New Hanover_Well Abandonment_20240119 (2)

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAII,S
Frank Beecher 7a.For Geoprobe/DPT or Closed-L lop Geothermal Wells having the same
Well Contractor Name(or well owner personally abandoning well on his/her property) well construction/depth,only 1 GW-30 is needed. indicate TOTAL NUMBER of
3225-A wells abandoned:.-
NC Well Contractor Certification Number 7b.Approximate volume of water reim ining in well(s): 6.49 (gal.)
AECOM Technical Services of North Carolina, Inc. FOR WATER SUPPLY WELLS ONLY:
Company Name
7c.Type of disinfectant used: N/A
2.Well Construction Permit#: ,t�1 y/A ;
List all applicable well construction permits(t.e.UIC,Cawq,State,Variance,etc.)iflotown
7d.Amount of disinfectant used:
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
❑Agricultural ❑Municipal/Public ❑Neat Cement rout.•... .z _ s Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑ Sand Cement Grout-
Clay
❑Industria/Commercial ❑Residential Water Supply(shared) ❑Concrete Grout JA N ❑Drill Cuttings
❑irri ation ❑Specialty Grout 1 9 2024 ❑Gravel
Non-Water Supply Well: ❑ Bentonite�hrrr�r ❑Other(explain under 7g)
e YI'tii1i.�.•il i7rr
❑Monitoring RRecovery � „"W-u 3 ur"I
injection Well: 7f.For each material sEiccicd'atioVe,provide amount of materials used:
❑Aquifer Recharge ❑GroundwaterRemediation Bentonite Chips-126 Ibs
❑Aquifer Storage and Recovery []Salinity Barrier
❑AquiterTest ❑StormwaterDrainage Water-2.0 gallons
❑Experimental Technology ❑Subsidence Control
❑Geothermal(Closed Loop) []Tracer7g.Provide a brief description of the abandonment procedure:
�
Slowly added bentonite chips and ensured there was no bridging
❑Geothermal(Heating/Cooling Return) ❑Other(explain under 7g)
taking place.Then added water to hydrate bentonite chips.
4.Date well(s)abandoned: 10.18.2023 The well was abandoned in accordance with 15A NCAC
5a.Well location: 02C .0113.
River Road Terminal/Kinder Morgan NONCD0001697
Facility/Owner Name Facility iD#(if applicable) S.Certification:
3340 River Road, Wilmington, 28412 `�" 12.16.2023
r
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Dale
New Hanover R06400-001-003-000
By signing this form, 1 hereby certih that the well(s) was(were)abandoned in
County Parcel identification No.(P1M 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.
5b.Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field,one latllong is sufficient) 9.Site diagram or additional well details:
34.1771032 N -77.9519483 `1 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.
CONSTRUCTION DETAILS OF WELL(S)BEING ABANDONED SUBMITTAL INSTRUCTIONS
C
Attach well construction record(s)ifavailable.For multiple injection or non-water supplywells
ONLY with the same constructionlabandonment,you can submit one form.
10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well iD#: RW-26 abandonment to the following:
i•
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 18.60 (ft.) 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For Iniection Wells: in additibn'to sending the form to the address in 10a
6c.Borehole diameter:4.0 (in.) above,also submit one copy of thisiTorm within 30 days of completion of well
abandonment to the following:
8.65 Division of Water Resources,Underground Irground Injection Control Program,
6d.Water level below ground surfacte�:' (ft.) 1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outcr casing length(if known): 'V/A (ft) l Oc.For Water Supply&Iniection WI lls: 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
6L Inner casing/tubing length(if known): N/A (ft.) abandoned.
6g.Screen length(if known): N/A (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources j Revised 2-22-2016
I

f
WELL ABANDONMENT RECORD For internal Use ONLY:
I �
1.Well Contractor Information: WELL ABANDONMENT DETAILS
Frank Beecher 7a.For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same
Well Contractor Name(or well owner personally abandoning well on his/her property) well construction/depth,only i GW-301is needed. indicate TOTAL NUMBER of
3225-A wells abandoned:- �
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): 6•79 (gal.)
AECOM Technical Services of North Carolina, Inc. FOR WATER SUPPLY WELLS ONLY:
11
Company Name
7c.Type of disinfectant used: N/A
2.Well Construction Permit#: N/A
List all applicable well construction permits(i.e.WC,County,Slate,Variance,etc.)if Imo wn
7d.Amount of disinfectant used: N/A
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used-(chec"ll that apply):
k -
❑Agricultural ❑Municipal/Public ❑Neat Cement Grout s' " r�l!J' e-tonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑Sand Cement Grout JAN � tr lh}i'Clay
❑lndustrial/Commercial ❑Residential Water Supply(shared) ❑Concrete Grout 9'20240 Drill cuttings
❑irri ation ❑SpecialtyrM: ❑Gravel
Non-Water Supply Well: ❑ Bentonite Slurry [r�q' y,v (explain g)
�Cl��firer a lain under 7
❑Monitoring RRecovery
injection Well: 7E For each material selected above,provide amount of materials used:
❑Aquifer Recharge ❑GroundwaterRemediation Bentonite Chips-98 Ibs
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑StormwaterDrainage Water-2.0 gallons
❑Experimental Technology ❑Subsidence Control
7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) []Tracer
❑ Slowly added bentonite chips and ensured there was no bridging
Geothermal(Heating(Cooling Return) ❑other(explain under 7g)
taking place. Then added,water to hydrate bentonite chips.
4.Date well(s)abandoned: 10.18.2023 The well was abandoned in accordance with 15A NCAC
5a.Well location: 02C .0113.
River Road Terminal/Kinder Morgan NONCD0001697
Facility/Owner Name Facility iDff(if applicable) 8.Certification: --�
3340 River Road, Wilmington, 28412 12.16.2023
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
New Hanover R06400-001-003-000 By signing this form, I hereby certrjy that the well(s) was(were)abandoned in
County Parcel identification No.(PIN) accordance with 15A NCAC 02C.0,100 or 1C.0200 Well Construction Standards
56.Latitude and longitude in degrees/minutes/seconds or decimal degrees: and that a copy of this record has been provided to the well owner.
(if well field,one Wong is sufficient) 9.Site diagram or additional well details:
34.1770186 N -77.9514423 W 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.
CONSTRUCTION DETAILS OF WELL(S)BEING ABANDONED SUBMITTAL INSTRUCTIONS
Attach well construction record(v)ifavailable.Formultiple injection ornan-water supply wells
ONLY with the same constructionlabandonment,you can submit ane form.
10a. For All Wells: Submit this;form within 30 days of completion of well
6a.Well iD#• RW-25 abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 15.45 (ft-) 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For infection Wells: in addition to sending the form to the address in 10a
6c.Borehole diameter•4.0 (in.) above, also submit one copy of this form within 30 days of completion of well
abandonment to the following: I
6d.Water level below ground surface:
5.10 Division of Water Resources,Underground Injection Control Program,
(ft.)
1636 Mail Service Center,Raleigh,NC 27699-1636
ii
6e.Outer casing length(if known): N/A (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 completion
of well abandonment to the county health department of the county where
6E Inner casing/tubing length(if known): N/A (ft.) abandoned.
I
6g.Screen length(if known): N/A 00
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016
I

