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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