HomeMy WebLinkAbout412757_Well Construction - GW1_20130415NON RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources - Division of Water Quality
WELL CONTRACTOR CERTIFICATION #: 2927A
1. WELL CONTRACTOR:
William J. Miller
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
( 910) - 452-5861
Area code - Phone number
Zip Cede
2. WELL INFORMATION
WELL CONSTRUCTION PERMIT #: N/A
OTHER ASSOCIATED PERMIT # (if applicable): N/A
SITE WELL ID # (if applicable) DPT-01
3. WELL USE (Check One Box): Monitoring 0 MunicipaVPublic 0
IndustriaVCommercial 0 Agricultural 0 Recovery 0 Injection 0
Irrigation ❑ Other ❑ (list use).
DATE DRILLED:
4. WELL LOCATION:
3rd & A Streets, MCB, Camp Geiger, 28542
(Street Name, Numbers, Community, Subdivsion, Lot No., arcel, Zip Code)
CITY: Jacksonville COUNTY: Onslow
TOPOGRAPHIC / LAND SETTING (check appropriate box)
0Slope DValley ❑Flat ❑Ridge ❑Other:
LATITUDE: DD
LONGITUDE: DD
Latitude/longitude source: 1:1 GPS 0 Topo. map
(Location of well must be shown an 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)
3rd & A Streets, MCB, Camp Geiger
Street Address
Jacksonville
City or Town
Ms. Jenni Reed
NC
State
28542
Zip Code
Contact Name
Attn: GF/ EMD/ EQB/ 12 Post Lane
Mailing Address
Camp Lejeune
City or Town
(910)- 451-5068
Area code - Phone number
NC
State
6. WELL DETAILS:
a. TOTAL DEPTH: 24
b. DOES WELL REPLACE EXISTING WELL?
c. WATER LEVEL Below Top of Casing: ,
(Use "+" if Above Top of Casing)
28542-0004
Zip Code
YES 0
FT.
NO ❑
412757
d. TOP OF CASING IC 2.00 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): WA METHOD OF TEST: N/A
f. DISINFECTION: Type WA Amount: WA
g. WATER ZONES (depth):
Top
Top
Top
7. CASING:
Bottom
Bottom
Bottom
Top
Top
Top
Bottom
Bottom
Bottom
Thickness/
Depth Diameter Weight Material
Top 0 Bottom 6 Ft. 1 in. Sch. 40 PVC
Top 8 Bottom 10 FL 1 in. Sch. 40 PVC
Top 12 Bottom 14 Ft. 1 in. Sch. 40
8. GROUT:
Top
Top
Top
9. SCREEN:
Depth
Bottom Ft.
Bottom Ft.
Bottom Ft.
PVC
Material Method
Depth Diameter Slot Size Material
Top 6 Bottom 8 Ft. 1 in. Slot .010 in. PVC
Top 10 Bottom 12 Ft. 1 in. Slot .010 in. PVC
Top 14 Bottom 16 Ft. 1 in. Slot .010 in. PVC
10. SAND/GRAVEL PACK:
Depth Size Material
Top Bottom Ft.
Top Bottom Ft.
Top Bottom Ft.
11. DRILLING LOG
Top Bottom
/
/
/
12. REMARKS:
Formation Description
APR 03- 2010
SEE�gq,rryS cTl0(
ATTAdiPrOr; c9Nr tjNIT
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDAN E WITH
15A NCAC 2C, WELL CONSTRUCTION ST42 ARDSJNO THAT A COPY OF THIS
RECORD HAS BEEN PROVIDED TO THE WELL O ER.
21(44
SIG'I4ATURE OF CERTIFIED WELL CONTRACTOR
William J. Miller
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
DATE
Submit within 30 days of completion to: Division of Water Quality - Information Processing,
1617 Mall Service Center, Raleigh, NC 27699-1617, Phone No. (919) 807.6300
Modified from
Form GW-1b
Rev. 2/09
•
4 WELL
LOG
CATLIN
Engineers and )cien0els
Wmingl.o3 NC SHEET 1 OF 1
PROJECT NO.: 212108.03
STATE: NC
COUNTY: Onslow
LOCATION: Jacksonville
PROJECT NAME: Site P1268 (Future Building
G 484)
LOGGED BY: Corey Futral
WELL ID:
DRILLER: D.T. Chalmers, Jr.
DPT-01 DISCRETE
NORTHING: 3846927
EASTING:
275128
CREW: Jeff Becken
SAMPLES
SYSTEM: UTM NAD83 (m) BORING
LOCATION: aft. SE of TDMW-01
T.O.C. ELEV.: 18.2
DRILL MACHINE: Probe & CME550 METHOD:
DPT & Mud Rotary
0 HOUR DTW: N/A
TOTAL DEPTH: 57.0
START DATE: 02/07/13 FINISH DATE:
03/04/13
24 HOUR DTW: N/A
WELL DEPTH: 57.0
DEPTH
BLOW
COUNT
OVA
(PPrn)
LAB
o
s
o SOIL AND ROCK
DESCRIPTION
WELL
0.5ft
0.5k
0.sft
0.5f1
° DEPTH ELEVATION
DETAIL
0.0 LAND SURFACE 17.6
°•6
- o.o
-
-
:i.
•`.
•
VI
.I,
N
(SM) - Brown to tan, Silty, f. SAND. Uniform.
6.5 ti.t
- 6.0
_
-
10.0 7.6
6.0
10.0
-
'-
UM
115 (SM) - Dark gray, Silty, f. SAND. V. loose. 61
_
_
-
,
,Uniform. Slight HCO. ��-
15.0 2.6-
12.0
14.0
-_
-
16.5 (SP) - Dark gray, f. SAND. V. loose. Uniform. 1.1
_16.0
-
-
,
20.0 -2.5
16.0
20.0
-___
21.5 (SP) - Med. gray, f. SAND w/tr. shell frags. -q 0
_
-\„Med. dense. Uniform. �
J
25.0-
_22.0
24.0
26.o /SP_1- S.A.A.
_
-
-
7_
(GW) - Lt. to med. gray, Weathered go-
\\LIMESTONE. Well graded. Shell (rags. /
30.0 -12.5
31.5 (GW)-S.A.A. -14.0
35.0 -17.5
-
- 35.0
34.0
-
�"
I�
GS.A.A.
36.5 (W ) - -19.0
_
- °>
_
40.0 -22.540.0
e
n.d
- 40.001 t°
-- ::.
--'
F
1:5 (GW) - S.A.A. 184
-
-
42.0 _
44.0
9
12
12
8
.4
Sat.
44.0 (GW) - Silty, S.A.A. w/tr. clay.
-26.5
_
-
_
3
3
2
4
.4
Sat.Mil
460 (ML) - Dark gray, SILT w/little Shell frags. Soft.
due to
48.0
2
2
2
3
.3
Sat.
I'I"
48'0 (Mfrags,graded shells.
(ML) - S.A.A. w/tr. f. sand and tr. to no shell 30.5
=
2
2
4
3
.4
Sat.
50.0 (ML) -S.A.A. -32.5
-
57.0 _
�
we
V APR 1 2013 h
y
-
oOd
57.0-h
51.0
-! 57.0
-
=
Deepest Boring Terminated at Elevation -395 ft
Lithology to 42ft BLS -inferred from adjacent
boringTDMW-01.
All borings advanced within 5ft. of surveyed point.
-
-
-
Bentonite Pellets
#2 Medium Sand