3002 0'TO 20' RED CLAY/BROWN DIRT
Area code-Phone number 20'TO 40' BROWN DIRT/SANDSTON
4. DATE DRILLED 06-02-2004 40'TO 100' BROWN SANDSTONE RO(
5. TOTAL DEPTH: 605' 100'TO 115' ROCK
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO IKI 115'TO 605' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 150 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface' O
*Top of casing terminated at/or below land surface requires a t?"'
varianee In accordance with 15A NCAC 2C MI18.
9. YIELD(gpm): 4 METHOD OF TEST AIR Z
10.WATER ZONES(depth): 160' 1
• LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at leas .Y 12. CASING: Wall Thickness two State Roads or County Roads.Include the roa cn_
Depth Diameter or Weight/Ft. Material numbers and common road names. •• ~
From 0' To 115 Ft. 6 1/8" SDR 21 PVC C .-
From To FL 7 it r'3 '-
From To Ft. ,0
13. GROUT: Depth Material Method 1�- f�
From 0 To 20 Ft. CEMENT GRAVITY ` y ►-t'
From To Ft. • .y
14. SCREEN: Depth Diameter Slot Size Material 1
From To Ft in. in. X. Citt'From To FL in. in.
15. SAND/GRAVEL PACK: ,1 MUf:,D
Depth Size Material C`
From To Ft.
From To Ft.
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 TIIIS RkiCORD I LAS BEE ROVIDED TO TILE WELL OWNER
/'1A yGll /�. rv- -0//
SIGNATURE OF PERSON CO STRUCI'ING TILE WELL DACE
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

295422
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)DAVID F.MCKINNON CERTIFICATION S/2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE [phone]
STATE WELL CONSTRUCTION PERMITS/ ASSOCIATED WQ PERMITS/
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential Fa Municipal/Public❑ Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting ,
Nearest Town: MURPHY County CHEROKEE Midge ❑Slope OValley [Mat
SIMONDS CHAPEL RD (check appropriate box)
(Street Name,Numbers,Community,Subdivision,lot No.,Zip Code) Latitude/longitude of well location
3501.504N/8416.912W
3. OWNER: HARRIS STEVENSON (dcgees/minutex/seconds)
Address P.O.BOX 958 Latitude/longitude source:K1GPSOTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 644-0991 0'TO 20' RED CLAY .
Area code-Phone number 20'TO 40' BROWN DIRT
4. DATE DRILLED 05-27-2004 40'TO 60' BROWN SANDSTONE
5. TOTAL DEPTH: 705' 60'TO 83' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ® 83'TO 705' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 720 FT.
(use"✓'if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface"
*Top of casing terminated atlor below land surface requires a
variance in accordance with 15A NCAC 2C.0118.
9. YIELD(gpm): 1/4 METHOD OF TEST AIR t� n
10.WATER ZONES(depth): `ram -'-
LOCATION SKETCH 2 , ,
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at leash
12. CASING: Wall Thickness two State Roads or County Roads. Include the roa 'ds -.._
Depth Diameter or WcighVFt. Material
numbers and common road names. —o `
From 0' To 83 Ft. 6 1/8" SDR 21 PVC ' ,
From To FL W `j,
�-1
From To Ft. cy
tM cc(
13. GROUT: Depth Material Method jtFrom 0 To 20 Ft. CEMENT GRAVITY qL From To Ft. r14. SCREEN: Depth Diameter Slot Size MaterialVh/''
From To Ft. in. in. i.r
From To FL in. in. L 3
15. SAND/GRAVEL PACK: ,) U
Depth Sizc Material 1(\ 5 moritiS
From To Ft.
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WI'fli 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND TftAT A COPY OF TII S RECO )I LAS BEEN PROVIDED TO TI1E WELL OWNER
Alive V-. t rru2.r,r. s-a7--cry
SIGNATURE OF PERSON CONSTRUCTING TIli WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-7636 Phone No.[phone],within 30 days. GW-I REV.07/2001

295295
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
LARRY F.JONES CERTIFICATION#3293
WELL CONTRACTOR(INDIVIDUAL)NAME (print)
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT,/(if applicable)
(if applicable)
I. WELL USE(Check Applicable Box):Residential® Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ❑Ridge ❑Slope ❑Valley RIFIat
HEDDEN RD (check appropriate box)
of well location
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Latitude/longitudeCode) 3501.296N/8405.230W
3. OWNER: JOEL DEESE (degrees/minutes/seconds)
Address P.O.BOX 878 Latitude/longitude source:KIGPS0Topographic map
(check box)
MURPHY, NC 28906
(Street Route No.) DEPTH DRILLING LOG -
From To Formation Description
City State Zip Code 0'TO 40' SANDSTONE
( 828)_ 342-772-7753
40'TO 50' RED CLAY
Area code-Phone number BLUE SLATE
4. DATE DRILLED 06-04-2004 50'TO 70' BLUE SLATE
5. TOTAL DEPTH: 325' 70'TO 305' 0 _
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO ® 305'TO 325' RED SLATE
7. STATIC WATER LEVEL Below Top of Casing: 80 FT. _
(Use"I--if Above Top of Casing) '-- r' '8. TOP OF CASING IS 1 FT. Above Land Surface` i =9
-U :Cr:R
*Top of using terminated aUm below land surface requires a ---;�,
variance in accordance with 15A NCAC 2C.0118. —09. YIELD(gpm): 100 METHOD OF TEST AIR W. _ r
LOCATION.WATER ZONES(depth): 305
SKETCH "? ^_�
r,
II. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles frorft leash
Wall Thickness two State Roads or County Roads. Include the rad
12. CASING: numbers and common road names.
Depth Diameter or Weight/FLMaterial
From 0 To 70 Ft. 6 1/8" SDR 21 PVC
From To Ft. be J
From Do FL lI e ----
U. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY `/
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 Sips Material
From To Ft.
From To Ft.
16. REMARKS:
I DO IIEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE wail I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A PY OF THIS RECO HAS BEEN PROVIDED TO THE WELL OWNER
SIGNA'fU E OF PE NN COING TJIE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Ceenter'Rale RGVgh,C 1
27699-1636 Phone No.[phone],within 30 days.

WELL CONSTRUCTION RECORD n 9 E 6 0 t
North Carolina-Department of Environment and Natural Resources- Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION If 3293
\1ELI,CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE a [phone]
STATE WELL CONSTRICTION PERMIT/I ASSOCIATED WQ PERMIT# -.. _
I if applicable) (if applicable) . .-.-
I. WELL USE(Check Applicable Box): Residential E8 Municipal/Public 0 Industrial❑ Agricultural 0 _ ) e '
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE KIRidge ❑Slope OValley ❑Plat
TARHEEL-WARREN DRIVE (check appropriate box) i
(Street Name.Numbers.Community.Subdivision,Lot No.,Zip Code) Latitude/longitude of well location -
3. OWNER: DARREN PALMER Meru .. ..
Address P.O.BOX 332 _._ Iati I ode/longitude source:OCIPSOTopographic map. .
(Street or Route Nu.) (check box)MURPHY, NC 28906 DEPTH DRILLING LOCI - ,.
City Or Town Stale Zip Code From To Formation DcscripYOn.__ _---
028 )- 837-4148 0'TO RED CLAY
Alen code-Phone number 30'TO 60' MARBLE
4. DATE DRILLED 05-05-2004 60'TO 280' MARBLE
5. TOTAL DEPTH: 607' 280'TO 600' _ __ GRANITE
_ ..
6. DOES WELL REPLACE EXISTING WELL? YES O NO Ed
7. STATIC WATER LEVEL Below Top of Casing:100 ___rr.
(Use"I,-if Above Topoffasirg) ----- ---- C?
8. TOP or CASING IS 1 FT.Above Land Surlbcc' '--- - O
'Tap of rasing'tensioned nine below land surface requires a CP
(P
sarnnce In accordance with ISA NCAC 2C.0118.
9. YIELD(gpm): 1 METHOD OF TEST AIR --- < --�'
10.WATER ZONES(depth): LOCATION SKETCH O - o
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least -crest?,
12. CASING: Wall Thickness two State Roads or County Roads. include the r41 "'cs
LP Depth Diameter or Weight/it Material nutnbeys and common road names. (-0? nN
From 0 To GO Ft. 6 1/8" SOR 21 PVC —.
O
From To Ft. 0 sif-
Front To Ft. 17{Z
11. ( ROUT: Depth Material Method Imo--)
From 0 7b?O FL CEMENT GRAVITY f(�) //O n f-E- Q
From To_--_Ft. --- FFF / ect k�
14. SCREEN: Depth Diameter Slot Size Muter-oil — a
From Tn Ft. in. in. ?
From To Ft.— in. in. -- \r
15. SAND/GRAVEL PACK: - v
Depth Sim Material
Front To Ft. -
From To Ft. - —_.---- _ 1
l6. REM A II KS:
I DI) HEREBY CERTIFY TIIA'f THIS WELL WAS CONSTRUCTED IN ACCORDANCE WIT II I5A NCAC 2C,WELL
CONS'RUCTION St AN DARDS,ANDT11AT A PY OF'ilte&ECORD AS BEEN PROVIDED To THE WELL OWNER
SIGNAL EOF RSON CONS' 'IING.IIIE WELL DACE '
Subunit the original to the Division of Water Quality.Groundwater Section, 1636 Al all Service Center-Raleigh,NC
27699.1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

296603
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) DAVID F.MCKINNON CERTIFICATION a 2411 :
wEtd.CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY.INC. PHONE k 1828) 837-8008
STATE.WELL CONSTRUCTION PERMIT4 ASSOCIATED WQ PERDIIT0
(ifapplicable) (if applicable)
I. WELL USE(Check Applicable Box): Residential alMunicipal/Public 0 Industrial 0 Agricultural 0 -�
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
c
2. WELL LOCATION: Topographic/Land setting `' 1
Nearest Town: MURPHY County CHEROKEE KIRidge ❑Slope OValley [(Flat t 7
OAK RIDGE ESTATES LOT 12 (check appropriate box) '.r
(Street Name,Numbers.Community,Subdivision,1M No..Zip Cate) Latitude/longitude of well location I
3. OWNER: PETER 8 LORIE SCHULTZ (drgrees/minutesfseemds) -
Address 2061 S.E.ELMHURST ROAD _ Latitude/longitude source:❑GPS❑Topographic map
(Street or Route No.) (check box) -
PORT ST.LUCIE, FL 34952 _— DEPTH DRILLING LOG; -.
City or Town State Zip Code From To Formation Description_. - - ---.
( 772 )- 337-1921 0'TO 20' BROWN DIRT
Area code-Phone number 20'TO 40' BROWN DIRT
4. DATE DRILLED 04-27-04 40'TO 60' BROWN SANDROCK
5. TOTAL DEPTH: 60: _60'TO 80' " "
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO ® 80'TO 100' BROWNSAND/GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 100 _FT. too'TO115' GRAY GRANITE ROCK
(Use"+"if Above Top of Casing) 115'TO 605' GRANITE
S. TOP OF CASING IS 1 1/2 FT.Above Land Surface' -----_--
"Top of easing terminated at/or below land surface requires a - 0
variance In accordance with 15A NCAC 2C.011R. -- '.C- n%'
9. YIELD(gpm): 1 METHOD OF TEST AIR
10.WATER ZONES(depth): -- -4 "z.:%
LOCATION SKETCH — -c.t
II. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at Ica
two State Roads or CountyRoads. Include the raj 12. CASING: Wall Thickness
Depth Diameter or Weight/Ft. Material numbers and common road names. F
From 0 To 115 Ft. 61/8- SDR21 PVC -- ,1
From To Ft. _-- _ .S3
From To R. _
13. GROUT: Depth Material Method ��
From 0 To 20 _Ft. CEMENT GRAVITY t
Front To R. -t �)AK �)D C7E !:S i Na(
14. SCREEN: Depth Diameter Slot Size Material I� _�\ r-
From To Ft. in. in. /r
From To Ft. in. in. ly'
15, SAND/GRAVEL PACK:
Depth Sim Material Vil N'
From To Ft. -
From To Ft. ..
16. REMARKS:
I DO I IEItEHY CERTIFY THAT THIS WELL WAS CONSTRUC'1FI)IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY F THIS RECORD AS BEEN PROVIDED TO THE WELL OWNER
SIGNATURE OF PERSON CONSTRUCTING'DIE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

WELL CONSTRUCTION RECORD 2 9 6 6 6 2
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section '
WELL CONTRACTOR(INDIVIDUAL)NAME (print) DAVID F.MCKINNON CERTIFICATION,'2411 _
MT:LI,CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE p [phone]
STATE WELL CONSTRUCTION PERMIT,' ASSOCIATED W V PERMIT,'
(if applicable) (if applicable) -
- -C
I. WELL USE(Check Applicable Bo t): Residential El Municipal/Public 0 Industrial 0 Agricultural Elu
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use = .
2. WELL LOCATION: Topographic/Land setting IL
Nearest Town: MURPHY County CHEROKEE RIRidge ❑Slope ❑Valley ❑Flat co i =
OAK RIDGE ESTATES (cheek appropriate box) _
(Street Name.Numbers,Community,Subdivision,lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: EDDIE E.WALKER,JR. piece /niinutes/scaods) .
Address 471 UNION HILL RD Latitude/longitude p gr p map - - -
Laiitudc,tun+dude sourcc:OGPSOTo o a hid
(.Street or Route No.) (check box)
MORGANVILLE, NJ 07751 _ DEPTH DRILLING LOG—'— --- '-_
City or Town State Zip Cole From To Formation Description
( 732 )_ 472-8657 0'TO 20' BROWN SAND ROCK
Area code-Phone number 20'TO 40' BROWN SAND ROCK ,
4. DATE DRILLED 04-29-04 40'TO 60' BROWN/TAN SANDROCK
5. TOTAL DEPTH: ems' 60'TO 80' " "
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ® 80'TO 100' BROWNSAND/GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 360' FT. 100'TO 112' GRANITE ROCK
(Use"+"if Above Top of Casing) 112'TO 805' GRANITE
8. TOP OF CASING IS 1 FT.Above Land Surface'
*Top of easing terminated at/or below land mutate requires a r
variance In accordance with 15A NCAC 2C.0I1R. C -.
9. YIELD(gpm): 1/4 METHOD OF TEST AIR cl
—
10.WATER ZONES(depth): c�,
LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at test
12. CASING: Wall Thickness two State Roads or County Roads.Include the roads
Depth Diameter or Weight/Ft. Material numbers and common road names. • r.
From 0 To 112 Ft. 6 1/8" SDR 21 PVC ,f,¢,,�t�A(N).e
From_ To Ft. r't' `'
Front. To_ Ft. 4p o
13. GROUT: Depth Material Method —
Front 0 To 20 Ft. CEMENT GRAVITY �''� f\
Front—_ To__ Ft. \ l'K) - ,�e/�
14. SCREEN: Depth Diameter Slot Size Material -_.__C-kly
Front To Ft. in. in. _ (, e ps
Ul
From To Ft. in. in. I
15. SAND/GRAVEL PACK: - ‘-.5;- A
Depth Size Material
From To Ft. -
From To Ft.
16. REMARKS: __
I OK) IIEREHY CERTIFY II LAT TIIIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
SIGNATURE OF PER ON CONSTRIJCFING TIIE!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

WELL CONSTRUCTION RECORD 29 6 6 p.l
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION 0 3293
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE X f 828) 837-8008
STATE WELL CONSTRUCTION PERMITX ASSOCIATED WQ PERMITX
((applicable) (if applicable) __._-_-______
I. WELL USE(Check Applicable Box): Residential El Municipal/Public❑ Industrial ❑ Agricultural 0 . '--� _
Monitoring 0 Recovery ❑ Heat Pump Water Injection❑ Other El If Other.List Use : Cu:
o
2. WELL LOCATION: 1Topographic/Land setting 7
Nearest Town: MURPHY County CHEROKEE Midge ❑Slope OValley OFlat , 'J t 'L
SOARING EAGLE (check appropriate box) i
(Street Name,Numbers.Gmnntmity,Subdivision,Lot No.,lip Code) Latitude/longitude of well location
3. OWNER: FRANCES FARVER (degrees/minumslscamds) •
Address P.O.BOX 151 Latitude/longitude source:OGPSOTopographic map -
(Street or Route No.) (check box) - -
MURPHY, NC 28906 _ DIPTEI DRILLING LOG
City or Town Slam 7.ip Code From To Formation Dcscri i --:..-_-_.--
( 828 J. 837-0185 0'TO 20' SANDSTONE
A'ea code-Phone number 20'TO 31' GRANITE
4. DATE. DRILLED_04_27-04 31'TO 707' _ GRANITE
5. TOTAL DEPTH: 707' _
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO Ed
7. STATIC WATER LEVEL Below Top of Casing: 120 FT. -
(Use"i-if Above Top or Ca'ingt
GRANITE
S. TOP OF CASING IS I FT.Above Land Surlucc' — 0 o
*Top or raring terminated at/or below Lind sorrace requires a ---- 'f 0
s aria nee in accordance with I5A NCAC 2C.0118. —.---- -C
9. YIELD(gpm): 3__ METHOD OF TEST AIR 1 -
10.WATER ZONES(depth): 380'
l _
LOCATION SKETCH Cs
II. DISINFECTION:Type CHLORINE Amount too PPM Show direction and distance in miles from at leastt° N r.,
12. CASING: Wall Thickness two State Roads or County Roads. Include the road" P�
Depth Diameter or WeighVF't. Material numbers and common road names. - ^.
Front 0 To 31 Et. 6 1/8" SDR 21 PVC b l^�
From To Ft. _ _ ,) .t
From To Ft. •`� a W
13. GROUT: Depth Material Method \
Front 0 To 31 Ft. CEMENT GRAVITY
From _To Ft. -- - Cl .t ?-9 .5
14. SCREEN: Depth Diameter Slot Size Material
From _To Ft. in. in. _ r J- v�
Front
_._ 7 o Ft. in. in. Ia\\ ( a
15. SAND/GRAVEL PACK: - 1
Depth Size Material J\. r
\
From l o Ft. ., `^
-r,?,
From---'la—_--Ft. _--- -�Yr9
•
16. REMARKS: ..._______
I DO IIEREHY CERTIFY'UTAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE W111I I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND TE 'A COPY OF TIII,S RE TRD HAS FIFEN PROVIDED TOTIIE WELL OWNER
=a7 o�J —
'NATUR FPER NCON. ' RUCfINGTIIL WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section. I06 Mall Service Center-Raleigh,NC
27699-1636 Phone No.1919)733-3221,within 30 days. GW-I REV.07/2001
E

