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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