HomeMy WebLinkAbout21012_Spring Ford_Phase II ESA_20170127
January 27, 2017
BB&T
Environmental Risk Management
5130 Parkway Plaza Boulevard
Charlotte, NC 28217
Re: Phase II Environmental Site Assessment
Old Well B2 LLC
2349 Plastics Drive
Gastonia, North Carolina
Consultant Project Number: BBT-289
BB&T Environmental ID:
OMS-226731- Report # 1
1.0 Executive Summary
This report presents the methods and results of a Phase II Environmental Site Assessment (ESA)
conducted by Hart & Hickman, PC (H&H) at the former Spring Ford Knitting Company property
located at 2349 Plastics Drive in Gastonia, Gaston County, North Carolina (Site). A Site
Location Map is provided as Figure 1.
H&H recently completed a Phase I Environmental Site Assessment (ESA) on the Site and
identified the following recognized environmental condition (REC):
• The facility was previously used for textile knitting and dyeing from the early 1970s
to late 1990s. A lined wastewater lagoon was constructed in the early 1990s in the
southeastern portion of the Site. The wastewater lagoon reportedly received
wastewater from dyeing operations, which was allowed to cool in the lagoon prior to
discharge to the municipal sanitary sewer. The lagoon also reportedly received fluids
from the floor drains located throughout the Site. There are two existing groundwater
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monitoring wells located south and topographically downgradient of the wastewater
lagoon. H&H was not provided information about the purpose of the wells or data for
the wells. In addition, groundwater samples collected on the adjacent property to the
south in 1992 indicated the presence of the metals chromium, lead, and beryllium
above North Carolina groundwater standards. The report of that sampling indicated
that the presence of metals may be associated with naturally occurring metals or
potentially with several nearby textile facilities, including the subject Site. H&H
considered the potential for soil and/or groundwater impact from historical textile
knitting and dyeing operations, including the wastewater lagoon, to be a REC.
H&H conducted Phase II ESA activities on January 13, 2017 to evaluate the potential for impact
to the Site from historic textile knitting and dyeing operations. The assessment activities
included advancing four soil borings, collecting soil samples from the four borings for laboratory
analysis, converting one of the borings into a temporary monitoring well, installing one
additional temporary monitoring well, and sampling the temporary monitoring wells and two
existing monitoring wells for laboratory analysis.
The results of analysis of the soil samples indicated that no volatile organic compounds (VOCs)
were detected and metals concentrations in the potential areas of concern are consistent with
Site-specific and published regional background levels.
Results of analysis of the groundwater samples indicated that the VOC chloroform was detected
in existing monitoring well MW-2 at a concentration of 2.6 µg/L, which is well below the North
Carolina groundwater standard of 70 µg/L. No other VOCs were detected in any of the
groundwater samples. The results of the metals analysis indicate that metals concentrations are
consistent with Site-specific background levels, with the exception of an elevated manganese
detection in existing monitoring well MW-2 (1,600 µg/L) which is located south and
topographically downgradient of the wastewater lagoon. The elevated manganese detection in
MW-2 exceeds both the North Carolina groundwater standard of 50 µg/L and the Site-specific
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background concentration of 390 µg/L. Turbidity of the sample from MW-2 was less than 10
NTU indicating that the elevated level of manganese is not likely associated with suspended
sediment in the sample. However, the pH of the MW-2 sample and adjacent well MW-1 (also
located downgradient of the lagoon) were low and in the range of 4.5 versus the background
level of 5.5 and the level downgradient of the building of 5.8. In addition, dissolved oxygen
concentrations were lower in groundwater in MW-1 and MW-2 as compared to the other Site
wells. The presence of lower pH and lower dissolved oxygen concentrations can lead to
mobilization of naturally occurring manganese in aquifer sediment. Although the source of the
manganese is not conclusively known, it is possible that acidic wastewater discharged to the
lagoon may have created low pH and low dissolved oxygen conditions which mobilized naturally
occurring manganese in the aquifer. It is also possible that naturally occurring low pH conditions
may be present in this area of Site.
2.0 Property Description & Background
The Site consists of one parcel that is 9.48 acres in area and is developed with a one-story to
three-story manufacturing and warehouse building totaling approximately 140,000 sq ft, a
portion of which is leased as warehouse space. The majority of the Site building is one story;
lower levels are present in the western and the southeastern portions of the Site building, and an
elevated former dye storage room is present in the southeastern portion of the Site building. The
remainder of the Site contains asphalt paved parking areas, concrete sidewalks, a wastewater
lagoon, and landscaped areas.
The Site was used for residential purposes from prior to 1938 until the mid-1960s to early 1970s.
Portions of the current Site building were constructed in approximately 1972 and were occupied
by various textile manufacturers (Adventure Knits, James River Knits, Modern Globe, RP
Sportswear, Bassett-Walker, and Spring Ford Knitting) until the late 1990s. Since 2003, the Site
has been owned by the current owner Benmar Properties, LLC. Since the late 1990s, the Site
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building has been leased for warehousing purposes. A Site Location Map is provided as Figure
1, and a Site Map is provided as Figure 2.
3.0 Phase II Scope of Work
3.1 Utility Clearance
Prior to conducting soil and groundwater sampling activities, H&H contacted North Carolina
One-Call, the state public utility locator to mark subsurface utilities located on the Site. In
addition, Sweetwater Utility Locating (Sweetwater) of Statesville, North Carolina, a private
utility locater, was contracted to locate and demark subsurface utilities in the area of the soil
borings and temporary well. As an additional safety precaution, each boring was initially
advanced using a hand auger to a depth of five feet below ground surface (bgs) to clear the
boring of possible undocumented subsurface utility lines.
3.2 Sampling Activities
The Phase II ESA was conducted on January 13, 2017 and included the collection of soil and
groundwater samples at the Site. The methods and results of the assessment activities are
provided below.
Soil Sampling
H&H utilized Carolina Soil Investigations (CSI) of Olin, North Carolina to advance four soil
borings using a Geoprobe® direct-push technology (DPT) drill rig and hand auger methods.
During boring advancement, soil samples were field screened for the presence of odor, staining,
and elevated photoionization detector (PID) readings. Soil boring logs are included in Appendix
A. A summary of soil sample locations and analyses is presented below.
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• SB-1 and SB-2 were advanced within close proximity (2-3 ft) of the effluent side of the
trench drains located in the eastern portion of the Site building to depths of approximately
5 ft below ground surface (bgs). Based upon low PID readings (<1.0 ppm) and lack of
evidence of impacts, soil samples were collected from the estimated depth of the base of
effluent piping and submitted for laboratory analysis of volatile organic compounds
(VOCs) by EPA Method 8260 and Hazardous Substance List (HSL) metals plus
hexavalent chromium by EPA Methods 6020/7471/7196.
