NC0000396_02_Asheville Driller Well Construction Records_20150823

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WELL CONSTRUCTTON RIPCORD
rids farm nn Waxed for sin(tlr u mufiipk wrllM
1. MI'e1F Conlruclnr rnrorwaIlan:
Well CuniruetorNmac
3�.Lt- Pt;
NC Well Cnnimmr Ccuirirminu Number
Cascade Drilling, L.P.
Company Nomc L•
2. Well Construction Permit M. v\ IS1 t _
1.iN 0I10yplirnLlc ux'1! yrrnrlrr p:c: Cb�inry•, S'rllrc, YpI7PiILL•, InJCrf;Vrt rlC!
3. Well Use (check well use):
OAgricultunl OMunicipnVPublic
❑Geothermal (MalillplCoolirlg Supply) Oltesidentinl Water Supply (singlo)
OlnduslriallCommercial OResidential Water-Supp)y(ahorud)
Supply Well:
❑Aquifer Rechmrge ❑Groundwater Rcmedindon
OAquiJerStorigunndRecovery asolinilysanier
OAquifer Tiest I]Sloninvawr Drmmilge
17I_xperimenlal Technology OSubsidetice Control
OOcothcrmal (Closed Loop) O'('raccr
C(feolhsntlal (Ifetllin nulin , nein, 001her ex lain under 1:21 Remarks).
A. DaleWell(s) Completed; 3 ) 1,r Well IDi!
5o, Well Locution:
Asheville Steam Electric Plant
Fai iJhyl(hvnerNom: Fncilihy IDN (Irappllcable)
200 CP&L Drive; Arden, NC 28704
Physical A"ress, City, seed Zip
Buncombe
cumlry Parcel Idm:llficalim No. (PIN)
Sb, I,nritude nod Longitude In degm-eshalnuteslsrcnnds or duclinul degrees:
(ifwell field, one Lndlang is sufficient)
MAIN 16yy1 N S S 73aj _-�W
6, is (ore) the svcll(s). germuneot or O'I'empm-aayy
7. Is this u rcpalr to an cAstinh well: OYos or Ilfhto
f/rbrrtro1r fr,JI!!wukilmonmol mutnummfrjntnrntianmid .9daintherruurrrgjd'r
repnn' mulrr' 01 r e""Oda srrrinn .".m she &.A rf rAhrm nl.
o. Number or wells consu'ncled: 1)
POrmrrhilde iryccriulr r,r rr0lr-uwfrrarypi)1 "WIT QN0' 016 rbc rove rmr,vrlivib m, tiau xva
ruliahif +uc!0:'117, 11 /��,
9. Tutu) mil depth belay land suldV
ncc: r' {ft.)
For mi dsWr 1101? Am nil ehytiA r UrkUaemr (rrrrrnrrle- 3Gil lOD' iron ?f j J MJ
lo. Static water wyet belaw tap areasin..:
If Ia/rr L;i•rl i.r nl urr raring, nrr "+^
1 I. flue}'holo dimucJer: �,, (in.}
12. Web Construeftun method: 50(11
li r< augn, away, a ll., i€frca pu>Ir, elaj
I'OR NVA'IYA SUPfILY 13T•.1.1.S ONLY:
130, Yield (gpnr) ____ melhud urtvel:
13b. Disiull:c6u11 type: —. __ ..... __.T_.._ Amount:
Far Im.ml the GNt:tt
n. n. Iljj
0..nit7 IIL. til: i Fla.,IlutF1l•rrr2rlirelisII)[ LIt'IM tra litoltlel
FIlf11t Ttl LlQI%;M1 TIPIi I.YLCS _ dih TiJ7]AS.
n n In.
S& IIYNF.Ft. Ch,L'INfI OR TU113M. ollimmlcln d•1nn r - -
'rU ©J 1a l£I'i:4! 11R[7:rrY.`1S diklYlrl.4t..
n. I6
ft, n. in,
n. I fL 1 Irl.
Ft. ft. fu.
ta...11ntrr -
111(sMt
-111 #1 'I' l IAS: GA 11114.1R'Fn 1 X -r IV:. n Iye AMR;X1
U n. r», #tit
n. n.
'I9.RA"II1Ir:1LtYY.I::MCfi FV oallneSnl.-t -7-1
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ft.
n:
h.
I I
2I. Certification.
�..... /1A115::
Si au m: ul'Ccrtl(ico Nell Cmulnelui MINI
Rr aigafag lldr fol m. J Invrfm LTrrlfl' heal III IIMf) Ina daYr cl rnarh I$Cleft iliannr•rfrmVe
rrilh /.Sd YCAL' fJ]Gl111J11 nr' 15 / +VC:+C' N]C.N]00 lrrff C'0ngnlrriun SlnOrh,r.G mlrl N;ur n
rarpy nJ'rhi,rrrrm•d bus 617'+lJ+rm'irdrv!ur IlIV mll a.nlchi
23.Situ diagraw nr nddi Uauul ivell douils:
You stay use the hack or this poie to provide additioun) well site delmils or well
cunsinlclion tictnils. You muyalso ;Mach addtliunal pagrS ii'muessary.
SUn.11IhTAL INSTUCTIaNS
240. Lor .Lfl 1'Yetls: Submit this fulm wilhiu 3o days or cnmpiction or well
construction to ilic ff6llotvlgIly
Divislan ol'3Yuter Resources, tul'onnaliau I'messingUnil,
1617 Ninth SCrvice Center, Rnlelgh, NC 17699.1617
2-Ib..kru`litlaelbt Wcl3s ONLY: 317 oddidun lu scading the form to the addiess in
24n Atm. also submil n copy of this form within Ill drys or coinplction or well
Constmctiun to tic following:
Divisluu of WntCl' Wsuum:s, Underground lojeciinn Cmurni Progrum,
1636 h111111 Service Center. Iintcigh.IVC 27699.1636
24c. For Neuter SutaxS�(nfcrtion 13'ell3.
Also submit nuc copy ul this I'01,11 wilhin .10 daysnfcrnnplctinu ul'
well coast action to the County licalth dcpmuucnl ul' Ibc county where
comilructcd,
rami (;W.% NanII C:.'IUIInJ Drj?,11tI11e11t 1711 E-wi--mmm1(mid Mmm l RV.w,: , - Dwi;; o UI wnw. R—u—.4 Itcciwt! Amro;I 201)

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WELL COMST UCTION RECORD
This from can b¢ used rot ,rinale of multiple ivells
1, Well Contractor Jnformallun;
,'„l ise.aa)t;etl`II_iv:
24. H',tTM MINE”;
22.C tiricattun:
(ifwell field, utic lavinn�gissuf icirnQ
may_
ALSMI UM --
Wen Cm,traru,r dame
,/�
(3p aq — f't
NC Wu1I^Coniractor Cmrifiewlioa Nunibei
Cascade Drilling, L.P.
n.
n.
u& -- 1 i ylol
n.
fl
6. Is (are) the uvcll(s); Oft'ermancnl or OTcmporary
Is, O UI1.11 CAMM It-
MAI I iAlt
nntithmwilrarlli) flit
1�! lYl
Yt .411 061
lair via MATrRLi .
fr
-py,flbisreeordhws htat pravidrd to the tell owner.
C:ompnny Name
//►►��
2, Well Cunslrueliun PermitfiaV_((� L�^
1331 all appllcnble wellp...drs ff,a Cmmry„4am, Vri,ranr.•e, Wrolrm, era)
3. Well Use (chccltwell usu):
ra. ! 'rvFll C'R 1KC 014
TIRIF-M.fitm herwal
vbne,bla •l,_,_,
PrtitM Tn
itrvvrrtlri
'rwllrrt^rJss 5r Frau
n. n.
ln.
submif mlcJou,t,
SUBMITTAL INSTLICTIONS
ft.�-
24a. Vur all Welly: Submit Ibis furan within 30 days or conhpiction or well
Pot: nrulNpde I rrft livdll drptbs JJ'rlrffed—1 frratru2ft- d(0)Mil'latuf 2@J1iltoI
construction to the Collotviog:
MS 4% X
DMilun orwliter licsaurces, Inroh•tnslion Processing unit,
1/n„r,•r le�,•1 i, wf�me.rniwy, o.e '-t ••
1617 gfail Service Center, Raleigh, NC 2709 -IM
%VnIerSupply [eels:
OAgricldtural OMunicipal,Public
OOnolhertnal (Healin fCooln Supply) OResidmlial Water UuPDIY (single)
Qindusuiol/Cmnmcrciul ORcsidenlial Water Supply (shared)
[11rI1.ga4iali
rlteur
lid
u(hntl i7L1!
3d4Ls� . Tllit uxyrr' dltirt suet.
construction to the following:
ti.e. Just” ialn+y, [nl,le, di.ml push, cur.)
fh.
it,
1636 Mall Service Center, Ruleigh, PIC 27699-163fi
132. Yield (gpm) _ Melhud of test:
IN. UI Hi 01
__m_w_„._
Also Submit one ropy of this roan within 3o days orenmpletion of
13b. Disinfectinn 1)^Pe: -__ Amount*
Y'llfMl
'of
ht h7%IItAL_
: I:nt ^L5{' .M1 Ir l� pyi a1
O ft.
O ft'eh.
//
��tTrJf
Pion -Water Supply %Af:
, iMriniturin(; C3Rccuti'cry
rL
n.
�—
_
1ftJccllud Wall:
OAquif"RecLarge OGmundwalcrR.emediatitm
OAquifer Stnrnge and Recovery OSulinityHurrier
CJ quiIrcrTait 0SlonrwalerDrainngo
OE.htperimentulTechnology OSubsidencecontrol
,•. �� J ♦
t7Geutllctma} (closed Loop) OTraeer
r3acotheimat Iiearin.iCnoll Mltetunt) 130flier (ex lnittunder021 Remarks)
rt
ri.
4I. -S,
NClti
tri ,dltaldr
_
Putr3I -
Tit
wt.{'i'I'ltf,t#. walet.art:Att7rt hr KY tion
n
n.
n.
n.
26: DRILM
4 C 31st'•th
addllrarta the 1f IFdcev ar,}�
f teal
TO
I11'IMPTIl r ti l I,wnlrtn tilhfl abilrP�tM ytiT rl4
tt.
fw
4. Dara W01(s) Completed: 'gb wet 1D11
So. WcllLocation:
Asheville Steam Electric Plant _
Faeillly/DwnerNome Facility TOM fapplieeble) i4
200 CP&L Drive; Arden, NC 28704
n
rt
Ir,
n.
r,
fr,
It.
n.
ft,
r#
Physical Address, City, wad Zip
71: NY:1tr,ilkK:i
-
Buncombe
Cauury, I'wrccl IdendFwation Na: (PIN)
Sb. Lalltudc and Longtiudc In degreasholnutes/seconds or de.1mal degrees:
22.C tiricattun:
(ifwell field, utic lavinn�gissuf icirnQ
^yy
S�
J
N •8��5. CI ! W
u& -- 1 i ylol
��
MA eco Ccallned t4clt 'umtactn Dam
6. Is (are) the uvcll(s); Oft'ermancnl or OTcmporary
By s gninl tele j nr. 1 ho Thr err ri(^ a+m rhe wff) ear purred ru ern'ne:rd io atcordmse
/
with 13A NG1C D1C,A700 or=11,i NL'3C 01G.@0(1 DSII Cwr,rrtvnim, Stunrinrrlr rout llu,t o
7. Js Oils a repulr In an cxlsting ivell: OYes or Il Nn
-py,flbisreeordhws htat pravidrd to the tell owner.
IJrhls G a repnlr, rill au, kii—ii well cuh,rrruerian fnformallon and explain rhe isa wee ojrl,e
t epai, wader 011 rma...krs rliw, or on the bark oJthis fo-i.
23. Slie diagram or uddiihonal well dewits:
You may use die back of this page to provide addhinnal well site detnils nr well
6. Number of wells constructed:
eonsltvciion details, You may also onmdt additional pages lfacerssaTy.
P.rrnnhiple b jearimr anion-a.nteYswliply a ells OM with the gone roasr"w1ion, you run
submif mlcJou,t,
SUBMITTAL INSTLICTIONS
9. Total tve11 depth below1rindsurface: 0 ((t)
24a. Vur all Welly: Submit Ibis furan within 30 days or conhpiction or well
Pot: nrulNpde I rrft livdll drptbs JJ'rlrffed—1 frratru2ft- d(0)Mil'latuf 2@J1iltoI
construction to the Collotviog:
ID -Static waler level belotr top of casing; ((t,)
DMilun orwliter licsaurces, Inroh•tnslion Processing unit,
1/n„r,•r le�,•1 i, wf�me.rniwy, o.e '-t ••
1617 gfail Service Center, Raleigh, NC 2709 -IM
11. Barehole diameter. (in.)
24b. Vur Irt relirtu %V01X ONLY: In :tddilion to sending tic form to the address in
CC
24aabuve, also submit a copy or this form within 30 days or completion of well
12, Well construction tncibud: .I
construction to the following:
ti.e. Just” ialn+y, [nl,le, di.ml push, cur.)
Dlvklon of'vvuler Resource's, Underground Injection Control program,
- -�
F01t WATER SUPPLY WFLLS ONLY:
1636 Mall Service Center, Ruleigh, PIC 27699-163fi
132. Yield (gpm) _ Melhud of test:
24e. far Ihuter S11 ply 4 Injr.clian RPc18:
__m_w_„._
Also Submit one ropy of this roan within 3o days orenmpletion of
13b. Disinfectinn 1)^Pe: -__ Amount*
well construction to the county health tlepnnnicnl or the county where
.-_ — --� --
conslrucicd.
Form GW -I Minh Cnruliun Deaarinrnl utTnv(nmment and Maion,l ItcSvurce'i - Di:'i;iwiol Wuler Rcinufcri 2013

WELL CONSTRUCTION RECORD
This farm can be used for single or multiple wells
1. Well Contruclur loformation:
James Hall, Jr.
Well Contractor Name
3224-A
NC Well Contractor Certification Number
Cascade Drilling, L.P. , Aiken, SC
CampmryName
2. Well Construction Permit #: On Site
List all applicable ivell permits (i.e. County, State. Variance, Injection. etc.)
3. Well Use (check well use):
Water Supply Well:
❑Agricultural ❑Municipal/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑industrial/Commercial ❑Residential Water Supply (shared)
Non -Water Supply Well:
OMoniloring
❑Recovery
Injection Well:
❑Aquifer Recharge
❑Groundwaler Remediation
❑Aquifer Storage and Recovery
❑Snlinity Harrier
❑ Aqui rcr Test
❑ Stormwaler Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
❑Tracer
❑Geolhermal Mcaiina/Coolina Return)
[]Other (explain under 421 Remarks)
4. Date Well(s) Completed: 7' C _ Wcll 17)N '0 l
Sa. Well Location:
Asheville Steam Electric Plant
Facility/OwnerNatna Facility 1134 (iropplicublc)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No. (PIN)
5b. Latitude and Longilude in degreeshninulrs/seconds or decimal degrees:
(irwell field, one ]at/tong is sufficient)
N.512, 55YY 6 W
6. Is (are) the well(s): 1711'ermanenl or ❑Temporary
7. Is this a repair to an existing well: ❑Yrs or PJNo
lfthis is a repair, fill our,btonn ivell construction ii forntahloa and explain the nature o%rhe
repair under 42I remark section or on the back afthis form.
8. Number ufwellsconstructed:
For mddtiple injection or non-worer supply wells ONLY udrh the same construction, you can
submit one fora.
9. Total well depth below land surface: ti � (ft.)
For muhiple wells list all depths if diffierent (cmniple- 3 n 200' and 2@1001
1001
10. Static water level below lop of casing: (ft.)
If nater level is above casing, we "+"
11. Borehole diameter.
Sonic
For INernal Use ONLY:
t4,WATEIVZONES,?..; ........� :.. .. -
FROM TO DESCRIPTION
ft, fl.
ft, ft.
15.'OiTi"Clt'CASiNG(for itsulriruscd'4rrlls OR UNE R.(iirA sfirablr)'
FROM Tn 111AMET£II 'RIICIMS5 AIA'MRIAL
It. I fr. in.
'4M-I1V1Mt CASING Olt TIJIIINC 1 rathrrmnl clo3ed=Inn r
FROnI Tn MAMETEn TIIICICNEESS MATE1t1Al.
ft. ft. in.
fill. fL
17: SCREEN --:
FROM TO DIAMMIt SLOTSIM THIC""s MATEIa.%L
ft. fl. in.
ft. ft.
M. GROUT `.
FROST TO MATERIAL EMPtACEt W.W MLT11OID .g AMOUNT
ft. fl.
ft. ft.
1% SANDICRAV l li PAC IC• Ifo _ lIcnblr FROM TO MATERIAL EMPLACEMENT NIF.T11011
ft. ff.
fl. ft.
20: DRILIJNGtOG N116ch addiddiihl sheets ifuecrsso
FROM TO bFSCIiIPTION (color Lnnlnut. fol Ptrosk it K. ata xlu. rse.t•
fL rt,
ft, ft.
ft. ft.
ft. fr.
ft. R.
ft, fr.
ft. fr.
22, Cerlific/lion:
Signutur afccnincd Well Caaa• iar Date
By signing this form. 1 hereby eer lh, that the ivell(s) ivas (were) const—led in accordance
with 15.1 NCAC 02C.0100 or 15d NCAC 02C.0200 Nell Construction Standards and that a
copy ofrhis record has been provided to Ilse ivell owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages irnecessory.
SUBMITTAL INSTUCTFONS
24a. For All Wells: Submit this form n!thin 30 days of completion of well
construction to the following:
Division of WaterRcsources, Information ProCC55ingUnit,
1617 Mail Scrvlce Cenlcr, Raleigh, NC 27699-1617
24b. For Iniectiun Wells ONLY: In addition to sending the form to the address in
24a above, also submit a copy of this farm widlin 30 days of completion of well
12. Well construction method: construction to the following:
(i.e. auger, rotary, cable, direct pusl>_ etc)
Division of WalcrRcsuurccs, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield (gpm) Method of test- 24L For Witter Supply S Injection Wells:
Also submit one copy of this form within 30 days of completion of
13h. Disinfection type: Amount: well construction to the county heath department of the county where
constructed.
Form GN' -I North Carolina Department orEnviroument mid Nntural Resources — Divisiun of 1Varer Resources Revised August 2013

Gv,5t
WELL CONSTRUCTION RECORD
i1iis form ami be used fur siil& mamdtiplc wells
J. Well Cnnirlt Ctal' lnrarM'.)d0 l:
wdl Conluct0r Name
NC Well Conuacloh Cerdficasinn Numbnr
Cascade Drilling, L.P.
Cmnpany Name
2- Well Construction Permit g: 01\S ivy
Liu all appl1c0hlc nv11 pvnmlls C, r: Colony, Slur', frnrrnuce, hyr, li i, rl".)
3. Well Use (cheep well use);
kvalcl•.Supply Well:
❑Agricultunl pMunicipal/Public
❑Geadmrmal(1•icatinglCuolingSupply) ORcsidential Water Snpply(single)
Modustiial/Commueial ❑Residential Water Supply (shatui)
snnply Weil:
❑Aquifer Recharge ❑Groundwater Rciiedialion
:OAqu(fcrStonLcand Recovety MalinilyAanier
ClAquIferTest Morinwaler Drninuge
MP_%gciiinunnsl Technology ❑Subsidence Control
❑Geothermal (Closed Loop) OTroccr
I]i7cf11hLTmn1(FTcaliapJC ooli�i ldnlum) r3Oihcr (t:xfAjin andrr 921 Remarks
4. Date Wall(%) Completed.-�J J}S Well IDN
So. Well Laeadan:
Asheville Steam Electric Plant
FnciEftyd0,vncr Nome Fudlfly IU11(Napplieable)
200 CP&L Drive: Arden, NC 28704
f 11! IM1Ir,IP11 ub[ ONLY:
in:
rx:.e;r1111YC .
1Trux1 -trot ate• r:ulaaR."_rptl�r..�rr.xla:rrr+rt�tnniaAnnnrrr
n. R.
rM
n.
R.
PhysialAddm:ss,Cily,andZip
ar_1t€(rs tt�.•
h.
R.
--- -
r ,}Ir1' :1 '+4�''CI' a I[}UIII•t0ap/I
��Y11' IlI It1iNIM. ,1r U111r.L.lr)
1'H,lai - 'Csl
01.01Mlit 'llfti"1-tiH 11+7T1^.n U
R,
R.
in,
6. Is (arc) the trellis); Csr1'crasanent or urempurnry
p}, sigmrng ddi fora,, 1 hrrebr cerlf• Aut the aell(s) m•;,r (;vete) roru7ucird hr 0e—Vnnre
IG t ''K1
Enna)TU
n.
rL
ASI,YC rill
_
�v f6
R.
II11IY[i+uptA!llaal
MANIMFit
ht,
116
[lI.1K J:1p11 7
`�Illi.`fr seems
t1�'ll ni;sl.
in:
rx:.e;r1111YC .
1Trux1 -trot ate• r:ulaaR."_rptl�r..�rr.xla:rrr+rt�tnniaAnnnrrr
n. R.
rM
n.
R.
PhysialAddm:ss,Cily,andZip
ar_1t€(rs tt�.•
Buncombe
County Parcel identlfhwrion No. (P1N)
56.Latitudcand Lnn6>ifudc in degrees/minutes/seconds or declmul degrees;
(ifwell field, one InViaug is suffcicnl)
22. C 11M.Ullaw,
55MOCC)L-, N OD . sLA 115`M W
i174 l - Jim
�pp
_
S7 a arc„eninrd Wrlj Conurerior dale ”
6. Is (arc) the trellis); Csr1'crasanent or urempurnry
p}, sigmrng ddi fora,, 1 hrrebr cerlf• Aut the aell(s) m•;,r (;vete) roru7ucird hr 0e—Vnnre
//
hvilh Jit NGC 02C.waf) nr 13:1 NC.1C 01C.0200 llrell C.,ml—limn Slmndrn+ls roof d,nl u
7. Is this a repair to on existing well: IJYcs or IyrNn
ctrpy of"rhis,'crnrrl AOs been pravirlrrl In the Hall 0rvnrr.
IJrhrf !s u r Nn1 ,fill nut kun+vn aril rmunvrt7a; ir�rrm0rimr and ra),MiO rhe untury f"il�r
epai,• umlcr 1121 rdnnrkrircrinn uran rhrbuck oflhia f."l,
23. Stte diagram or additional well details:
1`nu may use the back of this page to provide additional well site details or well
S. Number or wells constructed; . 0
construction details. You may also anoch additional pages if ncecssa[y.
F'I'IlrlliflPle llyeL'/Ian nr'NRII•nYl/L•2nf�41 velli ONLYWA r4iomrrVllr/rllCflmm, yLm Csl;r
auha;N a;rrf0;,u.
SUBMITTAL 1NSTUc"riONS
I
1 D
9. Total well depth below land surface• ;� (!t.}
240. For All M -M: Submit ibis form within 30 days or coniplefioih of wrll
For uiufli"Ir antis list alt drpdcr jJlijjo •nl (rs,+mple- 3@200' and 2(Lon0)
construction ill the rollowing:
10. S1411c water level below tole of casing: (rt.)
Division nl'1V;ulr Resources, lnrarinotion Prucessiltg Utlll,
JJmrlc-r fh r1 ti rilirrr nxaing, my '
1617 Mnil Sen -ice Center, Ttalaigh, NC 27699-1617
,'(�4
I1. 11nrrhoie dintilarer:-- - ffJ -- 010
24b. hnr4nicellnn 13gU_% ONLY: In addition w scuding dic form to dic address in
24a nboye, also submit a copy or this roan within 30 days of completion of well
12. Well cunslruetlnn method: Solllf
consnuction to the 1'ollowioe:
Ii.c, auger, rtl Llry, eahlc, d;.ecl push, etc,)
Divisiuu nflVutrr Resources, Undcr6rolend inJrcdnn Control i'rogr—m,
FOR WATI:n SUPPLY WELLS ONLY:
1636 Mail Service Crater, Raleigh, NC 27699-1636
13:1. Yield (gpm) Method of test•
24c. For Watgr Supply c`k_Injection WitIIs;
-b
_ -'—
Also submit one copy of this i nl within 30 days of completion of
13b. Dlsinfcetlon ry•pe: Amount.,_
well construction to the county hc;dth dcpatunent ur the caunly whcvc
_„„
-.
constructed.
I-vrm GW -1 NVM11 Curulina Depaorn[n: urEnvifunmeMl and4au!orad
rt csuurr Ys - Divkiuiurf lV:;lsr kelaui,•ei 12 nosed futrocr 2013

WELL CONSTRUCTION RECORD
'rhis loan can he used for single ur multiple wells
1. Well Contractor Information: y
IVrll Contract,, M.r,nc•
2972=
NC Well Contrar-sm CeniOea«nnNnnbcr
Cascade Drilling, L.R.
Company N—c
OGroaudwaterRemedintian
/•�
structlon Permit 11; f't
2. Well ConQ
C
31 _
List all aplrlie'obfe hell pernrirs 17- Counry. Slnle,
f orionte, hf ertion, etc,)
3. Well Use (check well use):
rto
WaterSiupply Well;
❑Aquifer Test
❑Agricultural
OMuniclpal/Public
OGcothennal (Fleating/Cooling Supply)
❑Residential WalerSupply (single)
OIndust rin]/Commercial
ORcs)dcniial Water Supply (shard)
O hriAat ion
Non -Water Supply Well:
For haemal uie ONLYt.
n. a.
15. OIPI Ell CASING ff r nudll ail 106 t114 Lj31tiN: I( t�SfrpllnY.1Fj
r1iO1%5 - 7n 'rt;lt IMU1N S NfATl=}l}.IL
to.INKtli OAKING OR 11Ft111INc: tolderlwj cN,rd-tIJkl _
FROM T I jimmETlftt 'i•u IChNF:RS P L,%jg.RM1.
ft. rr, In.
fl. n. Frt.
17. NCItFVN'
r0f)b1 TO I nlAhtFTF,ik I m.nTTSi Ze I T111CKNF_'S I M11ATEn}AL
G fl- -14 ft. e1 tn. - ao �6 (n
ft. Ct. oC in.
19. C;Itt]S)T
FRnA1 I Tl) .14TK MA1,#:nrCl,.r{;};Att1'rrR#ETllnl].4AatOUN
7
ft. fi-
n. rt.
rL fl.
IJAquiferRrcharge
OGroaudwaterRemedintian
si9J
OAquifer Storage anti Recovery
OSalioily Barrier
rto
.
❑Aquifer Test
OStormwater Drainage
❑Experimental Technology
[]Subsidence Control
:file
OGeolhe mat (Closed Loop)
❑Tracer
FIN
❑Gcolhernal (IlcafingiCoaliar, Return) 001ter (mglaiii underB21Rcrnarls)
4, Date Well(s) Completed: �U 2r11 -WWI IDN 6 YV -0j 6P
$a. Well Locution:
Asheville Steam Electric Plant
racilfly/Dwner Nanx facility IDA (ifapplicable)
200 CP&L Drive; Arden, NC 28704
Physical Address, City, and Zip m _•—•
Buncombe
County Parcel Idenli6erti011 Na. (PIN)
5b. Latitude and Longitude In degreeshtdnutcsAcconds or decimal degrees:
(ir well field, one lau long is sufficient)
�5.yb25)4Af. N. 5A),.,;3AON055 W
.. _.. - - .. .... ..._. ..............
6. is (are) the well(s): d4ermaaent or OTempornry
7. 13 this a repair to an existing well: OYcs or WN.
ljthis un repair, fill mu knotwt well romin+rifan frlfartnariat and riplairr Ole nature afthe
repair under 42)reonafssrcdanoronthe bork ffhisjorn+.
8. Number of wells constructed: i
For,neffriplr iujcclion ar•aar-anter• iuppry — ONLY with the some construction, you can
iub,nir am jwai_
J. Total well dcpllt below hind surface: -74 (ft-)
F'nr nu+biple rrlh list off depth., jdierml (esnn+p1e--1 rOe 200' and 20100')
10. Static wider level below tap of casing: (R.)
y1ml rh-•rcl a(,boretruing, ore "t"
11. Borehole dlameler:
12- Well construction method: c'Sont►(r_
0.t- rota,, ruble, dilert Push, etc<)
FOR WATER SUPPLY WELLS ONLY:
13a. Yleld (gpm) Method of test:
13b. Disinfection type -„ Amount:
rm
(7:1.0c;
R#
22. Certlfcatian:
Signulurc of Ccttificd W cll Contractor Date
By;igning lhirjorm, i hereby rir,jifif that the nrllfs) u+u (nwa) cnnso•ucled in accordance
wifh ISA NCAC 02C-0100 ar 15.1 AVA C NC -0200 ]Ver! Caretruclimr Standunh and lbw u
copy oJth,,r'ec—i has been pi nvfdnl nr the —11 owner.
23. Site diagram or odditional ivell details:
You may use the back of Ibis page to provide iddiiionnl well site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL INSTUCTiONS
24a. For All Wells: Submit this funs within 30 days of contplelioo of well
eonslmciinn u) the following:
Division ofWater Resources, information Processing Unit,
1617 Mall Service Center, Raleigh, NC 27699-1617
24b. For Inlectlnn WON ONLY; in addition u) scoding the form to the address in
24n above, also submit ❑ copy of Otis form within all days of completion of wcl
conshiltaion to the fnRow4w:
Division of Water Resources, Undergruund Injection Control Program,
1636 Moll Service Cenler, Ralelgh. INC 27691-1636
24c.For Water Sopply & Iniccr)on Wells:
Also submit one copy of this farm within 30 days ofcompletinn of
well construction to the county health. depatilment of dte county where
constructed.
Form GW -I North Carulina Department u!'L•nvirmrmenl and Mound Rcsourres - Nvision ul Milcr Rcsuu2rs Rrviied AuLnw 2011

WELL CONSTRUCTION RECORD
This fnisn can be used rot single armul6plewclh
1. Well Cuntruelur information:
Well Controuor Name
_ 9 an -A
NC Wcll Contmrtor CeniBwtton Number
Cascade Drilling, L.P.
compnnv Nnne //er��
2. Well Construction Permh 11: Oir%
Lis[ ell applicublc reel! pernrirs ft -E. Coming Srnle, Vrrt'innce, Jujrcti,;u; ra.)
3. Well Use (cheat, well use)-.
Far Internal Use l7NLY:
R. rt:
C. ft.
It'{:,ttilti r me
in
IUt C.1S1i<C r}Ii'
_I 70
ft. rt.
rL ft.
❑Agricultural ❑Mun i cipa I/Publ is
❑Geothermal (HealinglCouling Supply) ❑Residential Water Supply (single) ft.
❑Industrial/Commercial ❑Residenlinl Water Supply (shal-,d) lE GRO1
Nnri= Yater Supply Well:
❑Aquifer Recharge ❑Groundwater Rcmcdintion
DAquirer Storage and Recovery ❑Salinity Darner
❑Aquifer Test ❑Stormwater Drainage
0rxperlrncnial Technology []Subsidence Control
❑Ccotbetmnl (Closed Loop) ❑Truecr
OGCOlhermrj (7 icating(Coctio t Return) ❑Other [explain under'121 Remarks)
4. Dale Well(s) Completed; +21-115"11134 i134 6W-61 P
So. Well Location:
Asheville Steam Electric Plant
FacilitylOwnce Name Facility ID# (ifepp licablc)
200 CP&L Drive; Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County Parcel Identification No. (PIN)
513- Latitude and Longitude In degrecslminutcs/seconds or dec(ntal degrees:
lifwcll field, one ladlong is snfficicr,Q
35. LN .v
6. Is (ore) the well(s): 4crnr.,nent or ❑Temporaryy
7. is this a repair to an existing well: ❑Ycs or Mi o
If1his is o repair fill our An— ur11 musimcdon irformaiian and explain the nature of fire
irpair under 1121 rearar-As seciiar ar on the back of th+is fano,
H. Number of wells constructed:
Y
Fnrbwlirpfr irriectian or oar-wriersupply ntlis ONLY irkh rhe same rarsirrictiun, you ca,i
sub If nue form, �J
9. Tidal well depth below land surface: 7 (ft.)
Fur nui0wells ells list all deprh.r if NUetent (example- 3W00' and 2(]100)
10. Stalic wnterlevei below top ofcasing: (ft.)
U water level is above rasing, use
11. Borehole diameter:
12- Well cunstruction method: -don't-
(i.e auger, r ol.ry, enbler diiaet Push, etc-)
FOR WATER SUPPLY WELLS ONLY:
13a. Yield (gpm), Method of resl:
13h. Dislnl'ecllon type: r Amount,^
22. Certification:
Signalurc orCcdisied Wrll Contractor Date
By signing thisfaur, 1 herrbr rerl95• Mar the uell(s) rims (were) conslrncird in ncrnrdnnce
,rill, 15.4 NCAC 02C -0100 or 15.4 A'G9C 112C.0700 li'M Cnn.rinmNon Standards wad that a
copy ofihis reemd hos hurt provtdcd to the well omiac
23. Site diagram or additional well details:
You may use the back of this page w pruvidc additional well site dcutils or well
constntclian dctuils. You may also anaeh additional pages ifncecssury.
SU—AIITTr1L 1NS1'UCTIONS
24n..Fnr All WrIls: Suhmit this form within 30 days of completion of well
construction to the rollowing:
Division ol'Vt'alei-Resources, information Processing Unit,
1617 Mail Servlcc Cenlcr, Rnleigh, NC 27699-1617
24b. Erir'Ir,ieitiirn 1\'cll.y ONLY: In addition to sending ilia forth to the address in
21a above, also submit a copy of this form within 30 days of completion oC well
construction to the followine:
Divislou of \Water Resources, Undergruund injecilon Control Program,
1636 NUH Service Center, Raleigh. i IC 27699-1636
24c. For Water Supph' l lujeclion Well..;
Also submit one copy of this funs within 30 daysofcumplction of
well consinlction to the county health depannicnt of the county where
conslruGcd,
Fu,. to w.I North Corulina Depmimcni of Cnviroruvwm and Natural Reiourcec- DM54)a rd"Naier Reiuurces Revised Aqu,t 2015

r'
fE�/t 5e
WELL CONSTRUCTION RECORD
This faun can be used for single of multiplewells
1, Well Contraclur lnformatiun:
James Hall, Jr.
For Internal Use ONLY:
',WA'!'Eli'7.f1itiI^S
M
FROM TO D"cnartort
Well Contractor Ntune
3224-A
NC Well Contractor Ccrtificatiaa Number
Cascade Drilling, L.P. , Aiken, SC
ft. rt.
D. ft.
15.0117rlwlt CAS1NG rur inuldcuscd wens f]R LINER If i,i liciuhlc
FROM
TO
61AI1I F,TER THIMNM AIATERIAL
2 5- ft.
rr.
a In. 5a 9,0 ?V6
Company Name �+
2. Well Construction Permit #: On Site
List all applicable well permils (l.e. County, Stale, lrariance, bfecifon. vie)
3. Well Use (check well use):
3S; Ii MR CMING-Olt T1iSING
eofhcrnial clnatd lag a `
Victim. TO
RIAhIMn TIUCKSMS MATERIAL
fr. rt.
In.
rl ff._
f.
in.
t7. SCREEN -:
Water Supply Well:
❑Agricultural ❑Municipal/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑industrial/Commercial ❑Residential Water Supply (shared)
❑irri ation
FROM TO DIAMYTER SLOT 5173. 731 FCl."N SS MAISRIAL
ft. —OS— ft- 7 '"' , 0/0 51x11 5;29f { G�
fr. fr, la
MmGltour
rROi+l TO MATERIAL GM3 l ICt hi4"IVi' 11 MOD C. AMOUNT
P?
Nun -Water Supply Well
IDMonitaring ❑Recovery
ft. rt.
Injaetlola Well:
❑Aquifer Recharge ❑Groundwater Remediation
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage
❑Experimental Technology ❑Subsidence Control
❑Geothermal (Closed Loop) ❑Tracer
❑Geothermal (Headrig/Coulitt Rctum) GlOther (explain under 421 Remarks)
fl. ft.
'19.`Si1ND/GRAVEL:PACKirn Runkle -
FtlOrnf TO - MATERIAL
en+PGAr'ealEhT A1!�'rRon
30 ft. S rr <R "'0
�.
E'ir7i7r r
ft. rt.
zn: DRltXj G'LOG anacli uddirioniilstu tes irneeesso I
MOM TO DESOUPT10N tcafar.rm nes, sulvinerts 1xim EMIR a ete.1
rt. fr.
7
4. Date Well(s) Completed: 7 x11 r/S Well iDif ll EMM —a
5a. Well Location:
Asheville Steam Electric Plant
Facility/Owner Name FacilityfD#(ifupplicable)
200 CP&L Drive, Arden, NC 28704
ft. rt.
ft. ft.
ft. It.
fr. ft.
ft. ft.
ft ft
Physical Address, City, and Zip
Buncombe
County Parccl Nullification No. (PiN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one laUlang is sufficient)
/ESS%�Ii6 7 N SV6 ��� 7 �v
6.Is(arc)the well(s): l7lPermanent or ❑Temporary
7. Is this a repair to an existing well: ❑Yes or ❑No
ffthfs it a repair, fill out Anmivn well construction information and explain the nature afthe
repair under 121 remarks section or on the back- of ihfsform.
S. Number ufivells constructed:
For multiple atifeulon or ttomantersupply ivells ONLY with the same cienstntctian, you cast
submit oneform. `�
9. Total well depth below land surface:.... --so (iL}
For multiple hells list all depths rfdi,(jerent (example- 3 a 200' and 2©100')
10. Static water level below top of casing: (fQ
If water level is above casing, use
IL Borehole diameter: _ (in.)
12. Well construction mcOtod: Sonic
(i.e auger, lorry, cable, direct push, cic.)
FOR WATER SUPPLY WELLS ONLY:
13a. Yield (gpm) Method ofiest:
13b. Disinfection type: Amount:
22. Certification:
SiLtaa n e a 'L'11 rfFsncfnr T. Date
Bysigningthisform, I hereby certify tear the itell(s) was (+vere) constnteted in accordance
Misr ISA NCAC 02C.19100 or ISA NCAC 02C.0200 Well Constnnctian Standards and that a
copy ofthis record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages irnecessary.
SUBMIT-i'AL INSTUCTiONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to die rollowing:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Iniection Wells ONLi': In addition to sending die form to the address in
24aabove, also submit a copy of this form within 30 days of completion of well
construction to die foilowing:
Division u(Wuter Resources, Underground Injection Control Progrum,
1636 Mail Service Center, Raleigh, NC 27699-1636
24t% For Water Supply & Inflection Wells:
Also submit one copy or this form within 30 days of completion or
well construction to the county health department or the county where
constructed.
Form GW -I North Carolina Deparesnent of Environment gid Natural Resources—Division of Winer Resources Revised Angst 2013

