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Home My WebLink AboutGW1--01304_Well Construction - GW1_20240229 • WELL CONSTRUCTION RECORD For Internal Use ONLY: : This form can be used for single or multiple wells qq 1.Well Contractor Information: • - 14.WATER ZONES :'Austin Fowler . FROM - ' TO DESCRIPTION' .- . Well Contractor Name . ft. ft. I . . ` '. 4366A. ft ft. .. .. ., . NC Well Contractor Certification Number• 15.INNER CASING OR TUBING(geothermal closed-loop) .. - FROM - TO DIAMETER.__ THICKNESS MATERIAL CATLIN'Engineers and Scientists .. . - 0.5 ft. 45.ft. 2 Sch..40 PVC . Company Name . 16.OUTER CASING(for multi-cased wells)OR LINER(if applicable) . -FROM TO .DIAMETER THICKNESS MATERIAL 2.Well Construction Permit#i N/A Sch.40 Sch.40 0 rt. 45 rt. 4:0 in. List all applicable well permits(i.e.County,-State, Variance,Injection,etc.) ... : - .. fC ... ft in. 3.Well Use(checkwell use): • r/.SCREEN Water Supply Well: . .' - .. .FROM TO ' 'DIAMETER SLOT SIZE.. 'THICKNESS MATERIAL. ❑Agricultural ❑Mtuucipal/Public :45 rt. . 55 •ft. 2 'in. Slot.010 SCh.40 PVC • ❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ft . ft. .in. .. ❑Industrial/Commercial - 0 Residential Water Supply(shared) 18.GROUT FROM TO MATERIAL EMPLACEMENT METHOD&AMOUNT . ❑Irrigation - 0-rt. ' 1 ft. Portland Cement Surface Pour - .Non_WaterSupplyWell: - .- - ® -Monitoring ❑Recovery '1 rt. 44 it. !Bent.Pellets^ Surface Pour Injection Well: ••- . . ft. . • .ft. . 0 Aquifer Recharge . 0 Groundwater Remediation ' 19.SAND/GRAVEL PACK(if applicable) . ' ❑Aquifer Storage and Recovery. . - . ❑Salinity Barrier• FROM To MATERIAL EMPLACEMENT METHOD • :44 ft. - 55 rt. Torpedo Sand Surface Pour p Agtiifer Test 0 Stormwater Drainage ❑Experimental Technology ❑Subsidence Control . . rt. ft • 20.DRILLING LOG(attach additional sheets if necessary) ❑Geothermal(Closed Loop) - ❑Tracer FROM TO • - •• .DESCRIPTION(color,hardness,soil/rock type, in size.etc.) ❑Geothermal(Heating/Cooling Return) 0 Other(explain under#21 Remarks) ft - - ft. , 4.Date Well(s)Completed: 01/17/24 Well ID#:'90GW09R rt frr slc, c e� _• ft. 5a.Well Location: ft..• N. rt..MCAS CP EAD Site 4075pig, Facility/Owner Name Facility ID#(if applicable) - - . ft P MCAS Cherry'Point, NC rt. Physical Address,City,and Zip ' ' 21.REMARKS - - .:CRAVEN... . • . • County Parcel Identification No.(PIN) 5b.Latitude and Longitude in degrees/minutes/seconds or decimal degrees: i 1 Lb•2.0 C6C4 22,Certification: (if well field,one lat/long is sufficient) �„ ''--' ..,ft. ,:►•*2/14/2024 34.908105 .. N -76.892797 W •,� Signature of Certified Well Contractor Date • 6.Is(are)the well(s): ®Permanent or ❑Temporary • By signing this form,!hereby certijv that the well(s)was(were)constructed in accordance with 15A NCAC 02C.0100 or 15A NCAC 02C.0200 Well Constraction Standards'and that a copy of 7.•Is this a repair to an existing well: ❑Yes or In No this record has been provided to the well owner. If this is a repair,fill out known well construction information'and explain the nature of - ' the repair under#21 remarki'section or on the back of this forin. 23.Site diagram or additional well details: : . - You may use the back of this page to provide additional Well,site details or well • 8.Number of wells constructed: 1 construction details. You may also attach additional pages if necessary.