• SB-3 was advanced in the southeastern portion of the Site building beneath the former
dye storage area, downgradient of an aboveground storage tank (AST) containment basin,
and near the effluent side of a trench drain. No obvious evidence of impact or elevated
PID readings was observed in the collected soil samples from the boring. Therefore,
H&H collected a soil sample from the estimated depth of the base of effluent piping for
laboratory analysis of VOCs by EPA Method 8260 and HSL metals plus hexavalent
chromium by EPA Methods 6020/7471/7196.
• A background soil boring (BK-1) was advanced in the northern portion of the Site in an
area that does not appear to have impacted by historical operations to evaluate Site-
specific background concentrations of naturally occurring metals in soil for comparison to
those detected in soil borings SB-1 through SB-3. A composite soil sample was collected
from the 4 to 6 ft bgs interval and submitted for laboratory of HSL metals plus hexavalent
chromium by EPA Methods 6020/7471/7196.
Soil samples were collected into laboratory-supplied containers, which were then sealed, labeled,
placed into a laboratory-supplied sample cooler, and covered with ice. The cooler was shipped
under standard chain-of-custody protocol to Con-Test Analytical Laboratory (Con-Test), a North
Carolina-certified analytical laboratory.
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Groundwater Sampling
Under the direction of H&H, two temporary monitoring wells (TW-1 and BK-1) were installed
by CSI using a Geoprobe® DPT drill rig and hand auger methods. Subsequent groundwater
samples were collected and submitted for laboratory analysis from the two temporary monitoring
wells and from the two existing permanent monitoring wells. The locations and sample analyses
are summarized as follows:
Monitoring Well and Groundwater Analyses
Area of Concern / Proposed
Sample Location Well ID Total Boring Depth (ft)
VOCs by
EPA
Method
8260
HSL Metals by
EPA Methods
6020/7471
Downgradient of the former mill
building TW-1 40 X X
Background BK-1 45 X
Downgradient of the wastewater
lagoon (existing wells) MW-1 & MW-2 -- X X
Notes:
VOC = Volatile Organic Compounds HSL = Hazardous Substance List
-- = Not Applicable
TW-1 and BK-1 were constructed with 10 ft of one-inch diameter machine slotted PVC screen
set to bracket the water table and 30 to 35 ft of one-inch diameter well riser. Filter sand was
placed in the annulus space between the borehole and the well screen to approximately two ft
above the screen interval. A two ft hydrated bentonite seal was then placed on top of the filter
sand.
H&H measured the static depth to groundwater relative to the top of casing elevation in both the
temporary and existing permanent monitoring wells. For reference, the existing wells were
designated as wells MW-1 and MW-2 as shown in Figure 2. The depth-to-water (DTW)
measurements in the wells ranged from approximately 27 ft bgs in MW-2 to 41 ft bgs in BK-1.
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The monitoring wells were developed by purging a minimum of three well volumes. After a
minimum of three well volumes were purged, development was considered complete when field
parameters of temperature, pH, conductivity, oxidation reduction potential (ORP) stabilized, and
turbidity was less than or near 10 NTU.
Following well purging, groundwater samples were collected utilizing laboratory-supplied
containers. The containers were then sealed, labeled, placed into laboratory-supplied sample
coolers, and covered with ice. The coolers were shipped under standard chain-of-custody
protocols to Con-Test. The groundwater samples were submitted for analysis of VOCs by EPA
Method 8260 (except BK-1) and HSL metals by EPA Methods 6020/7471.
3.3 Boring Abandonment and Investigation Derived Waste
Upon completion of the soil and groundwater sampling activities, H&H directed CSI to abandon
the temporary monitoring wells and soil borings by removing well screen materials, filling the
soil borings with hydrated bentonite and/or grout, and patching the surfaces to match the
surrounding area. Because no evidence of significant impacts were observed, soil cuttings and
groundwater generated during soil and groundwater assessment activities were spread on-site in
accordance with North Carolina Department of Environmental Quality (DEQ) guidance.
3.4 QA/QC Process
H&H utilized standard quality assurance/quality control (QA/QC) processes during the Phase II
ESA activities. Non-dedicated sampling equipment, including DPT tooling, the water level
meter, and the hand auger, were decontaminated using Liquinox® detergent and deionized water
prior to and between each sampling location. H&H and CSI wore nitrile gloves while handling
samples, and the groundwater samples were collected using a dedicated bailer or tubing. Soil
and groundwater samples were collected in laboratory-provided containers and placed on ice
immediately after collection. A completed chain-of-custody (COC) record accompanied the
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samples and included the sample designation, date and time collected, matrix, sample container
information, and requested analyses.
4.0 Site-Specific Topography, Geology, & Hydrogeology
4.1 Topography
The elevation of the Site is between approximately 780 and 800 feet above mean sea level. The
northeastern Site boundary is on a topographic high. An intermittent tributary of Duharts Creek
is located along the western and southern Site boundaries. Duharts Creek is located
approximately 750 ft southeast of the Site. An area topographic map is included as Figure 1.
4.2 Geology and Hydrogeology
Regional Geology and Hydrogeology
The Gastonia area, including the Site, is located in the Piedmont Physiographic Province of
North Carolina. The Piedmont region consists of low, rounded hills and long, rolling, northeast-
southwest trending ridges.
The region is underlain by rock types that are primarily metamorphosed quartz diorite. In the
Piedmont, the crystalline bedrock is overlain by a mantle of weathered rock termed saprolite or
residuum. The saprolite consists of unconsolidated clay, silt, and sand with lesser amounts of
rock fragments. Due to the range of parent rock types and their variable susceptibility to
weathering, the saprolite ranges widely in color, texture, and thickness. Generally, the saprolite
is thickest near interstream divides and thins toward stream beds. In profile, the saprolite
normally grades from clayey soils near the land surface to highly weathered rock above
competent bedrock.
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The occurrence and movement of groundwater in the Piedmont is typically within two separate
but interconnected water-bearing zones. A shallow water-bearing zone occurs within the
saprolite, and a deeper water-bearing zone occurs within the underlying bedrock. Groundwater
in the shallow saprolite zone occurs in the interstitial pore spaces between the grains comprising
the saprolite soils. Groundwater in this zone is typically under water table or unconfined
conditions. In general, groundwater migrates laterally from recharge areas to small streams that
serve as localized discharge points.
