HomeMy WebLinkAbout413657_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 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 INFORMATION:
WELL CONSTRUCTION PERMIT#
OTHER ASSOCIATED PERMIT#(if applicable)
SITE WELL ID #(If applicable) SW MU350-I W 58-40
3. WELL USE (Check One Box) Monitoring ❑ Municipal/Public ❑
Industrial/Commercial ❑ Agricultural ❑ Recovery 0 Injection riI
Irrigationp, Other 0 (list use)
DATE DRILLED 4/9-4/10/13
4. WELL LOCATION:
Iwo. Jima Boulevard
(Street,Name,Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
CITY: Como Leieune COUNTY Onslow
TOPOGRAPHIC / LAND SETTING: (check appropriate box)
❑Slope pValley.. pi Flat El Ridge ID Other
LATITUDE 34 " DMS OR 34.74121576 DD
LONGITUDE 77. " DMS OR 77.37130701 DO
Latitude/longitude source: TOPS 117jropographic map
(loca#pp of well must be shown on a USGS topo map andattached to
this form if not using GPS) 5. FACILITY (Name of the business where the well is located.)
Marine' Corns Base
Faciltit Nettie
Iwo Jima Boulevard
Street Address
Camn Leieune
City or Town
Facility. ID# (if applicable)
NC 28543
State Zip Code
Contact Name.
Mailing Address
City or Town State Zip Code
Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 40.0'
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO El
c. WATER LEVEL Below Top of Casing: 7.5 FT.
(Use "+" if Above Top of Casing)
413657
d. TOP OF CASING is 2.0 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 40.0 Ft. 2" Sch40 PVC
Top Bottom Ft.
Top Bottom Ft.
8. GROUT: Depth Material
Top 0 Bottom 35.0 Ft. Portland
Method
Tremie
Top 35.0 Bottom 37.0 Ft. Bentonite Tremie
Top
Bottom Ft.
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
4.0 / 8.0
8.0 / 12 0
16.0 / 20.0
Brown, moist. silty CLAY: some
sand
Brown wet. fine/medium SAND
Brown. wet. fine SAND
/ MAY k1019
12. REMARKS:
WATER QUALITY SECTION
IMF OR:4A1 i N PROCESSING UNIT
I D0 HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORD ANR$WITH
15A NCAC 2C. WELL CONSTRUCTION STAN ARDS, AND THAT A Copp
RECORD HAS
BB E�OVIDDEED TO THEW L OWNER.
D% -1
SIGNATURE OF CERTIFIED WEL• NTRACTOR IAA AT
Kevin White NI 6
PRINTED NAME OF PERSON CON UCTING THE WELL
Form GW-1b
Rev. 2/09
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
Area A
{3[p l tfi
S= T iiCtr tJ
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
0 Proposed Biosparging well location screened 25 fl bgs
C Proposed Biosparging well location screened 40 ft bgs
et Proposed Soil Vapor Extraction Well Location
O Proposed Monitoring welts screened across the water table
O Proposed Monitoring wells screened to 30 ft bgs
0 Proposed. Soil Gas Monitoring Point Location
O Monitoring wells screened across the water table
*Monitoring wells screened to 30 ft bga
O Monitoring ntrells -0:__neo to 55 f' bgs
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SWM11350-MWO
sWMU35o Wt
tatamc
FL;r,11t 47,:li r*
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Water Table Zone Limit of Naphthalene NCGWQS Exceedance Figure 2
30-ft Zone Limit of Naphthalene NCGWQS Exceedance Drilling Locations Map
® Fence
® Proposed Biosparging Air Conveyance Line SWMU 350
.'r, Anticipated Biosparging Treatment Zone (30-ft spacing) MCIEAST-MCB CAMLEJ
Proposed Equipment Compound North Carolina
IMTreetability Study Area ` 0 10 20 40
SVVMU Boundary \ Fe='
fd 1 inch = 40 feet