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NC0025909_Groundwater data from DWR samples1985thr1989_19850101
SAMPLES NAME OF FACILITY: Rutherfordton WWTP (State-owned wells) COUNTY: Rutherford RALEIGH Parameters Bottles Metals 1 Disposable (Filtered) P & N 1 Disposable (Filtered) add preservative 25% H2SO4 Fluoride & Sulfate 1 Liter (Filtered) Arsenic & Selenium 1 Disposable (Filtered) Mercury 1 Disposable (Filtered) TOC 1/2 liter (Unfiltered) add preservative H2SO4 to pH < 2 ASHEVILLE Parameters Bottles Coliform Small plastic bottle (this should be first sample taken) COD 1 Disposable - add preservative H2SO4 > 2pH ARO Series 7 Liters TOTAL NO. OF WELLS: 7 TOTAL NO. OF BOTTLES: 14 Liters 35 Disposables 7 Small plastic coliform ADDITIONAL SAMPLING REQUESTED (other than Permit requirements): i ,AROLINA DEPARTMENT OF NATURAL RESOyF" ''',S AND COMMUNITY DEVELOPMENT ' DIVISION OF ENVIRONMENTAL MANAGEMENT , ROUNDWATER SECTION P.O. BOX 27687 - RALEIGH,N.C. 27611. PHONE (919) 733-5083 WELL CONSTRUCTION RECORD DRILLING CONTRACTOR _ DRILLER REGISTRATION NUMBER I. WELL LOCATION: (Show sketch of the location below) Nearest Town: RuriSl(Eje&" &w/ . ,�, •D z, pc rar LOW # s (Road, Community, or Subdivision and Lot No.) ?. OWNER _awa ADDRESS (Street or Route No. 942B& N A& e. .17S it City or Town State Zip Code I. DATE DRILLED " J6 USE OF WELL S t. TOTAL DEPTH CUTTINGS CUTTINGS COLLECTED [Yes ❑ No i. DOES WELL REPLACE EXISTING WELL? ❑ Yes R-No 3. STATIC WATER LEVEL:. I7 FT. O above TOP OF CASING, la'below TOP OF CASING IS a?.:!rL FT. ABOVE LAND SURFACE. T. YIELD (gpm): METHOD OF TEST 3. WATER ZONES (depth): 3. CHLORINATION: Type Amount CASING: Wall Thickness Depth Diameter or Weight/Ft. Material h From _i To .417 Ft.,um. wo )50�/,= From To Ft. From To Ft. GROUT: Depth Material Method From _� To]Q_Ft. GAs164177 M•Oi A*40; From To Ft 12. SCREEN: Depth Diameter Slot Size Material From W 7 To SV Ft. X in. ,b so in. Rix e. From From 13. GRAVEL PACK: To Ft. in. in. To Ft. in. in. s_ Depth Size Material From_To"_Ft. _=dpS• S.9*t O From To Ft.� 14. REMARKS: FOR OFFICE USE ONLY Quad. No. 071AI { Serial No. A1.990 Lat. 3.1"A �3? •• Long. �•Pc Minor Basin Basin Code Header Ent. GW-1 Ent. STATE WELL CONSTRUCTION PERMIT NUMBER: County: ga-r A,cRD Depth DRILLING LOG From To Formation Description o ^ 4.4 ~ >a � ed" Logy It Apt & -3!? Lt us_ryjS � ) Sy •s7 � i �� �� per/ Zin „n,Zr hZel If additional space is needed use back of form. LOCATION SKETCH (Show direction and distance from at least two State Roads, or other map reference points) Al I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD =SBEENPROVIDED TO T WELL OWNER. SIGNATURE OF CONTRACTOR OR AGENT DATE GW-1 Revised 11/84 Submit original to Division of Environmental Management and copy to well owner. Log No. — /eLa 7 Log by 42-;�a,4g Well Serial No. 1) Date. Well Quad No. Location gel L2ez'Aaa Z t 22244 County Owner Driller cv-ve--VA ,A'D QIAe 4 Date Drilled Depth ft Di n. ft. Elevation ref. MSL LOGMASTER WIDCO Potential MV/in. Potential mV/10 div. Resistivity ohm-m/in. Resistance ohm/10 div. PR Logging Rate Gamma T.C. ft./min. Counts/sec. PR Logging Rate ft./min.- Gamma mR/hr. T.C. Gamma Logging Rate ft./min. Remarks:, WELL DATA TABULATION POLLUTION SOURCE MONITORING SITE Facility Name: /Qu7fet Dram !/cltstewy eir ,yP„f J%„ unty: Pollution Source (lagoon, landfill, etc.) 1aAs Latitude: JS 51d 31 d ` u Permit No:• Longitude: ) 3*7 ;1 Non -Discharge: %$ 73 NPDES: A/4 ,/JD,;�.�� Well Const. • DHS: Quad No:�/A1 Sampled By: Well No. Date Installed Total Depth (ft) Diam. (in) Screen(S)/ Open hole (OH) (ft-ft) Grout Interval (ft-ft) Gravel/Sand Pack Interval (ft-ft) Remarks �JV r J'' I / / ! ._ ) y./ ! �s S 5 32. V w 6 & 5 5-A Draw a diagram on the reverse side of this form showing map location of the site and the location (direction and distance) of each well with respect to the pollution source and to each other. Indicate sampling schedule, parameters and any changes to schedule. GW-51 Revised 8/20/84 WELL DATA TABULATION POLLUTION SOURCE MONITORING SITE Facility Name: / 7a err&yrdl_& WC-5AA141er //C 1_'m_ ee /,&t ounty: /l4 at Pollution Source (lagoon, landfill, etc.) Latitude: J5 V , ��— a t " Permit No: Longitude: $/ S7 A Non -Discharge: NPDES: Well Const.: DHS: Sampled By: n Quad No: p%9w Well No. Date Installed Total Depth (ft) Diam. (in) Screen(S)/ Open hole (OH) (ft-ft) Grout Interval (ft-ft) Gravel/Sand Pack Interval (ft-ft) Remarks - ' -S , , S 9 3 - g-, o x 1 41 - - Draw a diagram on the reverse side of this form showing map location of the site and the location (direction and distance) of each well with respect to the pollution source and to each other. Indicate sampling schedule, parameters and any changes to schedule. GW-51 Revised 8/20/84 'IEOLO`GICAL SURVEY ASh{FV 1 r �; tir1 ly Ml. 7 ;NTE RS TATF 40 410000,E all 412 1/' 1A�L Ir Mi.R, 57'30" t C it Icv 4-b Ml, 414 IRUTI t Gabriels �• t•Lew�Hope • I �� • \_. � - y° s 0 �74�• W� i /�q� t •• 11 � ti y�», , 1. ; � • . k� � o _ . it ��� '�•• � '�• _ _, Water ! .� .�I•'. a �\ Tank, - W O 11 - West memorial:,,Il l: I ° • • a � � • � • • R P Ch- 9� '• �. uerfordt�e ° ° p ° •J + schigh 1 HdSP tall7! '108� Golf qo rge41 17 . 1 1 09 `1� / �l 11 I// -�l /. S ti•• r� i �� � � o' t Q I •I ii� "- t U �-� _ 11 �•� �� Q ,I�• / ) ��� ---Sea l;gosal ttC� ii� l ° _T ° •1 / Pon M 0 / •�� � ° ° , (: Ford J / t _ l J /i 8f2� -- 1 n � � n 1 I i o Mouhtain-:view Ch + 960 !� it r pP�Cem I r d errioo 1 f r � I 1 00 1 /1 I \ NORTH CAROLINA DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT DIVISION OF ENVIRONMENTAL MANAGEMENT QUALITY OF WATER DATA (Office) Location: Town /y County Map %�u%�i�r7nd'�]ar� Su�� TDD Owner 7;Lu/4 Depth ft. Diam. in. v /._ r?•1. T �: �,�.�,,.,�` ,lf....�,�a�/., d.;r Screen 1/7 .57 Quad No. e%"7W;�_ Serial No. s e�;ZL i Yield gpm Hour Discharge Temp. OF pH Specific Conductance (micromhos) Chloride mg/1 Iron g/1 Hardness mg/1 Remarks (taste, odor, appearance, etc.) Date period g m GW-6 Revised 10/1/80 t _ D-ATE SAMPLES w ALKALINITY TO H 4 5 7-1 [P Z, Gi ALKALINITY, TO H 8.3 - ALUMINUM - Aamr Q: 10 (� ARSENIC LQ, Q .r 0 . 0 t BARIUM LD. <,- 0. 0 4,7 _BICARBONATE r (p 3 CADMIUM Gfl.DDZ 0.OPA [CALCIUM 14 CARBONATE i CHLORIDE / CHROMIUM, TOTAL, 0. OAS, COD ,c S- COLIFORM, FECAL I �' / 0 ` COLIFORM, TOTAL"®� COPPER LO.OpZ. l4a 00'a CYANIDE DISSOLVED SOLIDS 7 LUORI DE LQ: = 0, f iARDNESS, CaCO ARDNESS NON-CARBONATEZ- f RON SAD BAS ®J U• 270 I AGNESIUM (•� + I I+ - — ANGANESE 0. O't l , ERCURY 40.004Ti A 0. 0 O O A 4 0. 0 1_- -Y- Continued) ( l 17 :. FDATEESALIPLE'n'//-�0.01 f� NITROGEN ®. NITRATE & NITRITE ®• �' `� r i ORGANIC SCAN H PHENOLS 'PHOSPHORUS, TOTAL POTASSI SELENIUM SILVER LAOO,r 40. 00 S SODIUM SPECIFIC CONDUCTANCE SULFATE COC (UNFILTERED) ' L� Cyrrer>i DATE SA."iPLEn ALKALINITY (CaCO3) $' /2 g g xe► $� 3 ai To pH 4.5 Aluminum _ G 0.1, .Out ,�$� :..d,� L.p.or Z Arsenio C Lo.o 40.01 � �, bl ' Z-0/0 � Go.a 46.0 / Bicarbonate 6 /7 g 7 gs 97 4 r/p l Cadmium .G r% Lo. o / Z0. 0/ L . 0 / 4.41 LO.00Z Lp.QpZ Go•ooZ Calcium 1 Z 3 13 Carbonate L Chloride ( / 13 / 4 � Z Chlorinated Hydrocarbon Chromium, Hexavalent " Chromium, Total 4,4 je0.0ZS 440,02)G . ®adoad G 02 Go.oas- COD Coliform, Fecal Co 1 i fo rm, To to 1 G 31P Cyanide Dissolved Solids ��'" % i5-0 /30 120 130 Fl uori de Lp. 0 za Hardness as CaCO ��" ' 3 '75 76 .7 6; 7 63 Hardness, Non -carbonate I ro n ®S /0. (?S 14 .0 L Lead G0.0 LOrDs' L,06r Z_,0 S�- G©,0 1 Lithium ., MBAS I Magnesium 3, 10 71'6, 9 7� 7, Manganese i O. 33__ 3,9 1, ®0 , 22 f0* O•Z� L .o GO.OZ� Mercury Lo.oz 1000Z L.006Z G,oDoa Lo,owzz '40.000?_ GD•000Z Nirkpl�o.o� LO. _ 1. 0 r- 4.6,5' G0.0E`D.O L©.o DATE SAMPLED ` MY /z, g0 i 17 9 zo 3 zr Nitrogen,. Ammonia A.oZ OB ® 4 ' 03 `. Dz O• 07 O.o Ni trogen, Kjel dahl ," 0,3 , 01 0, 4 ��� o,z O. Nitrate & Ni tri te_ Organic Scan tt,4 p 0,/z 0, I4 pH 77 4.6 16.3 6.3 Phenols Phosphorus, Tots] D 0.0¢ 10'0'- , 0% , ®� �.�3 , _ Q.03 Potassium. 3, ` 'Z3 Selenium Co00 �Q.DOS E.00," �.,00 GQOc7 GoyO.00s Silica SilverGo,0z.< G.O ,S .02 GD.oZ GOoZ,f LD.oO� Sodium (�, S' �o • g 9,3 %Z Specific Conductanc TAMP A3-6 Z 4 ,Sulfate t� i + �.5..,. Sulfitt zing Barium LO. LQ,6' 14'o6 1-.u� L"O' GQ. GQ.f Copper I'CO-01 40, . 01,3 L.010 140.0140.01 6.04 0 C. 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H O O V C'] r W In IO. 0 F W N ID l.ri O+ In O O O, O O In to In Of In ..z ]� O � rmr mr T n O a z p 3 N O O C G G 8 C 8 G G G G G G B G Dg0 r N r F%+• N I Ir r r r r Y Y Y r r r Y r rr m zn Yo g O C ro o d o o r m• .. o n m g..c 9 H n- 1J.. ri:, C t7 m 61 K o b w a a w rwe'M 9 9 e o m x w b q W P. _ G+ Y `rtC m w rt N rA W _ m t0 _ rt H O i O :y O m.. Y N yY. rt p: r 4 'L rz,.: W CD m O m w Y. n m rµr O 000 H I w ao m 0 r'7 9 9 M m Cl a. rt.� .. d K *mi y w .. N � C n ro ro 0 ro w ro ro �1 0 0 0 0 0 0 0 0 0 0 w w o o 0 O. O O O N O- r r w O W O O+ O+ O+ W ' O+ N O+ r O - V O+ O�.�O In O, W W n F D` r W N O In i O r O Jr 1r IY pi GAROLINA DEPARTMENT OF NATURAL RESOURf? SAND COMMUNITY DEVELOPMENT DIVISION OF ENVIRONMENTAL MANAGEMENT i ::3Uti WA`fEA SECTION P.O. BOX 27887 — RALEIGH,N.C. 27611, PH(WL (919). 733-5083 WELL CONSTRUCTION RECORD TRILLING CONTRACTOR 1W + FOR OFFICE USE ONLY Quad. No. )0 ! A.., Serrilll+.yN,o.. A&W10 Lat. .�f �.t�' 41/~ Long. Pc Minor Basin Basin Code Header Ent. GW-1 Ent. IRILLER REGISTRATION NUMBER STATE WELL CONSTRUCTION PERMIT NUMBER: WELL LOCATION: (Show sketch of the location below) Nearest Town: AAdTw-4*-*.S.oA-s.-J _ 1 � (Road, Community, or Subdivision and Lot No.) OWNER _ ADDRESS (Street or Route No. A=f✓� �I mil/ e 2 70 ri City or Town State Zip Code )ATE DRILLED fi--eQ. *3- USE OF WELL CBS. DOTAL DEPTH _ Xg2 " CUTTINGS COLLECTED ❑ Yes �4No )OES WELL REPLACE EXISTING WELL? ❑ Yes Flo >TATIC WATER LEVEL: FT. ❑ above TOP OF CASING, 0 below TOP OF CASING IS a• a,j!L FT. ABOVE LAND SURFACE. 'IELD (gpm): METHOD OF TEST DATER ZONES (depth): HLORINATION: Type Amount ,ASING: Wall Thickness Depth Diameter or Weight/Ft. Material From �_ To AP Ft. Z " mod/. l/e p, 'ev, e, From To Ft. From To Ft. ROUT: Depth Material Method From �_ To�_Ft: From To Ft. GREEN Depth Diameter Slot Size Material From - �— Togo _ Ft. �_ in. •6.te in. 49a e, From To Ft. in. in. From To Ft. in. in. 3AVEL PACK Depth Size Material From o To _ Ft.&j S From To Ft :MARKS: County: Depth DRILLING LOG From To Formation Description m - y —"D c-Ay a b�►,. w - 9 men - Aed lie 94CA�Mg-W- �� K - .Ls-•yr�i?i�i� wy 7 ----------------- If additional space is needed use back of form. LOCATION SKETCH (Show direction and distance from at least two State Roads, or other map reference points) 1 flaAelrf/4/%!jA S �U I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDE ➢ TO THE WELL OWNER. _s.(e- -M-IC19SE-0 r G ✓ & -'&- SIGNATURE OF CONTRACTOR OR AGENT DATE Revised 11/84 Submit original to Division of Environmental Management and copy to well owner. rwr - G a` r~n rD c x �• o � G fD rt a N 0 � b � rD H C7 0o N. N: O O WUQ a ], 04 H o b x �•0b n H G o n N• o nx nnaHGxabmn ���~F- ' w n cn t]�tJ woH>01 1-3 o�HtOrrwmnrl on rt , w m � m .• co'i DATE SA�lPLEn ! 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Z 0 • i NITRATE & NZTRITI; (�T) ORGANIC SCAN 1 H PHENOLS 1 PHOSPHORUS, TOTAL .Q3 -4 • CJ [POTASSIUMZ• $ t ^ r - SELENIUM Gb.ovC a (. o SILVER �Q.QQS' = !�• Curs SODIUM = 30 SPECIFIC CONDUCTANCE SULFATE - TOC (UNFILTERED) !ZINC ' ,®j r�• oil + I E C o,9A L � 0,-o I I 1 ��, 16WL >ff. ®s- DATE SA'1PLE0$` ALKALINITY (CaCO3) To pH 4.5 � �6 7 ��Z�S7 �'�' 4 Zod? 3 z/%Y9 - � � 140 / 90 160 160 Aluminum _ •�O.ps 0 0 4.460 oSO Arsenic, Lo.0 f Z- 0/ � L.OI Q L, 0/0 p Bicarbonate C�Q 70 / S0 00 Zoo 21 3 Cadmium G G 0.01 � 4,010 4,010 /+ 0/0 a.O©Z Loop 14, OO Z Calcium Carbonate Z- Ch t o ri de j '3 1- 31 3'0 Z Chlorinated Hydrocarbon Chromium, Hexavalent - Chromium, Total 0.03 �-,�� �DoZ.S Z. fl�0,0 Lp,p L,p.aL COD - Coliform Fecal Coliform, Total i ! + Cyanide 1 Dissolved Solids o� D 230 930 1210 0230 0 Z Fluoride ! LQ. ( L. 0, Hardness as CaCO 70 150 140 `t f.0 *0 /,SQ Hardness, Non -carbonate 3 Z— Iron < /. (o 12 � . 2.10 .130 , 0,/3 � L0.0C Lead G Lo.OS-L.©S'0 4'M6 Gp.QI Q.©13 LD.O( Lithium MBAS , Magnesium 1 Z / 2.. 13 / 5 Manganese t 0. 6S , s,0 ,ss"� ,p, � 0.98 . o Mercury D. �03a tO.oaoZ �o.os" Z0,0002 L(�.o Z,0001 .OSO L,DO(?a, L. Lo.ODOZ ) 4)c zo.O- �o.OWZ. 46101 All DATE. SAIPLEn gJ 8- z y z1z., -7 ZZ s 3 (�'F 3 a� Nitrogen,. Ammonia • 0 ? 0.10 0-1/ 0. / Nitrogen, Kjeldahl 0.1-- 0. Z Q,a 0. 3 Q.Z 0.Z d.Z Nitrate & Nitrite- , ot- 10,01 0;- 1: • d j GQ•0/ 4. � O.O( Organic Scan pH 3 ( �p , vl. G Z (�,3 Phenols 4 A Moe Phosphorus, Total (�. j Q.( Q. © .03,..0 l 0.161 O.03 16,03 Potassium tf. . Q 2, 9 , q 3 .l 3. O_ Z. & Selenium 000r L..00 L.0®.Ir z'm GO.00S` �o.00 GO.00r Silica f jZ Silver Gd.�;zS G.O L.O �.a�� L0.4ZS G4.OZ Gp.a Sodium. 7-7- a 0 /,5� .2. 2. �. 3® V7 Specific Conductance - 30 . Sulfate $' G Sr - �-� Z- Sul fi to! I z xf3® ,0 1-0/3 . os�0.01 .033 !� Barium I D �0• �0. 1.� L Copper 4 . 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R M ff O H I o DO m o m w m 0 r t7 l7 rt C m o m GQ m ry O_ t7 ro� ro b ro ro V OW O d\ O a O o -aj d\ O O1 - W a, O F O+ F' W N O 0 w 4 a ow w x a Nw n m v o i yT0c H O 9 - i W(o �'� toM t1 ro r tid w m F9 w m m p n v 000 n 0 &D7d r F+ O N m ort o It r rt m =I 3 R O O R fD •o Z �O Uj Po m -a p c c m 000 w }' „ T t C) �, m -n m =c 1= C. :z j c ,ti m —I r C r o o O T m o Z w 3 fmA O °a C � C M n rt m m w e m m ID R w ro m a w H w w R ro 0 O ,1 CAROLINA DEPARTMENT OF NATURAL RESOURCES ANC"-,:)MMUNITY DEVELOPMENT DIVISION OF ENVIRONMENTAL MANAGEMENT - GROUN. ATER SECTION P.O. BOX 27687 - RALEIGH,N.C. 27611. PHONE (910) 733-5083 WELL CONSTRUCTION RECORD OR OFFICE USE ONLY Quad. No. Serial No. Lat. 3X ��-•3 Long. & 5 ,'TS_ PC Minor Basin Basin Code Header Ent. GW-1 Ent. u LLING CONTRACTOR' STATE WELL CONSTRUCTION LLER REGISTRATION NUMBER PERMIT NUMBER: ELL LOCATION: (Show sketch of the location below) rarest Town: Rur//"APA0 Ty.✓ County: Ru X o r A-wze-wrAt 7%gAnw &r-PzAwr wPLLAf Depth DRILLING LOG oad, Community, or Subdivision and Lot No.) From To Formation Description WNER a&(S . )DRESS Street or Route No. df4U&,iAe A/. Gr, 2 JL /i City or Town State Zip Code #TE DRILLED G+a' 0 USE OF WELL AM-' )TAL DEPTH V-Y " CUTTINGS COLLECTED RYes ❑ No )ES WELL REPLACE EXISTING WELL? ❑ Yes Et No 'ATIC WATER LEVEL: 33. to FT. ❑ above TOP OF CASING,. 0-below TOP OF CASING IS FT. ABOVE LAND SURFACE. ELD (gpm): METHOD OF TEST ATER ZONES (depth): iLORINATION: Type Amount ASING: Wall Thickness Depth Diameter or Weight/Ft. Material From To .11 Ft. ,W ~ From To Ft. From To Ft. ROUT: Depth Material Method From O To 2s Ft. 6460 ,7' ffAjdMk r e From To Ft. GREEN: Depth Diameter Slot Size Material From 341 To_,&_4 Ft. g - in. _a_ in. P.uc. Frz)m From TRAVEL PACK To Ft. To Ft. in. in. in. in. Depth Size Material �J �J� LSD a'1As/ CAM%&i .2 4_141 8• fs �g-sy .4"?PNr R "O, ,cs..�► r�� • s r'd24yA2 If additional space is needed use back of form. LOCATION SKETCH (Show direction and distance from at least two State Roads, or other map reference points) From TojZ41 Ft.4V-n 5- _s14w0 From To Ft., IEMARKS: I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER. SIGNATURE OF CONTRACTOR OR AGENT DATE 1 Revised 11/84 Submit original to Division of Environmental Management and copy to well owner, c� a, cD C0 rD a 0 00 0 Iliw rt � o y r3d C a H a 0 rn m 0 d n m o Id rt t rp N A .1r I H. D11TF. SA.P'PLE Ni ALUMINUM ARSENIC BARIUM BICARBONATE - CADMIUM CALCIUM CARBONATE' CHLORIDE CHROMIUM, 'COD OOLIFORM, FRr ,OPPFR IANIDE LUORIDE kRDNES v, O o Lo. 146, r 0, 0 -5r ! .01 14 0- v t (Continued) i DATE SMPLEn NITROGEN, AMMONIAL . Q % 1 NITRQ6EN KJE + NITRATE & NITRITT& ©• 3 ; l� ORGANIC SCAN H PHENOLS 1 PHOSPHORUS, TOTAL fPOTASSIUM , SELENIUM SILVER OOJ o CJ b-. - SODIUM " j. o ISPECIFIC CONDUCTANCE y SULFATE ' . TOC (UNFILTERED) G� ZINC �.©' 0, ! /d l YT. vn.Pt�v DATE SA'1PLEn 2 F ALKALINITY (CaCO3) To pH.. 8.3 _ To pH 4.5� Aluminum _ �.1 ©.OS �p,eS" . 0,� :, .0s LD�� Go•oS" Arsenica �l LD.ae <D,o f (� L . o G0.0 Lo, )I Bicarbonate 3 ;7_ 3 { °2 ; 7 Cadmium 40.01 G0.0 1 14, 01 �. • 01 140FOOZ /_Oxe2• LD rrdz Calcium • .41 3. .2.,5- •1•4 7•7 0.0 1•Z- eq Carbonate Ch 1 o ri de Chlorinated Hydrocarbon Chromium, Hexavalent 40 ? ' G # GO,OZ �� zoOZS" 4 D.� L OZS } GO,a2 .co.ozS GD.oz Chromium, Total COD Coliform, Fecal Co 1 i fo rm, Total Cyanide ' Dissolved Solids `�i`f vS/ ( ✓� 47 3`7 Fluoride -- �.3 O•l GOfj i U7 L4,� 46, Hardness as CaCO q 11 Hardness, Non -carbonate Iron �, �, p, (o (g Q33 G-( 1/ C1,5'0 L-.� Z -0 LLt G� y , LD.O�1 GO'O:C _LO,OS Lead 4Q, .cQ�O� Z.O,OS L0,0.5' GD.Oi Lp.© 1 GO.D Lithium 4:6 0S _ MBAS I! — Magnesium O.W Q.SS Q• �� Manganese ' Mercury L d J � L0.02 �o.ycx�z L0'0 �o.000Z j'� Zf 02S �• OOQ� L ,0 L0'a GO•®Zc �O.e25- L.(3d0,t .GD.ODOZ GD•0002 Go•60CZ L OS�-OfOS� Gp. S� GD•OI ��� i,. SA'1PLEn III tvogen,. Ammonia LZ3 9 2�2 47 2 e7 3 /! zo 3 z i .oz o.ot Vi trogen, Kjel dahl 0-4 4. l Q ° �' ©� 6.1 0- Z 1i trate & Ni tri te_ lrgani c Scan pH lc5` 76 6. 0.4 , . 42 G. : • 37 p JoA- n1c�t&' 6,4 Ao 0.39 �,Z Phenols Phosphorus, Total 03 O.Ofo 0.0 Potassium : �� v. 7z �D. f�S" ��oo: lo.O0= bS GD.a0S� G0.00 D.00: Selenium .:' _: ..., S�7ver �} ,p.Z GO.©` �,O�S L,a2.� '42azS LD.0 L,0400 Sodium ; .. Z Z. Z. 31 1.4 ♦ g; Specify c conductance $' 6-5 SulfateGsr- Sul fitk Zinc GQd 0.4/3 1 La•01 ,014 1-.414 GO.D z0.01 Bari um %. D Gp• S� .c p. $f . 5'D 4.0 ee.� Copper 'Old 0 ! GQ. 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Y ado 7 N I axoo r 1Y c 'nt 11n a In m 1 r Cl., r,n K o0 K rt m n n O 0 H H C w 0 w n r w Y p 0o d a n p o 8 0 n K w m K G m 9 r• w G w m m W d d µ H *d 0 ro 0 'O o hd V "d o 'q 0 h7 0 ro 0 Td 0 *d 0 ro 0 'U O .rt 9 O In �o N r W 0. 0 0 F 0 l O W O N r. H o O. 0 O O vd O+ to O O o+ O O In In In a\ m r n H C G. G G G. 0 G G- G: - z 7C H y. Pr : �. (D H 0 Y r d C7 o b M w 'w a o o ro a w, K m m µ. rn O m .0 ).,'. y.. rt Y Y may w q .. .. � rt CJ H 09 w d r .m ti ro _ro ro ro a 'd. T m m W m O Iro In of W Iro j N Y V 00 O In 1 Y O, 1 r r O r r r r r 2 n 3 3 •--� m T rn 3 M d r c o n T rn � m r -q 3 N O c O H Ci rn m in K rt m N w r m a m C w Y d C �C H CAROLINA DEPARTMENT OF NATURAL RESOURCE:`` '9 COMMUNITY DEVELOPMENT... DIVISION OF ENVIRONMENTAL MANAGEMENT - Gk;4 i4l)'WATER SECTION P.O. BOX 27687 - RALEIGH,N.C. 27611. PHONE (919) 733-5083 WELL CONSTRUCTION RECORD 'ILLING CONTRACTOR FOR OFFICE USE ONLY Quad. No.'.r ;Serial No. Lat..3s'�Q3� Long.� Minor Basin Basin Code Header Ent. GW-1 Ent Pc STATE WELL CONSTRUCTION ILLER REGISTRATION NUMBER PERMIT NUMBER: TELL LOCATION: (Show sketch of the location below) learest Town: 1?4( MaZI AJ2 Zh Al County: &4w a e D M tifJ�9"�WAi _ZWff IA<��t' Ad".- eAA&A i .S' Depth DRILLING LOG load, Community, or Subdivision and Lot No.) From To Formation Description rWNER DDRESS [f.[.4e �nrtir� Street or Route No. r{�gLE/CIS! A,&&. 2 7e City or Town State Zip Code -/!y ek?x of ATE DRILLED G-1 rf 1 .!- USE OF WELL S f i =i ,f— r� � Q� ✓ e G OTAL DEPTH 3.2 CUTTINGS COLLECTED QYes ❑ No 19-Atl 9Aar./wr Cl t y w,er Z DES WELL REPLACE EXISTING WELL? ❑ Yes allo TATIC WATER LEVEL: FT. 0 above TOP OF CASING, '�9� •;�' t �� = �� '� GYbelow TOP OF CASING IS 3 FT. ABOVE LAND SURFACE.=- IELD (gpm): METHOD OF TEST ATER ZONES (depth): J� HLORINATION: Type ;ASING: Amount Wall Thickness Depth Diameter or Weight/Ft. Material From —LZ To iZ3-A Ft. I ' From To Ft. From To Ft. GROUT: Depth Material Method From 40 To S- Ft. „JLArf t7r ff4e&4 From To Ft. CREEN: Depth Diameter Slot Size Material From , 2. s" To_JV4,,C Ft..2 in..e 20 in. pdg From To Ft. in. in. From To Ft. in. in. TRAVEL PACK: Depth Size Material From -_0,c.;0To31.S` Ft. A=601A9!5_-- X4%yo From To Ft.. EMARKS: If additional space is needed use back of form. LOCATION SKETCH (Show direction and distance from at least two State Roads, or other map reference points) I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD Fj" BEEN PROVIDIZD TO THE WELL OWNER. SIGNATURE OF CONTRACTOR OR AGENT DATE 1 Revised 11/84 Submit original to Division of Environmental Management and copy to well owner. 0 rn rt o 0 o H t7 H O 1-h n D t7 0 rrt rr Ll w S ry N N. FJ rD Fl a fD F'• G b N a � z z 0 0 C0a?III DATE SRIPLEn to ALUMINUM .4 ,0. 0 .. ARSENIC 40.01 BARIUM L 0. g— O• BICARBONATE 1 I17 % CADMIUM OVA CARBONATE �-1 .0 / . CHLORIDE - ROMIUM, TOTAL G0.02 l�• iJ� 3 D ICOLIFORM _ FPrnr ANIDE DE 1 20 /-O.Ooz i O. 8 13 Rim GD. j 14 o . I /% o RDNESS NON —CARS NA GI I i IRON-T- •3 9.7 RA I kF- D MERCURY 10.0004 0. J,C)c ®( t-Zij anC`79tn1J (Continued) DATE. SAMPLED NITR Q.OZ d NITROGEN KJELD NITRATE & NZTRITFr D• �� �' ORGANIC SCAN H PHENOLS 1 PHOSPHORUS, TOTAL 0.03 � d POTASSIUM 3• SELENIUM eoxo ,- �• �� N SILVER GQ.0 d U• 006 SODIUM SPECIFIC CONDUCTANCE SULFATE ( f i i TOC (UNFILTERED) LS ZINC 1 C o ,0,4 � � • fJ S 1 + f DATE SA'1PLEn ALKALINITY (CaCO3)�-- _. To pH-, 8.3 To pH 4.5 / - 160. /;, Aluminum _ ��t cfJ.pS— �D.o 4, 0ry 4 0: 0 GO.Or �oe0 cO.oJ'� Arsenic 40.0/ ZO,0 IG.0/0 Bicarbonate % •/S-0 1130 / 30 I 1 ,5-0 1 I 0 JW 113 Cadmium La do D/ i moo. of z , 610 Z- . 0/0 40.007, Lo. 00Z GQ. 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O o o o O �l O o O o o O O O Y o o O Y o O O O O F F W N o �O �D �O W �! O �6 F O 4- O 4- F F. F OO W F Y �p F -m rn O CDv+ O Y N O W O F O O. VI O O O O In O O G ,, o N O -Y H rt Eli 1 1 �. rt rt Q rt m 14 £ [vID lb O µ n ro O' I N i (-I O ri ["I H C] C] n W jD Oo oa fi'a rcTl _ rt G - i 0 o° tl w mm w a 1• 00A, dn d o n µn0 OQm w y n G m }J• G �'t. m y 8 FI• G� F'• G 9 M• 0. ID ✓•t ,. rt '0 O c b o m G �'' c m v g v C C m I m t7 " ^ e d t7 C .. ' o " z a d —{ m p .� T 3 p w 1T1 L9 ro ro ro ro ro ro ro �d ro ro ro ro ro ro ro O ro O C� Ny 0 0 0 O O O O J O O O O O O O Y/ Y Y µ O Y r O r- O F' Y Y Y Y O Y O .. �O O' Y O ,b m rt Ip 'O O. O �O O �O Y W 'O O O' F o F WN Y O O fD l.J.�O N O O In In V+ o+ to m n I In m a 3 r co T m a n rt t 0 K 1-h C .k„ H O �7 C C 6 G 9 C G G G G G B G G C N v r N'3 p r En m Ccz le m 1I Y r Ei 0 i t Q' En o C O N ]'...w µ. m " x 0) .. m y 0 rt z (0 w rt m O O OQ QQ M n m. 0 M w 'd v ^ d rx• d vv � m rt Q m H m ^ t7 % 0 4 oW 00 0 0 rn 'rn OD o- . rn rn rn W r Ir lr 0 0 rCIDrn CL . m m rt m 7 m c m \ c y ,a y C d to rt m ro ro 0 0 C! r F., rl CAROLINA DEPARTMENT OF NATURAL RESOUR AND COMMUNITY DEVELOPMENT DIVISION OF ENVIRONMENTAL MANAGEMENT - — ,JUNDWATER SECTION P.O. BOX 27687 - RALEIGH,N.C. 27611, PHONE (919) 733-5083 WELL CONSTRUCTION RECORD FOR OFFICE USE ONLY Quad. No. ! Serial No " Lat. ~ Long..dsr? R PC �— Minor Basin Basin Code Header Ent. GW-1 Ent. DRILLING CONTRACTOR STATE WELL CONSTRUCTION DRILLER REGISTRATION NUMBER PERMIT NUMBER: WELL LOCATION: (Show sketch of the location below) Nearest Town: �TyAcA�v County: �1 ij%��2 fieRD J!jZ &OAC asuT 1'�l�•✓l AC,4.t' 4AAf 0 =#4 Depth DRILLING LOG (Road, Community, or Subdivision and Lot No.) From To Formation Description OWNER 6 eAJ S BRew-Il/ Z ADDRESS (Street or Rout G Grs.E12 City or Town State Zip Code �" -• DATE DRILLED 4-,4R:6!.0 USE OF WELL TOTAL DEPTH CUTTINGS COLLECTED ❑ Yes DOES WELL REPLACE EXISTING WELL? ❑ Yes ❑ No STATIC WATER LEVEL: FT' p above be ow TOP OF CASING, TOP OF CASING IS —- FT. ABOVE LAND SURFACE. YIELD (gpm): METHOD OF TEST s WATER ZONES (depth). CHLORINATION: Type Amount s CASING: If additional space is needed use back of form. Wall Thickness Depth Diameter or Weight/Ft. Material LOCATION SKETCH From To 412 Ft. A-.2 w Q -&e-- (Show direction and distance from at least two State Roads, From To Ft. or other map reference points) From To Ft. GROUT: Depth Material Method From d To17 Ft:--jj!AV� I!i/1]C'AttrC.c From To Ft. ?.SCREEN Depth Diameter Slot Size Material From A— To_Q_ Ft. ;L-_ in. .e AI in. -off From To Ft. in. in. From To Ft. in. in. 3. GRAVEL PACK: Depth Size Materially From �_To�_FI.AiLS S From_To_ Ft. 4, REMARKS: I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER. SIGNATURE OF CONTRACTOR OR AGENT DATE GW 1 Revised 11/84 Submit original to Division of Environmental Management and copy to well o,. r ' w m x 0 G ti t� H* N. O a) w oc n as m i-3 o (Do �TJ � x En o n w o m n .. m F- 0 �n r- a. m H °4. o x CTQ P. H m co cn m rt rt w n � rt V 0 o n n x V CO w •0. n w n w n 0 v, w o a � r w � w rn n rt H L o � O b rt rt d �-d t 7y r� z H C H O � z H O H z .cl- 0 r z �d 0 o x n a zEn r r t t3, z z H d tx7 C txj O b z H $I CARBONATE Jed I "7 0 CADMIUM GQ, ©®Z 0. O'D CALCIUM .. . , . CARBONATE CHIARIDE — ROMIUM, TOTAL D �=Z 6,0 F ANIDE QED SOLIDS 160 i �E � I` d• � S, CaCO-4 �� I S, NON -CARBONATE Lj 4.4 3 • Y a►©ooz w 0. vvmn-2I US T, -.O P fu1�0 (Continued) f col DATE SAMPLEn NIT D NITROMN,KJELDML1. NITRATE & NITRITF, 0.0 6>1)" . ORGANIC SCAN 1 PH z- PHENOLS PHOSPHORUS , TOTAL L O• Q f f IPOTASSIUM SELENIUM 40 ®cr d, oes SILVER ,�. d �J < ® . 00S SODIUM SPECIFIC CONDUCTANCE SULFATE G� TOC (UNFILTERED) !ZINC 1 0 I f CV84f- T F�COUNTY- DATE SAMPLED S 7 8% / 11? 9 z.: 3 ,7qq ALKALINITY (CaCO3) .._To. pH•.8.3 _ _ - „. 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H d d z d rt e k It m d: ^ m 0 0 0 o OD o w w 0 o - 0 W O al O. O -O O+ N O O :Fr O• U r C% O W O W - Cf O O+ tJ w N r V OD O r F r F CT r W N �D O �. H r r 9. 9 090 pO oO r r r r r r r r r r H CAROLINA DEPARTMENT OF NATURAL RESOURCf VD COMMUNITY DEVELOPMENT DIVISION OF ENVIRONMENTAL MANAGEMENT - G14.WNDWATER SECTION P.O. BOX 27687 - RALEIGH,N.C. 27611, PHONE (919) 731-'6083 WELL CONSTRUCTION RECORD )RILLING CONTRACTOR .FyOVR OFFICE USE ONLY Quad. No. �/ ! �d % Serial No. f�u Lat. �3i S�O.?D �15� Long. •Ar %� 3.� PC L_ Minor Basin Basin Code Header Ent. GW-1 Ent. STATE WELL CONSTRUCTION )RILLER REGISTRATION NUMBER PERMIT NUMBER: WELL LOCATION: (Show sketch of the location below) Nearest Town: 9C[7"//0,1%A 7bA1 County: &Ads" &4"AMR .QT K!: P-49A17 M&M 7 Depth DRILLING LOG (Road, Community, or Subdivision and Lot No.) � From To Formation Description 6 OWNER _lW.S. ADDRESS (Street or Route No.) fZ�l.�iG�I /I! C. Z7all City or Town State Zip Code DATE DRILLED G 1f/-JrJ0' USE OF WELL 90ARS TOTAL DEPTH .44! / • CUTTINGS COLLECTED ElYes ❑ No DOES WELL REPLACE EXISTING WELL? ❑ Yes 2-No STATIC WATER LEVEL: /D. 9 FT. ❑ above TOP OF CASING, Cybelow TOP OF CASING IS a•� FT. ABOVE LAND SURFACE. YIELD (gpm): METHOD OF TEST WATER ZONES (depth): CHLORINATION: Type Amount CASING: Wall Thickness Depth Diameter or Weight/Ft. Material From 40 To '441_ Ft. 2- " jb4 400 & y.