The occurrence and movement of groundwater in the underlying water-bearing zone within the
crystalline bedrock is controlled by secondary joints, fractures, faults, and dikes within the
bedrock. On a regional scale, the direction of groundwater flow is typically from uplands to
major streams and groundwater sinks. The saprolite has a higher porosity than the bedrock and
serves as a reservoir that supplies water to a network of fractures in the bedrock.
Site Geology and Hydrogeology
The shallow soil at Site consists primarily of silts and clays to the maximum depth of sampling
of approximately 45 ft bgs. Bedrock was not encountered during drilling activities. Depth to
groundwater at the Site ranged from approximately 41 ft bgs in the northern portion of the Site to
approximately 27 ft bgs in the southeastern portion of the Site.
5.0 Analytical Laboratory Results
The results of analyses of the soil samples are summarized in Table 1, the results of analyses of
the groundwater samples are summarized in Table 2, and the groundwater field measurements
are summarized in Table 3. Laboratory analytical data reports and chain-of-custody records are
included as Appendix B.
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Soil
Laboratory analytical results indicate VOCs were not detected in any of the soil samples at
concentrations exceeding laboratory reporting limits. The results of the metals analysis indicate
that the metals arsenic (in SB-1), manganese (in SB-3), and thallium (in SB-1 and SB-3) and
were detected slightly above the Site-specific background concentration and above DEQ
Preliminary Soil Remediation Goals (PSRGs). However, the detected metals concentrations are
within the range of published regional background levels for North Carolina soil. Given that
only one Site-specific background sample was collected, metals concentrations are within the
range of typical regional background levels, and our experience, the detected arsenic, manganese,
and thallium concentrations appear to be naturally occurring.
Groundwater
Results of analysis of the groundwater samples indicate that the VOC chloroform was detected in
existing monitoring well MW-2 at a concentration of 2.6 µg/L, which is well below the North
Carolina groundwater standard of 70 µg/L. No other VOCs were detected in any of the
groundwater samples at concentrations exceeding laboratory reporting limits.
The results of the metals analysis of the groundwater samples indicate that metals concentrations
are consistent with Site-specific background levels and below the North Carolina groundwater
standards except for manganese in well MW-2. MW-2 is located downgradient and south of the
former wastewater lagoon. Manganese was detected in background well BK-1 at a concentration
of 390 µg/L. Manganese was detected in temporary well TW-1 at a concentration of 310 µg/L,
and in the existing monitoring wells MW-1 and MW-2 at concentrations of 340 µg/L and 1,600
µg/L, respectively. The manganese detections in TW-1 and MW-1 are above the North Carolina
groundwater standard of 50 µg/L, but are below the Site-specific background concentration of
390 µg/L. The manganese detection in MW-2 exceeds both the North Carolina groundwater
standard of 50 µg/L and the Site-specific background concentration of 390 µg/L. As indicated in
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Tables 2 and 3, turbidity was low in all of the groundwater samples including MW-2 (turbidity of
2.03 NTU); therefore, it is unlikely that the elevated manganese concentration in MW-2 is
associated with suspended sediment in the sample.
As discussed in Section 3.2 above, field measurements of temperature, pH, conductivity and
ORP were collected during the groundwater sampling event. A review of the field parameters
indicates that pH in well MW-2 and adjacent well MW-1 located south of the lagoon were in the
range of 4.5 to 4.6 and lower than the pH measured in background well BK-1 (5.5) and the well
downgradient of the building TW-1 (5.8). In addition, dissolved oxygen levels in MW-1 and
MW-2 (0.75 mg/L to 1.75 mg/L) were lower than those measured in BK-1 (5.23 mg/L) and TW-
1 (4.33 mg/L). Manganese solubility increases under acidic (low pH) and low dissolved oxygen
conditions. Although the source of the manganese is not conclusively known, it is possible that
acidic and other wastewater discharged to the lagoon may have created low pH and low dissolved
oxygen conditions which mobilized naturally occurring manganese in the aquifer near the lagoon.
It is also possible that naturally occurring low pH conditions and low dissolved oxygen
conditions may be present in this area of Site which have resulted in elevated manganese
concentrations.
6.0 Findings
H&H conducted Phase II ESA activities at the Site to assess the potential for impact from
historic textile knitting and dyeing operations, including the wastewater lagoon. The results of
the assessment activities indicate the following:
• No significant soil impacts were identified in the potential areas of concern at the Site.
• No VOCs were detected in any of the groundwater samples at concentrations exceeding
North Carolina groundwater standards.
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• The results of the metals analysis indicate that metals concentrations are consistent with
Site-specific background levels, with the exception of manganese in existing monitoring
well MW-2 (1,600 µg/L) located downgradient of the wastewater lagoon. The
manganese detection in MW-2 exceeds both the North Carolina groundwater standard of
50 µg/L and the Site-specific background concentration of 390 µg/L. Although the source
of the manganese is not conclusively known, it is possible that acidic and other
wastewater discharged to the lagoon may have created low pH and low dissolved oxygen
conditions which mobilized naturally occurring manganese in the aquifer. It is also
possible that naturally occurring low pH conditions and low dissolved oxygen conditions
may be present in this area of Site.
Thank you for the opportunity to assist with this project. Should you have any questions or
require any additional information concerning this report, please feel free to contact us at
(704) 586-0007.
Sincerely,
Hart & Hickman, PC
Signatures of Environmental Professionals
Brett Lawrence
Project Geologist
Steven C. Hart, PG
Principal Hydrogeologist
National Account Manager
Attachments: Table 1: Summary of Soil Analytical Results
Table 2: Summary of Groundwater Analytical Results
Table 3: Summary of Groundwater Field Parameters
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Figure 1: Site Location Map
Figure 2: Site Map
Appendix A: Soil Boring Logs
Appendix B: Laboratory Analytical Data Report
Appendix C: Well Construction/Abandonment Records
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2
0
1
7
7
4
Ch
r
o
m
i
u
m
(
T
o
t
a
l
)
N
S
N
S
N
S
7.
0
-
3
0
0
6
5
39
3
4
1
6
1
8
He
x
a
v
a
l
e
n
t
C
h
r
o
m
i
u
m
3.
8
0
.
3
6
.
3
N
S
N
S
<0.28
<
0
.
3
0
<
0
.
2
9
<
0
.
