NC0038377_Appx F Boring Logs Cons Diag_20171101

2017 Comprehensive Site Assessment Update October 2017 
Mayo Steam Electric Plant SynTerra 

APPENDIX F
BORING LOGS
AND CONSTRUCTION DIAGRAMS

No recovery.
BOTTOM ASH, gray, loose, dry, mostly fine to coarse
grained sand .
BOTTOM ASH, moist at 12.4'.
BOTTOM ASH, gray/tan, loose, saturated, fine to
coarse grained sand/gravel.
FLY ASH, gray, moderately dense, saturated, mostly
fine sand, few silt.
No recovery.
BOTTOM ASH, mottled, Dense, saturated, mostly fine
to coarse grained sand.
FLY ASH, gray, dense, saturated, mostly fine grained
sand.
BOTTOM ASH, loose, saturated, mostly coarse sand to
gravel.
FLY ASH, same as 21.8 ft.
No recovery.
BOTTOM ASH, same as 22.2 ft.
FLY ASH, same as 21.8 ft.
BOTTOM ASH, same as 22.2 ft.
FLY ASH, same as 21.8 ft.
No recovery.
BOTTOM ASH, same as 22.2 ft.
Mix of BOTTOM and FLY ASH, dark gray, saturated,
moderately dense, mostly fine sand, little coarse
grained sand, little silt.
No recovery.
BOTTOM ASH, same as 22.2 ft.
FLY ASH, dark gray, saturated, moderately dense.SAMPLEDESCRIPTION
BLOWCOUNTSAB-01
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
3/19/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:3/19/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
ft
68.0 ft BGS
E. Black
ft
ft TOC
J. Wylie
Cascade Drilling
GeoProbe
2 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
FLY ASH, dark gray, saturated, moderately dense.
(continued)
No recovery.
FLY ASH.
No recovery.
Ash material from hole collapse.
No recovery.
4 in. layer of FLY ASH over BOTTOM ASH.
SILT, mottled, orange, tan, wet, dense, saprolitic at
67.3-68 ft.ML SAMPLEDESCRIPTION
BLOWCOUNTSAB-01
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
3/19/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:3/19/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
ft
68.0 ft BGS
E. Black
ft
ft TOC
J. Wylie
Cascade Drilling
GeoProbe
2 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
No recovery.
BOTTOM ASH, dark gray, moist, mostly fine to coarse
sand.
No recovery.
BOTTOM ASH, dark gray, moist, mostly fine to coarse
sand, some gravel/coal fragments.
BOTTOM ASH, same as above at 8 ft.
FLY ASH, black, saturated, mostly fine sand, little silt,
dense.
BOTTOM ASH, same as above.
No recovery.
BOTTOM ASH, same as above.
FLY ASH, same as above 12.3 ft.
BOTTOM ASH, same as above.
FLY ASH, same as above 12.3 ft.
BOTTOM ASH, same as above.
FLY ASH, same as above 12.3 ft.
No recovery.
BOTTOM ASH, same as above.
FLY ASH, same as above 12.3 ft.
No recovery.
SILT, tan, moise, mostly silt with some fine to medium
sand.
Mottled tan/gray, dry, very dense, weathered gneiss.
(SAPROLITE)
ML SAMPLEDESCRIPTION
BLOWCOUNTSAB-02
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 1
3/18/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:3/18/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030477.81
ft
37.2 ft BGS
E. Black
1012778.26
490.68 ft
ft TOC
J. Wylie
Cascade Drilling
GeoProbe
2 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
No recovery.
BOTTOM ASH, black, dry, loose, mostly fine to
medium sand, poorly graded with some small gravel.
No recovery.
FLY ASH, dark gray, wet, silt.
BOTTOM ASH, medium grained, loose, dry, mostly fine
to coarse sand with some small gravel.
No recovery.
Hole collapse material.
FLY ASH, dark gray, dry, mostly silt, few fine sand.
Same as 8.6'.
FLY ASH, dark gray, moist, mostly silt, few clay.
BOTTOM ASH, medium gray, mostly fine sand, moist,
little silt.
BOTTOM ASH, light to medium gray with tan and
brown, dry, mostly fine to coarse sand with gravel
pieces.
FLY ASH, gray, wet, mostly silt, few fine sand.
BOTTOM ASH, light to medium gray, moist, mostly fine
to coarse sand, few silt.
FLY ASH, dark gray, saturated, mostly silt, few fine to
coarse sand.
BOTTOM ASH, light green/gray, medium to coarse
sand, moist, loose.
FLY ASH, medium to dark gray, mostly silt, moist,
some fine sand.
BOTTOM ASH same as 21.3 ft.
FLY ASH, same as 23.3 ft.
BOTTOM ASH same as 21.3 ft.
FLY ASH, same as 23.3 ft.
BOTTOM ASH, gray, loose, fine to coarse sand, moist
with small lens of silt and gravel (25.6-25.8 ft.).
Interbedded FLY and BOTTOM ASH.
FLY ASH, dark gray, wet/saturated, silt.
Interlayered and interbedded FLY ASH and BOTTOM
ASH layers, recovery only a few inches thick.SAMPLEDESCRIPTION
BLOWCOUNTSAB-03
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
3/18/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:3/18/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030856.72
ft
48.0 ft BGS
E. Black
1012714.21
497.34 ft
ft TOC
J. Wylie
Cascade Drilling
GeoProbe
2 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SAND, tan to gray, medium to coarse sand with fine
sand and silt, few small gravel, moist.
SILT, medium to dark gray, mostly silt, some fine sand,
saturated.
SAND, silty, greenish brown (2.5 YR 5/2), little clay,
moist, some roots/organic matter.
SAND, silty, light yellowish brown )2.5 YR, 6/4), some
clay, moist, low plasticity.
CLAY, silty, yellowish red (5 YR 5/6), moist, medium
plasticity.
Hole collapse material from 45-46.2 ft. and 46.2-47.4
ft.. Yellowish red (5 YR 5/6) clay with little silt.
47.4-48 ft. (SAPROLITE)
SC
ML
SP
SP
ML SAMPLEDESCRIPTION
BLOWCOUNTSAB-03
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
3/18/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:3/18/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030856.72
ft
48.0 ft BGS
E. Black
1012714.21
497.34 ft
ft TOC
J. Wylie
Cascade Drilling
GeoProbe
2 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
No recovery, BOTTOM ASH on surface.
FLY ASH (GLEY1 2.5/N), black, dry, dense, mostly fine
sand, few clay.
SAND, sharp contact, grey, (10 YR 5/1), moist,
moderately dense, mostly fine to coarse, poorly graded
sand, little silt/clay.
No recovery.
BOTTOM ASH, same as above, except saturated at 8
ft.
BOTTOM ASH, same as above except last six inches
has small gravel sized pieces of rock mixed in.
FLY ASH, (GLEY 5/N), saturated, dense to moderately
dense, interlayered zones (1-4 in.) thick of poorly
sorted sand, mostly fine sand, little silt.
No recovery.
BOTTOM ASH, same as 10-11.8 ft., saturated from
20-22.1 ft.
FLY ASH, gray, loose, saturated/soupy, mostly fine
sand, little silt, "salt and pepper" color/appearance.
No recovery.
FLY ASH, same as 15 ft., very saturated/soupy,
alternating layers of fine sand and silt, "salt and
pepper" appearance.
FLY ASH, same as above.
SP SAMPLEDESCRIPTION
BLOWCOUNTSAB-04
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
3/17/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:3/17/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030478.85
ft
60.0 ft BGS
E. Black
1012345.36
488.76 ft
ft TOC
J. Wylie
Cascade Drilling
GeoProbe
2 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
FLY ASH, same as above.
No recovery.
FLY ASH, same as 35 ft.
FLY ASH, same as 35 ft.
No recovery.
SILT/PARTIALLY WEATHERED ROCK, (2.5 YR 4/2),
dark grayish brown, saturated, dense, mostly silt with
clay, little coarse sand grading down to rock fragments
in last 8 in. of recovery. (saprolite)
Boring terminated at 60 ft. Bentonite added to boring
from 54 to 60 ft. to facilitate well construction.
ML
CL SAMPLEDESCRIPTION
BLOWCOUNTSAB-04
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
3/17/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:3/17/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030478.85
ft
60.0 ft BGS
E. Black
1012345.36
488.76 ft
ft TOC
J. Wylie
Cascade Drilling
GeoProbe
2 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
FLY ASH.
SILT, mottled, gray/tan, moist, mostly silt, little fine
sand, few clay. Root noted at 13.5 ft. (SAPROLITE).
ASH
ML
Grout
Bentonite seal
2" Sch. 40 threaded PVC
riser
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSABMW-01
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 1
6/2/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:6/2/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2029253.96
483.81 ft
13.5 ft BGS
E. Black
1012988.38
481.11 ft
ft TOC
J. Wylie
Cascade Drilling
Hand Auger
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
No recovery.
BOTTOM ASH, dark gray, moist, mostly fine to coarse
sand.
No recovery.
BOTTOM ASH, dark gray, moist, mostly fine to coarse
sand, some gravel/coal fragments.
BOTTOM ASH, same as above at 8 ft.
FLY ASH, black, saturated, mostly fine sand, little silt,
dense.
BOTTOM ASH, same as above.
No recovery.
BOTTOM ASH, same as above.
FLY ASH, same as above 12.3 ft.
BOTTOM ASH, same as above.
FLY ASH, same as above 12.3 ft.
BOTTOM ASH, same as above.
FLY ASH, same as above 12.3 ft.
No recovery.
BOTTOM ASH, same as above.
FLY ASH, same as above 12.3 ft.
No recovery.
SILT, tan, moise, mostly silt with some fine to medium
sand.
Mottled tan/gray, dry, very dense, weathered gneiss.
(SAPROLITE)
ML
Grout
2" Sch. 40 threaded PVC
riser
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSABMW-02
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
5/31/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/30/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030477.81
492.90 ft
41.2 ft BGS
E. Black
1012778.26
490.68 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SAMPLEDESCRIPTION
BLOWCOUNTSABMW-02
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
5/31/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/30/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030477.81
492.90 ft
41.2 ft BGS
E. Black
1012778.26
490.68 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
No recovery.
BOTTOM ASH, dark gray, moist, mostly fine to coarse
sand.
No recovery.
BOTTOM ASH, dark gray, moist, mostly fine to coarse
sand, some gravel/coal fragments.
BOTTOM ASH, same as above at 8 ft.
FLY ASH, black, saturated, mostly fine sand, little silt,
dense.
BOTTOM ASH, same as above.
No recovery.
BOTTOM ASH, same as above.
FLY ASH, same as above 12.3 ft.
BOTTOM ASH, same as above.
FLY ASH, same as above 12.3 ft.
BOTTOM ASH, same as above.
FLY ASH, same as above 12.3 ft.
No recovery.
BOTTOM ASH, same as above.
FLY ASH, same as above 12.3 ft.
No recovery.
SILT, tan, moise, mostly silt with some fine to medium
sand.
Mottled tan/gray, dry, very dense, weathered GNEISS.
(SAPROLITE)
ML
2" Sch. 40 threaded PVC
riserSAMPLEDESCRIPTIONBLOWCOUNTSABMW-02BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 4
6/3/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/28/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030476.42
493.85 ft
120.0 ft BGS
E. Black
1012781.97
490.65 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Mottled, dark brown, tan, gray, and black, very dense,
dry, saprolitic (schist).
Same as above.
Same as above.
Same as above, strong relict structure, more gneissic
structure/texture.
Same as above, becoming harder with depth, mostly
rock fragments above 66 ft.', schistose texture,
saprolite/partially weathered rock contact at 67 ft.
No recovery.
No recovery from 75-77 ft.
Partially weathered rock/bedrock transition from 77-80
ft. Hard, fresh to slightly weathered GRANITIC
GNEISS, iron and manganese staining on joint
surfaces, dry.
RK
RK
Grout
6" PVC surface casingSAMPLEDESCRIPTIONBLOWCOUNTSABMW-02BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 4
6/3/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/28/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030476.42
493.85 ft
120.0 ft BGS
E. Black
1012781.97
490.65 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Black with thin white bands on folliations, fresh,
PHYLLITE fracture breaks along planes of foliation, top
of bedrock designated at ~80 ft.
Hard, slightly weathered to fresh, medium grained,
GRANITIC GNEISS.
Hard, fresh, medium grained, GRANITIC GNEISS, few
closely spaced tight breaks along foliation planes with
no staining or mineralization. High angle fracture at
90.8-91 ft. with mineralized joint surface. Vertical
fracture/intersecting horizontal fracture at 94.4-95 ft.,
brownish-red surface staining on joint plane. 95-96' no
recovery, 97-100 ft. hard, fresh to slightly weathered,
medium grained GRANITIC GNEISS fractures at 97.3,
99 (healed), 99.3-99.6 ft. Joint surfaces, stained
reddish-brown.
Hard, GRANITIC GNEISS, weathered with abundant
fractures and reddish brown mineralization, mostly
healed fracture in bottom 6-8".
Abrupt rock change/contact. Black, fresh, fine grained
HORNBLENDE GNEISS with 90% mafic minerals with
reddish orange staining on felsic crystallization.
Quartzite vein.
Hard, GRANITIC GNEISS, moderately weathered with
horizontal and vertical fractures (some healed).
No recovery.
Moderate to severely weathered, dark gray
GRANITOID GNEISS, grades into more felsic light gray
GRANITOID GNEISS with some horizontal and vertical
fractures and red-orange mineralization/staining at
joints.
Light gray, moderately weathered GRANITOID
GNEISS with moderate to high angle bedding planes.
Horizontal fractures at 117.5, 118.2, 118.5, and 119 ft.
Sharp contact into dark gray, fine grained PHYLLITE
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSABMW-02BR
85
90
95
100
105
110
115 GRAPHICLOGUSCSDEPTH(ft)PAGE 3 OF 4
6/3/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/28/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030476.42
493.85 ft
120.0 ft BGS
E. Black
1012781.97
490.65 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
with high angle rough joint from 119-120 ft.
Boring terminated at 120 ft. Bentonite added to boring
from 106-120 ft. to facilitate well construction.SAMPLEDESCRIPTION
BLOWCOUNTSABMW-02BR
125
130
135
140
145
150
155 GRAPHICLOGUSCSDEPTH(ft)PAGE 4 OF 4
6/3/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/28/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030476.42
