The URL can be used to link to this page

Home My WebLink AboutGW1--07062_Well Construction - GW1_20231102 WEL L CONSTRUCTION RECO CW-I Far Internal Use Only: 1.Well Contractor Information: Wen Contractor Nannc !4,WATER ZONES FROM TO DESCRIPTION ., NCWeilContraetarCatifirationNambcr ft ft. Ui!d:. d JJ 15.OUTER CASING(for artdd.ca 8 hi :,; C Gi e L./�`!J ll hell welif3lNt THICKNESS S MAT FNt)pt TO DIAMETER TNlCKtVES& It�,,.5t, ;, �tATFkUj; "SW.r; Company Nana1. ft. ft hr. ---' ! `• 2.Well Construction Permit#N%A ttC�'1 j /� S'fr+ iI tt INNER CASING(}N TT18rnc trsotaarm.i da.edaeePl List ail applicable well count-action mt_es(i.e.t h ,Gump,.State,Variance,err.), ft. DIAMETER 7HIt]CNliSit MATERIAL,,i pc,.-A,r//,evtl 4V A. tt. is 3.Well Use(cheek well use): J Y c� n,,; Water 9u ft ft, la _ _ Supply Welk 17.SCREEN FROM❑Agrioulttual °MunicipaLPnblu DIAMETER SLOT MUTHICKNESSafAT£ftTAI, - Supply) °Residential Water Supply ft' R. in°Geothcrmal(Heating/CoolinB Pp Y pp y(single) OhtdustriaVConanercial ft. ft. In. °Residential Water Supply(shared) °brigaiion IS GROUT __ _ °Wells:� 100,000 GPD FROM TO MATERIAL. E Non-Water Supply Well: EMPLACEMENT METHOD&antuuvz °Monitoring ❑Recovery Injection Well: ,/.�� ft. ft - - °Aquifer Recharge til undwater Retnediation ft. rt. • ❑Aquifer Storage and Recovery ❑Salinity Bonier19 SAND/GRAVEL PACK(if applicable) . FROM TO MATERIAL EMPLACEMENT METHOD °Aquifer Test OStortnwater Drainage - • ft. • it. UExperimental Technology °Subsidence Control ---- ---- fL ft. "- °Geotherntal(Closed Loop) °��T,,,m,rccer 20.DRILL/NG LOG(attach additional sheets if necessary) °Geothermal(Heating/Cooling ooling Return) (Sid er(explain under#21 Remarks) matt T° DFSCRtpnoN(c lei,hsnIae soatrovk e I'm arias arse_,.10. ;l // J 0ft 2.5 rt. • i�.-r{j eIs.e r'a1 i l...d CV C.:16.7 4.Date Well(s)Completed: Well IDlO h `.2`1 2 S f ft. •J�> .IL 6-~rd 7 4.,.,r 1 2 Sn.iv Iiiii,i Sa.Well Location: 'ft. 1 II ; l+f i, lX.. oive}lewr( 0..vets S Q. ' - .3` ie .4 t,0 K G.l G)A ft. rt. - r g; Nwility/Owner Nara NOV 2 l )., -____ {rr1 FarilitylDM(ifa�tiitatbk) ft. ft. N V J L )L.� _ _.____ • z fx7 J u g? 131✓�I�, cY.sran+t/�'!/e, 2 - 5t4 ft.. ft. Physical Address,City,and Zip ft car` Jj h ON-Sft LL) 4J)1I3a y78/t21.REMARKS - County Parcel Identification No,(PIN) • .!._'ran I i EAT-co. 3b.Latitude and longitude hi degrees/minutes/seconds eesimiantes/seeonds or decimal degrees: 5e t r ed Sr.l erAtui't c. fin r-a o,v Sfrt#z t,(s,v 01 ety,j is I tif well field,one 1st/long is sufficient) 22.Certification: 3y.7L1l1100 N - .77 3UL10p w , 6.