17010 Long Manufactuing OAR 2018.10.17

Mid Atlantic
Engineering & Environmental Solutions
October 17, 2018
Mr. Sean M. Sullivan
Troutman Sanders LLP
434 Fayetteville Street, Suite 1900
Raleigh, NC 27601
Mr. James C. Marrow
Receiver for Farmtrac
400 Main Street
Tarboro, NC 27886
Subject: SOIL EXCAVATION LETTER REPORT
FORMER LONG MANUFACTURING
111 FAIRVIEW STREET
TARBORO, NORTH CAROLINA
BROWNFIELDS PROJECT NUMBER: 17010-13-033
MID -ATLANTIC JOB NUMBER: OOOR2335.06
Dear Messrs. Sullivan and Marrow:
409 Rogers View Courr
Raleigh. NC 27610
office 919.250.9918
facsimile 919.250.9950
MAAONLINE.COM
Mid -Atlantic Associates, Inc. (Mid -Atlantic) is pleased to present this Soil Excavation Letter
Report for the above -referenced site. The excavation was conducted in general accordance
with the Soil Excavation Work Plan dated March 30, 2018 and approved by the NCDEQ
Brownfields Program on June 12, 2018.
PROJECT INFORMATION
The subject site is located at 111 Fairview Street in Tarboro, North Carolina (Drawing 1). The
subject site is triangular in shape and is approximately 6.53 acres in area. The subject site
was used for the manufacture of farm equipment from approximately 1941 until 2008 when
all manufacturing ceased. In 2012 all buildings on the subject site were razed (for recycling
their metal content) with the exception of the former offices and the concrete block machine
shop. These buildings were razed in 2017. The concrete slab foundations of the razed
buildings remain in -place and cover virtually the entire site. The subject site is currently
vacant.
EXPERIENCED CUSTOMER FOCUSED INNOVATIVE

Soil Excavation Letter Report October 17, 2018
Former Long Manufacturing Page 2
Tarboro, North Carolina
Two 1,000-gallon mineral spirits underground storage tanks (USTs) were historically used in
painting operations at the facility. The USTs were closed in 1990 by removal. Soil sampling
in the area of the tank pit identified petroleum related compounds in concentrations exceeding
Soil -To -Groundwater Maximum Soil Contaminant Concentrations (MSCCs). Five
groundwater monitoring wells (MW-3s, MW-6s, MW-7s, MW-8s, and MW-9i) were installed
in and around the former tank pit to assess groundwater contamination associated with the
USTs. Free product, likely to be mineral spirits, has historically been observed in monitoring
well MW-3s. Free product has not been observed in the four other monitoring wells installed
in this area. Free product thickness detected in well MW-3s has fluctuated from approximately
0.10 to 0.35 feet and has been observed at a depth from approximately 2 feet below top of
casing to approximately 8 feet below top of casing. Mid -Atlantic recommended conducting
soil excavation activities to remove the source of free product in this area.
Because groundwater impacts in the area of MW-3s are comingled with a chlorinated solvent
plume, soil from this area (targeted for excavation) was submitted for laboratory analysis to
determine if the excavated soil would be characteristic of a hazardous waste using Toxicity
Characteristic Leaching Procedure (TCLP) analysis. On March 28, 2018, Mid -Atlantic used
decontaminated hand augers to advance five soil borings in the vicinity of MW-3s to a depth
of 3 feet below land surface. Three soil samples (HA-1, HA-2, and HA-3; Drawing 2) exhibited
evidence of staining and were submitted for TCLP analysis of Volatile Organic Compounds
(VOCs), Semi-VOCs (SVOCs), and RCRA metals. Soil samples were shipped to Prism
Laboratories, Inc. (Prism) in Charlotte, North Carolina. Laboratory analysis indicated leachable
lead in soil samples HA-1 and HA-3 at concentrations of 0.10 milligrams per liter (mg/L) and
0.20 mg/L, respectively. These concentrations do not exceed the USEPA Maximum
Concentrations of Contaminants for Toxicity Characteristic for lead of 5.0 mg/L as defined by
EPA 40 CFR Part 261.24. As such, excavated soil from the area of MW-3s will not need to
be managed as a hazardous waste.
On May 30, 2018, Mid -Atlantic submitted a Soil Excavation Work Plan to the NCDEQ
Brownfields Program for approval. The Work Plan included abandoning wells located within
the targeted area of excavation, sampling backfill material to certify backfill was clean, soil
excavation activities, and monitoring well replacement. The Work Plan was approved by the
NCDEQ Brownfields Program on June 11, 2018.
In email correspondence between Mid -Atlantic and NCDEQ, Mid -Atlantic requested using
quarry screenings as a viable backfill option. Because the quarry screening are considered a
process material, we requested using this material without prior sampling. On June 26, 2018,
Mid -Atlantic received approval from the NCDEQ Brownfields Program to use quarry
screenings as a backfill material without pre -sampling, as long as the material originated from
a quarry/virgin land.
Ift Mid Atlantic
Englneering & Environmental Solutions

