WA-1103_13142_CA_LTTRRPT_20230918_MWAbandon

WithersRavenel

Our People. Your Success. 
115 MacKenan Drive | Cary, NC 27511 
t: 919.469.3340 | f: 919.467.6008 | www.withersravenel.com | License No. F‐1479 
Asheville | Cary | Charlotte | Greensboro | Lumberton | Pittsboro | Raleigh | Southern Pines | Wilmington  

September 18, 2023 

State of North Carolina 
Department of Environment and Natural Resources 
Federal & State Lead Program 
Division of Waste Management‐Underground Storage Tank Section 
1646 Mail Service Center 
Raleigh, North Carolina 27699‐1646 

Attn: Mr. Scott Ryals, P.E. 

Reference:   Letter Report – Well Abandonments 
Former L.D. Roach Grocery 
2070 Nelson Road 
Grifton, Craven County, North Carolina 
UST # WA‐1103 
Groundwater Incident Number: 13142 
WR Project Number:  23‐0307‐CV 

Mr. Ryals, 
WithersRavenel, Inc. (WR) has prepared this Letter Report documenting the completion of monitoring 
well abandonment activities at the Former L.D. Roach Grocery site located at 2070 Nelson Road, 
Grifton, Craven County, North Carolina.  Activities outlined herein were completed under NCDEQ 
Contract # N70522‐C, Task Authorization (TA) 02 for the site, issued by NCDEQ on August 17, 2023.   

WR mobilized to the site on September 15, 2023 to complete the abandonment of monitoring wells 
MW‐1, MW‐2, MW‐3, MW‐4R, MW‐5, MW‐6, MW‐7, MW‐8, MW‐9, MW‐10, MW‐11, MW‐12 
and MW‐13.  WR Personnel could not locate well MW‐9 despite the use of historical maps and a 
metal detector.  Therefore, MW‐9 was not abandoned.  The activities completed in association with 
this TA are discussed in the following paragraphs. 

Well Abandonments ‐ MW‐1 through MW‐13, Inclusive.   

Monitoring wells MW‐1, MW‐2, MW‐3, MW‐4R, MW‐5, MW‐6, MW‐7, MW‐8, MW‐10, MW‐11, 
MW‐12 and MW‐13 were gauged on July 25, 2023 using a decontaminated electronic oil/water 
interface meter.  No LNAPL/free product was measured within the wells.  Groundwater levels in 
the monitoring wells measured on July 15, 2023 are shown below: 

Well ID Depth to Groundwater (ft) Total Well Depth (ft) 
MW‐1 7.23 9 
MW‐2 6.22 8 
MW‐3 5.95 7 
MW‐4R 6.13 8.5 
MW‐5 5.96 8 
MW‐6 6.16 8 

WithersRavenel
Our People. Your Success. 
Former LD Roach Grocery‐ Incident No: 13142  
Letter Report – Well Abandonments 
WR Project # 23‐0307‐CV 
September 2023 

Well ID Depth to Groundwater (ft) Total Well Depth (ft) 
MW‐7 6.43 8.5 
MW‐8 7.43 8.5 
MW‐10 Dry 10 
MW‐11 6.08 12 
MW‐12 6.12 12 
MW‐13 5.91 12 

Each monitoring well was abandoned through the emplacement of 3/8‐in dia. bentonite pellets to 
within 1‐ft of each wells’ top of casing (TOC).  The remainder of each well was filled with neat 
cement grout extending out of the TOC filling the well manholes.  The well abandonment record 
(NCDEQ GW‐30) is included as Attachment A, while field notes and site photos for completion of 
the activities are provided as Attachment B. 

WithersRavenel appreciates the opportunity to be of service to the Federal & State Lead Program. 
Should you have any questions regarding the attached, please do not hesitate to contact us at (919) 
469‐3340. 

Cordially, 
WithersRavenel

  Kevin B. Buchanan G. Matthew James, P.G. 
Project Manager Director of Geosciences 

Enclosure(s):  
NCDEQ GW‐30 (Abandonment Record) 
Field Notes/Site Photos 

NCDEQ GW‐30 
WELL ABANDONMENT RECORD 

WELL ABANDONMENT RECORD
Form GW-30 North Carolina Department of Environmental Quality - Division of Water Resources Revised 2-22-2016
1. Well Contractor Information:
Well Contractor Name (or well owner personally abandoning well on his/her property)
NC Well Contractor Certification Number
Company Name
2. Well Construction Permit #:
List all applicable well construction permits (i.e. UIC, County, State, Variance, etc.) if known
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
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□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:
5a. Well location:
Facility/Owner Name Facility ID# (if applicable)
Physical Address, City, and Zip
County Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)
N 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 same construction/abandonment, you can submit one form.
6a. Well ID#:
6b. Total well depth: (ft.)
6c. Borehole diameter: (in.)
6d. Water level below ground surface: (ft.)
6e. Outer casing length (if known): (ft.)
6f. Inner casing/tubing length (if known): (ft.)
6g. Screen length (if known): (ft.)
WELL ABANDONMENT DETAILS
7a. For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same
well construction/depth, only 1 GW-30 is needed. Indicate TOTAL NUMBER of
wells abandoned:
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
□Sand 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:
8. Certification:
Signature of Certified 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 .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 Injection 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 & Injection Wells: In addition to sending the form to the
address(es) above, also submit one copy of this form within 30 days of completion
of well abandonment to the county health department of the county where
abandoned.
For Internal Use ONLY:
George M. James
4164-C 12
WithersRavenel, Inc.
N/A
3/8" Bentonite Pellets
Neat Cement
150 #
80 #
09/15/2023
Bentonite pellets gravity fed into wells to within one-
foot of well's top-of-casing. Remainder of well filled
with neat cement extending above wells TOC and
filling manhole.Former LD Roach Grocery NCDEQ TF#13142
2070 Nelson Road, Grifton, NC 28530 09/18/2023
Craven 1-068 -004-3352
35.323793° -77.261070°
MW-1 through MW-13
Varies
6
Varies (5.9-7.5)
Varies
Varies

FIELD NOTES AND SITE PHOTOS 

 PHOTO 1 
MW‐1 

 PHOTO 2 
MW‐2 

 PHOTO 3 
MW‐3 

 PHOTO 4 
MW‐4R, MW‐12 

 PHOTO 5 
MW‐5 

 PHOTO 6 
MW‐6 

 PHOTO 7 
MW‐7 

 PHOTO 8 
MW‐8 

 PHOTO 9 
MW‐10 

 PHOTO 10 
MW‐11 

 PHOTO 11 
MW‐12 

 PHOTO 12 
MW‐13