RA-3766_22819_CA_LTRRPT_20220505

100 East Ruffin Street, Mebane, North Carolina 27302
Telephone [phone] ·Facsimile [phone]
www.terraquestpc.com
May 5, 2023

Mark Powers VIA EMAIL
NCDWM-UST Section, Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699

Re: Letter Report (ePATA 22819-013)
Louisburg Ice Facility
1040 S Main St, Louisburg, Franklin County, North Carolina
NCDWM-UST Incident No.: 22819 // Terraquest Project No. 03021

Dear Mr. Powers:

On behalf of Hashpot, Inc, Terraquest Environmental Consultants, P.C. is hereby reporting assessment
activities performed for the prior petroleum release incident at the Louisburg Ice Facility located in
Louisburg, Franklin County, North Carolina. The site’s location, vicinity, and layout are displayed on
the attached Figures 1, 2, and 3. The work was performed under electronic pre-approval task
authorization ePATA 22819-013.

This release incident is ranked an Intermediate Risk based solely on the presence of free product. In
December 2022, 100 tons of material was excavated in the free product area (MW1). Following
excavation, this letter report is submitted to detail the installation of a replacement well (MW1B) on
May 1, 2023 for the one with free product that was excavated. A well construction record is attached.
That well was checked for product on May 3, 3023 and none was found. With the absence of product,
there are no known criteria that would continue to rank this site an Intermediate Risk. Terraquest
recommends reducing the risk ranking and closing this site with a groundwater NORP.

Please contact me with any questions or comments you may have. Thank you.

Sincerely,

TERRAQUEST ENVIRONMETNAL CONSULTANTS, P.C.
Ryan D. Kerins
Project Manager

Attachments

cc: Hashpot, Inc. attention Charlotte Gober, via email
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013
1. Well Contractor Information:

Well Contractor Name

NC Well Contractor Certification Number

Company Name 2. Well Construction Permit #: List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.) 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) □Irrigation
Non-Water Supply Well: □Monitoring □Recovery
Injection Well: □Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier □Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer □Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)
4. Date Well(s) Completed: ____________ Well ID#______________________ 5a. Well Location:
Facility/Owner Name Facility ID# (if applicable)

Physical Address, City, and Zip
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 W
6. Is (are) the well(s): □Permanent or □Temporary

7. Is this a repair to an existing well: □Yes or □No 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. Number of wells constructed: For multiple injection or non-water supply wells ONLY with the same construction, you can submit one form. 9. Total well depth below land surface: (ft.) For multiple wells list all depths if different (example- 3@200’ and 2@100′) 10. Static water level below top of casing: (ft.) If water level is above casing, use “+” 11. Borehole diameter: (in.) 12. Well construction method: (i.e. auger, rotary, cable, direct push, etc.) FOR WATER SUPPLY WELLS ONLY: 13a. Yield (gpm) Method of test: 13b. Disinfection type: Amount:

14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable) FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary) FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS

22. Certification:
Signature of Certified Well Contractor 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. SUBMITTAL INSTUCTIONS 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 Injection Wells ONLY: In addition to sending the form to the address in
24a above, also submit a copy of this form within 30 days of completion of well construction to the following: Division of Water Resources, Underground Injection Control Program, 1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion ofwell construction to the county health department of the county whereconstructed.
For Internal Use ONLY:
ENVIRONMENTAL CONSULTANTS, P.C.