296600
WELL CONSTRUCTION RECORD
North Carolina -Department of Environment and Natural Resources- Division of Water Quality-Groundwater Section
WElt,CONTRACTOR(INDIVIDUAL)NAME (print)DAVID F.MCKINNON CERTIFICATION N 2411
\\"EI,I.CONTRACTOR CUI111'ANY'NAME. 74)008
PIIONF. Rf ) _.1
CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. 828 8
STATE WELL CONSTRUCTION PERMITN ASSOCIATED Wt)I'ERMITN •(if applicable) Iifapplicahle) _ -
I. WELL USE(Check Applicable Box): Residential El Municipal/Public O Industrial❑ Agricultural❑ I 7.1,-
- •
Monitoring❑ Recovery ❑ Heal Pump Water Injection❑ Other❑ If Other, List Use _ ��_ '
- i'
2. WELL LOCATION: I opographic/Land selling u
Nearest Town: MURPHY Cotmty CHEROKEE Midge ❑Slope ❑Valley ❑Flat i
OAK RIDGE ESTATES (check appropriate box) __
i
(Street Name.Numbers.Community,Subdivision.Lot No..Zip Cale) Latitude/longitude of well location
iu
1. (WIN ER: KEVIN EVERS _.- Hemecommutekhecandc)Address 219 NORTON POND RD Iidittu To' on ilude source OGPSOTopograltihic map • 'l.
(Street or Route No.) (check box) — ----
MURPHY, NC 28906 Dfl'(FI DRILLING LQG
City or Town State Zip Code Front To Formation Description
( 826_)-_4943431 0'TO 20' BROWN DIRT
Arco code-Phone number 20'TO 4n' _ BROWN DIRT/SANDSTONI
4. DATE DRILLED-04-30-2004 40'TO ED' SANDSTONE/GRANITE
5. TOTAL DEPTH: 325 _ 60'TO 84' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES D NO ® 84'_TO 325' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 90 .._FT. '=
ptve"+"if Above Top of Ciniinp) p-------
8. TOP OF CASING IS 1 FT. Above Land Surlhce` --------- C c'
'Top of rasing terminated attar below land surface requires a "--'"—
variancrInaccordancewithlSANCAC2C.011 A. - ------------- _ -� �e
9. YIELD(gpm): 30 _ METHOD OF TEST AIR__.__---__ `, .
10. WATER ZONES(depth):
-------- ---
L))CA_I'lOv SKETCH
-V N J
p CHLORINE Amount 100 PPM Show direction and distance in miles from at least i on-.-
I I. DISINFECTION:INO: Ty 'X-
.--412. CASINO: Wall Thickness two Stale Roads or County Roads. Include the [oadp
Depth Diameter or Weight/F't. material numbers and common road names. U�p3
From0 To84 Ft. 6 1/8" SDR21 PVC .�Eaa V.9't
From To------Ft.— - ------- ______—
From To It. -.-"_---- �,
13. GROUT: Depth Material Method
Front 0 To 20 A. CEMENT GRAVITY_
Front m .---- To Ft. .__ __ It t I J /
•
14. SCREEN: Depth Diameter Slot Size Material tl \�._ l_C-� - (Z (3,
front_..--lo-----FL__in. in. -- ------- \ S CO
I-rom To Ft. in. in. lO
IS. SA NIL(iRA VET. PACK: - Y�
Depth Size Material - V)
Ihnt Io Ft. _______
I ton To Ft. ----_.-._.
16. REMnRKs:—------- - - _._._. ---_..__.- ---- —
I DO itFiRFRY CFI(1DIY'HIRE THIS WELL WAS CONSIRUC[ED IN AC('OHI):\NCI \\'fl II I SA NCAC 2C,WELL
CONS'FRI I( I[ON STANDARDS,AND'IMAI A COP OF DES ItEC'OI(I)I lAS HI I.N I'I((/VIDF.I)TO'HIE WELL OWNER
AF .fIE1G - -71 (((
SIGNATURE OF PERSON CONS'1 RUCHN i HIF WELL , DATE
Submit the original to the Division of Water Quality,Groundwater Section. 1(36 Mall Service Center-Raleigh,NC
27699-1636 Phone No,(9191733-3221,within 3U days. (.W-I REV.07/2001

- --
296220
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and NaturalResources/� -Division of Water Quality-Groundwater Section o
WELL CONTRACTOR(INDIVIDUAL)NAME (print) 0_k4(L.)`5 \”,`4 � CERTIFICATION--��yy #tJ�t //
WELL CONTRACTOR COMPANY NAME V1r5 \U.-l. UScW CALL PHONE # 1rr�r.)3 9155_ t
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT# -
(ifapplicable) -/ (if applicable) - -
1. WELL USE(Check Applicable Box): Residential f3 MunicipaUPublic 0 Industrial ❑ Agricultural,❑
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCA N: (�t _ 1 , , Topohic/Land setting
e rest Town v1tR� nCounry LJ+0\311lAkr ❑Ridge Slope OValley ,'OFlat
(check appropriate box)
(Stree`Name,Numbers,Comm m Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER. D �31 11 (degrees/minutes/seconds)
Address ‘ S - Q t Latitude/longitude source:❑GPS❑ToOographic map
(Street or Route No.) (check box) -
Jst FL. alLS DEPTH D ILLIN G
City or Town I State Zip Code From To Format' n dsc tion
Area code-Phone number 1 '7b 1 67-c I
4. DATE DRILLED (-tablA' 16-t-11 51Di _
5. TOTAL DEPTH: ‘-)12-3 a
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO C3-/ .t `,
7. STATIC WATER LEVEL Below Top of Casing: WO FT. < -
(Use"+"if Above Top of Casing) n� —
8. TOP OF CASING IS 1 FT. Above Land Surface* r
*Top of casing terminated at/or below land surface requires a —
variance In accords ye ith 15A NCAC 2C.0118. j,!-
9. YIELD(gpm): RI METHOD OF TEST Wit. rn
10. WATER ZONES(depth): LOCATION SKETCH ry r;
I I. DISINFECTION:Type \\TR Amount Show direction and distance in miles from a least?
12. CASING: Wall Thickness two State Roads or County Roads. Include the road
Depth aneter or Wei t/Ft. ate al numbers and common road names.
From 0 To 10ti Ft. Li/)" •c.
From To Ft.
From To Ft.
13. GROUT: Depth , Ma rrlal Meth a 1
From 0 To 1�1 Ft.l'Qr A �(
From To Ft.
14. SCREEN: Depth Diameter Slot SI Material
From To Ft. in. in.
From To Ft. in. in. ,.�, \4 '(, 01
15. SAND/GRAVEL PACK: w pc,
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY O^,F THIS RECORD HAS BEEN PROVIDED TO TH r
SSIIGNA`T&RE OF PERSON CONSTRUCTING CTING THE WELL ,�IDA
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 2 8 6 1 4
i
North Carolina-Department of Envirdnment and Natural Resources=Division of Water Quality -Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (wino LARRY F.JONES CERTIFICATION II 3293
WELL CONTRACTOR COMPANY NAME,ICHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # f 828) 837-8008
STATE WELL CONSTRUCTION PERMTTi ASSOCIATED WQ PERM1T/I '
(if applicable) (if applicable) '
I. WELL USE(Check Applicable Box): Residential ® Municipal/Public❑ Industrial 0 Agricultural 0
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ORidge ❑Slope ❑Valley ❑Flat
TARHEEL NORTH-FARMER'S TOP (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: MAX RAY (degreenkninutcs)seconds)
Address 401 VILLAGE RD Latitude longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State ! Zip Code From To Formation Description
( 828)_ 644-5959 0'TO 20' BLACK DIRT
Arta code-Phone number I r 20'TO 60' BLACK DIRT 8 GRAVEL
4. DATE DRILLED_05-06-2004 60'TO 78' GRANITE
5. TOTAL DEPTH: 285' 78'TO 285' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO MI
7. STATIC WATER LEVEL Below Top of Casing: 80' FT. GRANITE
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface* ti
'Top of casing terminated aUor below land surface requires a . `-
variance in accordance with ISA NCAC 2C.11118. = Cr"--.;
9. YIELD(gpm): 20 METHOD OF TEST AIR =,^-
240',280' `-'
10. WATER ZONES(depth): LOCATION SKETCH CD
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at IeasG E
12. CASING: Wall Thickness two State Roads or County Roads.Include a roW=
rr-
Depth Diaincter or Weight/Ft. Material numbers and common road names. — en z
Front 0 To 78 FL 6 1/8* SDR 21 PVC 0 n
From To Ft. /��7�F iQ_ 25 r —
From To Pt. U'
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY
From To Ft. . 'y�$''
14. SCREEN: Depth Diameter Slot Size Material /
1'rorn To_ Ft. in. in. /
From To Ft. in. in.
15. SAND/GRAVEL PACK: 7` 4. ,
Depth Size Material -. '17 1
From To FL •
From To Ft. -
16. REMARKS:
I DO HEREBY CONSTRUCTION STANDARDS,THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL -"
IIATA OPY OF TI IISRECORU I IAS BEEN PROVIDED)TO THE WELL OWNER
O�
---------' --- -- SIGMA RE OF RSON S CI'ING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1616 Mall Service Center-Raleigh,NC '
27699-1636 Phone No.[phone],within 30 days. G W-1 REV.07/2001

y3G •
413
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)DAVID F.MCKINNON CERTIFICATION ,,
WEI.I.CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE I [phone]
STAFF.WELL CONSTRUCTION PERMITS( ASSOCIATED WI)PERMITS(
(if applicable) (ifapplicable)
I. WELL.USE(Check Applicable Box): Residential kil Municipal/Public❑ Industrial ❑ Agricultural❑
Monitoring O Recovery 0 Heat Pump Water Injection 0 Other 0 if Other, List Use
i
'_. WELL LOCATION: Topographic/Land setting -
Nearest Town: MURPHY County CHEROKEE _ El Ridge ®Slope ❑Valley ❑Plat
873 COOK BRIDGE RD (check appropriate box)
(Street Name,Numbers.Community.Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3500.748N/5406.618W
3. OWNER: RANKIN CAGLE (deprrevmimInas/secords)
Address 3502 TADE ST Latitude/longitude source:KIGPSOTopographie map
(Sheet or Rtmte No.) (check box)
DELTON, _FL 32837 DEN 1( DRILLING LOQ
City or Town Slate ' Zip Code From To Formation Description !,
( 407 ). 321-0453 0'TO 20' BROWN DIRT&GRAVEL
Arra role Phone number ' ' 20'TO 40' BROWN SLATE
4. DATE DRILLED 04-30-2004 40'TO60' BLUE SLATE ;
5. TOTAL DEPTH: 600' 60'TO 77 BLUE SLATE
G. DOES WELL REPLACE EXISTING WELL? YES❑ NO Rl 72'io6(R)'___—
SLATE
7. STATIC WATER LEVEL Below Top of Casing: 50 PT.
(Use"+"if Above Top of Casing)
8. TOP(Jr CASING IS_l_ FT. Above Land Surface**Top of of rasing terminated at/or below land surface requires• -- -------
variance In accordance with ISA NCAC 2C.0118. -.------- — 0 ''
9. YIELD(gpm): 1/4 __METHOD OE TEST AIR ._. _ __________. -r o
3 .,a
10.WATER ZONES(depth): —__ 1 ?r.t
LOCATION SKETCH V m
1 I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from arteasto-
12. CASING: Wall Thickness two Stale Roads or County Roads.Include lTtcl roa(t:o
Depth Diameter or Weight/Ft. Material numbers and common road names. m o !,
From 0 To 72 Ft. 6 1/8" SDR21 PVC ^'m
_ rn
From To FL •• ma
Front To ---- Ft --'-- / O y
� 1
13, GROUT: Depth Material Witold � ,) C4., q< S lb i.;__g
Front-..a I o-20 _Ft CEMENT GRAVITY_._ i
From To------Ft. -----------------
14. SCREEN' Depth Diameter Slot Size Material !
Font To _Ft. in. in.
Iiloin _-'-_ 'fo ..__ Ft. in. in. D,
I5. SAND/GRAVELPACK:
Depth Size Material - O
From------Io__.__Ft. ` -_-----_.. ...
From...------TO--'---Ff
I I t „/
,t1 GU 5'T 5
16. REMARKS: ----
1 IX)IIIIRERY CERTIFY'I'ILA'F I IIIS WELL.WAS CONSTRUCI FD IN ACCORDANCE.Wflll I5A NC'A('2C',WELL
CONS!RUCTION STANDARDS,AND T11A'f A COPY OF IIIIS I4'pRD II AS REIN PROVIDNI)TO I't1F.WELL OWNER
SIGNATURE OF PERSON CONSTRUCTING THE WELL. DATE . ,
Submit the original in the Division of Water Quality,Groundwater Section, 1636 MalI Service('enter-Raleigh,NC
27699-1636 Phone No.(919)733-322t,within 30 days. C,W-I REV.07/200i , ' _ -

WELL CONSTRUCTION RECORD 2 1
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section .•
•
WELL CONTRACTORIINDIVIDIIAL)NAMR (print)LARRY F.JONES _ CERTIFICATION 3293
Writ.CONTRACTOR COMPANY NAMIE CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE a [phone]
Si A'rt.WELT,CONSTRUCTION PERMIT# ASSOCIATED WO PERMIT# _
' (if applicable) cif applicable)
1
I. WELL USE(Check Applicable Box):Residential ElMunicipal/Public O Industrial 0 Agricultural 0 ' - 1 1'
Monitoring❑ Recovery 0 Heat Pump Water Injection 0 Other❑ I f Other.List Use
I
1. WELL LOCATION: Topographic/Land setting ,
Nearest Town: MURPHY County CHEROKE.E__- ❑Ridge HlSlope OValley [Mat '
EBENEZER RD-ROSE CREEK (cheek appropriate hex) •
t Sued Name,Namhet's,('ommunity,Subdivision,IntNo.,Zip Col) L.al ittalc/longitude of well location •
3. (IWNFR: MICHAEL RHSSELL Idetpms/minwes/scamds)
Address 1150 WILLIS AVE. Latitude/longitude source:OGPSOTopographic map ,.
(street or Route No.)' (check hex) I -- - -
SARASOTA, FL 34232-2148 DEVEU DRILLING L.`
CitvorTnwn State Zip Cale From To Formation Description---i-,_.
L 828 )- 342-0892 O'TO 80'_ RED CLAY 8 BOULDERS '
Area code-Phone number 80'TO 114' GRANITE
4. DATE DRILLED 05-14-2004 104'T_O.40__5_' GRANITE
5. TOTAL DEPTH:_405' '
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO
7. STATIC WATER LEVEL Below Top of Casing: 120 FT. . , -
(use"*"if Above Top of Casing) .G'
8. TOP OF CASING IS. 1 FT.Above Land Surface' —
"Top of cooing terminated at/or below land surface requires a -- ----'- --4 =rr,' •
variance in accordance with 15A NCAC 2C.0118. ----- --------- _
(gP ) 4-
9. YIELD m : 4 METHOD AIR 1-- Cr"
10. WATER ZONES(depth): 340' -- --- ...------ - =+�
LOCATION SKETCH — -c
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from t caslut
12. CASING: Wall Thickness two Slate Roads or County Roads. Include rodt,fi'"
Depth Diameter or Weight/ft. Material numbers and conunon road names.� N
I7rotn 0_-To 104 Ft. 61/8" SDR21 PVC --
From_ T o__--_Ft. ----
From To Ft. 27 `•
13. GROUP: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY �
From To_-- Ft. r
14. SCREEN: Depth Diameter Slot Size Material
From To--. Ft. in. in. ���YYY
Front To Ft. in. in. _ _
IS. SAND/GRAVEL. PACK:
Depth Sin Material
Fro,)__--_-To Ft. - /,A
From- --To--Ft. - 1��tf t//t�' �---- r
16. REMARKS: --_--_-- -.---- -- '
I tut IIEREBY CERTIFY THAT TIIIS WELL WAS CONSTRIPUTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND TLLAT A COPY F THIS RECORD IIAS BHFN PROVIDED TO TILE WELL OWNER
SIGNATURE. )F PER:A CONThIlel i I'I IF N'1'.L1. DATE
•
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Alai!Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

29618.5
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (prlot)CHRISTOPHER L.DICKEY CERTIFICATION#2261
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY.INC. PDUNF. # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WI)PERMIT/0
(if applicable). . (if applicable) -'
1. WELL USE(Check Applicable Box):Residential El Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring❑ Recovery 0 Heat:Pump Water Injection 0 Other O If Other.List Use
2. WELIL LOCATION: 1 Topographic/Landsetting .
Nearest Town: MURPHY County CHEROKEE ❑Ridge ❑Slope ®Valley ['Fiat
UNAKA-CABIN WAY _ ____ (check appropriate box) .
(Street Name,Numbers,Community,Subdivision,Lot No..Zip Code) Latitude/longitude of well location .
3. OWNER: JOHN GREENE —__ (degrees/minutes/seconds)
Address 358 S.BEACH ST _—_ Latitude/longitude source:OGPSOTopc)graphic map
(Street or Route No.) (check box) I
ORMOND BEACH, FL 32174 DEPTH. DRILLINO1LQO
Cityot Town Stale Zip Code . From To Formation Description
( 386.1. 672-0785 ' , 0'TO 20' FILL DIRT/BROWN DIRT
Area cede-Phone number 20'TO 30' _ DIRT 8 ROCK
4. DATE DRILLED 05-11-2004 30'TO 33 GRANITE '
5. TOTAL DEPTH: 545 33'TO 520' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El 520' WATER ZONE
7. STATIC WATER LEVEL Below Top of Casing: 0 __Fr. 520'TO 545' GRANITE
(Use"r"if Above Top of Casing)
S. TOP OF CASING IS 1 FT.Above Land Surface* •
'Top id ruing terminated as/or below land surface requires a - I
variance in accordance nRh 15A NCAC 2C..8118. -- - '
9. YIELD(gpm): 15 METHOD OF TEST AIR — r 1 p
It).WATER ZONES(depth): 520' c-,
LOCATION SKETCH -5;f I I. DISINFECTION:Type CHLORINE. Amount 100 PPM Show direction and distance in miles from at least{ E
12. CASING: Wall Thickness two State Roads or County Roads. Include the rate F'_,
Depth Diameter or Weight/Ft- Material n hers and common road names. T ;`
From 0 To 33 Fl, 6 1/8" SDR 21 PVC > r—,E?
From To FL -_--- - l✓tJ4� W 'en%
From To FL _-- �1" T- 77
n
13. GROUT: Depth Material Method 15600 HO
From 0 To 20 Ft. CEMENT GRAVITY ff ,/
From_ To Ft. _____. - J
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. ------ 4
From To FL in. in.
15. SAND/GRAVEL PACK:
Depth Sine Material
From To Ft. .+�
Fmm__---T o ----Ft. _--_--
16. REMARKS: ARTESIAN WELL
I IN)HEREBY CERTIFY'I HALF WELL WAS CONSTRUE]ED IN ACCORDANCE WFFII I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND ' ' OP OF11 SRECOR HAS BEE PR. 'IUED'IOTIIE WELL OWNER ' '',,
. -Sr 'URE OFP . ON
CONSTRUCTING T11H WP . UAl'F.
Submit the original to the Division or Water Quality,Groundwater Section,1636 Isiah Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

