411646_Well Construction - GW1_20130211

1. WELL CONTRACTOR:
D.T. Chalmers, Jr.
NON RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources - Division of Water Quality
WELL CONTRACTOR CERTIFICATION #: 4146A 411646
d. TOP OF CASING IS 3.13 FT. Above Land Surface'
• Top of casing terminated attar below land surface may require
a variance in accordance with 15A NCAC 2C.011B.
e. YIELD (gpm): WA METHOD OF TEST: WA
f. DISINFECTION: Type WA Amount: N/A
g. WATER ZONES (depth):
Street Address
Wilmington North Carolina 28405 Top Bottom Top Bottom
City or Town State Zip Code Top Bottom Top Bottom
( 910 ) - 452-5861 Top Bottom Top Bottom
Area code - Phone number
7. CASING: Thickness/
2. WELL INFORMATION Depth Diameter Weight Material
WELL CONSTRUCTION PERMIT #: N/A Top 0 Bottom 35 Ft. 2 in. Sch. 40 PVC
Well Contractor (Individual) Name
CATLIN Engineers and Scientists
Well Contractor Company Name
220 Old Dairy Road
OTHER ASSOCIATED PERMIT # (If applicable): N/A
SITE WELL ID # (if applicable) TDMW-01
3. WELL USE (Check One Box): Monitodng ® MunicipaVPublic 0
IndustdaVCommercial ❑ Agricultural 0 Recovery ❑ Injection ❑
Irrigation ❑ Other ❑ (list use).
DATE DRILLED: January 17, 2013
4. WELL LOCATION:
3rd & A Streets, MCB, Camp Geiger, 28542
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
CITY: Jacksonville COUNTY: Onslow
TOPOGRAPHIC / LAND SETTING (check appropriate box)
QSlope ❑Valley IX Flat ❑Ridge ❑Other:
LATITUDE. 34.739718 DD
LONGITUDE: 77.456281 DD
Latitude/longitude source: Dia GPS ❑ Topo. map
(Location of well must be shown on a USGS topo map and
attached to this form if not using a GPS.)
5. FACILITY (Name of the business where the well is located.)
MCIEAST-MCBCAMLEJ N/A
Facility Name Facility ID # (if applicable)
3rd & A Streets, MCB, Camp Geiger
Street Address
Jacksonville NC 28542
City or Town State Zip Code
Ms. Jenni Provost
Contact Name
Attn: GF/ EMD/ EQB/ 12 Post Lane
Mailing Address
Camp Lejeune NC 28542-0004
City or Town State Zip Code
(910)- 451-5068
Area code - Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 41.5
b. DOES WELL REPLACE EXISTING WELL? YES ❑
a. WATER LEVEL Below Top of Casing 7.35 FT
(Use "+" if Above Top of Casing)
NO fXI
Top 0 Bottom 30 Ft. 4 in. Sch. 40 PVC
Top Bottom Ft. in.
8. GROUT: Depth Material Method
Top Bottom Ft.
Top 0 Bottom 33 Ft.
Top Bottom Ft.
9. SCREEN: Depth Diameter Slot Size Material
Top 35 Bottom 39.5 Ft. 2 in. Slot .010in. PVC
Top Bottom Ft. in. in.
Top Bottom Ft. in. in.
10. SAND/GRAVEL PACK:
Depth Size Material
Top 33 Bottom 41.5 Ft. #2 Medium Torpedo Sand
Top Bottom Ft.
Top Bottom Ft.
11. DRILLING LOG
Top Bottom Formation Description
/
SEE
ATTACHED
RFCR ED
12. REMARKS:
Temporary Type III Well
'nformation Processing unit
DWQ/BOG
I DO HEREBY CERTIFY THAT THIS WELL WAS CONaTPUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL CONSTRUCTION STANOAPDS, ANN D THATArCOPY OF THIS'.
RECORD HAS BEEN PROVIDED TO THE WE LLL OWNER:—
11 2®13
i�ira-zoi3
e
SIATUROF CE iTTIFIED WELL,.ONTF ACTOR- DATE
D.T. Chalmers, Jr.
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days of completion to: Division of Water Quality - Information Processing,
1617 Mall Service Center, Raleigh, NC 27699-1617, Phone No. [phone]
Modified from
Form GW-1 b
Rev. 2/09

WELL
LOG
Engineersems
�-CATLIIV
and Scientists
212108.03
wominglen. NO SHEET 1 OF 1
PROJECT NO.: 212108.03
STATE: NC
COUNTY: Onslow
LOCATION: Jacksonville
PROJECT NAME:
Site P1268 (Future Building
G-484)
LOGGED BY: Justin Heter
WELL ID: .
TMW-1
DRILLER: D.T. Chalmers, Jr.
NORTHING: 3846933
EASTING:
275129
CREW: Corey Futral
SYSTEM: UTM NAD83 (m)
BORING
LOCATION: tart. North of USTCG-TWO1-R
T.O.C. ELEV.:
19.2
DRILL MACHINE: CME 45B Track
METHOD:
H.S. Augers
OHOUR DTW: 5.2
TOTAL DEPTH:
12.0
START DATE: 01/04/13
FINISH DATE:
01/04/13
24 HOUR DTW: 8.6
WELL DEPTH:
12.0
DEPTH
BLOW
0.5ft
0.5ft
COUNT
0.5ft
0.5ft
OVA
(PPm)
LAB.
o
s
L
G
SOIL AND ROCK
DEPTH DESCRIPTION ELEVATION
WELL
DETAIL
0.0 LAND SURFACE 15.9
3.2
0.0
_
•
•:
••.:.
•
•;
O"
•
•
•
•
•
•.
•.,
•
(SM) - Brown, f. SAND. FILL. Logged from
cuttings. Saturated 0-0.3' due to rain.•
4.0 11.9
1 1 1 I 1 1 1 I 1 1 1 I 1 1 1' 1 1 1 I 1 I 1
N N
C in G
2'Slot .010 2'Sch. 40 PVC
Soh. 40 PVC
Q.
—
_
=
_
_
't'.
_
1.o
12n
4.0
1
1
2
0.0
M
_
Sat.
/
/
j.
..
(SM/CL) - Brown and gray, Silty f. SAND to
Silty CLAY. V. loose/soft. Mod. plasticity.
5.5 Moist grading to wet. 104
s.o s.s
(SC/SM) - Dk. gray, f. SAND w/some silt, tr.
med sand and tr. clay. Well -graded. V.
105 loose/v. soft. 50.
9.0
_woh
1
0
0.0
n
Boring Terminated at Elevation 3.9 ft
in f. SAND w/some silt tr. med. sand and tr.
clay.
CATLIN BORING LOO
Bentonite Pellets
#2 Medium Sand