HomeMy WebLinkAbout1304_Cabarrus_CharlotteMotorSpeedwayV_MSWLF_WelIInstallation_FID1517670_20201217Groundwater and Landfill Gas
Monitoring Well Installation Report
Charlotte Motor Speedway Landfill
1304-MS W LF-1992
BFI Waste System of North America, Inc.
5105 Morehead Road
Concord, NC 28027
704-782-2072
02201314.91 1 December 17, 2020
2520 Whitehall Park Drive, Suite 450
Charlotte, NC 28273
704-504-3107
Table of Contents
Section Page
1.0 CERTIFICATION...................................................................................................................................1
2.0 INTRODUCTION...................................................................................................................................2
Objective.............................................................................................................................................2
3.0 MONITORING WELL CONSTRUCTION................................................................................................2
Appendices
A Site Vicinity Map
B Groundwater Monitoring Well locations
C Landfill Gas Monitoring Well Locations
D Monitoring Well Construction and Boring Logs
E Well Construction Records (GW-1s)
M:\PROJECT FILES\02201314.91\Deliverables\Well Installation report\13-04 Monitoring Well Installation Report
20201217.docx
Monitoring Well Installation www.scsenciineers.com
Page
1.0 CERTIFICATION
This groundwater and landfill gas monitoring installation report for this facility has been prepared by a
qualified geologist who is licensed to practice in the State of North Carolina. The report has been
prepared based on first-hand knowledge of site conditions and familiarity with North Carolina solid
waste rules and industry standard protocol. Monitoring well installations were performed in general
accordance with NCDEQ rule 15A NCAC 2C .0108 and the approved Water Quality and Landfill Gas
Monitoring Plans for the facility (FID 1457530 and 1457562, respectively).
x :
Jar4}``1'. Hamela
Senior Project Geologist
Date: December 17, 2020
Not valid unless this document bears the seal of the above -named licensed professional.
Monitoring Well Installation www.scsQaineers.com
Page 1
2.0 INTRODUCTION
This report, prepared by SCS Engineers, PC (SCS), documents the installation of groundwater
monitoring wells MW-35, MW-36, MW-39, MW-40, MW-41, and MW-42 and the installation of landfill
gas monitoring wells MMW-5, MMW-9, MMW-10, MMW-11, MMW-12, and MMW-14 at the Charlotte
Motor Speedway Landfill. This report serves as the required certification of the well installations.
The Landfill is located at 5105 Morehead Road, Concord, NC and operated by BFI Waste Systems of
North America, Inc. The Site operates under Solid Waste Permit #1304-MSWLF-1992.
OBJECTIVE
In accordance with North Carolina Solid Waste Rules and the approved Water Quality Monitoring
Plan and Landfill Gas Monitoring Plan submitted by SCS on October 8, 2020, six groundwater
monitoring wells were installed and six landfill gas monitoring wells were installed in support of the
Phase 3 landfill expansion.
3.0 MONITORING WELL CONSTRUCTION
The location of the Landfill and property boundary is depicted in Appendix A. Location of the existing
and installed groundwater and landfill gas monitoring wells are depicted in Appendices B and C,
respectively. Installations were performed by Innovative Environmental Technologies Inc. (IET), a
North Carolina Certified Well Contractor and supervised by a NC Licensed Geologist. The well
construction records (GW-1s) generated by IET are provided in Appendix E.
The monitoring well installations began October 20, 2020 and were completed on November 13,
2020. The boreholes were advanced using a Mobile Drill B-57, CME 750, and an AMS PowerProbe
9510 with 4.25, 6.25, and 8.25-inch hollow stem augers. The groundwater monitoring wells were
constructed with 2-inch Schedule 40 PVC slotted well screen and well casing with a sand filter pack
and bentonite seal. The landfill gas monitoring wells was constructed with 1-inch Schedule 40 PVC
slotted well screen and well casing with a sand filter pack and bentonite seal. The installed wells
were finished with a 2-ft X 2-ft concrete pad, lockable steel protective cover, and perimeter steel pipe
bollards. Tooling and equipment were decontaminated upon completion of drilling at each
groundwater and landfill gas monitoring well location. The installed monitoring wells are not yet
surveyed at the time of this submittal, with the survey scheduled to be conducted in the near future.
Survey data when received will be incorporated into the next semi-annual water quality monitoring
report for the Landfill. Monitoring well construction and boring logs are provided in Appendix D. MW-
35, MW-36, MW-37, MW-39, MW-40, MW-41, and MW-42 were developed by SCS personnel using a
submersible pump until visibly clear of sediment. The submersible pump was decontaminated after
use at all groundwater and landfill gas monitoring well locations. Well development purge volumes
are as follows: 5 gallons of water purged from MW-35; 20 gallons of water purged from MW-36; 7
gallons of water purged from MW-37; 5 gallons of water purged from MW-39; 25 gallons of water
purged from MW-40; 8 gallons of water purged from MW-41; and 7 gallons of water purged from
M W-42.
During the initial mobilization, access to the location for groundwater monitoring wells MW-38 and
MW-37 could not be achieved due to wet weather. These two wells shall be installed and
documented at a later date. MW-17R and MW-17AR are proposed re -location wells for Phase 4
Monitoring Well Installation www.scsenciineers.com
Page 2
development and will be installed during Phase 4 landfill construction. In addition, proposed landfill
gas monitoring wells MMW-6, MMW-7, and MMW-8 were found to be intact, so re -installation was
deemed not necessary. Proposed MMW-13 was not installed as two landfill gas monitoring wells,
MMW-42 and MMW-29, were discovered in the vicinity of the proposed MMW-13.
Monitoring Well Installation www.scsenciineers.com
Page 3
Appendix A
Site Vicinity Map
Monitoring Well Installation www.scsengineers.com
F
t
650� �MDRESY,� _ _� �C �. _ g.P
0 NE�G
4 29
N o
o�— . SITE LOCATION o
wo
0�
r/ F
O \l✓v ��
upsPETS+)R0 — e (� Ll
Malla,.� HG ao
B CROSS
5SO lI�I- \� iEATHERWq_ODLN. �R\A
O,PKi\o
1
SCALE:
0 1000 2000 3000
APPROXIMATE SCALE IN FEET
BASE MAP SOURCE:
USGS TOPOGRAPHIC MAP, 7.5 MINUTE SERIES,
HARRISBURG, NORTH CAROLINA, 2016
•' Vv yO —
e 2
SITE LOCATION
CHARLOTTE MOTOR SPEEDWAY LANDFILL
5105 MOREHEAD ROAD
CONCORD, NC 28027
qr-q FN(,INFFRS
FIGURE 1 - SITE LOCATION MAP
Appendix B
Groundwater Monitoring Well Locations
Monitoring Well Installation www.scsengineers.com
I
LEGEND NOTES:
1. SW-1 LOCATED UPSTREAM ON ROCKY RIVER BENEATH
— 10 FOOT ELEVATION CONTOUR US 29 OVERPASS
— PROPERTY LINE 2. MW-24 SHALL BE PERMANENTLY ABANDONED.
— LIMITS OF WASTE 3. MW-17 AND MW-17A TO BE ABANDONED AND
— PHASE 1 EXTENTS RELOCATED TO THE APPROXIMATE MW-17A AND
MW-17AR LOCATIONS SHOWN ON THE MAP. U
— PHASE 2 EXTENTS °gs Z Q
O
— PHASE 3 EXTENTS
1 a U)
"ice ► V J
— FUTURE PHASE 4 EXTENTS (EST.) hb° os. 560 1 O Q
I J V`0`s `
LIMITS OF CLOSURE CAP ` S —2 °9s �e 550 ss _ ybo I �
BMW—# — EX. GROUNDWATER (GW) MONITORING WELL I y 1 z J 0
I
_ M W— 42 � 1 ybo � LL J
MW—# — PROPOSED GW MONITORING WELL W-28 M R 5;0 BMW-41 1 F Q W
h I
0 SW—# — APPR. SURFACE WATER SAMPLE LOCATION -' MW-210 7 ����` 1 '��'� h O Q
' 6s
•- 06
0 / 1 1 630 peg I 1 1 — 1 J
-+ ° ; 650 069 1 I �M W 40 J
TOPOGRAPHY NOTE: N— 6p0 � 6 1 oN�P I g Q
1
EXISTING PHASE 2 EXTENTS o g�0 ;� I 1 I h — U
1. LANDFILL SURFACE GRADES TAKEN FROM JANUARY 9, - MW-1 6 gig ,° I PROP , a V
qp I 1
2020, AERIAL SURVEY BY COOPER AERIAL SURVEYS. (CELL 2M;
• 6y0 011 /
660 700 "--� o00 1 by
1 ' • 620 — 610 `668� _�"- ���CELL e
L{�.1 1 CELL I PROP I1 M — 9
64p `��ya, -- (" 72U CELL 21 1 1 -
/ ` 2J CELL 2K 1
6610 '�- `113 i/ 2H 1 I I / /1 W O
BMW-15 / 6 ° d _
• / � 11% CELLH_ ~
.r L— 64 �,90 i 1 o W H
• • • • ' ° 640 / / / �0�i� °:% 2G ` 66g0° 1 1 1 / yb�' yb° ~ V Q
1 1 Lu
1• 650 650 lac 11i0 CELL ` 6 660 o h9° 1 , h °' y W 7
1 640 eio 620 660 1 ° y0 M — `}
40, 670 `1 pp 2 F y° ° ` 66p0 Ob O�g9 .o / W 3 I W 0 /
o / T
0 640 O ' 40 6g0 'i 1 ^ 120 ` 630020401,9
e9 9 1 �0 cn ( i
M W— � �o� 690 'r - \ j40 '10°° � Or9
V lr'G 100 -- 1 730 9 ` I I
1 069 650 61° — 710 _
1 OS9 �7 W — - ° 710 / O 1 �£9 )` ^o I yb
069 660 680 _ — 720 1 20 ♦ 70 ` bbb M W— 31 ° �9 I / M W 37 y^° •w670 690 � "— — 130 1 ° yo aS- 07g
40 b W— 3 ° _ o
089 700 •� — 7 1 °° ` po ! 600 I 'b
690 _ — — — — ,O - ` }Jf 1 b ` 0 R J 3
1 ' Q ❑ 6g0 700 —"— j3p Ro CELL 2E ot9 0 0Ls 1 Q
1 d y3° 69�p0 " — —'it0— — — — 40 ^^y°o 66p ` �W 1 :EXISTING
V >
EXISTING ' ' 650
/ ° / `�� o ��,� 640 o ° - J N
byo �a ,-�" p40 /_ Oe9 _ 510 MW-35 PHASE Jco
PHASE 1 EXTENTS , 640 bb�b0 '-' 72I�p0 ` 750 CELL2C ��� a�N �` °590 W_3 h 3 EXTENTS Q o
b�' o �� 09 1 n c�, 0 580 _ 13 W Z N
O bb0p 1 ---__� -----` ',^;° CELL 2A 1'e9° .ob.o�` .o b2 y1° 5g0 MW 4 / `—� 000
690 � ,, rL 1 1 �'` 1 560 Q U I
I 1 ` ^^�°ko � 11�$° x gp0 Oft I ° I J LL 0 v
~2 `^ 0 06S ° 9 �o 0
1'�° 79 / 009 o 4o O! !S S 560 h H h� /A O Z ti
s —17AR
. 1 750 760 0
° • ' O -` 06L �B9g°°�o 11� p 0699 °f96s FUTURE PHASE 56° V o c..�
o9L CELL, 780 I 1i° CELL 2D 0s9 °�g MW-17 570 9 �s r
bb n 770 2L �° ` �— OLL O 11, 099 4 EXTENTS s zLn
.o b0 1 gOo / �— 09L 1b \'0° o W
790 CELL 2B �Ao ♦ beo 670 boo °ems �s
800 y0 0e ^n�0 6660 099
0p0 021 1.L0 ` 6 650 0S9
/ 190 / ° 011 oE9 O69
\ / jg0 / 1 069 ^01Zqo Oe9008 It _ o
,I \ Or 1 Og< SO 16° 9 660 6I9 019 M — Old ♦ ��° °° hb
°a CELL 1 B 61 099 6 ° M 8R ♦ ° oes
l
° \ 730° 9<! �3p 6y$� Ob9 6 0 009 h
S9 9 � 1 °s < ° 6R3°� Oe9 6zo M W— ° W-19 —1 0
s ° 9CELL 1A } o.� 62° oa9 MW-20B ss
• og { ! 1 0 % °8S 0 570 ♦ Og OCS m Q
680 p t b p 9 lS i (y./� U� ♦ S 09S 08 � >
67o g1ggo / _ 1 600 0° , 0 570 M 3[A'1R Og � (7 m 0 660 0�! 6 bh / _ 06S 11° MWos O m<S S \ °lS M 4 Q d
o
650 80 gb Og i o ♦ _ N Lc)O Q
640 D s 1 b1° b?'°
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630 O9S 0S
620 p9S V^
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55° ♦1A-/ J_ x1B °S 590 0 <
s
M A ms ADMIN. BUILDING ° 10) °<s 0 Q �
` S 610 . —2B O ® ❑ , y6 O O� 04S Z � L) m }
600
590 a
590 1° MAINTENANCE M o
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�� SCALE & yb° _ •/ _ 00
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• h SCALE HOUSE y� b ' y1° �i �a7 4_
cn m o
w z 0
SEE NOTE 2 10 5590 , �,� b sCD aO ON,
< 0c\M wo-10 ' y
�"'�0
NMW ^90 LFG—TO—ENERGY °° LEACHATE �\a
TREATMENT PRODUCTION BUILDINGSy a
BUILDING 0m o r( 1�° b�° ° DATE:
• N e 0
560
DECEMBER 2020
z /
9 oa
°egMINK ' 1° 9 SCALE:
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SITE °
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ENTRANCE62° 3°
h10 0 6 I o O
� 620 ` 6630 _ .� DRAWING NO.