11
WELL ABANDONMENT RECORD For Internal Use ONLY:
i
1.Well Contractor Information: WELL ABANDONMENT DETAILIS
Frank Beecher 7a.For Geoprobe/DPT or Closed-Loo I Geothermal Wells having the same
Well Contractor Name(or well owner personally abandoning well on his/her property) well construction/depth,only I GW-30 is needed. Indicate TOTAL NUMBER of
wells abandoned:m" I
3225-A � G
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): 6 30 (gal.)
I '
AECOM Technical Services of North Carolina, Inc. FOR WATER SUPPLY WELLS ONLY:
Company Name
7c.Type of disinfectant used: N/A
2.Well Construction Permit#: N/A '
List all applicable well consouctioupermits(i.e.WC,County,State,Variance,etc.)iflmown
7d.Amount of disinfectant used:
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all'that apply):
❑Agricultural ❑Municipal/Public ❑Neat Cement Grout,.,,, i, S Bentonite Chips or Pellets
❑Geothermal(HeatinglCooling Supply) ❑Residential Water SuPPIY(single) ❑Sand Cement G ro
..PPry CC lauy
❑lndustrial/Commercial oResidential Water Supply(shared) ❑Concrete Grout
❑irri ation ❑ Specialty Grout JRN tt ings
� 9"��Z�Gravel
l
Non-Water Supply Well: ❑ Bentonite Slurfys,r_r Other(explain under 7g)
❑Monitoring eRewvery �:• �;-�.,�,., ;
Injection Well: 7f.For each material selc tLia aTldy6ir�MgQunt of materials used:
❑Aquifer Recharge ❑GroundwaterRemediation Bentonite Chips-190
❑Aquifer Storage and Recovery []Salinity Barrier
gallons
g
❑Aquiter Test ❑Stonnwater Drainage Water-2. +
❑Experimental Technology ❑Subsidence Control
7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer '
❑Geothermal(Heating/Cooling Return) ❑Other(explain under 7g) Slowly added bentonite chips and ensured there was no bridging
taking place. Then added water to hydrate bentonite chips.
4.Date well(s)abandoned: 10.18.2023 The well was abandoned in accordance with 15A NCAC
5a.Well location: 02C .0113.
River Road Terminall Kinder Morgan NONCD0001697
Facility/Owner Name Facility ID#(if applicable) S.Certification:
3340 River Road, Wilmington, 28412 �- `�`� 12.16.2023
Physical Address,City,and Zip Signature of Certified Well Contractor or Well,Owner Date
New Hanover R06400-001-003-000
By signing this form, 1 hereby certify that the well(s) was(were)abandoned in
County Parcel Identification No.(PrN) accordance with 15A NCAC 02C.0100 or 2C.0200 Well Construction Standards
Sb.Latitude and longitude in degrees/minutes/seconds or decimal degrees: and that a copy of this record has beenprovided to the well owner.
(if well field,one lattlong is sufficient) 9.Site diagram or additional well details:
34.1753887 N -77.9510994 W 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.
CONSTRUCTION DETAILS OF WELL(S)BEING ABANDONED SUBMITTAL INSTRUCTIONS
Attach well construction record(s)ifavailable.rormultiple injection ornon-watersupplywells
ONLY with the same construction/abandonment,you can submit onefonn. 10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#• RW-24 abandonment to the following: j
I
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 28.0 (ft.) 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For iniection Wells: in addition to sending the form to the address in 10a
6c.Borehole diameter:.4.0 (in.) above,also submit one copy of this i'form within 30 days of completion of well
abandonment to the following: j
19.92 Division of Water Unde ater Resources, rground Injection Control Program,
6d.Water level below ground surface: (ft.) ,
1636 Mail Service Cente, r,Raleigh,NC 27699-1636
I !
fN/A 10c.For Water Supply&iniection Wells: In addition to sending the form to the
Ge.Outer casing length(if known): (t.) address(es)above,also submit one copylof this form within 30 days of completion
of well abandonment to the county health department of the county where
611 Inner casing/tubing length(if known): N/A (ft.) abandoned.
6g.Screen length(if known): N/A (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016