NCD980602163_20031215_Warren County PCB Landfill_SERB C_Removal of On-Site Monitoring Wells-OCR

DRILLING COST SUMMARY
Project Name: Warren Co PCB Landfill Abandonment Start Date: 12/15/03 D~e comgleted: 12/18/03
Incident#: County: Warren Quad Name:MW# 1,2,4,4A,6,8,9,10,10A
Number of CoS1 Per
Personnel Hrs. ~ Miles Bags Joints Hr. Day Mile Bag Joint Each Total
Driller B. Casoer 40 23.37 $934.00
Heloer T. Kina 40 19.64 $785.60
Suo. T. Hill 20 28.27 $565.40
Exoenses
Driller 8. Casoer 4 $275.60
Heiner: T. Kina 4 $275.60
Heloer
Eauic.
Drill Ria # CME55 4 261 125.00 .60 $656.60
Service Truck #350 4 389 .65 $252.85
Service Truck #250 2 550 .50 $275.00
Utilitv Trailer# 0
Steam Jenn# 0
Air Como#
Bladder Pum # 0
Welder Elec. # 0 -
Generator Honda 8 4 1.25 50.00 $210.00
PumcTruck 0 0
Pumc 0 0
Grundfos 1/2 HP 0 0
GuickGel 0 0
Sand 0 0
Bentonite 0 0
Cement 35 S7.9~ $276.38
Filter Sock 0 0
Pine
PVC SST Steel 2" 4" 6" 611
0 0 0 121"
0 0 0 10"
0 0 0 5"
0 0 0 12"
Screens
0 0 0 10"
0 0 0 15"
0 0 0 12"
Plues O 0 0
Cao 0 0 0
Lockina Plua 0 0 0
Above Gd 0 0
Surfs. 0 0
Other Exoenses
Rented a elec. Hammer for cement pads. $179.30
TOTAL COST $4686.33
10/03/2003 14:24 9197153505 DWM PAGE 88/14
LOCKING PROTECTIVE COVER -----
T 2.5' -,
2.0' 1-----ALUMINUM PROTECTIVE COVER
-----CONCRETE PAD (2' X 2') ---L,.------r-1-------.+--:-l.o~~-h-"""'."'::::::;,,---,::;;_-----
<l
3.5'-
VARIES
2" OR 4" STAINLESS STEEL
PIPE (SCHEDULE 5)
---NEAT CEMENT GROUT
SEE TABLE 3.1
SCALE : NOT TO SCALE
61
' TO 8" NOMINAL BOREHOLE
------BENTONITE SEAL
----2" OR 4" STAINLESS STEEL
SCREEN WITH 0.010''
V-SHAPEO WIRE WRAP
10' . ,_ __ I
,·, _ t--t--1'.J-----#2 SILICA SAND FILTER PACK
~ '-----------------------'
GENERALIZED MONITORING WELL DES IGN
North CP,.olina-Department of Environment and Natural Resources
Divisi~n of Water Quality-Groundwater Section 1636 Mail Serive Center-Raleigh.NC 27699-1639 Phone No. [phone]
WELL ABANDONMENT RECORD WELL CONTRACTOR: N.C.D.E.N.R. / Groundwater Section
WELL CONTRACTOR CERTIFICATION # 2009
1. WELL USE ( Check Applicable Box): Residential_ Municipal_lndustrial_Agricultural_ Monitoring_ x
Recovery_ Heat Pump Water Injection_ Other_ If Other, List use ____ _
2.WELL LOCATION:(Show a skecth of location on back of form.)
Nearest Town: Warrenton, N. C. County: Warren
Warren Count PBC landfill off Limertown Rd. MW#1
( Road Name and Number, Community, Subdivision, Lot No.) Quadrangle No.
3. OWNER: N.C.D.E.N.R. / Groundwater Section /Warren County PCB Landfill
4, ADDRESS: 1636 Mail Service Center Raleigh N.C. 27699-1639
5. TOPOGRAPHY: draw, slop~, hilltop, y~lley@
( circle one)
6. TOTAL DEPT 51.93 DIAMETER: 4" PVC
?.CASING REMOVED:
feet
O'
diameter
4"PVC
8. DISINFECTION: __ NIA
(Amount of 70% hypochlorite used:)
9. Sealing Material:
NEAT CEMENT Sand cement
bags of cement
gallons of water:
Other
7 bags of cement --------42 gallons of water: --------
Type material: ---------------------t Amount:
10. EXPLAIN METHOD EMPLACEMENT OF MATERIAL
11. DATE WELL ABANDONED: 12/15/03
Well DIAGRAM: Draw a detailes sketch of the well
showing total depth.and diameter of screen remaining in the well
gravel interval,intervals of casing perforation and depths
and depths and type of fill material used.
I do hereby certify that this well was abandoned in accordance with 15 A NCAC 2C, well construction standards,
and that a copy of the record has been provided to the well owner.
Signature of person abandoning the well Billy Cas7$ ii4~ Date 15-0ec-o3
WELL LOCATION: Draw a location sketch on the reverse of this sheet, showing the direction and distance of well to least
two (2) nearby reference points such as road,intersections,and streams.Identify roads with state Highway road idetification
number.
10/03/2003 14:24 9197153505 DWM PAGE 05/14
NORTH CAROLINA DEPARTMENT OF NATURAL. RESOURCES' COMMUNITY 0EVELOPMEN"I'
W!:ll ~!CO~D , OIVISI(\;. Vt' ENVIRONMENT AL MANAGEMENT
· P.O,Box276117 -RALEIG.)1,_HtC..27611 91!1-733-:.Z02tl
DklLLll'G CO~AACTOll.c241'$,t:°'.1df &$.L'!,..;~NO. ~Lt. CONS'.'f\VCTION l'EllJ!lT NO.
D .3:3 YI l. wnL l.OCATION1 (Shaw tkatch of th• l0c&ti0n belo~) ;,,!/
Nea.,:Ht Town I ~~ .......... ~.--: N. ~. . . cou.nty1 Wr}.tt/.N U,.:,,.,..;~./
.4,,,...,.-;,., / .?
~----~__:~---,,....,..,..,--,....,,,_--.,,....--,.,.-,,.-------O\ll.i!rln9le No. u(' / ~ u~ GS'.
(Jk:l1d_,CQ11;11v.nity or Sllbdivilioti and t.ot No. I 1~7/ •
2. DWN!Jh g/ ~ aC:A?JPh ~ ... '?d.Vff. .:RILLINC toe
l, ADDllESS.,.1 __________________ _
4. !'OPOCRAl'lrY: u1.w,~alley,•l0pe,hilltop,flat{cirele one)
. ·.s. us• 0r-nu.1 /7/cw'J~R/d-j_ r>AH1 B ... 113 ·83
o= ·vr£ '• DOES '1'11IS WZLL llEPI.ACE .M EXIUIHC::: wtLL? ___ l.,l,._,..2c.---J . I
,. 'tOTAL DEPfR• S/ JI.IG TYPE O.R M£'l'HOD1 -------
•• F010(A'fl0'1{ SI-KPLES COLLECTED: 'Xl:-i._110 X
9, CA.SING1 t>epth
£LE -
Fro~ ~qz to11_Lft
1n1id11
Dia.
~q.
Wall ~hick, t:t?•
or weight/ft.
I/ -f SC.-11,d:.~tE ',I() .,tv.c.
lO. CTU)UT1 Dapth Mater.bl Het.hod
Fro:a.Ml_to~Oq ft 3 e I
11, SCJU:Ell1 Cl!!!pt.b Dia. 1'ype, opening
DEPTH .FR0-1'1--1'0
e_c,,y7,;,.1p.oz1~ SI.~,' I..OCI\TlO!f sxnc11
: '•• ..
· 1· --· . . . . .
'. ·, ..
( .· .. •.
1'.t011130':>t.cfil_ft IO 1
(Shou df•tanct to n~•re4 ro~d•, or othtr -P releraoce po1ntl)
ll. CiAAVEL: Depth Si:r.e Y.Ate.rial
Fr~to2'1/ ft :t 22
ll. t,;ATi:R :c~s (depth) =---------------
above l◄• 5TATIC WATXR Lr:v:tL, __ ft.b!!!lO~t.op -Of casing
C::..•1ng 11 __ ft. abev11 land surface £LE:\/:
lS. YIELD(9p111) 1. _____ KETao0 or 'rES'l'ltlC.: ___ _
U, PUMPING W>.ttR I.EVELt __ ~ ___ _;tt, .
after ____ h.01.1r11 at ______ qpo.
17. CllL()lllNATIO!h 'fyp111 _____ ..:.>.mou.nt ____ _
18. ~.:..Tn QUALITY: 'l'UU'£AATUR£ (cFL___
19, P.tJ!M.Wttrr PUXP: ·oate In:stall!!!d,__ ______ _
T'JP« _____ Capacity _____ .(g~~!HP __ _
~a~e _________ .lntak• Dtpth'-------
Airline Depth ____ _ MW-I
20. KA:5 TIit 0:.-11:tl\ JIX.r:N J'RCVlOE:O ~ COPl' er ,l!lS JU:l;OIU:I >.!10 rnrOP.".tC O!' TKE tlEPA~TM..E!ITS J;Z~:JIR.!i:!-'..!::;rs MO
.ktCOMM.tN 01-T IONS 7
21, 1.Z!'-Ui<S --------------------------------------1 do hereby ctrtify th•t thi1 vell was eonstructt~ in accordanc• with N.C. ~ell Conatruction
~egulations and StAndards and that this well reco~~ is tn.ie an~ exact,
Nort~ Carolina-Department of Environment and Natural Resources
Di.::ision of Water Quality -Groundwater Section 1636 Mail Serive Center-Raleigh.NC 27699-1639 Phone No. [phone]
WELL ABANDONMENT RECORD WELL CONTRACTOR: N.C.D.E.N.R. / Groundwater Section
WELL CONTRACTOR CERT\F\CAT\ON # 2009
1. WELL USE { Check Applicable Box): Residential_ Municipal_lndustrial_Agricultural_ Monitoring_ x
Recovery_ Heat Pump Water Injection_ other_ If other, List use ____ _
2.WELL LOCATION:(Show a skecth of location on back of form.)
Nearest Town: Warrenton, N. C. County: Warren
Warren Coun PBC landfill off Limertown Rd . MW# 2
( Road Name and Number, Community, Subdivision, Lot No.) Quadrangle No.
3. OWNER: N.C.D.E.N.R. I Groundwater Section I Warren County PCB Landfill
4. ADDRESS: 1636 Mail Service Center Raleigh N.C. 27699-1639
5. TOPOGRAPHY:_ draw( slope, hilltop, valley~
( circle one)
6. TOTAL DEP146.86' DIAMETER: 4" PVC
?.CASING REMOVED:
feet
O'
diameter
4"PVC
8. OlSlNFECTlON·. __ N/A
(Amount of 70% hypochlorite used:)
9. Sealing Material:
NEAT CEMENT Sand cement
bags ol cement:
gallons of water:
Other
____ 6_bags ol cement: ___ _
____ 36_gallons of water: ___ _
Type material: ----------------------t Amount:
10. EXPLAlN METHOD EMPLACEMENT OF MATERlAl
Mixed cement with water and poured it down hole until
11 . DATE WELL ABANDONED: 12/17/03
Well DIAGRAM: Draw a detailes sketch of the well
showing total depth.and diameter of screen remaining in the well
gravel interval,intervals of casing perforation and depths
and depths and type of fill material used.
~
~~
~~
I do hereby certify that this well was abandoned in accordance with 15 A NCAC 2C, well construction standards,
and that a copy of the record has been provided to the well owner.
Signature of person abandoning the well Billy C••,~ Date 17-Dec-oj
WELL LOCATION: Draw a location sketch on the reverse of this sheet, showing the direction and distance of well to least
two (2) nearby reference points such as road,intersections,and streams.Identify roads with state Highway road idetification
number.
Submit Original to the Division Of Water Quality, Ground Section, One Copy to the Owner Within 30 Days From completion of Abandonment.
10/03/2003 14:24 9197153505 DWM PAGE 05/14
.. ~ -'• NORTH CA.ROLi NA DEfARTMENT OF NATURAL RESOURCES & COMMUNlTY OEVELOPJ\iENT
~EL\. ucor.c DIVISION OF ENVIR.ONMENT.-.L MANAGEMENT ,
• P, O. Bo,11 27687 -RALEIGH, H.C. 27611 919-7H·202O
t>IULL%"G CON'l'AAC'TOJ\ EeM m-&" ,,f.:i:!r"(;.--/4uc:. NO. ~u. CONSTRUCTION fEJ!XIT NO.
1. wtt.L LOCAtJON: !Show .sketi:.h of t.he location below) W,i> D 3 4 U 2.
Nurut. Town: W,-?~.~-;;.•z;,r,....,...., N,c . · County; ~,,.~/,vd',,-,,,~
~..,......-:-,,,...---:-----~...---..,....-...,.,.......,,_---__;OllAdut1g h No. #7'0 ,v L.IS t:..,5
(1t0•d,CotN1111nity or SubdiViliOII 4nd 1,ot NC., 197/
2 ♦ OWNtJt1 .5.,f, u ~/ #.,Ed ?:¢4✓"'7 DRILLING U)(j
3. ADtlRtSS1.,__~-----------------
4. 'lQPOC:RAPHY: drav,valley,alopa,h111top,fl~t(circl• one)
s. ost 0r WELL, ~#~ ';/.,e /N',t; DATl: 8 · IO ~ B Z.
'• pOJ;S 'Z'HlS WELL UFL>.C/4 EXISTING WELL? w~. ;
1. !l'OTAL CEPTBf .//7 I JUG TYP.E 0R KtTHOO: ------
I. rol\/?.TION SAAPttS COL.LECT£01 lES 'NO __ >(._,_ __
l O, GP.OUT, Depth lictho~
11. SC:RI:.tN: !)epth llb, ~P• , Open.ing
t>tPTH fRO-H--TO
J'rcm~t.o~ft. ZO' LAVT,';,./,N~J,:j s,cr LOCATION SUTCH
12. C"-AVl:~t Depth Size
Fi-om~t:o ?..el ft Z. 2 1
13. I.AT.!:71 zo~~S(de~th) '-------------
14. STATIC WATER LEVEL: __ ft.~:1~:top Qf ca,ing
Casing i ■ __ tt. above land surface ELEV: __
l.S. YIELD ('ilP") I METHOD or '!!;:STING: ___ _
U. PUMPING W:\.n:~ t.tvn.1 _____ __.;ft.
1fter ____ h,0u:u at _____ CJpn.
l 7. CHl.CRlllATlOl'I ; Ty~ ______ .>-.-no\.:l\t ____ _
'l'ype _____ c:.ipai::.l.ty _____ lsp::-.) .i;P __ ,_
,:~~e __________ rnt&ke Oci,:.th;._ ___ _
(Sho~ d1,taoca to All:bered road&, or other -P ,~tcr•~c• point,)
20. H.a.S THt G,,:::£1'\ l!~.ES Pi<OVlt~D A COi'Y or :;;IS F.r:COP.O ~:0 1:;,v~~:;:o o;-".Ht ;:,;.:;:;.!l,~..:::;;s R£OUIR£Y..!'.t.:-S ,;so
JtEcm~-:EllP1',TlC:lS 7
~l. :Ut•:J.~.zs ____________________________________ .,.... ___ _
X do hc:tby ear~i!r t~it thi, well was ccnstructe~ in ~ecord4~ce ~it~ ll,C. ~efl Construetion
Regulation, and St~ndarda ind th~t t:his ~ell reco:d is true and c ~act,
Non• Carolina-Department of Environment and Natural Resources
Division of Water Quality -Groundwater Section 1636 Mail Serive Center-Raleigh.NC 27699-1639 Phone No. [phone]
,;'
WELL ABANDONMENT RECORD WELL CONTRACTOR: N.C.D.E.N.R. / Groundwater Section
WELL CONTRACTOR CERT\F\CAT\ON # 2009 ----
1. WELL USE ( Check Applicable Box): Residential_ Municipal_lndustrial_Agricultural_ Monitoring_ x
Recovery_ Heat Pump Water Injection_ Other_ If Other, List use ____ _
2.WELL LOCATION:(Show a skecth of location on back of form.)
Nearest Town: Warrenton N. C. County: Warren
Warren Coun PCB Landfill, off Limertown Rd. MW#4
( Road Name and Number, Community, Subdivision, Lot No.) Quadrangle No.
