Craven_Well Abandonment_20240403 (18)

WELL ABANDONMENT RECORD For Internal Use ONLY:
This form can be used for single or multiple wells
1.Well Contractor Information: WELL ABANDONMENT DETAILS
r „
William J. Miller 7a.Number ofwells being�abandoned: N/A
Well Contractor Name(or well owner personally abandoning well on his/her property) For mulliple injection or non-water supply wells ONLY with the same
constrectionlabandonment,you can submit one form.
2927A
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): N/A (gal.)
CATLIN Engineers and Scientists FOR WATER SUPPLY WELLS ONLY:
Company Name 7c.Type of disinfectant used: N/A
2.Well Construction Permit#: N/A
List all applicable well pennies(i.e.County,State,Variance,Injection,etc.)ifknown 7d.Amount of disinfectant used: N/A
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
❑Agricultural ❑MunicipaUPublic ❑Neat Cement Grout ®Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑Sand Cement Grout ❑Dry Clay
❑Industrial/Commercial ❑Residential Water Supply(shared) ❑Concrete Grout ❑Drill Cuttings
❑Irrigation ❑Specialty Grout ❑Gravel
Non-Water Supply Well: ❑Bentonite Slurry ❑Other(explain under 7g)
■Monitoring ❑Recovery
Injection Well: 7E For each material selected above,provide amount of materials used:
❑Aquifer Recharge ❑Groundwater Remediation Bentonite Pellets +/-5 lbs.
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage
❑Experimental Technology ❑Subsidence Control
❑Geothermal(Closed Loop) ❑Tracer 7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Heating/Cooling Return) ❑Other(explain under 7g) All well materials removed from boring then backfilled
with bentonite pellets for +/- 0.5 feet below land surface
4.Date well(s)abandoned: 12/19/2023 then concrete to surface.
5a.Well Location:
PIE-PS
Facility/Owner Name FacilitylD#(ifapplicable) g•Certification:
PIT 4, Havelock, NC 28532 January22.2024
Physical Address,City,and Zip Signature of Certified Well.36mractor or Well Owner Date
CRAVEN By signing this fornt I hereby certify that the well(s)was(were)abandoned in
County Parcel Identification No.(PIN) accordance ivith 15A NCAC 02C.0100 or 2C 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 latflong is sufficient) 9.Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
34.90812431 N -76.88948629 W
abandonment details. You may also attach additional pages ifnecessary.
CONSTRUCTION DETAILS OF WELL(S)BEING ABANDONED SUBMITTAL INSTRUCTIONS
Attach well construction records)ifavailable. For multiple injection or non-water supply
well ONLY with the same construction abandonment,you can submit onefornt 10a.For All Wells:' Submit this form within 30 days of completion of well
6a.Well ID#• P4-TW36 r i"'_ '' , abandonment to the following:
-----------------
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 13.8 (ft.) APR 0 v 2024 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For Iniection Wells: In addition to sending the form to the address in
In;o•-or a4len 10a above,also submit one copy ofthis form within 30 days of completion
6c.Borehole diameter: 2(in.) ofwell abandonment to the following:
6d.Water level below ground surface: 6 (ft.) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): N/A 10c.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
completion of well abandonment to the county health department of the
6E Inner casing/tubing length(if known): 3.8 (ft.) county where abandoned.
