GW1-2023-00824_Well Construction - GW1_20230113

WELL CONSTRUCTION RECORD(GW-1) �or Internal Use 0111y
I.Well Contractor Information: )I
Kelly Grant 14.WAT•ER rA)NES
wall Conlncbr N1ac rmtw ro aRa(l1FIN)Y _
R A.
2730-A
R h.
N('W.dI C°en°tw Gm6r rnn Nun'1"r JAN IS.OUTER CASING(For mWd..W welly OR UNER f ►M
Cascade Drilling LP ^tom R To p nrAMerea l` nntRYEva MATERIAL
Carmgm NMrrc
Ie.INNER CASING OR MQ4C
2.Well CoartractioaPerota: PEREPAAPPROVAL n(0114 ro mAMatiell TmQx— I MATUML
r.,r oil AroMr x(l rw.oxrbn II. h. la.
^!'n ynwib A• CI(.(nv.a tiara Variance Mr.l
J.Well I'M/check well sett): It. n. Is.
Water Supply Nell: 17.SCREEN
no" ro mAMRTTnI sIOT Lea 1L tR7<IRa MATERIAL'lAgncuhunl ❑ lm Micipel/Puhlic /L ti ta.
'10cahermal(Homing/cooling Supply) ORmidtwtial Water Supply(sing(,) R. R. la
71nduMrul/Comtna,ul OResidenkal Waim Supply(shafd) Ill.GROUT
710I Abort Dwells, IINI oil upl) nom TO MAWMAL t EMFIA.(&341[`ar M[THM A AMOtM
Son-Water Supply Well: R. ti A r C TC
A M.annnn• Ultecovery R. IL
In ec on ell:
7A4ulfa Ruhargc OCmmdweter Remalialim R. R.
11
LIA4ulfer titona a and Recov If.OAND/GRAVEL PACK
F m OSalimry Battier FROM m MA AL wnwe EwaYT M[r1100
OA,uifer Tat OStannwale Dra
inage ainage R. R.
OPJtperimcnW Technology OSubsidenet Control R. r,
OCedhetmal(Closcd Loop) OTncer 2L.02111.1NG L40GIwamoto oddkiemg obt If samosM
OGeati.eenml(1-11cataliviCesslinill Remm) OOdner(ea lain under 021 Remarks) 11411004 To AL
sums mR'.Mo Ma.
ALfL C 4.Date Well(s)CARgsloted:7 well wit R• it `£
is.Well t acadon: R• (L
Fommr Battery Tech fL IL _ 7Z£yLRrt
F.da"OwnM Norm RclIAy IDo(ifappliuhle) fl. fl.
305 E US Highway 64.Lexington,NC R. h,
Fkr.ul Addrem Cny.hod rip 1L R
Davidson 21p.REMARKS
(o.ray I'vecl loom Jxarwn No.(FN) 1.] QQyi/rA
Sb.IAOrede and kingimde In degret✓m(nutes/secands or decimal degrees:
1!1 well IKIA oa WVkaR n avQoceM l IL CLedflestion:
7r� B( 7 161yf3a . 5-o W 7- (,
b.],(are)the well(%): Permanent or ®Temporary 9ignnurt of CAetiOed Wtll Conaacmr Dew
Ry Joining this/who,f AerrM rwrr!/J•too,tM wills)win Nei'), o i wd W ArraNmre owW
7. Is this a repair to an rxisting well: ❑Yn or f71qro I5ANC4CO2C.0/WwI5ANCACO2C.02WRau C.n,ms Somw as sad Awasy,v
r•r4,o u r rlwv.Ill'esd k.wo a xll onsuvAton lMwmatbn an/eapldn Me nature of the o1 Wu ren,rd hm been Pewded ro Wr xil on.sr.
rrr.c".rider o))mnwrk,..r,n —m.the hack n(this JnrM
23.Site diagram or additional well details:
X.For Ceoprobe/DYI or Closed-Loop Geothermal Wells having the tamp You may use the bock of this page to provide additional well comnsworn info
c.snvn.nun,Gaily I GW I it needed. Indncafe TO AL NUMBER of wells (MId'See Ovice in Rcmmrks(less).You,may also Mt:h adddouoal ram if mcesseeay.
dn11eJ _
Z•.NIIRMrITA61NRTRU(7i'IONS
I.TrMal W4111 daph faale ILR/wr/w: (.00 lit.) SRbmll this(;W-1 within 30 doya or well completion per the(allowing:iw malltpk xlh IW di depilu(/d�rreM b.uwplr iGy100'avf 74y IOIY) etc
IO.Metk-alter level below mp ofudng: 'J 7• 6 O (ft.) 24a. For All W'elh: (trlgtnal touno to Dlswun of Wnier Resourcm (DWR1,
U w.w lne/a ulw,.r.mne.aer h11tRl11tll1w11 PrIKC%a111g Iltlit, 1617%ISC,Raleigh,NL ].(, 11617
II.Rerrbult Alonwter: �/ (le,) 24h. tar Iniectlon WaUc Copy to DWR, UndsTgnxtnJ InImston Control(IUC)
Violinists. 1636 MSC,Raleigh,NI'276" 1616
12.Wall ronMrurtion method: Sordt
i!A saacr.uAary,Wk,dou� mh.no I 24e.Fur W'oler Nnlpply and I7 wo•i iw t CwlhtrrwaI Return Wells:Ropy to 16c
rvourny C11v i rVllmerna I t7mn -11 o I e,xmty w hcre Initial
P'OR WATLK SU/PLY WLLLA(NH.Y: 244 for Wei"Walla producing user Igo 000 CPD: Copy to DWR,CCPCUA
13s.Yield(lipm) hltthod of test. Perrin( .!l girw 1. 1611 WSW,1 N e!g 1,Ne- M1 - hI
I3b.Uisinfecbna t)pe:_____ Amount;
Forest(,'A-I h��nh('u•dw•IkW n.rni ul Pni"IUNma0"INy•Division of Wales 8 n.neco Revised(. 70Ii

. I
20.DRILLING LOG(attach additional xh.ts if necessary)
RR001 TO DESCRIPTION(color,hardness,soil/rock type,grain size,etc.)
0.0 ft. 6.5 ft. Dark reddish brown silt,trace very fine sand,moist
6.5 ft. 25.5 ft. Light reddish brown silt,little very fine sand,moist
25.5 ft. 29.0 ft. Dark red fine silty sand,medium dense,moist
29.0 ft. 49.0 ft. Light brown very fine to medium sand,little silt,moist to wet
49.0 rt. 55.0 ft. Dark gray fine to coarse sand,trace gmvel
55.0 ft. 60.0 f[. Black and white Granitic Gneiss
ft. ft.
It. rt.
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