3. OWNER: N.C.D.E.N.R. I Groundwater Section I Warren County PCB Landfill
4. ADDRESS: 1636 Mail Service Center Raleigh, N.C. 27699-1639
5. TOPOGRAPHY: draw, slope, hilltop, valley,~
( circle one)
6. TOTAL DEPl 38.54 DIAMETER: 4" PVC
?.CASING REMOVED:
feet
O'
diameter
4" PVC
8. OlSlNFECTlON·. __ N/A
(Amount of 70% hypochlorite used:)
9. Sealing Material:
NEAT CEMENT Sand cement
bags ol cement:
gallons of water:
Other
7 bags ol cement: --------____ 42_ g a II on s of water: ___ _
Type material: ---------------------t Amount:
10. EXPLAIN METHOD EMPLACEMENT OF MATERIAL
Mixed cement with water and poured down well casin
11 . DATE WELL ABANDONED: 12/16/03
Well DIAGRAM: Draw a detailes sketch of the wett
showing total depth.and diameter of screen remaining in the well
gravel interval,intervals of casing perforation and depths
and depths and type of fill material used.
I do hereby certify that this we!/ was abandoned in accordance with 15 A NCAC 2C, we!/ construction standards,
and that a copy of the record has been provided to the well owner.
Signature of person abandoning the well Billy Gasp~~-<._/ Date 16-Dec-03
WELL LOCATION: Draw a location sketch on the reverse of this sheet, showing the direction and distance of well to least
two (2) nearby reference points such as road.intersections.and streams.Identify roads with state Highway road idetification
number.
Submit Original to the Division Of Water Quality, Ground Section, One Copy to the Owner Within 30 Days From completion of Abandonment.
Jl0/03/2003 14:24 '31'37153505 DWM PAGE 87/14 . ;, . , ... . . . NOII.TKCAROLINA DEPARTMENT Of NATURAL RESOURCES 1 COMMUNITY DEVELOPMENT
"1:LL llECOl!D , DIVISION OF ENVIRONMENTAL MANAC.F.MiNT
P. 0. Bo~ 27687 -RALEIGH, N.C. 27611 9111-733-2020 . ,
~C:;iU~U::;::IN::G;::CO::::tn'::::::R>.CT:::::::OA:::::n_=:ze=::'//::::::~:::::::'.L'"'::::::~:=:=:•~=RE=C::::. ::N;::0::::. =====:.::=W~t::LL:=C::0::N:::ST:::~::U:::;C"l":::l::0::N=J'::::E::::~~It~ll~O:::. :;::::::=;=-
1, wt:~ l..OCU'la-t: Cshov shtch of t.he locaUon btlovl :;/ 'Y D 434 U.. +-
,. ~ouss, ..... ___________________ _
FORMATION O~SCRIPTION
4. '!'C~OCAAI'l:I)': dl:aw,~alley,1lope,hilltop,flat(circle one)
5. US! 01' -'ftr.J,.,J.r~tki,,~ tlATEr 8•1:,· f;Z
C. DOlS THIS ~ UP~ UISTIHG tl!:LL7 V,(5 • 7 7, TOTAL l>EP'tJh _:;r,✓ JUC TlCP2 OR kETH001 _____ _
I, l"ORK.>.TIOH SAMPLES COr..tECTEDI YEL_NO ____ ,X....,_ __ _
I~•ida Wall ~ick. typa
Dia. or weight/ft.
31' .P~'k.&/V ,~?Y~
10. Cl!O!.n': l:lepth MAtuJ.al
Yrom.32D fo S°'Yft :tj~ I
---
11. SC:JU:!:N: Depth Dia.
f,:CIC 3D.3 to US h 2.1.)' LOCATION SXETCII
Type, Opening
C.,t),vT~Du~ .$iDr
(Shov di1t1nee to n~erdd road■, or other 111ap r~r~rencc point•)
-,I
_._
12. GJV.VtLI Depth Si%•
rrom303 ~" 'Z-81 tt i 22.
13. '-"A'l'l::A ZOl:Z:S(deptb) 1 ____________ _
1•. S'r.ATIC WAttR LEVEL: ft.~bolvctop gf casin9 --we 0"
C•sin9 i,_ft. above land aur!ace ELP11_
1S, YIELD (qpll) i,__ ____ ~'I'l!Otl OF TEST!W<.1 ___ _
ll;. PUKPl.llC WATEI\ LEVEL:.' ft,
aft•r ____ h.oura at ______ q.pr.i.
l "I. CHLOA-Il-ATION: Type ____ .,.._:,._":lOl.:.,t ____ _
18. WAttR OIJ~t!TY l T:t;M;>&!UTUIU: (cYL-
~'.ryp1f ·.·· • • C:apac:ity _____ (gpm)HP_~-
1'..alc.e _________ rnuke Ocipth ______ _
Airline Depth ____ _ MW-4
20. HAS THE CW~i:R ll!~!I J>f!OVIC::.O A CCn Of "it;IS 11.ECOl'.O .t-110 IHi'OF.u,2;:, or ";'l!t ~i:P.t.1'11~::-;-s IU:QUI;..£!'17.:-;TS J..1;D
Rl:COM."i.:JIDAT IONS?
21. UMA "2< S -:---,..--;--:-----:----:--:----:-:------~------...::..__ _______ ....:..__ __
I do ~ertby certify thtt this well was constructed i~ accord~n:c with N.C, ""ell constr~ctlon
l!a9ulati0ns and Sta~dard$ and t~at this ~~ll recor~ is true a~d ~x~ct.
North Carolina-Department of Environment and Natural Resources
Divrsion of Water Quality -Groundwater Section 1636 Mail Serive Center-Raleigh.NC 27699-1639 Phone No. [phone]
WELL ABANDONMENT RECORD WELL CONTRACTOR: N.C>D.E.N.R. /Groundwater Section
WELL CONTRACTOR CERT\F\CAT\ON # 2009 ----
1. WELL USE ( Check Applicable Box): Residential_ Municipal_lndustrial_Agricultural_ Monitoring_ x
Recovery_ Heat Pump Water Injection_ Other_ If Other, List use ____ _
2.WELL LOCATlON:(Show a skecth of location on back of form.)
Nearest Town: Warrenton, N. C. County: Warren
Warren County PCB Landfill / off Limertown Rd. MW#4A
( Road Name and Number, Community, Subdivision, Lot No.) Quadrangle No.
3. OWNER: N.C.D.E.N.R. I Groundwater Section I Warren County PCB Landfill
4. ADDRESS: 1636 Mail Service Center Raleigh, N.C. 27699-1639
5. TOPOGRAPHY: draw, slope, hilltop, valle@
( circle one)
6. TOTAL DEPl 42.5& DIAMETER 2" SST
?.CASING REMOVED:
feet
O'
diameter
2"SST
8. OlSlNFECTlON·. __ N/A
(Amount of 70% hypochlorite used:)
9. Sealing Material:
NEAT CEMENT Sand cement
bags ol cement:
gallons of water:
Other
3 bags ol cement: --------____ 18_ g a II on s of water: ___ _
Type material: ---------------------t Amount:
10. EXPLAIN METHOD EMPLACEMENT OF MATERIAL
Mixed cement with water and poured it down well casiin
until it came out to of well casin and sta ed.
11. DATE WELL ABANDONED: 12/16/03
Well Of AGRAM: Draw a detail es sketch of the well
showing total depth,and diameter of screen remaining in the well
gravel interval,intervals of casing perforation and depths
and depths and type of fill material used.
l do hereby certify that this well was abandoned in accordance with 15 A NCAC 2C, well construction standards,
and that a copy of the record has been provided to the well owner. , ~
Signature of person abandoning the well Billy Casper¥ . ,,e:_,,_____./ Date 16-Dec -v3 I
WELL LOCATION: Draw a location sketch on the reverse of this sheet, showing the direction and distance of well to least
two (2) nearby reference points such as road,intersections,and streams.Identify roads with state Highway road idetification
number.
Submit Original to the Division Of Water Quality, Ground Section, One Copy to the Owner Within 30 Days From completion of Abandonment.
!0/03/2003 14:24 9197153505 DWM PAGE 09/14
}-lct""~'i C2!:\{t.l • D-:t;:tl"::lrr:: er envtter.r.-~~l. !-!•~!!,, il':C N 11:.:ri.1 F..ucc.-:::
r Ci\-1,~cr: c1 E'~r:-n~tt".!::U ~fan%_.:it:",•~~ • Gt0l!t".C,,.,1:1r S !dc:r. .
F.O. tic:: 25S~ -R~ci~:-:, N.C. ~762S-CC5
. ?:'=r:• (SlS) n:l.::1:..:Z~. . · . .. .. . . -: •' . ··: .· .. · ·.· :
WELl COr-:STAUC,icH-:-m:'.COF,.D
. : . , ... ~-; :' ,=c;,.'_CI" ?.~~ (J~ CHL V
CL.'~O. NC. • •·.· ... 's::,.:J.J.:..:-;c. ___ ~--
Ll:. _____ l.::.~. _____ P.o ___ _
Mtr.e1~u!r. I .,
o~~~~-----~----------
O!=;iLLl!'-:C C';STF..!-(:iOP.: •' SAS/J/}CCO
o/
----··---
., C: :I -:i.~ j ,.,;-:-:~:: t! t ,! I~.':.••, t;-!..., ~~.--: f S!..!-~ ~ ee : I ~ii ~:;~i ~--~ I ! :t J! 't .1.•: .!~ :>. ~.!. !.!,1·..:,,: --···------
Ir. 1~:~1~ 1:-:~ ..-1:.": ;.;:.. ~iC~:: !: ~~: 1.?
~ ~. C~L•:).=.:~.:;._TiC•1~: Ty_: e -------t..r;-.c~.-. ·: ____ _
~ 2. C~S;\'~~:
e:-·,•.,· ~:;:-~·~~ ~t.~
F::.7, __ T: --~:. ___ ,.,_ ---(r;. -----
;:.,~;.; ___ i:: ___ r:. ___ i:~. ___ fr:. ____ _
C·~:~i ·s:z=
r=:cr:; ;z&-·S -r:: 'fV•.5 F:. Ft:~
F:c~ ___ Tc ___ F ... ___ _
6 S: ,_, J:9v\IG MW_-4A
Noitt1 Carolina-Department of Environment and Natural Resources
[).ivision of Water Quality -Groundwater Section 1636 Mail Serive Center-Raleigh.NC 27699-1639 Phone No. [phone]
WELL ABANDONMENT RECORD WELL CONTRACTOR: N.C.D.E.N. R. Groundwater Section
WELL CONTRACTOR CERTIFICATION# 2009 ----
1. WELL USE ( Check Applicable Box): Residential_ Municipal_lndustrial_Agricultural_ Monitoring_ 9 x
Recovery_ Heat Pump Water Injection_ Other_ If Other, List use ____ _
2.WELL LOCATION:(Show a skecth of location on back of form.)
Nearest Town: Warrenton, N.C. County: Warren
Warren Coun PCB Landfill off Limertown Rd. MW#6
( Road Name and Number, Community, Subdivision, Lot No.) Quadrangle No.
3. OWNER: N.C.D.E.N.R. I Groundwater Section I Warren County PCB Landfill
4. ADDRESS: 1636 Mail Center Raleigh, N.C. 27699-1639
5. TOPOGRAPHY: draw, slope, hilltop, valley@)
( circle one)
6. TOTAL DEPl 59.78 DIAMETER: 2" SST
?.CASING REMOVED:
feet
O'
diameter
2"SST
8. DlSINFECTION: __ NIA
(Amount of 70% hypochlorite used:)
9. Sealing Material:
NEAT CEMENT Sand cement
bags of cement:
gallons of water:
Other
____ 2_bags of cement: ___ _
____ 12_gallons of water: ___ _
Well DIAGRAM: Draw a detailes sketch of the well
showing total depth.and diameter of screen remaining in the well
gravel interval,intervals of casing perforation and depths
and depths and type of fill material used.
Type material: ---------------------Amount:
10. EXPLAIN METHOD EMPLACEMENT OF MATERIAL
Mixed cement with water and oured it down in casin
11 . DATE WELL ABANDONED: 12/15/03
I do hereby certify that this well was abandoned in accordance with 15 A NCAC 2C, well construction standards,
and that a copy of the record has been provided to the well owner. , ~-
Signature of person abandoning the well Billy Casper 51,,./, Date 12/15/03 //~ f --------1
WELL LOCATION: Draw a location sketch on the reverse of this sheet, showing the direction and distance of well to least
two (2) nearby reference points such as road,intersections,and streams.Identify roads with state Highway road idetification
number.
Submit Original to the Division Of Water Quality, Ground Section, One Copy to the Owner Within 30 Days From completion of Abandonment.
, ..
• 10/03/2003 14:24 9197153605 DWM PAGE 10/14
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No(.p Carolina-Department of Environment and Natural Resources
Division of Water Quality -Groundwater Section 1636 Mail Serive Center-Raleigh.NC 27699-1639 Phone No. [phone]
WELL ABANDONMENT RECORD WELL CONTRACTOR: N.C.D.E.N.R. /Grooundwater Section
WELL CONTRACTOR CERT\F\CAT\ON # 2009
1. WELL USE ( Check Applicable Box): Residential_ Municipal_lndustrial_Agricultural_ Monitoring_ x
Recovery_ Heat Pump Water Injection_ Other_ If Other, List use ____ _
2.WELL LOCATION:(Show a skecth of location on back of form.)
Nearest Town: Warrenton, N. C. County: Warren
Warren Count PCB Landfill off Limertown Rd. MW#8
( Road Name and Number, Community, Subdivision, Lot No.) Quadrangle No.
3. OWNER: N.C.D.E.N.R. I Groundwater Section I Warren County PCB Landfill
4. ADDRESS: 1535 Mail Service Center Raleigh, N.C. 27699-1639
5. TOPOGRAPHY: draw, slope, hilltop, va11eQ
( circle one)
6. TOTAL DEPl 53.16 DIAMETER: 2" SST
?.CASING REMOVED:
feet
O'
diameter
2"SST
8. OlSlNFECTlON·. __ N/AJ
(Amount of 70% hypochlorite used:)
9. Sealing Material:
NEAT CEMENT Sand cement
bags of cement:
gallons of water:
Other
3 bags of cement: --------____ 1 _8 gallons of water: ___ _
Type material: ---------------------t Amount:
10. EXPLAIN METHOD EMPLACEMENT OF MATERIAL
Mixed cement with water and poured it down well casin
until it came out to of well casin and sta ed.
11 . DATE WELL ABANDONED: 12/16/03
Wefl DIAGRAM: Draw a detailes sketch of the well
showing total depth.and diameter of screen remaining in the well
gravel interval,intervals of casing perforation and depths
and depths and type of fill material used.
;I..,,
~
I do hereby certify that this well was abandoned in accordance with 15 A NCAC 2C, well construction standards,
and that a copy of the record has been provided to the well owner. • ~ ~-.
Signature of person abandoning the well Billy Gasp#;~ Date 16-Dec-.,,
WELL LOCATION: Draw a location sketch on the reverse of this sheet, showing the direction and distance of well to least
two (2) nearby reference points such as road,intersections,and streams.Identify roads with state Highway road idetification
number.
Submit Original to the Division Of Water Quality, Ground Section, One Copy to the Owner Within 30 Days From completion of Abandonment.
..
10/03/2003 14:24 9197153605 DWM
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W:LL CONSTRUCT!ON'RECOP;O
CnilLING CO~i"ir:ACTOR: . S/1~fll9:C:C. 0
PAGE 11/14
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No,rth ~rolina-Department of Environment and Natural Resources
Divi~ion of Water Quality -Groundwater Section 1636 Mail Serive Center-Raleigh.NC 27699-1639 Phone No. [phone]
•'
WELL ABANDONMENT RECORD WELL CONTRACTOR: N.C.D.E.N.R. I Groundwater Section
WELL CONTRACTOR CERT\F\CAT\ON # 2009
1. WELL USE ( Check Applicable Box): Residential_ Municipal_lndustrial_Agricultural_ Monitoring_ x
Recovery_ Heat Pump Water Injection_ other_ If other, List use
2.WELL LOCATION:(Show a skecth of location on back of form.)
