411643_Well Construction - GW1_20130211

1. WELL CONTRACTOR:
D.T. Chalmers, Jr.
Well Contractor (Individual) Name
CATLIN Engineers and Scientists
Well Contractor Company Name
220 Old Dairy Road
Street Address
Wilmington North Carolina
City or Town State
( 910) - 452-5861
Area code - Phone number
2. WELL INFORMATION
WELL CONSTRUCTION PERMIT #: N/A
OTHER ASSOCIATED PERMIT # (if applicable): N/A
SITE WELL ID # (if applicable) USTCG-TWO1-R
3. WELL USE (Check One Box): Monitoring In Municipal/Public 0
IndustriaVCommercial 0 Agricultural 0 Recovery 0 Injection 0
Irrigation 0 Other 0 (list use).
DATE DRILLED: January 16 2013
4. WELL LOCATION:
3rd & A Streets, MCB, Cam Gei er, 28542
treat a um rs, ommunity, u wision, of o., arcs, ip e
NON RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources - Division of Water Quality
WELL CONTRACTOR CERTIFICATION #: 4146A Al I Ri
43
d. TOP OF CASING IS 2.87 FT. Above Land Surface*
• Top of casing terminated actor below lend surface may require
a variance in accordance with 15A NCAC 2C.011B.
e. YIELD (gpm): N/A METHOD OF TEST: WA
f. DISINFECTION: Type WA Amount: WA
g. WATER ZONES (depth):
28405 Top Bottom Top Bottom
Zip Code Top Bottom Top Bottom
Top Bottom Top Bottom
7. CASING: Depth Diameter Thickness/
p Weight Material
Top 0 Bottom 2 Ft. 2 in. Sch. 40 PVC
Top Bottom Ft. in.
Top Bottom Ft. in.
CITY: Jacksonville COUNTY: Onslow
TOPOGRAPHIC / LAND SETTING (check appropriate box)
❑Slope ❑Valley IRIFIat ❑Ridge ❑Other:
LATITUDE 34.739707 DD
LONGITUDE: 77.456282 DD
Latitude/longitude source: ® GPS ❑ Topa. map
(Location of well must be shown on a USGS topo map and
attached to this form it not using a GPS.)
5. FACILITY (Name of the business where the well is located.)
MCIEAST-MCBCAMLEJ
Facility Name
3rd & A Streets, MCB, Camp Geiger
Street Address
Jacksonville NC
City or Town State
Ms. Jenni Provost
Contact Name
Attn: GF/ EMD/ EQB/ 12 Post Lane
Mailing Address
Camp Lejeune NC
City or Town State
(910)- 451-5068
Area code - Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 12
N/A
Facility ID # (if applicable)
28542
Zip Code
28542-0004
Zip Code
b. DOES WELL REPLACE EXISTING WELL? YES
IXI
o. WATER LEVEL Below Top of Casing: 7.35 FT.
(Use "+" if Above Top of Casing)
NO ❑
8. GROUT: Depth Material Method
Top Bottom Ft.
Top 0 Bottom 1 Ft.
Top Bottom Ft.
9. SCREEN:
Depth Diameter Slot Size
Top 2 Bottom 11.5 Ft. 2 in. Slot.010 in.
Top Bottom Ft. in. in.
Top Bottom Ft. in. in.
Material
PVC
10. SAND/GRAVEL PACK:
Depth Size Material
Top 1 Bottom 12 Ft. #2 Medium Torpedo Sand
Top Bottom Ft.
Top Bottom Ft.
11. DRILLING LOG
Top Bottom Formation Description
SEE
ATTACHED
12. REMARKS:
tt
Temporary Type II Well kinfo
U,
`;.©b 10,13
2013
/BOC nf:
15A HEREBY CERTIFY CONSTRHAT UCTION
WELL WAS ©EfSdANDIHAT•A COPY OFmIS WITH
nE NC AS WELL PROVIDED TIONE WELL O $ANDYHATACOPY OF THIS
RECOJ iI AS BEEN PROVIDED TO THE WELL OWNER.
SIGtTATURWoF CERTIFIED W JCL CONTRACTOR
D.T. Chalmers, Jr.
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
2;-29/3
DATE
Submit within 30 days of completion to: Division of Water Duality - Information Processing,
1617 Mail Service Center, Raleigh, NC 27699-1617, Phone No. [phone]
Modified from
Form GW-1 b
Rev. 2/09

WELL
LOG
-CATLINEngineersEnglneeand Scientists
212108.03 SH
EET Nc 1 OF 1
PROJECT NO.: 212108.03
STATE: NC
COUNTY: Onslow
LOCATION: Jacksonville
PROJECT NAME:
LOGGED BY: Corey Futral
WELL ID:
Site P1268 (Future
Building G 484)
DRILLER: D.T. Chalmers, Jr.
TDMW-01
NORTHING: 3846927
EASTING: 275128
CREW: Josh O'Connell
SYSTEM: UTM NAD83 (m)
BORING LOCATION: Paired with USTCG-TWO1-H
T.O.C. ELEV.: 20.9
DRILL MACHINE: CME 550 ATV
METHOD: HSA/MR
0 HOUR DTW: N/A
TOTAL DEPTH: 41.5
START DATE: 01/16/13
FINISH DATE: 01/17/13
24 HOUR DTW: 7.4
WELL DEPTH: 40.0
DEPTH
BLOW
o.5ft
o.5ft
COUNT
0.5ft
0.5ft
OVA
(PPm)
LAB
o
s
o
G
SOIL AND ROCK
DEPTH DESCRIPTION ELEVATION
WELL
DETAIL
0.0 LAND SURFACE 17.8
3.1
o.o
..
..,
:.;
2..
(SM) - Brown to tan, Silty, f. SAND. Uniform.•
-
_
-
;.
5.0
7
9
8
1.8
D
i:'
6.5 11.3
-
10.0 7.8
_
10.0
2
1
3
6.3
Sat.
.. ,
(SM) - Dark gray, Silty, f. SAND. V. loose.
•. 11.5 Uniform. Slight NCO. 6.3
-
-
•;
15.0 2.8
-
= u
• t
15.0
OH
2
1
1.3
Sat.
15 5 (SP) - Dark gray, f. SAND. V. loose. Uniform. 13
- 9
N
',:
tc
-
20.0 -2.2
- Si
=
20.0
4
5
6
2.5
Sat.
(SP) - Med. gray, f. SAND w/tr. shell frags.
21.5 -3.7-
Med. dense. Uniform.
-
st
25.0 -7.2
:,
25.0
15
15
20
2.8
Sat
' ' '
26.0 (SP) - S.A.A. -8.2
2e`5 (GW) - Lt. to med. gray, Weathered 9-�
_ _ _
LIMESTONE. Well graded. Shellfrags. /
30.02
-
-
••30.0
30.0
9
9
14
2.9
Sat.
--LA_
31.s (GW) - S.A.A. 13.7
35.0 -17.2
-
_ 35.0
33.0
35.0
2
2
6
2.3
Sat.
r-
-J-1`-
(GW) -S.A.A. -18.7
36.5
- c,>_.`
=
40.0 -22.2
- ea tq
- 39.5
=40.0
-
-
-.
40.0
3
6
6
0.7
Sat.
4_1_
41.5 (GW).- S.A.A. -23.7
- • 415
Boring Terminated at Elevation -23.7 ft
in Weathered LIMESTONE.
-
-
Bentonite Pellets ',.,kja2 Medium Sand