413437_Well Construction - GW1_20130513

NON
ESII)E1VTL4L WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2869
1. WELL CONTRACTOR:
Bobbie Fowler
Well Contractor (Individual) Name
Mid -Atlantic Drilling, inc
Well Contractor Company Name
PO Box 315
Street Address
Carolina Beach
City or Town
(910 ) 458-5020
Area code Phone number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT# WM0800988
NC 28428
State Zip Code
OTHER ASSOCIATED PERMIT#(if applicable) N/A- Air
SITE WELL ID #(if applicable) OSW-8B,C
3. WELL USE (Check One Box) Monitoring rl Municipal/Public 0
Industrial/Commercial 0 Agricultural 0 Recovery 0 injection 0
Irrigation❑ Other 0 (list use)
DATE DRILLED 3/26/2013
4. WELL LOCATION:
Easement of 400 Block of Hollins Road 28412
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
CITY: Wilmington COUNTY NHC
TOPOGRAPHIC / LAND SETTING: (check appropriate box)
❑ Slope ❑ Valley elat ❑ Ridge ❑ Other
K(3I$TCD 34 i^^AAVAAAAAAA! CL R OR 344' 8^A^^ CC
KNMF l$TCD 77 i^nnnginnnnnnnn1 CL R OR 7,7:936112^^^^ CC
Latitude/longitude source: 66GPS ❑Topographic map
(location of well must be shown on a USGS topo map andattached to
this form if not using GPS)
5. FACILITY (Name of the business where the well is located.)
AAF-McQuav Remediation NCD057451270
Facility Name Facility ID# (if applicable)
400 Block of Hollins Road
Street Address
Wilmington NC 28412
City or Town State Zip Code
Raymond Roblin
Contact Name
4609 Candlestick Dr
Mailing Address
Garland TX 75043
City or Town State Zip Code
303-1039
Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 22 and 12-ft
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO q�
c. WATER LEVEL Below Top of Casing: ^-2-f t
(Use "+" if Above Top of Casing)
FT.
A :
3 f,
: d. TOP OF CASING IS 0.5 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
: Thickness/
7. CASING: Depth Diameter Weight Material
Top Bottom Ft. 2" sch40 PVC
Top Bottom Ft.
Top Bottom Ft.
•
8. GROUT: Depth Material
Top 8 Bottom 10 Ft. Bentonite Chi
Top 0 Bottom 8 Ft. Grout
Top Bottom Ft.
Method
pour
9. SCREEN: Depth Diameter Slot Size Material
Top 12 Bottom 22 Ft. 2 in. 0.01 in. C zone
: Top 5 Bottom 10 Ft. 1 in. 0.1 in. B zone
Top Bottom Ft. in.
: 10. SAND/GRAVEL PACK:
: Depth Size Material
Top 11 Bottom 22 Ft. #2 Torpedo
in.
Top 4 Bottom 10 Ft. #2 same
: Top Bottom Ft.
: 11. DRILLING LOG
Top Bottom Formation Description
• .
/ See attached
: /
/
•
/
ES
013
.
/• INIFQ.RM TION PROCESSING UNIT
. /
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12. REMARKS:
•
I DO HEREBY CERTIFY THAT THiS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
• 15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS
: RECORD _ AS BEE PROVIDED TO THE WELL OWNER.
SIGN URE OF CERT
: Bobbie Fowter
g4ELL C NTRACT R DATE
4/16/14/ 11�/ 1 3
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days of completion to: Division of Water Quality - Information Processing,
1617 'Mail Service Center, Raleigh, NC 27699-161, Phone [phone]
Form GW-lb
Rev. 1/08

5
SOIL BORING LITHOLOGIC LOG
WELL NEST OSW-8B, 8C
CLIENT: AAF-MoQuay
SITE LOCATION: Heatcrati; Wilmington, NC
GEOLOGIST: Ray Roblin PG
DRILLER: Mid -Atlantic Drilling
METHOD: NSA
CASING ELEVATION: TBD' msl
GROUND ELEVATION: TED' mai
DATE OF CONSTRUCTION: 03-26-13
TOTAL DEPTH: —223' bge
Description
Well Completion
0to5'
— 5'
5to10'
— 10'
10 Oa 15'
— 15'
15 to 20'
— 20'
20 to 22.5'
— 25'
— 30'
— 35'
0
z
0 ppm
0 ppm
0ppm
O ppm
0 ppm
0ppm
0 to 34 Black humic top soil with gravel and
white fine grained sand (SW).
Dry and friable.
3 to 6.5-feel. }Jamie soil grades to dark brown fine sand (SP).
Poorly sorted with fines and gravel. Grades to lighter brown fine
to medium grained sands to -7--feet. Moist to saturated.
6.5 to 15-feet. Dark brown fine to medium grain sand
(SW). Fully saturated at depth greater than 7-feet.
Grades to gray/brown sand at --13 to 1541.
15 to 20-6. Light gray/brown fine to medium grain sand (SW).
Poorly sorted with silt mid clay stringers (SP). Some small lithie
fragments in the sand matrix.
Grades to dark gray to green silt to clayey sand (SM) at —20-ft.
20 to 22.541, Dark gray to green marl and fine grained sand
Gray to dark green silty sands (SM). Clay layer is muddy
with some plasticity. Increasing percentage of shell and gravel fragments
at contact with limestone formation.
Drill stem refusal at approximately .22.5-ft.
2
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