Nearest Town: Warrenton, N. C. County: Warren
Warren County PCB Landfill off Limertown Rd. MW#9
( Road Name and Number, Community, Subdivision, Lot No.) Quadrangle No.
3. OWNER: N.C.D.E.N.R. I Groundwater Section I Warren County PCB Landfill
4. ADDRESS: 1636 Mail Service Center Ralei£!h, N.C. 27699-1639
· 5. TOPOGRAPHY: draw, slope, hilltop, valle~
( circle one) Well DIAGRAM: Draw a detai/es sketch of the well
6. TOTAL DEP1 20.69 DIAMETER: 2" SST showing total depth.and diameter of screen remaining in the well
?.CASING REMOVED: gravel interval,intervals of casing perforation and depths
feet diameter and depths and type of fill material used.
O' 2"SST
8. DlSlNFECTlON: --N/A :WQ1,l-14,? t) (Amount of 70% hypochlorite used:)
9. Sealing Material: i • ll
NEAT CEMENT Sand cement ~;i._
bags ol cement: 2 bags ol cement: -~ gallons of water: 12 gallons of water: ~ Other <ll'Y)~ Type material: ~~ Amount:
10. EXPLAIN METHOD EMPLACEMENT OF MATERIAL
Mixed cement with water and poured it down well casing
~0, it, q TD until it comes out top of well casing and stayed.
11. DATE WELL ABANDONED: 12/16/03
l do hereby certify that this well was abandoned in accordance with 15 A NCAC 2C, well construction standards,
and that a copy of the record has been provided to the well owner.
Signature of person abandoning the well Billy Caspe~l'~k-L Date 16-Dec-~3
WELL LOCATION: Draw a location sketch on the reverse of this sheet, showing the direction and distance of well to least
two (2) nearby reference points such as road,intersections,and streams.Identify roads with state Highway road idetification
number.
Submit Original to the Division Of Water Quality, Ground Section, One Copy to the Owner Within 30 Days From completion of Abandonment
,.
l
':Jl ':J /l:i3btl:i DWM PAGE 12/14
,o;.,...· J
Si"A~ W=.LL CONSTnUCTlOH
;:: EFi.Y.!7 NUME Sr;: /l1 tJ -j -t. W:i..L LCCA:!Cr.:: (Sr;~.,,,. .s!<etc;i e:~ bc:~:icr. b;l:w1
~flfH!i~"tr.: Wt):M.,1zJ-J O C:-.;::;-,; ______________ _
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tr.-:.!.:!, C:::!':"!":".::l:,-. :: S..::=:;o,i~:,;ti .a:-.:!:..:.~~~-)
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:=. 'r":E!_!J (.;:~;: ____ ~;S7~~::J c.:: i:S7
i~=. \'{A'TEA zor~::s (:-:~:.---!j; _______________ _
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Ft:~ ----i~---F~----
~:;. F.f},!ARi-<S: _____________________ _
O=::i-:..: ~.:..
--··---~---
---------------··--------··---
Norti1 Carolina-Department of Environment and Natural Resources
Div,ision of Water Quality -Groundwater Section 1636 Mail Se rive Center-Raleigh, NC 27699-1639 Phone No. [phone]
WELL ABANDONMENT RECORD WELL CONTRACTOR: N.C.D.E.N.R. / Groundwater Section
WELL CONTRACTOR CERT\F\CAT\ON # 2~ ----
1. WELL USE ( Check Applicable Box): Residential_ Municipal_lndustrial_Agricultural_ Monitoring_ x
Recovery_ Heat Pump Water Injection_ other_ If Other, List use ____ _
2.WELL LOCAT!ON:(Show a skecth of location on back of form.)
Nearest Town: Warrenton, N. C. County: Warren
Warren Count PCB Landfill off Limertown Rd . MW#10
( Road Name and Number, Community, Subdivision, Lot No.) Quadrangle No.
3. OWNER: N.C.D.E.N.R. I Groundwater Section I Warren County PCB Landfill
4. ADDRESS: 1636 Mail Service Center Raleigh, N.C. 27699-1639
5. TOPOGRAPHY: draw, slope, hilltop, vall~
( circle one)
6. TOTAL DEPl 76.7 DIAMETER: 2" SST
?.CASING REMOVED:
feet
O'
diameter
2"SST
8. OlSlNFECTlON·. __ N/A
(Amount of 70% hypochlorite used:)
9. Sealing Material:
NEAT CEMENT Sand cement
bags ol cement
gallons of water:
Other
6 bags ol cement --------____ 36_ g a II on s of water: ___ _
Type material: ----------------------1 Amount:
10. EXPLAIN METHOD EMPLACEMENT OF MATERIAL
Mixed cement wit red down well casing
11 . DATE WELL ABANDONED: 12/17/03
Well DIAGRAM: Draw a detailes sketch of the well
showing total depth.and diameter of screen remaining in the well
gravel interval,intervals of casing perforation and depths
and depths and type of fill material used.
0
I do hereby certify that this well was abandoned in accordance with 15 A NCAC 2C, well construction standards,
and that a copy of the record has been provided to the well owner. ~ ,/. -&
Signature of person abandoning the well Billy Casp~~ Date 17-Dec -o
WELL LOCATION: Draw a location sketch on the reverse of this sheet, showing the direction and distance of well to least
two (2) nearby reference points such as road,intersections,and streams.Identify roads with state Highway road idetification
number.
Submit Original to the Division Of Water Quality, Ground Section, One Copy to the Owner Within 30 Days From completion of Abandonment.
;,
i
10/03/2003 14:24 9197153505 DWM
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PAGE 13/14
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Norti,, Carolina-Department of Environment and Natural Resources
(1:vision of Water Quality -Groundwater Section 1636 Mail Serive Center-Raleigh,NC 27699-1639 Phone No. [phone]
WELL ABANDONMENT RECORD WELL CONTRACTOR: N.C.D.E.N.R. / Groundwater Section
WELL CONTRACTOR CERT\F\CAT\ON # 2009 ----
1. WELL USE ( Check Applicable Box): Residential_ Municipal_lndustrial_Agricultural_ Monitoring_ x
Recovery_ Heat Pump Water Injection_ Other_ If Other, List use ____ _
2.WELL LOCATION:(Show a skecth of location on back of form.)
Nearest Town: Warrenton, N.C. County.· Warren
Warren Count PCB Landfill off Limertown Rd . MW# 10A
( Road Name and Number, Community, Subdivision, Lot No.) Quadrangle No.
3. OWNER: N.C.D.E.N.R. /Groundwater Section I Warren County PCB Landfill
4. ADDRESS: 1636 Mail Service Center Raleigh, N.C. 27699-1639
· 5. TOPOGRAPHY: draw, slope, hilltop, valle~
( circle one J
6. TOTAL DEPl 19.98 DIAMETER: 2" SST
7.CASING REMOVED:
feet
19.98
diameter
2"SST
8. DlSlNFECTlON: __ N/A
(Amount of 70% hypochlorite used:)
9. Sealing Material:
NEAT CEMENT Sand cement
bags ol cement:
gallons of water:
Other
____ 2_bags ol cement: ___ _
____ 1_2 gallons of water: ___ _
Type materia_l: ___________________ _
Amount:
10. EXPLAlN METHOD EMPLACEMENT OF MATERlAL
Mixed cement with water and poured down well hole until
the cement came out the to of well hole and sta ed.
11 . DATE WELL ABANDONED: 12/17/03
Well DIAGRAM: Draw a detailes sketch of the well
showing total depth,and diameter of screen remaining in the well
gravel interval.intervals of casing perforation and depths
and depths and type of fill material used.
~
{o,y)~
Oj~
0
~
1 do hereby certify that this well was abandoned in accordance with 15 A NCAC 2C, well construction standards,
and that a copy of the record has been provided to the well owner.
Signature of person abandoning the well Billy Casp#pt'~~ Date 17-Dec--o3
WELL LOCATION: Draw a location sketch on the reverse of this sheet, showing the direction and distance of well to least
two (2) nearby reference points such as road,intersections,and streams.Identify roads with state Highway road idetification
number.
Submit Original to the Division Of Water Quality, Ground Section, One Copy to the Owner Within 30 Days From completion of Abandonment.
LJWM PAGE 14/14
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---------____ ,. __ _
MW,/Ds
I 00 r.cr'\E:iY CE.::;ii~.-r:~Ai Ti·HS W=.:..l w:..s CONS'ir.~c,:::; IN ,;::::;cF.C;\NC:. _w;,:--: 1 l..:. NCA~ '2C. 1/1!'..'-
c-;:NS,F.i.:CiiCN l:iANCArlCS, ANO\;";,!,,;.. c:c;::y CF T:-i::S ;:.:E-:c :~.:J l-'..:.S s:::::N F~OV:0;.0 iO .. ~:: '<"=-'-!. ~--•;,,;~ ~.
r. .... --::.
N.C. Dcl'artment or Environment,
llcaiih, -~ Nttural Resources
Solid W:i,1c Management Division
SAMPLE ANALYSiS REQUEST . . . Stale laboratory of Public Health
f O. Dox 28047, 306 N. Wilmington Street
. Rale_igh, North Carolina 2761 l
Field Sample Numbe~.'.' · · .. ., 2 2-D ''7 3' ------------------
Name ol Sile 'l,.J...,r-re-~ c., ..... :4r pee, L.-,J.qrr Site Location 'l+.,i'/lj(...I{ 2. :Vv-,
Collcclc:clBy /,J;t/~'1,·}z,~ ID# ___ DatcCollccted to-2·6) .. ~d..3, Time /l·l..(L
Agency: Hazardous Waste Solid Waste ~Superfund TCLP Compounds
Sample Type
Envit onmental Concentrate Comments
V G1nund water (1) -. Solid (5) fvt V '-(
__ Su, face waler (2) V Liquid (6)
__ Soil (3) _Sludge (7)
__ OIiier (4) _ Other (8)
Crganic Chemistry Inorganic Chemistry
Parnmeler
P&T:GC/MS -
Results(nig/1) Parameter
Arsenic --Barium
Resuits(mg/1) (mg/kg)
Inorganic Compounds
Arsenic --Barium --Cadmium --
_1_ Chromiutn
Lead
-,-Mercury
--Selenium
•' Silver ------
--
--
Organic Compounds
benzene --carbon tetrachloride
Results (mg/I)
Results(mg/1) = Ac:d:B/N Ext. -----
?v1TDE --Cadmium ---------
_L PL13 s <.p,000~ --Chloride
Chromium --__ Copper
Fluoride
Iron --Lead
__ Manganese
Mercury
--Nitrate --Selenium
chlordane ·
chloroberizene --chloroform
o-acsol
m-cresol ··
--p-cresol
--crcsol ----1,4-dichlorobcnzcne _____ _
1,2-dichloroelhane
--1;1 •dichlotoethylene
·-:--:-2,4-dinitrotoluene ------
Silver .. --heptachlor
Radiochemisby . . ; -Sulfates . ' . ! -. -. bcxachlorobenzeJie
······-··----· _, .. _·_ .. _._,_ ..• _.,._· _ ... _, _-,._. __ ·, ---1 --Zinc ----.-, -. -.,-.. -, .. -.. •~·hcxachlorobutadicnc
034435
Parariicte~ . . . '·.Rbdlts 1(PCi/b -. -., H .. .. . -h... hi h -------p , . . . --~ exac oroct ane
--Gross Alpha -------Conductivity ·· . ··,, l ''•methyl ethyl ketone
Gros.c; Beta -TDS · ------~. --nitrobenzelic ------
.. ~ Tbt · · , : ! ·• . · ~ ~hiadtloi-ophehol t---------------t -.. -. ____ ~ pyridin~ . _______ _
Microbiol9~; ,;n ,, •. .,,. ·,' .• ~ ~ ·_· _._ .. _· _· _' •_· ·,_· --'--'-----'-"-' ·.._. ., ··• ;. .~~V~chlpr~~th~~cne --------· -· · -·-· ._._._._. -··-· -. .. ,.. · · · · · •. , .. _.. fricbtototµsylclii ,. Re~~lti'~coiitooml) -· -------.. --.-_--·--·::--:.~2,~~ti-icliio'rophcno1 -----
------.--2,4,6-trichJorophcool
--• . :--.-. ~ii~.i. dtloridt' · " --------.. -----.. , .. ~ ···'\ .. : .... .-.__ ____________ ___. ______________ --t _" _ cndnri .
lindanc
--methoxychlor
-tobphene·
-2,4-D = 2,4,5-TP (Silvex)
Paramelcr
: ..
Date Received OCT 31 2003,\JP Reported by __ ... PCSs
1
• ______ .........;..__,
Date Exlraclcd / /-S-t:J3Vf> Dale Reported _________ .. _
.1lr A11.1lv11•rl //-S-03-Y~ 1 .llh N11mhrr
N.C. Dc:pa11ment or Environment,
I lcaith, ,'t Natural Resources
Solid W.i,1c: Management Division
SAMPLE ANALYSiS REQUEST . State Laboratory or Public Health
P.O. Dox 28047, 3<>6 N. Wilmington Street
. ~lc_igh, North Carolina 27611
Sile Number t(CD 9f D 6 c:>Z. / 6> ' • • • • • ·; ~ t i. . • ' • • ••
Field Sample Number'"" .. __ ·2....,1,.__,~<--7____,I __________ _
Name ol Sile "(/...,,..re,~ C.,-.-fr pee L_,J,t((( Sile Location 'l;f,i1
1tj(..
0<( 2 . :.,,,v-.
Colleclc:d By LJ ~/1"''1,.lzn-t ID# ___ Dale Collected ( o --l-·~ :..-D > Time I)·; I.{ 7
Agency: Hazardous Waste Solid Waste ~ Supcrfund TCLP Compounds
Sample Type
Envh on mental Concentrate Comments
v Gtound waler (1) __ Solid (5)
_ Su, face waler (2) V Liquid (6) ___________ _
_ Soil (3) _ Sludge (7) ___________ _
__ Oilier (4) _ Other (8) __________ _
C'rganic Chemistry Inorganic Chemistry
Parameler Results(nig/1) Parameter Resuits(mg/1) (mg/kg)
_ P&T:GC/MS -____ _
Inorganic Compounds
Arsenic --Barium
Cadmium
-,-Chromium
-Lead
-,-Mercury
--Selenium
•· Silver
Organic Compounds
benzene . --carbon tetrachloride
Results(mg/1)
Results(mg/1)
_ Ac:d:B/N Ext. _____ _
Arsenic
Barium
--Cadmium ---------MTDE chlordane · --..L Pc,.i ; --Chloride chloroberizene --Chromium --Copper
--Fluoride
Iron --Lead
chloroform
o-cresol
m-crcsol -·
--p-cresol
--cresol '·
__ Manganese __ 1,4--dichlorobcnzene _____ _
__ Mercury 1,2-dichloroethane
Nitrate --1.i•dichlotoethylcnc
Selenium ' · :--2,4-dinitrotoluene ------
--Silver ---hcptachlor
Radiocliemistry . _ ; -Sulfates · · . ! ---. bexachlorobenzertc
..... ·-··-----· -· -_·. -- ·_-_,_··•-·: ._. --··-• _.,._. ___ -, ----1 --Zinc -----,---.,-.. ,-.-. · • ~·hcxachlorobutadienc
Paranicte~ . . . ' . abdlts 1(Pci/i) =·=·pH . . . .. . '•. ~ hcxachlorocthane -----.
--G• oss Alpha ---------Conductivity ., .. . . ·,. I '., nU:thyl ethyl ketone ------
Gross Beta TDS · • --nitroben:zetie --. Tbt. ,: ) ; .. -----------~ t;chtathtoi-ophchol t-----------------1 .d. 'I ----· ~----· _pyn -tt17 . -. •• • • ,-;-.• , I " I • •: ··• ;, ltttlichloroeth~ene Microbiol_~if_;,,;,·r ,_,.,._,., .. _, ... ...::....1..-·-··-·--1 _____ _,_ __ -•,;-•• , _____ _ ,______________ ,. -· · · · · ·_" ·: tHcltlot~thylcli~ ..
Paramclcr Re;·u~ii'~cotitooml) -----------.-, --· .... ,:·-. -.. -:.-:-2,~~tii~fo'i-ophcnot .
