413656_Well Construction - GW1_20130528

NON ON RESIDENTIAL 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
City or Town
t919 ) 644-2814
Area code Phone number:
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT#
OTHER ASSOCIATED PERMIT#(if applicable)'
SITE WELL ID #(if applicable) S W M U350-SVO1:
3. WELL USE (Check One Box) Monitoring ❑ Municipal/Public
Industrial/Commercial ❑, Agricultural.❑ Recovery❑ Injection
Irrigation❑ Other Ldaist.use) Soil Vapor
DATE DRILLED 4/9/13
4. WELL LOCATION:
Iwo Jima Boulevard
(Street Name, Npmba)s, Community, Subdivisipn, Lot No., Parcel, Zip Code)
cin' Cant; Leieune COUNTY Onslow
TOPOGRAPHIC / LAND SETTFNG:-, (cheek appropdate
DSlope.roValley jFlat' ❑Ridge. pother
LATITUDE 34 ' QMS OR 34.74121576 DD
NC 27278
State Zip Code
•
LONGITUDE 77 ":DMS 0a 7.7.37130701DD
Lalittide/langitude source:; []GPS l7jrePst9M hic map
(location of well must be: shown on a USGS topo map anda#ached; to
this kir if notusrng'GPS)
S( FACILITY (Name of thebusiness where the well is, located.)
Marine Corns Base
Facility, Name
Iwo Jima Boulevard
Street Address '
Camp Leieune
City or Town+
Facility ID# (if applicable)
NC
State
28543
Zip Code
Contact Name
Mailing Address
City or Town
Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 10 0"
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO Eli
c. WATER LEVEL Below Top of Casing: 7.5 FT.
(Use "+•' if Above Top of Casing)
State
Zip Code
413656
d. TOP OF CASING IS 1 .0 FT. Above Land Surface*
*Top of casing terminated at/or below land surface may require
a variancein 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
Thickness/
7. CASING: Depth Diameter Weight Material
Top 0 ` Bottom 5 0
Ft. 4" Sch40 ;PVC`
Too Bottom
Top Bottom
Top Bottom
Top Bottom Ft.
8. GROUT: Depth Material Method
Top 0 Bottom 1.5 Ft, Portland Tremie
Top 1.5 Bottom 3.5 Ft. Bentonite Tremie.'.
Top. Bottom Ft
9.o-.SCREEN: Depth Diamefer Slot Size Material
Top' 4.0 Bottom 8.0 Ft. 4 in. .010 'in. PVC
Top- Bbt(om Ft. in in,
Top Bottom
10.:SAND/GRAVEL PACK:'
Depth,
Top 3;5 Bottom 8.0`
Top 8.0 Botfom,.10'0
Top Bottom
11.;DRILLING LOG '
Top •Bottom •
12. REMARKS:
Material
Sand.
Sand
No samples taken
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 NPROVIDED TOWNER.
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: [phone]
Form GW-lb
Rev. 2/09

tiarligien
rtactrfl
Note:
NCGWQS for Naphthalene is 6 pglL
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
ft Proposed Biosparging well location screened 25 fl bgs
e Proposed Biospargng well location screened 40 fl bgs
Proposed Soil Vapor Extraction Well Location
i Proposed Monitoring wells screened across the water table
Proposed Monitoring wells screened to 30 ft bgs
ei Proposed Sot Gas Monitoring Point Location
0 Monitoring wells screened across the water table
{ y- Monitoring wells screened to 33 h bgs
.` AL^n'N.erin :cc'Js ec:eeaso to 55 It bgs
L.
MU350•MW
igEMIKP
Area B
f-it. :rfe.i1
Water Table Zone Limit of Naphthalene NCGWQS Exceedance
— 30-ft Zone Limit of Naphthalene NCGWQS Exceedance
®Fence
Proposed Biosparging Air Conveyapce Line
-r Anticipated Btosparging Treatment Zone (30-ft spacing)
Proposed Equipment Compound
Treetebility Study Area
SWMIJ Boundary
0 10 20
40
Figure 2
Drilling Locations Map
SWML) 350
MCIEAST-MCB CAMLEJ
North Carolina
Feol
1 Inch n 40 feet
C::t 2Mhtti i