0 450 900 1350 6640 O ` °_OS=S9— _ - — by 6302 b�° . Oy9
_ 0�6, REPUBLIC
m0-19
SERVICES
SCALE IN FEET °S9 0 65049 �� '
�# 02 of 3
oy
Appendix C
Landfill Gas Monitoring Well Locations
Monitoring Well Installation www.scsengineers.com
I
LEGEND-
- 10 FOOT ELEVATION CONTOUR
— PROPERTY LINE
— LIMITS OF WASTE
— PHASE 1 EXTENTS
09S
— PHASE 2 EXTENTS 0 450 900 1350 (n
�' Z Q
h o
— PHASE 3 EXTENTS SCALE IN FEET ye 60 1 � 1
c/)
— FUTURE PHASE 4 EXTENTS` 09.9 ° 550 1
S J
ms sso yb° 1 U
— LIMITS OF CLOSURE CAP "^°
O V
MMW— 9000
MMW—# — EX. METHANE MONITORING WELL MMW-7 MM 8 y1� ° 1 0 J 0
TOPOGRAPHY NOTE: , ♦ — p \ LL
1. LANDFILL SURFACE GRADES TAKEN FROM JANUARY 9, W 6 %% I bso I I Q W
2020, AERIAL SURVEY BY COOPER AERIAL SURVEYS. 600 540�610
ell Z Z
EXISTING PHASE 2 EXTENTS o ` g�18 ;o0 1 I o� I I PROP I MMW-10 O J 06
• ' 620 i -_,-' I bh°o° 'CELL 2M- � J
62p 6,p / `�634 - n� CELL I CELL i PROP
✓ V° - . 630 MMW-5 6A0 ,�,,__ -- ��,//CELL 21 I 2J CELL 2K I a V
b660 % // -" `7�0 2 H I I I 1 v ' ^ l!c!))
62 66 ° ' ' `30 CELL ,,� B` °o° I h^° ' / V
_ _ _ _ L_ - • . ' • 6q0 / I 640 ` ��o �' 9:% 2G 16 g0° 1 I I I h, fib° h J
1 1 650 M M 650 �l 1� CELL ` � 66° 0.
y90 h N
1 '• 640 650 620 660 i 12 \ _
36y° py999 .po m I I, �' J
640 640 630 40 670 �' AO 2 F ^yo 1.Z0 / 6A _ Of 69 1 0 .o oo W O
680 �' 1'`° 6 OT °29 9
mmw-
66 6q0 9
1 1 . 0 `♦ 1p 09 650 611, 0 b
2s9 680 10 qI II //0 "/LLJ
0►9 �o19 = J 0MW 2 670 Gyp MMW-4, W
Q
T
600
6 ` 089 700 �- 740 �p0 ` b p0 00lS _ - I ' / y0o fn i
voi •*.• 6 0 ` 690
MM F
9
1 ❑ �G 680 ♦ 700 '—' �30 ^,o CELL 2E o0 9 OLS
69p ' ' ►.ttp' - 40 ^� 660 1
EXISTING z� 650
640 ° 5
MM —5
by°° �a ��1b- �740 ^ °f9 , •h 570 �1 MMW-12 EXISTING PHASE 0
PHASE 1 EXTENTS 640 723° CELL2C ==oo o 029 0 Q
/ , ` 75p n ��� 600 'J 3 EXTENTS
O / A° nnn n^ n ` N
0 OS 1 00 0 590 > O
O e -0� ---- ` ^°i o/ CELL 2A 1jgp ^$ � o s8o y1° 580
1 J o
1 69 ,./ ^4°° ju-1° 790 560 14 I J_ 0 N
1 1 � O
MM �° ^ gs 0.9 ' LL v
`� 1yo ,90 / - _ 009 e ^ oC °!S, sbo '� in 13 W Z N
029 s _ Z = (c),04
/ o _
♦ . I 750 760 - 1b Of9 SS Q W w 1
008 100 1q0 ob9 019 5 v
008 �e9° 1h FUTURE PHASE 60 o
- ♦ I 09L CELL 0` / 130 °S9 0�9 570
MM - 0 n 770 2L p0 ` / OLL 12o CELL 2D o99 4 EXTENTS °� o
e0° / 09L 1b 1I0°
780
790 \-vp CELL 2B 6701 099 o�� °ems
65O
0 b�oRo N ^o y10 V
099
0 640
jS 1 11.1 �qo Of9 Of9 b b°o ► W r+
Oog 7,0 '1 Ogg 6 O 620 029 8 p�p55
OSL OB! DSO /� b 099 66° OT9 OT9 O8 `� boo h^ hb 089 V
( 740 I O ! CELL 1 B 4p / 61y°�Op� OS9 by° 009 m
730 O �! 130 / F+'Ap� Of9 63° y
MMW 5
CELL 1A I o6! 120 -/� 029 620 oSs pLs
690 ! 1p0 62 ` J ° 00S / n 0 570 ♦ OgS
- 21 680 pg! 69p 09 - O! MMW-1 11 p In
096 089
670 p M W- 1 S 570 09
660 06S '� 0!S 0!S _
f-
9 I b Ap
6400 0!9 ' y1° 6 y2° / 5780 I y gb0 09S O y S� ,q. 09S � O m a
630 99 6° 0$ '� o0 9` 09S LI r - m
° y1 s o 0 M m m
6zo �`.9 I A° 6 M 58p o� 9 5 o��s o ♦ !S �+ M a 0-
580 ��99 630 �q° 0 0 pp 5 0° % i g 0$ N U O Q
00
b20 / O O h� � 590 � N
gs ADMIN. BUILDING >a ° 0!S cn Q Ct.
D %M W-2Q 6To 0 ® ❑ yb° () O )/ 610 oLs Lu W Z
> J X
600 Q o 0!S
hg° _ g°p yMAINTENANCE q o° ,' 6 8� W o � F_
,MLL
MW MMW-19 BUILDINGS �� h ^ ° 9 % h�° Z Y a
OLS , o - n h hb _ '` m m
570 hh ° SCALE 8C yb° Q o
_ ♦ Z Y
` h� SCALE HOUSE y1° ° �i / a 0 `'' 0
�y o °l99 J Z In
00,
bill Lu m X LL
' ° 0 h e b� § °bs L U O Ot7
hsqLEACH ATE �0y1° b,° � hb 56 .' �0l9 u 51. H 1
° LFG—TO—ENERGY °� 6� (f� = O
TREATMENT °� PRODUCTION BUILDINGS h°�°° ,1 w z o
♦ m %VNaO zNBUILDING �N no }
♦ � � 560
°f9
y^0°
SITE 56op°gq°�
ENTRANCE IN, 610
5° \ 620
h� 620 ` 630
630
640
e O
N oo.
i
�9 Oa
1 o m
�g0 e 0
m�bry
O 1 b Oo O IjO '
O b
U) cCiUa Oom
0 Z
a 0- o
DATE:
DECEMBER 2020
SCALE:
AS SHOWN
DRAWING NO.
REPUBLIC
SERVICES 03 of 3
Appendix D
Monitoring Well Construction and Boring Logs
Monitoring Well Installation www.scsengineers.com
Date Started : 10/21/2020
f
Date Completed :10/21/2020
LOG OF BORING MMW-5
Hole Diameter : 4 in
Drilling Method : H.S.A. probe
(Page 1 of 1)
Depth to water JOC) : N/A
SCS Personnel : J Hamela
CMS Landfill
Well Material : PVC
5105 Morehead Road
Northing Coord. : TBD
Well Diameter : 1 inch
Facility Permit 44-07
Easting Coord. : TBD
Driller / Company : T. White / IET
Logged By : J Hamela
Well Slot : 0.01"
Sand Pack : GP #1
Total Well Depth : loft
Concord, Cabarus County, NC
Project # 02201314.88
Q
Well: MWW-5
LL
.S
Surf.
=
Elev.: TBD
-E
Elev.
07
0-
DESCRIPTION
Cover
U)
of
Surface
Casing
0
Topsoil with roots, dark brown, brown
CLAYEY SAND with with sillt, brown, tan, dry
x
SC
.a. '
Riser
Grout
SILTY SAND, saprolitic, dry, brown, grey, black, tan
2
SM
a.
SILTY CLAY with sand, dark brown, brown, slightly moist
CL
Seal
SILTY SAND with PWR, clay, saprolitic, dry
4
SM
6
Sand Pack
SILTY SAND, saprolitic, brown, grey, black
Screen
SM
8
CL SANDY CLAY, with silt, grey, brown, black, white, damp
SILTY SAND with PWR, saprolitic, tan, white, grey, black, damp, wet
SM
10
Boring terminated at 10' bgs
bgs = below ground surface
SAA = same as above
PWR = partially weathered rock
NA = not applicable
TBD = to be determined
Date Started : 10/20/2020
f
Date Completed :10/20/2020
LOG OF BORING MMW-9
Hole Diameter : 4 in
Drilling Method : H.S.A. probe
(Page 1 of 1)
Depth to water JOC)
SCS Personnel : J Hamela
CMS Landfill
Well Material : PVC
5105 Morehead Road
Northing Coord.
Well Diameter : 1 inch
Facility Permit 44-07
Easting Coord.
Driller / Company : IET
Logged By : J Hamela
Well Slot : 0.01"
Sand Pack : GP #1
Total Well Depth : 9 ft
Concord, Cabarus County, NC
Project # 02201314.88
Q
Well: MWW-9
u-
.S
Surf.
=
Elev.: TBD
Elev.
0
DESCRIPTION
Cover
��
Surface
Casing
0
FB
Topsoil with roots, brown
SANDY SILT with clay, PWR, red, brown, slightly moist -damp
y;
.a.
-a- r
2-'s
Seal
ML
4
Sand Pack
6
Screen
CLAYEY SAND with silt, brown,tan, damp -wet
8
Sc
Boring terminated at 9'
10
bgs = below ground surface
SAA = same as above
PWR = partially weathered rock
NA = not applicable
TBD = to be determined
Date Started : 10/21/2020
f
Date Completed :10/21/2020
LOG OF BORING MMW-10
Hole Diameter : 4 in
Drilling Method : H.S.A. probe
(Page 1 of 1)
Depth to water JOC) : N/A
SCS Personnel : J Hamela
CMS Landfill
Well Material : PVC
5105 Morehead Road
Northing Coord. : TBD
Well Diameter : 1 inch
Facility Permit 44-07
Easting Coord. : TBD
Driller / Company : T. White / IET
Logged By : J Hamela
Well Slot : 0.01"
Sand Pack : GP #1
Total Well Depth : 15ft
Concord, Cabarus County, NC
Project # 02201314.88
Q
Well: MWW-10
u-
.S
Surf.
=
Elev.: TBD
n
Elev.
U
0-
DESCRIPTION
Cover
��
o
Surface
Casing
0
FB
Topsoil with roots, brown,dry
;.: ..
CLAYEY SILT with sand, tan,brown, dry
r:
r- Grout
Riser
;.i
2
ML
Seal
4
I. I.
SILTY SAND with trace clay, saprolitic, brown, grey, white, tan, dry
SM
..
g
I.' I.
SILTY SAND, saprolitic, brown, grey, white, tan, dry
8
PWR fragements 13.5' - 15'
Sand Pack
10
Screen
SM
12
14
Boring terminated at 15' bgs
16
bgs = below ground surface
SAA = same as above
PWR = partially weathered rock
NA = not applicable
TBD = to be determined
Date Started : 10/21/2020
f
Date Completed :10/21/2020
LOG OF BORING MMW-11
Hole Diameter : 4 in
Drilling Method : H.S.A. probe
(Page 1 of 1)
Depth to water JOC) : N/A
SCS Personnel : J Hamela
CMS Landfill
Well Material : PVC
5105 Morehead Road
Northing Coord. : TBD
Well Diameter : 1 inch
Facility Permit 44-07
Easting Coord. : TBD
Driller / Company : T. White / IET
Logged By : J Hamela
Well Slot : 0.01"
Sand Pack : GP #1
Total Well Depth : 15ft
Concord, Cabarus County, NC
Project # 02201314.88
Q
Well: MWW-11
u-
.S
Surf.
=
Elev.: TBD
n
Elev.
U
0-
DESCRIPTION
Cover
Of
��
o
D
(D
Surface
Casing
0
FIB
Topsoil with roots, brown, slightly moist
;..
CLAYEY SILT with sand, slighty moist, saprolitic, red -brown, brown, black
r:
�'• Grout
r-
;: Riser
;.i
2
Seal
ML
4
°i •-
SILTY SAND, saprolitic, brown, tan,white, black, dry
-
-r
6
A.
A.
Sand Pack
10
SM
A.
Screen
12
97
A.
14
LU
Boring terminated at 15' bgs
16
bgs = below ground surface
SAA = same as above
PWR = partially weathered rock
NA = not applicable
TBD = to be determined
Date Started : 10/23/2020
f
Date Completed :10/23/2020
LOG OF BORING MMW-12
Hole Diameter : 4 in
Drilling Method : H.S.A. probe
(Page 1 of 1)
Depth to water JOC) : N/A
SCS Personnel : J Hamela
CMS Landfill
Well Material : PVC
5105 Morehead Road
Northing Coord. : TBD
Well Diameter : 1 inch
Facility Permit 44-07
Easting Coord. : TBD
Driller / Company : T. White / IET
Logged By : J Hamela
Well Slot : 0.01"
Sand Pack : GP #1
Total Well Depth :loft
Concord, Cabarus County, NC
Project # 02201314.88
Q
Well: MWW-12
u-
.S
Surf.
=
Elev.: TBD
-E
Elev.
07
0-
DESCRIPTION
Cover
U)
of
Surface
Casing
0
Fg
Topsoil with roots, brown, slightly moist
CLAYEY SILT with sand, tan, brown, dry
x
.a.
Grout
ML
x,
.a.
Riser
2
CLAYEY SAND with silt, saprolitic, tan,brown,white, dry -slightly moist
Seal
4-
Sc
g
Sand Pack
ML
SANDY SILT with trace clay, saprolitic, slightly moist
Screen
SILTY SAND, saprolitic, slightly moist -wet, brown,tan,grey,white
8
SM
10
Boring terminated at 10' bgs
bgs = below ground surface
SAA = same as above
PWR = partially weathered rock
NA = not applicable
TBD = to be determined
Date Started : 10/23/2020
f
Date Completed :10/23/2020
LOG OF BORING MMW-14
Hole Diameter : 4 in
Drilling Method : H.S.A. probe
(Page 1 of 1)
Depth to water JOC)
SCS Personnel : J Hamela
CMS Landfill
Well Material : PVC
5105 Morehead Road
Northing Coord.
Well Diameter : 1 inch
Facility Permit 44-07
Easting Coord.
Driller / Company : IET
Logged By : J Hamela
Well Slot : 0.01"
Sand Pack : GP #1
Total Well Depth : 17ft
Concord, Cabarus County, NC
Project # 02201314.88
Q
Well: MWW-14
LL
.S
Surf.
=
Elev.: TBD
Elev.
07
0-
DESCRIPTION
Cover
U)
of
r
Surface
Casing
0
V.
SILTY SAND with PWR fragments, fill material, dry
x Riser
SM
Grout
.a.
2
No recovery
Seal
4
SANDY SILT with clay, saprolitic, brown,tan,whie,black, dry
-
6-
-r
8
_
-
-r
Sand Pack
10
.
SM
Screen
12
-
14
16
Boring terminated at 17' bgs
18
bgs = below ground surface
SAA = same as above
PWR = partially weathered rock
NA = not applicable
TBD = to be determined
0
N
N
7
N
Started
: 10/22/2020
MMIDate
Date Completed
:10/22/2020
LOG OF BORING MW-35
Hole Diameter
: 8 in
Drilling Method
: H.S.A.
(Page 1 of 1)
Depth to water JOC)
: 6.1 ft
Charlotte Motor Speedway Landfill
SCS Personnel
: B.Eigenberger
Well Material
: PVC
5105 Morehead Road
Northing Coord.
: TBD
Well Diameter
: 2 inch
Facility Permit 13-04
Easting Coord.
: TBD
Well Slot
: 0.01"
Concord, NC 28027
Driller / Company
: Johnathan / IET
Sand Pack
: GP #1
Project # 02201314.91
Logged By
: B.Eigenberger
Total Well Depth
:20 ft
m
PA
Q
u-
c
Surf.
Elev.
U
CL
U
07
o
�
0-
4
N.
M
10
12
14
16
18
20
22
U
DESCRIPTION
SANDY SILT, brown, dry
MIL
SILTY SAND, brown, black, moist,
SM
bgs = below ground surface
SAA = same as above
PWR = partially weathered rock
NA = not applicable
TBD = to be determined
Auger Refusal at 20'
Water level at 2.6' bgs on 11/12/2020
Well: MW-35
Elev.:
TBD
Cover
Surface
x
Casing
a.
Riser
Grout
Seal
Sand Pack
Screen
Date Started : 10/23/2020
f
Date Completed :10/26/2020
LOG OF BORING MW-36
Hole Diameter : 8 in
Drilling Method : H.S.A.
(Page 1 of 1)
Depth to water JOC) : 9.7 ft
SCS Personnel : B.Eigenberger
Charlotte Motor Speedway Landfill
Well Material : PVC
5105 Morehead Road
Northing Coord. : TBD
Well Diameter : 2 inch
Facility Permit 13-04
Easting Coord. : TBD
Driller / Company : L.Knox / IET
Logged By : B.Eigenberger
Well Slot : 0.01"
Sand Pack : GP #1
Total Well Depth : 20ft
Concord, NC 28027
Project # 02201314.91
Q
Well: MW-36
u-
.S
Surf.
=
Elev.: TBD
n
Elev.
U
0-
DESCRIPTION
Cover
��
o
Surface
Casing
0
SILTY SAND with clay, light brown, dry
,
Riser
a- Grout
2
SM
Seal
4
SILTY CLAY, brown, dry
C L
6
SILTY SAND with clay, brown, light brown,
8
r j..
j..
j..
j..
10
Sand Pack
12
j..
j..
Screen
SM
14
16
18
20
Auger Refusal at 20'
Water level at 6.7' bgs on 11/10/2020
22
bgs = below ground surface
SAA = same as above
PWR = partially weathered rock
NA = not applicable
TBD = to be determined
Date Started : 10/21/2020
f
Date Completed :10/21/2020
LOG OF BORING MW-37
Hole Diameter : 8 in
Drilling Method : H.S.A.
(Page 1 of 1)
Depth to water JOC) : 14.95
SCS Personnel : B.Eigenberger
Charlotte Motor Speedway Landfill
Well Material : PVC
5105 Morehead Road
Northing Coord. : TBD
Well Diameter : 2 inch
Facility Permit 13-04
Easting Coord. : TBD
Driller / Company : Johnathan / IET
Logged By : B.Eigenberger
Well Slot : 0.01"
Sand Pack : GP #1
Total Well Depth : 20ft
Concord, NC 28027
Project # 02201314.91
Q
Well:
MW-37
u-
.S
Surf.
=
Elev.:
TBD
n
Elev.
U
0-
DESCRIPTION
Cover
��
o
Surface
Casing
0
SANDY SILT, brown, very fine grained, dry
,
.-
Riser
y
:e
V.
'' Grout
2
Seal
4
MIL
6
8
10
Sand Pack
SILTY SAND, grey, brown, moist
12
Screen
14
SM
16
18
20
Auger Refusal at 20'
22
bgs = below ground surface
SAA = same as above
PWR = partially weathered rock
NA = not applicable
TBD = to be determined
Date Started : 10/21/2020
f
Date Completed :10/21/2020
LOG OF BORING MW-38
Hole Diameter : 8 in
Drilling Method : H.S.A.
(Page 1 of 1)
Depth to water JOC) : 15.22 ft
SCS Personnel : B.Eigenberger
Charlotte Motor Speedway Landfill
Well Material : PVC
5105 Morehead Road
Northing Coord. : TBD
Well Diameter : 2 inch
Facility Permit 13-04
Easting Coord. : TBD
Driller / Company : Johnathan / IET
Logged By : B.Eigenberger
Well Slot : 0.01"
Sand Pack : GP #1
Total Well Depth : 16 ft
Concord, NC 28027
Project # 02201314.91
Q
Well: MW-38
u-
c
Surf.
=
Elev.: TBD
-E
Elev.
07
0-
DESCRIPTION
Cover
C/)
of
Surface
Casing
0
SILTY SAND, brown, black, tan, moist,
V.
Riser
Grout
2
Seal
SM
4
6
SILTY SAND, red -brown, dry
8
SM
Sand Pack
10
CLAYEY SILT, brown, tan, moist -saturated
Screen
12
ML
14
16
Auger Refusal at 16'
Water level at 11.02 bgs ft on 11/13/2020
18
bgs = below ground surface
SAA = same as above
PWR = partially weathered rock
NA = not applicable
TBD = to be determined
Date Started : 10/20/2020
f
Date Completed :10/20/2020
LOG OF BORING MW-39
Hole Diameter : 8 in
Drilling Method : H.S.A.
(Page 1 of 1)
Depth to water JOC) : 15.75 ft
SCS Personnel : J. Hamela / B.Eigenberger
Charlotte Motor Speedway Landfill
Well Material : PVC
5105 Morehead Road
Northing Coord. : TBD
Well Diameter : 2 inch
Facility Permit 13-04
Easting Coord. : TBD
Driller / Company : Johnathan / IET
Logged By : B.Eigenberger
Well Slot : 0.01"
Sand Pack : GP #1
Total Well Depth : 17 ft
Concord, NC 28027
Project # 02201314.91
Q
Well: MW-39
LL c
Surf.
=
Elev.: TBD
-E
Elev.
07
0-
DESCRIPTION
Cover
Surface
C�
Casing
0
SANDY SILT, trace clay, red -brown, tan, brown, dry
Riser
* Grout
2
Seal
4
ML
6
8
SANDY SILT with clay, light brown, saturated/wet
ML
Sand Pack
10
SILTY SAND, light brown, saturated/wet
Screen
12
SM
14
16
Auger Refusal at 17'
Water level at 12.13' bgs on 11/13/2020
18
bgs = below ground surface
SAA = same as above
PWR = partially weathered rock
NA = not applicable
TBD = to be determined
Date Started : 10/26/2020
f
Date Completed :10/26/2020
LOG OF BORING MW-40
Hole Diameter : 8 in
Drilling Method : H.S.A.
(Page 1 of 1)
Depth to water JOC) : 10.3 ft
SCS Personnel : B.Eigenberger
Charlotte Motor Speedway Landfill
Well Material : PVC
5105 Morehead Road
Northing Coord. : TBD
Well Diameter : 2 inch
Facility Permit 13-04
Easting Coord. : TBD
Driller / Company : Johnathan / IET
Logged By : B.Eigenberger
Well Slot : 0.01"
Sand Pack : GP #1
Total Well Depth : 19.0 ft
Concord, NC 28027
Project # 02201314.91
Q
Well: MW-40
u-
.S
Surf.
=
Elev.: TBD
-E
Elev.
07
0-
Q
DESCRIPTION
Cover
U
C�
Surface
Casing
0
SANDY SILT, dark brown, dry
g
C�i�oPCCt
2
ML
Seal
4
Clayey Sand, brown, dry
6
SC
8
10
SANDY SILT, grey -brown, saturated/wet
Sand Pack
12
Screen
14
ML
16
18
Auger Refusal at 19'
Water level at 7.1' bgs on 11/13/2020
20
bgs = below ground surface
SAA = same as above
PWR = partially weathered rock
NA = not applicable
TBD = to be determined
Date Started : 10/21/2020
f
Date Completed :10/21/2020
LOG OF BORING MW-41
Hole Diameter : 8 in
Drilling Method : H.S.A.
(Page 1 of 1)
Depth to water JOC) : 18.2 ft
SCS Personnel : J. Hamela / B.Eigenberger
Charlotte Motor Speedway Landfill
Well Material : PVC
5105 Morehead Road
Northing Coord. : TBD
Well Diameter : 2 inch
Facility Permit 13-04
Easting Coord. : TBD
Driller / Company : Johnathan / IET
Logged By : B.Eigenberger
Well Slot : 0.01"
Sand Pack : GP #1
Total Well Depth : 23.0 ft
Concord, NC 28027
Project # 02201314.91
Q
Well: MW-41
LL
.S
Surf.
=
Elev.: TBD
Elev.
0
DESCRIPTION
Cover
U)
of
r
Surface
Casing
p
SILTY SAND w/ clay, red -brown, brown, dry
71,
Riser
2
Grout
4
Seal
6
SM
8
10
12
Sand Pack
14
Screen
SANDY SILT w/ clay, tan,brown
16
Saturated at 17
18
SC
20
22
Auger Refusal at 23'
24
Water level at 16.3' bgs on 11/13/2020
bgs = below ground surface
SAA = same as above
PWR = partially weathered rock
NA = not applicable
TBD = to be determined
Date Started : 10/21/2020
f
Date Completed :10/21/2020
LOG OF BORING MW-42
Hole Diameter : 6 in
Drilling Method : H.S.A.
(Page 1 of 1)
Depth to water JOC) : 8.3 ft
SCS Personnel : J. Hamela
Charlotte Motor Speedway Landfill
Well Material : PVC
5105 Morehead Road
Northing Coord. : TBD
Well Diameter : 2 inch
Facility Permit 13-04
Easting Coord. : TBD
Driller / Company : IET
Logged By : B.Eigenberger
Well Slot : 0.01"
Sand Pack : GP #1
Total Well Depth : 15.0 ft
Concord, NC 28027
Project # 02201314.91
Q
Well: MW-42
LL c
Surf.
=
Elev.: TBD
-E
Elev.
07
0-
DESCRIPTION
Cover
Surface
(D
Casing
0
Topsoil with roots, dark brown, black, slightly moist
FFBW
x, •,
a. ,.
a- a Riser
IF SANDY SILT with clay, brown, dark brown, dry -slightly moist
y :s
2
's
ML
A .e Grout
4
SILTY SAND with PWR and clay, dark brown, wet/saturated
Seal
SM
6
CLAYEY SAND, saprolitic, brown, tan, dark brown, wet/saturated.
SC
8—
Sand Pack
SILTY SAND with PWR and saprolite, saturated
10
Screen
SM
12
14
Auger terminated at 15'
Water level at 5.8' bgs on 11/13/2020
16
bgs = below ground surface
SAA = same as above
PWR = partially weathered rock
NA = not applicable
TBD = to be determined
Appendix E
Well Construction Records (GW-1s)
Monitoring Well Installation www.scsengineers.com
Print Form
WELL CONSTRUCTION RECORD (GW-1)
1. Well Contractor Information:
Terry White
W ell Contractor Name
3287-B
NC Well Contractor Certification Number
IET
Company Name
2. Well Construction Permit #:
List all applicable well construction permits (i.e. UIC, County, State, Variance, 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)
hri vation
Non -Water Supply Well:
x Monitoring Recovery
Injection Well:
Aquifer Recharge [ Groundwater Remediation
DAquifer Storage and Recovery [:)Salinity Barrier
DAquifer Test [ Stormwater Drainage
Experimental Technology [:)Subsidence Control
Geothermal (Closed Loop) [Tracer
Geothermal (Heating/Cooling Return) M Other (explain under #21 Remarks)
4. Date Well(s) Completed: 10/21/2020 well ID# M W-42
5a. Well Location:
BFI Waste Systems of N. America Inc.
Facility/Owner Name Facility ID# (if applicable)
5105 Morehead Rd. Concord 28027
Physical Address, City, and Zip
Cabarrus
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 20 28 N 80 39 38 W
6. Is(are) the well(s) 0 Permanent or [ITemporary
7. Is this a repair to an existing well: QYes or QNo
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.
8. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only 1 GW-1 is needed. hidicate TOTAL NUMBER of wells
drilled: one
9. Total well depth below land surface: 15 (ft.)
For multiple wells list all depths if different (example- 3@200' and 2@100')
10. Static water level below top of casing: 4 (ft.)
If water level is above casing, use "+"
11. Borehole diameter: 6 (in.)
12. Well construction method: Auger
(i.e. auger, rotary, cable, direct push, etc.)
For Internal Use
14. WATER ZONES
FROM
TO
DESCRIPTION
4 ft.
15 ft.
ft,
I ft.
15. OUTER CASING for multi -cased wells OR LINER if a licable
FROM
TO
DIAMETER
THICKNESS
MATERIAL
ft
ft,
I in.
16. INNER CASING OR TUBING eother al closed -loop)
FROM
TO
DIAMETER
THICKNESS
MATERIAL
0 ft
5 ft
2 in
sch40
pvc
ft.
ft.
in.
17. SCREEN
FROM
TO
DIAMETER
SLOT SIZE
THICKNESS
MATERIAL
5 IL
15 ft-
2 in.
0.010
sch40
pvc
ft.
ft.
in.
18. GROUT
FROM
TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
3 ft.
4 ft.
Bentonite
Poured/25LB
0 ft.
3 ft-
Neat Cement
Poured/35LB
ft.
ft.
19. SAND/GRAVEL PACK (if applicable)
FROM
TO
MATERIAL
EMPLACEMENT METHOD
4 ft
15 ft
#2 Sand
Poured
ft,
ft.
20. DRILLING LOG attach additional sheets if necessary)
FROM
TO
DESCRIPTION (color, hardness, soil/rock type, grain size, etc.
ft.
ft.
See Consultant Log
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
21. REMARKS
Stick-up Well Cover
22. Certification:
% o_ U)10/27/2020
Signature of Ca Ffied Well Conti -actor Date
By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well 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.
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
Division of Water Resources, 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 24a
above, also submit one copy of this form within 30 days of completion of well
construction to the following:
Division of Water Resources, 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 & 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 Environmental Quality - Division of Water Resources Revised 2-22-2016
Print Form
WELL CONSTRUCTION RECORD (GW-1) For Intemal Use Only:
1. Well Contractor Information:
Randy Phillips
Well Contractor Name
2209-A
NC Well Contractor Certification Number
Innovative Environmental Technologies
Company Name
2. Well Construction Permit #:
List all applicable well construction permits (i.e- UIC, County, State, Variance, etc.)
3. Well Use (check well use):
Water Supply Well:
Agricultural ElMunicipal/Public
Geothermal (fIeafingfCooling Supply) Residential Water Supply (single)
Industrial/Commercial DResidentiat Water Supply (shared)
hrieation
Non -Water Supply Well:
Aquifer Recharge
Aquifer Storage and Recovery
Aquifer Test
Experimental Technology
Geothermal (Closed Loop)
4. Date Well(s) Completed; 11-6-2020
Sa. Well Location:
Charlotte Motor Speedway Landfill
[]Groundwater Remediation
Salinity Barrier
oStormwater Drainage
Subsidence Control
OTracer
under ##21
Wen W# MW-35
Facility/Owner Name Facility IDII (if applicable)
5001 Moorehead Rd, Concord, NC 28027
Physical Address, City, and Zip
Cabarrus
County
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one [at/long is sufficient)
N W
6. IS(are) the well(s)OPermaneat or Temporary
7. Is this a repair to an existing well: E]Yes or ONo
ff this is a repair, fill out known well construction information and explain the nature of the
repair under #2I remarks ,section or on the back of this farm.
8. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only 1 GW-I is needed. indicate TOTAL NUMBER of wells
14. WATER ZONES
FROM
TO
I DESCRIPEON
k.
ft.
ft.
ft.
Ir OUTER CASING for multi -cased wells OR LINER if a Iicable
FROM
To DIAMETER
T1iICICNE55
h1ATERrAL
k,
ft. t— in.
16. INNER CASnVG OR TUBING eothermal closcd-loop)
FROM
TO
DIAMETER I
THICKNESS
MATERIAL
0 k.
5 k.
2
17, SCREEN
FROM
TO
➢IAMF.TEii
SLPTSIZE
TfiICiLVESs
MATERIAL
5 ft.
20 ft•
2 in.
_010
SCH 40
PVC
ft.
IL
in.
18. GROUT
O
MATERIAL
EMPLACEMENT METHOD & AMOUNT
2 ft.
cement
pour 5 gallons
USANDr,]RAVEIL
ft.
Hole plug
pour .6 cu n
PACK
ifapplicable)
FROM
TO
MATERIAL EMPLACEMENT METHOD
4 k
20 fi-
#1 sand pour
20. DRILLING
LOG attach additional sheets if necessary)
FROM
TO
DESCRIPTION (color, Rardness, wiYr ktype, in aize, etc.
ft
it.
ft
ft.
ft
ft
k.
ft.
ft_
rt.
fr.
ft
ft.
ft.
21. REMARKS
22. Certification: +
12114/2020
c`
Signature of Certified Well Contractor pate
By signing this form, I hereby certify that the aell(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or ISA NCAC 02C .0200 Well Construction Standards and that a
copy afthis record has been provided to the well 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 INSTRUCTIONS
9. Total well depth below land surface: 20
eP
{fL) 24a. For All Wells: Submit this form within 30 days of completion of well
For multiple wells list all depths ifdi jerent (example- 3@200' and 2@100')
construction to the following:
10. Static water level below top of casing:
{ft_) Division of Water Resources, Information Processing Unit,
If water level is above casing, use "+"
1617 Mail Service Center, Raleigh, NC 27699-1617
11. Borehole diameter: 8 (in,)
24b. For Injection Wells: In addition to sending the form to the address in 24a
Auger
above, also submit one copy of this form within 30 days of completion of well
12. Well construction method:
construction to the following:
(i.e. anger, rotary, cable, direct push, etc.)
Division of Water Resources, 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 & 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 Environmental Quality - Division of Water Resources Revised 2-22-2016
Print Form
WELL CONSTRUCTION RECORD (GW-1) For Internal Use Only:
1. Welt Contractor Information:
Randy Phillips
Well Contractor Name
2209-A
NC Well Contractor Certification Number
Innovative Environmental Technologies
Company Name
2. Well Construction Permit #:
List all applicable well construction permits (i.e. UIC, County, State, Variance, etc.)
3. Well Use (check well use):
Supply Well:
(Heating/Cooling Supply)
Non -Water Supply Well:
Aquifer Recharge
Aquifer Storage and Recovery
Aquifer Test
Experimental Technology
Geothermal (Closed Loop)
Geothermal (Heating/Cooling
4. Date WeII(s) Completed: 11-6-2020
5a. Well Location:
Charlotte Motor Speedway Landfill
DMunicipal/Public
Residential Water Supply (single)
Residential Water Supply (shared)
DGroundwater Remediation
Salinity Barrier
DStormwater Drainage
Subsidence Control
DTtacer
under #21
Well ID# MW-36
Facility/Owner Name Facility Wit (if applicable)
5001 Moorehead Rd, Concord, NC 28027
Physical Address, City, and Zip
Cabarrus
County
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one latilong is sufficient)
N
6. ls(are) the well(s)opermanent or Temporary
14. WATER TONES
FROM
TO
DESCRIPTION
It.
ft
ft.
ft.
15. OUTER CASING for
multi -eased wells OR I,IATER. a livable
FROM
TO
DIAMETER
THICKVE55
MATERIAL
ft
rL
ia.
16. INNER CASING OR TUBING igetuOthermat dosed -loop)
FROM
TO
DIAMETER
THICKNESS
MATEPJ-IM
0 ft.
5 ft.
2 in.
ft
ft.
ia.
17. SCREEN
FROM
TO
DIAMETER
SLOT SIZE
THICKN£65
MATE
5 fL
20 R-
2 iu'
1 -010
SCH 40
PVC
ft.
ft.
in.
1& GROUT
FROM
I TO
MATERIAL
EMPLACEMENT METROD & AMOUNT
0 ft.
2 ft.
cement
pour 5 gallons
2 ft.
4 rt.
Hole plug
pour .6 tuft
ft.
ft.
19. SANDIGRAVEL PACK if applicable)
FROM
TO
MATERIAL
EMPLACE5IENT METHOD
4 ft-
20 H•
#1 sand
pour
ft.
ft.
20. DRILLING LOG attach additional sheets if necessary)
FROM
TO
DESCRIPTION color, hardness, soillraek qpe, grile size, etc,)
fL
a.
ft.
ft.
ft.
(t.
ft,
ft.
IL
rt.
ft.
ft,
21. REMARKS
22. Certification:
`y /G e. 12/ 14/2020
Signature of Ce cd Well Contractor bate
7. is this a repair to an existing well: OYes or g)No
If this is a repair,. jili ant known well construction information and explain the nature ofthe
repair under #21 remorks section or on the back of this form.
S. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only I GW-1 is needed. Indicate TOTAL NUMBER of wells
drilled:
9. Total well depth below land surface: 20 (ft)
Far multiple wells list all depths ifati ferent (example- 3@200' and 2 r@100�
10. Static water level below top of casing:
Ifwater level is above casing, use "+"
11. BorehoIe diameter: 8 (in.)
12. Well construction method: Auger
(i.e. auger, rotary, cable, direct push, etc.)
,By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 1 SA NCAC 02C.0100 or 15A NCAC 02C .0200 Well Conduction Standards and that a
copy of this record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
constriction details. You may also attach additional pages ifnecessary.
SUBMIT"fAL INSTRUCTIONS
24a. For All Welts: Submit this form within 30 days of completion of well
construction to the following:
(ft.) Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 276994617
24h. For Injection Wells: In addition to sending the form to the address in 24a
above, also submit one copy of this form within 30 days of completion of well
construction to the Following:
Division of Water Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
132. Yield (gpm) Method of test: 24c. For Water Suunly & iuiection Wells: hi 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 Carolina Department of Environmental Quality - Division of Water Resources Revised 2-22-2016
Print Form
WELL CONSTRUCTION RECORD (GW-1) For Internal Use Only:
1. Well Contractor Information:
Randy Phillips
Well Contractor Name
2209-A
NC Well Contractor Certification Number
Innovative Environmental Technologies
Company Name
2. Well Construction Permit #:
List all applicable well construction permits (i-e. UIC, County, State, Variance, etc.)
3. Well Use (check well use):
Geothermal (fIeating/Cooling Supply)
Non -Water Supply Well:
Aquifer Recharge
Aquifer Storage and Recovery
Aquifer Test
0 Technology
(Closed Loop)
[]Municipal/Public
Residential Water Supply (single)
Residential Water Supply (sham)
[313roundwater Remediation
oSalinity Barrier
Stormwater Drainage
[35iubsidettce Control
Tracer
4. Date Well(s) Completed: 11-6-2020 Well ID#
5a. Well Location:
Charlotte Motor Speedway Landfill
under #21
MW-39
Facility/Owner Name Facility JD# (if applicable)
5001 Moorehead Rd, Concord, NC 28027
Physical Address, City, and Zip
Cabarrus
County
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one latllong is sufficient)
N
6.1s(are) the wetl(s)�][ Permanent or Temporary
W
7. Is this a repair to an existing well: E]Yes or E)No
If this is a repair, fill out known well construction information and explain the nature of the
repair under 421 remarks section or on the back of this farm.
8. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only 1 GW-1 is needed. Indicate TOTAL NUMBER of wells
drilled:
9. Total well depth below land surface: 17 00
For multiple wells list all depths ifdiiferent (example- 3W00' and 2Q100�
10. Static water level below top of casing:
lfwater level is above casing, use "+"
11. Borehole diameter: 8 (in.)
12, Well construction method: Auger
(i.e. auger, rotary, cable, direct push, etc.)
14. WATER ZONES
FROM
TO
DESCRD'TION
ft.
ff.
ft.
ft
15. OUTER CASING Eor mut i-cased wells) OIL LINER Map Iicable
FROM
TO
DIAMETER
THfCK'YESS
MATERLLL
ft.
ff.
ia.
116. INNER CASING OR TUBING thermal caused-loo
FROM
TO
DIAMETER
THICKNESS
MATERU
0 ft,
5 ft
2 in.
ft.
ft.
in
17. SCREEN
FROM
TO
DIAMETER
SLAT SIZE
THICKNESS
MATERIAL
5 ft
17 ft
2 "''
010
SCH 40
PVC
1& GROUT
FROM
TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
0 ft.
2 ft.
cement
pouf 5 gallons
2 ft'
4 n.
Hole plug
pour .s cu ft
ff.
%
19. SANDIGRAVEL PACK
ff a rrcable
FROM
TO
I MATERUL
EMPLACEMENT METHOD
4 ft.
17 ft.
L#1 sand
pour
ff.
I ft.
20. DRILLING LOG attach additional sheets if neeessa
FROM
TO
DESCRIPTION color, hardness, soilimck type, graim sire, etc.
fL
ft.
ft.
ft.
ft.
fL
ft
ft.
ft.
ft.
ft.
ft.
ft.
ft.
21-REMARKS
22. Certification;
f 9-Z 12/14/2020
Signature of Ceprified Well Contractor Date
6y signing this form, I hereby certify that the wells) was (were) constructed in accordance
with 1 SA NCAC 02C .0100 or 1 SA NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well 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 INSTRUCTIONS
24a, For Alf Wells: Submit this form within 30 days of completion of well
construction to the following:
(ft.) Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injectlon Wells: In addition to sending the form to the address in 24a
above, also submit one copy of this form within 30 days of completion of well
construction to the following:
Division of Water Resources, 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 & 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 OW-1 North Carolina Department of Environmental Quality- Division of Water Resomees Revised 2-22-2016
Print Form
WELL CONSTRUCTION RECORD (GW-1) For Internal Use Only:
1. Well Contractor Information:
Randy Phillips
Well Contractor Name
2209-A
NC Well Contractor Certification Number
Innovative Environmental Technologies
Company Name
2. Well Construction Permit #:
List all applicable well construction permits (i.e. UIC, County, State, Variance, etc.)
3. Well Use (check well use):
(Heating/Cooling Supply)
Non -Water Supply Well:
Aquifer Recharge
Aquifer Storage and Recovery
Aquifer Test
Experimental Technology
(Closed Loop)
Geothermal
[3Municipal/public
Residential Water Supply (single)
Residential Water Supply (shared)
OCroundwater Remediation
Salinity Barrier
DStormwater Drainage
Subsidence Control
Tracer
under421
4. Date Well(s) Completed: 11-6-2020 Well ID# MW-40
5a. Well Location:
Charlotte Motor Speedway Landfill
Facility/Owner Name Facility ID# (if applicable)
5001 Moorehead Rd, Concord, NC 28027
Physical Address, City, and Zip
Cabarrus
County Parcel identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field: one lat/long is sufficient)
N
6. Is(are) the well(s)Permaneut or 13Temporary
14. WATER ZONES
FROM
TO
DESCRIPTION
rt,
ie.
ft.
fL
15. OUTER CASING for multi -cased wells OR LINER tla Iieabte
FROM
TO
DIAMETER
THICKNESS
MATERLAL
ft,
ft.
ia.
16. INNER CASING OR TiTRING eother" closed-100DI
FROM
TO
DIAMETER
THICKNESS
I MATT;RIAI,
D ft.
g ft
2 io.
It
ft,
in.
17. SCREEN
FROM
TO
DIAh4.ETER
SLOT SIZE
THICK-NESS
MATE
6 ft-
1s ft'
2 ia'
_010
SCH 40
PVC
ft.
fw
in.
IlL GROUT
FROM
I TO
MATERIAL.
EMPLACEMENT METHOD & AMOUNT
0 fL
2 It.
cement
pour 5 gallons
2 ft.
4 fL
Hole plug
pour .6 cu ft
ft.
ft
19. SAND/GRAVEL PACK if applicable
FROM
TO
MATERIAL.
BMPLACEMENTMETHOD
4 R.
19 ft
#1 sand
pour
ft.
ft.
20. DRILLING LOG attach additional sbeets if necessa )
PROM
TO
DESCRIPTION color, hardness,-_soillrock tv e, Zrain size, etc
ft.
f.
ft
ft
ft
%
ft.
ft.
ft.
ft.
It,
21. REMARKS
22. Certification:
W y -- 12/14/2020
Signature of led Well Contractor Date
7. Is this a repair to an existing well: Dyes or EJNo
IJ'this is a repair, Jill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.
S. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only 1 GW-1 is needed. Indicate TOTAL NUMBER of wells
By signing this farm, 1 hereby certify that the wells) was (were) constructed in accordance
with 1 SA NCAC 02C -0100 or ISA NCAC 02C .0200 Well Construction Standards and that
copy of this record has been provided to the well 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_
ULIu U' SUBMITTAL INSTRUCTIONS
9. Total well depth below land surface: 19 (ft-) 24a. For All Wells: Submit this form within 30 days of completion of well
.For multiple wells list all depths ifdifferent {example- 3 200' and 2@1001 construction to the following:
10. Static water level below top of casing: (ft.) Division of Water Resources, Information Processing Unit,
If water level is above casing, use `+ " 1617 Mail Service Center, Raleigh, NC 27699-1617
11. Borehole diameter: 8 (in.)
12, Well construction method: Auger
(i.e. auger, rotary, cable, direct push, etc,)
24b. For Injection Wells: In addition to sending the form to the address in 24a
above, also submit one copy of this form within 30 days of completion of well
construction to the following. -
Division of Water Resources, 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 & 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 Camlina Department of Environmental Quality - Division of Water Resources Revised 2-22-2016
Print Form
WELL CONSTRUCTION RECORD (GW-1) For Internal Use Only:
1. Well Contractor Information:
Randy Phillips
Well Contractor Name
2209-A
NC Well Contractor Certification Number
Innovative Environmental Technologies
Company Name
2. Well Construction Permit #:
List all applicable well construction permits (i.e UIC, County; State, Variance, etc.)
3. Well Use (check well use):
Water Supply Well:
—JAgncultural
Geothermal (Heating/Cooliug Supply)
:)Industrial/Commercial
Irrigation
Non -Water Supply Well:
F)IN4mitoting
Injection Well:
Aquifer Recharge
Aquifer Storage and Recovery
Aquifer Test
Experimental Technology
Geothermal (Closed Loop)
71Geothermal (Heating fooling Return)
4. Date Well(s) Completed: 11-6-2020
5a. Well Location:
Charlotte Motor Speedway Landfill
[3Municipal/Public
Residential Water Supply (single)
Residential Water Supply (shared)
Groundwater Remediation
[]Salinity Barrier
OStormwater Drainage
Subsidence Control
Tracer
under #21
Well ID# MW-41
Facility/Owner Name Facility ID# (if applicable)
5001 Moorehead Rd, Concord, NC 28027
Physical Address, City, and Zip
Cabarrus
County
Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/loag is sufficient)
N
6. Is(are) the well(s)EgPermanent or Temporary
7. Is this a repair to an existing well: E]Yes or )No
I}'this is a repair, fill out known well construction information and explain the nature ofthe
repair under 421 remarks section or on the back of this form.
8. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only I GW-1 is needed. indicate TOTAL NUMBER of wells
drilled:
14. WATER ZONES
FROM
TO
DESCRIPTION
ft.
ft.
ff.
ft.
1.5. QVUR CASING for =! NA used wells LINERif a ieahIe
FROM
TO
13R
DIAMETER
THICKNESS
MATERIAL
fl.
ff.
in.
16. INNER CASING OR T[1BING eothermal closed-tGool
FROM
TO
DIAMETER
THICKNESS
MATERIAL
0 ff.
8 ft.
Z in.
ff.
ft.
in.
17.SCREEN
FROM
TO I
DIAMETER
I SLOT&ZE
I THICKNESS
MATERIAL,
g R.
23 ft
2 in'
.010
SCH 40
PVC
ft.
k.
in.
18. GROUT
FROM
TO
MATERIAL.
EMPLACEMENT METHOD & AMOUNT
0 ft.
4 ft.
cement
pour 10 gallons
6 ft
4 ft-
Hole plug
pour .S cu ft
rt.
ft.
19. SAND/GRAVEL PACK ifapplicable)
FROM
TO
MATERIAL
EMPLACEMENT NWMOD
6 k.
23 ff•
#1 sand
pour
ff.
ft.
20. ]DRILLING LOG attach additional sheets if necessary)
FROM
TO
DESCRIPTION (color, hardaes,% milimck rain &4e, eta
k,
ft.
ft.
It.
ft
ft.
k.
ft.
ft.
ff.
ft.
k.
k.
ft.
Zl. REMARKS
22. Certification:
... 12/14/2020
Signantre ofCcAifiedV�ontractor Date
By signing this farm, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 0ZC .0200 Well Construclion Standards and that a
cqU of this record has been provided to the well 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 ifnecessary_
9. Total well depth below land surface: 23 (R•) 24a. For Ali Wells: Submit this form within 30 days of completion of well
For multiple wells list all depths if different (example- 3@200' and 2@1001 construction to the following:
10. Static water level below top of casing: (ft.) Division of Water Resources, Information Processing Unit,
If water level is above casing, use "+" 1617 Mall Service Center, Raleigh, NC 27699-1617
11- Borehole diameter: S (in.)
12. Well construction method: Auger
(i.e. auger, rotary, cable, direct push, etc.)
24b. For Injection Wells: In addition to sending the form to the address in 24a
above, also submit one copy of this form within 30 days of completion of well
construction to the following:
Division of Water Resources, 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 & 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.
Faun G W-I North Carolina DepaEhnent of Environmental Quatity - Division of Water Resources Revised 2-22-2016
Print Form
WELL CONSTRUCTION RECORD (GW-1)
1. Well Contractor Information:
Randy Phillips
Well Contractor Name
2209-A
NC Well Contractor Certification Number
Innovative Environmental Technologies
Company Name
2. Well Construction Permit #:
List all applicable well construction permits (i.e. UIC, County, State, Parlance,
3. Well Use (check well use):
(Heating/Cooling Supply)
Irrl ation
Non -Water Supply Well:
Recharge
Storage and Recovery
Test
rental Technology
mal (Closed Loop)
DMunicipavPublic
Residential Water Supply (single)
Residential Water Supply (shared)
Groundwater Remediation
Salinity Barrier
E)Stormwater Drainage
Subsidence Control
OTtacer
under
4. Date Well(s) Completed: 11-6-2020 WellID# MMW-5
Sa. Well Location:
Charlotte Motor Speedway Landfill
Facility/Owner Name Facility ITT# (if applicable)
5001 Moorehead Rd, Concord, NC 28027
Physical Address, City, and Zip
Cabarrus
County Parcel ldentification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/Jong is sufficient)
I,,
6. ls(are) the well(s)oPermanent or Temporary
14. WATER.ZONES
FROM
TO
DESCRIP'11ON
ft,
ft.
fL
ft.
15. OUTER CASING for mu hi-caaed wells OR LINEk fffa
ticable
FROM
To
DIAMETER
'rI11CiCNE55
MATERIAL
fL
ft.
in.
16. INNER CASING OR 1 f)>3ING(geothermal closed-loo
FROM
TO
DIAMETER I
THICKNESS
HATEMAL
0 ft.
5 ft.
1 in
ft.
I ft.
in.
17. SCREEN
FROM
TO
MkMETER
SLOT SIZE
THICKNESS
MATERIAL.
5 ft,
10 ft
r 1°
.010
SCH 40
PVC
ft.
ft.
En.
I& GROUT
MOM
I TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
ft.
3 ti
cement
pour to gallons
3 fL
4 fL
Hole plug
pour _6 cu ft
ft.
ft.
19. SAND/GRAVEL PACK If licable
FROM
TO
MATERIAL
EMPLACEMENT METHOD
4 ft•
10
#1 sand
pour
ft.
ft.
20. DRILLING LOG attach additlaaal sheets if necessary)
FROM
TO
DESCRIPTION solar, hardness, soiilrack type, grain sloe, etc.
fL
ft.
ft.
ft.
ft.
it.
ft.
ft.
it.
fL
ft.
ft.
ft.
ft.
21. REMARKS
22. Certification:
Signature oECerniied Well Contractor
12/14/2020
ante
By signing this form, I hereby certify that the wells) was (were) constructed in accordance
7. Is this a repair to an existing well: [3Yes or RJNo with 15A NCAC 02C.OMO or I5A NCAC 02C.0200 Well Construction Standards and that a
If this is a repair, fill out known well constmetion information and explain the nature ofthe copy of this record has been provided to the well owner.
repair under #21 remarks section or on the back of thiv form. 23. Site diagram or additional well details.•
S. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same You may use the back of this page to provide additional well site details or well
construction, only I GW-1 is needed. Indicate TOTAL NUMBER of wells construction details. You may also attach additional pages if necessary.
drilled: SUBMITTAL INSTRUCTIONS
9. Total well depth below land surface: 10 00 24a. For All Wells: Submit ibis form within 30 days of completion of well
For multiple wells list all depths ifdifferent (example- 3@200' and 2@100) construction to the following:
10. Static water level below top of casing: (ft.) Division of Water Resources, Information Processing Unit,
If water level is above casing, use `+" 1617 Mail Service Center, Raleigh, NC 27699-1617
11. Borehole diameter: 8 (in.) 24b. For Injection Wells: In addition to sending the form to the address in 24a
Auger above, also submit one 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 Resources, 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 Summly & Iniection 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 Environmental Quality - Division of Water Resources Revised 2-22-2016
WELL CONSTRUCTION RECORD (GW-1)
1. Well Contractor Information:
Randy Phillips
Well Contractor Name
2209-A
NC Well Contractor Certification Number
Innovative Environmental Technologies
Company Name
2. Well Construction Permit #:
List all applicable well construction permits (i.e. UIC, County, State, Variance, etc)
3. Well Use (check well use):
Water SmDDIV Well:
JCreothermal (Heating/Cooling Supply)
3lndustrial/Commercial
Irrigation
Non -Water Supply Well:
Monitoring
Injection Well:
3Aqutfer Recharge
3IAquifer Storage and Recovery
3Aquifer Test
]Experimental Technology
Geothermal (Closed Loop)
Geothermal (Heating/Cooling Return)
4. Date Well(s) Completed: 11-6-2020
5a. Well Location:
Charlotte Motor Speedway Landfill
[]Municipal/Public
Residential Water Supply (single)
Residential Water Supply (shared)
Groundwater Remediation
Salinity Barrier
OStormwater Drainage
Subsidence Control
Tracer
Other (explain under #S21 F
Well LD# MMW-9
Facility/Owner Name Facility ID# (if applicable)
5001 Moorehead Rd, Concord, NC 28027
Physical Address, City, and Zip
Cabarrus
County
Parcel Identification No. (PIN)
5b. Latitude and longitude in degreeslminutes/seconds or decimal degrees:
(if well field, one latltong Ls sufficient)
N
6. Is(are) the well(s)OPermaneut or Temporary
14. WATER ZONES
FROM
TO
VESCRIPTION
k.
ft.
ft
8.
15, OUTER CASING for
multi -cased wells OR LINER if a
lieable
FROM
TO
DIAMETER
THICKNESS
MATERIAL
16. INNER
CASING OR
TUBING eatherrmaI
closed-loo
FROM
TO
DIAMETER I
THICKNESS
I MATERIAL
0 ft.
4 It
1 in.
ft.
17. SCREEN
FROM
TO
DIAMETER
I SLOT512E
I THnCKNESS
MATERIAL
4 ft.
9 fL
1 in.
.010
SCH 40
PVC
rt.
fL
in
l8. GROUT
FROM
I TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
0 ft'
3 ft
cement
pour 10 gallons
3 ft.
2 ft.
Mole plug
pour .6 cu ft
ft.
ft.
19. $A.NDIGRAVEL PACK{ if a linable
FROM
TO
MATERIAL
EMPLACEMENT14ETHOD
3 ft.
9 ft-
#1 sand
pour
20. DRILLENG LOG attach additional sheets if nece
FROM
TO
OESCRIPI'ION color, hardness, enillrock type, grain size, eta
ft,
%
ft.
rt.
ft.
k.
ft.
ft.
ft.
ft.
21. REMARKS
22. Certification:
W �cz j/=_ 12/14/2020
Signature off C� Well Contractor Date
7, Is this a repair to an existing well: OYes or [gNo
If tht's is a repair, fill out known well construction information and explain the nature oJ'the
repair under #21 remarks section or on the hack of this farm.
S. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only 1 GW-1 is needed. Indicate TOTAL NUMBER of wells
drilled:
By signing this form. I hereby certify that the well(T) was (Isere) constructed in accordance
with I5A NCAC 02C .0106 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.
23, Site diagram or additional well details:
You may use the back of this page to provide additional well site details or weal
construction details. You may also attach additional pages ifnecessary.
SUBMITTAL INSTRUCTIONS
9. Total well depth below land surface: 9 24a. For All Wells: Submit this form within 30 days of completion of well
For multiple wells list all depths ifdifjerent (example- 3(a 200' and 2@100') construction to the following:
10. Static water level below top of easing: (ft.) Division of Water Resources, Information Processing Unit,
Ifwater level is above casing, use "+- 1617 Mail Service Center, Raleigh, NC 27699-1617
11. Borehole diameter: 8 (in.)
12. Well construction method: Auger
(i.e. auger, rotary, cable, direct push, etc.)
24b. For Injection Wells: In addition to sending the form to the address in 24a
above, also submit one copy of this form within 30 days of completion of well
construction to the following:
Division of Water Resources, 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 & 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 o£Environmcntal Quality- Division of Water Resources Revised 2-22-2016
WELL CONSTRUCTION RECORD (GW-1)
1. Well Contractor Information:
Print Form
Randy Phillips
Well Contractor Name
2209-A
NC Well Contractor Certification Number
Innovative Environmental Technologies
Company Name
2, Well Construction Permit #:
List all applicable well construction permits (i_a. UIC, County, State, variance, etc.)
3. Well Use (check well use):
Well:
Agricultural
Geothermal (lieating/Cooling Supply)
Industrial/Commercial
Non -Water Supply Well:
Aquifer Recharge
Aquifer Storage and Recovery
Aquifer Test
Experimental Technology
Geothermal (Closed Loop)
[]Mumclpal/Pubhc
Residential Water Supply (single)
Residential Water Supply (shared)
Groundwater Remediation
Salinity Barrier
oStormwater Drainage
Subsidence Control
Tracer
4. Date Well(s) Completed: 11-6-2020 Well ID#
5a. Well Location:
Charlotte Motor Speedway Landfill
under #21
MMW-10
FacilAylOwner Name Facility ID# (if applicable)
5001 Moorehead Rd, Concord, NC 28027
Physical Address, City, and Zip
Cabarrus
County
Parcel identification No. (PIN)
5h. Latitude and longitude in degreWminuteslseconds or decimal degrees:
(if well field, one lat/long is sufficient)
N
6. Is(are) the well(s)oPermanent or Temporary
14. WATER ZONES
FROM
TO
DESCRIPTION
ft.
ft.
15. OUTER CASING for
multi -eased wells OR LINERif a GcableMATER
FROM
TO
R
DIAMETEIAL
TRICKINESS
ft,
ft,
in.
16. INNER
CASING OR TURING eothermal clused-leoul
FROM
TO
DIAMETER
THICKNESS
I MATERIAL
0 ft
5 IL
1 in
R.
ft.
is
17.SCREEN
FROM
TO
➢IM4ETER
St,(Yr SIZE
THICKNESS
MATMZ AL
5 fL
is ft.
1 xn
010
$CH 40
PVC
ft.
fL
ill.
18. GROUT
FROM
I TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
0 rL
2 ft.
Cement
pour 10 gallons
3 ft
z ft
Hole plug
pour .8cuft
ft.
ft.
19. SANDIGRAVEL PACK Na licabie
FROM
TO
MATERIAL
EMPLACEMENT METHOD
3 ft.
15
#1 sand
pour
ft.
I ft.
20. DRILLING LOG attach
additional sheets if necessa
FROM
TO
DESCRIPTION (color, hardness, saiilraek type, grain size, etc.)
ft.
fG
it.
ft.
ft
ft.
ft,
ft,
ft.
ft.
fl.
ft.
ft.
ft.
21. RE 1ARKC
22. Certification:
W , 12/14/2020
Signature ufCcrt&ed Well Contractor Date
7. Is this a repair to an existing well: []Yes or ONo
If this is a repair, fill out known well construction information and explain the nature ofthe
repair under 921 remarks section or on the back ofthisform.
S. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only 1 GW-i is needed, Indicate TOTAL NUMBER of wells
9. Total well depth below land surface: 15 (ft.)
For multiple wells list all depths fif4fferenr (example- 3@200' and 2@10D)
10. Static water level below top of casing:
1J'water level is above casing, use -+"
11. Borehole diameter: 8 (in.)
12. Well construction method: Auger
(i.e. auger, rotary, cable, direct push, etc.)
By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C.0100 or NSA NCAC 02C.0200 Well Construction Standards and that a
copy ofthis record has been provided to the well 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.
SUBMTT'I'AL INSTRUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
(ft.) Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection Wells: In addition to sending the form to the address in 24a
above, also submit one copy of this form within 30 days of completion of well
construction to the following:
Division of Water Resources, 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 Su➢Dlv & I iection Wells: hi 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 Environmental Quality - Division of Water Resources Revised 2-22-2016
Pfl(lt FOFIr]
WELL CONSTRUCTION RECORD GW-1) I For Internal Use Only: I
1. Well Contractor Information:
Randy Phillips
Well Contractor Name
2209-A
NC Well Contractor Certification Number
Innovative Environmental Technologies
Company Name
2. Well Construction Permit #:
List all applicable well construction permits (i.e. UIC, County, State, Variance, etc.)
3. Well Use (check well use):
Supply
(Heating/Cooling Supply)
I Non -Water
Recharge
Storage and Recovery
Test
tental Technology
mal(Closed Loop)
E]Municipal/Public
E31tesidential Water Supply (single)
OResidenfial Water Supply (shared)
Groundwater Remediation
oSalinity Barrier
[)Stormwater Drainage
Subsidence Control
Tracer
in under #21
4. Date Well(s) Completed: 11-6-2020 well M# MMW-11
5a. Well Location:
Charlotte Motor Speedway Landfill
Facility/Owner Name Facility ID# (if applicable)
5001 Moorehead Rd, Concord, NC 28027
Physical Address, City, and Zip
Cabarrus
County Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minuteslseconds or decimal degrees:
(if well field, one IaVlong is sufficient)
N
6. Is(are) the well(s)nC Permanent or Temporary
14. WATER ZONES
FROM
TO
DESCRIPTION
ft.
ft.
ft
ft.
15. OUTER CASING tar mutti-cased wells OR LINER if Heable
FROM
TD
DIAMETER
THICKNESS
MATERIAL
ft.
ft.
in.
16. INNER CASING OR
TUBING faeotherinal clesed-Il000ll
FROM
TO
DIAMF.TF.R
THICK-NESS
MATERIAL
0 FL
5 14
1 in.
ft.
17. SCREEN
FROM
TO
DIAMETER
SLAT SIZE
THICKNESS
MATERIAL
5 ft.
15 ft.
1 in.
.010
SCH 40
PVC
I'L
rL
in
1& GROUT
FROM
TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
0 ft.
2 ft.
cement
pour 10 gallons
3 ft
2 ft
Hale plug
pour .6cuft
ft.
ft,
19. SANDIGRAVtL PACK if apolticable4
FROM
TO
MATERIAL
EMPLACEMENT METHOD
3 ft•
15 ft-
#1 sand
pour
ft.
ft.
20. DRILLING
LOG attach additional sheets if ueeesw
FROM
TO
DESCRIPTION color, hardness, wiUnwk tyn gnsin size, etc.)
ft
fL
ft.
ft
ft.
ft.
ft.
fl.
It.
ft.
rt.
ft.
ft.
ft.
21. REMARKS
22. Certification:
a' �z 12/14/2020
Signature ofCeaffied Well Contractor hate
7. Is this a repair to an existing well: E]Yes or ONo
lfthis is a repair, fill out known well construction information and explain the nature of the
repair under 921 remarks section or on the back of this form.
S. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only I GW-1 is needed- Indicate TOTAL NUMBER of wells
drilled:
9. Total well depth below land surface: 15 (ft.)
For multiple wells list all depths if different (example- 3@200' and 2@1001
By signing this form, I hereby certify that the wells) was (were) constructed in accordance
with 1 SA NCAC 02C .0100 or 15A NCAC 02C _0200 Well Construction Standards and that a
copy ofthis record has been provided to the well 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 ifnecessary.
SUBMITTAL INSTRUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
10. Static water level below top of casing: (ft.) Division of Water Resources, Information Processing Unit,
!f water level is above casing, use -+" 1617 Mail Service Center, Raleigh, NC 27699-1617
11. Borehole diameter: 8 (in.) 24b. For Injection Wells: In addition to sending the form to the address in 24a
Auger above, also submit one 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 Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mad Service Center, Raleigh, NC 27699-1636
13a. Yield (gpm) Method of test: 24c. 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
13b. Disinfection type: Amount: completion of well construction to the county health department of the county
where constructed.
Form GW-I North Carolina Department of Enviranenental Quality - Division of Water Resources Revised 2-22-2016
WELL CONSTRUCTION RECORD (GW-1) Print F
For Intemal Use Onlv: - Print
1. Well Contractor Information:
Randy Phillips
Well Contractor Name
2209-A
NC Well Conhuctor Certification Number
Innovative Environmental Technologies
Company Name
2. Well Construction Permit #:
List all applicable well construction permits (i.e. UIC, County, State, Variance, etc.)
3, Well Use (check well use):
Well:
(Reating/Cooling Supply)
j Non -Water Supply Well:
Recharge
Storage and Recovery
Test
rental Technology
mal (Closed Loop)
[3Municipal/Public
Residential Water Supply (single)
Residential Water Supply (shared)
Groundwater Remediation
Salinity Barrier
E)Stormwater Drainage
Subsidence Control
Tracer
n Other (explain under 4211
4. Date Well(s) Completed: 11-6-2020 wen ID# MMW-12
5a. Well Location:
Charlotte Motor Speedway Landfill
Facility/Owner Name Facility ID# (if applicable)
5001 Moorehead Rd, Concord, NC 28027
Physical Address, City, and Zip
Cabarrus
County Parcel Identification No. (PIN)
5b. Latitude and longitude in degrees)minuteslsecouds or decimal degrees:
(if welt field, one latllong is sufficient)
N W
6. Is(are) the well(s)OPermanent or OTemporary
7. Is this a repair to an existing well: [DYes or MNo
If this is a repair, fill out known well coustmetion information and explain the stature ofthe
repair under #21 remarks section or on the back of this form.
8. For GeoprobelDPT or Closed -Loop Geothermal Wells having the same
construction, only I GWA is needed. Indicate TOTAL NUMBER of wells
drilled:
9. Total well depth below land surface: 10 (ft.)
For multiple wells list all depths if different (example- 3@200' mud 2@100'
14. W ATER ZONES
FROM
TO
DESCRIPTION
ft.
ft_
rt.
ft.
15. OUTER CASNG for mahi-cased wells OR LINER if applicable)
FROM
TO
DIAMETER r
THIC"E55
MATERIAL
fit,
ft,
in.
I& PiNER CASING OR TURMG(geothermal closed -loop)
FROM
To
DIAMETER
THICKNESS
MATEAUAr
0 ft.
5 it.
t
it.
ft.
17. SCREEN
FROM
TO
DIAMETER
SLO'1'SME
TIUCJCNF.SS
MATERIAL
5 M
10 ft
1 in.
.010
SCH 40
PVC
&
fit,
19, GROUT
FROM
TO
MATERIAL,
EMPLACEMENT METHOD & AMOUNT
0 ft.
3 ft.
Cement
pour 10 gallons
3 ft-
4 n.
Hole plug
pour .6 cu f
fL
ft.
19. SAND/GRAVEL PACK if applicable)
FROM
TO
MATERIAL
EMFLACEMEW METHOD
4 ft.
10 ft-
91 sand
pour
ft.
ft.
10, DRILLING LOG attach additional streets if necessary)
FROM
TO
DESCRIPTION {color, hardness, R*Wruck c, 9min aim etc.
ft
fL
ft.
ft.
fit,
fL
ft.
ft.
ft.
ft.
ft.
ft.
ft.
h.
21. REMARKS
22. Cert�ificattion-
jC = ,, 12/14/2020
Signature ofCertific4Wefl Contractor Date
By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 1 SA NCAC 02C .0100 or 1 SA NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well 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 INSTRUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
10. Static water level below top of casing: {fr.) Division of Water Resources, Information Processing Unit,
Ifwater level is above casing, use "+" 1617 Mail Service Center, Raleigh, NC 27699-161.7
11. Borehole diameter: 8 (in.) 24b. For Iniection Wells: In addition to sending the form to the address in 24a
Auger above, also submit one 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 Resources, 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 & 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 Caraliva Department of Environmental Quality - Division of Water Resources Revised 2-22-2016
Print Form
WELL CONSTRUCTION RECORD (GW-1) For Internal Use Only:
1. Well Contractor Information:
Randy Phillips
Well Contractor Name
2209-A
NC Well Contractor Certification Number
Innovative Environmental Technologies
Company Name
2. Well Construction Permit #:
List all applicable KwIl construction permits #.e. UIC, County, State, Variance, etc.)
3. Well Use (check well use):
Supply Well:
(Heating/Cooling Supply)
Supply Well:
Recharge
Storage and Recovery
Test
rental Technology
mal (Closed loop)
[]Municipab?ublic
E)Residentiai Water Supply (single)
Residential Water Supply (shared)
Groundwater Remediation
Salinity Barrier
OStormwater Drainage
0Subsidence Control
E)Tracer
under #21
4. Date Well(s) Completed: 11-6-2020 Well ID# MMW-14
5a. Well Location:
Charlotte Motor Speedway Landfill
Facility/Owner Name Facility ID# (if applicable)
5001 Moorehead Rd, Concord, NC 28027
Physical Address, City, and Zip
Cabarrus
County
Parcel Identification No. (PIN)
56. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if weli field, one tatilong is sufficient)
101
6. Is(are) the well(s)IRPermanent or Temporary
W
7. Is this a repair to an existing well: E)Yes or EJNo
If thin is a repair, fell out Imown well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.
8. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only 1 GW-i is needed. Indicate TOTAL Nt.]MBER ofwells
9. Total well depth below land surface: 17
For multiple wells Ast all depths ifdiffereut (example- 3@200' and 2@100)
10. Static water level below top of casing:
If'twuer level is above casing, use "+"
1.1. Borehole diameter: 8 (in.)
12. Well construction method: Auger
(i.e. auger, rotary, cable, direct push, etc.)
14. WATER ZONES
FROM
TO
DESCRIPTION
ft.
ft
fr.
ft.
15. OUTER CASING for multi -roved wells OR LMR(it a liable
hTFn7ar
FROM To DIAMETER THICKNESS
f,. it in.
16. INNEA CASING OR TUBING facothermal dosed-l000l
FROM TO
DIAMETER
THICKNESS
MA'I'ERrar.
0 n. s ft.
1 in
ft. ft,
in.
17. SCREEN
FROM
TO
DIAMETER
SLOT SIZE
Tfhwftl ESS
MATERIAL
5 ft'
17 fL
t in.
.010
SCH 40
PVC
ft.
ft.
19. GROUT
FROM
I To
MATERrAL
EMPLACEMENT METHOD & AMOUNT
0 ft.
2 fL
cement
poor 10 gallons
3 ft
2 h
Hole plug
pour A cu 8
ft,
ft.
19, SAND/GRAVEL. PACK ifa . licable
FROM
TO
MATERIAL
EMPLACEMENT METHOD
3 ft•
17 ft•
#1 58nd
pour
ft.
It.
20. DRILLING LOG attach additional %beets If necessary)
FROM
TO
DESCRIPTION (color, hardness, saWh k e, grain sire, etc.
ft.
ft.
ft.
IL
ft.
R.
ft.
ft.
ft.
it.
B.
ft.
ft.
ft.
21. REMARKS
22. Certification:
�j ��� � 12/14/2020
Sjgnature ofCcrofied Well Contractor pate
By signing this farm, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy ofthis record has been provided to the well 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.
(M•) 24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
(ft.) Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For lniection Wells: in addition to sending the form to the address in 24a
above, also submit one copy of this form within 30 days of completion of well
construction to the following:
Division of Water Resources, 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 & 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 depa=cnt of the county
where constructed.
Form GW-1 North Carolina Departimnt of Environmental Quality - Division of Water Resources Revised 2-22-2016