493.85 ft
120.0 ft BGS
E. Black
1012781.97
490.65 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
No recovery.
BOTTOM ASH, black, dry, loose, mostly fine to
medium sand, poorly graded with some small gravel.
No recovery.
FLY ASH, dark gray, wet, silt.
BOTTOM ASH, medium grained, loose, dry, mostly fine
to coarse sand with some small gravel.
No recovery.
Hole collapse material.
FLY ASH, dark gray, dry, mostly silt, few fine sand.
Same as 8.6'.
FLY ASH, dark gray, moist, mostly silt, few clay.
BOTTOM ASH, medium gray, mostly fine sand, moist,
little silt.
BOTTOM ASH, light to medium gray with tan and
brown, dry, mostly fine to coarse sand with gravel
pieces.
FLY ASH, gray, wet, mostly silt, few fine sand.
BOTTOM ASH, light to medium gray, moist, mostly fine
to coarse sand, few silt.
FLY ASH, dark gray, saturated, mostly silt, few fine to
coarse sand.
BOTTOM ASH, light green/gray, medium to coarse
sand, moist, loose.
FLY ASH, medium to dark gray, mostly silt, moist,
some fine sand.
BOTTOM ASH same as 21.3 ft.
FLY ASH, same as 23.3 ft.
BOTTOM ASH same as 21.3 ft.
FLY ASH, same as 23.3 ft.
BOTTOM ASH, gray, loose, fine to coarse sand, moist
with small lens of silt and gravel (25.6-25.8 ft.).
Interbedded FLY and BOTTOM ASH.
FLY ASH, dark gray, wet/saturated, silt.
Interlayered and interbedded FLY ASH and BOTTOM
ASH layers, recovery only a few inches thick.
Grout
2" Sch. 40 threaded PVC
riser
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSABMW-03
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
5/19/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/18/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030856.72
500.17 ft
40.5 ft BGS
E. Black
1012714.21
497.34 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SAMPLEDESCRIPTION
BLOWCOUNTSABMW-03
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
5/19/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/18/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030856.72
500.17 ft
40.5 ft BGS
E. Black
1012714.21
497.34 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
No recovery.
BOTTOM ASH, black, dry, loose, mostly fine to
medium sand, poorly graded with some small gravel.
No recovery.
FLY ASH, dark gray, wet, silt.
BOTTOM ASH, medium grained, loose, dry, mostly fine
to coarse sand with some small gravel.
No recovery.
Hole collapse material.
FLY ASH, dark gray, dry, mostly silt, few fine sand.
Same as 8.6 ft.
FLY ASH, dark gray, moist, mostly silt, few clay.
BOTTOM ASH, medium gray, mostly fine sand, moist,
little silt.
BOTTOM ASH, light to medium gray with tan and
brown, dry, mostly fine to coarse sand with gravel
pieces.
FLY ASH, gray, wet, mostly silt, few fine sand.
BOTTOM ASH, light to medium gray, moist, mostly fine
to coarse sand, few silt.
FLY ASH, dark gray, saturated, mostly silt, few fine to
coarse sand.
BOTTOM ASH, light green/gray, medium to coarse
sand, moist, loose.
FLY ASH, medium to dark gray, mostly silt, moist,
some fine sand.
BOTTOM ASH same as 21.3 ft.
FLY ASH, same as 23.3 ft.
BOTTOM ASH same as 21.3 ft.
FLY ASH, same as 23.3 ft.
BOTTOM ASH, gray, loose, fine to coarse sand, moist
with small lens of silt and gravel (25.6-25.8 ft.).
Interbedded FLY and BOTTOM ASH.
FLY ASH, dark gray, wet/saturated, silt.
Interlayered and interbedded FLY ASH and BOTTOM
ASH layers, recovery only a few inches thick.
Grout
2" Sch. 40 threaded PVC
riserSAMPLEDESCRIPTIONBLOWCOUNTSABMW-03S
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
5/20/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/20/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030858.24
500.30 ft
68.0 ft BGS
J. Wylie
1012718.52
497.33 ft
ft TOC
E. Black
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SAND, tan to gray, medium to coarse sand with fine
sand and silt, few small gravel, moist.
SILT, medium to dark gray, mostly silt, some fine sand,
saturated.
SAND, silty, greenish brown (2.5 YR 5/2), little clay,
moist, some roots/organic matter.
SAND, silty, light yellowish brown )2.5 YR, 6/4), some
clay, moist, low plasticity.
CLAY, silty, yellowish red (5 YR 5/6), moist, medium
plasticity.
Yellowish red (5 YR 5/6) clay with little silt. From
47.4-48 ft. (SAPROLITE)
SILT, loose, strong brown, (7.5 YR 5/6), moist, some
sand.
SILT, yellowish brown, (10 YR, 5/8), medium dense,
moist, trace fine sand.
SILT, reddish brown, (5 YR, 5/4), most, trace fine sand,
mottled. (SAPROLITE)
SILT, yellowish brown, (10 YR, 5/8), moist, trace fine
sand, thinly bedded. (SAPROLITE)
SAND, brown, (7.5 YR, 5/4), loose, moist, little clay.
(SAPROLITE)
SILT, dense, brown, (7.5 YR, 5/4) moist, fine sand,
iron and manganese staining, infrequent relic texture.
(SAPROLITE)
Same as 60.5-65 ft. except dry, more relict structure,
SAPROLITE/PARTIALLY WEATHERED ROCK,
contact at 68 ft.
Borning terminated at 68 ft. Bentonite added to boring
from 61 to 68 ft. to facilitate well construction.
SC
ML
SP
SP
ML
ML
ML
ML
ML
SM
ML
ML
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSABMW-03S
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
5/20/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/20/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030858.24
500.30 ft
68.0 ft BGS
J. Wylie
1012718.52
497.33 ft
ft TOC
E. Black
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
No recovery, BOTTOM ASH on surface.
FLY ASH (GLEY1 2.5/N), black, dry, dense, mostly fine
sand, few clay.
SAND, sharp contact, grey, (10 YR 5/1), moist,
moderately dense, mostly fine to coarse, poorly graded
sand, little silt/clay.
No recovery.
BOTTOM ASH, same as above, except saturated at 8
ft.
BOTTOM ASH, same as above except last six inches
has small gravel sized pieces of rock mixed in.
FLY ASH, (GLEY 5/N), saturated, dense to moderately
dense, interlayered zones (1-4 in.) thick of poorly
sorted sand, mostly fine sand, little silt.
No recovery.
BOTTOM ASH, same as 10-11.8 ft., saturated from
20-22.1 ft.
FLY ASH, gray, loose, saturated/soupy, mostly fine
sand, little silt, "salt and pepper" color/appearance.
No recovery.
FLY ASH, same as 15 ft., very saturated/soupy,
alternating layers of fine sand and silt, "salt and
pepper" appearance.
FLY ASH, same as above.
SP
2" Sch. 40 threaded PVC
riser
GroutSAMPLEDESCRIPTIONBLOWCOUNTSABMW-04
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
5/30/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/30/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030478.85
491.44 ft
60.0 ft BGS
E. Black
1012345.36
488.76 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
FLY ASH, same as above.
No recovery.
FLY ASH, same as 35 ft.
FLY ASH, same as 35 ft.
No recovery.
SILT/PARTIALLY WEATHERED ROCK, (2.5 YR 4/2),
dark grayish brown, saturated, dense, mostly silt with
clay, little coarse sand grading down to rock fragments
in last 8 in. of recovery. (saprolite)
Boring terminated at 60 ft. Bentonite added to boring
from 54 to 60 ft. to facilitate well construction.
ML
CL
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSABMW-04
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
5/30/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/30/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030478.85
491.44 ft
60.0 ft BGS
E. Black
1012345.36
488.76 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
No recovery, BOTTOM ASH on surface.
FLY ASH (GLEY1 2.5/N), black, dry, dense, mostly fine
sand, few clay.
SAND, sharp contact, grey, (10 YR 5/1), moist,
moderately dense, mostly fine to coarse, poorly graded
sand, little silt/clay.
No recovery.
BOTTOM ASH, same as above, except saturated at 8
ft.
BOTTOM ASH, same as above except last six inches
has small gravel sized pieces of rock mixed in.
FLY ASH, (GLEY 5/N), saturated, dense to moderately
dense, interlayered zones (1-4 in.) thick of poorly
sorted sand, mostly fine sand, little silt.
No recovery.
BOTTOM ASH, same as 10-11.8 ft., saturated from
20-22.1 ft.
FLY ASH, gray, loose, saturated/soupy, mostly fine
sand, little silt, "salt and pepper" color/appearance.
No recovery.
FLY ASH, same as 15 ft., very saturated/soupy,
alternating layers of fine sand and silt, "salt and
pepper" appearance.
FLY ASH, same as above.
SP
6" PVC surface casing
2" Sch. 40 threaded PVC
riserSAMPLEDESCRIPTIONBLOWCOUNTSABMW-04BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 3
6/4/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/27/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030473.02
491.61 ft
108.5 ft BGS
E. Black
1012348.07
488.62 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
FLY ASH, same as above.
No recovery.
FLY ASH, same as 35 ft.
FLY ASH, same as 35 ft.
SAPROLITE, no recovery, washed out from water
added to stabilize borehole.
PARTIALLY WEATHERED ROCK, broken
rock/fragments of GNEISS, quartzite, schistose rock
with abundant iron staining.
PARTIALLY WEATHERED ROCK/QUARTZITE
GNEISS and SCHIST, rock fragments with abundant
staining.
Hard, fresh, medium grained GRANITIC GNEISS, no
joints, a few fresh breaks at foliation planes.
(BEDROCK)
Hard, medium, gray-green with white-tan,
medium-coarse grained GRANITE to GRANITIC
GNEISS, moderate weathering evident by rounded
edges and some healed fractures, some small gravel
sized quartzite, and few medium pyrite crystals
throughout.
Very hard, fresh, coarse grained GRANITIC GNEISS,
no fractures or joints noted, no staining or
mineralization.
Hard, fresh, medium grained GRANITIC GNEISS, no
fractures or joints noted, some breaks along cleavage,
no staining noted.
GroutSAMPLEDESCRIPTIONBLOWCOUNTSABMW-04BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 3
6/4/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/27/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030473.02
491.61 ft
108.5 ft BGS
E. Black
1012348.07
488.62 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Hard, fresh, medium grained GRANITIC GNEISS, no
fractures or joints noted, some breaks along cleavage,
no staining noted. (continued)
Calcite - healed joint at 77 ft., quartzite veins (1/2 in.)
from 80-80.5 ft., light olive-green mineralization from
86.5-87 ft., moderately dipping joints from 79.2-79.4 ft.,
79.5-79.6 ft.,80.7-81.0 ft., and 82.5 ft.
Low to moderate dipping joints at 91.7, 93.5, and 97.8
ft., moderate to high angle joints at 94.8-95.1,
95.3-95.6, and 96.4-96.7 ft., and vertical joints at
95.9-96.3 ft., vertical joint healed from 89-90.5 ft.
Moderately fresh, hard, medium gray-green, GRANITIC
GNEISS with secondary mineralization of calcite in
healed joints at 100.5-101 ft., and sub horizontal, olive
green secondary mineralization throughout 99.5-101.3
ft., pyrite throughout.
Bentonite seal
Sand PackSAMPLEDESCRIPTIONBLOWCOUNTSABMW-04BR
85
90
95
100
105
110
115 GRAPHICLOGUSCSDEPTH(ft)PAGE 3 OF 3
6/4/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/27/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030473.02
491.61 ft
108.5 ft BGS
E. Black
1012348.07
488.62 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
No recovery, BOTTOM ASH on surface.
FLY ASH (GLEY1 2.5/N), black, dry, dense, mostly fine
sand, few clay.
SAND, sharp contact, grey, (10 YR 5/1), moist,
moderately dense, mostly fine to coarse, poorly graded
sand, little silt/clay.
No recovery.
BOTTOM ASH, same as above, except saturated at 8
ft.
BOTTOM ASH, same as above except last six inches
has small gravel sized pieces of rock mixed in.
FLY ASH, (GLEY 5/N), saturated, dense to moderately
dense, interlayered zones (1-4 in.) thick of poorly
sorted sand, mostly fine sand, little silt.
No recovery.
BOTTOM ASH, same as 10-11.8 ft., saturated from
20-22.1 ft.
FLY ASH, gray, loose, saturated/soupy, mostly fine
sand, little silt, "salt and pepper" color/appearance.
No recovery.
FLY ASH, same as 15 ft., very saturated/soupy,
alternating layers of fine sand and silt, "salt and
pepper" appearance.
FLY ASH, same as above.
SP
Grout
6" PVC surface casing
2" Sch. 40 threaded PVC
riserSAMPLEDESCRIPTIONBLOWCOUNTSABMW-04D
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
5/31/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/30/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030467.97
491.50 ft
64.5 ft BGS
E. Black
1012350.06
488.68 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
FLY ASH, same as above.
No recovery.
FLY ASH, same as 35 ft.
FLY ASH, same as 35 ft.
SAPROLITE, no recovery, washed out from water
added to stabilize borehole.
PARTIALLY WEATHERED ROCK/QUARTZITE
GNEISS and SCHIST, rock fragments with abundant
staining.
BEDROCK, sharp contact at 62.5 ft. Hard, fresh,
medium grained GRANITIC GNEISS. No joints
observed, a few fresh breaks along foliation planes.
Bentonite seal
2" pre-packed well screen
Sand PackSAMPLEDESCRIPTIONBLOWCOUNTSABMW-04D
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
5/31/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/30/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2030467.97
491.50 ft
64.5 ft BGS
E. Black
1012350.06
488.68 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SAND, moist, low-medium plasticity, cohesive, massive
with granular secondary soil structures, fine-coarse
sand in silty clay matrix, slight mottling, light yellowish
brown, (10 YR 4/5), some organic material present.
SAND/SILT moist, low plasticity, light yellowish brown
(10 YR 6/4), matrix with mottling, 30% light olive gray
(5Y 6/2), <10% strong brown (7.5 YR 5/6), dense
mottling.
SANDY SILT, loose, yellowish brown (10 YR 5/4),
dry-moist, non plastic, non cohesive with few
non-uniform fine to coarse sand. (SAPROLITE)
SILTY SAND, greenish-brown (2.5 YR 5/2), 70%,
medium-coarse grained, wet, non plastic, non
cohesive, medium-coarse gravel (saprolite) inclusions,
little non-uniform coarse gravel saprolite, some
pulverized saprolite.