@• From To Ft. - From To Ft. GROUT: Depth Material From _� To 23 Ft:`�Ut/> From To Ft. SCREEN: Method d6g A4 4ir Depth Diameter Slot Size Material From .34,e Tom_ Ft. 2 in. .02,e5 in. Pu.e From To Ft. in. From To Ft. in. GRAVEL PACK: Depth Size From iT e- To !Vel Ft. ni -S - From To Ft. REMARKS: in. in. Material C •. f � 24 -'Z7 0Qewwf If additional space is needed use back of form. LOCATION SKETCH (Show direction and distance from at least two State Roads, or other map reference points) 1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD H S BEEN PROVIDED TO THE ELL OWNER. SIGNATURE OF CONTRACTOR OR AGENT DATE N-1 Revised 11/84 Submit original to Division of Environmental Management and copy to well owner. i 0 rn p o w r w (D h-h o � n l � o � o 0D D O fn rQ rh . OQ m' � (D tit of �o j (Do rt x t �0b P� n � O n H. r rt U) t) o n n m n (D fD N c•� 0 �n w Oq ri � �O �C w w 0o a a w m cA rt W w nrt 10 .. D N• b a (D 0 0 o n n x U) 3 nFD n cD ............... 1 DATE SMPLEn ! SALINITY Ai�KALINITY TO ' H 8. ALUMINUM - G4.0� ��• D� ARSENIC Li0•©1 BARIUM 0. 0,;a BICARBONATE 3 �p S 3 CADMIUM LD.00Z o. oo_-j CALCIUM t�•`i' .l' -r CARBONATE / L, CHLORIDE 2 CHROMIUM, TOTAL LO.�Z olOA D 1//0 LIFORM FECAL COLIFORM TOTAL to o COPPER �D.QOZ 0. 0d,2, CYANIDE DISSOLVED SOLIDS 7 FLUORIDE HARDNESS CaCO a2 HARDNESS NON -CARBONATE IRON GQ.0� 0 . 9 5q I i i.EAD l p.0 40.0i IMGNESIUm p _ r i p o: „J / d I r EBRCURY l-0.©OOZ C%. oopA CKSt- L0. p 4 0. 0 �t�(Continued) t t r, —_ coil,: F SAmPLEn NITMXEN ti. fJ • J r NITRATE & NITRITE- , ZZ ORGANIC SCAN H m6 PHENOLS iPHOSPHORUS, TOTAL 'POTASSIUM SELENIUM �Q,QQ �.0.005 ! SILVER �.®�� t " Off✓ SODIUM 3,3 SPECIFIC CONDUCTANCE SULFATE TOC (UNFILTERED) ZINC DATE. SPIPLED ;s'" 2 Z7,1g? 311hT ! ALKALINITY (CaCO3) -. -- _To. pH..8,3 To pH 4.5 !, ( 33 67 Toc Aluminum _ 4� �O.pS 16,OS- :?®D t�,l Go.OS Go.os" Arsenic — — Go.o} 1_®0i G.161D Z-4101 Lp.41 Lo,ce Bicarbonate S� Cadmium GD, Z- P 0 I L • DI Z-4.00 L LD•ooL LD. dOZ Calcium; �3 ,3 �;� �2:w !�. % 4.4 (0.0 Carbonate Ch 1 o ri de 02 . z Chlorinated Hydrocarbon Chromium, Hexavalent Chromium, Total S' 40. 0 GO,OZ 4 , 0.,5' 40'(gn- L0.02� COD Col i form, Fecal ,�,` L o _Col i form, Total L%& avo Cyanide j Dissolved Solids � g' 67 16E 43 61 r% S9 Fluoride �. O• Z 0. Z LQo ®• a- (�. Z 0+2 0.71 Hardness as CaCO -3 3 2, � 97 3 Hardness, Non -carbonate Iron .4 .�v zoos- 1/-, 0,5" I,10 , Q,' I GGIOS 'eao Lead ,GD,1 ZOA- zo,O.- Los' L. , DS! Lox GD•ol Z0.0( Lithium G 6' - � MBAS I Magnesium 3, Z Z• �Va, 02 0.7 Z-%t. Manganese D, oi$� 0•?S D•6� • • �(o /. lD.O Mercury 440007 zo.oaoz zo,o0oz 4,0602 L,ddoa 40,000Z AO-OWLNirkpl a0.000z i DATE SMPLEn �" /`i�Z /�' 2 S7 5 iw Ni tvogen,. Ammonia p. 0.0(0,04. Q, 0, 03 O,Oz. 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H CAROLINA DEPARTMENT OF NATURAL RESOUF AND COMMUNITY DEVELOPMENT DIVISION OF ENVIRONMENTAL MANAGEMENT - Gtrk)UNDWATER SECTION P.O. BOX 27687 - RALEIGH,N.C. 27611, PHONE (919) 733-5083 WELL CONSTRUCTION RECORD FOR OFFICE USE ONLY Quad. No. %fW Serial No.& Lat. � � % " Long. °sr •Pq Minor Basin Basin Code Header Ent. GW-1 Ent.. TRILLING CONTRACTOR STATE WELL CONSTRUCTION TRILLER REGISTRATION NUMBER PERMIT.NUMBER: WELL LOCATION: (Show sketch of the location below) Nearest Town: _Zd T&M R.0 reA/ Ar gyps w. a1G rmma' PLAxer wsa 08 (Road, Community, or Subdivision and Lot No.) OWNER G.W.CT S. ADDRESS Street or Route No. �2A,L�iG.14 /l/C. s7G it City or Town State Zip Code DATE DRILLED G—�g—��^ USE OF WELL LQ�• TOTAL DEPTH 240 CUTTINGS COLLECTED ❑ Yes P-No DOES WELL REPLACE EXISTING WELL? ❑Yes 2-No STATIC WATER LEVEL: FT. ❑ above TOP OF CASING, ❑ below TOP OF CASING IS FT. ABOVE LAND SURFACE. YIELD (gpm): WATER ZONES (depth): METHOD OF TEST Depth From To d ` 40 DRILLING LOG Formation Description 462 &_1.4 y n of W l iw CHLORINATION: Type Amount i. CASING: If additional space is needed use back of form. Wall Thickness Depth Diameter or Weight/Ft. Material LOCATION SKETCH From 61 To _� Ft. Z " 0 Pv�• (Show direction and distance from at least two State Roads, or other map reference points) From To Ft. From To Ft. I. GROUT: Depth Material Method From O To Ft. 91ft,E&Z f�,✓� �AtiLsc From To 2. SCREEN: Ft. Depth Diameter Slot Size Material a From JjQ— To__�[i _ Ft. 2 in. •01c in. l From — From 3. GRAVEL PACK To Ft. To Ft. in. in. in. in. Depth Size Material From To_2t!n_ Ft. AN—S Ad" From 4. REMARKS: To Ft.; I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORDS BEEN PROVIDED TO�THE WELL OWNER. • e �^ Cl — Ir SIGNATURE OF CONTRACTOR OR AGENT DATE 3W-1 Revised 11/84 Submit original to Division of Environmental Management and copy to well owner. iON' Rurr,rArvCP7 l°��I�I ii COUNTY NAP1El�st...wf.�,et 'f,�F.