GW1-2023-00831_Well Construction - GW1_20230113

WELL CONSTRUCTION RECORD(GNV-1) For Internal Use Only:
I.Well Contractor Infermelinn:
Kelly Grant U WATFA EONRB
W[IJ Connatlor Nuns andM TO Rr(CIItRIrIN
2730-A `-_ OL n.
Nt Wcll Cnlltr.clw Cmdwwn Numly �. IS OUTER CASNG fw m N osaw lraRs OR LINf.R s aW
Cascade Drillin LP lAN 1 2023 RR m mAWrTER mrRnry9 atATettuL
9 n. P. a
Cmlpmy Nnrw , j (%f'^ IL INM CASING OR INC.TUR
I.Well 0nistructioo Permit R: PER EPA APPROVAL IRmnt mAyl[TRI1 n NnA MAYESWI. -
l.rr ull opylu eAe na1 conrlrernon yrn.m Ae.VIC.C'oner, .tine, Panwn weal
7.WNI CM(check wall aw)' R. A. In.
W star supply Weil: 17.SCREEN
,ROM TO mANRTT.R RtATtla TIOI.IZI.Ba wAT01AL
'lAgnwlnnal ❑Muniuipal/Publlc R R, h.
I(imlhermal(Heaong/(looling Supply) ❑Rlxidrntial Won Supply(single) h. n. as.
❑Industrul/Comnx•Acial 011lnldeekal Waou Supply(shamd)
71m sum IL GROUT
owelx>lix)000 CPU iROM TO A�ER1AL RAmAriYI9.0 UtTE bA Ay1nO`rT
.Von-Woke,Fupply Well: ft. 70 n• Ncnr L >•'C
ICMmnnr'n ❑Rernvay FLD.
❑lerdon Nell:
DAyulfcr R n. A.19.
crhMgc OCnoutdwaler Remcdielim
OAquller Swrage and Roc,,,x DSalmety BmTin mom BANDI 1 T V&L TACK f a ale
/II0 AUTWAI. aMtTMal1RTT METIIOp
QAqutfc Trn JStarmwaler Drainage
OCiperlmenlal Technology DSubsiderre Conllnl R n.
❑Cxalhermal(Closed Loop) OTranr K DRILUNG LOG hough n""W sheen If
r)r,uMin+mal(Hokin oolm Return) ❑Otlar tail u,du 021 It n rks) roll IIRACLtItNIN eNr a aY..rt ar.
^ a n.
I.Date Wallis)Complated: -a�'�y WeULDa Se9 R n.
SA.Well Locadov: A. rk
rormor Batten Tech R R
r.,aoyrt>w„w Nam. r. ,bn ma In.prlirahl.l is. IL f 1iCRf
305 C US Highway 174,Lexington,NC M1 R
1•al.ral Akinas(III,and Zr n. R
Devldaon 31nnREMARIIE
Noire ldcnifryron N..(PIN) I, ORSNL
51).Latitude and langloode In degrees/minuret4emods or decimal degrees:
Of wrll fecl4gme la✓Ima a sueicenl L, 22.CertlReaDea:
->rgffb.99 I( /(.a Yy G0 •1 lD w - L
L 192")the wall(s): ❑rersmaem or ®Temporary gIM'art nfCulifled Well Contr.cln tye
��KO� Ay,spline,IO2C 01.1 A 115 runs/,eAar rA,+rf(b)..m ryml r++atlrwM m a.-aLn.e wane
7.If Ih11•repair to al tisanes(hell: ❑Yea or Coo IJA NCAC OlC OIW or/SA NC'A(.'U:C U:W M'Nf Counwa.r SAw.Iw.N rr.d 11..r a.ipv
/I r4.u a rrpar,till oW Munn n<Il cwrovnlon m/o.monon end rrylam IAe seiner,nl Ihr q,Mil rtco.d Am Bern hw.lyd n,tA,.11 o.wr,
.rn,r under W21 mn.rb,wru.r.v MIA,A.r1 yMi./..r.
23.Site diagram or additional wail detnW:
A.hor GesprobHDrr or Closed-Loop Geothermal Wells haven&Jo,sarno You may use the back of this pago to provldr a wilwrrlol well�mMcwTxm keno
...nstrunion•only I GW-I is needed. ladtale TOTAI.NUMBEK of Wells (ackl Over'in Remarks Iku).Vou my also ame.h akhtw.mal pager If urs'e.0
Jnlial _
--- 24.NIIBMI'1'fAI.I'.9STRVC'f3lINS
9.Total wan dplb htlow land narrates: 70
r....dnPle wale lul.li drprh.i/bge.rn/rumps,)W200 m.i 2itilGU1 (K) habmlt this G W-1 within 3e days of wall woripledun per tba folk.wing:
in,Settle wet"level Mbar top of cuing: ? 0• 30 24s. For All Welht ()CtgtMi kmn to 0+1+aw41 of W31cr Rc-000, a (I1W'RI,
11..vr tr.rl n nb,w rum, ar, Inhnnullm I'nlceuing linik IAI7 MSC,Halmgh.NC]7nvv.loll
11.Borehole dl.mrter; (40' (In.l 14b.for lodwileR Well :Cary w DWR, UnA►Timmad liumtom Clmmd(IU( I
Program,Ie36 MSC,Raleigh,NC 276W-InM
12.Wall ronsintnlon mtlbod: Some:
bt auger,mu lar.For Walm NemAY anAI rrlm I:Wbwmi HrtornWelk:('. hlthe
rya ohk,dae<:puh,m r a<Mnly wormantMn-411�iTi Trpal7emn o 1 e nwnY w ne Inela TY
FOR WATER SUPPLY Well 1 9ONLY: 241. o W N ncht�inor Ip0000 f.P .l'opy to DWR.('(M'UA
13a.Yield(&pins Mrlhod of Ins: 1'wmu m nl. t 1',lGlog 1, e n
131b.Disinfection type: Alnounc
Form OW-1 No lh(lwduu I"ouren,of Pnvtrtaarmel fhalny-Ihvnbn of W.I.,R.rvcn xnwrd r.b.1n1 I

20.DRILLING LOG(aRach additional sheen ifne mry)
FROM TO DESCRIPTION(color,hardness,soiVrock tvpe,grain size,etc.) �I
0.0 ft. 03 ft. Asphalt
0.3 ft. 4.5 ft. Gray gravel,loose,dry
4.5 ft. 11.5 ft. Light gray gravel,some silty sand,moist
11.5 ft. 13.0 ft. Brown silt,some gravel,medium stiff,wet
13.0 ft. 45.0 ft. Light brown silt
45.0 ft. 46.0 ft. Light gray fine sand lens -
46.0 ft. 66.0 ❑. Light brown silt,hard,wet
66.0 ft. 70.0 rt. Black and white Gneiss
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