SANDY CLAY, light brownish gray (2.5 YR 6/2),
medium-low plasticity, cohesive, massive with few
non-uniform coarse sand.
Highly weathered partially weathered rock, pulverized
by sonic rig vibration, significant iron staining.
Partially weathered rock, brownish black/dark brown,
phyllitic structure present.
Same as above, with more severe weathering, argillic
(clay-structure) from weathering.
Same as above mixed with silty clay (5Y 4/1), dark
gray, medium-low plasticity, cohesive, massive.
Hard, dark gray, fine grained PHYLLITE, some tight
smooth joints with iron staining, very thin, low angle
foliation.
Hard, slight-very slight weathering, GRANITIC
GNEISS,light gray, open, smooth, moderately dipping
high angle joints. Fractures 33.25 ft. high angle
fracture, 35.2-35.5 ft. moderately dipping fracture,
35.7-35.9 ft. moderately dipping fracture. Contact at 36
ft. with quartzite vein with iron staining in very thin
veins. 36-41 ft. moderately dipping to high angle joints
with iron staining present, light green mineralization
(<5%) in granite (chlorite?).
CL
ML
MLS
SM
CL
2" Sch. 40 threaded PVC
riser
GroutSAMPLEDESCRIPTIONBLOWCOUNTSMW-03BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
2/6/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:2/6/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2031278.02
438.37 ft
77.0 ft BGS
J. Wylie
1015654.41
435.58 ft
ft TOC
B. Wilker
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Hard, very slightly weathered, light gray GRANITIC
GNEISS, open, steeply dipping joints, mineralization on
joint surfaces observed.
Soft zone ~47-51 ft., hard, very slightly weathered, light
gray, GRANITE, open, steeply dipping.
Hard, very slightly weathered, GRANITIC GNEISS, with
schistose layers (infrequent), low angle foliation,
quantize vein 65-65.5', infrequent pyrite crystals.
Hard, very slight weathering, light to dark gray, medium
grained GRANITIC GNEISS, with phyllitic
foliation/layers, mostly tight, few open, close shallow
joints.
Boring terminated at 77 ft. Bentonite added from 75.1
to 77 ft. to facilitate well installation.
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-03BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
2/6/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:2/6/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2031278.02
438.37 ft
77.0 ft BGS
J. Wylie
1015654.41
435.58 ft
ft TOC
B. Wilker
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SILTY CLAY, dry, few sand.
Very weak (brittle), wet, very pale brown (10 YR 7/4),
yellowish red (5 YR 4/6). black (5 YR 2.5/1), platy,
schistose texture, intensely foliated, moderately-highly
decomposed, PARTIALLY WEATHERED ROCK.
Partially weathered rock.
Hard GNEISS, medium-medium severe weathering,
white/light colored minerals, dark black, heavily
weathered, preferential weathering along mica foliation,
heavily fractured, closely spaces, mostly smooth, iron
staining present, some tight, some open, steep-vertical
joints.
Gradational change from severe to slight weathering.
Hard, slight-moderate weathering, gray, medium to
coarse grained GRANITIC GNEISS with trace of green
mineralization, very close to close, mostly horizontal to
low angle, rough, open joints, highly fractured, joints
are iron stained, thinly foliated.
Same as above, except very slight weathering.
Same as above, except unfractured.
No recovery.
GRANITIC GNEISS except vertical steeply dipping
fractures from 39.5-42 ft., rough open, close joints,
moderately fractured with iron staining present in
fractures.
CL
ML
Grout
2" Sch. 40 threaded PVC
riserSAMPLEDESCRIPTIONBLOWCOUNTSMW-05BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
1/29/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:1/29/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2029179.66
511.40 ft
67.0 ft BGS
E. Black
1015146.3
508.74 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Same as above, except thin to very thin vertical and
sub vertical healed fractures present.
Sharp contact at 43.5 ft., medium hard, very slight
weathering, dark gray/black, fine grained, PHYLLITE,
unfractured except some along foliation planes,
foliation is very thin and moderately dipping.
44.5 ft. Quartzite and calcite filled vein with possible
pyrite inclusions. 45.3 ft. GRANITIC GNEISS intrusion.
Hard, very slight weathering, very light gray, fine
grained PHYLLITE, unfractured, intensely foliated with
very thin, horizontal to low angle foliation. Sharp
contact at 51.5 ft.
Hard, gray-green, fresh, very fine grained PHYLLITE,
mainly biotite possibly altering to chlorite?. Sub-vertical
fracture at 53 ft. with secondary mineralization (pale
pink mineral), vertical healed fracture possibly filled
with calcite.
Sharp contact, hard, light gray, slight weathering,
fine-medium grained, BIOTITE GNEISS with mylonitic
texture, rough, very close, joints occuring mainly along
foliation plane, thinly foliation with low angles to
horizontal orientation.
Same as above, except pale light green mineralization
observed.
Same as above, vertical and subvertical fractures with
iron staining along joint places observed at 57 ft. (5 in.
fracture), 59 ft. (6 in. fracture), vertical fractures
observed at 60 ft. (7 in. fracture), 61 ft. (11 in.
fracture), 62-63.5 ft. fracture), 64.5 ft. (4 in. fracture),
66 ft. (5.3 in. fracture). At 59.8 ft. low angle healed
fracture, 61.5 ft. feldspar inclusion (3/8 in. wide, 1.5 in.
long), 65 ft. phyllite inclusion, 62-66 ft. very small (1-2
mm) pyrite inclusions.
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-05BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
1/29/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:1/29/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2029179.66
511.40 ft
67.0 ft BGS
E. Black
1015146.3
508.74 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SILT, tan to orange brown, fine grained silt.
(SAPROLITE)
Same as above, moist, more clay. (SAPROLITE)
PARTIALLY WEATHERED ROCK, dry, medium
tan-gray silt.
Severely weathered, GRANITIC GNEISS ? with iron
staining along foliations.
Weathered, coarse grained GRANITE.
Same as above.
Grades from felsic and coarse grained to more mafic
and fine grained GRANITE. Grades to 32-35 ft. dark
gray, foliated PHYLLITIC MYLONITE, vugs and pits
common, pyrite present.
GRANITE, mafic, with feldspar near 35 ft. Grades to
35-39 ft., GRANITIC GNEISS with many vertical to
horizontal fractures most with iron staining.
ML
2" Sch. 40 threaded PVC
riserSAMPLEDESCRIPTIONBLOWCOUNTSMW-06BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 3
4/13/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/13/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2033040.31
463.99 ft
100.0 ft BGS
J. Wylie
1014756.09
461.70 ft
ft TOC
K. Webb
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Grades to 39-45 ft. mylonitic GRANITIC GNEISS (more
mafic, less joints).
Dense, fine grained dark gray matrix, same as above.
At 48 ft. mylonitic piece with quartz and calcite fracture
filling pyrite, heavy (manganese), black staining on
calcite.
Very dense, greenish gray, fine grained GRANITE with
pink and white quartz lenses and linear fractures, no
noticeable weathering.
Same as above, fine grained dark gray
GNEISS/GRANITE with pyrite along planes. Gray
crumbled mylonitic GNEISS.
Same as above, fine grained dark gray GNEISS, with
fine pyrite flakes. Black, PHYLLITE with calcite along
some foliation planes.
No recovery.
Medium-dark gray PHYLLITE with white quartz lenses.
mylonitic.
Same as above.
GroutSAMPLEDESCRIPTIONBLOWCOUNTSMW-06BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 3
4/13/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/13/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2033040.31
463.99 ft
100.0 ft BGS
J. Wylie
1014756.09
461.70 ft
ft TOC
K. Webb
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Same as above. PEGMATITE zone at 80 ft., pink
recrystalized quartzite with 1 in. band of
GREYWACKE, then into mylonitic PHYLLITE.
Medium dark gray to green PHYLLITE.
Same as above, PHYLLITE.
White quartzite and felsic GRANITIC GNEISS.
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-06BR
85
90
95
100
105
110
115 GRAPHICLOGUSCSDEPTH(ft)PAGE 3 OF 3
4/13/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/13/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2033040.31
463.99 ft
100.0 ft BGS
J. Wylie
1014756.09
461.70 ft
ft TOC
K. Webb
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SILT, brownish yellow (10 YR 6/6), dry, mostly silt,
some rock pieces (gravel size), grades to light gray, (10
YR 7/2), dry, mostly silt with rock pieces (up to 3 in.
long) at 3 ft. (SAPROLITE)
Hard, very severely weathered gneissic MYLONITE
abundant breaks along foliation planes from 5-7 ft.
(PARTIALLY WEATHERED ROCK)
PARTIALLY WEATHERED ROCK, hard (with soft
zones), very severely weathered fine grained
GRANITIC/GNEISS MYLONITE. Abundant
breaks/joints mostly horizontal foliation planes,
abundant iron staining.
Same as above, PARTIALLY WEATHERED ROCK,
some zones are slightly more felsic, but all is mylonitic
and very weathered.
Hard, fresh to slightly weathered, MYLONITIC
GNEISS. Bottom 2 ft. of run (35-37 ft.) has abundant
fractures in multiple orientations.
Same as 35-37 ft., hard, fresh, felsic.
ML
Grout
2" Sch. 40 threaded PVC
riserSAMPLEDESCRIPTIONBLOWCOUNTSMW-07BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
4/23/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/23/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2034175.46
453.50 ft
77.5 ft BGS
E. Black
1014311.86
451.21 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Hard, fresh, aphanitic, PHYLLITE when wet, dark
grayish green (5G 4/1), massive, some dissolution
evident at 38.2 ft., tight joints with iron staining from
38.5-39.2 ft., fresh joints 42-44 ft., mylonite inclusions
at 39.8 and 40.1-41.1 ft., sharp contact GNEISS with
QUARTZITE at 44.7 ft., MYLONITIC PHYLLITE below
44.9 ft., pyrite. (continued)
Moderately hard to hard, very slightly weathering to
fresh, medium to medium dark gray, mylonitic
PHYLLITE, little pyrite, grades to
Hard, fresh, medium dark gray, mafic GNEISS (few
feldspar).
Sharp, moderate dipping contact from mafic rich
granitoid-quartzite vein .25 in. with GRANITIC GNEISS
zone of ~1.5 in., sharp moderate dipping contact with
dark gray AMPHIBOLITE.
Hard, fresh, dusky green (5G 3/2), to grayish
blue-green (5B 5/2), medium to coarse grained,
GREENSCHIST, ? moderate dipping to high angle,
tight joints along foliation at 49.8-51.5, 51.5-51.7,
52.5-52.8, 54.4-54.8, 56.3-56.9 ft., and vertical tight
joint at 55.5-56.1 ft., few pyrite some healed joints with
calcite throughout.
Same as above, GREENSCHIST ? with a dark gray to
black zone of more aphanitic material, AMPHIBOLITE
? from 59.9-60.7 ft., high angle tight joints along planes
of foliation at 57.6-58, 57.7-58.2, 58.3-58.6 ft., foliation
goes from high angle to low angle from 62-64 ft..
Hard, fresh, GRANITIC GNEISS (65.7-67 ft.), hard,
moderately weathered to fresh, medium-dark gray,
aphanitic with quartzite inclusion, tight foliation,
AMPHIBOLITE, some iron staining, pyrite veins and
crystals.
Same as 65.7-67 ft.
Sharp contact at a high dipping angle with felsic
GRANITE to granitoid GNEISS (71.3'), quartzite vein
1.5" thick.
Very hard, slightly weathered to fresh, light gray-white,
felsitic granite to granitoid GNEISS, medium grained
with tight to open, rough, manganese stained joints,
vertical joint 70-70.4 ft., horizontal to high angle joint
70.6, 70.9, and 71.7-72 ft., grades to hard, fresh,
medium dark gray PHYLLITE with open smooth to
rough horizontal to high angle joints.
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-07BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
4/23/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/23/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2034175.46
453.50 ft
77.5 ft BGS
E. Black
1014311.86
451.21 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SILT, brownish yellow (10 YR 6/6), dry, mostly silt,
some rock pieces (gravel size), grades to light gray, (10
YR 7/2), dry, mostly silt with rock pieces (up to 3 in.
long) at 3 ft. (SAPROLITE)
Hard, very severely weathered gneissic MYLONITE,
abundant breaks along foliation planes from 5-7 ft.
(PARTIALLY WEATHERED ROCK)
PARTIALLY WEATHERED ROCK, hard (with soft
zones), very severely weathered fine grained
GRANITIC/GNEISS MYLONITE. Abundant
breaks/joints mostly horizontal foliation planes,
abundant iron staining.
Same as above, PARTIALLY WEATHERED ROCK,
some zones are slightly more felsic, but all is mylonitic
and very weathered.
ML
2" Sch. 40 threaded PVC
riser
Grout
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-07D
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 1
4/25/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/25/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2034169.17
453.94 ft
32.5 ft BGS
J. Wylie
1014307.45
451.17 ft
ft TOC
E. Black
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SILT, brown (10 YR 5/3), dry, mostly silt, few fine sand,
fill?.
SILT, yellowish brown (10 YR 5/4), dry, mostly silt, few
low plastic clay, few fine to coarse grained sand, road
gravel infrequently noted, fill. 12.5-13 ft. strong brown
(7.5 YR 5/8) dry, silt, few coarse grained sand,
micaceous.
SILT, yellowish brown (10 yr 5/4), dry.
SILT, yellowish red (5 YR 5/6), dry, some clay, mostly
as mica, some relict structure, grades to
SILT, mottled (tan/brown/yellowish brown), dry, some
rock fragments, feldspars weathering to clay (some
clay).
SILT, brown (10 YR 4/3), dry, abundant mica, obviously
relict texture. (SAPROLITE)
SILT, light yellowish brown (2.5 YR 6/3), moist, little