Soil Excavation Letter Report
Former Long Manufacturing
Tarboro, North Carolina
FIELD ACTIVITIES
Monitoring Well Abandonment
October 17, 2018
Page 3
On July 16, 2018, a Mid -Atlantic licensed driller mobilized to the site to abandon monitoring
wells MW-3s, MW-9i, and MW-20d. Well abandonment records are included as an
attachment.
Soil Excavation
On August 21, 2018, Mid -Atlantic returned to the site to oversee the excavation of soil in the
area of former MW-3s. Mid -Atlantic contracted CCI Environmental Services (CCI) to conduct
the soil excavation and backfill activities. Using a toxic vapor analyzer (TVA), Mid -Atlantic
directed the limits of excavation. Due to instability of the northern wall of excavation and the
proximity of the northern wall to a fence installed along the northern property boundary, Mid -
Atlantic ceased additional excavation in this direction. Vertical excavation was advanced to
approximately 9 to 13 feet below land surface (BLS). Although readings from the TVA
indicated impacted soils were still present at this depth, the instability of the north wall
prevented CCI from excavating further down. Readings from the TVA of the east, south, and
west walls of excavation indicated the lateral extent of impacted soil had successfully been
removed in these directions. A soil sample was collected from the base of the excavation to
be analyzed for total petroleum hydrocarbons (TPH) gasoline range organics (GRO) and
diesel range organics (DRO) to characterize the soil for the disposal facility, ES&J
Enterprises, Inc. (ES&J). Laboratory analysis indicated concentrations of TPH-GRO and
TPH-DRO of 27 milligrams per kilogram (mg/Kg) and 610 mg/Kg, respectively. The laboratory
analytical report is included as an attachment.
Approximately 77.35 tons of impacted soil were excavated from the area of former MW-3s
and direct loaded onto trucks for disposal. Excavated soil was disposed at ES&J landfarm in
Autryville, North Carolina. Soil disposal manifests are provided as an attachment.
Approximately 78.86 tons of quarry screenings from the Martin Marietta Quarry of Fountain,
North Carolina were used to backfill the excavation. A drawing of the final excavation is
provided as Drawing 2.
Monitoring Well Replacement
On September 20, 2018, under Mid -Atlantic supervision, Quantex Inc. (Quantex) installed
replacement wells MW-3sR and MW-9iR in the approximate locations of original monitoring
wells MW-3s and MW-9i. Using hollow stem auger technology, MW-3sR and MW-9iR were
installed to a depth of 13 BLS and 38 feet BLS, respectively. Well construction records are
provided as an attachment.
On October 11, 2018, Mid -Atlantic mobilized to the site to gauge MW-3sR for free product.
Measurable free product was not detected in MW-3sR.
Ift Mid Atlantic
Englneering & Envirenmencal Solutions

Soil Excavation Letter Report
Former Long Manufacturing
Tarboro, North Carolina
SUMMARY AND CONCLUSIONS
The soil excavation activities are summarized as follows:
October 17, 2018
Page 4
• Monitoring wells MW-3s, MW-9i, and MW-20d were abandoned by a licensed North
Carolina driller prior to soil excavation;
• Approximately 77.35 tons of impacted soil were excavated from the area around former
MW-3s to attempt to recover residual free product. Due to the instability of the northern
excavation wall, excavation activities ceased and impacted soils remain in the base of
the excavation;
• A confirmation sample from the base of the excavation indicates TPH-GRO and TPH-
DRO at concentrations of 27 mg/Kg and 610 mg/Kg, respectively;
• The excavation was backfilled with quarry screenings from the Fountain, North
Carolina Martin Marietta Quarry;
• Replacement wells MW-3sR and MW-9iR were installed in the approximate locations
of the abandoned wells MW-3s and MW-9i; and
• Free product was not detected in monitoring well MW-3sR following the excavation and
monitoring well replacement.
The objective of this was to remove mineral spirit free product from the area of MW-3s. Free
product gauging conducted on October 11, 2018 indicates that free product is no longer present
on the water table in the location of MW-3sR. Thus, the objective of this remedial action has
been accomplished.
CLOSING
We appreciate the opportunity to present this report to Montana Tractor. If you have any
questions or need additional information, please feel free to contact us at 919-250-9918.
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
Reina D. Clark
Staff Scientist
Attachment: Drawings
Well Abandonment Records
Laboratory Analytical Report
Soil Disposal Manifests
Well Construction Records
Daniel H. Nielsen, P.E.
Principal Engineer
Ift Mid Atlantic
Englneering & Envirenmencal Solutions

DRAWINGS
Ift Mid Atlantic
Englneering & Environmental Solutions

a
REFERENCES:
1. TARBORO, NC DIGITAL RASTER GRAPHIC, USGS. SCALE: 1:12,000
SCANNED FROM 1:24,000-SCALE TARBORO, NC TOPOGRAPHIC
MAP, PUBLISHED 2013, USGS. Feet
2. INSET MAP DIGITAL DATA FROM 2002 NATIONAL TRANSPORTATION 0 500 1,000 2,000
ATLAS, BUREAU OF TRANSPORTATION STATISTICS, WASHINGTON, D.C.
DRAWN DATE:
TOPOGRAPHIC VICINITY MAP BY:OCTOBER2018
FORMER LONG DRAFT JOB NO:
Mid Atlantic MANUFACTURING FACILITY CHECK: OOOR2335.06
EiipmeecIDg& E4Yu om-1 c rml 4 SoJ u El 0- 111 FAIRVIEW STREET ENG. GIS NO:
TARBORO, NORTH CAROLINA CHECK: 04G-R2335.06-9
APPROVAL: DWG NO: 1

'M_V--R
M�!
ti
MW=20d
MW-9i
o
HA-3 HA-2
HA-1
T►W-'5i
r
MW-3s
�-
LEGEND
1
GEOPROBE WELL
■
DEEP MONITORING WELL
O INTERMEDIATE MONITORING WELLS
SHALLOW MONITORING WELLS
FM x -■ SOIL BORING
IF
SUBJECT SITE PROPERTY BOUNDARY
1 FINAL EXCAVATION BOUNDARY
a
TW-4i fL'
1M1W=As',
a III
+
, * �
1 inch = 10 feet
0
10 20 30
Feet
DRAWN BY: RDC
DATE: OCTOBER 2018
SOIL EXCAVATION BOUNDARY
Mid Atlantic
FORMER LONG MANUFACTURING FACILITY
DRAFT CHECK
BY:
ENGINEER CHECK
JOB NO.: 00OR2335.06
111 FAIRVIEW STREET
BY:
GIS NO.: 06G-R2335.06-5
Engineering & Environmental Solutions
TARBORO, NORTH CAROLINA
ROVED
rBYp
:
DRAWING NO.: 2
REFERENCE: 2013 AERIAL IMAGERY FROM NC CGIA. PROPERTY BOUNDARY AND ROAD GIS DATA FROM EDGECOMBE COUNTY GIS. MID -ATLANTIC FIELD NOTES.

