WQ0034465_Complete File - Historical_20161216

Rogers, Michael
From: Eichlin, Brian <[e-mail]>
Sent: Friday, December 16, 2016 10:34 AM
To: Rogers, Michael
Cc: Lindsey Walata ([e-mail]); Draper, Benjamin
Subject: WQ0034465 Permit Renewal
Hi Michael
I wanted to let you know we will be adding sodium bicarbonate (added to the revised permit)to the injection mix for
several of the wells at SWMU 13 due to a declining pH trend. As we discussed during the permit renewal process, we
will add monitoring for sodium to the compliance monitoring wells at SWMU 13. Please let us know if you have any
questions or concerns.
Thank you again for your help getting the permit renewed.
From: Rogers, Michael [mailto:[e-mail]]
Sent:Thursday, November 10,2016 4:51 PM
To: Eichlin, Brian<[e-mail]>; Draper, Benjamin<[e-mail]>
Cc:[e-mail]; Lindsey Walata ([e-mail])<[e-mail]>
Subject: RE: Well Construction Records WQ0034465 Permit Renewal
Please find attached the renewal permit for the above project.
Regards,
From: Eichlin, Brian [mailto:brian eichlin(Wgolder.com]
Sent:Thursday, November 10, 2016 1:35 PM
To: Rogers, Michael<michael.rogersPncdenr.gov>; Draper, Benjamin<Benjamin DraperPgolder.com>
Subject: RE: Well Construction Records WQ0034465
Hi Michael
I added to the confusion. We do not plan to inject in P-5. We had internally discussed that at one time but then decided
not to include it in the renewal application. When Ben was putting the list together I was going from memory.
Yes GW-32S is currently an injection well and should be included in the new permit.
Thanks for your help.
From: Rogers, Michael [mailto:[e-mail]]
Sent:Thursday, November 10, 2016 1:14 PM
To.Draper, Benjamin <Benjamin [e-mail]>
Cc: Eichlin, Brian <brian [e-mail]>
Subject: RE:Well Construction Records WQ0034465
This is first I have seen where you want to use P-5. The application doesn't include this well but has GW-32S?
From: Draper, Benjamin [mailto:Beniamin [e-mail]]
Sent:Wednesday, November 09, 2016 2:56 PM
i

To: Rogers, Michael<[e-mail]>
Cc: Eichlin, Brian<brian [e-mail]>
Subject: RE: Well Construction Records WQ0034465
Good Afternoon Michael,
Per our conversation this morning, please find the attached schematic and location map showing the location and
details for the proposed new injection well (IW-13). To clarify/summarize the injection/extraction well additions from
the Non-Discharge Permit Renewal letter(attached):
We would like to add the following injection wells to the permit:
• IW-07(proposed new construction—see schematic for contingent injection well)
• W-1 (existing well)
• P-6(existing well)
• P-5 (existing well)
• SVE wells SVE-1, HF-1, HF-2, HF-3, HF-4, HF-5, HF-6, HF-7, HF-8, HF-9, HF-10 and HF-11.
We would also like to use the following well as an extraction well:
• IW-17/BNP-1 (to be used as contingent extraction well EW-5 and to be constructed as presented in the permit
application for EW-1 through EW-3)
Please let me know if you have any questions.
Thanks,
Ben
From: Rogers, Michael [mailto:[e-mail]]
Sent:Wednesday, November 09,2016 10:01 AM
To: Draper, Benjamin<Benjamin [e-mail]>
Cc: Eichlin, Brian<brian [e-mail]>
Subject: RE:Well Construction Records WQ0034465
Just to confirm,all wells to be used for injection are already built, not proposed to be constructed?
From: Draper, Benjamin [mailto:Benjamin [e-mail]]
Sent:Tuesday, November 08, 2016 4:54 PM
To: Rogers, Michael<[e-mail]>
Cc: Eichlin, Brian<brian [e-mail]>
Subject:Well Construction Records
Good Afternoon Michael,
Per your request, please find the attached Well Construction Records (Form GW-1) and boring logs associated with the
Non-Discharge Permit Renewal for the GlaxoSmithKline South Campus North Complex GW Remediation Permit No. WQ
0034465 request submitted to NCDEQon June 30,2016. Please note, I have attached the following files:
2

r `
• File 1: Injection Well (GW-1 Forms)—This file includes all of the Well Construction Records (Form GW-1)for the
previously used injection wells(with the exception of GW-4).
• File 2: Boring Logs—This file includes boring logs for the previously used injection well GW-4 as well as boring
logs for the proposed injection wells W-1 and P-6(these wells were installed prior to the RFI completed by
S&ME in 1999 and the GW-1 forms could not be located for these wells).
• File 3:SVE Well (GW-1 Forms)—This file includes boring logs for the proposed SVE/Injection Wells.
Let me know if you need any additional information pertaining to this Non-Discharge Permit Renewal.
Thanks,
Ben
Benjamin S. Draper, PG, PMP I Project Geologist I Golder Associates, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: [phone] I F: [phone] I C: [phone] I E: bdraperagolder.com I www.00lder.com
Work Safe, Home Safe
3

WQROS REGIONAL STAFF REPORT FOR
UIC Program Support
Permit No._WQ0034465_
Date: _10-28-2016 County: Durham
To: _Michael Rogers Permittee/Applicant: GlaxoSmithKline
Central Office Reviewer Facility Name: GlaxoSmithKline RTP South Campus
I. GENERAL INFORMATION
1. This application is(check all that apply): ❑New ® Renewal
® Minor Modification❑ Major Modification
a. Date of Inspection: October 10, 2016
b. Person contacted and contact information: Brian Eichlin,Golder Saks NC, Inc., 336-852-4903
c. Site visit conducted by: Laura Robertson
d. Inspection Report Printed from BIMS attached: ❑ Yes ®No
e. Physical Address of Site including zip code: GlaxoSmithKline, South Campus, North Complex, RTP, NC
3030 E Cornwallis Road, Durham,NC 27709
f. Driving Directions if rural site and/or no physical address:
g. Latitude: 35.920363 Longitude: -78.865538
Source of Lat/Long& accuracy(i.e., Google Earth,GPS, etc.): Google Earth
II. DESCRIPTION OF INJECTION WELL(S)AND FACILITY
1. Type of injection system: RECEIVED/NCDEQ/DWR
❑ Geothermal Heating/Cooling Water Return
❑ In situ Groundwater Remediation NOV - 1 2016
®Non-Discharge Groundwater Remediation Water Quality Regional
Operations Section
0 Other(Specify:____)
2. For Geothermal Water Return Well(s)only
a. For existing geothermal system:
Were samples collected from Influent/Effluent sampling ports? ❑Yes ❑No.
Provide well construction information from well tag:
b. Does existing or proposed system use same well for water source and injection? ❑ Yes ❑No
If No, please provide source/supply well construction info(i.e.,depth, date drilled,well contractor,
etc.)and attached map and sketch location of supply well in relation to injection well and any other
features in Section IV of this Staff Report.
3. Are there any potential pollution sources that may affect injection? ❑ Yes ®No
What is/are the pollution source(s)?
What is the distance of the injection well(s)from the pollution source(s)?
4. What is the minimum distance of proposed injection wells from the property boundary?_approx. 200 feet
5. Quality of drainage at site: ® Good ❑Adequate ❑ Poor
6. Flooding potential of site: ® Low 0 Moderate ❑ High
Rev. 6/1/2015 Page 1

WQROS REGIONAL STAFF REPORT FOR
UIC Program Support
7. For Groundwater Remediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring,monitoring parameters,etc.)adequate? ®Yes ❑No. If No,
attach map of existing monitoring well network if applicable and recommend any changes to the groundwater-
monitoring program.
8. Does the map included in the Application reasonably represent the actual site(property lines,wells, surface
drainage)?®Yes 0 No. If No, or no map,please attach a sketch of the site. Show property boundaries,
buildings,wells,potential pollution sources,roads,approximate scale,and north arrow.
9. For Non-Discharge groundwater remediation systems only:
a. Are the treatment facilities adequate for the type of waste and disposal system? ®Yes ❑No ❑N/A.
If no,please explain:
b. Are the site conditions(soils,topography, depth to water table,etc.)consistent with what was reported by
the soil scientist and/or Professional Engineer? ®Yes ❑No ❑N/A. If no, please explain:
III. EVALUATION AND RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? 0 Yes ®No. If yes,explain.
2. List any items that you would like WQROS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item:
Item Reason
3. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition:
Condition Reason
4. Recommendation
0 Deny. If Deny, please state reasons:
❑ Hold pending receipt and review of additional information by regional office
O Issue upon receipt of needed additional information
® Issue 4.1
5. Signature of report preparer(s): l i-A't 4,
Signature of WQROS Regional Supervisor:
Date: /0 Zyll/p l
Rev. 6/1/2015 Page 2

WQROS REGIONAL STAFF REPORT FOR
UIC Program Support
IV. ADDITIONAL REGIONAL STAFF REVIEW COMMENTS/ATTACHMENTS(If Needed)
Table S-1 has been revised in Appendix I from the 2010 permit application.
Notes per Proposed Permit Changes 3.0
1. GSK requests to change the location of proposed IW-07 to be upgradient of IW-17BNP-1; near PW-05.
This location was inspected and appears to be a reasonable change.
2. GSK requests annual injections into 11 shallow SVE wells(see Figure 8). Injecting these wells would
replace the request for the installation of IW-15. Using these wells will not change the permitted injection
area.
3. Because concentrations have drastically been reduced in the injection well IW-08D, GSK requests to begin
injecting into P-6 instead of IW-08D, and keep all permitting requirements the same—just switch which
well is to be injection vs.monitoring. This seems reasonable due to the attenuation in the deep injection
well and the capacity to inject at the adjacent shallow well.
4. GSK requests to permit IW-17BNP-1 as extraction well EW-5. If this is allowed,the total extraction
volume will not increase,as the total volume of injection slurry moving forward will not change. EW-5 will
be constructed as EW-1-EW-3 were constructed.This seems like a feasible approach. The location was
inspected and appears to be a reasonable change.
5. GSK requests to have the option to inject into AOC W-1 instead of IW-36. Concentrations in W-1 are an
order of magnitude higher than IW-36, and it is moderately isolated. Both of these well have shown a trend
of stable TCE& 1,2-DCE concentrations over the Year 2 monitoring.
6. GSK requests to add sodium bicarbonate and persulfate into the permitted list of injectants.In an email
dated July 22, 2015,Golder requested to add sodium lactate and RTB-1 bacteria to the permit as well.
These are NCDEQ-approved injectants for in situ remediation.
7. GSK requests that the permit be revised to include the use of GW-32S at AOC GW-6 as an injection well
that was also approved in the July 22, 2015 email.
Note: No Figure 9 was included, I assumed where they referenced it they meant Figure 8.
The current monitoring plan is presented in Figure 2.
Overall,the system and its components are very well maintained and fenced/locked accordingly. Monitoring
wells and injection/extraction wells,control panels,filters,and water containment all appear to be in very good
working condition.
Rev.6/1/2015 Page 3

Rogers, Michael
From: Draper, Benjamin <Benjamin_Draper©golder.com>
Sent: Thursday, November 10, 2016 4:50 PM
To: Rogers, Michael
Cc: Eichlin, Brian
Subject: Injectant Monitoring WO0034465
Good Afternoon Michael,
Per our discussion,the current approved injectants are ZVI, sodium lactate,and soy powder. In our permit renewal
letter we requested that micro-organisms and persulfate be added to the list of approved injectants. As we discussed,
before injecting these new injectants we agree to consult the manufacturer of the product and add any necessary
analyses(e.g., sulfate,etc.)to the current monitoring program to ensure that the new injectants do not disperse outside
of the approved compliance boundary.
Please let us know if you have any questions,
Thanks,
Ben
Benjamin S. Draper, PG, PMP I Project Geologist I Golder Associates, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: [phone] I F: [phone] I C: [phone] I E: bdraper a(�golder.com (www.golder.com
Work Safe, Home Safe
•
r -
1

Rogers, Michael
From: Eichlin, Brian <brian_eichlin©golder.com>
Sent: Thursday, November 10, 2016 1:35 PM
To: Rogers, Michael; Draper, Benjamin
Subject: RE: Well Construction Records WO0034465
Hi Michael
I added to the confusion. We do not plan to inject in P-5. We had internally discussed that at one time but then decided
not to include it in the renewal application. When Ben was putting the list together I was going from memory.
Yes GW-32S is currently an injection well and should be included in the new permit.
Thanks for your help.
From: Rogers, Michael [mailto:[e-mail]]
Sent:Thursday, November 10, 2016 1:14 PM
To: Draper, Benjamin<[e-mail]>
Cc: Eichlin, Brian <[e-mail]>
Subject: RE:Well Construction Records WQ0034465
This is first I have seen where you want to use P-5. The application doesn't include this well but has GW-32S?
From: Draper, Benjamin [mailto:Benjamin [e-mail]]
Sent:Wednesday, November 09, 2016 2:56 PM
To:Rogers, Michael<[e-mail]>
Cc: Eichlin, Brian <brian [e-mail]>
Subject: RE:Well Construction Records WQ0034465
Good Afternoon Michael,
Per our conversation this morning, please find the attached schematic and location map showing the location and
details for the proposed new injection well (IW-13). To clarify/summarize the injection/extraction well additions from
the Non-Discharge Permit Renewal letter(attached):
We would like to add the following injection wells to the permit:
• IW-07 (proposed new construction—see schematic for contingent injection well)
• W-1 (existing well)
• P-6(existing well)
• SVE wells SVE-1, HF-1, HF-2, HF-3, HF-4, HF-5, HF-6, HF-7, HF-8, HF-9, HF-10 and HF-11.
We would also like to use the following well as an extraction well:
• IW-17/BNP-1 (to be used as contingent extraction well EW-5 and to be constructed as presented in the permit
application for EW-1 through EW-3)
I Please let me know if you have any questions.
Y