clay. (SAPROLITE)
PARTIALLY WEATHERED ROCK, highly fractured and
weathered with abundant iron staining, GRANITIC
GNEISS.
Hard, moderately weathered, light gray, fine to medium
grained GRANITIC GNEISS, smooth, mostly open
joints with iron and manganese staining, shallow to
high angle joints.
ML
ML
ML
ML
ML
ML
ML
6" PVC surface casing
Grout
2" Sch. 40 threaded PVC
riserSAMPLEDESCRIPTIONBLOWCOUNTSMW-08BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 3
2/14/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:2/11/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2034593.99
466.99 ft
86.5 ft BGS
E. Black
1014440.25
467.27 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Hard, moderately weathered, light gray, fine to medium
grained GRANITIC GNEISS, smooth, mostly open
joints with iron and manganese staining, shallow to
high angle joints. (continued)
No recovery.
Tan, brown, soft, highly weathered, fine grained MICA
SCHIST, strongly foliated, some close joints present
with manganese black staining.
Hard, moderately weathered, light gray, fine to medium
grained mylonitic GRANITIC GNEISS, open joints with
iron staining.
No recovery.
Hard, moderately weathered, light gray, fine to medium
grained GRANITIC GNEISS, open joints, shallow to
steeply dipping.
Coarse gravel/rock fragments (gneiss/quartzite) with
coarse sand intermixed. Grades to
Wet, poorly graded gravel with sand, appears to be
zone of fractured and stressed quartzite and parent
rock in a coarse sand matrix. Some quartzite is
stressed with mylonitic texture indicating structural
stress/strain.
Very hard, moderately weathered, white, black, pink
GRANITIC GNEISS with quartz vein, some broken
fragments, difficult to distinguish joints.
No recovery.
RX
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-08BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 3
2/14/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:2/11/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2034593.99
466.99 ft
86.5 ft BGS
E. Black
1014440.25
467.27 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Light gray, very hard, fresh with some small pyrite
crystals, some small pits, several high angle joints
along bedding planes. Mylonitic
META/ARGILLITE/METAVOLCANIC rock?, fine
grained, a few inclusions of mafic rock, PHYLLITE on
some foliation breaks. (continued)
Very hard, fresh, light gray, fine grained to aphanitic
MYLONITE.
Boring terminated at 86.5 ft. Bentonite added to boring
from 67.7 to 86.5 ft. to facilitate well construction.SAMPLEDESCRIPTION
BLOWCOUNTSMW-08BR
85
90
95
100
105
110
115 GRAPHICLOGUSCSDEPTH(ft)PAGE 3 OF 3
2/14/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:2/11/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2034593.99
466.99 ft
86.5 ft BGS
E. Black
1014440.25
467.27 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SILT, brown (10 YR 5/3), dry, mostly silt, few fine sand,
fill?.
SILT, yellowish brown (10 YR 5/4), dry, mostly silt, few
low plastic clay, few fine to coarse grained sand, road
gravel infrequently noted, fill. 12.5-13 ft. strong brown
(7.5 YR 5/8) dry, silt, few coarse grained sand,
micaceous.
SILT, yellowish brown (10 yr 5/4), dry.
SILT, yellowish red (5 YR 5/6), dry, some clay, mostly
as mica, some relict structure, grades to
SILT, mottled (tan/brown/yellowish brown), dry, some
rock fragments, feldspars weathering to clay (some
clay).
SILT, brown (10 YR 4/3), dry, abundant mica, obviously
relict texture. (SAPROLITE)
SILT, light yellowish brown (2.5 YR 6/3), moist, little
clay. (SAPROLITE)
PARTIALLY WEATHERED ROCK, highly fractured and
weathered with abundant iron staining, GRANITIC
GNEISS.
ML
ML
ML
ML
ML
ML
ML
2" Sch. 40 threaded PVC
riser
Grout
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-08D
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 1
2/14/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:2/14/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2034599.43
466.89 ft
41.0 ft BGS
E. Black
1014443.85
467.04 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SILT, brown (10 YR 5/3), dry, mostly silt, few fine sand,
fill?.
SILT, yellowish brown (10 YR 5/4), dry, mostly silt, few
low plastic clay, few fine to coarse grained sand, road
gravel infrequently noted, fill. 12.5-13 ft. strong brown
(7.5 YR 5/8) dry, silt, few coarse grained sand,
micaceous.
SILT, yellowish brown (10 yr 5/4), dry.
SILT, yellowish red (5 YR 5/6), dry, some clay, mostly
as mica, some relict structure, grades to
SILT, mottled (tan/brown/yellowish brown), dry, some
rock fragments, feldspars weathering to clay (some
clay).
SILT, brown (10 YR 4/3), dry, abundant mica, obviously
relict texture. (SAPROLITE)
ML
ML
ML
ML
ML
ML
Grout
2" Sch. 40 threaded PVC
riser
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-08S
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 1
2/16/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:2/16/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2034603.67
466.87 ft
30.1 ft BGS
E. Black
1014446.92
466.94 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
TOPSOIL
GNEISS, weak, oxidized iron and manganese staining,
schistose to gneissic, thinly foliated, moderate to highly
decomposed, highly fractured throughout. 1-5' is
pulverized because of lack of water used in sonic
drilling, fractures that are apparent tend to be extremely
narrow to very narrow, rough to smooth joints with
some iron and manganese surface staining on
unhealed joints, dry.
Partially weathered rock, crumbles in hand, same as
1-4'.
Partially weathered rock to saprolite.
Saprolite, clayey.
Competent rock, schistose GNEISS, iron and
manganese staining, thinly foliated.
Micaceous saprolite.
Weathered rock, gneissic/schistose, same as 11-14'.
Slightly foliated, GNEISSIC/GRANITE.
GNEISSIC/GRANITE, somewhat porous and vuggy,
highly stained.
GNEISSIC/GRANITE, more quartz than 17-19', highly
stained.
Same as above, few vugs.
Brown, micaceous, broken pieces, soft. (MICA
SCHIST)
Brown, micaceous, thin black layers. (MICA SCHIST)
Partially weathered rock, similar to 16-20'.
Same as 35-36'.
WR
WR
WR
Grout
2" Sch. 40 threaded PVC
riserSAMPLEDESCRIPTIONBLOWCOUNTSMW-09BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
4/11/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/9/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2033864.48
495.39 ft
66.0 ft BGS
J. Wylie
1013360.32
492.85 ft
ft TOC
R. Graziano
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Same as 35-36'. (continued)
Partially weathered rock, some clay/silt, foliated.
Green, micaceous partially weathered rock, like 42-44',
fewer with medium to large gravel sized rock
fragments.
Competent rock, GRANITIC GNEISS, iron staining and
fractures.
Competent rock, granitic gneiss.
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-09BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
4/11/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/9/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2033864.48
495.39 ft
66.0 ft BGS
J. Wylie
1013360.32
492.85 ft
ft TOC
R. Graziano
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SILT, yellowish brown (10 YR 5/6), dry, few fine-coarse
grained sand.
CLAY, mottled, light gray (2.5 YR 7/1), brownish yellow
(10 YR 6/6) 30%, dry, mostly clay, some silt, cohesive
massive structure.
PARTIALLY WEATHERED ROCK, soft, moderately
severe weathering, iron and manganese staining,
medium-coarse grained, pulverized joints and fractures,
grades to
Moderately-severe to severely weathered,
medium-coarse grained with abundant mica, pulverized
fractures and joints are unable to classify, iron and
manganese staining, grades to
9.5-11.5 ft. GRANITIC GNEISS parent rock,
medium-moderate hard, moderately severe weathering,
medium-coarse grained, pulverized, pieces with visible
joints were smooth with significant staining (iron and
manganese), high angle banding. 11.5-13.5' brown (10
YR 4/3), dry, mostly silt, abundant mica, obvious relict
structure. (SAPROLITE)
Hard, slightly weathered, light gray, fine-medium
grained, open joints that are smooth, rough, low-high
angle, GRANITIC GNEISS, there was a loss from
28.5-31 ft., high angle to vertical fractures at 25.5, 27,
33-33.5, and 34-34.5 ft.
Same as above, more weathered, iron and manganese
staining in open and rough joints. Vertical fractures at
41-41.5, 41.5-42.5, and 42.75-43 ft., horizontal
fractures along bedding plane at 44 ft. and coarse
gravel with abundant iron and manganese staining from
44-45.5 ft.
ML
CL
CH
Grout
2" Sch. 40 threaded PVC
riserSAMPLEDESCRIPTIONBLOWCOUNTSMW-10BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
2/24/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:2/24/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2032770.9
513.39 ft
65.5 ft BGS
E. Black
1011436.41
513.47 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Same as above, more weathered, iron and manganese
staining in open and rough joints. Vertical fractures at
41-41.5, 41.5-42.5, and 42.75-43 ft., horizontal
fractures along bedding plane at 44 ft. and coarse
gravel with abundant iron and manganese staining from
44-45.5 ft. (continued)
Hard, moderately severe weathering, medium-coarse
grained GRANITIC GNEISS, tight-open, smooth to
rough joints, iron and manganese staining, coarse
gravel sized pieces grading into competent rock,
severe vertical joints throughout.
Same as above.
Hard-very hard, slightly weathered, fine-medium
grained, GRANITIC GNEISS, smooth-rough, open
joints with iron and manganese staining, some
secondary and mineralization in joints at 65', few pyrite
in 61.5-65.5', chlorite and epidote found from
64.5-65.5', high angle vertical fractures from 63-63.6,
some high angle fractures from 64-64.5.
Bentonite seal
2" pre-packed well screen
Sand PackSAMPLEDESCRIPTIONBLOWCOUNTSMW-10BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
2/24/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:2/24/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2032770.9
513.39 ft
65.5 ft BGS
E. Black
1011436.41
513.47 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
CLAY, very stiff, medium brown.
CLAY, stiff, medium brown clay to 4', loose medium
brown silt and clay, very damp to 5'.
SILT, stiff to loose, medium brown silt and clay with
rock fragments at 10 ft.
CLAY with sand, layered fine gray clay and medium
brown to gray sand, transitioning from saprolite to
weathered rock, very tight and dry.
CLAY/SILT, dark brown silty clay grading to dark brown
clayey silt.
Same as above.
PARTIALLY WEATHERED ROCK, large weathered
rock fragments at 25 ft., medium brown-blue gray silt
and clay and rock fragments below, dry.
Same as above, more dry rock fragments.
Dense, stiff, medium gray CLAY from 35-36 ft.
Some medium brown SILT WITH CLAY and rock
fragments from 36-37.5 ft.
Medium gray SILT and rock fragments from 37.5-40 ft.
CL
CL
ML
CL
CL
ML
CL
ML
CL
2" Sch. 40 threaded PVC
riser
GroutSAMPLEDESCRIPTIONBLOWCOUNTSMW-11BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 3
4/16/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/14/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2027497.4
527.36 ft
95.0 ft BGS
J. Wylie
1010083.75
524.34 ft
ft TOC
K. Webb
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Same as above, layer of dense stiff medium gray clay
from 40-44', competent rock, dark green PHYLLITE
from 44-45 ft.
Dark greenish gray, fine grained GRANITIC GNEISS to
49 ft., vertical fracture at 50 ft.
Fresh, very hard, dark green gray, fine-medium grained
GABBRO?/ ANDESITE? with round hornblende?
pieces with pyrite at 55 ft. ~ 1/2 in. diameter with
quartz lens, very hard.
Same as above, lenses of quartzite.
Same as above, with quartzite lenses, pyrite, calcite
intrusion and possible epidote 69-71 ft.
Dark gray green, extremely hard, fresh, porphyritic
hornblende ANDESITE or GABBRO with little PYRITE
and OLIVINE in healed joints.SAMPLEDESCRIPTION
BLOWCOUNTSMW-11BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 3
4/16/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/14/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2027497.4
527.36 ft
95.0 ft BGS
J. Wylie
1010083.75
524.34 ft
ft TOC
K. Webb
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Same as above.
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-11BR
85
90
95
100
105
110
115 GRAPHICLOGUSCSDEPTH(ft)PAGE 3 OF 3
4/16/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/14/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2027497.4
527.36 ft
95.0 ft BGS
J. Wylie
1010083.75
524.34 ft
ft TOC
K. Webb
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SILT, dense, red (2.5 YR 4/6) with yellowish brown (10
YR 5/6) mottling, silt, trace clay, dry to massive from
0-2 ft, dense red (2.5 YR 4/6) silt, trace clay.
SILT, same as 2-6 ft. from 6-7.5, 7.5-9 ft. same as 0-2
ft., 9-12.5 ft. dense, mottled 30%, reddish yellow (7.5
YR 5/6) 30%, strong brown (7.5 YR 5/8) 20%, white
GLEY1 8/N) 15%, red (2.5 YR 4/8) silt, trace fine sand,
saprolite, mottled, ozidized, 12.5-16 ft. same as 9-12.5
ft. with more red (2.5 YR 4/8) and more defined parent
structure. (SAPROLITE)
16-20.5 ft. same as 12.5-16 ft., 20.5-25 ft. medium
dense to dense, mottled red (2.5 YR 4/6), strong brown
(7.5 YR 5/6), black (10 YR 2/1), white (GLEY1 8/N),
moist, silt, dry thinly bedded to bedded fabric,
micaceous 25-26 ft. medium dense, 90%, red (2.5 YR
4/6), 10% white (GLEY 1 8/N), thinly bedded to
bedded, silt. (SAPROLITE)
26-28.5 ft. same as 20.5-25 ft., with bedded vertical
structure and moist, 28.5-36 ft. medium, dense 40%,
yellowish brown (10 YR 45/6), 20% light gray (2.5 YR
7/1) 10% black (2.5 YR 2.5/1), 30% olive yellow (2.5
YR 6/6) thinly bedded to bedded, silt with trace of fine