WELL ABANDONMENT RECORDS
Ift Mid Atlantic
Engineering & Environmental Solutions

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contracto Info ration
v�SC1°+�
Well Contractor Name (or well owner personally abandoning well on his/lser property)
NC Well Con for C nification Number
Company Name
2. Well Construction Permit#:
List all applicable well permits (i.e. County, State, Variance, Injection, etc.) if known
3. Well use (check well use):
Water Supply Well:
❑Agricultural ❑Municipal/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑ Ind ustrial/Commercial ❑Residential Water Supply (shared)
Water Supply Well:
❑ Recovery
❑Aquifer Recharge
❑Groundwater Remediation
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
❑Stormwater Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
❑Tracer
❑Geothermal (Heating/Cooling Return)
❑Other (explain under 7g)
4. Date well(s) abandoned: III bll°"
PWe locati / ®
Facility/Owner Name Facility ID# (ifapplicable)
Physical Address, City, and Zip
c% �r
County Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, on lat/long is sufficient)
CONSTRUCTION DETAILS OF WELL(S) BEING ABANDONED
Attach well construction record(s) if available. For multiple injection or non -water supply
wells ONLY with the sane constru�cttion abandonment, you can submit one form.
6a. Well ID#: W b l -f
6b. Total well depth: 1 (ft.)
6c. Borehole diameter: (in.)
For Internal Use ONLY:
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned:
For multiple injection or non -water supply wells ONLY with the sane
construction abauionment, you can submit one form.
1
7b. Approximate volume of water remaining in well(s): (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Sealing materials used (check all that apply):
Neat Cement Grout
❑ Bentonite Chips or Pellets
and Cement Grout
❑ Dry Clay
❑ Concrete Grout
❑ Drill Cuttings
❑ Specialty Grout
❑ Gravel
❑ Bentonite Slurry
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of materials used:
7g. Provide a brief description of the abandonment procedure:
far e powelliel(temahox K uie#
Offmil:33ii9`lJLi I 1601FENIM..,�.
8. Cer stion:
ature of rtified Well Contractor or Well Owner Date
By signing this form, I hereby certify that the wells) was (were) abandoned in
accordance with 15A NCAC 02C .0100 or 2C .0200 Well Construction Standards
and that a cop), of this record has been provided to the well owner.
9. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
SUBMITTAL INSTRUCTIONS
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10b. For Infection Wells: In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
B
Division of Water Resources, Underground Injection Control Program,
6d. Water level below ground surface: (ft) 1636 Mail Service Center, Raleigh, NC 27699-1636
1Oc. For Water Supply & Iniection Wells: In addition to sending the form to
6e. Outer casing length (if known): (ft.) the address(es) above, also submit one copy of this form within 30 days of
i completion of well abandonment to the county health department of the county
6f. Inner casing/tubing length (if known): (ft.) where abandoned.
d
6g. Screen length (if known): (ft.)
Form GW-30 North Carolina Department of Environment and Natural Resources — Division of Water Resources Revised August 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. �Wl Contract r Info io_n.
t"
Well Contractor Name (or well owner personally abandoning well on his/her property)
5
NC Well ontra r rtific ion Num r
/j
Company Name
2. Well Construction Permit #:
List all applicable well permits (i.e. County, State, Variance, Injection, etc.) ftnown
3. Well use (check well use):
Water Supply Well:
❑Agricultural ❑Municipal/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑Industrial/Commercial ❑Residential Water Supply (shared)
❑Irrigation
7N n-Water Supply Well:
Monitorine ❑Recovery
❑Aquifer Recharge
❑Groundwater Remediation
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
❑Stormwater Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
❑Tracer
❑Geothermal (Heating/Cooling Return)
❑Other (explain under 7g)
4. Date well(s) abandoned: V _
52. Well locati
I . 1. Lc
Facility/OwrprName Facility [D9 (ifapplicable)
i
Physical Address, City, and Zip
Gocynle
County Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one ladlong is sufficient) 0
35
V ® N r IT 3 W
CONSTRUCTION DETAILS OF WELL(S) BEING ABANDONED
Attach well construction record(s) if available For multiple injection or non -water supply,
wells ONLY with the sone consstruciioniabandonment, you can submit one forin.
6a. WellID#: m 14 - 3_S
6b. Total well depth: (ft.)
ti
6c. Borehole diameter: _(in.) At
rol)b. L/s -10) b,
6d. Water level below ground surface: (ft.)
Neat Cement Grout
❑Bentonite Chips or Pellets
Sand Cement Grout
❑Dry Clay
❑ Concrete Grout
❑Drill Cuttings
❑ Specialty Grout
El Gravel
❑ Bentonite Slurry
❑Other (explain under 7g)
For Internal Use ONLY:
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned:
For multiple injection or non -water supply wells ONLY with the scone
consiructiaL abandonment, you can subnut one form. p`�
7b. Approximate volume of water remaining in well(s): o' (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7 Sealing materials used (check all that apply):
eac' �
Iflo
%Ls,
-i® ) �, ti br �eod_
7L For h "terlected above, provide amount of ma rials used:
Provide a brief description of the abandonment procedure:
r
♦ r r
8. Certifica
SigaaWe of CertifiCd Well Contractor or Well Owner Date
By signing this form, I hereby certify that the well(s) was (were) abandoned in
accordance with 15A NCAC 02C .0I00 or 2C .0200 Well Construction Standards
and that a copy of this record has been provided to the well owner.
9. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
SUBMITTAL INSTRUCTIONS
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10b. For Iniection Wells: In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
. 10c. For Water Supply & Iniection Wells: In addition to sending the form to
6e. Outer casing length (if known): V" ' (ft.) the address(es) above, also submit one copy of this form within 30 days of
I completion of well abandonment to the county health department of the county
6f. Inner casing/tubing length (if known): (ft) where abandoned.
P
6g. Screen length (if known): (ft.)
Form GW-30 North Carolina Department of Environment and Natural Resources - Division of Water Resources Revised August 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. We Contractor I form n:
Well Contractor Name (or well owner personally abandoning well on his/her property)
o-
NC Well Contractor Certification Numbb
p rd t^ it- <S6 4
Company Name
2. Well Construction Permit #:
List all applicable well permits (i.e. Cozmty, State, Variance, Injection, etc.) ifknown
3. Well use (check well use):
❑Agricultural
❑Municipal/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑ Indust rial/Commercial ❑Residential Water Supply (shared)
Supply Well:
❑Aquifer Recharge ❑Groundwater Remediation
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating/Cooli
4. Date well(s) abandoned:
a. Wei location:
❑Subsidence Control
❑Tracer
❑Other (explain under
Facility/Owner Name r Facility ID# (if applicable)
l/dl env > . �f��'Y t ,
Physical Address, City, and Zip
County s Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)
35
0% , i� N d 26 W
CONSTRUCTION DETAILS OF WELL(S) BEING ABANDONED
Attach well construction record(s) if available. For multiple injection or non -water supply
wells ONLY with the scone construcctioniab�andomnent, you can submit one form.
6a. Well ID#: d�%'ty� o i.t%
6b. Total well depth: _ I (ft.)
er
6c. Borehole diameter: 3 (in.)
6d. Water level below ground surface: P T 1 (ft.)
Neat Cement Grout
❑ Bentonite Chips or Pellets
❑ Sand Cement Grout
❑Dry Clay
❑ Concrete Grout
❑Drill Cuttings
El Specialty Grout
❑Gravel
❑ Bentonite Slurry
❑Other (explain under 7g)
For Internal Use ONLY:
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned:
For multiple iniection or non -water supply wells ONLY with the same
consvniction'abandonn:ent, you can submit one form.
7b. Approximate volume of water remaining in well(s): ' (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used: t
Sealing materials used (check all that apply):
7f. For each material sele ed aboveG', provide amount of materia used:
g U F�3 -
a briefff description of the abandonment procedure:
" J t emli f% ( 714 9wvwt
8. Certifi t' n: �
/6
e ol'CertiIfed Well Contractor or Well Owner ate
By signing this form, 1 hereby certify that the well(s) was (were) abandoned in
accordance with 15A NCAC 02C .0100 or 2C .0200 Well Construction Standards
and that a copy of this record has been provided to the well owner.
9. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
SUBMITTAL INSTRUCTIONS
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10b. For Infection Wells: In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
6e. Outer casing length (if known): � (ft.) 10c. For Water Supply & Infection Wells: In addition to sending the form to
the address(es) above, also submit one copy of this form within 30 days of
7 completion of well abandonment to the county health department of the county
6f. Inner casing/tubing length (if known): (ft.) where abandoned.
6g. Screen length (if known): T (ft.)
Form GW-30 North Carolina Department of Environment and Natural Resources — Division of Water Resources Revised August 2013

