HomeMy WebLinkAbout413666_Well Construction - GW1_20200521NON RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2480
1. WELL CONTRACTOR:
Lewis LeFever
Well Contractor (Individual) Name
Parratt-Wolff. Inc.
Well Contractor Company Name
501 Millstone Drive
Street Address
Hillsborouah
City or Town
(919 ).644-2814
Area Phone number - 2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT#
OTHER ASSOCIATED PERMIT#(if applicable)
SITE WELL ID Mitapplicable)SWMU350-IW55-40
3. WELL USE (Check One Box) Monitoring 0 Municipal/Public 0
Industrial/Commercial 0 Agricultural 0 Recovery 0 Injection Mr
{Inigatton❑ Other Ca.(list use)
DATE DRILLED 4/1,6-4/17/13
4. WELL LOCATION:
Iwo Jima Boulevard
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
CITY: Camo Leieune COUNTY Onslow
TOPOGRAPHIC / LAND SETTING: (check appropriate box)
oSlope ❑Valley fr"Flat l o Ridge ❑Other
LATITUDE .34 "DMS OR 34.74108793 DD
LONGITUDE 77 ' DMS OR 77.37178444 tDO
Latitude/longitude source: EGPS itTopographic map
(location of well mush be shown on a USGS topo map andattached to
this form if not using GPS)
5. FACILITY (Name of the business where
Marine Corns:`Base
Fpeillty Neme
IwQ Jima Boulevard
Street Address
Came 1 eieII)7A
City'or Town
COntacPNatne
he well is located.).:
Facility ID# (if applicable)..
NC 28543
State Zip Code
Mailing Address ".
City or Town
Area code Phone number
6: WELL DETAILS:
a. TOTAL DEPTH: 40 0'
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO El
c. WATER LEVEL Below Top of Casing: 8.0 FT.
(Use'+" if Above Top of Casing)
State
Zip Code
413666
d. TOP OF CASING IS 2.0 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 Top,. Bottom
Top Bottom Top Bottom
Thickness)
7. CASING: Depth Diameter Weight Material
Top 0 Bottom 40.0 Ft. 2" Sch40 PVC
Top Bottom Ft.
Top Bottom Ft.
8. GROUT: Depth Material -.
Top-O. Bottom 33.0 Ft. Portland
Top 33.0 Bottom 36.0 Ft. Bentonite
Top Bottom Et.
9. SCREEN: Depth Diameter Slot Size Material
Top 38.0 Bottom 40.0 Ft. 2 in. .006 in. PVC
Top. Bottom
Top - Bottom Ft.
10. SAND/GRAVEL PACK:
Method
Tremie
Tremle'
Size Material
Top 36.0 - Bottom 40.0 Ft. #00 Sand,
Top Bottom . Ft.
Top Bottom Ft.
11. DRILLING LOG -
Top Bottom
4.0 I / 8.0'
/
12. REMARKS:
MAY 2 2013"
14(4TER f11.JAIJTY SFCTION
INFORMATION PROCESSING UNIT
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C. JJ ELL CONSTRUCTEO, STANDARDS, AND THAT A COPY OF THIS
RECORD Hs {EEN PROVIDED J' E WELL OWNER.
S
ATUR
spy 73
RTIFIED WELL CONTRACTOR DATE
Lewis LeFever
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Suiamit within 30 days of completion to: Division of Water Quality - Information Processing,
1617 Mail Service Center, Raleigh, NC 27699-161, Phone :; (919) 807-6300
Form GW-1b
Rev. 2/09
Former AST Plume. Ave
3W MU350-M WO
5O +u .
iSW1i1U350• VJC
ciTgrr
,lnft„'PkL23
017.1tgatri 1-1
€itYMP
Note:
NCGWQS for Naphthalene is 6 pg/L
Limit of NCGWQS exceedance is based on the analytical results
from the Spring/Summer 2011 groundwater sampling event.
Limits of extent have been interpolated between monitoring well
locations. Actual conditions may differ from those interpreted
on this map.
Legend
L Proposed Biosparging well location screened 251t bgs - Water Table Zone Limit of Naphthalene NCGWQS Exceedence
6 Proposed Biosparging well location screened 40 fl bgs wv 30-ft Zone Limit of Naphthalene NCGWQS Exceedence
er Proposed Soil Vapor Extraction Well Location Prerr Feriae
e Proposed Monitoring wells screened across the waver labia — Proposed Biosparging Air Conveyance Line
G Proposed Monitoring wells screened to 30 ft bgs (s Anticipated B!osparg!ng Treatment Zone (30-f1 spacing)
% Proposed Soil Gas Monitoring Point Location Proposed Equipment Compound
ed� Monitoring wells screened across the weber 'able 0 Treatability Study Area
v Monitoring wells sorcened to 30 n bps Slh'MU Boundary'
Area B
CZTARgil
-@ Moaitor!na 'rr!'s bo seced to 55 It bgs
cmciffiernsn
Figure 2
Drilling Locations Map
SWMU 350
MCIEAST-MCB CAMLEJ
North Carolina
0 10 .20 40
Fr Feel
1 inch = 40 feet
1LL.