sand and clay. (SAPROLITE)
ML
ML
ML
ML
2" Sch. 40 threaded PVC
riser
GroutSAMPLEDESCRIPTIONBLOWCOUNTSMW-12D
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 3
4/28/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/27/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2029191.43
588.02 ft
97.5 ft BGS
J. Wylie
1008654.13
588.17 ft
ft TOC
E. Black
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
36-41.5 ft. medium dense to dense, 10% yellow (10 YR
7/8), 15% light olive brown (2.5 YR 5/4), 70% light gray
(5 YR 7/1), 15% yellowish red (5 YR 5/6), moist, low
plasticity, thinly bedded, silt, little clay, 41.5-46 ft.
dense, stiff, 40% light olive brown, 15% yellow (2.5 YR
8/6) and (10 YR 7/8), 35% white (10 YR 8/1), 10%
black (10 YR 3/1), silt, moist to dry, thinly bedded.
(SAPROLITE) (continued)
Same as 36-41.5 ft. with small gravel sized pieces of
quartz and black (10 YR 2/1), <5%.
Same as 36-41.5 ft. with medium gray quartzite, small
to medium gravel throughout from 56-60', from 60-66 ft.
medium dense to loose, soft light gray (10 YR 7/2), silt
with little fine sand, dry, likely some bedded structure
but pulverized due to drilling.
Top 7 ft. drilled with water, no recovery, bottom 8 ft.
drilled dry, medium dense-dense, medium stiff, very
dark grayish brown (10 YR 3/2), with dark yellowish
brown (10 YR 4/4), silty with little trace clay, platy,
moist, thinly bedded to laminated, with mica prevalent
throughout, MICA SCHIST, highly weathered, light to
medium gray.
ML
ML
ML SAMPLEDESCRIPTION
BLOWCOUNTSMW-12D
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 3
4/28/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/27/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2029191.43
588.02 ft
97.5 ft BGS
J. Wylie
1008654.13
588.17 ft
ft TOC
E. Black
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
76-79 ft. same as 66-78 ft. but dense and dry. 79-83 ft.
soft to medium hardness, moderate to severe
weathering, partially weathered rock, BIOTITE
GNEISS, fine to medium grained iron and manganese
staining, joint/fracture locations cannot be determined
because most material is pulverized with powder, small
to large gravel sized, partially weathered rock, dry,
83-84 ft. grades to back to dark MICA SCHIST, 84-86
ft. same as 76-79 ft. (continued)
86-92.5 ft, same as 76-79, 92.5-96 ft. hard, dry,
moderate to severely weathered, BIOTITE GNEISS,
fine to medium grained, medium gray with iron and
manganese staining, joint/fracture locations
indetermined with medium to large gravel pieces
throughout, 96-97.5' ft. same as 92-96 ft.
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-12D
85
90
95
100
105
110
115 GRAPHICLOGUSCSDEPTH(ft)PAGE 3 OF 3
4/28/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/27/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2029191.43
588.02 ft
97.5 ft BGS
J. Wylie
1008654.13
588.17 ft
ft TOC
E. Black
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SILT, dense, red (2.5 YR 4/6) with yellowish brown (10
YR 5/6) mottling, silt, trace clay, dry to massive from
0-2 ft, dense red (2.5 YR 4/6) silt, trace clay.
SILT, same as 2-6 ft. from 6-7.5, 7.5-9 ft. same as 0-2
ft., 9-12.5 ft. dense, mottled 30%, reddish yellow (7.5
YR 5/6) 30%, strong brown (7.5 YR 5/8) 20%, white
GLEY1 8/N) 15%, red (2.5 YR 4/8) silt, trace fine sand,
saprolite, mottled, ozidized, 12.5-16 ft. same as 9-12.5
ft. with more red (2.5 YR 4/8) and more defined parent
structure. (SAPROLITE)
16-20.5 ft. same as 12.5-16 ft., 20.5-25 ft. medium
dense to dense, mottled red (2.5 YR 4/6), strong brown
(7.5 YR 5/6), black (10 YR 2/1), white (GLEY1 8/N),
moist, silt, dry thinly bedded to bedded fabric,
micaceous 25-26 ft. medium dense, 90%, red (2.5 YR
4/6), 10% white (GLEY 1 8/N), thinly bedded to
bedded, silt. (SAPROLITE)
26-28.5 ft. same as 20.5-25 ft., with bedded vertical
structure and moist, 28.5-36 ft. medium, dense 40%,
yellowish brown (10 YR 45/6), 20% light gray (2.5 YR
7/1) 10% black (2.5 YR 2.5/1), 30% olive yellow (2.5
YR 6/6) thinly bedded to bedded, silt with trace of fine
sand and clay. (SAPROLITE)
ML
ML
ML
ML
Grout
2" Sch. 40 threaded PVC
riser
Bentonite sealSAMPLEDESCRIPTIONBLOWCOUNTSMW-12S
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
4/28/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/28/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2029202.47
587.38 ft
56.0 ft BGS
J. Wylie
1008653.91
587.48 ft
ft TOC
J. Mahan
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
36-41.5 ft. medium dense to dense, 10% yellow (10 YR
7/8), 15% light olive brown (2.5 YR 5/4), 70% light gray
(5 YR 7/1), 15% yellowish red (5 YR 5/6), moist, low
plasticity, thinly bedded, silt, little clay, 41.5-46 ft.
dense, stiff, 40% light olive brown, 15% yellow (2.5 YR
8/6) and (10 YR 7/8), 35% white (10 YR 8/1), 10%
black (10 YR 3/1), silt, moist to dry, thinly bedded.
(SAPROLITE) (continued)
Same as 36-41.5 ft. with small gravel sized pieces of
quartz and black (10 YR 2/1), <5%.
Boring terminated at 56 ft. Bentonite added from 51 to
56 ft. to facilitate well construction.
ML
ML
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-12S
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
4/28/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/28/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2029202.47
587.38 ft
56.0 ft BGS
J. Wylie
1008653.91
587.48 ft
ft TOC
J. Mahan
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
CLAY, moist, yellowish red (5 YR 5/6), mostly low
plastic clay.
SILT, dry, pale brown (2.5 YR 4/3), mostly micaceous
silt, little fine sand.
Same as 2.5-4' ft., some small crumbling rock, schist
fragments.
SILT, dry, very pale brown (10 YR 7/4), mostly silt,
some sand.
Same as 2-17 ft.
Same as 2-17 ft. and 17-27 ft.
SAND, grades to moist, light brown (7.5 YR 6/4),
mostly fine to medium sand, some little silt.
CL
ML
ML
ML
SP
ML
SP
ML
SP
SP
2" Sch. 40 threaded PVC
riserSAMPLEDESCRIPTIONBLOWCOUNTSMW-13BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 3
4/15/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/15/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2027633
528.83 ft
107.0 ft BGS
E. Black
1013587.37
526.67 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SILT, grades to dry, brown (7.5 YR 5/3), mostly
micaceous silt, schistose texture, saprolitic.
47-49 ft. same as 40-47 ft. except becoming less
schistose/saprolitic., 49-52 ft. grades to partially
weathered rock-silt with abundant rock fragments,
52-54 ft. mostly rock fragments, 54-57 ft. very severely
weathered granitic gneiss, iron staining noted on joint
surfaces and foliation planes.
Same as 54-57 ft., severely weathered, very broken up,
GRANITIC GNEISS, abundant iron staining and
discoloration.
67-68 ft. GRANITIC GNEISS, 68 ft. 68-74 ft.
weathered, light gray, aphanitic recrystalized, massive
QUARTZITE ?, abundant fractures and abundant
secondary mineralization, joint surfaces with iron
staining abundant, large fracture filled with pyrite
crystals, shows evidence of significant strain/stress.
ML
GroutSAMPLEDESCRIPTIONBLOWCOUNTSMW-13BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 3
4/15/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/15/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2027633
528.83 ft
107.0 ft BGS
E. Black
1013587.37
526.67 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Hard weathered rock, MYLONITE, unable to determine
parent rock, rock color varies from black to light gray,
many joints, most iron stained surfaces throughout run,
rock is recrystalized (similar to 68-74 ft.) from approx
82-84 ft., 85-87 ft. hard, moderately weathered, fine
grained GRANITIC GNEISS, joint surfaces with iron
staining. (continued)
Medium bluish gray (5B 5/1) GRANITIC GNEISS with
pyrite inclusions, 90.5-93.2 ft.
Strong, gneissic, slightly weathered, GRANITIC
GNEISS, moderately fractured joints, high angle to
vertical, some healed fractures and epidote or pale
green orthoclase secondary mineralization, manganese
staining at open fractures at 100, 102-102.25,
103.5-104.5, and 105.6-105.8 ft.
Boring terminated at 107 ft. Bentonite added from 100
to 107 ft to facilitate well construction.
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-13BR
85
90
95
100
105
110
115 GRAPHICLOGUSCSDEPTH(ft)PAGE 3 OF 3
4/15/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/15/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2027633
528.83 ft
107.0 ft BGS
E. Black
1013587.37
526.67 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Soft-medium hard, severely weathered, brown-black to
dark gray, medium to fine grained partially weathered
rock, intensely foliated, platy structure.
Hard-moderately severe weathering, dark gray,
fine-medium grained GRANITIC GNEISS, rough, open
iron stained, shallow to moderately dipping close to
medium close joints. Preferential weathering along
foliation planes, very thin, low angle foliation.
Same as above, joints are steeply-steeply dipping,
close to very close, slightly less weathering with more
feldspar present, very thin, steeply dipping foliation in
places.
Lost ~28-32 ft., driller observed a soft unconsolidated
layer. 26.5-28 ft. hard, slight weathering, gray, fine to
medium grained GRANITIC GNEISS, contact at 27 ft.
with PHYLLITE (`1.5 in. intrusion), very thin foliation,
contact at 27.5 ft. with massive PEGMATITE vein.
Very hard -hard, fresh, very slight weathering, light
gray, fine-medium grained GRANITIC GNEISS, very
close, tight, steeply dipping healed fractures
(quartzite?), clasts of very fine grained biotite occurring
throughout, close-open, steeply dipping joints, K-spar
Grout
2" Sch. 40 threaded PVC
riser
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-14BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
2/4/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:2/4/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2028964.7
520.75 ft
46.5 ft BGS
J. Wylie
1015432.97
517.76 ft
ft TOC
B. Wilker
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
present on joint surfaces.
Very hard -hard, fresh, very slight weathering, light
gray, fine-medium grained GRANITIC GNEISS, very
close, tight, steeply dipping healed fractures
(quartzite?), clasts of very fine grained biotite occurring
throughout, close-open, steeply dipping joints, K-spar
present on joint surfaces. (continued)
Boring terminated at 46.5 ft. Bentonite added from
35.5 to 46.5 ft. to facilitate well construction.SAMPLEDESCRIPTION
BLOWCOUNTSMW-14BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
2/4/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:2/4/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2028964.7
520.75 ft
46.5 ft BGS
J. Wylie
1015432.97
517.76 ft
ft TOC
B. Wilker
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SILT, yellowish brown (10 YR 5/6), moist, mostly silt,
few clay, few quartz fragments.
Same as above, less clay, very dense.
SILT, pink (7.5 YR 7/3), dry, dense, silt, few clay, rock,
highly weathered fragments, at 8.5 ft., PARTIALLY
WEATHERED ROCK.
Brown, highly weathered rock fragments in silt/clay
matrix, rocks are schistose with granitoid and quartzite
interspersed, very dry, PARTIALLY WEATHERED
ROCK.
Dark brown, moist, schistose, highly weathered,
partially weathered rock from 13.5-15.5 ft., grades to
light colored granitoid/phyllitic fragments, partially
weathered from from 15.5-18 ft., at 18 ft. competent
rock fragments.
Light gray with tan, hard, severely weathered mylonitic
GRANITIC GNEISS, partially weathered rock/bedrock.
Contact at 23.5 ft., black, very weathered PHYLLITE,
iron stained joints/fractures, partially weathered
rock/bedrock.
Hard, moderately weathered mylonitic GRANITIC
GNEISS, close, high angle fractures, horizontal fracture
in top 18 in. of run.
Banded, hard, fresh, medium to fine grained GRANITIC
GNEISS, excellent ??, one close, high angle fracture,
tight with iron staining at ~36.5 ft.
Same as above, GRANITIC GNEISS, high angle
fracture at 42 ft. (4' long, healed), vertical fracture
ML
ML
ML
Grout
2" Sch. 40 threaded PVC
riserSAMPLEDESCRIPTIONBLOWCOUNTSMW-15BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
5/12/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/9/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2031813.2
460.92 ft
78.5 ft BGS
E. Black
1016021.83
460.94 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
42.5-43.2 ft., mostly healed, close/tight.
Same as above, GRANITIC GNEISS, high angle
fracture at 42 ft. (4' long, healed), vertical fracture
42.5-43.2 ft., mostly healed, close/tight. (continued)
Same as above, GRANITIC GNEISS, zone of
moderately dipping to subvertical fracture from
~43.5-45 ft., iron and manganese staining.
Same as above, GRANITIC GNEISS, close, tight, high
angle to almost vertical fractures at 49.3-49.6,
49.7-50.2, 50.6-51.1, 52.2-52.9, and 53-53.5 ft..
Fractures have secondary mineralization (purple in
color), but not iron or manganese staining, fracture
surfaces are very fresh indicating absence of saturated
conditions.
Same as above, GRANITIC GNEISS, except rock is
slightly weathered, close, tight to open vertical to
subvertical fractures from 53.5-54.2, 54.5-55.3,
55.3-56, and 56.6-56.8 ft. Fracture planes are both
manganese and iron stained between 53.5-56 ft.
Same as above, GRANITIC GNEISS, except multiple
horizontal to vertical fractures most with iron staining,
rock is slightly more weathered than seen in last few
runs.
Hard, light grey, GRANITIC GNEISS with few
feldspars, hornblende as the dominate mafic mineral,
and a vertical fracture at 67.5 ft. with iron staining.
Same as 63.5-38.5 ft. with high angle fracture from
71.2-71.7 ft. with iron staining, horizontal, rough with
manganese staining at 70.1 ft.