^ G134
WELL CONSTRUCTION RECORD ,
North Carolina-Department of Envirori nest and Natural Resources-Division of Water Quality-Groundwater Section
vat.'.CONTRACTOR(INDIVIDUAL)NAME (print)DAVID F.MCKINNON CERTIFICATION 4 2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. Ph ONE 0 [phone]
S'fATF.WELL CONSIRlICtlON PER11fITp ASSOCIATED WO PF.R611Tk - __
(if applicable) ', (if applicable) ~ i
j
I. WELL USE(Check Applicable Box): Residential El Municipal/Public❑ Industrial 0 Agricultural 0 1
Monitoring 0 Recovery 0 Heat PumpWater Injection 0 Other❑ If Other,List Use ?--
c;
2. WELL LOCATION: i Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE RI Ridge °Slope ❑Valley Clint (,.
UNAKA-SHEEP PASTURE RD (check appropriate box) a �l
(Street Namc,Numbers.Conmrmity,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location f
a
3. OWNER: LOUIS PANZER __- (dcprrcdminntes/seconds) Tr
Address 2514 CHATEAU DRIVE Latitude/longitude source:OGPSOTopographic map .I __
(Steel• or Route No.) (check box)
LUTZ. FL 33559 DEPTH DRILLING LOG _,,A _ -
CilyorTown State Zip Code rmm
From To Formation Description y
( 813)_ 9494460 0'TO 20' BROWN DIRT/BOULDERS 1
Area code-Phone number 20'TO 60' SAND/GRAVELBOULDERI
4. DATE DRILLED 05-13-2004 60'TO 83' GRANITE
5. TOTAL DEPTH: 265' 83'TO 265' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO Ea
7. STATIC WATER LEVEL Below Top of Casing: 50 ___FT. GRANITE
(Use"✓'if Above Top of Casino) - C '
8. TOP OF CASING IS- 1 PT.Above Land Surface' o c i
'Top et casing terminated at/or below land surface regnlres a T 0^-
variance in accordance with ISA NCAC 2C.0115. - -r 6^'
9. YIELD(gpm): 30 _ METHOD OF TEST AIR __ - < ` .
ID.WATER ZONES(depth): 220',240',260' __..._____ r-' ,
_ LOCATION SKETCH = ;;:c
11, DISINFECTION:
CHLORINE Amount 100 PPM Show direction and distance in miles from at leap.
-
12. CASING:
7ype - ice ,ASING: Wall Thickness two State Roads or County Roads. Include the d i^—'F
m.-
Depth Diameter or Weight/Ft. Material numbers and common road names. y?
Front 0 To 83 FL 61/4" .188 STEEL a—i
From 'fn Ft. ��I,'
From To Ft.
I3. GROUT: Depth Material Method '
From 0 To 20 Ft. CEMENT GRAVITY 45ptR-
Fron To FL
14. SCREEN: Depth Diameter Slot Size Material Z
From To Ft. in. in. - Q
From To Ft. in. in. V(
IS. SAND/GRAVEL PACK:
Depth Sic Material / �parse'�VQ
From _To ,, Ft. -- n� \ Mi..
From To Ft. _,
16. REMARKS: --------
I IK)IIFREBY CEILTIF'Y TIIA'C THIS WELL WAS CONS]RUC I EI)IN ACCORDANCE WI Ill ISA NCAC 2C,WELL
CONS RIICTION STANDARDS,AND THAT A DOPY OF 11115 N('C'ORD IIAS HF.hN PROV IUF,U'I O'f IIB WELL OWNER
S—i3-0y ----
- SIGNATURE OF PERSON CONS'CILL - INCi'IIiF WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section. 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.(17/20)I

296183
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) DAVID F.MCKINNON CERTIFICATION 0 2411 li
WEht.CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PRONE # [phone]
STATE WEI.I,CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) (if applicable) _;
C
I. WELL.USE(Check Applicable Box):Residential El MunicipaVPublic❑ Industrial 0 Agricultural 0 7_
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: 'fopographidLand setting
Nearest Town: MURPHY County CHEROKEE_ ORidge ❑Slope ❑Valley IIIElat
384 CAMP CREEK RD ___— (check appmpriaic box)
I Surat Name,Numbers,Community,Subdivision, Latitude/longitude of well location { _
Inl No.,Zip Code)
3. OWNER: HOWARD FERGUSON ____._ ---- ldclnecJminuteckeconds) -1.
Address 820 SW CANARY TERR. __ Latitude./longitude source:OGPSOTopographie map ,'
(Street or Route No.) (check box) I
PORT ST.LUCIE, FL 34953 DEPTH DRILLING L0Q--
City or Town State 7ipCode _--_ From To Formation Description
( 772 )- 785-6295 0'TO 20' BROWN DIRT/BOULDERS
Area tale-Phone number 20'TO CO' SAND/GRAVEIJBOULDER:
4. DATE DRILLED 05.14-2004 60'TO 85' _ GRANITE
5. TOTAL DEPTH: 405 85'TO 405' _ — GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO RI -
7. STATIC WATER LEVEL Below Top of Casing: 50 _FT. _
(Use"+"if Above Top of Casing) r-a "a8. TOP OF CASING IS 1 FT.Above Land Surfaces .- _"a
— e
*Top of easing terminated at/or below land surface require'a
variance in accordance with ISA NCAC IC.0118. ---.— C�•
9. YIELD(gpm): 3 METHOD OF TEST AIR tv _ter
10. WATER ZONES(depth): 220',240' - =—="
LOCATION SKETCH _;c
I I. DISINFECTION:Type CHLORINE Amount 100 RPM Show direction and distance in miles from aBy eastriL
Wall"Thickness
12. CASING: two State Roads or County Roads. Include t r road,':.--;
re c-;
Depth Diameter or Weight/Ft. Material numbers and common road names. NiFrom 0 To85 FL 6 MI"' SDR 21 PVC — o
From To FL _--`— ��
From To Ft. - Q�dss4
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY 0 ell To Ft.
14. SCREEN: Depth Diameter Slot Size Ntaterial
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: —
[DO(HEREBY CERTIFY 1 FIAT THIS WELL WAS CONsniRITFA)IN ACCORDANCE W Ill I I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF 1IIS RECORD IIAS BEENLcm--
SLGNAUJI4EOFPFRSON TO THE WELL OWNER 1
� S L`1—°
- -- - --------� ---- -- CON. ERUCTING THE WELL DATE.
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-16:16 Phone No.[phone],within 30 days. GW-I REV.07/2001

296182
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)TARRY F.JONES CERTIFICATION M 3293
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE M (828) 8378008
STATE WELL CONSTRUCTION PERMITM ASSOCIATED WI)PERMITS -_., --- - -
(if applicable) (if applicable) --
I. WELL USE(Check Applicable Box): Residential El Municipal/Public 0 Industrial 0 ALicultural 0
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other, List Use _
2. WELL LOCATION: TopographidLand setting
Nearest Town: MURPHY County CHEROKEE ❑Ridge ®Slope OValley ❑Flat I .__
GRAPE CREEK TO VICTORY LN TO OLIVE BRANCH (cheek appmprialc box)
(Sued Name,Numbers.Community,Subdivision,tot No.,Zip Code) Latitude/longitude of well location -
3. OWNER: DENNIS SALVATORE _ tdegrrcvminntccIsecnnds) I UT
Address 5328 POUNDS DRIVE,SOUTH Latitude longitude source:OGPSOTopographic map -- -
(Street or Route No.) ----_ (cheek box) `
STONE MTN., GA 30087 DEP'I'1j. DRILLING L� _:-_.,. - -
City or Town State Zip Code ---- From To Formation Description
( 770)_ 469-7616 0'TO 50' RED CLAY
Arra code-Phone number • • 50'TD 70' GRANITE
4. DATE DRILLED_05-13-2004 70'TO 807' GRANITE I
5. TOTAL DEPTH: SOT GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El '
7. STATIC WATER LEVEL Below Top of Casing: 653 _FT. c ,
(Use"+"if Above Top of Casing) O 5
8. 'FOP OF CASING IS 1 FT.Above Land Surface• ti_,
`Tap of casing terminated aoor below land surface requires a — ";;'^
. c�
rarbnee in accordance with 15A NCAC 2C.0118. ---------- - - —• el;
9. YIELD(gpm): —1--- METHOD OF TEST AIR IV _
Ill.WATER ZONES (depth): _._ — .r -_r '�
LOCATION SKETCH _D
I I. DISINFECTION:Type CHLORINEAmount 100 PPM Show direction and distance in miles from tff#east g.:11
12. CASING: Wall Thickness two State Roads or County Roads.Include tho road a
Depth Diameter or Weight/Ft. Material numbers and common road names. tV =1
From 0 To 70 Ft, 6 1/8' SOR 21 _PVC — o
From To Ft. `
From To Ft.
13. GROUT: Depth Material Method i
From 0 To 20 Ft. CEMENT GRAVITY i•
From Tn FL f
CCCLLL///
14. SCREEN: Depth Diameter Slot Size Material
I tom _T o Ft. in. in. __ 0� t
From To Ft. in. in. ------ $ r o •
+
I S. SAND/GRAVEL PACK: 4
L A)Depth Size Material 'VTTT
From To Ft. ----- -- -4)
From To Ft. _
16. REMARKS: -----------------------
11)O IIEItEHY CERTIFY"FI!ATTTIIS WELL WAS CONSTRUCT ED IN ACCORDANCE WITII I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COP OF THIS I2F.CORD I IA. :rN PROVIDED TO'ti HE WELL OWNER
'' 5-i3—en
SIGNATUR FPERS CONS' UCr ' IE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

296181
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources- Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)DAVID F.MCKINNON CERTIFICATION S 2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY.INC. SHONE it 1828) 837-8008 _- ' _..
STATE.WELL CONSTRUCTION PERMITS I ASSOCIATED WQ PERMITS •
' (iI'applicable) (ifapplicable)
I. WILL:USE(Check Applicable Box):Residential IK1 MunicipalPublic❑ Industrial Agricultural 0 -
Monitoring❑ Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: 'I'opographie/Landsetting ,
Nearest Town: MURPHY County CHEROKEE _ EIRidge ❑Slope ❑Valley ❑Flat' .
SANDY GAP RD TO HAWTHORNE ESTATES (check appropriate box)
(Street Name.Nuntben,Coiuounity,Subdivision,Lot No.,Zip Code) ---- Latitude/longitude of well location
3503.814.N/8408.368W - -
3. OWNER:.PEGGY HYDE (dcgrembninutes/scumda) ! '.
•
Address 86 FIELDING PLACE Latitude/longitude source:K1GPSOTopograp*ic map
! (Sorel or Route No.) (check box) ! _.
MURPHY NC ' 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828)- 835-3415 _ 0'TO 20' __ RED CLAY 1
Area cute-Phone number 20'TO 60' _ TAN DIRT
4. DATE DRILLED 05-18-2004 60'TO 80' _ TAN SLATE
5. TOTAL DEPTH: 805' 80'Y096' SLATE
6. DOES WELL REPLACE EXISTING WELL? YES O NO El a6'TO805 SLATE
7. STATIC WATER LEVEL.Below Top of Casing: 360 ___IT. ---_— _ _ _
(tlsc"4-^if Abrwe Top of Casing)
8. TOP OF CASING IS 1 FT. Above Land Surface*
*Top of casing terminated neor below land surface requires a
variance in accordance with ISA NCAC 2C.0118.
—
9. YIELD(gpm): 114 METHOD OF TEST AIR -- CD p
10.WATER ZONES(depth): ---- — --
—___ __ LOCATION SKETCH ---
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from a least C;;
12. CASING: Wall Thickness two State Roads or County Roads.Include titthcrdt6?
Depth Diameter Or Weight/Ft. Material numbers and common road names.
Front 0 To 96 Ft. 6 1/8"' SDR 21 PVC v ri
From_ To FL ___ cf.? 'err-'
From To FL r-nx
13. GROUT: Depth Material NIelhod N
Front 0 To20 Ft, CEMENT GRAVITY �nr ._
From_--To —Ft._ ._ el '
14. SCREEN: Depth Diameter Slot Size Material 7/ �Q. {CY
From _To___.. FL in. in. _ — •�---�/
From,_ To Ft. in. in. 5 � " �/-/
15. SAND/GRAVEL LACK: �� l
Depth Size Material
From To Ft. _--
•
Frotn___--_To Ft. — -
16. REMARKS:
I I)1)IUREHY CEKHFY'I'IIA'T THIS WELL WAS CONSTRUCTED IN ACCORDANCE WTDI I5A NCAC 2C,WELL
CONS FRUC'TION STANDAIWS,AND THAT A CO YOF THIS REC'OI IRS 13 ;N PROVIDED TO THE WELL OWNER
ita—Ott
SI NATURE OFPERSOL NSTRUCT(NGTHEWELL DATE
• I
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/200I

WELL CONSTRUCTION RECORD 4.'9 61'.;.
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES _ CERTIFICATION tl 3293
WELL.CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE a [phone]
STATE WELL CONSTRUCTION PERMIT/— ASSOCIATED WO PERMITH
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential® Municipal/Public❑ Industrial ❑ Agricultural 0
Monitoring O Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: 'topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ElRidgc ❑Slope ❑Valley ❑Flat
HIDEAWAY MTN (check appropriate box)
(Street Name,Numbers.Community,Subdivision,Lot No.,Zip Cale) Latitude/longitude of well location
3502.136N18413.886W
3. OWNER: MARTY HARTMAN _—_ bletuees/minwes/seamds)
Address 412 ROBERTS RD —_ latitude/longitude source:KIGPSOTopographic map
— (Simi or Route No.) (check box)
MURPHY NC 28906 -__ DEPTH DRILLING LOG
City or Town Stale 7ip Code From To Formation Description
( 828_)_494-5296 0'TO 15' _ RED CLAY/BLACK DIRT
Area code-Phone number - . 15'TO 3(r GRANITE
4. DATE DRILLED_05-19_2004 30'TO 325' _ GRANITE
5. TOTAL DEPTH: 325' - -----
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO ID SLATE
7. STATIC WATER LEVEL Below Top of Casing: 75 _fT.
(Use"4"if Above Top of('aging) — _--- --- tO
8. TOP OF CASING IS_I FT.Above Land Surface' -- O o
*Top of casing terminalrd st/or below land surface requires a .L n
variance in accordance with ISA NCAC 2C MIA ------- -- M, "T
9. YIELD(gpm): 20 _ METHOD OF TEST AIR < c ret
10.WATER ZONES(dep01): 285' — rV o
LOCATION SKETCH r r"
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at le gig
12. CASING: Wall Thickness two Slate Roads or County Roads. Include the mad rz.o-,
Depth Diameter or Weight/Ft. Material numbers and common road names. `n
From 0 To 30 Ft. 8 1/13— SDR 21 PVC • 1
From To Ft. FE'
From To Ft. — —_.--
13. GROUT: Depth Material Method n^g��
Front_ TOzQ Ft. CEMENT GRAVITY 1w
Iron)._ To Ft. _ i
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. DFronC_ To I'l. in. in.I5 SANI21GRAVDe I'AC'K: 1 LSO -
Ucplh Sirc Maerial I .)..j2
franlTa Fl. -
From To.-.----Ft. -----
16. REMARKS:�_-- —
I D() IIEP,EBY CERTIFY TI[AT Tuts WELL WAS CONSTRUCTED IN ACCORDANCE Will I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT COPY OF7111S REC a IIAS BEEN PROVIDED TO THE WELLOWNFR
so
" 5--/-7'oy - !
SIGNATUREO ERSONCONS-? C:UNGtilt: WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 NI all Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV,07/2001 i,
i

WELL CONSTRUCTION RECORD 295995
North Carolina . Department of Environment and Natural Resources • Division of Water Quality• Ground'.vater Section
}YELL CONTRACTOR(IINDIYIDUAL)INAME (print) James`A. Brown CERTIFICATION# 20?5
WELL CONTRACTOR Corn PANY NA.NIE Redden Brothers Well Drilling, Inc PHONE a �28 ) 369-9591
STATE WELL CONSTRUCTIONPERA1ITp ASSOCIATED WQ PERMITS: -'
(ifapplicable) , . (if applicable)
I WELL USE (Check Applicable Bo,e), Residential Municipal/Public 0 Industrial 0 Agricultural 0
Monitoring ❑'-Recovery.❑ - Heat Pump Water Injection 0 Other❑ If Other, List Use _
2. WELL LOCATION: Topographic/Land setting
Nearest Town: - Murphy - County Cherokee ❑Ridge ❑Slope ❑Valley ❑Flat
Sneed Branch Rd--EBCI well
(check approgrmte boa)
(Street Nene,Numbers,Community,Subdivision,Lot No.,Zip Code) - Latitude/longitude of well location
3. OWNER: Betsy Dunn (degree s'mimites/seconds)
Address 282 Sneed Branch Rd Latitude/longitude source,❑GPS❑Topographic map'
(Street or Route No.) (c heck box)
Murphy, NC 28906 DEPTH DRILLING LOG __ .
City or Town Sete Zip Cod& From To Formation Description
(828). 837-7390 0 19' clay & sena _
Arco code-Phone number 19' 1200' (=anite
4. DATE DRILLED 5-6-04 5 TOTAL DEPTH: 1200'
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO 0 —
7. STATIC WATER LEVEL Below Top of Casing: FT. —
(Use","if Above Top of Casing).. —
8. TOP OF CASING IS 2 FT. Above Land Surface*
'Top ol'casing terminated at/or below land surface requires a
—
variance In accordance with lSA NCAC 2C,01 IS.
—
9. YIELD (gpm): 0—DRY METHOD OF TEST blow --
10. WATER ZONES (depth):
—
LOC.ATIONSKETCH
I 1 DISINFECTION: Type H T H Amount 16 oz Show direction and distance in miles from at least
12 CASING: Wall Thickness. two State Roads or County Roads, Include the road
Depth Diameter or Weight Ft, Material numbers and common road names:
From 0 To 18 Ft 6" pvc
From 18' To 21 Ft .188 steel o c
From To FL . . o
co
13.'GROUT L Depth Material Method .m)
From 0 To 20 Ft. h�Lits & wi ,L pumped = r—
LE—
From 'To - FL I
14, SCREEN: Depth Diameter Slot Size Material
From To ` Ft. - in. in. _ - _ r. ,
• c.
From To "' _t
15. SAND/GRAVEL PACK: 0
Depth Size - Material La2
From To - Ft. . L o
' From To Ft. : - _ r .
16. REMARKS:
I.DO HEREBY CERTIF THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5ANCAC 2C, WELL
CONSTRUCTION AND THAT A C PY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
iiiior
•
/ - SIGNATUR OF PERSON CONSTRUCTING THE WELL DATE
Submit the or ginal 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 'Z93763
North Carolina • Department of Environment and Natural Resourdes- Division of Water Quality • Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) Mitchell D. Cook CERTIFICATION# 2043
WELL CONTRACTOR COMPANY NAME Hearn aCt S Veil trifling, It PHONE # (323) 369-9591
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERNIIT# ..
(if applicable) (if applicable) __ -.
I. WELL USE (Check Applicable Box): Residential® Municipal/Public ❑ Industrial ❑ Agricultural 0
• Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other, List Use
2, WELL LOCATION: Topographic/Land setting
Nearest Town: BrasStown County Cherokee ❑Ridge OSlope ❑Valley ❑Flat :
Settawig RD . (check appropriate box)
(Street Name,Numbers,Community,Subdivi (on,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: Lee Webster (degrees/minutes/seconds) •
Address 475 Rivercane Rd Latitude/longitude source:0GPS❑Topographic,map.
(Street or Route No.) (check box)
Brasstown, NC 28902 DEPTH DRILLING LOG _
• City or Town State Zip Code From To Formation Description
( 828)- -837-3971 0 100' rlay & J
Area code-Phone number 1 00' 400' granite
4. DATE DRILLED 3-11-04
5. TOTAL DEPTH: 400'
6, DOES WELL REPLACE EXISTING WELL? YEM NO ❑
• 7. STATIC WATER LEVEL Below Top of Casing: 290 FT.
(Use"*"if Above Top of Casing)
8. TOP OF CASING IS 2 FT. Above Land Surface'
•Top of casing terminated et/or below land surface requires a
variance In accordance with I5A NCAC 2C.0118.
9. YIELD(gpm): 3 METHOD OF TEST blow _
10. WATER ZONES (depth): 120'
• LOCATION SKETCH '
II. DISINFECTION:Type H T H Amount 16oz Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Roads. Include the road
Depth • - Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 81 Ft. 6" .188 steel •
From O To 102 FL 5" stool_
From To Ft. c
13. GROUT: Depth, Material Method o.
From 0 To 20 Ftka 1ite & ua1UtL F.L1rr83 c c,
From To Ft. 3
• 14. SCREEN: Depth Diameter Slot Size Material
.From To Ft. in. in. W ::�
From To Ft. in. in. -
15. SAND/GRAVEL PACK: "9r P
Depth Size Material - cn%
From To FL (I'? �a-
• From To FL ) .--I
G
2
16. REMARKS: well is lines and grouted length of:.casing
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
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-1 REV. 07/2001

