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1 0 :> S s :: ; \ ; ' ' " 1 "?'s'; 6(:> : f C (6Wc: _ ' 2o """":+ 0 ' '"2 '' c:?? :) ' U '4 Key: SAM p LE D E s C R 1' T 1: 0 N We1;l # ("4 &1 r 3 f TD 2 f 0 amned by: (hj Da e?&l p :_ of A Abundan Gommen M Mnor T Trace R Rae ' X Major Gonsuen ' ' _ ' '?j 0 'o ''Y """ : h0b JA C ' (; < o;_(b : : 4) ofs rnerval 7 Colr ' / Texure _ ' v s'ka ' S)plQ 1 J" j co A ; ' j /'0y r/r4&y Y7Y'T ryyf}f/ + ' M ' R ' T Remarks '' c 1 rl j ' r ' l 1 ; M"p"c <\ ' : c '1 "f ' _ j l ;{ Nl N f ; ' sr/"2 ; \ b ; ; ' 1 ; _ J / VC"'S (;r/rd : 1 '" 'l' d\4 2 ;0 ( '4 /\ ' ; ' J )/1'" V S> 'lf : R fr :r l "rlj + r""' "1 cl _ A r l ' ]/Jr l' f' A T R b<14 1':"""''1 1 oj" f 1 1 jl7# /CfC A / lr'ld 'f""'''1 "JlJ " / "" ' : l 1 C(:; / f ; VCr; SAfJ : A T 7171'2 :re l d k ) d'":'1 " (Jr f 44)\ u(m/( 'M l"'1 r A T 1 + f' '/<)" A/sA ca r 'T 'r 1 1 _ ' {;f7 c M A 'l' '{C T "'" )/)Q } 'f l uf '"'" el" S P A ' T" ' r/p/l;) Cf"'/' / /4 o ;M 1 A A 'R ( R rr r 'l;/r Sf+ r + K C 1 1 R r7f ' f #f l)o ':" 1 ( r r S"A A 7lR :1 ''"''/ ' ;1 _ " f " / ) : ; _ /);) JrJl _ '7 )/n1 r J 1M 1 p v:; rlff/j1 7 } ) c O' _ { _ V Jo 'SO /(;'1'0 "J J : j:a( h 1 { 11(" M ' r "" ;+ ' ; " /

2 0 ' r 3 A 11 P L 3: ::; 2 S C P T ON k / Color T >e Well #_ TD 28D Examned by: (d 0 Key: A Abundan C Common H Mnor T Trace R : Rare X Ma jor Cons4uen / we g BUWH Da e 'H ""183 p 2 of 1 ljb?'v/1 o _ Cl O 'CA &:/ o \ 40 : 'CJ ; ' <"4;' c o " ;<> ""0<1'0 J> <' Remarks 1 / r4&yr)yyv" o/a 'Jfy r [ :: C marval / YP/ / Y0y Y q ; O/?() J f olro ) "'r r \ 1 rl"' \ J" /Jf)o > s:o<; }";f cj";""' _L r 'r 17c J r ; 20b J1 o l : j + f : : + l/ PJ2O ) f 5kN' 11\( f 'L/2JO & 1 1 \ ' ll41jo L ;'/" '" \g; ) "' ' w f 1' 7JO /117 : ' A J c 1(11' /'"10 ( 'A M\ ( "A d 2 " /'11 "'L r""""'"" ' 1" r f' : 1 1 ; # lf o) : : : ' ; a f"+ l " f : " 1 _ + : 1 _' 1 : :1 _ 1 ; ' ' _ r T _ : < f ; _ '' _ ' 1 1' j + r > ' _

3 NORTH CAROLNA DEPARTMENT OF NATURAL RESOURCES & COMMUNTY DEVELOPMENT ::: 'f' WELL RECOP D DVSON OF ENVRONMENTAL MANAGEMENT : J /' j /' r P O Box RALEGH NC DRLLNG CONTRACTOR REG NO ' " WELL CONSTRUCTON PER"T NO eu 1} 17 1 WELL LOCATON: (Show skech of he locaon below) Neares Town: r?l d r ("';>fe Couny: C </az beelao( r _5e)c)/:>:::rLJyw :o ::21'}o':SL"':Gd<' ;;('z? :'5cs(;' 1J" :Quadrang le No d 1/ e 1 ) (RoadCommuny or Subdvson and Lo No) 2 OWNER: GWc= 3 ADDRESS: 12 A e; oj "r 4 TOPOGRAPHY: drawvalleyslope hllopcrcle one) 5 USE OF WELL: Sd9 J "fk' DATE : DOES THS WELL REPLACE AN EXSTNG WELL? DEPTH FROrTO DRLLNG LOG FORMATON DESCRPTON 7 TOTAL DEPTH: 220 RG TYPE OR METHOD:da=G;" o 'vt 8 FORMATON SAMPLES COLLECTED: YES NO 9 CASNG: Deph nsde Wall hck ype Da or wegh/f Fromof )f/ 10 GROUT: Deph Maeral Mehod From o f 11 SCREEN: Deph Da Type & Openng f addllonal space ls From2 of 1%1 : 6741 e ' LOCATON (Show dsance o numbered roads needed use back of form SKETCH or oher ma reference ns) 12 GRAVEL: Deph Sze Maeral From o f 13 WATER ZONES (deph) : 14 STATC WATER LEVEL:fOP of casng Casng sf above land surface ELEV: 15 YELD (gpm) : 9 METHOD OF TESTNG:19WK&(/?f 16 PUMPNG WATER LEVEL: f afer hours a 9pn 17 CHLORNATON: Type T Amoun)j ( { e 18 WATER QUALTY: TEMPERATURE (ofc 19 PERMANENT PUMP: Dae nsalled Type Capacy (gpm) HP Make nake Deph Arlne Deph 20 HAS THE OWNER BEEN PROVDED A COPY OF THS RECORD AND NFORMED OF THE DEPARTMENTS REQUREMENTS AND RECOMMENDATONS? 21 REMARKSL2Cf was c nsruced n accordance Sandards andr ha hs well record s rue and exac SbCON OF AGENT DATE J

4 NUK l;akul1na cufv1:r 3f'1 J) Lhologc Log Log by: Lm m V Locaon Town Owner G:W Deph J"O HL Se abrodk: f; Dam DEPARTMENT OF NATL AND ECONOMC RESOURCES GROUNDWATER SECTON Well No: Feld Offce Dae ljq 81 Couny C " rowr L AN J US GS E }em n ; Cungs /" L hl Elec LOg;/' : S" o() eno" e (r ek Drller_JH" Da e Drlled:7J:;:L:9 =3:::8/ Cased o 4f' f; Elev f above MSL 'RW Ganuna log / R w Decrpon fee Thckness o (fee) 5 }:>'ec r:c 1'>' 'f' 5eG :s 1 c S

5 CJMT3 { L1ROO G C LOG (connuaon 3hee) SeAbr O l:: S: ( h ro Well No : Feld ' Offce USGS Descr pon ' '''

6 _ 4' 1 DEP ARTHENT OF NATURAL AND ECONOHC RESOlRCES GROUNDWATER SECTON CUMT3 8/ L14rJ A JUffJ/ «ll) Lhologc Log Well No Feld Offce Log by: Dae 7 ;19 Cuny cv«&r2 Lmd USGS Locaon Town cs e 3ZDo e d fl llo C do " Q(4e N ( ; Chmer CJ :'lus ra Drller CL: d(?eca Dae Drlled 0;)'9S:/ Deph ;:<q' f ; Dam fc ' n ; Cased ;2 f ; Elev :) f f above }lsl Cungs 1 os Elec Log No Gamma log D Descrpon Deph (fee) Thckness from o (fee) {( erj J? rx' Q0 o fljd 0 /' h+ 6110" J ) L5 1}l1> pcm A) ru LJ' 9 1 J1J 1 J rvnfj q / / M"L (1fl;/A 1 :;;l\ cj /1' bll Jd J oj // /1 /1 C} c9v / d</ 1d9/ 7JJ v S/ ;<g 2LCf '2 b 4:> 4fe/Z ' Jf'J/lT 5LA:: Nn± : ) /e QgAA (Y/ Aw A _r/ f 1 /E kf ba> J/ 4vrf'/l / b / G'o 2

7 MP SJ[ CPfl we D' ere) (LS) (Mf) J Yas 9 f J 3J5CJ /5 73 LfS/ :J J CSe o _1\ b_ /)l av : \ \A \ BAsk'f/ a' CO'1 1/ Cr'l"l ;J _JJ l'" _ (A \ :) _ LA Lf/l) \ 1 ' \ ::r ljj Se )b 2 ()() k 7S c"\ovl r;oo v:ve flwy ZO 11

8 Nopn l ; Gron " "" u r 0 ":: hl 1'1 orzlo 1 " o 'r 1 r lln f:':: q '( ll _1 1 r o fh h_l" "' SEABROOK SCHOOL (U41a) CUMBERLAND COUNTY STr:T"W STE

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P.o. BOX RALEIGH, N.C BL-T-3-8' NORTH CAROLNA DEPARTMENT OF NATURAL RESOURCES & COMMUNTY DEVELOPMENT WELL RECORD DVSON OF ENVRONMENTAL MANAGEMENT GROUNDWATER SECTON n L _ 1.;1. 71- P.o. BOX 27687 - RALEGH N.C. 27611 0 DRLLNG

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