WQ0009826_GW-1 and Site Map_20191216

Ak
Jt�A., ' r:-
WAYN E FARMI
December 12, 2019
Delivered via FedEx Tracking No. 7772 2699 8411
and via email to [e-mail]
NC Department of Environmental Quality
Division of Water Resources Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Permit No. WQ0009826
Wayne Farms — Elkin, NC Hatchery
RECEIV'DINcDFQIDWR
DEC 1 6 2019
Wastewater Irrigation System
Site Map and MW1 & MW2 Construction Records Submission
Dear Sir or Madame,
Non-Discharg
QerM'On9
As required by conditions 1.4 and 1.5 of the subject permit, enclosed are two original
copies of a site map and Form GW1- Well Construction Record for the recently installed
monitoring wells labeled MW1 and MW2. A digital copy of these records has also been
emailed to [e-mail].
If you have any questions or require further information, please contact me at (770) 297-
3465 or via email at [e-mail].
Sincerely,
nathan Green, P.E.
Corporate Environmental Engineering
and Compliance Manager
cc: Jeremy Bowlin — Wayne Farms (via email)
Wayne Farms LLC — Corporate Headquarters
4110 Continental Dr. • Oakwood, Georgia 30566. 1.800.392.0844 • www.wavnefanns.com

.ighlands
Environmental
November 27, 2019
Solutions, Inc. 8410-D Falls of Neuse Road, Raleigh, NC 27615
Phone: [phone] / Fax: [phone] / www. NESfast. com
RECEIVED/N E / WR
Mr. Jonathan Green DEC 1 6 201-3
Wayne Farms, LLC
4110 Continental Drive Non -Discharge
Oakwood, Georgia 30566-4110 Permitting Unit
Subject: Groundwater Monitoring Well Installation — North Spray Field
Wayne Farms — Dobson Hatchery — Surry County, North Carolina
NCDEQ Permit #WQ009826
HES Project #485002
Dear Mr. Green:
Highlands Environmental Solutions, Inc. (HES) hereby submits this correspondence documenting the
installation of two, groundwater monitoring wells at the subject site. These monitoring wells were installed
at the request of the North Carolina Department of Environmental Quality — Division of Water Resources
(NCDEQ). The location of the subject site is depicted on Figure 1 and Figure 2, included in Attachment
A.
On May 14, 2019, and prior to well installation, a meeting was held with the NCDEQ, Mr. Kevin Davidson
(of Agri -Waste Technology, Inc. — AWT), and Mr. Joe Beaman (of HES). During this meeting,
representatives of the NCDEQ identified two areas for the proposed monitoring wells. These proposed
locations are depicted on Figure 3. Following this meeting, Mr. Joe Beaman (of HES) visited the subject
site on May 16, 2019. During the site visit, it was determined that the proposed location of one well
(MW-1) was very heavily wooded; and that the location for the second well (MW-2) was within the Duke
Energy right of way, and too steep for safe drilling operations. As such, two alternate monitoring well
locations were identified, and a diagram depicting the new proposed well locations was submitted to the
NCDEQ in the Groundwater Monitoring Plan submitted by AWT on June 27, 2019. These proposed
monitoring well locations are identified on Figure 1 and were included in the subject permit
(#W00009826). A copy of the permit is included in Attachment B.
MWA and MW-2 were installed at the site on August 15, 2019. The locations of the wells are depicted
on Figure 4. At each boring location, solid -stem augers were utilized to advance a borehole through
unconsolidated soils at the well locations. Mr. Andrew Francis (a geologist with HES) supervised the well
installations, and logged drill cuttings during advancement of the boreholes. Once auger refusal had
been attained, the augers were removed and the borehole was allowed to rest for a minimum of 20
minutes. At the end of the 20 minute period, the borehole was checked for the presence of groundwater
using an electronic water level indicator. Groundwater was not detected above the bedrock surface in
either borehole.
After checking the boreholes for water, the drilling method was changed to air rotary drilling. Air rotary
drilling was selected due to the presence of competent bedrock. In accordance with guidance from the
NCDEQ, since groundwater was not detected in either borehole, the borehole was advanced 10 feet into
competent rock. Once the final borehole had been completed at each well location, a two-inch