Same as above, with high angle rough joint from 74-75
ft.
Boring terminated at 78.5 ft. Bentonite added from 64
to 78.5 ft. to facilitate well installation.
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-15BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
5/12/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/9/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2031813.2
460.92 ft
78.5 ft BGS
E. Black
1016021.83
460.94 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
CLAY, dark brown, wet, mostly clay with fine sand,
manganese staining/mottled at 2.5 ft. (ALLUVIUM)
SAND, brown, wet, fine sand, medium to coarse sand,
fine to coarse gravel. (ALLUVIUM)
Same as above.
SILT, brown, dry, mostly silt with fine to coarse grained
sand.
SILT, light gray/gray, moist, mostly silt, some clay,
micaceous, with coarse grained sand, rock fragments
from 10-12 ft., then some relict structure seen from
12-13.5 ft. (SAPROLITE)
Same as 12-13.5'.
Same as 12-15'.
Same as above except more rock fragments present,
highly weathered, moist from ~19-22 ft. (SAPROLITE)
Same as 20-25 ft., possible small zone of water
between 27-28 ft.
Same as above, saprolite directly above partially
weathered rock.
35-36.5 ft. no recovery, 36.5-38 ft. dark brown,
saturated, rock fragments with silt/clay, partially
weathered rock, 38-40 ft. hard, weathered mylonitic
gneiss and pink, recrystalized, quartzite, heavily jointed
and discolored, (black, purple, and red), partially
weathered rock.
CL
SP
SC
SC
ML
SP
Grout
6" PVC surface casing
2" Sch. 40 threaded PVC
riserSAMPLEDESCRIPTIONBLOWCOUNTSMW-16BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
5/6/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/27/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2032645.73
371.30 ft
65.0 ft BGS
E. Black
1015664.5
367.83 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
Hard, very weathered to fresh, fine grained GRANITIC
GNEISS, many open stained iron and manganese
joints, some more competent zones from 41-42' and
43-44 ft.
Hard, slightly weathered fine to medium grained
GRANITIC GNEISS, fewer joints, iron and manganese
staining, some healed fractures.
Same as above from 50-54.5 ft., hard, fresh, black, fine
grained PHYLLITE, right below phyllite is broken up
phyllite pieces in a dark gray silty matrix.
Same as above from 55-56 ft. Hard, fresh, mylonitic
GRANITIC GNEISS with pink, recrystalized
zones/quartzite vein from 56-58.5 ft., hard, fresh, dark
gray/black, mylonitic PHYLLITE or AMPHIBOLITE,
minimal joints, iron staining and pyrite present.
Mylonitic GRANITIC GNEISS with quartzite veins from
60-62 ft., black, hard, mylonitic PHYLLITE or
AMPHIBOLITE, minimal joining from 62-65 ft.
Boring terminated at 65 ft. Bentonite added from 59.5
to 65 ft. to facilitate well construction.
Bentonite seal
2" pre-packed well screen
Sand PackSAMPLEDESCRIPTIONBLOWCOUNTSMW-16BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
5/6/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:4/27/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2032645.73
371.30 ft
65.0 ft BGS
E. Black
1015664.5
367.83 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
CLAY, dark brown, wet, mostly clay with fine sand,
manganese staining/mottled at 2.5 ft. (ALLUVIUM)
SAND, brown, wet, fine sand, medium to coarse sand,
fine to coarse gravel. (ALLUVIUM)
Same as above.
SILT, brown, dry, mostly silt with fine to coarse grained
sand.
SILT, light gray/gray, moist, mostly silt, some clay,
micaceous, with coarse grained sand, rock fragments
from 10-12 ft., then some relict structure seen from
12-13.5 ft. (SAPROLITE)
Same as 12-13.5'.
Same as 12-15'.
Same as above except more rock fragments present,
highly weathered, moist from ~19-22 ft. (SAPROLITE)
Same as 20-25 ft., possible small zone of water
between 27-28 ft.
Same as above, saprolite directly above partially
weathered rock.
35-36.5 ft. no recovery, 36.5-38 ft. dark brown,
saturated, rock fragments with silt/clay, partially
weathered rock, 38-40 ft. hard, weathered mylonitic
gneiss and pink, recrystalized, quartzite, heavily jointed
and discolored, (black, purple, and red), partially
weathered rock.
CL
SP
SC
SC
ML
SP
2" Sch. 40 threaded PVC
riser
Grout
Bentonite seal
Sand Pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-16D
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 1
5/6/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/6/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2032643.26
371.21 ft
39.0 ft BGS
E. Black
1015659.09
367.74 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
CLAY, dark brown, wet, mostly clay with fine sand,
manganese staining/mottled at 2.5 ft. (ALLUVIUM)
SAND, brown, wet, fine sand, medium to coarse sand,
fine to coarse gravel. (ALLUVIUM)
Same as above.
CL
SP
SC
SC
Grout
Bentonite seal
2" Sch. 40 threaded PVC
riser
2" pre-packed well screen
Sand PackSAMPLEDESCRIPTIONBLOWCOUNTSMW-16S
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 1
5/6/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/6/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2032640.89
371.11 ft
8.5 ft BGS
E. Black
1015654.53
367.94 ft
ft TOC
J. Wylie
Cascade Drilling
Rotary Sonic
6 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
TOPSOIL.
SILT, brown, (7.5 YR 4/5), dry, mostly silt, few clay.
SILT, yellow brown, (10 YR 5/4), dry, few fine sand.
SILT, reddish yellow, (5 YR 6/6), dry, few find sand.
(SAPROLITE)
SILT, reddish yellow, (7.5 YR 6/6), dry, mostly silt with
clay. (SAPROLITE-SCHIST)
SILT, very dark brown, (10 YR 8/4), dry few clay.
(SAPROLITE-GNEISS)
SILT, yellowish brown, (10 YR ) dry, most silt with fine
to medium sand, saprolite, has relict structure.
(SAPROLITE-GNEISS)
Geoprobe refusal at 18.5 ft.
ML
ML
ML
ML
ML
ML
SP SAMPLEDESCRIPTION
BLOWCOUNTSSB-01
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 1
3/4/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:3/4/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2029058.42
ft
18.5 ft BGS
J. Wylie
1014673.52
527.46 ft
ft TOC
E. Black
Cascade Drilling
GeoProbe
2 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
TOPSOIL
SILT, mottled, mostly silt, pale brown (2.5 YR 7/3)
yellowish red (5 YR 4/6) strong brown (7.5 YR 5/6).
SILT, same as above, little fine sand, relict structures.
Same as above.
ASH, black, moist.
Same as 10-10.5'.
SAPROLITE - GRANITIC GNEISS, light yellowish
brown, (10 YR 6/4).
Geoprobe refusal at 16 ft.
ML
ML
ML
ML SAMPLEDESCRIPTION
BLOWCOUNTSSB-02
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 1
3/3/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:3/3/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2029242.07
ft
16.0 ft BGS
J. Wylie
1011804.38
555.10 ft
ft TOC
E. Black
Cascade Drilling
GeoProbe
2 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
TOPSOIL
SAND/GRAVEL, intermixed. (FILL/REWORKED SOIL)
ASH, moist.
SAND, GRAVEL, clayey. (FILL/REWORKED SOIL)
CLAY/SAND/GRAVEL, interbedded.
(FILL/REWORKED SOIL)
SILT/CLAY, structureless silt/clay with pieces of grass,
wood, burnt vegetation, mud and gravel intermixed.
(FILL/REWORKED SOIL)
Geoprobe refusal at 19.5 ft.SAMPLEDESCRIPTION
BLOWCOUNTSSB-03
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 1
3/4/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:3/4/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2028636.83
ft
19.5 ft BGS
J. Wylie
1010721.64
555.96 ft
ft TOC
E. Black
Cascade Drilling
GeoProbe
2 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SILT, yellowish brown (10 YR 5/6), dry, few fine to
coarse grained sand.
CLAY, mottled, light gray (2.5 YR 7/1), brownish yellow
(10 YR 6/6) 30%, dry, mostly clay, some silt, cohesive
structure.
PARTIALLY WEATHERED ROCK, soft, moderately
severe weathering, iron and manganese staining,
medium-coarse grained.
Geoprobe refusal at 4.5 ft.
ML
CL
CH SAMPLEDESCRIPTION
BLOWCOUNTSSB-04
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 1
3/3/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:3/3/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2032770.9
ft
4.5 ft BGS
J. Wylie
1011436.41
513.47 ft
ft TOC
E. Black
Cascade Drilling
GeoProbe
2 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
TOPSOIL, (10 YR 7/3), light pale brown.
SAND with SILT, dry, poorly graded sand with silt,
medium fine to medium sand, few coarse sand, some
silt, saprolitic.
Same as above.
SILT, yellowish brown (10 YR 6/4), some clean clay,
little to fine sand, moist.
SAND, some silt, mottled, dry, mostly medium to
coarse, saprolitic.
SAND, little silt, very pale brown, (10 YR 8.5/2), dry,
mostly fine to medium, saprolitic.
Geoprobe refusal at 14.0 ft.
SM
SM
ML
SM
SC SAMPLEDESCRIPTION
BLOWCOUNTSSB-05
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 1
3/3/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:3/3/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2032752.66
ft
14.0 ft BGS
J. Wylie
1013889.72
498.41 ft
ft TOC
E. Black
Cascade Drilling
GeoProbe
2 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
SAND, pale brown, (2.5 YR 7/3), dry, mostly fine to
medium sand, some silt, poorly graded.
Geoprobe refusal at 2.2 ft.
SP_ML SAMPLEDESCRIPTION
BLOWCOUNTSSB-06
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 1
3/4/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:3/4/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2032531.74
ft
2.2 ft BGS
E. Black
1013260.46
510.62 ft
ft TOC
J. Wylie
Cascade Drilling
GeoProbe
2 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
TOPSOIL, medium brown-gray, mostly silt, few fine
sand, moist.
SILT, medium yellowish brown, mostly silt, some fine
sand, moist to dry.
SILT, gray, dark reddish brown, orange-yellow, little fine
to medium grained sand, medium grained gravel
(quartzite) dry. Some manganese staining.
SANDY SILT, dark brown, sandy silt with medium
gravel (quartzite).
SAND/GRAVEL, dark yellowish brown, mostly medium
to coarse sand, some small gravel, wet. (ALLUVIUM)
Same as above. (ALLUVIUM)
Same as 1.7-2.8'.
ML
ML
SL
SPG
ML
ML SAMPLEDESCRIPTION
BLOWCOUNTSSB-07
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 1
5/7/15
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:5/7/15
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Station
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
2032000.18
ft
8.0 ft BGS
J. Wylie
1014951.28
379.63 ft
ft TOC
E. Black
Cascade Drilling
GeoProbe
2 IN
LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 8/13/15
CLIENT Duke Energy Progress, LLC.
PROJECT NUMBER 1026.105
PROJECT NAME Mayo Station
PROJECT LOCATION Roxboro, NC
ASH-COAL: Coal Ash
CL: USCS Low Plasticity Clay
CLAY_TTC: TTC Clay
CL-ML: USCS Low Plasticity Silty Clay
CLS: USCS Low Plasticity Sandy Clay
FILL: Fill (made ground)
ML: USCS Silt
MLS: USCS Sandy Silt
RX: Pulverized Rock
SAND_TTC: TTC Sand
SANDST_TTC: TTC Silty Sand
SILT_TTC: TTC Silt
SM: USCS Silty Sand
SPG: USCS Poorly-graded Gravelly
Sand
USGS 701: Metamorphism
USGS 702: Quartzite
Water Level at End of
Drilling, or as Shown
Water Level After 24
Hours, or as Shown
Water Level at Time
Drilling, or as Shown
KEY TO SYMBOLS
(Unified Soil Classification System)
LITHOLOGIC SYMBOLS SAMPLER SYMBOLS
-
-
-
-
-
-
-
-
-
-
-
ABBREVIATIONS
Grab Sample
Shelby Tube
WELL CONSTRUCTION SYMBOLS
Bentonite Seal (Cased Well)
Cement Seal
Filter Pack (Cased Well)
Well Casing
Well Screen (Cased Well)
Well Casing
BGS
G.S.
M.P.
TOC
USCS
ft
IN
BELOW GROUND SURFACE
GROUND SURFACE
MEASURING POINT
TOP OF CASING
UNIFIED SOIL CLASSIFICATION SYSTEM
FEET
INCHES
PHOTOIONIZATION DETECTOR
PARTS PER MILLION
PID
ppm
KEY TO SYMBOLS DEP MAYO.GPJ GINT STD US.GDT 8/13/15SynTerra
148 River Street, Suite 220
Greenville, SC 29601
864-421-9999
864-421-9909
SAND, dark gray, coarse-medium grained. Some rock
fragments, 50% recovery.
No Recovery.
ASH, dark grey, coarse sand, same as above.
FLY ASH, light grey, coarse sand, rock fragments, dry.
FLY ASH, light grey sand, moist, dense, very coarse.
No Recovery. Fluid texture, running override 10.0" rod until
harder material is encountered.
No Recovery. Using water and 10.0" override to get
through fluid material.
CLAY, brown, wet, dense grey mottling. Some minor
structure. very dense.
CLAY, reddish-brown with grey mottling, loose, saprolitic.
CLAY, light brown to grey, dense, sandy, no structure.
SP
CL
CL
CL
PVC Surface CasingSAMPLEDESCRIPTIONBLOWCOUNTSABMW-02BRL
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 5
1/13/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:1/6/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2030463.498
493.97 ft
165.0 ft BGS
K. Donovan
1012772.723
491.06 ft
11.35 ft TOC
B. Wylie
Cascade Drilling
Rotary Sonic
4 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 7/6/16
CLAY, red with grey mottling, sandy, non-plastic. Contains
highly weathered gneissic saprolite.
CLAY, reddish-brown, very dense, no relic structure.
SAPROLITE, light brown, high clay content, gneissic
texture, large grey mottling.
SCHIST SAPROLITE, dark red with minor dark brown,
some structure.
QUARTZITE, gravel size fragments with red clay.
SAPROLITE, dark red to black, grey mottling, dense.
SCHIST SAPROLITE, light brown, good structure.
SCHIST SAPROLITE, less weathered, less clay content,
dense, rock fragments, easliy broken with heavy staining,
good structure. Manganese staining on larger rock
fragments. Partially weathered rock contact at 62.0' bgs.
Partially Weathered Rock, light brown saprolite, same as
above.
SAPROLITIC SCHIST, light brown, grey, red, high clay
content, good structure.
Partially Weathered Rock, rock fragments, weathered
staining, granitic/gneissic texture. Some saprolite,
transitioning into harder, fresh granitic rock.
CL
CL
RK
RK
Cement GroutSAMPLEDESCRIPTIONBLOWCOUNTSABMW-02BRL
