GW1-2023-00350_Well Construction - GW1_20230120

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NORTH CAROLINA
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WELL CONSTRUCTION RECORD (GW-1 )
EnvfronmertmfQua(Iry
Form GW-1 Well Construction Electronic Form
North Carolina Department of Environmental Quality
Division of Water Resources
November1
Submission ID#
G W 1-2023-00350
Are you submitting a scanned form?* Yes
No
CONTACT INFORMATION
.......................................................................................................................
Email Address*
Contact Name* [e-mail]
Will Keyes m
Is this a revision to the form you have previously submitted?*
Yes No
WELL CONSTRUCTION INFORMATION
.................... ................... ................... ................... ............... ....................................................
1.Who is installing these wells?*
Owner Well Contractor
1.Well Contractor Information:
........ ......... ..... ......... ......... ......... ......... ..... .........
Certiticate# Cert Level First Name Last Name Company Name
4220 A WILLIAM KEYES Griffin Dewatering
2.Well Construction Permit#:
.......................................... ...................................
NA/Private
List all applicable well construction permits(i.e.Monitoring Wells,UIC-Underground Injection Control,CCPCUA-Central Coastal Plain Capacity Use Area,County,
etc.)
What type of well is this?* Injection Well Non-Water Supply Well
Water Supply Well(includes irrigation wells)
3.Non-Water Supply Well* Monitoring
Recovery
4.Date well was completed and ID#
......... ......... ......... ......... ..... .........
Date Well Completed* Well ID# Well Yield
12/22/2022 EW-1 3
(gallons per minute)"

12/22/2022 EW-2 3
(gallons per minute)"
12/22/2022 EW-3 3
(gallons per minute)"
12/22/2022 EW-4 3
(gallons per minute)"
12/22/2022 EW-5 3
(gallons per minute)"
12/22/2022 EW-6 3
(gallons per minute)"
12/22/2022 EW-7 3
(gallons per minute)"
12/22/2022 EW-8 3
(gallons per minute)"
12/22/2022 EW-9 3
(gallons per minute)"
12/22/2022 EW-10 3
(gallons per minute)"
12/22/2022 EW-11 3
(gallons per minute)"
5.Well Location
Facility/Owner Name*
Duke Energy Facility ID#
(Required) (If applicable)
County* Parcel Identification No.(PIN)
Gaston
Physical Address* Street Address
Plant Allen Road
Address Line 2
City State/Province/Region
Belmont NC
Postal/Zip Code Country
28012 us
Latitude* 35.1870732000 Longitude*81.0153993000
Decimal degrees Decimal degrees
6.Is(are)the well(s):* Permanent Temporary
7.Is this a repair to an existing well:* Yes No
If this is a repair,fill out known well construction information and explain the nature of the
repair under#21 remarks section or on the back of this form.
For multiple Geoprobe/DPT or Closed-Loop Geothermal Wells having the same construction,only 1 GW-1 is needed.
8a. Indicate TOTAL NUMBER of wells drilled: 11

9.Total well depth below land surface: (ft.) 9a.What is the depth of the casing from ground
70 surface?
For multiple wells list all depths if different 30
(example-3@200'and 2@100') in feet
10.Static water level below top of casing: (ft.) 11.Borehole diameter:
23 6
If water level is above casing,use"+" in inches
12.Well construction method:
Auger Air Rotary Cable Tool
Direct Push Mud Rotary Rotosonic
Other
14.WATER BEARING/FRACTURE ZONES
From To Description
23 70 fine grained silts/weathered structuring/Clay
in feet in feet
15.OUTER CASING(for multi-cased wells)OR LINER(if applicable)
From To Diameter Thickness Material
in feet in feet in inches
17.SCREEN
From To Diameter Thickness Material
30.00 70.00 4.00 Schd 40 PVC
in feet in feet in inches
18.GROUT
............................................
From To Material Emplacment Method&Amount
in feet in feet
19. SAND/GRAVEL PACK(if applicable)
From To Material Emplacment Method
0.00 70.00 #1a sand poured from surface
in feet in feet
20. DRILLING LOG
From To Description(color, hardness,soil/rock type,grain size,etc.)
0.00 20.00 orange clay/silts
in feet in feet
20.00 50.00 tan/gray silts
in feet in feet
50.00 70.00 partially weather rock
in feet in feet
21. Remarks

Twin pipe eductor wells inside 4"wells
Dewatering system pilot test
22.Site diagram or additional well details:
You may upload additional well construction information here.
121222-SSLF Pilot Test-Layout.pdf 152.6KB
pdf only
CERTIFICATION INFORMATION
...............................................................................................................................................
* By signing this form, I hereby certify that the well(s)was(were)constructed in accordance with 15A NCAC 02C.0100 or
15A NCAC 02C.0200 Well Construction Standards and that a copy of this record has been provided to the well owner.
23.Certification
Kff Ala
Signature of Certified Well Contractor

GRIFFIN
4" presure and 6"
return HDPE
Twin Pipe
Eductors at
+/-30ft OC
0
O
Eductor Pump Station
with 60HP electric jet
pump and Diesel Standby
2" Piezometers at 10ft,
20ft, 50ft, 100ft, and
200ft from pilot test
- 50ft deep
- 6" to 8"diameter
borehole
- Installed on side of
test closest to SSLF
excavation
Each Eductor will be:
- 70ft deep
- 8" diameter borehole
- 4" PVC Screen and
Casing with 40ft of 20
slot screen
4" HDPE to
discharge
location
GRIFFIN DEWATERING L.L.C.
5306 CLINTON DRIVE
HOUSTON, TX 77020
TEL: [phone]
FAX: [phone]
E MAIL: [e-mail]
WEBSITE: www.griffindewatering.com
REV.
DESCRIPTION
DATE
BY
APPVD.
Duke Energy
Allen Closure
DRAWN: ML
SCALE: NTS
This drawing is the property of Griffin Dewatering Corporation and its associated companies and is intended only for 'ts sole or authorized use. It may
contain proprietary, public or authorized third party information. Any alteration of this drawing is prohibited, without the express, written consent of an
authorized representative of Griffin Dewatering Corporation
Gaston County, GA
DATE: 12/12/22
SSLF - Pilot Test Layout
DWG: 1