411644_Well Construction - GW1_20130211

NON RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources - Division of Water Quality
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) TMW-1
3. WELL USE (Check One Box): Monitoring I$I Municipal/Public 0
Industrial/Commercial 0 Agricultural 0 Recovery 0 Injection 0
Irrigation 0 Other 0 (IIst use).
DATE DRILLED: January 04, 2013
4. WELL LOCATION:
3rd & A Streets, MCB, Camp Geiger, 28542
(Street Name, Numbers, Community, Subdivision, Lot No., Parcal, Zip Code)
CITY: Jacksonville couNTY: Onslow
TOPOGRAPHIC / LAND SETTING (check appropriate box)
❑Slope ❑Valley IXIFIat ❑Ridge ❑Other:
LATITUDE'
LONGITUDE:
34.739768 DD
77.45628 DD
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 well is located.)
MCIEAST-MCBCAMLEJ N/A
Facility Name Facility ID # (if applicable)
3rd & A Streets, MCB, Camp Geiger
Street Address
Jacksonville
City or Town
Ms. Jenni Provost
NC
State
28542
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: 12
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO [Xi
c. WATER LEVEL Below Top of Casing: 8.57 FT.
(Use "+" if Above Top of Casing)
A 1 1 6 4 4
d. TOP OF CASING IS 3.25 FT. Above Land Surface*
`Top of easing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C.011S.
e. YIELD (gpm): WA METHOD OF TEST: WA
f. DISINFECTION: Type WA Amount: N/A
g. WATER ZONES (depth):
Top Bottom _ Top Bottom
Top Bottom Top Bottom
Top Bottom Top Bottom
7. CASING: Depth Diameter WeightThickness/ Material
Top 0 Bottom 2 Ft. 2 in. Sch. 40 PVC
Top Bottom Ft. in.
Top Bottom Ft. in.
8. GROUT:
Depth Material Method
Top Bottom Ft.
Top 0 Bottom 1 Ft.
Top Bottom Ft.
9. SCREEN:
Depth Diameter Slot Size Material
Top 2 Bottom 11.5 Ft. 2 in. Slot.010 in. PVC
Top Bottom Ft. in. in.
Top Bottom Ft. in. in.
10. SAND/GRAVEL PACK:
Depth Size Material
Top 1 Bottom 12 Ft. #2 Medium Torpedo Sand
Top Bottom Ft.
Top Bottom Ft.
11. DRILLING LOG
Top Bottom
Formation Description
SEE
ATTACH.
12. REMARKS:
Temporary Type II Well
Zon
Lifprmatiq,; coteaaiHy Unit
`rk
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 HP BEEN PROVIDED TO THE WELL OWNER.
SIG f (IRE OFICERTIFIED WELL CON
D.T. Chalmers, Jr.
ACR DATE
%Z6-di/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 27699-1617, Phone No. [phone]
Modified from
Form GW-lb
Rev. 2/09

WELL
LOG
f-CATLIN
Engineers and Scientists
2121gs.n, NC SHEET 1 OF 1
PROJECTNO.: 212108.03
STATE: NC
COUNTY: Onslow
LOCATION: Jacksonville
PROJECT NAME:
LOGGED BY: Justin Heter
WELL ID:
Site P1268 (Future Building G-484)
DRILLER: D.T. Chalmers, Jr.
NORTHING: 3846922
EASTING: 275124
CREW: Corey Futral
TMW-2
SYSTEM: UTM NAD83 (m)
BORING LOCATION: 23ft. Southwest of USTCG-TWO1-R
T.O.C. ELEV.:
18.7
DRILL MACHINE: CME 45B Track
METHOD: H.S. Augers
0 HOUR DTW: 4.7
TOTAL DEPTH:
12.0
START DATE: 01/04/13
FINISH DATE: 01/04/13
24 HOUR DTW: 7.9
WELL DEPTH:
12.0
DEPTH
BLOW COUNT
OVA
LAB
o
o
SOIL AND ROCK
WELL
o.se
0.5ft
0.5ft
o.sa
(PPm)
s
G
DEPTH DESCRIPTION ELEVATION
DETAIL
2.6
0.0 LAND SURFACE 16.1
0.0
O'
••
(SM) - Brown, f. SAND. FILL. Uniform.
N
- to
to
—
♦•
Logged from cuttings. Saturated 0-0.3' due to
— 2.0
.y
•
♦'
•:
•:.
" rain.
_
_
••
•'
. 4.0 12.1
—
=
4.0
2
5
7
0.0
M
(SM) - Grayish -brown, Silty f. SAND. Uniform.
-
Med. dense.
-
i.
---
5.5 10.6
_
——
0o=
on—.
_o$=..
NN=:
9.0 7.1
_
9.0
a ',
•
woh
2
2
0.0
Sat.
F (SM) - S.A.A. Dk. gray. V. loose.
°-
;. 10.5
5.6
_
—
- 11.5
12.0
12 0
Boring Terminated at Elevation 4.1 ft
in Silty f. SAND.
-
Bentonite Pellets
#2Medium Sand