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Home My WebLink AboutGW1--05689_Well Construction - GW1_20240920 _ , WELL CONSTRUCTION RECORD For Internal Use ONLY: 4 ) This form cm be used for single or multiple wells 1.Well Contractor Information: 14.WATER ZONES Eddie Swain FROM TO DESCRIPTION Well Contractor Name ft. ft. I 46326 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 ft. 5 ft. ' 1 in. 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#: N/A ft. ft. in. List all applicable well permits(i.e.County,State, Variance,Injection,etc.) ft. ft. in. 3.Well Use(check well use): • 17.SCREEN Water Supply Well: .FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL ❑Agricultural ❑Municipal/Public 5 ft 15 rt. 1 in. Slot.010 Sch.40 PVC 0 Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ft. ft. in. 0 Industrial/Commercial DResidential Water Supply(shared) 18.GROUT FROM TO MATERIAL EMPLACEMENT METHOD&AMOUNT ❑Irrigation ft. ft. Non-Water Supply Well: ®Monitoring ❑Recovery 0 ft. 4 ft. Bent.Pellets Surface Pour Injection Well: ft. ft. ❑Aquifer Recharge 0 Groundwater Remediation 19.SAND/GRAVEL PACK(if applicable) ❑Aquifer Storage and Recovery 0 Salinity Barrier FROM TO MATERIAL EMPLACEMENT METHOD ❑Aquifer Test ❑Stormwater Drainage 4 ft. 15 ft. #2 Medium Sand Surface Pour ft. ft. ❑Experimental Technology 0 Subsidence Control 20.DRILLING LOG(attach additional sheets if necessary) ❑Geothermal(Closed Loop) ❑Tracer FROM TO DESCRIPTION(color,hardness.soiUrock type.grain size,etc.) ❑Geothermal(Heating/Cooling Return) 0 Other(explain under#21 Remarks) ft. ft. • 4.Date Well(s)Completed: 09/05/24 Well #: TMW-4,-5,-6 ft. ID ft. �� fotic ft. ft. Sa.Well Location: OA ft. ft. MCB Came Lejeune 511 Lift Stationft.Facility/Owner Name Facility (if applicable) Pl‘ , N, y,�,,i • . _...; ID# ,r 1.....i. ft. Onslow County,NC 28540,Jacksonville,NC 28540 ft. ft. S E P L4 Physical Address,City,and Zip 21.REMARKS ONSLOW 111Gr '1's-: l rr.c•:)c-:,,g U?1 County Parcel Identification No.(PIN) �^ L'u'-•• 5b.Latitude and Longitude in degrees/minutes/seconds or decimal degrees: 22.Certific on i: / (if well field,one lat/long is sufficient) 34.64401 N -77.402701 w ✓ J 9/16/2024 Signature of Certified Well Contact r Date 6.Is(are)the well(s): 0 Permanent or ®Temporary By signing this form,I hereby certify that the wells)war(were)constructed in accordance with 15A NCAC 02C.0100 or 15A NCAC 02C.0200 Well Construction Standards and that a copy of 7.Is this a repair to an existing well: ❑Yes or 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 021 remarks section or on the back of this fore. 