6301_Moore_CDLF_WellInstallationReport_FID1452142_20200914

' GOLDER
September 14, 2020
Ms. Jaclynne Drummond, Hydrogeologist
North Carolina Department of Environmental Quality
Division of Waste Management - Solid Waste Section
2090 US Highway 70
Swannanoa, North Carolina 28778
Via Email: [e-mail]
Project No. 19133605
SUMMARY OF PIEZOMETER/MONITORING WELL/GAS PROBE INSTALLATION AND DECOMMISSIONING
ACTIVITES
MOORE COUNTY LANDFILL, PERMIT NO. 63-01
MOORE COUNTY, NORTH CAROLINA
Dear Jackie,
On behalf of Moore County, Golder Associates NC, Inc. (Golder) is submitting this letter report summarizing well
installation and decommissioning activities by completed by Golder in June 2020 and August 2020 at the Moore
County Landfill in Aberdeen, Moore County, North Carolina (NC). The piezometers, gas probes, and monitoring
wells were installed and/or decommissioned in accordance with Title 15A of the North Carolina Administrative
Code (NCAC), Subchapter 2C Section .0100 (the NC Well Construction Standards) and the facility's approved
solid waste permit (NC SWP# 63-01).
DECOMMISSIONING OF PIEZOMETERS, MONITORING WELLS, AND GAS PROBES
Between June 22, 2020 and June 24, 2020, Golder personnel, under the direction of a NC licensed geologist (i.e,
Benjamin Draper), provided oversight for the decommissioning of three piezometers (PZ-1, PZ-2 and PZ-3), four
groundwater monitoring wells (MW-11 S, MW-11 D, MW-13S and MW-13D) and three landfill gas probes (GP-13,
GP-14 and GP-15) in accordance with Title 15A of the North Carolina Administrative Code (NCAC) 2C .0113(b).
These locations were decommissioned as part of the anticipated construction of the lateral landfill expansion (i.e.,
Cell VI) and as approved by NC DEQ in the Water Quality and Landfill Gas Monitoring Plans (Golder, 2019). To
perform the installation and decommissioning activities, Golder procured Geologic Exploration, Inc. (GEX) of
Statesville, NC, a NC certified well drilling company. The drilling equipment was steam -cleaned prior to use and
between boreholes.
Because these well locations were within the future was footprint, each location was over -drilled to remove the
well materials prior to abandonment. Over -drilling was completed via the use of 6 5/8-inch inner diameter (ID)
hollow stem augers (HSAs). Following the completion of over -drilling, each boring was back -filled with neat
cement grout from the bottom of the borehole to the top of proposed base grades (as shown on the table below)
via tremie pipe. The remaining annulus was backfilled with soil cuttings to the surface.
Golder Associates NC, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407 T: [phone] F: [phone]
Engineering Lic. No. C-2862/Geology Lic. No. C-399
Golder Associates NC, Inc. is a licensed user of the Golder trademark, and an associated operating entity.
Golder and the G logo are trademarks of Golder Associates Corporation. golder.com

Ms. Jaclynne Drummond, Hydrogeologist Project No. 19133605
North Carolina Department of Environmental Quality September 14, 2020
Additionally, on August 6, 2020, a Golder NC licensed geologist provided oversight of Parratt Wolff, Inc. of
Hillsborough, NC, a certified NC well drilling company, during the decommissioning of gas probe GP-10 in
accordance with NCAC 2C 0113(b) and the approved Landfill Gas Monitoring Plan (Golder, 2019). This gas
probe was located outside of any future permitted waste unit and was grouted to the surface following removal of
the well completion and casing material.
Copies of the well abandonment records (Form GW-30 Rev. 5/06) for the decommissioned piezometers are
included as Attachment A. The following table summarizes details associated with the decommissioning
procedures.
Table 1: Summary of Decommissioning Activities
01 =WellID
PZ-1
Tob"
22.0
Grout Interval (ft bgs)
17.0 - 22.0
PZ-2
22.0
17.0 - 22.0
PZ-3
48.0
17.0 - 48.0
MW-11 S
20.0
5.0 - 20.0
MW-11 D
40.0
5.0 - 40.0
MW-13S
20.0
5.0 - 20.0
MW-13D
40.0
5.0 - 40.0
GP-10
12.5
0.0 - 12.5
GP-13
7.5
NAB
GP-14
17.5
17.0 - 17.5
GP-15
7.5
NAB
Notes:
1. Grout was not utilized at these locations as the depth to bottom (of the gas probe) was above the depth to groundwater
and the gas probe was located within an area which was to be removed (i.e., cut) during Cell VI construction. Following
over drilling the borehole was backfilled with cuttings.
2. BGS = below ground surface
MONITORING WELL INSTALLATIONS
Between June 24, 2020 and June 26, 2020, Golder personnel, under the direction of a NC licensed geologist,
provided oversight for the installation of three groundwater monitoring wells (MW-13SR, MW-13DR, and MW-19)
and two gas probes (GP-1ORand GP-19). Wells MW-13SR and MW-13DR as well as GP-1 OR and GP-19 were
installed as replacement wells for Cell 6 monitoring, and MW-19 was installed as a nature and extent assessment
well downgradient of MW-18.
4GOLDER

Ms. Jaclynne Drummond, Hydrogeologist Project No. 19133605
North Carolina Department of Environmental Quality September 14, 2020
The monitoring wells were drilled and installed by GEX using a Deidrich D-50 Turbo drilling rig with 4 5/8-inch ID
HSAs and a 4-inch outer diameter (OD) downhole hammer. The drilling equipment was steam -cleaned prior to
use and between boreholes.
The monitoring wells were constructed of 2-inch schedule 40 PVC riser pipe and up to 10 feet of 0.010-inch
slotted pre -packed screens. Concrete aprons, lockable aluminum protective casings were installed at each
monitoring well location. Boring and well construction logs for the groundwater monitoring probes and the Well
Construction Records (Form GW 1 B Rev. 2/09) are included in Attachment B. A summary of monitoring well
construction information is provided as Table 2.
Table 2: Summary of Monitoring Well Construction Information
f
,Ground'
Piezometer
Identific
L
Date
ailed
Surface
Elevation
(feet AMSL)
Top of
Casingop
Elevation
(feet AMSL)
:.
Screen
Interval
Depth
(feet BGS) It
creen Interval
Elevation
(feet AMSL
:
Lithology of
Screened
Interval
•
�-
••
�
•
•
...
•
Note: AMSL = above mean sea level
The newly installed monitoring wells and gas probes were surveyed by Matthews Land Surveying & Mapping,
PLLC of Carthage, NC on July 30, 2020. A sealed survey summary table is provided as Attachment C.
WELL DEVELOPMENT
On September 1, 2020, Golder personnel, under the direction of a NC licensed geologist (i.e., Benjamin Draper),
performed well development on the three newly installed monitoring wells: MW-13SR, MW-13DR, and MW-19.
Well development was performed using a submersible pump system until field parameters stabilized and the well
discharge was relatively sediment free. Approximately 20 well volumes were removed from MW-13SR, 9 well
volumes from MW-13DR, and 49 well volumes from MW-19 during the well development process. The well
development forms are provided as Attachment D.
Should you have any questions or require additional information, please do not hesitate to contact the undersigned
at [phone]. We appreciate your assistance with this project.
GOLDER

Ms. Jaclynne Drummond, Hydrogeologist
North Carolina Department of Environmental Quality
Sincerely,
Golder Associates NC, Inc.
,�O¢ ENSfi�titi,
r�
i
OL O
off N1
S.
enjamin Draper, PG, PMP
Senior Project Geologist
q&'6k'Q -(� '4KC'a'41V
Rachel P. Kirkman, PG
Principal and Senior Consultant
Attachments: Figure 1 — Monitoring Well and Piezometer Location Map
Figure 2 — Landfill Gas Probe Location Map
Attachment A — Well Abandonment Forms
Attachment B — Boring and Well Construction Logs
Attachment C — Monitoring Well Survey
Attachment D — Well Development Forms
Project No. 19133605
September 14, 2020
CC: David Lambert, JD, MPA, Solid Waste Director, Moore County, NC, 1 Courthouse Square,
P.O. BOX 905, Carthage, NC, 28327, [e-mail]
Jimmy Brown, Solid Waste Superintendent, Moore County, NC, 1 Courthouse Square, P.O.
Box 905, Carthage, North Carolina, 28327
gAprojects\moore county\19133605 - moore - expansion construction support\200 deliv\200 draft original\201 well installation and abandonment report\19133605-001-r-
rev0-moore_cty_draft_1)z abandonment and mw install.docx
4> GOLDER 4

FIGURES

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0 SW-2
DENSE GETATION
\ DENSE VEGETATION
1
I
1 DENSE VEGETATION
DENSE GETATION
GROUND OBSCURED
DENSE VEGETATIO\
SEE ACCURACY NOTE
\ DE VEGETATIO\
1 \,
JD OBSCURED
CCURACY NOTE
I1� J
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DENSE VEGETATION
DENSE
LEGEND
BLAKE RESIDENCE (PRIVATE WELL)
STREAM, POND, AND WETLAND LIMITS
EXISTING 10 FT GROUND SURFACE CONTOUR
EXISTING 2 FT GROUND SURFACE CONTOUR
PROPERTY LINE
APPROXIMATE LIMITS OF WASTE
EXISTING ROAD
OMW-3 MONITORING WELL AND IDENTIFICATION
/ [:]SW-2 SURFACE WATER MONITORING POINT AND IDENTIFICATION
*MW-13SR GROUNDWATER MONITORING WELL AND IDENTIFICATION (INSTALLED
JUNE 2020)
ON oMW-11S MONITORING WELL OR PIEZOMETER DECOMMISSIONED IN JUNE 2020
DE
DENSE VEGETATION
DENSE VEGETATIOE
MOORE COUNTY PUBLIC WORKS
PO BOX 1927
/-% A r% T I I A eN r d 1 r\ 11 T 1 1 P1 A 11 r\ 1 1 w 1 A
CONSULTANT PE C-2862 YYYY-MM-DD 2020-08-17
PG C— 399 PREPARED BSD
GOLDER
DESIGN
REVIEW
GOLDER
ASSOCIATES
NC,
INC.
APPROVED
NOTES
1. TOPOGRAPHIC CONTOUR INTERVAL = 2 FEET
2. PROPERTY BOUNDARY SURVEY BY JAMES L. WRIGHT DATED NOVEMBER 1984. ITS LOCATION
IS RELATIVE TO TOPOGRAPHY APPROXIMATE BY HDR ENGINEERING, INC.
3. EXISTING TOPOGRAPHY WITHIN ACTIVE AND PROPOSED LANDFILL PROVIDED BY MATTHEWS
LAND SURVEYING & MAPPING, PLLC DATED APRIL 17, 2015 AND JUNE 2018.
4. MONITORING WELLS MW-6 THROUGH MW-16 SURVEYED APRIL 1995, SEPTEMBER 1996, AND
APRIL 2003 BY HDR ENGINEERING INC./ ED BUCKNER RLS APRIL 17, 2015.
5. MONITORING WELLS MW-17S/D, MW-18, MW-11S/DR, MW-15R, PZ-1, PZ-2, AND PZ-3 WERE
SURVEYED BY FLEMING ENGINEERING ON JULY 2, 2018.
0 200 400
SCALE FEET
PROJECT
MOORE COUNTY LANDFILL (PERMIT #63-01)
456 TURNING LEAF WAY
ABERDEEN, NORTH CAROLINA
TITLE
WELL INSTALLATION AND ABANDONMENT REPORT
11
IE
SITE LOCATION MAP
NOT TO SCALE
RPK
PROJECT No.
PHASE
Rev.
DRAWING
19133605
002
0
0

3
a
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m
d
J
N
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0
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ETATILLLJJJ LEGEND
/ENSE VEGn�i �l V / \
/ / � � \ STREAM, POND, AND WETLAND LIMITS
EXISTING 10 FT GROUND SURFACE CONTOUR
EXISTING 2 FT GROUND SURFACE CONTOUR
DENSE VEGETATION 1
\ —� / X + PROPERTY LINE
DENSE VEGETATION\ I I BLAKE RESIDENCE (CRAWL SPACE MONITORED) — /Y —
+ APPROXIMATE LIMITS OF WASTE
DENSE VEGETATION
mm�'� /� i/, __________— EXISTING ROAD
DENSE VEGETATION
�� \ Q MW-1 MONITORING WELL AND IDENTIFICATION
�E VEGETATION
_ GP-9 METHANE PROBE AND IDENTIFICATION
)ENSE VEGETATION ��°T'—�— &GP-10R METHANE PROBE AND IDENTIFICATION (INSTALLED JUNE 2020)
DENSETATIDN \ LANDFILL GAS TRENCH VENTS AND IDENTIFICATION
�. DENSE VEGETATION NSE VEGE ION
DENSE VEGETATION G4
PASSIVE LANDFILL GAS VENTS
9T f
DE' EGETAT ON 1 ' � DENSE VEGETAT[O;r DENSE VEGETATION
` 1 / DENSE VEGETATION / / _ ` ' / �' (� // 1
DENSE .5GETATION / \ / _ ^ �� Y■./Pf_'-18 'c^'c^ „GrF1 T'nN // / _ \ ` _ �� \\ �,.� AGP-10 METHANE PROBE ABANDONED (JUNE 2020 OR AUGUST 2020)
DENSE GETATION DENSE VEGBTAT.ION \
NOTES
1. TOPOGR
APHIC CONTOUR INTERVAL = 2 FEET
2.
PROPERTY BOUNDARY SURVEY BY JAMES L. WRIGHT DATED NOVEMBER 1984. ITS LOCATION
IS RELATIVE TO TOPOGRAPHY APPROXIMATE BY HDR ENGINEERING, INC.
3.
EXISTING TOPOGRAPHY WITHIN ACTIVE AND PROPOSED LANDFILL PROVIDED BY MATTHEWS
LAND SURVEYING & MAPPING, PLLC DATED APRIL 17, 2015 AND JUNE 2018.
4.
MONITORING WELLS MW-6 THROUGH MW-16 SURVEYED APRIL 1995, SEPTEMBER 1996, AND
APRIL 2003 BY HDR ENGINEERING INC./ ED BUCKNER RLS APRIL 17, 2015.
5.
THE LOCATIONS OF LANDFILL GAS TRENCH VENTS ARE APPROXIMATE.
1 \ I
6.
NOTE GP-18 IS FORMER GROUNDWATER MONITORING WELL MW-15 (AS DETAILED IN THE
LANDFILL GAS MONITORING PLAN (GOLDER 2019)
SCALEHOUSE
k� \
MOORE COUNTY PUBLIC WORKS
PO BOX 1927
/-% A r% T I I A eN r r11 T 11 r d 1 \ 1 1 P1 A \ 1 1 w 1 A
CONSULTANT PE C-2862 YYYY-MM-DD 2020-08-17
PG C— 399 PREPARED BSD
GO
L
D
E
R
DESIGN
REVIEW
GOLDER
ASSOCIATES
NC,
INC.
APPROVED
0 200 400
SCALE FEET
PROJECT
MOORE COUNTY LANDFILL (PERMIT #63-01)
456 TURNING LEAF WAY
ABERDEEN, NORTH CAROLINA
TITLE
LANDFILL GAS MONITORING WELLS
WELL INSTALLATION AND ABANDONMENT REPORT
11
IE
SITE LOCATION MAP
NOT TO SCALE
RPK
PROJECT No.
PHASE
Rev.
DRAWING
19133605
002
0
2
0

ATTACHMENT A
Well Abandonment Forms

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
I. Well Contractor Information:
JACOB MESSICK
Well Contractor Name (or well owner personally abandoning well on his/her property)
A - 4252
NC Well Contractor Certification Number
GEOLOGIC EXPLORATION, INC
Company Name
2. Well Construction Permit ff:
List all applicable "Jell catistrucilou permils (t, e. County, Slate, Variance, eic_) �(kno"rn
3. Well use (check well use);
[]Agricultural
❑Muniejpal/Pubhc
❑Geathermal (Heating/Cooling Supply)
❑Residential. Water Supply (single)
❑Industrial/Commercial
❑Residential Water Supply (shared)
❑Irri ation
Non -Water Supply Well:
E Monitoring
❑ Recovery
❑ Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal(Closed Loop)
❑Gcothe vial (Heating/Cooling Return
❑Groundwater Remediation
❑Salinity Barrier
❑Stonnwater Drainage
❑Subsidence Control
❑Tracer
[:]Other (explain under 7g)
For Internal Use ONLY:
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned:
For multiple hilection or non -water supply irells ONLY with d"c saury
ennslrnrlipn-"aban[tamuenl, you can submit one.form.
7b. Approximate volume of water remaining in wells : 1.75
PP g O (gal.}
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Sealing materials used (check all that apply):
❑ Neat Cement Grout
❑ Bentonite Chips or Pellets
❑ Sand Cement Grout
❑ pry Clay
❑ Concrete Grout
❑ Drill Cuttings
❑ Specialty Grout
❑ Gravel
El Bentonite Slurry
❑ Other (explain under 7g)
7L For each material selected above, provide amount of materials used:
3.5 GALLONS
7g. Provide a brief description of the abandonment procedure:
WELL ABANDONED VIA TREMIE PIPE WITH
PORTLAND BENTONITE SLURRY
06/22/20
4. Date well(s) abandoned:
4n. Well location:
MOORE COUNTY LANDFILL
Facility/Owner Name Facility ID# (ifapplicable)
R• Certification:
456 TURNING LEAF WAY ABERDEEN 28315
41"07/08/20
Physical Address, City, and Zip
Signature of Certified Well Contractor or Well Owner Date
MOORE
By signing this farm, I hereby certify that the wells) was (were) abandoned in
County Parcel Identification No, (PIN)
accordance Wilk 15A NCAC 02C .0100 or 2C .0200 Well Construction Standards
and that a copy of this record has been provided io the well owner.
5h. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(ifweil field, one latllong is sufficient)
9. Site diagram or additional well details:
35' 08' 51.22" N 79' 28' 52,67"
You "may use the back of this page to provide additional w 11 site details or well
W
abandonment details. You may also attach additional pages ifnecessary.
CONSTRUCTION DETAILS OF WELLS BEING ABANDONED
SUBMITTAL INSTRUCTIONS
Attach belt construefion record(s) ifacaitable. For multiple injection or non -"rater supply
"retlr ONLY "rah the some constructiaraahand6nmen4 you can sztbmu oneJbrm.
10a. For All Wells. Submit this form within 30 days of completion of well
6a. Well ID#- PZ-1
abandonment to the following:
Division of Water Quality, Information Processing Unit,
6b. Total well depth: 22.0 (R•)
1617 Mail Service Center, Raleigh, NC 27699-1.617
10b. For Iniection Wells: In addition to sending the form to the address in l0a
2.0
6c. Borehole diameter: (in.}
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
6d. Water level below ground surface-. 11.0 (ft.)
Division of Water Quality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
14c. For Water Supply & Iniection Wells: In addition to sending the form to
6e. Outer casing length (if known): (R•) 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
611 Inner casing/tubing length (if known); (ft.) where abandoned_
6g. Screen length (if known): (ft.)
Fenn GW-30 North Carolina Department of Environment and Natural Resources — Division of Water Quality Revised Match 20 0

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
L Well Contractor Information:
JACOB MESSICK
Well Contractor Name (or well owner personally abandoning well on hislher property)
A - 4252
NC Well Contractor Certification Number
GEOLOGIC EXPLORATION, INC
Company Name
2. Well Construction Permit #:
List all applicable well construction permits (i.e. Courtly, Slam, IVariatee, etc;) rfknou,rt
3. Well use (checkwell use):
Water Supply Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑ Industrial/Commercial
Non -Water Supply Well:
❑ Mun icipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
Injection Well:
❑Aquifer Recharge
❑Groundwater Remediatian
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
❑ Storrtwater Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal (Closed Loup)
❑Tracer
❑Geothermal (Heating/Cooling Return)
❑Other (explain under 7g)
4. Date well(s) abandoned: 06/22/20
SR. Well location:
MOORE COUNTY LANDFILL
Facility/Owner Name Facility ID# (ifapplicable)
456 TURNING LEAF WAY ABERDEEN 28315
Physical Address, City, and Zip
MOORE
County
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one [at/long is sufficient)
35' 08' 51.22" N 79' 28' 52,67"
For I aternal Use ONLY:
WF,LL ABANDONMENT DETAILS
7a. Number of wells being abandoned:
For multiple injection or non-ieater supply tells ONLY with the .same
ranslrucliat 'abandotunent, you can submil one form.
7b. Approximate volume of water remaining in well(s): 1.75
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used.
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
o Bentonite Slury
Li Other (explain under 7g)
7f. For each material selected above, provide amount of materials used:
3.5 GALLONS
7g. Provide a brief description of the abandonment procedure:
WELL ABANDONED VIA TREMIE PIPE WITH
PORTLAND BENTONITE SLURRY
8. Certification:
07/08/20
Signature of Certified Well Contractor or Well Owner Date
By signing this forrn, I hereby certify that the wells) was (were) abandoned in
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.
9. Site diagram or additional well details:
Youmay use the back of this page to provide additional well site details or well
W abandonment details, You may also attach additional pages ifnecessary.
CONSTRUCTION DETAILS OF WELL 5 BEING ABANDONED
Attach well construction record(s) !f arailable_ For nnrhiple irlieclion or non -water supply
hells ONLY with the same ['atetrucflon-abandnnmenl, you can mbwu one farm.
6a. well ID#: PZ-2
6b. Total well depth: 22.0 (ft.)
6e. Borehole diameter: 2.0 (in.)
6d. Water level below ground surface: 11.0
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 l0a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the Following:
Division of WaterQuality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
10c. For Water Supply & Iniection Wells: In addition to sending the fonn to
6c. Outer casing length (if known): (ft.) 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
6f. loner casing/tubing length (if known): (ft.) where abandoned.
6g. Screen length (if known): (ft.)
Fonn OW-30 North Carolina Deparhnent 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:
JACOB MESSICK
Well Contractor Name (or well owner personally abandoning well an hi0ier property)
A - 4252
NC Well Contractor Certification Number
GEOLOGIC EXPLORATION, INC
Company Name
2. Well Construction Permit #i:
List fill applicable Well cnnrtructtan permits (i,e. County, State, Variance, etc.) ifknown
3. Wet[ use (cher kwell use):
❑Agricultural
❑Geothermal (Henting(Cooling Supply)
❑ Ind ustrial/Commercial
Non -Water Supply Well:
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑ Recovery
injection wcu:
❑Aquifer Recharge
UGroundwater Remediation
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
❑ Stormwater Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
❑Tracer
❑Geothermal (Heating/Cooling Return)
❑Other (explain under 7g)
4. Date well(s) abandoned: 06/23/20
9m. Well location:
MOORE COUNTY LANDFILL
Facility/Owner Name Facility 1D# (if applicable)
456 TURNING LEAF WAY ABERDEEN 28315
Physicai Address, City. and Zip
MOORE
County
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one ]at/long is sufficient)
35' 08' 5 1.22" N 79' 28' 52.67"
For Internal Use ONLY:
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned:
For multiple injecoon or non -water supply
construciion:ahandonmem, you can subuni one form.
1
wells ONLY wuh the same
7b. Approximate volume of water remaining in well(s): 6'0 (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfecta ot used:
7d. Amount of disinfectant used:
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
0 Bentonite SI urry
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of materials used:
7.75 GALLONS
7g. Provide a brief description of the abandonment procedure:
WELL ABANDONED VIA TREMIE PIPE WITH
PORTLAND BENTONITE SLURRY
S. Certification:
07/08/20
Signature of Certified Well Contractor or Well Owner Date
By signing this fornt, I hereby cert� that the well(s) was (were) abandoned in
accordance with 15A NCAC 02C .0100 or 2C .0200 Well Construction Standards
and that a copy of this record has been provided to the ivell owner
9, Site diagram or additional well details:
You may use the. back of this page to provide additional we11 site details fir —it
W abandonment details. You may also attach additional pages if necessary.
CONSTRUCTION DETAILS OF WELLS BEING ABANDONED
Attach well construction record(s) if available. ror atalliple injecoon or non -water suppiy
ulells ONLY trlih lire same construction obandonment, you can subaul one form,
6a. Well ID#: P2-3
6b. Total well depth: 48.0 (ft.)
6c. Borehole diameter: 2.0 (in,)
6d. Water level below ground surface: 11.0 (ft.)
SUBMITTAL INSTRUCTIONS
16a. 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
16b. For Iniecfion Wells: In addition to sending the form to the address in laa
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
fie. Outer Casing length (if known): (ft) 10c. For Water Su 1v & 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
6L Inner casing/tubing length (if known): (ft.) where abandoned,
69. Screen length (if known): (ft.)
Foram GW-30 North Carolina Department of Environment and Natural Resources - Division of Water Quality Revised March 20 13

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
JACOB MESSICK
Well Contractor Name (or weiI owner personally abandoning well on his/her property)
A - 4252
NC Well Contractor Certification Number
GEOLOGIC EXPLORATION, INC
Company Name
2_ Well Construction Permit #:
List all applicable well construction permits (t.e. Coutuy, State, Variance, etc.) it knoum
3. Well use (check well use):
Water Supply Well:
❑Agricultural ❑Municipal/Publio
❑Geothennal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑Industrial/Commercial ❑Residential Water Supply (shared)
❑frri ation
Non -Water Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
[]Geothermal (Closed Loop)
❑Geothermal (Heating/Cooling
4. Date well(s) abandoned:
❑Groundwater Remediation
❑Salinity Barrier
❑ Stormwater Drainage
LISubsidence Control
❑ Tracer
El Other (explain under 7g)
06/23/20
5a. Well location:
MOORS COUNTY LANDFILL
Facilitvlpwner Name Facility ID# (if applicable)
456 TURNING LEAF WAY ABERDEEN 28315
Physical Address, City, and Zip
MOORE
County
Parcel Identification Na. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one laVlong is suf£cieal)
35' 08' 51.22" N 79' 28' 52.67"
For Internal Use ONLY:
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned: 1
For nrulliple injection or non -realer supply wells ONLY ivuh the .5anre
construction ahandonmenr you can submit one form.
7b. Approximate volume of water remaining in well(s): 4.0 (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
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
0 Bentonite Slurry
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of materials used:
6.5 GALLONS
7g. Provide a brief description of the abandonment procedure:
WELL ABANDONED VIA TREMIE PIPE WITH
PORTLAND BENTONITE SLURRY
S. Certification:
07/08/20
Signature of Certified Well Contractor or Well Owner Date
By signing this form. I hereby certify that the ivell(s) was (isere) abandoned In
accordance wlih 15-4 NCAC 02C .0100 or 2C .0200 Well Construction Standards
and that a copy of this record has been provided io the well owner.
9. Site diagram or additional well details:
Vou may use the. back of this page to provide additional well site details or well
�j abandonment details. You may also attach additional pages if necessary.
CONSTRUCTION DETAILS OF WELLS BEING ABANDONED
Arlach n'ell construction records) f availehle_ For aiulliple injection or non -ester supply
we Ns ONLY with the same conwruction, abandonment, you can submit one form.
6a. Well 1D#-. MW-11 D
6b. Total well depth: 40.0 (ft.)
6c. Borehole diameter: 2.0 (ill.)
6d. Waterlevel below ground surface: 7.0
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 27699-1.617
10b. For Injection Wells: In addition to sending the form to the address in ]Oa
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 & Injection Wells: In addition to sending the form to
6c. Outer casing length (if known): (ft.) 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 courtly
611 Inner casing/tubing length (if known): (ft.) where abandoned-
6g. Screen length (if known): (ft.)
Funn 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:
JACOB MESSICK
Well Contractor _Name (or well owner personally abandoning well on his/her property)
A - 4252
NC Well Contractor Certification plumber
GEOLOGIC EXPLORATION, INC
Company Name
2. Well Construction Permit #:
List all applicable trell construction permits (i.e. Comply, State, variance, etc-) ifknown
3- Well use (check well use):
Water Supply Well:
❑ Agricultural
❑Geothermal (Heating/Cooling Supply)
❑ Industrial/Commercial
[]Municipal/Public
❑Residential Water Supply (single)
❑ Residential Water Supply (shared)
Non -Water Supply Well:
Monitoring
❑Recovery
Injection Well:
❑Aquifer Recharge
ElGroundwater Remediation
El Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
❑Stormwater Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
El Tracer
❑Geothermal (Heating,'Cooling Return)
❑Other (explain under7g)
4. Date well(s) abandoned:
06/24/20
5a. Well locution:
MOORE COUNTY LANDFILL,
Facility/Owner Name Facility ID# (if applicable)
456 TURNING LEAF WAY ABERDEEN 28315
Physical Address, City, and Zip
MOORE
County
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one latllong is sufficient)
35' 08' 51.22" N 79' 28' 52.67"
CONSTRUCTION DETAILS OF WELLS) BEING ABANDONED
Anach well construction records) ifm•ailable. For nruhiple injection or non -water suppiv
wells ONLY with the same canslrualioolkbandwemeat. you can submit rme farm,
6a. Well ID#: MW-13D
6b. Total well depth: 40,0 (ft-)
6c. Borehole diameter: 2.0
6d. Water level below ground surface: 15.0 (ft.)
For internal Use ONLY:
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned: 1
Far multiple injeruon or non-maier supply hells ONLY with the same
construrnomabandonntent, you can submit one form.
7b. Approximate volume of water remaining in well(s): 4'0 (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Sealing materials used (check all that apply):
❑ Neat Cement Grout
❑ Bentonite Chips or Pellets
❑ Sand Cement Grout
q Dry Clay
❑ Concrete Grout
❑ Drill Cuttings
❑ Specialty Grout
❑ Gravel
L Bentonite Slurry
q Other (explain under 7g)
7f. For each material selected above, provide amount of materials used--
6.5 GALLONS
7g, Provide a brief description of the abandonment procedure:
WELL ABANDONED VIA TREMIE PIPE WITH
PORTLAND BENTONITE SLURRY
S. Certification:
07/08/20
Signature of Certified Well Contractor or Well Owner Date
By signing this form, 1 hereby certify that the ivell(s) was (were) abandoned in
accordance with 15A NCAC 02C .0100 or 2C.0100 Well Construction Slandards
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 ifnecessary.
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 l0a
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 & Infection Wells: In addition to sending the form to
6e. Outer casing length (if known): (ft) 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
6£ Inner casing/tubing length (if known): (ft.) where abandoned.
6g. Screen length (if known): (ft,)
Fonn GW-'0 North Carolina Department ofEnvironnrent and Natural Resources — Division of Water Quality Revised March 201

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
JACOB MESSICK
Well Contractor Name (or well owner personally abandoning well on his/her property)
A - 4252
NC Well Contractor Certification Number
GEOLOGIC EXPLORATION, INC
Company Name
2. Well Construction Permit 0:
List all applicable well construction permits (re, Courrfy. State, Variance, e1c.) ifknaivn
3. Well use (check well use):
Water Supply Well:
❑Agricultural ❑Municipal/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑Industrial/Commercial ❑Residential Water Supply (shared)
❑Irri ation
Non -Water Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
[]Geothermal (Heating/Cooling
4. Date well(s) abandoned:
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
Return) ❑Other (explain under
06/24/20
5a. Well location:
MOORE COUNTY LANDFILL
Facility/Owner Name Facility ID# (ifapplicable)
456 TURNING LEAF WAY ABERDEEN 28315
Physical Address, City, and Zip
MOORE
County
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(ifwelI field, one latllong is sufficient)
3S' 08' 51.22" N 79' 28' 52.67"
For Internal Use ONLY:
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned: 1
For multiple injection or non -seater supply ivelts pNLY frith rbe same
conslrnctiomabandonment. you con submit one form.
7b. Approximate volume of water remaining in well(s): 1.25 (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
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
0 Bentonite Slurry
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of materials used:
3.25 GALLONS
7g. Provide a brief description of the abandonment procedure:
WELL ABANDONED VIA TREMIE PIPE WITH
PORTLAND BENTONITE SLURRY
8. Certification:
OKO.." 07/08l20
Signature of Certified Well Contractor or Well Owner Dale
By signing this forms, I hereby certify, that the wells) 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 uge the back of this page to provide, additional well site details or well
W abandonment details. You may also attach additional pages if necessary.
CONSTRUCTION DETAILS OF WELLS BEING ABANDONED
Attach tretl canvirucnon rerord(sr) if available. For multiple injection or non -seater supply
wells ONLY x'ith the same conslrinelionabandonment, you can submit one form.
6a. Well ID#: MW-13S
6b. Total well depth: 20.0 (m)
6c- Borehole diameter: 2'0 (in.)
6d. Water level below ground surface: 12.0 (ft.)
SUBMITTAL INSTRUMONS
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 Iniection Wells: In addition to sending the form to the address in iOn
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
6e. Outer casing length (if known): (ft) 10c. For Water Supply & Injection Wells; In addition to sending [he 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
Gf. Inner casing/tubing length (if known); (ft. where abandoned
fig. Screen length (if known): (ft.)
Form OW-30 North Carolina Deparnnent 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
I. Well Contractor Information:
JACOB MESSICK
Well Contractor Name (or well owner personally abandoning well on his/her property)
A - 4252
NC Well Conlraetor Certification Number
GEOLOGIC EXPLORATION, INC
Company Name
2. Well Construction Permit #:
List oil applicable well construction permits (i.e. Counry, Srare, Variance, are,) tf known
3. Well use (check well use).
Water Supply Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑ 1 nd u str ial tC o In mere i al
Non -Water Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating/Cooling Return
❑MunicipaVPublic
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
Id
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑ Tracer
❑Other (explain under 7g)
4. Date well(s) abandoned: 06/23/20
in. Well location:
MOORE COUNTY LANDFILL
FacititylQwner Name Facility 10# (i Fapplieable)
456 TURNING LEAF WAY ABERDEEN 28315
Physical Address, City, and Zip
MOORE
Counry
Parcel Idend fication No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field one lat/long is sufficient)
3S° 08' S 1.22" N 79' 28' 52.67" W
CONSTRUCTION DETAILS OF WELLS BEING ABANDONED
Atrach well construction recortl(v) ti'arailoble. For ntulliple injection or non -water s'uppl3+
hells ONI,Y with the same construction%abandnnmenl, yaa can subnrii one form.
6a. Well ID#: MW-115
6h. Total well depth: 20.0
6c. Borehole diameter: 2'0 (in.)
6d. Water level below ground surface: 7.0 VL)
6c. Outer cusing length (if known):
6L Inner ensingltubing length (if known): (fl.)
6g. Screen length (if known):
For Internal Use ONLY:
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned:
For nndliple injection or non -wafer supply wells ONLY wial the sonle
consimclion abandonmem, you can submit one form.
7b. Approximate volume of water remaining in well(s): 1.25 (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Sealing materials used (check all (hat apply):
❑ Neat Cement Grout
❑ Bentonite Chips or Pellets
❑ Sand Cement Grout
0 Dry Clay
❑ Concrete Grout
❑ Drill Cuttings
❑ Specialty Grout
❑ Gravel
hJ Bentonite Slurry
❑ Other (explain under 7g)
7r. For each material selected above, provide amount of materials used:
3.25 GALLONS
7g. Provide a brief description or the abandonment procedure:
WELL ABANDONED VIA TREMIE PIPE WITH
PORTLAND BENTONITE SLURRY
S. Certification:
07/08/20
Signature of Certified Well Contractor or Well Owner Date
By signing this form, I hereby certify that the well(s) was (were) abandoned in
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.
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.
SUBMITTAL INSTRUCTIONS
10a. For All Wells: Submit this Conn 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 Infection Wells: In addition to sending the form to the address in I On
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Watcr Quality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1.636
lOc. For Water Sul2VIv & 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 abandoned
Fonn GW-30 North Carolina Department of Environment and Natural Resources — Division of Water Quality Revised Match 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
JACOB MESSICK
Well Contractor Name (or well owner personally abandoning well on his/her property)
A - 4252
NC Well Contractor Certification Number
GEOLOGIC EXPLORATION, INC
Company Name
2. Well Construction Permit 0:
List all applicable hell construction permits ro.e. Counry, Slgte, Variance, e1c.) ifknnirn
3. Well use (check well use):
I Water Supply Well:
dAgriculturai
❑Geothermal (Heating/Cooling Supply)
❑ industrial/Comm ercial
Non -Water Supply Well:
❑ Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimentai Technology
❑Geothermal(Closed Loop)
❑Geothermal (Heating/Cooling
A. Date well(s) abandoned:
❑Municipal/Public
❑Residential Water Supply (single)
[]Residential Water Supply (shared)
❑Groundwater Remediation
❑Salinity Barrier
❑Storm water Drainage
❑Subsidence Control
❑Tracer
❑Other (explain under 7g)
06/22/20
5a. Well location:
MOORE COUNTY LANDFILL
FacilityiOwncr Name Facility 1DN (if applicable)
456 TURNING LEAF WAY ABERDEEN 28315
Physical Address, City, and Zip
MOORE
County
Parcel Identification No. (PIN)
5b_ Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one latilong is sufficient)
35° 08' 51.22" N 79' 28' 52.67"
For Internal Use ONLY:
WELL ABANDDNMENT DETAILS
7a. Number of wells being abandoned: 1
For multiple injection or non -water supply welly ONLY srllh the s-nme
construction'ahandonmenl, you can suhmil one form.
7b. 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 (cheek all that apply):
❑ Neat Cement Grout
❑ Bentonite Chips or Pellets
❑ Sand Cement Grout
❑ Dry Clay
L1 Concrete Grout
❑ Drill Cuttings
❑ Specialty Grout
❑ Gravel
d Bentonite Slurry
❑ Other (explain under 7g)
7f. For each materinl selected above, provide amount of materials used:
1.0 GALLONS
7g. Provide a brief description of the abandonment procedure:
WELL ABANDONED VIA TREMIE PIPE WITH
PORTLAND BENTONITE SLURRY
&. Certification: AY6 _
07/08/20
Signature ofCenified Well Contractor or Well Owner Date
By signing this form, f hereby cert fy that the well(s) was (were) abandoned in
accordance with 15A NCAC 02C .0100 or 2C .0200 Well Construction Standards
and that a copy of this record has peen provided to the rpell 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.
CONSTRUCTION DETAILS OFWELL S BEING ABANDONED
Attach well construction record(y) farailahle. For multiple injection or non-rroler supply
wells ONLY sridi the sonic ronslruclion aboadoninem you can sttbnrtl one form.
6a. Well IDO: GP-14
6b. Total well depth: 17.5 (f(.)
6c. Borehole diameter, 1.0 (in.)
6d. Water level below ground surface:
SUBMITTAL INSTRUCTIONS
l0n. 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
1.0b. 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 of well
abandonment to the following:
Division of WaterQuality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
10c. For Water Supply & ln'ection Wells: In addition to sending the form to
fie. Outer casing length (if known): (ft.)
the address(es) above, also submit one copy of this foam within 30 days of
completion of well abandonment to the county health department of the county
6f. inner casing/tubing length (if known): (ft) where abandoned,
6g. Screen length (if known): (ft.)
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:
JACOB MESSICK
Well Contractor Name (or well owner personally abandoning well on his/her property)
A - 4252
NC Well Contractor Certification Number
GEOLOGIC EXPLORATION, INC
Company Narne
2. Well Construction Permit 9:
Live all upplic-able well ronstruclion permlrs i.e. Counly, Slate, Variance, eic.) ifknotvn
3. Well use (cheek well use):
Water Supply Well.
❑Agricultural
❑Geothenmal (Heating/Cooling Supply)
❑ tnd ustrial/Comm erc iai
u ttngation
Non -Water Supply Well-
[]
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating/Cooling Return
4. Date well(s) abandoned:
Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
C
❑Groundwater Remediation
❑Salinity Barrier
❑Stonnwater Drainage
❑Subsidence Control
❑Tracer
❑Olher(explain under 7g)
06/22/20
m. Well location:
MOORE COUNTY LANDFILL
Facility/Owner Name Facility I D# (i f applicable)
456 TURNING LEAF WAY ABERDEEN 28315
Physical Address. City, and Zip
MOORE
Cowuv
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one latllong is sufficient)
3S° 08' 51.22" N 79' 28' 52.67"
CONSTRUCTION DETAILS OF WE LL(S) BEING ABANDONED
For Internal Use ONLY:
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned: 1
For multiple infection or non-woler ,supply wells ONLY udth the some
construction -abandonment, you can suhurn one form.
7b. Approximate volume of water remaining in well(s): (gal,)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7c. 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:
0.5 GALLONS
7g. Provide a brief description of the abandonment procedure:
WELL ABANDONED VIA TREMIE PIPE WITH
PORTLAND BENTONITE SLURRY
8. Certification:
olu� 07f08/20
Signature of Certified Well Contractor or Well Owner pate
By signing this form, 1 hereby cer-1 fy that the well(s) was (were) abandoned in
accordance with 1SA 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 welt
W abandonment details. You may also attach additional pages if necessary.
Anach well cnnslruchon record(y) ifavoilahle. For multiple infection or non-1vatersupply
hells ONLY with the sonic comtrucilorr'obandonnient, you can submit one fumy.
6a. Well ID#: GP-15
6b. Total well depth: 7.5
6c. Borehole diameter: 1.0 Jim)
6d. Water level below ground surface:
SUBMITTAL INSTRUCTIONS
Ioa. For All Wells: Submit this form within 30 days of completion or well
abandonment to the following
Division of Water Quality, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10b. For Infection 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 well
abandonment to the following:
Division of Water Quality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
Ge. Outer easing length (if known): (ft.) 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
6f. Inter casing/tubing length (if know'u): (ft.
where abandoned,
6g. Screen length (if known): 00
Forin 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:
JACOB MESSICK
Well Contractor Name (or well owner personally abandoning well on histher property)
A - 4252
NC Well Contractor Certification Number
GEOLOGIC EXPLORATION, INC
Company Name
2_ Well Construction Permit#:
List all applicable srell construction permits r.e. C'ouruy, State, Variance, eec.) ifknmrn
3. Well use (check well use):
Water Supply Well:
❑Agricultural
❑MunicipallPublic
❑Geothenmal (Heating/Cooling Supply)
❑Residential Water Supply (single)
❑Industrial/Commercial
❑Residential Water Supply (shared)
❑Irri ation
Non -Water Supply Well:
0 Monitoring
❑ Recovery
Injection Well:
❑Aquifer Recharge
❑Groundwater Remediation
El Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
❑ Stonn water Drainage
Li Experimental Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
❑Tracer
❑Geothermal (Heating/Cooling Return)
❑Other (explain udder 7g)
4. Date well(s) abandoned:
06/2.3/20
.5a. Well location:
MOORE COUNTY LANDFILL
Facility/Owner Name Facility lD# (ifapplicable)
456 TURNING LEAF WAY ABERDEEN 28315
Physical Address, City, and Zip
MOORE
County
Parcel identification No. (PIN)
Sh. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
For Intemal Use ONLY:
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned: 1
For multiple Injection or note-u'aler supply svells ONLY with the .same
coastrnceion-abandonment. you can submit one farm.
7b. Approximate valnme 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 all that apply):
❑ Neat Cement Grout
❑ Bentonite Chips or Pellets
❑ Sand Cement Grout
❑ Dry Clay
❑ Concrete Grout
❑ Drill Cuttings
❑ Specialty Grout
❑ Gravel
* Bentonite SI urry
❑ Other (explain under 7g)
7L For each mnterial selected above, provide amount of materials used:
0.5 GALLONS
7g. Provide a brief description of the abandonment procedure:
WELL ABANDONED VIA TREMIE PIPE WITH
PORTLAND BENTONITE SLURRY
8. Certification:
07/08/20
Signature of Certified Well Contactor or Well Owner Date
By signing this form, I hereby certify that the well(s) was (were) abandoned in
accordance wish 15A NC.417 02C .0100 or 2C .0200 Well Construction Standards
and that a copy of this record has been provided to the well owner.
(ifwell field, one latllong is sufficient)
9. Site diagram or additional well details:
35o 08' 51.22"
790 28' 52,67"
You may use the back of this page to provide additional well site details or well
Nr
W
abandonment details. You may also attach additional pages if necessary.
CONSTRUCTION DETAILS OF WELL(S) BEING ABANDONED
SUBMITTAL INSTRUCTIONS
Roach well constructlon record(s) ifarailable.
For multiple injection or non -water supply
wells ONLY iruh the sgnrc constrrrctian'abgraimrment,
yov can suhnal one farm_
1 Oa. For All Wells'. Submit this form Within 30 days of completion of well
GP-13
abandonment to the following:
6a. Well 1D#:
Division of Water Quality, Information Processing Unit,
7.5
1617 Mail Service Center, Raleigh, NC 27699-1617
6b. Total well depth:
(ft)
10b. For Iniection Wells: In addition to sending the form to the address in 10a
1.0
above, also submit one copy of this form within 30 days of completion of well
6c. Borehole diameter:
(in.)
abandonment to the following:
6d. Water level below ground surface•
(ft)
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
6e. Outer casing length (if known): {ft.) 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
6f. Inner casing/tubing length (if known); (ft,) where abandoned.
6g. Screen length (if known): (ft.)
Form OW-30 North Carolina Department of Environment and Natural Resources— Divis'soa of Water Quality Revised March 201

WELL ABANDONMENT RECORD
1. Well Contractor Information:
Gary Ellingworth
Well Contractor Name (or well owner personally abandoning well on his/her property)
3367
NC Well Contractor Certification Number
Parratt-Wolff, Inc.
Company Name
2. Well Construction Permit #:
List all applicable hell construction permits (i e 1 /1C, Counly, S7are, Variance, elc.) ifknoirn
3. Well use (check well use):
Water Supply Well:
❑Agricultural
❑Geothennal (Heating/Cooling Supply)
❑ Industrial/Commercial
❑Irri ation
Non -Water Supply Well:
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Recovery
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/Cooling Return)
❑Other (explain under 7g)
4. Date well(s) abandoned: 8/5/20
5a. Well location:
Moore County Landfill
Facility/Owner Name Facility lD# (ifapplicable)
456 Turning Leaf Way, Aberdeen, NC 28315
Physical Address, City, and Zip
Moore
County Parcel Identification No (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field_ one lat/long is sufficient)
35.148123 N-79.482964 W
CONSTRUCTION DETAILS OF WELL St BEING ABANDONED
Aiiach welt construction record(s) il'arailable For nmitiple ityecvion or non-u ater.sapply irellx
ONLY with the .same construction ahantknnmenl, you can suhndt one /brit
6a. Well ID#: GP-10
6b. Total well depth: 12.5
6c. Borehole diameter: 1 (in.)
6d. Water level below ground surface: 3
6e. Outer casing length (if known):
6f. Inner casing/tubing length (if known): 2.5
6g. Screen length (if known): 10 (fty
For Internal Use ONLY
WELL ABANDONMENT DETAILS
7a. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
well construction/depth, only 1 GW-30 is needed Indicate TOTAL NUMBER of
wells abandoned: t
7b. Approximate volume of water remaining in well(s): -5 (gal.,
FOR WATER SUPPLY WELLS ONLY:-
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Sealing materials used (check all that apply):
❑ Neat Cement Grout
❑ Bentonite Chips or Pellets
❑ Sand Cement Grout
❑ Dry Clay
e Concrete Grout
❑ Drill Cuttings
❑ Specialty Grout
❑ Gravel
❑ Bentonite Slurry
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of materials used:
2 gallons concrete grout
7g. Provide a brief description of the abandonment procedure:
8. Certificitic :
S,ktta[ c ifir[I Wellav
for or Well Owner Date'
By signing "ns form, 1 certijy that the well(s) was (were) abandoned in
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.
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
SUBMITTAL INSTRUCTIONS
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10b. POT InlCCti011 Wrlls: 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 well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
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 county where
abandoned
Form GW-30 North Carolina Department of Environmental Quality - Division of Water Resources Revised 2-22-2016

ATTACHMENT B
Boring and Well Construction Logs

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RECORD OF BOREHOLE GP-10R SHEET 1of 1
PROJECT: Moore County LF DRILL RIG: Diedrich D-50 NORTHING: 1,855,952.87
PROJECT NUMBER: 19133605 DATE STARTED: 6/25/20 EASTING: 508,889.16
DRILLED DEPTH: 15.00 ft DATE COMPLETED: 6/25120 GS ELEVATION: 431.90
LOCATION: Aberdeen, NC TOC ELEVATION: 434.21 ft
SOIL PROFILE
SAMPLES
z
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ELEV.
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PIEZOMETER
PIEZOMETER
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W
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BLOWS
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DIAGRAM and NOTES
CONSTRUCTION
❑
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DESCRIPTION
O
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per 6 in
;
w
DETAILS
W
DEPTH
CO
N
140lb hammer
ZZ
30 inch drop
O
0.00 - 2.000
.29
WELL CASING
SM, Silty SAND, fine to medium, tan light
SM
1
1-1-2-2
3
Portland moo
-
Interval: 0' - 5'
brown, cohesive, W<PL, soft
rn
Type I
Material: Schedule 40 PVC
430
429.9
Diameter: 2"
2.00 - 4.00
2.00
]2.00
Joint Type: Threaded
CL, Silty CLAY, some course sand, light
3/8"
brown, medium plasticity, cohesive, W<PL
CL
2
2-3-2-2
5
Bentonite-
WELL SCREEN
427.9
Pellets
Interval:5'-15'
4.00 - 6.00
Material: Schedule 40 PVC
4.00
5
CL, Silty CLAY, medium silty sand at 5.0',
CL
3
3-1-1-2
2
1.50
Riser-
Diameter: 2
Slot Size: 0.010'
tan, cohesive, W<PL, soft
2.00
End Cap:
425.9
6.00 - 8.00
6.00
FILTER PACK
425
SM, Silty SAND, some clay, light tan and
y
1.75
Interval: 4'-15'
white, non -cohesive, loose, W<PL, dry
SM
4
3-2-2-2
4
2.00
Type: #2 Filter Sand
423.9
FILTER PACK SEAL
8.00 - 10.00
8.00
SP, SAND, medium to coarse, tan and
SP
5
4-5-7-6
12
1.50
#2 Filter
Interval: 2'-4'
Type: 3/8" Bentonite Pellets
white, non -cohesive, loose, dry
2.00
Sand
10
421.9
ANNULUS SEAL
10.00
10.00 - 12.00
Interval: 0' - 2'
SP, SAND, medium to coarse, trace clay,
rn
1.75
0.0101,
Type: Portland Type I
tan and white, non -cohesive, loose, dry
SP
6
7-7-8-9
15
2.00
Slotted -
420
419.9
Screen
WELL COMPLETION
12.00
12.00 - 14.00
Pad: 3' x Tx 0.5'
SP, SAND, medium to coarse, trace clay,
rn
2.00
Protective Casing: Aluminum
tan and white, non -cohesive, loose, moist
SP
7
�
7-7-8-9
15
2.00
417.9
DRILLING METHODS
Soil Drill: 4.25 inch HSA
14.00
14.00 - 16.00
Rock Drill: N/A
SP, SAND,medium to coarse, some clay,
2.00
15
white, cohesive, cohesive, loose, soft, moist
SP
8
5-7-7-9
15
2.00
415.9
Boring completed at 15.00 ft
16.00
415
20
410
25
405
30
400
35
395
40
LOG SCALE: 1 in = 5 ft GA INSPECTOR: Darren Cox
DRILLING COMPANY: Geologic Exploration CHECKED BY:
DRILLER: Jacob Messick DATE: G 0 t D E R

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RECORD OF BOREHOLE GP-19 SHEET 1 of 1
PROJECT: Moore County LF DRILL RIG: Diedrich D-50 NORTHING: 1,853,794.49
PROJECT NUMBER: 19133605 DATE STARTED: 6/25/20 EASTING: 510,494.25
DRILLED DEPTH: 10.00 ft DATE COMPLETED: 6/25120 GS ELEVATION: 397.08
LOCATION: Aberdeen, NC TOC ELEVATION: 399.33 ft
SOIL PROFILE
SAMPLES
z
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ELEV.
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PIEZOMETER
PIEZOMETER
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a 0
W
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BLOWS
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DIAGRAM and NOTES
CONSTRUCTION
❑
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DESCRIPTION
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per 6 in
;
w
DETAILS
W
D H
CO
fin)
N
140lb hammer
ZZ
30 inch drop
O
0.00 - 2.00
�'°
WELL CASING
SM, Silty SAND, medium to fine sand,
SM
1
1-1-1-2
2
1.75
Portland moo
-
Interval: 0' - 5'
brown, non -cohesive, loose, d ry
2.00
Type I
Material: Shedule 40 PVC
395.08
e"
Diameter: 2"
395
Joint Type: Threaded
2.00 - 4.00
2.00
MH, Clayey SILT, medium plasticity, tan
2 00
3/8"
brown, cohesive, W<PL, soft
MH
2
3-3-5-4
8
2 00
Bentonite-
WELL SCREEN
393.08
Pellets
Interval: 5'- 10'
4.00 - 6.00
Material: Schedule 40 PVC
4.00
5
MH, Clayey SILT, medium plasticity, tan
MH
3
7-6-5-5
11
2.00
Riser-
Diameter: 2"
Slot Size: 0.010"
brown, cohesive, W<PL, firm
2 00
End Cap:
391.08
6.00 - 8.00
6.00
FILTER PACK
SM, Silty SAND, silty sandy with some clay,
N
2.00
Interval: 4' - 10'
390
medium to fine sand, tan orange,
SM
4
7-5-5-5
10
2.00
#2 Filter
Type: #2 Filter Sand
non -cohesive to cohesive, W-PL, soft
389.08
Sand
0.010"
FILTER PACK SEAL
8.00 -10.00
8.00
SC, Clayey SAND, clayey sand with some
1.75
Slotted
Interval: 2'- 4'
silt, coarse to medium sand, tan -white,
SC
5
4-3-5-3
8
2.00
Screen
Type: 3/8" Bentonite Pellets
10
non -cohesive, wet at 10', loose
387.08
ANNULUS SEAL
10.00 - 12.00
10.00
Interval: 0' - 2'
SP, SAND, coarse to medium sand,
n
2.00
Type: Portland Cement
tan -white, wet, loose
SIR
6
3-3 4-5
7
2.00
-
385.08
WELL COMPLETION
385
Pad: 3' x Tx 0.5'
Boring completed at 10.00 ft
12.00
Protective Casing: Aluminum
DRILLING METHODS
Soil Drill: 4.25 inch HSA
Rock Drill: N/A
15
380
20
375
25
370
30
365
35
360
40
LOG SCALE: 1 in = 5 ft GA INSPECTOR: Darren Cox
DRILLING COMPANY: Geologic Exploration CHECKED BY:
DRILLER: Jacob Messick DATE: G 0 t D E R

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RECORD OF BOREHOLE MW-13DR SHEET 1of 1
PROJECT: Moore County LF DRILL RIG: Diedrich D-50 NORTHING: 1,853,156.68
PROJECT NUMBER: 19133605 DATE STARTED: 6/24/20 EASTING: 509,541.34
DRILLED DEPTH: 40.00 ft DATE COMPLETED: 6/24120 GS ELEVATION: 383.31
LOCATION: Aberdeen, NC TOC ELEVATION: 385.99 ft
SOIL PROFILE
SAMPLES
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ELEV.
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PIEZOMETER
PIEZOMETER
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BLOWS
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DIAGRAM and NOTES
CONSTRUCTION
❑
au
DESCRIPTION
O
J
per 6 in
;
au
DETAILS
uJ
D H
CO
fin)
N
140lb hammer
ZZ
30 inch drop
0
0.00-2.00
!:
WELL CASING
MH, Clayey SILT, tan brown, slightly plastic,
MH
1
rn
5-6-5-4
11
2.00°°
Interval: 0' - 30'
W<PL, soft
2.00
Material: Schedule 40 PVC
381.31
Diameter: 2"
Via°
0
Joint Type: Threaded
2.00 - 6.00
2.00
SM, Silty SAND, fine sand, light tan brown,
y
1.50
380
cohesive, W-PL, loose
2
3-2-2-2
4
2.00
ta'
{°
WELL SCREEN
I22
nterval:
SM
^^
^^
Material: Schedule 40 PVC
Diameter:2"
5
3
5-4-3-4
7
1.00
Riser-
_
°g
Slot Size: 0.010"
2.00
End Cap:
377.31
1eg,
FILTER PACK
6.00 - 8.00
6.00
CL, Silty CLAY, silty clay with sand, coarse
y
1.75
^=
Interval: 28'-40'
sand, tan orange, cohesive, W-PL, soft
CL
4
4-3-3-3
6
2 00
Type: #2 Filter Sand
375.31
°'gF
°°
375
aaS
FILTER PACK SEAL
Interval: 25'-28'
8.00 - 9.00
CL
8.00
CL, Silty CLAY, silty with sand, coarse sand,
374.311.50r
5
�j
7-6-6-7
12
e
Type: 3/8" Bentonite Pellets
9.00
brown, cohesive, W>PL
°goo
10
SP
73.3
73.331
`
a
ANNULUS SEAL
9.00 -10.00
SP, SAND, coarse sand, tan, loose
°oa°
aa°
Interval: 0' - 25'
10.00 - 14.00
n
2.00Se
eS9
Type: Portland Type I
SP, SAND, coarse sand, tan, non -cohesive,
6
5-5-4-4
9
2.00
I
g`
loose, wet
WELL COMPLETION
SP
Portland
`^
Pad: 3x Tx 0.5'
2.00
Type I
Protective Casing: Aluminum
370
7
4-4-4-4
8
2.00
--
369.31°^'
un
i:
DRILLING METHODS
Soil Drill: 4.25 inch HSA
14.00°
14.00 - 16.00
°
Rock Drill: N/A
SP SAND, flowing sand, wet
15
SP
8
z
1-3-3-5
6
2.60
g°
367.31
Nil
16.00 - 18.00
16.00
SP, SAND, coarse sand, some red mottling,
2.00
non -cohesive, loose, wet
SP
9
�
5-7-7-8
14
2.00g.
365.31
ae
365
18.00 - 20.00
18.00
SP, SAND, coarse sand, tan, some
2.00
red -orange mottling at 19', non -cohesive,
SP
10
3-6-7-10
13
2.00
loose, wet
363.31
20
20.00 - 24.00
20.00
SP, SAND, coarse sand, reddish tan, some
2.00
va'
B
red -orange mottling, non -cohesive, loose,
11
5-9-13-14
22
2.00
22
wet
SP
360
12
U)
9-7-7-8
14
2.00
2.00
ag
359.31
kp
24.00 - 26.00
24.0030
SP, SAND, trace clay, tan and white,
2.00
25
mottled red, non -cohesive, firm, wet
SP
13
U)
2-2 4-6
6
2.00
357.31
3/8"
26.00 - 34.00
Bentonite -
Pellets
26.00
SP, SAND, trace clay, tan and white,
m
2.00
mottled red, non -cohesive, loose, wet
14
rn
2-1-2-5
3
2.00
355
15
u)
3-4-5-7
9
2.00
2.00
30
SP
16
1-1-5-9
6
2.00
.00
17
ai
5-13-14-10
27
2.00
350
2.00
349.31
34.00 - 36.00
34.00
#2 Filter
SP, SAND, some clay, tan, non -cohesive,
2.00
_
Sand
35
compact, wet
SP
18
N
6-2-6-8
8
2.00
0.010"
347.31
Slotted
Screen
36.00 - 38.00
36.00
CH, CLAY, some sand, coarse sand, red,2.00
cohesive, very stiff
CH
19
4-8-19-35
27
2.00
345.31
345
38.00 - 40.00
38.00
CH, CLAY, some sand, coarse sand, tan,
2.00
cohesive, very stiff
CH
20
10-14-16-10
30
.00
40
343.31
Borina completed40.00
LOG SCALE: 1 in = 5 ft GA INSPECTOR: Darren Cox
DRILLING COMPANY: Geologic Exploration CHECKED BY:
DRILLER: Jacob Messick DATE: G 0 L D E R

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RECORD OF BOREHOLE MW-13SR SHEET 1of 1
PROJECT: Moore County LF DRILL RIG: Diedrich D-50 NORTHING: 1,853,164.04
PROJECT NUMBER: 19133605 DATE STARTED: 6/25/20 EASTING: 509,549.23
DRILLED DEPTH: 20.00 ft DATE COMPLETED: 6/25120 GS ELEVATION: 383.87
LOCATION: Aberdeen, NC TOC ELEVATION: 386.57 ft
SOIL PROFILE
SAMPLES
z
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ELEV.
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PIEZOMETER
PIEZOMETER
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a 0
W
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BLOWS
O
DIAGRAM and NOTES
CONSTRUCTION
❑
w
DESCRIPTION
O
J
J
per 6 in
;
w
DETAILS
W
D H
C')
fin)
N
140lb hammer
ZZ
HJ
30 inch drop
0
0.00 - 2.00F
WELL CASING
MH, Clayey SILT, medium plasticity, tan
MH
1
rn
8-8-5-2
13
2.00
.29
iz
Interval: 0' - 10'
brow, cohesive, W<PL, firm
rn
2.00
Material: Schedule 40 PVC
381.87
Diameter: 2"
Portland 0Joint
Type: Threated
2.00 - 4.00
2.00
SM, Silty SAND, fine sand, some clay, tan,
y
1.25
_
Type I °` M
yp
cohesive, W<PL, soft
SM
2
V)
3-2-3-2
5
2.00
Da' 9L
WELL SCREEN
380
379.87
Riser-
Interval: 10'-20'
Material: Schedule 40 PVC
4.00 - 6.00
4.00
5
MH, Clayey SILT, clayey silt to sand, fine
MH
3
5-3-3-3
6
1 25
Diameter: 2"
Slot Size: 0.010"
sand, brown to tan, cohesive, W<PL, soft
2 00
End Cap:
377.87
3/8"
Bentonite -
FILTER PACK
6.00 - 8.00
6.00
Clayey SAND, coarse sand, some silt,
SC
4
N
3 4-18-19
22
2Q0
Pellets
Interval: 8'-20'
tan to orange, cohesive, W-PL, soft to firm
tan
rn
2.00
Type: #2 Filter Sand
375.87
FILTER PACK SEAL
8.00 - 10.00
8.00
375
MH, Clayey SILT, clayey silt to clayey sand,
MH
5
9-11-12-5
23
2.00
Interval: 5'-8'
Type: 3/8" Bentonite Pellets
fine sand, tan to orange, non -cohesive,
(n
2.00
10
W-PL, soft
373.87
ANNULUS SEAL
10.00
10.00 - 12.00
Interval: 0' - 5'
MH, Clayey SILT, clayey silt to sand, coarse
rn
1.75
Type: Portland Type I
sand, tan orange, non -cohesive, compact,
MH
6
3-3-2-3
5
2.00
loose, wet
371.87
WELL COMPLETION
Pad: 3' x Tx 0.5'
12.00 - 14.00
12.00
SP, SAND, coarse sand, mottled red at 13',
n
2.00
#2 Filter
Protective Casing: Aluminum
tan, non -cohesive, loose, wet
SP
7
�
9-10-10-11
20
2.00
-
Sand
370
369.87
DRILLING
DRILLING METHODS
Soil Drill: 4.25 inch HSA
14.00
14.00 - 16.00
0.010"
Rock Drill: N/A
SP, SAND, coarse sand, trace clay and silt,
n
2.00
15
tan, non -cohesive, loose, wet
SP
8
1-5-5-3
10
2.00
Slotted-
367.87
Screen
16.00 - 18.00
16.00
SP, SAND, coarse sand, tan with purple
m
2.00
oxidation stains at 17', non -cohesive, loose,
SP
9
(r)
2-3-7-8
10
2.00
wet
365.87
18.00 - 20.00
18.00
365
SP SAND, coarse sand, tan with purple
m
2.00
oxidation stains, non -cohesive, loose, wet
SP
10
m
9-3-5 4
8
2.00
20
363.87
Boring completed at 20.00 ft
360
25
355
30
350
35
345
40
LOG SCALE: 1 in = 5 ft GA INSPECTOR: Darren Cox
DRILLING COMPANY: Geologic Exploration CHECKED BY:
DRILLER: Jacob Messick DATE: G 0 t D E R

RECORD OF BOREHOLE MW-19 SHEET 1of 1
PROJECT: Moore County LF DRILL RIG: Diedrich D-50 NORTHING: 1,852,158.78
PROJECT NUMBER: 19133605 DATE STARTED: 6/26/20 EASTING: 509,324.26
DRILLED DEPTH: 13.00 ft DATE COMPLETED: 6/26120 GS ELEVATION: 363.95
LOCATION: Aberdeen, NC TOC ELEVATION: 366.67 ft
SOIL PROFILE
SAMPLES
z
U
ELEV.
O
z
w
O
PIEZOMETER
PIEZOMETER
is v
v
a 0
W
Lu
BLOWS
O
DIAGRAM and NOTES
CONSTRUCTION
❑
w
DESCRIPTION
O
J
J
per 6 in
;
w
DETAILS
W
D H
CO
fin)
N
140lb hammer
ZZ
30 inch drop
0
0.00 - 2.00
!'°
WELL CASING
SP, SAND, medium, tan -brown,
SP
1
2-3-2-3
5
2.00
Portland _ �_°
Interval: 0' - 5'
non -cohesive, loose, moist
rn
2.00
Type I
Material: Schedule 40 PVC
361.95
3/8"
Diameter: 2"
2.00 - 4.00
Bentonite
Joint Type: Threaded
2.00
SP, SAND, medium, mottled orange at 3.5',
y
1.00
Pellets
loose, wet
SP
2
V)
3-244
8
2.00
WELL SCREEN
359.95
Interval: 5'-13'
360
4.00 - 6.00
Riser-
Material: Schedule 40 PVC
4.00
5
SP, SAND, medium, mottled orange from
SP
3
5-2-3-3
5
1.50
Diameter: 2"
Slot Size: 0.010"
5.25' to 6.00', loose, wet
(n
2 00
End Cap:
357.95
6.00 - 8.00
6.00
FILTER PACK
SP, SAND, medium to coarse, mottled
y
1.25
Interval: T-13'
orange, loose, wet
SP
4
3-4-4-4
8
2.00
Type: #2 Filter Sand
355.95
8.00 - 11.00
#2 Filter
FILTER PACK SEAL
8.00
SP, SAND, medium sand, tan -white, loose,
(n
1.00
Sand -
Interval: 1'-3'
355
wet
5
(n
4-2-1-1
3
2.00
0.010"
Type: 3/8" Bentonite Pellets
10
SP
Slotted
Screen
ANNULUS SEAL
Interval: 0' - 1'
352.95
6
(n
1-2-9-31
11
2.00
Type: Portland Type
11.00 - 12.00
CH
11.00
2.00
CH, CLAY, clay with sand, medium sand,
351.95
WELL COMPLETION
white tan with purple, firm to stiff, cohesive,
Pad: 3' x Tx 0.5'
12.00
moist to dry
00
Protective Casing: Aluminum
12.00 - 14.00
SC
7
27-37 41-50
78
2.00
SC, Clayey SAND, medium to coarse sand,
349.95
DRILLING METHODS
350
tan purple, compact to loose, moist
Soil Drill: 4.25 inch HSA
Rock Drill: N/A
Boring completed at 13.00 It14.00
15
345
20
340
25
335
30
330
35
325
40
LOG SCALE: 1 in = 5 ft GA INSPECTOR: Darren Cox
DRILLING COMPANY: Geologic Exploration CHECKED BY:
DRILLER: Jacob Messick DATE: G 0 t D E R

WELL CONSTRUCTION RECORD
This form can he used for single or multiple wells
For Internal Use ONLY:
I. Well Contractor Information:
JACOB MESSICK
Well Contractor Name
A - 4252
NC Well Contractor Certification Number
GEOLOGIC EXPLORATION, INC
Company NArnt
2. Well Construction Permit tI:
ldsl all applicable well construction pertnils (t e_ County, Stale, Variance, etc.)
3. Well Use (check well use):
Water Supply Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑ Industrial/Commere jai
❑Irrigation
Non -Water Supply Well:
©Monitoring
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
C
❑Aquifer Recharge
❑Groundwater Remediation
❑Atluifer Storage and Recovery
❑Salinity Barrier
El Aquifer Test
❑Stormwater Drainage
❑Experjmeatal Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
❑Tracer
❑Geothermal (HeatintVCooling Return)
❑Other (explain under #21 Re
4. Date Well(s) Completed: 06/26/20
Well ID# M W -13 D R
5a. Well Location:
MOORE COUNTY LANDFILL
Facility!(Jwner Name Facility I➢# (ifapplicable)
456 TURNING LEAF WAY ASERDEEN 28315
Physical Address, City, aad Zip
MOORE
County Parcel Identification No. (PIN)
5b. Latitude and Longitude in degreeslminuteslsecouds or decimal degrees:
(ii well Yield, one ]at/long is sufficient)
350 08' 51.22" N 790 28' 52.67" W
6. Is (are) the well(s): dPerrianent or ❑Temporary
7. Is this a repair to an existing well: pYes or DNo
!Frhfs is a repair. Jill out kumrn well conslruclfon tttforatatlon and explain the nature of the
repair under 8l1 renurrls section or on the hack of lltiv form.
8. Number of wells constructed: 1
Fbr nudliple njeelion or non-water,sapph' grells ONLY n'ilh the .same cpn.Rtritel on. Svu con
s'ubtrift Ono fbr;v_
9. Total well depth below Land surface: 40.0 (ft.)
hor nttdRple Wells list all depths rf dijjerent (e_romple- 3@200' and 2 a@100')
10. Static water level below top of casing: 20.0 (ft.)
if lraler ferel is abate caafnK ase ". "
I1. Borehole diameter: 8-0
A
22. Certification:
07/08/20
Sig—t—effcertifi d Well t'_ont'_j.' pare
8y signing this fornt• 1 hereby certify that the n•ell(s) Wos (were) Vanstrucled in accordance
lritle ISQ N(.'.4C 02C.0100 or I5A NCAC 02C .0200 Well Construction Standards and that a
COPY of thisrecord has been provrded to the well owner.
23. Site diagram or additional well details:
You may use the hack of this page to provide additional well site details or well
construction details- You may also attach additional pages if necessary_
SUBMITTAL INSTUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
Division of Water Quality, Information Processing Unit,
1617 flail Service Center, Raleigh, NC 27699-1617
24b. For injection Wells: In addition to sending the form to the address in 24.1
UGER above, also submit a copy of [iris form within 30 days of completion of well
12. Well construction method: construction to the following:
ti-e. Auger, rotary, cable, direct push, etc_)
Division of Water Quality, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13% Yield (gpm) Method of test: 24. For Water Su lv & Injection 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 Depcnment of Environment and Natural Resumces — Division of Water Qimlity Revised Jan. 2n 13

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
For Internal Use ONLY:
1. Well Contractor Information:
JACOB MESSICK
Well Contractor Name
A - 4252
NC Well Contractor Certification Number
GEOLOGIC EXPLORATION, INC
Company Name
2. Well Construction Permit 4;
Lisa all applicable well comiracuon pernriu (i,e. County, Stale, parlance, etc,)
3. Well Use (check well use):
Water Supply Well:
❑Agricultural ❑Municipal/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑Industrial/Commercial ❑Residential Water Supply (shared)
❑Irrl atlon
Non -Water Supply Well:
0 Monitorine ❑ Recovery
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
DGeothermal (Closed Loop)
❑Geothermal (Heating/Cooling
4. Date Weil(s) Completed:
❑Groundwater Remediation
❑Salinity Barrier
❑,StUIMWater Drainage
❑Subsidence Control
❑Tracer
❑Other (explain under 921 1
06/26/20 Well I), MW-13SR
Sa. Well Location:
MOORE COUNTY LANDFILL
Facility/Owner Name Facility IDA (if applicable)
456 TURNING LEAF WAY ABERDEEN 28315
Physical Address, City, and Zip
MOORE
County
Parcel identification No_ (PIN)
5b. Latitude and Longitude in degrees/minutes/scconds or decimal degrees:
(ifwcll field, one latllong is sufficient)
350 08' 51.22" N 790 28' 52.67" W
6. Is (are) the well(s): ©Permanent or ❑Temporary
7. is this a repair to an existing well: ❑Yes or ONo
If this is a repair, fill out known rrell construction injnrmation and explain the nature of the
repair tinder :21 remarks section or on the back of this form_
S. Number of wells constructed: 1
hbr muhlple injection or non -water supply wells ONf.V with the same cmtstruetian, you can
subhru oneform_
9. Total well depth below land surface: 20.0 (ft.)
For nndtipfe hells list all depths ifdi(jereni (example- 3Q200' and 2@100'j
10. Static water level below top of casing: 12.0
(/hater level a above casing, use
11. Burehole diameter: 8.0
AUGER
14. WATER ZONES
FROM
TO
DESCRIPTION
ft.
ft.
ft.
ft.
IS. OUTER CASING for mtriti-cased wells OR LINER if s licable
FROM
TO
n..IT.. THICKNESS
MATERIAL
ft,
ft.
in.
16. INNER CASING OR TUBING(geothermal closed -foe
FROM
TO
D1AMF,TER
THICKNESS
MATERIAL
0.0 ft-
10.0 ft•
2 0 in.
SCH 40
PVC
ft.
ft.
iu•
17. SCREEN
FROM
TO
DIAMETER
SLOT SIZE
THICKNESS
MATERIAL
10.0 It.
20.0 ft-
2.0 in-
1 .010
SCH 40
PVC
rt
ft.
IS. GROUT
FROM
TO
MATERIAL
EMPLACEMENT METHOD& AMOUNT
fl 0 ft.
5 {1 ft'
PORTLANO 6ENTONITE
SLURRY
ft.
ft.
ft.
ft.
19. SAND)CRAVEL PACK if applicable)
FROM
TO
MATERIAL
EMPLACEMENTNIETHOD
8.0 ft.
20 0 ft.
20-40
FINE SILICA SAND
ft.
ft.
20. DRILLING LOG attach additional sheets if necessary)
FROM
TO
I DESCRIPTION (color, hardness, soilfrock type, grain size, etal
0,0 ft-
10,0 ft.
TAN/BROWN SILTY SAND
10.0 ft.
20.0 ft.
TAN SILTY SAND
ft,
rt
ft.
ft.
ft-
ft.
ft.
ft.
ft.
ft.
21. REMARKS
BENTONITE SEAL FROM 5.0 TO &0 FEET
22. Certification: � -
07/08/20
Signature of Certified Well Contractor Date
By signing this form, 1 hereby rertj5, thal the ivelf(s) was (were) constructed to areordonce
with 15A NCAC 02C.0100 or 15A NCA' 02C.0200 Well Construction Standards and drat a
copy ofihis record has been prmided Ia the well owner.
23. Site diagram or additional well details:
You may use the hack of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL INSTUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
Division of Water Quality, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Infection Wells: In addition to sending the form to the address in 24a
above, also submit a copy of this form within 30 days of completion of well
12, Well construction method: construction to the following:
(i.e_ auger, rotary, cable, direct push, etc.)
Division of Water Quality, 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 & Iniectiun 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_
Fomr GW-I North Carolina Department of Envivorunent and Natural Resources - Division of Water Quality Revised Jan. 201;

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
For Internal Use ONL -'
L Well Contractor Information:
JACOB MESSICK
Well Contractor Name
A - 4252
NC Well Contractor Certification Number
GEOLOGIC EXPLORATION, INC
Company Name
2. Well Construction Permit#:
List all applicable well construction permits (I e. Comfy, State, Variance, etc.)
3- Well Use (check well use):
Water Supply Well.
❑Agricultural ❑MunicipaYliublic
❑Geothermal (Healing/Cooling Supply) ❑Residential Water Supply (single)
❑Industrial/Commercial UResidential Water Supply (shared)
Non -Water Supply Well:
❑Monitoring ❑Recovery
❑Aquifer Recharge
[7]Groundwater Remediation
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
❑Stormwater Drainage
❑Experimental Technology
❑Subsidence Control
DGeothermal (Closed Loop)
❑Tracer
❑Geothermal (Heating/Cooling Return)
❑Other (explain under #2 t Remarks)
06/26/20
M W-19
4. Date Well(s) Completed:
Well ID#
5a. Well Location:
MOORE COUNTY LANDFILL
FaciluyfOwner Name
Facility lD# (if applicable)
456 TURNING LEAF WAY ABERDEEN 28315
Physical Address, City, and Zip
MOORE
County
Parcel Identification No, (PIN)
ld. NVATER ZONES
FROM
TO DESCRIPTION
ft.
ft.
ft.
ft.
m OUTER CASING for multi -cased wells OR LINER ffap icable
FROM I TO
DIAMETER
THICKNESS MATERIAL
ft. ft.
in.
16. INNER CASING OR TUBING 12eothermal closed-loo
FROM
TO
DIAMETER
THICKNESS
MATERIAL
0.0 f"
5.0 ft.
2.0 in.
SCH 40
PVC
ft.
ft.
in.
17. SCREEN
FROM
TO
DIAMETER
SLOTSIZE
THICKNESS
MATERIAL
5.0 ft'
13.0 ft.
2.0 in-
.010
SCH 40
PVC
ft.
ft.
in.
t8. GROUT
FROM
TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
0_0 ft'
20 It'
PORTlANi16fNTONITE
SLURRY
ft.
ft.
ft.
ft.
19. SANDIGRAVELPACS ifa licable
FROM
TTO
I MATERIAL
EMPLACEMENT METHOD
4.0 ft.
13.0 ft.
2-0- 40
FINE SILICA SAND
ft.
ft.
20. DRILLING LOG attach additional sheets if necessary)
FROM
TO
DESCRIPTION color, hardness, suillmck t m, e.wj
0.0 ft-
13.0 ft-
TAN SILTY SAND
ft-
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft,
ft.
It.
ft.
21. REMARKS
13ENTONITE SEAL FROM 2.0 TO 4.0 FEET
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees: 22. Certification.
(ifwell field, one latllvng is sufficient,)
350 08' 51,22" N 790 28' 52.67" W
6. Is (are) the well(s): (ZPermanent or ❑Temporary
7. Is this a repair to an existing well: ❑Yes or KINo
If this is a repair, fitl out known well construmon tlfornlotion and explain the nature of the
repair tinder Q1 remarks sectron or on the back of this 1rjrm.
S. Number of wells constructed. 1
h'or nwhiple injecrion or nun-Ieater.vapply wells ONLY Irilh the same construction, you can
.submit one farm.
9. Total well depth below land surface: 13.0 (ft,)
hi)r rnuhiple ,cells list all depths if different (esanvple- 3Q200' and 2 n 100')
10. Static water level below to of casing: 8-0 iftt,I
IJ'trater lerel is above casing, use
11. Borehole diameter: $'Q (in.)
AUG ER
12. Well construction method: _
(i.e, auger, rotary, cable, cLect puslu, etc.)
Sip-mre of Certified Well C-1-tor
07/08/20
Hysigning thn.1b m, I hereby certify that the tvell(s) was (were) convirucded in occorclonc�
lriih 15A NCAC 02C.0100 or 15,4 NCAC 02C-0200 Well Conviruction Standards and that a
copy afthis record has been provided to the well miner.
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 INSTUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
Division of Water Quality, 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 24,1
above, also submit a copy of this form within 30 days of completion of well
construction to the following:
Division of Water Quality, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield (gpm) Nlethod of test: 24c. For Waller 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
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 Environment and Natural Resources - Division of Water Quality Revised Jan. 2013

WELL CONSTRUCTION RECORD
This form cars be used for single or multiple wells
For Internal Use ONLY'.
1. Well Contractor Information:
JACOB MESSICK
Well Contractor Name
A - 4252
NC Well Contractor Certification Number
GEOLOGIC EXPLORATION, INC
Company Name
2. Well Construction Permit #:
List all applicable noefl construction permits (i.e. Canny, State, Variance, etc,)
3. Well Use (check well use):
Water Supply Well:
❑ Agricultural D Municipal/Public
❑Geothermal (Heating/Coohng Supply) ❑Residential Water Supply (single)
❑Industrial/Commercial OResidential Water Supply (shared)
❑lrrl atlon
Non -Water Supply Well:
U+ Monitoring ❑Recovery
[]Aquifer Recharge
ClAquifer Storage and Recovery
❑Aquifef'Test
❑Experimental Technology
UGeothermal (Closed Loop)
❑Geothermal (Heating/Cooling
4. Date Wetl(s) Completed:
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Other (explain under #21 1
06/26/20 WellID4 GP-10R
Sa- Well Location:
MOORE COUNTY LANDFILL
FacilitylOwncr Name Facility I D# ( if applicable)
456 TURNING LEAF WAY ABERDEEN 28315
Physical Address, City, and Zip
MOORE
County
Parcel identification No. (PIN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one latllong is sufficient)
350 08' 51.22" N 790 28' 52.67" W
1-1. WATER ZONES
FROM
TO PESCRIPTION
ft.
ft.
ft.
fY.
15. OUTER CASING for multi -cased wells DR LINER if a licahle
FROM
TO
DIAMETER
TH ICKN E55
MATERIAL
ft.
rt.
in.
16. INNER CASING OR TUBING eathermal
closed -loop)
FROM
TO
DIAMETER
THICKNESS
MATERIAL
0.0 ft'
S.0 ft'
2.0 in.
SCH 40
PVC
Ft.
ft.
in,
17-SCREEN
FROM
TO
DIAMETER
SLOT SIZE
THICKNESS
MATERIAL
5.0 ft.
15 0 ft.
2.0 in.
.010
SCH 40
PVC
ft.
ft.
in.
IS- GROUT
FROM
I TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
0.0 ft.
20 ft'
PORTLANDBENTONITE
SLURRY
ft.
ft.
ft.
ft.
19, SAND/GRAVEL PACK ifa licable
FROM
TO
MATERIAL
EMPLACEMENT METHOD
4.0 ft-
15.0 It
20-40
FINE SILICA SAND
ft.
ft.
2t1. DRILLING
LOG (attach additional sheets if necessary)
FROM
TO
DESCRIPTION (color, hardness, soillrock typw, grain size, etc.)
0.0 ft•
5.0 ft.
TAN/BROWN SANDY SILT
5.0 ft
15.0 ft
TAN SAND
ft.
ft.
ft.
ft.
ft,
ft.
ft.
ft.
ft.
ft
21. REMARKS
BENTONITE SEAL FROM 2.0 TO 4.0 FEET
22. Certification: � -
10 07/08/20
Signahue of Cenif.d Well Cnntra.tor
6. is (are) the well(s): OPermanent or []Temporary
By signing this Joan, J hereby certify that the erell{sJ inns (rrereJ constructed in ace'orTlanc'e
u-ah 15A NCAC 02C .0100 or 15,4 NC AC 02C 0200 Well Construction Standardv and that a
7. Is this a repair to an existing well: dYes or ZINo copy gflha record has been provided to the scell miner
If this is a repair,,jill out known yell construction information and erpiain the nature afthe
repair under 021 rewarks section oroo the back ofthis frrnr 23, Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
S. Number of wells constructed: construction details. You may also attach additional pages if necessary.
Por multiple injection or non-evorer supply irells ONLY with the some cons'truerion, you cart
submit are fnrnt SUBMITTAL INSTUCTIONS
9. Total well depth below land surface: 15.0 (ft,) 24a. For All Wells: Submit this form within 30 days of completion of well
!oar niuliiple )cells list all depths ifdiJjereni (example- 3@200' and 2@100) construction to the following:
10. Static water level below top of casing:
lfiroler level is above casing, use " � "
11. Borehole diameter: 6'0 (in.)
AUGER
(ft.) Division of Water Quality, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection Welts: In addition to sending the form to the address in 24a
above, also submit a copy of this form within 30 days of completion of well
12. Well construction method: construction to the following:
(i,e. auger, rotary, cable, direct push, etc.)
Division or Water Quality, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13s. Yield (um) Method of test: 24c• For Water Supply & Inieeiiou 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 GWA North Caroliha Department of Environment and Natural Resources- Division of Water Qualitv Revised Jan. 2013