6g.Screen length(if known): 10(ft.) J
\2023\223060-PIE-PS-CHERRY POINT-DELINEATION,WELL INSTALL ABANDONMENT AND INJECTION PROJECTS\PIT 4-PHASE II LNAPL DELINEATIONMFIELD ITEMS\223060_P1T4_CHERRYPOINT.GPJ
Adapted from NCDENR-DWR Form GW-30 North Carolina Department of Environment and Natural Resources-Division of Water Resources Revised August 2013
1

ENVIRONMENTAL,CIVIL
GEOTECHNICAL CATLIN
WELL LOGUtfilrring[cn,Raleigh.Washington,
Charleston Engineers and Scientists
zzsoso lMlnington,NC SHEET 1 OF 1
PROJECT NO.: 223060 STATE: NC COUNTY: CRAVEN LOCATION: Havelock
PROJECT: PIT 4 - PIT 5 area aboard MCAS Cherry LOGGED BY: Ashley Jessen WELL ID:
Point DRILLER: Austin Fowler P4-TW36
NORTHING: 428218 1 EASTING: 2632690 CREW: S. Chasteen
SYSTEM: NCSP NAD 83 USft DRILL MACHINE: Power Probe' T.O.C.ELEV.: 23.35
VERT.DATUM: NAVD88 USft METHOD: DPT 0 HOUR DTW: 10.5 TOTAL DEPTH: 16.0
START DATE: 11/30/23 END DATE: 11/30/23 24 HOUR DTW: 10.2 WELL DEPTH: 13.8
DEPTH BLOW COUNT OVA LAB o o SOIL AND ROCK WELL
0.5ft 0.5ft 0.5ft 0.5ft (PPM) s c DEPTH DESCRIPTION ELEVATION DETAIL
0.0 Land Surface 23.4 0.0
CONCRETE 0.0
1.0 1.0 22.4 _
Direct Push 23.3 M (SM)-Reddish brown to gray,Silty,v.f.to f.SAND a _
2.0 w/trace gravel. No HCO 21.4 -
2•0 CONCRETE??? CD
-
t
U
Direct (SM)-Gray to tan,Silty,v.f.to f.SAND,mottled with
Push 61.2 M reddish brown streaks. No HCO
4.0 4.0----------------=------ 19.4
3.8
(SP)-Tan to gray,f.to m.f.SAND,w/minor clay lenses. -
_
Direct No HCO
M
Push -
6.0 6.0 17.4
SAA
Direct Push 84.4 M
-
8.0 8.0----------------------- 15.4 _
(SP)-Gray,f.to m.f.SAND,w/minor gray clay lenses. b d
Direct Strong HCO o ov _
Push 377.9 W t
U
U,
10.0 10.0 13.4 _
SAA
Direct Push 369.1 W
12.0 12.0 11.4
SAA -
Direct Push 268 4 W
14.0 14.0 9.4
13.8
i SAA --
Direct Push 435 W
16.0 16.0 7.4 16.0
BORING TERMINATED AT ELEVATION 7.4 ft
i
Stratigraphy color(LOG)represents inferred stratum
permeability as follows:
■ VERY LOW MEDIUM VERY HIGH
■ LOW HIGH l
Native Backfill
I .

i
WELL ABANDONMENT RECORD For Internal Use ONLY:
This form can be used for single or multiple wells
1.Well Contractor Information: WELL ABANDONMENT DETAILS
William J. Miller 7a.Number of wells being'abandoned: N/A
Well Contractor Name(or well owner personally abandoning well on his/her property) For tnulliple nyccnon or non-seater supply wells ONLY with the saute
constructionlabandonnhenl,you can submit one form.
2927A j
NC Well Contractor Certification Number
7b.Approximate volume of water remaining in well(s): N/A al.
CATLIN Engineers and Scientists FOR WATER SUPPLY WELLS ONLY:
Company Name 7c.Type of disinfectant used: N/A
2.Well Construction Permit#: N/A
List all applicable well permits(i.e.County,State,Variance,bjectimh,etc.)ifknown 7d.Amount of disinfectant used: N/A
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
❑Agricultural ❑Municipal/Public ❑Neat Cement Grout 0Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑Sand Cement Grout ❑Dry Clay
❑Industrial/Commercial ❑Residential Water Supply(shared) ❑Concrete Grout ❑Drill Cuttings
❑Irrigation ❑Specialty Grout ❑Gravel
Non-Water Supply Well: ❑Bentonite Slurry ❑Other(explain under 7g)
■Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge ❑Groundwater Remediation Bentonite Pellets +/-5 lbs.
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage
❑Experimental Technology ❑Subsidence Control
❑Geothermal(Closed Loop) ❑Tracer 7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Heating/Cooling Return) ❑Other(explain under 7g) All well materials removed from boring then backfilled
with bentonite pellets for +/- 0.5 feet below land surface
4.Date well(s)abandoned:' 12/19/2023 then concrete to surface.
5a.Well Location:
PIE-PS
Facility/Owner Name Facility lD#(if applicable) $•Certification:
PIT 4, Havelock, NC 28532 `"-:�' January 22,2024
Physical Address,City,and Zip Signature of Certified We11,06ntractor or Well Owner Date
CRAVEN By signing this form I hereby certij5h that the tvell(s)was(were)abandoned in
County Parcel Identification No.(PIN) accordance with 15A NCAC 02C.0100 or 2C 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 latAong is sufficient) 9.Site diagram or additional well details:
34.90880095 N -76.89065238 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)if available. For multiple injection or non-water supply
well ONLYwith the same construction abandonment,you can submit one form 10a.For All Wells• Submit this form within 30 days of completion of well
6a.Well ID#: P4-TW35 ,--�. »_. --^.w�a*���^;-"
abandonment to the following:
X�"i'`r 4"t' S Division of Water Resources,Information Processing Unit,
6b.Total well depth: 15 (ft.) APR 0 u 2024 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For Infection Wells: In addition to sending the form to the address in
6c.Borehole diameter: 2 (in.) U&K I Oa above,also submit one copy of this form within 30 days of completion
rj{f f0s-gip of well abandonment to the following:
6d.Water level below ground surface: 6.5(ft.) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): N/A 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
6f.Inner casing/tubing length(if known): 5(ft.) county where abandoned.
