P1226_WellAbandonmentRecords_20200312

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March 12, 2020
North Carolina Department of Environmental Quality
Division of Waste Management, Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699
Attention
Reference:
Mr. Adam Ulishney via email: [e-mail]
Environmental Compliance Branch Head
Well Abandonment - Owen Farm Borrow Pit Solid Waste Demonstration Project
Plymouth, Washington County, North Carolina
S&ME Project No. 1040-01-537
Dear Mr. Ulishney:
In response to your December 10, 2019 letter concurring with the recommendation to cease groundwater
monitoring at the above -referenced site, and requesting that the groundwater monitoring wells at the site be
properly abandoned, Geo-Specialty Chemicals (GSC) contracted S&ME, Inc. to abandon the wells.
S&ME, Inc., on behalf of GSC, is submitting Well Abandonment Records (DWQ Form GW-30) for the four
groundwater monitor wells at the Owen Farm Borrow Pit project (MW-1, MW-2, MW-3, MW-4). The wells were
abandoned by a North Carolina -certified well driller in accordance with NCAC 15A 2C.
If you have any questions, or need additional information about the well abandonment, please contact me.
Sincerely,
S&ME, Inc.
n i
Samuel P. Watts, P.G.
Senior Project Manager
[e-mail]
cc: Division of Water Quality, Information Processing Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617
Mr. Perry White ([e-mail]) - Geo-Specialty Chemicals
Ms. Courtney Harrison ([e-mail]) - Geo-Specialty Chemicals
Enclosures
S&ME, Inc. 13201 Spring Forest Road I Raleigh, NC 27616 1 p 919.872.2660 1 www.smeinc.com

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
James D. Barker
Well Contractor Name (or well owner personally abandoning well on his/her property)
3106-A
NC Well Contractor Certification Number
Quantex, Inc.
Company Name
2. Well Construction Permit #: NA
List all applicable well construction permits (i.e. 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)
❑hidustrial/Commercial El Residential Water Supply (shared)
❑Irrigation
Non -Water Supply Well:
Injection well:
El Aquifer Recharge
❑Aquifer Storage and Recovery
El Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating/Cooling
4. Date well(s) abandoned:
5a. Well location:
Owen Borrow Pit
2/6/20
El Groundwater Remediation
❑ Salinity Barrier
❑ Stornwater Drainage
❑ Subsidence Control
❑Tracer
El Other (explain under 7g)
NA
Facility/Owner Name Facility ID# (if applicable)
595 Long Ridge Road, Plymouth, NC 27962
Physical Address, City, and Zip
Washington
County
NA
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)
35.822783 N 76.768991
CONSTRUCTION DETAILS OF WELL(S) BEING ABANDONED
For Internal Use ONLY:
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned: 1 Of 4
For multiple injection or non -water supply wells ONL Y with the same
construction/abandonment, you can submit one form.
7b. Approximate volume of water remaining in well(s): NA (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used: NA
7d. Amount of disinfectant used: NA
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:
43 lbs. of neat cement
plus 2.75 gals. of water
7g. Provide a brief description of the abandonment procedure:
Slowly poured neat cement grout to
ensure complete filling of the well.
8. er fication:
d2/6/20
Signalre of Certified Well Contractor or Well Owner Date
By signing this form, l hereby certify that the well(s) was (were) abandoned in
accordance with 15A NCAC 02C .0100 or 20.0200 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
W abandonment details. You may also attach additional pages if necessary.
Attach well construction record(s) if available. For multiple injection or non -water supply
wefts ONL V with the same construction/abandonment, you can submit one form.
6a. Well ID#: MW-1
6b. Total well depth: 20
6c. Borehole diameter: pvc (in.)
6d. Water level below ground surface: 6.5'
6e. Outer casing length (if known): NA
6f. Inner casing/tubing length (if known): NA (ft.)
6g. Screen length (if known): NA (ft.)
SUBMITTAL INSTRUCTIONS
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Quality, 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 IOa
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Quality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
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 county
where abandoned.
Form GW-30 North Carolina Department of Environment and Natural Resources - Division of Water Quality Revised March 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
James D. Barker
Well Contractor Name (or well owner personally abandoning well on his/her property)
3106-A
NC Well Contractor Certification Number
Quantex, Inc.
Company Name
2. Well Construction Permit #: NA
List all applicable well construction permits (i.e. 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)
❑hidustrial/Commercial El Residential Water Supply (shared)
❑Irrigation
Non -Water Supply Well:
Injection well:
El Aquifer Recharge
❑Aquifer Storage and Recovery
El Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating/Cooling
4. Date well(s) abandoned:
5a. Well location:
Owen Borrow Pit
2/6/20
El Groundwater Remediation
❑ Salinity Barrier
❑ Stornwater Drainage
❑ Subsidence Control
❑Tracer
El Other (explain under 7g)
NA
Facility/Owner Name Facility ID# (if applicable)
595 Long Ridge Road, Plymouth, NC 27962
Physical Address, City, and Zip
Washington
County
NA
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)
35.822783 N 76.768991
CONSTRUCTION DETAILS OF WELL(S) BEING ABANDONED
For Internal Use ONLY:
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned: 1 Of 4
For multiple injection or non -water supply wells ONL Y with the same
construction/abandonment, you can submit one form.
7b. Approximate volume of water remaining in well(s): NA (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used: NA
7d. Amount of disinfectant used: NA
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:
54 lbs. of neat cement
plus 3 gallons of water
7g. Provide a brief description of the abandonment procedure:
Slowly poured neat cement grout to
ensure complete filling of the well.
