GW1-2022-05689_Well Construction - GW1_20220610

220 Old Dairy Road
CATLIN Wilmington, NC 28405
Engineers and Scientists [phone]
www.CatlinUSA.com
May 13, 2022
North Carolina Department of Environmental Quality
Division of Water Quality
Information Processing
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: North Carolina Well Construction
Tops Texaco #7
945 N. Miami Blvd.
Durham, NC 27703
Incident Number: 20294
CATLIN Project/Proposal No. 221169
To Whom it May Concern,
CATLIN Engineers and Scientists (CATLIN) recently constructed one (1) replacement
monitoring well at the above referenced site. Attached to this letter is the completed
North Carolina Construction Record, Well Log, and associated Attachments for the site
in Durham, North Carolina.
If you have any questions or require additional information, please feel free to contact
us at [phone].
Sincerely,
J 7
�.
Benjamin J. Ashba P.G. Corey D. Futral, CWC
Project Manager Project Geologist
Enclosures
Well Construction Record, Well Log, and Site Map
ENVIRONMENTAL CIVIL GEOTECHNICAL
Wilmington, NC I Raleigh, NC Washington, NC I Atlanta, GA I Charleston, SC

WELL CONSTRUCTION RECORD For InternalU, ONLY:
This form can be used for single or multiple wells
1.Well Contractor Information:
14.WATER ZONES
D.T. CHALMERS, JR. FROM I TO DESCRIPTION
Well Contractor Name ft ft
4146A ft ft
NC Well Contractor Certification Number 15.INNER CASING OR TUBING(geothermal closed-loo
FROM TO DIAMETER THICKNESS MATERLll.
CATLIN Engineers and Scientists 0 ft.1 5 ft. 2 in.I Sch.40 1 PVC
Company Name 16.OUTER CASING for multi-cased wells OR LINER if applicable
FROM TO DIAMETER THICKNESS MATERIAL
2.Well Construction Permit#: N/A ft. rr. in
List all applicable well permits(i.e.Counts;State, Variance,Injection,etc.)
ft ft. in.
3.Well Use(check well use): 17.SCREEN
Water Supply Well: FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
❑Agricultural ❑Municipal/Public 5 fr. 15 ft. 2 in. SIOt.010 Sch.40 PVC
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ft. fr. in.
❑Industrial/Commercial ❑Residential Water Supply(shared) 18.GROUT
FROM TO MATERIAL EMPLACEMENT MET11OD&AMOUNT
❑Irngat,on 0 ft. 1 It. Portland Cement Surface Pour
Non-Water Supply Well:
®Monitoring ❑Recovery 1 ft. 3 It. Bent.Pellets Surface Pour
Injection Well: rt. rt.
❑Aquifer Recharge ❑Groundwater Remediation 19.SAND/GRAVEL PACK if a licable
❑Aquifer Storage and Recovery ❑Salinity Barrier FROM TO I MATERIAL EMPLACEMENTMET1101)
❑Aquifer Test ❑StonuwaterDrainage 3 ft. 15 1 #2 Medium Sand Surface Pour
❑Experimental Technology ❑Subsidence Control ft. ft
20.DRILLING LOG attach additional sheets if recess..
❑Geothermal(Closed Loop) ❑Tracer FROM TO DESCRIPTION color,hardness soil/rock rmc,grainsim,etc.
❑Geothermnal(Heating/Cooling Return) ❑Other(explain under#21 Remarks) ft. it
4.Date Well(s)Completed: 05/05/22 Well ID#: MW-511 ft. fr. -
ft. ft.
5a.Well Location:
ft ft
NCDEQ-Tops Texaco#7 0-016535
ft.
Facility/Owner Name Facility ID#(if applicable)
ft.
945 N. MIAMI BLVD,DURHAM,NC 27703
ft. ft.
Physical Address,City,and Zip
21.REMARKS
DURHAM NA
County Parcel Identification No.(PIN)
5b.Latitude and Longitude in degrees/minutes/seconds or decimal degrees: 22.Certification:
(ifwell field,one lat/longis sufficient)
35.992156 N -78.868859 W 5/12/2022
Signature of Certified Well Contractor Date
6.Is(are)the well(s): ®Permanent or ❑Temporary By signing this farm,I hereby certify that the wells)was(were)constructed in accordance with
15ANCAC 02C.0100 or 15ANCAC 02C.0200 Well Construction Standards and that a copy of
7.Is this a repair to an existing well: ❑Yes or ®No this record has been provided to the well owner.
If(his is a repair,fill out known well construction information and explain the nature of
the repair under#21 remarks section or on the back of this form. 23.Site diagram or additional well details:
You may use the back of this page to pro-,ride additional well site details or well
8.Number of wells constructed: 1 construction details. You may also attach additional pages ifuecessary.
For multiple injection or non-water supply wells ONLYu1th the same construction,you
can.submit one form SUBMITTAL INSTRUCTIONS
9.Total well depth below land surface: 15.0 (ft.) 24a.For All Wells: Submit this form within 30 days of completion of well
For multiple wells list all delnhs in different(example-3@200'and 2@100) construction to the following:
10.Static water level below top of casing: 16.69 (ft.) Division of Water Resources,Information Processing Unit,
Ifvater level is above casing,use"+" 1617 Mail Service Center,Raleigh,NC 27699-1617
11.Borehole diameter: 8.25 (in.) 24b.For Injection Wells ONLY: In addition to sending the form to the
address in 24a above,also submit a copy of this form within 30 days of
12.Well construction method: HSA completion ofwell construction to the following:
(i.e.auger,rotary,cable,directpush,etc.)
Division of Water Resources,Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center,Raleigh,NC 27699-1636
13a.Yield(gpm) Method of test: 24c.For Water Svuuly&Injection Wells:
Also submit one copy of this form within 30 days of completion of well
13b.Disinfection type: Amount: construction to the county health department of the county where constructed.
Adapted from Fomr G W-1 North Carolina Department of Enviromnent and Natural Resources-Division of Water Resources Revised 2-22-2016