7
1
Tr
i
v
a
l
e
n
t
C
h
r
o
m
i
u
m
*
*
36
0
,
0
0
0
2
4
,
0
0
0
1
0
0
,
0
0
0
NS
N
S
3
9
3
4
1
6
1
8
No
t
e
s
:
1)
N
o
r
t
h
C
a
r
o
l
i
n
a
D
e
p
a
r
t
m
e
n
t
o
f
E
n
v
i
r
o
n
m
e
n
t
a
l
Q
u
a
l
i
t
y
(
D
E
Q
)
I
n
a
c
t
i
v
e
H
a
z
a
r
d
o
u
s
S
i
t
e
s
B
r
a
n
c
h
(
I
H
S
B
)
P
r
e
l
i
m
i
n
a
r
y
S
o
i
l
R
e
m
e
d
i
a
t
i
o
n
G
o
a
l
s
(
P
S
R
G
s
)
(
A
p
r
i
l
2
0
1
6
)
2)
R
a
n
g
e
a
n
d
m
e
a
n
v
a
l
u
e
s
o
f
b
a
c
k
g
r
o
u
n
d
m
e
t
a
l
s
f
o
r
N
o
r
t
h
C
a
r
o
l
i
n
a
s
o
i
l
s
t
a
k
e
n
f
r
o
m
El
e
m
e
n
t
s
i
n
No
r
t
h
A
m
e
r
i
c
a
n
S
o
i
l
s
b
y
D
r
a
g
u
n
a
n
d
C
h
e
k
i
r
i
,
2
0
0
5
*
=
R
a
n
g
e
a
n
d
m
e
a
n
v
a
l
u
e
s
o
f
b
a
c
k
g
r
o
u
n
d
m
e
t
a
l
s
f
o
r
S
o
u
t
h
e
a
s
t
e
r
n
U
S
A
s
o
i
l
s
**
=
T
o
t
a
l
C
h
r
o
m
i
u
m
-
H
e
x
a
v
a
l
e
n
t
C
h
r
o
m
i
u
m
=
T
r
i
v
a
l
e
n
t
C
h
r
o
m
i
u
m
So
i
l
c
o
n
c
e
n
t
r
a
t
i
o
n
s
a
r
e
r
e
p
o
r
t
e
d
i
n
m
i
l
l
i
g
r
a
m
s
p
e
r
k
i
l
o
g
r
a
m
(
m
g
/
k
g
)
La
b
o
r
a
t
o
r
y
a
n
a
l
y
t
i
c
a
l
m
e
t
h
o
d
s
a
r
e
s
h
o
w
n
i
n
p
a
r
e
n
t
h
e
s
e
s
ND
=
N
o
t
D
e
t
e
c
t
e
d
;
V
O
C
s
=
V
o
l
a
t
i
l
e
O
r
g
a
n
i
c
C
o
m
p
o
u
n
d
s
NA
=
N
o
t
A
n
a
l
y
z
e
d
;
N
S
=
N
o
t
S
p
e
c
i
f
i
e
d
;
-
-
=
N
o
t
A
p
p
l
i
c
a
b
l
e
Soil Borings
In
d
u
s
t
r
i
a
l
PS
R
G
s
(1
)
(m
g
/
k
g
)
Re
g
i
o
n
a
l
B
a
c
k
g
r
o
u
n
d
Me
t
a
l
s
i
n
S
o
i
l
(2
)
Ba
c
k
g
r
o
u
n
d
Sc
r
e
e
n
i
n
g
C
r
i
t
e
r
i
a
Pr
o
t
e
c
t
i
o
n
o
f
Gr
o
u
n
d
w
a
t
e
r
PS
R
G
s
(1
)
(m
g
/
k
g
)
Re
s
i
d
e
n
t
i
a
l
PS
R
G
s
(1
)
(m
g
/
k
g
)
S:\
A
A
A
-
M
a
s
t
e
r
P
r
o
j
e
c
t
s
\
B
B
&
T
\
B
B
T
-
2
8
9
O
l
d
W
e
l
l
B
2
L
L
C
P
h
I
I
E
S
A
(
O
M
S
-
2
2
6
7
3
1
-
R
1
)
\
T
a
b
l
e
s
\
A
n
a
l
y
t
i
c
a
l
D
a
t
a
T
a
b
l
e
s
1/
2
7
/
2
0
1
7
Table 1 (Page 1 of 1)Hart & Hickman, PC
Ta
b
l
e
2
P
a
g
e
(
1
o
f
1
)
Su
m
m
a
r
y
o
f
G
r
o
u
n
d
w
a
t
e
r
A
n
a
l
y
t
i
c
a
l
R
e
s
u
l
t
s
Ol
d
W
e
l
l
B
2
L
L
C
OM
S
-
2
2
6
7
3
1
-
R
e
p
o
r
t
#
1
Ga
s
t
o
n
i
a
,
N
o
r
t
h
C
a
r
o
l
i
n
a
H&
H
J
o
b
N
o
.
B
B
T
-
2
8
9
Lo
c
a
t
i
o
n
Ba
c
k
g
r
o
u
n
d
Do
w
n
g
r
a
d
i
e
n
t
o
f
Fo
r
m
e
r
M
i
l
l
Bu
i
l
d
i
n
g
Sa
m
p
l
e
I
D
BK
-
1
(2
)
TW
-
1
(2
)
MW
-
1
(3)MW-2 (3)
Da
t
e
1/
1
3
/
2
0
1
7
1
/
1
3
/
2
0
1
7
1
/
1
3
/
2
0
1
7
1
/
1
3
/
2
0
1
7
VO
C
s
(
8
2
6
0
B
)
µ
g/
L
Ch
l
o
r
o
f
o
r
m
7
0
N
A
<2
.
0
<
2
.
0
2.6
Me
t
a
l
s
(
6
0
2
0
/
7
4
7
1
)
µ
g
/
L
An
t
i
m
o
n
y
1 (4
)
<2
.
0
<
2
.
0
<
2
.
0
<
2
.
0
Ar
s
e
n
i
c
10
<0
.
8
0
<
0
.
8
0
<
0
.
8
0
<
0
.
8
0
Be
r
y
l
l
i
u
m
4 (4
)
<0
.
8
0
<
0
.
8
0
<
0
.
8
0
<
0
.
8
0
Ca
d
m
i
u
m
2
<1
.
0
<
1
.
0
<
1
.
0
<
1
.
0
Ch
r
o
m
i
u
m
(
T
o
t
a
l
)
10
9.
6
5
.
6
<2
.
0
<
2
.
0
Co
p
p
e
r
1,
0
0
0
41
2
5
<1
0
<
1
0
Le
a
d
15
<2
.
0
6.
2
<2
.
0
<
2
.
0
Ma
n
g
a
n
e
s
e
50
39
0
3
1
0
3
4
0
1,600
Me
r
c
u
r
y
1
<0
.
1
0
<
0
.
1
0
0.
1
2
<0.10
Ni
c
k
e
l
10
0
<1
0
<
1
0
<
1
0
<
1
0
Se
l
e
n
i
u
m
20
<1
0
<
1
0
<
1
0
<
1
0
Si
l
v
e
r
20
<1
.