•
•
•
•
WELL CONSTRUCTION RECORD 293'7'91
North Carolina- Department of Environment and Natural Resources -Division of Water Quality- Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) James B. Brown CERTIFICATION# 2045
•WELL CONTRACTORCOLIPANY NAME Hedden Brothers Well Drilling, Inc PHONE # 828.) 369-95,91
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#
(if applicable) - (ifapnlicable)-
1. WELL USE (Check Applicable Box): Residential 6 Municipal/Public ❑ Industrial ❑ Agricultural ❑
Monitoring ❑ Recovery ❑ Heat Pump Water Injection ❑ Other ❑ If Other, List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: Murphy County Cherokee ❑Ridge OSlope ❑Valley ❑Flat
1044 Grape Creek Rd---FPrI well (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: Martha Amos - (degrees/minutes/seconds)
Address 1044 Grape Creek RD Latitude/longitude source:❑GPS❑Topographic map
(Street or Route No.) (check box)
Murphy ,NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
878 )-837-8246 0 59' clay & sand
Area code-Phone number 59' 700' granite
4. DATE DRILLED 4-1-04 —
5. TOTAL DEPTH: 700' - —
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO
7. STATIC WATER LEVEL Below Top of Casing: 600 FT. —
(Use"t"if Above Top of Casing)
S. 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): 1 METHOD OF TEST- blow _-
10. WATER ZONES (depth):_ 320' & 645 t _
LOCATION SKETCH c
11. DISINFECTION: Type H T H Amount 16 OZ Show direction and distance in miles from at le? ES
12. CASING: Wall Thickness two State Roads or County Roads. Include the read n�
Depth Diameter or Weight/Et. . Material. numbers and common road names, F"
From 0 To 58 Ft. 6" pvc
From 5A' To 61 Ft. 6" _188 steel c.7 «=,
From To Ft. =ate
13. GROUT: Depth Material Method 3 r-i
From 0 To 20 Ft.termite & °ewesd- pumped cnz
c ? r :a
From To Ft.
W --t
14. SCREEN: Depth Diameter Slot Size Material o
From To Ft. in. in. `
From To Ft. in. in.
IS. SAND/GRAVEL PACK: -
Depth Size Material •
From To Ft. .
From To Ft.
16. REMARKS: •
•
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STA,' RDS,AND THAT A C PY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
SIGNATU 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

2 9 4'; 47
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources{esur -Divisionon of Water Quality-Groundwater Section
+�
WELL CONTRACTOR(INDIVIDUAL)NAME (print) `s�``''1'U`A` " � rn •� t r�6�" r •S/� CERTIFICATION��TI tha li
WELL CONTRACTOR COMPANY NAME ( jU(L-(-'E 1,SE L bj7-1 1"1"('"`, PHONE # 6* 5V'vic
c.
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT#(if applicable) / (if applicable)
•
1. WELL USE(Check Applicable Box): Residential/MunicipaVPublic 0 Industrial 0 Agricultural 0
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LN: Topohic/Land setting
Nearest Town: e-�Qu�ty( ❑Ridge IgSlope OValley ❑Flat
rl 9.rt (check appropriate box)
(Street Name,Numbers,Community ubdivision,Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER:%Virnk3(•LtLi
(degrees/minutes/seconds)
t 19-11 ( Latitude/longitude source:❑GPS❑Topographic map _.
Address (check box)
(Street or Ro to of
b DEPTH DRILLING-LOG . - _.._ _ _
Form 'on Description
3�y)- -6� S zip Code From T9i t P
Area code-Phone number s
in I 1
4. DATE DRILLED a t 7. -1 `��
5. TOTAL DEPTH: /
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO 13 p
7. STATIC WATER LEVEL Below Top of Casing: ,� FT. . n
(Use"+"if Above Top of Casing) TJ' is
8. TOP OF CASING IS 1 FT.Above Land Surface• `-
•Top of casing terminated at/or below land surface requires a i ,-
variance In accords ya�,w,ith 15A NCAC 2C.0118. �-SL to ;
9. YIELD(gpm): Ov METHOD11 OF TEST T. rn
10. WATER ZONES(depth): `YJI �o
�'�y�Vr15r LOCATION SKETCH '-- r,,;..
I I. DISINFECTION:Type n 1YE Amount Show direction and distance in miles from at leas
12. CASING: Wall Thickness two State Roads or County Roads. Include the ro o
Depth eter or Wett/Ft. a eeCnal numbers and common road names.
From 0 To nb FL loin •ia ---' ,,,(� a O
From To Ft. (�/`
From To Ft.
13. GROUT: Depth estMa real Method \,
From D To Ft. L
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material Syr]`
From To Ft. in. in.
From To Ft. in. in. _
15. SAND/GRAVEL PACK:
Depth Size Material -
From To Ft.
From To Ft. l t ,;,,, e ,
16. REMARKS: `�
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUC I hD IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT TEA COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WE L R
�
ci SIGNATURE OF PERSON CONSTRUCTING THE WELL D
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

in. 94 '; 46
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural
,Resources-Division
�ivisi to/noff Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) `C/`1`-^1/4S y, r�v�tv"�^- K CERTIFICATION
it-ty5CT
WELL CONTRACTOR COMPANY NAME 1�1t'Cz E AUS tS6U .1 .4L,-(f$� PHONE # f tf�0)3"1- 11 S
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT# ""-_
(if applicable) (if applicable) .-- - �
1. WELL USE(Check Applicable Box): Residential [>3" MunicipaUPublic❑ Industrial ❑ Agricultural ❑
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use I
_.. i
2. WELL LOCA I N: Topo ec/Land setting t
•
Ne st Town: �K Cot Qx-cE ❑Ridge lope OValley DFlat
Cat (check appropriate box)
(Street Name mben,C mmumty,Su i i ,Lot No.,Zip
Code) Latitude longitude of well location
3. OWNER: or�U �-`��. Latitude/longitude soWminutes/seconds) _
Address source:❑GPS❑Topographic map
(check box)
\C ( tree \ALeit.) 5-qr^Oc DEPTH ILL --
City or TLw,a rsZ�1�� zip Codee'1 From Tor Fo atio scri lion
Area code-Phone number /.t)' 4 D'
4. DATE DRILLED 0— d
5. TOTAL DEPTH: SI / �O n,
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO IR
7. STATIC WATER LEVEL Below Top of Casing: 2-TO FT.
(Use"+"if Above Top of Casing) 'O
8. TOP OF CASING IS l FT. Above Land Surface' T,.
*Top of casing terminated at/or below land surface requires a ;' on•
variance in accordsgce with ISA NCAC 2C.OI IS. Q7.� Q C%"
9. YIELD(gpm): tb M T OrD OF TEST
10.WATER ZONES(depth):
rIrri. LOCATION SKETCH
11. DISINFECTION:Type Vy\F')t Amount Show direction and distance in miles from at least
12. CASING: Wall Thickness two State Roads or County Ro de the road
pep ry pt eter o(W_et t/Ft. Material numbers and common names.��,Q"
From b To D Ft. � 'µ l' 54,W--3(•cp VVC, t atNa
is
From To Ft. •
From To Ft.
13. GROUT: Depth M al-J_L. i Metho ‘(VIS.3-1
From (] To �� Ft.�
From To Ft.
Th-
14. SCREEN: Depth Diameter Slot Size Material N.S1,
II
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 CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND WT A OPY OF THIS RECORD HAS BEEN PROVIDED TO T[)/NER
Gj orie s C Mgt-et' 't c1SIGNATURE OF PERSON CONSTRUCTING THE WELL
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

294;' 45
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and
`Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) ` u_1- ^'•`5 . IC `' CERTIFICATION it ,9 3R _
WELL CONTRACTOR COMPANY NAME Itr\z t�v\LLC U— )QAW(A; PHONE It ( VD1- 1(CC
STATE WELL CONSTRUCTION PERMIT,/ ASSOCIATED WQ PERMIT,/
(if applicable) (if applicable)
1. WELL USE(Check Applicable Box): Residential VMunicipaVPublic 0 Industrial 0 Agricultural 0 r'
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topog2aphic/Lan setting '
Nea vst Town: r.. a trim Conn ( n• M- ❑Ridge OSlope ley ❑Flat
\�san•_-�_--- % `(.03a �e (check appropriate box) i
(Street Name Numbers,Community, ' ivision,Lot No.,o., Zip Code) Latitude/longitude of well location ±
3. OWNERC;C-\ 1 t Km' Latitude/longitude sours(degrees/minutes/seconds)
Address ���" source:❑GPS❑Topographic map
(Street onr�note o. el (check box)
WI _ ?.�! OL) DEPTH DRILLING LOG
City or w State Zip Code From i To f Form "on Desc(iption. _-_
Area code-Phone number �,,,� 1�I 10 l()
4. DATE DRILLED 3(o'` 6- 1 ftI Stn. p
5. TOTAL DEPTH: i�jprr]]
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO V 0 0
7. STATIC WATER LEVEL Below Top of Casing: 0.>`g&AMLr,-F'f. t c a`
(Use"+"if Above Top of Casing) O
8. TOP OF CASING IS t. FT. Above Land Surface' .n
*Top of casing terminated at/or below land surface requires a tJ }
TH /�
variance In accordy�yy� ith ISA NCAC 2C.0118. '� �
9. YIELD(gpm): a la M WOI?OF TEST -.L -co co rr.
onG
10. WATER ZONES(depth): 0 3
LOCATION SKETCH O ri
11. DISINFECTION:Type W\N Amount Show direction and distance in miles from at least 0 o I•
12. CASING: Wall Thickness two State Roads or County Roads. Include the road 0 nl,
Depth /1,lameter or Weight/Ft. Material numbers and common road names.I' �1 1"
From D To cO Ft.b/4n SlQ.37.(0 , tv5A �.y
From To Ft. ' V
From To Ft.
13. GROUT: Depth Mat�r)E Method
From To O Ft.C4y'r4ttr4
From To Ft.
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK: id/
Depth Size Material _
From To Ft.
From To Ft. .4
,1 , • 1(2.4k
(�
16. REMARKS: �+�I✓,� tCgZ
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WE L
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WEL 0 R
fSIGNATURE OF PERSON CONSTRUCTING THE WELL DoIAE,,j/
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

294742
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural
�Resourc� Division of Water Quality-Groundwater Section �j'
WELL CONTRACTOR(INDIVIDUAL)NAME (print) :�KN-S-� . 1� � ���` CERTIFICATION SO ✓�/z+
WELL CONTRACTOR COMPANY NAME W Pfttsv1 l,L� LtY—I.L-I u""v`4 PHONE Si f )C)%1- lJ C
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT# F _.
(if applicable) (if applicable) L --
F.
1. WELL USE(Check Applicable Box): Residential VMunicipal/Public 0 Industrial 0 Agricultural _r
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use I '
2. WELL LO e'�`p� Topographic/Lan setti4g`
Near st Town:, ` 11.�J oun ❑Ridge ❑Slope Malley °Flat
(check appropriate box)
(Street Na , umbers,Community,Subdiviin Lot No.,Zip Code) Latitude/longitude of well location
3. OWNER: \.. (degrees/minutes/seconds)
Address Latitude/longitude source:❑GPS❑Tgpbgraphic map,
(Street or to ) (check box)
O DEPTH D'TEEING -
yyr�jjCity or T$ow, State Zip Code From To Foor^m�tto� >t''cription
Ka% )- S6 � b 961 \�^'eris
Area code-Phone number Pe (y,,�,I 1� 11b I
4. DATE DRILLED (41 l0'31
5. TOTAL DEPTH: Iz C.
6. DOES WELL REPLACE EXISTING WELL? YES Q NO E ,,-1_ d
7. STATIC WATER LEVEL Below Top of Casing: L{.a FT. C cp r
9 r?.
(Use"+"if Above Top of Casing) �p �;--
8. TOP OF CASING IS FT.Above Land Surfaces VI
i r.'.
flop of casing terminated at/or below land surface requires a rN c F -
variance In accorda.nya with 1SA NCAC 2C.OI lS. • '—
9. YIELD(gpm): 1- 0 M TH(�D OF TEST al—X. —'
rn
10. WATER ZONES(depth): S f`
LOCATION SKETCH O cn,
11. DISINFECTION:Type N(H Amount Show direction and distance in miles from at least W
12. CASING: Wall Thickness two State Roads or County Roads.Include the road Qv -,„4.
b Deo tht Di etgr S� gh Ft Ma t' numbers and common road!dye es.
From (o% Ft. W7 (�/� a
From To Ft.
From To Ft. , It
13. GROUT: DepthMaertal�}.. Methol
From C.) To O% FL t (lt'l,2L itru tst.=IL
t t ,
From To Ft. \. c��1t t,p1 - 11..6t ,
14. SCREEN: Depth Diameter Slot Size Material J� -- -
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 CONSTRUC I E.D IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO T L OWNER
SIGNATURE OF PERSON CON TRUCTING THE WELL ATE
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 ► ECORD 294050
North Carolina -Department of Environment and Natural Resources-Division of Water Quality- Groundwater Section
WELL CON-TRACTOR(INDIVIDUAL)NAME (print) J4amB6 R. VJ1\SFln CERT-IFICATION a %tges<
WELL CONTRACTOR COMPANY NAME Mal. " 1.99kk A.r".1Vons
PHONE tl f4�al $.Y,n=a`
ASSOCIATED WQ PERMIT" —
STATE WELL CONSTRUCTION 1'F.Idl1ITA ,rlicnhlc
ifn, licnblc if n 1 i;11
I. WELL USE (Check Applicable Box): Residential RYMunicipal/Public ❑ Industrial ❑ Agricultural ❑ 1 11
Monitoring ❑ Recovery 0 Beat Pump Water Injection 0 Other 0 If Other, List Use '
2. WELL LOCATION: Topograplii'IIcLLankt setting
Count C' �.erflkeE ❑Ridge 13S1opd ❑Valley plat.
Nearest Town:(✓1uCPyt� Y
aE1nl - Pec tc_c. (check oppropn tate box)`.
('rroen eorumn �p- Latitude/longitude of well location
(Street Name,Number',Community..ubdivision,Lot No.,Zip Code) P- I S ;Sy/ i• 8,�a n $r^
S r te-C �(jd_egreeihninutedseennde) 7('
3. OWNER. Jo rI \ Latitude/longitude sourcc:UGl•SUTopogtaphic map
Address z r--��f N uAVi S (check bo 0
(street Route Na.) ;:nT'll )1:)LLINC I QG
(ty/or Town
/J G Z � Frontatiot Jcsctipt ion
Stale Zip Code Front l o
City or Town � - iD'
(rn )- 837 --79t2/ ( l4 - !on '
Area code-Phone number I ID - /
4. DATE DRILLED 3- 30- Oy ❑ LJ-
1hR� - '
,5� !�, Tenn . /r'
5. TOTAL DEPI'll:—SOS _
6. DOES WELL REPLACE EXISTING WELL? YES NO
7. STATIC WATER LEVEL Below Top of Casing: alp ' —I F•
(lice"t'it Above Top of Casing) --
8. TOP OF CASING IS 1 [ 1'. Above Land Surface
t— e-
•Tap of raring terminated aUor below land a':'lnee requires a �_
v.rlance In accordance with 15A NCAC 2C.0110. I nn ---_
,r UOD Or TEST 1- -- cn
10. WATER ZONES (depth): LOCATIQRatcSjCil 7% `0--
Show direction ali�.Ilctance in miles cgrrt •t? ;ist
1I. DISINFECTION: T}'pcJa e�le�s Amount lb — err
Q two State Roads or County!Watt,. !r dc- 4 iaoad
12. CASING: Wall Thickness
Depth lVit
Diameter or Weight/Ft. Material numbe • '- ' • • • -' ./� aLl
From ro too` s Ft. (�.� ;CDC?!
.r From QTr 10 '.EL 5. 0
From_ To Ft.
Material Method
13. GROUT: Depth. `IQ� r ore al
fromOTo 0 �0' i�t.Dof7 )7
From To Ft. — 1V
14. SCREEN: Depth Diameter Slot Size Material to
•
To
Ft. in. in.
Front — u 'T'.. .,�/,.e i.
Front To Ft. in. in.
15. SAND/GRAVEL PACK:Depth $17C p1alctial
Front To Ft. egdfri``
From To
Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT 1111S WELL WAS CONS IRUCI ED IN ACCORDANCE Will! 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RECORD IIAS BEEN PROVIDED TO TILE WELL OWNER
9 (et_Z(.10 3— 34 04--
SIGNATURE OF I'IiItSON CONSTRUCTING DATE
Submil the original to the DIN'slim of Water Quality,Groundwater Section, 1636 Mail Service Center l RL'Vgh ,2(IOI
27699-1616 Phone No.[phone],w'Itltbt 30 days.