--2,4,6-trichtorophenol
--:·~ ~iii.i_ chloride·· · .. ------
--t • .. • ,~ • t•'~\ ••: 1• • I .-· '-----------------'---------------t ·_0
_ endriri . lindane ----~ct~oxy~lor _
. lcitaphene
--2,4-D = 2,4,5-TP (Silvex)
Date Received flr.T ~ 1 700J~~eported by __________ ._ ..
~~ ! •
Dale Exlr_actcJ /J -6-0:JVP Dale Reported ______ .....,;··-
na1r J\n:ihm,rl / /-6-03],,p J _;ih N11mhrr 034436
N.C. Dcl'artmcnt or Environment,
llcaith, •"-Nalural Resources
Solid Wa,tc Management Division
SAMPLE ANALYS1S REQUEST. . . Stale laboratory or Public Health
f .O. tlox 28047, ~ N. Wilmington Street
. ~le_igh, North Carolina 27611
Sile Number t{CD 9f D I, uZ. / 63,
Name ol Sile 'i,'J...,,-re,~ c., ..... :y pc.13 L,,__i.qrr Site Location 'l:f+'~,c;;, 2.. :Vv-.
Collcclc:d By LJ//../1''1.,J.-z,,.. 10# ___ Dale Collected '10--1:.'f' .:..c,·"> Time 15-~ tu
Agency: Hazardous Waste Solid Waste ~Supcrfund TCLP Compounds
Sample Type
Envh onmental Concentrate Comments
✓ G, nund water (1) __ Solid (5)
_ Su, face waler (2) v Liquid (6) ___________ _
_ Soil (3) __ Sludge (7) ___________ _
_ Other (4) Other (8) __________ _
Crganic Chemistry
Parnmeler
P&T:GC/MS -
Results(nig/1)
Inorganic Chemistry
Parameter
Arsenic
Resuits(mg/1) (mg/kg)
Inorganic Compounds
Arsenic --Barium --Cadmium
-,-Chromium
-Lead
-,-Mercury
--Selenium
-,-. Silver
Organic Compounds
benzene
carbon tetrachloride
Results (mg/1)
Results(mg/l) = Ac:d:B/N Ext. --------Barium
MTDE -Cadmium ---------chlordane ·
=✓= --'--P_<-_4l>""""'£_<' 0. O O o !:pp~ = Chloride
' Chromium
chlorobenzene --chloroform =-----_____ ------= Copper o-cresol --
Radiocliem~sby _ .· . ;
··•-·-. ,.• .. • . I••:•. ·•·I t•• ·:
Paranictef . . . ' ·. R~~uls 1(Pci/i)
__ Gross Alpha ______ _
Gros.,; Beta
Fluoride
Iron --Lead
__ Manganese
__ Mercury
Nitrate --Selenium --Silver --Sulfates
m-cresol -·
--p-cresol
--cresol ----1,4-dichlorobcnzene _____ _
1,2-dichloroethane
-1;1 .. dichlotocthylene
.-._ -.-2,4-dinitrotoluenc ------
--heptacblor
· ' -.-.-hexachlorobcnzcne
Zinc ----.. -.-,-.-.-. · •~·hexachlorobutadiene
=·==·pt-i" .. :. ··· ~ hfuchlorocthane ------
--Conductivity ·• ··· ·-~.methyl ethyl ketone _____ _
__ :ros .,. ------..... --nitrobcnzene
. . Tbt · ,. . . -~ i,etalichloi-ophehol t---------------t --~ pyridin~ . _______ _
. .: I . • •• . • ~ I • ' • .,, ' • ., ··• : lettichloroeth:i.lene Microbiol_!'_~_;,,;.-r ,, .. ·.•·•:.,·•r ~--·-·--,.' •. -______ , -· .• _ , 1, -· · · · : ·:· ·: · llidtlototlhulcli~ ..
Paramclcr Re;·~ur~coij1ooml) -:-.. --.-, ---··-::-.-. -'-~2,~~-tdc~foi~phencil ------
------2,4,6-trichJorophenol
-'. :·-.-. lviaiyl chlodd~' .. ,, ------
--.• • ~ • ,~ • ,. -t •• : ••. ' .-
'-----------...---------.. .. -------------------·_, _ endriri . . Ul.i I a 1 !!J~.,-p linclane
Date Received ________ Reporte~ by _______ __.__._... --metho:xychlor . ·1'€8s 1 _--tobphene· .
Dale ExiractcJ / J-6-0,3]/P Dale Reported .. --2,4-0 ' --------= 2,4,5-TP (Silvex)
natrA11alv-11•rl //-6-()3-V/J l~hNumhrr 034437
N.C. Department o( Environment,
I lcahh, ,,, Natural Resources
Solid W:i,lc Man:igement Division
SAMPLE ANALYSiS REQUEST . . . Stale Laboratory or Public Health
i>. 0. box 28047, j()6 N. Wilmington Street
. ~lc_igh, North Carolina 27611
Field Sample Numbe~: ... :i. "Lo:_; 3 •, ..
Name ol Sile 'l>J-..,-.re--c., ..... ::4t f C-8 L-J/£[(( Site Location 'l+..f'~,<._'y 2. ;,,,,v-'
Collcctc:cl By LJ4.,;l"'1.,)z,•1 ID# ___ DateCollected '·{o.:...·2_:q.-c,·> Time /v.1 17
Agency: __ Hazardous Waste Solid Waste ~ Supcrfund TCLP Compounds
Sample Type
Envit onmental Concentrate Comments
/Vlw ~ V Grnund water (1) Solid (5) --.
__ Su, face waler (2) ✓liquid (6)
_Soil (3) Sludge (7)
__ OIiier (4) _ Other (8)
< ~rganic Chemistry Inorganic Chemistry
Results(nig/1) Parameter
P&T:GC/MS -= Ac:id:B/N Ext. ------
'ti.·tTDE
Parameter
Arsenic
Barium
--Cadmium
Rauits(mg/1) (mg/kg)
/ (Jc,,t;J < o . ooolff"', = Chloride
Chromium --Copper
--Fluoride
Iron --Lead
Inorganic Compounds
Arsenic --Barium --Cadmium --_j_ Chromiutn
Lead
-,-Mercury
--Selenium
•' Silver ----------
Organic Compounds
benzene · --carbon tetrachloride
Results (mg/I)
Results(mg/1)
---------chlordane ·
chloroberizene --chloroform
o-cresol
m-cresol -··
--p-cresol
--cresol --__ Manganese
__ Mercury
Nitrate
--1,4-dichlorobcnzcne _____ _
1,2-dichloroelhanc
--Selenium
-l;i~dichlotoethylene
.-.. -.-2,4-dinitrotoluene ------
R_adiocliemistrji .· . ;
...... . .• • • • • • • I ·, .·_. ••••• I ~:-♦ ·~ •
Parariict•~r ,. . . ' .Rtsdlts 1(PCi/l)
__ Gross Alpha ______ _
Gross Beta
--Silver --Sulfates
--heplachlor
· ! -.. -hcxachlorobenzcrte
Zinc ---, -"'-.-. ,-.. ,-.. -. · '~ ·hcxachlorobutadiene
=· ==·pt-i" . , : ·· ' .. · ~ hcxachlorocthane ------
Conductivity ·· ·• · · ·, · ' '··Diethyl ethyl ketone _____ _
TDS -------r_ --nitrobcn7.Ctie
-_-.. Tot, . ,:)\ . -~ ~htachlorophehol
. .: I --------____ __.__ ._ pyri~w~ . ~--------M. b. I . . ., . , , . . . .., I • ., ··• 7. lettiehloroeth'-lcne
JCfO l0_9,gy __ ;,,;•·! ,,,•,•.-'r·, _i·•• ---~---·•-· __ '--'--'--------.._, -•• ., . , .i, l , --------------_... ,... ..:.··· · .... ·:·llidtlotohnylclii .. _____ _
Parameter Re;·uui'~coiitooml) -·, ---------_--.---.. -.. -'-~ 2,;t~~ti-i~fo'rophcnril ------
-2,4,6-trichlorophcnol
:·-:-: ~d~. ch1otldt· · · " ------·~ Clldi-iri .. : ... I .•
..
L----------------'--------------t --lindane
--methoxychlor
-tokaphene·
=2,4-0
_ 2,4,5-TP (Silvex)
Date ·Received OCT 3 f 2003>JPReported by , ... _ ()ces
1
• ___________ ____,,
Dale Exlraclcd ll-· 6-"31/P Dale Reported ____________ .. _
n.,t, An.,lv-ml / /-·t-031/p 1 .:1h N11mhrr 034438
N.C. Department or Environment,
I lcaith, -~ Natural Resources
Solid Wa,te Management Division
SAMPLE ANALYSlS REQUEST. . . State Laboratory or Public Health
P.O. box 28047, ~ N. Wilmington St~et
. ~lc_lgh, North Carolin• 2761 I
Sile Number t{CD 9f D ~ vZ. / 63, Field Sample Numbe~.". · · ~-i 7-.-.;, ;7 y •,. ·
Name ol Sile '/_,,:)..._,..re-~ C..,....,-fr pee, }_,._JL(_(( Site Location 'l++1
1l-,<..<( 2. :Vv-'
Collcctc:ti By /,J ,t.rt<-"L·~'1 ID# ___ Date Collected 1 ° ·· 2:9 ~ 3 Time / o \. ~ 7
Agency: Hazardous Waste Solid Waste ~Supcrfund TCLP Compounds ----
Sample Type Inorganic Compounds Results(mg/1)
Envi1 on mental Concentrate Comments Arsenic --Barium
✓ Gwund water (1) _Solid (5) (V1w q --Cadmium --. ---'-Chromiutn
__ Sui face waler (2) ✓ Liquid (6) Lead
-,-Mercury
__ Soil (3) _ Sludge (7) --Selenium -,-, Silver --__ Other (4) _ Other (8) ------C'rganic Chemistry Inorganic Chemistry --
Parnmeler Results(nig/1) Parameter Ruuits(mg/1) (mg/kg) Organic Compounds Ruults(mg/1)
_P&T:GC/MS -Arsenic benzene ----_ Ac:d:B/N Ext. Barium carbon tetrachloride ----MTilE Cadmium chlordane · --Pl f3'5 <O, POO /.J?/m ----chloroberizene _L Chloride ----Chromium chloroform ------__ Copper o-aesol ----Fluoride m-crcsol -· ----= p-cresol Iron ----Lead cresol ; ------1,4-dichlorobcnzene --__ Manganese ----__ Mercury 1,2-dichloroethane
Nitrate --1;1 .. dichlotoethylcne ----Selenium · ·. · 2,4-dinitrotoluene 1 ---Silver __ heptachlor
Radiochemistry . . --; Sulfates ·\ . ! .. hcxachlorobcnzene
-. ~ • • • • • • 1 .• •·: • .•• • ~:· ; ·: • --Zinc " . ·,••: .·. • ~ · hcxachlorobutadiene ....... _ .. _
Paranicfrf ,. . . ' . kb'u1ls 0<Pci/b -. -·,1-r . · .. . .. .·~ hcxachlorocthane _p "·
Giuss Alpha __ Conductivity · .•. . ·,. I ' .• methyl ethyl ketone
Gross Beta TDS . nitrobcnzcrie --. ' -. i-ot· '\: ~ ; . · • ·· iM:tatachlorophehol
. pyridin~ . _ . .: I
Microbiol~g)'; ,i--r ,, •. ,.,. , ... .. · '• .. ,. -"·: . ., ' . ., ··' ;, ltttichloroeth~lene ...:....!,__ ·•· 1,f. ' • • •• • l , I , ... , ; -~·'tfiditot~lhylclii ..
Re;~\ii' ~coii1ooml) -·-. ;-•
Paramclcr .. ,.--:--2,~~eltfotophcnot . --.
-2,4,6-trichlorophenol : . ' ----:·-.-. · ~iiyi_ chlo~ldt' · · · .. --.. . --.. 1!-' ., ...... : 1•· t : " endriri -
lOOJ.vpReporte~ by
lindane
Date ·Received OCT 31 --methoxychlor . ,. Io,
·-P~ : := tobphenc· .
Dale ExlractcJ L/--~-03VP Dale Reported .. 2,4-D
I -6-~3 (1" 034439 = 2,4,5-TP (Silvex) . l .!!h Nnmhrr n.,I, .1\11.,lv,, ,I /
N.C. Dcl'a,tmcnt or Environment,
I lcaith, •'< Natural Resources
Solid W11slc Man11gcment Division
SAMPLE ANALYSiS REQUEST . . . State uboratory or Public Health
l>.O. Dox 28047, 306 N. Wilmington Stn:ct
. ~lc_igh, North Carolina 27611
Sile Number l',LCD 9f O 6 ul / <:.J. Field Sample Numbe~.' .. ,., '-.7-· o ,· S-·
Name ol Sile l,,,;J...._,..r,,,~ C., ..... :?t f C/3 ~£?.(( Site Location 'l;f,i'll~Y 2 . ;,,,,v-·
Colleclc:tl By /,J ,i/l"••vlz,., ID# Date Collected Io -'-1·-~> ---Time /(_• l.. 7
Agency: Hazardous Waste Solid Waste ~Supcrfund TCLP Compounds
Sample Type
Envit onmental Concentrate Comments
i/ Grnund water (1) __ Solid (5)
_ Su,face waler (2) /Liquid (6) ------------
Soil (3) _ Sludge (7) ___________ _
__ OIiier (4) _ Other (8) __________ _
(:rganic Chemistry Inorganic Chemistry
Results(nig/1) Parameter R.esuits(mg/1) (mg/kg)
Arsenic
Parameler
P&T:GC/MS -= Ac:d:B/N Ext. ------Barium
--Cadmium ?vtTDE --,, ✓ fc..A s --<o,ooo/DD'K.. Chloride , . Chromium --Copper
--Fluoride
Iron --Lead
Inorganic Compounds
Arsenic --Barium
Cadmium
-,-Chromium
-Lead
-,-Mercury
--Selenium
• · Silver
Organic Compounds
benzene --carbon tetrachloride
Results(mg/1)
Results(mg/1)
---------chlordane ·
chloroberizene --chloroform --o-crcsol
m-crcsol ··
--p-cresol
--crcsol ----Manganese __ 1,4-dichlorobcnzene _____ _
__ Mercury 1,2-dichloroethane
Nitrate --l;i~dichlotoethylene
--Selenium ! .-.. ---2,4-dinitrotoluenc ------
--Silver ,.. --beptachlor
Radiocliemisbj . ; --Sulfates ' . ! --hexachlorobenzcne --····----· -· _,._ .. _._ .. _.-_.·,_· ._ ... _, _-,._:_-,_. __ --Zinc ---. -.. -.-.,-.. ,-.. -. · •~·hcxachlorobutadiene
Parariicf e~ . . . '·.Rtsdlls 'tPci/i) =· =·pt-i' ' .·:. ... ~ hexachloroethane ------
--Grnss Alpha _______ Conductivity ·· · · ·, · ' '·· Diethyl ethyl ketone _____ _
Gross Beta . . --:ms · .,. -------.-. --nitrobcll7.Clie ----. ,------.. Tot· · ,. ·' . . -~ iichtlcltlorophehol t-----------------1 ---'d' . .: I ---pyn 1P~ . -Microbiology . . . ' .. , ' . ' . ,, I • •; ··• ;, lttiichlorotth~lene ,:. _;,;,·r ,, .... ,. ,•,r .::..:,__··-·--, _ _;.....;.__..;__... __ -·it.·. ' . i; --------------· _._._ .. __ ._._. -··-· -, .. _ .. · · · · · ·." ·:·mchlot~lhyleo~ .. Re~-~Ui'tcoiitooml) -· ----------.-.--··--::-· -:.--:-i,;\~itldifotophcncil .
---2,4,6-trichtorophenol --:·-.-. ~Jii.i_ch1ortd6 .. · ·· ------
--·• • • • j~ cri£irt ,., I'' I • '
Parameter
--lindane = ~et~oxrc~Jor .
. tcikaphene
=2,4-D
_ 2,4,5-TP (Silvex)
Dale Received OCT 3 } 2003-V~eported by _________ ._,· ..
~~s . .