WELL CONSTRUCTION RECORD
Tkis form can be used rw single or multiple Welts
1, Well Conlractur Information:
James Hall, Jr.
Well Contractor Nome
3224-A
NC Well Contractor Certification Number
Cascade Drilling, L.P. , Aiken, SC
Company Name
2. Well Construction Permit d: On Site
List all applicable n•ell permits (i.e. County. State, f ariance, Injection. etc.)
3. Well Use (cheelt well use):
Water Supply Well:
❑Agricultural
❑Geothermal (hleating/Cooling Supply)
❑ Industrial/Commercial
usrrgatl on
Non -Water Supply Well:
❑ Aquifer Recharge
❑Aquifer Storage and Recovery
[]Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal flicatina/Conliror
(-em"Sed
For Internal Use ONLY:
❑Municipal/Public
❑Residentiul Water Supply (single)
❑Residential Water Supply (shared)
❑Groundwater Remediation
❑Salinity Barrier
❑Stotmwaler Drainage
❑Subsidence Control
❑Tracer
00ther(cxplain under#21 .Remarks)
4. Date Well(s)Completed: 3r,10'15- Well 11),I. t3ArVQti}
5a. Well Locution:
Asheville Steam Electric Plant
Fucility/Owner Name Facility IDH (if appliwblc)
200 CP&L Drive, Arden, NC 28704
Physical Addrmss, City, and Zip
Buncombe
County
P=ct Identification Na (PIN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one InOong is sufficient)
3S Yd���ai Nr�7# 7.ssa2 W
6, Is (are) thewell(s): EaPermanent or ❑Temporary
7. Is this a repair to an existing well: ❑Yes or l7lNo
Ifthis is a repair.fill out known well eonstnrelion injbrmalion and explant the nature of the
repair under H21 remarkz section or on the back of dos form.
S. Number of wells constructed:
For multiple injection or non -water supply wells ON[Y with the same constructinn, ymi can
submit rate form -
9. Total well depth below land surface: `5_ (ft,)
For multiple wells list all depths ifdderent (example- Sia _00' mrd 2@ i00')
;Ltr.1V1"1'EtE7.4PfFfF.S -
FROM To - DES i?Tiox
rt. ft.
ft, ft.
35. OtI'1'F;RCr1SItiG nrnYtllcnsadRredts OR -111
t t,tNEt{;fn Ikrnh-i.
-f
1To Manna M.10-1.1 1
Cr. 6 ft- __)1
1G:l1'hNEl2CASING t]i BIND efsttrernlnl:cTulcd-liva / C!
FROM I TO I DIAM1t r M 7I110fr M I M1ATF,I IAL
A. ft- i u
ff. ft. in.
Moot TO 1n1AMFITtl sLrrrsj7E I THICKNESS MIATFRIAL
3 5— ft. in. L� �O lilt
fl. fl, in
11I1�G1LOTi1'c-,._._• � -,:; - .. ..._. ...::. � -
Friam TO MATERIAL EMYCI.�ICEM1F,rlT Mf E1"ilgll.ti .LMn6tl.+tr
ft. ft. r
ft, ff.
19.:5r1e [7IGRAVI:L-•PACI 11fu i rlicablc
FROMI TO MfATEIIIAL I c;+IFUIC13MENTRIET1104)
ft. Z a.
fr. ft.
•In. DIt1LIANG.LOGi.-uftaen ndilldunnl�hcali:€f nctessei ...'.'.
_FRObl TO 66SClilf•TlfrPt Eroler, Ilarlfngt, iatllrark er s, tsln rtae, err.y
ft. A.
ft, ft.
fr. A.
Ft. ft.
ft. ft.
ft. ft.
ft. ft.
22. Certification:
/n/
Date
5igrnatusrf £G�l1 L-aiR - Date
By signing this fain, 1 hereby certify that rise Ivell(s) Inas (mere) cmatntcted in accordance
with 15.4 NCAC 02C,1/100 or ISA NCAC 02C.020l) Weil Cwrsmrction Standards and drat n
copy oflhis record has been provided to the it -ell owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages ifnecessary,
SUBMITTAL INSTUCTiONS
24a. For All Wells: Submit this farm within 30 days of completion or well
construction to the following:
10. Static water level below lop of casing: {fL) Division ofWaler Resources, Information Processing Unit,
Ifwater level is above casing, use "+"" 1617 Mail Service Center, Raleigh, NC 27699-1617
11. Borehole diameter: 6 (in.) 24b. For Inicction Wellc ONLY: In addition to sending die form to the address in
Bonk 24a above, also submit a copy of this form within 30 days or completion of welt
12 Well construction method: construction to the following:
(i -c- uuger, rotary, cable, direct push, etc.)
Division of Waler Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield(gpm) IVIcthnd oftest: 24c- For Wuler Supply & Injection Wells:
Also submit one copy or this form within 30 days ofcompletion of
13b, Disinfection type: Amount- well construction to the county health department or die county where
constructed.
Farm GW -I North CarolinaDcpartmcntofEnviroamcutandNaturalResources-DivisionofWaterResources Revised August 2013

WELL CONST RECORD
This rurm can ler used for.einalc or multiplo svalK
t, Well Contractor information:
—I-CW�$ t
Well Cuntraclar Namc
NC Well Cnnlractnr Cenifiwlian Number
Cascade Drilling, L.P..
Company Namc
2. Well Cunstruction Permit Il: On
List nil applfc air url/purmtis rLe- Counly, Slate, Yasfmrrr. Injc'eflon, etc.)
3- Well Use (check well list!):
Water Supply Well:
❑Agricultural oMunicipalfPublic
❑Geolhermal (llclaing/CualingSupply) ❑Residential Water Supply(singlc)
01ndtuslrial/Commercial ❑RcsidcnIW Water Supply (shared)
Non -Water Supply Well:
Mccovcry
0 quiferRecharge
❑GroundwaterReined iation
OAquif:r Storage and Recovery
❑Salinity Barrier
OAqu i fur Test
❑Sturm water D ra inagc
IDExperimental Technology
❑Subsidence Control
QGeolhermol (Closed Loop)
El Tracer
0Geothermal Ojeallnylccoling Ucturnl LJUlner texptam nyu�lu�cr arta mcaroma
4. Dale Well(s) Cumpleted:� � Well IDH l f' 11111^ H
So. Well Location:
Asheville Stearn Electric Plant
r'aciiiiylowncrNamc Facility IM (iropplicable)
200 CP&L Drive; Arden, NC 28704
fhyaw Address, Gly, and Zip
Buncombe
County Parcel Idcnflftcation No. (PIN)
56- Lutiludc and Lungitude in degreesiminut[alseconds or decimal degrees:
(ifwcll field, one latllong is sufficient)
6. Is (arc) the well(s); Wilermonenl or ❑Temporary//
7. Is this n repair to an eXisling well: Dyes ur ONO
!!this is a repair, fill out known well roarinrrlian J fnnnalian mid explain the nature ofthe
rrpuir undo' 021 reunu kr .rrelian o' on the Luck of this farm:
S. Number of wells cunslrucled: 1
Fornadfipfr by -lion o-non-avrtea'sarpp(v wdis DAILY mill[ Ihesurne tonsiraelion, y'ot cna
saLorir ones ran.
Por Imnnal U.c ONLY
Ii,1Vr1'1'Elt -lONE'S..�
plrtl0.l Tt1 p,SCCttllfr It J?J
15.OUTER r~.tir;,r, rar
It I-IMAr 11 P lrran�Y
FROM T[1
hlh?JL'7'Ek 711lCKti 1;55 h!.\TEi[{.\L
ft.
ft.
In.
it. rN,NEtfCASt i tltt
TLiHINC •eu,hermat
r3usetl, lanr�
TII{_C f:�NF.Sti
yp
Flrnhi 'fr]
0 rt.
m,\al ETru
In.
t,hTr'ttlAl.
.... IL
:IR:fiC:l1 Fi F,A
MOMTO
01A METER
SLOT5173:
Ttll,:,,'1drSS
htATFInAL
JR. GRDU1
FROMTel MATERIAL nFJ 16.1{:FTnti�-['StJ;7'„ntJ A Rh1flnH'r
ft.
fu
:119SANIfiG1tA1'.Ct,l'AL'SSilfn tlttehlcl � :: :�.:.'..•. -�-.'`.`� - _
FIJrJA 7 1 MAT MAE. __ r±lll'1-.tCF5f1�T•11:7'll(lJt�
it.
rf-
aIf:DRILIA
G LOG: a914eh utlill lnuxt lnrrJrlrnc.'raxn -. ... .
'f !41 -
7'[l AJLSCnIP[IW: rnlnjytiaulnro.�allrraci ttJ_p-ry,�In sltF rex._
It.
fL
a.
it.
ft.
ft.
f4
ft.
ft.
ft.
rL
rr.
il. R�tSiAliiiS
22. Certification:
Sigrmlt 'ofG:rrilit:dWetfCmt u -i pn�
By signh,.- this jatu, I hnrhr eerlh• ihm pre utllpJ Has (were) eowirncteil in accordance
with Ijd NCA C 020,0100 or /14 AL:J C 0X.0100 Well CariSlruellarl Slandnrds and Ihai u
cap}' ofrhis rccm'd hos hc-p. avided la the -11 owner
23. Site diagram or additional well details:
You may use [lie back at this page Io provide additional Well site details or well
construction details. You may also attach additional pages if necessary.
SUl MITI'AL iNST•UCTiONS
9. Total well depth below Innd surface: 5.7 . V (ft.) 24a. Tur All . Wells: Submit this form within 30 days or completion or well
Furrndtiplem-A,listaftdeplhr Ifdjj?rrnr(ermnple-3@200'and1@100') construction to ale follolvine:
10. Static water level below (up of cuslttg: (ft.) Division orMlater Resources, information Prucessing Unit,
6(wtierle-1 is abuve rus6ig, use++- 1617 Mail Service Center, Raleigh, NC 27699-1617
11, Borclrale diameter: CJ (in.) 241). For luieclim, %Valls ONLY: in addition to sending the form to the address in
24a above, also submit a copy or this rami within 30 days of completion of well
12. Well cnnstructlun method' _ Jrlr L _ construction to ale following:
(i. e, nuycr, iaury, cable, dile,[ push, ele-}
Division oflVater Resources, Underground L,(ection Conn -al Program,
FOR WATER SUPPLY t11L' LLS ONLY 1636 Moil Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & lrliectiaa Wells:
130- Yield (gpm) W Mellwd of test: 24c.
submit one copy or this faun within 30 days of completion or
well const ruction to the county Ilcnllll depammcnt of ate county where
13b. Dlsinfecriun h'pe: Ansovnl: _,__ _ — constructed,
Fenn G%4'-1 North Cundina Department urlinvi,munpnr and hlarunl Bcsmucus - Il mmsinn nI Water ftcsuu,ur Rcaistd Augusi 2013

WELL, CONSTRUCTION RECORD
This form can be rAcd fm single at mulliple. wells
1. Well ContrActor Information;
Well Cuntmeinr Name
NC Wall Cantracmr Ccnificmimt Nurahcr
Cascade Drilling, L.P.
i:nntpany Acura
❑Groundwater Itemediadon
2. Well Construction Permit I1c�QiL�t��
- —
Lisr all applicable n•e11 pL+nri(s f.ri Caary•
Slate, Variance, hijecrion, err.)
3. Well Use (chert( well use):
❑Subsidence Control
Water Supply Welt:
OTroccr
❑Agricultural
❑MunicipallPublic
❑Geothermal(Hearing/Cooling Supply)
❑RcsidentialWater Supply (single)
❑industrial/Commercial
011csidcntial Water Supply (shared)
Nan -Wales Supply Well:
❑Aquifer Recharge
❑Groundwater Itemediadon
❑Aquifer Stornge and Recovery
❑Solinity Bonier
❑Aquifer Test
❑Stannwater Drainage
OF.xperimemal Technology
❑Subsidence Control
❑Geothermal (Closed Loup)
OTroccr
0(jcothcrmal(1[catirtnlCoolingRctum)
0011jer(cxplainundcr112111cmarks)
4. Date Wells) Completed: �^�J► well da)vl t'1
So. Well Lucation:
Asheville Steam Electric Plant
FaeilhylOwner Name Facility IDN (if applicable)
200 CP&L Drive; Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Pnrccl identificatimr No. (PIN)
5b. Latitude and Longitude In degrculmin itis/secunds or decimal degrees:
(irwell field, one Jar/long is sulTicient)
35:66`7 19GR N 3 .5 60 7 `� 09 W
b. Is (ore) tlic well(s): germuncut or OTemporary
7. Is this a repair to an existing well: ❑Yes or MNa
Ifilds is n rrpatr, fill our brown aril carrrrnrctinu h fnrrnarion and explain /lie nalure of the
,,pair ander 1121 renun'kr srrlina nr on the hack of chis form.
B.Nuatber of tyells constructed: N.
For tmhiple hrjeclion a' gar-uafersupply urlli ONLY rrirh the .vrura cmistrnrrlan, }oa can
submit 011efor101.
Fm Internal U.ie ONLY,
22. Certification:
Sigrr nuf Ccnr red 7Ven utdtaeta Dale
By sibaring chis furui. I he+ebr erilift• +hat the i ells) nuts irvm-0 runserucled in ucev,duner
with 1Jd NC,4C 02C :0100 a' 15.4 NC.4C 02C.0)00 Well C—simcdon Standanls and lhtrr a
espy of this r•eew'd has hers provided in rhe nr11 anner.
23. Site diagram or nddllianal well details:
You may use the back of this page to provide additional well silo details or wcll
construction details. You may also nttach addilionA pages if necessary,
SUBMITTAL INSTUCTIONS
y.Tolu1wc11 depdr below laudsurfnce �i l �� (ft.) 24a. For All 3AYN: Submit this fonn within 30 days of contp)ctinn of well
For nurbiplevw/hltualldepilisi/difemil(emmpfe-3@i00'anrl:©100') constmclinntothe fallnwiog:
10. Static seater level below Into of cosing: _
U ..tru-lrael is "('ave aui+g, use "t
11. Borehole dlnmeler: -'U (in.)
12. Well canstruedan method: 500
(i_e, auger, rotary, rabla, di—i push, cin)
(ft.) Division ol•Wuter itcsources, information Processing Unit,
1617 Moll Service Center, Raleigh, NC 27677-1617
241), For Inlecilun, Wells ONI-V: In addition to sending lltc form to the address in
24a above, also submit a copy of this fonn within 30 days of cuinplction or well
construction to the folrowine:
Division of %Vuter Rcsourres, Underground injection Central Program,
FOR WATER SUPPLY WF LLS ONLY: 1636 1)'lail Scrvice Center, Rnleighr NC 27699-1636
24c- For Water Supply & Injection Wells:
13a.Ylcld (gpm) _ p•lcrltod of test:
Also submit nuc copy of this form within 30 daysol'complelion of
13b. Disinfection 13 -pe: Amount: well cansctuction to the county health department of the county where
cnnstnacicd.
Farm GW -I North Curullmi Depanm-nt ar Hnvirmancnl and Natural llesuurccs - Di�isiun ut Wmer Resumms Revicul Aup:rrd 21111

WELL CONSTRUCTiON RECORD
This rbrin can he used for single of mulliplc wells
I. Well Contractor Information:
\yell Cunuaclur 14umc
NC %Veil Cuntrrclar Colifrcetion Nuwba
Cascade Drilling, L.P.
L'ompaoy Nanic
2. Well Construction Permit Ih Q-A
Lilt all applicable uW/pernrifr fcr. Cmmly. Siam, Yap ionve. lnjm on, rfc.f
J. Well Use (check well use):
Water supply'Woll:
❑Agriculutral ❑Municipalflpoblic
❑Geothermal (Henting/Cooling Supply) ❑Residential %',tater Supply (single)
❑Industrial/Cornmercial ❑Residential Water Supply (shared)
Nun ►Vater Supply Well:
!❑Aquifer Recharge ❑Groundwater Remediation
❑Aquifer Storage and Rccovety ❑Salinity Barrier
❑Aquifer Test ❑Stormwalcr Drainage
OExperimealal Technology ❑Subsidence Contra]
❑Geothermal(Closed Loop) ❑'tracer
00eolher7nal11[mtim9Coo1ineRetuni) ❑Other(exltloinunder illiT
4. Dale Well(s) Ccrnplcted-:1 well 1130 1 f mw - ori
5a. Well Location:
Asheville Steam Electric Plant
FacilitylOwnerName Fucility lDll (irap[rlicable)
200 CP&L Drive; Arden, NC 28704
Physical Address, City, and Tip
Buncombe
County Percci Identification No. (PIN)
Sb. Latitude and Longitude in degrecsJminutes/seconds or decimal degrees:
(ifwell field, one laulung is sufficient)
.SS,gtb -jLh,3 N $2115LI910$i\ W
6. Is (ore) the weil(s): gerniancnt or ❑Temporary
7. is this a repair to un existing +yell: ❑Yes or WNa
lflhir h a repair, fill Oar knanvp well canstnrrlion I f nnatimt and explain rhe naPure oflAr
t epair under d21 renteirkr rection or on the back a%thisjam.
8. Number ofwells constructed: '
Far` 0 hiple h jeclian ur bwinvrnrrnl pply lvah ONLY with the same cunmuucth-, )na rmi
Jubrnil one foray
For Inlcmal Usc UtiLY: -
22. Cerlificallon:
—
Si reufCcstr reel At Cun rseenr Datc
tty xigning this jai ter. f her'ebr ce'lifi. Thar rhe +velffs) ries (were) canslrurled in accordance
ivith 15A NCACO2C.0,100 ar /S.J NCAC NC_0200 IP&I' C'nnsirueliar Smndurd.+ and rhea a
eapy of this recon) hue been pp uvidrd fo the veli owirrr•.
23. Site dingram or odditlnnal +yell details:
You may use the back of this page to proviric addilionnl well site details or well
construction details. You may also anach additional pages ifnecessary.
//� f SUBMITTALwsTUCFIONS
9. Total aveil depth �J
below laud surface: bS (ft.) 24a. For All \Yells: Submit This fonii within 30 days of completion of well
Fol mulliplc iurllr list all rlrpths i/difJb ,li (nvonple-.1@200' and 2@100) conslntelion to the following:
10. Stolle water level below top of casln.a:
f/irnburccruino, use A-
H.11orcholedin mcter: -L
12. Well Construction method:
ti.a auger, rotary, cable, 44ccl push, etc.)
(fi} Division ol'WaterResources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27499-1617
241). For Inlceliht+: NVOls ONLY: In addition to sending the form to the address in
24a above, also submit a copy of this lbnn within 30 days of completion of well
construction to the followin,,:
Division ur Watcr Resources, Underground injeelion Cuutrnl Program,
FOR 1YATER SUPPLY WELLS ONLY: 16.16 Mail Service Centel-, Raleigh, NC 27699-1636
13a. YieldMethod of Icsl: 24c. For Wuler Supply & luiectian Wells:
(gpm} Also submit one copy oh this fenn within 30 days ofcomplction of
13h. Disini'eetion type- Amount: well conshuction ro the county health department of the county where
LOltstlucled.
Form Gly -I Nunli Cumlim Depanmenl of Envirunrncul and Namml Resuurem- Dicicinri ul lVuner Resourccc Itecinerl AU,?rst 2011

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
James Hall, Jr.
Well Contractor Name
3224-A
NC Well Conlrnctar Cenificalinn Number
Cascade Drilling, L.P. , Aiken, SC
Company Namc
2. Well Construction Permit N: On Site
List all applicable ivell permits (r.e. Coati,% Stare, frariance, hVectian, etc.)
3. Well Use (check well use):
Water Supply Well:
❑Agricultural
❑Geolhermal (Heating/Cooling Supply)
❑ Industria I/Commercial
Non -Water Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
CCvl c�
❑Municipal/Public
[]Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Recovery
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Other(explain under n21. r
4. Date Well(s) Completed: Z r f %�--Well IDN 617yl1l :�-D g -
5a. Well Location:
Asheville Steam Electric Plant
Facility/Owner Name Facility IDN (if appliwblc)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No. (PIN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(ifwcll field, one latAong is s.frwicm)
N ��ts�y.���6r W
6. Is (arc) the well(s): [APermartent or ❑Temporary
7. is this a repair to an existing well: ❑Yes or ONo
If this is a repair, fill our knaim well construction h formulion and erphrin the torture of the
repair aider 1121 remarkv section or on die back of dtis farm.
S. Number ofweils constructed: I
For multiple iryeciion or non-matersupply uclls ONLY with the .came construction, you can
submit one form.
9. Total well depth below land surface: (ft
For multiple wells list all depths ifdiereni (esample- 3 a ]00' mid 2@100')
100')
10. Static woler level below top of casing:
If waterlevel is above casing. we -+-
(fl-)
For inlemal Use ONLY:
7`14, W MtR ZONES
FROM TO - arsrmPTION
ft. ft.
fl. ft.
15: qU1 R:C hSf VC. furrnulri•cttsed %NCI Olt 1ANER' irit "1lenlde
FROAS 70 OtA:'lVM'R - T1fICt'Nfss MATF,RML
7� ft. Q 2 in. ra-'t;.�f •Y(.r(�G
"+16ANNER-CASING"OR.•-1'liRtiYG f eathrrri:bl:rlosesf-Ino t
FROM TO MAMETEn THIC'h"Nrss MATFIRAL
fi. FL in.
fL ft- In.
-S
ICREFN
FROM TO D1AIUETER SLOTSIw TIIICCKNNM MATERIAL
\'� if• %,, fl.
/ ft. fr. is
]li":GROUT. •::.: _ ,. .:..• :,: � - . " :.-.."- ..,
FRQht TO NMATTRIAr, EA111-AMIENT AIET1tOO&.AMOUNT
rt-CI�Urr� 7//L-1,
fr. ft.
ft, ft.
1 N� SANi11GRA1YE1: ]'A+CI 1f a tlsnhir - '
FROM 110 htATEtnAL E61m8cL 11r VrN1C-ntoli
' ft. -? O fL f r
U .�7r C�
fL ft,
70.-lurt1LLINGA-0Gi,. cvclsaryfj
'Muhl To rrFSCItT"ION(color, r. i.roin.hx' etel'
ft, fl.
ft. ft.
ft. ft. -
ft. fL
ft. ri.
ft. ft.
U. ]tEMAR1:5"-
22. Certirention:
Signatue IttfLllctl'SLiiT atr c. Datc
By signing Ibis form, 1 hereby certify that the trell(s) Iras (were) constructed in accordance
ividi 15A NCAC 02C.0100 or iSA NCiC 02C.0200 ff ell Constniction Standards and that a
copy of rests record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional (well site details or well
construction details You may also attach additional pages if necessary.
SUBMITTAL INSTUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
Division of WnterResources, Inforinntion Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
11. Borehole diameter: l0 (in.) 24b. For Injection Wells ONLY: In addition to sending Lite form to the address in
Sonic 24e above, also submit a copy of tris form within 30 days or completion of well
12. Well construction method: construction to the ialloving,
(i.e auger, rotary, cable, direct push, etc.)
Division of Wuter Resources, Underground Injection Control Pregnant,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield (gpm) Method of test:24e- For Water SuRply S Injection Wells:
-- Also submit one copy of this form within 30 days of completion of
13b. Disinfection type: Amount: well construction to die county health department or die county where
constructed.
Form GW -I North Carolina Department of Environment mid Natural Resources - Division of Walcr Resources Revised August 2013

WELL. CONSTRUCTION RECORD
This form —be used rnr single nimuhiple wells
1. Well Contractor lnrarmaliun:
/-raj i r� 1i ca, tri / �v �� • r-� -`�
Well Cunu:rcror Name
NC Nell C'ommcior Cerci fiemion Number
Cascade Drilling, L.P.-
Company
.P:
Company Name
Z. Well Conslrucliun
Lisr all npplfcable well per-m!!s (i.e. Cauury, Slate, Vat inner, lojertion• eir,.)
3. Well Use (chcch well use):
Wn ter Supply WeO:
❑Agriculltttal
©Geolhcrmal (FIL-MinglCooling Supply)
Cl tndustri a llComm cici al
Non -Water Suppty Wei I:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
OAquifer Test
❑Experimental Technology
'❑Gcolhermal (Closed Loop)
MGcolhcrmal fi•lcalimJCooline'
❑MunicipaMflilic
❑Rcsidcnlial Witter Sopply(singlc)
❑Rcsidcnlial Water Supply (shared)
❑Groundwater Remediation
❑Salinity Barrier
❑StormwalerDrainage
(]Subsidence Control
❑Tracer
1:30ther (vxolain under 1121 P
A. Date Wcll(s) Completed: Wdl iD11
5a, Well Location: ►
Asheville Stearn Electric Plant
Facility/owner Name Facility IDN (ifapptleable)
200 CP&L Drive; Arden, NC 28704
Physical Addins, City, uud Zip -
Buncombe
County Parcel IdcniTlication No. (PEN)
5b- Latitude and Longitude in degreeshnlnuteslseconds or decimal degrees:
(if well field, one lot/long is sufficient)
6. Is (are) the well(s): Likcrmanenl or ElTempornryy
7. Is this n repair to on existing well: ❑Yes or 10N
1J rh it is o rrpofr, fill oaf blown well cmrsnvcifan bjorinndon and explain the nature oflhe
repair under #21 reurarks smfion or on the hack ojthlsjorm._
8. Number of wells constructed: _
Far- uwiltiple iajcc iorf air wan -beta• supple w,,fls ONLY with the some eoasirueriorr, yon cmr
suhwir ane farvr,
9. Total well depth below land surface: R-),- - 1 o (rh).
Far arrdliple wr11T list nit depths ifrfillcrew (example- 3@200' and 2@ 100')
10. Stalic wales level below lop of casing:
y wrwer leml b shove mill, we '•+ •'
IL Borehole diameter: �, _ _�(in.)
12. Well consirucrinn method: A C
(i.e, uuo r, rotary, cable, dheu push, ole,)
Por Imcmal We ONI.Y:..
FIRM[ to IsrSClMMON _
ft. rt.
ft. ri.
15: olrlr-iil cAstlill, r rsuui l used trclls 011-14:it ll (fv . dloble
l7R)M 'tit 'iilll'; i.hl_SM1 ti_I.ATI'l0AL
fl. -
16. INNER CASING Olt TOILING f eatherntal clnrcddaatil
FIllim Tel MAME7En T111CttNF.SS 11ATrlt1AL
Q rt, n. rn VL
M SCREEN
FITOM I 7'O nWICTrilALl]TSIU. YI I tCk-NF-55 htAITAHA1,
a R �1�� rr• 1rI, �► Wit, NGVi
R,
Its. CRCtUT
FnQXl I TI) MAI 13M.11. F1,119.ACFM F.Iti'f-':t9(�Fri 1011 A AM 11 UNT
I'll. ft. tel►
rl. rl.
MSA p.tcr: tlr a, lile�lne - _
PROM TO MATERIAL lh1PLACG6SPJ`lr lfslk=fffrsn -
r
ft'
rt. 5 rt.nw.
7 R. ft.
it. finlulivr, Ll4G lzinarh addltlassal sirnits irni,casary
rarnt Ira urs, tilt rlrrx i��af.r. heron ,r�Nrnlraru n���r,rrr erre. x1..5
ft. ft.
rt. ft.
rt. rt.
R: rl.
R. ft.
`]L:riL:MAl11tS
22. Certification:
Signature of Certified Wcll Conlracior Date
BV signing fhlsfnirn, 1 hei ehr certijq• diol Nie rnell(s) ars (were) ronstrucfrrl!n ncenrdance
with 15A AICAC 02C_0100 or 11-4NGL' 0X.0200 hell Cacrlrvclimr Sranrlardr and dint a
"Mrf fhfs r econf has hear pr r'ided to the o•ell owner.
23. Sile diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also anach additional pages if necessary•
SUBMITTAL INSTUCTIONS
24a. ]mar All l eIR: Submit this fnnn within 30 days of completion of well
consinlction 10 the following:
DiAs(on of \'hater Resources, Information Processing Unit,
1617 Mall Scn4ce Center, Raleigb, NC 27099-1617
24b. For Inlectibn llrclls ONLY: In addition to sending the form to Illc address in
24a above, also submit a copy of this form within 30 days at' completion of well
consllaction to the fnllowine:
Division of Water Resources, Underground 111Jecliari Control Program,
FOR WA'T'ER SUPPLY WELLS ONLY: 1636 Nl211 Scrvicc Centcr, Rafcigh, NC 27699-1636
Mi. Yield24c. For Water Supply .S injection Wells:
(gpm) Method of lest: Also submit one copy of this form within 30 clays or completion of
131). Disinfection type: Amount• well construction co dic. county health department of the county where
constructed.
Form G1hr-I North Carulinn Dcpurtmeat of Fnvimnm_ni and Narurnl Itcsvurees - Diciiinn ut tVmer Rcsuurres Rn ised Awyusl 21J 13

WELL CONSTRUCTION RECORD
' las form can be used forsingle or multiple wells
1, Well Contractor Information:
James Hall, Jr.
Well Contractor Name
3224-A
NC Well Contractor Certification Number
Cascade Drilling, L.P. , Aiken, SC
Company Name
2. Well Construction Permit 4: On Site
List all applicable welt permits (i.e. County. State, Parlance. injection, ela)
3. Well Use (check well use):
Water Supply Well:
❑Agricu I tural ❑Municipal/Publ is
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑Industrial/Commercial ❑Residential Water Supply (shared)
re V, Sid
For Internal Use ONLY:
C.AiIN
cothernud clot ed -Ino i
17[ntaT_ _I
e
I mmarl rtt I TiIICi Z—Z nIATEIIt1AL
14. WAT,1;tt ZONES ..
fI.
IR
I'ROM TO
OlSCInPT'MN
in.
ff. ft.
u. n.
_
'20:`DRILLINGLOC a[lachaddhiunnishceis'ifnccesset
fr. 1 O.
ft. ft
-F1510Tt"TAOSING=fm111.AMi:idi•:ivkllORLINER'lfis-iiabl
l
l
MATFRIAL
�� fr. � rr.
� In• SCI, �ij'1y
/�L'C
Non -Water Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geolhermal(Closed Loop)
[]Geothermal (flcatinp/coaline
1iV4ER
C.AiIN
cothernud clot ed -Ino i
17[ntaT_ _I
TO
I mmarl rtt I TiIICi Z—Z nIATEIIt1AL
It.
fI.
IR
ft.
fl.
in.
FROM TO n64M£TF.Ii s1 oT srer TH-100crss TATEn1AL
2 fl. d in_
f3Recovery
rt.
� FL
-75
ft.
rt. fL
n.
❑Groundwater Remediation
❑Salinity Barrier
❑StormwaierDrainage
❑Subsidence Control
❑TraCCr
❑Other(explain under #21 Remarks))
ft.
ft.
I9. SAiV1f1CRAV1 L PAC14 ifh Ilrwlrlc ;
FnoM ToMATERIAL EN1PLA UNIElsrml:`0KM
it. ��J ft.
T
u. n.
_
'20:`DRILLINGLOC a[lachaddhiunnishceis'ifnccesset
FROM I Tootsc tt1'i'tVN lc9aar, unr nnr rotVrneal_f e, nun s+rr,sle.1
ft. ft
4. Date Wcll(s) Complcted:3 r �0' I� WcII IDN /' &V lt%— 5 tS
5a. Well Locution:
Asheville Steam Electric Plant
FocililylOwncr Name Facility 1Dn (ifopplicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County Parcel Identification No. (PfN)
5b. Latitude and Longitude in degreeslminules/seconds or decimal degrees:
(ifwell Geld, one hit/long is sufficient)
y 72 7- N V,-V-2ys3za
6. Is (are) the well(s): opermnnent or ❑Temporary
7. Is this a repair to an existing well: ❑Yes or ❑No
Ifthis is a repair, fill out knoua well eonstntctian h jornlation and explain the nautre of rhe
repair under 031 remarks section or on the back of this form.
ff,
ft.
fi
-75
ft.
it.
n.
fL
ft.
R.
rL
rl.
LL REMARK,% -
You may use the back of this a c to rovide dd f 1
22. Certification:
Il
fi
-75
Sign aw-u • -tm 01 Well Co'filraclnr
Dalt;
By signing this form• 1 hereby certify that the fvell(s) oras (ivere)
constructed in accordance
ivith 15A NCAC 02C.0100 ar 15d NCAC 02C -0200 Well Constnlction
Standards and that a
copy afthis record has Leen provided to die well ouoler.
23. Site diagram or additional well details:
You may use the back of this a c to rovide dd f 1
F g p a l aona we Bile details or well
F Number o action constructed: _ 11 construction details. ti'ou may also attach additional pages if accessary.
For multiple injection or non Ivells ON[ l' wide the saute can-ri—clion, yon can
submit one form. ^� SUBMITTAL INSTUCTIONS
9. Tofu] well depth below land surface: -=:?l (ft-) 24a. For All Wells: Submit this form within 30 days of completion of well
Formtdtiple lt'ellslist all depthsYdierent (c-rample-3@2U0'and2QI00') consuuclion to the following:
10. Static water level below top of erasing:
Ifwalerlevel is above casing, ase
11. Borehole diameter:
(in.)
((L) Division ofWalerResources, information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Iniection Wells ONLY: In addition to sending dic form to the address in
Sonle 24a above, also submit a copy of this form within 30 days of completion of well
12. Well construction methad: construction In the following:
e• auger, rotary, cable, directpush, etc.)
Division of Wa(er Resources, Underground Injection Cuntrol Program,
FOR WATER SUPPLY 1VELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13u. field (gpm) Method of test: lac• For Water Supply St Injection Wells:
Also submit one copy of this form within 30 days ofcompletion of
13b. Disinfection type: Amount: well construction to the county health department of the county where
constructed.
Form GW -I Nordt Carolina Department ofFslviroumeut mid Natural Resources - Division of Water Resources Revised August 201x'

WELL CONSTRUCTION RECORD_
I'lik rum cur be used far sinplc m-imdtiplc wells
I. Well Contractor Information:
Well Cum rx!W Name
l Dq `
NC Well C—i—Lnr CcrtiFication Number
Cascade Drilling, L.P.
Compnny Narne
2. Well Conslnrction Punnll 8: ©�_�j_�P _—
List all opplivubl. ++r0 pernlirs (i.e. Comity, Stole, I'm idnc'e, Injection. etr.)
3. Well Use (cheep well use):
Witter Supply well:
OAgriculmral OMunicipal/Puhlic
OGeothennll (Healing/Cooling Supply) ORcsidential Water Supply (single)
Obidusirinl/Commercial OResidential Water Supply (shared)
Well:
OAquifer Rechnrge ❑Groundwater Remediation
QAquifer Stonge and Recovery ❑Salinity Barrier
OAquifer Test OStormwater Drainage
❑Experimental Technology OSubsidcacc Control
❑Geothermal (Cluscd Loop) OTraccr
C7Grwhermal (Vcotin Coolinit
11810m) OOlhrr(cx Iaiinunder 021 Itemnd(t)
d. Date Well(s) Completed: Wellell ID(l, AgrilrV11- 5R,
5a. Well Lucuiiun:
Asheville Steam Electric Plant
Foci lity/DwncrNume Facility iDtf (ifapplicuble)
200 CP&L Drive; Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County Pntccl Idenlilicatfon No. (PIN)
5b. Latitude and Longitude in degrecshnlnntcs/accnnds or decimal degrees:
(if well field, one to ID.I; is sufrrcienl)
S.y66S2300ag6 W
5. Is (are) life well(s): dpermancnl or OTemporaryy
7. Is Iltis a repair to an existing well: OYcs or IkINo
ljrbis is a repair, fill our biota xrfl emrso—don In(nnnartais and eiplain the nature ofdre
rrpnir under. 021 rrmnnE srclion or on the back a1rhis,%ann,
8. Number of n•clls cunsu'ucted: 1
For nsrihiple i+jerlmn ornvq-Wtfcrsuppy ne/b ONLY unlh the suure cculstructlua, you can
rabrlJU Onejarnr.
9. Total well depth below land surrnce:
Foranrhiple sveds fist all drplIv 1fdiQer,' (e.ranrpte- 3)2U0'andljl06'j'
111'Static ivaier level below top orrnsing: {ftJ
If wNn-levd is nbanr. rutin;;. nsr "+"
IL Borehole diameter: (in.)
12.'We11 cunstructlun medrud: 5SM i
li.a uugrr, lurary, cable, direr push, cit.)
FOR WATER SUPPLV WFLIS ONLY:
133. Yield (gpm) Method of lest:
13 b. Disinfection type:_ Amounl:
Fnr tniemsl Ilse ONL.Y:
I ft.I ft. I in.I I I
n, `n' til (> +SC-� y4 �VC
[t. ft. Ih•
. t s. l�rt(1flr
114. rF 7O h�1ATjF.nk 7t. -ii YF A[: t; Si.N'F'?Ifrl'11t1n.e'+tM1ttil!
O [l, 7r 7 . IFI -
IL I -
IL
fL Ti.
22. Certification: 3/1�
5igm rc nrCcrriFedV/c 14nnlracfor Dale f '
Oy signing this jalrr, ! het ehr erHfi+ drat die urfl(sJ oua (nrreJ cnnsnucted in accordance
w0h ISA NCAC o2C.oloo a, -15.t ,VC -IC 02C.0200 well Cmrn'urdon Standardr and thus a
copy aflhis rrca d has Leen pt ovided to the sre11 mwo'.
23. Sile diagram ar additional well details:
You may use the back of this page to provide addiiimlal well silt ticntils or well
cunstruclion details. You may also oltnclt additional pages if necessary.
SUBMITTAL INSTUCTLONS
24a. Par -Ali Wells: Submit this fnnn within 3U days of completion of well
construction to life fullowing:
Division nfWaler Resources, lnl'ormution Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24 b. Fnr lu eciflin WHis ONLV: In addition to sending the farm to the address in
241 above, also submit it copy of this form within 30 days of completion of well
construction to the rollowine:
Division afWuterResources, Undcrgrnund injection Control Program,
11636 MAI Service Censer, Rulcioh, NC 27699-i636
24c. For Walcr Supply & lnt ection 'Veils:
Also submit one copy of This loirn within 30 dlysofcompletion of
well construction in the county health department of the county where
constructed.
Form GW -I North Curulin-i Depanmcnl or Envirumneal and Natural Res uurcc, - Dicisiu❑ ul Water Rcsusurn Reeiscd Au..ust 2013