Thanks,
Ben
From: Rogers, Michael [inailto:[e-mail]]
Sent:Wednesday, November 09, 2016 10:01 AM
To: Draper, Benjamin<Benjamin DraperPgolder.com>
Cc: Eichlin, Brian<brian [e-mail]>
Subject: RE:Well Construction Records WQ0034465
Just to confirm,all wells to be used for injection are already built, not proposed to be constructed?
From: Draper, Benjamin [mailto:Beniamin [e-mail]]
Sent:Tuesday, November 08, 2016 4:54 PM
To: Rogers, Michael<michael.rogersPncdenr.gov>
Cc: Eichlin, Brian<brian [e-mail]>
Subject:Well Construction Records
Good Afternoon Michael,
Per your request, please find the attached Well Construction Records(Form GW-1) and boring logs associated with the
Non-Discharge Permit Renewal for the GlaxoSmithKline South Campus North Complex GW Remediation Permit No. WQ
0034465 request submitted to NCDEQ on June 30,2016. Please note, I have attached the following files:
• File 1: Injection Well (GW-1 Forms)—This file includes all of the Well Construction Records (Form GW-1)for the
previously used injection wells(with the exception of GW-4).
• File 2: Boring Logs—This file includes boring logs for the previously used injection well GW-4 as well as boring
logs for the proposed injection wells W-1 and P-6 (these wells were installed prior to the RFI completed by
S&ME in 1999 and the GW-1 forms could not be located for these wells).
• File 3:SVE Well (GW-1 Forms)—This file includes boring logs for the proposed SVE/Injection Wells.
Let me know if you need any additional information pertaining to this Non-Discharge Permit Renewal.
Thanks,
Ben
Benjamin S. Draper, PG, PMP I Project Geologist I Golder Associates, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: [phone] I F: [phone] I C: [phone] I E: bdraper(c�golder.com I www.golder.com
Work Safe, Home Safe
2

ti
Rogers, Michael
From: Draper, Benjamin <[e-mail]>
Sent: Wednesday, November 09, 2016 2:56 PM
To: Rogers, Michael
Cc: Eichlin, Brian
Subject: RE: Well Construction Records WQ0034465
Attachments: Non-Discharge Permit Renewal Letter.pdf; IW-07 Schematic.pdf; IW-07 Location.pdf; P-5
Boring Log.pdf
Good Afternoon Michael,
Per our conversation this morning, please find the attached schematic and location map showing the location and
details for the proposed new injection well (IW-13). To clarify/summarize the injection/extraction well additions from
the Non-Discharge Permit Renewal letter(attached):
We would like to add the following injection wells to the permit:
• IW-07 (proposed new construction—see schematic for contingent injection well)
• W-1 (existing well)
• P-6(existing well) C�
• SVE wells SVE-1, HF-1, HF-2, HF-3, HF-4, HF-5, HF-6, HF-7, HF-8, HF-9, HF-10 and HF-11.
We would also like to use the following well as an extraction well:
• IW-17/BNP-1 (to be used as contingent extraction well EW-5 and to be constructed as presented in the permit
application for EW-1 through EW-3)
Please let me know if you have any questions.
Thanks,
Ben
From: Rogers, Michael [mailto:[e-mail]]
Sent:Wednesday, November 09, 2016 10:01 AM
To: Draper, Benjamin<[e-mail]>
Cc: Eichlin, Brian<[e-mail]>
Subject: RE:Well Construction Records WQ0034465
Just to confirm, all wells to be used for injection are already built, not proposed to be constructed?
From: Draper, Benjamin [mailto:[e-mail]]
Sent:Tuesday, November 08, 2016 4:54 PM
To: Rogers, Michael<[e-mail]>
Cc: Eichlin, Brian<[e-mail]>
Subject:Well Construction Records
R.
Good Afternoon Michael,
1

Per your request, please find the attached Well Construction Records(Form GW-1) and boring logs associated with the
Non-Discharge Permit Renewal for the GlaxoSmithKline South Campus North Complex GW Remediation Permit No. WQ
0034465 request submitted to NCDEQ on June 30,2016. Please note, I have attached the following files:
• File 1: Injection Well (GW-1 Forms)—This file includes all of the Well Construction Records(Form GW-1)for the
previously used injection wells(with the exception of GW-4).
• File 2: Boring Logs—This file includes boring logs for the previously used injection well GW-4 as well as boring
logs for the proposed injection wells W-1 and P-6 (these wells were installed prior to the RFI completed by
S&ME in 1999 and the GW-1 forms could not be located for these wells).
• File 3:SVE Well (GW-1 Forms)—This file includes boring logs for the proposed SVE/Injection Wells.
Let me know if you need any additional information pertaining to this Non-Discharge Permit Renewal.
Thanks,
Ben
Benjamin S. Draper, PG, PMP I Project Geologist I Golder Associates, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: [phone] I F: [phone] I C: [phone] I E: bdraper(a�golder.com I www.qolder.com
Work Safe, Home Safe
t
Please cG,risi Fni the .enet . rtn er-t b !€:€4F:£ this email.
II
2

e e 14
Boring Log
ENGINEERING • TESTING P-5
ENVIRONMENTAL SERVICES N 6(
VAill
PROJECT NO. : 1054-96-554 I SITE :Glaxo Wellcome South Campus, North Complex "COUNTY : Durham
WELL LOCATION : SWMU 13 ' GEOLOGIST : Walt Beckwith
DATE DRILLED : 7-17-96 DRILL METHOD : Air Rotary 'RIG : Schramm T-660
TOTAL DEPTH : 78.4 FT. bgs ' GROUND ELEV. : 377.3 FT. TOC ELEV. : 380.02 FT.
STATIC WATER LEVEL : 16.25 FT. bgs NORTHING : 790009.66 EASTING : 2039826.35
SURFACE CASING : na " ID. FROM na FT. TO na FT. ICASING TYPE : na
WELL RISER : 2 " ID. FROM 2.7 FT. TO -20.1 FT. ICASING TYPE "5=hilule 40 PVC
WELL SCREEN : 2 " ID. FROM -20.1 FT. TO -30.1 FT. SCREEN TYPE ' 1``-1'40 PVC 0.010 slot
CALIPER L I
Depth 2 INCHES 8
(Feet RES I ELEV. Subsurface Well
bgs) GAM(NAT) GAM(NAT) OHM-M T (Feet Description Dwg.
0 API-GR 400 0 API-GR 400 10 1000 H MSL)
I 380
_
0
i I and brown s_: fine
i;.. i :•: sand
.'.' - Ir''' i 'I
1 � 375
1 '.'. - /
-f- 01
-I- 5
i I
i
• •• — 370
1
-10
Deg broa•n sandy sit.
1 365
V/ •
I
s
( 3
ZA
k- i 1111d IiTlil
-15I I l' . I il1l!i i
I'
y
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•

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( . .-- &ENE
Boring Log
ENGINEERING •TESTING P_5
ENVIRONMENTAL SERVICES
PROJECT NO. : 1054-96-554 SITE :Glaxo Wellcome South Campus, North Complex 'COUNTY : Durham
WELL LOCATION : SWMU 13 GEOLOGIST : Walt Beckwith
DATE DRILLED : 7-17-96 (DRILL METHOD : Air Rotary FRIG : Schramm T-660
TOTAL DEPTH : 78.4 FT. bgs GROUND ELEV. : 377.3 FT. ITOC ELEV. : 380.02 FT.
STATIC WATER LEVEL : 16.25 FT. bgs I NORTHING : 790009.66IEASTING : 2039826.35
SURFACE CASING : na " ID. FROM na FT. TO na FT. FCASING TYPE : na '
WELL RISER : 2 ID. FROM 2.7 FT. TO -20.1 FT. (CASING TYPE `i` c yule 40 PVC
WELL SCREEN : 2 " ID. FROM -20. 1 FT. TO -30. 1 FT-SCREEN TYPE ` ''40 PVC 0.010 slot
CALIPER L I
Depth 2 INCHES 8 1
(Feet RES I ELEV. Subsurface I Well
GAM(NAT) GAM(NAT) OHM-M T (Feet Description I Dwg.
bgs) 0 API-GR 400 0 API-GR 400 10 1000= H MSL) F
: - 1111 I 1 1
. ."
-20 .'.
Red brown s_ltstone with :- •: •• • •
f j „ i sandy interbeds;
1
I fracture/water-bearing
_— 355 none observed @ =1.8' bgs
:.
L
...i
-2 S Red brown sandstone
i ❑ . •, •
•I
Red brown siltstone with -
sandy interbeds �.-.
:_
� 345 Hill I ;
t -.^ i I
III
i I _. -

. .
_ Saw Boring Lob
ENGINEERING •TESTING P-5
ENVIRONMENTAL SERVICES
PROJECT NO. : 1054-96-554 SITE :Glaxo Wellcome South Campus, North Complex (COUNTY : Durham
WELL LOCATION : SWMU 13 !GEOLOGIST : Walt Beckwi_h
•
DATE DRILLED : 7-17-96 !DRILL METHOD : Air Rotary TRIG : Schramm T-6660
TOTAL DEPTH : 78.4 FT. bgs GROUND ELEV. : 377.3 FT. TOC ELEV. : 380.02 FT.
STATIC WATER LEVEL : 16.25 FT. bgs I NORTHING : 790009.66IEASTING : 2039826.35
SURFACE CASING : na " ID. FROM na FT. TO na FT. ICASING TYPE : na •
WELL RISER : 2 " ID. FROM 2.7 FT. TO -20.1 FT. CASING TYPE :;= €e4ule 40 PVC
WELL SCREEN : 2 " ID. FROM -20.1 FT. TO -30.1 FT. ISCREEN TYPE tf-j 40 PVC 0.010 slot
I CALIPER L I
Depth; 2 INCHES 8 •
(Feet I RES I ELEV. Subsurface Well
bgs) I GAM(NAT) GAM(NAT) OHM-M T (Feet Description Dwg.
IQ API-GR 400 0 API-GR 400 10 1000. H MSL)
_L I •
1' Ill I 1111 .
•I.`! I ii
f j1 EMI
�, WIWI
T -40 - I1,11E, WWII
1,77- , ( _= �;ll.;il�l� lf�
ia.. — 33�
I - I
... _
_.
I _. „,/
... _
_. _
... _
... ._
-45 —
T — 1- 330 1
. i
_ -
I I � -
I I i , c '
{ , Grayish-brown sandstone; i
i � water-bearing zone /
observed @ 50.6' bgs I
-50 IL
O " I
ID
T i — Reddish-brown sil:stone
I-1. with sandy inzerbeds
I ,- 325 1
1 _-
f
I
t I
/ A
_ 1
,ii%/ %,

I
Boring Log
P-5
ENGINEERING •TESTING
ENVIRONMENTAL SERVICES
(PROJECT NO. : 1054-96-554 I SITE :Glaxo Wellcome South Campus, North Complex COUNTY : Durham
(WELL LOCATION : SWMU 13 I GEOLOGIST : Walt Beckwith
(DATE DRILLED : 7-17-96 DRILL METHOD : Air Rotary TRIG : Schramm T-660
TOTAL DEPTH : 78.4 FT. bgs ' GROUND ELEV. : 377.3 FT. ITOC ELEV. : 380.02 FT.
STATIC WATER LEVEL : 16.25 FT. bgs I NORTHING : 790009.66 !EAST_NG : 2039826.35
SURFACE CASING : na " ID. FROM na FT. TO na FT. ICASING TYPE : na •
WELL RISER : 2 " ID. FROM 2.7 FT. TO -20.1 FT. CASING TYPE ~ �h"61?ule 40 PVC
WELL SCREEN : 2 " ID. FROM -20.1 FT. TO -30.1 FT. ISCREEN TYPE 4 `h 40 PVC 0.010 slot
CALIPER ' L
Depth 2 INCHES 8 -
(FeetRES m ELEV. Subsurface Well
GAM(NAT) GAM(NAT) OHM-M - (Feet Description Dwg.
bgs) 0 API-GR 400 0 API-GR 400 10 1000 N MSL)
1 1:97
-60is> (' __.
Gray brown. fire grained
I °o sandstone; water-bearing
o :one observe 62.1' and
63.5' bgs
i ' C G/ "z/c,
--
i
O
' u^
3 "' Brown siltszore
I .
T
I
T 1.._. 310
t . -
-7 0 —.
I i •-- 305
T I i
_ /
- i • , � _ r�/%/.

1
f
Boring Log
r ENGINEERING • TESTING P_rj
•
ENVIRONMENTAL SERVICES
PROJECT NO. : 1054-96-554 SITE :Glaxo Wellcome South Campus, North Complex (COUNTY : Durham
WELL LOCATION : SWMU 13 GEOLOGIST : Walt Beckwith
DATE DRILLED : 7-17-96 (DRILL METHOD : Air Rotary TRIG : Schramm T-660
TOTAL DEPTH : 78.4 FT. bgs GROUND ELEV. : 377.3 FT. ITOC ELEV. : 380.02 FT.
STATIC WATER LEVEL : 16.25 FT. bgs , NORTHING : 790009.66IEASTING : 2039826.35
SURFACE CASING : na " ID. FROM na FT. TO na FT. 'CASING TYPE : na .
WELL RISER : 2 " ID. FROM 2.7 FT. TO -20. 1 FT. CASING TYPE ]bV.dule 40 PVC
WELL SCREEN : 2 " ID. FROM -20.1 FT. TO -30.1 FT. ISCREEN TYPE 00#A740 PVC 0.010 slot
CALIPER L
Depth 2 INCHES 8
• (Feet RES I ELEV. Subsurface Well
bgs) GAM(NAT) GAM(NAT) OHM-M T (Feet Description Dwg.
0 API-GR 400 0 API-GR 400 10 1000 H MSL)

\
MINIMUM 24• DIAMETER SPILL
CONTAINMENT STRUCTURE
CONCRETE PAD
WATERPROOF LOCKING COVER--\
GROUND SURFACE
!��e6j?��p?pA.W �#Op- •• N
y
6—INCH TO 8—INCH ,•S; �•; in
PVC SCH.40 CASING ;.., 4 -
.44 0
I
CEMENT/BENTONITE GROUT 'V. .�; R
...
OVERBURDEN ; '.
.;
BEDROCK ❖:
!.l..
4—INCH OPEN BOREHOLE
1r WATER LEVEL
P<
x
i
_,, —
END OF OPEN BOREHOLE
PROPOSED IW-07
0INJECTION WELL 4 Tw-1/ ' 3/ 'JO
NOT TO SCALE
\
Developer BSD —
cAD: BSD ®=_
Site: CORNY/ALLIS ROAD, RTP Golder
IaxoSmIthKline GSK Proj. I REI0614 ® Associates
GOLDER ASSOCIATES NC, INC.
Scab: NOT TO SCALE
CAD Fie: No Revision Date Drawing Number. Rev
0739611502E002.DWG Q

