WS0400422_Water Supply Well Permit Application_20220412

CONSULTANTS vuc
-4111(*
405 South Sterling Street, Morganton, NC 28655
WEST
April 7, 2022
828 433 5661 / fax [phone] / info@west-consuitan tsN l'tmnvlronmenDepatal Qentualofity
Received
APR 1 1 2022
Winston-Salem
R-2 gional Office
Mr. Eric Hudson, PE
Regional Engineer
Winston-Salem Regional Office
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
RE: Town of Beech Mountain
Pinnacle Ridge New Well Development
SN 22-00123
Mr. Hudson,
I hope you are well today. This package is being sent to you at the direction of Amanda Spencer,
PWSS, Raleigh. Our office has submitted a new well project for the Town of Beech Mountain
for review. The new well has a 24-hour drawdown test of 150 GPM. Since the well yield is over
100,000 GPD, this well will be considered a large capacity water supply well. Attached is a
permit application for a large capacity well. There are no existing wells within 500 feet of this
well. There are no know sources of groundwater contamination within 500 feet of this well.
Please review this and let me know if you need additional information.
Thank you,
WEST CONSULTANTS, PLLC
David W. Poore, PE, CPESC

NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY - DIVISION OF WATER RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT A WATER SUPPLY WELL OR WELL SYSTEM ecelvec(Wells or Well Systems with a Design Capacity of 100,000 Gallons Per DaygOgpi tment 1f
PLEASE TYPE OR PRINT CLEARLY
APR 1 1 2022
In accordance with the provisions of Article 7, Chapter 87, General Statutes of North Carolina and regulationspursuant thereto,
application is hereby made for a permit to construct water supply wells. Winsto
1. Date:
2. County: ii/, 27. ///k./
3. Applicant 72.v.N neei1-T4=-/,v
Applicant's Mailing Address:
_gtui ldl Office
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE:
Telephone: 928-387-,2 z -
Applicant's Email Address (if available):
�vny�rrt? fd'wncrhote-Ahiviht62jp,Gom
4. Contact Person (if different than Applicant): RO,7zr Peoly Taw,v jylq. 4t Telephone: [phone]
Contact Person's Mailing Address: 4,3 136o// ` t//•/7iyr.v �? a ti � u1 /)h'/ T,#, A/L'- Z86o4
Contac Person's Email Address (if available): /lt:fnurre fawn of beec,1-, illetinectiii,Gorv,
5. Property Owner (if different than Applicant): r14/,4./ op Be zi-, ///c-u,y-r4,,,e., Telephone:
Owner's Mailing Address:
Owner's Email Address (if available):
6. Property Physical Address (including PIN Number): /G'foI P/,N, e-,8/1hW 7Z'I-9/ tpg�Wiv?,v, A
City: i'Alas/pip/ //t/G County:/ -w6,41. Zip Code:.2.96v.14-
7. Intended use of Well or Well System: p4Que.
(examples: irrigation, consumption, etc.)
8. Will the proposed water supply well or well system replace or be added to an existing well or well system? denim To Pio6 5Y51gyt
(If yes, complete questions 7 and 8) (If no, complete question 7 and then skip to question 9)
9. Total design capacity of proposed well or well system in gallons per day (gpd): 108) oa0 G-j'v
10. If adding a well to an existing system, list the existing water supply wells in the existing system and their respective yields:
,4k' /141/. , I ,i�l6,
11.
12.
Is this a public well or well system? W
If yes, give Project Engineer and contact information:
Well Contractor: 4 6i'-sL f��a7i7 s/`Nc.
Well Contractor Address: 1P61,& ! Gr,,t1 1
If yes, give Public Water ID Number: //C O1l57c 4
Dgv, p Id, Port', Pb CP/ / 821 4723
Well Contractor Certification No.: 35 9- 41
0/1- o77f>") NC -
PROPOSED WELL
CONSTRUCTION INFORMATION
1. As required by 15A NCAC 02C .0105(f)(7), attach a well
construction diagram of each well showing the following:
a. Borehole and well diameter
b. Estimated well depth
c. Screen intervals
d. Sand/gravel pack intervals
e. Type of casing material and thickness
f. Grout horizons
g. Well Head completion details
2. No. of wells to be constructed in unconsolidated
material:
3. No. of wells to be constructed in bedrock:
4. Total No. of wells to be constructed:
(add answers from 2 and 3)
5. Estimated beginning construction date:
6. Estimated construction completion date: /O Zg-'00
Continued on Reverse

