3405_Forsyth_RJReynolds_Indus_PiezometerAbandonment_FID1386727_20191219

ERM ERM, NC, Inc. Telephone: [phone]
300 West Summit Avenue Fax: [phone]
Suite 330 www.erm.com
Charlotte, NC 28203
December 19, 2019
North Carolina Department of Environmental Quality
Division of Waste Management
1646 Mail Service Center
Raleigh, North Carolina 27699-1646
Attention: Ms. Jaclynne Drummond
[e-mail]
Via Email
Subject: Piezometer Abandonments — Off -Site
Permit #34-05 - Edwards Road Landfill
Edwards Road
Rural Hall, Forsyth County, North Carolina
Dear Ms. Drummond:
On behalf of R.J. Reynolds Tobacco Company (RJRT), ERM NC, Inc. (ERM) is submitting
documentation of abandonment for off -site piezometers associated with the subject property. Four
piezometers were installed in1993 on property owned or leased by RJRT as part of a
hydrogeological study of the Site and surrounding area. The properties have since been divested or
leases terminated and RJRT no longer controls the property. The piezometers have not been utilized
as part of routine water sampling. Figure 1 depicts the approximate piezometer locations.
Piezometers B-9 and B-14 were abandoned in accordance with 15A NCAC 2C - Well Construction
Standards on December 12, 2019. Piezometer B-9 was located on the Lipka (formerly Boyd,
formerly RJRT) property within the overhead power right-of-way maintained by Duke Energy and
piezometer B-14 was located on the Hawks property. Well Abandonment Records for these
piezometers were submitted to the NCDEQ Division of Water Resources and copies are enclosed.
Efforts to locate piezometers B-10 and B-11 on the Lipka property were unsuccessful after
vegetation clearance. It is possible B-10 was previously destroyed during right-of-way maintenance
by Duke Energy. Additionally, B-11 may have been destroyed during previous land clearing activities
by the property owner. No evidence of B-10 or B-11 was observed and these piezometers are
considered to have been destroyed.
Please contact Mr. Scott Snow of R.J. Reynolds Tobacco Company at 336-741-2236 or me if you
have any questions or comments.
Sincerely,
AanMaffin P.G.
Project Manager
Attachments:
cc: Mr. Scott Snow - R.J. Reynolds Tobacco Company
I
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SS-80
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SS-70 PZ-4 PZ-2
VI
-5 -
SS-40
.'u . I I
apparently destroyed during —
right -of -way
_ 100o maintenancey2 _
Piezometer B-9--•-
abandoned by Duke Energy. !� —� w 1
N December 2019 R• J• lPWV
�� Guthrie
- Reynolds Q ,
W-6 i
B-5 � Sprihkle
♦ ♦ W-3 �eR
OL B-9 �_ g 10 ; r B_8 . (/ W-3B .
-t�
B-7 SS-01 .4.
me 113-12+ Phipps
W 4 B711 SS-20 Ol-SS-25Now
o0�ri SS-30 Phipps
10 (formerly Boyd VV_5
Q
-- mod' B-11 not located and' B-14 �: Ken Stewart
r possibly destroyed during Piezometer B-14
Z previous land clearing abandoned -
r 000� activities by praert owner. SS-10 December 2019 Ken
;10po ..:,�I o -•.� ,. Don Stewart
Y '
0
+- I� Hawks Dave
9
Stewart
1000 -1Do71
n Don Stewart
Freedom
10. U
Baptist Mozelle
o > Church Stewart
Freedom
s x Baptist
Church
•
Legend
' Saprolite/PWR Monitor Well
s
;7 Bedrock Monitor Well
O Abandoned Monitor Well
SS-90 zC Piezometer
0 Soil Boring/Piezometer
5;
s a� .• `. ?liiii[ Soil Boring
Surface Water Sample Location
e
As -Built Landfill Contours (20')
Payne Compliance Boundary
I- -1 Limits of Permit
Streams
Parcels
BOG Notes
C Payne 1. Contour interval is 20-ft.
�' t2. Limits of landfill are approximate based on
Freeman G� r available historic data.