Dale Exlractc<l / /-{, -03:J/P Dale Reported ________ ._
n.,lr J\11:1hr,1•rl //-~ -t/3"'Jl';t:J t .:1h Nnmhrr 034440
N.C. Dcl'a,tmcnt of Environment,
I lcaith, .,, Natural Resources
Solid W:i,tc Management Division
SAMPLE ANALYSlS REQUEST . . . State Laboratory or Public Health
t> .0 . Dax 28047, :)06 N. Wilmington Street
. Rale_lgh, North Carolina 27611
SileNu111bcr t(CD C/[{D 6i>Z. /6.J, Field Sample Number,' · · _,., 2. 1--~ ~7 { ----------------
Name ol Site 'i;>..__..-n,~ c., .... iz f C/3 L.-.,1-t;(( Site Location 'l±,t,/ti(,.i L . :Vv--,
Collectc:d By /,J-'1./1""1..)z, •. , 10# ___ Date Collected ' ID -· ·")~-J:\ Time I' v _• J-1
Agency: Hazardous Waste Solid Waste ..::::__ Supcrfund
Sample Type
Envh onmental Concentrate Comments
✓ Gwund water (1) ,M,vU L Solid (5) --.
__ Sur face waler (2) ✓Liquid (6)
_Soil (3) _Sludge (7)
_ Other (4) Other (8)
(:rganic Chemistry Inorganic Chemistry
Parameter Results(nig/1) Parameter Resuits(mg/1) (mg/kg)
_ P&T:GC/MS -____ _
_ Ac::d:B/N Ext.
MTilE = PCE~-<o.ooogyv,J
Arsenic
Barium
--Cadmium --Chloride
Chromium --__ Copper
Fluoride
Iron --Lead
TCLP Compounds
Inorganic Compounds
Arsenic --Barium --Cadmium --_I_ Chromiuhl
Lead
-,-Mercury
--Selenium
•' Silver ----------
Organic Compounds
benzene --carbon tetrachloride
Results(mg/1)
Ruults(mg/1)
---------chlordane ·
chloroberizene --chloroform
o-cresol
m•crcsol -·
--p-cresol
--cresol ----Manganese __ 1,4-dichlorobenzene _____ _
__ Mercury 1,2-dichloroelhane
Nitrate --1;1~dichlotoethylene
--Selenium ! .-. -2,4.dinitrotolucne ------
--Silver · -heptachlor
Radiocbein~stry -.· . ; --Sulfates . ! --.-hexachlorobenzene ..... ____ -_._ ... _._-_.-·-....;··.-_•-_ .. _.,_,_ .. ....;., __ ..,.--Zinc ----.,---.,-... -.. -, · •~·hcxachlorobutadiene
l'arariidr~ . . . '·R~lh 0(Pci/b =· =·pH ' .·:. . ·--...• hexachloroclhane -----
--G1 us..c; Alpha Conductivity ' · ·, · 1 '. • nU:thyl ethyl ketone _____ _
Gross Beta . . --IDS · ------...-. --nitrobenzene
----. ,------_-.. Tbt. ,: !• . -~ i,ciitat:hlorophchol
_ pyridin(? . ~---------M" b" I .: I ~.-. -.-.-,-, -•. -. ----.,-, -.-. -., .,, : letiichloroeth~lene
ICfO IO_~gy_.i,•i'! ,.,.,._ .. ,, .. 1·•• ---~---··-·--•-------· -...... ! ,i, f\ •--------------. .. , .. _ . ,:. · · · · '. ,. ·:· tndttototmylcni ,. _____ _
Parameter Re~~iti'1coiitooml) -·, -------. ---.-_---.----:.--:--2,:c\~..weltfotophenol ------
------2,4,6-trichtoropheool
--• . • :·-.-. ~d~. chlorldch'. ., ------
--.• • -~ •1~ ... ••: 1•· I :
_0 _ endnri .
Date ·Received OCT ~ l 20QJ"1Keported by ___________ ....,· ..
'?e-8~ t •
Dale Exlradcc.l / / -6 -031/P Dale Reported ___________ .. _
J .:.h N11mhrr
lindane
--methoxychlor . . -tokaphene· -
=2,4•D
_ 2,4,5-TP (Silvex)
N.C. Dcl':11lmcnt or Environment,
I lcaiih, ,t, Nalural Resources
Solid Wa,1c Man,igcmcnt Division
SAMPLE ANALYSiS REQUEST . . . State Laboratory or Public llcahh
i>.O. Dox 28047, ~ N. Wilmington Street
. ~lc_igh, North Cuolina 27611
Sile Nu111ber f-.(C.D Cj'j{D G vZ. / 6]. Field Sample Number.'. · · .'°''2. -i'...;, 7 7'' ------------------
Name ol Sile '/_,,;),._,.re,~ 6--."o/ fC./3 L,,.J/.t;(( Sile Location 'l;f.i'tt,<..'~ 2. :Vv-'
Collectc:d By LJ"'-/'"'1..Jz .. , ID# ___ Date Collected ' 1° -·i,J -·,f? Time /(:;. 1-e
Agency: Hazardous Waste Solid Waste ...=:::__ Supcrfund
Sample Type
Envit onmental Concentrate Comments
t/ Grnund water (1) Solid (5) r1l w ,o D
_ Sui face waler (2) /i.iquid (6) __________ _
Soil (3) Sludge (7) __________ _
_ Other (8) ___________ _
Crganic Chemistry
Parnmeler Results(nig/1)
__ P&T:GC/MS -_____ _
_ Ac;:d:B/N Ext.
MTDE
-pl-I)~ ~ -'-----'---J_<O, 017PQP?t
------------
Inorganic Chemistry
Parameter
Arsenic
Barium
--Cadmium --Chloride
Resuits(mg/1) (mg/kg)
Chromium --Copper
--Fluoride
Iron --Lead
TCLP Compounds
Inorganic Compounds
Arsenic --Barium --Cadmium
-,-Chromium
-Lead
I Mercury
--Selenium
•' Silver
Organic Compounds
benzene · --carbon tetrachloride
Results(mg/1)
Results(mg/1)
---------chlordane ·
chloroberizene --chloroform --o-cresol
m-crcsol ··
--p-cresol
--cresol '· ----Manganese __ 1,4-dichlorobcnzene _____ _
__ Mercury 1,2-dichloroethanc
Nitrate --1;1~dichlotocthylcnc
--Selenium ! .-.. -.-2,4-dinitrotoluene ------
--Silver ---hcptachlor
Radiochemistry . ' ; --Sulfates '' . ! --hexachlorobenzene
...... ____ . -···_·_.•_·_·_····-'·-·._ .. ,_-_, .• _., __ ➔--Zinc ----.. -.. -... ..,..,-.. -.. •~·hcxachlorobutadicne
Parariicfrr ,· , . ''Rbdtts 'tPci/i) ..:__'pH :·, .:-: .. , '•• ~ hcxachlorocthane -----
--Gt USS Alpha ---------Conduct1V1ty . . .;:-;-;-:-. methyl ethyl ketone ------
Gros.c; Beta . TDS p --nitrobcnz.etic ----. ,----""" --. ' Tbt . ,: ! '• ' ' -~ ~biacltloi-ophchol
. pyridin~ . -.:;;....-----·_ ~ ·· .-. -.. -.. -.-,-, -. ----.-.,-,-., -•; ··• : letticLloroeth~lenc
,.!.--'----.. -...... -; ,"7."'77·"l£!l_(.,·1d 1'1.Lt,l·li; . . .. . .,.. . . uacruorocw, c c .. _____ _ -· -------_-_-~----:.~2,!ttJ~fotophencit .
--2,4,6-trichlorophcnol --• . . :·--:-:-· ~ayi. c1t1oi;d~· · · ·· ------
--1•0 cn·ch-in ··, ·· · • : · '------------------------------1 lindane
Dale 'Received OCT~ l ,no-WPReported by ________ ._._.•, = ~ct~oxy_c~lor
~CB s ' I • ' tobphenc
Dale Extr_aclc<l JJ -7-03Yf Dale Reported ________ .. _ -2,4-0 = 2,4,5-TP (Silvex)
. .: I
Microbiol~gr; ,;,·r ,, •. ,,,. , ...
• •• • •• o 1 , I ,
Parameter
I .:ih Nnmh,-r 034442
N.C. Ocl'artmenl of Environment,
l lcaith, -~ Natural Resources
Solid Wa~lc Management Division
SAMPLE ANALYSiS REQUEST . . . State Laboratory or Public Health
t>.o. box 28047, 306 N. Wilmington Street
. ~le_igh, North Carolina 27611
Field Sample Numbe~.'. · · ~''2i.;c 7 "i ·,· ----------------
Narne ol Sile ·1,,,J...,,..re-,~ C-;,,.,,:?f fC-8 /_,,,_..Jfi(( Site Location 'Vt-t'fl,f...1/ L. :.,,,v-,
Collected By LJ //.,/~'1.,-l--z,., ID# ___ Date Collected I 6 -·:v : ~ Time / 2 ! 13
Agency: Hazardous Waste Solid Waste ~Supcrfund
Sample Type
Envit onmental Concentrate Comments
i/ G1 ound water (1) __ Solid (5)
_ Su, face waler (2) v"'l.iquid (6) ___________ _
_ Soil (3) _ Sludge (7) ___________ _
Other (4) _ Other (8) __________ _
C'rganic Chemistry
Parameter Results(nig/1)
P&T:GC/MS -= Acid:B/N Ext. -----
l\·1TDE ✓ f c.-e, s <o, 0001;pm
Inorganic Chemistry
Parameter
Arsenic
Barium
--Cadmium --Chloride
Resuits(mg/1) (mg/kg)
Chromium --Copper
--Fluoride
Iron --Lead
TCLP Compounds
Inorganic Compounds
Arsenic --Barium --Cadmium
-,-Chromiubl
-Lead
-,-Mercury
--Selenium
• · Silver
Organic Compounds
benzene .
carbon tetrachloride
Results(mg/1)
Results(mg/1}
---------chlordane ·
chloroberizene --chloroform
o-crcsol
m-crcsol ··
--p-cresol
--cresol ; ------__ Manganese
__ Mercury
Nitrate
__ 1,4-dichlorobenzcne _____ _
__ 1,2-dichloroelhane
l; t .. dichlotoethylene
.-.. -.-2,4-dinitrotoluene ------Selenium --Silver --heptachlor
Radiochemistry ; --Sulfates . ' . ! -.-.-hexachlorobenzene
······-··----· _, ._·. -· ._._._ ... -'-., ._. -···_• _-,._: -'-·, ----Zinc ---. -.,-.-. ,-.. ,-.-. · '~ ·hcxachlorobutadiene
Parariick~ ,· .. '.Rbd1ls 1(PCl/f) -. -., t-r ., ... ~ hcxachlorocthane -----
--G, uss Alpha _______ --~onductivity· ·· ·• · .;-:-;--;:-. nielhyl ethyl ketone ·
Gross Beta . . TDS ------...... --nitrobenzetie ----.. ------.. Tot · ._,:i·,. -~-i>chtathlorophehol
. .: I =· ·==· .-----pyridin~ . -=------M. b. I . . ., .. f. . • . ,, I • •; ··• 7. ltttichlorocth~lene 1cro IO_~gy __ ;,,;.-r l,;••.•·r•, .P" ---~---·-•·---• -------· -····• . , ••• fi . 1------------·---il.. ,.. . .:. · · · · ;_.. ·:· mcbtorotµiylc ·e ,.
Parameter Rei~lti'1coiitooinl) --. . .. '-~2,!~-tiicftiotopltcnol ------.
: ... --2,4,6-trichJorophenol --,. . :·-.-. ~ayt.diload~--,, ------
--· · '~ cri°di-ht ··· ··· • · · L-----------------''---------------1 --lindanc
Date ·Received OCT g 1 zoorJ~eported by ~ s .. : . ------
Dale Exlraclc<l 'CfJ-7 -031/'P Dale Reported __________ .. _
n.,lr J\n.,lv,r•rl //-7-t),3·-{lf' I .!ih Nnmhrr 034443
--methoxychlor . .-tobphene· .
·-2,4-D = 2,4,5-TP (Silvex)
.. ' . NCDEHNR
Division of Waste Management
0' Superfund Section
□ Hazardous Waste Section
□ Solid Waste Section
Organics Lab: V
Inorganics L<1b : __
CHAIN OF CUSTODY RECORD
..
Project Name: W.-..l{Ve,.n. Gu.,,:\v: rw L .. .,,J<R'(/
Site ID# (NCD#) ti' fo tv1. lb"!>
Location: W ._.,.r~\ ·~
Address: -------------
Sample Types: Soil Water v
..,.
Remarks: 21.t>'-1--2--7...v~S s~J..
Field Sample 1.:1 ... 0 '-'~ ,& l..""'-12
Numbers 1.--µ;, c..~ );1,..(,1"
..<..1....£> 7 ~ U..O i 1
Relinquished By: ?,6.... ,G"C ... >-===--
(Signature) · -
. .... .-..!-
l.. "1-04. '-(_
1..-1.. 0 ·1 l
2--U 145
Sampled By: \4#\.,.,...,..¥ L., ,,:"
Sampler ID _________ _
Telephone:( '\-L"t ) -rn 2;r:o, c-v·l: 3 tJ
Date Sampled: 1..::,-"l..~ 2-1 "> o -03
Time Sampled: ________ _
Waste Other --------
2.,1..c:x,~ 2-,'t,c,(,,/.. ---'---'--=---_i.:_:i..occ...._c~=· .,__ 2...1...o i...'L_
'2...2..o,') l-_!2.,'u;)?') "2..'Z ... 0·7 'f c.~ ') S-
Date: .. Time:
Date: Time:
..
~tjljriquished ;By:_. ---·~·-------,.---,..-------
. , ·-.:--.::t ... · ·•· (Sie:nature)
Date: ·•;:; Time:
.· ... ,.
Date: .. Time:
DaNov ,2 5 2003 Tin.ie: __ _
. .
' · {I:\docshare\cocr ;frm)
. I
,,
t;_
i .
Ii
,. " .
N.C. Department of Environment,
I lcalth, ,fl Natural Resources
Solid Wa.,le Management Division
SAMPLE ANALYSIS REQUEST . State
f .o. Dox .
: . ~
Sile Nu111bcr NCD 9f D Field Sample Number, _··, -z:·~ DC:; , '; '-'---'------,a~..:::::_.::...=::....:... ___ _
Name o/ Site 1/-vrr,~ c..,...,"o/ f C.f? L-.,t/.t;_(( Site Location 2..., w v-
Collcc!cil By /,J,i//'-i,•~•t ID# ____ Dale Collected
0
/ o ·-2-S .'....o:,·3>
Agency: Hazardous Waste Solid Waste ~Supcrfund
Sample Type
Envi1 onmental Concentrate Comments
_ Gi :iuncl waler (1) ✓ Solid (5)
__ Su r fa ce waler (2) __ Liquid (6) ____________ _
_u::::::: Soil (3)
_ Oll1cr (4)
Sludge (7) ___________ _
_ Other (8) ___________ _
C rganic Chemistry
Parameter
P&T:GC/MS -
Ac:J:B/N Ext.
t-.·1Tl3E
_£_ pea
Results(nig/1)
------
<D,LO Pf'O' I
Radiochemistry
• , l •<.• ·•·j -:•: ·.
l'arnriicfr r : .. ' R~s~lts
1(Pci/i)
__ G1 ()ss Alpha ______ _
Gross Beta
Inorganic Chemistry
Parameter Resuits (mg/I) (mg/kg)
Arsenic
Barium
Cadmium
Chloride
Chromium
__ Copper
Fluoride
Iron
Lead
__ Manganese
__ Mercury
Nitrate
Selenium
Silver
Sulfates
Zinc -.-·,u
--p ... ---------Conductivity . TDS . ----------Tot · .... ;• ·
-·-----. "• . , 1 ,
-------,,!----------
Inorganic Compounds
Arsenic
Barium
Cadmium
-1-Chromium
Lead
, Mercury
--Selenium
'· Silver
Organic Compounds
benzene .
carbon tetrachloride
chlordane
chloroberizene
chloroform
o-cresol
m-crcsol · · = p-cresol
cresol
1,4-dichlorobenzene
1,2-dichloroethane
1; 1 •dichlotoethylene
2,4-dinitrotoluene
--heptachlor
--hexachlorobenzerte
'~ · hexachlorobutadiene
Results (mg/I)
Results(mg/1)
------
------
------
~ hexachloroethane ------
.-, .-, -. · methyl ethyl ketone
--nitrobenzerte ------
.-.. -. petttachlorophehol
-. -pyridine ~~--------
., ·'. ·~ lett~chlciroethylene ;-,-.. -_.·'tfMuor6Hhyldie ..
,.-. -i,4;~-trichlorophenol _____ _
--2,4,6-trichlorophenol :--.-. vinyl ch'forld~· ,, ------
.__ ______________ .....__,,...._...,... _________ ~ i~ era'dr01ri . ,. ' .
lindane
__ melhoxy_chlor
. tcikaphene
-24-D
·ir i/Jc/y;;._11>---fl j tt.l '-13
Date Rcccivc~gw 3 ] 2003 Vt o,k. _ ~ /tJ6
Dale Ex(raclt:<l /J-/~031/,,o:Jate Reported NOV 2 5 2003 .
0 ,]~1427 Dalt: ;\11;ily1t:d / /-/~3 '-03 VP Lab Number
, .
N.C. Oc)'arlmcnt or Environrncnl,
I lc:iith, ,Ii Natural Resources
Solid Wa,tc Management Division
SAMPLE ANALYSiS REQUEST . . . State Laboratory or Public Health
Sile Number t{CD 9f D 6 uZ, / 63,
Name ol Sile ·{_,.;)...,,.,.e,~ c:., .... ::4t pc,13 ~-([((
P.O. Dox 28047, 306 N. Wilmington Stn:cl
. ~lc_igh, North Carolina 27611
Field Sample Numbe~.'. .. .'.1 ?.:..)~-~-6 } ·
Site Location 'l;/-.• /~i<_'V L. :Vv-,
Collected By /,J/t..,,..~'t~•t ID# Date Collected '{o--i~-..;,".) Time -------------
Agency: Hazardous Waste Solid Waste --'::::'.:__ Supcrfund TCLP Compounds
Sample Type
Envh onmental Concentrate Comments
_ Grnund water (1) _ Solid (5) VT D 5 -~~ J
_ Sur face waler (2) Liquid (6) ------------
J/_ Soil (3) _ Sludge (7) __________ _
__ Other (4) _ Other (8) ___________ _
Crganic Chemistry Inorganic Chemistry
Parnmeh:r Results(nig/1) Parameter Resuits(mg/1) (mg/kg)
P&T:GC/MS -____ _
Inorganic Compounds
Arsenic --Barium --Cadmium
1 Chromium
Lead
-,-Mercury
--Selenium
•' Silver
Organic Compounds
benzene
carbon tetrachloride
Results(mg/1)
Results(mg/1) = Ac:d:B/N Ext.
Arsenic
Barium
--Cadmium ---------MTDE chlordane ---✓ PCB --Chloride chloroberizene
Chromium --__ Copper
Fluoride
Iron --Lead
__ Manganese
Mercury
-Nitrate
--chloroform --o-cresol
m-cresol ··
--p-cresol
--cresol ----1,4-dichlorobenzene _____ _
1,2-dichloroelhane
--1,1 .. dichlotoethylcne
Selenium ' · ~ 2,4-dinitrotoluenc ------
--Silver ---heplachlor
Radiochemistry . ; -Sulfates . . . ! -.-.-bexachlorobcnzene ...... _ .. ____ -_. __ .. _ .. _._._··,_· .. _. _ ... _, _.,._: _·, ----Zinc ----.. -.-.,-.. ,-.-.. l ~ ·bcxachlorobutadiene
n:111• An:,hm·rl //-/ -0. . 034428
Paraniclef .. . . '·-R~dlts 1(PCi/i) -. -., ti' . ·.. ... -;-:--h". chi th -------p · . . . ___: cxa oroe ane
--G1 oss Alpha -------Conductivity .. ·•. . ·,' 1 ' .• methyl ethyl ketone
Gross Beta TDS • --nitrobcnzetie -------. -Tot . -.. :i,. ---------~ t;ctitldtlorophehol t-----------------1 ~ pyridine. . _=.;... ____ _
· ·' l • ·,1, -M. b" I . . •. . . '' ,, I • •; ··• : ltltichlorocth"lene icro IO_~IP';,,;,, l,;•,·.••r:_, . ., ~--•-·--..•• ,_-------' J --------------. .,:.· ·· : -~--ffi~lilor~lirteli~ ..
Parameter Rel~lii'tcoiitooml) -· -------. . =-~2,~~6,leltfo'r~plicncil ------
--2,4,6-trichJorophenol --• • . • :·~ Via\tt. cli1otld~·. " ------
.__-_-_-___________ ___,_._-:_-:_-:_ _______ ·· ____ -1 '·0 cn.driri .. , , .. · :
1/P lindane
Date ·Rcccivc~T 3 ·1 2003: Reporte~ by _____ . _____ ._... == ~et~oxy~hlor _
~s . tcikaphene
Dale Extracted //-/3-0.3J(I? Date Reported ______ ......, .. _ 2,4-D = 2,4,5-TP (Silvex)
: . '
l .:ih Nnmhrr
.. , I •
N.C. Dcpa1lmcnt of Environment,
I lcailh, ,I\. Nalural Resources
Solid W:i,tc Management Division
SAMPLE ANALYSiS REQUEST . State Laboratory of Public Health
~.O. box :28047, 306 N. Wilmington Stn:ct
. ~lc_i&h, North Carolina 27611
Sile Nu111bcr N CD 9f O /, u Z. / 6> Field Sample Numbe~.'. · · _,.1 ·L "'L :; ty
Name o/ Sile 'b/...,r-re-~ c., .... ::4r fC /!; L.-,t/L((( Site Location 'l.f,i'f(,,<..'; 2., :Vv-'
Collectc:d By /,J,,,,_//C-'1,~•1 ID# Dale Collected I o·'...2 S-e,;i)> Time -------------_____ _..._
Agency: Hazardous Waste Solid Waste ~Supcrfund TCLP Compounds ----
Sample Type Inorganic Compounds Results(mg/1)
Envit onmental Concentrate Comments Arsenic --.--Barium
VT tJ>--5 ,eJ --__ Grnund water (1) _ Solid (5) Cadmium --
_I_ Chromiutn
__ Su, face waler (2) _ Liquid (6) Lead --
_:J_ Soil (3)
I Mercury
_Sludge (7) --Selenium . , Silver --_ OIiier (4) _ Other (8) ------Crganic Chemistry Inorganic Chemistry --
Parnmeler Results(nig/1) Parameter Resuits(mg/1) (mg/kg) Organic Compounds Results(mg/1)
P&T:GC/MS -Arsenic benzene -----Ac:d:B/N Ext. · Barium carbon tetrachloride ----MTDE Cadmium chlordane · ------ec {> chloroberizene ..£_ < tl.' L'2..pf2Ai Chloride
--Chromium --chloroform ----o-cresol __ Copper ----Fluoride m-crcsol ·· ---= p-cresol Iron ----Lead cresol ; ------1,4-dichlorobenzene --__ Manganese --
--__ Mercury 1,2-dichloroethane
Nittate -1;1 •dichlotoethylene ----· ·. · 2,4-dinitrotoluene Selenium t --Silver # __ heptachlor
Radiochemistry . . --; Sulfates . , . ! .. hexachlorobenzene --• ~ ·hcxachlorobutadiene ...... -~ - • -• • • I ·•••: • . ·•· J ~:• • •~ Zinc .. . •,-•: .· .
Parariickf .. .. ' . Rtsdtls 'tvct/i> -.-·:tt .. ' . .. --~ hcxachloroethane _p , ..
__ G10.,;s Alpha Conductivity ·· ... . ·,' I ' .• methyl ethyl ketone
Gross Beta ms . nitroben2.etie --. ' -,-oc· 'l:!i . ·. '·· ~htacltlorophehol --_. _ pyridinC? . ~ . .: I -··-· Microbiol~g)'; ,;n ,, .. ,,,. >·'"
• •• f ~ .. ,, . '"·: . ~' '' ., ., • : letilichloroeth~lcne ..:....!-·•· J•!. ; ·-••"· .. , ''lh l li • • , : • • • t , ~ . I • . .. , • ,. • .. frichl · t, . y .. • •
R,;-~iti' ~Cotitoomi) ·,-• . . oroc e c .. -·-'-~ 2,~~-tri~iotophcncil Parameter ' . . ---2,4,6-trichJorophenol ; . ' ----:--.-. · \iiiiyt chJo;;de· · · · · .. .. . . ----.. ff:---• t• -~ • ,,: 1•· I .· -endrin --lindane OCT 31 200l1Vfeporte~ by Dale Received = ~et~oxy~lor . . .. • .
'Nii~ : 034429 ,_ tohphene
Dale Exlraclcd 11-/3-a#P Dale Reported 2,4-D .. --
//-/3--c80 2,4,5-TP (Silvex) --. l Jlh N11mhrr
N.C. Dt)'attmcnt of Environment,
I lc:iith, ,t, Natural Resources
Solid W:islc Management Division
SAMPLE ANALYSIS REQUEST. . . State Laboratory or Public Health
P.O. box 28047, 306 N. Wilmington Street
. Ralc_igh, North Carolin• 27611
Sile Nu111bcr Nco 910 6 uZ. / 6> Field Sample Numbe~.' · · :··, '£ i_'~ c:':~ ·
Name ol Sile 'f/...,,..r~~ c.,_,"1/ fC..f> ~1(( Site Location 'l;f,i'~i(..·ti 2... :Vv-'
Collcctc:cl By l.J/1..,,.;c..'1,-~•1 ID# ___ bate Collected '1 o -2·s _:__0 3 Time
Agency: Hazardous Waste Solid Waste ~Superfund TCLP Compounds
Sample Type
Envit onmental Concentrate Comments
_ G,ound water (1) __ Solid (5)
Su, face waler (2) __ Liquid (6) ___________ _
V Soil (3) _ Sludge (7) __________ _
_ OIiier (4) _ Other (8) __________ _
Crganic Chemistry Inorganic Chemistry
Parnmeler Results(nig/1) Parameter Resuits(mg/1) (mg/kg)
_ P&T:GC/MS -____ _
Inorganic Compounds
Arsenic --Barium --Cadmium
-,-Cbromiutn
-Lead
-,-Mercury
--Selenium
•· Silver
Organic Compounds
benzene · --carbon tetrachloride
Results(mg/1)
Results(mg/1)
_ Ac:d:B/N Ext.
Arsenic
Barium
--Cadmium ---------?vfTDE
__L pcft --Chloride
Chromium --Copper
--Fluoride
Iron --Lead
chlordane ·
chloroberizene --chloroform
o-cresol
m-crcsol -·
--p-cresol
--cresol ----Manganese __ 1,4-dichlorobcnzcne _____ _
__ Mercury 1,2-dichloroethane
Nitrate --1;1 .. dichlotocthylcne
--Selenium ! · ~ 2,4-dinitrotoluenc ------
-Silver --heptachlor
Radiocliemisbj ; -Sulfates · · . ! -_ .-hcxachlorobenzenc
······-··-----·-·-_··_ .. _._, ... _-.-•_·_···_,_.,._:_-, ____ Zinc ---.-.-, -. -.,-.. -, .-. · •~·hcxachlorobutadiene
Parariictef ,. . . '.Rb~uls 0(PCl/i) =· =·pt-t . ' . .. ... -~ hexachlorocthane ------
--Gm~ Alpha _______ Conductivity .. ·· · ·, · 1 '. • nibthyl ethyl ketone
Gros..c; Beta TDS ------'T---nitrobent.elie ------_:_:, TOC ' . ,: i ·, . . -~ i,chtathloi-ophehol
--------------_. ___ ____ -_ -pyridin~ . ~-;;;;,_. ____ _
· .: 1 • • ., · • '' '' ' • ., .• , 7. lttticLlorocthaene MicrobiOl!J.g)'; ,;.-y ,, .... ,. pr ---~---·-•·---I--------· -·1:.· . , . 1i: 1--------· -----··--·-·-· -·-· --. ,. -.,:. · · · · ·_ ·· ·:·mdilototUiyten~ .. Rei·~~ii'~colj1ooml) -· -----. ---.-_-------:.--:-2,!~-trlc,i~'tophcnol -----
-------2,4,6-trichlorophenol --•. . . -. :--.-. ~ut _dilorM~·-·· --------,~ ... ~ .... :, .. , _. · : cndnri
Paramclcr
//.-/ 3 -i?;. VP I .:1h Numhrr
.__ ____________ V..,.f-,e,----------------1 --lindanc
Dale Received OCT_ 3 } 2003 Reported by , . . . = ~ethoxy_~lor Pc:B&-r • -----------tcitaphene
Dale Extracted //-/,.S-a3YP Dale Rcported __ 0_3_4_4_3_0-'-_-'--: =2,4-D
_ 2,4,5-TP (Silvex)
Oalr 1\11:ihr,rrl
N.C. Dcl'artmcnt or Environment,
l lcailh, .,, Natural Resources
Solid Wa,lc Management Division
SAMPLE ANALYSiS REQUEST . . . Stale Laboratory or Public llcahh
P.O. Dox 28047, 3<l6 N. Wilmington Street
. ~lc_igh, North Caroline 27611
Sile Nu111ber__,_k_C.;.D _ _,9_..f'-O __ t,;:__c:>....;;Z.::.....-!.../ _6...:;.> ___ Field Sample Number· .... :._·_· _.·_-_·:i. __ l.......;;..GJ .... ,_.· 4"""·.-_··_· _______ _
Name ol Sile '[>;)..._,..re-~ C., -:y pee, L,,.J/L[(f Site Location 'l1,i'~i(.·'i 2. :.,,,v-'
Collectul By /,J"1.//<-'1,)z, .. , ID# ___ Date Collected L , . ..: 2-'i -..:o> Time _____ ___
Agency: Hazardous Waste Solid Waste ~Supcrfund TCLP Compounds
Sample Type
En vii onmental Concentrate Comments
__ G1 ound waler (1) __ Solid (5)
V Sur face waler (2). _ Liquid (6) ___________ _
_ Soil (3) Sludge (7) ___________ _
Other (4) _ Other (8) ___________ _
C'rganic Chemistry Inorganic Chemistry
Parameter Results(nig/1) Parameter Resuits(mg/1) (mg/kg)
_ P&T:GC/MS -____ _ Arsenic
Inorganic Compounds
Arsenic --Barium --Cadmium
1 Chromium
Lead
-,-Mercury
--Selenium
•· Silver
Organic Compounds
benzene · --carbon tetrachloride
Results(mg/1)
Results(mg/1)
_ Ac:d:B/N Ext. _____ _ Barium
--Cadmium ---------MTDE = "PCB5· <:O, O"Offlt"w = Chloride
Chromium
--Copper
--Fluoride
Iron --Lead
chlordane ·
chloroberizene --chloroform --o-cresol
m-crcsol .··
--p-crcsol
--crcsol · · ; ------= Manganese __ 1,4-dichlorobenzcne _____ _
Mercury 1,2-dichloroelhane === Nitrate --1;1 ... dichlotoethylcnc _____ _
Selenium ' .-.. -.-2,4-dinitrotoluene
--Silver • --. heptachlor
Radiochemistry . -Sulfates . . . ! -.-.-hexachlorobenzenc
···-·-··----·-· _, .·_· _ .. _._._···.;..·; •_· _ ... ,_-,._: .,;..·: ---1 --Zinc ---. -.-. -. -.,....,., .-, .. -. . l ~·hcxachlorobutadiene
Paranidef . . . '.Rbdlis 1(PCl/i) -. -.pH ' .. : .. ' ., ... ~ hcxachlorocthane -----.
__ G• oss Alpha _______ --Conductivity.. ·· ·-~.methyl ethyl ketone _____ _
Gross Beta --TDS • --nitrobelll.Ctie ==· · Tbt · ,: ~-. . -~ t,ehlacltlorophehol 1----------------1 _ pyridine . _ • . I .: I ~ •. -, --. -. -, .-. • . .,, ' . •; ··• : l~ttichlciroeth"lene ·;a;;.;...-----. Microbio_~_g)'_;,,;•·r ,., ...... ,·,.,·•• ..:..!.....--·-•·---.... •.--'--'---...,;.____._ __ . , , . . . ,·. · · · : •. ·· ·:··ffictiloi-~Utytclie ,.
Paramelcr Re~-~~ii'tcoiiiooml) -· ------.--_------.. --'-~2,!~w~i~fo~henot ------.
--2,4,6-trichtorophenol :·~ ~ii~. chlo;1d~-. ,,. ------
'~ cn~irl ··· ··· · ' · ..._ ______________________________ -
. . QCT 3 } 2003"'\JV _ lindane Dale Received ________ Reported by . . .. __ ~et~oxy~~lor . Pt:6-, · -----------. tcibphenc
Dale Exlraclc<l //-S-031(,0 Dale Reported _______ .. _ ·-2,4-D = 2,4,5-TP (Silvex)
; .. .
Oalr J\11alv11•rl //-·-031/f' l .:1h Nnmhrr 034431.
N.C. Dcparlmcnt or Environment,
I lcaiih, •'t Nalural Resources
Solid Wa~lc Management Division
SAMPLE ANALYSIS REQUEST. . . Stale laboratory or Public llcahh
P.O. Doit 28047, 306 N. Wilmington Street
. ~l~igh, North Carolina 27611
Sile Nu111bcr___._N_c_· D,;___9,_.,l{._D_....;6;...v_Z...::._..!../_6..;._J. __ _ Field Sample Numbe~.'. · · ,., 'ii' c.9 C.: 7 ----------------------
Name ol Sile 'i,J,__,..r,e,~ c.,.. ..... -5;: pc:~ L,,.J/.t;(( Site Location 'l:f-i'~,c.·v 2. :Vv-.
Collcctc:(l By l.,; /l.r""L/2, .. 1 JD# ___ Dale Collected 'i i:; ..., ... i s ; -J:) Time _____ _._
Agency: Hazardous Waste Solid Waste ~Supcrfund
Sample Type
Envh onmental Concentrate Comments
__ G111und water (1) __ Solid (5)
V Su, face waler (2) ~ Liquid (6) ___________ _
_ Soil (3) _ Sludge (7) __________ _
Other (4) _ Other (8) __________ _
Crganic Chemistry Inorganic Chemistry
Parnmeler
P&T:GC/MS -
Results(nig/1) Parameter Resuits(mg/1) (mg/kg) = Ac:d:B/N Ext. -----
?vfTDE -_ ]>CB!s
Arsenic
Barium
--Cadmium --Chloride
Chromium --__ Copper
Fluoride
Iron --Lead
TCLP Compounds
Inorganic Compounds
Arsenic --Barium --Cadmium
1 Chromium
Lead
-,-Mercury
--Selenium
•' Silver
Organic Compounds
benzene --carbon tetrachloride
Results(mg/1)
Results(mg/1)
---------chlordane ·
chloroberizene --chloroform
o-crcsol
m-crcsol ··
--p-cresol
--cresol ----Manganese __ 1,4-di~lorobcnzenc _____ _
__ Mercury 1,2-dichloroethane
Nitrate --1,i~dichlotoethylcnc
--Selenium ! .-.. -.-2,4-dinitrotoluene ------
--Silver ---hcptachlor
Radioclieinistry .· . ; -Sulfates . ! -. hexachlorobcnzenc
·····----·-•_.· ·_._. -· -··-·•·:_· ._ .. _.,_-,_ .• ....;.'---1 -Zinc ----.,-.-.. -. •;-.-. · '~·hexachlorobutadicnc
Parariickf . . . ' . kbdtls 1(PCi/i) -. -·: H. . .. . -~ hcxachlorocthane -----
GI USS Alpha --~onductivi.ty .. . . -~. nU:thyl ethyl ketone
--dross Beta JDS .. . --------r_ --nitrobcnzenc -------· ' ==·. Tbt · · ,. ! ' . ·. • -t;etatacltlorophehol
---------------_._pyridine. . _=.;... ____ _ . -l l • ·fl, -M. b. I . . . ' . . " . ' .-'I ' • ,, • • • ':'. ltltichloroeth.i.lcne 1cro 10 .. 0..g)'.; .• ,;•·r •. ,•,·."•· •. , .• ~ ---~ ___ .. _. __ 1 ______ ..__,. _,,.,. , ,, --------------. . . ,.. . .: ... · · •. , .. _.. fricht~H,&hylcli~ ..
Parameter Rel~hf~cotitooml) ---"'------_-_----.-. -.. -:.--:-i,!tti-tJtf~tophcncil ------
---2,4,6-trichlorophenol --• . . :·~ ~&yi. dtloilde· · " ------
--.• • -~ .,. -· ••• :,.-1 : . "------------------,a~--------------1 _" _ endnli . ~f lindane
Date ·Received OCT 3 } 2003 Reported by . . .. -methoxychlor
· 'P:;,sJ t • --------------tcibphene·
Dale Extracted //-5-t:J.31/f' Dale Reported ______ .,...··;_ --2,4-0 = 2,4,5-TP (Silvex) I/-S-()3 rp I .:ih Nnmhrr 034432
N.C. Dc:1,artmcnt of Environment,
1 lcaith, ,ft Natural Resources
Solid W11,1c Management Division
SAMPLE ANALYSiS REQUEST . Stale Laboratory or Public llcahh
1'.0. ilox i8o47, 306 N. Wilmington Street
. R.alc_igh, North Carolina 27611
Sile Nu111ber_...fl_C __ D __ 9,,_,f.c..-D_-'/,_v---'Z.___,/_6_J. ___ Field Sample Number_:._·_· _ _.._."i __ ._
1 -~-·_·1..._o_··~--~--------
Name ol Sile "b,/-.,,-re--c., ..... :4r f C.fJ L-J.qrr Site Location 'l:f.-i'~j(_·; 2, :Vv-.
Collected By /,J,t,/r<-.,,.Jz,... ID# ____ Dale Collected . l ~ ~z_~..:u ..J Time _____ ___
Agency: Hazardous Waste Solid Waste ....::::::__ Supcrfund TCLP Compounds
Sample Type
Envit onmental Concentrate Comments
_ G,nund waler (1) __ Solid (5) lfTv :;> lJ~,.
r / Su, face waler (2) ~ Liquid (6) __________ _
__ Soil (3)
_ OIiier (4)
_ Sludge (7) __________ _
Other (8) -------------
Crganic Chemistry Inorganic Chemistry
Parnmeler Results(nig/1) Resuits(mg/1) (mg/kg)
_ P&T:GC/MS -____ _
Inorganic Compounds
Arsenic --Barium --Cadmium
-,-Chromiutn
-Lead
I Mercury
--Selenium
•· Silver
Organic Compounds
benzene . --carbon tetrachloride
Results(mg/1)
Results (mg/I)
_ Ac:d:B/N Ext.
Parameter
Arsenic
Barium
--Cadmium ---------1'·1TDE chlordane · ----..::::._ pc.a$ <o,l)OO/~ Chloride chloroberizene --Chromium --Copper
--Fluoride
Iron --Lead
chloroform --o-crcsol
m-crcsol ··
--p-cresol
--cresol '· ----Manganese __ 1,4-dichlorobcnzcne _____ _
__ Mercury 1,2-dichloroelhane
Nitrate --1;1~dichlotoethylcnc
--Selenium ' .-.. ---2,4-dinitrotoluenc ------
--Silver ---hcptachlor
Radiochemistry ; --Sulfates . ' . ! -.-.-hexachlorobcnzcric
...... ______ . __ •. _ .. _._. -· _, .. _ •. ,_ .. _ .. _.,_._,.:_•._. ---1 --Zinc ---. -.,-.-.,-.. ,-.-. · •~·hcxachlorobutadicne
l'arariict•-+ · .. ' . Rbdats 'trci/1) =· =·pH .. ·. ' .. · · · • hfuchlorocthanc -----
--G1 oss Alpha -------Conductivity .. '. . ·,. 1 ' .• methyl ethyl ketone
Gross Beta . . --:rDs ·. . ------..... --nitrobcnzeric ------
----. ,-----_ --·=· TOt · ,. i . . . -~ ~tacltlorophchol
-. _ pyridin~ . -=------. -f 1 .. • ·,i , Microbiol.<>gy; ,;,·r ,, •. ,.,. , .•• _·--~·-· ·_· _._ .. _· _· _' _, _· ·, .. _____ ._ .. _·-,· -· •; ··•: .~~~~c111pr~eth~lene
--------· -·-·-·--·-·-· -··-· -, .. · . ,:. · · · · • ·· ·:· llidttot~.lhylcli~ .. Re~~ltf 1coiitooml) -· ---------. -_-............. -.-. -, --:-i,!~tJcfaiofophenol -----
--2,4,6-trichJorophenol --•. • :--.-. ~aiyi.dilorlde·· · ·· ------
--I~ Ch0driri "' I'. 1 _. .
l'aramclcr
...__ ____________ .....,.._._ _____________ --t--
. . OCT 31 2003\IP lindane Dale Received ________ Reported by ___________ . ....,·.. --methoxychlor .
Pf!.8s : . .-tcibphene· .
Dale Exlradcd //-S-a3'VP Dale Reported _________ .. _ ·-2,4-D = 2,4,5-TP (Silvex)
1.:ih Nnmhrr 034433
N.C. Department of Environment,
I lc:iith, .f, Natural Resources
Solid Wn~tc Man~gcment Division
SAMPLE ANALYSiS REQUEST . . . Stale Laboratory of Public Health
f .O. box 28047, 306 N. Wilmington Stn:ct
. ~lc_igh, North Carolin.a 27611
Site Nu111ber_,_t(_C~D--'9 .... f._D _ _.;...6_v_2. ___ ..:.../ _6_J, ___ Field Sample Number._.'.'_·_·_·.,_., __ · ;'_-_·2..._· · __ -i... ___ ·~---_· G:_j,___ ____ _
Name ol Sile '[;.)..._,.re-~ C., -."o/' p Cf> L.,,J.q (( Site Location 'l;f.,/~i(..·i 2. ~v-'
Colleclc:d By /,J,i,//<-"1,·)z,--i ID# ___ Dale Collected l 6 -i ~ -cJ ) Time _____ ....._
Agency: Hazardous Waste Solid Waste ...-:::::.__ Supcrfund TCLP Compounds ----
Sample Type Inorganic Compounds Results(mg/1)
Envi1 onmental Concentrate Comments Arsenic --
~rnund water (1)
Barium --_Solid (5) ~c.~ c,..., .._.L. .... Cadmium --_I_ Chromiutn V Sui face waler (2) t/ Liquid (6) Lead
-,-Mercury
__ Soil (3) _ Sludge (7) --Selenium
•' Silver --__ OIiier (4) Other (8) ------C rganic Chemistry Inorganic Chemistry --
Parnmeler Results ( nig/1) Parameter Resuits(mg/1) (mg/kg) Organic Compounds Results(mg/1)
P&T:GC/MS -Arsenic benzene ------carbon tetrachloride Ac:d:B/N Ext. Barium ------MTBE Cadmium chlordane ·
✓ J'C_B s ----< o.ooa,.lj?pm_ Chloride chloroberizene ----Chromium chloroform ------o-cresol __ Copper ----Fluoride m-cresol -· ----= p-cresol Iron ----Lead cresol '' i ------1,4--dichlorobcnzene --__ Manganese ----__ Mercury 1,2-dichloroethane
Nitrate --1;1~dichlotoethylcne ----Selenium · ·. · 2,4-dinitrotoluenc I --. Silver __ heptachlor
Radiochemistry . --; Sulfates ,•, . ! .. hexachlorobenzenc
• ~. • • • • • I ·••·: • .••• ► "!• ! "; --Zinc ··-. '~ ·hcxachlorobutadicnc ...... .,.•;·.·.
Paranict•.:f .. .. , ·-atsdlts ·t.,c11t> -. -.,t-i .. ' . .. ·-:-:--: hexachlorocthane _p •• ..
__ G1os.c; Alpha __ Conductivity · ·• . I ' I ' .• methyl ethyl ketone
Gross Beta TDS . nitrobcnzene .. --. ' -. Tot· . . '\ : ~ i . . .
•• • 1 -~tacldorophehol --. pyridin~ . ~ . ..: I .........,_,._
Microbio~~gy;!;.-r !w"•: I""
• •• Co · • f l • .. ·ir '' ., .. , ":. lett-~chlorocthtlene -·-~-.,. :,!. ; __ ,,_, • • 'I • 1th t li . •••I · .. ·:· llicltloroc · e ·c ..
Rei~U;' ~cotj100ml)
.. . ..
'-~ 2,~~itlc\ti.o'r~phenol --.. ., Paramckr . . ----2,4,6-trichlorophcnol .. ----:·~ ~dyl. chlo;ldt'. ,, .. --.. . . --'• ,~··•·i .. :,.-, _. ' cndnrl . --lindane ?OOrJ ~eporte~ by Dale ·Received Ot"I ~] . ... • . --mcthoxychlor .
p~ ! ,= tobphene· .
Dale Exlractcd LL -5 -031/P Dale Reported .. 2,4-D
11-s·-03 .. VP 034434 = 2,4,5-TP (SiJvex)
D:111• An:1lv,i•rl I .:ih Nnmhrr
fw: Estimate of cost to abandon PCB landfill wells at Warrenton NC
I of2
Subject: Fw: Estimate of cost to abandon PCB landfill wells at Warrenton NC
Date: Tue, 7 Oct 2003 15 :11:57 -0400
From: "Arthur Mouberry, P.E." <[e-mail]>
Organization: Groundwater Section
To: <[e-mail]>
CC: "Coleen Sullins" <[e-mail]>, "Timmy Hill" <[e-mail]>,
"Ted Bush" <[e-mail]>, "Pat Backus" <[e-mail]>,
"Jane Q Smith" <[e-mail]>,
"Dexter Matthews" <[e-mail]>
Mike,
Coleen had approached me to see if there was any way that the Groundwater Section could assist the
Division of Waste Management with the close out of monitoring wells at the PCB landfill in Warren
County. Timmy Hill of my staff has met on site with Pat Backus. Listed below is a summary of the cost
that we estimate that will be involved, if we were to use Groundwater Section staff and equipment to
abandon these nine monitoring wells. Total cost would run $4,945.05. To help keep the cost down, the
Groundwater Section would donate staff time of $2,135.80. Cost to
the Groundwater Section would be $2,809.25 to cover the operation of and moving of different pieces of
required equipment, supplies, equipment rental and staff expenses. This total job would require
approximate one week to complete depending on weather conditions and site accessibility. You had
indicated that you would need to run this by the "committee". Please let me know your final thoughts on
this matter. If you can reimburse us for our cost, we will be glad to assist you in this matter. It is my
understanding that this task will probably not need to occur until late November or early December. If
you decide to go this route, we will need some lead time to work this into our drill schedule.
Arthur
-----Original Message -----
From: Tim Hill
To : Arthur Mouberry
Cc: TED BUSH ; Tim Hill
Sent: Monday, October 06, 2003 12:26 PM
Subject: Estimate of cost to abandon PCB landfill wells at Warrenton NC
Arthur,
I met with Pat Backus on 10-01-03 at the PCB landfill and looked at the wells that need to be abandoned. Listed
below is my estimate of what it will cost to abandon the wells .
Driller: 40 Hrs-741 .60
Helper# 1: 40 Hrs-608.60
Helper# 2: 40 Hrs-785.60
Pump Truck-4 days at $150.00 a day plus $0.75 mile 400 miles= $900.00
Air compressor-4 days at $100.00 a day= $400.00
Water truck-. $0.75 mile -300 miles= $225.00
Cement: 25 bags at $7.50 a bag= $187.50
Jack Hammer rental-4 days at $64.00 a day=$256.00
Expenses: 3 nights and 4 days=$840.75
I 0/19/2003 8:29 PM
Fw: Estimate of cost to abandon PCB landfill wells at Warrenton NC
~ ,
2 of2
Total= $4945.05
Tim Hill
Hydrogeological Drilling Supervisor
NCDENR
1766 HWY 258 S
Kinston NC 28504
252-523-3620
252-523-7484 Fax
[e-mail]
10/19/2003 8:29 PM
Patricia M. Backus, PE
Division of Waste Management
401 Oberlin Road, Suite 150
Raleigh, NC 27605
Phone: [phone] ext. 308
Fax: [phone]
A;?\
NCDENR
Fax
To: Tim Hill From: Pat Backus
Fax: [phone] Pages: /'-f
Phone: [phone] Date: October 3, 2003
Re: Monitoring Wells at PCB Landfill CC:
□ Urgent 0 For Review □ Please Comment □ Please Reply
• Comments:
Tim,
This is the information I was able to find on the monitoring wells at the PCB Landfill.
I've included
□ Please Recycle
( 1) a map of the area that was prepared in 1997 with the wells locations ( note that a number of wells
were removed by the contractor during the site preparation for the remediation project);
(2) schematics of the basic construction for the 4-inch and 2-inch monitoring wells; and
(3) the well records for all of the wells you will remove (to avoid some confusion, I wrote the well
numbers in the bottom right space with a Sharpie).
You were right in that the older wells (4") are PVC. However, according to the drawing, the protective
cover for the newer wells (2") is aluminum. I found the bill for the well installation but it did not have
information to confirm whether aluminum or stainless steel was used.
If you need any additional information, please contact me. My plans for next week are to be in the
office here in Raleigh Monday morning and Friday and at the landfill site the rest of the week. I believe
you have all the numbers, but if not call the number above and leave a message or dial O for the
receptionist to look up the numbers at the landfill.
Thanks,
_.. Q) 0 ~ ' 0 fv) fv) ) 0 fv) ,JEW & Envlronmental Consultants ~51/!llfll§f:, /r!§l!.i8lllflldl 111/fJrdJ aicc@IC881ll!§f:, 01/fJC. I \\ D: [:, \ -":5 ~ ~ ~ ="""' 400' = 200' 0 0 cD N / NORTH J c?J((C I I LEGEND --A' CROSS SECTION 0 SURFACE WATER SAMPLE (SW) ~ SURFACE SOIL (SurS) 6, SEDIMENT SAMPLE (SEO) EB 0 EXISTING SURFACE WATER STATIONS EXISTING WELL (MW) .A,. HYDRO PUNCH SAMPLES @ NEW WELL (OR CLUSTER) (MW) FLOW PATH NEWSAMPLDWG 09-15-1997 5,44 PM WARREN COUNTY PCB LANDFILL NEW SAMPLE NETWORK FIGURE 3.2
Monitor Wells
Well No. Elev. TOC W. Depth Stick-up Diameter
MW-1 343.98 51 .93 2.23 4
MW-2 329.98 46.86 2.09 4
MW-4 322.81 38.54 2.17 4
MW-4A 323.82 41 .50 1.58 2
MW-6 314.22 59.78 0.79 2
MW-8 319.62 53.16 1.94 2
MW-9 298.52 20.69 0.91 2
MW-10 305.61 76.70 1.95 2
MW-10S 305.70 19.98 1.60 2
. . •. • co,..PuTAT10:-1s FoR Mol\.J1roRJNG WeLL.S
--·
LL roP
N 0 ELEV ----·-----··--
I 3·}2 ----
328 ·--
32Z ----·-
326
. . 4 . · .... 4 • A .
•
. .
CoNC. 5UtB . ·.
----r----·-Sorrofv?
ELEV ---•· ------
7-9/
281 r--
281
251
SC,2.:5">,J
r-; .=£•'2 ~Il.i_
2_ 0 I
z () I
2<),
·-·-
'lo' ·-
,.·· ...
SHCC1 , ).
CATE JUt...Y
DY f""P-l/2. CHKO
I
ST:6L CAP I
H11-Ja1:ot J... or1:...~_.-.si E'
8 • S Tt:cl-/7 /Pli
SCtiC:OvLE' 40
1.•,B," l.,D,Jt; i ·.
. .. --~------
i .,4 @u'' t:Ar,-.J 01J;&<:noA1·
oR. G, JC'-_)(. 4/i-W w I=
,:
· . -

-
::: c...:-4 e.·c :..>LE . -;. o ·( ~vc. c. . ..:;c • r • _, .
NORTH CAROLINA DEPARTMENT OF NATURAL RESOURCES & COMMUNITY DEVELOPMENT
WELL RECO~D . OIVISIOri Vt ENVIRONMENTAL MANAGEMENT
. P. 0. Box 27687 -RAL,EI~, N,C. 27611 91!1-733-2020
DRILLING CONTRACTOR ,c2~e'/df ,,/5~Y-'/i~ NO. WELL CONS'_'f1.UCTION PERMIT NO.
1. WELL LOCATION1 (Show sketch o! the location below) -;#/ D .3 .3 Y f
Nearest Town: ~~,,v'~,A/ It/.~. County1 W~JU/-AI Lc.t.-..vz"v
____ _,;...-------------,-----0,uadrangle No. Afi'tM/ · ~.S«G~.
(Road,Co111111unity or Subdivision and Lot No. l /9'7/ •
2. OWNEll: //1.E ~z:1;-ac:~E/h ~ ... -?~..v'~. .~RILLING LOC
3. ADDRESS1 _____________________ _
4. TOPOGRAPHY: draw,valley,alope,hilltop,!lat(circle one)
.. 5. USE or NELLI ~:/,..e/A/49 DATZI 8-18 -B~
~
'• DOES TlllS WELL REPLACE AN EXISTING WELL?
0 V/$ I . I
,. TOTAL DEPTBI SI RIG TYPE OR METHOD: ------
•• FORMATION SAMPLES COLLECTED: YES NO _ _..X ___ _
9. CASING& Depth Inside Wall thick. type
Dia.
{~3(Zto"lq3 tt_'\ __ 'i._'_
or weight/ft.
// t' SCrl£bvtE 1/0 ~VL
10. GR0111'1 Depth Material Method
Fr01a~to~oq !t __ 3..:...:::S;,..._' _
11. SCREEH1 Depth Dia. Type, Opening
DEPTH FRO-H--TO FORMATION DESCRIPTION
If adcitional space is needed, use Sack of form
From 30 3 to11}_ tt _ _..f _0_1_ £D1Vi1i.l1.1~v~ SL()1 LOCATION SKETCH
(Show dis~ance to nur.bered road■, or other up refereoce points)
12. GRAVEL: Depth Size Material
Fro~to2'i/ ft :t 22
13. ~ATER ZONES (depth): ____________ _
14-STATIC WATER LEVEL1 ___ ft abovetop of casing 'below
casing ia __ ft. above land surface £LEV:
15. YIELD(gpm) :. _____ METHOD OF TESTitlG: ___ _
16. PUMPING WATER LE:VEL1 ______ _:ft.
after ____ .hours at ______ 9p0.
17. CHLORINATIO!l: Type ______ .J.mowit ____ _
18. WATER QUALITY: TI:l·I.PERATUJU: (°FL__
19. PERMANENT PUMP: Date Installed;..__, ______ _
Type _____ capacity _____ (gp) HP __ _
Hake __________ .Intake Depth _____ _
Airline Depth _____ _ MW-I
20. HAS THE owi;ER BEEN PROVIDED A COPY OF THIS RECORD 1-!l0 IIIFOR.".ED OF THE DEPART:it?{TS lttQ:JIR!:!'..!::;rs ,I.ND
RECOMMENDATIONS?
21. Rn'.AIU<S -:------:--:---:----:--:---:----------------------I do hereby certify that this well was constructed in accordance with N.C. ~ell Construction
Regulations and Standards and that this well record is true and exact.
NORTH CAROLINA DE.PARTMENT OF NATURAL RESOURCES & COMMUNITY DEVELOPMENT
WELL RECOr.o DIVISION OF ENVIRONMENTAL MANAGEMENT
· P. 0. Box 27687 -RALEIGH, N.C. 27611 919·733-2020
DRILLING COlrl'AACTOR eZ,,e,f ~ll'/-' /4.:,.;\:-"_,~·/4,u:G. NO. WELL CONSTRUCTION PERMIT NO.
l. WELL LOCATION: (Show sketch of the loation below)-w'.::> D.34U..2.
Nearest Town :._.....::;M..;..;.':4.;..;~=--=•~:..;,;;.;.....,•7--... ~;;....~;;..v_,c..:.;...V.:;..:., Cs....:.· _________ county: ~.,,~//41 6,-,.,,1 :t{/
~~-,--,,----,----._-,-,--,--,-------,-----Ouadr&ng le No. Arr av? vs 6-$' (Road,C0m111unity or Subdivision and Lot No.) /97/
2. OWNER: .:5/4 z1: t:1/ /1',E# y@/,4,/7 DRILLING LOG
3. ADDRESS: DEPTH
4. TOPOGRAPHY: drav,valley,alope,hilltop,flat(circle one)
5. USE OF WE.LL 1 4,,,,,, "z/_,e/#'r DATE: 8 · ,0 • 8 Z.
,. DOES THIS WELL R.tPUC✓AN EXISTING WELL? V/.5,
7. TOTAL DEPTB1 ~7 1
llIG TYPE OR METHOD: ------
8. FOi'.MATION SAMPLES COLLECTED: YES NO >( ---
9. CASING! Depth Inside Wall thick. type
Dia. or weight/ft. Ek
From 32/3 to 2..i3/ ft -f/S/ ~~.:-.//AV,:.'/ 1"~ .,P;,',C.
10. CROUT, Depth Material Method
From.328 tcd~L/ ft -t ~ ",/'
FRO-H--TO FORM>.TION DESCRIPTION
. ·'
#~ ,e~~ LM""~..,,.. ... ;r/2.~«-
it aoditional &pace 1s needed, u&e back ot form
11. SCREEN: Depth Dia. Type, Opening
From 303 to~ft 2.0' e.Avh';./N#v:1, .SIO'?'° LOCATION SK.ETCH
12. GRAVEL: Depth
From3D~ to2.l?,/ ft
Si:z:e
l, 2 I
Material
13. hATtR ZONES (depth): _____________ _
above 14. STATIC WATER LEVEL: __ ft.belowtop of casing
Casing is ft. •bove land surface ELEV:
lS. Yl£LD(gpm)1 METHOD OF TESTING: ___ _
16. PUMPING WATER L!:VEL: _______ ft.
after ____ hours at ______ gpr:1.
17. CHLORIIIATlON: Type ______ 1'rnount ____ _
18. W/,,trt QUI.LIT¥ : _______ TU:PERATURE (°FL_
19. PER:~.NEllT PU:-IP: Date Installed _________ _
Type ______ Capacity _____ (c;pir,) H __ _
~:ilke __________ Intake Depth ____ _
Airline Depth _____ _
(Shov diatance to ou:bered roada, or other aap reference pointa)
MW-Z
20. }'_I\S T!?E c,:-:::.:R 2E£!i Pi;OV1C£D A COP¥ OF ";HIS f.LCORD ;.::o 1:;n:.R."'.:;:O or 'rii£ D::Fr.!1'!1'.£:;;s REOUIRD'.!:1,7S .;!:O
Ri:C0}::1.t!H>I. TlC!IS?
21. REl:J.!'..<S ---------------------------------------I do hereby certify that this well was ccnstructed in ~ccord•~ce with ll.C. ~efl Construction
Regulations and Standards and that this well record is true and exact.
. .. . . . NORTH CAROLINA DEPARTMENT OF NATURAL RESOURCES & COMMUNITY DEVELOPMENT
WELL RECOS:0 DIVISION OF ENVIRONMENTAL MANAGF:;..;c.rH
P. 0. Box 27687 -RALEIGH, N.C. 27611 9\9•733-2020
DRILLING COtrrRACTOP.L!ze'// ~,r' ~,5' REG. NO. WELL CONSTRUCTION PERMIT NO.
1. WELL LOCATION: (Shov sketch of the location belov) ~ ,Y D34 u+
. Nearest 'l'owns,_--=t,v,=,,J.l!'.:::;~:,_;;_y...-,;__:..,.:~,,:;;~.::;./.....,_. M~.:..' .;_~_. ________ ,County: M~6"".,-V L~..v7"'v
Ouadung le No. A/;ll'/./ / V SG,5 . _(_Ro_a_d-,C-0_mm_u_n_i-t.t_J_o_r_S_ub_d_.1_·v-i,..1_.t,...0_n_a_n_d_-Lo_t_N_o_._) ______ . //7/
2. O\<.'NEJli7li ,,£:I-JV / ~ .4°L'..?/4v::t DRILLING LOG
l. ADDJU:SS '----------------,,-------
4. 'tOPOGRAPHY: drav,valley,alope,hilltop,flat(circle one)
s. usE or wm,4,.,.,,kM/-9 DATZr e,-1~• 8Z
5. DOES THIS WELL JtEPw/4 EXISTING WELL? \4',S' • 3a✓ 7 7. TOTAL DEPTB1-~""'•!._;,.,__JUG TYPE OP. HETHODr _____ _
I. fORKATION SAMPLES COLLECTED1 YES NO X
t. CASING1 Depth Inside Wall thick. type
Dia. or weight/ft.
371 ,f/~-,//..&/~ ,'~ /'YC:.
10. CROl1l': Depth Material Method
From32D fo 30f'tt :f i(e I
-----
11. SCREEN: Depth Dia.
Fr01113o3 toze3 ft w'
DEPTH f'RO_H_·_TO FORMATION DESCRIPTION
if additional spAce 11 needea, use back of form
LOCATION SKETCH
Type, Opening
e,~,vT.,A/vDv~ .$Lor (Show distance to nu:hercd rosda, or other up reference points)
___._
12. CAAVEL: Depth Size ~:aterial
Frcm303 to 28/ ft '1 ZZ.
13. WATER zoin:s (depth) : ____________ _
above 14. STATIC WATER LEVEL: __ ft.belowtop of c•sin9
Casing is __ ft. above land surface £LEV:
15. YIELD(gp~)l METHOD OF TtSTING: ___ _
16. PUl'\i'ltlG WATER LEVELi _______ f,t.
after ____ houra at ______ c;ipr.t.
17. CHLORlN,\TlON: Type ______ ~A.a0\:.:1t ____ _
18. t.0AT!:R OUALITYr ______ .,:Tl::•U't!I.ATURE(oF) __
19. PERKb-'-S:llT PCHP: Date Installed __________ _
:: Type_·_.,._. ____ , Capacity _____ (gpm) KP __ _
Kake __________ Intake Depth ____ _
Airline Depth _____ _
3' 20 03
7 er I o oo
MW-4-
20. HAS THE OWt,i:R BE.E::1 PROVICED A Cvi'Y OF THIS RECOl'.D /..HO 11;,Qp_v.zo Of ";Ht OtPhR'TY.r::TS RE:QUiiU:HF.STS 1-.1:0
R!:COl' .. -U:HDAT I 0~ S?
21. REKAN<S -:-----:-=--~-~---=----------_:_ _________ _
I de hereby certify th~t this ~ell was constructed in acccrd~ncc ~ith N.C. ~ell ccnstr~ction
Regulations and Sta~dards and that this ~ell recor~ is true and exact.
LOCKING PROTECTIVE COVER -------
-,
2.5' -!
2.0'
3.5'-
VARIES
SEE TABLE 3.1
10'
SCALE : NOT TO SCALE
4
Ll
q
q
4
4
<1
4
q
----ALUMINUM PROTECTIVE COVER
----CONCRETE PAD (2' X 2')
------2" OR 4" STAINLESS STEEL
PIPE (SCHEDULE 5)
NEAT CEMENT GROUT
6" TO 8" NOMINAL BOREHOLE
BENTONITE SEAL
------2" OR 4" STAINLESS STEEL
SCREEN WITH 0.01 O"
V-SHAPED WIRE WRAP
---------#2 SILICA SAND FILTER PACK
JEJ1!f' .,& Environmental Corwuttanta
BantN, ,ar1and and AaaoalatH, Ina. GENERALIZED MONITORING WELL DESIGN
L._ ___________________ ~ ~
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F.O. 60~ 2'::3 • R~ .. i~!':. N.C. 27625-CC5
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Well C0NSTRUCTIO~-r?.ECOF.D
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W?:Ll CONSTRUCTIO~· R!:COR.D
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C:WAO. f,.;C ______ 6;;:.!).L., NC. _____ _
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WELL CONSTRUCTION· RECORD
o;;:LLING COH"lr.ACTOR: S,413 /)/9-CC. 0
c;:.:;LU:R F.EGIST~Tl0H NUM3En: /0 ;i._,_ I
STAT:. WELL CONSTnt.!CTlOH
F::=iMfT NUME:R:
1. W=LL LOCATICN: (S~cw sl-<etc..D. c~ u'j: -lccaticr, b::cw)
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W~LL CONSTRUcnor; R::CO~.:>
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Ml:':ct Su!f\ ________ ._, ___ ,,_ ___ _
Su::: Ccu _______ ;-'------------
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STAT:: WELL CC·NSTnt!CTlOH
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1. \V~~I_ LOCATION: (S~cw s:<:.e?'7Q c$ !c-c2ticr, b~lcw}
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WELL CONSTRUCTION"?.ECOF.D
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STA~ WE.LL CONSTRl!CTtOH
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