LABORATORY REPORT
Ift Mid Atlantic
Engineering & Environmental Solutions

Case Narrative
AR-JR I S M Full -Service Analytical &
Environmental Solutions
LABORATORIES INC.
Mid -Atlantic Associates, Inc. - Raleigh
Dan Nielsen
409 Rogers View Court
Raleigh, NC 27610
NC Certification No. 402
NC Drinking Water Cent No. 37735
SC Certification No. 99012
Project: Long Manuf. (Montana Tractor)
Lab Submittal Date: 08/24/2018
Prism Work Order: 8080416
09/04/2018
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
a,j
Angela D. Overcash
VP Laboratory Services
Data Qualifiers Key Reference:
Reviewed By Angela D. Overcash
VP Laboratory Services
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 1 of 8

bnRISM Fullironm n Analyticals-' Environmental Solutions
�Ili —a ATIEs,ING
Sample Receipt Summary
09/04/2018
Prism Work Order: 8080416
Client Sample ID Lab Sample ID Matrix Date/Time Sampled Date/Time Received
Soil Sample 8080416-01 Solid 08/21/18 16:00 08/24/18 16:00
Samples were received in good condition at 4.5 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 2 of 8

PRI SM Full -Service Analytical sEnvironmental Solutionsa
Summary of Detections
09/04/2018
Prism Work Order: 8080416
Prism ID Client ID Parameter Method Result Units
8080416-01 Soil Sample
8080416-01 Soil Sample
Diesel Range Organics
Gasoline Range Organics
*8015C 610 mg/kg dry
*8015C 27 mg/kg dry
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone] Page 3 of 8

/P R I S M Full -Service Analytical
Environmental Solutions
LA6pAATOA I E6 -
Mid -Atlantic Associates, Inc. - Raleigh
Attn: Dan Nielsen
409 Rogers View Court
Raleigh, NC 27610
Project: Long Manuf. (Montana
Tractor)
Sample Matrix: Solid
Laboratory Report
09/04/2018
Client Sample ID: Soil Sample
Prism Sample ID: 8080416-01
Prism Work Order: 8080416
Time Collected: 08/21/18 16:00
Time Submitted: 08/24/18 16:00
Parameter
Result
Units
Report
MDL
Dilution
Method Analysis
Analyst Batch
Limit
Factor
Date/Time
ID
Diesel Range Organics by GC/FID
Diesel Range Organics
610
mg/kg dry
88
24
10
*8015C 8/31/18 7:31
ZRC P8H0457
Surrogate
Recovery
Control Limits
o-Terphenyl
75 %
31-123
Gasoline Range Organics by GC/FID
Gasoline Range Organics
27
mg/kg dry
4.6
0.98
50
*8015C 8/29/18 0:06
ANGM P8H0493
Surrogate
Recovery
Control Limits
a,a,a-Trifluorotoluene
137 %
50-137
General Chemistry Parameters
% Solids
79.0
% by
0.100
0.100
1
*SM2540 G 8/29/18 14:15
DLR P8H0518
Weight
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone]
Page 4 of 8

P R I S M FullAnalytical
Environmental
tal Solutions
LA6­QRIES INC.
Mid -Atlantic Associates, Inc. - Raleigh Project: Long Manuf. (Montana Tractor)
Attn: Dan Nielsen
409 Rogers View Court
Raleigh, NC 27610
Gasoline Range Organics by GC/FID - Quality Control
Level II QC Report
9/4/18
Prism Work Order: 8080416
Time Submitted: 8/24/2018 4:00:OOPM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P8HO493 - 5035
Blank (P8H0493-BLK1)
Prepared & Analyzed: 08/28/18
Gasoline Range Organics
BRL
5.0 mg/kg wet
Surrogate: a,a,a-Trifluorotoluene
5.80
mg/kg
5.000 116
50-137
LCS (P8H0493-BS1)
Prepared & Analyzed: 08/28/18
Gasoline Range Organics
59.6
5.0 mg/kg wet
50.00 119
41-138
Surrogate: a,a,a-Trifluorotoluene
5.70
mg/kg
5.000 114
50-137
LCS Dup (P8H0493-BSD1)
Prepared & Analyzed: 08/28/18
Gasoline Range Organics
53.2
5.0 mg/kg wet
50.00 106
41-138 11 20
Surrogate: a,a,a-Trifluorotoluene
5.55
mg/kg
5.000 111
50-137
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone]
Page 5of8