ADDITIONAL INFORMATION
1. As required by 15A NCAC 02C .0105(f)(5), attach a scaled map of the site showing the locations of the following:
a. All property boundaries, at least one of which is referenced to a minimum of two landmarks such as identified roads,
intersections, streams, or lakes within 500 feet of the proposed well or well system.
b. All existing wells, identified by type of use, within 500 feet of the proposed well or well system.
c. The proposed well or well system.
d. Any test borings within 500 feet of proposed well or well system.
e. All sources of known or potential groundwater contamination (such as septic tank systems, pesticide, chemical or fuel
storage areas, animal feedlots as defined in G.S. 143-215.10B(5), landfills, or other waste disposal areas) within 500 feet
of the proposed well or well system.
2. As required by 15A NCAC 02C .0105(g)(3), for wells screened in multiple zones or aquifers, provide representative data on the
static water level, pH, specific conductance, and concentrations of sodium, potassium, calcium, magnesium, sulfate, chloride,
and carbonates from each aquifer or zone from which water is proposed to be withdrawn.
3. Attach any water use permits (if required). [e.g. Central Coastal Plain Capacity Use Area Permit is required in 15 eastern NC
counties by NC Division of Water Resources, visit: http://www.ncwater.org]
SIGNATURES
The Applicant hereby agrees that the proposed well(s) will be constructed in accordance with approved specifications and conditions of
the Water Supply Well Construction Permit as regulated under the Well Construction Standards (Title 15A of the North Carolina
Administrative Code, Subchapter 2C) and accepts full responsibility for compliance with these rules
Signature of Applican or *Agent
6-9is=T-
Printed name of Applicant of *Agent
Title of Applicant or *Agent
* If signing as Agent, attach authorization agreement stating
that you have the authority to act as the Agent.
If the property is owned by someone other than the applicant, the property owner hereby consents to allow the applicant to construct
water supply wells as outlined in this Water Supply Well Construction Permit application and that it shall be the responsibility of the
applicant to ensure that the water supply well(s) conform to the Well Construction Standards (Title 15A of the North Carolina
Administrative Code, Subchapter 2C).
Signature of Property Owner (if different than Applicant) Printed name of Property Owner (if different than Applicant)
DIRECTIONS
Please send the completed application to the appropriate Division of Water Resources' Regional Office:
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301-5094
Phone: [phone]
Fax: [phone]
Mooresville Regional Office
610 East Center Avenue
Mooresville, NC 28115
Phone: [phone]
Fax: [phone]
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
Phone: [phone]
Fax: [phone]
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, NC 27105
Phone: [phone]
Fax: [phone]
111
111111
GW-22W Rev. 3-1-2016

mcgill
Shaping Communities Together
March 14, 2022
Amanda Spencer —Plan Review Engineer
North Carolina Department of Water Quality
Division of Water Resources
Public Water Supply Section
1634 Mail Service Center
Raleigh, North Carolina 27699-1634
RE: Pinnacle Ridge Well
Town of Beech Mountain
PWSID # 01-95-104
Dear Ms. Spencer:
This letter is to certify construction of the water supply well for the Town of Beech Mountain
located on Pinnacle Ridge Road. The following information is provided for the well construction.
• 8"- inch diameter well
• Total well depth 740- feet
• 61-feet of 8-inch galvanized steel encasement installed. Encasement 0.24-inch
thickness.
• Encasement pipe grouted with neat concrete to a depth of 61-feet
1, Melvin Keith Webb, PE certify that the above information is correct based upon field observation
and reports provided by the well construction contractor for the Pinnacle Ridge well.
Sincerely,
McGILL ASSOCIATES, P.A.
KEITH WEBB, PE
Principal, Vice President
cc: Daniel Davis - Town of Beech Mountain (via email)
t 2 z
L:1Broadstreet1Projects12018120.00324Construction\Pinnacle RidgelAR 14march22 Pinnacle Ridge well
MCGILL ASSOCIATES 55 BROAD STREET, ASHFVILLE, NC 28801 7 828.252.057S MCGII LASSOCIA(ES.COM