Mr. Jonathan Green November 27, 2019
Groundwater Monitoring Well Installation — Elkin NC Pane ?
groundwater monitoring well was constructed in each boring. At this point, the wells were checked for the
presence of groundwater using an electronic water level indicator. Groundwater was not detected in
either well after construction. Boring logs for the respective wells are included in Attachment C.
Both monitoring wells were constructed in accordance with 15A NCAC 02C .0108, with the exception of
the following:
.0108(p) — well development — the wells were not developed due to the absence of groundwater.
.0108(q) — wells associated with underground storage tanks (USTs) — the wells were not installed
for the purpose of monitoring or testing for the presence of liquids associated with one or more
USTs.
.0108(r) - vapor wells associated with USTs — the wells were not installed with the intention of
monitoring vapors.
Well Completion Records (prepared by the well driller) are included in Attachment D. HES notes two
minor corrections to the Well Completion Records as follows:
• For MW-1, the latitude and longitude for the well is presented as 36.27653N and-80.77724W on
the well completion record. The latitude and longitude should be corrected as 36.276719N and
.80.777098W .
• For MW-2, the latitude and longitude for the well is presented as 36.27653N and-80.77724W on
the well completion record. The latitude and longitude should be corrected as 36.276374N and
-80.777863W .
Because the "groundwater table" was not encountered in either well, in accordance with Schedule #3 of
the permit, HES recommends that the wells be properly abandoned. If you concur with this
recommendation, HES will prepare a written request to the NCDEQ petitioning for permission to properly
abandon the wells.
With reference to the applicable technical requirements of 15 NCAC 2L, I certify that the work described
herein has been performed in accordance with industry standards and practices by me, or under my
direct supervision.
Highlands Environmental Solutions, Inc. appreciates to assist Wayne Farms, LLC with this project.
Should you have any questions or require additional information, please feel free to contact me at 919-
848-3155.
Sincerely
Highlands Environmental Solutions, Inc.
Joe eaman, P.G., RSM��
Principal Geologist
Attachments (4)

ATTACHMENT A
F WE

UP
X
Site Location
I
p 6ii.
Yadkin
t 2" River
Approximate Scale
0
510
1020
feet
N
Base diagram from Bing Maps.
Site Location Diagram
Drawing / Project Name
North Spray Field Well Installation
lands
Elkin, NC
l
Client
Wayne Farms, LLC
Solutions, Inc.
[!7j:Environmenta
Project #
485002
DB
JB
PM
JB
Fig.
Scale
Date
PG
PE
As Shown
October 2019
JB

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Approximate Scale
0 1450 1900
feet
T
Base diagram from USGS Topographic Quadrangle; Elkin North;
Elkin, NC; 1994 Topographic Location Dia ram
Drawing / Project Name
North Spray Field Well Installation
ighlands Elkin, NC
nvironmental Client Wayne Farms, LLC
Project # DB PM Fig.
olutions, Inc. 485002 JB JB
Scale Date PG PE 2
As Shown October 2019 JB

ATTACHMENT C

BORING/MONITORING WELL LOG
Well ID: MW-1 Installation
Project #: 485002 Monitored By: AF
Site Location: 10949 NC 268; Elkin, NC Drilling Method: Solid Stem/ Air Rotary below 15'
Driller:
Drilling CSI
Location: North Spray Field Date Installed: 14-Aug-19
BORING LOG Well Log (Type II
Depth (FT.) Description of Lithology Blow in
❑Flush Mount ❑� Stand up
Counts OLocking Well Plug w/Lock
n ❑✓ Concrete Pad
Grout feet
Red Clayey Silt; Dry �p To 3
Casing Range feet
To 15
Red/Orange Silty Clay; Dry O tonite (feet)
3 To 1 13
10 1 Light Brown Silt; Slightly Moist
15 1 I Auger Refusal at 15 feet
220 Bed Rock; Dry
highlands
9-1�Fr�vironmental
Solutions, Inc.
8410-D Falls of Neuse Road, Raleigh, NC 27615
phone:[phone]
and ;:i
Sandy silt%'
Clayey Silt
Clay
PW R/Saprolite
Rock
15
Sand/Gravel Pack ffe
F773 To 25
Screen Ran a (feet
15 to
1 I
Screen Depth
25
Comments
Well dry
Well Construction Material Log
Sand Type
Clean Filter
Casing Material
Sch 40 PVC
Screen Material
Sch 40 PVC
Screen Slot Size
0.010
Driller:
CSI
Driller Cent #:
2579-A

