HomeMy WebLinkAbout413664_Well Construction - GW1_20130528NON RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2480
1. WELL CONTRACTOR:
Lewis LeFever
-; W ell -Contractor (Individual) Name
Parratt-Wolff, Inc.
Well Contractor Company Name
501 Millstone Drive
Street Addtes`s',' ;
Hillsborouah
City or T,o vic
(919. ),;644 2814
Area code Phone number
_.-
2. WELL INFORMATION:
WELLLCONSTRUCTION=PERMIT#
OTHER ASSOCIATED PERMIT#(if applicable)
SITE W ELLin #(it applicable) SWM U350-MW51-15
3. WELL USE (Check One Bea) Monitoring Lc MMunicipal/Public ❑
Industrial/Commercial,❑ Agriculturel,0 Recovery Injection ❑
Irrigat)onp-Other 0 (list use)' •
DATE'DRI eED4 15/-13
4. WELL LOCATION:
Iwo Jima Boulevard
(Street,Nante, Numbers. Corrtlhunity, Subdiiision, Lot No., Parcel, Zip Code)
CITY, Ca�m�n Leieiine eouNTY 0nslow
TOPOGRAPHIC / LAND SETTING: (check appropriate box)
❑Slope:'pvafley &Fiat ❑Ridge -:pother ,
27278.
zip Code
LONOittipE 77 ? oms OR'77137178444: DD
Latitttde/lonn`91tude sourc: :EDPS " ropographiOfnap
- (location of well,must be shown on a USGS toed map andattached to
th1§ fom1 r/trot using GPS) " ` • " •
5. FACAI7Y(Name ofthe b"usinesswhere thewell is Idoated.)
Ma ri ne:,Co rIZC, Base
Faclpty Nance .. - -
IwoJimaBoulevard•• •
Street Atldress
Como l eieune 'rt
City•or Town,
ContactNatiie, ,
FaellibilD#0f applicable)`,
NG 28543 '
Statee ` Zip Code
Mailirig Address
City or Tbwri'
;St'ate Zip:Code
Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 15.0'
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO of
c. WATER LEVEL Below Top of Casing: 8.0 FT.
(Use "+" if Above Top of Casing)
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): N/A METHOD OF TEST N/A
f. DISINFECTION: Type N/A Amount - N/A
g. WATER ZONES (depth):
Top N/A - Bottom Top Bottom
Top .Bottom Top Bottom
Top Bottom Top - Bottom
Thicknessl.
7:. CASING: Depth - Diameter Weight Material
Top 0 Bottom 5.0 Ft. 2" Sch40 PVC
Top Bottom . - Ft
Top - Bottom Ft,
8.. GROUT: Depth Material - Method
Top 0 Bottom 1.0. Ft Portland Tremie
Top 1.0 Bottom 3.0 Ft. Bentonite Tremie
Top Bottom ' Ft.
9. SCREEN: Depth Diameter • Slot Size - - Material
Top 5.0 Bottom 15.0 Ft 2 in. .010 in. PVC
Top Bottom Ft. in. : in: •
Top Bottom .
16.;SANO/GRAVEL PACK::
oeptb Size-:-
Top 3.0 Bottom 15.0
11 DRILLING LOG -
Top Bottom
/
/.'.
/'?
/
/
• /
12. REMARKS:
,Material
tq .\F 'bscpForhan ription d-
a —Nk
MAY 2'1 2013
Er%QUAuT <<„7701
itrkrf(31VPr fir.. tcii, UJ
"tra,'-c.. )r I Q in -
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC gp. WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS
RECOR S BEEN PROVIOEQTO THE WELL OWNER.
81GNATURfJ KCERTIFIED WELL CONTRACTOR
Lewis LeFever
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
b=/itt—/3
DATE
4
Submit within 30 days of completion to: Division. of Water Quality - Information Processing,
1617 Mail Service Center, Raleigh, NC 27699-161, Phone : (919) 807-6300
Form GW-lb
Rev. 2/09
Former AST Fiume.Area
aY6'rCa,FF'L a t, tia
rs2EPTCDErral
Note:
NCGWQS for Naphthalene is 6 pg/L
Limit of NCGWQS exceedance is based on the analytical results
from the Spring/Summer 2011 groundwater sampling event.
Limits of extent havebeen interpolated between monitoring well
locations. Actual conditions may differ from those interpreted
on this map.
SWIV300 MWO
SWM 3 0•MW
aZDEIFYLEM
�at'k�G"r
OlitiniZEMPfdl
Legend
ey Proposed Biospargino well location screened 25 ft bgs
e Proposed Biospargino well location screened 40 fl bgs
e Proposed Soil Vapor Extraction Well Location
OD Proposed Monitoring wells screened across the water fable
e Proposed Monitoring wells sceened to 30 ft bgs
& Proposed Soil Gas Monitoring Point Location
& Monitoring wells screened across the water table
Mo ionno bells screened to 33 Li bgs
t Mc ng adns screened to 55 bgs
6'u^J tr
:tab:.. r,.:7r,
Water Table Zone Limit of Naphthalene NCGWQS Exceedance
— 30-ft Zone Limit of Naphthalene NCGWQS Exceedance
are Fence
Ld Proposed Btosparging Air Conveyance Line
tJ Anticipated Biosparging Treatment Zone (30-ft spacing)
Proposed Equipment Compound
Treatability Study Area t 0 10 200 40
SWMU Boundary
j1 inch =40fee
Figure 2
Drilling Locations Map
SWMU 350
MCIEAST-MCB CAMLEJ
North Carolina
Feet