._.._.._. 1.. 7. .ri: --_.._.._ _.._..7.:_.._.._.._.._.._.._--_4-1 I H--4—.._. _.LEGEND
/
I I
/ f !
i / I / / IEXISTING CHAIN LINK FENCE IW-06 • PHASE I NZVI INJECTION WELL11q
SURROUNDING SWMU-13 / ! / OVERFLOW SUMP •IW-04 .1axo$mlthKIIne
^O AND PUMP NO.1 APPROXIMATE LOCATION OF NON IW-06D• DEEP PHASE I NZVI INJECTION WELL
JURISDICTIONAL WETLANDS(NOTE 1)
�j M EW-1 t` PHASE I EXTRACTION WELL
r� 36 x-xi-x-x-x-x x ���- ` -f--1�EW-2 EW-1 PROPOSED CONTINGENT . ,
r / EW-4D / 1 ` _ - - - -` a�
CA
j x / / 1 \ II INJECTION WELL LOCATION
I // / J / I // . �� \` \ I\ BR-3 H SVEBEDRWELL OCK NZVI INJECTION WELL AND
l / / , �1 \ I \ SHALLOW - Golder
! / // / / �I - •\1\\ �_ — — — t t h�EXTRACTED GROUNDWATER SVE-1 - SHALLOW
HALLO L/ICALLY SVE WELL FRACTURED SVE ® Associates
/ DEEP EXTRACTED N
/ / GROUNDWATER FORCEMAIN / ` \ \ \ II l FORCEMAIN HF-1 WELL; PROPOSED INJECTION POINTS CONTACTOR PROJECT N0: 073-96115
/ // / I / (SEE NOTE 4) , 1% �IW-18 \ ! (SEE NOTE 4) DESIGNED BY: BSD
/ / / I „ I `; ;, \` -\ I\ O MONITORING WELL DRAWN BY: BSD
/ / / / I, /- r, x 1 \` EW-3 1\ �£ INJECTION WATER HOSE CHECKED BY: BJE
N ,x / BN\P 1/IW-17 I)0
_ \ (1 /1 /J I J / / • \` /.........__ EW-`3(ALTERNATE E7(TRACTION WELL) CONNECTION LOCATIONS PROJECT MANAGER: BRIAN EICHUN, P.E.
N \` t / I i 1 f f / // r/ \ •. �� GRAVITY E OVERFLOW HEADER POWEIR LINE
NG ERHEAD
GSK PROJECT INFORMATION
\ ` / iJ I ' IJ J/ / HF-7 N e', �IW-07 � IU`1-16 —.•----••------- PROPERTY LINE GSK PROJECT N0 RE10614
tt
` �x� I 1 IlA-10 IW-1&\ I •%, , �\ \ 5' CONTOUR INTERVAL PROJECT NAME: CORRECTIVE MEASURES
-x—x—x—x=x—x—x—x \\ x x—x
/ GSK PROJECT MGR: LINDSEY WALATA, P.G.
® OVERFLO SUMP f" J ` , N. ' \ ; 12'DOUBLE ACCESS GATE
W_ I SHALLOW EXTRACTED
_..- -" At�PUMP
I t �l \ Sk
f \� �I1 49 I�1% \ \\ I 1 , 0IW-02 GROUNDWATER FORCEMAIN
'� \ 1 1. I � HF--�a IW_ "� \ DEEP EXTRACTED
l HF-9 • �% \N C] C7 GROUNDWATER FORCEMAIN
T � \ f 1/ ailip \r--".. \ xIirIi ( \ BR 3 1. % \ EXISTING OVERHEAD N `` \\ SECOND ANNUAL REPORT
1, I12'DOUBLE ACCESS GATE• j\ �" P IW D I 1 I •t\ , \\ GRAVITY OVERFLOW HEADER
` \fil3 /
/ \/ , +�x� •
6103-*Hf- HF-3 \ �HF-11\ 1 / \ /' INJECTION WATER
/ -i 7„ I I I ( �BR-�\ •t �11 \_.......\// /C �1 0 0 o FORCEMAIN
4 I `
J y�1 !I x 1 j i J 6'ACCESS GATE f,N-^\\`` PHASE II nZVI TARGET
NEW FENCING / "— EXISTING FENCING • P1 1 / \
..x % -1' // \ -., 1 INJECTION AREA SHALLOW
/ ,y // I I I�IF-L�- SVE-1 t, — — -.\`+ �ICY /\1\� &DEEP)
- / /� - -/ }„ It BR-1 / •j \IW14D
k./ PARKING AREA *UV-i 4' / x � / ,'�i
'/ I SVE SYSTEM / •,/i' �1 1 `\ i — —\ / I t \
•! V f — NOTES
1 IW-06 �� i -- -- / ‘1 I \ / r\ /
I I 1;r� C 11 \ / 1 ) / - / 1. GRAVITY OVERFLOW HEADER LINES TO BE 1-INCH
LOCATION OF PORTABLE IW 03D / ` I \ / 1,.../
/ SDR-1 1 HDPE PIPE WITH 2% MINIMUM GRADE TO
P / TREATMENT UNIT // ^�• 0 0 0 -6 ►' J/ l�` / / PROMOTE GRAVITY FLOW. 0 SUBMfTTED TO NCDEO 06/30/16
(I / --- / No Revision Date
.r IW-01 \ 1 \ ' 2. SHALLOW AND DEEP GROUNDWATER FORCEMAIN TO
`a —x—x�x —x—x x—x—x—x , .� BE 1" SDR-11 HDPE PIPE.
IA
TANK(6000 GAL)\ / — / / Developer:
— 1 I/' X /�IW-05/ INJECTION WATER / / 3. INJECTION WATER FORCEMAIN TO BE 1" SDR-1 1 CAD: CTF
_r i /
FORCEMAIN / HDPE PIPE. Site: GSK S. CAMPUS, N COMPLEX
L — /' / / / (SEE NOTE 5) // / Scale: 1' 40'
/ 1 / t '\ _ e / / /
'' J . PARKING AREA! ) / `/ // / Title:
/ / J \, / ✓/ I/ 0 l GRASS AREA / SWMU-13 PROPOSED
y , /1^// // EXISTING 10 DOUBLE ��DUKE ENERGY OVERHEAD INJECTION WELL LAYOUT
�� / ACCESS GATE POWER LINE
— — •
' �- / FIGURE: 8
/ r r -// N / �_/// 08�' "- `! J/ 40 0 40 8' Drawing Number: Rev:
• ' / I / SCALE FEET 0
/ i —� -- - /_' .._ j
/ / i-� r - -, -- I / ,

W 6,00 3qy%C
Rogers, Michael
From: Draper, Benjamin <[e-mail]>
Sent: Tuesday, November 08, 2016 4:54 PM
To: Rogers, Michael
Cc: Eichlin, Brian
Subject: Well Construction Records
Attachments: Injection Well (GW-1 Forms).pdf; Boring Logs.pdf; SVE Well (GW-1 Forms).pdf
Good Afternoon Michael,
Per your request, please find the attached Well Construction Records (Form GW-1) and boring logs associated with the
Non-Discharge Permit Renewal for the GlaxoSmithKline South Campus North Complex GW Remediation Permit No. WQ
0034465 request submitted to NCDEQ on June 30, 2016. Please note, I have attached the following files:
• File 1: Injection Well (GW-1 Forms)—This file includes all of the Well Construction Records (Form GW-1) for the
previously used injection wells (with the exception of GW-4).
• File 2: Boring Logs—This file includes boring logs for the previously used injection well caleliail,as well as boring
logs for the proposed injection wells W-1 and P-6 (these wells were installed prior to the RFI completed by
S&ME in 1999 and the GW-1 forms could not be located for these wells). (
• File 3: SVE Well (GW-1 Forms)—This file includes boring logs for the proposed SVE/Injection Wells.( t)
Let me know if you need any additional information pertaining to this Non-Discharge Permit Renewal.
Thanks,
Ben
Benjamin S. Draper, PG, PMP I Project Geologist I Golder Associates, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: [phone] I F: [phone] I C: [phone] I E: [e-mail] I www.qolder.com
Work Safe, Home Safe
1

fit*
.,,,p,. ,.. ,- NON RESIDENTIAL WELL CONSTRUCTION RECORD
itA f' fi. North Carolina Dcpertrrieut of 61Vaolnnetit and Natural Resources-Diveiori of WaterQuality
tnC ell . ,,
''rz" '
'ore;,..,,v WELL CONTRACTOR CERTIFICATION# 2593
.+'
1.WELL CONTRACTOR d. TOP OF CASING IS 2 FL Above Land Surface'
Ri Cb Lemi re "Top of casing terminated stlor below land surface may require
Well Contractor(In�vtdual)Name a with 1 bA NCAC 2C.fJ118.
sAEDAcco Inc a. YIELD(spas): METHOD OF TEST
WeN Contractor Company Name f_ DISINFECTION:Type Amount
STREET ADDRESS 908E NORTHFIELD DR g. WATER ZONES(depth):
Frrn To Fran To
FDRTMILL SC 29707 From To Ff01T1 TO
City or Tarn State Zip Code
( [phone]
Frrnm To Fran To
Area code- PhOne rl<xtfber 15. CASING: Thidmesa/
2.WELL INFORMATION: Depth Diameter Weight Material
SITE WELL IDi{Irappllcade) BR-1 From 0 To 27 FL 6 SCH40 PVC
STATE WELL PERMITiI(If appticatirr) From To F
From To FL
DWQ or OTHER PERMIT Kr(applicable)W00034445
WELL USE(C?)eck Applicable Box)Morittdre-g❑ MtmicipaVPubk❑ 7. GROUT; Depth Material Method
Ind uatrieVCommercial❑ Agricultural❑ Recovery❑Injection El Frain To Ft
trrigatiof❑ Other 0(list use) Fran 7o Ft
From To Ft.
DATE DRILLED 11-14-2o3.1.
S. SCREEN: Depth Diameter .Slot Size Material
TIME COMPLETED 5:30 AM 0 PM Iffi
From To FL in. in.
3.WELL LOCATION: From Tor FL h. in,
CITY; DURHAM COUNTY DURHAM
Fr»fn To Ft In. in.
3029 E_CORNWnr,T IS RD
IT. SAND/GRAVEL PACK:
(StraetName,Numbers.Comrrwniiy,SubdhAsiort,Lot No.,Parcel.Zip Code) DeOtr Size Material
TOPOGRAPHIC./LAND SETTING: Fran 'To FL
0 Slope ❑Vatlay SI Fiat ❑Ridge ❑Other
(c appropriate fed From To Ft.
am
LATITUDE 35 55'13.99" MaYbcalJ �cgro ,
From To Ft.
mid'icolids or 1P.DRILLING LOG
LONGITUDE 78 51'55.36" in adeciroat(bullet from To FormationDescripton
latitude/longitudesource: ioGPS QTopographic map 0 27 PWR
(bcaba l of wet must be shover on a USG.(opo neap and 27 35 ROCK
attad,ad fo this'tornr if root using CPS)
4.FACILITY-to ow named ate business whirs the wear It locoed
FACILITY ID fit(apprcabSej
NAME OF FACILITY GLAXO SMITH KLINE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 35
City or Town State Zip Code
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11.REMARKS:
CitytaTown State Zip Code TA IS NEi.T, IS OPEN FROM 25-35 FEET.
( 919 )-484-9550
Area code- Phale number
6 WELL DETAILS: I DO HE TE
HEREBY CERTIFY THAT T-I S WELL WAS OONSTRUCD IN ACCORDANCE WITH
75A NCAC 2C,WELL CONSTRIJCTION5TANDARD!,Ar'O,lHATA COPY OF TMS
RECORDW,S air o To THE WELL OWNER.
a. TOTAL DEPTH: 35 •—! r�l�--fAwS^4- 11-la-2 O 11
b. DOES WELL REPLACE EXISTING WELL? YES❑ NO ID SIGMA URE OF CERTIFIED WELL CONTRACTOR DATE
C. WATER LEVEL Below Tap of CastnQ: 27 FT.
(Use'+"if Abow Top of Geeing) RICHY L LEMIRE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days Attu: Information Mgt., Form GW-1b
1817 Mali Service Center—Raleigh,NC 276994e17 phone No.(919)733-7.016 ext 666. • Rev.7ro5

1
41.,srAF,.
I r.t ?... 1 j'ON11 ESI ENTIAL WELL CONSTRUCTION RECORD
i-1:tfrl5x.---
=.•0r 1;. North Carolina Dtpmv b neitt Of Env'aoidnetit and Nit/Altai rats-Ovision of Water Quality
•'Ali >°
•�a.;,p,,,,r WELL CONTRACTOR CERTIFICATION tt 2593
1.WELL CONTRACTOR: d. TOP OF CASINO'S 2 FT.Above land Surface'
Rich Larnire 'Top of caehg terminated etlor below land surface may require
Well ContractorI a variance in accordance with 15A NCAC 2C.0118.
(nthviduat)Name
sAEDACCo Inc O. YIELD(gpm): METHOD OF TEST
Wed Contractor Company Name i. DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTEFIELD DR g. WATER ZONES(depth):
Front To Fran To
FORTMILL SC 29707Frorn To From To
City or ToWn State Zip Code
( )- [phone] From To From To
Area t Phone riiinber 6, CASING: Thickness/
2.WELL INFORMATION: Depth Diameter Weight Material
SITE WELL ID*(it applicable)BR-2 From 0 To 27 Ft.6 SCH40 PVC
From To FL
STATE WELL PERTt(if applicable)AM
MVO or OTHER PERMIT*Of appicable)woo034465 Fran To FL
WELL USE(Check Applicable Elm)Mondprtttg CIMun cipal/Pub&c f 7. GROUT: Depth Mataoat Method
Industrial/Commercial 0 Aortal/turn!p Recovery p In)ection E Ftorn To FL
taiga8aup Other 0(fist use) From To .Ft.
From To .FL
DATE DRILLED 11-14-2011
& SCREEN: Depth Diameter 'Sid Size Material
TIME COMPLETED 5:00 AM 0 PM I& • From To FL W. irL
3.WELL LOCATION: From To FL In. In_
CITY: DURHAM COUNTY DIIRHnrr From To _ FL In. in,
3029 E.CORNWALLIS RD
(Sleet Name,Numbers,Co mun ty,SubdMsion,Lot No.,Parcat.Zip Cods) 9. SAPID
Depth Size Material
EL PACK:
TOPOGRAPHIC t LAND SETTING'
From To Ft.
0 Slope ❑Valtey ®Flit O Ridge ❑Ottier
(check appropriate box).
From To FL
LATITUDE 35 55'14.12 May be kr degree, From To FL
miractrs,xroridsor 10.DRILUNG LOG
LONGITUDE 78 51'55.52 ma4c1mal-format From To Formation Desciption
Latitude/longitude source: onGPS ❑Topographic map 0 27 PWR
(bcatian ofwelmust be Shown on a USES t000 mep and 27 35 ROCK
attached to(/us form"not using GPS)
4.FACIUTY.is Fe(vrne a 9e o,alnees whare dr.will Is roc
FACIUTY ID Of applcatge)
NAME OF FACILITY GLAXQ SMITH 91IN
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 35
City or Town Stale Zip Code
CONTACT PERSON Jon Guthrie, ACH Constructors
MAiUNGADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11.REMARKS;
Clty or Town State Zip Code THIS WELL IS OPEN FROM 25-35 FEET_
( 919 )-484-9550
Area trade- Phone number
5.WELL DETAILS: t DO 11EREBYCERTFY THATTH)5 WELLWAS CONSTRUCTEDNA=RDA98Z WITH
uu►C, 2C,WELL CONSSR icnoe BTANOARDE,.ANDTMAT A'tXIPi'of n
RECORD�BEEN PROW:7ED TD THE WFLL`OWNER.
a. TOTAL DEPTH: 35 _ p Q
• 11-14-2011
b. DOES WELL REPLACE EXISTING WELL? YES❑ NO yo SIGNA URE OF CERTIFIED WELLCONTRACTOR DATE
c, WATER LEVEL Below Top of CaMrj r 27 FT.
(Use'+'IAbove Top of Casing) RICfiY L LEMIRE
PRINTED NAME OF PERSON rONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days...Attn:Intorthatton Mgt, Farm GW-lb
1817 Mall Servlca Center-Raleigh,NC 27899-1817 Phone No,t919)733-7016 ext d68. • Rev.7/05