3. Streams estimated based on NC Floodplain
J Mapping Program, 2008
d
Frierson �.-
e
Wagner
INS d
Kleitchens
van
1000 0
.�
n m Sao RURAL-NA<<'GERMgNTpN
0 300 600 900 s: RD
J Feet p goo g0p
1Source: NCOnelvap Data Services (Imagery, parcels), Forsyth County CIS Data Download (Streets, buildings)
900
/W
W
10
U
900
r
✓�,
1:7,200 1 inch = 600 feet
Figure 1
Site Area Map
Edwards Road Landfill
Permit #34-05
R.J. Reynolds Tobacco Co.
Rural Hall, North Carolina
ERM NC, Inc. kb
www.erm.com ERM

WELL ABANDONMENT RECORD
1. Well Contractor Information:
Alan Duke
Well Contractor Name (or well Owner personally abandoning well on hisfher property]
3334-A
NC Well Contractor Certification Number
ERM NC
Company Name
2. Well Construction Permit #:
Lixt all applicable µ+ell rowterection permits (Le. UIC, County, State, Variance, etc.) if+6rowrt
3. Well use (check well use):
Water Supply Well;
❑Agricultural
❑MunicipailPublic
❑Geothermal (Heating/Cooling Supply)
❑Residential Water Supply (single)
❑lndustriaKommercial
❑Residential Water Supply (shared)
❑]rri ation
Non -Water Supply Well.
111 Monitoring
❑Recovery
Injection well:
❑Aquifer Recharge
❑Groundwater Remediation
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Tcst
❑Storrnwater Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
UTracer
❑Geothermal (Heating/Cooling Return)
❑Other (explain under 7
4. Date well(s) abandoned:
12-12-19
Sa. Well location:
R.J. Reynolds Tohaco Company 34-05
Fac i litylo w ucr Name Facility 1Dti (ifapp]icable)
Edwards Rd Rural Hall
Physical Address, City, and Zip
Forsyth
County
6921-11-5209.00
Parcel Idcuii flea Lion No. (PIN)
5b. Latitude and longitude in degrees/min uteslseconds or decimal degrees:
(if well field, one let/long is sufficient)
-80.2842046310537 N 36.2481977719624
For Internal Uw ONLY:
WFI.L ABANDONMENT DFTAILS
Ia. For GeoprobelDPT or Closed -Loup Geothermal Wells baving the same
well constntctionldepth, only I GW-30 is needed. Indicate TOTAL NIJMBFR of
wells abandoned:
7b. Approximate volume of water remaining in well(s)-
FOR WATER SUPPLY WELLS ONLY:
7c. Type of d€sinfectant used:
7d. Amon at of disinfectant used:
7e. Sealing materials used (check all that apply):
III Neat Cement Grout n Sentonite Chips or Pellets
❑ Sand Cement Grout
❑ Concrete Grout
❑ Specialty Grout
❑ Bentonite Slurry
El Dry Clay
❑ Drill Cuttings
❑ Gravel
El Other (explain under 7g)
7f. For each material selected above, provide amount of materials used:
40.00lbs 2.2gal
7g. Provide a brief description of the abandonment procedure:
Treimed Neat Portland cement in with PVC
piping bottom to top
S. Certifi on
12-12-19
si ofCenifled Wei Contractor or Well Owner Date
By signing this form, 1 hereby certify that the ivell(s) was (were) abandoned in
accordance with 1 Sid N(-4C 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:
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 DETAILy QF WELL(S) BEING ABANDONED
Attach welt construction record(s) ifa wr[lable. For mrelriple itdection or non -water snppix µAir
ONLY wish the same caastruc1101t4abaudonment, you can submit vne form,
6a. Well lD#. 13--9
fib. Total well depth: 23 {ft )
6C. Borehole diameter: 6 (in.)
6d. Water level below ground surface: IN
6e. Outer casing length (if known): 18 (ft.)
6f. Inner casingltubing length (i( known): (rt_)
6g. Screen length (if knowny 5 (B,)
SUBMITTAL INSTRUCTIONS
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Resni rem Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
Illb. For Iniection Wells: in addition to sending the form to the address in IOa
above, a]so submit one copy of this form within 34 days of completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Mall Service Center, Raleigh, NC 27699-1636
loc. For Water Su 1 kr 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.
Form C�W-3a North Carolina Department of Environmental Quality - Division of Water Resources Revised 2-22-2016

BORLNG LUG
M -Z GEO-ENVIRONMENTAL
CONSULTANTS, INC.