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: 3 construction details. You may also attach additional pages if necessary. For multiple injection or non-water supply wells ONLY with the seine construction,you can submit one form. SUBMITTAL INSTRUCTIONS 9.Total well depth below land surface: 15.0 (ft.) 24a.For All Wells: Submit this form within 30 days of completion of well 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: 12.15 (ft.) Division of Water Resources,Information Processing Unit, If water level is above casing,use"+" 1617 Mail Service Center,Raleigh,NC 27699-1617 11.Borehole diameter:T-(in.) 24b.For Injection Wells ONLY: In addition to sending the form to the address in 24a above,also submit a copy of this form within 30 days of 12.Well construction method: DPT 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 Supply&Injection 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. I Adapted from Form GW-1 North Carolina Department of Environment and Natural Resources-Division of Water Resources Revised 2-22-2016 • ENVIRONMENTAL,CIVIL GEOTECHNICALWilmington CATLIN WELL LOG 223149.0 Raleigh,Washington, Charleston slop Engineers and Scientists 223149.02 SHEET 1 OF 1 PROJECT NO.: 223149.02 STATE: NC COUNTY: ONSLOW JO,CATION: Jacksonville PROJECT: LOGGED BY: Trevor Mizelle WELL ID: 511 Lift Station DRILLER: Eddie Swain TMW-4 NORTHING: 3836192 EASTING: 279781 CREW: SYSTEM: NCSP NAD 83 (m) DRILL MACHINE: Power Probe T.O.C.ELEV.: VERT.DATUM: NAVD88 (USft) METHOD: DPT o HOUR DTW: 12.2 TOTAL DEPTH: 15.0 START DATE: 9/5/24 END DATE: 9/5/24 24 HOUR DTW: N/A WELL DEPTH: 15.0 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 o.o :❖ .o P A o — a ••• P• 0 v •• u ••i ••• 4.0 5.0 • • • o> oa — • • • 15.0 15.0 15.0 - -' i • ;:.•: •�::�Bentonite Pellets ri#2 Medium Sand ENVIRONMENTAL,CIVIL • GEOTECHNICAL CATLIN Vlfilmfngten,Raleigh,Washington, wEL LoG Charleston Engineers and Scientists 223149.02 SHEET 1 OF 1 PROJECT NO.: 223149.02 STATE: NC COUNTY: ONSLOW LOCATION: Jacksonville PROJECT: LOGGED BY: Trevor Mizelle WELL ID: 511 Lift Station DRILLER: Eddie Swain TMW-5 NORTHING: 3836197 EASTING: 279780 CREW: SYSTEM: NCSP NAD 83 (m) DRILL MACHINE: Power Probe T.O.C.ELEV.: VERT.DATUM: NAVD88 (USft) METHOD: DPT ,0 HOUR DTW: 12.6 TOTAL DEPTH: 15.0 START DATE: 9/5/24 END DATE: 9/5/24 24 HOUR DTW: N/A WELL DEPTH: 15.0 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 •• - — a •:: 0 0, 'P •- L ❖ - •;. •'• 4.0 _ 5.0 >�'• — o_•... —•:: • • • • 15.0 - 15.0 15.0 ' Bentonite Pellets ri#2 Medium Sand - ENVIRONMENTAL,CIVIL �,,,, GEOTECHNICAL CATLIN f Wilmington,Raleigh,Washington, charieston Engineers and Scientists INEI. I. I_OG 223149.02 SHEET 1 OF 1 PROJECT NO.: 223149.02 STATE: NC COUNTY: ONSLOW LOCATION: Jacksonville PROJECT: LOGGED BY: Trevor Mizelle -WELL ID: 511•Lift Station DRILLER: Eddie Swain NORTHING: 3836195 EASTING: 279792 CREW: 1 i TMW-6 SYSTEM: NCSP NAD 83 (m) DRILL MACHINE: Power Probe T.O.C.ELEV.: VERT.DATUM:.NAVD88 (USft) METHOD: DPT 0 HOUR DTW: 6.2 TOTAL DEPTH: 15.0 START DATE: 9/5/24 END DATE: 9/5/24 24 HOUR DTW: N/A WELL DEPTH: 15.0 BLOW COUNT OVA o L SOIL AND ROCK i WELL DEPTH LAB, I o 0.5ft 0.5ft 0.5ft 0.5ft (PPm) S G DEPTH DESCRIPTION DETAIL 0.0 Land Surface o.o o.o • tb — • — a •:.. v d. ., - - CO ❖ ••' 4.0 • _ 5.0 �i.:: — V.::: :•• - > oa�i:' —::. — — ov�••^ e •:: - -� 1,•: ii.:.:..i.:i.:: 15.0 = 15.0 15.0 — — i ;:„•,Bentonite Pellets El#2 Medium Sand