..r s $. NON RESIDENTIAL WELL CONSTRUCTION RECORD
•
0:��`,;i...._ `r North Carolina DL-peitnient of Emtronaieft end Natural Resources-Division of Wate*Qu 5iy
�T9�ti:1,.:. �I, �c"".,J
• t' WELL CONTRACTOR CI.R'I'TVICATLON# 2593
1.WELL CONTRACTOR
Rich Lemire A. TOP OF CASING IS 2., FT.Above Land Surface*
'Top t>!ca*nrip kkrrnioadeci MAY below land surface may require
Wed Coriberior(Individual)Name a t+wlar In ace.. deuce with 15A NCAC 2C'.0118.
SAEDACCO Inc a. YIELD(Sprit): METHOD OF TEST
Wei Contractor Company Name t. DISWFECTION'Typrr .Amount
g. WATER ZONES(depth):
STREET ADDRESS 9068 NORTHFIELD DR
From To Fran To
FORTMILL SC 29707 From To From To
City or Town State .rip Code
). [phone] Frain To From To.
Area code- Phone nattier 8. CAStT1G: Tbicknesai
2.WELL INFORMATION: Depth Diameter Weigle Material
SITE WELL ID 4(if.applk+,Ws)BR-3 Fran o to 25 Ft.6 9Cx4o PVC
STATE WELL FERFAITS(Ir app cable) FrOtri To FL
From To .FL________
DWQ or OTFHER PERM[T applicable)w0003a465
WELL USE(Check Box)Montt Morn c 7. ORdUl: Depth Material Method
AgQ ❑
Industrial/Commercial❑ ricultwal From To FL
Ay ❑ Recovery❑Injection m
Irrigate/10 Other 0(list use) Frorp To .FL
From To FL
DATE DRILLED 11-14-2011
IL SCREEN: Depth Diameter Slot Size Material
TIME COMPLETED 4:00 AM❑ PM® From To Ft &i in.
3.WELL LOCATION: Frpim To Ft 'in. lit
CITY: DURHAM COUNTY OURHAM From To FL im. in.
3029 E.CORNWALLIS RD
(Street Name,Numbers,Community,Subdivielon,Lot No.,Parcel,Zip Code) s SANINCsRAVEL PACs}:
Depth Sirs Materiel
TOPOGRAPHIC I LAND SETTING: From To Ft.
❑Sbpe ❑Vakey ®Flat oRidge 0 Other
(check appropriate boa) From To Ft
appNpri
From To ft
M4
LATITUDE 35 55'14.78" )'be in& ,
minum.,a�"�OC 10.DRILLFNG LOG
LONGITUDE 78 51'55.6 0• in a r�ccirisal format Fra
n To Formation Description
Latitude/longihnde source: IsiGPS ❑Topographic map 0 25 PWR
(k7Cat.Gn of Wel must be ShQwn Q7 a USGS keic maid end 25 35 ROCK
attached to this form/not uShg GPS)
4.FACILITY-Is t»time d the basirrer where the wee Is foists&
FACILITY ID!(If applicable)
NAME OF FACILITY GLAXO SMITH KLINE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 35
City or Town Stele Zip Cade
CONTACT PERSON Ton Guthrie, ACE( Constructors
MAILING ADDRESS 5322 HWY 55. SOITE101
DURHAM NC 27713 11,REMARKS:
City Or Town State Zip Coda THIS WELL IS OPEN FROM 25-35 FEET.
( 919 )-484-9550
Area code- Phone number
tl.WELL1>ffTAIIB: IOOlE fn1RERYLERTIiYTYKTT$' WASOONSTRuc7FDtNACCORDANCEWI WITH
1S5 t1CAC2C,WELL OOKSTRUOm0rI 6TANDARCe,At4)THAT A COPY OF THIS
RECORD HAS,BaEN PROSKeb To Tie Weti.OWNER
a.TOTAL DEPTH: 35 1-1 -p e
b. DOES WELL REPLACE EXISTING WELL? YES 0 HOE] _aw ER 11-14-2011
$IGN9.LIRE OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Babe Tap of Casing: 27 FT. RICniY L LENIRE
(Use's'H Above Tap d Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days..Atkin:Information Mgt, Fern,GW-1b
1817 Ma LI Service Center-Raleigh,NC 27690-1817 Phone:No,[phone] eat 66E. - Rev.7/05 -

'4,84 i:iiii
NONRESIDENTIAL wEu,Cor►sraucttON RECORD
`;ia a Noah Carolina df Eniri0nlnebt and Natural R rees-D"tri0ipa'bf WM -unity
•'a ;"ir WELL CONTRACTOR CERT 1CATtON# 2593
1.WELL CONTRACTOR: d. TOP OFCASINO it 2 FT.Above Lend Statics"
Rich ',entire 'Tap d calk*linitinatrd.aver below lend'surtectinwir require
Wel Contractor(lr;dhidual)Nana a Wince in 154 NCAC 2C A118.
SAEDACCO Inc e.YIELD(Spm): METHOD OF TEST
-
Wei Contractor Company Name 1: DISINFECTION Type Amount
STREET ADDRESS 9088 NORTHFIELD DR L' WATER ZONES l :
From To From To
FOATMILL SC 29707
Ciy or Town State Zip Cods From Td From To
( } [phone] From To From To
Areacoda-Phane:n*14er I. CASING: Thfcbriedf
2.WELL INFORMATION: Depth Diameter Weight Matertai
SlTl:WELL ID it'spptlwhle)IN-ol From 0 to28 FL 6 'scits0 Pvc
STATE WELL PERMIT/II applicably F►dm Tq FL
DV/0 a OTHER PERMIT. Flom .To .FL
E(dBppAWbk)tf00034465 T. GR Depth AAatedd Method
WH.L USE(Check-Appitable Box)Maiilarii f ea mu ubNc O
IndustrtaliCommercial0 Agrtcuttural0 Reasery0htjecfbn❑ From To .Ft
In198 ion0 Other 0(INI Lisa) Frain To Ft
DATE DRULED 11-8-2011
F(etp To •Ft;
a SCREEN: .tiapT .DAametar ;Slat"Sias Material
TIME COMPLETED 3:00 AM 0 PM
3.WELL LOCATION:
Fronf To Ft in. in..
CITY: Doman COUNTY DURHAM Frraiii To Ft in. 'Ii.
Front_To FL in. in.
3029 E CORNWALLIS RD
(Street Name,Numbers,Oominaiey,Subdmslon,Lot No.t'aJ41,Zlp°Cod.) I• 3ANQ,KIRAYEL PACK:
TOPOGRAPHIC I LAND SETTING': Sae Mttfarid
OSlope OValey r<IFW ORidge 0 Other From To Ft.
(cIia �4 From To Ft
LATITUDE 35 55,13.22" 'I44ay ba6rd :t-s csn , From To FL
LONGITUDE 7 e 51.54.54" :m's decimal font* 10.
From To Formation Description
Latitude/longitude source: MOPS OTppographic map 0 28 RED_SILT AND PER
(btat(on dwelinto(be*bar on 5-US(3,S;CPOsertpt and 28 36 SAND STONE
attached to this hint m not usI7gGPS)
4.FACILITY.h we mower rr mire vAre the ma is icizsiea
FACILITY ID Alf apptciible))
NAME OF FACILITY izAxo St+IITx KVINE
STREET ADDRESS 3029 E CORNNALLIS RD
DURHAM N NC 27709 36
City a Town Stale 7Jp Cod.
CONTAOTPERSON Jon Guthrie, ACE Conitructore
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11.REMARKS:
CMyorTown Slate Zip Code THIS IS A ROCK HOLE OPEN FROM 28-36 FEET
( 919 )-484-9550
Are.code- Phone number
I.WELL DETAILS: I DO MOSEY CER'rFY_INATTHBWl111(iARpoisTruF�,1 DRDANDE wmt
isll WGACZCc WRI LCC•KOS nDNSTAPIDAi AtD.1WT A calOF/HtO
a TOTAL DFPTtt 36 RECORD I Se N 1109Ce010niEwtu.owpan:
.— A .a,
i .e,..t.4, 11-6-2011
b. DOES NELL REPLACE EXISTING WELL? YES Cl NO El SIGNAUMOF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Baba Top d Casino:.27 Fr.
Nee''N Above Top ofCasin(() AICHY L LYE¢AY
PRINTED MITRE OF PERSON,QONSTRUCTTING THE WELL
Submit the orihaal to the D$VISIOII 0614W Quality within 30 days..AEn:atennatlon Mat.. Form OW-lb
1617 alas Satvic*-Eewtt+t=•Raktph.NC 2:11191-1817 Phope No.(610)7;S-TQ1d'4 860. Rev T105 -

fb}11
WELL CONSTRUCTION RECORD For Internal Use ONLY
Ths farm Can tY used for Sinitic or nu itio a welts
I.Well Cuntra-tor tuformatlun:
tt WAttik ZONES,-_._._..
Will Reyes short to acre Hivrtnv
%VLF Contrntot Natuc
1 ft. ft.
4220A.
NC Weil Contractor Cal ifaut ion Number 11:1LTERCASISG(Inr nun tamed weillpR(,VEStfifttaa9catsie)
1 FROM i FO PtAV TER TRICKTES5 MATERIAL -�
SAEDACCO Inc 0 ft ( 30 ft 6" in. acted 40 PVC
Carrgamy(:arc t td.INNER CASFNGOR TIMING Onotbrretarldosed-la•get t
Ii_FRO!_ TO.-, DIAWItit TIUUCSNESS iLt7EWAL _.__,....-.1
2..Welt ConFnuotion Permit II: i ft. ._. tt aL
Us(41 etph.able ken perrtab(i r.Coaan•.S'CF[ Fnriun 8Da er.fl 1 elf __�.t + - ,...^^^�. ��� -^ - -.-�s,^ ---- -,�--._,.......va
3.Well Use(cited:well unit 17 SCREED! 1
SI.O nT SITE ! Tito ass t MATRRt.tt,
Rater Sttpul With: t PrR.9 T To nfAlitTER
0Agrirsthirai tJMunicipatfPtthi`sc ft C ft. is
CIGeothemei (NeatrngfCoolntg Supply) °Residential Lt+atcr Supph(single) it. [ l4 In. I
©IndustriaiVComrttctcfat 0Residetitial Water Sheet}(starred) -VT Mrli'T-
-i To ...,,. .AtnTERtIi........__..,'..RAPL1CCWOIT METHOD&Amu:P=71
0Ini€atton rt. it.
Non-Water Supply Weft: n. f4 _--
OivtonoorinG ElRccortr?' m
Inkrilan Well: r It. fr.
❑Aquifer Rccttrge NIGronndwater Remcduuiott 1-19 SAND/GRAVELPACR:IRAppl Applicable)
DAgttrfcr Storage and Rn ni QS t[inih Barrier 1-num — in M a rRRut rt.AcrucvT witTrta m_ _
.-
• h.l tl
❑Aquifer Test QStoanncatcrDraiie I rt. u t
QEglcnmcntat Technoingl °Subsidence Control 1-- i...�. L _. _J
1 Zit.DRILLING LAG tali„b griollti mil*beets If acre rstrtvi
QGrothenrml lCksed Loop/ ❑Trn:er i.!ROM # To i tlescetPnQti I�a,r hard a'ruea rs rb,-. .t
°Geothermal(Reattrte+Cooling Retnmi °Otter fetlk n uttder4t2I Remati-S : 0 ft 7 12 tr.1 brown silt
12 ft. I 17 f(, f brown PAR
4.Date Well(s)Cumlrttted: 10-21-15 Well Mr/IYi-2 .-..,..4
17 it. 40 rt.g mudstone/saxndstone
5a.Well Location: i. _ �.
GSR rt t fr. a
Fxciln}lOwrrr hktrrt,: Fades.IDk 01applrahici 1 ,
3029E Cornwallis Rd, Durham, NC, 27703 ; ft.l IL
P. ,
-----d
Per steal Aditas Cur.and Zgt2LitFJNEA4 iS ,,- _AX
USA
Coeds) 1'srcel tdcrat1 tau Ns, err t - ..{'.."......_ .____.......^-.....-._....
. t
Sh.Latitude and Longitude in rtegreesimitntres/seennds or decimal d.g.css: 22,Certification:
of n cn field.nit L•e,Tnt(g fit saineon i
+
35.917984 N -78.866075 W ._ L` 10/23/2015
Sip atutc afCrtittke Well Cotsnetot Dasc
6.Is tam)the hell(*): RIPernanent or °Temporary el srFnrnp Asir farm.t sorter r-rrtify tuts the,rct!(.ri+r&x(nrrr)tuft's/wind in ex,ardor,.c
twit I LI MCA('a 2C.0161 or tit NCAC(t2C,WAIL ti ref Cotturw,trout Sremd<w 1a awf start a
7.Is this s repair to an mining well: Cl.Yis or ®Nu r.tt,r of rhar rrrnnl tars l4.rx pa.o ktrd rn the matt okvvr.
!.iris it a+r(atf.(it taut fesu+ra to t eaanrut•+tot(brf,rrrterd<m mat etr(oil Ow Wrier of At
repair wider 022'emu:AFT_le(7 0 or rtn the hark rf ad,*r,o. 23.Sett dia8ratn or additional well details:
You una3 use the track of this page to provide additional well site details or tselt
8.Number of llclts constructer!: 1 cotestruc(10n detoilt. You ttto.•also sheen adalitioiial pages if tueessarr.
Farr.twhfpW hrtevnhar Of tots-+rotor tkp/t&nodes ONLY boob r.t n sane(rrrstrarilon ttxr,.w
.TtihM<:r Far form. SUM ITTAI mSrUCYLONS
9.Total hell depth Wowband surface: 40 (R.) Z la. For AU Wells: Submit this form within 3tI days of completion of writ
Fw...Nide bets Sot oft dr;nht vow.,+e-ouryrir•1@•260 na12e tenet construction to the following
in.Static water level titian!op of casing: 26 (n-) Division of Water Resoureo.information Pructnsing Unit.
tj atrtrrtrtrt b abort a-to os.tar"a 1617 Mail Service Centre.Rakigb,`IC Z7699-1617
I I.BorT4ole diameter.4 1/2" (tat 2-lb.For Infection Welt ONLY: to addition to sending the rum to the address in
23aabate.also submit a cops of this font( tsithrn 10 its of completion of wet(
12.Well ron t:merlon method: sonic construction to the followute.
j i c.auger.roem•mbie direct gush fie t
Oh Won of Water Resources,Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: i636 Mutt Semite Center.Rak 8It,VC 27699-t636
23e For WaterSuppit&Injection Welts
13a Yield(gpm) Method of rest:
Also submit one coD) of the form s ilhtu ID da)s of comple(ion of
13h.Diaioiativa t,•lx: Amount: Welt construction to the counts health deportment of the county where
core:ARKtcd
Form GW-I t+nna Catottttt Dqrtnatal of Ea wmmcia sort Natural Resvu, s-Di t skit of V.a,cr;Imams Reined angst lull

•d„stATao
..1 NONRESIDENTIAL WEL•L,.CO1 TRE)C ION RECORD
��y Elt j.• North Carotins Department Of Eevronhidntatid Neutral Reaoracff-Div>eioabf Water Quality
r v�i+ -
• WELL CONTRACTOR CERTIFICATION 11 2593
1.WELL CONTRACTOR: d- TOP OF CASING IS 2 FT.Above Land Surface'
Rich Lemire `Top 0.411 fp terminated uUor below land surface may require
Wd Contractor(IndMdueQ Name a w�eance In with 15A NCAC 2C.0118.
SAEDACCO Inc a. MLR WPM:. METHOD OF TEST
Well Contractor Company Name t. DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIELD DR g. WATER ZONES(depth):
From To From To
FORTMILL SC 29707 Fran To From To
City or Town State Zip Code
( )- [phone] From To From To
Aran code- Phone camber S.CASING: Th1clatess/
2.WELL INFORMATION: Depth Diameter Weight Material
SITE WELL ID till pptIcabte)IW-03 ROM 0 To 28 *FL 6 SCH40 PVC
STATE WELL PERMITti(If appicable) Fran To: FL
Fran To 'FL
DWQ or OTHER PERMIT 4(Ifapplicable)W00034465
WELL USE(Check'Ap{ilicable Box)Mordloring® Mun c paVPub6c❑ T. GROUT. Depth Material Method
IndustrieYCommerdal0 Agricuftural0 Recovery0Injedion0 Frgh To Ft.
Irrigatlm0 Other 0(fist rise) From To FL
Fray Tb FL
DATE DRILLED 11-8-2011
TIME COMPLETED 9:oo AM El PM i� 8 SCREE* Diameter Slot Size Materiel
From To FL In. in.
3.WELL LOCATION: Fran To FL In. in.
. CITY: DURHAM COUNTY DURHAM Frain To Ft. In. In.
3029 E CORNWALLIS RD 9. AANDIGRAVELPACK:
(Street Name,Numbers,Community.Subd'ndslon,,rot No..Parcel,Zp•Code) "DePIt1 Size Material
TOPOGRAPHIC,/LAND SETTING: Froth To Ft
OStope ❑Vafey KIRK O Ridge 0 Other From To Ft.
. (check sppr prfawe
�� From 'To Ft.
LATITUDE 35 55'13.21" y s,
tektites,seconds or 10.DRILLING LOG
LONGITUDE 78 51'55.250 in a cleaned-fermi From To Fbr''tion Description
Latirude/longitude source; EGPS oTopographk map 0 28 RED SILT AND PWR
(t7CLttch Of►t eIn ist be iholli on.a USES fopo mep ehd 28 34 SAND STONE
attached to ffiLr tone i not Using GPS)
4.FACILITY-Ii ew ewes dew bUslneli where)hs vrert I,leisted
FACILITY ID#(if applicable)
NAME OF FACILITY GLAYO SMITH XLINE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 34
City cc Town Slate Zip Code
CONTACT PERSON Jor. Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55 SUITE 101
DURHAM NC 27713 11.REIAARK$:
City cr Town State Zip Code THIS IS A ROCK HOLE OPEN PROM 28-34 FEET
( 919 )-484-9550
Area code- Phone number
S.WELL DETAILS: I DO HEREBY CER7FY 7WT7i h WE L,WAS CONSTRlUCTEDMACGOROANCE WITH
SA NCAC ZC,WELL CONSIpUC1lON S1AHOARGit,A mTi4AT A COPY OF Tips'
a. TOTAL DEPTH: 34 CORD HA�SJ�IJJ3 N aRairiDEDTO1r�wEi�owes R.
--- O{ w4 11-8-2°11
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO XI SIGNA.URE OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Below Top of Cuing: 27 FT. RI OM L LBNIRE
(iJee'4 if Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30.days. Ate:Information Mat.. Form C,yy-lb
1817 hail Service-Center—Raleigh,.NC 27899-1817 Phone No.($19),3-7016 eat 688. • - Rey.7 - -

? i , NONRESIDENTIAL WELL CONSTRUCTION RECORD
rl= '" North Carolina Depattraent of Eni onment and Natural ResourcS'T Division of WatorQuality
-*Tilt v. ,
• ,,:;;r-. WELL CONTRACTOR CERTIFICATION,# 2593
1.WELL CONTRACTOR d. TOP OF CASING IS 2 . FT.Above Lard Sirtace"
Rich Lentira
rroP 4f.�ti0 terminated allot below Iarsd,staiaeb may requireWel Cattrador(Irtdhadtrat)Name a vts fiartoet.lri axordarrce wMlt 15A NCrAC 2C.ot 16.
SARDACCO Inc S. YIELD(gprit): METHOD OF TEST
Well Contractor Compa y Name t. DISINFECTION:Type Amount
1 STREET ADDRESS 9088 NORTHFIELD DR !i• WATER ZONES(depth):
From To From To
PORTMILL SC 29707 From To From To
C8y or Town State Zip Code
( ) [phone] From To From To
Area code- Mate nuirtber I. CASINO: Thickness/
2.WELL INFORMATION: Depth Diameter •WelPrit Material
SITE WELL ID Sdacolicable)IW-03D From 0 TO 55 FL 4 SCH40 PVC
STATE WELL PERMITO((f appilcabl.) Fromm To FL
From To .Ft,__
DWQ or OTHER PERMIT Kit eppicabie)Wo0034465
WELL USE(Check Appllcab)e Box)Morelgktg El �c CI 7. GROUT. Depth MalerW Method
Industrial/Commercial D Agricultural 0 Recovery 0 Injection❑ From To FL
htipallan❑ Other 0 Mat use) From 'To FL.
From To Ft
DATE ORILLIED 11-8-2011
IL SCREEN: Depth Diam_eter Ski Size Material
TIME COMPLETED 10:30 AM IC PM L3 From To FL in. In.
I.WELL LOCATION: From To •FL kL h
CITY: DURHAM COUNTY DUR1Gv4
From To . FL in: in.
. 3029 E CORNWALLIS RD
I -9. SANQOGRAVEL PACK:
(Street Mime,Numbers,Community,SubdKblon,tot No.,Parcel,Zip Coda) DOOM Sae Material
TOPOGRAPHIC/LAND SETTING: From To Ft.
❑Slope OVatiey gnat ❑Ridge 0 Other
(dtedc appropdale box) From To Ft.
LATITUDE 35 55'13.21" .y be krdegrers,
From To FL
mirnmts,sYxxldxbr 10.DRILLING LOG
LONGITUDE 78 51'55.25• maddecithattui4ror From To Formation Description
Latitudellongitude source: a GPS ❑Topograishic map o ss RED SILT AND PWR
(kbca ,rl O/'earnest be shown one USGS k]00 Malt;end 55 90 SAND STONE AND ROCK
attached la U halm,iiiot usrrg GPS)
4.FACILITY-Is me nomad m.6±044 where driv08 h iceiud. .
FACILITY IDS(tepp8eable)
NAME OF FACILITY GLAXO SMITH KLINE
j STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 90
City or Town Stale Zip Cade
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11.REMARKS:
City orTown' State "Zip Code THIS IS A ROCK HOLE OPEN FROM 55-90 PEET.
( 919 )•484-9550
Area code-Phone number
S.WELL DETAILS: i DO MEItor CERTIFY Dorm's Vial_WAS CO TAUnIFJJ e}w ew cCOeE wn i
'15ANGAG2Q WEIL COMBTreloilJri 8TMOaRca,ANolit!ffACOPY OF 71A5
a TOTALl>EPTIt 9a "RECORDra.S�dBE�E��NNPtROVtCwTonEW(LLOwrEe. -
i-- oe,,, f n.Q-a:, 11-8-2o11
b. DOES WELL REPLACE EXISTING WELL? YES 0 NOm
SIGNA.LIRE OF CERTIFIED WELL CONTRACTOR DATE
c.WATER LEVEL Below Top d Casing: 27 FT.
(Use'+'If Above Top ofCashg) RICttY L LID+rIRE
PRINTED NAME OF PERSON.CONBTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days: Attn:Information Mgt., Form f3W-lb
1817 Wait Service Center—Raleigh,NC 27.88$-1617 Phone No.(918)7.33-70. 14 ext 588.- - Rev_MS
%

•env
-r r � `c' NON ON RESIDEVTIAL WELL CONSTRUCTION RECORD
'i �'"-`%;. North C*�,a DepmYmeiit of Ettvaohmcnt]gill Natural Resources D'rvi4lon bf Water Quality
G s?'mj1:
'�a,,,.,� WELL CONTRACTOR CERTIFICATION* 2593
1.WELL CONTRACTOR: d. TOP OF CAziso'Is 2 FT.Above Land Surface'
Rich Lemire *Top of Casing Ie mutated Wu-bekkri land surface may require
Wei Contractor(Irtdfvfduaf)Name a varlarrce in adcbrdarrce with 15A NCAC 2C.0118.
SAEDACCO Inc S.YIELD(gm): .METHOD OF TEST
Weil Contractor Cornpa y Name f. DISINFECTIONi Type Amount
STREET ADDRESS 9088 NORTHFIELD DR g• WATER ZONES(depth):
.From To From To
FORTMILL SC 297D7
City or Town State Zip Code From To From To
From To From To
( )- (7 09) 507-1922
Area code- Phone number .6. CASING: Tladmessi
2.WELL INFORMATION: Depth Diameter Weight Material
SITE WELL ID Al(•ir aippticeh�le) IW-OS From 0 To 26 :FL 6 aCH90 PVC
STATE WELL PERMRa1(trapp6cabiej From To FL
From To Ft
DWOor OTHER PERMIT#(rfapp§cable)W0Di/34465
T Depth' Nleserja{ Method
WELL USE(Cheek Applicable Ems)M t9 Municipal/Pubic p
Industried/Commerctal 0 Agricultural❑ Ftecomery❑Injection❑ From To Ft
Imo❑ Other❑ (list use) From To .Ft
DATE DRILLED 11-8-2011 Flare TO Ft
& SCREEN: Depth Diameter Slot Size Material
TIME COMPLETED :,;0 0 AM a PM t& From To Ft in. In.
3.WELL LOCATION: From TO FL in in,
CRY: DURHAM COUNTY DURHAM From To Ft. in. in.
3029 E CORNWALLIS RD
(Street Name,Numbers,Community,Subilon,Lot Na.,Parcel,Tip Coda) S. SAyOtORAVEL PACK
iiM
TOPOGRAPHIC/LAND SETTINGS Depth Size Material
From To Ft.
❑Slope ❑Valley I0 Flat ❑Ridge 0 Other
From To Ft.
(check approprIah bold
LATITUDE 35 55'13.17" May bc ill dc Fran To FL
mitwtms=corns or 10.DR1LLJNG LOG
LONGITUDE 78 51 56.00' 'le eCrcinmtiarm5r Prot To Formation Description
Latitudelangitude souhae_ coGPS clTopbgraphic map 0 27 RED SILT AND EWE
(bcation of wog Must be sfio►xr on a.USGS logo imp and 27 34 SAND STONE
attactied to this form if not using GPS)
4.FACILITY-Is aril name den bidInets where the wilt is wetea.
FACILITY!Day!applicable)
NAME OF FACILITY GLAXO SMITH )a,IEE
STREET ADDRESS 3029 5 CORNWALLIS RD
DURHAM NC 27709 34
City or Town State Z'p Code
CONTACT PERSON Jo>: Guthrie. ACM Constructors
MAILING ADDRESS 5322 HWY 55 SUITE 101
DURHAM NC 27713 VI.REMARKS:
City or Town State Zip Code THIS IS A ROCK HOLE OPEN FROM 27-34 FEET
( 919 )-484-9550
Area code. Ptwre number
6 WELL DETAILS: n DOIHERESY CERTIFY T ATTHS WELL WAS,CONSTRUCTED IN Accaza NCE WITH
154.Nc9C.2C,WELL CONSTRUCTION STANDARDS,AK/THAT A COPY OF THIS
RECORD-AS aEN PlcdvlOEL TD THE WELL OWNER
a. TOTAL DEPTH: 34 C V V14r..+..-.p p p
• -- 11-8-2011
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO I SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Below Top of Casing: 27 FT. RIC7.Y L LEMIRE
(Use"+"K Above Top of Gating) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn:Info/tuition Mgt, Form GW-lb
1817 Mall Service Center—Raleigh,NC 27899-1817- Phone No.1919f 733-701$ext 668. Rev.7/D5- -