[stare)the well(s): (1 14rmanent or OTemporan Signature of Certified Weil Contractor Date�- /�- 7.Is this a re to an et:ladn well: 0 Yes or ityslgn:ng this firm 1 hereby etnhfj•that the ealllr)rear(trice)contirrrrted in ac orilarn t with g111t10 13A NCAC 01C.0I00 or 13A NCAC n1C.i110t)Well Construction Standards and that a cum lfthis is a ir,.fill OW mown well construction m l zmotinrt anti csplain the nature of the of this record lows he-en proiided ro the ar11 ouster. repair fonder a21 ulna,#s section or an the hack al'this Aron 23.Site diagram or additional well details: ti.For C,eoprebe/U!'Tor Closed Loop Geothermal Wells having the same You may use the back of this page to provide additional well cofatruction info (add'See Over'in Remarks Hox).You may also attach additional pages if necessary. construction,only I GW-1 is needed, Indicate TOTAL NUMBER of wells drilled: 24.SUBMITTAL INSTRUCTIONS 9.Total well depth below land surface: -7 7 # I3 (D) For aud»/rir wells lire all dopth 1r o„r rwro.p/-3 rCj2on'and j7(�r�lOn) Submit this C W-i within 30 days of well completion per the following: 10.Static water level below top of rasing: �t? (ft) 24a• For AD Went: Original form to Division of Watcr Resources (DWR), ;',` If tatter(eve/is above caring,nsc-4-- Information Processing thin.1617 MSC,Raleigh,NC 27699-1617 I°t; II.Borehole diameter: (1 (iu,) 24h. For Injection Wells:Copy to DWR, Underground Injection Control(IOC) 4n I4. Program,1636 MSC,Raleigh,NC 27699-1636 Ili ' 12.Well construction method: J1 C7 GL..T ftsr t t i;,, (Lc,auger,Minty.cable.direct path etc.) 24e.1%or Water Supplyand Open-Loop Geothermal Return Wells:Copy to the county environmental health department of the county where installed I' FOR WATER SUPPLY WELLS ONLY: ;i 24d.For Water Wells producing over 100,000 GPD:Copy to DWR,CCPCIIA 13a.Yield(gpm) Method of teat: Pit Program, 1611 MSC,Raleigh,NC 21699-1 6 1 I Oh.Disinfection type: Amount: Form OW-) s,,.»r .. __ .. ISTD Heater Boring Construction Detail Revision#:_0 TERRATHERM Release date_5/12/23_ Approved by: 5L Well ID //�� H-29 Date 1 -3 9'- 3 Oversight R.� , Job# R23-104 Driller a" Constructed (fill out If Design different) Notes 1/2"Thermocouple pipe? ---Heater Stick-Up Height 30" Thermocouple Length 48.67' VEW Stick-Up Height 18" Ground Surface 0.0' Heater Can Conductive HT Grout Angle from Horizontal 90" Schedule 80 Borehole Diameter 7" Top of#00 Sand 1' Top of Screen 3' Heater Can Length 49.5 ft Gal Buckets of Graphite 0.5 Heater Can Diameter 3 in Bags of Silica 0.75 Screen Length 10 ft =;'„• Screen Diamter 3 in ;,Bags of Cement 2.75 Bottom of Screen 13' Installation Method Direct Push Bags of#00 Sand 14.5 Sonic Hollow Stem Auger Gallons of Limestone 14.5 Mud Rotary Other: Bottom of#00 Sand 40' Bottom of Heater Can 47' Bottom of Borehole 47' Post-Installation QC(to be performed 24hrs after installation) PID Log:Make/Model•. 1)Confirm well is free of grout Design Constructed Time: LT 2 0 Reading: 0 PPM Depth to bottom of well[ft bTOC 49 S' Time: Reading: PPM if greater than or equal to ift less than designed alert the office Time: Reading: PPM 2)Confirm grout plug reaches ground surface Time: Reading: PPM repeat daily until depth to grout is Oft. Time: Reading: PPM Date Depth to Grout[ft bgs) Notes: