413448_Well Construction - GW1_20130513

1. WELL CONTRACTOR:
P .T. Chalmers, Jr.
NON RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources - Division of Water Quality
WELL CONTRACTOR CERTIFICATION #:
.
d. TOP OF CASING IS 0.00 FT. Above Land 1Surface3�r48
*
*Top o1 casing terminated at/or below land surface may require
a variance In accordance with 15A NCAC 2C.0118.
e. YIELD (gpm): NLA METHOD OF TEST: LILA
f. DISINFECTION: Type IL Amount: NL
g. WATER ZONES (depth):
Top Bottom Top Bottom
Top Bottom Top Bottom
Top Bottom Top Bottom
es
7. CASING: Depth Diameter ThWeights/ Material
Top 0 Bottom 10 Ft. 2 in. Sch. 40 PVC
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) UST31 -AS02
3. WELL USE (Check One Box): Monitoring 0 Municipal/Public 0
Industrial/Commercial 0 Agricultural 0 Recovery 0 Injection 0
Irrigallon 0 Other 0 (list use). Sparge
DATE DRILLED: March 15, 2013
4. WELL LOCATION:
Julian C. Smith Road, 28542
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
CITY: Jacksonville COUNTY: Onslow
TOPOGRAPHIC / LAND SETTING (check appropriate box)
❑Slope ❑Valley f:i Flat ❑Ridge ❑Other:
LATITUDE' 34.67669437 DD
LONGITUDE' 77.36220411 DO
Latitude/longitude source: /i1 GPS ❑ Topo. map
(Location of well must be shown on a USGS topo map and
attached to this form if not using a GPS.)
6. FACILITY (Name of the business where the well is located.)
N/A N/A
Facility Name Facility ID # (if applicable)
Julian C. Smith Road
Street Address
Jacksonville NC 28542
City or Town State Zip Code
Ms. Jenni Reed
Contact Name
Attn: GF/ EMD/ EQB/ 12 Post Lane
Mailing Address
Camp Lejeune NC 28542-0004
City or Town State Zip Code
(910)- 451-5068
Area code - Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 12
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO
c. WATER LEVEL Below Top of Casing. FT.
(Use'4" if Above Top of Casing)
Top Bottom Ft. in.
Top Bottom Ft. in.
8. GROUT:
Top
Top 0
Top
9. SCREEN:
Depth
Bottom Ft.
Bottom 8 Ft
Bottom Ft.
Material
Method
Depth Diameter Slot Size Material
Top 10 Bottom 12 Ft. 2 in. Slot .010 in. PVC
Top Bottom Ft. in. in.
Top Bottom Ft. in. in.
10. SAND/GRAVEL PACK:
Depth Size Material
Top 8 Bottom 12 Ft. #2 Medium Torpedo Sand
Top Bottom Ft.
Top Bottom Ft.
11. DRILLING LOG
Top Bottom Formation Description
/
SEE
AT.ACHED
12. REMARKS:
MAY 013
t
TCI'
I DO HEREBY CERTIFYTHA HIS'WELtWA&GGNSTRUGTFf INACCOROAN WIT
15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS
RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
-ION
iSTURE OF CERTIF 26 WELL CONTRACTOR
.T. Chalmers, Jr.
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
.S-L-Za/3
DATE
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 SW -lb
Rev. 2/09

ELL
LOG
,„
ATLIN
Engineers and Scientists
211111.13
Wilmington. NC SHEET 1 OF 1
PROJECT NO.: 211111.13
STATE: NC
COUNTY: Onslow
LOCATION: Jacksonville
PROJECT NAME: Gottschalk Marina
LOGGED BY: RHEA
WELL ID:
UST31®AS02
DRILLER: .T. Chalmers, Jr.
NORTHING: 3839730
EASTING: 283579
CREW: Jeff Becken
SYSTEM: UTM NAD83 (m)
BORING LOCATION:
T.O.C. ELEV.:
DRILL MACHINE: D-50
METHOD: H.S.A.
0 HOUR DTW: N/A
TOTAL DEPTH: 12.0
START DATE: 03/15/13
FINISH DATE: 03/15/13
24 HOUR DTW: N/A
WELL DEPTH: 12.0
DEPTH
BLOW
0.5ft
0.5ft
COUNT
0.5ft
0.5ft
OVA
(Ppm)
LAB
o
s
o
G
SOIL AND ROCK
DEPTH DESCRIPTION
WELL
DETAIL
0.0 LAND SURFACE
o.o
3.0
—
M/W
W/Sa.;_?`
3.0
co
> o
1
1
2
1
341
///
(SC/CL) - Orange to tan, Silty, v.f. to f. Clayey
SAND to Sandy CLAY. Low plast. Mod. HCO.
5.0
8.0
8.0
1
12
4
6
152.3
r?
a
.
(SM) - Brown, Silty, v.f. SAND. Slight HCO.
me
12.0
Boring Terminated at Depth 12.0
Lithology and samples from well
UST31-MW01.
BY:___
ft
EFF
MAY S 3 ;
Bentonite Pellets
#2 Medium Sand

-ATLIN
Post Office Box 10279
Wilmington, North Carolina 28404-0279
Engineers and Scientists Telephone: [phone]
Fax: [phone]
www.catlinusa.com
April 30, 2013
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Information Processing
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: NC Well Construction and/or Abandonment Record(s)
Chateau Rd.
Jacksonville, North Carolina
CATLIN Project No.: 213047
To Whom It May Concern:
CATLIN Engineers. and Scientists (CATLIN) recently constructed and/or abandoned well(s) at the
above referenced site. Attached to this letter are completed North Carolina Well Construction Records
and/or North Carolina Well Abandonment Records with associated Attachment(s) for the above
referenced site located at in Jacksonville, North Carolina.
If you have any questions or require any additional information, please feel free to contact us at (910)
452-5861.
Sincerely,
Jeffery K. Becken, P.E.
Project Manager
Enclosures
co: Mrs. Jenni Reed - Lejeune
CERiE
MAY u 3 2013
MAY -7 Z013
WATER QUALITY SECTION
INFORMATION PROCESSING UNIT
S:\GINT\PROJECTS\213046_CHATEAU_RD.GPJ,S:\WPMKTG\PROJECT \2013\213046 PLYMOUTH LANDFILL ASSESSMENT \ CHATEAU WELLLOG_CON_ABAN_TRANS.GDW