HomeMy WebLinkAbout413661_Well Construction - GW1_20130528NONRESIDENTIAL 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
Parrett -Wolff, Inc.
Well Contractor CompanyName
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 #(if appriwtile) S WM U350-M W 15-30
3. WELL USE (Check One Box) Monitoring d Municipal/Public I7.
Industrial/Commercial ❑,: Agricultural Recovery 0 Injection C
Irrigation❑'. Other C (list use)
DATE DRILLED 4/11 /13
4. WELL LOCATION:
Iwo JUrr1a Boulevard
(Stria/ Named Numbers, community, Subdivision, Lot No., Parcel, Zip Code)
CITY. Caren Leieur a COUNTY Onslow
TOPOGRAPHIC/ LAND SETTING: (check appropriate box)
'o Valley' ofFlat=•CRidge ElOther
CISIPP! LATITC DE' 4 a DNts oR-34.74121576 DD
LONGITUDE 77 '{ DMS OR 77.37130701 DD
Latitude/Iongltude sodree: CEPS. 0Fopographio map
(location.of well mbst be'shown on a USGS topo Inap andattachod to
this form not using GPS)
S FAC$.ITy (Name of fbe buslhess where the well is located.)
Marine. Corns Base
Facility Naine', Facility ID# (if applicable)
Iwo Jima- • Boifievar8
(Street Address
Car n 1 eiAline'
City br Town:
• Contact. Name
NC 2E1541
State " Zip Code
• 'Mailing Addess'
City or Town
State
Zip Code
Area code Phone number 6. WELL DETAILS:
a. TOTAL DEPTH: 30.0'
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO qI
c. WATER LEVEL Below Top of Casing: 7 5 FT.
(Use "+" if Above Top of Casing)
Method
Top 0 Bottom 16.0 Ft. Portland Tremle
Top 16.0 Bottom 18.0 Ft. Bentonite
Top Bottom "'Ft.
Tremie
9. SCREEN: Depth Diameter Slot Size Material
Top 20.0 Bottom 30.0 Ft. 2 In. ` .010 in. ;:PVC
Top Bottom ',Ft in. in
10. SANb/GRAVEL`pACt
413661
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 —'
8.GROUT: Depth Material:.-.
Srze Material
Top 18.0 Bottom 30.0 Ft. #1 Sand
TOO Bottom Ft.
11. DRILLING LOG
Top Bottom Formation Description
/ No samles taken
/
-/
/
12. REMARKS:
4i.
)WFn
:4417709'r7,0
ON
G LINIT
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 E WELL OWNER. g
SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
Kevin White
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 :: (919) 807-6300
Form GW-lb
Rev. 2/09
ormer AST Plume Area
est
ma-
Note:
NCGWQS for Naphthalene is 6 pg/L
Lim
.it 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.
=Uu"Tf1;�'iA'nA
L'z,`LC�>C' ,1iCt
Legend
ft Proposed Biosparging well location screened 25 fl bgs
CB Proposed Biosparging wet location screened 40 ft bgs
: Proposed Soil Vapor Extraction Well Location
t Proposed Monitoring wells screened across the water table
• Proposed Monitoring walls screened to 30 ft bgs
• Proposed SON Gas Monitoring Point Location
• Monitoring wells screened across the water table
Monitoring wells screened to 30 R bgs
&i Monitoring wets sc:oenen to 55 ft hos
.l'MIT(r ,:il141,f" grin
Water Table Zone Limit of Naphthalene NCGWQS Exceedance
•t— 30-ft Zone Limit of Naphthalene NCGWQS Exceedance
eae Fence
Proposed Biosparging Air Conveyance Line
Anticipated Biosparging Treatment Zone (30-ft spacing)
Proposed Equipment Compound
Treetability Study Area 0 10 20 40
SWAIN Boundary
1 inch =40feet
Figure 2
Drilling Locations Map
SWMU 350
MCIEAST-MCB CAMLEJ
North Carolina