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Home My WebLink AboutMO-28756_47989_C_NRP_20231024_NRP for Speedway 7993 AECOM 704.522.0330 tel 6000 Fairview Road, Suite 200 Charlotte, North Carolina 28210 October 24, 2023 Mr. Ryan Mills North Carolina Department of Environmental Quality UST Section-Mooresville Regional Office 610 East Center Avenue, Suite 301 Mooresville, North Carolina 28115 AECOM Project #: 60690452 Subject: Notice of Residual Petroleum, Public Notice and Monitoring Well Abandonment Letter Speedway #7993 1702 US Highway 52 North Albemarle, North Carolina Stanly County Incident Number: 47989 Dear Mr. Mills: Please see attached Notice of Residual Petroleum, Public Notice letters, monitoring well abandonment form and photos associated with monitoring well MW-1 abandonment in response to incident closure activities. Should you have any questions concerning these activities please contact Nicole Long with AECOM at 704-522-0330. Sincerely, Nicole Long Marie Treiber Project Manager Regional Senior Project Manager Nicole.Long@aecom.com Marie.Treiber@aecom.com 10/23/23, 12:51 PM USPS.com® - USPS Tracking® Results https://tools.usps.com/go/TrackConfirmAction?tRef=fullpage&tLc=8&text28777=&tLabels=70203160000040197369%2C70223330000067337729%2…1/5 USPS Tracking FAQs ® See Less  Tracking Number: 70203160000040197369 Copy Add to Informed Delivery (https://informeddelivery.usps.com/) Latest Update Your item was picked up at the post office at 10:29 am on September 19, 2023 in ALBEMARLE, NC 28001. Get More Out of USPS Tracking: USPS Tracking Plus® See All Tracking History What Do USPS Tracking Statuses Mean? (https://faq.usps.com/s/article/Where-is-my-package) Delivered Delivered, Individual Picked Up at Post Office ALBEMARLE, NC 28001 September 19, 2023, 10:29 am Text & Email Updates  USPS Tracking Plus® Product Information  Tracking Number: 70223330000067337729 Remove  Remove  Fe e d b a c k 10/23/23, 12:51 PM USPS.com® - USPS Tracking® Results https://tools.usps.com/go/TrackConfirmAction?tRef=fullpage&tLc=8&text28777=&tLabels=70203160000040197369%2C70223330000067337729%2…2/5 See More  Copy Add to Informed Delivery (https://informeddelivery.usps.com/) Latest Update Your item was delivered to an individual at the address at 11:49 am on September 18, 2023 in ALBEMARLE, NC 28001. Get More Out of USPS Tracking: USPS Tracking Plus® See All Tracking History What Do USPS Tracking Statuses Mean? (https://faq.usps.com/s/article/Where-is-my-package) Delivered Delivered, Left with Individual ALBEMARLE, NC 28001 September 18, 2023, 11:49 am See More  Tracking Number: 70223330000067337705 Copy Add to Informed Delivery (https://informeddelivery.usps.com/) Latest Update Your item was picked up at the post office at 3:39 pm on September 18, 2023 in ALBEMARLE, NC 28001. Get More Out of USPS Tracking: USPS Tracking Plus® See All Tracking History What Do USPS Tracking Statuses Mean? (https://faq.usps.com/s/article/Where-is-my-package) Delivered Delivered, Individual Picked Up at Post Office ALBEMARLE, NC 28001 September 18, 2023, 3:39 pm Remove  10/23/23, 12:51 PM USPS.com® - USPS Tracking® Results https://tools.usps.com/go/TrackConfirmAction?tRef=fullpage&tLc=8&text28777=&tLabels=70203160000040197369%2C70223330000067337729%2…3/5 See More  Tracking Number: 70223330000067337699 Copy Add to Informed Delivery (https://informeddelivery.usps.com/) Latest Update USPS is now in possession of your item as of 4:36 pm on September 15, 2023 in FORT MILL, SC 29707. Get More Out of USPS Tracking: USPS Tracking Plus® Delivered Out for Delivery Preparing for Delivery In Transit What Do USPS Tracking Statuses Mean? (https://faq.usps.com/s/article/Where-is-my-package) Accepted USPS in possession of item FORT MILL, SC 29707 September 15, 2023, 4:36 pm Tracking Number: 70223330000067337675 Copy Add to Informed Delivery (https://informeddelivery.usps.com/) Latest Update Your item was picked up at the post office at 3:39 pm on September 18, 2023 in ALBEMARLE, NC 28001. Get More Out of USPS Tracking: Remove  Remove  10/23/23, 12:51 PM USPS.com® - USPS Tracking® Results https://tools.usps.com/go/TrackConfirmAction?tRef=fullpage&tLc=8&text28777=&tLabels=70203160000040197369%2C70223330000067337729%2…4/5 See More  USPS Tracking Plus® See All Tracking History What Do USPS Tracking Statuses Mean? (https://faq.usps.com/s/article/Where-is-my-package) Delivered Delivered, Individual Picked Up at Post Office ALBEMARLE, NC 28001 September 18, 2023, 3:39 pm See Less  Tracking Number: 70223330000067337712 Copy Add to Informed Delivery (https://informeddelivery.usps.com/) Latest Update Your item was delivered to an individual at the address at 3:29 pm on September 26, 2023 in WINSTON SALEM, NC 27104. Get More Out of USPS Tracking: USPS Tracking Plus® See All Tracking History What Do USPS Tracking Statuses Mean? (https://faq.usps.com/s/article/Where-is-my-package) Delivered Delivered, Left with Individual WINSTON SALEM, NC 27104 September 26, 2023, 3:29 pm Text & Email Updates  USPS Tracking Plus® Product Information  Remove  10/23/23, 12:51 PM USPS.com® - USPS Tracking® Results https://tools.usps.com/go/TrackConfirmAction?tRef=fullpage&tLc=8&text28777=&tLabels=70203160000040197369%2C70223330000067337729%2…5/5 Track Another Package Need More Help? Contact USPS Tracking support for further assistance. FAQs Enter tracking or barcode numbers WELL ABANDONMENT RECORD Form GW-30 North Carolina Department of Environmental Quality - Division of Water Resources Revised 2-22-2016 1. Well Contractor Information: Well Contractor Name (or well owner personally abandoning well on his/her property) NC Well Contractor Certification Number Company Name 2. Well Construction Permit #: List all applicable well construction permits (i.e. UIC, County, State, Variance, etc.) if known 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 7g) 4. Date well(s) abandoned: 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 CONSTRUCTION DETAILS OF WELL(S) BEING ABANDONED Attach well construction record(s) if available. For multiple injection or non-water supply wells ONLY with the same construction/abandonment, you can submit one form. 6a. Well ID#: 6b. Total well depth: (ft.) 6c. Borehole diameter: (in.) 6d. Water level below ground surface: (ft.) 6e. Outer casing length (if known): (ft.) 6f. Inner casing/tubing length (if known): (ft.) 6g. Screen length (if known): (ft.) WELL ABANDONMENT DETAILS 7a. For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same well construction/depth, only 1 GW-30 is needed. Indicate TOTAL NUMBER of wells abandoned: 7b. Approximate volume of water remaining in well(s): (gal.) FOR WATER SUPPLY WELLS ONLY: 7c. Type of disinfectant used: 7d. Amount of disinfectant used: 7e. Sealing materials used (check all that apply): Neat Cement Grout Bentonite Chips or Pellets Sand Cement Grout Dry Clay Concrete Grout Drill Cuttings Specialty Grout Gravel Bentonite Slurry Other (explain under 7g) 7f. For each material selected above, provide amount of materials used: 7g. Provide a brief description of the abandonment procedure: 8. Certification: Signature of Certified Well Contractor or Well Owner Date By signing this form, I hereby certify that the well(s) was (were) abandoned in accordance with 15A NCAC 02C .0100 or 2C .0200 Well Construction Standards and that a copy of this record has been provided to the well owner. 9. Site diagram or additional well details: You may use the back of this page to provide additional well site details or well abandonment details. You may also attach additional pages if necessary. SUBMITTAL INSTRUCTIONS 10a. For All Wells: Submit this form within 30 days of completion of well abandonment to the following: Division of Water Resources, Information Processing Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617 10b. For Injection Wells: In addition to sending the form to the address in 10a above, also submit one copy of this form within 30 days of completion of well abandonment to the following: Division of Water Resources, Underground Injection Control Program, 1636 Mail Service Center, Raleigh, NC 27699-1636 10c. For Water Supply & Injection Wells: In addition to sending the form to the address(es) above, also submit one copy of this form within 30 days of completion of well abandonment to the county health department of the county where abandoned. For Internal Use ONLY: Frank Beecher 3225-A N/A 2.28 AECOM N/A N/A N/A Bentonite Chips @ 32 lbs Water less then a gal 10.05.2023 Slowly added Bentonite chips and water while measuring to ensure a bridge does not happen. Speedway 7993 0-033037 1702 US Highway 52 N. Albemarle, NC 10.12.2023 Stanley 6549-0146-4298 35.3825670 80.1928240 MW-1 20.0 2.0 6.01 NA Unknown Unknown