408217_Well Construction - GW1_20120920

NON RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources -Division of Water Quality
WELL CONTRACTOR CERTIFICATION #: 2927A
1. WELL CONTRACTOR:
William J. Miller
Well Contractor (Individual) Name
CATLIN Engineers and Scientists
Well Contractor Company Name
220 Old Dairy Road
Street Address
Wilmington
City or Town
( 910) - 452-5861
Area code - Phone number
North Carolina 28405
State Zip Code
2. WELL INFORMATION
WELL CONSTRUCTION PERMIT #: N/A
OTHER ASSOCIATED PERMIT # (if applicable): N/A
SITE WELL ID # (if applicable) H MW-8
3. WELL USE (Check One Box): Monitoring ® MunicipaVPublic ❑
Industrial/Commercial ❑ Agricultural ❑ Recovery 0 Injection ❑
Irrigation 0 Other 0 (list use).
DATE DRILLED: July 30, 2012
4. WELL LOCATION:
1 Hanover St., 28401
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
CITY: Wilmington COUNTY: New Hanover
TOPOGRAPHIC / LAND SETTING (check appropriate box)
❑Slope ❑ Valley ® Flat 0 Ridge 0 Other:
LATITUDE: 34.143729253 DD
LONGITUDE: 77.56596254 DD
Latitude/longitude source: ® GPS 0 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.)
The City Marina Wilmington, LLC N/A
Facility Name
1 Hanover St.
Facility ID # (if applicable)
Street Address
Wilmington
City or Town
NC
State
28401
Zip Code
Contact Name
Mailing Address
City or Town State Zip Code
Area code - Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 11.6
b. DOES WELL REPLACE EXISTING WELL? YES ❑
c. WATER LEVEL Below Top of Casing:5.4 FT.
„
(Use +, if Above Top of Casing)
408217
d. TOP OF CASING IS 3.40 FT. Above Land Surface*
* Top of casing terminated at/or below land surface may require
a variance in 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 Bottom Top Bottom
Top Bottom Top Bottom
Top Bottom Top Bottom
7. CASING:
Thickness/
Depth Diameter Weight Material
Top 0 Bottom 1.6 Ft. 2 in. Sch. 40 PVC
Top Bottom Ft. in.
Top Bottom Ft. in.
8. GROUT:
Depth
Top Bottom Ft.
• Top 0
• Top
Material Method
Bottom 1 Ft. Bent. Pellets Surface Pour
Bottom Ft.
9. SCREEN: Depth Diameter Slot Size Material
Top 1.6 Bottom 11.6 Ft. 2 in. Slot .010 in. PVC
• T•op Bottom Ft. in. in.
•
• Top Bottom Ft. in. in.
• 10. SAND/GRAVEL PACK:
Depth Size Material
Top 1 Bottom 11.6 Ft. #2 Medium Torpedo Sand
• Top Bottom Ft.
Top Bottom Ft.
• 11. DRILLING LOG
Top Bottom Formation Description
/
� SEE
: 12. REMARKS:
-ATTACHED
�Y�''• 5y�+ a �''
' ` ° t e
SEP 2 0 Z012
°m000JA
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTR 13iI C RDANCE WITH
• 15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS
• RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
NO go •
SIGNATU OF CERTIFIED WELL CONTRACTOR
: William J. Miller
Of/a—
: 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-1b
Rev. 2/09

, WELL
LOG--„,,,.CATLIN
,_____
Engineers and Scientists
206-086
SHEET 1 OF 1
PROJECT NO.: 206-086
STATE: NC
COUNTY: New Hanover
LOCATION: Wilmington
PROJECT NAME:
The City Marina Wilmington, LLC
LOGGED BY: Alan Jarrett
WELL ID:
HMW-9
DRILLER: William J. Miller
NORTHING: 181430.4
EASTING: 2317370.0
CREW:
SYSTEM: N CS P NAD 83 (USft)
BORING LOCATION: Building pad
T.O.C. ELEV.: 21.85
DRILL MACHINE: D-50
METHOD: H.S.A.
0 HOUR DTW: 7.1
TOTAL DEPTH: 12.5
START DATE: 7/30/12
FINISH DATE: 7/30/12
24 HOUR DTW:
WELL DEPTH: 12.5
DEPTH
BLOW
6in
6in
COUNT
6in
6in
OVA
(ppm)
LAB.
M
°
S
L
O
G
SOIL AND ROCK
DEPTH DESCRIPTION ELEVATION
WELL
DETAIL
0.0 LAND SURFACE 19.3
2.5
0.0
0.0
-
3
4
4
2
D
9. ?:. '
.;
'
(GP) - Concrete slab
0.5 18.8
Ti r r i r r r i r i r r r ` i r i
IN
2" Slot .010 2" Sch. 40 PVC
Sch. 40 PVC
11�IJ.l�ll�llll�l�lll(Illlt�ll(N111.1til li!II1.h !IIJl h u(.Ll(LI)ltIIIIIiJj JHh111J1(11111.UL. ..
..i in;
o
Lit
•' -
(SP) - Lt. gray f. SAND. Uniform. Loose
2.0 17.3
2.0
-
1
woh
woh
1
M
,
(CL) - Brown Sandy CLAY. Gap- graded. V.
soft.
4.0 15.3
4.0
-woh
1
woh
woh
W
,
(CL) - S.A.A.
6.0 13.3
6.0
-woh
woh
60/
.1
Sat.
/
(CL) - S.A.A. w/ tr/ gravel.
8.0 11.3
8.0
-
56
17
29
51
W
. .'•
'. / ,
(SC) - Gray Clayey SAND w/ rocks.
Gap -graded. V. dense.
10.0 9.3
-
-
_
Boring Terminated at Elevation 6.8 ft r.
Clayey SAND w/ rocks.
t:'-'cil tr—.: t,,
SEP
ic:i f) :m a t l o
r' y
z
F-
Q
c;
a
z
0
0
z
z
2
0
(a
o
a
(0
a
Q
J
Z
Q
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m
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0
Bentonite Pellets
#2 Medium Sand

MAD - .k DAWG
LETTER OF TRANSMITTAL
INCORPORATED
PO Box 398 Iron Station, NC 28080
TO: Division of Water Quality
attn: information Processing
1617 Mali Service Center
Raleigh, NC 27699-161
REFERENCE: Well Construction Record
REGARDING: Well Construction Record
We are sending you the following:
x Attached to this Transmittal
DATE: September 10, 2012
COPIES
DATE
DESCRIPTION
5
8/23/2012
$3 Cleaners - Wilmington, NC
1
8/28/2012
High Country Cleaners - Boone, NC
3
9/6/2012
Boston Cleaners - Burlington, NC
SIGNATURE:
Samantha Brewer
[phone]
[e-mail]