412287_Well Construction - GW1_20130318

NON RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources - Division of Water Quality
WELL CONTRACTOR CERTIFICATION #: 4146A
1. WELL CONTRACTOR:
D.T. Chalmers, Jr.
Well Contractor (Individual) Name
CATLIN Engineers and Scientists
Well Contractor Company Name
220 Old Dairy Road
Street Address
Wilmington North Carolina 28405
City or Town State Zip Code
( 910 ) - 452-5861
Area code - Phone number
2. WELL INFORMATION
WELL CONSTRUCTION PERMIT #: N/A
OTHER ASSOCIATED PERMIT # (if applicable): N/A
SITE WELL ID # (if applicable) SW-8
3. WELL USE (Check One Box): Monitoring IXI MunicipaVPublic ❑
Industrial/Commercial ❑ Agricultural ❑ Recovery 0 Injection ❑
Irrigation 0 Other ❑ (list use).
DATE DRILLED: January 30, 2013
4. WELL LOCATION:
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
city: Jacksonville COUNTY: Onslow
TOPOGRAPHIC / LAND SETTING (check appropriate box)
❑Slope ❑Valley ®Flat ❑Ridge ❑Other:
LATITUDE: 34.717458 DD
LONGITUDE: 77.453231 DD
Latitude/longitude source: Igl GPS ❑ Topo. map
(Location of well must be shown on a USGS topo map and
attached to this form if not using a GPS.)
5. FACILITY (Name of the business where the well is located.)
N/A N/A
Facility Name Facility. ID # (if applicable)
Street Address
Jacksonville NC
City or Town
State Zip Code
Contact Name
Mailing Address
City or Town State Zip Code
Area code - Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 15
b. DOES WELL REPLACE EXISTING WELL.? YES ❑ NO IE
c. WATER LEVEL Below Top of Casing: 0 FT.
(Use "+" if Above Top of Casing)
d. TOP OF CASING Is 0.00 FT. Above Land Surface*
, Top of casing terminated avor below land surface may require
a variance in accordance with 15A NCAC 2C.0118.
e. YIELD (gpm): tS METHOD OF TEST: WA
f. DISINFECTION: Type WA Amount: WA
g. WATER ZONES (depth):
Top Bottom Top Bottom
Top Bottom Top Bottom
Top Bottom Top Bottom
41?^fi'
7. CASING: Depth Diameter Thickness/ Weight Material
Top 0 Bottom 5 Ft. 1 in. Sch. 40 PVC
Top Bottom Ft. in.
Top Bottom Ft. in.
8. GROUT: Depth Material Method
Top Bottom Ft.
Top 3 Bottom 4 Ft.
Top Bottom Ft.
9. SCREEN: Depth Diameter Slot Size Material
Top 5 Bottom 15 Ft. 1 in. Slot .010 in. PVC
Top Bottom Ft. in. in.
Top Bottom Ft. in. in.
10. SAND/GRAVEL PACK:
Depth Size Material
Top 4 Bottom 15 Ft. #2 Medium Torpedo Sand
Top
Top
Bottom
Bottom
11. DRILLING LOG
Top Bottom
/
/
/
Ft.
Ft.
Formation Description
MAR - 8 2ift1
/ INF WL�T�R UALTOY S5iivG
nkZ(gi PHUCE�S6vG UNIT
/
ATTACHED
/
12. REMARKS:
MAR 1 R 2013
11
100 HEREBY CERTIFY THAT THIS VGECL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS
RECOfip HAS BEEN PROVIDED TO THE WELL OWNER.
SI(gNATURE IDP CERTIFIE[TWELL CONT1 ACTOR
D.T Chalmers, Jr.
DATE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days of completion to: Division of Water Quality - Information Processing,
1617 Mail Service Center, Raleigh, NC 27699-1617, Phone No. [phone]
Modified from
Form GW-lb
Rev. 2/09

WELL
LOG
--..
-CATLIN
Engineeniantl Scientists
212113
wiminmon.nc SHEET 1 OF 1
PROJECTNO.: 212113
STATE: NC
COUNTY: Onslow
LOCATION: Jacksonville
PROJECT NAME: P690 Armo
LOGGED BY: Corey Futral
WELL ID:
SW-8
DRILLER: D.T. Chalmers, Jr.
NORTHING: 355725
EASTING: 2464788
CREW: Josh O'Connell
SYSTEM: NCSP NAD 83 (USft)
BORING LOCATION:
T.O.C. ELEV.: 18.5
DRILL MACHINE: CME-45B
METHOD: H.S.A.
0 HOUR DTW: 0.0
TOTAL DEPTH: 15.0
START DATE: 01/30/13
FINISH DATE: 01 /30/13
24 HOUR DTW: 0.0
WELL DEPTH: 15.0
DEPTH
BLOW
0.5ft
0.5ft
COUNT
0.5ft
0.5ft
OVA
(Pt1/
LAB
o
s
L
G
SOIL AND ROCK
DEPTH DESCRIPTION ELEVATION
WELL
DETAIL
0.0 LAND SURFACE 18.5
o.o
1.0
(SM) - Black, SURFICIAL ORGANIC LADEN
L 1.0 SOIL. Siltyf. SAND. Uniform. 17.5
a.o
-
-
3.0
1
2
2
5
D
(SP) - Lt. gray, f. SAND. Uniform. Loose.
. 2,5 10.0
_
r
3.0 (CH) - Dk. gray, CLAY. Uniform. Med. stiff. 155
-
5.0
-
-
_
OR
- se
-
_
-
15.0
40
= 15.0
-
5.0
3
3
3
3
M
i
High plasticity.
(CH) - S.A.A. tr. orange mottling.
5.0 13.5
-
7.0
1
2
2
2
M
l/
(CH) -S.A.A. increase in orange mottling.
Soft.
7.0 5
-woh
9.0
woh
wohwoh
W
j
(CH) >0.5" of recovery. S.A.A. V. soft.
9.0 9.5
-wohwohwohwoh
11.0
W
j
(CH) • S.A.A. Full recovery.
1 7.5
-woh
13.0
wohwoh
woh
Sat.
(CH)-S.A.A.
13.0 5.5
-woh
15.0
woh
woh
woh
Sat.
j
(CH) - S.A.A. w/roots of various sizes
throughout sample.
15.0 3.5
_
-
Boring Terminated at Elevation 3.5 ft
in CLAY w/roots.
-v,1
i�AR 18 2013
n tf �..i-
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Bentonite Pellets
$2 Medium Sand