• - WELL CONSTRUCTION RECORD 2 9 4 0^ 9
North Carolina-Department of Environment and Naaty3a1 Resourcesurrc Division of Water Quality Groundwater er Section
Ntion
WELL CONTRACTOR(INDIVIDUAL)NAME (print) !'�rtj `�L Mottle N JAT CERTIFICATION
OJ
WELL CONTRACTORCOaIPANY NAME .7/,•ller
ASSOCIATED WQ FERMI IN _---
STATE v5'ELL CONSTRUCTION I'taN11TA if a ilk:able
ifs ,licablc
1. WELL USE(Check Applicable Box): Residential EYMunicipal/Public 0 Industrial ❑ Agricultural 0
Monitoring ❑ Recovery ❑ Heat Pump Water Injection 0 Other❑ If Other, List Use
2. WELL LOCATION: / // /� Topographic/Land setting
NeareGYcWJ County C/lerOlGee Midge OSlope ❑Valley ❑Flat
_/ /Town:
— (check appropriate box)
Erect a 4nLatitude/longitude of well location ,
,a o ' wet?' V5 '1cl.d ',
(Street Name,Numbers,Cnnuntmily,Subdivision,Lot No.,Zip Code) N3S'0 �.3 6�
a 4-S DG 1,010...i (degree✓nrinutederrnnda)
3. OWNER.. / Latitude/longitude souree:UGPS❑Topographic map
Address D ee Route ow (check bo:)
(Street or No.) prr.•rt�(.I Li_S_ILLIN(11,JG
City or Town State Zip Code
Front To rnnuatiou Description
(_J-- 0 /OD L�
Area code-Phone number/' OS 0 of OOO— A-40 ran(f ±�
4, DATE DRILLED 7 0 _
5. TOTAL DEPTIL? 0 ' — -
6. DOES WELL IUhPLACE EXISTING WELL? YES a—NO El
7. STATIC WATER LEVEL Below Top of Casing: G0 _FT. ,,;
r (We"+"if Above Top of Caning) -�---G
8. TOP OF CASING IS z IF. Above Land Surface`
•Top of casing Irrntln sled at/or below lord❑a face requite,• � `
..t.nre In accordance with ISA NCAC 2C.0119. ,r ^'
a r-rnnrl flit TTi4I - O cn,._
I O. WATER ZONES (depth): .2 YO yUCA'FIQIUKIIICIS F V I r
/�T l< /.-/
Amount ,yy Show direction eld distance in miles from All•ast
12. C NECTION:Type Wall Thickness two State Roads or County Road.. lrcl+rde the road
12. CASING: g numbers and common road names.
pcl,tl, Diameter or\Vci hUPt, Material
.t From To u FL G,.ZS �O?dl J� + ,
Front To Ft. r
From To 1't. _ --
ry�I cthod
13. GROUT:m Depth r7f/• d rerrrd��
From 0 To.� Ft. o '� '
From To Ft. — ----
14. SCREEN: Depth Diameter Slot Size Material
From To
1't. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material r-- .__t
From To Ft. -
m Pro To Ft.
I6. REMARKS:
I DO HEREBY CERTIFY TI IAT TI IIS WELL WAS CONSTRUTOD IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSIRUCIION STANDARDS,AND THAT l�COI'Y OF THIS RECORD HAS BEEN PROVIDED TO TI IE WELL OWNER
(/ Sc- OJ= d
'�%1 DATE
SIGNATURE OF PERSON CONSTRUCTING TIIE WELL.
Submit the original to the Dlsbloat of Water Quality,Groundwater Section, 16)6 Mall Service Center- RL'V- gh, C01
27690-1636 flume No.[phone],within 3(1 days.

WELL CONSTRUCTION RECORD
4 0 LI"8
North Carolina - Department of Environment and Natural Resoutces-Division of Water Quality- Groundwater, c lion
WELL CONTRACTOR(INDIVIDUAL)NAME (print) (, (2 ��Q4KPS " tr\son CERTIFICATION N e2 SiDy
•
WELL CONTRACTOR COMPANY NAME tM11\P.0 t r'105� rJr:,�.i3 PHONE N fa-s ) Ts7-.2Qc7
ASSOCIATED\VV PERMITN
STATE WELL CONS1RUC7lON 1'EMIIiN if a dicahle
if a r,licable
1. WELL USE (Check Applicable Box): Residential lit Municipal/Public 0 Industrial 0 Agricultural ❑ `'
Monitoring 0 Recovery 0 Ileat Pump Water Injection 0 Other 0 If Other, List Use t '
2. WELL LOCATION:
Topogra )Ijic/Land setting ii iJ
NearestTown:mucRkl CounlyasfaeE ❑Ridge &Slope ❑Valley ❑flat i
` ,aa.11{. (check appropriate box)1 -.--�
(Sweet
-Ce,Nu be„`• ---_----- l,!
Latitude/longitude of well location
(Sntcl Name,Numbers,Community,Subdivision,Lot No.,Zip Cute) _
/� II (degrees/minuleJaec ads)
3. OWNER.{Ur) + _�or2 lQn�a_fff
Address ! _-_ _ _ — Latitude/longitude sourcc:UGl'S❑Topographic map
(check bo:)
Yr:
(Street or Route No.) nrLt IN-01A NQI JQ
Zip Code FORD To F.-lunation 1)c.scr iplioll
City or Town Stale O 46 r S54�A�� -.
( it 1!r — rj'1 f seer r f p- C.
Area ccxlo-Phone number ![�� A --,
4. DATE DRILLED 3-J- 04 - cn-
5. TOTAL DEPTH: SOC'
n -
G. DOES WELL REPLACE!EXISTING WELL? YES Ed NO B — __,_.
7. STATIC WATER LEVEL Below Top of Casing: $D' E E.
(Use"f-if Above'lop of Casing)
I-1'. Above Land Surface` '- -. ,
8. TOP OF CASING IS / ..
•Tap of casing terminated al/or below land sot face regnh of• 4— c;
..i.nre in accordance with 15A NCAC 2C.011g. rV
.ET!'Ol or TPsr - - - - _
10. WATER ZONES (depth): LOCHTIQN KI I fl
ui onelf Amount /O Show direction arid distance in miles from .it least
1 I. DISINFECTION:ING Type/, //J two State Roads or County Roan:,. :r^1'rde the road
12. CASING: • Wall Thickness
Depth /Ui0n,cler or\Vcighl/Ft. Material numbers and common road names.
.r From D To ys-' El. 6,�-e a pm/-
4
Fr PayhK\
Front To net
From To 1 t. — -- Hide Material Method 4"'sy
13. GROUT: Depth / /4y(
From fi To aD ' El. pow it -fre
crer From To Ft. —
14. SCREEN: Dept, Diameter Slot Size Material
From To Ft. in. in.
From To Pl. in, in. te
n
15. SAND/GRAVEL PACK:
Depth Size Material
From To H. .
From To Ft.
IG. REMARKS:
I DO I IEREBY CERTIFY TIIAT T IIIS WELL WAS CONST'ItWCfED IN ACCORDANCE WITTI I5A NCAC 2C,WELL
CONSTRUCT ION STANDARDS,
JiSTANDARDS,AND TIIAT'A COPY OF TILES RECORD HAS BEEN PROVIDED TO TI IE WELL OWNER
,�iCJ .-r-- 3_ -2v-0
E
9`�~ SIGNATUIUE OF PERSON CONSTRUCTING TIIE WELL DATE
Submit the original to the Dirlslon of Water Quality, Groundwater Section, 1636 Mail Sen Ice CCentteer'R�Vgh,C
,7bo9.Ron Phone No.(919)711J221,ivlthln 3O days.

WELL CONSTRUCTION RECORD 2 9 4 0 91
North Carolina-Department of Environment and Natural Resources-Division of Water Quality- Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME, (print) ._5i.mP9 Q.. 1..0rk50 v,
CERTIFICATION 11_240C1
WELL CONTIAn0It COMPANY NAalE YV1:\)or r.,,a\\ Ar:\\:n5
SHONE q fYJ B) a-22j`/7
STATE WELL CONSTRUCTION 1'ERMITN ASSOCIATED WQ PERM 111) _ --
-
ifa, licablc ifn 'Halide _ I
I. WELL USE (Check Applicable Box): Residential Cd--Municipal/Public ❑ Industrial Agricultural ❑ I' ;
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other ❑ If Other, List se "
Z. WELL LOCATION:
Topogra dhidLaUc setting 1
CountyChi lokoQ ❑Ridge ❑Shope tiYalley '❑1u ,- =r
Nearest Town:JYINCA� ( (check oppropnate box)
y,µ;a r' um k -- Latitude/longitude of well location
(Street Name,Numbers,community,subdivision,Ind No.,Zip Code) ii 5519H
'%.1 �ep'O 75w
�,/� 1. (degreeslminutedsec ads)Y
3. Oi sn.l"� foe Latitude/longitude sourcc:ULIPS❑Topographic map
Address N -- (check bo t)
(Street or Route Nu.) "0111 )1JLLINr I OG
City or Town State Zip Code
From To fnrmatiou Description
O io ' clam._
f ) In - Sat ' 4torie/
Arta code-phone number //J 5 /'-on,iP
4. DAME DRILLED -21 4� 0' - 1T
5. TOTAL DEPTII: It2c' --
6. DOES WELL REPLACE EXISTING WELL? YES Iid-1N0 ❑ — a—L
I-I'. -
7. STATIC WATER LEVEL Below Top of Casing: DO__— ea
(Use"Y'if Above'Fop of(Toting) -*+
1 VP. Above Land Surface` c="
8. TOP OF CASING IS_
•Tap of easing let,,,ln red ,tor below Intl••:r(ace requires• i
..r.nee In accordance with ISA NCAC 2C.01IA. y `
c - METHOD OrT FS F Art . ._ . -_c-
10. WATER ZONES (depth): LOCAf1ONKEMI Q r"-T-�
rn
Show direction at:e distance in tarsi-torn SlTeast
I I. DISINFECTION:Type \g l�s Amount in Show
Slate Roads or County Road.. : +,rlcczllnc road
12. CASING: Wall Thickness
Diameter or WcighVFt. Material numbers and common road names. w4
Depth r,
sc
.1 Fron\_Q—To_.1¢a_i t.Sn�.Q__ , /X ff -Sleet aa
Prom To FI.
e�A
_ r°
From To E t. _ — ¢
Material
13. GROUT: iifeaa Method ure 0,,Prom D Tofib' Ft. /sa —.--
From- To It. ---
14. SCREEN: Depth Diameter Slot Size Material
To It. in. in.
Front From To et. in. in c A 'is
r
15. SAND/GRAVEL PACK:
Depth Size Melia!
From To Ft. — far'
From To Ft.
16. REMARKS:
I DO IIFREI3Y CERTIFY TI TAT TTIIS WELL WAS CONSTRUCITD IN ACCORDANCE WITH ISA NCAC 2C,WELL
CONSTRUCI ION>STANDAIWS,AND THAT A COPY OF TI ITS RECORD I IAS BEEN PROVIDED TO'HIE WELL OWNER
�.c-E ,y,4 — 3- c.7 3 -co 4
/:ti DATE
j SIGNA'fUllli Or PERSON CONSTRUCTING TIIE WEL[.
Submit the original to the Dhistom of Water Quality,Groundwater Section, 1636 Mall Service Center- REV-
Raleigh,
2�101
,ieoa_lKt. Phone No.[phone],within 3U days.

WELL CONSTRUCTION RECORD �)
North Carolina- Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
SQrne.s R. ILI�tIso, CERTIFICA'rlon y0g
WELL CONTRACTOR(INUIVIUUAL)NAa1 F. (print)� `
WELL CONTRACTOR COMPANY NAME, -,`1P( 1n1CJ k\ Af.1\I VIA}
PHONE p J4.2$T �537- r7
ASSOCCIIATED WQ PERMIT/ �_..
STATE WELL CONS PF.1NtlTp ifa dicablc
if a licable
rrc,
I. WELL USE (Check Applicable Box): Residential fU - Municipal/Public 0 Industrial ❑ A ral D. . �,fl
Monitoring ❑ Recovery Cl heat Pump Water hyection LiOther 0 If Other,List Use 'r-1- 1 I I
f I 'I\ r j
2. WELL LOCATION: Topogi3p1 40d setting r, /.'_
trnniitu cofWell`lpca
Nearest Town'Mr tC�('RS County 0hP.-0 ee ❑Ridge Slop ❑Valley [Mat
_\CwC\'1eC (check ap rapnatE.has) -- i ,`1 . c
4;,cE
(Street Name.Nwnbeo,Community,Subdivision,Lot No.,"Lip Cude) LaA'tiluddlon g
p (degtees/minutedsecmnds)
Address I 21 1 hie e Ti-in Ls Bunch Ra. __ Latitude/longitude sourcc:LJGI'SuTopographic map
(check but)
(sweet or Route No.) t:n 11 J));ILLIUQl JG.
/hC From 'co Ent iatiou :): liption
City or-town State Zip Code 0 - 1 20( V gd Sled e
Area code-Phone number( ) l D - 306r yVICAr))o
4. DATE DRILLED 3- 1a -c7a
5. TOTAL DEPTH: 5` .-
6. DOES WELL REPLACE EXISTING WELL'? YES7[I r NO ❑
7. STATIC WATER LEVEL Below Top of Casing: —i1•
(Use"r"if Above"lop of Casing) ,._:
8. TOP OF CASING IS I Fr. Above Laud Surface`
•Top or casing terminated atror below land s:rfo ce requites a
v..l.nre In accordance with 15A NCAC IC.0118.9. 1 (grin)' 15 M :unt O 'ITSf. /L =p ^
"� r
Io. WATER ZONES (depth): a
LOCAfEQ� KIS11 �' c''
1, Show direction a{ld'3'alance in miles felon atrlc3st
12. CASING:
N:TypcYiTVI��CIe�S Amount \S
Wall Thickness two Stale Roads or County Roan:,. '^CD Ge r- d
12. CASING: o na_-
Dcplh Diameter or Weight/Ft. Mnlcrial numbers and common road names. r n
NI
d
Fronr To 11 II. o2.Sr sDr?I /or °I
Front /22' To ) 10 30y Ft. / �/� � -
FromTo 1 t. _ --
13. GROUT: Depth Material Method V,0.gd'
From To Ft. lsz K
il-
hnml To Ft. — j] •
14. SCREEN: Depth Diameter Slut Size Material A bt
Ft. in. in. °� )
Front To a.
From To Ft. in. in. �dwo��s
15. SAND/GRAVEL PACK:
Depth Size Matclial
From To It.
From To Irl t
16. REMARKS:
I DO I IFREBY CERTIFY THAT'FIRS WELL WAS CONS TRUCI FI)IN ACCORDANCE W1111 I5A NCAC 2C,WELL
CONSTRUCNON STANDARDS,AND HEAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO TI IE WELL OWNER
954.4 r„ (A..2L. 44/1- j - 12 - 04
SIGNATURE OF PERSON CONSTRUCTING TIIE WELL DATE
Submit the original to the Division of Water Quality,Groundwnler Section, 1616 Mall Service Ceentteerl RalREeigh,2)NC
01
27 69 9-1 6 16 Phone No.[phone],within 30 days.

WELL CONSTRUCTION ItECORU 294089
North Carolina-Department of Environment and Narl Resources-Division of Water Quality- Groundwater Section
/ YY �� e cErrnPlcn'non N 2 �'3
WELL CONTRACTOR NAMERACTOR(INDIVIDUAL) (print) PHONE N f$78),���"'?yy�
WELL CONT RACfOR COMPANY NAME, 07,-/G/�
STATE WELL CONSTRUCTION PER1sIITN ASSOCIA1 El)WI)PERWIN -
if dicable
Ira licablc a.
1. WELL USE (Check Applicable Box): Residential QMunicipal/Public 0 Industrial ❑ Agricultural 0
Monitoring ❑ Recovery 0 heat Pump Water Injection 0 Other 0 If Other, List Use
2. WELL LOCATION: / / Topographic/Land selling
NcareslTown: ° - a7 County C`!e`d21e [Midge OSlope ❑Valley ❑Plat
C / /� (check appropriate box)
�i Latitude/longitude of well location
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Cole) 4'.3 re06 .n f''wOBY° DD ' 7 .i-
/J ,SW nnSO h (degrees/minutes/seconds)
3. OWNER. yzi Latituddlongilude source:UUl'S❑Topographic map
Address _—_------ — (check bon)
(Street or Route No.) r:nT'11 lil;Iumic- l OCi
I�.'siallallrlp Description
-- St ZipCodc 1'r OIII o
City or Town ale _-___. ,.
(—)- Q �5lD C�
Area code- Phone number `(2" 0 /YU- _CVO
4. DATE DRILLED 3 _ a
5. TOTAL DEPTH "-
G. DOES WELL REPLACE EXIS['ING WELL'? YES Cl NO ❑---*
7. STATIC WATER LEVEL Below Top of Casing: _2.?5— ' Ir 1'.
(Use' "i 1 Above Top of Oiling) .---__
8. TOP OF CASING IS
1°l'. Above Land Surface'
•Top or casing terminated aUnr below land unlace requires a _
..rhsnee In accordance with ISA NCAC IC.011 K. - —
9. YIELD (onm)t 3.. .
10. 3VATLR ZONES (depth):_ LQ(,A''IQNSKUi 'i ` L--" ,
Amount " C
Show direction ou�.licl allCC In mile. 'From at l
_—. ----Wall Thickness two State Itoads or County Road, ir lode
Depth Diameter or NcighUP(. Material 12. CASING: numbers and common road names.
/£�� S/-ee/ c
Fmni-1Z—"lo / 7 Ft. 6_15 p c
From To Ft. n._
From To It _ — ,,,
13. GROUT: Depth ��-
From /i To., .e
FL car asFront--—lo Ft. --- --- rn--
14. SCREEN: Depth Diameter Slot Size Material cm—Lc
._
From
Front To Ft. in. in. O a
To Ft in. in. r
N c
15. SAND/GRAVEL PACK: z
Depth Size Material
Prom To Ft. ___________
Front To Ft. ___.------
16. REMARKS:
I DO I'FREED'CERTIFY TI IAT THIS WELL WAS CONS 'IWO ED IN ACCORDANCE WI1l1 I5A NCAC 2C,WELL
CONSTRUC110N STANDARDS,AND TL T A C 'Y OF THIS RECORD IIAS BEEN PROVIDED TO TILE
WELL OWNER
�� ¢t mot_
SI(iNAIUIIL' OF PERSON CONS'1'RUL'1'ING THE WELL
RATE
Submit the original to the DlsIslon of Water Qualify,Groundwater Section, 1636 Mail Service Center Raleigh,
NC
n,i....,,, Ni. rot' l 733-3221,within 30 days.

WELL CONSTRUCTION RECORD 294088
North Carolina -Department of Environment and Natural Resouurces-Division of Water Quality- Groundwater Section '
P.S a ( 11 son CERTIFICATION# 905
WELL CONTRACTOR(INDIVIDUAL)NAa1 F, (prinq dal PHONE q fiat) ffS7-Z�Y
WELL CONTRACTOR COMPANY NANF, VW.N.( i.C10.(I (� �' . -- _
ASSOCIATED WO PERMIIN _ ,
STATE BELL CONSTRUCTION N 14:INIIig if n t ticnble —
ifa, licbl I III
I. WELL USE (Check Applicable Box): Residential g--- CI 0 Industrial Akricultural 0 II I +
Monitoring ❑ Recovery 0 heat Pump Water Injection ❑ Other 0 If Other, List tsc ''
2. WELL LOCATION:�fV)r_ fopogr*phic/IandseltiYr .
Nearest Town: rpaSi— —County C rerf(LP-4. ❑Ridge B3f{rc_"flv'a11ey. Cifi'1--_
Tetrike (check appropriate box) '
( _CoLatitude/longitude W well location
(Street)Jame,Numbers, nuvnunity,Subdivision,Lot No.,Zip Code) {anti J.
3 e ' ����` (degrees/nunutes/xtnnde)
3. OdsLatitude/longitude sourcc:LJGI'S❑Topogra)duc map
AddreresssrI--o. (check bur)
(Sneer or Route No.) YEPTII LijOLLILITIL9G.
From To r.nnnatiou Dtscaiption
City or Town Stale Zip Code - _—_
0 5 '
( ) 5 - .70E
Area axle Phone number
4. DATE DRILLED �- 15 O lip - 4/OSr
5. TOTAL DEPTH: 405.
6. DOES \VELL REPLACE EXISTING WELL? YES ❑ NO E4•-
7. STATIC WATER LEVEL Below Top of Casing: 80'_fT. r o
(Use"+••if Above Top of Casing) __,--_—_�"c�
8. TOP OF CASING IS —1--1 l. Above Land Surface` `'
*Top or casing terminated vt7ar below laud n:r race regaho• -s. _
.rt.nee In accordance with ISA NCAC 2C.0118. ,.AA 01 '-�
METHOD rli'TFSF{{i Q -`r
9. YIELD ZONES_0( — = _
10. WATER (depth): LQ_CAIIQN KE"1"C11 = m
Show direction de-id distancein mites ftWD atA¢ast O.
I1. DISINFECTION:Type N" °( )� two State Roads or County Koad,. :: lac tl road
12. CASING: Wall Thickness
cs
Depth
Diameter or WeighVfl. Material numbers an common road names.
From n To c-FOy Ft. 6,2.5 fA)C 2I IiV
d ('From To Ft.
From To Ft. —IN, arm arcrial Method Ire-'
13. GROUT:m Depth ieCCura Taa
From b To nor Ft. 9_.
From. To Ft. —_ --
14. SCREEN: Depth Diameter Slot Size Material
From______
To FL in. in.
Prom To Ft. in. in.
15. SAND/GRAVELI'ACKt
Depth Size Material
Front To Ft.From To Ft. Bata.,
16. REMARKS:
I DO IIE11E131'CERTTEY THAT TIES WELL WAS CONSTRUCTED IN ACCORDANCE Willi I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO TILE WELL OWNER
3 ! S -
.42z-A„Jsairu±s„. -
SIGNATURE OF PERSON CONSTRUCTING THE WELT.
DATE
Submit the original to the Dkislon of Water Quality,Groundwater Section, 1636 Mail Service CCt�rRale-i REVgh, C01
?7wa-1636 phone No.[phone],within 30 days.

WELL CONSTRUCTION RECORD 294087
North Carolina -Department of Envitou ricul and Natural Resources- Division of Water Quality-Groundwater Section
\ CEItIIFICATionm,1U04
WELL CONTRACTOR(INDIVIDUAL)NAME Iry
11lnl)y�] l� 5Gn PCEItI X (fir) 43T-�44T
\r ELL CON I RACTOIt COMPANY NAME 1 1 1'11 `1:..41 1/,�(:.i
ASSSOCIA I EII WI) VELUM I N _STA I E WELL CONS acICUC110N 1'P.IUIfTX -
iCn t dicnhlc - I
if „1ilicablc , , -
I. \VEIL,USE (Check Applicable Box): Residential 6Y Municipal/Public 0 Industtiat 0 Agricultural ❑ i
Nionitot ing ❑ Rccovciy ❑ heat Pump Water Injection 0 Other❑ if Other, List We T.
2. WELL LOCATION: II Topographic/Landtsetting i 1
rl County�..�yeeasp --- ❑Ridge ['Slope [Willey UI'lat '
Neatest Town: Mr _�----
rr�1 (check nppwplinle hn+)'.
(D��QfL t O �--- _— __ Latitude/longitude of well location
(Sleet Name,Nunl6en,Community.Subdivision,lad No.,Zip C«Ir) N •8t~ • c ,.-sc
(degrtedminutedeecnrvl+) •L
3. Add iiiA.�l4fSsf.—Tc^P S _ Latituddlougilude source:UG1'Su"fopogtai llic snap
AtIJIC55 _—i poleNo __ (check to ti
(sheet m it Nod .,:ul I 1,1I(II,L11I(j_l, (j
_ Coe -- To r''+nnarinl, r.ts,riptiun
Stale Zip Code From City or lotto) d y - tot c
La
Sa
Arta CNIN rhnne number !O _ / -C , ke ,5�1—_
4. DATE DItILLL•U� -by —d •c -�
5. TOTAL DEPTII:_ 145:_---- — �_
6. DOES WELL REPLACE EXIS PING WELL? YES LI NO IA- _
Casing: _2D 1---I 1. o
7. Sl'A"f{C \VAl"ER LEVGI, Ilclo\(th se"Fp u f bove. lop of Casing) — -- =—IY-
FT. Above Land Sul lace'
•Ybp or n11fZ terminated at/or hrtow In111I let lace rf�lnhC,• G
..I.nrr In scent nhh ISA NCAC IC Al1A. _ rn
r 1101l r111't's1.�(A, - '
10. WATER ZONES (depth): j,oCn•r1N_Klit 11 r.,
Va(" no11 (s Amount ID
Show dilccUuu a::d 'lialnncc in miles IiIDn •tl
I I. DISINFECTION:Type r- Wall'I tickness two din Itioli or County kIanc Reads. L•"'k+Jc the road
12. CASING: numbers and common road names. z
Depth Diameter orwcioal. morelial
.I1i oot_J2_—To_5Q—Ft.a aL ._.V --' IC"Prow To__Et.
Prow_ To I t._— ..--- �Lv�e
Mates inn Method a
13. GROU I': Depth resSUct. :dtit
Prom_2—.�hu_212--1 t.�onC.— -P l'iow. --•Po__IL____ .
------ --— /,�
14. SCREEN: Depth Diameter Slot Size Material / (/
nil
Pnnit
I o PI. in. ill. /
Prow_ —
fo__--It. iu. --- in.
15. SAND/GItAVEI, PACK: Ltalcrinl
Depth Size / r'Ca/f/m',14R,
from To I't.
From To Lt _ /C/(
16. REMARKS: _ -- ---
I DO I IITRI(IiV CUR 1.11 Y TI IAT'1111S WELL WAS CONS l ltUCI1 D IN ACCORDANCE WITH I5A NCAC 2C, WELL
CONS I ItUCI ION STANDARDS,AND THAT A COPY OF Tills RECORD I IAS BEEN PROVIDED"10 TILE WELL O l t
SI(_____ ORE OF PERSON CONS'fItUCI1NO TIIE WELL DATE
Submit the original to the DIsIslon of Writer Quality,Utouodwitter Section, 1636 Mall Service CCWr� Raleigh,rif:
"inn 1 t 11'. t•Lune Nu.(9191711•3221,whttln MI days.

•
•
WELL CONSTRUCTION RECORD' 294918
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION N 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE N 1828) 837-8008
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WO PERMIT#
(if applicable) (if applicable) ______ _..
1. WELL USE(Check Applicable Box):Residential l Municipal/Public 0 Industrial 0 Agricultural 0 — ',—
Monitoring 0 Recovery. 0 Heat Pump Water Injection 0 Other 0 If Other,List Use r if
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ❑Ridge ®Slope OValley OF1at �
TARHEEL WEST (checkappmpriate box) -
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location 1 e
3. OWNER: CHUCK FREEMAN (degrees/minutes/seconds)
Address 6845 11TH AVE.NORTH Latitude/longitude sourec:OGPSOTopugraphic map L
(Street or Route No.) (check box) '
ST.PETE. FL 33710 DEPTH DRILLING LOG :
City or Town State Zip Code From To Formation Description __
( 727 )- 381-5067 0'TO 4' RED CLAY
Area code-Phone number 4'TO 15' WEATHERED GRANITE
4. DATE DRILLED 03-24-2004 15'TO 21' GRANITE
5. TOTAL DEPTH: 707' 21'TO 707' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO RI
7. STATIC WATER LEVEL Below Top of Casing: 550' FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT. Above Land Surface*
'Top of casing terminated at/or below land surface requires a
variance in accordance with 15A NCAC 2C.0118. v
9. YIELD(gpm): PINT METHOD OF TEST AIR n
10.WATER ZONES(depth):
LOCATION SKETCH -�O •..
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at Ic4st q
12. CASING: Wall Thickness two Slate Roads or County Roads. Include the tad ..__
Depth Diameter or WeighUFt. Material numbers and common road names. r:`,
From 0 To 21 Ft. 6 1/8" SDR 21 PVC 4t.
y ‘� ''
From To Ft. es fr.? �r
From To Ft. *I (J
13. GROUT: Depth Material Method
From 0 To 21 Ft. CEMENT GRAVITY --- - L P
Prom To Ft. lot, c_ 1:,
N. SCREEN: Depth Diameter Slot Size Material 1)I7,,
From To_ Ft. in. in. 7
From To Ft. in. in. C
15. SAND/GRAVEL PACK: 477j
Depth Size Material
From To Ft. - L.N,.?
From To Ft. 43
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A C Y OF THIrCORD f S BEEN PROVIDED TO THE.WELL OWNER
SIGNAT E OF P ON CO R 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.(919)733-322t,within 30 days. GW-I REV.07/2001

•
WELL CONSTRUCTION RECORD, 294916
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(UJDIVWUAL)NAME (print) cPQi7 NZ. P. VI cro 2 CERTIFICATION It a_75
WELL CONTRACTOR COMPANY NAME 2/Yeas w E Qt_ DR.ILA. f t-1( INC. PHONE #VOA 7u5=tf6G - -.
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WQ PERMITS
if liable f licable - -
1. WELL USE(Check Applicable Box):Residential Municipal/Public 0 Industrial ❑ Agricultural Cl I
Monitoring CI Recovery 0 Heat Pump Water Injection O Other 0 if Other,List Use
2. WELL LOCATION: Topogrsp}1ie/Land setting I
Ntrtst Town: MUftPt4Y , County CI4CRorcc-G.. DRidge Mope ❑Valley ❑ __Flat 1_
eaa
2NGGR„ i (check appropriate box)
(Street Nune,Numbers,Communi ubdivision,jot No.,Zip Code) Latitude/longitdde of well location -
3. OWNER: 7"C•RA `i' intNIas N35°ee E% todo .I3�
.(dop.esiminuroeioa dy}
Address ( `( RULLfI.f6 /4ICLS Lnr, Latitude/longitude sotsome:6t3PSOTopvgraghicmap _ _
(Street or Route No.) (check box)
IOIVAy NC Z SMOG EPTFI DRILLING LOG
. city or Town Stu. Zip Code From To Formation Description
CM- 694-s3bZ o 2 RrtLL Diar
Arta code-Phone aum z - 3 1-0? was t 4
4. DATE DRILLED_ - 3 1 - a 4 -
.5. TOTAL DEPTH; /C 5 /S yeFn �� y
- 21 yeast,' fuFerfKtltd S(.2TE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO VA f - S'$ 6 Pa' GRE-wmear 7, STATIC WATER LEVEL Below Top ofCuing;Sac) FT, sSeat- /ate Be.Be8or TC-
r
(Use"+"If Above Top of Cuing) /� - ZS S - Lfcffr-0R2 Y,L�ock WC•
8. TOP OF CASINO IS 42 FT,Above Land Surface' as c 1aes. fl acic scare
'Top of wins terminated atfur below Ind surfa.e requires a �o{0 y z_S , /•{2R0 �vt2BY -k °il
varinoee In accordaa_c9 with 1SANCAC 2C.011& Qrz
9. YIELD(gpm): V13 _METHOD OF TEST OAR p�I-7S - ..5-6e, Seri- at) 'SLarc
10. WATER ZONES(depth): y 5 S° 60 - 57 3 H2t2D ?at'?Rock w/co7a
LOCATION SKETCF(
11. DISINFECTION:Type t4-i14- Amount - I r/2. l b Show direction and distance in miles from at least
12, CASING: . Wa]1 Tinclmess two State Roads or County Roads,Include the road
Depth Diameter or Weight/Ft, Material numbers and common road names.
From_To 53 Ft. c'� $DRpi Pvc 5-73 -62S See-7- ePeV St tQ rF
Promo-3 To f--9,- Ft. CaYY S.M.77.S Aud- c
From To Ft, _ O o
13. GROUT: Depth Material _Method C c'
q � R.
From- .C. To ® FLS)Wtr-A/C tdati `Jp mac•
From To Ft.
14. SCREEN; Depth Diameter Slot Size Material
I G,r
01
From, -To Ft_ n, in. y;c
r;c
From To Ft.�,jn. in, „r,
15. SAND/GRAVEL PACK: cn
Depth. Size .. Material t. r`;�
From To Ft tj o
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 1SANCAC 2C,WELL
CONS ION ST S,AND THAT A COPY OF THIS RECORD HAS SEEN PROVIDED TO THE WELL OWNER
Axt,
SIGNATURE OP PERSON CONSTRUt:11NO THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days, OW-1 REV. 07/2001

WELL CONSTRUCTION RECORD 2 9 4 919
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION'S 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE 4 I828) 837-8008
STATE.WELL CONSTRUCTION PERMIT'S ASSOCIATED WD PERNIIT4
applicable)
_.---__.___.._
(if applicable) (if
i
I. WELL USE(Check Applicable Box): Residential ® Municipal/Public❑ Industrial ❑ Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection ❑ Other❑ If Other,List Use �1 .
14
2. WELL LOCATION: 'Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE ❑Ridge ®Slope [Walley ❑Plat :iI
HWY 294-RED HAWK HILLS (check appropriate box) I
(Sueet Name,Numbers,Community,Subdivision,lot No..Zip Code) Latitude/longitude of well location
3507.396N/8417.046W
3. OWNER: BILL 8 BARBARA FREEMAN (degrees/minutes/seconds) _
Address 1001 LAKE APPALACHIA ACRES Latitude/longitude source:®GPS0Topographit ru4p i d-:
(Street or Route No.) (check box) .. L. _----.
MURPHY, NC 28906 DEPTH DRILLING LiOG i ' _- 1
City or Town Slate Zip Code From To Formation Description-----.--------.--
( 828 )_ 494-9959 0'TO 20' RED CLAY
Area code-Phone number 20'TO 40' SANDSTONE
4. DATE DRILLED 03-25-2004 40'TO 60' GRANITE
5. TOTAL DEPTH: 245' 60'TO 245' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO RI
7. STATIC WATER LEVEL Below Top of Casing: 50 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface`
*Top of casing terminated at/or below land surface requires a O
variance in accordance with ISA NCAC 2C.011a.
9. YIELD(gpm): 30 METHOD OF TEST AIR
10.WATER ZONES(depth): 200' o�'. .'cLOCATION SKETCH am
I I. DISINFECTION:Type CHLORINE Amount 100 PPM ShoW direction and distance in miles from dleast�-c,
12. CASING: Wall Thickness two State Roads or County Roads. Include teiroa %
Depth Diameter or Weight/Ft. Material numbers and common road names. (7J U
From 0 To 60 Ft. 61/8" SDR21 PVC
From To Ft. ch,05) "Arm QP N :,
From To Ft. _ _ -
13. GROUT: Depth Material Method "J
From 0 To 20 Ft. CEMENT GRAVITY
From To_ Ft.
14. SCREEN: Depth Diameter Slot Size Material
Front To Ft. in. in. _ -eg
From To Ft. in. in. rr�� /:-
15. SAND/GRAVEL PACK: IC ) 4
Depth Size Material �J YE-
From To Ft. \A
From To Ft.
16. REMARKS:
1 1)0 IIEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE.WTI I I I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT .OPY OF TtjS RE.CO HAS BEEN PROVIDED TO THE WELL OWNER
SIGNA RE ERSON CONST TING TILE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 16.16 Mail Service Center-Raleigh,NC
27699.1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

294920
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (pint)LARRY F.JONES CERTIFICATION#3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE g [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT',
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential® Municipal/Public 0 Industrial 0 Agricultural 0 r '.j
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use _ . - 1 LTC,:
2. WELL LOCATION: Topographic/Land setting I
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope ❑Valley ❑Flat ' L,..,.
PEACHTREE-RED BELT LN. (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location e..
3505.979N/8356.038W 3. OWNER: CARL MONEY (degree/minutes/seconds) -
Address 6163 JOE JEFF ST Latitude/longitude source:KIGPSOTopographic map
(Street or Route No.) (check box) - ,
NORTH PORT, FL 34286 DEPTH DRILLING LOG ..
__
City or Town State Zip Code Front To Formation Desatription ;I
( 941 )_ 391-4668 0'T040' RED CLAY _____ _ _.
Area code-Phone number 40'TO 60' SANDSTONE
4. DATE DRILLED 03-26-2004 60'TO 90' GRANITE
5. TOTAL DEPTH: 245' 90'TO 110' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO RI 110'TO 245' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 73 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface*
'Tap of casing terminated at/or below land surface requires a
variance In accordance with 15A NCAC 2C.0118.
9. YIELD(gpm): 20 METHOD OF TEST AIR
J
10.WATER ZONES(depth): 190' 0 "=".)
LOCATION SKETCH 9
a 11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at Igyst ,
u <
12. CASING: Wall Thickness two State Roads or County Roads.Include the toad
g numbers and common road names. r-
Depth Diameter or Weight/Ft. Material -o o
From 0 To 110 Ft. 6 1/8- SDR 21 PVC �> r:,
From To FL n-%'
From To Ft. — I. N� 0_
13. GROUT: Depth Material • Method - ...-
From 0 To 20 pt. CEMENT GRAVITY
From To Ft. �(
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. {
Front To FL in. in. CI �(�����
15. SAND/GRAVEL PACK: o�
Depth Size Material \�
From To Ft. - 7_y,
From To Ft. _
16. REMARKS:
1 IX)11EREBY CERTIFY TI(AT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A OPY OF THIS RECORD I IAS BEEN PROVIDED TO THE WELL OWNER
SIGNATUI E OF P SON CON. ' KITING'CITE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

294921
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)DAVID F.MCKINNON CERTIFICATION# 2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # [phone]
STATE WELL CONSTRUCTION PERMIT/0 ASSOCIATED WQ PERMIT#
(if applicable) (if applicable) ----_-- -:
I. WELL USE(Check Applicable Box): Residential titl 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: 'fopographidLand setting t ` `
Nearest Town: MURPHY County CHEROKEE [Midge OSlope OValley I17Flat ! 'J L
HWY 294 ACROSS FROM RAPER'S STORE (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/l4ngitude
e1 f well location i
3507.
3. OWNER: JACK RAPER (degrees/minutes/seconds)
Address 12822 HWY 294 Latitude/longitude source:®GPSOTopographic map _
(Street or Route No.) (check box) - - __..
TURTLETOWN, TN 37391 DEPTH DRILLING LOG '
City or Town State Zip Code From To Formation DesCNption---._._.__.__::. __..
( 700)- 455-2450 0'TO 22' GRAVEL
Area code-Phone mrmber 2Z TO 100' BLUE GANITE
4. DATE DRILLED 03-31-2004 100'TO 150' WHITE SOFT ROCK
5. TOTAL DEPTH: 185' 150'70185' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO RI GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 50 FT.
(Use"c"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surfaces
"Top or casing terminated at/ar below land surface requires•
variance in accordance with ISA NCAC 2C.0118.
9. YIELD(gpm): 20 METHOD OF TEST AIR o
10.WATER ZONES(depth): 75',160' I'
LOCATION SKETCH .
II. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from atast r
12. CASING: Wall Thickness two State Roads or County Roads.Include the road ,;-
Depth Diameter or Weight/Ft. Material numbers and common road names. cil aG
From 0 To 35 Ft. 8 1/8' SDR 21 PVC -o Inc-,
From To FL .---, ,,t ui� Tn`
Prom To Ft. h? `�
13. GROUT: Depth Material Method N) o
Front 0 To 20 Ft. CEMENT GRAVITY
From To Ft. IP
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. ,--
From To Ft. in. in. 0-
15. SAND/GRAVEL PACK: ri
Depth Size Material i�
From To Ft. . iJs
From To Ft. -�
16. REMARKS:
l DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COP OF THIS RECORD HAS BEEN I'ROVIDED TO THE WELL OWNER
SIGNATURE OF PERSON CONSTRUCTING TILE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mall SenIce Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

WELL CONSTRUCTION RECORD 2 9 4 9 ?2
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) DAVID F.MCKINNON CERTIFICATION# 2411
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. pi/ONE N [phone]
STATE WELL CONSTRUCTION PERMITN ASSOCIATED WQ PERMITN - - - ,1
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential® Municipal/Public❑ Industrial O Agricultural O -
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other❑ If Other,List Use j _
- I
2. WELL LOCATION: Topographic/Land setting I '' ''
Nearest Town: MURPHY County CHEROKEE 9Ridge ❑Slope OValley ❑Flat 1 -- .,
DICKEY MTN.ESTATES TOP OF HILL TO END OF RD (check appropriate box)
(Street Name,Numbers.Community,Subdivision,Lot Na.,Zip Code) Latitude/longitude of well location
3. OWNER: BILL DAVES (degrees/minutes/seconds) ;,
Address 20TENN ST Latitude/longitude source:OGPSOTopographic map T(Sued or Route No.) (check box)
MURPHY, NC 28906 _ DEPTH DRILLINCLDU
City or Town Stile Zip Code From To Formation Description
( 828)- 360-6567 0'TO 5' RED CLAY
Area code-Phone number 5'TO 30' WEATHERED GRANITE
4. DATE DRILLED 03-30-2004 30'TO 50' GRANITE
5. TOTAL DEPTH: 807' 50'TO 807' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO RI
7. STATIC WATER LEVEL Below Top of Casing: 100 FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface* t-=
'Top of casing terminated at/or below land surface requires a p p
variance in accordance with 15A NCAC 2C.0118. a- C)
9. YIELD(gpm): 1 METHOD OF TEST AIR a o c1,
10.WATER ZONES(depth): 120' -.0 cal..
LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at leaffi7 -
12. CASING: Wall Thickness two State Roads or County Roads. Include the road ye
Depth Diameter or Weight/Ft. Material numbers and common road names. -.
From 0 To 50 Ft. 6 118" SDR 21 PVC N n
r.
From To Ft. 1.
From To Ft.
13. GROUT: Depth Material Method q�
From 0 To 20 Ft. CEMENT GRAVITY v
From To Ft. Mt'0 S
14. SCREEN: Depth Diameter Slot Size Material is 2:q
From To Ft. in. in. Q
Front To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
Front To Ft.
From To Ft.
79
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 RECORD
j1 I IA�S/BEEN PROVIDED TO TIIE WELL OWNER
-- —S j
SIGNATURE O_F PERSON CONS"I1CUCfING'flifi WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Malt Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

294600
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATIONS 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. pIIONE 4 [phone]
STATE WELL CONSTRUCTION PERMITS ASSOCIATED WQ PERMITS
(ifapplicable) (if applicable) f -- --
I. WELL USE(Check Applicable Box): Residential RI Municipal/Public 0 Industrial 0 Agricultural 0 1 • r- C. ---.1-
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other, List Use 'ir d
2. WELL LOCATION: Topographic/Land setting, e2,
Nearest Town: ANDREWS County CHEROKEE IHRidge ❑Slope ❑Valley ❑Flat; iflfll
TARHEEL NORTH-FARMER'S TOP (check appropriate box) `
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
•
3. OWNER: EDWARD PALMER tdcgrees/minutes/seconds) ..
Address 181 TENN.ST. Latitude/longitude sourcc:❑GPS❑Topographicarp 1 U
(check box) -� -- _. .._.,-.-
(StreetorRouteNo.)
MURPHY, NC 28908 DEPTH DRILLING _,OC)
City or Town State Zip Code From To Formation Description -_.__
( 828)- 837-6010 0'TO 40' SANDSTONE
Area code-Phone number 40'TO 73' BROWN DIRT/SANDSTONI
4. DATE DRILLED 04-02-2004 73'TO 90' GRANITE
5. TOTAL DEPTH: 405' 90'TO 405' _ GRANITE G
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ® cD
7. STATIC WATER LEVEL Below Top of Casing: 92 FT. t c'.,
G`C
(Use"1-*if Above Top of Casing) i+ t
R. TOP OF CASING IS 1 FT.Above Land Surface* I
'Top of caging terminated atfor below land surface requires a i C
rn
variance in accordance will)ISA NCAC 2C.0118.
. 9. YIELD(gpm): 10 METHOD OF TEST AIR ti n
10.WATER ZONES(depth): 220' =.
LOCATION SKETCH or-
1 I. DISINFECTION:TypeCD CHLORINE Amount 100 PPM Show direction and distance in miles from at least --
two State Roads or County Roads. Include the road
12. CASING: Wall Thickness
Depth Diameter or Weight/Ft. Material numbers and common road names.
From 0 To 90 Ft. 6 1/8" SDR 21 PVC
From 'To FL l
From To Ft. . (1/
13. GROUT: Depth Material Method r7
From 0 To 20 FL CEMENT GRAVITY
From To Ft. �� / C
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. _ ?c
From To Ft. in. in. -J
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft. L`- it r v� l 1r-----_-.
From To Ft.
16. REMARKS:
I IX)I IEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITII I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO TILE WELL OWNER
PL79.11.1.(Ac. _2_tJ `f
SIGNAT'UR OFP tiBµSONNK
1NG THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. G W-I REV.07/2001

294599
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)
LARRY F.JONES CERTIFICATION 8 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PfONE a 1828) 837-8008
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WO PERMIT#
(if applicable) _"-" - -..._
(if applicable) � - - —I. WELL USE(Check Applicable Box):Residential El 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: Topographic/Land setting i
Nearest Town: ANDREWS County CHEROKEE (;)Ridge ❑Slope OValley OFIaL, - ! e t, M
SHERWOOD ESTATES (check appmpriate box) ''I -> o
of well location
(Street Name.Numbers.Conununity,Subdivision,Lot Na.,Zip Code) Latitude/longitude / . .
G
3. OWNER: RICHARD SCHNEEBERGER (degrees/minutes/seconds)
Address 77 EJASTWIND LANE Latitude/longitude source:0GPSOTopograpltic Ira` MU1
(Street or Route No.) (check box) - -- I
MAITLAND, FL 32751 DEPTH DRILLING LAG (L _�J
City or Town State Zip Code From To Formation Description
) 407 )- 628-8208 0'TO 40' CLAY 8 SANDSTONE
Area code-Phone number 40'TO 50' BLACK DIRT
4. DATE DRILLED 04-05-2004 50'TO 73' GRANITE
5. TOTAL DEPTH: em' 73'TO807' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO tKI
7. STATIC WATER LEVEL Below Top of Casing: 617 FT.
(Use"+"if Above Top or Casing) G
8. TOP OF CASING IS 1 FT.Above Land Surfaces O cG
l:�
'Top of casing terminated al/or below land surface requires a C � ?
variance in accordance with 15A NCAC 2C.0118. G ci
9. YIELD(gpm): ------- METHOD OF TEST AIR '0 2=
10.WATER ZONES(depth): LOCATION SKETCH %I—
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least-0 PAC.
12. CASING: Wall Thickness two State Roads or County Roads. Include the roar Fr
Depth Diameter or Weight/Ft. Material numbers and common road names. fj;�,�
24
Front 0 To 73 Ft. 6 1/8" SOR 21 _PVC t`h;/ O Z
From To Ft.
From To Ft.
13. GROUT: Depth Material Method
From 0 To 20 F't. CEMENT GRAVITY r�'
From To Ft. n �._vr • iit
14. SCREEN: Depth Diameter Slot Size Material �\". -V \��
Front To Ft. in. in. ��
From To_ Ft. in. in. .
15. SAND/GRAVEL PACK:
Depth Size Material From _To Ft. _..I-a1�J1E 0
From To FL
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WIT II I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT OPY OF THIS REC. HAS 13EFN PROVIDED'10TIIE WELL OWNER
S1GNA1 RE OE -14S0 CO S' LUCI'ING TI IE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

294481
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION N 3295
WELT.CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE N f828) 837-8008
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PERMIT# r ------------_.__.__.
(if applicable) (if applicable) -.-.-- t.__.__—_,I. WELL USE(Check Applicable Box): Residential 0 MunicipaVPuhlic 0 Industrial 0 Agricultural 0 r
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use j _
(5
2. WELL LOCATION: i
Nearest Town: MURPHYfopogmope nd setting, Cr) Inn
County CHEROKEE Midge ❑SlpeOValley Mat' _-o
BEAR PAW CHURCH ROAD (check appropriate box) �� o
(Sure(Name,Numbers.Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location Na
3506.417N/8410.477W
3. OWNER: FRANK LEDFORD (degrees/minutes/seconds) '
Address 10514 HWY 294 Latitude/longitude source:KIGPSDTopogra(�hic r�lr- _
(Strad or Route No.) (check box) lI -
Mt1EPHY, NC 28906 DEPTH DRILLING t_W ��----- !
City or Town State Zip Code From To Formation Description
( 826,- 494-3979 0'TO 20' SANDSTONE 8 GRANITE
Area code-Phone number 20'TO 385' GRANITE
4. DATE DRILLED 04-07-2004 —
GRANITE
5. TOTAL DEPTH: 385'
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO 181
7. STATIC WATER LEVEL Below Top of Casing: 90 FT.
(Use"r^if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface*
"Top of casing terminated at/or below land surface requires a
variance is accordance with 15A NCAC 2C.0118.
9. YIELD(gum): 10 METHOD OF TEST AIR c
10.WATER ZONES (depth): 320' O of T
LOCATION SKETCH y %n•.
I I. DISINFECTION: Type CHLORINE Amount 100 PPM Show direction and distance in miles from at�ast E-=r�n
12. CASING: Wall Thickness two State Roads or County Roads. Include the oado_=-
Depth Diameter or Weight/Ft. Material numbers and common road names. iD
Front 0 To 20 Ft. 6 1/8" SDR 21 PVC -p .c,
From To Ft. cte r
Fromil
To Ft. 1;? �
13. GROUT: Depth Material Method '"
From 0 To 20 Ft, CEMENT GRAVITY S�4R ��Ll., �b
From To Ft. ��ll
14. SCREEN: Depth Diameter Slot Size Material c1Y .f
From To Ft. in. in. -_ 1
From To Ft. in. in.
15. SAND/GRAVEL PACK: - ,d
Depth Size Material ✓ Si
From To FL V -
From To Ft. 'YF .
16. REMARKS:
I DO HEREBY CERTIFY TIIAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND'TITAT AC Y OF TIIIS RECORD I S BEEN PROVIDED.1.O TILE WELL OWNER
SIGNAT E OF PF ON CONS R NGTIIF 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. OW-1 REV.07/2001

294480
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality_Groundwater Section
WEI.1.CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION#3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PRONE # f 828) 837-8008
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WO PERMIT# -
an (if applicable) (if applicable)
L1 iI. WELL USE(Check Applicable Box):Residential El MunicipaUPublic 13Industrial 13 Agricultural❑
•.'
Monitoring❑ Recovery 0 Heat Pump Water Injection 0 Other 0 If Other,List Use :
2. WELL LOCATION: Topographic/Land setting - . i ,
Nearest Town: MURPHY CountyCHEROKEE
®Ridge ❑Slope ❑Valley ❑Flat,
ACROSS FROM HIAWASSEE DAM SCHOOL (check appropriate box) 1- ;..
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location
3506.482N/8413.063W
3. OWNER: WINDELL ANDERSON (demeeJ u minutes/semds) I i __
Address 1425 BURNT SCHOOL HOUSE ROAD Latitude/longitude souroe:KIGPSOTopogra is map i.___..
(Street or Route No.) (check box) ! t
HAYESVILLE, NC 28904 DEPTH DRILLING
City or Town State Zip Code From To Formation Description
( 828 )_ 389-8986 0'TO 20' BOULDERS&GRANITE
Area code-Phone number 20'TO 36' GRANITE
4. DATE DRILLED 04-06-2004
36'TO 245' GRANITE
5. TOTAL DEPTH: 245'
6. DOES WELL REPLACE EXISTING WELL? YES O NO
7. STATIC WATER LEVEL Below Top of Casing: 62 FT. O p
(Use"f"if Above Trip of Casing) .4 CI
8. TOP OF CASING IS 1 FT.Above Land Surface' TP
"Top of easing terminated aUor below land surface requires a a t'i
variance in accordance wIth ISA NCAC 2C.0118. _ -'
9. YIELD(gpm): 15 METHOD OF TEST AIR —
10.WATER ZONES(depth): 120' v `','
LOCATION SKETCH ":.-_
II. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at leastra �
road --
12. CASING: Wall Thickness two State Roads or County Roads.Include the ad —'
Depth Diameter or Weight/Ft. Material numbers and common road names. 6'
From 0 To 36 Ft. 6 1/8" SDR 21 PVC
From To Ft ___..----
From To Ft.
"
13. GROUT: Depth Material Method Ocf
From 0 To 20 Ft. CEMENT GRAVITY [!r
From To Ft. t
14. SCREEN: Depth Diameter Slot Size Material 1
From To Ft. in. in. 1V�h /y.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
Front To Ft. -
Front To Ft.
16. REMARKS:
I DO HEREBY CERTIFY BEAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE W ITII ISA NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A OPY OF THIS RECORD S BEEN PROVIDED TO TIIE WELL OWNER
1
SIGNAT EOF SON C. ST ING 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. G W-1 REV.07/2001

WELL CONSTRUCTION RECORD 2 9 4 4'i 9
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION N 3295
WELL CONTRACTOR CO.IPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE ,/ f 828) 837-8008
STATE WELL CONSTRUCTION PERMIT,/ _ASSOCIATED WQ PERMIT,/
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential Ea Municipal/Public ❑ Industrial O Agricultural O 1 jI
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other❑ I l Other,List Use > — -
lN.
2. WELL LOCATION: -fopographic/Land setting . C.
Nearest Town: MURPHY County CHEROKEE Midge ❑Slope ❑Valley OFlaf
RIVER HILL RD
(check appropriate box) - 11113i
(Street Name.Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location --.! _ o
3. OWNER: RICH LUCIBELLA (dcgreestminwes/seconds) .
Address 5 BEACHWAY N. Latitude/longitude source:0GPSOTopographic map .. I t
(Street or Route No.) (check box) 1
OCEAN RIDGE, FL 33435 DEPTH DRILLINGIL
City or Town State Zip Code From To Formation De riphon ,
( 561 )_ 733-9903 0'TO 20' RED CLAY ---
Area code-Phone number 20'TO 40' GRANITE BOULDERS
4. DATE DRILLED 04-08-2004 40'TO 80' RED CLAY
5. TOTAL DEPTH: 285' 80'TO 110' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO tia 110'TO 285' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 60 FT.
(Use"+^if Above Top of Casing)
8. TOP OF CASING IS 1 FT.Above Land Surface`
'Top of casing terminated aUor below land surface requires a - <
variance in accordance with 1SA NCAC 2C.0118.
9. YIELD(gpm): 30 METHOD OF TEST AIR
10.WATER ZONES(depth): 240' Y� „en
LOCATION SKETCH -='
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at least 9 Wit,
12. CASING: Wall Thickness two Slate Roads or County Roads. Include the 1'id ;'
Depth Diameter or Weight/Ft. Material numbers and common road names. -o m r_,
Front 0 To 110 Ft. 6 1/8" SDR 21 PVC a �,-
From To Ft. t'9 T
From To Ft. f.J1 r
G
13. GROUT. 2 °
Material Method cr‘ Y
From 0 To 20 Ft. CEMENT GRAVITY
From To Ft. 1 4
14. SCREEN: Depth Diameter Slot Size Material fV
From To Ft. in. in. 0From To Ft. in. in. (-f� rlttJ—
IS. SAND/GRAVEL PACK: ,\1) l l/
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
,I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITII 15A NCAC 2C,WELL
CONS!RUCTION STANDARDS,AND THAT A C PY OF TI115 REC )HAS BEEN PROVIDE!)TO TIIE WELL OWNER
IP: 'tD — —04
SIONAT E OF P , SON CON. CFING TI IF WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1616 51211 Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

294478
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality -Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION M 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PlIONE tr 1828) 837-8008
STATE WELL CONSTRUCTION PERMIT" ASSOCIATED WO PERMITS
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box): Residential ® Municipal/Public❑ Industrial [ Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection ❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: MURPHY County CHEROKEE [Ridge ®Slope ❑Valley ❑Flat
CANDY MTN RD
(check appropriate box)
(Street Name,Numbers,Community,Subdivision,LotNo.,Zip Code) Latitude/longitude of well location
3505.121N/8414.527W
3. OWNER: JODY DOCKERY
(dcpms/m i mdes/snaomds)
Address 2860 CANDY MTN RD Latitude/longitude source:KIGPSUTopogmphic map
(Street or Route No.) (check box)
MURPHY, NC 28906 PI,rTFI DRILLING LOG
City or Town State Tip Code From To Formation Description
( 828 )_ 494-4607 0'T0 30' SANDSTONE
Area code-Phone number 30'TO 45' GRANITE BOULDERS
4. DATE DRILLED 04-09-2004 45'TO 70' RED WATER/GRANITE
5. TOTAL DEPTH: 485' 70'TO 485' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO El GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 36 FT.
(Use"+"if Above Top of Casing)
S. TOP OF CASING IS 1 FT.Above Land Surface*
*Top of casing terminated at/or below land surface requires a
variance in acatrdance with ISA NCAC 2C.0118. O
9. YIELD(gpm): 11/2 METHOD OF TEST AIR at�
10.WATER ZONES(depth): C cn
:.,
LOCATION SKETCH ;�
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from attest ---
12. CASING: Wall ThicknessCounty s.4
two State Roads or Roads. Include tht-i�'iad
Depth Diameter or Weight/Et. Material numbers and common road names.;
From 0 To 70 Ft, 6 1/8" SDR 21 PVC S � 3
From To Ft. rN
From ToFt. !: ,413. GROUT: Depth Material Method C.13
From 0 To 20 FL CEMENT GRAVITY �-iPCgo
From To Ft. L' CAI_ Q
l
14. SCREEN: Depth Diameter Slot Size Material
From To FL in. in. �CH /rD I_ ___ 1
From To Ft. in. in. /v F ",—in..,`,1
15. SAND/GRAVEL PACK: !---
Depth Size Material c
From To Ft. - "9
From To FL -
16. REMARKS:_ _ .(I
N,
I DO IIERFBY CERTIFY'ITIAT TI IIS WELL WAS CONSTRUCTED IN ACCORDANCE N'ffll ISA NCAC 2C,WELL I C
CONSTRUCTION STANDARDS,AND TIIAT OPY OF TI ll. RECORD HAS BEEN PROVIDED'f0 TILE WELL OWNER
7 -
------------ cif
SIGNAL RE OF RSONCONST 1NGTUIE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV. 07/2001