WELL CONSTRUCTION RECORD
This form can be used for single or multiple melts
1. Well Contractor Information:
Shane Gossett
Well Contractor Name
3528-A
NC Well Contractor Certification Number
McCall Brothers, Inc.
Connpany Nanrc
2. Well Construction Permit if: na
Liu all applicable well construction permriu (i e. County, Suite, Variance. etc.)
3. Well Use (check well use):
Water Supply Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
° Industrial/Commercial
❑ Irrigation
•InnicipaVPublic
OResidential Water Supply (single)
°Residential Water Supply (shared)
Non -Water Supply Well:
C7Monitoring
ORecormy
Injection Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Esperinnental Technology
OGcothennal(Closed Loop)
❑Geolhcmud (Heating/Cooling Return)
❑Groundl%alcr Rcntcdiation
❑Salinity Barrier
OStonmsaler Drainage
❑Subsidence Control
°Tracer
OOther (explain under 112] Remaiks)
4. Date Well(s) Completed: 10/28/2020
S. Well Location:
Town of Beech mtn.
FatililylOn net Name
Facility ED,9 (if applicable)
16901 pinnacle ridge, Gum tree rd, Beech Mtn.nc
F Insicat Address. City. and Zip
watauga, avery
County Parcel Identification No (PIN)
Sh. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if %yell field, one hit/tong is sufficient)
36012'39.4704" 81°53'52.1088" W
6. is (are) the wcI rmancnt or ❑Temporary
7. Is this a repair to an existiIlg welt: OYcs No
If this is a rrpoir..filf our Anonn well construction a:km information and explain the nature of the
repair tender N 21 re1mvA.r urednn or on die bock of:Wilmot.
8. Number of wells constructed:
For multiple infection or non-umrer supply welts ONLY with the same construction. y0111.111(
subunit ,ate form.
1
9. Total well depth below land surface: 740 (ft.)
Far multiple welly list off depths if diijcrent (example-.rrir200- and 2(11100)
10. Static water level below top of casing: 65 (n.)
If rater lend h nbare casing. tts,• " r "
11. Borehole diameter:8
12.1Vell construction method: air rotary
(i.e. auger, romp, cable. direct push. etc.)
For Internal Use ONLY:
14. WATER ZONES. .
FROM
TO
DESCRIPTION
230 n.
231 tt,
40gpm
455 ft.
456 ft•
35gpm
15. OUTER CASING (for mask:wed welts), OR LINER (if app lean)
FROM
TO
DIAMETER
THICKNESS
MATERIAL
1 ft•
61 ft.
8 in.
0.25
galvanized steel
16. INNER CAS-1NC OR TUBING (iteotberival closed -loon)
FROM
TO
DIAMETER
THICKNESS MATERIAL
0
ft.
ft,
in.
ft.
17. SCR11 FN
ft.
In.
FROM
TO
DIAMETER
SL!] f SIZE
THICKNESS
MATERIAI.
0 n.
n.
in,
rut.
ft.
in,
• 18.'GROUT
FROM
TO
MATERIAL
0 n'
ft.
61 rt.
ft.
neat cement
EMPLACEMENT METHOD & AMOUNT
trimmer grout from bottom to
tQp full length
ft.
rt.
19. SAN DiGR1WF.L PACK Of applk`abllc)
FROM
TO
MATERIAI.
El1Pl.ACEM ENT METHOD
0 R,
n.
ft.
ft.
lit:DRILLING. LOG. (attach additional sheds if necessary) .
FROM
0 n.
39 ft.
TO
38 ft.
50 n,
DESCRIPTION (coke, hardnew, eon/reek type. Is -.in size, ere.)
soft sandy clay
Rocky clay
51 rut.
100 ft•
101 rt.
400 rt.
401 n' 550 rt•
550 R.
740 ft•
ft.
21, REMARKS
ft.
granite with pink quartz stringers
granite
granite
granite with quartz stringers
550' 25gpm 640' 10gpm, 720' 20gpm .. well opened to 8" to 680' then from 680'
to 740' Is 6.5"
13. FOR WATER SUPPLY WELLS ONLY:
133. Yield (gpin) 200_ Nlelhod of test:
13b. Disinfection type: huh Amount: 20 ounces
air lift
Form OW -I
22. Certification:
11/12/2020
Signntmre of Certified Well Contractor Date
Hs .signing this,frortr, 1 hereby cenifs Thor rhr nr11f a arts t mint constructed in atrotdanrr
with 15.4 :NCiC. 02C .0100 or 15A PICA(' 02(' .0200 Well Ormolu:0 nr Standard, ntuf that it
coin- of this 'mor d hire here pnrridrd In the trill onoon
23. Site diagram or additional well details:
You may use Ilte back of this page to provide additional well site details or well
conslmclion details. You may also attach additional pages if necessary.
24. Submittal instructions:
24a. For All Wells: Submit this form within 30 days of completion of 'twit
construction to the following:
Division of Water Quality, information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For injection Wells: In addition. to sending the form to the address in 24a
above, also submit a copy of this form within 30 days or completion of well
construction to the following:
Division of Water Quality, Un(lcrgmund Injection Conlin! Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24e. For Water Simply & Geothermal Wells: hi addition l0 sending the forth to
lire address(es) above, also submit one copy of this fort within 30 days of
completion of wr]J construction to the county health department of the county
where cousircled.
Noah Carolina Department of Environment and Natural Resources - Division of wale, QDahty ReyiSed Jan. 2013