�4?I1JP.y7 DATES: STARTEDa.e2-r LEFT 1fQTq,s_ CONTINUED COMPLETED ;EI•L TOTAL 1"ELL SCREEN llA; E M� �� �� (GPM) (PPM) (00 (T•S) ('H 'rO. DEPTHDIA or Oil 2 7� 2 -i JI z" .2 mom?,.(% SING(:IZEEtiS PA IQT717 I vT N()SI7.E NO. DATE BY PACKERI hx4 SAWD SUPPLIES COST 5e3- SITE PREPARATION OTHER 1�4,1,Aedo&l 60 9, n,-- I-- WELL DATA TABULATION POLLUTION SOURCE MONITORING SITE le Facility Name: /Quf�ipr l'i�1Li/] !�/�ts/�Lr14,r #r2 tAirounty: /fa a6/`f 10 Pollution Source (lagoon, landfill, etc.)_ lasaolls Latitude: J5 e � u Permit No: Longitude: $/ 3*7 A7 Non -Discharge: NPDES: Well Const.: DHS: Sampled By: 4 e - Quad No: 1077 Well No. Date Installed Total Depth (ft) Diam. (in) Screen(S)/ Open hole (OH) (ft-ft) Grout Interval (ft-ft) Gravel/Sand Pack Interval (ft-ft) Remarks H S a I �51_ ~lk 71 6- - s2LAs - -s -s - 6 - - 86- - - fl Draw a diagram on the reverse side of this form showing map location of the site and the location (direction and distance) of each well with respect to the pollution source and to each other. Indicate sampling schedule, parameters and any changes to schedule. GW-51 Revised 8/20/84 DEPARTMENT OF THE INT' ''IOR GEOLOGICAL SURVEY \ 82°00' 410000m.E I v�; ,. q7 /YI-� 9 M/. u) INTERSTA7C 40 411 412 �r;, h� �e n:. 57'30" GIL ✓,E1 �, MI, 30" t Ga btiels _ •� NNl wl AS ch ; ! �221 Water -1 .� • • •� i Tank„ i •� � .. �W-48t Memo, i l 92 e fordt i0 . IEOMONT ° 0 Cem/ �A ° ��i �• fir et \ o _\\ 9• i H o s p al y Tartk_ � Ir Goff o re • ��'� ���,�' �, 0 3913 ✓. i .doCIL - i. 000 All 3912 � •r �yo � 1 � 7 rr _'� ° - ---_ V Q •�� S a e C�i�posal tt� Ford67 ' 11 -\ fp _ i • _ ,, A� 8420 3911 / �,`� ••lJA o ' r � ' I \\ ;; 1 ' 20' - �p ,�' 83z �1 Iew Cb •9 Mouhts' 60 r e m , 3910�;j � 4'6mt Ch ern lid, I , 1 \ 944 1, v 3909 t , ON 7d m c r• m a 0 00 0 m r• m rt x 0 G ai 1� b m n d r. r: 0 cn P. n Qo n 00 m H �v x n JaA n rt H. " c :I- n v N fl h lJ P Oy r ~ a ro H � O x °� o H m En cn m rt rt w n m rt �m m 0 o n n x m w Id m w n tj n m H 0 .N �d o m rt 0 pA rt O rt Z � d \4 J �C a n 10 r• G oq w w � � a z z 0 0 1 DATE SAMPLES ALKALINITY !PH 4.5 93, ALKALINITY 'TO> H , ALUMINUM _ .40.OS' 4 ®. D 5 - ARSENIC LP• O / 0. BARIUM G©.g,- 0 BICARBONATE CADMIUM LD.007i U fJO a$ CALCIUM �Z % CARBONATE '(i RIDE CHROMIUM, TOTAL.©Z� COD 37 COLIFORM FECAL 1 ! G 1 DD ! I I . I !- I 1 COLIFORM. TCYrnr. I L-, J® 0 1 I COPPER 11).At323 CYANIDE DISSOLVED SOLIDS SO / 3 0 1 'FLUORIDE ®. 0. i HARDNESS CaCO S I �HARt�NF.SG _ AT(lAt_r•nvanwTrmc. GI � � . � � I ;IRON 0. /Ao LEAD,®, 4 MBAS G S .Z 3• 4 KMGANESE 1 0. (' 9 0 MERCURY -O,Cwz, ,- o . oce,2 _ DATE SAMPLEP NIT (a a r, NITRQGEN KJE { / . (O 1 0. NITRATE & NITRITR oa03 y 51 ' ORGANIC SCAN H , lJ PHENOLS PHOSPHORUS, TOTAL POTASSIUM SELENIUM e.OD 0. vO.�, SILVER o1 o.v SODIUM SPECIFIC CONDUCTANCE SULFATE TOC (UNFILTERED) �O ZINC c 0,6,4L- T C-------- DATE SAIPLEn Z S7 1 g Zo 3 zi ALKALINITY (CaCO3) _ _To pll. 8.3 To pH 4.5 _, �. ._.. �-- :- ----- Aluminum AA IS Arsenic G p % Dr U V L0.0/ 40.0 � Z_ e (� ! Z~ � �I � Lp, o l LO. o GO'o Bicarbonate J ® $Q /C ® 1 I D C� / ! 30 /S Cadmium 4 Gp.Q/ ,O Z ,01 4o. ooZ L0.6o2 gip. DO Z Calcium / ��, �,v 3: 3� �`.2.. �� Carbonate t _. G-. L L- L . _. �; �f✓ .Chloride Chlorinated Hydrocarbon Chromium, Hexavalent Chromium,Total 144 a: �f1.Uz !-O.OZ G0.DZ G0.02� COD Coliform, Fecal L Co 1 i fo rm, To to 1 Cyanide Dissolved Solids l �D rj% /0o { g 47 1.5�0 Fl uori de Q� �O. a p, L a % L' . G 0. GO.. Hardness as CaCO 3 l 02Jr1 %6/ Hardness, Non -carbonate L% 43 Iron I .D /5'.O 4.0 14.060 23.00.Z& Lead 40.1 Z0.OS 4,0�5' Z 05' GD.D/ GD.01 G0.4 Lithium .�- 0S MBAS Magnesium Manganese f 6�J ¢,0 0.2 /`� /•� ,9� /, ®t�Z- Mercury D. (� 0 ©.oc9oZ ao.000Z ,o�® G'Oooa. 40.0cu G0.0664 1000 4 0.OS o. o'SS Z. , 0 5- e- , 0 b� �0.0 LO.0 GD.O ATE. SAMPLEn 4//z,14 2 �� 31 lfg 3 zr trogen,. Ammonia / $' 3.3 %,"` �• . 3 Z- . 08 Arogen, K,jeldahl Y,3.7 1.4 f /� °1` ,l.s Z.Z l�•J� trate & Ni tri te- 0.01 U ; , 0 3 - • ©-Of )rganic Scam VoA-W&4r )H 0 6•.5 �� �` ! C� • %_ 6.3 ?henols 'hosphorus, Total . Q 0.03 +t•0.01 ° • ©I 40.0 t 47.O f Q. d ?otassium j,..¢ `Z. � �� 3. _ ...,1.�► 3.� Selenium06 400� G0.0� Lv.4 ,0 Silica silver 02 4,aZ G0.02 z 0. oos 40•0 Sodium.: b,�} S.8 S.b 3,% &;.$ �•� �.2 5peci.fi-c conductance . . t %V . 240 Sulfate � b � 7 5� L� 36-1 Sul fi t Zinc ��d 1010/7-1 D ®1 t l .Oa23 GO.01 0-0/ GO.O Barium �, j• 'G®. �.®. Z-,a <, 5� G O. S'" 1p. 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