Rc ortNo.: 93011 L
cheat; R. J. Re ttoIds Tobacco CompazYy --� -
❑ATE: Jurie 8, 1993
Pro ec1_ttR. J. Reynolds -Coal Ash �Management�rea Fors +tfte Cat3n[ys
Basing No.: B-9 (I of I) l7 th 23.0' EIov: 963 r �� � I Location: See Drawings
5
Type of Boring: Hollow Stem A. er. Startcd: 5120/93 co7�in
ZDriller: Ron Brawn
Elevation Depth
DESCRIPTION OF MATEPIALS ple wV WELL
{ClussiGcation} rtth {PFi4i) LOG
Stiff, brown and red clayey-SI1 i witlilittle - .� -- -"
Mica, trace weathered rack fragments, damp
51719
958.0 5.0
Very stiff, brown and red, sandy SILT with 2/dll4
little mica, moist (,y11)
953.0 10.0
949.0 1 "0
940.0 :! 23.0
�hlumber o Mows req
sum of the last two ime
Very stiff, brown sandy SIILT with trace of 13 51t21
mica and weathered rock fragtttenis, moist 5/12/.
(ML)
Very dense, brawn micaceous silty SAND, .
moist (SM)
I
REFUSAL @ 23.0 l~EET. -�
NOTE. Groundwater encowttered 0 16,8
feet 24 hours after completion of drilling.
dfofor a 140 lb hammer droppia
cents of penetration is termed the standard penetration resista,tce, N.
2.3
3.8
5.0
6.51
10.0 f
11.5
15.6 i
16.1
I an Pack
1 I
20.0
20.5
1
jf
I
R
I
a
f l a inches in three 6" incremants. The
REMARKS
� 1i
1h
Cuttings (0.15')
.-
1
r1,
j110
J
�• scn do
.�
PVC
Casing {0• IS'}
11�
11�
B3 WOnite f 15-16')
_.. 2" 5ch 30 PVC
� .' SGrc.:n .01' Slot

WELL ABANDONMENT RECORD
I. WelI Contractor Information. -
Alan Duke
W cli Contractor Name (or well owner personally abandoning well on histher property)
3334-A
NC Wei CcntractorCertification Number
ERM NC
Company Name
2. Well Construction Permit #:
List all applicable %ell construction permits rl.e. UIC. Caurt(v. state. Variance• etc.);f tna,w,
3. Well use (check well use):
Water Supply Well:
17Agriculturai
❑MunicipailPublic
❑Geothermal (HeatinglCoohng Supply)
❑Residentia.l Water Supply (single)
❑Industrial/Commercia]
❑Residential Water Supply (shared)
❑ Irri ation
Non -Water Supply Well:
ffil Monitoring
❑Recovery
Injection Well:
❑Aquifer Recharge
❑Groundwater Remediation
❑Aquifer Storage and Recovery
09alinity Barrier
❑Aquifer Test
OStormwater Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
❑Tracer
❑Geotbermal (Ileatin Coolin Return)
❑Other (explain under 7g)
4. Date well(s) abandoned: 1 2-12-19
58. Well location:
R.J. Reynolds Tobaco Company
Facility/Owner Name
Edwards Rd Rural Hall
Physical Address, City, and Zip
Forsyth
County
34-05
Facility IM (if applicable)
6921-20-5455.00
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/secands or decimal degrees:
(iFWei I fiotd, anc Inillong is sufficient)
_80.281886376893 N 36.2461298948233 W
CONSTRUCTION DETAILS OF WELL(S) BEING ABANDONED
Attach well consemction records) ifavailable. Farmultiple injection or non-rarersnpp(v tells
ONLY with the same con.siructionlabandonment, you can submit one farm.
6a. Well 1D#: B-14
6b. Total well depth: 54 (f(.)
6c. Borehole diameter: 6 (in.)
6d. Water level below ground surface: (fW
6e. fluter casing length (if known): 48 (ft.)
6f. Inner casing/tubing length (if known)- (ft.)
6g. Screen length (if known): 5 [ft.)