t,fr�, ., :; NONRESIbEVTIAL WELLCONSTRUCTiON RECORD
jir6'I� f
P eil, r. it Nottb Outline Department oCErivdumna*NtdNaturel RetiU4coes•Division or%let Quality
Y R'`' WELL CONTRACTOR CERTIFICATION# 2593
1.WELL CONTRACTOR: d. TOP OF CASING IS 2 FT.Above Land Surface
Rich Lemire "Top'of cask g terminated atfor below Igid surface may require
Watt Contractor(YLdividLrLLN)Name a vaiance h1 ec ortance whtl 1 SA NCAC 2C.011 a.
SAEDACCo Inc e. YIELD(gpm): METHOD OF TEST
Wet Contractor Company Name t DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIELD DR g' WATER ZONES(depth):
• From To Fran To
FORTMILL SC 29707 Frain To From To
t+ City or Town State rip Code
Fran To From To
( )- [phone]
Area cafe- Phane number B. CASING: Tt1(dknese/
2.WELL INFORMATION: Depth Diameter Material
SITE WELL ID Or applicable) IW-06 From 0 To 25 ,Ft 6 SCH40 PVC
Froth To FL
STATE WELL PERMIT*(Itappeublej Frb7r To Ft
1 DWQ or OTHER PERMIT tsrfepptcable)W00034465 T. GROUT: Depth Maletial Method
WELL USE(Check Applicable Sox)Monitoring® M(addpai/Pubtic❑
IndusirielllCemmerciat❑ Agdct t first❑ Recovery❑In)edtlon❑ Front To FL
Irrigation❑ Other❑()hst use) Fran To .FL
DATE DRILLED
11-9-2011 Fran TO Ft,
8. SCREEN: Depth Diameter Slot Size Material
TIME COMPLETED 10;oo AM® PM❑ Fran To Ft. hi. In.
3.WELL LOCATION: Frdn Ta Ft kf.. In.
CITY; DURHAM .COUNTY DURHAM From To FL kL in.
3029 E CORNWALLIS RD
SAND./GRAVEL PACK:
(Street Warne,Numbers.Community,Su6dlMslort,Lot No,Parcel,ZIP 8.
Code) ' epth Size Malerlal
TOPOGRAPHIC,LAND SETTING: From To FL
❑Slope ❑Valley talc* ❑Ridge❑Other
(check appropriate box) Fran To Ft.
LATITUDE 35 55'13.61" ,Mayte.tri&reel, Fran To -FL
mLrtiLtxs,!x�'rfdsoc 10.DRILUNG LOG
LONGITUDE 78 51'56.07" iri S cinitlliwnnat Frdm To Formation Description
Latitude/longitude solace: ®GPS ❑QTopographic Tulip 0 25 RED SILT AND PER
(location of wet must be shown on a-USGS topo niikei and 25 34 SAND STONE
alfeched to hits farm r(not using GPS)
1.FACILITY-is aM none at9e bzslresz whom this dr It 106.1 d
FACILITY Ito!(If appNcable)
NAME OF FACILrfY GLAXO SMITH XLINE
STREET ADDRESS 3029 E CORHNALLIS RD
DURHAM NC 27709 34
City or Town State Zip Cade
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11.REMARKS:
City a Town State Zlp Code THIS IS A ROCK BOLE OPEN FROM 25-36 FEET
( 919 )-484-9550
Nee code- Phone number
I gaHEREer CERTIFY THATTHE WELL W,a CONSTRUCTED of ACCORDAtiCE WITH
&WELL DETAILS: ]LLlNAAo 2c.,Wr .CCONSTAW-0aqSTArsIARDe,AtOTHATACOPYOFT)
REC IRO HAS EPEE PROVIDED Tr)THE WELL OWNER_
a. TOTAL DEPTH: 34 " 11-8-2011
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO.EI SIGNA L./RE OF CERTIFIED WELL CONTRACTOR DATE
c.WATER LEVEL Beam Top oe Casi g 27 FT. RICHLY L L@AIR6
(Use'+'W Atom Top of Cash ) PRINTED NAME OFPERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality Withln'30 days. Attn:information Mgt-, Forrn GW-lb
1817 Mail Servke..Catrte►—Raleigh,MC 21Sie-t817- Phone No,(819)74,1-7o1.6 est 66t, - Rev.7/06

-v.....9A7t.,
-11411*.41'• NON RESIDENTIAL WELL CONSTRUCTION RECORD
Or4t4if.'.-"J.
NOrtIrCltrOlina Department OFEnythirinentand Natural FeatlereescElivision.of Watix-Quakty
.4ilftii::.,f
. - 7m1.1.5.111:•''' ,
- . . ' WELL CONTRACTOR CERTIFICATION ft 2593
1.WELL CONTRACTOR:
d.TOP OF CASING IS 2 FT.Above Land Surface`
Rich Lemire 'Top pfcasinglerrnirdded'siltrbalcvl land surface rosy require
Wet Contractor(Individuid)Name a variance In ace:fiance with 15A NCAC 2C.0118.
SAHDACCO Inc U. YIELD(gpin): METHOD OF TEST
Wet Contractor Company Name I. C4SINFECTION:Type .Amount
(deph):
STREET ADDRESS 9088 NORTHFIEID DR S. WATERAONE/I
From______To From To
FORTMILL SC 2 97 0 7
Front To From To
'City or Toan State Zip Code
Frcr To• From To.
( )- OW 507-1922
Area Code- Phone nutnber 6. CASING: Mid:nese/
2.WELL INFORMATION: Degi Diameter Weight mews
SITE vial Io ii(it appiimmie)in-06D From 0 to 50 FL 4 'SCH40 PVC
From To FL
STATE WELL PERMITi(ir appiicaNa)
From .To Ft.
DWI or OTHER PERMIT NIT applicabIe)n40034469
7. GROUT: Depth Material Method
WELL USE(CheckApplicable Box)MorolOring 22 MunicipsVPublic 0
Industrial/Commercial 0 Agricultural 0 13relY12.1n)action r.:1 From To FL
rom
Inigation0 Other 0(list Ilse) F To .Ft.
From To Ft.
DATE DRILLED 13.-9-2o12
S. SCREEN: Depth bird!! gSiza Material
TIME COMPLETED L:oo ..AM 13 PM in
From To rt- th. .h.
3.WELL LOCATION:
Frei', To Ft lit
CITY: DURHAM COUNTY DURHAM
From To FL iri. in.
3029 E CORNWALLIS RD
9. SAHD4RAVEL PACK:
(Street Name.Numbers.Community.Subdhotslon,Lot No.;Parcel,Ziptocie) Depth Size lAitertal
TOPOGRAPHIC./LAND SETTING:
From To Et.
D Slone DVallnY SI Rat 0 Ridge 0 Other
From To FL
(chaa appropride box)
.. . From To FL
LATITUDE 35 55'13.61" .Y,Y4e3F.EdegleS.
laYTICS,611,6dg or
10. ILUNG LAG
LONGITUDE 78 5156.07" -in a4lecilitsl fornar
From To Formation Descron
Latitude/longitude source: SIGFS OTDODEt#11ic mac' 0 50 RED SILT AND PWR
(kx:etbn of wef must be showy on et USGS loco irkaiarx! 50 76 SAND STONE
enacted to this form I not toile GPS) •
4.FACILITY-Jr ma natau the Warei where the w.6 Is leiese.
FACILITY ID*Cif applicable)
NAME OF FACILITY GLAxo smin lasNE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 76
City or Town State rip cOde
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 li,ItEhiARKS:
City or To‘m State Zip Code THIS IS A ROCK HOLE OPEN FROM 50-76 FEET
( 919 )-489-9550
Area code- Phone number
I DO HEREBY CERTIFY THATT146 WEli WAS CONSTRUCTED IN ACCORDANCE WITH
6.WELL DETAILS:
isApx:nc 2C,WELL CONSTRUCTION STANDA RDS-,.ANO-111A,T A COPY OF ITSIS
RECORD PAS BEEN PROVIDED TciINEVVEIti OWNKA.
a. TOTAL DET*TIt 76
----- 1 Pred+r--s, 11-9-2011
b. DOES WELL REPLACE EXISTING WELL? YES D NO KJ SIGNA URE OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Beim Top of Casing: 27 FT.
RICHE I. LEMIRE
(Use`+'if Above Top Of Casing)
PRINTED NAME OF PERSON.CONSTRUCTING THE WELL
Submit the.original to the Division of Water Quality within-30 cloys. Attn:Information Mgt,
Fors OW-lb
1617 Mali Service Center-Raleigh,He2189S-1617 Phone No.(919)/.31-71115-ext 589. " Rev.7505 - •

..suuz 0
.11r ON 1?-ES1DENTIAL WELL CONSTRUCTION RECORD
1 EitiK'-- 1 North Carolinit iepriftnient of Enviroitbactitand Natural Rescaryces-Dtaffaxittf WaterTNalilY
.'T5a:••I.
%.$41.7,....,..
WELL CONTRACTOR CERTIFICATIONS 2593
1.WELL CONTRACTOR: d. TOP OF CASING IS 2 FT.Abode Land Strface*
Rich ',entire *Top at Casing tannintated,alior beta*land surface may require
a viiiiericein'acoxdzinceitith 15A NCAC 2C.0t18.
Wel Contractor(Individual)Name
. SAR13ACCO Inc e. YIELD(gpm): METHOD OF TEST
Well Contractor Cempany Name I. DISINFECTION:Type Amount
,
STREET ADDRESS 9088 NORTHFIELD DR p. WATER ZONES(depth):
Frcin To Friarz To
FORTMILL SC 29707
From To. From To
City or Town State Zip Code
Fri To From To
( }.. [phone]
Area ccde-Phone number 0, 40410: Thicknegs/
2.WELL INFORMATION: Depth Diameter Weight Material
SITE WELL ID.OftipplIcable)iw"08 From 0 To 34 ft,6 SCH40 PVC
Front To. Ft.
STATE WELL PERMIT.(5 applicable)
From To Ft
DWQ or OTHER PERMIT fkif applicable)1400034465
7. GROUT: Depfh Materiel Method
WELL USE(Chock Applicable Box)Monitorinti XI Municipal/Public ID
Indualrld/Commercial 17) Agricultural 0 Recovery ID Injection 0 From To Ft.
IrrigationO Other CI(fist Use) From .To Ft.
From To Ft
DATE DRILLED 11-9-2011
8. SCREEN: Depth Diameter Slot Sim Material
TIME COMPLETED 3:oo AM 0 pm st
From To FL in. in.
3.WELL LOCATION:
ROM Ti Ft. In. irL
CITY DURHAM COUNTY DURHAM FrOrn To FL-Jn- kt
3029 E CORNWALLIS RD
9. SANDGRAVEL PACK:
(Street Nome.Numbers.Community,SubilhAsion,Lot No.,Mead:Zip Code) .priOrh Size Maferfal
TOPOGRAPHIC/LAND SETTING:
FrcM -To FL
OS101,8 OW/fey IC Flat 0 Ricfge 0 Other
From To Ft.
rated(aPPrecrili.b04
From To Ft.
LATITUDE 35 5514.15" May be iii demi*,
milartcs,3cdpilds or 10.DRILLING too
LONGITUDE 78 51 56.02^ in r ckcirrialformar From To Formation Description
Latitude/longitude source: (XI GPS OTopeograPhic map 0 22 RED SILT AND PRE
(bcatio n of Wel inubl be shown on a USGS tope trmr)and 22 34 SAND STONE
attached to this form(not using GPS)
4.FACILITY.la tee name rfi the Wilnati were the woe Is iota*.
FACILITY ID VI applicable)
NAME OF FACILITY GLAXO SMITH KLINE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 34
City or Town State Zip Code
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11.REMARKS:
Gay or Town State Zip Code THIS IS A ROCK ROLE OPEN FROM 22-34 FEET.
( 919 1-484-9550
Area code- Phone number
I.DOHEREsrCEPMF?THATTNIEWELL WAS CO1ETROC78384,11cOOREANCE MTh
5.WELL DETAILS: 150/CAU2C,WELL ODNETRUOIEN STANDARDS,AND ThAT A COP?OF me
'RECORD NAS BEEN PROADED.TO The WELL OWNER.
a. TOTAL DEPTI-t 34 -.."--441 .1 64,414.r 11-9-2011
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO El SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Below Top of Casing: 27 Fr.
RICH? L LEMIRE
(Use-.4"if Abine Top of Casino)
PRINTED NAMEOF PERSON.CONSTRUCT1h/GTHE.WELL
Submit the original to the Division of Water Quality within 30 days. Mtn:bffonnation Mgt,
Farm GW-lb
1817 Mail Service Center-Ralsth,NC 276ii9-1617 Phone No.[phone] eat 886: - - - • - .----- Rev,7/05

,�A7C.>.. �T J�
LT .:_ ..., 1 NON ON RESIDENTIAL WELL CONSTRUCTION RECORD
(�„` TT,.1 North Caroline Depmtutent ofEnvaoinnetiLand Nature!R Divi loci of WatcrQualhy
• W r WELL CONTRACTOR CERTIFICATION# 2593
1.WELL CONTRACTOR d. TOP OF CASING 18 2 FT.Above Land Surface'
Rich Lemire 'Top of casing Terminated at/or below land surface may require
We Contractor(IrxtrvtduaQ Name a variance lh acobrdanCe with 15A NCAC 2C.0118.
SAEDACCD Inc e. YIELD(gpgt): METHOD OF TEST
Well Contractor Company Name f. D(S8NFECT)ON:'Type Amount
STREET ADDRESS 9088 NORTHFIELD DR g. WATER ZONES(depth):
From To From To
FORTMILL SC 29707 From To Fran To
City or Town State Zap Code
( } [phone] From To From To
Area Code- Phone nOriber 6.•CASING: Thickness/
2.WELL INFORMATION: Depth Diameter Weight Material
SITE WELL ID agfepplicatte) T91-08D From 0 To 50 Ft.4 SCH4O PVC
STATE WELL PERMIT#(k apoi/cads) From To Ft.
DWQ or OTHER PERMIT rf Frogt To Ft
( applicable)wQoo3a445 7. GROUT.: Depth Material Method
WELL USE(Check Applicable Box)Moritbrkt® MunicIpaUPubic❑
Industrial/Commercial❑ Agricultural 0 Recovery 0 In}ection❑ From To FL
Ir igationp Other c)gist use From To Ft.
From To FL
DATE DRILLED 11-14-2011
8. SCREEN_ Depth Dierr>Qler Slot Size Material
TIMECOMPLETED 3;30 AM PM®
From) To FL in. in.
3.WELL LOCAT1O1* Fran Td `FL in. in
CITY: DURHAM COUNTY DrlREAM From To FL kr. in_
3029 E CORNWALLIS RD
(Street Naar,Numbers,Community,Subdluialon,Lot No.Parcel,'Zip'Code) 8. 3J►NDt Pt/1Vt?L P/iGK:
Depth Siie Natalia!
TOPOGRAPHIC/LAND SETTING_ From To Ft..
❑Slope ❑Vatey ®Flat ❑Ridge 0 Other
(check appropriate box) From To FL
From 'To FL
LATITUDE 35 55'14.15" y be irt 4
menuhs,s.unins or 18.DRILLING LOG
LONGITUDE 78 51'56.02" inadi:6nmlfotm4( From To Formation Desorption
Latitude/longitude'source; miGPS ❑roppgraphic map 0 50 RED SILT AND PWR
(location of we*must be shown on a USG.S lobo m•en and 50 74 SAND STONE
attached to this faun if not uS rg GPS)
4.FACILITY-M to name d We business when ew w4 h.R:caal,.
FACILITY ID st(rrf eppicable)
• NAME OF FACILITY GT,,sxo storm KLIt;E
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 74
City or Town Stale Zip Cade
CONTACT PERSON Jon Guthrie, ACH constructors
MAILING ADDRESS 5322 HWY 55, SDITE 101
DURHAM NC 27713 11.REMARKS;
City arTown State Zip Code THIS IS A ROCK HOLE OPEN FROM 50-74 FEET.
( 919 )-484-9550
Area code- Phone number
S.WELL DETAILS: I DO FEREBY CERTIFY. AT T 4'WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15,4 NCAC/C,WELL CONSTRUCTION StA14Lt4RDe,AND TH&T A DOPY OF TMie
a. TOTAL DEPTH: 74 RECORD HAS BEEN PROVIDEOT)THE WELL OWNER.
r �Q c
C/t v...,-- 11-14-2011
b. DOES WELL REPLACE EXISTING WELL? YES 0 NOE SIGMA URE OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Below Top d Casing: 27 FT.
RICK'Y L LEN IRE
(Use'+'if Above Top at Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 Maya Attn:information Mgt, Form GW-lb
• 1817 Mall Service Center-Raleigh,NC 27$99-1617 Phone Ho.(919)73S-701EextM.. - - Rom,.7/05-

