411587_Well Construction - GW1_20130211

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1. WELL CONTRACTOR:
• Joe Zuncich
NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 3324A
Well Contractor (Individual) Name
Applied Resource Management, PC
Well Contractor Company Name
257 Transfer Station Road
Street Address
Hampstead NC 28443
City or Town State Zip Code
(910 ) 270-2919
Area code Phone number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT# NA
OTHER ASSOCIATED PERMIT#(if applicable) NA
SITE WELL ID #(if applicable) MWAOC-11
3. WELL USE (Check One Box) Monitoring CV Municipal/Public ❑
Industrial/Commercial 0 Agricultural 0 Recovery 0 Injection 0
Irrigation❑ Other 0 (list use)
DATE DRILLED 1 /10/13
4. WELL LOCATION:
4971 Arendell Street
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
CITY: Morehead City COUNTY Cartaret
TOPOGRAPHIC / LAND SETTING: (check appropriate box)
❑Slope ❑Valley elat ❑Ridge ❑ Other
LATITUDE 34 ° 44 2.8600 " DMS OR DD
LONGITUDE 76 ° 47 28.1700 DMS OR DD
Latitude/longitude source: VIGPS ❑Topographic map
(location of well must be shown on a USGS topo map andattached to
this form if not using GPS)
5. FACILITY (Name of the business where the well is located.)
NA NA
Facility Name Facility ID# (if applicable)
4971 Arendell Street
Street Address
Morehead City NC
City or Town State Zip Code
Joe Zuncich. Anolied Resource Mat. PC
Contact Name
P.O. Box 882
Mailing Address
Hampstead
City or Town
( 910,E 270-2919
Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 13
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO Git
c. WATER LEVEL Below Top of Casing: 4.43 FT.
(Use "+" if Above Top of Casing)
NC 28443
State Zip Code
411587
d. TOP OF CASING IS 0 FT. Above Land Surface*
• *Top of casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
: e. YIELD (gpm): NA METHOD OF TEST NA
f. DISINFECTION: Type NA Amount NA
: g. WATER ZONES (depth):
: Top 4' Bottom 13' Top Bottom
Top Bottom Top Bottom
Top Bottom Top Bottom
• Thickness/
: 7. CASING: Depth Diameter Weight Material
Top 0 Bottom 3 Ft. 2" SCH4( PVC
Top Bottom Ft.
: Top Bottom Ft.
8. GROUT: Depth Material Method
: Top 0.5 Bottom 1.5 Ft. Bentonite
▪ Top 0.1 Bottom 0.5 Ft. Neat Cement
Top Bottom Ft.
9. SCREEN: Depth
Diameter Slot Size Material
Top 3 Bottom 13 Ft. 2"
: Top Bottom Ft.
Top Bottom Ft.
: 10. SAND/GRAVEL PACK:
Depth
Top 1.5 Bottom 13
Top Bottom
in. 0.010 in. PVC
in. in.
in. in.
Size Material
Ft. Coarse Sand
Ft.
Top Bottom Ft.
11. DRILLING LOG
: Top Bottom
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12. REMARKS:
Formation Description
See attached boring Togs.
FEB u
71313
Pr-
i0i3
0: orma on Processing Unit
DWQ/BOG
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
: 15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS
RECORD EN PROVID '" E WELL OW
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SIGNAT 4 RE • F CER ► 7 ELL •
TOR
/1-4?a--13
DATE
PR TED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days of completion to: Division of Water Quality - InformatiortProcessing,
1617 Mail Service Center, Raleigh, NC 27699-161, Phone : [phone]
Form GW-1 b
Rev. 2/09

MWAOC=1 1
Steel Manhole
Ground Surface
1' Bentonite
1
11.5'Sand
Locking Well Cap
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/ Concrete/Grout Crown
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3' Riser
10' Screen
13' Total Depth
Applied Reeource
/ mmg men
i HrnpP3:e4; 2 443
TITLE:
Type II Monitoring Well Asbuilt
JOB:
12098
SCALE:
Not to scale
DATE:
1/29/13
DRAWN BY:
EFC
WELL ID:
MWAOC11

MWAOC-11
BORING LOG
NKC PROPERTIES
4971 ARENDELL STREET
MOREHEAD CITY, NORTH CAROLINA
DRILLED BY: D. Cummings
LOGGED BY: J. Zuncich
DATE: 1/10/13
Sample
Depth
Description
Water
Content
Blow Count
2'-4'
Dark gray, silty to fine grained sand. Organic
odor and no hydrocarbon (HC) odor.
Low to
Moderate
'Hydraulic
Push
5'-7'
Dark brown -gray, very fine sand with abundant
tree roots and wood fragments. Organic odor.
Moderate
to High
Hydraulic
Push
10'-12'
Medium green -gray, silty clay with soft, loose
texture and low density. Organic odor.
High
Hydraulic
Push