412861_Well Construction - GW1_20130415

NON RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources - Division of Water Quality
WELL CONTRACTOR CERTIFICATION #: 4146A /1 1 2 S? 6 1
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) PP=1
3. WELL USE (Check One Box): Monitoring MI MunicipaVPublic ❑
IndustriaVCommercial ❑ Agricultural ❑ Recovery ❑ Infection ❑
Irrigation 0 Other ❑ (list use).
DATE DRILLED: February 18, 2013
4. WELL LOCATION:
Corner of Curtis Rd. and McAvoy St.,
(Street Name, Numbers, Canmunay, Subdivision, Lot No., Parcel, Zip Code)
CITY: Jacksonville COUNTY: Onslow
TOPOGRAPHIC / LAND SETTING (check appropriate box)
❑Slope ❑Valley ®Flat ❑Ridge ❑Other:
LATITUDE 34.7228 DD
LONGITUDE: 77.443 DD
Latitude/longitude source: I$I 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 well is located.)
N/A N/A
Facility Name Facility ID # (if applicable)
Corner of Curtis Rd. and McAvoy St.
Street Address
Jacksonville
NC
City or Town
State Zip Code
Contact Name
Mailing Address
City or Town State Zip Code
Area code - Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 15
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO MI
c. WATER LEVEL Below Top of Casing: 4.99 FT_
(Use "+" if Above Top of Casing)
Submit within 30 days of completion to: Division of Water Quality - Information Processing,
1617 Mail Service Center, Raleigh, NC 27699-1617, Phone No. [phone]
d. TOP OF CASING Is 0.00 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): 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: - Thickness/
Depth Diameter Weight
Top 0 Bottom 0 Ft. 1 in. Sch. 40
Top Bottom Ft. in.
Top Bottom Ft. in.
Material
PVC
8. GROUT: Depth Material Method
Top Bottom Ft.
Top 5 Bottom 6 Ft.
Top Bottom Ft.
9. SCREEN: Depth Diameter Slot Size Material
Top 0 Bottom 15 Ft. 2 in. Slot .010 in. PVC
Top Bottom Ft. in. in.
Top Bottom Ft. in. in.
10. SAND/GRAVEL PACK:
Depth Size Material
6 Bottom 15 Ft. #2 Medium Torpedo Sand
Top
Top
Top
11. DRILLING LOG
Top Bottom
Bottom Ft.
Bottom Ft.
Formation Description
/
12. REMARKS:
SEE
ATTACHED
APR 1 .E t013
wry 1 L' F< UUAt.I !'( yCL, SPUN
{VrQ. ✓r;'lGfd 'r-5CE3"..IP!;,'IFdll
I DO HEREB ERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC . , WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS
RECORD AS:EEN PROVIDED TO THE WELL OWNER.
SIG
CONTRACTO
D.T. Chalmers, Jr. ^'O`�A/:w
PRINTED NAME OF PERSON CONSTRUCTING THE W LL
PR 115 2013 <i Modified from
Form GW-lb
Rev. 2/09

WELL
LoG-CATLIN
Engineers and Scientists
21z1zo SHEET 1 OF 1
Wimbigton, NC
PROJECT NO.: 212120
STATE: NC
COUNTY: Onslow
LOCATION: Jacksonville
PROJECT NAME:
P-676 CH-53K Maintenance Facility
LOGGED BY: Corey Futral
WELL ID:
P-y
DRILLER: D.T. Chalmers, Jr.
NORTHING: 357722
EASTING: 2467840
CREW:
SYSTEM: NCSP NAD 83 (ft)
BORING LOCATION:
T.O.C. ELEV.: 13.4
DRILL MACHINE: CME-45B track
METHOD: Mud Rotary
0 HOUR DTW: 5.6
TOTAL DEPTH: 15.0
START DATE: 02/18/13
FINISH DATE: 02/18/13
24 HOUR DTW: 5.0
WELL DEPTH: 15.0
DEPTH
BLOW
0.5ft
0.5ft
COUNT
0.5ft
0.5ft
OVA
(PPm)
LAB
o
s
o
G
SOIL AND ROCK
DEPTH DESCRIPTION ELEVATION
WELL
DETAIL.
0.0 LAND SURFACE 13.4
0.0
1.0
-
3.0
-
5.0
-
7.0
-woh
M
W
Sat.
Sat.
Sat.
Sat.
Sat.
(ML) - Black w/dk. brown, SURFICIAL
ORGANIC LADEN SOIL. Sandy SILT w/ roots.
1.5 11.9
> S
3
2
2
2
-
(SM/ML) - Lt. gray, Sandy SILT to Silty SAND
tr. clay. Uniform. V. loose.
3.0 10.4
(SM/ML) - S.A.A.
4.5 e.9
4
4
8
11
5.0 (SP) - Lt. tan, f. SAND. Uniform. Med. dense. 8.4
(SP) - S.A.A. w/dk. orange mottling w/It. tan.
Loose.
6.5 6.9
3
7
4
4
(CL) - Med. gray w/orange mottling, CLAY.
�'0 Uniform. Med. stiff. Low to med plasticity. 6.4
(CL) -S.A.A. Drk: gray w/orange mottling. V.
soft.
9.0 4.4
j
/
woh
woh
2
(SP) - Med. gray, f. SAND and tr. silt. Uniform.
Loose.
11.0 2.4
9.0
-
1
3
3
3
(SP/SM) - Med. to It. gray w/layers of dk.
brown, f. SAND. Drk. brown layers of Silty f.
SAND w/roots. Gap -graded. V. loose. to
loose.
13.0 0.4
11.0
-
-
2
2
2
2
'.
•
(3 M) - S.A.A. Drk. brown, more silt present.
Loose.
15.0 -1.6
13.0
-
2
2
3
3
15.0
-
-
Boring Terminated at Elevation -1.6 ft
in f. SAND to Sandy SILT mixture. 48 hr. DTW
5.09'
CEng
APR 15 2
Bentonite Pellets
#2 Medium Sand