477
WELL CONSTRUCTION RECORD 4
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES - CERTIFICATION#3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE # f 828) 837-8008
STATE WELL CONSTRUCTION PERMIT#_ ASSOCIATED WQ PEANUT/1
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box): Residential® Municipal/Public 0 industrial 0 Agricultural❑
Monitoring 0 Recovery 0 Heat Pump Water Injection❑ Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land selling
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope 13 Valley ❑Flat
BEAR PAW CHURCH ROAD (check appropriate box)
(Street Name,Numbers.Community,Subdivision,Lot Na.,Zip Code) Latitude/longitude of well location
3. OWNER: FRANK LEDFORD (degrecs/nrinutes/seconds)
Address 10154 HWY 294 Latitude/longitude source:OGPSOTopographic map
(Street or Route No.) (check box)
MURPHY, NC - 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Fonnation Description
( 828)- 494-3979 0'TO 50' RED CLAY
Area code-Phone number 50'TO 78' GRANITE
4. DATE DRILLED 04-13-2004 - 78'TO 165' GRANITE
5. TOTAL DEPTH:_185'
6. DOES WELL REPLACE EXISTING WELL? YES❑ NO
7. STATIC WATER LEVEL Below Top of Casing: 50' FT.
(Use"t"if Above Top of Casing)
8. TOP OF CASING IS I FT.Above Land Surface* o
'Top of casing terminated at/or below land surface requires a :::--
variance in aeeordance with I5A NCAC 2C.0118. 5
9. YIELD(gpm): 15 METHOD OF TEST AIR �;. ;
10.WATER ZONES(depth): 110' V.
cr,,
LOCATION SKETCH o-^
11. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at leas yro
12. CASING: Wall Thickness two State Roads or County Roads. Include the road o
Depth Diameter or Weight/Ft. Material numbers and common road names. 3 co
From 0 To 78 Ft. 6 1/8" SDR 21 PVC N c1.
o
From To Ft.
From To Ft. On 2
13. GROUT: Depth Material Method
From 0 To 20 Ft, CEMENT GRAVITY
From To R.
14. SCREEN: Depth Diameter Slot Size Material L\
From To Ft. in. in. ,A
From To Ft. in. in. Y C,
15. SAND/GRAVEL PACK:
Depth Size Material `J)
From To Pt. Yn L+PPE.R r �Aui
From To Ft. \ Y
16. REMARKS:
I DO HEREBY CERTIFY 11iAT TIIIS WELL WAS CONSTRUCTED IN ACCORDANCE Wffll 15A NCAC 2C,WELL n -� - .i
CONSTRUCTION STANDARDS,AND THA" .OPY OF THIS I .CORD IIAS BEEN PROVIDIiI) [0 THE WELL OWNER I 1 -
SIGNA REOF P . SON CONNU iG THE WELL UAT
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC, __
27699-t636 Phone No.[phone],within 300.days. GW-I REV.07/2(e} I �-i
I c,1 o

294283
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARR Y F.JONES CERTIFICATION N 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PRONE N (828) 837-008
STATF.WELL CONSTRUCTION PERMITN ASSOCIATED WI)PERMIT'S - �
(if applicable) (if applicable) - -
I. WELL USE(Check Applicable Box): Residential Ea Municipal/Public❑ Industrial ❑ Agricultural❑
Monitoring 0 Recovery 0 Heat Pwnp Water Injection❑ Other 0 If Other,List Use • • - - I
I
2. WELL LOCATION: Topographic/Land setting ,
Nearest Town: MURPHY County CHEROKEE ®Ridge OSlope ❑Valley ❑Flat I
SHADY GROVE RD (check appropriate box) j
(Street Name,Numbers.Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location -
•
3500.735N/8410.524W i
3. OWNER: JOHNNY SHIELDS (degrees/minutes/seconds) I -1______ - .
Address 115 DAIRY FARM RD' Latitude/longitude source:ElGPSOTopo phic map
(Street or Route (check box) -
No.) _.
MURPHY, - NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828). 644-9355 0'TO 15' BLACK DIRT
An code-Phone number 15'TO 25' _ QUARTZ
4. DATE DRILLED 04-16-2004 25'TO 50' RED CLAY
5. TOTAL DEPTH: 185' 5Q TO 70' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO El 70'TO 185' GRANITE
7. STATIC WATER LEVEL Below Top of Casing: 50 FT. o
--
(Use"+"if Above Top of Casing) r7 0
8. TOP OF CASING IS 1 Ff.Above Land Surface* -C. ci
*Top of rasing terminated at/or below land surface requires• 9 p n
variance in accordance with l5A NCAC 2C.01t8. —riG rn
9. YIELD(gpm): 8 METHOD OF TEST AIR
I O.WATER ZONES(depth): 5G
LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at leash n.'
12. CASING: Wall Thickness two State Roads or County Roads. Include the road 1--
Depth Diameter or Weight/Ft. Material numbers and common road names. N
Frotrl_0 To 70 Ft. 6 VTSDR 21 PVC s U
From To FL
From To Ft.
13. GROUT: Depth Material Method
From 0 To 20 Ft. CEMENT GRAVITY
From To Ft. 9.)
14. SCREEN: Depth Diameter Slot Size Material
From To Ft. in. in. Arti\
/
From To Ft. in. in.15. SAND/GRAVEL PACK:Depth Sire Material
From To Ft.
From To Ft. v
16. REMARKS:
[DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITII I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THA A COPY OJTIIIS R, ORD HAS BEEN PROVIDED TO TILE WELL OWNER
"./G oV
SIG AMR F PERSON 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-I REV.07/2001

•
WELL CONSTRUCTION RECORD 4. 9 4 2 8 2
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARR Y F.JONES CERTIFICATION 0 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. plIONE # [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WQ PF.RMITM(if applicable) (if applicable) I
I. WELL USE(Check Applicable Box):Residential E3 MunicipaVPublic 0 Industrial 0 Agricultural 0 ,, r- r
Monitoring❑ Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION: Topographic/Land setting -
Nearest Town: MURPHY County CHEROKEE ®Ridge ❑Slope OValley ❑Plat
MCCLURE RD-FORT BUTLER MTN.LOT 1 3 (check appropriate box) '
(Street Name,Numbers,Community,Subdivision,Lot No.,Zip Code) Latitude/longitude of well locatiap4 '
3. OWNER: ALAN KEITH (degrees/minutes/seconds) I
Address 1416 73RD CIRCLE NE Latitude/longitude source:OGPSOTopo ,aht me _-
(Street or Route No.) (check box) i t �+
ST.PETE FL 33702 DEPTH DRILLIN9 LOG '. _.
City or Town State Zip Code From To Formation Descnptson
( 727)_ 384-7937 0'TO 20' BROWN SLATE
Area code-Phone number 20'TO 40' BROWN SLATE/RED DIRT
4. DATE DRILLED 04-09-2004 40'TO 60' BROWN TAN SLATE
5. TOTAL DEPTH: 807' 60'TO 80 TAN BROWN SLATE
6. DOES WELL REPLACE EXISTING WELL? YES O NO EI 80'TO 100' TAN SLATE
7. STATIC WATER LEVEL Below Top of Casing: 137 FT. 100'TO 120' TAN GRAY SLATE C
(Use"+"if Above Top of Casing) 120'TO 807' SLATE 0 p
8. TOP OF CASING IS I la FT.Above Land Surface' t
'Tap of casing terminated al/or below land surface requires a yrs //3 n
variance in accordance with ISA NCAC 2C.0118- C rn
9. YIELD(gpm): 1 METHOD OF TEST AIR N
10.WATER ZONES(depth):
S a
LOCATION SKETCH
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at 14 rc
`r
12. CASING: Wall Thickness two State Roads or County Roads. Include the rl d crop
Depth Diameter or WcighU number )d common road n s.Ft. Material tV
From 0 To 130 FL 6 1/8' SDR 21 PVC 0 ON y
From To Ft. OL
From To Ft. ----- k ^ /`De
13. GROUT: Depth Material Method /// di
From 0 To 20 Ft. CEMENT GRAVITY tR
From To Ft. Up-�� r rJ -J
14. SCREEN: Depth Diameter Slot Size Material '' .6a\ -0
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK: .J
Depth Size Material
From To Ft.
From To Ft. —_._
16. REMARKS:
l DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITII I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT COPY OF T1IISRECORD IIAS BEEN PROVIDED TO TIIE WELL OWNER
SIGNA URE0 ERSON S" `fING'fIIE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

294281,
WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources- Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARR Y F.JONES CERTIFICATION N 3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE N 1828) 837-8008
STATE WELL CONSTRUCTION PERMITN ASSOCIATED WO PERMITN -----_
(if applicable) (if applicable)
_t
I. WELL USE(Check Applicable Box): Residential ® MunicipaVPublic❑ Industrial 0 Agricultural❑
Monitoring❑ Recovery 0 Heat Pump Water Injection El Other❑ If Other,List Use 1.
2. WELL LOCATION: Topographic/Land setting I -
Nearest Town: MURPHY County CHEROKEE ®Ridge OSlope ❑Valley OFlat _
MCCLURE RD-FORT BUTLER MTN.LOT 2/3 (check appropriate box)
(Street Name.Numbers,Community,Subdivision,tat No.,Zip Code) Latitude/longitude of well location '
3. OWNER: ALAN KEITH Idetuecs/minutes/seconds) 1 -- i
Address 1416 73RD CIRCLE NE Latitude/longitude sourcc:OGPSOTopo(r phic inapt rut--_---____. i
(Street or Route No.) (check box) 1 % 71
ST.PETE FL 33702 DEPTH DRILLINl 1 OC =_____. - .
City or Town State Zip Code From To Formation Description
( 727 )_ 384-7937 0'TO 20' GRAY BROWN SLATE
Area code-Phone number 20'TO 40' BROWN SLATE
4. DATE DRILLED 04-04-2004 40'TO 60' BROWN SLATE
5. TOTAL DEPTH: 807' 60'TO 80 TAN BROWN SLATE
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO ® 80'TO 100' TAN GRAY SLATE
7. STATIC WATER LEVEL Below Top of Casing: 126 FT. 100'TO 115' GRAY SLATE 9
(Use"t"if Above Top of Casing) 115'TO 807' SLATE - L
8. TOP OF CASING IS 1 1/2 IT.Above Land Surface' o t clr1
'Tap of easing terminated at/or below bad nrfaee requires a r m
variance In accordance with 15A NCAC 2C.011a. -r1 �n
9. YIELD(gam): 1 METHOD OF TEST AIR
10.WATER ZONES(depth): - _ - o
es
LOCATION SKETCH '"-
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at leas r ri
12. CASING: Wall Thickness two State Roads or County Roads.Include the road `inft-%
Depth Diameter or WeighUFt. Material numbers and common road names. i
From 0 To 115 Ft. 6 1/8" SDR 21 PVC Q o
From To Ft. k�^ )
From To Ft. (y, ! � `
13. GROUT: Depth Material Method l / pi
From 0 To 20 Ft. CEMENT GRAVITY cYh
From To_ Ft. / J
14. SCREEN: Depth Diameter Slot Size Material {Oc,t . .< 4 >�
From To Ft. in. in. f r (p
From To Ft. in. in. ``
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft. -
Front To Ft.
16. REMARKS:
I DO IIEREI3Y CERTIFY THAT TIIIS WELL WAS CONSTRUCTED IN ACCORDANCE writ' I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A C PY OF TI(IS RECORD IIAS BEEN PROVIDED TO TIIE WELL OWNER
-__—'-- -- - .. - ----- �LLY_U
SIGNATU 'OF RSON CONS'' CTING Ti IF WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

294280
WELL CONSTRUCTION RECORD
•
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print)LARR Y F.BONES CERTIFICATION#3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. P)IONE it 1828) 837-8008
STATE WELL CONSTRUCTION PERMIT/1 ASSOCIATED WQ PERMIT#
(if applicable) (if applicable) ,._7
I. WELL USE(Check Applicable Box):Residential 0 Municipal/Public 0 Industrial 0 Agricultural 0 i j
Monitoring 0 Recovery ❑ Heat Pump Water Injection 0 Other 0 If Other,List Use
2. WELL LOCATION:
Nearest Town: MURPHYTopographic/LandiS op setting
County CHEROKEE 9Ridge ❑Slope OValley ❑Flat =-I
MT.PLEASANT RD.-MADISON POND (check appropriate box) i
(Street Name.Numbers.Commwity,Subdivision,Lot No.,Zip Code) Latitude/longitude of well location i. -! L '
I - j
3. OWNER: ED MOORE (degrees'minutes/seconds) r., I _
Address 762 HWY 64 WEST Latitude/longitude source:OGPSOTopograp is map ft i
(Street or Route No.) (check box) \� �I
MURPHY, NC 28906 DEPTH DRILLING LOG
City or Town State Zip Code From To Formation Description
( 828 ). 361-2875 0'TO 20' SANDSTONE BROWN
Area code-Phone number 20'TO 40' SANDSTONE BROWN
4. DATE DRILLED 04-16-2004 40'TO 60' RED DIRT
5. TOTAL DEPTH: 427' 60'TO 80 BROWN DIRT/GRAVEL
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO ® 80'TO 100' GRAVEL
7. STATIC WATER LEVEL Below Top of Casing: 90 FT. 100'TO 125' BLUE GRANITE r—
(Use'4"if Above Top orCasing) 125'TO 427' GRANITE
8. TOP OF CASING IS 1 1/2 FT.Above Land Surface' C D
`Top of easing terminated at/or below land surface requires a F 0
variance in accordance with 1SA NCAC 2C.0118. p�=,
9. YIELD(gpm): 20 METHOD OF TEST AIR 73 c I
10.WATER ZONES(depth): _ tv e5 ft:.
LOCATION SKETCH cn ,----
II. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at lea r r',
12. CASING: Wall Thickness two State Roads or County Roads. Include the rott'd rn
Depth Diameter or Wcight/Ft. Material numbers and common road names. W CI;-r
From 0 To 125 Ft, 6 1!8' SDR 21 PVC �� P.-1
o
From _To Ft. �p
From To Ft. - co
13. GROUT: Depth Material Method -e ‘50
From 0 To 20 Ft. CEMENT GRAVITY 7'; j'Ar /I
From To Ft. { t,.
14. SCREEN: Depth Diameter Slot Size Material 1 y' `Q/
From To Ft. in. in. a
From_ To Ft. in. in. ice\
15. SAND/GRAVEL PACK: (D
Depth Size Material ��
From To Ft. `�
From To Ft.
'(-
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITI 115A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND TEAT ACO Y OF Tills RECORD HAS BEEN PROVIDED TO T IIE:WELL OWNER
SIGNATURE OF PE )N CO ST NG Till;WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall SenIce Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001

WELL CONSTRUCTION RECORD 294279
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WEIL CONTRACTOR(INDIVIDUAL)NAME (print)LARRY F.JONES CERTIFICATION#3295
WELL CONTRACTOR COMPANY NAME CHEROKEE WELL DRILLING AND PUMP COMPANY,INC. PHONE to [phone]
STATE WELL CONSTRUCTION PERMIT# ASSOCIATED WO PERMITS(
(if applicable) (if applicable) r
I. WELL USE(Check Applicable Box): Residential El MunicipaVPublic❑ Industrial 0 Agricultural❑
1
Monitoring 0 Recovery 0 Heat Pump Water Injection 0 Other❑ If Other,List Use l -
i
2. WELL LOCATION: Topographic/Land setting I I
Nearest Town: MURPHY County CHEROKEE ElRidge OSlope OValley DEW. .
HARTS WAY (check appropriate box)
(Street Name,Numbers.Community,Subdivision,lot No.,Zip Code) Latitude/longitude of well location 1
3501.371N/8415.898W 3. OWNER: MIKE SHETRAWSKI (degrees/minutes/seconds)
I Address 166 AMBER LANE Latitude/longitude source: lGPSUTopogrIØbIc map -, I
(Street or Route No.) (check box) L - i
MURPHY, NC 28906 DEPTH DRILLIN LOG
City or Town State Zip Code From To Formation _ _ __
( 828)- 494-3500 0'TO 20' BROWN SANDSTONE
Area code-Phone number 20'TO 40' SANDSTONE/GRAY SLAT!
4. DATE DRILLED 04-14-2004 40'T060' SANDSTONE/GRANITE
5. TOTAL DEPTH: 605' 60'TO 605' GRANITE
6. DOES WELL REPLACE EXISTING WELL? YES 0 NO rill
7. STATIC WATER LEVEL Below Top of Casing: 180 FT. tf
(Use"f«JAbove Top of Caging) O G
8. TOP OF CASING IS 1 FT.Above Land Surface* c"-
'Top of casing terminated attar below land surface requires a F' '—r'
variance hi accordance with 15A NCAC 2C All S. �C
9. YIELD(gpm): 1/2 METHOD OF TEST AIR _-) , l
10.WATER ZONES(depth):
LOCATION SKETCH -o rr+c.
I I. DISINFECTION:Type CHLORINE Amount 100 PPM Show direction and distance in miles from at lead y_
12. CASING: Wall Thickness two State Roads or County Roads. Include the roat l
Depth Diameter or Weight/Ft. Material numbers and common road names. r- ..-4
From 0 To CO Ft. 6 1/8" SDR 21 PVC CI
Front To Ft. •
Front To Ft. Pis x`7
13. GROUT: Depth Material Method vr I.
Front 0 To 20 Ft. CEMENT GRAVITY /y` `
From To Ft. tio ek
14. SCREEN: Depth Diameter Slot Size Material �`
From To Ft. in. in. .1 V�
From To Ft. in. in. `J' G r�
15. SAND/GRAVEL PACK: ,^ t,y-I'� )Ll.otted) Ri,
Depth Size Material
From To Ft. -
From To Ft.
16. REMARKS:
I DO IIF,REF3Y CERTIFY TIIATTIIIS WELL WAS CONSTRUCT El)IN ACCORDANCE WITH I5A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THATA OPYOF'FIRS ECO I hAS BEEN PROVIDEr)'10 THE WELL OWNER
- - -na V-- Se 0 4 N-Iy--OL{
SIGNATUi OF PF/.ON CONS'f;se TING TI IE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section, 1636 Mall Service Center-Raleigh,NC
27699-1636 Phone No.[phone],within 30 days. GW-I REV.07/2001