/P R I S M Environmental
Full -Service Analytical
Environmental Solutions
�� uaoanroAies iNa
Level II QC Report
9/4/18
Mid -Atlantic Associates, Inc. - Raleigh Project: Long Manuf. (Montana Tractor) Prism Work Order: 8080416
Attn: Dan Nielsen Time Submitted: 8/24/2018 4:00:OOPM
409 Rogers View Court
Raleigh, NC 27610
Diesel Range Organics by GC/FID - Quality Control
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P8HO457 - 3546
Blank (P8H0457-BLK1)
Prepared & Analyzed: 08/28/18
Diesel Range Organics
BRL
7.0 mg/kg wet
Surrogate: o-Terphenyl
1.18
mg/kg wet
1.333 89
31-123
LCS (P8H0457-13S1)
Prepared & Analyzed: 08/28/18
Diesel Range Organics
58.2
7.0 mg/kg wet
66.67 87
46-126
Surrogate: o-Terphenyl
1.12
mg/kg wet
1.333 84
31-123
LCS Dup (P8H0457-BSD1)
Prepared & Analyzed: 08/28/18
Diesel Range Organics
62.1
7.0 mg/kg wet
66.67 93
46-126 7 20
Surrogate: o-Terphenyl
1.14
mg/kg wet
1.333 85
31-123
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone]
Page 6 of 8

Level II QC Report
/P R I S M Environmental
Full -Service Analytical &
Environmental Solutions 9/4/18
�� uaoanroAies iNa
Mid -Atlantic Associates, Inc. - Raleigh Project: Long Manuf. (Montana Tractor) Prism Work Order: 8080416
Attn: Dan Nielsen Time Submitted: 8/24/2018 4:00:OOPM
409 Rogers View Court
Raleigh, NC 27610
General Chemistry Parameters - Quality Control
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P8H0518 - Solids, Dry Weight
Duplicate (P8H0518-DUP3) Source: 8080416-01 Prepared & Analyzed: 08/29/18
% Solids 73.8 0.100 % by Weight 79.0 7 20
Sample Extraction Data
Prep Method: 3546
Lab Number Batch
Initial
Final
Date/Time
8080416-01 P81­10457
30.04 g
1 mL
08/28/18 10:55
Prep Method: 5035
Lab Number Batch
Initial
Final
Date/Time
8080416-01 P81­10493
6.95 g
5 mL
08/28/18 14:30
Prep Method: Solids, Dry Weight
Lab Number Batch
Initial
Final
Date/Time
8080416-01 P8H0518 30 g 30 g 08/29/18 14:15
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800/529-6364 - Fax: [phone]
Page 7of8

p❑Z� m a ° ��c co
to
cn CO) p m�
z G a Fra n Q D 3d.
m 3 'av
7
rr-i—co
.�
Oyu
n ngx
°
n m m m
m�
m
_: _:�° -a
o °
El Oc a)S
0
>> p N n
Tl
O=
c
3
�..
Li O
C
p
z
y. I
cn
m
OQ_
—n y
a m
+ =•..
❑ ❑ G7 a xg 0
,
N
0
rr-�
O.
� 1 it
D C'� in`
I m
..
❑z mr
3
m m �[
�
ny t0i�
m Di
0
h Z
3. v c o o C�
C
0 c:
r�
Am
C
Aa0M
yam
r 1
d
Li ElC „m
�_ O o a m ErrfV
z :2 D rt�I � �• U7
lz
p 0 29
CD
7ID a
n�
f�
G)M ��
00- x
4
no
D o - ° oo
M
0
CO
N
m
N °
r N
A ' -^3
W
ID CCJ
w c S
�o m N
m° �. O Z
CI O0 my� >�
m y cn
0m D
z m r 'C a W
mmom p v
�r TD
'a
mmNN
.�`�{07
p yr om
ma
r
m
W ry G
vim_.
Wm`)m o
=°� 1
0 0
�oN� Z
cn1 Hof
n� m H� �.
yAaO O
s a
z
m
3�0o�oW
D ❑� Q �d
C3 °y
`� M
.3 * m
°,__ y o`O
°' y
z
m
oz a) O o
Z m y
zv a(o�
cn
0_ �m
X
0
zCZ, mm a O CD
m m a
D ❑0 5 my
-1 m
mm
P ;O ? w
oDa a v
O 7a C'
yD
moc a y m
Czim
`
prA ..Q
(� A �•0
D
dvCCD O
m�N���
n N N
FL
`�.
{
< y a-)
n :<v�
D ❑S v v v << o
Z ZC m a o m G`0 0 n °
�/
b
ya ox O
m
C7 , m m m m
,
a aN d
v
❑ r o w \ m
6
N W
cn r y � ; N
n o o� �7 C
D
`°
D ❑ O � � cr
z
to
Can,p
= ,��v - N �D
�: a
❑�
m
a CD='� m
m°
n d
..
�.`
m
a m
d� �1 a
c v
1
ti
� 0
O 1
m I n n
= I O
f 3
Z, m
7
Z
3
-�10X°vy
a
X
r" 3
u> ar
y
I r
m a m so
m o a
-n Z
Z r
N m 0 a 3.
Q ?
-� -n
D I D
1
Z o
�Z
z5X
oW3
m
r
T
:�
Ol
'm :0, 5
co)
A L9' D
toO
O 9
�1 x N
p�1 O z
A m
, a
TO
E mT
c
ox o
cn
0 (3D 0
A�
© N d
V cn ED
. n•
o w
N Q.
a ti=- a
a c< m o° m
to m
y l 2. O>z
nD
a c� w --
Z
2
O
v S2. Q D
� � in
D
0
0 -
t� m
n M' #
Im
m w m
r
W Z 2
~
U) �j
N v m
ct
o � m
v/
r
�
A
r (o a`
m ,°. z
m -
r �
50
m' O c�-u' m m
•X F O 1 a X a O
m 0O (mn Z
3 z� c`D D = En e 0
O_ � Z m m C
G) cn <
•J �
O U) m
N D n
2 m J
m
CD •J
F fi IIIIZ0
Paae8of8 1

