413663_Well Construction - GW1_20130528

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1. WELL CONTRACTOR:
Kevin White
NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2973
Well Contractor (Individual) Name
Parratt-Wolff; Inc.
Well Contractor Company Name
501 Millstone Drive
Street Address
Hillsborough NC 27278
City or Town State Zip Code
(919 ) 644-2814
Area code Phone number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT#
OTHER ASSOCIATED PERMIT#(if applicable)
SITE WELL ID.#(1fapplicable) SWMU350-MW52-30-
3. WELL USE (Check One Box) Monitoring Ne Municipal/Public ❑
industrial/Commercial ❑ Agricultural ❑ Recoverylp Injection ❑
Irrigation❑Other ❑ (list use)
DATE DRILLED4/10/13
4. WELL LOCATION:
Iwo Jima Boulevard
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
CITY" Car -no Leieune : COUNTY Onslow
TOPOGRAPHIC / LANDS SETTING: (check appropriate box)
❑Slope ❑Valley BfFlat ❑Ridge ❑Other
LATITUDE 34 "-DMS OR 34.74121576 DD
LONGITUDE 77 '-.DMS OR 77.37130701 DD
Latitude/longitude sourge: ❑CPS IgTopographic 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.)
Marine Corns Base -
Facility" Name Facility ID# (if applicable)
Iwo Jima Boulevard
Street Address
Camo Leieune NO 28543
City or Town State Zip Code
Contact Name
Mailing Address
City or Town
( )
Area code . Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 30 0'
b. DOES WELL REPLACE EXISTING WELL?
c. WATER LEVEL Below Top of Casing: 7.5
(Use "+" if Above Top of Casing)
State ; Zip Code
YES ID NOE/
FT.
00063
d. TOP OF CASING IS 3 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
Thickness/
7. CASING: Depth Diameter. Weight Material
Top 0 Bottom 23.0 Ft. 2" Sch40 PVC
Top Bottom Ft.
Top Bottom Ft.
8... GROUT: Depth Material
Top 0 Bottom 16.0 Ft. Portland
Top 16.0 Bottom 18.0 'Ft. Bentonite Tremien
Method
Tremie
Top Bottom Ft.
9. SCREEN: Depth Diameter Slot Size Material
Top 20.0 Bottom 30.0 Ft. 2 in. n .010 in. PVC
Top Bottom "Ft. in. in.
Top Bottom Ft in. .„,
10. SAND/GRAVEL PACK: �'�^ C �.:�
Depth SIT 11..dat6rtal
Top 18.0 Bottom 30.0 Ft. #1 �t
Top Bottom Ft._
Top Bottom Ft.
11. DRILLING LOG
Top Bottom
4.0 / 8.0'
8.0 / 12.0
/
16.0 / 20.0
/.
/
/
12. REMARKS:
Formation Description
Brawn, moist, fine SAND, SILT &
CLAY 'f
Brown, wet. fine SAND, SILT &
Brown. wet. fine SAND; trace
silt
MAY 9E 21111
WATER QUALITY SECTION
INFORMATION PROCESSING mu
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 HAS BE PROVIDED TO TH ELL OWNER.
p ri
SIGNATURE OF CERTIFIED WE f'pt1,TRA°C D Kevin hite is PRINTED NAME OF PERSON CO RANG THE W EL L
Submit within 30 days of completion to: Division of Water Quality - Information Processin
1617 Mail Service Center, Raleigh, NC 27699-161, Phone.:' [phone]
cr—
Form G W-1 b
Rev. 2/09

ormer AST Plume Area
tams
anwerce
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Note:
NCGWQS for Naphthalene is 6 pgfL
Limit of NCGWQS exceedance is based on the analytical results
from the Spring/Summer 2011 groundwater sampling event.
Limits of extent have been interpolated between monitoring well
locations. Actual conditions may differ from those interpreted
on this map.
5WMU350-MWO
y w
.SWMU35U- ��WP
CEEITIMPasiM
Eitakati9iL cfRD
(35:=EnfFl
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Legend
Proposed Biosparging well location screened 25 ft bgs
ef Proposed Biosoargtng weti location screened 40 0 bgs
&' Proposed Soil Vapor Extraction Well Location sfra
€ Proposed Monitoring wells screened across the water table
eu Proposed Monitoring wells screened to 30 ft bgs ¢-
&1 Proposed Soil Gas Monitoring Point Location.
e Monitoring wells screened across the water table
4* Monitoring wells screened to 30 fl bgs
+ Monrto-:ng we!Is..,oened to 55
Water Table Zone Limit of Naphthalene NCGWOS Exceedance
30-ft Zone Limit of Naphthalene NCGWOS Exceedance
Fence
Proposed Biosparging Air Conveyance Line
Anticipated Biosparging Treatment Zone (30-ft spacing)
Proposed Equipment Compound
Treatebility Study Area , 0 70 20 40
SWING Boundary
N 1 inch = 40 feet
Figure 2
Drilling Locations Map
SWMU 350
MCIEAST-MCB CAMLEJ
North Carolina
Peal
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