LOCATION: .55 mi. N. jct. 561 & 258, on 258, .15 mi. W. of 258

OWNER: Town of Rich Square DATE DRILLED: 10-31-68

~~~~----------DEPTH: ~3~4=1_' ________________ __

o FORMATION SAMPLES

o ELECTRIC LOG

o GAMMA LOG

[] CHEMICAL ANALYSIS

o PUMPING TEST

YIELD:

PL:

SL:

WELL NO.: _E2=.;;.:3:=r_-=1 ______ _

TOWN: Rich Square

COUNTY: Northampton SAMPLES LOCATED :Ral.-Ahoskie

ELEVATION:

INTERVAL: Various ----------REMARKS: 341' samples.

[ WEL L RECORD 1 NnRfH CARO L I~A OfP ART~ENT OF WITER QE~ URCES

DIVIS,- JROUND WATER BOX 9392 - RALEIGH, N. C.

DRILLER: Hartsfield Water Co.Indl~G. NO. LlC. NO.

I. LOCATION: TOWN Rich Square COUNTY _---:..N~o~r~t~h~am~p,l:o:.t.l!,;o~n"_- ______ _

MAP: .55 mi N. jet 561 & 258 an 258, .15 mi. W. of 258 QUADRANGLE NO. E23r-1

2. OWNER: Town of Rich Sguare, N

ADDRESS: Rich Square. N.C. ·

3. TOPOGRAPHY: draw, slope, hi 11, valley, fl at, rI Clge

q. RIG TYPE OR METHOD:

5. TOTAL DEPTH: 341 ft. Date 10-31-68

6. CASING: Depth __ ft.; Diam. __ in.; Type

Grout: Depth __ ---0: Method ____________ _

7. SCREEN: from (ft.) to (ft.) slot size type

8. WATER ZONES (depth): _______________ _

9. QUALITY: ______________ TEMP:

10. STATIC WATER LEVEL: __ ft. below top of casing which is

__ ft. (above, below) land surface. Date ______ _

II. YIELD: (gpm) Flow, Pump, Bail. Est.

,.... 1--,

~ [)

(place this sheet over correct square on map, match corners and circle a dot at well location.)

12. PUMPING WATER LEVEL: __ ft. after __ hrs. pumping at __ gpm. Spec. cap. ______ gpm/ft. of dd.

13. PUMP: type: _________ , Intake depth _____ , Cap. ____ gpm, Hp. ____ _

Iq. REMARKS: Jh" of samples

15. DRILL LOG: Depth Soil and Rock Formation From To

hite copy - Department of water Resources; Blue - Driller's ~opy; Green - Owner's copy. Form GW-I

NORTH CAROLINA DEPARTMENT OF WATER AND AIR RESOURCES DIVISION OF GROUND WATER BOX 9392 . RALEIGH, N. C.

APPLICATION FOR PER~IT TO CONSTRUCT A WELL

Applicant HARTSFIEID WATER COMPANY, INC. Date October 1, 1968 Addr ... s J.2!t Office Drawer ~!~_K1nstont North Carolina 28501

Property Owner (If oth.r than app1/c.nt) Town ·ot Rich Sq.", Harth Carolina Drilling Contractor HARTSFIEID WATER COMPANY, INC.

~cat Ion: Rich Square Industrial. Park 450' west of North Main Street Rich Square, N. C. ~ North Hampton

Street or Road

Pro~~l!:

.' Town

E tl 300' ... ated derth ____ = ____ E,tlfll.ted Yield _2 .... 50s-__ • '-'JO" of .. ,' ...... Hun:wllu",gO .. 'D'Ial' ..... _ Type of Con.truct Ion: _.I.IG~r~ay%:e!l!,l~P~a!.!icC!k~ed.!!:!.-____________________ _

Attach or .how on revorse side of form a diagram of construction .peclflcatlon •• I. this we.1 to be a part of an ,ex/sting syste.?: Yea Jet- "~

110. of exl.tlng wei Is In sy.~em:3 Total ,capacity of .y.te", __ --=-:=;::.-. ____ _

Attach, or .how on revers. side of this form, a sketch showing location of well /n relation to nearby referenco points and 1111 existing welt'. within a raet/us of 1,000 feet of th. proposed well. alv. dl.tance fro. at I.a.t two nearby r.fere~c. po/nt., (roads, .tr .... , etc.),

-------

~APPllcant /. h.rewlth granted. permit to con.truct • w.11 I' d •• crlbed In thl •• ,p' 'ca· tlon.

____ AppliCAnt I. herewith granted. pe,.lt to con.t,uct a wel, •• de.crl-'d 'n thl. a"IIea· tlon und.r condltlona ,Iv.n -.Iow.

_ A"llcatlon I. not approv.d 'or the ,.a.ona ,Ive" b.low: ____________ _

~ \: \ ' <1 d . c .~ -0$ " ./' ~~

)." '0 \g , r...C\ Q'U"Ce'. v ' \ W~s

B (Tltl.)

~ t>-\ ' Q~ ",'O\~\ \),\j'c;,\ . Dlvl.lon of Ground Wat.,

~ 0\ ~' .l\e\~ C· C. Q~c\}\\\e\~\\' . North Carol Ina D.part •• nt of Water' Air " .. oure ..

Thi. ~'r.ft Il~ranted under the provilioniof the N. C. We11 Conltructlon Act of 1811 and I. for con.tructlon on1y. Thl. p.rMlt doel not wllve Iny proviliona or r.~ulr ... nt. of the Wat.r u •• A~t of 1987 or any oth.r appllcabl. 1.wI or r.gu1at10n ••

See oyer for in.tructiona Fo,.. 8W 22

I I

" DI;'C~"M /)~ PR"Pas,D Wrl.l {J~_f'III."/~1i rD."':

IiMfYl£l.D JYII7E~ ~D"I~ . P, (). /)1(>1t~R ~ I ~'i .

kllIshN I N'~"N &,1lJiINA

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, . . J~ .sTJ"l'IlEt~ STEEJ S::CI?F&/IIS

, , r - - ..300 l+ ~ _.)

. .

, .

..

-Company M.e r.~FleL(J Well /oW~ 0;:

Field W/e-County hO~rf(A-/V/JroN

W4't:.-~

GEOPHYSICAL ~~ET...L SURVEY United State s Geological Stn vey , Gene ral Hydrology Branch

Raleigh, ~ )rth Carolina -r -"

G:>~ Bit Record

I'P/u." Se~ Size From To 69'~ - 5i/l€r 3'/0 -

State IV.. (..-4

Casing Record

Size From (//V C-~ s er)

Location J: w~ j

Logging Data Gamma-ray . - . "-:-r=-: '

Elevation Run No. Tool Diameter From To Speed Time C.

Land Surface !VA K.B. /wO W£. I~ 3'38'" 0 ~S- 8' - D.F. -Log Measured from L-SO Drilling Measured from 1-51)

Single-point Electrical D;:\tp /O/:i) /tfs' /O/31/ty Run No. Tool Diameter From To Speed SP Run No. OIV§ /WO OlVe W,;e. 1Yz- 335' 0 SO z,oo Type Log t:= GIe-Dcpt:l-Driller 3¥o 3Y't> Del'th-Logger 3~ "3~O

Top Logged Interval 6 )0 Induction-Electrical Bottom Logged Interval 338'" 331l Run No. Tool Diameter From To Speed SP Type Fluid in Hole WA-rtm.... JAM.",,~

-,cvu- Fvu.

____ ----~ 'i2- /,,",0 .... CC'Z . - ~cPO\~ ~/ c:

To -

Scale Dir 30 ~

Res Dir Zoo " Res. Dir.

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--- ! r Z- c> Z. - .5 c;c-3-- 3.,5 .... Z 5"-

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r;~ l Hydrology Br:-a~ch of the Water ls e d f or any purpose without the

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NORTHAMPTON COUNTY I ~ ~

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NOTE, MAP INCLUDES ONLY STATE MAINT "'NED ROADS OR IMPORTANT NON·SYSTEM ROADS. MIlEAGE NOT SHOWN ON FRONT AGE ROADS. ROADS SHOWN AS OF J"N. I, 19 70

NORTH CAROLINA PREPARED BY THE

NORTH CAROLINA STATE HIGHWAY COMMISSION PLANNING AND RESEARCH DEPARTMENT

IN COOPERATION WITH THE

U. S. DEPARTMENT OF TRANSPORTATION FEDERAL HIGHWAY ADMINISTRATICN

BUREAU OF PUBLIC ROADS

SCALE

" 1 I .4 MILES I .- H Y H..,

v u.~ I MILE i E""""""""3 ~ E""""3 Fa E='i

SCALE FOR ENLARGEMENTS

POOl YCONIC I'ROJEC11ON SHEET 1 Of 2

MAINTENANCE MAP NORTHAMPTON COUNTY NOIIT" CAROlINA

...

I

-Company M,e r5.FleL/J Well /oWl'll OF

Field W/c. County M?~ TI(A-~l"roN Location 7 WN

Land Surface IV'A

...

GEOPHYSICAL ~~ET....L SURVEY United State s Geological Stn \l ey, General Hydrology Branch

Raleigh , ~ )rth Carolina - -r-

WA-rc-::?t CoA Bit Record

tf'lc-ff' Se~ Size From To 6Y'K' - -- $V/€r 3,/0

State IV.. c.:~

Casing Record

Si~e From {//V V..t s erJ

.J Logging Data

Gcllmna-ray _.--::-- '

Elevation Run No. Tool Diameter From To Speed Time C.

K.B. /wO W£. I~ 338" 0 ~S- 8' - D.F. -

Log Measured from LSo Drilling Measured from i..SP

Single-point Electrical n.qt-p /0/3/ ItEr /0/31/65' Run No. Tool Diameter From To Sneed SP Run No. OIV~ 7Wo ON'/: W"e IYz- 338' 0 SO z,oCJ Type Log t? c;.Ie-Dcpt:l-Driller 3¥o O'~ Depth-Logger ~fI-o '3~O

Top Logged Interval 6 10 Induction-Electrical Bottom Logged Interval 33(S" 338' Run No. Tool Diameter From To Speed SP Type Fluid in Hole WA-T~ JAM.7~

Level .,ct.lU- PVu.. Temperature /VA ;VA

Operating time ti. ;lA- ~)t.e Recorded by ~t..A7e(.lH ~VM Witnessed by G-1LtIv7 ~7'

NC- A/O~- ?- /3 Remarks

Scale 30

Res Zoo

Res.

Gil 1110 .. - - - .- - -• _ _ 6

t· Note; OrigL ' T ' copi e s of l ogs run by th~llli'tare- the sole proper'G--. ( the Gene" , l Hydrology Br an ch of t he Water He source s Div i s ion 0 1 the Un i ted States Geolo '. ical Survey and IU. tJ" not be us ed for any purpose without the consent of the Proj e c t Chiel i ·, r ge of t h: ~ nj t~o _______ _

l I

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