For Internal Use ONLY:
WELL ABA3YDONMENT DETAILS
7a. For GeoprobelDPT or Closed -Loop Geothermal Wells having the same
welt construc6cmn depth, only 1 OW-30 is needed. Indicate TOTAL NUMBER of
wells abandoned:
76. 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 aIt that apply)-
N Ncat Cement Grout ❑ Bentonite Chips or Peliets
❑ Sand Cement Grout
❑ Concrete Grout
❑ spocialty Grout
❑ Bentonite Slurry
❑ Dry Clay
❑ Drill Cuttings
❑ Gravel
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of materials used:
81.00lbs 4.6gal
7g. Provide a brief description of the abandonment procedure:
Treimed Neat Portland cement in with PVC
piping bottom to top
s. c�12-12-19
19113tllfe of Certified Well Contractor or Well Owner Date
By signing 1his fonn, I hereby cerlify that the well(s) was (were) abandoned in
accordance with 1 SA 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.
SUR TTAL INSTRUCTIONS
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the fallowing:
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 weli
abandonment to the following:
Division of Water Resources. Underground Injection Control Program,
1636 Mall Service Center, Raleigh, NC 27699-1636
1Oc. 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.
Form OW-30 North Carolina Pepartmem of Environmental Quality - Division of Watcr Resources Revised 2-22-2016

BORING LOG
GEO-ENVIRON1YMNTAL
CONSULTANTS, INC,
Rc on No.: 93011 DATE: June 8 1993
Client: R. J. Rey
nalds To_bac_co Come__
Fro3ect: Il. ,l. Re molds Coa] Ash Management Area Forsythe Gout. NC r
atsd
Boring No.: B-14 t of 2) Depth 4,0' EIeY: 970+ _ Location. See Arawing 5
r e of Barin : Hollow Stem Auger Started: 5/20193 Completed: 5/20193 Driller: Ron Brown �I
Elevation Depth MSCRIPTION Of MATEPIALS • 5amp1❑ Sample OVA WELL_ 1
_ (Classirttcation) Blows [3cpth RPM) LOG EMARKS
Firm, brown and red clayey SILT with trace 0.5-
mica, rump (MR) 3/3/4 i 2.01
I
I
L. 516l7
960.0 10.0
Stiff, brawn sandy SILT with little mica, ?
-
f trace clay and weathered rock, moist (ML) 515J7
1 I.S f
15.17_i�l
'
Sd€€, tan sandy SILT' with little mica anal -
5J7J IIZJ
I .j
—
trace of weathered rock fragments, moist
(SM)
16 5
i
940.0]
20.0 I
�i 5! JISIES 2J
21.5
25.0
- 9/19d 26.5
30.0 _ f 3Q.0
Dense, grey and tan silty SAND with little I21Ir}127
mica and weathered rock fragments, moist ._ 3t.5
(SM)
�f
35.01
.' . 28150-6- 36,0
40.0
30150-Fi41.0
- - CoWnp (0.45')
2' Sch •10 PYC
Casing (0-43')
'Number of blows mqulred for a 140 th ham...__mer dropping 30' to drive 2' 0.D., 1 375' 1.D- stunpicr a total of 18 inches is three 6' increments. The
suat of the last two increments of penetration is ranted the standard penetration acsis[ance, N.

BORING LOG
GEO-ENVIRONMENTAL
CONSULTATS, WC.
Report No.: 93011 IDnu: ,dune S, 1993 _ -
f�Ct�ient�R. J. Reynolds Tobeelco Com an
rB
R. ,I.Reynolds Coal Ash Management Area Fors the Count NYC'I`otai��-_rin No.: B-14 (2 of 2) r]c th 54.0' Eicv, 970? Iacntion: See 3rAw�nL 5`-
�Icm.finn � r7mfh
9WO -i 54.0 -
v Stem Au -or started; 5120/!
DUCK PTIDN OF MATERIALS
AUGER REFUSAi Q 44.4 Fl:l 'f.
NOTE: No Groundwater Encountered
During Tirnc of Drilling.
cd. 5120/93 J Driltcr. Ron Bro
• Sampl�Salnl
OVA WELLBlows , (PPM) LOG J
ammo dropping 30' to drive 2' O.D.. 1.375" I.D.
sum of the last two increments of penetration is tertud the standard penetration resistance, N.
a
REMARKS
- Sand PACK
(46.54' )
2' Sch •in PVC
Screen .01' Stot
(4$-53')
The