BORING/MONITORING WELL LOG
Well ID: MW-2 Installation
Project #: 485002 Monitored By:
AF
Site Location: 10949 NC 268; Elkin, NC Drilling Method: Solid Stem/Air Rotary below 5'
Driller: CSI
Location: North Spray Field Date Installed:
19
BORING LOG
Well Log (Type II
Depth (FT.)
Description of Lithology
Blow
Counts
Lithology
PID
(ppm)
❑ Flush Mount ❑✓ Stand up
❑� Locking Well Plug w/Lock
❑� Concrete Pad
f% '•r Grout (feet)
r o� To 3
Range (feet)
0 To 5
' Bentonite (feet)
To 3
:r
Casing Depth (feet)
5
Sand/Gravel Pack (feet)
® To 15
Screen Range (feet)
0 to F 15
Screen Depth (feet)
15
Comments
Well dry
Well Construction Material Log
EDNK
10
15
Light Brown, Sandy Silt;
Dry
Auger Refusal at 5 feet
Bed Rock; Dry
Sand Type Clean Filter sand
Casing Material Sch 40 PVC
Screen Material Sch 40 PVC
Screen Slot Size 0.010
Driller: CSI
Driller Cert # 2579-A
Sand
Highlands Sandy silt 00000<01
- Environental 'Clayey Silt
Solutions_, Inc. Clay
8410-D Falls of Neuse Road, Raleigh, NC 27615 PWR/Saprolite
phone:[phone] Rock

ATTACHMENT D

Print Form
For Internal Use
1. Well Contractor Information:
-anie ummers
Well Contractor Name
2579-A
NC Well Contractor Certification Number
Carolina Soil Investigations, LLC
Company Name
2. Well Construction Permit#:
List all applicable well construction permits (i.e. UIC, County, State, Variance, etc.)
3. Well Use (check well use):
Water Supply Well:
El Agricultural
Geothermal (Heating/Cooling Supply)
Industrial/Commercial
Irrigation
[Municipal/Public
Residential Water Supply (single)
®Residential Water Supply (shared)
�Non-Water Supply Well:
[9 Monitoring r-1 Recovery
Aquifer Recharge
Aquifer Storage and Recovery
Aquifer Test
Experimental Technology
Geothermal (Closed Loop)
Geothermal (Heating/Cooling Return)
ElGroundwaterRemediation
Salinity Barrier
Stormwater Drainage
Subsidence Control
0 Tracer
IJ Other (explain under #21 Remarks)
4. Date Well(s) Completed: 08-15-19 Well ID#
5a. Well Location:
Waynes Farms
Facility/Owner Name
10949 NC-268 Elkin, NC
Physical Address, City, and Zip
Surry
County
MW-1
North Spray Field
Facility ID# (ifapplicable)
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one laUlong is sufficient)
36.27653
-80.77724 W
6. Is(are) the well(s):0 Permanent or rl Temporary
7. Is this a repair to an existing well: E] Yes or 0 No
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 farm.
S. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only 1 GW-1 is needed. Indicate TOTAL NUMBER of wells
drilled: 1
9. Total well depth below land surface: 1 @25 (ft.)
For multiple wells list all depths if dierent (example- 3@200' and 2@100')
10. Static water level below top of casing: (ft.)
Ifwaier level is above casing, use •'+"
11. Borehole diameter: 7 (in.)
12. Well construction method: _
(i.e. auger, rotary, cable, direct push, etc.)
auger/air
14. WATER ZONES
FROM
TO DESCRIPTION
15 ft.
25 ft-
15. OUTER CASING for
multi -cased wells OR
LINER if
licable
FROM
To
DIAMETER
THICKNESS
MATERIAL
0 ft.
15 ft-
2 in
sch 40
pvc
16. INNER CASING OR TUBING eothermal
closed -loop)
FROM
TO I DIAMETER
THICKNESS
MATERIAL
ft.
ft. in.
ft.
ft.
in.
17. SCREEN
FROM TO
DLAMETER
SLOT SIZE
THICKNESS
MATERIAL
15 ft. 25 ft-
2 in•
010
sch 40
pvc
fL ft.
in.
18. GROUT
FROM
TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
0 ft•
3 ft-
portland
mix & Pour
3 ft-
13 fL
bentonite
tremie
ft.
ft.
19. SAND/GRAVEL
PACK
if liceble
FROM
TO
MATERIAL
EMPLACEMENT METHOD
13 ft-
25 ft-
10/30 silica sand
tremie
ft.
ft.
LOG isttach additional sheets if necessery
20. DRlLLiNG
FROM
TO
DESCR[PTION(color hardness, soil/rock Type. %:rain size, ete.l
0 ft•
15 ft-
brown silt loam / brown silty clay / saprolite
15 ft.
25 ft-
bedrock
ft.
ft.
fr.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
21. REMARKS
42. Uertutcanon:
Dom_ ,'GaXMZ&d- 08-15-19
Signature of Certified VII Contractor Date
By signing 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.
SUBMITTAL INSTRUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
Division of Water Resources, 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 one copy of this form within 30 days of completion of well
construction to the following:
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 & Iniection 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 Environmental Quality - Division of Water Resources Revised 2-22-2016