- - For multiple injection or non-water supply wells ONLY with the same construction,you SUBMITTAL INSTRUCTIONS can submit one form., . 9.Total well depth below land surface: ' ' 55.0 - (ft.) 24a.For All Wells: Submit this form within 30 days of completion of well S. For multiple wells list all depths in different(example-3@200'and 2@1002 construction to the following: 10.Static water level below top,of casing: 13.4. (B•) Division of WaterlResources,Information Processing Unit, If water level is above casing,use"+" 1617 Mail Service Center,Raleigh,NC 27699-1617 11.Borehole diameter: 7 15/16 (in.) 24b.For Infection Wells ONLY: In addition to sending•the form to the address in 24a above,also submit.a.copy of this fonmwithin 30 days of 12.Well construction method: Mud Rotary completion of well construction to the following: (i.e.auger,rotary,cable,direct Push etc.). Division of Water Resources;Underground Injection Control Program, FOR WATER SUPPLY WELLS ONLY: , 1636'Mail Service Center,Raleigh;NC 27699-1636 13a.Yield(gpm) Method of test: 24c.'For Water Simply&Iniection.Wells: . Also submit one copy of this form within 30 days of completion of well 13b.Disinfection.type: Amount: construction to the county health'department of the county where constructed. • Adapted from Form GW-1 - North Carolina Department of Environment and Natural Resources-Division of Water Resources • - Revised 2-22-2016' • ENVIRONMENTAL,CIVIL GEOTECHNICAL CATLIN . wELL Lc:1G Wlmington,Raleigh,Washington, Charleston Engineers and Scientists , . 223286 Wl inngton,NC SHEET 1 OF 1 PROJECT NO.: 223286 STATE: NC COUNTY: CRAVEN LOCATION: Havelock PROJECT: Site 4075 LOGGED BY: Ashley Jessen WELL ID: DRILLER: Austin Fowler 90GW09R NORTHING: 2631708.74 EASTING: 428128.57 CREW: • Eddie-Swain SYSTEM: NCSP 83 DRILL MACHINE: CME 550 T.O.C.ELEV.: 2167 VERT.DATUM: NAVD 88 METHOD: Mud Rotary •0 HOUR DTW: 13.4 TOTAL DEPTH: 55.0 START DATE: 01/15/24 END DATE: 01/17/24 • - 24 HOUR DTW: N/A WELL DEPTH: 55.0 DEPTH BLOW COUNT OVA LAB o o SOIL AND.ROCK. • WELL 0.5ft 0.5ft 0.5ft 0.5ft (PPm) S G DEPTH DESCRIPTION . DETAIL 0.0 Land Surface o.o 1.3 = _ 1.3 _ -0.5 =?'. = 1.0 No Samples Taken. • - 4,i 4 N _ _ •• _ 4 . 0_ - - .4 - .4 - 14 1 0 1 - .44 4'_ • NA _ .4i- NA NA - 4:4- - NA - 4J • NA _ �.4 ♦44 4.- 444- 4.4 - 4•i- 4 -a- ♦ - - - ° M-ud ... _CO • ♦ o 0- - .44--V' - - .d 4'4..e - - to .4,1 ", _V 4 . - .41 30.0 = a 30.0 - 6 •*a':* SM -Gray,Silty,f.SAND.No HCO = 9 0 ` W O Y Y _ 4.4 • 32.0- 4 11 �e e;4 - S,�=. - 0 VV • .4 . 9 " 14 • 34.0- 1 12 '. '. - r4 2 _ - 0 VV 36.0 - 2 5 5 _•.an - 044 0- - 6 0 W :?;°r• 38.0 - **4- 38.0 - 2 . = a 3 0 W (SC)-Gray,Clayey,v.f.to f.SAND,Slight HCO = - :4 • 40.0 • - 4•4=44 : 40.0-- 2 a 5 6 0 VU ,; 4z o (SM)-Gray,v.f.to f.SAND.Slight HCO 42.0 - 1 2 8 eA'" (SM)-Gray,v.f.to f.SAND with pockets of gray CLAY. 6 0 W 44. Slight HCO __r- Q4- 44.0 44.07 2 45.0 • 46.0 = 4 s 3 8 W ' 1. 45'-(SM):Gray,v.f,to f.SAND,Slight HCO -_ 2 5 0 ' W (SM)-Dark gray,m.SAND with shell fragments.Slight = -::': • - 4 5 7 0 W S.: 50.0 _ - o_ -: • _ No Samples Taken. _ d ::: = _ 5• 5.0 55.0 55.0 55.0 BORING TERMINATED AT DEPTH 55.0 ft - _ _ l ., , r 4y.• Concrete .OVA Bentonite Pellets!'#2 Medium Sand •