12. Well construction method: _
(he_ auger, rotary, cable, direct push, etc.)
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1, Well Contractor Information:
JACOB MESSICK
Well Contractor Name
A - 4252
NC Well Contractor Certification Number
GEOLOGIC EXPLORATION, INC
Company Name
2. Well Construction Permit #:
list all applicable well ronsrruclion permits (i.e_ Counly, Siam. Irarianee, etc.)
3, Well Use (check well use):
rraterojuppiy welt:
[]Agricultural
❑Geothermal (Heating/Cooling Supply)
❑ Ind ustrial/Commercial
Non -Water Supply Well:
E Monitori ng
❑NIunicipal/Public
❑Residential Water Supply (single)
[]Residential Water Supply (shared)
❑ Aq inter Recharge ❑ Groundwater Remediation
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage
❑Experimental Technology ❑Subsidence Control
❑Geothermal (Closed Loop) ❑Tracer
[]Geothermal (Heating/Cooling Return) ❑Other (explain under 921 R
4. Date Well(s) Completed: 06/26/20 Weil ID# GP-19
5a. Well Location:
MOORE COUNTY LANDFILL
Facility/Uwner Name Facility IM (ifapplicable)
456 TURNING LEAF WAY ABERDEEN 28315
Physical Address, City, and Zip
MOORE
County
Parcel Identification No. (PIN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(irwen field, one latilong is suLTicium)
35' 08' 51.22" N 790 28' 52.67" W
6. Is (are) the well(s): []permanent or ❑Temporary
7. is this a repair to an existing well: UYes or ONO
1f lhis is a repair, fill out known well cansfrucllan inforrnaiion and explain tine nolure of the
repair under a2) remarks sec'lion or on the back ofthig form.
S. Number Of wells constructed: 1
For tirnhiple hyVelton or non-waler svpplp wells ONLY with the same construciion, yoll can
,won df one form.
9. Total well depth below land surface: 10.0
1'or multiple wells list all depths [fdiJJwi,11(example- 3@200' and 2 a 100')
10, Static water level below top of casing:
lfwater lerel is above casing, use "+ "
11. Borehole diameter: $ 0 (in.)
AUGER
r"Iernal Use l7NLY:
22. Certification:
. 07/08/20
signature of Certi fxed Wen Contractor D.I.
By signing this form, I hereby certify that the wall(s) was (were) eonsimcled in aerordance
with 15A NCAC 02C . 0100 or 15A N(:AC 02'. 0200 Well Construction Standards and thar a
copy of -this record has been provided to the spell 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 INSTUCTIONS
(ft.) 24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following-
(ft.) Division of Water Quality, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 276994617
24b. For lnjection Wells: In addition to sending the form to the address in 24a
above, also submit a copy of this form within 30 days of completion of well
construction to the following -
Division of Water Quality, 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 Sueply & Injection 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-t North Carolina Department of Environment and Natural Resources —Division of Water Quality Revised Jan, 2013

ATTACHMENT C
Monitoring Well Survey

mxrmrHEWS
�-Al-ju SIJkv01liG,& NtA�eu-4u 103 Monroe Street, Suite 104 910-947-2671
Carthage, NC 28327
jokin@)riiatthewslandsurveying.com
SURVEY REPORT
SURVEY CONTROL POINTS:
CONTROL
NORTHING
FASTING
ELEVATION
PT#19000
510278.26
1852287.63
368.51
PT#19001
509494.38
1852273.2
378.3E
PT#19002
1 509825.15
1853622.08
391.73
NEW MONITORING WELLS:
WELL ID
NORTHING
EASTING
TOP OF CASE
ELEVATION
GROUND
ELEVATION
MW-19
509324.26
1852158.78
366.67
363.95
MW-13DR
509541.34
1853156.68
385.99
383.31
MW-13SR
509549.23
1853164.04
386.57
383.87
NEW GAS PROBES:
GAS
TOP OF CASE
GROUND
NORTHING
EASTING
PROBE ID
ELEVATION
ELEVATION
GP-1011
508889.16
1855952.87
434.21
431.90
GP-19
510494.25 j
1853794.49
399.33
397.08
REPORT DATE: 07/30/2020
DATE OF SURVEY: 07/30/2020
SURVEY CONTROL DATA
HORIZONTAL DATUM: NAD83 (2011)
EPOCH: 2010.00
VERTICAL DATUM: NAVD88 (GEOID 2012B)
UNITS: US SURVEY FEET
GPS TECHNIQUE: NETWORK RTK (VRS)
DATE OF GPS 5URVEY: 07/30/2020
GPS ANT TYPE: SPECTRA PRECISION SP-80
GPS ANT SN: 5808551340
WGS-84 LAT: 35'09'03.8674"
WGS-85 LON: 79'29'39.0069"
ELLIPSOID HEIGHT: 271.46
GEOID HEIGHT: -97.05
PROJECT COMBINED FACTOR: 0.99986608
CALCULATED AT PT# 19000
CLASS OF SURVEY: A
LEAST SQUARE AT 95% CONFIDENCE LEVEL
POSITIONAL ACCURACY: 0.06'
THE PURPOSE OFTHIS SURVEY WAS TO PROVIDE HORIZONTAL AND VERTICAL COORDINATES FOR THREE (3) NEW MONITORING WELLS AND TWO
(2) NEW GAS PROBES.
SURVEY CERTIFICATION:
1, JOHN G MATTHEWS, CERTIFY THAT TH15 REPORT WAS PREPARED UNDER MY SUPERVISION, FROM AN ACTUAL GROUND SURVEY MADE UNDER
MY SUPERVISION; THAT THE POSITIONAL ACCURACY HAS BEEN REPORTED HEREON; THAT THE GEOLOGICALFEATURES SURVEYED AND IDENTIFIED
HEREON WERE SURVEYED IN A MANNER SUFFICIENT TO COMPLY WITH THE NATIONAL MAP ACCURACY STANDARDSAND THE REQUIREMENTS OF
THE STANDARDS OF PRACTICE FOR LAND SURVEYING IN THE STATE OF NORTH CAROLINA (21 NCAC56.1600)
WITNESS MY ORIGINAL SIGNATURE, REGISTRATION NUMBER AND SEAL THIS THE 30T" DAY OFJULY, 2020. �1�� FARO
SEAL
L-5020 �'

ATTACHMENT D
Well Development Forms

MONITORING WELL DEVELOPMENT DATA SHEET
r
G O L D E R Project:
Date:
Casing Type
Well/Boring Number
Casing Diameter in inches (Dr):
Screened Interval
Riser Stickup:
Total Well depth (Lw) in Feet:
Depth to Water (Lf) in feet
Time of Measurement:
PVC
2 in
jam] '• 2.o
2-•o
Volume of water in well, using V=0.041 (Dr)2 (Lw - LF) = 1, Gallons , Z5 4 ; u 0",
FIELD MEASUREMENT OF PHYSICAL �m ^,-tZ .
PARAMETERS
Time pH Conduc- Clarityi Temp Volume
(S.U.) tivity y CC) (gallons)
(NSlcm) (NTU)
Before
Developmen
t log 1 S t! 3 2 .v >LOA) �5l 6
32 o.
> Ia-1)
24,1 _
7�tio
6.og
166.E
>(00b
21.
23. 0
I1
(�N
L
-3
jLL
sig.
2A
11�0
_3l(f
2-10
Lt
1(q�
�.3�
.3c3.4
Q-Sl
Z(,5
SS-0
(Fifl in Ono or more of the above columns depending an available equipment)
Method of purging (bailer or pump) If pumped, pumping rate: a LL6Q i Y`-A„'tk .
Well Purged Dry "0 Continuous Recharge Ye
Notes concerning condition of well, odors, color, etc.:
A total of 101. well volumes were removed during the develol meat of this well.
Developers Signature
PM's Signature
Dater 1 _�
Date:
M
Page 1

MONITORING WELL DEVELOPMENT DATA SHEET
G O L D E R Project:
Date -
Casing Type:
Well/Suring Number
Casing Diameter in inches (Dr):
Screened Interval:
Riser Stickup;
Total Well Depth (Lw) in feet:
Depth to Water (Lf) in feet,
Time of Measurement.
[X fcy t L t
q
PVC
Ftw-I�
2 in
'40
--
Volume of water in well, using V=0.041 (Dr)2 (Lw - Lf) _ -5'10 Gallons
FIELD MEASUREMENT OF PHYSICAL
PARAMETERS
Time pH Conduc-
Clarity/
Temp
Volume
(S.U.) tivity
y
CC)
(gallons)
(NSlcm)
(NTU)
Before
Developmen { .4(1` A
',,' L
l q-i
PO
_? 1"
U
c.,.E
i�t .-
(Fill in one or more of the above columns depending an available equipment)
Method of purging (bailer or pump) PUNT If pumped, pumping rate: U •Z:�3 zc,.((
Well Purged Dry qb Continuous Recharge `r'-C3
Notes concerning condition of well, odors, color, etc.:
A total of 4 well volumes were removed during the develoloment of this well.
❑eveloper's Signature
PM's Signature
Page 1
Date, q-1 -;?JZO
Date: ':� - /— Z02cl
In,4�t4,e_.

MONITORING WELL DEVELOPMENT DATA SHEET
COLDER Project:
Date:
Casing Type:
Well/Boring Number
Casing Diameter in inches (Dr), -
Screened Interval:
Riser Stickup'.
Total Well Depth (Lw) in feet:
Depth to Water (Lf} in Peet:
Time of Measurement.
q-- t a
PVC
Kw-l5
2 in
.�0
a SS.c,I rktxat AD
vrk
m.ut �tlnl - �-
Volume of water in well, using V=0.041 (Dr)2 (Lw - LO
FIELD MEASUREMENT OF PHYSICAL
PARAMETERS
Time pH Conduc-
(S,U.} tivity
(p51cm)
) •5� Gallons
Clarity] Temp Volume
y (°C) (gallons)
(NTU)
Before
Develapmen
It
f }
6.5q
686
-i
tip.
3
(0.2 [
G9 b 2s:�
15gS
(.52,
_4Z6 Tb
Zs J_
(Fill in one or more of the above columns depending an available equipment)
Method of purging (bailer or pump) If pumped, pumping rate: 0.1
5bgG►(G5 r,a n� Well Purged Dry WQ Continuous Recharge
Notes conceming condition of well, odors, color, etc:
A total of Tj well volumes were removedAur}ng the develolpment of this well.
Developer's Signature 1 r { , Date: mot` - (�
PM's Signature Date: .9 — I : A 0 ;1,0
Page 1
pqc�q t W� Z

MONITORING WELL DEVELOPMENT DATA SHIKET
4
GOLDER Project:
Date:
Casing Type:
Well/Boring Number
Casing Diameter in inches (Dr);
Screened Interval:
Riser Stickup:
Total Well Depth (Lw) in feet:
Depth to Water (1-0 in feet:
Time of Measurement:
�Aw cojqu j 11,13 S 34 i _ ;kW
PVC
2 in
5- i.3
2.60
Volume of water in well, using V=0.041 (Dr)' (Lw - Lfj = I Gallons
FIELD MEASUREMENT OF PHYSICAL
PARAMETERS
Tlme pH Conduc- Clarity/ Temp Volume
(S.U.) tivity y (°C) (gallons)
(pSlcm) (NTU)
Before
Developmen
t WS 6.36 6 0q ?-1 24. 7 44.
1
'3o l
1161
24.b
49 _ iS
61-�
� 33
I aq
2
24 S'
�64
b
74 11
-2 J_�J
2q,
aq
(Fill in one or more of the above columns depanding on available equipment)
Method of purging (trailer or pump) If pumped, pumping rate: n
Well Purged Dry Ud Continuous Recharge '�'eg
Notes concerning condition of well, odors, color, etc.;
A total of Xwell volumes were removed -Purina the develoloment of this well.
Developers Signature Date; q--[ —2D-6
PM's Signature f Date: 9 .- 1— 2 0L­->
Page t