6g.Screen length(if known): 10(ft.)
\2023\223060-PIE-PS-CHERRY POINT-DELINEATION,WELL INSTALL_ABANDONMENT AND INJECTION PROJECTS\PIT 4-PHASE II LNAPL DELINEATIONWIELD ITEMS\223060_PIT4_CHERRYPOINT.GPJ
Adapted from NCDENR-DWR Form GW-30 North Carolina Department of Envimttment and Natural Resources-Division of Water Resources Revised August 2013

ENVIRONMENTAL,CIVIL
GEOTECHNICAL WELL LOGUfO P�"1T '(Nnington,Raleigh,Washington, j j1j1�
Charleston Engineers and Scientists
z2soso SHEET 1 OF 1
Wilrtington,NC
PROJECT NO.: 223060 STATE: NC COUNTY: CRAVEN LOCATION: Havelock
PROJECT: PIT 4 - PIT 5 area aboard MCAS Cherry LOGGED BY: Ash le Jessen WELL ID:
Point DRILLER: Austin Fowler P4-TW35
NORTHING: 428457 1 EASTING: 2632336 CREW: S: Chasteen
SYSTEM: NCSP NAD 83 USft DRILL MACHINE: Power Probe T.O.C.ELEV.: 23.83
VERT.DATUM: NAVD88 USft METHOD: DPT 0 HOUR DTW: 10.9 1 TOTAL DEPTH: 16.0
START DATE: 11/29/23 END DATE: 11/29/23 124 HOUR DTW: 12.3 1 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 ELEVATION DETAIL
0.0 Land Surface 23.8 0.0
CONCRETE 0.0 -
1.0 1.0 22.8
Direct (SM)-Dark brown to tan,Silty 0.SAND,with trace _
Push 22.1 M 2 0 gravel. No HCO -
2.0 ------------------------21.8 > -
(SM)-Brown to tan,Silty,v.f.to f.SAND. No HCO
Direct 28.9 M C
Push
4.0
4.0 19.8
SAA
Direct Push 35.0 M 5.0
"
6.0 6.0----------------------- 17.8
(SM)-Tan,Silty,0.to f.SAND,wlminor clay lenses.
Direct No HCO _
Push 27.3 M -
8.0
8.0 15.8 _
SAA
Direct Push 27 2 M -
-
o j
10.0 13.8 o a _
10.0
SAA
c
Direct Push 26.8 M -
12.0 12.0 11.8 _
SAA _
Direct Push 341.7 M -
14.0 14.0 9.8
SAA
Direct Push 101.4 M 1s.o
16.0 16.0 7.8 16.0
CL BORING TERMINATED AT ELEVATION 7.8 ft
It
Stratigraphy color(LOG)represents inferred stratum
permeability as follows: 1 .
■ VERY LOW a:_ MEDIUM VERY HIGH
■ LOW HIGH
Native Backfill
I '

i
WELL ABANDONMENT RECORD For Internal Use ONLY:
This form can be used for single or multiple wells
1.Well Contractor Information: WELL ABANDONMENT DETAILS
William J. Miller 7a.Number of wells being abandoned: N/A
Well Contractor Name(or well owner personally abandoning well on his/her property) For multiple hyection or non-hater supply hells ONLY frith the same
construction/abandonment,you con subunit one form.
2927A
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): N/A (gal.)
CATLIN Engineers and Scientists FOR WATER SUPPLY WELLS ONLY:
Company Name 7c.Type of disinfectant used: N/A
2.Well Construction Permit#: N/A
List all applicable well permits(i.e.County,Stare,Kariance,Injection,etc.)ifknmrn 7d.Amount of disinfectant used: N/A
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
❑Agricultural ❑Municipal/Public ❑Neat Cement Grout ®Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑Sand Cement Grout ❑Dry Clay
❑IndustriaUCommercial ❑Residential Water Supply(shared) ❑Concrete Grout ❑Drill Cuttings
❑Irrigation ❑Specialty Grout ❑Gravel
Non-Water Supply Well: ❑Bentonite Slurry ❑Other(explain under 7g)
■Monitoring ❑Recovery
Injection Well: 711 For each material selected above,provide amount of materials used:
❑Aquifer Recharge ❑Groundwater Remediation Bentonite Pellets +/-5 lbs.