PUMPING TEST RECORD PAGE #1
CONDUCTED BY: McCaII Brothers, Inc. WELL CONSTRUCTION PERMIT NO.
Latitude: Longitude
WELL LOCATION: 16901 Pinnacle Ridge Road COUNTY: Watauga
CLIENT: Town of Beech Mountain WELL # 1 USE OF WELL: DOMESTIC ( )
OWNER CONTAC McGill Associates PUBLIC ( X )
INDUSTRIAL ( )
IRRIGATION ( )
DRILLING CONTRACTOR: McCall Brothers, Inc OTHER ( )
WELL DEPTH: 740 FT CASING DEPTH: 62 CASING DIA.: 8 CASING TYPE: Galvanized
STATIC LEVEL: 97.3 FT ( ) ABOVE ( X )BELOW TOP OF CASING DATE MEASURED: 4/07/21
CASING IS 1.5 FEET ABOVE LAND SURFACE WAS CASING GROUTED?: YES
TEST PUMP: TYPE SUBMERSIBLE MAKE- Goulds 160L40 HORSEPOWER 40.0
CAPACITY OF PUMP - 250 GPM @ 550 ' TDH INTAKE DEPTH 570 FEET
FLOW MEASURE DEVICE: 3" Water Meter WATER LEVEL MEASURE DEVICE: Tape
CHLORINATION: TYPE - Dry chlorine AMOUNT 48 oz
PUMP STARTED: DATE - 4/7/21 TIME - 12:20 PM
PUMP STOPPED: DATE - 4/8/21 TIME - 12:20 PM
PUMPING WATER LEVEL: 522.6 FEET AFTER 24 HOURS © 150.0 GPM WELL YIELD: 150 GPM
TIME
WATER LEVEL
PUMPING RATE
COMMENTS
12:20
97.3 FEET
0.0 GPM
12:21
134.7
235.0
12:22
146.7
12:23
154.8
12:24
158.7
12:25
164.8
12:26
169.0
12:27
172.6
12:28
175.4
12:29
178.0
12:30
180.2
12:32
184.1
210.0
12:34
187.4
12:36
190.5
210.0
12:38
192.7
12:40
195.0
12:45
199.8
12:50
203.8
210.0

PUMPING TEST RECORD PAGE #2
CONDUCTED BY: McCaII Brothers, Inc. SUBDIVISION Town of Beech Mountain WELL NO: 1
TIME
WATER LEVEL
PUMPING RATE
COMMENTS
12:55
207.3 FEET
210.0 GPM
13:00
210.3
13:05
213.2
13:10
215.9
13:15
218.3
13:20
220.5
210.0
13:30
224.7
13:40
227.0
13:50
230.7
14:00
234.2
14:10
239.6
14:20
245.2
205.0
14:35
259.4
14:50
269.2
203.0
15:05
282.8
200.0
15:20
294.8
15:35
307.4
15:50
320.3
16:05
333.3
200.0
16:20
349.7
16:50
376.9
195.0
17:20
400.7
17:50
419.6
190.0
18:20
435.9
18:50
456.6
185.0
19:20
482.0
180.0
20:20
518.0
170.0
21:20
521.5
170.0
22:20
523.2
160.0
23:20
522.9
160.0
0:20
522.6
155.0

PUMPING TEST RECORD PAGE #3
CONDUCTED BY: McCaII Brothers, Inc. SUBDIVISION Town of Beech Mountain WELL NO: 1
TIME
WATER LEVEL
PUMPING RATE
COMMENTS
1:20
522.5
155.0
2:20
522.9
150.0
3:20
522.8
4:20
522.8
150.0
5:20
522.7
6:20
522.7
150.0
7:20
522.7
8:20
522.6
150.0
9:20
522.6
10:20
522.6
150.0
11:20
522.6
12:20
522.6
150.0
FINAL DRAWDOWN READING AT 24 HOURS

CONDUCTED BY:
PUMPING TEST RECORD PAGE #4
McCaII Brothers, Inc. SUBDIVISION Town of Beech Mountain WELL NO: 1
12:21
424.0 FEET
N/A GPM
************************RECOVERY'"`*****************
12:22
379.0
12:23
322.6
12:24
273.4
12:25
247.8
12:26
237.4
12:27
230.7
12:28
225.0
12:29
222.2
12:30
220.1
12:32
216.7
12:34
213.4
12:36
210.5
12:38
207.9
12:40
206.1
12:45
202.0
12:50
198.1
12:55
195.3
13:00
192.5
13:05
190.0
13:10
187.8
13:15
185.8
13:20
184.0
13:30
180.4
13:40
178.0
13:50
175.3
14:00
173.4
14:10
171.0
14:20
169.5
14:35
167.4
14:50
165.4
15:05
163.6
15:20
162.5
END RECOVERY DATA

Topo North AmericaTM 9
•
PINNACLE RII)OE 1VEI.I. SI 11-
,
rN-36*12 6578'. 1V-81*-53.86551
.'/31' S2
CRUCIS
Beech Mountain
ech Mowttam
Data use subject to license.
® DeLorme. Topo North America"' 9.
www.delorme.com
MN (7.6' W)
ft
0 600 1200 1800 2400 3000 3600
Data Zoom 13-1