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HomeMy WebLinkAbout1403_Caldwell_Foothills_MSWLF_PiezometerAbandonment_FID1827123_20240129REPORT OF PIEZOMETER ABANDONMENT: PZ-73C & PZ-104C FOOTHILLS REGIONAL LANDFILL CALDWELL COUNTY, NORTH CAROLINA Permit No. 1403-MSWLF-1998 Prepared For: Republic Services of North Carolina, LLC 1070 Riverside Drive Asheville, North Carolina 28804 P9 REPUBLIC" SERVICES BLE Project Number J23-1235-112 January 23, 2024 BLE North Carolina Business Licenses C-284 & C-1538 BUNNELL LAMMONS ENGINEERING 60Q4 Ponders Courr I Greenville, 5C 29615 f,864,288.1265 �1 064.288.4330 Minfo@bl2corp.com BLECORP.COM is IM '13UNNELL LAMMONS ENGINEERING January 23, 2024 Republic Services of North Carolina, LLC 1070 Riverside Drive Asheville, North Carolina 28804 Attention: Mr. Stoddard Pickrell Environmental Manager Subject: Report of Piezometer Abandonment: PZ-73C & PZ-104C Foothills Regional Landfill Caldwell County, North Carolina Facility Permit No. 1403-MSWLF-1998 BLE Project Number J23-1235-112 Dear Mr. Pickrell: As authorized on January 11, 2024, by Republic Services of North Carolina, LLC (Republic), acceptance of Bunnell-Lammons Engineering, Inc. (BLE) Contract Number J23-1235-112 (dated December 13, 2023), we are pleased to submit this report to Republic Services of North Carolina, LLC. The purpose of this scope of work was to abandon piezometers (PZ-73C & PZ-104C) in association with soil borrow activities at the facility. The work was performed in general accordance with the landfill's Water Quality Management Plan (WQMP) and Rule 15A NCAC 2C .0113(d). This report includes a summary of the project information, scope of services performed, and results. Sincerely, BUNNELL LAMMONs ENGINEERING INC. achery J. Downes, P.G. Project Geologist Licensed, North Carolina No. 2618 a4,1 Andrew W. Ajekander, P.G. Consultant Hydrogeologist Licensed, North Carolina No. 1475 '6004 Panders Court, Greenville, SC 29615 1,864,288.1265 A864,288.4430 info@hleearp,com 6LECORP.COM 1s 1m 1i Report of Piezometer Abandonment: PZ-73C & PZ-104C Foothills Regional Landfill, North Carolina TABLE OF CONTENTS January 23, 2024 BLE Project No. J23-1235-112 1.0 PROJECT INFORMATION........................................................................................................1 2.0 SCOPE OF SERVICES PERFORMED......................................................................................1 3.0 RESULTS.......................................................................................................................................1 4.0 QUALIFICATIONS OF REPORT.............................................................................................. 2 5.0 CLOSING.......................................................................................................................................2 Tables Table 1 Summary of Piezometer Abandonment Figures Figure 1 Site Location Map Figure 2 Piezometer Abandonment Location Map Appendices Appendix A NCDEQ Well Abandonment Records (Form GW-30) iofi 1s 1m 1i Report of Piezometer Abandonment: PZ-73C & PZ-104C January 23, 2024 Foothills Regional Landfill, North Carolina BLE Project No. J23-1235-112 1.0 PROJECT INFORMATION The existing Foothills Regional Municipal Solid Waste (MSW) Landfill is located on Cheraw Road approximately two miles northwest of Lenoir, North Carolina (Figure 1). The landfill is owned by Caldwell County and operated by Republic Services of North Carolina, LLC (Republic). The landfill development is being implemented in phases as new solid waste cells are needed. To date, Cell Nos. 1A, 1B, 2A, 2B, 3A, 3B, 3C, 4, 5A, 5B, 6A, and 8A have been constructed. Cell No. 6B is currently under construction in 2024. The current soil borrow area is located to the north of fixture Cell No. 7. As part of soil borrow activities for use in site operations, piezometer PZ-104C, which is located near the soil borrow area, required abandonment. Piezometer PZ-73C was discovered to have been damaged by soil borrow activities while locating PZ-104C in the field. The boring log for PZ-73C was reviewed for original total depth and auger refusal data. PZ-73C is located in the footprint of future Cell No. 7, however, the piezometer had been damaged as a result of soil borrow activities in the area and only the bedrock portion remained. Piezometer PZ-104C is not located within any future cell footprint, therefore, overdrilling was not required and it could be abandoned in -place. Republic requested that BLE permanently abandon both PZ-73C and PZ-104C at the facility. 2.0 SCOPE OF SERVICES PERFORMED The piezometer abandonments were performed by a licensed driller from SAEDACCO, Inc. of Fort Mill, South Carolina, and field activities were documented by a geologist from BLE. Piezometers PZ-73C and PZ- 104C were permanently abandoned on January 19, 2024. The abandonment procedures for PZ- 73C and PZ-104C consisted of the following: 1. Locate the piezometers in the field. 2. Measure the total depth and check for obstructions using a weighted tag line (both piezometers were not obstructed prior to abandonment). 3. Tremie grout the PVC casing continuously from the bottom of the casing to ground surface with a neat cement grout. 4. Cut the PVC casing approximately 0.5-feet below ground surface. 5. Backfill the area with soil. A table summarizing the piezometer abandonments is attached to this report (Table 1). North Carolina well abandonment forms (Form GW-30) for both piezometers were prepared (Appendix A). The approximate locations of the abandoned piezometers are shown on Figure 2. 3.0 RESULTS Two (2) piezometers (PZ-73C & PZ-104C) have been permanently abandoned at the facility. The abandonment activities performed were in general accordance with the landfill's WQMP and Rule 15A NCAC 2C.0113(d). 1 of 2 1s 1M 1i Report of Piezometer Abandonment: PZ-73C & PZ-104C Foothills Regional Landfill, North Carolina 4.0 QUALIFICATIONS OF REPORT January 23, 2024 BLE Project No. J23-1235-112 The activities and approaches used in this project are consistent with those normally employed for services of this type. Our services have been performed based on our understanding of the site and project information and the observations made during our work. This report has been prepared on behalf of and exclusively for the use of Republic. This report and the findings contained herein shall not, in whole or in part, be used or relied upon by any other party (excluding the SWS) without BLE's prior written consent. 5.0 CLOSING We appreciate the opportunity to be of service to Republic Services of North Carolina. Please contact us at (864) 288-1265 if you have any questions or comments. 2 of 2 TABLES Table 1 Summary of Piezometer Abandonment Foothills Regional Landfill Caldwell County, North Carolina Permit No. 1403-MSWLF-1998 BLE Project Number J23-1235-112 Well Reported Depth (bgs) Tagged Auger Depth (bgs) Refusal Depth (bgs) Drilled -Out to: Date Abandoned Equipment Used (rig, auger size, etc.) Grout/Bentonite Amount Abandonment Methods 1. Measured the total depth of piezometer. PZ-73C 72.4 41.4* 34.5 NA 1/19/2024 NA Approx. 15 gallons of neat 2. Placed neat cement grout inside the PVC casing from bottom of cement grout inside PVC casing. piezometer to top of casing via tremie pipe. 3. Cut grouted PVC casing off approximately 0.5-feet below ground Approx. 25 gallons of neat surface. PZ-104C 91.4 84.3* 29.5 NA 1/19/2024 NA cement grout inside PVC casing. 4. Backfilled area with soil. Notes: Abandonment activites performed by SAEDACCO, Inc. of Fort Mill, SC. bgs = Below Ground Surface NA = Not Applicable * = Ground surface had been lowered at each location as the result of grading activites prior to abandonment. The tagged depth is the current unobstructed bottom of well. Prepared by: ZJD Checked by: TAO FIGURES Oli�ette v GREASY CREEK RD V t600 Grassy Knob Q � s P A O P�eaked>Top � O \ o v � a a o � Top Q 1ti�J mj U Ir� DD - o �4 G,Bw to a �G� n BROOKS H I R� ¢ ingdon L9P � eFF`� o rp0 q�r � 0 o � w SETZER �,B c �0 9200 �0� !y Q 67 2000 1000 0 2000 4000 REFERENCE: USGS TOPOGRAPHIC MAP, 7.5 MINUTE SERIES, APPROXIMATE SCALE IN FEET LENOIR, N.C. QUADRANGLE, 2019. DRAWN: DATE: FIGURE ZJD 01-17-24 IlIMIIIIIIIIIIIIII BUNNELL M LAMMONS SITE LOCATION MAP CHECKED: TAO CAD: FHLF112-SLMM ENGINEERING FOOTHILLS REGIONAL MSW LANDFILL 6004 Ponders Court, Greenville, SC 29615 CALDWELL COUNTY, NORTH CAROLINA 1 APPROVED: AWA JOB NO: J23-1235-112 Phone: (864) 288-1265 Fax: (864) 288-4430 PZ-1A04C iFUTueel� �u CELL NO. BB� D 'ET DETENTION / BASIN NO. 3 000 ■ P-14 01 M�' �o� � ET DE, E 1 • —Mw-11 BASIN NO. 5 �y Q9 m o \ 0 (U ICJ N � M 9 e4/ s>1c A F I TA E L 1 2R M TE B IN � � ♦ r o0 in p � cu ri o m D SC LES & i' S LEHOUSE DI 3R I -3 N 0. \ ! ! ` � i I � � p ■ i I I I i o \ I EL ° L . i I 3R2 , I I - i \ GP- I L0\ o G A 1 _ SW-4 � 1 � s MW— WET D 10 BAS SEDIMENT ASIN NO. ^� -� SIN NO. � s —7 ♦♦ O 1 • ♦. oo� s SW-3 ■ M ON TOR N G LOCAT ON LEGEND PZ-42 SURVEYED LOCATION OF PIEZOMETER OR BORING PERFORMED BY BILE FR17 SURVEYED LOCATION OF PIEZOMETER AND BORING PERFORMED BY FRONT ROYAL SURVEYED LOCATION OF PIEZOTUBE SURVEYED LOCATION OF GROUNDWATER MONITORING WELL GP-1 SURVEYED LOCATION OF METHANE MONITORING PROBE SW-1 APPROXIMATE LOCATION OF SURFACE WATER MONITORING POINT ur APPROXIMATE LOCATION OF UNDERDRAIN MONITORING POINT PZ-104C RECENTLY ABANDONED PIEZOMETER TOPOGRAPHIC & GEC OG C LEGEND TOPOGRAPHIC SURFACE CONTOUR IN FEET ABOVE MSL CONTOUR INTERVAL = 2 FEET / — STREAM OR CREEK ROAD --°°-- °°--°°--Uo— EXISTING UNDERDRAIN ■ ■ ■ ■ PROPERTY BOUNDARY 300 FOOT BUFFER NOTES: 1. MEAN SEA LEVEL ELEVATION (MSL) IS REFERENCED TO THE NATIONAL GEODETIC VERTICAL DATUM OF 1929 (NGVD). GENERAL MAP REFERENCE 200 100 0 200 400 APPROXIMATE SCALE IN FEET REFERENCES: 1. TOPOGRAPHIC INFORMATION SHOWN FROM AN AERIAL SURVEY BY COOPER AERIAL SURVEYS CO., DATE OF PHOTOGRAPHY DECEMBER 9, 2020. MAPPING CONTROL BASED ON HISTORICAL LANDFILL CONTROL POINTS. 2. WETLAND AND STREAM BOUNDARIES IN LANDFILL AREA BASED ON SURVEY BY DONALDSON, GARRETT & ASSOCIATES, INC. DATED AUGUST 28, 2002. 3. WETLAND AND STREAM BOUNDARIES IN CONSERVATION AREA BASED ON SURVEY BY DONALDSON, GARRETT & ASSOCIATES, INC. DATED OCTOBER 7, 2002. 4. PROPERTY BOUNDARY TAKEN FROM A BOUNDARY SURVEY PREPARED BY WRIGHT & FIELDS LAND SURVEYING, DATED AUGUST 14, 2007. 5. CELL BOUNDARIES FOR CELLS 1-8A WERE TAKEN FROM THE ENGINEERING DRAWINGS — PHASE NO. 3 PLANS PREPARED BY HODGES, HARBIN, NEWBERRY, & TRIBBLE, INC., DATED JULY 2008. 6. PHASE 5 WASTE LIMITS WERE TAKEN FROM PRELIMINARY (MARCH 2O17) PERMIT TO CONSTRUCT PLANS BEING PREPARED BY HODGES, HARBIN, NEWBERRY, & TRIBBLE, INC. REVISIONS No. DESCRIPTION BY DRAWN: ZJD CHECKED: TAO APPROVED: AWA DATE: 01-20-24 CAD FILE: FHLF112-ABN JOB NO: J23-1235-112 � LAMMONS ENGINEERING 6004 Ponders Court, Greenville, SC 29615 Phone: (864) 20B-1265 Fox: (864) 2B8-4430 SITE TOPOGRAPHY AND PIEZOMETER ABANDONMENT MAP FOOTHILLS REGIONAL MSW LANDFILL CALDWELL COUNTY, NORTH CAROLINA FIGURE NO. 2 APPENDIX A NCDEQ WELL ABANDONMENT RECORDS (FORM GW-30) WELL ABANDONMENT RECORD This fork can be used far single or mullipte wells I- Well C.gatr.Ag"r Inforauttion_ FOT lrkFrwl Use ONLY: W E LL A BAN DQN M ENT DETAM Robert MIller MILC'ommcior Nanlc (or v;&I onikcr perwjL%U, abandmLhig, A an he lrr propcny ) 2675A NC Wcll CbnlnLc,lor Cori ifir Il Pei Ptkunber SAEDACCO C'0111vi 1p K<InLC 2. Wal Caastraction Pcr m t 4 1.,Kr <Nr .qp, ka Je w 11 prrm,rr r,.r- Cr ram , ,S&w. J ur,.om w- I"Y,ui; rlr., ij kkr,rrr & Wd t use (check well uae): Winer Supply Well; ❑Agrir.altkLtlkl ❑Geoftmwt ftalin000liug Supplyi ❑ IndusIFisIK'mmnxFcial ❑irriplioll Non -Water SaI" Well - ❑Aquifer RecharDV ❑Aquifer Stmmkge aid RecroVM ❑Aquifer Teal ❑Expr incirl91 Trditlrpbe-v DGwihenikal (ClosixdLoopt LIC,eo(hemal fHea0ng,1C'oo1i1kg 4.DaMwq]i(5-)ab;mdnncd• 01/19/2024 Am.'t'vdi hwation 11httlnir-#M11PVhlic ❑Rrsidrnrial Water 4upph- f-,ingle) ❑RcsidenriaL warn ��upply tsharedi 00irumiduarer RenkedimiDu ❑Salinii; Hamer ❑Stornm,dicr Dmirwge ❑S3lbsid MtC'olrml OTmcer L.ICWwrinplain under 7JO 7:L Numlrer kkiwdis beio%abandourd. 1 F,-y Lrrnfriple INNiYiLUr uP WN xwter 31V1JJ5- c+oasrrlrcrwN a3lbamfrurrrJeru, yr,rr rxar.vb mt oar j;jrwl, L,rlh MLY wig Oke salme lip. Appnrximatc aiklurric rrf %ater remaining in wdl(x)N/A (Rd.) FOR WATER SUPPLY WELU5 ONIA; 7n Ty pe ur diaokettaod unr& 7d, :ArtuMnt of disinfmtamt ubed; 7c• Staling m;ktcrials usi d (Cheek ir111ha mpply)- 12 NCat Ccmcni l-rraw ❑ 13cntonitc Chips or PCllcts ❑ Sard Cenkwtl Gmut ❑ Dn C"las ❑ Conri-virGroui ❑ DrilJ Cutliogs ❑ 5preialry Gruui ❑ G7M';e1 n Hentonile 5lkkM- ❑ C)iher lixplainunder 7g1 7f, For t glch nkgtpri;kl wlrcteil Ahave, protide amnlmt of m kMrhA1!% uwetl' Neat Cem.:471b ,Wtr:6gal. Sand Cem.:lb ,Wtr:gal. %, ["t"ilk a Ikrlef dcscrilitiva of the alkamionmeot pnoLmlum: Tremie grout from the bottom up Foothills Regional MSW Landfill 1403-MSWLF-1998 F ilily.CFrerLerNlLmr FacililslDW(if JDPluaNel S•CenilSratlort: 2800 Cheraw Rd. Lenoir, 28645 -�77c 0 1/21/2024 Pin -sisal Adtcs. CM}, and Zip 51 ': Dole Caldwell COMM.$ 2820829890 Parcel ldedifK2LiML N0. (PIN) 5h.14r1i0u4ealnd lonot7rlein dgvrveafmirur#e iwmndsordccimA dcuccN iifvk:11 I'KA0, iriku UVWLS i. uiff4r4ip 35.9230502 N 81.5972044 By .TjA7uPjg this)brm, f fremby certify MX the xef1{sJ was f3rerO abandoned in rru,urykP& a wilh 2 (4 ,V': iC 02C , 09100 -,r X v-w wtv conarrlc:fian %mArdz rmdlhn a copy afAriN record hlssbeerr provided fa Orewe1! owner. 9. Site diagram or addlt[orttttvvell details: You may use ihe bad, of this page to prrntide additional well site details or %V11 W abarkdommill detail,. You ma-v a1w :oMIL additional PMges if treCrasa(V- {"ONSTRiI- MON IIETAlli OF W£LLtS) BEING ABANDONED SU11MITTAL rNSTRUCT[JQ .lrGuir vrf1 cr,mvArucJrare rrLnrsi�u �7 �Vm�,d,k. Iru m�k�,dr x�rr,rm rxr rae,a-nx.rdrr xup�r n�frx ONLY wid J1* &Wet i+w Liam nr�mva wre)i,rm I Os For A31 W011SE Subnril 113i5 form within 30 date of comrpletFon of well 63. Weil [bi[: PZ-104C 6h. T&1*1 %v11 depth: 84.3 (Ft•) Coe. Rorehrrledlameter.8.25 flu.) 611. %Visor kvcl hclnw Pukind -mlrfpkCq" N/A MI) abpndanm¢ry tg ft fgllmsing- Divi:lina of W ier Rcmiuren, Jurormarukn Procnsing U61, 1617 Mail Smicr Center, RalriRh, Iti C37699-1617 mb. Four Imlettian VrLtlls: rik addilion [a selsding rlke forikL io the address in 10,k above- atsu skrbodi oir cops of This form nvidiio N0 days rrf uomptNion of well obandanincibi to the t•nli6lrmg: Diyislun of Water Rcaou reps, Undlergrou ad Injection Cikal rol Program. I.G36 Mail-Sm-icc Ccutcr, Ra irig i, NC~ 276"-163d 6c. Outrr casin Icn dI0ima)• / ffr•1 1ft. For Water Suors1'v & 1nlecdon Wells: In additiau io seething ibe farm io g N A the address;es) above- also sub -mil owe cop- of this form 43'itliln 30 da}•s of comptetioo of nrll abundomnent to 1lo reLary lama-th depmrrrneiv of the irounly 74.3 -1KT4 9tMr44nPd. (i[. 1nnL'rcasingltulrinp k7r}Kh lif knuwnl: (t'r.j 6�,Sr:tt m I4ngHh;tf hno%a),10 (W Fomk GM-10 Nonh Carol= Depanincri ofEm ironlncnl "NlEumL Resoiaccs - Diti Isuan of WuerRL'50urns Rcxkscd Ayeusi 20tt WELL ABANDONMENT RECORD This fork can be used far single or mullipte wells I- Well C.gatr.Ag"r Inforauttion_ FOT lrkFrwl Use ONLY: W E LL A BAN DQN M ENT DETAM Robert MIller MILC'ommcior Name (or v;&I onlrr perwjL%U.% abarLdmLhig, A an he lrr propcny ) 2675A NC Wcll CbnlnLc,lor Cori if"IL alt Ptkunber SAEDACCO C'0111vi 1p K<InLC 2. Wal Caastraction Per m t 4 1.,Kr <Nr .qp, ka Je a 11 prrm,rr r,.r- Cr ram , ,S&w. J ur,.om w- I"Y,ui; rlr., ij kkr,rrr & Wd t use (check well uae): Winer Supply Well; ❑Agrrir.altkLtlkl ❑Geoftmwt ftalin000liug Supplyi ❑ IndusIFisIK'mmnxFcial ❑irriplioll Non -Water SaI" Well - ❑Aquifer RecharDV ❑Aquifer Stmmkge aid RecroVM ❑Aquifer Teal ❑Expr incirl91 Trditlrpbe-v DGwihenikal (ClosixdLoopt LIC,eo(hemal fHea0ng,1C'oo1i1kg 4.DaMwg11(5-)ab;mdnncd• 01/19/2024 Am.'t'vdi hwation 11hltokir-#M11Pt3blic ❑Rrsidrnrial Water 4upph- f-,ingle) ❑RcsidenriaL warn ��upply tsharedi 00irumiduarer RenkedimiDu ❑Salinii; Hamer ❑Stornm,dicr Dmirwge ❑S3lbsid MtC'olrml OTmcer L.ICWwrinplain under 7JO 7:L Numlrer (kiwdis beio%abandourd. 1 F,-y Lrrnfriple INNiYiLUr uP WN xwter S1V1JJ)- c+oasrrlrcrwN rxar.vb mt cwe j;jrwl, L,rlh MLY wig Oke salme lip. Appnrximatc aiklurric rrf %ater remaining in well(&): (Rai.) FOR WATER SUPPLY WELU5 ONIA- 7n Ty pe ur diaokettaod unr& 7d, :ArtuMnt of disinfmtamt ubed; 7c• Staling m;ktcrials u:Lcd (Cheek ir111ha mpply)- 12 NCat Ccmcnl l-rraw ❑ 13cntonitc Chips or PCllcts ❑ Sard Cenkwtl Gmut ❑ Dn C"las ❑ Conri-virGrvui ❑ DrilJ Cutiiogs ❑ 5preialry Gruui ❑ G7M';e1 n Hentonile 5lkkM- ❑ C)ther lixplainunder 7g1 7f, For t glch nkgtpri;kl wlrcteil Ahave, protide amnlmt of m kMrhA1!% uwk t1' Neat Cem.:471b ,Wtr:6gal. Sand Cem.:lb ,Wtr:gal. %, l"t"ilk a Ikrlef dcscrilitiva of the alkamionmeot pnoLmlum: Tremie grout from the bottom up Foothills Regional MSW Landfill 1403-MSWLF-1998 F ilily.CFrerLerNlLmr FacililslDW(if JDPluaNel S•CenilSratlort: 2800 Cheraw Rd. Lenoir, 28645 -�77c 0 1/21/2024 Pin -sisal Adtcs. CM}, and Zip 51 ': Dole Caldwell COMM.$ 2820829890 Parcel ldedifK2LiML N0. (PIN) 5h.14r1i0u4ealnd lonpJiUkin rlevneeafmirur#c iwmndsardccimal dcuccN iifvk:11 E40, Oiku LIL.'ILnL8 itY1Lifl;K12} 35.9224270 N 81.5972216 By .TjA7uPjg this)brm, f fremby certify MX the xef1{sJ was f3rerO abandoned in Trrx,urxhrh,re wilh 2 (4 ,V': iC 02C , 0100 -,r X v-w wtv conarvaian %mArdz rmd 11mt a copy of AriN record h u been proWdeded fa fire wei! owner. 9. Site diagram or addlt[orttttvvell details: You may use ihe bad, of this page to prrntide additional well site details or %V11 W abarkdommill detail,. You ma-v a1w :oMIL additional PMges if treCrasa(V- {"ONSTRiI- MON bETAIli OF W£LLtS) BEING ABANDONED SU11MITTAL rNSTRUCT[JQ .lrGuir vrf1 cr,mvArucJrare rrLnrsi�u �7 �Vrul,d,k. Iru m�k�,dr x�rr,rm rxr rae,a-nxkrr xup�r n�frx ONLY wid The= &Wet i+w Liam nr�mva wre)i,rm I Os For A31 W011SE Subnril 113i5 form within 30 date of comrpletFon of well 6a. Weil [bi[: PZ-73C 6h. T&1*1 tkrl[ depth: 41. 4 (Ft•) Coe. Borehrrledlameter.8.25 flu.) 611. %Visor kvcl hclnw Pukind -mlrfpkCk" N/A MI) abpndanm¢ry tg ft fgllmsing- Divi:Iina of W ier Rcmiuren, Jurormarukn Procnsing U61, 1617 Mail Smicr Center, RalriRh, Iti C37699-1617 mb. Four Imlettian VrLtlls: rik addilion [a selsding rlke forikL io the address in 10,k above- atsu skrbodi oir cops of This form nvidiio N0 days rrf uomptNion of well obandanincibi to the t•nlim-wing: Diyislun of Water R(aou reps, Undlergrou ad Injection Cikal rol Program. I.G36 Mail-Sm-icc Ccutcr, Ra irig i, NC~ 276"-163d 6c. Outrr casin Icn dI0ima)• / ffr•1 1ft. For Water Suorsl'v & infection Wells: In addition to seething The farm to g N A the address;es) above- also sub -mil owe cop- of this form 43'itliln 30 da}•s of comptetioo of nrll abundomnent to 1lo reLary lama-th depmrrrneiv of the irounly (i[. lnncrcasingltulrinp k7r};th lif kmruwnj: N/A AI rrIKT4 gtgr4ilmd. 6�,Sr:tt m l4ngHh IIf hno%a):10 (W Fomk GM-10 Nonh Carol= Depannion ofEm ironlncnl "NlEumL Rcsuiaccs - Diti Isuan of WuerR55a1LrCti5- Rcxkscd Ayeusi 20tt