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage
❑Experimental Technology ❑Subsidence Control
❑Geothermal(Closed Loop) El Tracer 7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Heating/Cooling Return) ❑Other(explain under 7g) All well materials removed from boring then backfilled
with bentonite pellets for +/- 0.5 feet below land surface
4.Date well(s)abandoned: 12/19/2023 then concrete to surface.
5a.Well Location:
PIE-PS
Facility/Owner Name Facility ID#(if applicable) S•Certification:
�Y
PIT 4,Havelock, NC 28532 •--"s'`"-�-"- Janua 22.2024
Physical Address,City,and Zip Signature of Certified Well:Ebntractor or Well Owner Date
CRAVEN By signing this form I hereby cert fy that the well(s)was(were)abandoned in
County Parcel Identification No.(PIN) accordance ivilh 1 SA NCAC 02C.0100 or 2C 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 latAong is sufficient) 9.Site diagram or additional well details:
34.90865177 N -76.89048616 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 records)if avatlable. For multiple iuy'ection or non-water supply
well ONLY with thesaune construction abandonment,you can submit o»eform _ 10a.For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#: P4-TW34 ", — ' ' '�1. 1 a abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 15 (ft.) OR 0 ;; 20A 1617 Mail Service Center,Raleigh,NC 27699-1617
to -ra;c�ar r..i `sJ U,rt 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
6c.Borehole diameter: 2(in.) of well abandonment to the following:
6d.Water level below ground surface: 9(ft.) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): N/A loc.For Water Suanly&Iniection 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
6f.Inner casing/tubing length(if known): 5 (ft.) county where abandoned.
6g.Screen length(if known): 10 (ft.)
\2023\223060-PIE-PS-CHERRY POINT-DELINEATION,WELL INSTALL ABANDONMENT AND INJECTION PROJECTS\PIT 4-PHASE II LNAPL DELINEATION�FIELD ITEMS�223060_PIT4_CHERRYPOINT.GPJ
Adapted from NCDENR-DWR Form GW-30 North Carolina Department of Environment and Natural Resources-Division of Water Resources Revised August 2013
I �

ENVIRONMENTAL,CIVIL AOIN
G,EOTECHNICAL
Wlrrington,Raleigh.Washington, UATLIN
Charleston Engineers and scientists
WELL LOG 223060
Wlnington,NC SHEET 1 OF 1
PROJECT NO.: 223060 STATE: NC I COUNTY: CRAVEN LOCATION: Havelock
PROJECT: PIT 4 - PIT 5 area aboard MCAS Cherry LOGGED BY: Ashl ey Jessen WELL ID:
Point DRILLER: Austin Fowler P4-TW34
NORTHING: 428404 EASTING: 2632387 CREW: S.t Chasteen
SYSTEM: NCSP NAD 83 USft DRILL MACHINE: Power Probe T.O.C.ELEV.: 23.77
VERT.DATUM: NAVD88 USft METHOD: DPT 0 HOUR DTW: 13.6 TOTAL DEPTH: 16.0
START DATE: 11/29/23 END DATE: 11/29/23 24 HOUR DTW: 13.1 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 ELEVATION DETAIL
0.0 Land Surface 23.8 0.0
CONCRETE 0.0
1.0 1.0 22.8 -
Direct Push 4.9 M (SM)-Gray,beige,brown,Silty,f.to m.f.SAND,w/trace _
2.0 gravel. No HCO 21 8 > -
2.0 ------------------------ -
(SM)-Dark brown,Silty,v.f.to f.SAND. No HCO a
Direct Push 12.6 M
"
4.0 4.0 19.8
SAA
Direct Push 18.3 M 5.0 -
6.0 6.0------------------ ------ 17.8
(SM)-Light gray,Silty,v.f.to f.SAND. No HCO
Direct Push 21.4 M
8.0 8.0 15.8 _
SAA
Direct Push 90.1 M
-
10.0 13.8
10.0
SAA
Direct Push 259.9 M
12.0 12.0 11.8 _
(SP)-Gray,0.to f.SAND.Strong HCO'
Direct Push 295.9 M
14.0 1a.o 9.8
SAA
Direct 115.3 M 16.0
Push
16.0 16.0 7.8 16.0
BORING TERMINATED AT ELEVATION 7.8 ft
LL
Stratigraphy color(LOG)represents inferred stratum
permeability as follows: i
■ VERY LOW M MEDIUM VERY HIGH
■ LOW E] HIGH
Native Backfill
i