413662_Well Construction - GW1_20130528

NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2973
1. WELL CONTRACTOR:
Kevin White
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 INFORMATlON:
WELL CONSTRUCTION PERMIT#
OTHER ASSOCIATED PERMIT#(If applicable)
SITE WELL to #(If applicable) SWMU350-MW52-15
3. WELL USE (Check One Box) Monitoring Elf Municipal/Public ❑
Industrial/Commercial 01 Agricultural 0 Recovery 0 Injection 0
Irrigation❑ Other 0 (list use)
DATE DRILLED 4/11/13
4. WELL LOCATION:
Iwo Jima Boulevard
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, zip Code)
CITY: Camp LeieuneCO Onslow
TOPOGRAPHIC/ LAND SETTING: (check appropriate box)
(]Slope oValley VFlat. ❑Ridge pother,
LONGITUDE 77 "-DMSOR 7-T:37130701'i DD
Latitude/longitude source: , OGPS )Itfoppgraphic map
(looation of Wall must be shown on a USGS topo map andattached to
:this form itriof using GPS
5. FACILITY (Name of the business where the well is.located.)
Marinee-Gorbs Bass
Pacllity Narne
Iwo Jinia'Bouleva'rd
Street Address
Caron Leieune
City or Town'.
Facility iD# (if applicable)
NO 7854'1
State Zip Code
"Contact Name::
Mailing Address
City or Town
( )
Area code Phone number
6: WELL DETAILS:.
a. TOTAL DEPTH: 15.0'
State Zip Code
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO gyi
c. WATER LEVEL Below Top of Casing: 7.5 FT.
(Use "+" if Above Top of Casing)
413662
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.fDISINFECTION: 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 8.0 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
Top Bottom Ft.
Tremie
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 Ft. in in.
10. SANDIGRAVEL PACK:
Depth Size
Top 3.0 Bottom 15.0 FL #1
Top. Bottom : Ft
Top Bottom Ft.
11. DRILLING LOG
Top Bottom
/
12. REMARKS:
Material
Sand
s �m 4mahon Description
% L!
No Sam: -tthke
MAY 7 013
WATER ()UAW Y S1 Cf ION
INFORMATION Ph(` .1 /.rink'v(ST
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL C NSTRUCTION STANDARDS, AND THAT A COPY OF THIS
RECORD HAS B.FEN,Pf10VIDED WELL OWNER.
SIGNATURE OF CERTIFIED WELL CONTRACTOR
Kevin White
vs
DATE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days of completion to: Division of Water Quality - Information Processing,
1617 Mail Service Center, Raleigh, NC 27699-161, Phone : [phone]
Form G W-1 b
Rev. 2/09

ormer AST Hume Area
5WMU350-MW01
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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 have been interpolated between monitoring well
locations. Actual conditions may differ from those interpreted
on this .map.
•
CSI
talkiSIPIMMaA
Legend
Proposed Biosparging well location screened 25 fl bgs Water Table Zone Limit of Naphthalene NCGWQS Exceedance
Proposed Biosparging well location screened 40 tt bgs — 30-ft Zone Limit of Naphthalene NCGWQS Exceedance
Proposed Soil Vepor Extraction Well Location Fence
O Proposed Monitoring wells screened across the water table ® Proposed Biosparging Air Conveyance Line
tgr Proposed Monitoring wells screened to 30 ft bgs rid Anticipated Biosparging Treatment Zone (30-ft spacing)
«3 Proposed Sail Ges:Monitoring Point Location Proposed Equipment Compound
0 Monitoring wells screened across the water table 0 Treatability Study Area 0 10 20 40
- Monitoring wells screened to 3311 bgs SWMU Boundary
e Monitogng 'ells screened to 5511 bgs
1 inch = 40 feet
i
Figure 2
Drilling Locations Map
SWMU 350
MCIEAST-MCB CAMLEJ
North Carolina
,rt LL.