WELL CONSTRUCTION RECORD_
This form can be used for single or multiple wells
1. Well Cantrnetor Information:
James Hall, Jr.
Well Contractor Name
3224-A
Far intcnul the ONLY!
I1. WATKTI ZONR5 -
ft. I ft.
fl, fL
NC Well Comraetor Certification Numberr
Cascade Drilling, L.P.
19iSatillrCttAYEt.l9tcr.
a. r.ru t sac c. AMINn , nor nnaa-rnsrn ssrn.v v
-MOM _ 'rt] n1ASt F,'rk;n
-7 ft. 1 0 It. In.
Company Natne
I -
2, Well. Construction Perron 4: �1"�r,� _ _
List ull apphrable well permfrs li.o. Cnwuy, Stale, Irarlarme, hdrelinn, etc JI
3. Well Use (cheek well use):
-
t+i.INN}IR.CA. . HOWfDRIM. r coll,crlla
r'ntau 10uutalr.-fttri
_
rl. ft. In.
Fl. ft. n.
t7, tiCltEfiN
FRMr
Tr)UTAas€f'RIt
Tor s s I
MOT
VVatcr Supply Well;
❑Agricultural
❑Geothermal (fleating/Cooling Supply)
❑Industrial/Commercial
DIrrirntion
❑MuniatpaVPublic
❑Rcsidential Water Supply (single)
011"identiol Witter Supply (shared)
f4
!
ft.
7
? In
0
ft:'
ft.
N.
ft,
'I& GROVF
FRfr51
TO MATltm.At.
ft,
Physical Addross, City, and zip
Buncombe
County Parcel Identification No, WIN)
Nod=Water Supply Well.,
Monitoring
I.A.-If.- hvAl.
O Rcco.�cry
- -
n,
ft. isELsi
ft,
ft,
❑Aquifer Recharge ❑Groundwatcl Rcmcdiation
OAgnifer Storage and Recovery Malinity Barrier
C7Aqui far Test ❑ S lormwnler Dnlinage
OExptrimentol Technology 171ISubsidenca Control
❑Geothermal (Closed Loop) ❑Tracer
❑Gcothertnat (IiealinpJCool`rug Rebind} ❑Otbt:r(ex Inin under 921 Rcmafks)
19iSatillrCttAYEt.l9tcr.
Rn,,
hMnar
TO I MATE
n.
ft.
20, p[tl.l.t.lttC.
LflG'(nllurlrBUM
Von i
Tor s s I
R•
fI.
4. Dnle Well(s) Completed: N �q i ►S Well IDN MW_� [)-I
5a. Well Locttlon:
Asheville Steam Electric Plant
I'xeilitylO vnrr l3a ate Iraciffly IDll(ifoppticabte)
200 CP&L Drive, Arden, NC 28704
ft.�
v ft.
ic.
rt.
ft.
n.
n
ft,
fl.
iL
-
Physical Addross, City, and zip
Buncombe
County Parcel Identification No, WIN)
21. nrMARNS
5b. Latitude and Longitude In degrees/minuteslsecon ds or decimal degrees:
(ifwetl field, one lat/lang is wiTieienl)
.3S. q tA3194 N w
6. Ts (ore) the well(s): ❑Permanent or ❑'Fempurary
7. Is this a repair to an cxfsling well: ❑Yes or ❑No
Ijthis Is a repair. fill nm knmrn well ranvir nonoil n formnlfun and arphlrn the name of die
reputr under 1121 rrinarks senian or nu the brick , f dar jmm.
H. Number of wells constructed;
Foremlliple hilecflon ,vclls OIVL 1'rvilh IIIc same caRsfrilcrion, ymr rrnr
svhmil one jnrin.
9. Total well depth below land surince; 1,2 (fl.)
Fm• nnllliple tvelfr fist all depd,r j f dI fferenl (crumple- 3Q100'and 2@100')
10. Slulic water level below top of casing: (ft.)
lJ,rohs lorel fir abova t;ndng, osis "+"
11. tlurchole dinmetor:, (in.)
12, Well construction method-, nn i C.
(i.e. auger, rulary, ruble, direct push, cm.)
POR WATER SUPPLY WELLS ONLY:
An. Yield (ppm) Method of test:
13b. Dtsinfcction typo; _-. Amount
A AN1n Uh"r
22. Ccrtillcattua;
Sign . orc,,r,r.cd Walt Contractor i]atc
D,v s'lgning Itis Juno, I hrrehj• certify roar rhe u'ell(t) n•nr (nr,v) ran,nrnrled In nr cerrhnrrc
Will 15A NCAC 01c .01110 ar 15d NCAC 02C.0200 Illell Conswicrion Srmrdardr and Ihnl a
copy ofllrlr recard has bear prnvidrd In Orr hall uumr
23. Site dingrnm or additional well details:
You may use the back of Otis page to provide additional well site details or well
consImetion details. You may also attach additional popes if necessary.
SUHIVIITTAL INSTUCTIONS
Zan. For.IUGVI'ells: Submit this form within 30 days of completion of well
construction to the following:
Division of Wnler Resources, Information Processing Unit,
I6.17 Mall Service Center, Rnlelgh,NC 27699-1617
24b, Tror. hilecllon Wells ONLY: In addition to sending the form to the address if)
24a above, also submit a copy of this Corns within 30 days of completion or well
construction to the following;
Division of Water RCSalll'CeS, Undcrgrouud Injection Control Program,
1636 Map Servlcc Center, Raleigh, NC 27699-1636
24c. For Witter Sujoplv & Itiecdon Wells':
Also submit one copy of this form within 30 days ofcompletion of
well construction to the county health department of the county tvherc
constructed.
Fnnn GW.I North Camlinn Department arCnvirannrcnl and Nuluml liesnu,ces •- Division of Watcritcsoumel Itcviscd August 21111

WELL CONSTRUCTION RECORD
This form can ba used for single or multiple wells
1. Well Contractor Information:
James Hall, Jr.
Well Contractor Nome
3224-A
NC Well Contractor Certification Numlxr
Cascade Drilling, L.P. , Aiken, SC
Company Nam.
2. Well Construction Permit N; On Site
List all applicable well permits rr.e. County, Stale. 1 ariance, injection, ere.)
3. Well Use (check well use):
well:
❑Agricultural OMunicipal/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
Ofndusirial/Commercial ❑Residential Water Supply (shared)
Nan -Water Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geolhermal (Closed Loop)
❑Geuthermal (1tentine/Coolinn
❑Groundwater Remediation
❑Salinity Barrier
OSlormwaler Drainage
OSubsidence Control
❑Tracer
001her(exphlin under 421 P
4. Date Well(s) Completed:
Su. Well Location:
Asheville Steam Electric Plant
Facility/Owucr Name Facility IDM (if npplicuble)
200 CP&L Drive, Arden, NC 28704
Physical Address, Cily, and Zip
Buncombe
County
Parcel identification No. (PiN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(ifwcd field, one laUlang is sutlicieni)
N
G. is (arc) the well(s): 1OPeromnent or OTemporury
7. Is this a repair to an existing well: OYes or ONo
If this is a r,Pat,, full out /mon•n nvil construction information and explain the nature of ilre
repair under 1131 rennarls section or on the back of this forin.
S. Number of wells constructed: tl
For multiple ejection or non-n•nrersupply wells ONLY n'ilh the soma construction, you can
submit oneform.
r-- �
9, ToInI well depth below land surface: ([t)
For multiple a -ells list all dep rlrs if ali ferent {trample- 3 u °00' and 3Q 1 nn')
10. Static water level below lop of casing:
If nater level is above casing, use
11. Borehole diameter: i
12. Well construction method: Sonic
(i c auger, rotary, cable, direct push, etc.)
For Internal Use ONLY:
22, Cerlificalto
Signatn 6 cr r ted Well Coolmcta Dat.
By signing this form, I hereby certifj, that the u•ell(s) a•as (mere) constructed in accordance
With 15A NCI C 02C,0100 or 15A NUC 02C.0200 Well Construction Srnndardr and that o
copy ofdhis record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back or this page to provide additional well site details or wcl[
construction details. You may also attach additional pages ifnecessary.
SUBMITTAL LNSTUMONS
24a- Far All Wells: Submit this form within 30 days of completion or well
construction to the following:
(ft) Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For iniectiun Wells ONLY: in addition to sending die form to the address in
24a above, also submit a copy or this form within 30 days of completion or well
construction to due following:
Division ofWaler Resources, Underground Injection Control Progr rn,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield (gpm) Method oftest: 24c. ForWrtler Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
13b. Disinfection type: Amount: well construction to the county healdi department or die county where
constructed,
Form GW -1 North Carolina Department of L-nvironmcul and Natural Resources—Division of Woler Resources Rcviscd August 2013

WELL CONSTRUCTION RIJCORD
This form can be used fur single or rmrlli pie wells
1. Well Contractor Information::
James Hall, Jr.
Welt Contractor Nvnm
3224-A
NC Well Contractor Cen(rrcallon Number
Cascade Drilling, L.P.
Cuaglsny, Name
2. Well Construction Permit 0:_ J` "
Lint all applicahlc aril petmils fl.e_ Gimnry, Sla1r, [4rr•ionce, byeelrnn, eic.)
3. Well Use (cheat: well use)!
W4tcr,5ttppiy wait:
G Agricultural
❑Gcotlicrmul (IleatinLVCooling Supply)
❑ Industri a I/Commercial
Non -Water Supply }yell;,
ONIoniloring
OAquifer Recharge
❑Aquifer Storage and Recovery
❑Aqui fer Test
L3 Experimental Technology
OGeotherma] (Closed 1 -mop)
❑1vlunicipal/Public
❑llesidential Water Supply (single)
❑Residerdial Water Supply (shared)
DGroundwator Rcinedintion
❑Salinily Hairier
❑Sionnwater Drainage
0Sub6dence Control
❑Tracer
13Mher fc+cnlain ander 021 ii
4. Date Well(s) Completed: i9 5 Well ID11_A 015
5a. Well Location:
Asheville Steam Electric Plant
PacililylOwncrNosim Facility Wit(ifapplicablc) "
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
Purerl Idenlificnlion No, (PIN)
51). Latitude and Longitude in degrees/mhtules/seconds or decimal degrees:
(irwo field, one nalllong is sufficient)
35.41,144S8111 N W
6. Is(nre)thewell(s): 01'ermonent or ❑Temporary
7, Is this a repair to an existing wail: ❑Ycs or ❑Nn
ftbir Lr a repair, fill onl.trroulr rv<•I1 coruirtrcria,r inf--whir rod reploin 1h—aim, of the
r sari' undrrll2! renrur,F.rseelluu m nn lbr. hark �Jibisfnnn.
B. Number of wells constructed: j
lrornrullipla Jnfecllon anrn+r-np[arslippfl� u•ellr ONLY u71h the sn+ur crirvirnrctiun, you cur
sidnah rare Jnrnt.
For Infernal Use DNI.Yt
ar1g).11 'Fri lJI:SCRIP'nam
f1, fn.
�-
1S, OUTER LASING_ for maill-casctl %vOltl Olt LINER.. iro r dicot V
9t -
FROM r81AYYtIAi-
tb2..-11ititf;tI,t.GASIOfL40. - h}
ti(I ORT MING 'Aomtot elosot•trulit
FROKI �
---
To) MAMETEtd TuicxrMF55 MATERIAL
fl, fl.
ft. rt. lm
rllrtal 'I'ti filAxt F:)'r.n.AI.1)TSl'fg TIIt irNF,}.S ' .'H�Yflll At,
D
It, ft. tn.
l a. GROUT
Fnnlf TO MATKRIAL EMPr.AC011'rl'1"At F;t ICO111k A&IL1 M
--L5-11.
ft. fb
ft.
10::5,tNlStC;! t�lY1:; L C�SC[i'I ff�g111cufd e _
lnrnt -n) s1AM.n1,11, rhtt't.Arratn�ratl:liltat
If, tt.
20. h1211A NG LU ssttaeli all 11ln nal slier 15 fr neepisM .
I'ttrrit TO nLwEltti''i'snuf•a4er•.n,rdndr..ulunrs•frirns.er,rind,c.tre�l-
fl, fl.
R. fl.
ft,
ft. ft. - - - -
ft. rt,
ft, ff.
ft, ft.
22. Certificntiou:
Sig urenfl,•anificdWell Cunimoor ❑ase
I',,, signing du Lr fi,nru, I h—by ee,?f� lhul Me nrll,(.�% was (.re") cmnrruclyd in orcordune.
Will lid NOW 02C.0100 or ISrf NC,4C 02C.0200 Writ Conrrruciion Standards and Ilett a
cnNv of Innis record has been pr'arldcd to the oell owner.
23, Sile diagram or additinnnl well details!
You may use the back of itis page to provide additional well site dcluils or well
construction details. You may also attach additional pages if necu;sary.
SUBI411"rrAL INSTUCTIONS
9. Total well depth hcloiv land surface: 31 (I't') 24n. For: All ll'Ols: Submil this form within 30 days of completion or well
Forandtipleiells lest all deplhsj%djaJrrw(eample. 91.nt200'mldl(u;100') contraction to the following:
10. Single water level below top of cusing:
ljmulur lerei It ubow, ruing, lore
11. Borehole diameter:
(In.)
12, Well construction method:f laT 1)r_C,
(i.e. nuger, rutaiy, cubic, direct push, ere.)
(ft,) Division of Water Resources, Information Processhrg Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24h. For. InkcHoli Wells ONLY: In addition to sending the form to the address in
24a above, nlso submit a copy of this fornt within 30 days or completion of well
construction to the following:
Division of Water Resources, Underground Injection Control Program,
FOR WATCH SUPPLY WELLS ONLY: 1636 Mall Service Center, Raleigh, NC 27694-1636
13u. YieldrVIcthod of test; 24e, ror Water Supply & Induction Wells:
(hpm ) Alsu submit omc copy of !itis form within 30 daysofconplcliml of
13b, Disinfection type: Amount: well construction to the county heallh dcpmimanl of the county where
constructed.
Form GW -I Nanh Carolina Depnn:nenl of Environment and Nalural Resmtrres - Division of Water Itcsnarccs Ruvised August 2(113

WELL CONSTRUCTION RECORD
For Intermit Use UNEP:
This fart can be used rub single or multiple wells-
ells1.
1.Well Contractor Information:
Michael Coleman
34. WATER
ZONES - -
Lw m
Tn
Well Cnlnracwr Name
2992-A
n,
ft,
NC Well Contractor Cenificuion Number
t5 OU7'M g.CStNf,;'(formull[ re�sdavcllp Olt ILII1tiMR Ifo rllndsle
- - _
►ttt71t Tt1 RtA11f:7"r:It nr1r:I0*;59L_
M+ATMIUM,
Cascade Drilling, L.P.
ft. n. In
CumponyNant¢
71T. lN.WM;CaS1NG ORTUft1NiC -+calla "nal
clu,cd-Ian n)-
pitraAt Tf) RIAMETER
TIMICIVE-M MATY1VA1.
2, Well Construction Permit V.,
ft,
2 0 ft. �
��pp C
Lim all appliruhic wealprrntlls rrr- Cnunl)t Slate. Parluoce. 4ycetlner, cis.)
h.
ft. I>L
3.1Ve11Use (chcc[cwell use).
f9.SCIi1n
N
Wnter Supply Weil:
rnonr
TO
DIr1F1CTk;R
sim,f SI25
I ivterxret_ka
I MATERIAL
❑Agricultural ❑MunicipallPublic
�ff.
b ft.
—2 1n.
Qi O
❑Geothermal (Ileating/Cooling Supply) ❑Rrsideniinl Water Supply (single)
If.-
❑IndustriaUCommercial ❑Residential Water Supply (shared)
IIL 02(6161 -
+ati
FROM,
ft.
710
MATERIAL FhIPLACFa17ENTt•tY-TI14)n Se AtslUllNT
on•r Supply 1Ve13:
Nun-WRfe
RMonitoring C111ccovtry
ft.
InjvctItill W11II
it,
R.
❑Aquilcr Recharge ❑Groundwater Remediation
i9.S,t+ flr,;ltAVl_
PAC.f{- nrinlsable
❑Aquifer Storage and Recovery ❑Salinity Barrier
ptu>+r
TO
pfA7i:lLLMF.
katP;J6CEAlr;.1T A1F7rltln
r4
"moi t4
❑Aquifer Test ❑Slormw:ncr Drainogc
ft,
ft,
❑Experimental Technology ❑Subsidence Control
srl.'Dltll:r:l,4GLo
nttuettuddillvrtntabeelsirrrcrasian'
❑Gcothcnnai (Closed Loup) CITmcer
MOM
T{)nl
SCJrli LrfFM trrd,ir,ler <rinrrr t„IY+wcG lri�,uRIA sLr. 4.1
❑Geothermal (llealiu 1ff'oril(!l + Rulur i) ❑Olher(cx plain undr.•rf1.21 Me narks)
ft.
ft.
_q
ft.
ft.
4. Date Well(s) Completed: .Vlecll ID11
ft.
ft.
Si. Well Location:
ft.'
ft.
Asheville Steam Electric Plant
a
ft
FacilkylOwner Name Pecility IDh (if upplicuble)
R
fl.-
200 CP&L Drive, Arden, NC 28704
Physieol Address, City, and Zip
.1: lliilL►ttkS
Buncombe
--
Colaity Percal Idenlire,ttien No. (PIN)
.. _
5b. Latitude and Longitude in degrees/minutes/seconds or dcclmni degrees;
22, Certification:
(ifwellfield, one lotllone issuillelent)
35.x31 N.3q`Sl oS _W
Signature nfCcnified Well Conwour Date
6. Is (are) life well(s): ❑Permunenl or ❑Temporary
Qy signing lhm fermi, 1 lhrrrhy colli. lois the Ml(s) war (were) rmulrurlrd lir orcnrtfonce
rptlh 15,1 NL',IC 42C-0104 or 15A A+CAC G2(: -1)244 iY it Coorincctimr .Tinnrlards ani ehal o
7. Is this a repair to an existing well: ❑Yes or P&G
ropv ajlhti record his been provided to the nrJl owner.
ltrrhr.v it a repair, fill oul knouu wrll cunslrticlion hjormarion and evpin)n rhe unlure ujrlrr
repute•hurler U2/ rtmnrkr•.n-,alar ar on du: buck ofl/err foam.
23. Site dingram or additional well details:
You may use the bock of this page to provide additional well site details or well
H. Number of wells constructed:
construction details. You may also attach udditional pages ifnccessary,
rarrnulliple hyrelioa ornaa• ,vier supply tvellr UNLP ividr the samx cons'lnrcllon, a•au ran
submil unejorac.
S_UBNff1"CAL iNSTUCTIONS
n
9,1'01:11 Well ticptlt btlIAV 111uil surfneet fJ (ft,)
240- Far All \Vvik: Submit this form within 30 days of completion of well
Mir'rnrrblpfr I&WIsllv'rrll depihr7f j(erntr:fcr,rrup&•-J{+1]2oa'Iaurf t(a)100')
cunslniction to the following;
10. Static water level below top of easing: t0 (ft.)
Division of Water Resources, Informudou Processing Unit,
V'Noarerlevel ft above caring lar "t•" -
161T Mall Service Center, Raleigh, XC 27699-1017
11. Borehole din meter: L,12- (in.)
24b. For Infection Well; ONLY: In addition to sending the fonn to the address in.
24a above, also submit it copy of this form within 30 days of completion of wV:U
12, Well construction method: C_
cunsnvction to the following:
Q.e, auger, rawly, cable, direct push, ete.l
Division of Wn[cr Resources, Underground Infection Control Frogrntn,
FOR WATER SUPPLY WELLS ONLY:
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply Sc Injection Wells:
13e. Yield (gpm) Mclhod of test:
_
Also submit one copy of this form within 30 days of completion of
13b. Disinfection type: Amount-
well construction to the cuun(y health depattmenl Dr the county where
_
constructed,
porn GW-I North Carolina Department of L•nvimnrncnt and
Nmural Resources -'Division of Wncr Resourecs Revised August 21)13

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
James Hall, Jr.
Well Contractor Name
3224-A
NC Well Contractor Ccrli6cution Number
Cascade Drilling, L.P. , Aiken, SC
Campmty Nome
2, Well Construction Permit 4: On Site
List all applicable i yell permits (r.e. County, Stare, Variance, /njectfon, ere)
3. Well Use (check well use):
[,t bli'sed
For Inlcmal Use ONLY:
la.►yA'l'I�RcaNrs :..
muwfT i DESCRIPTION
Water Supply Well:
❑Agricultural ❑Municipal/Public
❑Geothermal (I-Iealing/Caoling Supply) ❑Residential Water Supply (single)
❑Industrial/Commercial ❑Residential Water Supply (shared)
Non -Winer Supply Well:
OMonitaring
❑Recovery
Injeclinn Well:
R. I
❑Aquifer Recharge
❑Groundwater Remediation
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
❑Stormwater Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
❑Tracer
❑Geothermal (ileating/CooliMReturn)
❑Other(explain #2l Remarks)
4. Dale Well(s) Completed: 7'/.2' /�
n�under
Well IDIIL!, d W
Sa. Well Location:
you can
Asheville Steam Electric Plant
in
Facility/OwncrNmne
Facility IDO (ifnpplicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
a t u can on61 u c m egrees rano es st m'
egrets.
Buncombe
R. I
County
Parccl IdtadfiicatianNo. (PM)
Ch L Cd dt L 't • d
d
/ ' Id „
/' t•d d
econ s or uu
egrets.
(irwen field, one IntAong is sufficient)
R. I
3K, 1.3 N �� 5� 5� �
W
l t7st ! r3 t
O •LINErt ifn rinrhle
rutif-tasedwells t
6. Is (are) the well(s): OPermanent or ❑Temporary
7. Is this a repair to an existing well: ❑Yrs or ONo
7 S ff. C�)
Ifthis is a repair. fill out known it -ell consrnicrion information and explain the nature
ofthe
repair under 021 remarks section or on the back ofth/isform.
FROM TO
H. Number orwells constructed: 1
UJAMETER TOICWYESS
For m«hiple injection or non-waer supply wells ONLY with the sumo construction,
you can
subnrir one form.
in
ft.
9. Total well depth below land surface: rI
{R.)
For mnleiple cells list all depths ifdiljer ent (example- 3 rt 200' and 2@100')
100')
17, SCflrrX%:.
10. Sta fie water level below top or casing:
(ft)
Ifivaier level O above casing, use "+'.
_
DIAMETER SLOTSIZE TIIM_KN��4//+5 MAI
Il, Borehole diumeter:
ft. f4
Sonic
12. Well construction method:
(i.e, auger, rotary, cable, direct push, cte)
KRfim TO
FOR WATER SUPPLYWELLS ONLY:
MATERIAL EMPLAMIENTAFETfi'011.4AA,OUNT
13a. Yield (gpm) ._ Method of test:
13h. Disinfection type: Amount:
ft.
n.
fl. 1
fl.
R. I
ft.
IS, nurrR.CASING ftfro
O •LINErt ifn rinrhle
rutif-tasedwells t
FROM 70
I11AMINF:n Tintxtwms MATERFAL
7 S ff. C�)
R.
in. 5� Z/Q r�jG tL
IGANNL'R CASING Oil DING Leallternint.clostd Iuu --
FROM TO
UJAMETER TOICWYESS
AtAMUAL
ft.
ft.
in
ft.
ft.
ln.
17, SCflrrX%:.
-
rAO1.1 TO
_
DIAMETER SLOTSIZE TIIM_KN��4//+5 MAI
ft. f4
IS.•CROUT
KRfim TO
MATERIAL EMPLAMIENTAFETfi'011.4AA,OUNT
ft.
n.
ft.
ft.
I9:SAND/GRAVVOjP.4CIF'ito ticubtE-' - .. .
FROM
TO
AIATFAIAI,
V M PIACENSt:NT At RTI 10 1)
ft.
ft.
ft.
M DRILLING
LOG Julloch o$dilinunl!heels. if necLliso
mals]
TO
Dr_�CRIPTtON colnr,Imrdrrcxt.lslatntRr ,r, nlin sire•ctr.1
ft.
rt.
ft.
fl.
ft.
A.
ft.
ft.
ft.
fl.
ft.
_
ft,
-
ft.
11-
21, nRAiAREiS::•:c:d.i.F.:.
..
..._ .. .
22. Certification:
Signoturc a rConnuct r Dale
0y signing rhisfain. I hereby certify that the uvell(s) is -its (were) tonsmucied in accordance
with ISA NC4C 02C.0100 or 15A NCAC 02C.0200 Well Consiniction Standards and that a
copy ofthis record has been provided to the hell owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages ifnecessary.
SUBMITTAL INSTUCTIONS
24a. For All Wells: Submit this farm within 30 days or completion of well
construction to the following:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24h. For lniection Wells ONLY: In addition to sending the form to the address in
24a above, also submit u copy of tris form within 30 days of completion of well
construction to die following:
Division of Water Resources, Underground Injection Control Prugrarn,
1636 Mail Service Center, Raleigh, NC 2 769 9-1 63 6
24c. For Water Supply S Injection Wells:
Also submit one copy of this form within 30 days ofcompletionof
well construction to die county health department of tie county where
constructed.
Form GW -I North Carolina Department of Environmcal and Nutoral Resources — Division orWaler Resources Rcviscd August 211 ti

WELL CONSTRUCTION RECORD
This rami can be used for single or multiple wells
1. Well Contractor Information:
Michael Coleman
Well CumracturNome
2992-A
NC Well Contractor Cenifscation Number
Cascade Drilling, L.P.
Company Mame
2. Well C0115t1'r1cIID11 Permit fh
Llwa/1 applicable well permits(Ke, CoungtState. Iratlunre, hy"Itan, r1a)
J. Well Use (check well use):
Witter supply'Welt:
❑Agricultural ❑A4unicipoVPublic
00ealhcrmal (Healing/Cooling Supply) ❑Residential Water Supply (single)
❑Indusaial/Conlnlcrcial ❑Rcsidenliul Water Supply (shared)
Non-WoterSup,ply Well:
❑Aquifer Recharge
❑Groundwater Remcdialims
❑Aquifer Storage and Recovery
❑Salinity fimTicr
❑Aquifor'I'cN
❑StormwalLr Drainage
❑Experim niul Technology
❑Subsidence Control
00cothermal (Cloned Loop)
❑Tracer
❑Geothermal (IrcalinpJCoolinR Retnfn)
001her (cxploin under'.21 Romurk5)
4, Date Well($) Compiatod; q •r;? . &
WellIDN rzr IfD.
Sa, Well Location:
Asheville Steam Electric Plant
Futility/Owner Nam.
Facility I011(if app[icAltj
200 CP&L Drive, Arden, NC 28704
Phyvical Address, City, and Zip
Buncombe
e66mi
Parcel Idealiricalion No. (PFN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees;
(if weH field, one lavlong is sulllcicnq
rl W
6. Is (are) the wall(s): ❑Pcrmonent or ❑Temporory
7. Is this a repair to an existing well: ❑Ycs or C114o
if rhfs is a repair, Jill aur knon7r +vrll cu strudion h f—aviou and erphda the narmr &jibe
reptaronder 921 reirarkrsecdon or on the Inrck afrhffJanu,
H. Number of welts constructed;
For nwhiple hyecr(on or non-Ivalcrsuppli'sir/lr ONLI'n•fllr the tome cu8srraelimr, you ran
.suharil one%oro, -7
9. Total well depth below loud surface:
For wolttple welb fist nff drprhs ffdfflerear (crample- 3@i 200' mut 2(a)f 00)
10. Stallcwater level below (up of cashig:
2f urrtir.htl'rl is nLasti tart?rg, Ivc "+"'
11, Burehnlediameter: (1n.)
12, Well construction method: :S t)
(i.c, auger, romy, eoble, dirlel push, cic.i
(ft.)
('or lawmal Else oNt.r:
14.1VA'1Twlt%t1!+i S - .
Fltuat 'tu rst�cirnf"a�u
n. n.
!S; [7111 i 1J'C.i1S11[.. frnr mciht riicd'sref l+ Oil LINER111 Ir s+llvolitc
1+I[q;sE Tr9 - 1tl t\7F: 1'1!11 'I'Ii1t:KNL'."4V- 1tAl'F.fkEAf.
16..1NN 1t CASI.NG 094T '111NO f etdtlirrmrl rlmled-hla 11- `
11MOM 'I'tr fllANWTER rial,.KNEsss' MATF:aIIAI.
rt,
to.
17. bGRL r '
F'rinhti I TO111Aat 178a 51_nT 5175 111[ensit-95 AlkTritl At.
rl. �I rt. —.2 'a -
fl. fl, rn.
t11. CrMUT. -
IMON TO AtnTfnlAL PM1tiM.rCi:?IF.NThxFTllOa & Aatouvr
L41 n. w - rt.
[t. ft.
T6 ft.
19.SANDICJLM1VI?LPAC[[ 1arRo ucabte
MOM To, � JAIATRRIAI. 4:Af I't.,4Gr_4nti'r hsF: k'll[IIF
n. S n. mm5 01,E
fl. ft.
-,'.d. DRIF.Lr.3G (MG Bunch u>Jdrdlnuli rhren it ar.com srl
9riril\IJ� Y'R 11F,St]Ittlel'InA_IrrlLl r; LinrnrrR 111 V1�1I! I �fl-J�11111F�itlT..
R. ft,
a. ft.
ft. rt.
rt. ft.
ft. ft,
21. REMARKS ...._. __ ..
22, Certification:
Signntura of Certified Well Conttaclur Dnlc
!3_v.rlgnfng Ihfr form, f herehp redify that the lurfl(x) ua.r (IVere) rrWsfrurled in accordance
Irirlr 15A NCAC 02C.0100 or ISA NCAC 02C:0200 11411 Cantu action Smodardr and that a
cnµv of lhi.t record Iran been provided to the medl &doer.
23. Site dlagrnm or additional well details:
You may use (tic bock or this Pulte to provide additiouol well site details or well
construction details, You may nlso attach odditiona[pages ifnecussary.
SU11M1 f"I'AL INSTUCTIONS
24n. For. 1111 Wells: Submit this form within 30 days of completion of well
construction to the following:
Division of Water Remurccs, Informution Procacsing Unit,
1617 Mail Service Center, Raleigh, NC 27(199-1617
24h. far tniv llon Wells ONLY: In addition to sending the form to the address in
24a above, also submit n copy of this form within 30 days of completion of well
construction to the following:
Dlvislotr of 1Vater Resources, Underground Infection Contyol Program,
FOR WATER SUPPLY WELLS ONLYt 1636 Mull Service Center, Raleigh, NC 27699-1636
24c. For Water Supplv & Injeetiuil 1Vells
130. Yield {spm) Method of test; _
Also submit unc copy of this form within 30 days of emaplcliun of
I3b. Dlshlfection type: Amount: _ well construction to the county health department of the county where
constructed.
Farm GWA North Carolina Department of L'nvironrmw and Natural Rcsuurccs — Division of Walcr Resnarms Rcviied August 2013

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
James Hall, Jr.
Well Contractor Name
3224-A
NC Well Contractor CenificationNumber
Cascade Drilling, L.P. , Aiken, SC
Company Name
2. Well Construction Permit N: On Site
List all applicable Nell permits (1.e. County, State, Yarfance, Injection, etc.)
3. Well Use (clieclt well use):
►voter Supply well:
❑Agricultural
❑Geothermal (1-lealing/Cooling Supply)
❑Tndustrial/Commercial
Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Gcolhermal (Closed Loop)
❑Geothermal CflcatintJCoulino
❑Nfunicipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Groundwater Remediation
❑Salinity i3arrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
❑OtherNxtilain under 4121 V
4. Date Wells) Completed: 7'Qq" / Well IDM. 6'9VQ ty .i1(`
So. Well Location:
Asheville Steam Electric Plant
Facility/Owner Name Facility IDN (if upplicahlc)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
parcel Identification No. (PIN)
Sb. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(ilwell Gdd, one JUL/long is sufficient)
3�—' ylQ44P':�'? 0-0 6-9z W
6. Is (are) the well(s): ❑Permanent or ❑Temporary
7. Is this a repair to an existing well: ❑Yrs or ©No
If this is a repair, fill ort,tnou•n well construction information and explain the twlure of due
repair under N21 remarks section or on the back of this form.
S. Number of wells constructed:
For multiple bttfecrior or non-watersupply wells ONLY with the same consvruction, you can
submitoneform.
Far Internal Use ONLY:
..1-I. NVATFR 7.ONES
riOM TO I DESCUIUMON
R. fl.
ft, ft.
7-1S,=.OUTFJeC+tME9 far matt -eased v0sl Olt LINER.(Iriit hlirathlt
FROM TO Drnnl>:-rFR -nrincNFss nlnT�uih.L
14:INNER'CA5 MG pit' 1tlBING Izer4herrmil closed -trio
FItOM TO nIAMET&IL THICKNESS MATERIAL
ft. ft. is
fL fL in.
FROM TO UiAtlli7 n SLOTSIZE TIIICI;�N,rr55 TIAnTERIAL
fl. ! fl. in.
ft.
I8: GIYOIlT -: r
FROM TO n1ATtfuAl- F. lMliCF.IltENTMETHOD&AMOUNT
ft. o fL
f
fl. D.
ft. fl.
ly, SANINIGRAVI L PACO firollrollcillilel
FROM TO MATERIAL [n1 PLA C CAI ENT DIETnOD
J1457
ft. <, ft.
ft. fl.
M- DRILLING 1 tIGI anneli additional shecis.ifnec'tas¢
FROM TU DF.SCRIPTIDN rnUhr, lnhrrinur, anta{adl r. e. rLn :lu<, shct
ft. ft.
ft. ft.
ft, rt.
fl. ft.
ft. a.
ft. ft.
ft. R.
ii3P. d.
22. Certificulion:
Signature of C - n9cm� Date
By signing rids form. 1 hereby certify that the teelf(s) was (were) constructed in accordance
with 15d NCAC 02C.0100 or 15d NCAC 02C.0300 !Yell Construction Standards and that a
copy ofthis record las been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional Nell site details or +veil
construction details. You may also attach additional pages if necessary.
SUBMITTAL iNSTUC IONS
9. Total well depth below land surface: 2!�— (CL) 24a. For All Wells: Submit this form within 30 days of completion of well
Far multiple hells list all dept/or ifdrjlerent (example. 3a 000' anrl2 1011) construction to the following:
10. Static wolcr level below top of casing:
If wmer level is above casing, use "+"
(ft) Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
11. Borehole diameter: 16 (in.) 24h. For lniectiun Wells ONLY: In addition to sending the form to the address in
Sonic 24a above, also submit a copy of this form within 30 days of completion of well
12. Well construction method: construction to the following:
(i.eauger, rotary, cable, direct push, ctc.)
Division ofWater Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 'j%Iuil Service Center, Raleigh, NC 27699-1636
m
]3a.Yicld
(grin) Method oCtest: 24c. For Wit ter Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion or
13b. Disinfection type: Amount, well construction to the count- health department of the county where
constructed.
Farm GW -I North Carolina Department of Environmew mid Natural Resources— Division of Water Resources Revised August 2013

WELL CONSTRUCTION RECORD
Tltis form can he used for single or multiple wells
1. Well Contractor Information:
I 1
Well Contractor Name
.q
NC Well C auactor Ccnifsr ati n Nunrbcr
Company Name
2. Well Construction Permit #:
List ail applicable ave/l permits (i.e. Coturo,, State, 1 arlance, infection, etc.)
3. Well Use (check well use):
Wutcr Supply Well:
❑Agricultural ❑Municipal/Public
❑Geothermal(heating/CoohngSupply) ❑Residential Water Supply (single)
❑Industrial/Commercial ❑Residential Water Supply (shared)
❑lrriation
Nan -Water Supply Well:
❑Aquifer Recharge
Sb
❑Groundwater Remediation
❑Aquifer Storage and Recovery
❑Salinity, Barrier
❑Aquifer Test
❑S(ormwater Drainage
❑Experimenlal Technology
❑Suhsidence Control
❑Geothermal (Closed Loop)
❑Tracer
❑Geothermal ftixin Coolin,RetJum)
Miter (explain under #21 Remarks)
4. Date Well(s) Completed: 1 ' [ - •�S Wel1IDt1Cs-
5u. Well Location:
Mr'f�t���'
Oncln
Facilily/owner Name /i
10() C l
Facility JD#(ifopplicable)
L t rIUP
i I lug
Physical Address, dry, and Zip
ft.r[n
ll
rt.
County
Parcel Idcnrification No. (PIN)
. Latitude and Longitude in degrees/mmuirs/seconds or decimal degrees:
(ifwell Geld, one IalAong is sufficient)
N SSp JS W
G. is (are) the well(s): ❑Permanent or ❑Tenipurary
7. Is this u repair to an existing well: ❑YIs or rCpdo
ifthis is a repair, fill out kaolvn well constnrcrion ftjorrnatlon an c�plairr the nature ofthe
repair under 921 remarks section or on the back of this form.
3. Number orwelis constructed:
For multiple hjecriarr or nun-uarrrstrpply Ireth ONLY uldr the raorr! rrurmrrerion, you can.
AOmit arse form.
9. Total well depth below land surface: (U )
For mufNple IMM list 4911 depllls (fdOerear feranupfe.303ov, mrd?o 100.1
10, Static water level below lop of casing: (ft.)
If ureter level is above caring, use "I+"
11. iiorehole diameter: (in,)
12. Well constructiun method: M 11 c,
(i.e, ouger, rotary, cable, direct pus],, etc.)
FOR WATER SUPPLY WELLS ONLY;
13a. Yield (gpm) Method of test:
13b. Disinfection type: Amount:
Por lnlemnl Use ONLY:
fl. ft.
rr. rt,
1510
fur mzlltl-cuae+r�%V oit LIWG1t' Ira 5ciac -
FttOAf Tp _ nIr1111E"Fri1 T[nLiCINFSS biAT'f:ldlA4.
fl. ft. Fn
16:IM14"_eu SIN Oil TUBING ralltrrmblelaecd'lnnr
riioM TO m,iAi ETEFI TTdF-7 Ni55 Afhil RI,\L
fr.
H17:=z-in---
-MSCHF
i11 V 1
FROM To DIAMETERSU}7517£ TTfICt: YF55 MATF,IUM.
. k ft r3ft. f� in. qy^i k t�-•
rt, fl. In.
IS. GROUT. ::
rr.
rr.
ft,
rt.
fl.
ff.
n.
n,
ft.
Si1iv11/GRAVF,L'Z CK ]r.a Iletr4rtr
77.
0,11
TO
MATERIAL
011 ACEMFAT METHOD
C it
ft.r[n
ll
rt.
`DRILLING- LOG. ufttichuddinutrnlahecfsifnrcssau ''-: '--''•.:-
DM
TO
nFSColpnoL%-- r.
llanlPrs#. fylarothf c. ralnr.lre, si
ft,
fL
rr.
rr.
ft,
rt.
fl.
ff.
fr,
ft.
21, I1Ei47ARlL5
77.
22. Certification:
Signnrnra of Certified Wdl Cnntrador Date
By signing this farm, I hereby certify that the irell(s) was (ivere) constnrered in accordance
a•fth 151 NCIC 02C.0100 or 15A NCIC 01C.0100 Irrell Consrnrction Srandards and that a
copy ofthis record has been provided to the well o tvner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL 1NSTU Cf l ONS
24a. For All Wells: Submit Otis form within 30 days of completion of well
construction to the following:
Division ofWalerResources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
Z41r. Far Infection 1Yells ONLY: In addition to sending UEe torm to the address in
24a above• also submit a copy of this form within 30 days of completion of well
construction to tilt rollolving:
Division ofWaterResources, Underground injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply!S 1a eitlt)R Lvel15:
Also submit one copy of this form within 30 days of completion of
well conshuclion to the county health department of the county where
constructed.
Four GW -1 North Carolina Department arE'nvironmcnt and Natural Resources—Division of Water Resources
RcviSeJ August 2013

WELL, CONSTRUCTION RECORD
This Conn can lie used for single ar multiple wells
1. Well Contractor Information:
—Mlr4-f i 01 r iYAw
Wen Contractor Name
q Z�
NC Well,[ Contractor Certification Number
'1 �C Vidl- Pt. I
Company Name
2. Well Construction Permit A:
List all applicable ivell perneia (i.e. Counry, Slate. 1 ariance, bjeerion, era)
3. Well Use (checlr well use).-
worcraulipiy avert:
❑Agricul lural
❑Geothermal (Heating/Cooling Supply)
❑ Industrial/Commercial
Non -Witter
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Municipal/Public
[]Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
[]Other (explain under, 121
4. Date Well(s) Completed: r { IS Well ID9 C� 6q C
Sa. Well Location:
faaili[y/C?wner Nome fi' tcil'ty 1p l (iCapplicablMe)
{
� t` (k } frl 4
Physical Address, City, and Ztll
County Pared ]dentificalion No (PIN)
5b. Lalitude and Longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one lat/long is sul6cit m)
6.1s(are)(hewell(s): ❑Permanent or ❑Temporary
For Internal Use ONLY:
22. Certirrco(ion:
W
Signmme ofCerlilled Well Caalmctor Dale
7. Is this a repair to an exls(ing well: ❑Yes or VINO
If this is a repair, fill out blown well construction injorniatiou a ul e-rplain the nature oj-ihe
repair ander 421 remark section or on dee back of this form.
S. Number of wells constructed:
For nudriple byection or non-tvater supply wells ONL 1' udth the.vonle constraclian, ynu curt
sabmir one form.
9. Total well depth below land surface: r J/� (€t
For andliple veils list all depths lfdierent (example- 3 t(r 200' and ]@1110`)
10. Sialic water level below lop of casing: (ft.)
gwater level is above casing, tae r"+"
11. Borehole dinmeter:
12. Well construction method: `o c
(i.e, auger, rotary, cable, rtirect ptuh, Cie.)
By signing this farm, 1 hereby certify lhnt the well(s) revs (merrJ corurnwed in accordance
o•llb 15A NCAC 02C.0100 or 15A NCAC (12C.0200 IYell Construction Standards and that a
copy ofthis record has been provided to the n•ell owner.
23. Site diagram or additional well details:
You may use the hack of this page to provide additional well site details or well
construction details. You may also attach additional pages ifnecessary,
SUBM=AL INSTUCTIONS
24a. For All Wells: Submit this form within 30 days or completion of well
construction to the rokowing:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24h. For Infection Welk ONLY: In addition to sending the form to the address in
240 above, also submit a copy of this form within 30 days of completion or well
construct ian to the (allowing:
Division or Water Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Flail Service Center, Raleigh, NC 27699-1636
130. Yield(grain) Alctbndoftcst: 24c Tor's oter Su Iv &- Injection Wells:
Also submit one copy of this form within 30 days orcompletion of
13b. Disinfection type: Amount: well construction to the county health department of the county where
constructed.
Form GW -1 North Carolina Department of Enviranment mid Natural Resources — Division of Nater Resources Revised Augusi 2013

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
Michael Coleman
Well Contrautor Name
2992-A
NC well ConlraclorCcnification Number
Cascade Drilling, L -P.
Company Name
2, Well Construction Permit N:
List all npp9cnlde m-1/ perndrr rr c. c only, Stale, Variance, hjectlun, ere)
3. Well Use (cliecic well use):
❑ A gricu Itu rat ❑Mun i cipa I/Pu blit
❑Gcolhcrmal (H cating/Coo ling Supply) ❑Residential Water Supply (single)
❑ladustrial/Commercial ❑Residential Water Supply (shared)
Null-FYnter Supply Well:
laMoulloring 7Rccovery
❑Aqu ifcr Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
ClExperintcnlal Technology
[]Geothermal (Closed Loop)
❑Groundwater Remediation
[]Salinity Homier
❑Slormwnter Drainage
❑Subsidence Conu o t
❑Tracer
❑Geothermal (Hcalinf/Cealinl, Rclum) ❑Other(explaiti under 921 Remarks)
4. Date Weil(s) Completed; 1 Welt ll U-09 S L
So. Well Location:
Asheville Steam Electric Plant
Fuc0ity/OwnerNurne Facility IUII(ifapplieable)
200 CP&L Drive, Arden, NC 28704
Physical Address, Cily, and Zip
Buncombe
County Parcel Identification No, (PIN)
Sb. Latitude and Longitude In degrees/minutes/seconds or decimal degrees:
(ifwell field, one Millong issuffilcient)
N W
6. Ls (arc) thewell(s): ❑Permancat or ❑Temporary
7. Is this a repair In an existing well.- ❑Yes or 2<u u
Ifthis Ir a repaie fill mrrknourl nrfl conslrlrcdou prfornnrtion and explain the unitive ojthc
repair under Of remark sectinn or on The Ooc•F. ofthisJima.
8. Number of wells constructed:
For rruthiple byection or non -inter suppfji wells 0NLT rrith the Tom, eo—Imetimr• you can
mthnrif nae form,
9. Tolnl well depth below land surface: t (ft.)
For nndtipla wells firt all depdu 1%di(Tererd (czanryte- 3hi1200. and 261)00')
10. Static water level below lop of caslug: (ft.)
IfimicrleretITabove casing, me ")+"
11. Borehole diameter: (in.)
12. Well construction method; 0VV" �
(i.e. auger, rotary, cable, dirccl push, utc.)
FOR WATER SUPPLY WELLS ONLY:
130. Yield (gpm) _ Method of test:
13b. Disinfection type:,-- Amount:
For Internal Usc ONLY:
iA.►4'AT'Ftt'I.[]Nli.S - -
it.
I ft.
.15.OVI'r.it
CAST. i=INC- nttltil Vard lidli skiff UNLAi tf a s IN11101r•
Fnl7ai
Til UtA51F"1lrit TtiICHN �Cti M1T1,Tk,n1A1,
---
_
]G:1\Sk:tlf;ASf
tl t:7Et'1"tillfK[:
{ ,,biilr?nsal
cli>I.cd•ton
NR4al
lYY
IltAhl7:rlk41
l'IUCH'NIF,.�SSf�
M1I A" r�3lIl�SAI.
ft.
F1 ft,
V
ft.
ft.
In.
.010 O10
Tn MATERIAL E% I
fit rl.
ft, fl.
��I1R°711A�'Fa.l'.'1Cii' 3fn]�i ISIraGlc.
MAT&RIA[.
ft. ft.
22. CertiCcallon:
Signethrc orL'criified well Conrractrir Dalc
ftV signing ikT Iorm. I hereby cvr1 fl' that the we0(r) was (wer 1 ronrtrucied fit accordance
i dth 1511 NCIIC 02C.0100 or ISA NCAC OX .0200 Well Cunstrurdon Slandardr and fhol a
copy of this record lro.r been provided to the nrll u+rner•,
23, She diugritm or additional well delulls:
You may esu iho back of this page to provide 2dditioual well site details or well
construction delails. You may also attach additional pngca ifnccemary.
SUBMITTAL INSTUCTIONS
24a. F'or All Yells: Submit this form within 30 days of completion of well
construction to the following:
Division of Water Resources, Information Processing Unit,
1617 NInil Service Center, Raleigh, NC 27699-1617
24b. For litlection llilells:ONLY: ]n addition to sending the form to the address in
24u above, also submit a copy of this form within 30 days of completion of well
construction to the following:
Division of Water Resources, Underground Infection Control Progrntls,
1636 Mull Service Center, Raleigh, NC 27699-1636
24c. Ivor Water Super & Inlcctlon Wells:
Alco submit one copy of this form within 30 days ofconifilclionof
well construction to the county health depntirneut of the collnly where
constructed.
Form Gw-I North Candhta 13cpanmcnt nfEnvironmenl and Nalund Resnumm - Division nrwalcr ncsourccs Itevixd August 21113

WELL CONSTRUCTION RECORD
This room can he used for single or multiple wells
1. Well Contractor Information:
James Hall, Jr.
Well Contractor Name
3224-A
NC Well ConLnclor Certification Number
Cascade Drilling, L.P. , Aiken, SC
Company Name
2. Well Construction Pcrmil 1!: On Site
List all applicable n•ell pernihs (i.e. County, State, 1 arfance, lidection, ere.)
3. Well Use (check well use):
Winer Supply Well:
leu f Sed
For Intemol Use ONLY:
aa::wxi'm •T.oNrs
❑Agricultural ❑Municipul/Public
❑Geothermal (1-lealing/Cooling Supply) ❑Residential Water Supply (single)
❑Industrial/Commercial ❑Residential Water Supply (shared)
Non -Water Supply Well:
OMon ituring
Injection Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothcimal (Closed Loop)
❑Geothermal 11•i eati n elCaali alar
OR
G rr. rt. i '°_ISS �yd
r.111NER.CASING OR TURING riiiFtemtmi clasnl Ind r
lobs To DIAMETEn TII1L7iNrS5. RIATERIAL
ft. ft.
ft. ft. is
. 5CIlF4K .
'QOM TO OIhRIETA SLOTSIZE TFIIMMESS f11ATEMAL
6' Et
S-6- / n- 1 in' 0/'CJ Vo r l/G
R. rJ tt. aG
❑Recovery
fL
ft.
ft.
iZ �l�
r title E.
fl. ft.
ft.
❑Groundwater Remediation
❑Salinity Harrier
❑SlonnwaterDrainage
❑Subsidence Control
❑Tracer
❑Other(explain under P21 Remarks)
rr.
rt.
n �I
• M'S. NINGi1;iV MPAC(ClirapraivAlbirl- -
rnORl To MA-MMAL FAIPLA[E,StrNTAIE't°Ilou-
ftfr t
,'a SSrS
fl. I fl.
2n. nizimaiVG LtiG einaeh"adRidanalshcefs irncrrssa " `77777-7-777-= -
rnOAl TO nF_scltnrIGN cntur, knrJntst, lulunickr t. graln lim. etc.)
ft, ft.
_
4, Date Well(s) Completed: 01711] Well
5a. Well Location:
Asheville Steam Electric Plant
Facili ly/Owner Name Facilily IM (if applicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County Parcel Identification No. (PIN)
5b. Latitude and Longitude in degrees/minutes/secunds or decimal degrees: 22. Certification:
(ifwc)l field, one Im/long is sufficient) •
Z5, yA ?2 N _ gd,5-yo My 7/ W
Si�urotty iic�glcl Con erlrr D'JIC
6.Is(are)(fie well(s): 121Pcrmancnt or ❑Temporary
By signing this form, I hereby cerfify that the well(s) ons (tcere) cm.inicted in accordance
with 15.4 NCAC 02C.0101) or 15A NCAC 02C.0200 bell Consimciian Standards and char a
7. Is this a repair to an existing well: ❑Ycs or ONo ropy ofthis record has been provided to the well owner.
Ifrhis is a repair, fill out known well consiniction urforaittaou and �cpluirr the naurre of the
repair under „21 remarks section or ort the backoftlusform. 23. Site diagram or additional well detnils:
You may use the back of this page to provide additional well site details or well
A. Number ofwclts constructed: construction details. You may also attach additional pages if necessary.
For multiple hyeciion or non-a•aler supply m•ells ONLY with the same construction, yon con
submit one form. / SUBMITTAL 1NSTUCTIONS
9. Total well depth below fund surface: Z� (rt.) 24a. For Ail Wells: Submit this forst widlin 30 days of completion of well
For muhiple welts list alldept]. lfdifjerew(erample-3.n 200'mtrl?rot 100') construction to the following:
fl.
fL
ft.
ft.
to.
ft.
fL
ft.
fl.
A.
fL
n �I
21 -. Hl lAnNS
10, Static water level belusv top orcusing• (rl,) Division ufWaler Resources, iofurmation Processing Unit,
ifvater level is above casing, use "+/ 1617 Mail Service Center, Raleigh, NC 27699-1617
11. Borehole diameter: (in.) 24b. For Inicc(iun Wells ONLY; In addition to sending the form to the address in
Some 24a above, also submit a copy of this form within 30 days of completion of well
12. Well construction method: construction to the fallowing:
(i. e. oueer, rotary, cable, direct gusts etc.)
Division orWuter Resources, Underground injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, iYC 27699-1636
13a. Yield(gP m) Method of test: 24c -For Water Supply & Injection Wells:
Also submi! one copy of this form within 30 days of completion of
136. Disinfection type- _ Amount: well construction Lo the county health deparmenc or the county where
---
constructed,
Form GW -1 North Carolina Department of Environmeut mrd Nmturnl Resources -Division of Water Resources Revised August 2013

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
James Hall, Jr.
Well Contractor Name
3224-A
NC Well Contractor Certification Number
Cascade Drilling, L.P. , Aiken, SC
Company Name
2, Well Construction Permit N: On Site
List aft applicable well permits (i.e. Counry, State, Variance, Injection, etc.)
3. Well Use (check well use):
Witter Supply well:
❑Agricultural
❑Geothermal (Flcaling/Cooling Supply)
❑ Ind nstrial/Commercial
Non -Water Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal fIILatinrJCrmIina
ie v/ Serj
For Internal Use ONLY:
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑ Groundwa ler Remediation
❑salinity Darner
❑Stormtvater Drainage
❑Subsidence Control
❑Tracer
❑Other (exoloin under # 21 I
4. DRIB Well(s) Completed:
5a. Well Location:
Asheville Steam Electric Plant
YocilhylOwner Name Facility IM (if applicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
P,,recl Identification No. (PLN)
5b. Latitude and Longitude in degrees/nlinutestseconds or decimal degrees:
(ifwell field, one IoVlong is suffeient)
i7 5 r 743 %7�� N�-'/d
6. Is (are) thcw•ell(s): OPermmnenl or ❑Temporary
7. Is this n repair to an existing well: ❑Yes or ONo
Ifthis is a repair, fill out knoisn well construction information and �plaete The name ofthe
repair under #21 remarks section or on the back ofduisfarm.
4:1VATER'ZONES
FROM TO
BVI. atPTION
ft,
rt.
constnicied in accordance
fl.
ft.
I5.OMER`CA5iNG roru,u1111-casedweits OliL1NLR.Ir¢ kicuhir
FrioAT
TO
well site details or well
nIAAFETESt - Trt1CISNF35 MATEMAL
ft.
_�
ft.
1 _7:2 in.
16:SINI�iEIt CASRVC OA TLrl111tiG f roltltatwn¢T Cltlsrd-Inn ] • '
Fnrant
n1AMETElt `i1llLwFAS
MATERIAL
r
ft.
MOM I To
I
I11AMETE11 I St-OTSSIE amTEmAl.
z/6fL 7
lI L1 S
fl.
^ fn. )0/0��(/JT7
•'c fJ C�
rl.
fL
in.
FROM in
EM PLeCEMNT Al E -n 10D & AM nor, -f
�cf ft.
fl.
``MATERIAL
f`lr'/r; c/L'!� i nri•grU
f4
ft.
ft.
fl.
'19. SANDIGITAYRLTACTC{ilia tIe¢hI¢
FRO.L1 TO
I VAMUAt. I Epl1`LACEi1IENT METHOD
ft.
ft.
20. DRILLING LOC faltocll 4rldidonal slit twif ncicssa '
Fli{lht TR
nFSC1111MON Icqi0r. lianharae, m0mrk rytic. 1E.J. sim.4t,,.l
fl.
ft.
fr.
(1.
fr.
ft.
fl.
ft.
ft.
fl.
fl.
ft.
21: REAIARKS
--
22. Certification:
/
Signat elfu61raclur
Dale
By signing this form• I hereby eertf, that the welf(s) it -as (were)
constnicied in accordance
with ISA NCAC 02C.0100 or 15A NC,417 01C„000 well Constmetion Standards and dint a
copy ofthis record fins been provided to the well miner.
23. Site diagram or uddilional well details:
You may use the back of this page to provide additional
well site details or well
8. Number of wells constructed: construction details. You may also attach additional pages if necessary.
For nmltiple injection or non -triter supply mefis ONLY with the saute construction, you tun
submit ane form. SIMMITTAL 1NSTUCTIONS
9. Tolal well depth below land surface: r0 (fL) 1dn. Fnr All Wells: Submit this form within 30 days of completion of wel I
For muhiple wells list all depths ifdierent (cxatnple-3 a 100' and 2@100') 100') construction to [lie following:
10. Static water level below top of casing-,
If stater level is above casing, ase ”+"
(ft.) Division ofWolet-Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
11. Borehole diameter: (in.) 241). For Injection Wells ONLY: In addition to sending the form to the address in
Sonic '-4a above, also submit a copy of this form within 30 days of completion of well
12. Well construction method: construction to dle following:
(i e. auger, rotary, cable, direct pusli, etc.)
Division of Water Resources, Underground Injection Control Program,
m
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 2 769 9-1 63 6
]3a.1'icld
(gP ) Method of lest: 24c. For Water Supply &Injection Wells:
Also submit one copy of this form within 30 days of completion Of
Iib. Disinfection type: Amount: well construction to the county health department or 0me county where
consWcted.
Form GW -I North Carolina Depanmcat of Envimumena and Natural Resources -Division of Water Resources Revised August 2013

re ol4d
WELL CONSTRUCTION RECORD
This form can be used for single or Multiple wells
1. Well Contractor Information:
James Hall, Jr.
Well Contractor Name
3224-A
NC Well Contractor Certification Number
Cascade Drilling, L.P. , Aiken, SC
Company Name
2. Well Coustruclinn Permit 9:0n Site
List all applicable %rel! permits (i.e. County, State, Variance, Injection, eia)
3. Well Use (check well use):
Wn ter Supply Well:
❑Agricultural ❑Municipal/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑Industrial/Commercial ❑Residential Water Supply (shared)
❑Irri ation
Nun -Water Supply Well:
GDMoniluring ❑Recovery
❑Aquifer Recharge
❑Aquifer Storage Itnd Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Nealing/Cooling
❑Groundwater Remediation
❑Salinity Barrier
❑Sturmwater Drainage
❑Subsidence Control
❑Tracer
❑Olhcr (explain under #21 R
4. DaleWell(s) Completed: 3) '%5— Well IDN /!%A/"-� 13
5a. Well Location:
Asheville Steam Electric Plant
FacilitylOwnerNamc Facility IDU (ifapplicahle)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel IdndiGealiau No. (PIN)
5b. Latitude and Longitude in degrees/minute/seconds or decimal degrees:
(ifwcll field, one IaUlung is sutrcient)
y6 4,3�4 t N V�15Sy06t'ia W
6. is (arc) the ledl(s): OPcrmanent or ❑Temporary
7. Is this a repair to un existing well: ❑Yrs or EINo
if tris is a repair, fill our kno%vn well construction I formation and explain the noutre of the
repair tinder #21 remarks section or on the back ofihisfornt.
[!"nall Use ONLY:
t4. WA'1 rR ZONES.:
funAl Thi DFSOUPTION
ft. ft.
fl. ft.
1S. t7If1'GIt CASrNG fur moils -carers wells OR LfNtil1' iiaillrlteable
FtlQat Tn nIAAIETEII OPT NAP AIATFIMAL
=1ff6.INATFft CASIINNG Olt T'I1111NG t:mhernrnF rinsed-tna 1 FROM I -ra I DIAMETER I Tlr(_1 %"s I MATFUJAL
fl. A. I in.
fl. ft. in.
17: SC1lF.EN :: -
FROM TO - n1A111F_TER I SLOTSIZE THICKNL-45 t MAITHIAL
•)'7 rt- 7--)- ft. _�;k im � 621 if) I<d 'l0 I P�G
ft. ft. in
FROM TO MATEtnAL _ FNIPl. AMIENTA1ET110D g AMOUNT
fl. ft.
ft. ft.
19.SAND/GRAVEL PACK ]ra livable
FROM TO MAITIUM. Ehl PLA C. EM ENT ATF.TI I DD
rt. ft.
=20 -MILLING LOC jjitJ4chalidislnnalsllcecslfneccess
i'f1O11. TO t7FSCTItr'TfON Molar, ImrJurxe, ralltmckr R. nlu ihr. ere.
ft. ft.
ft. ft.
fl- A.
ft. rr.
rt. rt.
ft. fl.
ft. ft.
2L 1tEMAIMS:__ _r:. _•.:::::.•
22. Certification:
Signature - - 9�ConTiador Dale
By Signing thisfawn, I hereby certify that the rrell(sj was (here) constructed in accordance
with i5A NCAC 03C.0100 or 15A NGC 02C.0200 ]Yell Construction Standards and that a
copy ofthis record has been provided to the well owner.
23. Site diagram or adaidonal well details:
You may use the back of this page to provide additional well site details or well
8. Number orwells constructed: / construction details. You may also attach additional pages if necessary,
For nndtiple injection or nun-worersnpply wells ONL1' will, the sume construction, pan can
submit one form. SUBI\-r1TTAL I ISTUCrI ONS
9. Tnlal well depth below' hind surface: 2 (fL) 24a. For All Wells: Submit tris form within 30 days of completion or well
Fornathiple wells list all depthsifdiferenr (erample- 3@200'and 2@100') construction to the following:
10. Static water level below top of casing: (ft.) Division of Water Resources, Information Processing Unit,
Ifn•arer level is above casing, use "+" 1617 Mail Service Cenler, Raleigh, NC 27699-1617
11. Borehole diameter: (in.) 24h. for ]nieclion Wells ONLY: In addition to sending the fomr tD the address in
Sonic 24a above, also submit a copy of this form widlin 36 days of completion of well
12. Well construction method: construction to tie lallowiliB:
(i. e. auger, rotary, table, direct pruh, etc.)
Division ofWfller Resources, Underground Injection Control Program,
FOR WATER SUPPLY NVELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13u. Yieldm _ Method of test- 24c. For Waler Supply & Injection Wells:
(6P ) Also submit one copy of this form within 30 days ofcomplelionof
13h, Disinfection type: __ Amount: well construction to die county health department of die county where
constructed.
Form GW- I North Carolina Department of Environment and Natural Resources— Division of Wafer Resources Revised August 2013

WELL CONSTRUCTION RTCORD
This form ran be used for dingle at ruultipla wells
1, Well Contractor lnformnlian:
James Half, Jr.
Well Coulractoridame
3224-A
NC Well Contractor Ccrlificution Number
Cascade Drilling, L.P.
Company Name
2. Well Construction Perntil 1h,
List all applicable %till perinfir (l.c. Corm(,, .Stale, run donne, hVertion, ern)
3. Well Use (check welt use):
❑Agricltllural ❑MunicipaUPublic
OGeothermal (Heating/Cooling Supply) El Residential Water Supply (single)
❑Industrial/Commercial f3RcsidentialWnterSupply(shared)
Non -%Voter Supply Well: —�
OMoniteirinb 1711ccovory
OAquifer Recharge ❑Gmundwater Remediation.
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage
❑Experimerdal Technology ❑Subsidence Control
❑Gcolhermul (Closed Loop) ❑Tracer
❑freotLermolftatlnPJCoo€inpMum) OOther(csplainunder 92S.Remarks)
4. Date Well(s) Completed: -SQJ!� Wc111011 MIA- 031'N
So. Well Location:
Asheville Steam Electric Plant
Facility/Owner Nnmc, FAcility IDII (if applicable)
200 CP&L Drive, Arden, NC 28704
11by_leal.Address, City, and Zip
Buncombe
County
Parcel IduutGcntion No. (PIN)
5b. Latllude and Longitude In degreesfrolnuleslseconds or decimal degrees:
(if well field, Due Inulang It sufficient)
6. Is (arc) the well(s): ffifPcrmmtent or ❑Temporary
7. Is this a repair to an cxisting well: ❑Yes or t(No
lfdris Lr a repair, fill oil knousr well coni ticilan !r fnnnallan and explain rhe nahne afthc
repair'indar 1121 remark., j Ilion ar on rhe hack ofrhis firm.
9, Number of wclls constructed; f
For nadople bdeclion or non-ivaterrupply vwlb ONIY ivdh the shine rnnstrire an, yon can
.rltdlalt(ane f.na. _
9, Total well depth below land surface: i I rt.)
For molriple ivells IIsi all depths !(dil7arew (rmwpie- 3f no' aari liol r)
10. Stade wider level below top of cnsing:
f(ivuler level 0 above curing, nese "t "
11. Boreholedlamaler: 6 (i n.)
12. Well couslruction method:
(i.e. auger, intary, =blc, direct push, cte.)
Pnr lnlernal Use ONLY.
14. WATER
7.QN1:S
11Rr)tr
TO
gF.SCAiIIiYntY
fl.
fL
R.
n.
15.DifI'P.RCAS! Criarmulil•ealcdwells QRLINIiii [f._vp ucaftles
III.LhIeTh51 TfIICP:n F_ii hfit'iVEI&L
Mr
k. in.Ei 0
16:lent:Il-(:.:►stn(:M��rtltsltiGf'calI
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SLM BILE:
'I'IJ It k NKS.
MATERIAL
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19: —SAN IVGIL► !C:LiI.SC
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2? Cerfificutiun;
s -3o -is
S;J.'.obh ofCerified Wall C'ontracarr Ilam
D'v signing ila's fiNln, I herehy certify that the irerl(s) was (uvenq rnnslrnefed hr a—i-dame
,with ISR NC.4C 020.0100 or ISA NCAC 02C-0700 Me// Consrruclrnn slanmreLr and thol a
copy of this recorel has been provided to IIIc %ell n%vrer.
23. Site diagrunl or additional welt details;
You may use the buck of Ibis page to provide additional well site devils or well
construction dclails. You may also attoch additional pages if necessary,
SUMMITTAL INSTUCTiONS
24u, icor Ail Wells: Submit this form within 30 days of completion of well
construction to the following:
(ft.) Division of WRtcr Resources, Information Processing Unit,
14517 Mail Service Center, Rulcigh, NC 27699-1617
24b. For liilectlnu Wills ONLY: In addition to sending the form to the address in
24a above, also submit a copy of this form within 30 days of completion or well
construction to the following:
Division of Wnler Resources, Underground Infection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
Iia, Ylcldm Method of lest: — I4c.1'.IIr Water Supply & In i-ellan WOW(gP )— Also submit one copy of this form within 30 daysofcompiclion of
131t. Disinfection type:- Amount: well constmction to the county health department of the county where
constructed.
Fnrm GW -I Nmsh Carolina DepalUncut of Huvirrnment and Natural Resamcen -- Division of V:atcr Resources Itcvised August 2013

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
James Hall, Jr.
Well Contractor Name
3224-A
NC Well Contractor Certification Number
Cascade Drilling, L.P. , Aiken, SC
Company Nanic
2. Well Construction Permit N: On .Site
List all applicable well permirs (i.e. County, State, Variance. injection, arc)
3. Well Use (check well use):
Water Supply Well:
❑Agricul lural ❑Municipal/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑industriol/Commercial ❑Residential Water Supply (shared)
❑Uri ration
Nun -Water Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating/Cooling
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Suhsidence Control
❑Tracer
❑Other (explain under' 121 i
4. Date Well(s) Complelcd:.5 `S/ %�— Wcll ID11 474/'-3-18
5a. Well Location:
Asheville Steam Electric Plant
Facility/Owner Nome Facility [R:.` (if npplicoble)
200 CP&L Drive, Arden, NC 28704
physical Address, City, and Zip
Buncombe
County
parcel Identification No. (FIN)
5b. Latitude and Longitude in degreeshninutes/seconds or decimal degrers:
(ifwcll Geld, one lalllong is sufficient)
:35 y6/3-C/S77 N 'Z2.5y30Q"31.1 W
G, Is (arc) the well(s): OPermmnent or ❑Temporary
7. is this a repair to un existing well: ❑Yes or ❑No
Ifthis is a repair, fill out knouvt ivell cmrstnaction it forniation and "Plait? the nature of the
repair under 1121 rcmanG section or on the back of thl3 form.
S. Number of wells constructed: /
For multiple injection or non -water supply ii -ells ONLY with the sante cnusYrurdem, you can
submit one foml,
For internal Use ONLY;
Pi140;WATFRZ3NI,5'
•:. -, .: ..
FROM TO
nrsCMPTION -
fr.
ft.
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"Ig
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UTAMETF:It THICKNESS MATERIAL
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19.'SANU/CRAVM PACI[' Ira licrbir .... .
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MATf_n IAL EMPLACEMENTMETOOa
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`t sd- ����� ecce'
ft,
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FROM To
DESClt l r'1'I ON -1." 3011FMCU typt. Kraln Sim etc
ft.
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It.
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22. Ccrtircntion:
Signature - Data
By signing This form, I hereby getupy that the well(s) n•ns (were) eoastnuted in accordance
ivith 15d NCGIC 02C.0100 or ISd NCdC 02C.0200 Ireff Consiniction Standards arrd that a
copy of this record has been provided to tire ivell owner.
23. Site diagram or addilionul well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
SU NIMAL INSTUCTIONS
9. Total well depth below load surface: 'Va (FL) 240. For All Wells: Submit this Corn[ within 30 days or completion of well
For multiple wells list all deptlu ifdierent (eraniple-3 a 700'ond 2@100') construction to the following:
10. Sta@c water level below top of casing:
Ifncrerlevel is above casing, rise "+"
11. Borehole diameter: (in.)
(ft) Division of Water Resources, Information Pruces5ing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Iniectinn Wells ONLY: In addition to sending die Ibrm to the address in
Sonic 24a above, also submit a copy or this fano within 30 days of completion of well
12. Well construction method: construction to the following:
(i.e. auger, rotary, cable, direct push, etc.)
Division of WaterRtsources, Underground Injection Control Program,
FOR WATER SUPPI-,Y \FELLS ONLY: 1636 Mail Service Center, Raleigh, NC 2769 9-1 63 6
13n. Yield (gpm) Method of test' .__. 24c. For Wnler Supply & Injection'%Vells;
Also submit one copy or this form within 30 days of completion of
13b. Disinfection type: _ Amount: well construction to die county health depertmcnt of the county where
constructed.
Form GW -1 North Carolina Department of Environment and Natural Resources - Division of Water Resources Revised August 2013

WELL CONSTRUCTION RECORD
Ilds form can be used far single or multiple wells
1. Well Contractor Information:
James Hall, Jr.
Well Contractor Name
3224-A
NC Well Colnrador Certification Number
Cascade Drilling, L.P. , Aiken, SC
Company Nome
2. Well Construction Permit 8: On Site
List all applicable spell permils (i.e. County, Sate, Parlance, Injection, cle.)
3. Well Use (check well use):
Water Supply Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑Industrial/Commercial
r
reLifSGC
❑MunicipalfPublic
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
Non-NVater Supply Well:
caMonitoring ❑Recovery
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Geothermal (Heatinp,/CDoling Return) ❑Other (explain under 421 Remarks)
4. Date Weil(s) Completed: %!? _ Well iDR Iii l✓" y1J
Su. Well Locution:
Asheville Steam Electric Plant
Facility/Owncr Name Fncilily IDN (if opplicuhlc)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Id—lificalion No. (PIN)
Sb. Latitude and Longitude in degrees/minuies/secunds or decimal degrees:
(ifwell fiend, one laillong is sufficient)
3 '76 Y!?_r� N k_),57`)/7�7/ W
6. is (are) the well(s): 121Pcrmanent or ❑Temporary
7. is this a repair to an existing well: ❑Yes or Elo
Ifibis is a repair, fill out known well eonstnrciion information and erplain the nature of the
repair under i:11 remarks section or an the back of this form.
8. Number ufwells constructed: I
For multiple injection or tion -wafer supply wells ONL I' svith !be sante e„nslrncdan, you cal.
submit one f—, 77 rr
9. Tidal well depth helow Lund surface: 3 J!"� (ft.)
For multiple shells list all depths rfdijerent (example- 3 n 100' amt 1 u 100
10. Stu tic writer Ievel below top of casing:
lfu•arerlevel is above casing, use "+"
11. Borehole diameter: 96 (in.)
12, Well construction method: Some
(i c, auger, rotary, cable, direct push, etc )
For Internal Use ONLY:
-da; XVATl.11 7.ONF5
FROM TO
DESCRIPTION
ft.
ft.
ft,
It.
I5. OU TEIt CASING turmulti-cased vecils OIt-L1NUt if u ticublc
FROM TO
p1AA1ET R TIIICItt4I;5S 11SATERIAL
17�)+7 ft. �-
fl. — in. � rJ0
I& TNKrR CASINC.OR.TUUTNG eathcrinnl dused-loot i
FRONT TO
DIAMETER Tn T01NESS MATERIAL
ft.
ft. in.
ft.
ft.
17. SCREEN; .
Fltom
DIA�AIETER SI.OTtiiZF T111 C 1,N' k,+:_4 AIATYR)AL
710 r
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FAOXI TO
MATERIAL EhIPLACENIENT•METHOD&AMOUNT
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MATERIAL F.MPIACEMENTMETHOD
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DESCRIPTION Itattlr, IiArdnas. Fn1Ih"ctU rypt. r -+in rl+e, oc.)
ft.
ft.
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ILRENIAIMS
22. Cerlifrealion:
1551r
Signatur� rC`niI7w-3 ` Cnnliac r ' Data
By signing this form, 1 Hereby certify that tire mell(s) was ()vere) constn,cted ill accordance
uvth 15A NCAC 01C .0100 or 15A NCI C 01C .0100 11 ell Construction Standards and that a
copy ofihis record has been pro sided to the well o-rer.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary
SUBMITTAL rNSTUCPiONS
24a. For All Wells: Submit this form within 30 days of completion of well
constmction to the following:
(ft.) Division of Waler Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For inicction Wells ONLY: In addition to sending die tbrm to the address in
24a above, also submit a copy of this form within 30 days of completion of well
construction to the following:
Division of Water Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13u. Yield (gpm) Nlethod or test: 24c. For Water Supply S injection Wells:
Also submit one copy of this form within 30 days of completion of
13b. Disinfection type: Amount: well construction to the county health department of (lie county where
constructed
Form GW -1 North Carolina Departmcut ofCnvirunmen i and Natural Resources- Division of Water Resources Revised August 2013

WELL CONSTRUCTION RECORD
This farm can be used for single or multiple wells
1. Well Contract r lnfurmlrlaliWn:
i�i 4�I 1
Well ContraclarNamc
Y-101- A
NC Well Contmelor Cenifica lion Number
rL.r([. j6 d
Company Name }
2. Well Construction Permit 4:
List all npplicable well permits (i.e. Colinry, Stale, Pariance. Irjection. etc.)
3. Well Use (check well use):
Wa ter Supp)'
❑Agricultural
❑Geothermal (Fleating/Cooling Supply)
❑Industrial/Commercial
Non -Wafer Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Iiealire(Cooline I
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Groundwater Remediation
❑Salinity Barrier
❑S tormwater Drainage
❑Subsidence Control
❑Tracer
undcrll2l
4. Dale Well(s) Completed: y Q Ve11IAtf -
Sm. Well Location:
villta 1 e.( Lr� ttd-nc flan
Foci litylOwner Nam. Facility IDSf (iupplicoble)
a
Physical Address, City, and Zip
P� k Y\ C r,:cy k 4
County
Parcel Identification No (PIN)
Sb. Latitude and Luau; it a in degrees/minules/seconds ur decimal degrees:
(ifwcll field, ohne indiong is suliicica0 22. Cerlification:
Sinnalwi; of Certi fled Well Contrnei nr
6. Is (are) Ike well(s): ❑Permanent or ❑Temporary
Fm [mcmal Usc ONLY:
7. Is this a repair to an cushing well: ❑Yes or ❑No
If this is a repair, fill out knoun well consrnrction h fornratirm and explain the nature of the
repair under 21 remarks section or oil the back of this farm,
8. Number of wells constructed:
For nrultiple irjecrion or non -water supply wells ONLYwitr the sante ranrrruction, you can
sabmit one form.
9. Total well depth below land surface:
For muhiple brans list all depths if dierenr {txnntpie• 36t]?0U' and ��a}f i70'j
I0. Static water level below lop of casing: M)!f varer level a above casing, use -+"
11. Borehole diameter: ((((�in.)
12. Well construction method.-
(i.e.
ethod:(i.e. auger, rotary, cable, direct push, etc.) o
Dale
By Jigning this farm, 1 hereby cert, that the wcll(s) was (ivere) constructed in accordance
wiilt ISA VC IC 02C.0100 or ISA NGIC 02C.0200 [Yell CO—IrTterion Standards and dint a
copy ofthis record has been provided to the +cell owner.
23. Site diagram or additional well details:
You may use the back of This page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
SUIIMITTAL INSTUCTIONS
24a. For All Wells: Submit this Corm within 30 days of completion of well
construction to the following:
Division ofWater Resources, In formation Processing Unit,
1617 Mail Scrvice Ccnler, Raleigh, NC 27699-1617
24b. Fnr lnjcction Wells ONLY: In addition to sending the form to the address in
24a above, also submit a copy of this form within 30 days of completion of well
construction to Ilse following:
Division ofWnter Resources, Underground Injection Control Program,
FOR WATIR SUPPLY IVELIS ONLY: 1636 Mail Service Ccnler, Raleigh, NC 27699-1636
13a. Yield (gpm) Melbod of test: 24c, ForWnter Supply S Iniection \Yells
Also submit one copy of this form within 30 days of completion of
13b. Disinfection type: Amount; well construction to the county health department of the county where
constructed.
Form GW -I North Carolina Dcparvncnt of Environment mrd Natural Rcsomces —Division of Water Resources
Revised August 2013

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
L Well Cot lrae(or Informutlon:
Well Contractor Nanec ^�
rL 2 -
NC We11 CantrnclorCcrt'f Zinn N mb
� tt � c .L
Company Name
2. Well Construction Permit 9: _
List all applicable well permits (i.e. County, Store, Irariance, If¢eadva, etc.)
3. Well Use (check well use):
'Nater Supply
❑Agricultural
❑Geothermal (lleating/Cooling Supply)
❑ Industria [/Commercial
Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Gcathermal (Closed Loop)
❑GCothermal IHcj36m!/Cnnlinn 1
❑Municipal/Pubfic
❑Residenlial Water Supply (single)
❑Residential Witter Supply (shared)
❑Recovery
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Olher(explain under #21 Remarks
4. Date Well(s)Completed: Z ' L WeR IDN
531. Well Location:
Fovithylorrnct Name facility ID# (if applicable)
Physical Address, Cdy, and Zip
Cuunry Posed Identihcatian No. (PIN)
56. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(ifwcll field, one
""ISIVIIOnrg�is sufficient)
fJ —7 1 (�
J `� UI U OSa N_ t 2. I i l —W
6.Is(are) thewell(s): 01'ermanent or ❑Temporaj/ryy'`�
7. Is this a repair to an existing well:❑Yes or JS�N0
Ifilds is a repair, fill out known well constreuion i larmatlon �(rl e�.rpfutrt dee nabtrc aJnc�
repair under S21 remarks section or on the backaflhisfurm,
8. Number of wells constructed:
Far multiple infection or non -linter supply yells ONLY widr the same construction, pan can
submifonefornr. ] j�
9. Total well depth below land surface: L 1p M.
For mnbiple wells list all depths if different (example- 3@2 00' o nl TMr3, 100')
10. Static water level below lop of easing: _. I (ft.)
Ifieaterlevel is above casing, rrsejj, "+-
11, Burehole diameter:
12. Well construction melhod:
(i.e- auger, rotary, cable, direct push, etc.)
For Internal Use ONLY;
22. Certification:
Signature of Certified Well Cnnrraclor Dale
Dy signing this farm. I hereby eerrlfj, that fire uell(s) ons (were) constructed in accordance
frith IM NCAC 02C.0100 or i5A NCAC 02C.0200 Il cll Construction Standards and flint a
copy oflhis record has been pravided to dee well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional welf site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL TNSTUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
Division of Waier Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Inieclion Wells ONLY: In addition to sending die form to the address in
24a above, also submit a copy of dlis form within 30 days of completion or well
construction to the following;
Division of Waler Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 2 76 99-1 63 6
13a. Yield (gpm) Nlclhod of test: 24c. For Walur Suplrly &injection Wells;
Also submit one copy of this form within 30 days of completion of
13h. Disinfection type: Amount: well construction to die county health department of lie county where
constructed.
Form GW -I Noah Carolina Depanment of[nvirourient and Nnlural Resources - Division of Water Resources
Revised August i _a 13
fr.
fa
fr.
ft.
fl,
ft.
22. Certification:
Signature of Certified Well Cnnrraclor Dale
Dy signing this farm. I hereby eerrlfj, that fire uell(s) ons (were) constructed in accordance
frith IM NCAC 02C.0100 or i5A NCAC 02C.0200 Il cll Construction Standards and flint a
copy oflhis record has been pravided to dee well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional welf site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL TNSTUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
Division of Waier Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Inieclion Wells ONLY: In addition to sending die form to the address in
24a above, also submit a copy of dlis form within 30 days of completion or well
construction to the following;
Division of Waler Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 2 76 99-1 63 6
13a. Yield (gpm) Nlclhod of test: 24c. For Walur Suplrly &injection Wells;
Also submit one copy of this form within 30 days of completion of
13h. Disinfection type: Amount: well construction to die county health department of lie county where
constructed.
Form GW -I Noah Carolina Depanment of[nvirourient and Nnlural Resources - Division of Water Resources
Revised August i _a 13

WELL CONSTRUCTION RECORD
Thls corn can be aced for cingle or multiple wells
1, Well Contractor Information:
Michael Coleman
Well C,intmctnr blame
2992-A
NC Well Contractor Certification Number
Cascade Drilling, L.P.
Company Nnmc
2. Well Construction Permit M.
Lirr all npplicnble null pencils (i.e. Camly. Slate, 6ia-i ince. h jr.dion, elc,)
3. Well lisp.. (check well use):
❑Agricultural ❑MunicipnUPublic
❑Oeod{ermol (Healing/Cooling Supply) ❑Residential Water Supply (single)
❑IndustrinUCommcrcial []Residential Writer Supply (shared)
Non -Water Supply Well;
❑Aquifer Rechnige
❑Aquifer Slorago and Recovery
DAquifcr Test
❑Experimental Technology
00rothcrmal (Closed Loup)
❑Gcolhcrinat (Healint-dCooline.
❑Groundwater Remediation
❑Salinity Barrier
❑Slormwawr Drainage
❑Subsidence Control
❑Trnufx
D01herfrxnlam under rl21 I
4, Dale Well(s) Completed: —r -axis-- Well IDh I r' I JA)- V�'_
5n. Well Location:
Asheville Steam Electric Plant
FacilitylOnvoer Nome Facility IAO firapldicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
For Inua ml Llw ONLY,
11,
n,
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
.___
22, Certilicntion:
(It well field, one latrinng is sufficient)
es: tlu9.1_lt [asl�rl � up.
Lulu•niurl_,+elbr tali l,t�elt tlr-�; tueaw,:
1111UNi Tt1
)IMai Y.fl?n 'I'illl'tiki:tLti hlAl'rinAL
6. fit (nre) the well(s): 111'ermaneal or ❑Tempornry
Ilv .001 rg rhlx jaw, 1 hereby rerlifv Mar rhe iveH(s) ,ens (wore) ronsrrnrled bi accnmlarice
1G:I1til�Fi1(:,ifiIs�I'1tt11'1'11Oltif;
f'csHberarxl'rloscil•Lln
i
Pal7tlt 'rn
M1IAtit F:rltfl
'till I_4':4
Ott 't'F:RI,AI.
You may use the bock of this page to provide additional well site details or well
8. Number of wells constructed:
construction details. You may nlsu nunch nddifinnal page, if necessary.
For inulliple injecrion or rend-nvler sripp1jrwe11s ONLY with dic same constrecdom, you roe
n,
n.
ta.
240. For All Wells: Submit this foot within 30 days of completion of well
roe nurRfpfc -Its Avail depria f(dif ent (example- 3(x)200' am12@100')
construction [a (he following:
10. Static router levet below lop of casing: Li
Division of Witter Resources, Information Prneessing Uult,
fl'rrecr level lr above ip lag, ILre "+"
1617 Mail Service Center, Rnlclgh, NC 27699-1617
11, Barchole dlnmeter: (in_)
ninon
- -
r+n
24a above, also submit :t copy of this (form within 30 days of completion of well
v1Aa17Fn
st.nT alr.F:
Trllcupip-M,
NIA'rmimr.
fp..
DIYISIaR of Wnll'r RCSnnrCCSr Underground Lrjcctinn Control Progrnn),
fp.,
In.T
UIo
24c, Fur Water Supply & Infection Wells:
13u. Yield (gpm}:_� Method of test: ____,•,-_.-___._____
fl.
13b. Dlslnrection type: -- Amount:
rt,
6t•
constructed.
Form OW -1 North Carollm Dopanmeat of Hnvironmcul and Natural Resources - Divition of Water Itesnurees Revues Aq,-- i 2013
Is. ialtOlfT ...
.:
.. .. .
FROM
'C[i
oIATF:InAI,
i_l1nLA$'1?al Fir rtl F:7'ntin 4ASi[nr:1T
It.
n.
k
!p.1, -A-, f[ myY1�
101
71. HEMAHK,4 :'- . .. .I
County Parcel IdenlifiealinnNo. (PIN)
—_ I
I
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
.___
22, Certilicntion:
(It well field, one latrinng is sufficient)
Signature or Certified Well Convactnri)ale
6. fit (nre) the well(s): 111'ermaneal or ❑Tempornry
Ilv .001 rg rhlx jaw, 1 hereby rerlifv Mar rhe iveH(s) ,ens (wore) ronsrrnrled bi accnmlarice
With 15.1 NCAC 02C-0,100 or 15A NCAC 02C.0200 11411 C.-toarlioa Srmalardr and lhnl n
7. Is this a repair to an existing ivcll: ❑Yes or 301/.
rogv aflhis reeurd lou burn p,awded in the uelf o,vne•.
Iflhis is a repair, fill not knotm urll rmutritellnn bforlllnllan 1l in C Intim the nainre of the
r•epafr wader M11 ren,orkc.werlon nr on the hack rJflhisjiirai.
23. Site dlagrom or additional wall details:
You may use the bock of this page to provide additional well site details or well
8. Number of wells constructed:
construction details. You may nlsu nunch nddifinnal page, if necessary.
For inulliple injecrion or rend-nvler sripp1jrwe11s ONLY with dic same constrecdom, you roe
snburil onefmmr_
SUBMITTAL INSTUCTIONS
pp
9,'Fotal well depth below land surfnce: D-�:. (ft,)
240. For All Wells: Submit this foot within 30 days of completion of well
roe nurRfpfc -Its Avail depria f(dif ent (example- 3(x)200' am12@100')
construction [a (he following:
10. Static router levet below lop of casing: Li
Division of Witter Resources, Information Prneessing Uult,
fl'rrecr level lr above ip lag, ILre "+"
1617 Mail Service Center, Rnlclgh, NC 27699-1617
11, Barchole dlnmeter: (in_)
241). Pnr I;Iitellon Well.-, ONLY: In addition to sending lite form to the address in
�
24a above, also submit :t copy of this (form within 30 days of completion of well
12. Well construction method: Save C-
corotruction to the following:
(i.e. augur, totaty, Cable, diicci push, cid.)
DIYISIaR of Wnll'r RCSnnrCCSr Underground Lrjcctinn Control Progrnn),
FOR WATER SUPPLY WELLS ONLY:
1636 Mall Service Center, Rnlelgh, NC 27699-1636
24c, Fur Water Supply & Infection Wells:
13u. Yield (gpm}:_� Method of test: ____,•,-_.-___._____
Also submit one copy of this form within 30 days of completion. of
13b. Dlslnrection type: -- Amount:
well construction to the Cotntty health department or the county where
�,..�
constructed.
Form OW -1 North Carollm Dopanmeat of Hnvironmcul and Natural Resources - Divition of Water Itesnurees Revues Aq,-- i 2013

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
Michael Coleman
Wall Conln, ctur Nano
2992-A
NC \Veil Coolrsclur Cerilrication Number
Cascade Drilling, L.P.
Company Namr
2. Well Construction Permit fh. _
Lim all oppllcoble ived pwadis 0.e Cnrmry, Shute, Pm lance, lnfecann, eta)
3. Well Use (check well use):
❑Agricultural
❑Geothermal (Flcating/Cooling Supply)
0Ind nstrial/Commercial
Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
DAquircr Test
uGxperimenlal Technology
QGcothennal (Closed Loop)
00cnthemtni (Ilcatiisp coagpr
❑Municipal/Public
❑Residential Water Supply (single)
Dlzesidcnliai Writer Supply (SIMMI)
DGroundwater Retnediation
OSalinky Barrier
❑Stormwntcr Drainngc
❑Subsidence Conlrol
D'rraccr
00thcr (explain under' 121
4. Date Well(s) Completed: !� WeiI IDD_
Sn. Well Location, -
Asheville Steam Electric Plant
FacilflytOwnefName Facility IDN, (irappllcablc)
200 CP&L Drive, Arden, N.C. 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No, (PIN)
For Internal Wo ONLY,,
14. WAT211'Lt1N('. .
rt<alat rn
In snrrrtnn
11. Borehole diameter: �� On.)
24b, For li lectfort Wella ONLY: In addition to sending llie Conn to the address in
R» ft.
241 nbovc, also submit o copy or 11115 fnrm within 30 days of completion of well
15. 0 LITE It CAS WO furtaultf.ruted nxlls on 1.1NEIiflinnpltrablal
construction to the following:
FRCt3t "CG I11A M1t IrCYlI r'ittCxNr3s
h]ATEMAl.
F.
Division ofWater Resources, Undcrgrnuad Injccllun Central Program,
' ifs. INN -K tCASING O1r.iIJll1 x11 thtlrormni
hisnt loop) i
(itch( TO 11IAMIiIt
Tnif:1[YFlcir.
ft. ti
�a
F
24c. Coi-Wiiler:SiipiO & Iitictllna Wells;
130. Yield Method of
(gam) rev[: .__-,.—�...
R. ft. in,
17.SClIF. EN
Also submit one copy of this Comt within 70 days ofcompleliunal'
13b. Dlshifecdun type: Amount:
FROM
Tn
NIAA'STV.E
' ` 11CPSIi "$
;5 AT'!titALA
fl
.C)r(.
�:i
lg_GnouT
MUM
To hlATMIAI.
RMPLACPAMr strnrnn h AMOUNT
R.
if,
�EYL417 �C.
(t,
ft.
it.
ft.
19, SAi`r1lrMMAIt.lr
PAt K If a t dirnbltl
FRCMI
TO br,STEALIAr.
k:M14I't.AClhlf;h•r,F'Irtilon
n.
fl.
R.
ft.
20. DfUL
INGMUG futitt h oddlltomt uhteis Irncraesory -
P1tom
TO - rsY4CR1P HONirr.lar,.harrtnnt uiiYr� •nc1r Iwltr -t. amle.)
-
R.
n.
It.
ft.
.. .. ft.
fl.
ft
fl.
n.
n.
R.
n.
R.
n.
21. 11ENTAIMS
Sh. Latitude find Longitude in degrees/minutcslaeeonds or decimal degrees: 22, Certification.,
(Ifwcll field, one ludlong is sufficient)
w
SignaLure of Ccnified Well Contrctor Date
6. Is (arc) the well(s): f7Perntari nt or DTcmporary
7, Is this a repulr to an exisling well: ❑Yes or ];?fNo
Ifdris fa a repair, fill oaf )wousr rveff eorerfructimi b forinaliaa ❑nd cxphdn the ualare ofthe
repair under 021 r'emords xeciian or on the hack ofibix form.
8. Number of wells constructed:
icor unrlflp7r. injection ar narn•nter suyply ivc!!s DNLY rvifh the same con.ruucrlorr, you con
Yphudl onrfurvl. �j
9. Total well depth below land surface: . O . (ro
For nrtrbiple hells fix( all depths ijdVereut (ecaarple- 3(0200' and 2(,100')
11v signing this frrrnr. I herehy cav(jv that dm ireff(r) was (were) ransfrurted hi necor'dancc
u•irlsiSA 1VC IC 02C,0300 or ISA hl CAC 02C.0200 Well Conn actin Stan:forrix and that a
ropy ofthis record lips kern liraMed in the fiell aivaer•.
23, Sift! diagram or addilfonul well details:
You mny use the back of this page to provide additional well site details or well
construction details. You mny also allach additional pages if ncccssnry.
SUBMITTAL INSTUCTIONS
24n. lfot' All Wells: Submit this form within 30 days or completion of well
construction to the following:
10. Static water level below top of casing:
(ft.) Division of Water Resources, Informnllon processing Unit,
(f,,vfer level rr ahave casing, are "•I "
1617 Hall Service Center, Raleigh, NC 27699-1617
11. Borehole diameter: �� On.)
24b, For li lectfort Wella ONLY: In addition to sending llie Conn to the address in
241 nbovc, also submit o copy or 11115 fnrm within 30 days of completion of well
12. Well construction method: l L
construction to the following:
(i.e. auger, rotary, cable, direct push, etc.)
Division ofWater Resources, Undcrgrnuad Injccllun Central Program,
FOR WATER SUPPLY WELLS ONLY:
1676 Mail Service Center, Raleigh, NC 2 7699-1 63 6
24c. Coi-Wiiler:SiipiO & Iitictllna Wells;
130. Yield Method of
(gam) rev[: .__-,.—�...
_.�
Also submit one copy of this Comt within 70 days ofcompleliunal'
13b. Dlshifecdun type: Amount:
well construction to the county health department of the county whore
constnlcted,
Form Gw-I North Carolina Depor(inunt of l:nvironment
and Natural Resources - Division of Wates Resources Revised AugusL 20)7

WELL CONSTRUCTION RECORD
This form can be used fur single or multiple wells
1. Well Contractor Information:
Michael Coleman
Well Contractor Name
2992-A
NC Well Contraelor Ccnilieation Number
Cascade Drilling, L.P.
Company Name
2. Well Construction Permit it:
Oft all appfirahk xell perndfs (l.e. Calmly, Strife, Variance. byeclion, e1cj
3. Well Use (chcelt well use):
DAgrioil Wrd ❑i<lunicipal/public
❑Gcothcrmnl (1£coting(Cooling Supply) ❑itcsidcntial WalcrSupply Csingle)
1:111nditsvial/Commercial ❑flesidenlinl Water Supply (shored)
Non -Water
Okloniluriau
❑Aquifer ltechargc
❑Ground wider Rcmcdialion
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
DStormwnter I3uainage
❑Experimcnlal Technology
❑Subsidarce Conitol
❑Geothermal (Closed Loop)
❑Tracer
13Gcolhcrsnal (I IcuitlnlVCf)nlhlri Return)
LlUlller fexnkrin under 1121 E'
4. D;t1e 31'cl1(s) Cumplcted; N -15 W'li lam
So. Well Location:
Asheville Steam Electric Plant
Facility/Owner Name Facility IDII (if applictblo)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
Caunly Parecl Identification No. (14N)
51k. Latitude and Longitude in degrees/ntlnutesrseconds or decimal degrees'
(if well field, one W/hang is sufficient)
N �2.55�y�1e�— w
fi. Is (tire) the well(s): ❑Permanent or OTcmpnrary
7. Is this a repair to an existing; well: ❑ IN.
or &iN.
rflhis is a rcpafr, fill aul known rsvll rnrutmrtion inArmnllon and erphdn !!re nature tf the
repair under 1111 remarkt srcltun or on the hack gllhtr fium-
9. ,Number of wells constructed!
1rar,nuldple bijection ornao-walrr supply uW1., Ohl P ivith the sane conrfmcdon, yea ran
sobmil .110fnna
For Inlcntal Use ONLY:
I=
0 ft, rt, ht.
ft.
' 1•L SC1iEili't - - .-.-. - :.
trnmAi Ff3 m1AM6TFlI - SI"£,';"S,ll: l'tllf_ISti;:4F }(hT�R1A r.
(t. .�7 5f,, • Itl. .0
fii��fll
rt.
ft.
9. Total well depth below land surface: 75
ft.
ft.
construction to! he following:
It,
ft,
ffxnlerfrvel is above raring, ore "t"
I'll.
ft.
24b. For'Inlcctlon Wells ON7,Y: In addition W sending the ruin to the nddress in
ft,
h,
12. Well construction method:
rt;
rt.
ft.
ft.
FOR WATER SUPPLY WELLS ONLY:
1636 Mail Service Center, Raleigh, NC 27699-1636
22. Certification:
Signzwre urCertiiicd well Canlraclar Dale
Av sigulnK this form, r hereby cert fv flu,l the well(s) xis (x-er J ran:rnrrred in accu/ dance
with134 NCAC 010.0100 or Lfd NC1C 02C;V200 Well Conrtraclfan Slmnfards and 11m1 a
copy oflhls "card has hmn Pr vided to file rvefl ow-ieer.
23. Site diagrum or nddilionul well details;
You may use the back of this page to provide additional well site details or well
construction details, You may also Alach additional pages if necussaty.
SUBMITTAL INSTUCTIONS
9. Total well depth below land surface: 75
(rt.) 24n. For All Wells: Submit this form within 30 days of completion of well
Far muhiple tells list all depths ffdfLkrcnt (e.rample- 3(,D100' urr:111,a11o0')
construction to! he following:
10. Static water level below top of casing:
uta) Division of Wnier Resources, Iniormtlion Processing Unit,
ffxnlerfrvel is above raring, ore "t"
1617 droll Service Center, RuIclgh, NC 27699-1617
11. Borehole dlumcler: (In.)
24b. For'Inlcctlon Wells ON7,Y: In addition W sending the ruin to the nddress in
24a above, also submit It copy of this form within 30 days of completion of well
12. Well construction method:
constmtciion to the following:
(i.e. auger, rotary, cubic, direct push, etc,)
Division of Witter Resources, Underground Injection Conlrul Program,
FOR WATER SUPPLY WELLS ONLY:
1636 Mail Service Center, Raleigh, NC 27699-1636
24c, For Water Supply & Injection Wells:
13u. Yield (gpm) Method of test;
Also submit one copy of this form within 30 daysoi'complctiou of
131). Disinfection type: , Amount:
well conslnicliun to the county hmalth depnrimcnl of the county where
_ —`
constructed.
Form GW -I North CsndIna DeparLmcnt ofEnviranment
and Nuiurel Ruuumes -Di vis inn arWater Resources Rcviscd Auguit 2013

WELL CONSTRUMON RECORD
This rami can he used rat single ar mulIiple w0b -
I. Well Contractor Information:
Michael Coleman
Well Conimcior Name
2992-A
NC Well Contractor Certification Number
Cascade Drilling, L.P.
Company Numc
2. Well Construction Permit #:
Uri till applfcable uvil permits li,a Cwnly. State. lluriance, 7ryvwtan, eta)
3, Well Use (cheel. well use):
Water Supply Well;
❑Agricultural
❑Ocothcrmal (Hcating/Cooling Supply)
❑industrial/Commercial
Non -Water Supply Well.
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
OExpcdmtmtal Technology
❑Gcothermal(Closed Loop)
❑Gcothennol([leatia Cc3olinr,
❑Municipal/Publie
❑Rcsidentiu) Water Supply (single)
❑Residential Water Supply (shared)
❑Groundwater Remediation
❑Snlinily Barrier
❑,$lermwaler Drainage
ElSubsidence Control
❑Tracer
under k21
4, Date Well(s) Completed Wall ID ll : f f l J j'0-7 "'
5o. Well Locatlon:
Asheville Steam Electrlc Plant
1'acilily/Owmr Nanae Facitily ID11(11'applicoblo)
200 CP&L Drive, Arden, NC 28704
Physkal Address, City, and Zip
Buncombe
County Parcel Identification No (PIN)
5b. Lulitude and Longitude In degrees/minuteslsecands or decimal degrees'.
(irwell field, one IntAong is suliiolcnt)
_9_�A LS7903 N R2.5g8A00+11 W
6, Is (tire) the well(s): ❑Permaaetlt or ❑Tmnporary
7. Is this a repair to an existing well: ❑Yes or ii10
Ifihis h o repair•, fill an kuarvn well rwctirtmrion h;fu"narlon and explain the nmmr njihe
repair rrmler 021 ranar'kt aenfon nr an rhe hack of this jinn.
8. Number of wells constructed:
For nrub/plc ildectinn ar non-utticr supply wells ONLY rv1111 lha sante arusfrnrrlorr, ym1 can
JJ01101 tine jinn. �J
9, Total well depth below land surface:
Far nurtliple hells Osl all depdrs (felifleren! (exaniple- 3@200'a1112rO1100')
1 n, Static writer level hQIDW 101) of casing:
lju:ner level is above caring. nye "+"
For hilcrnal Use ONLY:
14, WATER ZONES
-
MOM
TO
DESCRIPTION
fr.
ft.
n.
I'L
IA: pUiERCiSiNCfat'iriufrb=satedtvcllC)teltt.tYEttIIGu Ilkal}tel - - -
>:lttlal Tse -
nlA1t'F7t=:tl
1
'f1tCItN ti
MATERIAL
ft. ft.
In.
ifi I1iI:R f ,15i tiG Olt Tlt1t}tifi-{ railiertnaI
ria140-In1r I
F3lt7lsl 11
rrlAaIMH THICIFNIMS AIAi'Y.aI,Lt.
fl. Q ft.
A tri.58N -. 0 PVC
ft, ft
In
FROM To
DIAs3ETV1k sttti'r mim.
TOIVRNEl I NIATIERIAL
fl. R,
In.
FROM To
d1A'rr•.nmi.
t:A4e1.ACRa9 Psir �r};7tIOrtA.IM[Sf]dVT
SLI ft.
_
n. ft,
fi. ft.
14,5.1\
Kit f11i111caillr
Flirr7l 7'I1
hlA"l'ltltlAt. Y".titli.A[:I:,L!}:fi5' L3E;ltl{rn
1� ft. f� f4
__—`—
rt.
20.111 I'LItifi I:f)C} allnrltnrldldfinalihactalfineeesia
-
Pllttal TO
nrtCnlPs'rnry f�al�hnra>eru; raurr<rtit•. c, erda J.r.e.Ir.I
n. rt.
ft, n.
R. fl.
It. rt.
ft, n.
n. n.
at. nPWARIC9
22. Ccrtiflcaflon:
Signunire ufccrtihed Well Conoacw Data
Oy signing this limn, 7 hatchy eerrifv dna 1hr -11r) .ars (-ie) Paaslrrr^1er1 bi--olunce
Ivi1h 75x1 NCAC 02C.0100 nr ISA NCAC 02C 17209 1Pcll Cnuray..—IMn .Slandnrds and llm/ u
cagy ofilrts record lits been provided to Mr well owner.:
23. Site diagram or uddilional well dclalls:
You may use the back of this page to provide additional well site details or well
conslruclion deluils. You may also attach additional pogcs if iecessary.
SUBMITTAL INSTUCTIONS
24n. For. ilii Wells; Submit this form wilhin 30 days of completion of well
conslruclion to the fallowing:
(rt.) Division of Water Resources, Informs lon Processh3g Unit,
1617 Mall Service Cenicq Raleigh, NC 27699-1617
11. ISorehnlc diamcicr: (1n.) 24b, For Inlcelluti Wel)i ONLY: In addition to sending the rorm to the address in
2daabove, also submit a copy of this form within 30 days of completion of well
12. Well construction method: construction to the following:
(i.e. auger, rotary, cubic, direct push, cm.)
lllvlsinn of Wutcr Rcsuurccs, Underground InJcclion Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mall Service Center, linleigh, NC 2 769 9-1 63 6
13n, Yield (gpm) Method of test; _ ___�
24c. For Watr.r.Supply & Injection Wells:
Also submit one copy of this form within 30 days ofcomplctionof
13b. Dlslnfcellon type:Amount:,- wall construction to the county health department of the counly where
constructed.
Purm1 G W -I Nenh Carolina Depanment of m,10mntnent and Natural Resourncs - Division of hater Rea ,u " Revised ALgust 2013

WELL CONSTRUCTION RECORD
This form can tier used for single or rnultiplewol is
1. Well Contractor Information:
James Hall, Jr.
Well Contractor Name
3224-A
NC Well Contractor Certification Number
Cascade Drilling, L.P. , Aiken, SC
Company Name
2. Well Construction Permit It: On Site
List all applicable Ivelt pernrlts (i. c• Commy, Stare, trarlance, Jnjeciian, eic.)
3. Well Use (check well use):
Water Supply Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑ Ind ustrial/Commercial
❑1mg,atlDn
,,'eo Se
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
Non -Water Supply Well:
MMonitoring ❑Recovery
❑Aquirer Recharge
❑Aquifer Storage and Recovery
❑Aquirer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑GcothcrmRl Oleatins,/Cooline 1
❑Groundwater Remediation
❑Salinily Barrier
❑Stormwaler Drainage
❑Subsidence Control
❑Tracer
❑Other("mlainunder VII T
4. Date Well(s) Completed: 2 r/Well iDq/)9l�f?
Su. Well Location:
Asheville Steam Electric Plant
Facility/thvner Nmr c Facility IDN (if applicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
parcel ldcrntifrcation No. (PTN)
For Fnlemal Use ONLY:
.'13ilV.YT'Cii'-CONES
I,..,...
•.,. -
FRONS TO
DUCRIPTION _
ft.
ft.
ft.
ft.
MOUTLR'GSSING firmmulliwsed+retls Oft"l'IMF]T(ICU "ticnbie-
FROh1
TQ
DIAM1ik:T1:R TOIL7iNE55 htATEIO.AL
70 ff.
yt
It.
i to
C
.1 G:INNT.R CASING; OR "TUBING enlhernral dwed-tau
tl;Oln TO
DIAMETER
I TIOCri NESS I MATERIAL
ft.
fl.
in.
rt.
ft.
in.
d.
1;'r1OM I TO
DMIEtE11 I SLOTSIZ,E ... C""'F5S MATEIl1AL
ft.
IT
ff, ft.
I& GROUT .: ....:
...
...: . . :,
mom To
MATERIAL Ehn1LACEM1I r_NThI F.TI110IF&AhlouNT
6345' rr. Q
P
ft.
ft.
ft.
ft.
ll: S.MIG1UVTi.1'ACIi Ifo 1lcnhle
FROM TO
MATisRIAL
I EMpL1 t.ENIFNTMCTnuD
ft.
R.
i2R: DliII,I IFVG LOG In Itoch ti llditfa6rdnhitis iCnecessa
MOM TO
UFSCRIPi'tON ealur. },anineu., refYrrtkl e, ndnslrr-rlr.1
ft.
ft.
ft.
ft.
ft.
ft.
fl.
ft.
fL
rt.
ft.
fl.
n.
ft.
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees: 22, Certification:
(ifwell field, one ladlong is sufficient)
Si ua cilAWfi Ontfucior — Dare
6. Is (are) the well(s): OPcrmancnt or ❑Temporlry y signing f y fy (�
d si nin this arta. 1 hereby cera drat the wells n•as(were) constnreted in accordance
uldr ISA NCAC 02C.0100 or I.M NCAC 02C.0200 Well Construction Standards mrd rhal a
7. Is this a repair to an existing well: ❑Yes or [?]No copy afthls record has been provided to the well owner.
If this is a repair, fill out known wed eanstnrcrion rr fornalimr and explain the nature oflhe
repair under 421 remarks section or on the backojthisjorm. 23, Site diagram or additional well details:
YRu may use the back or this page to provide additional well site details or well
S. Number ofwells constructed: I construction details, You may also attach additional paces ifnecessary,
Formulople injection or non -water supply ❑•ells OA'LY Dviih dresume construction, yort can
submit onejomr. SUBMITTAL INSTUCTIONS
9. Total well depth below land surface: go (rL) 24a. For All Wells: Submit this form within 30 days or completion of well
For multiple wells list all depths ifdterent (example- 3Oa 200' ond2 a 100 construction to the following:
10. Statie water level below lop of casing:
1fi ater level is above casing, use •'+'•
11. Borehole diameter: 1- (in.)
(FL) Division ofWuter Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For InlecIhm Wells ONLY: In addition to sending die form to the address in
Bonier 24aabove, also submit a copy or this form within 30 days or completion of hell
]2. Well construction medtod: construction to the following:
(i.e. auger, rotary, cable, direct push, etc )
Division of Water Resources. Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27 69 9-1 63 6
73u. Yield (qpm) Method of lest:
24e. Fur Water SuppIX & Injection Wells:
Also submit one copy or [his form within 30 days orcompletion or
13h. Disinfection type: Amount: well construction to the county health department of die county where
constructed.
Form GW -1 NDrd1 Carolina Department orEnvirunmcnt and Natural Resources —Division of Water Resources. Revised August 2013

WELL CONSTRUCTION RECORD
This form can be used for single or multiple welts
1. Well Contractor Information:
James Hall, Jr.
Well Contractor Name
3224-A
NC Well Contractor Certification Number
Cascade Drilling, L.P. , Aiken, SC
Company Name
2. Well Construction Permit N: On Site
List all applicable well perntils (i.e. Caunry, Slate, Variance, lnjecllan, etc.)
3. Well Use (check well use):
water suppiy weu:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑ industrial/Commcrc is I
❑irrigation
Nun-Wuter Supply Well:
re?01secl
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Recovery
Injection Well:
❑Aquifer Recharge
❑Groundwater Remediation
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquiler Test
❑Stornimter Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
{]Tracer
❑Geothermal (licaling/Cooling Rcluttt)
❑Other (erpluin under P21 Remurksll
4. Date Well(s) Conlpleled: 3 rJ T Well ma
Sr. Well Location:
Asheville Steam Electric Plant
Facility/Owner Name Facility ID,: (Irappiicitble)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No. (PIN)
For Internal Use ONLY:
A4:AVATIiR ZON1,S
FhOhl TO
DESCRIPTION --
ft.
ft.
ft. I
rt.
15. OUTElt CASING(formuld cased welit LIP(F.R if a tlieahle
FROM
TO
10
171Aa1ETER T![Itlf9ti F55I AfAT ..IUA I.
f
AC ANNE{[{ CASMG OR.. lllrrtCr,, entnermnl eiwerl-tare
FROM AI TO
DIAMETER TIIICKNrSS AIATERIA1..
ft.
Cr. In.
rt.
rt. In.
a. 7'SCRF.F.t�..'s•a .::.
MOM TO
WAAMTt.R SLOT 512E T[IIMNErS AIATr.RIAL
90 fro ft.
in.o
ft. Cf.
in. - --
--
FkOhl Tu
MATERIAL "IPLAC;FNtEA"f' h1 r:T1tOQ &.AM nu NT
rt
ft. AP . C
fr.
ft.
rt.
rf.
MSANUICRAVECPAGIi'[ifd tleabte
/font I Ttl
MA7ERIA4 Emi,LACEht ErrTmE7lmu
YO ft, ? 9,
fl. G/ �>� I
n %i 7/ �
2Q..DRfLLINGI.OG uthfchtiddlltai€a111:ee tslrmercesa � ._
Fhom TO
17L'SCRIP'r ONt:a[pe. IranillUi. 1r1111[nel{ 1 x. rlla rim. etc_)
ft.
ft.
rt.
ft.
ft.
n.
rt.
ft.
rt.
ft.
ft.
ft.
ft.
ft
Sb. Latitude and Longitude in deg rees/minutes/secunds or decimal degrees: 22. Certification:
(iCwell field, one [at/long is sufficient)
3S'M917516 N 9-21 w
Signututi; c C.er�tdrrRr-d Ca Dale
6. Is (are) thewell(s): 01'ermminenl or ❑Temporary
By signing !Iris form, I hereby cerrfy that the ire!!(s) +rag (were) carurn¢red in nccordmhce
with 15A NC. -IC 02C.011111 or 15,1 NC IC 02C,0200 Well Construction Standards and /lint a
7. Is this a repair to an existing well: ❑Yes or ElNo copy ofrbis record has been provided to the well owner.
If this is a repair, fill out known well canrrr+ctiau inforniarion and erplain the namrc of rbc
repair under #21 remarkssecrion or an the backofrhisforn,, 23. Site diagram or additional well details:
You may use the back of [his page to provide additional well site details or well
8. Number orwells constructed: construction details. You may also attach additional pages if necessary,
Far multiple injection or non -nater supply tvelLs ONLY with rhe same construction, you can
submit oneform. SUBMITTAL INSTUCTIONS
9.Totul well depot below land surface; el -0 (ft,) 24a. For All Wells: Submit this form within 30 days of completion of well
Far muldpfe rtrlls fir! all deptlu jjdoerenl (exa+nple- 3@100' and 1 n 1003 construction to the following:
10. SluIle water level below lop of casing:
Jfrcarerlevel is above casing, use "+"
11. Borehole diameter: 517
(in.)
(ft.) Division ul Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For lnjeclinn Wells ONLY: In addition to sending die form to the address in
Sonic24a above, also submit a copy of this form within 30 days of completion Of well
12. Well construction Inelhod: construction to the following:
(i.e auger, rotary, cable, direct push, etc.)
Division orWa(erResources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield (gpm) Method of test: lac- For Willer Supply & Injection Wells:
Also submit one copy of this form within 30 daysnfcomplclion of
13b. Disinfection type: Amount: well construction to die county health department of the county where
constructed.
Form GW -1 North Carolina DepanRlem of Envimument nod Natural Rcsmaccs —Division of Watcr Resources Revised August 2013

MELL CONSTRUCTION RECORD
Tlns form con be use if for single or inukiple vvcl)s
1. Well ttp+Contracor Information:
—Mli't �,� L. 4Aemn-
Wel(Coninctor Name
NC Well ContractorCeni✓teTnNumbcr
�
Compauy Name
2, Well Construction Permit N:
List all applicable hell permits (i. e. County, State, Variance, h jecdon, Cie.)
3, Well Use (check well use):
Water Supply Well:
❑Agricultural ❑Municipal/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
01ndustrial/Commercial ❑Residential Water Supply (shared)
Supply Well:
❑Aquifer Recharge ❑Groundwater Remediation
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑STormwaterDrainage
❑Experimental Technology ❑Subsidence Control
❑Geothermal (Closed Loop) ❑Tracer
❑Geothermal (Heatin CaplinReturn) ❑Other (cX Iain under '421
Remarks)
4. Dale Wcll(s) Comp[ctcd.[ . 7 -15 Wcll TDN M k -1-0q p
5.1. Well Location:
Facility/OsvacrNamc Facility IDN (ifnpplienblcc)) i
"'Lot) (T ,bL Qm- r� i . � f�'�f
Physical Address, City, and Zip
County Parcel Identification No (PIN)
5b. Latitude and Longitude in degreesiminutes/seconds or decimal degrees:
(irwellefield,
.one lat1/longtiissufficient) (�C�
35 lilt lrl�tV�� N C�� �1� 1' 3 �lS W
6. Is (arc) the well(s): 01'ermmticat or ❑Temporary
7. Is this a repair to an existing well: Dyes or Nu
Ifthis is a repair, fill out known evell eonstroction irtforrnatimr a "I 0;4)0 the native of ate
repair under P. 21 remarks section or on the back oft4is farm.
8. Number urwells constructed:
For multiple injection or non -water supply welts ONLY with tire satire construction, yon con
submit one foot.
9. Total well depth below land surface: l02 (fL)
For muhiple wells list all depths ifdijj rent (example- 3 a 7011' and 10100')
10. Static water level below top of casing: Z— (ft,)
lfwater level is above casing, use "+"
11. Borehole diameter: LD
12. Well construction method: is "
(i,e, auger, rotary, tabic, direct posit, etc)
FOR WATER SUPPLY WELLS ONLY:
13a_ field (gpm) Method of test:
13b. Disinfection type: Amount:
Far Internal Use ONLY:
ft, fL
ft. fl.
ft. I ft. I in.
TNYER CASrNG 0Tt I y I RgIge.lherroa15-5-1 dii
.OM TO I PIAMEmr, Tlt1Q{1ti 1:55 alATfllr.lL
far ('i7 ft. �7 in
ln, 4
OM TO 11lA�td L'T'En SLO7 tiIZF, TIIICif;f�5S MATEM
ft. •5 ft.
ft. 4 fl. in - [:
•Glt[SUT�:: .: ... .
OM I TO _ MATERIAL'I nsrLtrsAIr,YTME -to ,t: AAu
ft. ft, 1 1 t
rr. ft.
ft- - ft.
SAND/GRAVELPACK (Irurpolirmlih
)NI TO MATEilI,1L L'lI1P[.ACEhtr.4-r AIETIIOn
ft, IL
ft. ft
IMM LING LOG flittuelfadi tldno[:alieetslfneceasn '
MI TO atSCt[IPi'tOtt rotor. Irrvdnur saf0mrk it rales fist, rt
ft. ft.
ft. rt,
n. ft.
ft. ft.
rt. ft.
ft. ft.
A. fL
ilrllfAliltS = ' - ,
22. Certification:
Signature orCerlilied Well Contractor Dale
BY signing this farm, d hereby rertffv alma the ive0(s) u•a.s (were) cnnsuucied in accordance
i idt ISA NC.4C 0:0.0100 or 15A MGIC. 02C.0200 Mell Construction Standards and that n
rep), q(this record has been prutdded to the is -elf owner,
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages ifnecessery.
SUBMITTAL TNSTUCfIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to [lie following:
Division of-Wuter Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24h. For InIgetinn Wells. ONLY: In addition to sending die form to the address in
24aabove, Idsn sulanii a copy Of this form within 30 days of completion of well
construction to the fnllniving:.
Division of WnlerResources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC27699-1636
24c. Fur Water Supply & In'cctiun Wells:
Also submit one copy of this form within 30 days ofcompletion of
well construction to die county health department of the county where
constructed.
Form GW -I North Carolina Department ofEnvironmcnl and Nnlural Resources -Division ofWater Resources RcviscifAugust 2013

WELL CONSTRUCTION RECORD
Tltip form can be used for single or multiple wells
1. Well Contractor Information:
��
Well CnntractorName
N C 'L-
NC Well Contractor Ccn lieatioa Number
( (
Company Name
2. Well Construction Permit O:
List all applicable well permits (i.e. Conng•, state, Variance, Ir jec/lon, etc.)
3. Well Use (chuck well use):
t, L'n:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑industrial/Commercia I
Nan-Wntcr Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
[]Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (HcatintrlCuolinu I
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑ Rcc overt/
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
00dwr (exWain under 924
d. Date Well(s) Compleled:
�• ��WellIDHM �-j"�)CiI
5a. Well Location:
ff.
k-'WOV
kuo ,
fueility/Owner Name
fucility IDA (ifopplicalft
ft,
ft.
Physical Address, City, and Zip
PJUY1l Nr n1`l1F."
County
Parcel Identification No. (PIN)
5b. Latitude and Longitude in degrees/mimics/seconds or decimal degrees:
(ifwell fierd, one Iat/long is sullicient)
011i a-7 N
rj� i lV
6. Is (are) the well(s): []Permanent
or ❑Temporary
7. Is this a repair to an existing well: ❑Ycs or bNo
ifltis is a repair, fill out knob, well consinuction in fornuniun ai explain the nature ofihc
repair under AJ remarkr section or on the back ofridi form.
U. Number of wells constructed:
>'arrafihiple injecrfan or non-rrarci•sapplp %veils ONLYwith thesi me caRxrrnctinn, y'att Cali
submit one farm. I
9. Total wcll depth below land surface: ff (rq
rat• mndtiplr nrlfs list all d ptllxTrdifj+rcat (etaniple- ]@-IOW ata!? a U10)
10, Static water level helow lop of casing: (ft )
Ifivater level is above casing, use "+, "
11. Borchole dinmeter: (in,)
12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc )
For Internal Use ONLY:
rt.
ft.
ft.
ff.
rr,
rt.
ft,
ft.
TLf4
22. Certification:
51$llalurc ofCertifcd Well Contractor Dole
BY signing this form, I hereby certh• that tire well(s) ryas (n•ere) catstrrrcted in accordance
with ISA NC.I C 02C.0100 or !SA NCAC 02C.0300 Well Construction standards and that a
copy ofilas record has been provided to the it -ell owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL INSTUMONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
Division of Water Resources, inrurmation 1'rocessing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. rarr Inicetion Wrlis ONLY: In addition to sending die form to the address in
24a above, also submit a copy of this form within 30 days of completion of well
condo UMFI la the lollnwiae�
Division of Wnler Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 ll fail Service Center, Raleigh, NC 27699-1636
13a. Yield (gpm) - Method of test: 24c. For Water Supply St iniecllon 111ells:
Also submit one copy of this form within 30 days ofcompletionof
13h. Disinfection type: Amount- well construction to llic county health department of the county wlicre
constructed.
Form GW -I Nurth Carolina Department of Environment and Natural Resources— Division of Water Resources Revised August 201
31

WELL CONSTRUCTION RE CORD
'Mis farm can be used for single orrnuhiple wells
1. Well Contractor Informnlion:
Pe
Well ContinclorNmin:
NC Well Connactoo-CertiGcati a Number
(Implarl
Company Nnme
2. Well Construction Permit 9:
List all applicable well permits (.e. County, Stare, Variance, ltyecrlon, eic.J
3. Well Use (check well use):
Water supply %VLH.
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑lndustrial/Commercia I
Nun-Wnlcr Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal tHealinPlCoahne .
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwatcr Drainage
❑Subsidence Control
❑Tracer
❑Other (explain under 421
9. Dale Well(s) Completed: Well IDN MIN r C(S
5a. Well Location:
�'' 1t , C Liu buiv1C. 6111
Facility/Owner Nine Facility IDM (if opplicablc)
Physical
.�
Aydddsre�sCi
Address,
Cand City, Zip
County Parcel Identification No. (PIN)
5b. Latitude and Longitude in degrees/minuies/seconds or decimal degrees:
(ifwell Geld, one Int/long is sulracient)
Por lntenud Use ONLY:
ft.
ft.
Ft,
ft.
ft.
rt.
ft.
ft.
ft.
ft.
ft.
ft.
21. Jt1•:isJllRfiS
22. CcNifrcation:
Signature of Certified Well Cmitradnr
6. Is (rare) thewel)(s): []Permanent or ❑Temporary
7. Is this a repair to an existing well: ❑Yrs or )(No
/ftIris is a repair•fill our known well construction information and explain the nalrrre ofthe
repair under #21 remanl-r section or on the back ofihisform.
S. Number of wells constructed:
Far multiple iirlection or tori-ivwcrsupply wells ONLY with the same construction, you can
submit ore form_
9. Tolal well depth below land surfuce: ✓ V (ft,)
For multiple wells list all depth if different (example- 3@ X00' and 3n 100')
10. Static water level below top of casing: (fL)
jwaier level is above casing, use l+�
IL Borehole diameter:L`J (in.)
•'y 'a
32. Well construction method: i I 1
(i.e. auger, rotary, cable, directpush, etc.)
Date
BY rigrrktg this farm. 1 hereby crrrlfv t&tu rile wefl(l) was (it -ere) rwistrucled in accordance
pith ISA NCAC 02C.61eh or• ISA NCdC 02C,0200 Well Corisirietion Standards and d at a
copy of Nlx record has been Wmvided to fire welf olloer. .
23. Site diagram (or additional well details:
You may use the back of this page to provide additional welt site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL INSTUCTIONS
24a. For All Wells: Submit this fonts within 30 days of completion of well
canstruclion to the fallowing:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Inieelton Wells ONLY: In addition to sending the form to the address in
24aabovc, also submit a copy of this form within 30 days of completion of well
con4tmclian to the hollowing:
Division of Water Resources, Underground Injection Control Progrnm,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Rnicigh, NC 2 7699-1 63 6
130. Yield(gPm) Method of tae. For Waler Supph' & Injection Wells:
--. _..
Also submit one copy of this form within 30 days of completion of
13h. Disinfecfiun type: _ Amount: well construction to the county health department of the county Where
constructed.
Form CW -I North Carolina Department of Cnviranment mad Natural Resources — Division of Water Resources Revised August 2013

WRLL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1, Well Contractor Information:
James Hall, Jr.
Well Contractor Name
3224-A
NC Well Contractor Cenifieation Number
Cascade Drilling, L.P, , Aiken, SC
Company Name
2. Well Construction Permit M On Site
List all applicable well permits (i.c. County, Stale, Variance, Injection, etc.)
3. Well Use (check well use):
❑Agricultural
❑Geothermal (HeatingjCcoling Supply)
❑ ind ustrinUCommercial
❑lrriealion
Nun -Water Supply Well:
❑ Monitoring
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal tHcatmelCooline i
'r"L1iW
For lntemal Use ONLi':
-a4:.wr�'r1:R cDnes..,
FfttlAt TOn�srmnrlrllu
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Other(cMnlain underil21 P
r
4. Date Well(s) Completed:rWell IDiI
Sn. Well Locution:
Asheville Steam Electric Plant
Futility/Owner Name Facility Wil (ifopplicuble)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County Pared identification No. (PVN)
Sh. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one Int/long is sufficient)
35-1 N, S3lG, W
6. is (arc) the well(s): 1211"ermanent or ❑Temporary
7. Is this a repair to as existing well: ❑Yes or IDNo
ifthis is a reprir, fill our brovn irell construction information and espluin the mature ofthe
repair under 021 remarks section or on tire back ofthis form.
3. Number of wells constructed: I
For multiple injection or riot-iintersupply melts ONLY with the same carwructlon, you can
submit one form.
9. Total well depth below land surface: / (ft.)
For multiple wells list all depths ifd7erent (example -3 100' and I@100')
10. Static water level below top oreasing: (ft.)
Ifnaterlevel is above casing, are "+-
11. Borehole diameter: t!5 (in.)
12. Well construction method: Sonic
(i.e- auger, rotary, cable, direct push, etc. )
FOR WATER SUI'PLS' WELLS ONLY:
13a. Yield (gpm) Method of test:
13b. Disinfection type: Amount:
ft. I rt.
R. Ift.
.1S. OUTER QS1NG (for inulti-cased wells)OR LIN1,R lies firnble -
MOM
TO
FIFAM&"ft:R T1i1CrtNE55 MATitn,At.
0 a.
❑.
�? in. 1 'd Ut~'
MANNER CASING on WERE 'Cr IbenliPl ela]ed•Ian
FROM Tq MAMETER TlnCKNF-Tq MATERIAL
fY. ft. in.
R.
FIROM TO DIAMETER SLOTSIZE TFIFF/"-NESS MATF.1l1AL
[� ft , 3 e/ ft. in' ICI / 0 h. I10 �v�6
ft. is
FRghr To MAM-11AL
EMPLiCERIENT n1 FT11011&AMOUNT
ft- ft. . G1Ys`%Gf
rlrm/`si r..
n. n.
ft. ft.
19::R.'tNt]lGR;7VGLPACIi Pia �Ilenble
FROM To MATERIAL I rMPLACEMENTMET19011 -
3
1O.' -DRILLING liUc attach. tdalanniil slreeta if neees6an
ritoM TO
nFSEN11"MON n,lnc Imnlnraa,rM11-11l e, rater sl c[c)
ft. ft,
ft, ft.
ft. ft.
ft. ft.
ft. ft.
ft. r�.
21fIt1'sMARIaS
1
22. CCCrtir titin:
Si' lies ilirdL4rllft:aniractw Dal.
By signing thio form, I hereby certify that fire trellis) tins (ivere) cotstntered In accordance
with 15A NCAC OdC.0100 or ISA NCAC 02C.0200 Nell Construction Slanrlards and that a
copy ofthis record has been provided to the well owner.
23. Site diagram or additional well deluils:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL I(NSTUCTMONS
24a. For All Wells: Submit this fame within 30 days of completion of well
construction to ale following:
Division or Water Resources, information Proce5sing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection Wells ONLY: In addition to sending die fond to the address in
24a above, also submit a copy of this form within 30 days of completion of well
construction to the rollowing�
Division of Wuter-Resources, Underground injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1036
24c. For Water Supply .L. Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of tie county where
constructed.
Form GW- I North Carolina Department of Environment mrd Noland Resources Division of Water Resources Revised August 2013

WELL CONSTRUCTION RECORD
This form can be ,coed for single or milliple wells
1. Well Contractor Information:
James Hall, Jr.
Will Canllactor Name
3224-A
NC Well Contractor Certification N,mheT
Cascade Drilling, L.P.
Company Name
2. Well Construction Permit 11:
List oN applicable ne11peralkr fL c. County. slate. Fur•iaace, byeetfon, etc,)
3, Well Use (cheep well use):
QAgricullural
Chiunicipal/Public
❑Geothermal (fleating/Cooling Supply) CRcsidential Water Supply (single)
01ndustriol/Con incrcial CRcsideatiol Water Supply (shared)
Wen:
CAgnifer Recharge ❑Groundwater Remediation
❑Aquifer Storage and Recovery ❑Salinity Barrier
CAquifcr Test CSlarrwaterDrtinage
CExperimental Technology CSubsidenco Control
CGcothermal (Closed Loop) CTraecr
CGcolhur ual (liaullnigCualintt Return) CIOdicil x ilnin under 112t Rcmarksl
4. Dole Well(s) Completed: 3• f -f -15 Well II)lf ::: —U _
So. Well Location:
Asheville Steam Electric Plant
racility/Owner Name irnc(1(ly IDk (irappheuhle)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County Parcel Tdontificalion Na„(PIN)
5b. Latitude and Longitude In degrees/minutes/seconds or decimal degrees:
(i(well fi((eel�ld-,, one tut/long is sufficient)
W
6. is (are) the well(s): 04rnnmcnl or (]Temporary
7. fs this a repair to an existing well: CYes or Ii&
lflUs tT a repair, fill vlrl knm,n ural cnn,vlrucrfon bjonnnlian and explain the nalare ufrhe
repair ander 11;1 remarks section or urs the hack of flits fruau,
8. Number of wells constructed: 1
For oulliple infectfan or non-l,wrrrsupply,yclls ONLY with r/te sanre constnrctlnn, you can
sllbmll enc firm,
9, Tonal well depth below land surface: OS•S (ft.)
ror mdtipic wells fist all drprhs ((d11fu'0nI (ccmuptr-- j(d)2110' and 2(rV00')
10. StoUc wolet- level below top of caslug: (M)
If—tet IeM Is ahoy, cusing, use ”+"
11. Borehole dinnleter: 6 (K)
12. Well construction method:
(i.e. auger, mnnry, cable, diroet push, ire.)
Far h,tcrllal Use ONLY:
14.t9'l; In frit rN -
aiint Tts ntschnrrtrl
ft, ft,
ft. fl.
35.t1LTFIt'Crl:SING. foPinYlltl•r^s[rif',ion+lAtlt:If:Ftlflfallll6llI
FAUM't:] uiA.m0,F.0 't 11pCt:ti4:55 Al A'l'V.RIAr.
"457s"
® r. 29 h.. o PVC.
16. NNNEH011181INGOlt Tl111INGivronicrundviaml:h,u+ '
FIIUAt ZTl Wtis11:Q11 ' TFUCKNP99 111ATF.nrh1.
ft. rl. II'll.
fl. ft. ln.
_K10M TO nrAni F.Trn SLIT. U/M. TRICrtNFSti MATERIAL
16S9tt. 9`�Sft. ln. .DfO �,x b PUG
18101NI -I T11 etATRllt,lt.r F:a1 11t.AL'F114:riC al t(TI r( IU A.111r] 1 IN'T
f`' kcn
fl. ff.
fl, fL
17, 5.1'til]1G11,i1'1:1_PACkC I[fallllin61u1
MOM TO I MATERIAI. larat.Ar I>srr rAlA;firma
054�i. 3A
it. ft.
ZQ- ]]It[f:f,[Yt":'i:r.]Ci bnbehndd{ttnla. sheets if neecziar_t2_
Pltrrnf� T4 I11itit:Ittlrrlrlti culnr har4nr+s.+alUr.cks,r. raF Inslzc_dc,l�
ft. ft.
It. rt.
ft. rL
ft. n.
2C-ttE3CAllliti' _.
22. Certireationt
._......... ----
SiFra� arc nfOcrtificd Wall Contractor Dal.
Uy signing this inion, f hereby certify that the n'ell(r) war (were) rolutrucred In arcarrl urce
,yirh /SA NCAC 02C:0100 nr 151NCdC 02C.0200 Well Consuix ion Srandordr and rhol u
eaqu of fdfs record has been pra,fded to rhe well auver.
23. Site diagram or additional well dentilst
You tiny use (he back of this page to provide additional well silo detnils or moll
construction detnils. You may also attach additional pages if ncccssary
SUHNIFI-f'AL 1NSTUCI'IONS
24u, Icor All. WON: Submit this faint within 30 days of completion of well
construction to 1ha following:
Divislon of Water Resources, Ini'ormutiun Processing Unit,
1617 i'Inil Service Center, Raleigh, NC 27699-1617
241). Vor- iniectionAVOli ONLY., in addition to sending the form to the address in
24a above, also submit u copy of this form within 30 days of completion of well
construction to the following:
Division of Water Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mall Service Center, Raleigh, NC 27699-1636
13a. Yield (gpm) Method or lest: 24c. For Water Supply K lulecthm Wells:
Also submit one copy or this furnl within 30 days ufcomplaion al'
13h. Disinfection type: Amount: well eonshuction to the twunly health department of the county where
constnnctcd.
Form GW -1 North Curulina Department of finvironmanl and Nahoal Resources – Division of Water Resnurres Rv,ised Augcim 2013

This form can Iia used for single or mul
1. Well Contractor Information:
James Hall, Jr.
Well Contractor Name
r
l LUVKV For Internal Use ONLY:
wells
�1a::wnTc11 x1�NFs
fit014 7`p hi'SCRIFTION
ft. I ft
NC Well Contractor Certification Number
Cascade Drilling, L.P. , Aiken, SC
Company Nnme
2. Well Construction Permit #: On Site
List all applicable welbperrits (re, Counp% Siaie, Irariauce, !'vection, ora)
3. Well Use (check well use):
Water Supply Well:
OAgricultural ❑Municipal/Public
❑Geodiermai (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑industrial/Commercial ❑Residential Water Supply (shared)
Non -Water Supply Well:
❑Aquifer Recharge
❑Groundwater Remediation
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
❑Stormwater Drainage
❑Experimental Technology
❑Subsidence Control
DGcothermal (Closed Loop)
❑Tracer
❑Ge thermal lHeotingiCouling Return)
❑Other (explain under #21 Remarks)
4. Date Well(s) Completed: 3'I--11 Well iD# 17141--ld-D
Sa. Well Location:
F} sliming this font'. I hereby cerin^ that the irelJ(s) was (mere) construed in accordance
Asheville Stearn Electric Plant
garb lS.I NCAC6?C..0100 or 111 iVC.1CO2C.030o Neil Consinierion Standards and that a
eppy oftitu regard hat been provlded to Me µ•ell aLrnrr.
Facility/Owner Name Facility 1DN (if opplicable)
200 CP&L Drive, Arden, NC 28704
Physical Address; City, and Zip
Buncombe
rnEQh! 7Q MAMFTEn RiAT81ElAL
Sff. ft.
B'eTfF;R rISFINIG
OR TIfINGleothereat sliird-tnao
O rIA 11 MIR r
TIIICCNG'SS RlATERIAL
ft. fl. in.
ft. ft, in.
17. SCREIEN
MOM TO RrAhtETE.R SLOT SI ZE . Tit] Clrts,&s$ hrA-1'FRr,iL
ff. 5DA_rt. irl ,0�4 seri y� SIG
fl. rt. in
18i;GRDir1. ., ,
fROhtI TO MATE111A1. ERt 11111 M1 h1t:TF1011 & hh1QUrrr
!{3 rt. G rt.
o�tf F2/ilrrl rcl�
ft. rl.
ft. rr.
IS. SAND/CRAVEL PACT
FmOR1 TO hIATERIAL Chtl'L10EA1Et�ti/I'p1ETF1[IU
"
ft. f1. �rrr�q� /2�rt�Cr_T
ft. ft.
tff� llltli:l.IttiG [:Citi' AlfnCti-Al11I111annl;l l'LprlSirnee [JbI4 '}--- --
rReiill 'Yh llF-SCatr''frOY lento', harm lus. sui inti, type. cm], pig, CCC !
ft,
ft.
fl,
ft.
rt.
rt.
ft,
fL
ft,
ft.
ft.
fl.
2c 1x1ntlBls -a=.
F} sliming this font'. I hereby cerin^ that the irelJ(s) was (mere) construed in accordance
7. is this a repair to an existing well: ❑Yes or ❑No
garb lS.I NCAC6?C..0100 or 111 iVC.1CO2C.030o Neil Consinierion Standards and that a
eppy oftitu regard hat been provlded to Me µ•ell aLrnrr.
If this is a repair, fill ant known well construction it formation and esploln the nature of the
County Parcel Identification No. (PrN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(ifwell Geld, one latAong is sufficient)
22. CerliBcnlion:
<,_v2n3bs�� N s� .s`y5'yS'G/) W
es
il � y Cd�iVC��mClnf
Sigtl Date
6, is (arc) the wcll(s): IZPermancut or ❑Temporary
r
F} sliming this font'. I hereby cerin^ that the irelJ(s) was (mere) construed in accordance
7. is this a repair to an existing well: ❑Yes or ❑No
garb lS.I NCAC6?C..0100 or 111 iVC.1CO2C.030o Neil Consinierion Standards and that a
eppy oftitu regard hat been provlded to Me µ•ell aLrnrr.
If this is a repair, fill ant known well construction it formation and esploln the nature of the
repair tinder #21 remarks section or on the back ofihisforrn.
23. Site diagram or addi(ional well details:
You may use the back of this page to provide additional well site details or well
8. Number ofwells constructed: 1
construction details. You may also attach additional pages ifnecessary.
For multiple itjeulon or non -water supply wells 0M)'wtrlr the surnc construction, you can
submit onefonn.
�J
SUBMITTAL INSTUCTIONS
9. Total well depth below land surface: r S (ft,)
24a. For All Wells: Submit this form within 30 days of completion of well
For multiple 'veils list all depots ifdifferent (example. 3@200' and 2 p 100')
construction to the following:
]0, Static water level below top ofeosing: aL)
Division ofWuler Resources, informntion Processing Unit,
Ifwarerlevel is above casing, use "+"
- 1617 Mail Service Center, Raleigh, N...C.2;1699,4617
11. Borehole diameter: r
24b- For Injecting Wells ONLY: in addition to sending die form to the address in
Sonic
24a above, also submit a copy of this form within 30 days of completion of well
12- Well construction method:
construction to die following:
(i e. auger, rotary, cohte, direct push, etc.)
Division of Waler Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY:
1636 Mail Sen1ce Ccn(cr, Raieigh, NC 27699-1636
13a. Yield (gpm) Method oflest:
24e ForWufcr Supply & Ltjcctinn 1Vc1ls:
Also submit one copy of this form within 30 days ofcompletion of
13b. Disinfection type: Amount-
well construction to the county health department of the county where
constructed.
Form GW -i North Carolina Department of Environment and Nalural Resources — Division of Waler Resources Revised August 20 13

NVELL CONSTRUC'T'ION RECORD
'rills form can be used for Bingle or mtdliple wells
1. Well Contractor information:
James Hall, Jr.
Well ContrautorName
3224-A
NC Well Contractor Cenllleatiun Number
Cascade Drilling, L.P.
Company NAlne
2. Well Coustrucfion Permit fl:
L1rl all oppikah[e aril pernrfts 0.e. Cuway, Shur, Varmncc, rnfccifint. ulc.l
3, Well Ilse (chccic well Ilse):
Witter Supply Well:
C3Agriculturul L-lirfunicipal/Public
❑Geothermal (licating/Cooling Supply) ❑licsidentiul Water Supply (single)
❑Industrial/Commercial 011csidenlial Water Supply (shirred)
Supply Wen:
❑Aqui fcr Recharge
❑Groundwater Reuudiolion
❑Aqui fcr Storage and Recovery
❑Salinity 130IT1¢C
1JAqui fer -I-est
❑Stomuvater Dmi nage
❑Experimental Technology
❑Subsidence Control
❑Geolhcrmul (Closed Loop)
OTracer
❑Ciealhcrmal f#iealinputcaoline fretum)
001berfcxnlnin under P21 8
4. Dale Well(a) Completed: •+s Well ]DO tM_+�7
5s. Well Location:
Asheville Steam Electric Plant
Facilily/0wncr Name Facility Mil (irapplicabtc)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County Parcel Idcnlification No. (PIN)
5b. Lotllude and Longitude in degrees/minutes/seconds or decimal degrees:
firwell field, one Int/long is sulTleiew)
6. Is (tire) the well(s): ❑Permanent or ❑•rentpornry
7, It (his a repair loan existing well: ❑Yes or oNa
rfthu• IF a repair, fill uat kaosm well cunetnrclion information and agvlaiu fhc unture nfthc
reprdr muter 0121 rernorkr rechnn or on the brick of this form
8. Number of wells tuuslrucicd: `
Porro llip)e bijectron or noir-uvler utpp(r irclli ONLY ividr the sauce runstruclion, yun can
submit cue fnrm,
Far Tnternal Use ONLY:
.IJ "1Y lin Yl"E3 Yn�V'Cc. _
q -Z ft. I it. I ,Z In, I eA Llo I Pve I
ft, ft.
In.
l7: St;ltE:F'.
FROM
To
rIIAS1 r,RK
1;11fITrt7,1•:
Tfnit:KNENS
A1AIIEILIAL
lir'
}RVAI
rtl
A_IA_TERIAI. $fi1PI.ACt:Nlacrl'Fll:'tt1VE1kAAT4nNi
_
19. SANDICRAVEL
PAt:tijrlrullpfftnhlc
MOM
To
's-rattAr, 1:M I'#:,5 (.$.51kh r�Ntl!73rim
n;
t. rt
S Gtd,
_4f_% t',.mnn1n[ , -
ir.
rt.
1 I
1MM
22. Certification:
--- �4 _,-_•----=----- �-�,3-lam
Sign me afCcnif'd Wolf Conlmctot Dille
Ay rlgning this Pane r hcrchy certify lbul the'MIfs) urn (mutt rmrctrnrrcd in ncrin•dnncc
with 15A NCAC0X.0100 or 1511 NCAC 02C 0200 n1r.1! CnnsOrrrtlan Srrtndnrds nnJ dint n
rripy oflbir mord hnr bear prorided to lire LIT(l omic.r.
23. Site dingrara or additional well details. -
You may use the back of this page to provide additional well site details or well
construction details. You rally also utluch additional pager, ifnecessary.
SUBf13IT•l _AL INSTUCTIONS
9, Total well depth below land surface: _10 ((I.) 24a, hnr All lYcns: Submit this farm within 30 days of completion oC well
Fnrnrrrhiple wells ltrt all drprhr t(dtererrt fcsample- 3Ga]:M* and 2@1 Me?) construction to the following:
10. Slatic water level below lop of casing: (ft,) Division of Wnler Resources, Information Processing Mull,
)fuuter level it ubove cwhg, ase "+" 1617 Mnil Service Center, Raleigh, NC 27679-1617
11. Borehole diameter: a (111.) 24b. For llilecilun Wells ONLY-. In uddidon to sending the forth to the address in
24a above, also submit a copy of this form within 30 days of completion of well
12, Well construction method: Snn ► C__ construe6on to the following:
(i.e. sager, rotary, cubic, direct push, etc.)
Division of Wntcr Resources, Underground InJcctlon Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mall Service Center, Raleigh, NC 27679-1636
13a. Yield (gpm).,Mcthott of test. 24c. For Water SuplA &r InleMou Wells:
— -, - Also submit one copy of this Cann within 30 days of completion of
13b. Disinfection type:Amount:-_�-_•,.•,,,_-_-_ well consiruction to the county health department of the county where
constructed.
Form GW -I Nnnh Carolina Depannivel of Cnvirnnmcnl and Natural acsuurccs -Division ar Wnici Ite—irecc Revised Aogwt 2013

WILL CONSTRUCTION RECORD
7103 fotm can be used for single or mtdliple wells
1. Well Contractor Information:
James Hall : Jr.
For lalcinal W, 0Nl.e'
11.kl,�Trlt`ffiNFK
Formal •rl)
rlla.sr7nlrllr�s
Well CunsIll aweNa,ne
3224-A
NC %Vcll Contractor Ccrtifncalion Numbcr
Cascade Drilling, L.P..fr,
n. fl.
15. DU'1'F.1l CASINf, rnr nudti-tared msella t7 ft i.INSIi,-(if xlydrilsallr
I7lS)al 7'U n1AM1t 1;7 t!ll YIItfKtf}:S5 hrATf!It1Al.
p rl•
l^• t�p Q.VC
CompanyNume
2, Well Construction Permit p:
list all opplirable wellpertnbs (f e. County. Sion:, Ma nonce, lnjeclinrt. ora)
3. Well Use (clieck well use):
MINNIiItCASING0191'IIIIItit,
'cadlrrntnl.claud-len }-
FROM
MAal F:(nnj
TnICKNKSS
Fmxrsuilm.
I
ft. f1
in,
17. SC1tEF r
Water Supply Well:
PP Y
❑Agricultural ❑MuuiclpaVPuhlle
:❑Geothermal (11catin /Coolin Supply) ❑Residential Water Supply (single)
❑lndnstrlal/Commercial ❑Residential Water Supply (shared)
❑lineation
Fonar: m
nmm F.- Elt
st.n7 tilxF:
ntiC)tr css
ATFAIAL
O
�-
I)I: t�Itntfp
FROM
110
MA'rF.RIAl.
HIDD,e AMOUNT
R.
ft.
p__,_
l�r/Cly
i
Non -Witter Supply Well:
OMon i t ori n g ❑ Recovery
ft,ft
Injectlocl ]Yell.
❑Aquifer rtcehar6c 00rou idvvatcr Remediation
❑AquiCu'Storage and Recovery ❑SalinilyHorrier
❑Aquifer Test OStormwaterpniuuge
❑Experimental Technology ❑SubsidenceControl
❑CJcothennal (Closed Loop) ❑Tlacer
00cothermal (lleminu/(.'coling rletura) ❑Other fcx hdu undti-421 ttenw&-.$)
19.SANDIGRAVEt,
PACK firilvalicniallri
F'iloAf
TA
MATrnmo. 1:514'FACi?a1FSyT 177:'tlltll) :
/1..�� n.
—r -a—
fl.
,
`
zo DniLLi�tilLrlO
nl[urlmukllfkar,nitilirutYffaet�rrtn'}'
--'
PRIM
7r1
I WNMtll+Yin (minx, fmrdnra, tnlW-It tr a -rater Jxr rtr.
ft'
ft'
4. Date Well(s) Completed: l�Wc11 IDIL. i ,k&
5u, Well Location:
Asheville Steam Electric Plant
Facility/Dwne�Name " FecilitylDll(ifnppllcable)
200 CP&L Drive, Arden, NC 28704
ft,
n.
-
rt.
n,
Ir.
R.
ft,
n,
Q.
R,
It,
fl.
............: .
Physical address, cily. end :Lip
t1:1t�.lrrAnz«
"
Buncombe
County Pnrccl Identificution?lu, (PM)
5b. Lntilude and Longitude In degrees/minules/secands or decimal degrees.,
(ifwcll field, one lot/long is ruff dent)x.15409 _N w
6. Is (arc) the well(s): ❑Pcrmnnent or ❑Temporary
7. Is Ibis a repair to ou existing well: ❑Ycs or ❑No
lflbia' Lr it repair, fill our ktman null consiruufat infer amtion and c.rp(ofn the nnnrrr of lbc
relrafr uadrr 1171 rentarkr section ar an the back ofllJrinra.
S. Number of wells constructed: 1
For multiple b jecilan or non-waler rrrppJp hills ONLY adtb the scour cnnstractlon,.yott cnn
subndt onejarm. j ••�
9, Total well depth below land surface: ;') v` . ....... (ft-)
For ntul[lpla o•c11.r ldrl fill depths Iftfil7etrnl (&aarpla- dfrP700' onil2la)100)
10. Sit] tic wafer level below top of casing; (ft )
(fanrer le -1 Ir above ening; ore
11. Borehole diameter: �ce (in.)
12, Well conslructlon method: Sn17S'
(Le. auger, catery, cable, direct push, cmc,)
FOR WATrAL SUPPLY WELLS ONLY:
13u. Yield (gpm) Method of test;
13b. Disinfection type; Amount;
22, Cerlifcalion:
I.3D h
Si IumofCcnifrcdWell Conuactor Dale
Hr signing this jrrni, I Aw-,by eerfrfo drat the fie/1(.r) oras (wrre) ronsinrrtrd in occnrrfnave
Wille 15,1 NCAC 02C..0100 fir ISA NCAC 02C.0200 Well Caash•ueif ni ,Standards and that a
coin, afthfr recurrlliar bern provided to the well unite•.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site dclails or well
constriction dchtils. You may also attach additional pages ifnecessary.
SUBMITTAL INSTUCTIONS
24n. For All Wells.: Submit this form within 30 days of complclion of well
construction to the following:
Division orWnlcr Resources, information Processing Unit,
1617 Mall Service Center, Raleigh, NC 27699-1617
241). For luieetloo Wells ONLY: In addition to sending the form to the address in
24a ubovc, also submit n copy of this farm within 30 days of complction or well
conalcuction to thu following:
Division of Nater Resources, Underground Injection Control Program,
1636 Mall Service Center, Rulelgh, NC 27699-1636
24c. For3Yuler Supply & lulvdIon.'Wells:
Also rtubrail one copy of this farm within 30 daysofcompletionof
well consiruction to the county health department of the county where
constructed.
Form G}V-I North Carolina Department of L'm•ironment and Natural Rcaourccs - Division of Watcr Rcsnurmc Veviaed Aogusl 2013

WELL CONSTRUCTION RECORD
This form can be used farsingle or multiple wells
L Well Contractor Information:
James Hall, Jr.
Well Contractor Nome
3224-A
NC Well Contractor Certification Number
Cascade Drilling, L.P. , Aiken, SC
Company Nome
2. Well Construction Permit A: On Site
List all applicable well pernrirs (i. e. County. State. ! ariance, Injection, etc.)
3. Well Use (check well use):
❑Agricultural ❑Municipal(Public
❑Geothermal (Hcating/Cooling Supply) ❑Residential Water Supply (single)
❑ Ind ustrial/Commercial ❑Residential Water Supply (shared)
Non -Water Supply Well:
Injection Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
OGeothermul (Heatine/COaline
❑Groundwater Remediation
❑Salinity Barrier
OStormwuler Drainage
❑Subsidence Control
❑Tracer
❑Other (explain under #21 Remarks)
4. Date Well(s) Completed:.?'. ' _ Well IDH /79/>/ IM it
Sa. Well Location:
Asheville Steam Electric Plant
Facility/OwncrNama Facility FDA (irapplicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No. (PIN)
5b, Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one laYlong is sufiicicnt)
3f7�S2y!/ N-,S's�J11S� W
b. Is (arc) the well(s): 1211'crmunent or ❑Temporary
7. is this a repair to un existing well: ❑Yes or I7JNo
lfthis is a repair, fill out known well construeifan itrforntation and explain the nature of rhe
repair under 01 remarks section or on the back ofrhisform.
8. Number of wells cons(rucled:
Farmnlriple itttfection or non-watersupply wells ONLY with thesame con,r7rtction, ymu can
submit one form.
9. Total well depth below Innd surface: (fL)
For multiple wells list all depths ifdii ferent (,xample- 3Oa 200' and?n 111(1')
10, Slutic water level below lop of easing:
If rater level is above easing, rise -+"
11. Borehole diameter: (in.)
(170
For inmmal Use ONLY:
I'itOAl TO DESCRIPTION
A. ft,
ft. rt.
:J&OUTER .CASING iformlls LtTNu
FROM IteubYc .
11.1'q'F.R1AL
a/ in Cif rrrp ?116
- 16. INNER CAS(NG OIt'TLtMG fizznfliermal douil-loap
FROM To DIAMETER Ti ticicrlf:SSS mAEIt1AL
It. fr. is
rRdhtTO DIAh[F:Tk:FI il.OT F"s1ZE T111CY:.4F5S I Nt,S TE.IUAL
6 ft. rl. a in. , o/Q so! Seo P��G
fr. ft. in.
FROa7 TO _ MATMIAL Et PLAC[NI ENT M EET11011&AMOUNT
Q ft.(�,t ic�I! f ]f/cili'1fa'[l
fl. ft.
'T9__SANDiGRAVEL PAcI:'lira ltcnble
FaRIM To MATEMAt. _ s Nirtac +lsm'nt>=coon
d6 fL , ft. $ash e'/ai9i r
It. ft.
s29:_DFULL[NG-LOG (alinch ndiliilnnirl sltre tl irnei:rsio r -'a .' . `:....-- ..
FROM TO DESCRIPTION tailor. lna•ducrt, zotUrpicktylit. gphi Are. ur.1
ft. ft.
ft. ft.
fL rL
ft. it.
ft. ft,
ft. fl.
ft. rr.
.21. REMARKS
22. Certification:
31
signatut"„irT'C�hl m c n ? mr Dane -.......
Hy signing this form. 1 hereby certifi� that the u-ell(s) was (were) constructed in accordance
With 1511 NCAC 02C.0100 or 15.1 NCAC 03C.0200 Nell Canstrue ian Standards and stmt a
copy ofilus record has been provided to the a elf owner.
23. Site diagram or additional well details:
You may use the back; of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL iNSTUC IONS
24a. For All Wells: Submit this farm within 30 days of completion of well
construction to the following:
Division of WalerResources, Information Processing Unit,
1617 Nail Service Center, Raleigh, NC 27 69 9-1 61 7
24b. Fur Injection Wells ONLY: In addition to sending the form to the address in
Sonic24aabove, also submit a copy of this form within 30 days of completion of well
I2. Well construction melhad: construction to the following:
Go- auger, rotary, cable, direct push, etc.)
Division orWuter Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
l3a Yieldm 24e. For Wnter_Su Supply & hljcclion Wells:
(gp }— _ Afclllod oflcsl:
Also submit one copy of this form within 30 daysofcompletiun of
13b. Disinfection type: Amount: well construction to the county health department of the county where
constructed.
Form GLV -1 North Carolina Department ofEnviroument and Nalural Rusources— Division of Water Resources Reviscd August 2013

WELL CONSTRUCTION RECORD
Th(e farm can bo orad far tingle or mid htple wells
1, Well Contractor Information:
James Hall, Jr.
Welt f,'anlianlor Not
3224-A
NC %Veil Contractor Certification Numbcr
Cascade Drilling, L.P.
Company Name
2. Well Cunstruclion Permit 8: _ __ ,•, __.._
List all alp,rivable imil permits (t.c. Carmiy, Slaw. t',v;;unce, Injection, ere.)
3. Well Use (check well use):
WalorSupply Well:
[]Agricultural Llh'lunicipal/Public
❑Geothcrmal (Ifeating/Cooling Supply) ❑Residential Water Supply (single)
❑ Indus trial/Cott merelal ❑Residential Writer Supply (shared)
Nun=Water
❑Aquifer Recharge
QGrounchvatcr Remedintion
OAquifer Storage and Recovery
USalllrlty 13arriel'
❑Aquifer Tem
❑Stolmwaler Drainage
,OExperitncntul Technology
❑,Subsidence Control
OGrothermnI (Closed Laop)
OTraccr
I]Gmthcmral (IlentinpK.cnling Return)
C30thur Nxp aiiln/un1derr 1121 Itcniwks)
4, Date Wcil(s) Completed: '��' �a Well ID11 1 ► l W — �i 1
5a. Well Location:
0.11
Asheville Steam Efectric Plant
WitGhl 'I t1
1741 Internal Ilse ON LY:
i 14.'tVA.TriR zoYFSr
ft. ft.
15.rri1TEftCAS ING IforinuIII-cnstdwellstpItLINElttire Irlicul,le)
pnrlb8 'l`O t>PAhl aTl+A TIt1C_re Yr55I
NIAT6nrAL
12
6,
tt
16. £NNn
CAS] Oft rlMINGNealbrrouil0011,11
0.11
-
WitGhl 'I t1
n1aAIeTNd1 -
1111004CM
N14TFntrA1.
Ct. fL
lis,
fr. ft.
lis,
—ij n. tr �2 xa 10 0 _tq&�._
E, R, lis.
IS. GI LOUT
M01111 To 11IATKItl.11,. rs1P1ACl:%IF:r71T STI'MWr1 A AMOVIiT
3 ri, b n,
rr. rL
n, rt,
10. S.vi_^ DKI,It,lSrl.L PACT I If u it11caldr
FMO%% Fn— T AtATI:1L1L IF'M1F PI-Ar'F.k9 F'Hr 1r L: rl LRn
Fncility/Owner Yams Facility 1011 (irapplirablo)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip 21. REa
Buncombe
County Parcel Identification No. (PfN)
511 Latllude and Longllude its du re"Miitioles/seconds or decimal d es
• M iW-4a.
, 22, Cerditeu(lou:
R.
n,
rl.
R:
R.
Cl.
ft.
(iCwdl field, one IaNlong is sufficient) e
g egr
Ss. 4-11.6 g 20 N Qat . ss3 0_7 0�1 W_ A4,-1
51yn ora orC, 'c 1 onrrnctnr Date
b. Is (are) the Ivelf(s): Overrrwnent or OTemporary Gr signing this form, 1 hcrehy terrify that the ntirr(s) n:v (iver•e) rmsrlrurled in necm•donre
with ISA NCAC 0X .0100 ar I3A NCAC 02C A200 £Pelf Con rh nellon SlandanLc rind that a
7. is this a repair to an existing well: oVes or 'Xi 11 copy ojthls record hiss hern provided to flit well mune,•.
%f ritts is a repair, fill our hioon roti! coru'rrncfimr it jonunumr and esphrin rbc uatra'r of rhe
repuir under 021 remarks see) inn nr on the hack of lh0 fin ni, 23, Silo d iugram or a d dll ion of well (101015:
+ You may use the buck of this page to provide additional well site details or well
8. Number of wells constructed: ! construction details. You may also attach additional pages irneccssory.
Fat nurhrple fr/eelfan ornmo-nofcrsr pplp u•eflr ONL1'rrhh thr snore cwtsirncilun. fou con
snrMnil one flan. SUBMITTAL INSTUCPIONS
9, Total well depth below land surface: I _ _ ([I,l 24n. ForAllWulist Submit this form within 30 days of completion of well
For mu0iple u•e!!a list nit depths jfdiffv vN (example -7;4200' pad 2@)0tr) construction to the following:
10. Static water level below lap creasing: (fLj DIVlslun of Waler Resources, lnformudun Processing Unit,
(runlcr 1eMLr above curing, ase "r+" 1617 Mail Seri -lee Center, Raleigh, NC 27699-16 17
11. Borehole diameter: 1p (f n.) 211). Fur lillcclimr Wells ONLY: In addition, to sending the form to the address in
24a ahavc, also submit a copy of this form within 30 days of CaltlplCL1011 of well
12. Well construction melh4d: _ _SotrZ% f -, construction to the following:
(i.c. nugcr, rotary, eob)e, direct push,elc.
Division of WalcrResources, Undcrgrnund Infection Control Prngrnm,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13u, Yidd (gpm) _m Nlethod of test: 24c, ForWillcrSuyM & in(rctlan Well:
Also submit one copy or this form within 30 clays ofcompletion of
13b. Disinfection type: Amount: well conslruclion to the county health department of the county whore
constructed.
Form G1V-I Nonli Camlina Dcpnnnient of Environment and Nanrrnl Ilesourccs — Divisinn of %Vater itesnurccs Ilevi ped August 200

WELL CONSTRUCTION. RECORD
This form can be used fur single or multiple wells
L Well Contractor Infarnmti0tl:
James Hall, Jr.
Well ComractorNume
3224-A
NC Well ContraclorCenlffeslian Number
Cascade Drilling, L.P.
Company Name
2. Well Cansir•uctlon Permits
71nall applicable I1xll perndir ro.c, Conary—VoIr
Variance, h+/ecrfnn, ere.)
3. Well Use (clivelt well ttsc):
Wn It r Supply Well:
❑Agricultural
❑Municipul/Public
❑Geothermal (Heating/Cooling Supply)
❑Residential Water Supply (s(nglc)
❑lndustrial/Commercial
❑Residential Writer Supply (shared)
Non -Witter Supply Well;
(aMoniloring .. ❑Recovery
❑Aquifer Recharge ❑Groundwater Rcm,edialian
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aqui rev Test ❑Stonnwater Drainage
❑Experimental Technology [_!Subsidence Control
❑Gcothormal (Closed Loop) ❑'Tracer
I:IC,cothcrnm d Gitalin oolinr Raisin) ❑®Ilrtr (explain under 0121 Retnatks)
4. Date Woll(s) Cumplcted.,a• 10 -15 Well IDA. W- 1,,��
So. Well Location:
Asheville Steam Electric Plant
Facility/OtvnerName Fucility IDN (lrapplicnblo)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
Couniy Parcel fd2m6fication No. (PIN)
Sb. Latitude and Longltude in degrecilminutes/seconds at, decimal degrcas:
(irwell field, one I.i I/lona IsssuMcienl)
4.l-i71�9S1i9 N^3-2.553,b%SS,8 w
6.Is(Lire)the well(s): 01'ermunent or ❑Temporary
7. Is this a repair to an existing well: ❑Yes or E]No
I/this IS a i apaiv. fell 0111 knaun well eon.nruclion irffannarion and explain fhe nat+rre ofthe
repair under 921 remarbrsection ur on rhe brick rjr/dsjorar.
S. Number of wells constructed: f
For awhiple Injection or ua0-wuler supply walls ONLY trilh the sorne consrradlmr, yrou can
.rrrbm/r nneforin.
9. Tolal well depth below land surface: (fl
Formulliple sells Iiit off depths ifdiPrirnt (example- 3@200' mrd 2@100)
10. Statle wafer level below top of casing: (ft.)
if n•amr ievat Is above casing, ,ere
11. Borehole diameter: (in,)
12. Well construction method:—Unx_r--__
(i.e. auger, relary, cable, direct push, ere.)
ICOR WATER SUPPLY WELLS ONLY:
13n. Yield (gpm) Method or test:
13b. Dis(nfcctlun type: Amount:
For Inlernal Use ONLY:
`lit: t4'ATV11'ZONIi5._
1�
10211.1
D2fl.I g ft. I In. 1 S� L10 I �l✓
WINNER r:i151NC.; Ilii 7'lJDiltiff •critircrnta! claxr! 0n t
+ ,1 _r6 nmNIFrnit fir icol aSj MAI
.}II(AL
ff. f(. III.
n. rt. in,
I. SCRI(EN
rROlrl TO 1)3&M1:TXl1 I i'llicNNkt•.Sn AIATFR1Af.
ca lit. P VC.
rl. ft. In.
1tfl11 To MArknlAl', eJ51I%AC'Vf IFYT Aff"T1 MM A, A3 MM.%I
6 LL
ft. n.
R. f4
I''/.5+\a17:G1rrL\+ELNA-Ci if'a 9itable) -
:I(DM TO MATErtG\L r1r1Pt.A CPhTss1'T bIMIN)
rL
ft. n,
A DRILL? Vit' ],ilii ullarh arelilitturfal xhreu it ifrcCssnr '1 _
7upa1 3't? Ii1w5Citl['tlrSt: ludr�v, hnrfnrn, sulfJ nx ur•�.�r_.,In +++s, zrr.t.
ft. ft.
ft ft.
ft. it.
ft, fr.
ft, ft.
1, HEMARNS' "
22, Certification:
51g alfa al r:C(II[led Well Contractor Dole
Ov slgnirrg this [near, !her•cbv certifv that /be wellfs) nos (were) rnr,rmirled in uccnrdunca
ivhb i5A NC,4C 02C.0100 or 15A NCAC 02C.0200 Well Consirucitan Smndardr and thal a
copy of this record hos been pt-difed in Ilir aril awner:
23, Site diagram or additional well details:
You may use tic beck of this page to provide additional well site delails or well
construction derails. You may also atinch additional pages ![necessary.
SUBMITTAL INSTUCTIONS
24a. For All wells: Submit this farm within 30 days of completion of well
consttvclion to the following:
Division of Water Resources, Information Processing Unit,
I617 Mall Service Center, Raleigh, NC 27699-1617
24b..Vor Iniectbrm Wells ONLY: In addition to sending the form to the address in
24a above, also submit o copy of Ibis form widtin 30 days of completion of well
construction to (he following:
Division of Wnler Resources, Underground 1nJectlon Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this lorm within 30 days of completion of
well construction to (hc county health depnrtmcut of the county where
constmc ed.
Form GW -I North Carolina Dep3nmant of Environment and Natural Resources - Division of Wuler Resources ItMscd August 2013

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
James Nall, Jr.
for Internal Use ONLY:
;.14 AVATER zoNsc
FROM I 'to nFsrnrr+rrnx
Well Contractor Name fl. ft.
3224-A ft. ft.
NC Well Contractor Cenification Number011TL1t CliSlf4C for
Fit rd
ro
Cascade Drilling, L.P. , Aiken, SC 33 ft.
Company Name
2, Well Construction Permit th On Site
List all applicable nvellpermits (i.e. County, Stale. Variance, lnjeclion, etc.)
3, Well Use (check well use):
Water Supply Well:
❑Agricultural ❑Municipal/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑Industrial/Commercial ❑Residential Water Supply (shared)
Nun -Water Supply Well:
MMonitoring
❑ Recovery
I nj cc I i a it 1Vclt-
❑Aquifer Recharge
❑Groundwater Remediation
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
❑Storm% dtcr Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
❑Tracer
❑Geothermal WeatinOCaaline Return)
❑Other fexntain under 1121 r
4. Date Well(s) Completed: Well TDd /rllif_ 1S .D
So. Well Locution:
Asheville Steam Electric Plant
Focility/OwncrName Facility IDII (ifnpplicublc)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County Parcei Identification No. (PTN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(ifwcll field, one lot/long is sufficient)
X5~30 X51'_3 r W
6, Is (arc) the ivell(s): laPermnnent or ❑Temporary
7. Is this a repair to an existing well: 0 -Yes or MNo
lfthis is a repair, fill out linouau well construction information and explain the nature of the
repair under 021 remarks section or on lire back of thisform.
8. Number of wells constructed: f
For multiple injection or non -anter supply wells ONLY with the sumo eonsrruetion, you carr
Submit one farm.
9, Total well depth below land surface: / b UL)
For multiple wells list all depths ifdperenr (example- 3 a 200'aml 2@ 100
in.
WATE M A L
ft. Ct. In.
ft. fL in.
TO I p1A11ETER SLOTStZ
J(J ff. 33 ft. D in. 0/6 1511421;10J� /C
ft. J R in.
ft. 0 ft.
rl. ft.
fl. ft.
1Av::SANDIGRAVEL LACK (if annllcnhlas ;..:..::
Z151 ft. 10 I, -
ft. ft.
Fnohl TO pESCIII PY'IOAi iealor, Ironlner sa1!lrnekt r, rain firs ctca
ft. ft. - -
ft. ft.
ft. fl.
R. ft.
ft. fl.
ft. It.
rt. ft.
22. Certification:
Signtin xru tC c I VA[Faelor Dole
Bysigning this form, l hereby cert that the ivell(s) was (were) constructed in accordance
u lth 15A NCAC 02C,0100 or ISA VCdC 02C.02011 Well Construction Standards and that a
copy of this record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL 1NSTUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
Conswction to the following:
10. Slutic water level below top of casing: ( ft.) Division of Wnter Resources, Information Processing Unit,
Ifrvmerlevel isabove casing ase "+/• 1617 Afail Service Center, Raleigh, NC 27699-1617
11. Borehole diameter: _ _ fj (in.) 24h. For Injection Wells ONLY: In addition to sending die fbrm to the address in
Sonic 24a above, also submit a copy of this form within 30 days of completion of well
12. Well construction method: construction to the ]bllowing:
(i c. auger, rotary, cable, direct push, etc.)
Division orWater Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield (gpm) Method of test- 24c For Wu ler Supply & Injection Wells -
Also submit one copy of this form within 30 days ofcomplelion of
13b. Disinfection type: Amount: well construction to the county health department of the countywhere
constructed.
FormG W -I Nortle Carolina Department of L•nvironmcnt and Noturot Resources — Division of Water Resources Revised August 2013

WELL CONSTRUCTION RECORD
This form can he used for single or multiple wells
1. Well Contractor Information:
�`TC M g--� 0ap 1 r
Well Contractorr Nunrc
3toAq " A
NC Well Contractor Cemliauinn Nmnbcr
Cascade Drilling, L.P.
Conrpaoy Name
2. Well Conslrucdon Permit 11:
List all applicable irrHpermits r r C'otti*. State, Parlance. bleclfon. etc.)
3. Well Use (checicwell use):
OAgriculntnl ❑Municipal/Public
❑Gcothcrmnl (Hcaling/Cuoling Supply) ❑Residential Water Supply (single)
0Industriol/Commcrclal ❑Residential Water Supply (shared)
C1Aquifer Recharge ❑Groundwater Remediation
DAquifer Storage and Recovery OSalinity Bonier
13Aq1Lifcr Tcst aStornwrater Drainage
t7Cxperimenial Technology ❑Subsidence Control
OGcothermal(Closed Loop) OTracer
013coihcrmal (I-ical inV uoling Returnl Miller (cxglamirt unrdcr 921 Rcmorks)
d. Dole Well(s) Completed: Well Ill 1 i IUY — �r7I Y
Sa. Well Location:
Asheville Steam Electric Plant
Facility/Owner Nance Iracillty IDN (ifapplicablc)
200 CP&L Drive; Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County Parcel ldenlificntinn Na, (PIN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well fiekt, one Intllong is sufficient)
3�.'-l!51 N q�-.1;11�- w
6. Is (nrc) the wcll(s): f`YI'ermanew or DTempararyy
7. Is this a repair to an existingwell: t7Yes or a1Nn
Ifebir ira reimir„ fill mut #no -i %rif ranatrwca"an information and uplain rhe Maw- of the
rel ttb' Matter 1191 re+naro +reline,W an Ihr back eflhlsfann,
R. Number of wells constructed: I
For rnrdriple h jrcelaa urnowtvnlersupplp wrlft ONLY with the same c—soncliaa, you rnn
rrrbmir anefona.
4- Tolal well dc(!th below land surface:
Frit rn rdoiplr s.Wh liar all d phr f dffrr ens (arnnephc 10200' and 2cj, 100)
10. Stade wit Ier IcveI balnw Iop a cusing:
U"aalrrlevel is myae rnsing, ase ' +
i1:llarehnledinmcler:._"______ --(In.)
12. Well construction method:
(i.e. Mugu', rotary, cable, ditcct push, etc.)
FOR 1VATLR SUPPLY NVELLS ONLY:
13a.Yield (gpm) Method at test: _
131j. Disinfccliuo type,
Lr-1 rise ONLY -
R. n.
kS. Utl't FIi CASUN:�thrr' mutll•riwkiin'klsl Ott EINE Ii r If a dimlrlr
F �rU Iit,A�IF'i'kFl TlStrxxxg: MATE IAf,
-1-d-
It.
16. iNiNI-M
C'A5ltiS1 t]ft7'SidtlNt: rgrnlhrrmMl cl+rsrddonp -
entsnr
3p ntsiasTYre Tnleicrygs 11ATY(ki.11_
�1
R,
rt. In,
SCIM"
Rom
Tb
DIAMI TV!,
Ti1Mf7kSS
$t orr st%t. Ii
htA7rJttA1:
-,17.
7R.,
ft_
In.
. p i f �, �-1 G
PVL
rt.
R.
In.
ltc Gli()IJT.
€rents
rn
t%AT111 A
ensrt_it;l4nttlt7 slr'Tuau rAMtnvHt
ft.
ft,
ft.
f[.
1=rrr;.c.a urt/rlrw xrrr."n. eta nr,...,err.prd.a
ft�
ft. n,
I
22. Certification:
Sign ue ofCenificd 1Vall Cumracwr
Dale
1
By signing this form, I herche ccn�, thor Ile uvf1(s/ k= time) eaoslruard its accordlnrce
with 15A NGC a2C.0100 or 15.1 NCAC 02C.0200 Well CansUvcifoar Slanrlmrh and that a
copy of (his retard ha.r been pi ovidcd to Ike ucil mraer,
23. Site diagram or additional well details:
You may use the back or this page to provide additional we)[ site details or well
construction details. You may also anach additional pages ifaccessary.
SUBMITTAi_ INSTUCTIONS
24a. For: All Wells: Submit this funn within 3o days of compJction or well
construction to the following:
Division of %Vater Resources, illrormatl0n Pr Dressing Unit,
1617 Mail Service Center, Ralelgh,!'iC 27679-1617
24b, For inlection \Yells ONLY: In addition to sending the form to the mldrcss in
24a above, also submit a copy of this form within 30 days of completion of well
construction to The fDllnwine:
Division orWitler Resnuices, Undergruund Injection Control Program,
1636 alai( Service Center, Ruleigli. NC 27699-1636
24c- For W:rler Supply & injection Wells:
Also submit one copy of this fonn within 30 dnysofcompletion of
Well ennsuuctjon to the County hedth department of the county where
consinicled.
Form CtV-1 North Cuwlinu ❑epenmcnl orFnvirunmcnt and Natural Resowces- Division of Mner Rcsouwc: Rceised Au�nlir ?1113

WELL CONSTRUCTION RECORD
This form can be used far single or multiple wells
1. Well Contractor Infortnation:
James Hall, Jr.
Well Contractor Name
3224-A
NC Well CURIMCIor Certification Number
Cascade Drilling, L.P. ,-Aiken, SC
Company Nnme
2, Well Construction Permit iq: On Site
List all applicable well permits (i.e. County, Stare, Poriaaee. Ejection, era)
3. Well Use (check well use):
Water Supply Well:
❑Agricultural ❑Municipal/Public
❑Geothermal (rleating/Cooling Supply) ❑Residential Water Supply (single)
❑Industrial/Commercial ❑Residential Water Supply (shared)
+ Nan -Water Supply Well:
OMoniloring ❑Recovery
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Gcadiermal (FleadrtalCnnling 1
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Other (aulain under R21
4. DateWell(s)Completed: ! '/�_ Well IM/114,1-16JJR,
5n- Well Location:
Asheville Steam Electric Plant
Focilily/[honer Name Facility iD0 (ifupplicablc)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel IdenGGca6on No. (PiN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one lat/long is suf<cicnl)
3S116fs_o.zs7 N SSS/b5:2
G. Is (arc) thevvell(s): OPerntanent or ❑Temporary
7. Is this a repair to an existing well: ❑Yes or ONo
lfthis is a repair, fill our knau•n well construction b formarioa and explain the tranire ofdua
repair under 021 remarks section or on the back ofrhlsform.
8. Number ufrvells constructed:
For multiple injection or non-warer supply wells ONL 1' aith the saner consYraction, you can
subuutoneform.
9. Total well depth below land surface: �1'q (f4)
For multiple wells list all depilu ifd((jerent (example -3@300' and2@10(11
IU. Static water level below lop of casing:
if water level is above casing, use "+"
11. Borehole dimncler:
12. Well construction method: Some
(i.e. auger, rotary, cable, direct push, c(c.)
For Internal Use ONLY:
9i.NVATrOtZONES'.
:..•:,-.:.•._
FROM TO
OFSCRUIrtON -
ft.
fL
fl.
ft,
15.OUTIC14 C AS(,"rC -roi°. ihullfl r ascd wens. i}RLI? a l llicabla
FFtoat -
Tf)
%L11
DIAN11=11 Ttn CrCNFSS MATER1,00 -
' ft.
ft.
�q in. if Y Piz
-T6 INNER:CASING t7R TUBING fetalliermalcloged4luiril z - •
FROM TO
nIAAIETI:R TcilClsms
I mATEIRIAI.
ft.
ff.
I in.
fr.
rt.
TO
01A.MPTEII SUITSI:I.£ UCYNN/M MATFWAL
y3 ft.
Ffl
•l in. �T
�[
rc
;n
I1: GIIOUT` -...... .
FROM TO
AIATF.IttAt- 1:MPLACEMENTMETHOD SAAl0ljK
ft.
ff.
ft.
ft.
19:G,ANDlGRAVVLPACK-fir ri a€able'
FROM TO
MATERIAL "JrLACEM11EyT4V1h1HOU
' Yo
7
ft'
/ r
ft.
ft
.-2O; UItlL1JNc'%.ac' attuc}1 ndi3iiianal'slceets Pf netts a. ..: ... .
FRUM I TO
DESCRIPTION (tnlnr, hardnu c, s®[turarlc I ir, min rirt. ale -
!t.
rt.
rl
rr,
ft.
ft.
ft
ft.
rt.
ft.
ft.
fl.
ft.
rt.
21:
22. Certification:
Sigruatnr oFLeref uei 11 arc radar Dale
By signing This form, 1 hereby certify that rite rvell(s) ryas (ware) ennslnucled in accordance
with 15.4 NCAC 02C.0100 or 153 NCAC 02C..0200 114e11 Constnuctiatu Standards and that a
copy ofthis record has been provided to the trell dimer,
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages ifnecessaty
SUBN1IT7AL INSTUCfiONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
(ft) Division of Water Resources,lnformatiun Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
2-!b. Fur lniection Wells ONLY: In addition to sending the font to the address in
24a above, also submit a copy of this form within 30 days of completion of well
construction to the following:
Division of Wuler Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1036
13n. Yield (gpm) Method of test: 24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days ofcomplction of
13b. Disinfection type: Amount•well construction to the county health department of die county where
constructed,
Form GW -t Nordr Carolina Department ofEnvirnnmcnt and Nalurol Resources—Division of Water Resources Revised August 2013

WELL CONSTRUCTION RECORD
This fort can be used for single or multiple wells
1. Well Contractor Information:
James Hall, Jr.
Well Cont aclor Name
3224-A
NC Well Contractor Certification Number
Cascade Drilling, L.P. , Aiken, SC
Company Name
2. W01 Construction Permit #: On Site
Lin all applicable well permits (i.e. County. State, Yarlance, injection. etc.)
3, Well Use (check well use):
Water Supply Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑ industrial/Commercial
Nun -Water Supply W01, -
❑Aquifer Recharge
❑Aquii'er Storage and Recovery
❑Aqui rer Tcst
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal fileatine/Caci ine
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Rccovl„ty
❑Groundwater Remediation
❑Salinity Barrier
❑Stotrnwalcr Drainage
❑Subsidence Control
❑Tracer
00ther(CNI]Uli under#21
4. DaleWell(s) Contplelcd:� /6rISJ Well ID9/1%41 7%4
Su. Well Location:
Asheville Steam Electric Plant
Fueility/Owner Name Facility TD," (if upplicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel ]demi l'icalion No, (PIN)
5b. Latitude and Longitude in degreeshilinutts/seconds or decimal degrees:
(ifwell Belt, one btAong is sufficient)
35�, YV'7,0"t73 N V15r1J061d W
6. Is (arc) the weil(s): OPermanent or ❑Temporary
7. Is this a repair to an existing well: ❑Yes ur I71Nu
lfihis is a repair, fill mit known well eonstnietion it formation and "plain the nature of the
repair under,921 remaris section or an the backofthisform.
8, Number ofwclls constructed:
For multiple hVeetion or non -water supply wells ONLY wide the sante construction, you con
submit ane form.
9. Total well depth below land surface: ..:;;, (ft.)
For multiple wells list all depths ifdierent (esample- 3@200' and 2@)100')
10. Static water level below lop of casing:
If nvater level is above casing, iae "+"
11. Borehole din meter: (in.)
12. Well construction method: Sonic
(i a auger, rotary, tabic. direct push, etc.)
Far internal Use ONLY:
114-VATE:R xONitS...:-..
FROM To
MSCHIPTroN - -- -- -
ft.
ft.
ff.
ft.
15: MITER CASING 150rmu111-cuself+r01x OltL1NC1l 1fn r IIeb61c -
frtU1T TQ
T}IA}}F.TF.n T1110i irss MAT,, UAL - -
_
n. a
ft.
� _ 1n. yup
• 16. rNMER CASING OR TUMING ganthernsal eiaicaMan -�
F71.01ti I TO
I 131AMETEII I TIIICKNF-S5 MATFa(At,
ft.
ft.
In.
ft.
ft.
In.
17. SG7tEl1V::. •..
. .
FfIOAI To
UL4,NIETF.1t
Tltl Civ'41MI; I MATERIAL
R. ff.
1 try
_SLOT'Sf7,6
d/uG
ft. fl.
1n.
I&:GROM. i';
TtlTO
MATERLu. sNTI-I NcenleNThIL-TnausADJOunr
� n. d
rr.�1,✓r�
Ifo f t'rr�nrctl�
ft.
ft.
JIL
ff.
"I9:5rlNll/CRrIV[sla'AQii"i[a tiuddc - � :- ..
FROM Try
1 ASATMIAL rrlr LACEufENTMCT1101)
% rt. /
ft'
Ir7C�/ lCrt��lr C
ft.
ft.
`;2a.nftTLL1NGLOG Watiathadd)dlunttl:triieela•ifirccessa ^
FROM TO
OrS[ndPTforf(color. bnnlnen, tnitimth! e, ;Qf xtx, ecr_f
ft.
ft.
ft.
ft.
rt.
ft.
ft.
fl.
FL
fl.
rt.
fL
rt.
ft.
22. Certification:
signal - r t Weil C�itixlur Date
By signing this form, 1 hereby certify that the n•ell(s) was (were) corarnrcled in ncmrdance
ivith 15A NC 1C 02C .010!1 or 15,2 NCIC 02C.0200 Well Consiruciion Standards artd drat a
copy aflhis record has been provided to the n•ell owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL INSTUCiIONS
24a- Far All Wells: Submit this form within 30 days of completion of well
CanSUaed 011 to the following:
M.) Division of WoterResources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For infection Wells ONLY: in addition to sending die form to die address in
24a above, also submit a copy of this form within 3D days of completion or well
construction to the following:
Division of Water Resources, Underground Injection Control Prograut,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yieldm 24e. For Water Supply & in'eclion Wells
(gp )� M1fc[hodoCicst: Also submit one copy of this form within 30 days of completion of
13h. Disinfection type: ,__ Amount:_, well construction to the county health department of the county where
consWcied,
Fano GW -I North Carolina Dcpartrnait ofE vironment and Naou-al Resources—Division of Waler Resources Revised Augusi 2013

k' 1.L Cf7I�ISTxtUCTCUN RZ CORD
This form con be used for sire& or multiple wells
I• Wcll Contractor Information..
VA NI(*'�E I i �\ t
Well Con tractor Name
-Ci Ci -L
NC Well Contractor CeniGcalion Number
Company Name
2. Well Construction Permit f:
List all applicable u-r1lpenniu (i, V. Cqungr. Stare, Variance, lnjecfiort, e1aJ
3. Well Use (check well use):
4. Date Well(s) Cornpleled: ��j`��j Well IDq
5a. Well Location:
--'+ 1 l tSL'G�YYI �z�rtc r�cn
FaeilitylOwnerNume Facility 1Da (ifapplicnble)
P!evsleal Add css, City, and Zip
For Internal Use ONLY:
County
Parcel ldentificalion Nn. (PIN)
5b. Latitude and Longitude in degrecs/lninn Ies/seconds or decimal degrees:
(iftivell field, one lat/long is sufficient)
22, Certification-
'� r
lfr N
W_
6. Is
�•rt~� r
(are) the well(s): ❑Permanent or ❑ i cnaporury
Signaturcerl'Certilicd Well Contractor
Dale
7. Is this u repair to an CXISIIng 4F'L'll: I�YnS or �IVo
Ifthis El
"y31�rMag this jortn. I herebv ret -Iffy gle u•ell(s) I'm (were) constructed in accordance
a•irli iS.l NC,1C0?C,fllflfl qr 1St IVCifCO2 �
louv�,�l
is a repair, fill nrrr knan'n "till constntction
yesraroro1J mrd explain r/re nature njrhe
repair under 931 renrarf,T
e!I Cgnsrnrcrion Standards and that a
rrrpy ofrltis r card Ims been pram lid rO tlrn "'Cif
s[crkrra or rat +Ire track gfrlais joint.
23. Site diagram or additional well details:
A, Number of wells constructed:
For muhiple injection
You may use the beck of this page to provide additional well site details or
construction
or nan-wateratrpply wells oNL}' u•idl rlresnnre corrstrgerinn, you car
submit are form.
well
details. You may also attach additional pages if necessary.
SU13MITTAL INSTUCTIONS
9. Total well depth below land sorruce: J
For multiple netts list all depths ijdpercnt (esample•ltt up'and- lits - (ft.)
� 7
240. For All Wells: Submit tris form within 30 days of completion
construction
10. Static water level below
to the following: or well
top of casing:
Ijwater/eceltrabowcasing, nse"+' (ft.)
Division 0rWater Resourevs, Infornmtion Processing Unft,
11. Borehole diameter:
] 617 Alail Scrvicc Center, Raleigh, NC 27699-1617
(an')
12. Well consiructiun method• I r
24b. For It"uctiun Wells OIILY: in addition to sending tile form
e foe
to tile address in
2•laabuve, also submit o copy aC this form
(i.e. auger, rotary, cable, direct pa;h, cic)
within 30 days of completion owell
cunstruction to the 1'alloWing:
FORWATER SUPPLY R ELLS ONLY:
Division of Water Resources, Underground Injection Control Program,
]3a. Z'icld (gpm)
1636 Flail Service Center, Raleigh, NC 27699-1636
Method of fest:
24 c- Fur 1V ater Su Iv S til cetiun !1'al)s:
13b. Disinfection type'-- --� Amount:
Also swbinit One cup) of this form "thin 30 days of completion of
well COTIS( action to Ilrc
county 14-311h department of the county Where
CCanS[r6tGled.
Form GW -i
North Carolina Depaertmcut of Environment and Natural Resources— Division of water Resource;
Revised Angus: 2013

WELL CONSTRUCTION RECORD
This formeanbc used fursinglc orn,uhiple wells
1. Well Contractor information:
Ua f � N � tRom.
Wel I Contractor N
NC Well Conlracmr Cc lificaliun . unihcr+ }
�Fic{
Company Name
2. Well Construction Permit tl:
List all applicable n•ell permits (i.e. Counry. Stare. )rariahce, Ityection, ere,)
3. Well Use (check well use):
Witter Supply Well:.
OAgricullural OMunicipal/Public
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply (single)
❑Industrial/Commercial
❑Irr1 ation
❑Residential Water Supply (shared)
Nun -Water .Supply Well:
lonitoring
❑Rccovcry
Ilsjection Well:
❑Aquifer Recharge
❑Groundwater Remediation
OAquifer Storage and Recovery
❑Salinity Barrier
OAquirer Test
OStormwater Drainage
❑Experirental Technology
❑Subsidence Control
OGcothermal (Closed Loop)
OTracer
❑Geulhcrnal (1leatinglCeuling liclutn) ❑Other [explain under 921 Renniiks)
4. Date Well(s) Completed: Well LDH 1 1 kv— yq'
Sa. Well Location:
`hty.,up ff` W/,rte ULcknCMM
FncilitylOwner Name Futility 1DN (ifapplieable)
L �1 to AYA P ii A r. - W'
Physical Address, Cily, and Zip
County Parcel IdentiFicatiouNo. (PM)
Sb. Latitude and Longitude in degrelas/minutes/seconds or decimal degrees:
(ifwell Scid, one laulong is su0icimc)
n 7
1,(,,q7_
�r7LI N `r -S 2 �� W
6. is (are) the well(s): ❑Permanent or ❑Temporary
7. Is this a repair to an existing well: f3Yts or 'Aro
Ifthis is a repair, fill Out known well construction information and explain t/he nature nftre
repair under 021 remarks section or on the back ofthis form,
8. Number of wells constructed:
For multiple irjectiat or non -water supply wells ONLY reitlt the same construction, you cat
submit one fort. �]
9. To [a] well depth below fund surface: E _ (ft-)
I -or multiple ,,ells list all depths ifdierent (erample- 3 a 100' aojd2 iU00')
10. Static writer level below top of casing:
If mater level is above casing, use "+"
11. Borehole dinneter: 6 (in.)
12. Wcl] construction melh(MNL
od; ( L
(i.e. auger, rotary, cable, direct push, etc.)
(ft.)
For Internal Usc ONLY:
22. Certification:
Sipactura of Certified Well Contraclor Dale
By signing this form. 1 hereby certify that dre well(s) it -as (mere) consrnrcied in accordance
with 15A MCAC 02C.0100 or 15,f NCAC 02C.0200 If ell Constr ctiorr Standards and that a
copy of this record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back or this page to provide additional well site details or well
construction details. You may also attach additional pages ifnecessary.
SUBMITTAL INSTUCI'IONS
24a. For AR Wells: Submit this corm within 30 days of completion of well
construction to Lie following'
Division of Water Resources, Information Processing Unit,
1617 Muil Service Center, Raleigh, NC 27699-1617
24b. Enr In vctiau Wells ONLY: In addition to sending the form to the address in
24a above. rilso subrnii. it copy of this fort within 30 days or completion of wulr
construclion to the follotvinc:
Division of Wnter Resources, Underground Injection Control Progrfini,
FOR WATER SUPPLY WELLS ONLY: 1636 Nlnil Service Center, Raleigh, NC 27699-1636
13a. Yield (gprn) Method of test: 24c. For Water Su lv! In"ectirrn Wells;
Also submit one copy of this form within 30 days of completion of
13b. Disinfection type: Amount:. well construction to the county health department of flue county where
constructed.
Form GW -1 North Carolina Department orinvironment aid Natural Resources — Division of Waler Resources Revised Augno 2013

WELL CONSTRUCTION RECORD
This form can be used for single of mulliple wells
1. Well Contractor Information:
_t � C}ton en 3-Y
Well Cuntrnetor Nmne
3-,)-a4 -A
NC Well Contractor Cenifioitiun Number
Cascade Drilling, LR
For linernal use ONLv!
I.S. D0rKiI L'.ItilNf: I for mahl-rrsed srcllsl Olt IJRECt If a I illt•a3ilet
illOat I
T[I -:6­-r--`!!:!r2
11t.tatETkn - Tr11 f:I:PtFSi al.tTCn.t,tL
cumpany"Mak
2. Well Cinis(i-ucNon Permit l: tti. 51 _Q.
arimree, Iglrw, arc.J
IW all applicable uv(/ prnnlrs r.0, Cowny, NJ./.Vcn
3. Well Use (cheep well use):
14. INNIJI
CASING alt Tt/srrNG r gall, wrm%Ir
fl.
I n:
rt.
FROM
To nIANWrER
IrEn
❑Groundwatei-Remediotioa
❑SalinityBttrrier
❑Sturmweacr Drainage
❑Subsidence Control
CITracer
00ther (explain under 1121 Remarks)
195ti.4Ft1)rt:Il,tFFarl'AL'I:-Eon ,ucn$!a <•
•famlJ+clrnttvrergratan
r3tt1,3t 7'n hrn•rrutnt.
rt.
ft.
1n.
I7. SCIME.N
Eltohs 1'a
uFSCltil 7'IaN tarot frardlrin:rm erRd 1 irj y�nla Jr�,.ir.1
Willer Supply Welk
❑Agricultural ❑Municipal�ttblic
❑Geothermal (Hcating/Cooling Supply) ❑Residential Water Supply (single)
❑industriaUCommercial ❑Residential Water Supply (shared)
rums
urnste7 Elt
SLf)TIM
1..
LIAf
R,r,L
In.
aio
.
In.
JR. GROUT rr r
Ultra at;on
ft.
rt.
tt
fl.
I n:
rt.
Non -Willer Supply Well;
ON14111101ing ORccoycry
lnjccITolI Wall:
❑AquifcrRecharge
❑AquiferStorage: and Recovery
❑Aquifer Test
❑Experimenlal Technology
❑Geolhernal (Closed Loop)
ROcodtctmol (HeatinpJCaolin ItEwun)
❑Groundwatei-Remediotioa
❑SalinityBttrrier
❑Sturmweacr Drainage
❑Subsidence Control
CITracer
00ther (explain under 1121 Remarks)
195ti.4Ft1)rt:Il,tFFarl'AL'I:-Eon ,ucn$!a <•
•famlJ+clrnttvrergratan
r3tt1,3t 7'n hrn•rrutnt.
7
n. n.
20: FIRILL17Ct; LOGaaaeb addidanyl the is if nrers.arvl
Eltohs 1'a
uFSCltil 7'IaN tarot frardlrin:rm erRd 1 irj y�nla Jr�,.ir.1
-�t
4. Dale Well(s) Completed: b 13 i}j Well IDUIr+YV— 11 &p I
Sa. Well Location:
Ashevllle Steam Electric Plant
Facility/OwnerNaaie Facility ID#{ifepplicabte)
ft. U.
rt. ft.
ft. a.
rt. irt.
It It
200 CP&L Drive; Arden NC 28704
a fL' rt.
Physical Address, City, and Zip 21.1ti:i5lAbMS
Buncombe
County Pnrccl Identilicaiion No. (PIN)
517. Latitude and Longitude In degrees/nAuutes/seconds or decimal degrees:
(if well field, one�L• (h4�J
tQt
ont; is sufficient) y� p
'3 r5 - t'l(6�11yy N ' � l fi�� W
6. Is (arc) the weil(s): l�Pcrntoncni or ❑Tcrnporeiryy
7. Is this a repair to an existing well: ❑Ycs or iMNn
IfNdr is a repair, fill our known hell owLrurrian inf rmallon and "plain the nature of the
nrpolr tarda-. 021 vearnrkt seetiun or• on the back ofthis jinn.
H. Number ofsvells constructed: i
Far multiple hyecliaa w ion- yaer'aappfa uVils (41 -)'with thesaare copmraelialr, you ria
.ruhnur nue fann-
9. Total well depth below land surface. J�'0 (ft-)
Fai malliple wells ka ul/ dryrihs if rl ffiretrr (arample- 3©2g0'Aad 1@101r)
10. Static water level beln%v tup of casing: (ft.)
rf,n7ter leve/ it phare crtrino. rase +- .
H. Borehole diameter: 6 (in)
12. Well construcilun method: JQfi 1 fr
(i,c. auger, unary, cable, dian push, etc-)
FOR WATER SUPPLY WELLS ONLY:
13A. Yield (gprn) Method of test:____.-
131). DisiuPeciion type: -• Arnounl:
22. Certification:
Sign• z u 'Crrti6e ell Conlra�i'tar�uv Dale
Ay aigning This from, I herehr certify dmt rhe. %mifft) urs (here) consirrrcted In accordance
uIth ISA 1JCAC @C.D100 nr• IS.f NUdC 0IC-0100 RIM C'onauuction Standards and dmf er
copy of this record hur 6cen pravidcd to the well o+wier.:
23. Site dingram or additional Weil deluils:
You may use the back of this page to provide additional well site dc1n Is or well
construction details. You may also attach additional pages if necesselly.
SUBMITTAL 1NSTUCTiONS
24a, Far All Yells: Submit this fonn within 30 days of completion of wdl
construction to the following:
Division of NYaier Resou r ces, inronuaBno processing Unit,
1677 Mall Service Center, Raleigh, NC 27699-1617
241)- par Iniertinn Wells ONLY: in addition to sending the form to the address in
24a above, also submit a copy or itis form within 30 days of completion of well
construction to the I•allowing:
Division ufWaterResources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24e. For Water Supply &.In'eclion Wells:
Also submit one copy of this form within 30 days of completion or
well consouction to the county herlth dcpmnncnt al' Ike counlywberc
constructed.
Furor GW -I Nurtb Catalina Depunment of Envirunmcnl and Nionmi Resuuicei - Dicismn to Wwtr It rsuwcti Ileviied Auyuit 2013

WELL CONSTRUCTION RECORD
This form can be used for sin6lc ei inuhiple. wells
I. Well Cam Iructor Information:
Wd1. onljacu r:Nm lie
3994 - I
NC Well Cantrac(nr Cenificat ion Nnmlicr
Cascade Drilling, L.P.
Company Name
2. Well Constructinn Permit fl!
List oh applicable t.•rll pe)inh3 0 e. Conatp• Slone, Pniiarrce, Injeclino, etre_)
3, Well Use (clkccic \fell usL'):
DAgricultural ❑Municipal/Public
❑Gcolhennal (11cating/Cooling Supply) OResidential Water Supply (single)
Dlndustrial/Cominercial ORcsidential Water Supply (sharcd)
Supply Well:
OAquifer Recharge
DGmundwater Remediation
DAquifer Storage and Recovery
OSalhiityDarricr
DAquifer Test
oStormwater Drainage
DFxperimcntal Technology
OSubsidence Control
OGcoilrcrmal (Closed Loop)
❑Tracer
4. Dole Wcll(s) �0 1
5a. Well Location:
Asheville Steam Electric Plant
Facility/OwnerNamc Facility I1)0 (ifapplicrble)
200 CP&L Drive; Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County Parcel IcicntiRcalionNo. (PIN)
d'r
For Irdam l Use ONLY:
I ft. I R. I In. 1 I I
fs7RS77 IMP
C A. rR_ I in. SC
ft. fr.
ft. R.v
fl. rt.
�19;•SAP11£7GfiAY61.i'ACIt Ito ltcoltle
hTtuai 'f0 h1ATEPTA£- f. £tPI. Acfht PN -r F1 rru n£
ft. R.
Sb. Ladtndc and Langan c to degree minutcsi econ s or cLlmal Lbrees.
22. Ceri(ficadow
(irwell field, one InVlaug is suflicicnt)
�/�
5icR nr Ccnlllcd Well C anlfnClnfp D31c
6. Is (arc) the well(s): LifPermunent or ❑Temporary
ny xigniag lhirform. I heraGr ca rf' tlua the unflfr) aas fwere) cowirucied in accordance
/
wllh 15A NCAC 02C.0100 w 15-414CIC 02C.0200 mill C'onrrrvcrlun Srnndar& nnrl lint o
7. Is this a repair to an existing tvell: OYcs or I/o
copy ofthis raam•d has been pr ovtded to the well ouner-
lfibir 1s a nyafr, fill out brawn well eanslrvellon faformmtan and explain the srnfure of thr
repnb'under N21 reamrkssirc ore ar on the backof(Mrfornl.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
S. Number of wells constructed:
construction detaiis. You may U150 1111301 additimml pages if necessary
For wuhfple h jec•don ornou-rrmersrrppli, arils ONLY nodi the same cunstrnctfan, pmt cml
submit micfurm.
SUBMITTAL INSTUCTiONS
9. Total ivell depth below land surface: (3 ! (fl)
24u. for All . Wells: Submit this form within 30 days of completion of well
rbr muAiple weAr list all depNu ffdderrne (crsonple. 3@200' and 2©)011)
construction to the following:
10. Stolle venter level below top of cnsing: (fl,)
Division of Wuter Resources, Inform L6011 Processing Unit,
lftetler level is al. cavno, use "4 "
1617 Mail Service Center, Raleigh, NC 27699-1617
11. Boreboledianrcler:-6,_,_(In.)
246, Fnr lnfecliou W01 ONLY. In addition to sending the form to the nddress in
24a above, also submit a copy of this Corm within 30 days of completion of well
12. Well construction method: O
construction to the fallowhiv:
-
ti e, auger_ tatary, cable, direct push, etc)
Division oflYatcr Resources, Underground Injection Conuul Pragrnm,
FOR WATER SUPPLY WELLS ONLY:
1636 Mail Sen'ice Center, Raleigh, INC 27699-1636
24For Wacer Supply & Injection Wells:
a
m Method of test-
13a. Yield (gp)
Also submit one copy OI III LS loon within 30 days afcnrnplctionnr
13b. Disinfection hype: _ Amount:
well construction to dee county health dcpatmmenl ol• the county whetc
_
conslructcd.
Farm G%V-t Nunh C niilinu Orpartmem ul Environment jnd
Natur l Resuarces - diri;ion ul llrtnrr Kaourrci Revised Aigwit 2013

WELL. CONSTRUCTION RECORD
This ibrm can be aced fop single or multiple wells
1, Well Contractor Inrurmat[un:
)C,v� �Wi -�%-.
Nell cuntraulur Nume
3,Pa4-q
NC %Veil CnntmctorCcnificadon Numbcr
Cascade Drilling, L.P.
(':ompny Name
2.Well Cons(rIle
lion Permit tl:
Rif all applicable uvll permfls if-, County, State, Variame, injection,. cte.)
3. Well Use (check well use):
Water Supply Wtlh
❑Agricultural Municipal/Public
OGeothctmal(Ilea ting/Cooling Supply) ❑ResidModalWalcrSupply(singlc)
❑Induslriul)Commercial OResidcutial Water Supply (shared)
Mon Water Supply 3irell:
❑Aquifer Recharge ❑Groundwalw Remediation
❑Aquiftr Storage and Recovery ❑Salinity Barrier
❑Aquifer ,rca ❑Stormwatcr Drainage
❑Experimental Technology OSubsidence Control
❑Geothermal (Closed Loop) OTraccr
❑Geodlerinal (tics inE Cooling Rvium) ❑01liar (I:xp alnunderN21 Remarks)
4. Date Well(s) Completed: ?-5 / Well IDI(MV4 — 1—� r
52. Well Localion:
Asheville Steam Electric Plant
FacilitylOwncrName Facility IMI (ifopplicable)
200 CP&L Drive; Arden, NC 28704
physical Arlclress, City, and Zip
Buncombe
County Parcel Identification No. (PIN)
5b. Latitude urid Longitude in degrecs/minutesAcconds or decimal degrees:
(ifwcll field, one latlang is sufficient)
35.14b1G0a N .56 � W
6. Is (arc) the well(s): germoncnt or OTctupurary
7. Is this a repuir III on existing well: ❑Ycs or IgNo
)flhis is a repair, fill out butwn well eorrsfnretan information and explain the nalurr offhe
repair tualrr 1121 roamks section w• an the bark ogftrfrrmo
Ja
9. Number orw ells constructed:.-. f _ - -- - .. ..... .
Por nndriple injection ar aaa-want snppty wr1G ONLI' wilh thecarne cwu[lruc�foh, you trot
1ubmir nnefu'.n, l j
9. Tutsi well depth below lord surface: `6 VQ
Far rnrdtiple irefls list all depths dto8raa (evtmple- 3 x@200' and 20007
10. Static water level below top arcasine: (ft.)
If Irajer revel it above casino, list '• 6 "-
11, Borehole dimneter: ( (in.)
12. Well construction method: Sera\ L
ti. e. uugcy rotary, rabic, direct push, etc.)
FOR WATER SUPPLY WELLS ONLI`;
13a. Yield (gpm) Method orlcst:
13b. Disinfection type: Amount:,
For Internal U 5 ONLY
n, 1 II,
ft. rt.
15% tlLft'[itt LAti[1[; (to rululrl•taacdfils)13th I.Irtiir•6F If n t dlrablr
F1111MV 7(f N1:tlti•rh,tl 'fllh'K."" �tA7E111,5 t,
rt. rr, I fn.
16. INNER t.AS[NG pet TV11t r _(prulhcrpnA dnscd.loop
rltrltt T17 I MAMETER TRICICNIESS I mxr KIIIAL
ft. Ct. In,
17 -SCREEN
FROM I TO ❑1A.►1F.TM 4l.Cr'r SIXT. , Y1, IICXLF�-i/5 MA14MIhi.
9 ft- -M1
In
ft. ft.
rpnGla TO f41 A'rEILLII. t:sti�I..Lf".fiA1FF•'7'_\��f,,,F.��Ttrlryn S,AMfJ17HT
d it. fr.
rl. fl.
ft. A.
1 G.5 r. I Ft. ` '� IZ-Lf:gir�,K�
22. Certification:
MUM -
Sign, ur ufCcriMed Wall Contrectur Date
by SiL lane this fmm, 1 hrrel,i• Mar the nrll(j) pens (were) enusirneied in accordant;
wilh 15A NGIC 02C.0100 or )JANClIC 02C 0200 Well C'aasii•ucliar .Srundnrrls sad Italia
cepy of this retard has been pr ovidrd to f uc nrll onrncr.
23. Site diagram or additional well dclails:
You may use the back of this page to provide additional well site details or well
construction details: You may also auach additiunul pugcs il'nccessory.
SUBMIT -FAL 1NSTUC'rIOris
24a. For All Wells: Submit this form within 30 days of completion of well
construction In the following:
Dlvislon oi' Watcr Resources, inrurnlution Prnccssing Unit,
1(17 Mt nil Service Ccntct, RaleigliiNC 27699-1617
24b, For Inlcrllou W01t; ONLY: ht addition to sending dfc foot to the oddrcss in
24a ubove, also submit a copy of this foto within 30 days of completion of well
construction to rbc follawinp;
Division of Water Resources, Underground injection Control Program,
1636 Mail Service Centel-, Raleigh, INC 27699-1636
24c. For Water Supply S Inlcclion Wells:
Also submit one copy of this fornt witbin 30 flaysofconipletior, of
well consnUction to the county health deponmcnf of file count),wheir
constructed.
Fnnn GW -I North Carolina Depanmcnl ul•Cm•irmunrrN and Natw-ar 1IeSaa1rl'5 — Din isiun liriVi!Lcr Rcsxncc: Revised Auguit 2110

WELL CONSTRUCTION RECORD
This sour can be used Wsinale urnwlliple wells
1. Well Contractor inrurmailont
Well Cunlroch,r Num,:
-3aJ3-�
NC Well Contractor Ccnifrauion Numtwr
Cascade Drilling, L.P.
Company Name j��j �j�
2. Well Construction Permit fl: OD I _
List all applicable arllpcnnilr ii.c County, Stale. Pariarer. h jeers,, rm)
3. Well Use (cheep well use):
DAgriculniml
❑Geothermal (13cating/Cooling Supply)
❑ Ind uariul/Commercial
❑Municipal/public
❑Residential WulurSupply(single)
DResidentiul Water Supply (shared)
Non -Water Supply Well:
12INfoakoring []Recovery
OAqui fer Recharge
[]Aquifer Storage and Recovery
DAqui ter Test
DExperimental Technology
[]Geothermal (Closed Loop)
❑Groundwater Rcmediation
Malinily Barrier
DStormwater Drainage
DSubsidcnce Control
OTraccr
4. Date Well(s) Completed: Well IDB M Y11
5a. Well Location:
Asheville Steam Electric Plant
Faciiily/Owner Name meaty iD9 (ifapplinbly
200 CP&L Drive; Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Idenlifieation No. (PiN)
For Internal Usc ONLY: 1
JII
l d.`VS':t'f'F.it 7,fTPi4S
I llflal TO
Ir SrUIFTn11Y
R, it.
R. ft.
35.43trIT'It CASIM. rurlsi•rasrrI
tau arils ()It JANIK1t it n r rllenblcl
FIt9�[
'f t7
RIR?IE7Ett
17110".1�Pv FSS
SIATF.til,cl.�
rt.
rt_
In.
Ir,. VNIM ll
CAsl ilii; OR
1`I?Irl Mt: etuthcra
at etpirddop II
FADhf
To
Imvm'7t'.R I
11110M:.3S
MA-M.RRl 1.
rt.
L-1 ft•
—
_I
�Gi� b
PVC -
IL
17; CCIlFt;ti
Fwhg
lit
nlAhlcTFR
SLOTS97%
'[111 f:IKI'.T.SS
nrA'rEn1AL
y R.
q7 R.
1 In.
r yb
ft.
13. GTIONn'
Funhl
Tn
MATERIA 1.F.1111Y_1P.1:4
1 ti. a �Kll l l iS AM11t1Urt1'
rL
-....R
ft-
ft
rt.
It.
"i7,5xN171CFI;AVEI.
PnC1;.
El:agpllral4s} - �., "
- -
1110111
TA
htATERTA.I. EAIFLA CEMEt4TML7RDb
It.
R.
3U: IIR LGINtil.Otf`altnxh
adtlllLl wl slreetr Irl+xeehsa
Flttlhl
7"D
11F_tiF. li ll"f lfly ri i�.nW r. mllfrnrlr trap q In il,e. Nw1
Ft.
A.
n,
fl,
R.
h.
R.
ft.
ft.
ft.
31. It MI A It
ICS
Sb. Lntitude and Longitude In degrees/ntlnutes/seconds or decimal degrars: crtiflcatlotl:
(if wrll field, ane ietilon0 is sullicicn))
N�� W
Signature urccrsilicdwall Coi,auctor Mie
6. Is (arc) the well(s): dermanent or 01'emporaty Ry rsr mire Brit fornr I her cbr ceriifi, char tire -IMI ims bverA eonsirucled ru accordance
7. Is this a repuir to on existing well: ❑Yet: or MI u
If this it a r pair, fill nut known well consimcilan inforrnallon and explain the nature of the
repair under #21 remarks xecfiun or on the bark ofihls fornr
8. Number ofwells constructed: }
For'rnnl7iplr ihjectimr ur rax-uvur,vupply n•cl/r p,YLY rvith die saii+r rutrstructiau, you t•mi
subntlt onefonn ^--�
9.7ralnlwell depth below land surface:
Fa rmdriple »ells list at/ depths if'iligeh ent (eraarplr• dtrr]200' anr7 2;-r 1008
10. Static water level below top nr casing:
IJ mater lore[ it alone casing, use
11. Burehale diameter: • ? �— (in.)
12. Well construction method-. Dn
(i.e. uuger, t(lary, cable, direct push, c1c,)
..
with ISA NCAC 02C.0100 or 15.4 NC.4C 02C,0200 Well C`mistmertfan Slandards anti Ara a
cote rf rhi.r record has been ptmdded to the will owner,
23. Site diagram or additional well details:
You may use the bock or this page to provide additional well site details or well
constivctian details. You may also attach additional pages if necessary.
SUB1'11'l-TAL INSTUCTIONS
24a, For All Wells: Submit this form within 30 days of completion of well
cousintctinn to the following:
(ft) Division ul'Watcr Resources, inrormotlon Processing Unit,
I617 Mail Service Center, Italcigh, NC 27699-1617
24b. Far InWetlan Wells ONLY: In addition to sending the foal to the address in
24a above, also submit a copy or alis form within 30 days or completion of well
consuuclion to the fallowing:
Division of Watcr Resources, Underground injection Control Program,
FOR WATER SUPPLY WLLLS ONLY: 1676 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield(gpm)Mclhadoftest; 24c. For Water Supply & Injection Wells:
Also submu one copy of - this form within 30 days afcompletianof
13b. Disinfection 13 -pe: Amouul• well construction to the county heallh department of the county where
cons n ucted.
Fust GW -1 Nunh Curulinu Depnnnnnt u1 Envirumm�n and Natural Resources- Division al Waier Resiniwes 11 eri.cd August 21113

WELI, CQILiSTRUC'CION RECORD
This form can be used 11ormayle of nluluple wolfs
1. Well Contractor Informullon:
G, C� v-! I ic�J
W01 CoruncturNmnc
3a� A
t4C Wall Cnnlncmr Certilicalion Nomher
Cascade Drilling, L.P-
Company Naane
2. Well Construction Permit t1: on
Gist all applicable well permits (lei Colmrt m. State, Mu lance, h jection, err.)
3. Well Use (cheek well use):
Water Supply Well:
OAgricultural
❑Geothermal (Ilcating/Cooling Supply)
Oln dustrial/Conmicrcial
Non-WitEtr Supply Well,
O Aquifer Recharge
❑Aquifer Storage and Recovery
ClAquifcr'rest
OCxperimenial Technology
❑Geothcrmrd (Closed Loop)
❑MuniciptiMblic
❑Residential Water Supply (single;
ORcsidential Water Supply (shared
❑Groundwater Rcmedintion
❑Salinity Barrier
OStormwuter Drainage
❑Subsidence Control
❑Tracer
4. Date Well(s) Completed: U25 Well IA3
5m. Well Location:
Asheville Steam Electric Plant
Facilitylowner Ndinc Facility IP# prapplicable)
200 CP&L Drive; Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
t'arcclldcnlifcariuir No. (PIN)
5b. Latitude and Longitude In degrees/minutes/seconds or deefutal degrees:
(if well field, one ladlong is suflicient)
G. Is (arc) the well(s): INPernianent or ❑Temporary//
7. Is this a repair to on existing evell: ❑Yes or IFiNe
Ifthis 11 a repoir, fill out bo,nr well ronsiruction infornnatiml and explain the nature nfthe
r epair• under• 071 —parks section or on lhr hack of ibis f -m.
For Imcnctl Ct,e ONLY:
B. Number ofwells constructed:. -
.'or,whipl, hy'ecfian or non-avnter nrpply ,tells ONLY with the sante cun>trucliar, you ran
submit ane (non.:
0y sijnling 1Liafomr, l hereby crrllf�, ingl file —11(r) Mos (were) carsfnrelvilin.ttee., iln,a•
with IJA NC1.C-020..0100 or• 15.4 NCAU n2C.0200 IMI Caoftl'dCAO'l h'ander'li twit 11 1 d
copy oflhis record bas been provided fu lire,•ell aw,rrt'
23. Site diagram or additional well details:
You may use tltc back or this page to provide additional wall site details or well
e01151Luc[ion details. You may nlso atmdt additional pugcs if nceessury.
SUBhiIT'rAL 1NS'I'UCfI O� 1S
9. Total well depth below land surface: zp (fL) 24a. Fnr All Welk: Submit this ronn within all days or completion of well
Fnrmullipkwellslislnlldryilrsffjdiferea(ivample-.1[a)100'anr12a@100') Construction to the following:
10. Static water level below lop of casing: (ft.) Division of Iffatcr Resources, lnlilr•tnation Processing Unit,
Ifmderlcrrl is ubove cashrg• rue "V - 1617 Moll Smice, Certier, Raleigh, NC 27699-1617
11. linrchule dinmelcr: (in.) 24b. For lnlcetlon Welts ONLY: In addition to scndine the farm lu the a-&Ms in
24a above, also subrnit a copy of this fonn within 30 days of completion of well
12. Well construction method, t construction to life followin_:
(i,e, anger, ronary, cable, direct ptnb, etc.) -
DivislunofA'otcrRcsaurccs, Underground lnjl:ctiuu Control Program,
FOR IVA11:It SUPPLS' WILLS ONLY: 1636 Mail, Service Center, Raleigh, NC 27699-1636
130. Yield {gpm) Method of test: _ - __ 24e. For WHO' Su�1V & 1111U12110111)lells:
Also submit one copy of this form within 30 days of completiun of
13b. Disinfection r) -pe: Amount: well constmaion to life counly heahh department of the county where
Cnnstractcd-
Form GIV-I Nonh Carolina Dcp rimcm ut L-:nvirpnmepl and N:uunl NcSuurcce – Dieisian ul"Plater ResuurwS RovisM AUhn SI 2011

WELL CONSTRUCTiON RECORD
This farm can be used for single a tnuhiple wells
1. Well Canlracior Information:
m
Well C°initc+ctal Un 1W --___--
3994-A
For Ime,ml tire ONLA':
NC Well CnmraChle eenincaiinn Number
Cascade Drilling, L.R
is. OUTFft CAS--�ri.t
FROM .. TO
p fr. ),7.,f'L
Company Name
/
2.Well Construction l'ermlr#:-_n SIFT
Lisr aft upplfcoble—Upemtlis ri.c. Cumay. St.w. V., icw—, hyeerfm+, tic.)
3. Well Use (cheep well use):
J6.INN'ER CASIM.On'
FROM -�� 'rn
ft. 7 rt.
17. SCIiELN
Water Supply Well:
OAgricullural Municipal,Public
OGoalhcrrnal (Ilcuting/Cooling Supply) ORcsidendal Water Supply (single)
01Rduslrial/Commercial ORcsidmial Waler Supply (shared)
{}f11i +anon
Film
rr1
A?IL
_
rt.
rt.
n.
I8. GROUT
FROM
I U
ft.
!/9 ft.
Non-Wa(er Supply We)]:
Oklanlloting tMocavcry
n.
n:
Ipjce{Inst.tiVc11:
OAquifer Recharge OGroundwolerRemedimiun
OAyuifcrS[oragcand Rccovery C1SalirdtyBntTicr
DAquiferTest OStarmwaler Drainage
OExperimcntnlTechnology OSubsideneeControl
OGaudiermal (Closed Loop) OTracer
R.
It.
MLSANDIGRAVE1.TAC
3'11Obift
T
g fr
n
fi
zu: aR1r:I:lPM
l,nclRR:,
FROAt
- TO
OGedlitornuil (I IcatinglCoolin8 Relum)^ 00thcr(cxi;duht undcr;i21 RClnarks) It. ft.
4. Dole W01(s) Completed: �3 Well iD(I ill i' lay-
So. Well ].oration: ft f1.
Asheville Steam Electric Plant
Fas:ilitylOwnerName Facility IDU (iflpplicabla)
n. n.
200 CP&L Drive_; Arden, NC 28.704 rt.
Physical Address, City, and Zip .,21. It13MAAKS - -
Buncombe
County pared identification No. (111N)
511. Latllude and Longitude in dcgrees/ndnuteslsecands or decimal degrees:
(irwou meld, one latAong is sufficicnt)
-�s.a6UI!1 N W
6. is (arc) the well(s): nfpermunenl or OTempornrr/y
7. Is this a repair to an existing well: OYes or tl'!No
J11h1r is a repair, Jill an know. well eonsavcilan informa0on and explatn the nature eche
repair Potter 971 rem(At secifun or on the bark of this form.
0. Number of swells constructed,. I -
For n ideipte lnjeclinn ornon-mater supply urllr ONLY wilh the spore construction, you car
sabmir one fol•m,
9.'I"u(alwell depthbelow land surface: -k&. 59—(r
For undllple urHs list all rlepdu!J'dye+ eol (ernup1ty- 3(]200' ear12(1100)
10. Stade svater level below top of Cos Ing:
IJ .'once dere•! !s nburc rasing. +tic "+"
11. Borehole diameter
12. Well construction method: 7r C'
(i.c. uugcr, +otary, cable, diicct push, cm,)
FOR NATER SUPPLY WELLS ONLY:
13a. Yield (gpin) Method of test:. -
13b. Disinfection type: Amount:.
1-- —1
22. Certification:
Cq ' .3-
SiVniVarc ofCertificd Well Convector Date
By signing Ibis! nu. 1 he+ebr rerlL6- that the urll(s) nor (uvte) c-smicted !it accordance
with J3d NCdC 02C.0100 or JSA NCAC 01C.02no I1'r11 L'ar.urartinu Srnntlnrdr and that.
copy uflhB record hos been provided to the trellouller.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach uddidanal pages if necessuty.
SUBMITTAL. INS-f•UCTI ONS
241, For All Well$: Submit [his form within 30 days of completion of well
construction ml the fallowing:
Division ofNI'aterResources, information Processing Unit,
1611'Mall Service Center, Raleigh, NC 27699-1617
24h. For litaetoti Wells ONLY: in addition to sending the form Io the address in
24a above, also submit o copy of this fonn within 30 days of completion of 5vcll
construction to the followin.L:
Division al Waier Resources, Underground Injection Control Program,
1636 Mail Service Center, Rnlcigh+ NC 27699-1636
24c. Fnr\1'atrer:Supply it In ectlon Wells:
Also submit one copy of this Conn wilhin 30 days of carnpletion of
well constlmcrion to the county hctdth depanmem of the county whet e
constructed.
Foran GW -I North Carolina I)cpa rImenr of Envito ruvcnt and NA mirth Itcsua res- C'icis inn of Wamr Rcsuurccs Revised Au6m.si 2013
h3fecnihcrulit
dosed-lonP _
"MEANrI
1111CIMM9 MATERIAL
In.
tjCfl G%i
�G
:Tt:il
tiP.OT5t7.r,
TlltCt(hi LSti
is1A'f FIiCA(,
In.
Est' ►}A
a��' �...
��)YL,
1'P.til•51�
A AAEniI°YI
�t'ii11't_iCk'AtYh_r,IIFTIlr711
1-- —1
22. Certification:
Cq ' .3-
SiVniVarc ofCertificd Well Convector Date
By signing Ibis! nu. 1 he+ebr rerlL6- that the urll(s) nor (uvte) c-smicted !it accordance
with J3d NCdC 02C.0100 or JSA NCAC 01C.02no I1'r11 L'ar.urartinu Srnntlnrdr and that.
copy uflhB record hos been provided to the trellouller.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach uddidanal pages if necessuty.
SUBMITTAL. INS-f•UCTI ONS
241, For All Well$: Submit [his form within 30 days of completion of well
construction ml the fallowing:
Division ofNI'aterResources, information Processing Unit,
1611'Mall Service Center, Raleigh, NC 27699-1617
24h. For litaetoti Wells ONLY: in addition to sending the form Io the address in
24a above, also submit o copy of this fonn within 30 days of completion of 5vcll
construction to the followin.L:
Division al Waier Resources, Underground Injection Control Program,
1636 Mail Service Center, Rnlcigh+ NC 27699-1636
24c. Fnr\1'atrer:Supply it In ectlon Wells:
Also submit one copy of this Conn wilhin 30 days of carnpletion of
well constlmcrion to the county hctdth depanmem of the county whet e
constructed.
Foran GW -I North Carolina I)cpa rImenr of Envito ruvcnt and NA mirth Itcsua res- C'icis inn of Wamr Rcsuurccs Revised Au6m.si 2013

WELL CONS'T'RUCTION RECORD
This Will can be used fm'sfngle of multiple wells
1. Well Contractor information:
,-3 A 14,111 Tl
Well Cruarntiir Nanle
NC Well Conlmctur Ce,ifintion Number
Cascade Drilling, L.P.
Company Name �f•��
2. Well Construction Permit a: lJn �f
List all applicable arR permHs (i.e, Calmly. State, Valiance, lnjertrun, rte)
3, Well Usa (check well use):
Wnttr Supply Well:
OAgricultuml ❑iviunicipal/Public
❑Geothcrmut (Beal ing/Cool 1 ng Supply) ❑Residential Water Supply (single)
01ndustrial/Commercial URcsidenlial Water Supply (shared)
Nun -Water Supply Well:
C3Moniloring ❑Recovery
❑ Aquifer Recharge ❑Groundwater Rentedindion
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑Sturmwaier Drainage
❑Experimental Technology []Subsidence Control
❑Geothermal (Closed Loop) QTtucer
010cotitennal GleatinlfCoolinaRelunt) ❑Other (explain under 11221 Remarks)
4. Dute Well(s) Completed: /3 well 1D# m " �3 DL
Sm. Well Location:
Asheville Steam Electric Plant
Faeilltylowner Name Facility IDq (ifapplicable.)
200 CP&L Drive; Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County Pnmct Idcntificalinn No. (PIN)
5b. Latitude and Longitude in degrccs/nihnates/seconds or decimal degrees:
(if welt field, ane Ia Vlong is sufficient)
225 LA, % N 3a .5LA�-.1117 W
6. Is (are) the well(s): IYPermunent or ❑Teinpurary
7. Is this a repair In an existing well: ❑Yes or 9Na
If this is o repair, fill out bra wry seell carslrvclfon injnrination and explain the narure ofrhe
rrpufr under 021 remarks section or on the back ofthisjorm,
9. Number of wells constructed: 1
For muhiple rgp,tion ur non-aerrmrsupply urfl, ONLY with ilia awne construction, you can
subrnfl oneforar.
r
9- Total well depth below lurid surface: (ft.)
For muhiple uelG 1W all drpihs ifd f/beiu (rsnmple- 3@200' and 2@ 100 1
10. Static wilier ICYtI below top of Cash;: (ft.)
U lmfrr Ieyel it nI'D ye rasing. use "+"
IL Borehole dinmeler: 6
12. Well construction method: 'St2RaL .-
(i e, auger, lutary, cubic, ducal push, cic )
FOR WATER SUPI'LY WELIS ONLY:
13a. Yield (gpm) Method of test:
13b. Disinfeclion type: Amount:
For hncmal use ONLY:
It. rt.
ft. T, ft.
F7if7M11 ft• Ttr a
IF.
n4nylM13a En. _ THIC4,YwLgS TF.HIAL _
lo. INNE.It CASINO MITittilyG h'en[hara al e]nsrddwdrl'.
FnflM1I 7nI in-%me-ri.se l'InClcm—sk ,11aTtRIM.
rt. n.
I n � k LAG
: i to 5e.
I
N®
1
22- Certification:
___ /1 I
Sign P rc nrCcniscd Well Contractor Datc
By signing this form, I hereby certify that the uwU(s) xns (mere) cmisa ucird lu accordance
with ISA NCAC 02C.0100 or 15,4 IVC -4C 020.0700 Well Con.simctim Standnnis anal shat a
enpy of this recm`d has been prm iden'to the veil oirner
23. Site diagram or additional well details:
You may use ilia hack or this page to provide addilimtal well site details or well
construction details. You may also attach additional pages if accessary.
SUBMITTAL (NSTUCTiONS
24a, .F(ir.Atl Wells: Submit this form within 31) days or completion of well
construction to the following:
Division or'Wr ter Resnnrces, inhirmollon Processing Unit,
1617 Kill Sun -ice Center, Raleigh, NC 27699-1617
74b. For Infection \felly ONLY: In addition to sending the form to the address in
24a above, also submit a copy or this roam within 30 days of completion or well
construction to the following:
Division of Water Resources, Underground injection Control Program,
1636 Mail Service Center, Ruleigh, NC 27699-J 63 6
24c. For Witter Supply & injection Wells:
Also submit one copy or this roma within 30 daysofcomplelion of
well construction to the county health depamnenl or the courrty%vhere
constructed.
Form GW -I Nunh Grralin-r pepurtmanl of Envirunmcnt and Maunl Itesuurees - Ricisiun at Wamr Resuun:n Rcvised Aupua 2013

WELL CONSTREIMON RE, CORD
This farm can Ir: uied for 9 ingic m multiple welts
1. Well Contractor infurnrallon:
-Goes F�CAII Tr
\Nell Cunrractui Name
i,a
NC Well CmwactorCenificuiton Nnmhcr
Cascade Drilling, L.P.
Company Name
t
2. Well Construction Pennll S: - _ 9 . 45w
List aN applfrable m)lper,nifs r.e- Co 6-, Star,, 14—iarl r., hyLerian, e1r;f
3. Well Use (check well use):
Water Supply Weil:
❑Agricuttuial ❑Municipal/Public
❑ ucIb real (Heating/Cooling Supply) ❑Residential Wakar Supply (single)
fllnduslrialfCornmereial ❑Residential Water Supply (shared)
Nun-lWa(er Supply Well:
Mqulfcr Recharge
❑Groundwater Remediation
[]Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifw Test
❑Slomwaler Draivagc
QExperimcntol Technology
❑Subsidence Control
00cotherrnal (Closed Loop)
❑Tracer
U Lj WIllerma11hcatin}', COOli_ A ROtIM) 00ther (exiiluin under#21 Rranorks)
4.DuleWell(s)Completed; We11ID'I pU
Su. Well Location:
Asheville Steam Electric Plant
FOCURYIDwner Name Facility IDI1(i rapplicoble)
200 CP&L Drive; Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County Parcel Identification No. (PIN)
Sb. Lotltude and Longitude In degrees/ndnutuslseconds or dcclutal de ees-
Far Int-mA Loc ONLV:
ft. fl,
15L f}iffb:f; CASlitil. for enrJtd-edsrt4+vM3s ❑[t t-Iti�t# (If,�pllrahici
rPIORT 1•rD nt,i19FT7%rt _ TlrJr'lln:r_SS 1fRTF.RIAL
n, ft.
f6. ItJ.N R CASiN0 p11 TUBING f t?'Wrrw rlesrllL(aapj
F.ROM1f 're, RLliififJ_,t Tlllrl:NF'_ti 1_.\L17 EHIn1.
ft. ft. In:
JK C ROUT.
F'rSfhtr TO Al 'R1AL ?AIM1IC1001'AR.-MOD&Aa1OUNT
d m n.
ft. fl. P
n. n.
r9: s Nnla s vr•.i. P;tee: a J„ dfrohle_77-77777—
V1101A I T)O� mA'rER1Al- I'MMACM11f.Mf AILTROU _
-_' _er rr r s+. i
ft. rt.
R. fl,
n. ft.
14 ft,
R- R.
fL ff.
(ifwefl field, one laulons is 5uniairnt)
22. Certification:
d
�66
Si@ante accnifinl iYelt Contractor Dar
6.7s (are) the well(s):lih'crmonen( or ❑Tempormy
Ry sJgafng Ihis fmm4 i hcnbr ccrtiJr An( rbc .•ns arer-e) raacnacled in arrardnnve
7. Is Ihis n repair to an existing well: ❑Yes or 1WNl1
with ME NCAC 02C. 0/00 a, I1.1 NCAC O2C,0100 1Vell CO),mrucrinn Stnadnrds and dor a
copy of Ihis record Eras been oviAed fo rhe urJl
/!this is o repair, fill out hrontr well canaa-ucrlon Information and espinfn ,hr. anturr of the
p, morn;
reprrn-under 0111 remarkrseelfoo or on the back ofthisfarm.
23. Site diagrnm or additional well details:
You may use elle back of this page to provide additional well silo details or well
$. Number of wells constructed: �.
con,tnlclion details. You may also attach additionni pages irnecessary..
For nwhiple lrjecuo+t arnnn-uvrersnpple wills ONLY with Ihe.wnre cunshuNimr, �•aa can
submil aru•(orin;.
SUBMITTAL iNS•rUCT10148
9_Tululwell dcpltl below land surface: I7 (ft.)
240. For All Wells: SubmiL this form within 30 days of completion Orwell
Far nwhiple xrlls Art alldeprlu iij" i[jerew ferample- JQ200'and 1 a 100')
construction to the following:
10.Stulicwriter level bclmvtop orcosing: (ft,)
Division of Water Resources, In formation Processing Unit,
Y'iwler treet isalrove cmi+rg, art, -+f"
1617 Mail Service Center, Raleigh, NC 27699-1617
11. Borehole diameter: (In.)
24b. For ln[velftin Well ONLY: in addition Lo sending the form to the address in
24a above, also submit a ropy of Ellis form within 30 days of compleiian of well
12. Well construction tnrthud: 1 L
construction to the followine:
(i.c, unset, l awry, ..hie, di. ect push, rle,)
_
Division orwater 12osources, Underground Injection Control Program,
FOR WATER SUPPLY VIE LLS ONLY:
1636 Mail Service Center, Raleigh, NC 27679-106
13a. Yield (gpnl) Method of test:
24c, For Water Supply & In ection \Veils:
Also submit ono copy of this form within 30 days of cuinpictiun of
13b.Dislnf"ectlan type: _ Amount:..,__
well construction to the county health department of the county wheic
Constructed.
Farm GW -I I'Junit Cumlina Department ul Envirunmrnl aad Naluml Rcnu— - Divki.,n ufWutcr Resuu.cri Rc,mud AuLusl 2a11

WELL CONSTRUCTION RECORD
This form can h< used roi single nt mnl,ip!c wills
1. P-ly'�elll Contrarlor inforntutlan-�Pl
$fell Cuntractor Nine
'L9.9 -Z --/I
NC Well Cnnoaclnr Ccnincation Number
Cascade Drilling, L.P.
Carnpany N—
L Well Construction Permit 9: � �✓1
si ��
Lin all applicable ur!lpernrin (i.e. Courcy: State,
Varlunce, injec•rion, e1a)
3. Well Use (check well use):
❑Stotmwater Drainage
Water Supply Well:
❑Subsidence Control
❑Agricuhuml
❑Municipal/Public
❑Geothermal (licaiingJCooling Supply)
❑Residential Water Supply (single)
❑lndustriol/Commercial
❑Residential Water Supply (shared)
Nan-Wtifcr Supply Well:
❑Aquifer Recharge
❑Groundwater Remediation
❑Aquifer Storage and Recovery
❑Salinity BaX3ier
0AquiRr Test
❑Stotmwater Drainage
❑Experimcntnl Technology
❑Subsidence Control
❑Geo,hermol (Closed Loop)
❑Tracer
❑Gcolhermol (14callnnJCooline Return}
001her(exnloin ander 1121 R
4. Date Wcll(s) Complcicd:t/ 7 /7 Well1DO MW --
So. Well Location:
Asheville Steam Electric Plant
FaciUty0wrler Name Facility 1D* (if applicable)
200 CP&L Drive; Arden, NC 28704
Physical Address, City,nnd Zip
Buncombe.
County Parcel Idernificotion No. (PIN)
5b. Latitude and Longitude in degrecshninutes)seconds or decimal degrees:
(ifwell field, one 1a01ung is sufficient)
6. Is (arc) the avcll(s): Aermunent or ❑Temporaryy
7. Is tlds a repair to an existing well: ❑Yes or I)SNtr
IIrrhis is o repair• fill norknasva well construction infannation and explain the nature afthe
irpab• under 021 r rnunks station anon the hack of tblr jann.
a. Number ofwc[lscorstruclLd: _ I
For ruuldpie it jcction or nun-mvnei suppip vrlir RNLI' with the sanm rmrstrtrrtiun, you can
submit one jonm
9. Tota[ well depth below land surface: b 9 i 3'. Irl-)
For multiple urllr lis! all depths IJ'rl into, (ararnple- 3Qa 200'and 2(]1001
I U. Static water level bcloav trip of casing: (ft.)
lJlrnrrr lrarl is r+bavr a using; rosy '• I "
11. Elnrehalc diameter: IO ws r)l . (in.)
12- Well construction methud: SE�nI C_
(i;c augn,,a:ury, cuhtr•, direct push, etc)
FOR WA'rL:R SUPPLY WELI S ONLY:
13a. Yield (gpm) Method oflest:
13b. Disinfection type: _ _,__ Amunnt: ___
For torcrnal Use 0iQ- '
ft, r1.
R, R-
(� t.Itrl'F:li Cds11t: If rr multl•rasrd +rclls 'rllt1.P,ti'III fa dliahlet
t'14uA1 ft? I1L'a,LI F;Tk'H
n. TIIIi:htiC54 ti1.5/1TF.111,11..
/_
Ili. INNER CANING Uli.'F'LrllING lltuwhcrusil elnndrrnapt W
Fn43nr Tr9 n>,vtIETF:n TId1CICNk'Si MATERIAL
(� ft• �(,� rl. a In. Ltd yc-
rb
fi.n, In.
- is, Mtr.atit'
FROM TO i XrP.111m. Eat iz.lr: Sfh4:rtYT 11P:T1M#38e .1'A7�tlrl7
O It. ALE
n, ft.
11
�1"7x5,tplf)1tiuA.+,�r.t.'t',tr:rC rfnp3dlcahleF ..
ritual TO AIA'mlllmt F: fFi.AU..%IENTA*.rrlOn
22. CerliCcatian;
siµ mwi ufccnined lvell Cumrncior Dam
Dy signrne this fa I hereby errt f that rhe uall(r) unr (neve) caastruelyd ler accordance
with ISA NCAC 02C.0I00 a;- 154 A'C'.4C 02C.U200 JYelf C'on,uruuioo Sronrlunh and rhorn
ropy ajrhis rreurd has been pinvidrrl la the urlf oanler.
23. Site diagram or additiunol well details:
You may use the back of this page to provide additional wall site details or wc,l
consuatelion details. You may also attach additional pages irnecessary.
SUBMITTALINSTUCTIONs
24u. Far All -Wells: Submit this form within 30 days or completion of well
construction to the following:
Division Uf Waley Resources, Information 1'!ocessing Unit,
16.17 Mail Service Center, Rulcut, NC 27699-1617
241j, Fnrlilf iciion Mfijk ONLY: In uddition to sending the form to the address in
2411 ubovL, ulso submit a copy or this form within 30 days of completion of well
construction to the followinu:
Division of Water Resources, Underground Injection Control Program,
1636 flail Service Center, Ruleigh, NC 27699-1636
2dc- For lir. ler Sugply &_Injection Wells:
Also submit ane copy at' this form within 30 days of completion of
well construction to the county health department of the county wlicia
constructed.
Furm GA'= -I Nunh Carulimi Depanmem ul'Envirunmem unit Natural Resources- Diviiiun of Winer Resources Revisud Auvuu 2013

WELL CONSTRUCTION RECORD
This form can he tiscd fm'atrrgle or nmhiplc welts
1. Well Conirnctor information: /m
• !! Cc> /�'� —�_ •
4 -Cl-
G . Q. ��
Well Cim ructurNanta
NC Well ComraclnrCcnirl c anon Numlrct
Cascade Drilling, L.P.
For InlnnAt tl:c ntYl.r:
14. w s t'F.it 7,nNF 5
MOM
rii
1)f tiCilrl TtfY r
1S, OurElt L.%:AN .fr+s•multi-rusiviwells rill I.1(all IANF.H II u r rii rlrlr
}'Id tq Tp t1hi,�t1;7 .i1 n'llkf;fsiati hl.'I MATP-t(IAL
rt. r.. in.
Company Name
*
2. Well Construction Permll ffc, ds�I
Vit all applicable +'Yflpcnnifs (Le; Cumay. Slate, Yarrtmcr, Injecriam, rte)
3. Well Use (cheep well use):
14; 1l'Nl;lt CA;stX(:fll('f1i11[VG" �l•utlrvfmnl'clasctHhmlil
}tttsA! 7n 31E.4}YIt7P4[
' TE11f,^ttkF--SS aEAa'�1[1hL_ _ __
0 fl 'd-13 ,-
1n
fl. It.
In.
MSCR1:t(N
rnnnt
rn
ntante'i([
StIYfslxe
TI11Ct(NEM
MATFal.tl,
lVYrlcr5upp1y4Ve[I:
C3Agriculkttlal OMunicipal/Public
❑Gmeotheral I-Icntin Conlin Su 1 OResidendal Water Supply stn it
Olndustrial/Commercial ❑Residential Water Supply (shared)
C3"gallon
ft.
-11.
• 0) 0
rt"
h'
In
Ia. GROUT'
r oat
nlArrnlnY. uelrWiCltral raFrTunu sn+Intci
_In
Non -Wafer Supply Well:
MMonitoring E31ttCovcty
ft.
It.
Injecttun Well:
OAquifer Recharge ❑Gniundwalcr Remediation
OAquifer Storage and Recovery 0Salinity Barrio
mAquilerTest OSlonncvaterDrainage,
Cll:xperimenial Technology OSubsidence Control
OGeolhermal (Closed Loop) OTlacer
CIGcolhcrmal (11calitt fCoolin Velum) 130111er(c:t lain under 112t Remarks
:'hJ.5.1N1?iGllh,F:icktirn Ilfeihlc .- - .. ...._.::;:,._...
111011il I To I AIA` KIIIAL Eht P[.ACE11 F.f(r hI I:TYInD
fc,
�: It.
V i
ft,
h.
1r1. rf I1FL'l.11tiC
I S7G nllaetl all ltttnrl 1 SIICRf! if n [e!]
i `
rnuat
TO
[1f ir.RllTlrlfl [e•4 r. harinRn, Y.rtYr:rt rye nr. ta,ler. n�.l
4. Date we11(s) Completed: 5 f 1.S We111DU s
50. Well Location-
Asheville Steam Electric Plant
FaellilyfownerName Facility MM(jfapplicahlc)
200 CP&L Drive; Arden, NC 28704
rL
rt.
IL
ft.
re
rt.
rt
It.
Physical address, City, and Zip
i 31 1MitlttillCS
_
—
Buncombe
County Vomit Identilication No. (PIN)
51). Latitude and Longitude in degrees/ttdnutes(seconds or deelmnl degrees:
(ifwell field, one lalflong is sufficient)
4'0 �-.5'*'�--,,Hj W
6. Is (arc) the well(s): germanen( or OTemporary
Ms this a repair to on exislingwell: OYes or M No
lfthis is a repair, fill out brown well coAsrntetran infUrnialion and explain the nature of the
i epair under 1121 remarkr section or on thr back ofthis form.
8. Number of wells constructed:
For urnitfple hyecdan m-rmn-ertternppJP i.cth ONLY with the some c -n ft aeriom, yai, no
submit lint farm_
9. Too III will depth below land surface:
Fin nndliple imth hil all drprhs Jdfferen, (txtr+=,f rt Jf ?0b'.um7 2 tf 00�
10. Static waler level below top of casing: M.)
tf nater level fs ubtnm tasine, use "+"
11. Borehole dfmncler: (in.)
s
12. Well construction method:E r _
t i.e, uuger, rotary, cable, direct push, ere)
FO It WATER SUPPLY WELLS ONLY:
iia. Yield (gpm) Method of fest: _
13b. Disinfection type. Amount'
22. Certification:
0r
-7- Zr
signature vrcenilled Will Cuturacror
bysigning this fnrm, f hei-ebv eerrh- that the ivell(j) war liwi) cmuo'ucled ht ac_mrdance
with ISA MC IC 02C.0100 or IS.; NCAC 02C,0200 Wet) Consi mutan Sland., and tbal a
copy nflbis record has been p+avided to the wr11 owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also anach additional pages if necessary.
SUBMiTTALiNSTUCTIONS
tau. For All Wells: Submit this total within 30 days of completion of well
construction to the following:
Division ol•Wuter Resources, Informntion Processing Unit,
1617 Mail Sen'Icc Center, Raleigh, NC 27699-I617
24b. For hilectimi Welk ONLY: in addition to sending the form to the address in
24a above, ulso submit a copy of this Calm within 30 days of completion of well
consiructiun to the follocvine:
Division of Wnter Resources, Underground Injection Control Prnp,rain,
1636 Mail Service Center, Raleigh, INC 27699-1636
24c. For Wntcr Supply & Injection Wells:
Also submit one copy of this folio within 30 days of completion of
well construction to Clic county health department of the county whets
constructed.
From (iW-I North Carulma Dernn nou"1 of E,wiru-muni Amt Natural Rtsources — Division 0 Water Resuuri'ci ncvisnt t uguct 2013