HomeMy WebLinkAbout413658_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
Perratt-Wolff, Inc.
-WellCoiitractor OompanyName
501 Millstone Drive
Street Address - - _
Hillsbarouah NC 27278
City or Town State Zip Code
(919 . > 644-2814
Area Code -=Phone number ., _
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT#
OTHERASSOCIATED-- PERMIT#(ifappligable) SITE WELL ID •#(lfapplicable) SWMU350-IW58-25 3. WELL USE (Check One- Box) Monitoring 0 Municipal/Public ❑
Industdal)Commemial p' Agricultyral ❑ Recovery ❑ Injection i '
Imgatiorl� Other ❑ (list use)
DATE.DRILLED4/1'0/13
4. WELL LOCATION:
Iwo Jima.Boulevard
(Street Na`me,;Numbers, Cgmmuotty, Subdivision, Lot No., Parcel, Zip Code)_
clrY. Oamo Leieune COUNTY Onslow•
TOPOGRAPNiC / LAND,�SETTING r(check appropriate box)
❑Siopa`,p>%alley (�Elet,.ORidge _p Other . '
LATITUDEi. " DMS OR.34.74121.5Z6 DD
LONGITUDE 77 - "'DMS OR.77s37130701-:DO
==Latltudelonrgitude source>_ IJGPS (ifropngraphic map.
(lo0ston-61' well must 4:5:1. owh on a. USGS topo map aridattached.t'o
this form lfnpt using GPSJ
5, FAClt_ITY (Name of the business wbere the well is'located.)
"''Marine. Corns i3ase
�Faplhty KSrne
`Iwo JirrlaBoulevard
•Street Address
C mn LPieune -_
City or town -
Contact Name: t.
Facility 1D# (if applioadie),:,
NC: 98543
.State Zip Code -.
Mailing Address
•
City:orTown.: -
Areacode Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 25 0'
State
Zip -Code
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO q/
c. WATER LEVEL Below Top of Casing: 7.5 FT.
(Use "+" if Above Top of Casing)
413658
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 - Materlal
Top 0 Bottom 23.0"i Ft. 2" Sch40 PVC
8: GROUT: • Depth - Material
Top 0 Bottom 20,0 Ft. Portland
Top 20.0 Bottom 22.0 Ft Bentonite Tremie
Method
Tremie.
Top Bottom Ft r
9: SCREEN: Depth - Diameter 'Slot Size Material
Top 23.0 Bottom 25.0 Ft..2 in. > .006 in PVC
Top Bottom _'Ftinin.'.
10. SAND/GRAVEL PACK:
Depth Size
Top 22.0 Bottom 25.0 Ft #00 l•
Top : ' 8tttom - Ft.•
Top Bottptn '� °Ft
11. DRILLING LOG
Top Bottom Formation Description , ;
No saruDies taken'
12. REMARKS:
MAY. 2 1093
INFORM/WIN"IIIIATEQ ppnr,ps ECTtoff n T
RC�,tI,
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL CONSTRUCTION STANjJDARDS, AND THAT A COPY OF THIS
RECORD HASBEEN PROVIDED TO THF.K'ELW W NER.
SIGNATURE OF CERTIFIED WFkL%ONTtTP,�I
+d 5
Kevin White
PRINTED NAME OF PERSO gON$fTliWC II GzutwE
;mica '/3
ATE
Submit within 30 days of completion to: Division of. Water Quality - information Proc Form Gw-1b
1617 Mail Service' Center, Raleigh, NC 27699-161, Phone : (919) 807-6300 �
IL
Former AST Plume Area
CsfurfilITThYirLiiirEtil
SWMU3so- MW
SWMU
CkaitTI :=4:1
;.,2.7
EsTIFT
fiirrff `r,,'?7r
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
tf. Proposed Biosparging well location screened 25 ft bgs
e Proposed Biosparging well location screened 40 ft bgs
€' Proposed Soil Vapor Extraction Well Location
e Proposed Monitoring ivells screened across the water table
ar Proposed Monitoring wells screened to 30 ft bgs
• Proposed Soil Gas Monitoring Point Location
e Monitoring wells screened across the water Midis
4 Monitoring wells screened to 30 N bgs
onitorvrg wear preened to 55 1t bps
EttiraC.;1
Water Table Zone Limit of Naphthalene NCGWQS Exceedance
---- 30-ft Zone Limit of Naphthalene NCGWQS Exceedance
ern Fence
Proposed Biosparging Air Conveyance Line
:",t Anticipated Biosparging Treatment Zone (30-ft spacing)
Proposed Equipment Compound
1,3 Tractability Study Area
SINAtU Boundary
iL
0 10 20 40
1 inch e 40 feet
Figure 2
Drilling Locations Map
SWMU 350
MCIEAST-MCB CAMLEJ
North Carolina