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HomeMy WebLinkAbout413659_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 Parratt-Wolff, Inc. Well Contractor CbmpanyName 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 applicable) SWMU350-IW57-40 3. WELL USE (Check One Box) Monitoring O Municipal/Public ❑ Industrial/Commercial ❑ Agricultural 0 Recovery 0 Injection IrrigationO Other 0 (list use) DATE DRILLED 4/11-4/12/13 4. WELL LOCATION: Iwo Jima:' Boulevard (Street Name, Numbew, Corpmunity, Subdivision, Lot No., Parcel, Zip Code) CITYt Camo Leieune COUNTYOnslow TOPOGRAPHIC / LAND SETTING: (check appropriate box) ❑Slope DValley Flat ❑Ridge ❑Other LATITUDE 34 OR 77.3-7130701 DD Latitude/longitude source:; IJGPS ll�l'o�lographic map (location of ISO must be shown on a 11SGS topo map andattachedao this form if not using GPS) 5. FACILITY (Name of the business where the well is located.) Marine Corns -Base Dials OR 34.741215761Do LONGITUDE 77 '4DMS FacilityName ',- Iwo-JihiaBoulevard Street Address Caron Leieune City or Town Facility ID# (IIf applicable) NC State 2$543 Zip'Code Contact Name '. Mailing Address City or Town:. ( ) Area code Phone number 6. WELL DETAILS: a. TOTAL DEPTH: 40 0' b. DOES WELL REPLACE EXISTING WELL? c. WATER LEVEL Below Top of Casing: 7.5 (Use "+" if Above Top of Casing) PRINTED NAME OF PERSONSTRUCT,ING.-FFMEW ELL 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 State YES 0 Zip Code 413659 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 Thickness/. 7."CASING: Depth Diameter Weight Material Top 0 Bottom 38.0 Ft. 2" Sch40 PVC Top Bottom Ft. Top Bottom Ft 8.: GROUT: Depth Method Top 0 Bottom 35.0. Ft. Tremie Top 35.0 Bottom 37.0 Ft. Bentonite Tremie Top .Bottom Ft Material Portland 9. SCREEN: Depth Diameter Slot Size . Material Top 38.0 Bottom 40.0 Ft. 2 in. .006 in PVC Top Bottom Ft. in. in. Top Bottom Ft. in. in 10. SAND/GRAVEL PACK: Depth Size Material Top 37.0 Bottom 40.0' Ft. #00 Sand Top .Bottom Ft. Top Bottom Ft. 11. DRILLING LOG Top Bottom Formation Description / No samples taken / / 12. REMARKS: MAY 2 1'913 WATER OJAAI i.Y QPn 7inty INFORMATION PROCH8i C, INIT I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED_IF+VC4WIIiDANCE WITH 15A NCAC 2C, WELL RECORD HAS EENCONSTRUCTION OVIDED TOTHSETVJEDARDS 'OWNERDTTIATJAiPy,QP1;0 THIS 'R � a -13 NO El FT. rATE Form GW-lb Rev. 2/09 Former AST Plume Area MU350-MWs SWM 50-uJ,.yr 6 . [kIl 310,1i.) Lr`Lskti'.5 ,"� ebrEi frIctitanTiKriffiEt 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. Legend fir Proposed Biosparging well location screened 25 fl bgs Et Proposed Biosparging well location screened 40 ft bgs Proposed Sell Vapor Extraction Well Location 125 Proposed Monitoring wells screened across the water table @-; Proposed Monitoring wells screened to 30 ft bgs (fit Proposed Sail Gas Monitoring Point Location • Monrtoring wells screened across the water table Monitoring g well screened to 30 h bgs & ;Monitoring _c eeneo to 55 f. Ligs Area 8' z-Guasta) einirriTCMIETM Water Table Zone Limit of Naphthalene NCGWQS Exceedance —9 30-ft Zone Limit of Naphthalene NCGWQS Exceedance ettt Fence Proposed Biosparging Air Conveyance Line r) Anticipated Biosparging Treatment Zone (30-ft spacing) Proposed Equipment Compound Treatabilily Study Area SWMU Boundey 10 20 40 jf 1 inch = 46 feet CZL'�AyuLAI tiylyPt Figure 2 Drilling Locations Map SWMU 350 MCIEAST-MCB CAMLEJ North Carolina PAMil