411903_Well Construction - GW1_20130304

NON RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources - Division of Water Qllllif 190 3
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) USTTE/SW-MW1 4
3. WELL USE (Check One Box): Monitoring IXI Municipal/Public ❑
Industrial/Commercial ❑ Agricultural ❑ Recovery ❑ Injection ❑
Irrigation ❑ Other ❑ (list use):
DATE DRILLED: January 21, 2013
4. WELL LOCATION:
Raaid Refueler, New River MCAS,
(Street Name, Numbers, community, Subdivision, Lot No., Parcel, Zip Code)
CITY: Jacksonville COUNTY: Onslow
TOPOGRAPHIC / LAND SETTING (check appropriate box)
❑Slope ❑Valley ®Flat ❑Ridge ❑Other:
LATITUDE. 34.711471 DD
LONGITUDE:
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.)
77.447854 DD
N/A N/A
Facility Name Facility ID # (if applicable)
Rapid Refueler, New River MCAS
Street Address
Jacksonville NC
City or Town State
Ms. Jenni Reed
Zip Code
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: 18
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO MI
c. WATER LEVEL Below Top of Casing. 10.4 F7,
(Use "+" if Above Top of Casing)
d. TOP OF CASING Is 0.00 FT Above Land Surface*
* Top of casing terminated at/or below lend surface may require
a variance in accordance with 15A NCAC 2C.e118.
e. YIELD (gpm): WA METHOD OF TEST: WA
f. DISINFECTION: Type WA Amount: WA
g. WATER ZONES (depth):
Top Bottom Top Bottom
Top Bottom Top Bottom
Top Bottom Top Bottom
7. CASING: Depth Diameter ThWeights/ Material
Top 0 Bottom 8 FL 2 in. Sch. 40 PVC
Top Bottom Ft. in.
Top Bottom Ft. in.
8. GROUT:
Depth Material Method
Top 0 Bottom 2 Ft.Portland Cement Tremie
Top 2 Bottom 6 Ft. Bent. Pellets Surface Pour
Top Bottom Ft
9. SCREEN:
Depth Diameter Slot Size Material
Top 8 Bottom 18 Ft. 2 in. Slot .010in. PVC
Top Bottom Ft. in. in.
Top Bottom Ft. in. in.
10. SAND/GRAVEL PACK:
Depth Size Material
Top 6 Bottom 18 Ft. #2 Medium Torpedo Sand
Top Bottom Ft.
Top Bottom Ft.
11. DRILLING LOG
Top Bottom Formation Description.
/
/
/
SEE
ATTACHED
12. REMARKS:
O 6 41
20
1 DO HEREBY CERTIFY THAT THIS WELL WAS CON tJCTt Ity 3ACCORDANCE WITH
15A NCAC WELL CONSTRUCTION STANDARDS. AND THAT A COPY OF THIS
RECORD / BEEN PROVIDED TO THE WELL OWNER.
SIrefURE•r CERTIFIED WELL GON7ACrEOR�
D.T. Chalmers, Jr.?'?' ff"'II''LLI
PRINTED NAME OF PERSON CQ(NSTR6TANC,T4Er.W,.E
Z_l%2t/3
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
Rev. 2/09

WELL
LOG
J�."
71 CATLIN
Engineers and Scientists
2110
Wilmington, NC SHEET 1 OF 1
PROJECT NO. 211071
STATE: NC
COUNTY: Onslow
LOCATION: Jacksonville
PROJECT NAME: JP-5 StOrmWater
LOGGED BY: Corey Futral
WELL ID:
DRILLER: D.T. Chalmers, Jr.
USTTE/SW-
NORTHING: 3843775
EASTING: 275824
CREW: Josh O'Connell
MW14
SYSTEM: UTM NAD83 (m)
BORING LOCATION:
T.O.C. ELEV.: 22.1
DRILL MACHINE: CME-550
METHOD: H.S.A.
0 HOUR DTW: 10.4
TOTAL DEPTH: 18.0
START DATE: 01/21/13
FINISH DATE: 01/21/13
24 HOUR DTW: N/A
WELL DEPTH: 18.0
DEPTH
BLOW
0.5ft
0.5ft
COUNT
0.5ft
0.5tt
OVA
(PPm)
LAB.
o
S
L
o
G
SOIL AND ROCK
DEPTH DESCRIPTION ELEVATION
WELL
DETAIL
0.0 LAND SURFACE 22.1
0.0
0.0 _
" 4
0.6 (GW) - CONCRETE CORE. 21.5
_ 0.0
-_
11
°'t
1.0 /GW) - Lt brown GRAVEL FILL Well -graded 21.1
--
7
10
10
0.3
D
(SM) - Dk. tan to black, Silty f. SAND. Uniform.
2'-. Med. dense. ---
-
=- 2.0
_
5.0 17.1
-re
_ R
-h
5.0
-woh
3
4
2
0.6
M
(CL) - Med. gray w/orange mottling, CLAY.
s.o Uniform. Med. stiff. Low plasticity. 16.1
- N
6.0
(SP) - Med. to It. gray f. SAND tr. clay.
7° Uniform Loose. 15.1
_
_
10.0
10.0 12.1
=8.o
-
---
2
1
1
2
0.4
Sat.
/
(CL) - Dk. gray to black, Sandy CLAY.
11.0 Uniform. Soft. Low plasticity. 1t1
-
(SP) - Med. gray, f. SAND. Uniform. V. loose.
12° Saturated CP 11' BLS. 11
_
_
_
1s.0 7.1
oa-'.'.
N2-':r
r.,y-:::
-
_
15.0
-
2
3
4
3
0.0
Sat.
...�:
(SP) - Lt. gray, f. SAND tr. clay at depth.
Uniform. V. loose.
17.0 5.1
_
_
__
-
18.0
- . 180
18.0
2 -
-
=
-
Boring Terminated at Elevation 4.1 ft
in. f. SAND w/tr. clay @ depth.
u E C ' ..
FEB 2 .2 2013 t i
I, lc
Pnibonation 4 oc
Dtera,t, ;� MAR 0
I it
<:.
_
-
-
-
-I„
-
i 2013
.
Portland Cement
Bentonite Pellets
#2 Medium Sand