8. er fication:
d2/6/20
Signalre of Certified Well Contractor or Well Owner Date
By signing this form, l hereby certify that the well(s) was (were) abandoned in
accordance with 15A NCAC 02C .0100 or 20.0200 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
W abandonment details. You may also attach additional pages if necessary.
Attach well construction record(s) if available. For multiple injection or non -water supply
wefts ONL V with the same construction/abandonment, you can submit one form.
6a. Well ID#: MW-2
6b. Total well depth: 30
6c. Borehole diameter: pvc (in.)
6d. Water level below ground surface: 19,
6e. Outer casing length (if known): NA
6f. Inner casing/tubing length (if known): NA (ft.)
6g. Screen length (if known): NA (ft.)
SUBMITTAL INSTRUCTIONS
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Quality, 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 IOa
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Quality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
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 county
where abandoned.
Form GW-30 North Carolina Department of Environment and Natural Resources — Division of Water Quality Revised March 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
James D. Barker
Well Contractor Name (or well owner personally abandoning well on his/her property)
3106-A
NC Well Contractor Certification Number
Quantex, Inc.
Company Name
2. Well Construction Permit #: NA
List all applicable well construction permits (i.e. 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)
❑hidustrial/Commercial El Residential Water Supply (shared)
❑Irrigation
Non -Water Supply Well:
Injection well:
El Aquifer Recharge
❑Aquifer Storage and Recovery
El Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating/Cooling
4. Date well(s) abandoned:
5a. Well location:
Owen Borrow Pit
2/6/20
El Groundwater Remediation
❑ Salinity Barrier
❑ Stornwater Drainage
❑ Subsidence Control
❑Tracer
El Other (explain under 7g)
NA
Facility/Owner Name Facility ID# (if applicable)
595 Long Ridge Road, Plymouth, NC 27962
Physical Address, City, and Zip
Washington
County
NA
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)
35.822783 N 76.768991
CONSTRUCTION DETAILS OF WELL(S) BEING ABANDONED
For Internal Use ONLY:
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned: 1 Of 4
For multiple injection or non -water supply wells ONL Y with the same
construction/abandonment, you can submit one form.
7b. Approximate volume of water remaining in well(s): NA (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used: NA
7d. Amount of disinfectant used: NA
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:
43 lbs. of neat cement
plus 2.75 gals. of water
7g. Provide a brief description of the abandonment procedure:
Slowly neat cement grout to
ensure complete filling of the well.
8. er fication:
d2/6/20
Signalre of Certified Well Contractor or Well Owner Date
By signing this form, l hereby certify that the well(s) was (were) abandoned in
accordance with 15A NCAC 02C .0100 or 20.0200 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
W abandonment details. You may also attach additional pages if necessary.
Attach well construction record(s) if available. For multiple injection or non -water supply
wefts ONL V with the same construction/abandonment, you can submit one form.
6a. Well ID#: MW-3
6b. Total well depth: 191
6c. Borehole diameter: pvc (in.)
6d. Water level below ground surface: 10.51
6e. Outer casing length (if known): NA
6f. Inner casing/tubing length (if known): NA (ft.)
6g. Screen length (if known): NA (ft.)
SUBMITTAL INSTRUCTIONS
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Quality, 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 IOa
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Quality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
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 county
where abandoned.
Form GW-30 North Carolina Department of Environment and Natural Resources - Division of Water Quality Revised March 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
James D. Barker
Well Contractor Name (or well owner personally abandoning well on his/her property)
3106-A
NC Well Contractor Certification Number
Quantex, Inc.
Company Name
2. Well Construction Permit #: NA
List all applicable well construction permits (i.e. 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)
❑hidustrial/Commercial El Residential Water Supply (shared)
❑Irrigation
Non -Water Supply Well:
Injection well:
El Aquifer Recharge
❑Aquifer Storage and Recovery
El Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating/Cooling
4. Date well(s) abandoned:
5a. Well location:
Owen Borrow Pit
2/6/20
El Groundwater Remediation
❑ Salinity Barrier
❑ Stornwater Drainage
❑ Subsidence Control
❑Tracer
El Other (explain under 7g)
NA
Facility/Owner Name Facility ID# (if applicable)
595 Long Ridge Road, Plymouth, NC 27962
Physical Address, City, and Zip
Washington
County
NA
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)
35.822783 N 76.768991
CONSTRUCTION DETAILS OF WELL(S) BEING ABANDONED
For Internal Use ONLY:
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned: 1 Of 4
For multiple injection or non -water supply wells ONL Y with the same
construction/abandonment, you can submit one form.
7b. Approximate volume of water remaining in well(s): NA (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used: NA
7d. Amount of disinfectant used: NA
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:
49 lbs. of neat cement
plus 2.75 gals. of water
7g. Provide a brief description of the abandonment procedure:
Slowly poured neat cement grout to
ensure complete filling of the well.
8. er fication:
d2/6/20
Signalre of Certified Well Contractor or Well Owner Date
By signing this form, l hereby certify that the well(s) was (were) abandoned in
accordance with 15A NCAC 02C .0100 or 20.0200 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
W abandonment details. You may also attach additional pages if necessary.
Attach well construction record(s) if available. For multiple injection or non -water supply
wefts ONL V with the same construction/abandonment, you can submit one form.
6a. Well ID#: MW-4
6b. Total well depth: 26
6c. Borehole diameter: pvc (in.)
6d. Water level below ground surface: 14.3'
6e. Outer casing length (if known): NA
6f. Inner casing/tubing length (if known): NA (ft.)
6g. Screen length (if known): NA (ft.)
SUBMITTAL INSTRUCTIONS
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Quality, 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 IOa
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Quality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
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 county
where abandoned.
Form GW-30 North Carolina Department of Environment and Natural Resources - Division of Water Quality Revised March 2013