WELL LOG CATLIN
Engineers and Scientists
221169 SHEET 1 OF 1
PROJECT NO.: 221169 STATE: NC COUNTY: DURHAM LOCATION: DURHAM
PROJECT: TOPS TEXACO #7 LOGGED BY: OLIVIA DAYNES WELL ID:
DRILLER: D.T. CHALMERS, JR. MW-5R
NORTHING: 2038795 EASTING: 816069 CREW: EDDIE SWAIN
SYSTEM: NCSP NAD 83 USft BORING LOCATION: In location of previous MW-5 T.O.C.ELEV.: 97.33
DRILL MACHINE: CME 45B TRACK METHOD: HSA 0 HOUR DTW: 11.7 TOTAL DEPTH: 15.0
START DATE: 5/5/22 END DATE: 5/5/22 24 HOUR DTW: NM WELL DEPTH: 15.0
DEPTH BLOW COUNT OVA LAB o a SOIL AND ROCK WELL
0.5ft 0.5ft 0.5ft 0.5ft (PPM) s G DEPTH DESCRIPTION ELEVATION DETAIL
0.0 LAND SURFACE 97.3 0.0
0.0 0.0 =
1.0
>
a
3.0
N
5.0
H (SM)-No spilt spoons taken.
3 A NM M5 Soil lithologoy derived from drill cuttings.
Silty F.SAND
Very Strong HCO
o>
oa
o a
N L
(V U
N
'qs
15.0 15.0 82.3 15.0 15.0
BORING TERMINATED AT ELEVATION 82.3 ft in Silty
LL
F.SAND
LL
EjPortland Cement Bentonite Pellets #2 Medium Sand

AI
N
� GO
GASOLINE
PUMPS
x MM�
DIESEL
MW-5
CO
FORMER 4,000-GAL. MW-5R
10,000-GAL. DIESEL UST
DIESEL UST
KEROSENE---_ ®MW-2
MW-6 PUMP ®MW-3
® D-1
4ka - /UST
BASIN
LEGEND
® Monitoring Well MW-7
(Type II)
OMonitoring Well CREE 1
(Type III)
® Abandoned
Monitoring Well (Type II)
Approximate Location
of UST System
Parcel Boundary o rce: Esri, Maxar,GeoEye, Ear4hstar Geographies,CANE /Pirb s D�,
SDA, USG-,AeroGRID, IGN,and the GI- User ommu t
NOTE:Well and tank locations were obtained from previous
reports prepared by other consultants and are approximate. 30 15 0 30 60
Feet
PROJECT TITLE FIGURE
TOPS TEXACO#7
ATLIN 945 N MIAMI BLVD SITE MAP
CDURHAM, NC
Engineers and Scientists
INCIDENT N0. I J08 N0. DATE SCALE DRAWN BY/CHECKED BY
20294 221169 MAY 2022 AS SHOWN GDH/CDF