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 5
1/13/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:1/6/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2030463.498
493.97 ft
165.0 ft BGS
K. Donovan
1012772.723
491.06 ft
11.35 ft TOC
B. Wylie
Cascade Drilling
Rotary Sonic
4 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 7/6/16
GRANITIC GNEISS, some weathering, hard, staining and
mineralization along fracture planes. Some fresh surfaces
as well.
Bedrock starting at 78.0'-79.0' bgs, medium grained
granitic gneiss.
Vertical to sub-vertical fractures at 80.0', 84.0', and 86.0'
bgs.
Quartize vein at 83.0' bgs.
Staining more prevalent at 82.0'-87.0' bgs.
GRANITIC GNEISS, dark grey, mafic, some red
staining/mineralization faces, finer grained than above.
GRANITIC GNEISS, hard, little to no weathering, some
mineralized fractures.
GRANITIC GNEISS, with vertical fracture between
91.0'-91.5' bgs. Dark red mineralization. Secondary vertical
fracture at 91.5'-92.0' with dark green mineraliztion, hard,
massive.
GRANITIC GNEISS, with breaks along foliation. Fresh red
staining and dark red mineralization.
GRANITIC GNEISS, red mineralization along foliation
breaks. White mineralization on one fracture surface.
Fractures throughout with dark mineralization.
QUARTIZE vein.
GRANITIC GNEISS, with horneblende, less feldspar.
Large fracture at 101.0' bgs with dark green mineralization.
Dark red staining mineralizated surfaces. Large vertical
fracture at 107.0' bgs with dark green/black mineralization.
PHYLLITE, foliated metamorphic, fine-grained. Black
horneblende banding, massive. Large vertical fracture at
109.0' bgs, no apparent weathering. Small fresh fracture at
110.0' bgs with same chlorite mineralization.
GRANITIC GNEISS, fine-medium grained, same as
above.
GRANITIC GNEISS, fine to medium grained, dark red
staining on fracture joints. Same as above.SAMPLEDESCRIPTION
BLOWCOUNTSABMW-02BRL
85
90
95
100
105
110
115 GRAPHICLOGUSCSDEPTH(ft)PAGE 3 OF 5
1/13/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:1/6/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2030463.498
493.97 ft
165.0 ft BGS
K. Donovan
1012772.723
491.06 ft
11.35 ft TOC
B. Wylie
Cascade Drilling
Rotary Sonic
4 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 7/6/16
GRANITIC GNEISS, quartize veins. Dark red
staining/mineralization on fractured surfaces. Some
cobbles. Minor pyrite mineralization on some surfaces.
40% recovery.
GRANITIC GNEISS, hard, no visible fractures. Some dark
red staining.
GRANITIC GNEISS, hard, same as above.
Phyllite zone between 145.0'-146.0' bgs. Some red
staining on gneiss surfaces, possible sub-vertical fractures
throughout.
PHYLLITE, black, chlorite mineralization.
GRANITIC GNEISS, red mineralization/staining in this
zone. Large vertical fracture with heavy staining at
approximately 154.0' bgs.
Cement Grout
Bentonite
Sand PackSAMPLEDESCRIPTIONBLOWCOUNTSABMW-02BRL
125
130
135
140
145
150
155 GRAPHICLOGUSCSDEPTH(ft)PAGE 4 OF 5
1/13/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:1/6/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2030463.498
493.97 ft
165.0 ft BGS
K. Donovan
1012772.723
491.06 ft
11.35 ft TOC
B. Wylie
Cascade Drilling
Rotary Sonic
4 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 7/6/16
GRANITIC GNEISS, non-foliated, large vertical fracture
from 157.5'-160.0' bgs with heavy red staining. Smaller
fracture with staining/mineralization at 164.0' bgs.
164.5'-167.0' bgs, GRANITE, hard. Fresh break without
staining at 165.0' bgs.
GRANITIC GNEISS, same as above. Vertical fracture at
168.0'-169.0' bgs. Some epidote, light green mineralization
along foliation planes. Small fractures at 173.0' bgs and
176.0' bgs. Some red-brown staining on fracture at
168.0'-169.0' bgs.
GRANITIC GNEISS, no apparent fractures.
Boring terminated at 180.0' below ground surface.
Well Screen
Sand PackSAMPLEDESCRIPTIONBLOWCOUNTSABMW-02BRL
165
170
175
180
185
190
195 GRAPHICLOGUSCSDEPTH(ft)PAGE 5 OF 5
1/13/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:1/6/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2030463.498
493.97 ft
165.0 ft BGS
K. Donovan
1012772.723
491.06 ft
11.35 ft TOC
B. Wylie
Cascade Drilling
Rotary Sonic
4 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 7/6/16
Silty SAND, tan, very loose to loose, dry, moderately
fine-grained.
Partially Weathered Rock, very dense to dense, highly
laminated, dry micaeous, transitional zone, rock mixed
highly weathered rock.
Partially Weathered Rock, same as above. Increase of
rock fragments. Rock, highly weathered, salt and pepper
color, medium sized grains, dark brown to light gray.
Significant staining, dry.
Partially Weathered Rock, same as above.
Partially Weathered Rock, same as above, dry, significant
staining.
Partially Weathered Rock, same as above, highly
weathered, surrounded by rock flour grading (approx. 22.5'
bgs). dense to very dense, highly laminated, dark brown,
fine-grained silt, dry to moist.
Partially Weathered Rock, same as above from 25.0'-28.5'
bgs. Grading into moderately hard, moderately to highly
weathered, abundant staining, large to fine frained granitic
gneiss with sheets of mica on fracture plane.
Partially Weathered Rock, same as above. Multiple high
angle to vertical fractures. 38.0'-40.0' bgs large pieces of
competent rock staining on fracture faces (high angle to
vertical) breaks along mica layer. Sharp contacts between
weathered mica (approx. 0.25" in thickness), hard, larfe to
fine-grained, monderately to highly weathered granitic
gneiss. Top of rock at approximately 38.5' bgs.
SM
RK
RK
RK
RK
RK
RK
RK SAMPLEDESCRIPTION
BLOWCOUNTSMW-17BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 4
1/11/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:1/6/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2033767.506
490.55 ft
120.0 ft BGS
K. Donovan
1013955.131
487.51 ft
ft TOC
A. Lefitz
Cascade Drilling
Rotary Sonic
4 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 7/6/16
SAPROLITE, hard, moderately weathered to fresh,
medium to fine-grained, gray schist, cobble sized pieces of
rock, surrounded by saprolite with phyllitic relic structure.
40% recovery.
SAPROLITE, same as above.
SCHIST, staining on fracture faces, grading into phyllitic
partially weathered rock. Saprolite apparent between
59.5'-60.0' bgs, moist.
SAPROLITE, phyllitic relic structure present, wet. Sharp
contact at 62.0' bgs, dry sandy silt, grading into hard,
biotite, gneiss.
BIOTITE GNEISS, hard, very fine-grained, slight
weathering to fresh.
BIOTITE GNEISS, same as above. Contact with quartz
veins below. Mylonite, hard, very fine-grained, tan and
gray, biotite gneiss. Secondary pyrite mineralization
present throughout, large pieces surrounded by cobble to
gravel size pieces.
Cement GroutSAMPLEDESCRIPTIONBLOWCOUNTSMW-17BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 4
1/11/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:1/6/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2033767.506
490.55 ft
120.0 ft BGS
K. Donovan
1013955.131
487.51 ft
ft TOC
A. Lefitz
Cascade Drilling
Rotary Sonic
4 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 7/6/16
BIOTITE GNEISS, same as above, abundant k-feldspar,
some iron magnesium staining, secondary mineralization
of calcite on fracture planes.
BIOTITE GNEISS, same as above.
BIOTITE GNEISS, same as above.
APHANTITIC PHYLLITE, green to black, hard to very
hard. Veins of quartize apparent at 102.0'-102.15' bgs
MYLONITE, same as above.
PHYLLITE, same as above. Surrounded by poorly sorted,
massive, silty sand, gray. Most pieces of core are cobble
sized, large, high angle fracture at 108.0' bgs. Chlorite on
fracture face, abundant pyrite, wet to 109.0' bgs.
MYLONITE, same as above.
MYLONITE, same as above. Silty sand present, massive,
conhesive, wet until 119.5' bgs.
Bentonite
Sand Pack
Well ScreenSAMPLEDESCRIPTIONBLOWCOUNTSMW-17BR
85
90
95
100
105
110
115 GRAPHICLOGUSCSDEPTH(ft)PAGE 3 OF 4
1/11/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:1/6/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2033767.506
490.55 ft
120.0 ft BGS
K. Donovan
1013955.131
487.51 ft
ft TOC
A. Lefitz
Cascade Drilling
Rotary Sonic
4 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 7/6/16
Boring terminated at 120.0' below ground surface.SAMPLEDESCRIPTION
BLOWCOUNTSMW-17BR
125
130
135
140
145
150
155 GRAPHICLOGUSCSDEPTH(ft)PAGE 4 OF 4
1/11/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:1/6/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2033767.506
490.55 ft
120.0 ft BGS
K. Donovan
1013955.131
487.51 ft
ft TOC
A. Lefitz
Cascade Drilling
Rotary Sonic
4 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:LOG A EWNN04 DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 7/6/16
Topsoil and fill, brown, dry
Unconsolidated, dry, tan/light brown, (fill/surficial
soil/regolith)
Gray/tan rock fragments, consolidated
Unconsolidated, dry, brown, (fill/surficial soil/regolith)
Consolidated
Unconsolidated
Consolidated, quartzite fragments noted
Unconsolidated, color changes to brown
Mylonitic granite gneiss with Mn and Fe staining,
competent but not fresh
CL
ML
SP
ML
PWR
ML
PWR
ML
PWR
ML
BR
Protective casing with
locking cap
2" sch 40 threaded PVC
riser
Cement grout
6" Surface casingSAMPLEDESCRIPTIONBLOWCOUNTSMW-18BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 4
11/8/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:11/3/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2032399.873
516.777 ft
129.5 ft BGS
J. Wylie
Geologic Exploration
Air Hammer
10 and 5.875 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1012468.452
514.452 ft
21.24 ft TOC
K. Donovan
LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 1/12/17
Mylonitic granite gneiss with Mn and Fe staining,
competent but not fresh (continued)
Pieces of gneiss and black phyllite (fresh), no obvious
weathering/staining
Same as above, with slight iron staining
Mylonitic gneiss, some staining, very hard at 55', small
fractures at 58'
Mylonitic gneiss, very hard, dry
Softer zone
Mylonitic gneiss, very hard, dry
BR
BR
BR
BR
BR
BR
BR
Bentonite
BentoniteSAMPLEDESCRIPTIONBLOWCOUNTSMW-18BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 4
11/8/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:11/3/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2032399.873
516.777 ft
129.5 ft BGS
J. Wylie
Geologic Exploration
Air Hammer
10 and 5.875 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1012468.452
514.452 ft
21.24 ft TOC
K. Donovan
LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 1/12/17
Mylonitic gneiss, very hard, dry (continued)
Fractures/soft zone
Mylonitic gneiss, very hard
Small fractures
Mylonitic gneiss, very hard, abundant k-feldspar
Hit 2-3 large fractures
One large facture, olive green cuttings, no apparent
water
More fractures, olive green/gray dust
Hard, competent bedrock
Large fractures
Competent bedrock
BR
BR
BR
BR
BR
BR
BR
BR
BR
BR
BR
Sand pack
2" pre-packed well screen
Sand packSAMPLEDESCRIPTIONBLOWCOUNTSMW-18BR
85
90
95
100
105
110
115 GRAPHICLOGUSCSDEPTH(ft)PAGE 3 OF 4
11/8/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:11/3/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2032399.873
516.777 ft
129.5 ft BGS
J. Wylie
Geologic Exploration
Air Hammer
10 and 5.875 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1012468.452
514.452 ft
21.24 ft TOC
K. Donovan
LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 1/12/17
Competent bedrock (continued)
Small fractures
Competent bedrock, light gray, quartzite
BR
BR
BR
BentoniteSAMPLEDESCRIPTIONBLOWCOUNTSMW-18BR
125
130
135
140
145
150
155 GRAPHICLOGUSCSDEPTH(ft)PAGE 4 OF 4
11/8/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:11/3/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2032399.873
516.777 ft
129.5 ft BGS
J. Wylie
Geologic Exploration
Air Hammer
10 and 5.875 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1012468.452
514.452 ft
21.24 ft TOC
K. Donovan
LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 1/12/17
Topsoil and fill, brown, dry
Unconsolidated, dry, tan/light brown, (fill/surficial
soil/regolith)
Gray/tan rock fragments, consolidated
Unconsolidated, dry, brown, (fill/surficial soil/regolith)
Consolidated
Unconsolidated
Consolidated, quartzite fragments noted
Unconsolidated, changes to brown
CL
ML
SP
ML
PWR
ML
PWR
ML
PWR
ML
PWR
Protective casing with
locking cap
2" sch 40 threaded PVC
riser
Cement grout
BentoniteSAMPLEDESCRIPTIONBLOWCOUNTSMW-18D
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
11/3/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:11/3/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2032396.93
516.711 ft
49.5 ft BGS
J. Wylie
Geologic Exploration
Air Hammer
5.875 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1012472.093
514.464 ft
24.48 ft TOC
K. Donovan
LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 1/20/17
Consolidated, light brown (continued)
Mix of consolidated and unconsolidated material, water
at 42.5'
Consolidated material
PWR
PWR
BR
Sand pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-18D
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
11/3/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:11/3/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2032396.93
516.711 ft
49.5 ft BGS
J. Wylie
Geologic Exploration
Air Hammer
5.875 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1012472.093
514.464 ft
24.48 ft TOC
K. Donovan
LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 1/20/17
Topsoil, brown, dry
Unconsolidated, tan/light brown, dry
Light gray/tan, consolidated
Unconsolidated, soft
Consolidated, hard
Alternating hard/soft drilling, brown/dark cuttings, dry