SOIL DISPOSAL MANIFESTS
IS Mid Atlantic
Engineering & Environmental Solutions

PupliShed by J. J. l{ELLER 8 ASSOCIATES, IkC Neenah, W l •'.fSR • (FOO) 327-6868 • 0e1i9r.cnm • PnrMed ,r. the Uroled Slates

NORTH CAROLINA
PUBLIC WEIGHMAS"IER
LICENSE EXPIRES JUNE 30, 2019
R1CKY L. Wli.�t !A S 2736
INVAH11 I IN �$S SIGNED
'Ids
ID 6Z
08 2l(201602A.t lPM
M 63
GROSS ?-Z6O lb RECALLED
tip . lb
02:17PM 08f21/2018
%W J.A. KING
PRECISION MEASUREMENT PROFESSIONALS
[phone] • www.jaking.com.

Published by J. J. KELLER d ASSOCIATES. INC.-. Neenah, W I • USA • f800) 327-68M • ljl(Orer. wrr• • Pnnted rn the United Slates
NON -HAZARDOUS 1. Generator 0 Number 2 Page 1 of 3. Emergency Resporm Phone
i. Waste Tracking Number
WASTE MANIFEST
5. Gerwami s Mrnsand Marling Address / enerators Sae Atldtm {if dAterent than mailing address+
Fo rs�ltr L'o 1-� 4'1'l� a/i�I� �q a
i I 1 F4 r" "; Zr,1J' r TlJL: r"� N c
Generators Phone:
6. TrenspWar 1 Company Name
U.S. EPA ID Number
7. Tmnsporter 2 Company Name
US. EPA I Number
8, Designated Facirdy Name and SO Address r+ _
�l ^ U-S. EPA Id Nrmr6er
, ao. 's Phorle-
9. Waste Shipping Name air# Desaiptior
1 Hers
"TO U
Quanvly
12. Unit
wuvd.
No. .
rypa
� / N ` �,
a
,l
w
w
w
2.
G7
17-
3.
d.
13. SpvcW Herldtirg InstruciJons and Additional iniomlatjWi
14. GENERATOR'SMFFEROR'S CEA11 : I hereby dedare thal the contents of tt>is rAn-*rmem are fury vv=alety
described abArby the proper shipping name.
and are dassdied. packaged.
mark rded, and ar respects in proper co"ion fa, Mnspert amcning to applicable'
aJw and national 91a4r s.
Gene r ofs Pr 'ttedll N I S gn
Q � SDI/
O LDay Year
15. international ❑ Imw to 11.S. ❑ E�0,4 U s
Part of ergryle*
Transooner SMUture ifo., qpn only):
Date [eavinq US..
do
16. Transporler Admowted - l o1 Receipt or Matenais
Tie rinted(T Name Signatu
Adgp� Day Year
Q
d
CL�J r`
Transporter 2 P*%ed7yped ame Si re
Month Day Year
17. D&Mpancy
t7a 0 ] In�patipn Spa4e ❑ ouamrty ❑ Type ❑ Residue ❑ Partial R,t11 on
❑ Full Raj 01
Manifest Reference Number:
17b. ANentate Facility (or Generator)
U-S. EPA ID Number
FaoLly'S Phone.
j
a
1Tc Sgnalwe of Memale Facky {or Generators
Month Day Year
x
n
oe
w
O
N. Designated Fe Ower or Operator: Ceniiicauan of receipt d malerials covered by tie rnanfe5 except as noted in item 17a
PrfntedT - Signature
Monrh Day Year

NORTH CAROLINA
PUBLIC WEIGHMASTER
LICENSE EXPIRES JUNE 30, 2019
RICKY L. WILLUjMS 27363
INVALID IJNLES'ls SIC -NEE)
1,S
%W J.A. KING
PRECISION MEASUREMENT PROFESSIONALS
[phone] • www.jaking.com.

- -� of J. J. KELLER ♦r, ASSOCIATES, tNC a, NeeI WI . UB.+ • lt9oCJ 327.6g�p • jk�Per.cpm . pm" m h. Uarl Stall
NoHAZARDOUS 1- GNOMW ID Nlmber
WASTE MANIFEST r a F of 3. ETzr my RZsccnse r^N 1 4. Waste Tracking Humber
5, Gee Me$ II am Mail A&V=
Fa fvl�r MV4L-4e,,Il�yk F-q ��' jy er era+u s ire Iddress i r d�ferern Nan Ta Sri ax essi
1i �+�� :-,,: w il� t Tr��•: ,N c 2.7y9 &
a. Trarsponer t Ccrt>Rany Tarr
r' U.S. EPA IO tVunlber
Ja�A L�r ��aL7
7. Ffar4s;�one: 2 Ccvrwrry name
U.S. EPA 10 MWnber
8. UBaKflaEeQ PaaGry i3an'le and &e Aftess
_
S U S EPA 10 tattr�er
_� s Phxer - w,
I. �`�' r
1
0. Waste Shw" Name and Cm-iptcr 10. Containers 11. ro1a� 12 Utet
I
Na. cr Tyoe Q 1anaEy W Vc
su
w I. 2.
a
.- -
f
t3. SP-1 He -6ng 117,51- -bons arld Adnip,,* hHcraY•ar ;
-
.
CER71Fideclare hat Ne rtirtents al scot
�'Ysyrtment aw urr: and apmoer Si l wag throe. and art dgsw*d,
bGME1"AT0R1"S0FM1FR1olT'
pao apd
Srg+atue
MOO Gay Year
❑ In"Im" to U.S. ❑ EvW fT
L
liv�•Oof entlyh t:
M. Transpener Ad=Vr1eJ9r—t of Reeerpt ct Nmaterlas Date ieavino U S
Trar�rorr 2 r 1 Prarred,7yi d IVa e _
SkjnaLure
iAarttY Oa/y Year
!/
Trait .Cr: �nnFeyFy _. V2'^E
• i � 1
'*;nature
t'Al N Qav Yea.,
F'a. owaparcy Inixillo rl cWce ❑
ry ❑
y—
°' ❑ Residue ❑ ?arai Rrect,cn
L} �u.7 Retecticn
1'• t1. ARBma:B'3t7Gf+e {pr [ierfir me Feleranoe N=o-,r
U.S. EPA kp Nwrtm
'aGllly; Pt1(Y%e.
S pale a el A.'ter*atB Fadldy far Gener3seFi - _—
�IOnth llay Year
_ - `3'4r :- �dj' C+mtr a+;,Feray�r Cy e>jpr; �! r pr ma�riels cavefed fhe:nanirr� er '
b1' rapt ae note::
` r may; �e

%0M. CAROLINA
PUBLICVVEIGHMASTEER'
,2019
LICENSE EY.PIRE JU E � 73fiI
FiCKY L. WIL
►W J.A. KING
PRECISION MEASUREMENT PROFESSIONALS
[phone] • www.jaking.com.

Pvv>_ahed W J- J- KELLE14 3 ASSOCIATES. FNC 0- Neerah, wt - VSn - (S001327-68% • pk@M f.ccm • Prinwa rr. era Vnded Slates
NON-H 42ARDOUS 1. Gene:alor ID NWM 2 Page 1 of 3. En*.gerq Rest o e acne 4. Waste Tracking Number
WASTE IiIAHIFEST NS
&Z ¢— 41rJ-11—
5. GeneraWS Nm and M&Vg Address GerimatOeS Ue Address iii dlerent �.an ft;Om.y ii&ms1
Fa
j � I y
[3eneratLrS Phone.
6. Trar—ner t Company Name J_'J JA T
U.S. EPA ID Number
7 Transpomer 2 Cempam Nane
U.S. EPA 10 Nurnter
i
S. Cesi reled Fachrr Name and Site Address _
U.S EPA ID Numbs+
-
1555 iamrrayd p,dvi�
,
"1R1ej IVG
y.
F s Pane: A �-
I
9 S1as:e 5hreplry Yams and Cesc ipecr
:0 lahers
11. TOO
*,2. Ur :
tic
Type
} r ��'^ a
!3f � [
LU
2.
7,1
i
., :Czera� 4.+stlrr:g irrsirurrcrs ,3rC Atkitl0r-,al tnrpimatWr. -
14. GENERATOR'SL'FFEROR' CERTiFl OH: I r,�eraov declare abet tN cs wn A Uaa 11dr em are hilly
aecurateEy shave try ft prcpet a.r Dong name. ,a,- are dass:um, oaoew.
mand ar . sa Tspeqp r prrper corrdrlirn for traaspon 6000,1 m t0 appkaWe fttzbofmi
and r aYcna mmersta` ' WaMIS.
Genera
's ror s P. ed r S'
wth
nay Year
'
. Z{
i
to Intemaocnal SNpmems
❑ Impor: to U.S ❑ U S
pan d enttyleldt
2
Trar,=rter Sim ure ilor .7[adfls aaryl;
Date :easlr. u.s .
re
-- -- _ -
s ra Reoe;n ot Materms
¢
Trart.5ponrr 1 PnntWIryped Name S `na-
Mcnm
Day Year
a
ottCr2 P:intecaTwped a Aw_ .., e
A h
Cav year
F
17. 6aep2nc�
17a. Dlscreparc`y irdr0ation Space ❑ f]uanhh ❑TYPE ❑ Resdue ❑ Palual AHecuon
❑
FWI RejW=
Wanes Re!erence hu.TGA
r
s`
17b. Akerra:e -a:� tar Ger*mton
U.S EPA 10 Number
7
u
a
m
Fac6ty 3 Pncre
-
17c %VQW d Alterrwra Fa*y fnr Gtlardrori _ -- - --
Mwib
Day Year
zr
-
D
i�
sE. Desrgna act Ovmet •]r Operator. Certcr. ufon a` receo d matanal5 awa�zd ny the narulrtst ezcapl as era : F — - - -
P rieCT. �►+ r9i:. ?
/
MPO,
C3 r Veal

NORTH CARO} LIMA R
pliBLiC WEIGH
LICENSE SIRES .]'UNE 30, 2019
RICKY L.�+fl
%W J.A, KING
PRECISION MEASUREMENT PROFESSIONALS
[phone] • www.jaking.com.

WELL CONSTRUCTION RECORDS
Ift Mid Atlantic
Engineering & Environmental Solutions

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
For Internal Use ONLY:
1. Well Contractor Information:
James D. Barker
Well Contractor Name
3106-A
NC Well Contractor Certification Number
Quantex, Inc.
Company Name
2. Well Construction Permit #: NA
List all applicable well construction permits (i.e. County, State, Variance, etc)
3. Well Use (check well use):
Water Supply Well:
❑Agricultural
❑Geothemtal (Heating/Cooling Supply)
❑ lndustrial/Commercial
❑ Irrigation
Non -Water Supply Well:
El Aquifer Recharge
El Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating/Cooling
4. Date Well(s) Completed. 9/20/18
❑Municipal/Public
El Residential Water Supply (single)
❑Residential Water Supply (shared)
El Groundwater Remediation
❑ Salinity Barrier
❑ Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Other (explain under #21 F
MW-13 SR
5. Well Location:
Montana Tractor Factory NA
Facility/Owner Name Facility ID# (if applicable)
111 Fairview Street, Tarboro NC 27886
Physical Address, City, and Zip
Edgecombe
County
NA
Parcel Identification No. (PIN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)
35.908583 N 77.543083 W
6. Is (are) the well(s): R Permanent or ❑Temporary
7. Is this a repair to an existing well: ❑Yes or ONo
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.
8. Number of wells constructed: One
For multiple injection or non -water supply wells ONLY with the same construction, you can
submit one form.
9. Total well depth below land surface: 13'
For multiple wells list all depths if different (example- 3@200' and 2@100')
10. Static water level below top of casing: na
If water level is above casing, use "+"
11. Borehole diameter: 811
12. Well construction method: _
(i.e. auger, rotary, cable, direct push, etc.
Auger
(ft.)
14. WATER ZONES
FROM
TO
DESCRIPTION
7 rt•
9 rt•
Brown fine to Medium Silty SAND
ft.
ft.
15. OUTER CASING for multi -cased wells OR LINER if a licable
FROM
TO
DIAMETER
THICKNESS
MATERIAL
ft.
ft.
in.
16. INNER CASING OR TUBING eother at closed -loop)
FROM
TO
DIAMETER
THICKNESS
MATERIAL
0 rt.
3 rt.
2" in.
SCh 40
PVC
ft
fL
in.
17. SCREEN
FROM
TO
DIAMETER
SLOT SIZE
THICKNESS
MATERIAL
3 ft'
13 ft'
2" in.
0.010
Sch 40
PVC
ft.
ft.
in.
18. GROUT
FROM
TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
0 ft.
2 0 ft-
Neat Cement
Poured - 60 lbs.
2 0 rt.
2.5 ft-
Bentonite
Poured 3/8" Pellets - 25 lbs.
rt.
rt.
19. SAND/GRAVEL PACK (if applicable)
FROM
TO
MATERIAL
EMPLACEMENT METHOD
2.5 rt
13 rt
#2 silica sand
pour
rt.
rt.
20. DRILLING LOG attach additional sheets if necessary)
FROM
TO
DESCRIPTION color, hardness, soil/rock type, grain size, etc.)
0 rt.
9 ft.
Brown fine to Medium Silty SAND
9 ft
13 ft
Brown Silty Medium SAND
ft.
rt.
rt.
rt.
rt.
rL
ft.
ft.
rt.
rt.
21. REMARKS
22. Corti cation:
A441_ 6 , 10/10/18
Signature f Certified Well Contractor Date
By signi this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
24. Submittal Instructions:
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
Division of Water Quality, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Iniection Wells: In addition to sending the form to the address in 24a
above, also submit a copy of this form within 30 days of completion of well
construction to the following:
Division of Water Quality, Underground Injection Control Program,
13. FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield (gpm) Method of test: 24c. For Water Supply & Geothermal Wells: In addition to sending the form to
the address(es) above, also submit one copy of this form within 30 days of
13b. Disinfection type: Amount: completion of well construction to the county health department of the county
where constructed.
Form GW-1 North Carolina Department of Environment and Natural Resources - Division of Water Quality Revised Jan. 2013

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
For Internal Use ONLY:
1. Well Contractor Information:
James D. Barker
Well Contractor Name
3106-A
NC Well Contractor Certification Number
Quantex, Inc.
Company Name
2. Well Construction Permit #: NA
List all applicable well construction permits (i.e. County, State, Variance, etc)
3. Well Use (check well use):
Water Supply Well:
❑Agricultural
❑Geothemtal (Heating/Cooling Supply)
❑ lndustrial/Commercial
❑ Irrigation
Non -Water Supply Well:
El Aquifer Recharge
El Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating/Cooling
4. Date Well(s) Completed. 9/20/18
❑Municipal/Public
El Residential Water Supply (single)
❑Residential Water Supply (shared)
El Groundwater Remediation
❑ Salinity Barrier
❑ Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Other (explain under #21 F
MW-13 SR
5. Well Location:
Montana Tractor Factory NA
Facility/Owner Name Facility ID# (if applicable)
111 Fairview Street, Tarboro NC 27886
Physical Address, City, and Zip
Edgecombe
County
NA
Parcel Identification No. (PIN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)
35.908583 N 77.543083 W
6. Is (are) the well(s): ❑E Permanent or ❑Temporary
7. Is this a repair to an existing well: ❑Yes or ZNo
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.
8. Number of wells constructed: One
For multiple injection or non -water supply wells ONLY with the same construction, you can
submit one form.
9. Total well depth below land surface: 13'
For multiple wells list all depths if different (example- 3@200' and 2@100')
10. Static water level below top of casing: na
If water level is above casing, use "+"
11. Borehole diameter: 811
12. Well construction method: _
(i.e. auger, rotary, cable, direct push, etc.
Auger
(ft.)
14. WATER ZONES
FROM
TO
DESCRIPTION
7 rt•
9 rt•
Brown fine to Medium Silty SAND
ft.
ft.
15. OUTER CASING for multi -cased wells OR LINER if a licable
FROM
TO
DIAMETER
THICKNESS
MATERIAL
ft.
ft.
in.
16. INNER CASING OR TUBING eother at closed -loop)
FROM
TO
DIAMETER
THICKNESS
MATERIAL
0 rt.
3 rt.
2" in.
SCh 40
PVC
ft
fL
in.
17. SCREEN
FROM
TO
DIAMETER
SLOT SIZE
THICKNESS
MATERIAL
3 ft'
13 ft'
2" in.
0.010
Sch 40
PVC
ft.
ft.
in.
18. GROUT
FROM
TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
0 ft.
2 0 ft-
Neat Cement
Poured - 60 lbs.
2 0 rt.
2.5 ft-
Bentonite
Poured 3/8" Pellets - 25 lbs.
rt.
rt.
19. SAND/GRAVEL PACK (if applicable)
FROM
TO
MATERIAL
EMPLACEMENT METHOD
2.5 rt
13 rt
#2 silica sand
pour
rt.
rt.
20. DRILLING LOG attach additional sheets if necessary)
FROM
TO
DESCRIPTION color, hardness, soil/rock type, grain size, etc.)
0 rt.
9 ft.
Brown fine to Medium Silty SAND
9 ft
13 ft
Brown Silty Medium SAND
ft.
rt.
rt.
rt.
rt.
rL
ft.
ft.
rt.
rt.
21. REMARKS
22. Corti cation:
A441_ 6 , 10/10/18
Signature f Certified Well Contractor Date
By signi this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
24. Submittal Instructions:
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
Division of Water Quality, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Iniection Wells: In addition to sending the form to the address in 24a
above, also submit a copy of this form within 30 days of completion of well
construction to the following:
Division of Water Quality, Underground Injection Control Program,
13. FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield (gpm) Method of test: 24c. For Water Supply & Geothermal Wells: In addition to sending the form to
the address(es) above, also submit one copy of this form within 30 days of
13b. Disinfection type: Amount: completion of well construction to the county health department of the county
where constructed.
Form GW-1 North Carolina Department of Environment and Natural Resources - Division of Water Quality Revised Jan. 2013