413436_Well Construction - GW1_20130513

NONRESIDENTIAL 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# WM0800985
NC 28428
State Zip Code
OTHER ASSOCIATED PERMIT#(if applicable) N/A- Air
SITE WELL ID #(applicable) OSW-7A,7B,7C
3. WELL USE (Check One Box) Monitoring Fief Municipal/Public 0
Industrial/Commercial 0 Agricultural 0 Recovery 0 Injection 0
Irrigation0 Other 0 (list use)
DATE DRILLED 3/26/2013
4. WELL LOCATION:
131 Chula Vista Dr. 28412 (private residence)
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
CITY: Wilminaton COUNTY NHC
TOPOGRAPHIC / LAND SETTING: (check appropriate box)
0 Slope 0 Valley 'Flat 0 Ridge 0 Other
LATITUDE 34
" DMS OR 34.17638 DD
LONGITUDE 77 ° " DMS OR 77.93472 DD
Latitude/longitude source: 3PS Oropographic map
(location of well must be shown on a USGS topo map andaffached to
this form if not using GPS)
5. FACILITY (Name of the business where the well is located.)
AAF-McQuav Remediafion ii NCD057451270
Facility Name Facility ID# (if applicable)
602 Sunnyvale Drive
Street Address
Wilmington NC 29412
City or Town State Zip Code
Raymond Roblin
Contact Name
4609 Candlestick Dr
Mailing Address
_Garland TX 75043
City or Town State Zip Code
972,fi 303-1039
Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 36. 24. 12-ft we
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO 5i
c. WATER LEVEL Below Top of Casing: —2-ft toc
(Use "+" if Above Top of Casing)
FT.
: d. TOP OF CASING IS —5-ft 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 N/A Bottom
Top Bottom
Top Bottom
•
7. CASING: Depth
Top Bottom
Top Bottom
Top Bottom
8. GROUT: Depth
Top 22 Bottom 24
Top Bottom
Top Bottom
Top Bottom
Thickness/
Diameter Weight Material
Ft. 2" sch40 C
Ft. 1" sch40 B
Ft. 1" sch40 A
Material
Ft. Bentonite Chi
Method
pour
Top 13 Bottom 14 Ft. Bent chips pour
Top 6 Bottom 7 Ft. Bent chips pour
9. SCREEN: Depth Diameter Slot Size Material
Top 26 Bottom 36 Ft. 2 in. 0.01 in. PVC C Zon,
Top 14 Bottom 24 Ft. 1 in. 0.01 in. B zone
Top 7 Bottom 12 Ft. 1 in. 0.01 in. A Zone
1• 0. SAND/GRAVEL PACK:
Depth Size Material
Top 24 Bottom 36 Ft. #2 Torpedo
Top 13 Bottom 24 Ft. #2 Same
Top 6.5 Bottom 12 Ft. #2 Same
11. DRILLING LOG
Top Bottom Formation Description
/
See attached
MAY 13 ap
2 0 1
BY.
vvAtEft-MiAtiTY SECTION
iNFORMATION PROCISSING UNIT
▪ 12. REMARKS:
All wII mteriaIs used PVC
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
• 15A.NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS
: RECO H S BEEN PROVIDED TO THE WELL OWNER.
: SI NATUROF ERTIFIED ELL CONTRACTOR
i ai- i EXIA_32/4/16/13
1
DATE
•
Bobbie Fowler
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. 2/09

SOIL BORING LITHOLOGIC LOG
WELL NEST OSW-7A, 7B, 7C
CLIENT: AAF-McQaay
SITE LOCATION: Beak -raft Wilmington, NC
GEOLOGIST: Ray Roblin PG
DRILLER: Mid -Atlantic Drilling
METHOD: IISA
CASING ELEVATION: TBD' msl
GROUND ELEVATION: TBD' msl
DATE OF CONSTRUCTION: 03-26-13
TOTAL DEPTH 36' bgs
t3
0-
Description
Wel
I Completion
— 5'
-- t0'
— 15'
— 20'
— 25'
— 30'
n-- 35'
0to5'
5to 10'
10to15'
15to20'
20 to 25'
25 to 30'
30to35'
35 to 36.5'
0 ;pm
0 ppm
0ppm
O ppm
0 ppm
0 ppm
0ppm
0ppm
0 to 7-11 Black humic top soil grades
to dark brown fine grained sand (SW).
Dry and friable.
7 to 10-feet. Simlar dark brown fine sand (SW).
well sorted. Grades to lighter brown fine to tnedium
grained sands to 10-feet Moist not saturated
10 to 13-feet. Light brown fine to medium gain sand
(SW). Grades to gray/brown sand at--13-ft.
13 to 17-ft. Light gray/brown fine to mediwn grain sand (SW).
Increasing moisture to saturated at—16.17-R bgs.
Fully saturated beyond 17'O and remains friable.
17 to 26-ft. Light brown to white gray tine and medium grained well
sorted sands (SW) with some small lithic fragments in the sand matrix.
Some dark gray to green silt to clayey sand (Ski) at —26-ft.
26 to 30-ft. Dark gray to green mad and fine gtnined sand
with increasing silt and clay (Slut). Dade green to gray clay stringers.
30 to 35-ft. Increasing gray to dark gray/green silty sand (SM).
Greater percentage of lithic fragments and shell pieces. Increasing
silt to mart clay observed.
35 to 36.5-ft. Gray to dark green silty sands (SM). Clay layer is muddy
with ¢nine nlnrJirity TnrrnncinoperrPnlnv nfehn)l and ry+I ring o o
at contact with limestone formation.
OSW-7C: 2-inch diameter casing with I0-feet 0.010-inch screen
Drill stem refusal at approximately —36.5-ft.