CL
MP
SP
ML
PWR
ML
PWR
PWR
BR
Protective casing with
locking cap
2" sch 40 threaded PVC
riser
Cement grout
6" Surface casingSAMPLEDESCRIPTIONBLOWCOUNTSMW-19BR
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 3
11/7/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:11/4/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2032793.926
495.944 ft
94.0 ft BGS
J. Wylie
Geologic Exploration
Air Hammer
10 and 5.875 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1012206.729
493.51 ft
10.78 ft TOC
K. Donovan
LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 1/12/17
Rock, mostly gneiss (continued)
Rock, mostly gneiss w/ black phyllite
Gneiss
Rock, mostly phyllite, some gneiss
Rock, phyllite
Gneiss
Gneiss w/ some quartzite phyllite towards bottom of run
Softer bedrock, dry
Competent, dark minerals, phyllite with abundant
quartzite
BR
BR
BR
BR
BR
BR
BR
BR
BR
Bentonite
BentoniteSAMPLEDESCRIPTIONBLOWCOUNTSMW-19BR
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 3
11/7/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:11/4/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2032793.926
495.944 ft
94.0 ft BGS
J. Wylie
Geologic Exploration
Air Hammer
10 and 5.875 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1012206.729
493.51 ft
10.78 ft TOC
K. Donovan
LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 1/12/17
Softer zone, fracture
Competent, dark minerals, phyllite, hard, fractures at
86'
BR
BR
BR
Sand pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-19BR
85
90
95
100
105
110
115 GRAPHICLOGUSCSDEPTH(ft)PAGE 3 OF 3
11/7/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:11/4/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2032793.926
495.944 ft
94.0 ft BGS
J. Wylie
Geologic Exploration
Air Hammer
10 and 5.875 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1012206.729
493.51 ft
10.78 ft TOC
K. Donovan
LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 1/12/17
Topsoil, brown, dry
Unconsolidated, tan/light brown, dry
Light gray/tan, consolidated
Unconsolidated, soft
Consolidated, hard
Alternating hard/soft drilling, brown/dark cuttings, dry
CL
MP
SP
ML
PWR
ML
PWR
PWR
PWR
Protective casing with
locking cap
2" sch 40 threaded PVC
riser
Cement grout
BentoniteSAMPLEDESCRIPTIONBLOWCOUNTSMW-19D
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 2
11/4/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:11/4/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2032796.856
495.813 ft
54.5 ft BGS
J. Wylie
Geologic Exploration
Air Hammer
6 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1012214.015
493.175 ft
13.00 ft TOC
K. Donovan
LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 1/12/17
Mostly consolidated/hard, water at 44' (continued)
Softer zone
Consolidated, hard
Softer zone, cuttings are dark gray/black
Consolidated, hard
Soft zone
Consolidated, hard
PWR
PWR
PWR
PWR
PWR
PWR
PWR
Sand pack
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-19D
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 2
11/4/16
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:11/4/16
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
2032796.856
495.813 ft
54.5 ft BGS
J. Wylie
Geologic Exploration
Air Hammer
6 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1012214.015
493.175 ft
13.00 ft TOC
K. Donovan
LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 1/12/17
TOPSOIL
GNEISS, weak, oxidized iron and manganese staining,
schistose to gneissic, thinly foliated, moderate to highly
decomposed, highly fractured throughout. 1-5' is
pulverized because of lack of water used in sonic
drilling.
Partially weathered rock, crumbles in hand, same as
1-4'.
Partially weathered rock to saprolite.
Saprolite, clayey.
Competent rock, schistose GNEISS, iron and
manganese staining, thinly foliated.
Micaceous saprolite.
Weathered rock, gneissic/schistose, same as 11-14'.
Slightly foliated, GNEISSIC/GRANITE.
GNEISSIC/GRANITE, somewhat porous and vuggy,
highly stained.
GNEISSIC/GRANITE, more quartz than 17-19', highly
stained.
Same as above, few vugs.
Brown, micaceous, broken pieces, soft. (MICA
SCHIST)
Brown, micaceous, thin black layers. (MICA SCHIST)
Partially weathered rock, similar to 16-20'.
Same as 35-36'.
WR
WR
WR
Protective casing with
locking cap
Note: Description for depth
range 0 to 66 feet below
ground surface from
MW-09BR log (4/11/2015)
2" Sch. 40 threaded PVC
riser
Neat cement groutSAMPLEDESCRIPTIONBLOWCOUNTSMW-09BRL
5
10
15
20
25
30
35 GRAPHICLOGUSCSDEPTH(ft)PAGE 1 OF 4
2/28/17
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:2/27/17
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
Geologic Exploration
Air Hammer
6 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1013345.709
495.84 ft
33.10 ft TOC
J. Wylie
2033841.834
498.556 ft
157.0 ft TOC
K. Donovan
LOG E DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 5/24/17
Same as 35-36'. (continued)
Partially weathered rock, some clay/silt, foliated.
Green, micaceous partially weathered rock, like 42-44',
fewer with medium to large gravel sized rock
fragments.
Competent rock, GRANITIC GNEISS, iron staining and
fractures.
Competent rock, granitic gneiss.
Dark AMPHOBOLITE with lighter colored GRANITIC
GNEISS, some quartz, some water.
GRANITIC GNIESS QUARTZITE with pyrite.
Same as above with iron staining, potential water
bearing fracture.
Same as above.
Bentonite
Filter sand
2" pre-packed well screenSAMPLEDESCRIPTIONBLOWCOUNTSMW-09BRL
45
50
55
60
65
70
75 GRAPHICLOGUSCSDEPTH(ft)PAGE 2 OF 4
2/28/17
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:2/27/17
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
Geologic Exploration
Air Hammer
6 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1013345.709
495.84 ft
33.10 ft TOC
J. Wylie
2033841.834
498.556 ft
157.0 ft TOC
K. Donovan
LOG E DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 5/24/17
Same as above. (continued)
Same as above, increase QUARTZITE.
Same as above, increase in AMPHIBOLITE, dry.
Same as above, dry.
Same as above, QUARTZITE and AMPHIBOLITE,
minor iron staining, dry.
Same as above, dry.
AMPHIBOLITE-GRANITE, dark grading to lighter color,
minor QUARTZITE, soft zone on top of run.
Same as above, potential soft zone.
Same as above, dry.
BentoniteSAMPLEDESCRIPTIONBLOWCOUNTSMW-09BRL
85
90
95
100
105
110
115 GRAPHICLOGUSCSDEPTH(ft)PAGE 3 OF 4
2/28/17
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:2/27/17
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
Geologic Exploration
Air Hammer
6 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1013345.709
495.84 ft
33.10 ft TOC
J. Wylie
2033841.834
498.556 ft
157.0 ft TOC
K. Donovan
LOG E DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 5/24/17
Same as above, dry. (continued)
Same as above.
BentoniteSAMPLEDESCRIPTIONBLOWCOUNTSMW-09BRL
125
130
135
140
145
150
155 GRAPHICLOGUSCSDEPTH(ft)PAGE 4 OF 4
2/28/17
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:
COMPLETED:2/27/17
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
WELL
CONSTRUCTIONPID
(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
Geologic Exploration
Air Hammer
6 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1013345.709
495.84 ft
33.10 ft TOC
J. Wylie
2033841.834
498.556 ft
157.0 ft TOC
K. Donovan
LOG E DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 5/24/17
Dense, brown orange, clayey sandy silt.
Dense, brown orange, clayey sandy silt.
Dense, brown orange, clayey sandy silt.
Coordinates obtained with hand held GPS unit.
ML
ML
ML SAMPLEDESCRIPTION
BLOWCOUNTSBGSB-2
5
10
15
20
25
30
35
40
45 GRAPHICLOGUSCSCOMPLETED:7/18/17
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
PID(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
WELL
CONSTRUCTION
2028866.64
NA ft
15.0 ft BGS
E. Yurkovich
Geologic Exploration
GeoProbe
3 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1011195.19
ft
NA ft TOC
A. Lefitz
DEPTH(ft)PAGE 1 OF 1
7/18/17
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 7/27/17
Orange brown, sandy silt with rock and white gray
saprolite to partially weathered rock, dry, some relic
structure present.
White gray saprolite, dry. Auger refusal at 9 feet below
ground surface.
Coordinates obtained with hand held GPS unit.
ML SAMPLEDESCRIPTION
BLOWCOUNTSBGSB-3
5
10
15
20
25
30
35
40
45 GRAPHICLOGUSCSCOMPLETED:7/18/17
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
PID(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
WELL
CONSTRUCTION
2029323.42
NA ft
9.0 ft BGS
E. Yurkovich
Geologic Exploration
GeoProbe
3 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1011932.94
ft
NA ft TOC
A. Lefitz
DEPTH(ft)PAGE 1 OF 1
7/18/17
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 7/27/17
Brown sandy silt with vegetation, moist.
Red orange, clayey sandy silt with highly weathered
rock, moist to dry.
Red orange, clayey sandy silt with highly weathered
rock, moist to dry. Lighter color with depth.
Orange brown, sandy silt, moist to dry.
Coordinates obtained with hand held GPS unit.
ML
ML
ML
ML SAMPLEDESCRIPTION
BLOWCOUNTSBGSB-4
5
10
15
20
25
30
35
40
45 GRAPHICLOGUSCSCOMPLETED:7/18/17
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
PID(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
WELL
CONSTRUCTION
2028843.84
NA ft
15.0 ft BGS
E. Yurkovich
Geologic Exploration
GeoProbe
3 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1011758.59
ft
NA ft TOC
A. Lefitz
DEPTH(ft)PAGE 1 OF 1
7/18/17
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 7/27/17
Brown topsoil with vegetation, moist.
Light brown, sandy silt with clay lenses grading to
following depth description, dry.
Stiff, light orange brown, clayey silt, moist to dry.
Stiff, brown orange, clayey silt, moist to dry.
Same as above, grading to moderately stiff, brown
orange, clayey silt, moist to dry saprolite with partially
weathered rock.
Coordinates obtained with hand held GPS unit.
OL
ML
ML
ML
ML SAMPLEDESCRIPTION
BLOWCOUNTSBGSB-5
5
10
15
20
25
30
35
40
45 GRAPHICLOGUSCSCOMPLETED:7/24/17
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
PID(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
WELL
CONSTRUCTION
2028472.6
NA ft
15.0 ft BGS
E. Yurkovich
Geologic Exploration
GeoProbe
3 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1012015.36
ft
NA ft TOC
A. Lefitz
DEPTH(ft)PAGE 1 OF 1
7/24/17
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 7/27/17
Brown silty sand with vegetation and rock fragments.
Dense, brown orange, clayey silty sand, dry.
Light brown orange, silty sand with rock, dry.
Light gray, sand and silt with rock. Geoprobe refusal at
9.5 feet below ground surface.
Coordinates obtained with hand held GPS unit.
ML
ML
ML
ML SAMPLEDESCRIPTION
BLOWCOUNTSBGSB-8
5
10
15
20
25
30
35
40
45 GRAPHICLOGUSCSCOMPLETED:7/18/17
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
PID(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
WELL
CONSTRUCTION
2028830.52
NA ft
9.5 ft BGS
E. Yurkovich
Geologic Exploration
GeoProbe
3 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1009163.72
ft
NA ft TOC
A. Lefitz
DEPTH(ft)PAGE 1 OF 1
7/18/17
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 7/27/17
Dense, orange brown, silty sand with rock, saprolite
with relic structure, dry.
Light gray, sandy silt, saprolite dry.
Light gray, sandy silt, dry, partially weathered rock at
12.5 feet below ground surface.
Coordinates obtained with hand held GPS unit.
SM
SM
ML SAMPLEDESCRIPTION
BLOWCOUNTSBGSB-9
5
10
15
20
25
30
35
40
45 GRAPHICLOGUSCSCOMPLETED:7/18/17
CLIENT: Duke Energy Progress, LLC.
PROJECT:
PROJECT NO:
PROJECT LOCATION: Roxboro, NC
Mayo Steam Electric Plant
1026.105
PID(ppm)WELL / BORING NO:
STARTED:RECOV.(%)SynTerra
148 River Street, Suite 220
Greenville, South Carolina 29601
Phone: [phone]
WELL
CONSTRUCTION
2029418.65
NA ft
15.0 ft BGS
E. Yurkovich
Geologic Exploration
GeoProbe
3 IN
NORTHING:
G.S. ELEV:
DEPTH TO WATER:
LOGGED BY:
EASTING:
M.P. ELEV:
TOTAL DEPTH:
CHECKED BY:
1009437.44
ft
NA ft TOC
A. Lefitz
DEPTH(ft)PAGE 1 OF 1
7/18/17
DRILLING COMPANY:
DRILLING METHOD:
BOREHOLE DIAMETER:
NOTES:LOG D DEP MAYO.GPJ GINT STD A4 ASTM LAB.GDT 7/27/17
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY:
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013

1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name

2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.)

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)
□Irrigation
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)

4. Date Well(s) Completed: ____________ Well ID#______________________

5a. Well Location:

Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
County Parcel Identification No. (PIN)

5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)

N W

6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.

8. Number of wells constructed:
For multiple injection or non-water supply wells ONLY with the same construction, you can
submit one form.

9. Total well depth below land surface: (ft.)
For multiple wells list all depths if different (example- 3@200’ and 2@100′)

10. Static water level below top of casing: (ft.)
If water level is above casing, use “+”

11. Borehole diameter: (in.)

12. Well construction method:
(i.e. auger, rotary, cable, direct push, etc.)

FOR WATER SUPPLY WELLS ONLY:

13a. Yield (gpm) Method of test:

13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:

Signature of Certified Well Contractor Date

By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.

23. 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 Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection 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 the following:

Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
For Internal Use ONLY: