MO-28244_47502_CA_WR_20210427_Well Abandonment Record

HWell Cantraettlr, itntemotion:
1
1: elI CnnbaeloT 1Yunin (or viol l own.a: pernonally cbr= lonlof w,oli all Warr pm7rdY)
_a_.,.....�G
NC well Conhodor milSauuu Number
Compagv War
1, tateft C1jwhjrradon mrmol8r'$t
Litt all aFyfle. Gl.^.1ur7) carcsfrucilan Ft'w�iu Q.e UdC, Cmlr,(J'. �rC7C. Ya'dtCz, <h1)7ffaioua
3, W¢ll net (aFr¢ek stet use):
C1Apticulftmtl ❑ARr onolQ'ubllc
EGaoth¢earal ((leatiowcooling Supply) [ aidmdml Water Supply (single)
ClinduoxiavConenwAtial oResidtradal Water Supply (shared)
f7Ayulfcr Rec};erl)e:
OOrotmda✓e4er Rom:sliotiau
❑Afpdfc_ Storage Axal ReuovorY
usolinityDenriof
❑Atpulfcr Tnet
L7StGrmwaler breinsge
OBxp¢rim�v2l TwImology
❑6titbaidaarcc Conhol
DGcodremol(Cloasd Lwp)
f]7taoer
d. 2Rmh well(e) standonetit
FnoWry ID:? (tfappiiwblu)
Fos Cateraal Uc•a ONLY; � � ��g�g�� �' 1
7a. For CYealrolreh)P S' or cicvoed®lmp G¢srtlrE€`mmt Woes having tho Barra„
welI constrrtciinn/dapL`a, only 1 OW-30 is needed. lndIcoo TOTAL MARR of
7b.!(sprns3mof»valunae a5'wntEr rcvn�3nLatS hr vrel(a)r/Q6/(gA1,D
FE8R WATER SUPPLY Fir6&d,S ONLVi
7e. Tyin of wdnfeotant used: (.o�'/yK
7d, Amount of dldufod"t naedt � uZ
7¢. CY¢oltng motcrlals fiteg (eheeh Ru tizut Rp(3Ty)` ..... .
C7 Nast Cement Orou( otttonito Chips or Pelto',R'
is Send Ceurtnt Grout 17 Dry Clay
❑ Concrete Grout ❑ Drill Ctnf ira ,
i:l SpeciRltY O�rou¢ ❑ Gravel
t7 Dentonite Slurry ❑ Other (explain tinder 7g) ,
7f. For meh mierld wDlomed above, provide arnounk of msterlale used:
ryg, Pmvf& a brief dradlytian of the praxducs:
0. CoykifiGrdo ��y
slgyy)yg p/;ls fi�Heretry cersj(y that the wal!(s) v;as (tveveJ abandoned In
County Parcel i' dcn��cfltion Na. p'lP7) ®y�pd�� with ISA h`CAC 02C.0100 or•2C.Oi00 6FelI C�nshttellor+ SYarutards
Sb, Latitude mud loullitude in d¢ge¢aaltnlnueos/e¢oonda or d ®: and tHrs1 ° espy of (Abe recorvi has been pvovk7ed to the well Omer,
(if2wallfisld'c�mja >�Bt7o meumaiem) g, Nee difi or Additional well detmlla:
._,.L.5 %a >qO- You ---W abpadanuse the bwk of lho pap to povide additional well mwat detai au nlsy oleo ttaoL Addidanal site details or well
d°OYV&7?3U� fdde)t�13ETA][.9 �F WEEI.I.fS3 REA G ABtLND6R`Eb
Rtmrh w�llemsvucilan rixnrJ(e)lfuWltable. Farx�Wnpte lgjacdw,wnon-ware ppQvx(
taNLBwftk thaeame-cnn+trvctfoa/n6uedonxext, yorr ca: aubmltmmj n.
6R, Well H(ttkt;_,,,,_„
6b, ToW wen depth! S5 (I.) - -
6c4 Borehole dluse9er; CO'' oo,)��jj
Aldo Water level blow ground aaefete: 4 00
Ge. Outer casing I¢p3tDr (If iulbwn):
6f. Inner eaaimgipabing I¢ngW (if lmovrn):.r(ftD
6g, f4¢t¢er8 krtg8h (eB drawn):
TRUCPflg�N6
10�
A $LrRltLt'.R'%'A,L AV6„For As W ua: Subnrft tkda farm. within 30 days of Carol) lion of w¢U
abendonoxeuttotho followig3:
10h. For fni¢cticn We66s: 'In oddide¢ on to ndvrg the form to the address inlOn
above, oleo submit ono cuplr of this form aiWn 30 drys of completion of wci7
,;: abaodanm¢ot to tine followlo;;:
;yIdvldrma of Water Reacezow, Underground Injection Control rrogram4-,
#.... 16M Moll Service Center,Rklekk NC 27094636
-.I 10c, WAPgr 8uonh' � Hrtto&dau Walla: Y¢ adtlitton to sending rho farm to Ore
eddress(¢a) above, also submit one copy of tda foam within 30 days of completion
of wall sbandmureat to On county health. department of 0t¢ county where
bbgo&ncd*
Perm QW30 North Caroline Depaxfixut ofl?nvtmnmentol Quality • Division of WAW Raiouroes tYeviaad 2-22-20Iti

Beverly, Trudy
From: Beverly, Trudy
Sent: Wednesday, May 12, 2021 8:32 AM
To: Ben Robinson
Subject: RE: [External] Alicea Property UST-61
Received.
Trudy
Trudy Beverly, L.G.
D
IE �1
Hydrogeologist, Division of Waste Management
_ North Carolina Department of Environmental Quality
Q�
LF Pa.rI n. of Lnorun,w 0MOT ` UST Section, Mooresville Regional Office
704.235.2182 (Office)
Trudy. B everlykncdenn gov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Office Mailing Address:
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Branch's Underground Storage Tanks Website Address: ht_pt s://deg.nc.gov/about/divisions/waste-management/ust
Branch's Above Ground Storage Tanks Website Address: hgps:Hdeg.nc.gov/about/divisions/waste-management/ust/ast-proeram
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
httns://deu.nc. eov/about/divisions/waste-manaeement/waste-manaeement-rules-data/waste-manaeement-eis-mans
File Review Procedures:
ht_pt s://deq.nc.gov/about/divisions/waste-manaeement/ust/file-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
httns: //dea.nc. eov/about/divisions/waste-manaeement/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
httys:Hfiles.nc.eov/nedea/Waste%2OMana2ement/DWM/UST[WhatsNew/Final-Electronic-Document-Submittal-Policy.odf
https:Hfiles.nc.gov/ncdeg/Waste%2OManagement/D WM/UST/Corrective%2OAction/UST%20file%20names%20for%2OLaserfiche.docx
From: Ben Robinson [mailto:[e-mail]]
Sent: Wednesday, May 12, 2021 8:30 AM
To: Beverly, Trudy <[e-mail]>
Subject: Re: [External] Alicea Property UST-61
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Please find attached to this e-mail the well abandonment record and the certified copy of the NRP for this
site. Please forward the Conditional NFA at your earliest convenience and we will perform the Public
Notice. Thank you very much!
Ben Robinson, L.G.
Paragon Environmental Consultants, Inc.
On Wed, Apr 21, 2021 at 8:22 AM Ben Robinson <brobinson8915Aamail.com> wrote:

Yes I do, I'll be in the office all day. [phone] is my cell phone number. Thanks!
Ben Robinson, L.G.
Paragon Environmental Consultants, Inc.
On Wed, Apr 21, 2021 at 7:52 AM Beverly, Trudy <trudy.beverly&ncdenr.gov> wrote:
Hey Ben,
Do you have time for a phone call this morning about this site? What's a good number for me to reach you?
Thanks,
Trudy
it"P ---. E��
Trudy Beverly, L.G.
Hydrogeologist, Division of Waste Management
North Carolina Department of Environmental Quality
UST Section, Mooresville Regional Office
704.235.2182 (Office)
Trudy.Beverlykncdenr. gov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Office Mailing Address:
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Branch's Underground Storage Tanks Website Address: https:Hdeq.nc.gov/about/divisions/waste-mana,gement/ust
Branch's Above Ground Storage Tanks Website Address: https:Hdeq.nc.gov/about/divisions/waste-management/ust/ast-program
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
https://deq.nc.gov/about/divisions/waste-management/waste-management-rules-data/waste-mana eg ment ig smap_s
File Review Procedures:
https:Hdeq.nc. gov/about/divisions/waste-management/ust/file-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
https:Hdeq. nc. gov/about/divisions/waste-management/laserfiche

Document Submittal & UST File Names for Laserfiche Policies:
https://files.ne.2ov/ncdeq/Waste%2OMana2ement/DWM/UST/W hatsNew/Final-Electronic-Document-Submittal-Policy.pdf
hgps:Hfiles.nc. gov/ncdeq/W aste%2OManagementIDWM/LJST/Corrective%2OAction/UST%20file%20names%20for%2OLaserfiche.docx
From: Ben Robinson[mailto:[e-mail]]
Sent: Thursday, January 28, 2021 12:31 PM
To: Beverly, Trudy <[e-mail]>
Subject: Re: [External] Alicea Property UST-61
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Thank you very much!
Ben Robinson, L.G.
Paragon Environmental Consultants, Inc.
On Thu, Jan 28, 2021 at 10:56 AM Beverly, Trudy <trudy.beverlykncdenr.gov> wrote:
Hey Ben,
Attached is an electronic copy of the UST approved NORP. The original will go out with the mail today to you for
filing.
Have a great day,
Trudy
9

fH hY':• :...
runeiR el tmrrnnment�l 4ua4TY
Trudy Beverly, L.G.
Hydrogeologist, Division of Waste Management
North Carolina Department of Environmental Quality
UST Section, Mooresville Regional Office
704.235.2182 (Office)
Trudy.Beverlygncdenr. gov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Office Mailing Address:
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Branch's Underground Storage Tanks Website Address: hgps:Hdeq.nc.izov/about/divisions/waste-manaizement/ust
Branch's Above Ground Storage Tanks Website Address: htips:Hdeq.nc.gov/about/divisions/waste-management/ust/ast-program
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
https://deq.nc.gov/about/divisions/waste-management/waste-management-rules-datalwaste-mana eg ment ig s-mates
File Review Procedures:
https:Hdeq.nc. gov/about/divisions/waste-managementlust/file-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
hgps:Hdeq.ne.,aov/about/divisions/waste-management/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
httys://files.nc.gov/ncdea/Waste%20Management/D W M/UST/WhatsNew/Final-Electronic-Document-Submittal-Policv.ydf
httns:Hfiles.nc. aov/ncdeq/W aste%20ManagementID WM/UST/Corrective%2OAction/UST%2Ofile%20names%20for%2OLaserfiche.docx
From: Ben Robinson[ma iIto: [e-mail]]
Sent: Thursday, January 28, 2021 8:37 AM
To: Beverly, Trudy <[e-mail]>
Subject: Re: [External] Alicea Property UST-61

CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
I do not have an e-mail for Ms. Alicea (I'm not sure that she uses one), but I can forward it to her real estate
agent by e-mail. If you'd like to send a hard copy, her current mailing address is the site address, 1951
Sequoia Hills Drive, Harrisburg, NC 28075. Thank you very much!
Ben Robinson, L.G.
Paragon Environmental Consultants, Inc.
On Thu, Jan 28, 2021 at 8:24 AM Beverly, Trudy <trudy.beverlykncdenr.gov> wrote:
Hey Ben,
The NORP arrived. I'm headed into the office later this morning to get it signed. Do you have an email address for
Mr. Alicea or should his copy by mailed USPS?
Thanks,
Trudy
., DEQ "
is
Trudy Beverly, L.G.
Hydrogeologist, Division of Waste Management
North Carolina Department of Environmental Quality
UST Section, Mooresville Regional Office
704.235.2182 (Office)
Trudy.BeverlyC&ncdenr. gov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
0

Office Mailing Address:
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Branch's Underground Storage Tanks Website Address: https:Hdeg.nc.gov/about/divisions/waste-management/ust
Branch's Above Ground Storage Tanks Website Address: https:Hdeg.nc.aov/about/divisions/waste-mana,aement/ust/ast-program
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
htWs:Hdeq.nc.,gov/abouUdivisions/waste-management/waste-management-rules-datalwaste-mans eg ment ig s-mates
File Review Procedures:
hUps:lldeq. nc. gov/about/divisions/waste-management/ustlfile-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
https://deg.nc.,gov/abouUdivisions/waste-management/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
https://files.nc.sov/ncdea/W aste%20Mana¢ement/D WM/UST/WhatsNew/Final-Electronic-Document-Submittal-Policv.pdf
https://files.nc. gov/ncdeq/Waste%20ManagementIDWM[UST/Corrective%2OAction/UST%2Ofile%20names%20for%2OLaserfiche.docx
From: Ben Robinson[mailto:[e-mail]]
Sent: Thursday, January 21, 2021 2:45 PM
To: Beverly, Trudy <[e-mail]>
Subject: Re: [External] Alicea Property UST-61
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment
to Report Spam.
Ok, thanks! I will put that NRP in the mail to you this afternoon and forward the well abandonment record
as soon as it is available. Thank you very much!
6

Ben Robinson, L.G.
Paragon Environmental Consultants, Inc.
On Thu, Jan 21, 2021 at 6:53 AM Beverly, Trudy <trudy.beverly&ncdenr. oovv> wrote:
Good Morning Ben,
The NRP can be filed prior to the well abandonment for a property transaction to take place. NRPs can be filed at
any time. The site closure would be held up due to the risk no being low. I would not be able to issue the
Conditional NFA until the well abandonment paperwork was received showing that the site would be low risk. You
can go ahead send in the NRP.
Trudy
NA
tal OUR"
Trudy Beverly, L.G.
Hydrogeologist, Division of Waste Management
North Carolina Department of Environmental Quality
UST Section, Mooresville Regional Office
704.235.2182 (Office)
Trudy. B everlykncdenr. gov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Office Mailing Address:
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Branch's Underground Storage Tanks Website Address: https:Hdeg.nc.gov/about/divisions/waste-management/ust
Branch's Above Ground Storage Tanks Website Address: hM2s:Hdeq.nc.gov/about/divisions/waste-mana,gement/ust/ast-program
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
htWs:Hdeq.nc.gov/about/divisions/waste-management/waste-management-rules-datalwaste-management- ig s-mates
File Review Procedures:
https://deq.nc. gov/about/divisions/waste-managementlustlfile-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):

https:Hdeg.nc.,gov/about/divisions/waste-manaaement/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
htti)s://files.nc.gov/ncdep/W aste%2OMana¢ement/D WMIUSTfWhatsNew/Final-Electronic-Document-Submittal-Policv.udf
https:Hfiles.nc. gov/ncdeq/Waste%2OManagementIDWMIUST/Corrective%2OAction/UST%20file%20names%20for%2OLaserfiche.docx
From: Ben Robinson[mailto:brobinson8915@l;mail.com]
Sent: Wednesday, January 20, 2021 3:04 PM
To: Beverly, Trudy <[e-mail]>
Subject: Re: [External] Alicea Property UST-61
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment
to Report Spam.
Hey Trudy,
I've got a couple questions about this site. The RP is planning to abandon the only supply well within 150
feet of the source area and achieve closure with a NRP once that has been done. I've already had the RP
sign the NRP (attached for your reference) while I was on -site for the tank removal, which was completed
on January 18, 2021. I was going to hold that NRP and submit it along with the well abandonment record
once the supply well had been abandoned. I've just been informed that the earliest the well contractor
they've chosen can schedule the well abandonment is February 15, 2021. The supply well abandonment
and recording the NRP at the Cabarrus County Register of Deeds are the last two tasks to complete before
the property is sold. I was curious if I could go ahead and mail the original copy of the NRP to you for
Ron's signature in the meantime, and once it is returned to us, I could wait until the supply well is
abandoned to record it at the Cabarrus County Register of Deeds. I thought that having the completed
NRP in my possession would allow me to get to the Cabarrus County Register of Deeds as soon as
possible after the supply well abandonment. Just hoping to save some time, as they are anxious to close on
this property and the well abandonment and NRP are the only things holding up the closing. Please feel
free to give me a call at [phone] if you have any questions. Thanks!
Ben Robinson, L.G.

Paragon Environmental Consultants, Inc.
On Tue, Jan 12, 2021 at 8:56 AM Beverly, Trudy <trudy.beverlykncdenr.gov> wrote:
Received.
Trudy
Vepirlmen[oi Lnr.ronmentfl OuxWly
Trudy Beverly, L.G.
Hydrogeologist, Division of Waste Management
North Carolina Department of Environmental Quality
UST Section, Mooresville Regional Office
704.235.2182 (Office)
Trudy. B everlykncdenr. gov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Office Mailing Address:
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Branch's Underground Storage Tanks Website Address: https:Hdeg.nc.gov/about/divisions/waste-management/ust
Branch's Above Ground Storage Tanks Website Address: https:Hdeq.nc.aov/about/divisions/waste-mana,aement/ust/ast-program
INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES:
https://deq.nc.,gov/about/divisions/waste-management/waste-management-rules-datalwaste-mana eg ment gis-mates
File Review Procedures:
hUps:Hdeq.nc. gov/about/divisions/waste-management/ustlfile-review-procedures#mooresville-regional-office
ONLINE ACCESS TO UST SECTION DOCUMENTS (Laserfiche):
https://deq.nc.gov/about/divisions/waste-management/laserfiche
Document Submittal & UST File Names for Laserfiche Policies:
htti)s:Hfiles.nc.sov/ncdea/W aste%2OManagement/D V;NMSTIWhatsNew/Final-Electronic-Document-Submittal-Policy.i)df
https:Hfiles.nc. aovincdeq/Waste%20ManaaementIDWM/UST/Corrective%2OAction/UST%20file%20names%20for%2OLaserfiche.docx

From: Ben Robinson [mailto:[e-mail]
Sent: Tuesday, January 12, 2021 8:28 AM
To: Beverly, Trudy <[e-mail]>
Subject: [External] Alicea Property UST-61
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment
to Report Spam.
Please find attached to this e-mail the UST-61 for the Alicea Property. Thank you very much!
Ben Robinson, L.G.
Paragon Environmental Consultants, Inc.
10