0
<
1
.
0
<
1
.
0
<
1
.
0
Th
a
l
l
i
u
m
0.
2
(4
)
<0
.
4
0
<
0
.
4
0
<
0
.
4
0
<
0
.
4
0
Zi
n
c
1,
0
0
0
69
4
5
2
9
2
2
Tu
r
b
i
d
i
t
y
(
N
T
U
)
-
-
9
.
1
0
1
5
.
3
5
.
2
9
2
.
0
3
No
t
e
s
:
1)
1
5
A
N
o
r
t
h
C
a
r
o
l
i
n
a
A
d
m
i
n
i
s
t
r
a
t
i
v
e
C
o
d
e
(
N
C
A
C
)
0
2
L
G
r
o
u
n
d
w
a
t
e
r
Q
u
a
l
i
t
y
S
t
a
n
d
a
r
d
s
(
2
L
S
t
a
n
d
a
r
d
s
)
d
a
t
e
d
A
p
r
i
l
2
0
1
3
2)
T
e
m
p
o
r
a
r
y
g
r
o
u
n
d
w
a
t
e
r
m
o
n
i
t
o
r
i
n
g
w
e
l
l
i
n
s
t
a
l
l
e
d
a
n
d
a
b
a
n
d
o
n
e
d
o
n
1
/
1
3
/
1
7
3)
E
x
i
s
t
i
n
g
p
e
r
m
a
n
e
n
t
g
r
o
u
n
d
w
a
t
e
r
m
o
n
i
t
o
r
i
n
g
w
e
l
l
,
c
o
n
s
t
r
u
c
t
i
o
n
d
e
t
a
i
l
s
a
n
d
d
a
t
e
a
r
e
u
n
k
n
o
w
n
4)
2
L
S
t
a
n
d
a
r
d
i
s
n
o
t
s
p
e
c
i
f
i
e
d
;
t
h
e
r
e
f
o
r
e
,
I
n
t
e
r
i
m
M
a
x
i
m
u
m
A
l
l
o
w
a
b
l
e
C
o
n
c
e
n
t
r
a
t
i
o
n
s
(
I
M
A
C
s
)
a
r
e
s
h
o
w
n
Gr
o
u
n
d
w
a
t
e
r
c
o
n
c
e
n
t
r
a
t
i
o
n
s
a
r
e
r
e
p
o
r
t
e
d
i
n
m
i
c
r
o
g
r
a
m
s
p
e
r
l
i
t
e
r
(
µ
g
/
L
)
Bo
l
d
v
a
l
u
e
s
e
x
c
e
e
d
2
L
S
t
a
n
d
a
r
d
a
n
d
s
i
t
e
-
s
p
e
c
i
f
i
c
b
a
c
k
g
r
o
u
n
d
c
o
n
c
e
n
t
r
a
t
i
o
n
La
b
o
r
a
t
o
r
y
a
n
a
l
y
t
i
c
a
l
m
e
t
h
o
d
s
a
r
e
s
h
o
w
n
i
n
p
a
r
e
n
t
h
e
s
e
s
ND
=
N
o
t
D
e
t
e
c
t
e
d
;
V
O
C
s
=
V
o
l
a
t
i
l
e
O
r
g
a
n
i
c
C
o
m
p
o
u
n
d
s
NA
=
N
o
t
A
n
a
l
y
z
e
d
;
-
-
=
N
o
t
A
p
p
l
i
c
a
b
l
e
No
r
t
h
C
a
r
o
l
i
n
a
2
L
Gr
o
u
n
d
w
a
t
e
r
Qu
a
l
i
t
y
S
t
a
n
d
a
r
d
(1
)
µg
/
L
Downgradient of
Wa
s
t
e
w
a
t
e
r
L
a
g
o
o
n
S:\
A
A
A
-
M
a
s
t
e
r
P
r
o
j
e
c
t
s
\
B
B
&
T
\
B
B
T
-
2
8
9
O
l
d
W
e
l
l
B
2
L
L
C
P
h
I
I
E
S
A
(
O
M
S
-
2
2
6
7
3
1
-
R
1
)
\
T
a
b
l
e
s
\
A
n
a
l
y
t
i
c
a
l
D
a
t
a
T
a
b
l
e
s
1/
2
7
/
2
0
1
7
Table 2 (Page 1 of 1)Hart & Hickman, PC
Ta
b
l
e
3
P
a
g
e
(
1
o
f
1
)
Su
m
m
a
r
y
o
f
G
r
o
u
n
d
w
a
t
e
r
F
i
e
l
d
M
e
a
s
u
r
e
m
e
n
t
s
Ol
d
W
e
l
l
B
2
L
L
C
OM
S
-
2
2
6
7
3
1
-
R
e
p
o
r
t
#
1
Ga
s
t
o
n
i
a
,
N
o
r
t
h
C
a
r
o
l
i
n
a
H&
H
J
o
b
N
o
.
B
B
T
-
2
8
9
Lo
c
a
t
i
o
n
Ba
c
k
g
r
o
u
n
d
Do
w
n
g
r
a
d
i
e
n
t
o
f
Fo
r
m
e
r
M
i
l
l
Bu
i
l
d
i
n
g
Sa
m
p
l
e
I
D
BK
-
1
(1
)
TW
-
1
(1
)
MW
-
1
(2
)
MW
-
2
(2
)
Da
t
e
1/
1
3
/
2
0
1
7
1
/
1
3
/
2
0
1
7
1
/
1
3
/
2
0
1
7
1
/
1
3
/
2
0
1
7
Fi
e
l
d
P
a
r
a
m
e
t
e
r
pH
(
S
U
)
5
.
5
2
5
.
8
1
4
.
5
3
4
.
5
9
Te
m
p
e
r
a
t
u
r
e
(
° C
)
2
0
.
3
2
2
.
1
1
8
.
7
1
8
.
4
Co
n
d
u
c
t
i
v
i
t
y
(
µS/
c
m
)
4
3
.
9
8
4
.
7
5
8
.
4
9
9
.
9
OR
P
(
m
V
)
-
1
3
0
-
1
5
2
1
2
4
1
3
6
DO
(
m
g
/
L
)
5
.
2
3
4
.
3
3
1
.
4
7
0
.
7
5
Tu
r
b
i
d
i
t
y
(
N
T
U
)
9
.
1
0
1
5
.
3
5
.
2
9
2
.
0
3
No
t
e
s
:
1)
T
e
m
p
o
r
a
r
y
g
r
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Table 3 (Page 1 of 1)Hart & Hickman, PC
Figures
0 2000 4000
APPROXIMATE
SCALE IN FEET
N
U.S.G.S. QUADRANGLE MAP
QUADRANGLE
7.5 MINUTE SERIES (TOPOGRAPHIC)
SITE MAP: GASTONIA NORTH, NORTH CAROLINA 2002
TITLE
PROJECT
SITE LOCATION MAP
OLD WELL B2 LLC
2349 PLASTICS DRIVE GASTONIA, NC
DATE:
JOB NO:
REVISION NO:
FIGURE:
01-25-17 0
1 BBT-289
SITE
MW-2MW-1
TW-1
SB-3
SB-2
SB-1
BK-1
JOB NO. BBT-289
REVISION NO. 0DATE: 1-25-17
FIGURE NO. 2
LEGEND
SITE PROPERTY BOUNDARY
ADJACENT PARCEL BOUNDARY
RAILROAD TRACKS
WASTEWATER LAGOON
TRENCH DRAIN
FLOOR DRAIN
POLE-MOUNTED TRANSFORMER
PAD-MOUNTED TRANSFORMER
GROUNDWATER MONITORING WELL
TEMPORARY GROUNDWATER
MONITORING WELL
SOIL BORING LOCATION
BACKGROUND SOIL & GROUNDWATER
SAMPLE LOCATION
OLD WELL B2 LLC
2349 PLASTICS DRIVE
GASTONIA, NORTH CAROLINA
SITE MAP
2923 South Tryon Street-Suite 100
Charlotte, North Carolina 28203
704-586-0007(p) 704-586-0373(f)
License # C-1269 / #C-245 Geology
PLAST
I
C
S
D
R
I
V
E
AST
APPROXIMATE LOCATION OF 2
ABANDONED-IN-PLACE USTs
VACANT LAND
US AGRICULTURAL DEPARTMENT
(801 SUMMIT CROSSING PLAZA)
INDUSTRIAL BUILDING
(2207 PLASTICS DRIVE)
MULTI-TENANT SHOPPING CENTER
(2417 EAST OZARK AVENUE)
FCI TECHNOLOGY
(2409 EAST OZARK AVENUE)
RESIDENCE
(2401 EAST OZARK AVENUE)
FORMER GAS STATIONS
(2321 & 2361 EAST OZARK AVENUE)
SU
M
M
I
T
C
R
O
S
S
I
N
G
P
L
A
C
E
3-STORY PORTION OF SITE BUILDING
·FORMER DYE STORAGE AREA
(UPPER LEVEL)
·(1) AST (MAIN LEVEL)
·(3) ASTs (LOWER LEVEL)
2-STORY PORTION
OF SITE BUILDING
\\
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Appendix A
Soil Boring Logs
3.6
1.2
2
1.8
1.7
1.9
2.1
1.8
2.3
2.1
2.4
2
0.7
1.3
0.7
2.2
0.9
0.8
0.6
1.1
0.7
0.9
Topsoil, grass
Slightly moist, slightly firm, dark orange, clayey SILT, balck and
white native relic structure
Dry, loose, soft, very light orange and tan, sandy SILT
Dry, loose, soft, dark orange and tan, sandy SILT
Slightly moist, soft, loose, light red and light orange, sandy SILT, lotof white and black mottling, black manganese rings
Slightly moist, very firm, dark orange with some light orange, sandySILT, black mottling and manganese
Slightly moist, very firm, dark orange with some light orange, sandy
SILT
Slightly moist, slightly firm, light brown and dark tan, sandy SILT,
micaceous
Moist, slightly firm, light brown and dark tan, sandy SILT, micaceous
Bottom of borehole at 45.0 feet.
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
GB
1" PVC Pipe
Sand packfilter
PVC slottedscreen
DRILLING CONTRACTOR: CSI
DRILL RIG/ METHOD: Geoprobe 6620/DPT / Hand
Auger
SAMPLING METHOD: Hand Auger / Macro-Core
LOGGED BY: NAH
BORING COMPLETED:1/13/17
Remarks:
Soil sampled 4 to 6 ft bgs for HSL Metals + Hex Cr by EPA Methods 6020/7471/7196. Groundwater sampled
for HSL Metals by EPA Methods 6020/7471.
BORING STARTED:1/13/17
TOTAL DEPTH: 45 ft.
TOP OF CASING ELEV:
DEPTH TO WATER:
DE
P
T
H
(f
t
)
DE
P
T
H
(f
t
)
LI
T
H
O
L
O
G
Y
RE
C
O
V
E
R
Y
(
%
)
SA
M
P
.
MATERIAL DESCRIPTIONOV
A
(
p
p
m
)
BK
G
.
SA
M
P
L
E
T
Y
P
E
NU
M
B
E
R
BORING DIAGRAM
Sheet 1 of 1
BORING NUMBER BK-1
PROJECT:Old Well B2, LLC
JOB NUMBER:BBT-289
LOCATION:2349 Plastics Drive, Gastonia NC
BO
R
I
N
G
L
O
G
-
H
A
R
T
H
I
C
K
M
A
N
.
G
D
T
-
1
/
1
9
/
1
7
1
6
:
4
3
-
S
:
\
B
B
B
M
A
S
T
E
R
G
I
N
T
P
R
O
J
E
C
T
S
\
B
B
T
-
2
8
9
.
G
P
J
2923 South Tryon Street-Suite 100
Charlotte, North Carolina 28203
704-586-0007(p) 704-586-0373(f)
3334 Hillsborough Street
Raleigh, North Carolina 27607
919-847-4241(p) 919-847-4261(f)
0
10
20
30
40
0
10
20
30
40
12.9
13.9
55.6
14.4
9.2
13.1
6
3.5
3.8
2.7
2.9
2.7
3.8
1.5
1.8
2.2
1.5
1.3
1.7
Ashpalt
Slightly moist, very stiff, orange, silty CLAY, micaceous
Dry, soft, loose, light orange and dark orange, sandy SILT, blackmottling
Slightly moist, soft, loose, tan and light brown, sandy SILT, black
mottling
Slightly moist, slightly firm, dark orange, clayey SILT
Slightly moist, soft, loose, tan and light brown, sandy SILT, blackmottling
Slightly moist, soft, tan and grey, sandy SILT, micaceous
Saprolite at 19 ft
Slightly moist, medium dense, ligh tan, silty SAND
Slightly moist, slightly firm, loose, tan, sandy SILT, very micaceous,white black and grey mottling
Moist, very firm, dark tan and light brown, sandy SILT, verymicaceous
Moist, very firm, tan, clayey SILT
Bottom of borehole at 40.0 feet.
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1" PVC pipe
Sand packfilter
PVC slottedscreen
DRILLING CONTRACTOR: CSI
DRILL RIG/ METHOD: Geoprobe 6620/DPT / Hand
Auger
SAMPLING METHOD: Hand Auger / Macro-Core
LOGGED BY: NAH
BORING COMPLETED:1/13/17
Remarks:
Groundwater sampled for VOCs by EPAMethod 8260 and HSL Metals by EPAMethods 6020/7471/7196.
BORING STARTED:1/13/17
TOTAL DEPTH: 40 ft.
TOP OF CASING ELEV:
DEPTH TO WATER:
DE
P
T
H
(f
t
)
DE
P
T
H
(f
t
)
LI
T
H
O
L
O
G
Y
RE
C
O
V
E
R
Y
(
%
)
SA
M
P
.
MATERIAL DESCRIPTIONOV
A
(
p
p
m
)
BK
G
.
SA
M
P
L
E
T
Y
P
E
NU
M
B
E
R
BORING DIAGRAM
Sheet 1 of 1
BORING NUMBER TW-1
PROJECT:Old Well B2, LLC
JOB NUMBER:BBT-289
LOCATION:2349 Plastics Drive, Gastonia NC
BO
R
I
N
G
L
O
G
-
H
A
R
T
H
I
C
K
M
A
N
.
G
D
T
-
1
/
1
9
/
1
7
1
6
:
4
3
-
S
:
\
B
B
B
M
A
S
T
E
R
G
I
N
T
P
R
O
J
E
C
T
S
\
B
B
T
-
2
8
9
.
G
P
J
2923 South Tryon Street-Suite 100
Charlotte, North Carolina 28203
704-586-0007(p) 704-586-0373(f)
3334 Hillsborough Street
Raleigh, North Carolina 27607
919-847-4241(p) 919-847-4261(f)
0
5
10
15
20
25
30
35
40
0
5
10
15
20
25
30
35
40
0.6
0.8
0.7
0.6
0.7
Concrete slab
Gravel
Slightly moist, stiff, dark orange, silty CLAY
Bottom of borehole at 5.0 feet.
0
0
0
0
0
GB
DRAWN BY:
BORING COMPLETED:1/13/17
DRILLING CONTRACTOR:IET Remarks:
DRILL RIG/ METHOD:9520 VTR / Hand Auger
SAMPLING METHOD:Hand Auger Soil sampled 1 to 2 ft bgs for VOCs byEPA Method 8260 and HSL Metals +Hex Cr by EPA Methods
6020/7471/7196.
BORING STARTED:1/13/17
LOGGED BY:NAH
TOTAL DEPTH: 5 ft.
TOP OF CASING ELEV:
DEPTH TO WATER:
DE
P
T
H
(f
t
)
DE
P
T
H
(f
t
)
LI
T
H
O
L
O
G
Y
RE
C
O
V
E
R
Y
(
%
)
SA
M
P
.
MATERIAL DESCRIPTIONOV
A
(
p
p
m
)
BK
G
.
SA
M
P
L
E
T
Y
P
E
NU
M
B
E
R
BORING DIAGRAM
Sheet 1 of 1
BORING NUMBER SB-1
PROJECT:Old Well B2, LLC
JOB NUMBER:BBT-289
LOCATION:2349 Plastics Drive, Gastonia NC
BO
R
I
N
G
L
O
G
-
H
A
R
T
H
I
C
K
M
A
N
.
G
D
T
-
1
/
1
9
/
1
7
1
6
:
4
3
-
S
:
\
B
B
B
M
A
S
T
E
R
G
I
N
T
P
R
O
J
E
C
T
S
\
B
B
T
-
2
8
9
.
G
P
J
2923 South Tryon Street-Suite 100
Charlotte, North Carolina 28203
704-586-0007(p) 704-586-0373(f)
3334 Hillsborough Street
Raleigh, North Carolina 27607
919-847-4241(p) 919-847-4261(f)
0.0
2.5
5.0
0.0
2.5
5.0
0.6
0.7
0.8
0.8
1
Concrete slab
Gravel with some concrete
Slightly moist, stiff, dark orange, silty CLAY
Slightly moist, soft to slightly firm, light orange and tan, sandy SILT
Bottom of borehole at 5.0 feet.
0
0
0
0
0
GB
DRILLING CONTRACTOR: CSI
DRILL RIG/ METHOD: Geoprobe 6620/DPT /
Hand Auger
SAMPLING METHOD: Hand Auger
LOGGED BY: NAH
BORING COMPLETED:1/13/17
Remarks:
Soil sampled 3 to 4 ft bgs for VOCs byEPA Method 8260 and HSL Metals +Hex Cr by EPA Methods
6020/7471/7196.
BORING STARTED:1/13/17
TOTAL DEPTH: 5 ft.
TOP OF CASING ELEV:
DEPTH TO WATER:
DE
P
T
H
(f
t
)
DE
P
T
H
(f
t
)
LI
T
H
O
L
O
G
Y
RE
C
O
V
E
R
Y
(
%
)
SA
M
P
.
MATERIAL DESCRIPTIONOV
A
(
p
p
m
)
BK
G
.
SA
M
P
L
E
T
Y
P
E
NU
M
B
E
R
BORING DIAGRAM
Sheet 1 of 1
BORING NUMBER SB-2
PROJECT:Old Well B2, LLC
JOB NUMBER:BBT-289
LOCATION:2349 Plastics Drive, Gastonia NC
BO
R
I
N
G
L
O
G
-
H
A
R
T
H
I
C
K
M
A
N
.
G
D
T
-
1
/
1
9
/
1
7
1
6
:
4
3
-
S
:
\
B
B
B
M
A
S
T
E
R
G
I
N
T
P
R
O
J
E
C
T
S
\
B
B
T
-
2
8
9
.
G
P
J
2923 South Tryon Street-Suite 100
Charlotte, North Carolina 28203
704-586-0007(p) 704-586-0373(f)
3334 Hillsborough Street
Raleigh, North Carolina 27607
919-847-4241(p) 919-847-4261(f)
0.0
2.5
5.0
0.0
2.5
5.0
0.7
0.6
1.4
0.8
0.6
Concrete slab
Slightly moist, soft, light and dark orange, silty CLAY, some concreteremnants
Dry, soft, loose, light orange, sandy SILT, very micaceous
Dry, soft, loose, light orange, sandy SILT, very micaceous, blackmottling
Bottom of borehole at 5.0 feet.
0
0
0
0
0
GB
DRILLING CONTRACTOR: CSI
DRILL RIG/ METHOD: Geoprobe 6620/DPT /
Hand Auger SAMPLING METHOD: Hand
Auger
LOGGED BY: NAH
BORING COMPLETED:1/13/17
Remarks:
Soil sampled 2 to 3 ft bgs for VOCs byEPA Method 8260 and HSL Metals +Hex Cr by EPA Methods
6020/7471/7196.
BORING STARTED:1/13/17
TOTAL DEPTH: 5 ft.
TOP OF CASING ELEV:
DEPTH TO WATER:
DE
P
T
H
(f
t
)
DE
P
T
H
(f
t
)
LI
T
H
O
L
O
G
Y
RE
C
O
V
E
R
Y
(
%
)
SA
M
P
.
MATERIAL DESCRIPTIONOV
A
(
p
p
m
)
BK
G
.
SA
M
P
L
E
T
Y
P
E
NU
M
B
E
R
BORING DIAGRAM
Sheet 1 of 1
BORING NUMBER SB-3
PROJECT:Old Well B2, LLC
JOB NUMBER:BBT-289
LOCATION:2349 Plastics Drive, Gastonia NC
BO
R
I
N
G
L
O
G
-
H
A
R
T
H
I
C
K
M
A
N
.
G
D
T
-
1
/
1
9
/
1
7
1
6
:
4
3
-
S
:
\
B
B
B
M
A
S
T
E
R
G
I
N
T
P
R
O
J
E
C
T
S
\
B
B
T
-
2
8
9
.
G
P
J
2923 South Tryon Street-Suite 100
Charlotte, North Carolina 28203
704-586-0007(p) 704-586-0373(f)
3334 Hillsborough Street
Raleigh, North Carolina 27607
919-847-4241(p) 919-847-4261(f)
0.0
2.5
5.0
0.0
2.5
5.0
Appendix B
Laboratory Analytical Data Report
Page 1 of 56
Table of Contents
Table of Contents
Sample Summary 4
Case Narrative 5
Sample Results 8
17A0705-01 8
17A0705-02 12
17A0705-03 16
17A0705-04 20
17A0705-05 23
17A0705-06 26
17A0705-07 29
17A0705-08 31
Sample Preparation Information 32
QC Data 34
Volatile Organic Compounds by GC/MS 34
B168254 34
B168295 38
Metals Analyses (Total) 44
B168227 44
B168228 44
B168291 45
B168292 46
Conventional Chemistry Parameters by EPA/APHA/SW-846 Methods (Total) 47
B168194 47
B168199 47
Flag/Qualifier Summary 48
Page 2 of 56
Table of Contents
Table of Contents (continued)
Certifications 49
Chain of Custody/Sample Receipt 54
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Appendix C
Well Construction/Abandonment Records
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
Form GW-1 North Carolina Department of Environment and Natural Resources – Division of Water 5HVRXUFHV Revised AXJXVW 2013
1. Well Contractor Information:
Well Contractor Name
NC Well Contractor Certification Number
Company Name 2. Well Construction Permit #: List all applicable well permits (i.e. County, State, Variance, ,QMHFWLRQetc.) 3. Well Use (check well use): Water Supply Well: □Agricultural □Municipal/Public □Geothermal (Heating/Cooling Supply) □Residential Water Supply (single)
□Industrial/Commercial □Residential Water Supply (shared) □Irrigation
Non-Water Supply Well: □Monitoring □Recovery
Injection Well: □Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier □Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer □Geothermal (Heating/Cooling Return) □Other (explain under #21 Remarks)
4. Date Well(s) Completed: ____________ Well ID#______________________ 5a. Well Location:
Facility/Owner Name Facility ID# (if applicable)
Physical Address, City, and Zip
County Parcel Identification No. (PIN) 5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees: (if well field, one lat/long is sufficient) N W
6. Is (are) the well(s): □Permanent or □Temporary
7. Is this a repair to an existing well: □Yes or □No If this is a repair, fill out known well construction information and explain the nature of the repair under #21 remarks section or on the back of this form.
8. Number of wells constructed: For multiple injection or non-water supply wells ONLY with the same construction, you can submit one form. 9. Total well depth below land surface: (ft.) For multiple wells list all depths if different (example- 3@200’ and 2@100′) 10. Static water level below top of casing: (ft.) If water level is above casing, use “+” 11. Borehole diameter: (in.) 12. Well construction method: (i.e. auger, rotary, cable, direct push, etc.) FOR WATER SUPPLY WELLS ONLY: 13a. Yield (gpm) Method of test: 13b. Disinfection type: Amount:
14. WATER ZONES
FROM TO DESCRIPTION
ft. ft.
ft. ft.
15. OUTER CASING (for multi-cased wells) OR LINER (if applicable) FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
16. INNER CASING OR TUBING (geothermal closed-loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
18. GROUT
FROM TO MATERIAL EMPLACEMENT METHOD & AMOUNT
ft. ft.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
ft. ft.
ft. ft.
20. DRILLING LOG (attach additional sheets if necessary) FROM TO DESCRIPTION (color, hardness, soil/rock type, grain size, etc.)
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARKS
22. Certification:
Signature of Certified Well Contractor Date By signing this form, I hereby certify that the well(s) was (were) constructed in accordance with 15A NCAC 02C .0100 or 15A NCAC 02C .0200 Well Construction Standards and that a copy of this record has been provided to the well owner.
23. Site diagram or additional well details: You may use the back of this page to provide additional well site details or well construction details. You may also attach additional pages if necessary. SUBMITTAL INSTUCTIONS 24a. For All Wells: Submit this form within 30 days of completion of well construction to the following: Division of Water Resources, Information Processing Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection Wells ONLY: In addition to sending the form to the address in
24a above, also submit a copy of this form within 30 days of completion of well construction to the following: Division of Water Resources, Underground Injection Control Program, 1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion ofwell construction to the county health department of the county whereconstructed.
For Internal Use ONLY:
WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
Form GW-30 North Carolina Department of Environment and Natural Resources – Division of Water Resources Revised August 2013
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 permits (i.e. County, State, Variance, Injection, 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. Number of wells being abandoned: For multiple injection or non-water supply wells ONLY with the same construction/abandonment, you can submit one form. 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:
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_______________
Daniel Summers
2579-A
Carolina Soil Investigations, LLC
✔
01-13-17 TW-1
2349 Plastics Drive Gastonia, NC
Gaston
35.27731 -81.14420
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1
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01-13-17Danny Summers Digitally signed by Danny
Summers
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2579-A
Carolina Soil Investigations, LLC
✔
01-13-17
2349 Plastics Dr. Gastonia, NC
Gaston
35.27731 -81.14420
TW-1
40
2.25
37
30
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neat cement grout 29 lbs
Danny Summers Digitally signed by Danny
Summers 01-13-17