d.�srArro.
„�,i ;. NON RESIDENTIAL WELL CONSTRUCTION RECORD
$I Sr
t f:.•)ii,-,`. North Chains Dtpartinent Of EUV4otthletlt and Natural Resources-DRision of Water Quality
'4.4;A;,0• WELL CONTRACTOR CERTIFICATION 1I 2593
1.WELL CONTRACTOR d. TOPOF CASING IS 2 FT.Above Land Surface•
Rich Lemire
*Tope(•tiatiriO ler+nYraled atAor below tantl;auAaee may revive
W el Corttradar(irtdhidual)Name a�Ifertoeln oidarice wph IsA NCAC zc"b1 i 8.
SAEDACCO Inc e. YEELD:(gprtr); :METHOD OF TEST
Well Contractor Company Name t- DISINFECTION:Type Amount
STREET ADDRESS 9085 NORTHFIELD DR tl• WATERZONES(depth):
From To From. To
PORTMILL SC 29707 From To From To
City or Town State Zip Code
( } [phone] From Tp From To
Area code-_ Phone number 8. C3!NO: Ttyciaresa/
2.WELL INFORMATION: Depth Diameter Weight Material'
SITE WELL ID to appWcaNte)IW-10 Frati 0 To 26 FL 6 SCM4o PVC
STATE WELL PERMIT#(tr app5cable) Fri_To F.L
From To .FL
DWQ or OTHER PERMIT#(if appfIcabie)W0o034965
WELL USE(Check Applicable Gm)Monitarir)g 0MrmacdpaVPublc 07. GROUT. Depth Malarial McLeod
Induatrial/Conanercial❑ Agricutturai❑ Recovery Injectiogp P.Yan To Ft
IrrigatlonD Other 0(fist use) Front To .FL
DATE DRILLED 2-8-2012 Frarg To FL
1
8- 80REEN ,Depth Diameter Slot Sting Malarial
TIME COMPLETED. 11;3 o AM pu PM O
From To FL. in. in.
3.WELL LOCATION Froth To FL In. kt,
CITY: DURHAM COUNTY DURHAtt
Frua To Ft. in. h.
3029 CORNWALLIS ROAD
V. SAND/GttAVEL PACK:
(Street Name,Numbers,Community,Subdhiston,Lot No.,Parc*,7p Code) NO Size Materiel
TOPOGRAPHIC/LAND SETTING: From To Ft.
❑Slope OValey to Flat ORidge 0 Other From To Ft
(check appropriate pox)
be From To Ft.
May LATITUDE 35.9194 Y indegrcws,
minutes'Seconds of 10.DRULUNG LOG
LONGITUDE 78.8668 eta decide)format From To Formation Description
Latitude/longitude source: 12IGPS ❑Topographic neap 26 91 SAND STONE _
(bcetion cif Wel'Mist be shown err a USGS tape map and
attached to this fan r'not US* GPS)
4.FACILITY-Is se narkk,of or 6k,sinesi where d,e WO u routed.
FACILITY ID*(it app8eabie)
NAME OF FACILITY cLA:Lo SMITH KLINE
STREET ADDRESS 3029 CORNWALLIS ROAD
DURHAM NC 27713
City a Town State Zip Code
CONTACTPERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11.REMARKS:
City or Town State Zip Code THIS IS A OPEN HOLE FROM 26 TO 41 FRET,DRILLED WIT
( 919 )-484-9550
Area code- Phone number
6.WELL DETAILS: I=.HERESY CERTFY THATTHIS WELL WAS CONSTRUCTED*ACCORDANC,E vmH
15A NCAC 2Cr W®1 CONSTRUCTION 8w1)ARos,AIe TMATA COPY OF THIS
RECORD HAS B6EN PNOVIDED TOT*WELL OWNER
a. TOTAL DEPTH: 41 '----14
e
pS4dM..-•c- 2-8-2012
b. DOES WELL REPLACE EXISTING WELL? YES 0 NOEl SIGNA OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Below Top of Casing 18 FT. RI CHY L LEMIRR
(Use'*'If Above Tap elf Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days.•Attn:information Mgt, Form OW-lb
1617 Miii Service Center-Raleigh,NC.27B99-1817 Phone Mo.(819).795-7016 ext d68.- - Rev-7/138

dt.�o
i r �T D
.ten,F,.. s..- 1 QN REST �'NTIAL WELL CONsTRucliON fl oRb
`tka`,ir;-• North Caralinti'Deperfrrient of Environment and Natural Re purees-Division of WaterQuality
iR1l tl-ft`.
..
4.we.4.' WELL CONTRACTOR CEtiiTIFICATTpN# 2593
1.WELL CONTRACTOR: d: TOP OF CASING IS 2 FT.Above Land Surface'
Rich Lemire *Top pf Casing terminated atlor below land surface may require
Well Contractor(Indltiitfuet)Name a Variance In accordance With 15A NCAC 2C.0118.
SAEDACCO Inc e. YIELD(gm): METHOD OF TEST
Well Contractor Company Name V. DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIELD DR g. WATER ZONES(depth):
From To Froth To
PORTMILL SC 29707 From To From To
City or Town State Zip Code
( )- [phone] Fran To From TO
Area code-Phone nuMber 6. GASiNG: Tbldmees/
Z.WELL INFORMATION: Pepth Diameter WOO Material
SITE WELL ID tiltandicade)Iw-10D Froth 0 To 55 'FL 4 SCH4O PVC
STATE WELL PERMIT#(I appticaNe) F To: Ft
From To '.:FL
DWQ or OTHER PERMIT S(rf applcable)woo 034465 7. GROUT: h Material Method
WELL USE(Check Applicable Box)MoMon/tendCIMureclpal/Publc❑
lndustrial/Comrnercial❑ Agricultural❑ Recovery❑Iryection fp Ftom To FL
Irrigation❑ Other❑(list tits) From To -,FL
From TO .FL-
DATE DRILLED 2-8-2012
8. SCREEN: Depth biereeter Stol:Size Material
TIME COMPLETED 9:30 AM r,s3 PM
• From To Ft in. in.
3.WELL LOCATION: Frdiir To Ft In. n,
CITY: DURHAM COUNTY DURHAM From To Ft; In. ir5,
3029 CORNWALLIS ROAD
(Street Noma Numbers,'Community.Subdivision.Lot No Pam et,Paet ap Code) IL SAND/Depth EL PACK:
TOPOGRAPHIC/LAND SETTING: Size Materiel
From 'To Ft:
❑Slope OVabey II3Flat ❑Ridge 0 Other From To Ft.
(check appropriator bard
LATITUDE 35.9194 )Nay be intiegr66, From To FL
• minutes, sor 10.DRILLING LOG
LONGITUDE 78.8668 Ina deciitmliarn ar From To Formation Description
Latitudellontgitude source: uGPS ❑Togo Vaphic nap 55 77 SAND STONE
(location of vvlmust be ahowh one USGS topo map and
attached to this form I not uamg GPS)
4.FACILITY.le the name of the busln:a*nee the eel le bowed
FACILITY ID e(if applcable)
NAME OF FACEITY GLSYO SMITH KLINE
STREET ADDRESS 3029 CORNWALLIS ROAD
DURHAM NC 27713
City or Town Stale Zip Cade
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11,REMARKS:
City or Town State Zip Code THIS IS A OPEN HOLE FROM 55 TO 77 FEET,DRILLED WIT
( 919 )-4B4-9550
Area code- Phone number
S.WELL DETAILS: t DO HERESY CERTIFY THAT THIS WELL WAS CUNSTj2U07ED q(ACCOROAMZE MN
1s4r+ rc2C WELL CONSTMDCTICei(M DAM*.AND THAT A'COPYOFTHIS
a. TOTAL DEPTH: 77 RE O HAS BEEN PROVIDED m ma.weal.OWNER.
1-2
b. DOES WELL REPLACE EXISTING WELL? YES❑ NOD �/ OQ��.rot, 2-e DATE
StOrJA RE OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Belay Top of Casing: .is FT.
(Use'+'if Above Top of Casing) RICHY L. LBMZRS
PRINTED NAMECF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water quality wtthin.30.days. Attn:Information Mgt, Form OW-lb
1617 Mali Service Center—Raleigh,NC 3789$-}617 Phone Mo.[phone] ext588. -. Rev.7/05

,� v
NONRESIDENTIAL'WELL CONSTRUCr1ON RECORD
f�~r'Ip,," North Carolina qt1,;1f, : Deperlmetti Of isnpltotimtpil and Natural Respetces-'I7mlfioa.b}WataQ�dS
_4 ,. WELL CONTRACTOR CERTIFICATION# 2593
1.WELL CONTRACTOR: d. TOP OF CASING IS 2 FT.Above Land Surface'
Rich Lernire 'Top of casing territnaied atlor , land surface
�� may require
Well Contractor(lndirAdrral)Name a variance tri'acdcrdinoe with 15A NCAC 2C.011 a.
SAEOACCO Inc •a, YIELD(yprn); METHOD OF TEST
Well Contractor Company Name t. DISINFECTION:Type Amount
STREET ADDRESS 90E8 NORTHFIELD DR p. WATER.ZONES(depth):
From To Front To
HORTMILL SC 29707 From To From To
City or Town State Zip Code
( [phone]
From To From To
Area Corse- Phone rsirnber B. CASING: Thickness/
2.WELL INFORMATION: .Pegtri Diameter Wert Materiel
SITE WELL ID tli{if apppcabt iw-11 Frortt 0 To 2 e FL 6 SCH4 0 PVC
STATE WELL PERMIT#(ri applicable) ROM To FL
Font To Ft.
DWO Or OTHER PERMIT.e(if appicable)wo0034465 T OROIiT: Depth Material Method
WELL USE(Check Applicable Boot)Morelo i is 0 MunicipaHpubic❑
Indust iatCommercied❑ Agricultural❑ Recovery❑Injeclidn E1 From To FC
„
In-Whore Other❑(list ties) From .To .FL.
From To Ft
DATE DRILLED 2-7-2012
8. SCREEN* Depth Diameter Slot Size Material
TIME COMPLETED 9;30 AWL! PM 0
From To FL tn. In.
3.WELL LOCATION: Froth To FL in in.
CITY; DURHAM COUNTY DURHAM
From To FL in. b1.
3029 CORNWALLIS ROAD
(Street Neme Wombats,Community,Sub5tilon,Lot No.,Parcel,Zip Coda) g' SAND/GRAVEL PACK:
S Size Material
TOPOGRAPHIC!LAND SETTING:
From To Pt.
❑Slope ❑Vatey t]Fist ❑Ridge Cl Other From To FL
(check apProPdab WA)
LATITUDE 35.9194 Mny be kr aims, F ram To FL
mirrors, a 10.DRILLING LOG
LONGITUDE 78.8668 in t& nti format From To Formation Description
Latitude/longitude source: s]GPS ❑Topographic map 28 43 SAND STONE
(location of wel must be shown on a USGS tope,map and
attached to(his om,if not rising GPS)
4.FACILITY-Is the name or to owners whore d»war Is rotas.
FACILITY ID!(!f*Arable)
NAME OF FACILITY GLAXO SMITH IOL.INE
STREET ADDRESS 3029 CORNWALLIS ROAD
DURHAM NC 27713
City or Town Stale Zip Code
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55 SUITS 101
DURHAM NC 27713 11.REMARK&
City or Town State Zip Code THIS IS A OPEN HOLE FROM 28 TO 43 FEET.
( 919 )-484-9550
Area code-Phone number
8.WtJ1DETAILS IOOHEREBYCERTIFYTNAT.i Witu.WAS CONSTRJClEDsi ACCORDANCE WM4
ISA NW 2C:Malt-COI STRUcmON STANDARDS,AND'MAT COPY OF TM
a. TOTALDEPTIt 43 RE�DHA-SDeEEN,PRCM h DEDTOTWELLOWNE .
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO in v� 2-7-2012
SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Below Tap d Casing 18 FT. RICHY L LEMIRE
(Use•+'If Mews Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn:information Mgt, Form GW-1b
1817 Mail Service Center—Raleigh,NC 2T899-1817 Phone No.(8i9)733-70.18 ext.$88. . • . - Rev.7/05

'0;150 0, III
,T� i. 1 ON RESIDENTIAL WELL CONSTRUCTION RECORD
ai�ktr!1rr7y"-:
y��u� North Coolies Depmtnient Of Eitviroo iicr t end NaturalResaurc Drvision of Water Quality
`� WELL CONTRACTOR CERTIt3)CATION#`• 2593
1.WELL CONTRACTOR: d. TOP OF CASINGIS 2 FT.Above Land Surface?
Rich Leraire 'Top of raablg terminaiad'etlor below bind etaface may require
Wei Contractor(Individual)Name if Vaifance H'aocaidance with 15A NCAC 2C.0118.
SAEDACCO Inc e. YIELD:(gprn):- METHOD OF TEST
Wep Contractor Company Name f. DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIELD DR
g, WATERZONES(depth):
From To Fran To
FORTES Sc 29707 FfOin To From To
City or Town State rip Code
( ).. [phone] Frt)irr To From( To
Ares axle- Phone ru)rtlber .6. CASING: Tbfdglesa/
2.WELL INFORMATION: Depth Diameter 'weight Material
SITE WELL IC 11(Rappficabla)IW-12 Fran 0 to 25 c sCH40 PVC
STATE WELL PERMR B ROM To -Ft:
6( aPpikade)
Front To FL
DWQ or OTHER PERMIT*(If app4cable)w00034465 7. GROUT. Depth Meterjal Method
WELL USE(CheckAppfi able Eros)Monitoring'in ,MuuddgaVPtrblic i
InduatrlaVCommerclai❑ AgrIcr lwaI O Recovery.O iryecfion® F.(om To Ft
Inipetioni l Other❑(list use) From _To --Ft
DATE DRILLED
2-7-2012 Fre4p To Ft.
t SCREEN: Depth Diameter- .Slot raze Material
TIME COMPLETED l0;3o .AI W PMD Fiorr? To Ft in, (n:
3,WELL LOCATION: Frail To Ft, It. ht.
CITY: DURHAM COUNTY DURHAM
Frdrtt To Ft_in: in.
3029 CORNWALLIS ROAD
RA(Street Name,Numbers,Community,Subdivlalon,Lot No.;Parcel,Zortodr.) �: 3AMpK+et5tf) PAC.K.:
Maferial
TOPOGRAPHIC/LAND SETTING: D Size
ROM 'To Pt.
❑Slope O Valley Id Flat 0 Ridge'❑Other
(check appropriate bd4 From To R.
LATITUDE 35.9194 'May boinde Rom To FL
minimsocendsta- 10-DRILLING LOG
.. LONGITUDE 78.866e in a deciestIbirhar From To Formation Description
, Latitude/longitude source: CCQPS ❑Topogtap}tic MEP 25 40 SAND STONE
(location dwell mua(tre ahawn on a USGS:)opo Map and
attached to this form ifnot uatTg GPS)
4.FACILITY-It the named the bt.lnus where the wet is ioiytd.
FACILITY ID*If a cable) •
NAME OF FACILITY GLAXO SMITH r¢.ZNE
STREET ADDRESS 3029 CORNWALLIS ROAD
DURHAM NC 27713
City'or Town State Zip Code
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HEY 55, SUITE 101
DURHAM NC 27713 11.REMARKS:
City or Town State Zlp Code THIS IS A OPEN HOLE FROM 25 TO 40 FEET.
( 919 )-484-9550
Area code-Phone number
S.WELL DETAILS: I DO HEREBY:HEREBY:CERTIFY THAT 1teS WELL WAS C raantuC D W ACCORDANCE vont
isA NGC lc.waL OONST[i11ClioN$TA OARDs,ArCo.Tt+AT o,Cow OF net;
RECdMO HAS EEENPROVIDEDIO THE WELL OWNER
a. TOTAL DEPTit 40
..-- oPed.„r^ti 2-7-2012
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO SI SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Badow Tap of Caain¢ 18 FT.
CFI(Use'+'A'Above Top of Casing) RI
PRINT
L L7�M I RE
PRINTED NAMEOF PERSON CONSTRUCTING THE WELL
Submit the.original to the Division of Water Quality within 30 days..Att.:.Information Mgt, Form GW-lb
1917 Mall Service Center—Raleigh,NC 27699-4917 Phone No:(919)73.14016 ext 563. - . Rev.7f45 -

