411642_Well Construction - GW1_20130211

NON RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources - Division of Water Quality
WELL CONTRACTOR CERTIFICATION #: 4146A
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 28405
City or Town State Zip Code
( 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) TMW-3
3. WELL USE (Check One Box): Monitoring IXi MunicipaVPublic ❑
Industrial/Commercial ❑ Agricultural ❑ Recovery ❑ Injection 0
Irrigation ❑ Other ❑ (list use).
DATE DRILLED: January 04, 2013
4. WELL LOCATION:
3rd & A Streets, MCB, Cam Gei er 28542
�S reel ame, um ere. Commun ivision, M o., erg p e
CITY: Jacksonville CouNTv: Onslow
TOPOGRAPHIC / LAND SETTING (check appropriate box)
❑Slope ❑Valley ®Flat ❑Ridge DOther:
LATITUDE: 34.739678 DD
LONGITUDE. 77.456225 DD
Latitude/longitude source: ® 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 wall 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
City or Town State
(910)- 451-5068
Area code - Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 12
28542-0004
Zip Code
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO II
c. WATER LEVEL Below Top of Casin • 5.45 FT
(Use "+' if Above Top of Casing)
d. TOP OF CASING IS 3.55 FT, Above Land Surface*
• Top of casing terminated actor below land surface may require
a variance in accordance with 1SA NCAC 2C.0118.
e. YIELD (gpm): WA METHOD OF TEST: WA
f. DISINFECTION: Type WA Amount: N/A
g. WATER ZONES (depth):
Top Bottom Top Bottom
Top Bottom Top Bottom
Top Bottom Top Bottom
7. CASING: Depth
Thickness/
Diameter Weight
Top 0 Bottom 2 Ft. 2 in. Sch. 40
Top Bottom Ft. in.
Top Bottom Ft. in.
Material
PVC
8. GROUT: Depth Material Method
Top Bottom Ft.
Top 0 Bottom 1 Ft.
Top Bottom Ft.
9. SCREEN:
Depth Diameter Slot Size Material
Top 2 Bottom 11.5 FL 2 in. Slot .010in. PVC
Top Bottom Ft. in. in.
Top Bottom Ft. in. in.
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
12. REMARKS:
Temoorary T
DVUQe
rfl
100 HEREBY CERTIFY THAT THIS WO_ WAS dO STRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL CONSTRUCTION ST JN DAR03, AND THAT A COPI=OPTHIS
RECORD HAS BEEN PROVIDED TO THE WE'LL OWNER.
CM'
Jer
SI RE F CERTIFIED WELL CONTI) CTOR
D.T. Chalmers, Jr.
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
DATE
Submit within 30 days of completion to: Division of Water Quality - Information Processing,
1617 Mail Service Center, Raleigh, NC 27699-1617, Phone No. [phone]
Modified from
Form GW-lb
Rev. 2/09

LOG
�- CATLN
Engineers and ScientistsWlmmglon, NC SHEET 1 OF 1
212108.09
WELL
PROJECT NO.: 212108.03
STATE: NC
COUNTY: Onslow
LOCATION: Jacksonville
PROJECT NAME: Site P1268 (Future Building G 484)
LOGGED BY: Corey Futral
WELL ID:
USTCG-TW01-
R
DRILLER: D.T. Chalmers, Jr.
NORTHING: 3846926
EASTING: 275128
CREW: Josh O'Connell
SYSTEM: UTM NAD83 (m)
BORING LOCATION: Same as former USTCG-TWO1 ("Temp Well")
T.O.C. ELEV.: 20.8
DRILL MACHINE: CME 550 ATV
METHOD: H.S. Augers
0 HOUR DTW: 6.2
TOTAL DEPTH: 12.0
START DATE: 01/16/13
FINISH DATE: 01/16/13
24 HOUR DTWT.4 N/A
WELL DEPTH: 12.0
DEPTH
BLOW
0.5ft
0.5ft
COUNT
0.5ft
0.5ft
OVA
(PPm)
LAB.
o
s
L
a
SOIL AND ROCK
DEPTH DESCRIPTION ELEVATION
WELL
DETAIL
0.0 LAND SURFACE 17.9
2.9
0.o
D
Sat.
•.
•:
•..
•
•;
•.,
•
•
•.
•
•
•
•.;
••
••
•
• "
•:'
(SM) - Brown and tan, Silty, f. SAND. Uniform.
S.0 12.9
(SM) - S.A.A. w/dark gray at base of sample.
S.5 11.4
10.0 7 9
--- I- 1 pitin I I I I ?I
N
O N
2' Slot .010 2' Sch. 40 PVC
Sch. 40 PVC
i.0
—
—
-
=
—
120
5.0
—
6
7
7
1.1
10.0
WON
2
1
20.2
;:
(SP) - Dark gray, f. to med. SAND w/tr. silt. V.
loose. Uniform. Strong HCO.
11.5 6.4
Boring Terminated at Elevation 5.9 ft
in f. to med. SAND.
Bentonite Pellets
II2 Medium Sand