Print Form
For Internal Use Only:
1. Well Contractor Information:
---"I -� 0 - -- - -
Dante ummers
Well Contractor Name
NC
NC Well Contractor Certification Number
Carolina Soil Investigations, LLC
14. WATER ZONES
FROM
TO
DESCRIPTION
5 ft.
15 ft-
ft.
ft.
is.OUTER.CASING for
mo14-cased wells OR LINER if
licable
FROM
To
DIAMETER
THICKNESS
MATERIAL
0 fi-
5 ft.
2 ia• I
sch 40
pvc
Company Name
2. Well Construction Permit#:
List all applicable well construction permits (i.e. WC, County, State, Variance, etc.)
3. Well Use (check well use):
16. INNER
CASING OR
INGfacothermal.closed4oam
_
FROM
TO
DIAMETER
THICKNESS
MATERIAL
ft.
ft.
in.
ft.
ft.
in.
Water Supply Well:
Agricultural ®Municipal/Public
Geothermal (Heating/Cooling Supply) 0Residential Water Supply (single)
rl Industrial/Commercial Residential Water Supply (shared)
E] Irrigation
17. BEEN
FROM
TO
DIAMETER
SLOT SIZE
THICKNESS
MATERIAL
5 ft.
15 ft
2 in•
010
sch 40
pvc
ft.
ft.
in.
18. GROUT
FROM
TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
Non -Water Supply Well:
Monitoring Recovery
0 ft.
2 fL
portland
mix & Pour
2 ft.
3 &
bentonite
tremie
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/Coohng Return) Other (explain under #21 Remarks)
ft.
ft.
19. SANDlGRAVEL PACK
if licable
FROM
TO
I MATERIAL
EMPLACEMENT METHOD
3 ft
15 ft•
10130 silica sand
tremie
20. DRILLING LOG I attach additional sbeets if necessary)
Y,'ROM
TO
DESCRIPTION fcolor. hardness, soil/rock re-, .,,rain size, etc.
0 ft
5 ft
brown silt loam / brown silty clay / saprolite
4. Date Well(s) Completed: 08-15-19 Well ID# MW-2
p
Sa. Well Location:
Waynes Farms North Spray Field
Facility/Owner Name Facility ID# (ifapplicable)
10949 NC-268 Elkin, NC
5 ft
15 ft
bedrock
ft.
ft.
ft
Physical Address, City, and Zip
S u rry
County Parcel Identification No. (P1N)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
ft.
ft.
21. REMARKS
One .aa...a.s
12. t erti-iication:
36.27638 N-80.77483 W
eczi21x4 , 08-15-19
6. Is(are) the well(s):91Permanent or 0 Temporary Signature of Certified Contractor Date
By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
7. Is this a repair to an existing well: [3 Yes or X® No with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
If this is a repair, fill out !sown well construction information and explain the nature of the copy of this record has been provided to the well owner.
repair under #21 remarks section or on the back of this form.
23. Site diagram or additional well details:
8. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same You may use the back of this page to provide additional well site details or well
construction, only 1 GW-1 is needed. Indicate TOTAL NUMBER of wells construction details. You may also attach additional pages if necessary.
SUBMITTAL INSTRUCTIONS
9. Total well depth below land surface: 1 @ 15 (ft.)
For multiple wells list all depths if different (example- 3 a 200' and 2@!00') 24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
10. Static water level below top of casing: (ft.)
lfwaler level is above casing, use "+" Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
11. Borehole diameter: 7 (in.)
12. Well construction method: _
(i.e. auger, rotary, cable, direct push, etc.)
auger/ air
24b. For Iniection Wells: In addition to sending the form to the address in 24a
above, also submit one copy of this form within 30 days of completion of well
construction to the following:
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 & Iniection 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-I North Carolina Department of Environmental Quality - Division of Water Resources Revised 2-22-2016