.�rrot"T.#3` 1 ON RESIDENTIAL WELL CONSTRUCTION RECORD
i r`tt '- .. North Carhbna Depdtunerit of FAY/Moment andNatural Fa:soU DitiMod Of WatcrQna[8y
r WELL CONTRACTOR CERTIFICATION# 2593
I.WELL CONTRACTOR: d. TOP OF CASING IS 2 FT.Above Land Surface'
Rich Lemire 'Top ofcesing tenttinated a ror beiow lend surface may require
a variance ID accordance with 15A NCAC 2C.0118.
Wet(Contractor(Individual)Nerve
SAEDACCO Inc e. YIELD(gpm): METHOD OF TEST
Wel Contractor Company Name f. DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIELD DR g. WATER ZONES(depth):
Fro(n To From To
FORTNILL SC 29707 From To From To
City or Town State Zip Code
( p [phone] From To From To
Area code- Phorte number 6. CASINO: Thickness/
2.WELL INFORMATION: Depth Diameter Weight Material
SITE WELL ID f[irapptIcable)IW-12D From 0 Toss -FL 4 sCH40 PVC
STATE WELL PERMITa(lf applicable) From To q
From To ..n.
DWQ Or OTHER PERMIT#(d applicable)wO0o34465
WELL USE(Check Appricable Box)Monitoring❑ MunktpaWPublic CI T. GROUT: Depot Material Method
Industrial/Commercial 0 Agriculture!❑ Recovery O Injection EI Fran To FL 1
anigationp Other 0(list rise) From To FL
From To .FL i
DATE DRILLED 2-7-2012
tt SCREEN: Depth Diameter Slot Size Material
TIME COMPLETED 4:30 AM❑ MS) From To FL fn. in.
3.WELL LOCATION: Fran To. FL in. In,
CITY: DURHAM COUNTY DURHAM From To FL In. in.
3029 CORNWALLIS ROAD
(Street Name.Numbers.Community,Subdiidon;Lot No..Parcel,Zip Cods) $ SANO✓GRAV EL PACK:
Deft Size Ataterla!
TOPOGRAPHIC/LAND SETTING:
From To FL
0 Slope °Valley ®Flat :Midge 0 Other From To Ft.
(chee;:k appropriate boa
LATITUDE 35.9194 May be in&Tres, From To FL
minutes,seatpdzOr 10,DRILLING LOG
LONGITUDE 78.866E in adafimtlformai trot To Formation Description
Latitudellongittide source: :OOPS ❑Tbp•ographic map 55 88 SAND STONE
(Joca6vn of we*?tits(be shown on a USGS topo map and
attached to this loan e not rung GPS)
4.FACILITY-u the rime or the Misinso stria tow win Is Iocnd.
FACILITY ID a(d appkceb[e)
NAME OF FACILITY GLAXO SMITH KLINE
STREET ADDRESS 3029 CORNWALLIS ROAD
DURHAM NC 27713
City or Town State Zip Code
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11.REMARKS:
City o Town Stale Zip Code THIS IS A OPEN HOLE FROM 55 TO BB FEET,DRILLED NIT
1919 )-.484-9550
Area code- Phone number
aS WELL DETAILS: I Do flutes),cerrrs r TK.T1H rieu WAS corisrieucrEo M Ac wncE wras
ISA NCAG 2C,Wei.ocsgiTRucrtoNS W DAraos,AND THAT A coPY of nab
a. TOTAL DEPTH @s RECD HAS E EpN I WJvn0BDtoni£WELL OWNS
"" e4e1:u.:,.... 2-7-201-2
b. DOES WELL REPLACE EXISTING WELL? YES_❑ NQ J SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL&stow Top of Casing 18 FT•- RICHY L Lffi4IRE
(Use'+'it Above Top of Cesinp) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within.30da)ys. Attn:Information Mgt, Form OW-lb
1617 Mail Service Center—Raleigh,NC 2789l-1ft7 Phone No,[phone] ext 668.- ROC MIS

1
Ai*, . NON RESIDENTIAL WELL CONSTRUCTION RECORD
.lea �i--m North Caroline Depetroterit Of E-ovi oiuneui asdNatural Resources-Division of WaterQuality
re..t WELL CONTRACTOR CERTIFICATION# 2593
1.WELL CONTRACTOR d. TOP OF CASING I8 2 FT.Above Land Solace'
Rich Lemire 'Top of casing lammed at/or below land surface may require
Web Contractor(Individual}Name a variance in accordance with 18A NCAC 2C.0118.
SAEDACCO Inc s, YIELD(Wpm): METHOD OF TEST
Wed Contractor Company Name t. DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIELD DR {)• WATER ZONES(depth):
From To From To
FORTMILL SC 29707 From To From To
City or Town State Zip Code
( )- [phone] From. To From To
Area code- Phone number 6. CASING: Tbickr)eaa/
2.WELL INFORMATION: r Depth Diameter Weight Material
SITE WELL ID#(dapplcad.) IW-14 fr'OrTI 0 To 36 Ft 4 SCH40 PVC
Fran To R.
STATE WELL PER MITIOtappikade)
DWQ or OTHER PER
To FL
:0(NepplfGable)W00034465
WELL USE(Check Applicable Box)Monitaind(ID Mu nIcipauPubtic❑ 7. GROUT: Depth Material Method
Industrial/Commercial❑ Agricultural 0 Recovery CI Injection-0 From To FL
Irrigation❑ Other❑(list use) Fran .To ,FL
Prom To FL
DATEDR0.IED 11-14-2011
8. SCREEN: Depth Diameter Slot Size Material
TIME COMPLETED 11:00 AM 183 PM❑
From To FL in. In.
3.WELL LOCATION: FrORi To Ft. h 'in,
CITY: DURHAM COUNTY DURHAM From To Ft kr. in.
3029 E CORNWALLIS RD
(Sheet Name,Numbrs,e Community,SubdAilon,Lot No.,Parcel,Zip Code) 9. SAttWGRAVEL PACK:
t]'eptlt Size Matarl9l
TOPOGRAPHIC/LAND SETTING:
Fran To FL
❑Slope ❑Valley $1 Fiat C)Ridge ❑Other
(checkappropriate box) From To Ft.
LATITUDE 35 55'13.7 7" May to In drgrees, From Tq FL
minute,=axis or 10.DRILLING LOG
LONGITUDE 7 8 51 sa.7a^ in s dtci Mai tormai From To Formation-Description
Latitude/longitude suurce: CIGPS ❑Topographic map 0 27 RED SILT Alp PWR
(bcadan of oval must be shown on 8 USGS.fop0 may and 27 36 SAND STONE
attached fo this form trust t fhg GPS)
L.FACILITY-le the name ate tminass where the wen Is bcabd.
FACILITY ID toff applicable)
NAME OF FACILITY GLASO SMITH KLINE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 36
City or Town State Zip Code
CONTACT PERSON Jon Guthrie, ACE Constructors
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11,REMARKS:
City a-Town State Zip Code THIS IS A ROCK HOLE OPEN FROM 27-36 FEET_
( 919 )-484-9550
Area code- Phone number
6.WELLDETAILS- IDO,HEHEBY-c 1WY 0.4 THATTtWELLWASCONSTRUCTED,04AC.O(�NCEWITH
15A NCAC 2C:WELL GONSTRt T1Ol'I STANDARDS,AND THAT A COPY OF T118
a. TOTAL DEPTH: 3 6 RE-CORONAS BEEN PI9OVIOEYTO TTE WELL OWNER.
'-. e4,,--.a� 11-14-2011
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO Ki SIGNA OF CERTIFIED WELL CONTRACTOR DATE
C. WATER LEVEL Below Tap d Casing: 27 FT. RICHY L LEMIRE
(Use'+^If Above Top of Casing)
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn:information Mgt, Farm GW-lb
1617 Mail Service Center-Raleigh,-NC 27699-1617 Phone No.(919)73S-7Ot$eat d68. - - - Rev.7/05

.e-yAli.
NONRESIDENTIAL WELL CONSTRUCTION RECORD
r o,Clii- ; if. 'North Carolina Dt pa'ttriplt drE:nva6tianrnttmsd Natura11t4Saurce Divisi4d.of WaterQuality
'lilt a
• t";;;- .. WELL CONTRACTOR CERTIFICATION If 2593
1.WELL CONTRACTOR: It TOP OF CAstN(iv$ 2 FT.Above Land Surface
Rich Lemire *Top ptCiiop terminated,aitor beide lbrtd.atN4ac rna)/require
I variance In'accotdance with 15A NCAC ZC.011a,
Wet Contractor(Indtuiduat)Name
SAEDACCO Inc e. YIELD..Igpnt): •METNODOFTEST
Well Contractor Company Name f. DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIELD DR g. WATER ZONES(depth):
Finn To Frorn To
FORTMILL SC 29707 From To From To
Cay or Town Stale Zip Code
( )- [phone] From. To From. To
Ama.acee- Phone rxmtiber 6. CA81NG Thidvhesst
2.WELL INFORMATION: Depth Dieartetar Weight Material
SITE WELL ID E(ir.applfdpk)ZW-14D Front 0 T9 50 ft 4 SCH40 PVC
STATE WELL PERMIT/Of rppilcable) Flom TO FL
DWI].or OTHER PERMIT ii(Cf aPpitable)W0o034465 From) To FL
WELL USE(Che Applicable Box)Mortitcrfng 61 MtmiclPeNtr�Pc❑ 7. GROUT: DepthMaterlsi Method
k
Industrial/Commercial 0 Agrio llurat❑ Recovery 0 Injection❑ Flom TO FL
Irnigatlono Other 0(list use) From To .FL
DATE Dialr ED 11-14-2011 Frog) To FL
8. SCREEIt Depth. Diameter Slot Sue Material
TIME.CQMPLETED. 9:3o AM ttil PM From To Ft. in, In.
3.WELL LOCATION: From To Ft. it It
CITY: DURHAM COUNTY DURHAM From To FL_in. in.
3029 E CORNWALLIS RD
(Street Nine,Numbers,Community,Subdh ie1on,Lot No.,Parcel.ZIp Code) S. SAMOIGRAVEL PACK;
Dtsbfh Sae Material •
TOPOGRAPHIC/LAND SETTING:
From To Ft.
❑Slope ❑Vattey ®Flat C Ridge ❑Other
( appropriate From To Ft
LATITUDE 35 55'13.77" INag:bo,Lt.c>e[gr�t, From To fL
ID-!.buses,Wench Of 1R ORILUNO LOG
LONGITUDE 78 51'54.54" in s du7dla1 Format Frain To Formation DescrOtion
Latitude/longitude source: SIGN (DTvp0gia hIc map 0 50 RED SILT AND PWR
(bcadbn dwelt most be shown on a:USGStopo map and 50 90 SAND STONE
attached to this form if not utYia GPS)
4.FACILITY-Is the ne ns o(the biomass whre tty wall Is tooeted. •
FACILITY ID#(lt applllcabie)
NAME OF FACIUJTY GLAXO SMITH 1Q,INE -
STREET ADDRESS 3029 E CORNWALLIS RD
•
DURHAM NC 27709 90
City or Town Stale Zip Code
CONTACT PERSON Jon Guthrie, ACM Constructors
MAILING ADDRESS 5322 HWY 55 SUITE 101
DURHAM MC 27713 11.REMAR/0:
City cr Town State Zip Code THIS IS A ROCK HOLE OPEN FROM 50-90 FEET.
( 919 )-484-9550
Area code- Phone number
E.WELL DETAILS: t DO HEREBY CERTIFY THAT INS WELL WAS CONSTRUCTED a1 WITH
16A,►Y.AC 2C..WE L.troNIIIIHrrlpN STAHOSROH,ANDINATA COPY OF 7Me
a TOTAL DEPTN: 90 RECCRG HAS Bt; 60-PROMO1vn+E Wrd.LOW?
=t 4 t&,-a. 11-14-2011
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO10 SIGNATURE OF CERT1FIED WELL CONTRACTOR DATE
c. WATER LEVEL Below Top d Casing; 27 FT. RICHY L LEMIRE
(Use'+ If Above Top d Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the-Division of'Water Quality wttttln 30 days. Attn:information Mgt, Form(3W-lb
1617 Mao Service Canter—Raleigh,NC 276994611 Phone No.(09)r33-7016 ext 668. -Rev.7J ,5

'prAlc •ill' ^^� ONRES IENTIAL WELL CONSTRUC J1ON RECORD
1�'dry*`:•
��;'-r' North'Catoli a Departrtuatt Or Enyirolanait and Natural Resourots-Division.bf Wate-Quaftty
' . "'" �,v
NIS`� •
; WELL CONTRACTOR CERTIFICATION# 3476
1.WELL CONTRACTOR d. TOP OF CASINO f3 2 FT.Mow Land Surface'
Randy Hoffman 'Top of casing terrninaMd at/or betoia Land surface may require
Wer Contractor(Individual)Name a variance Inaccoro6irdetMttt i iA NCAC 2C.0118,
SAEDACCO Inc a. YIELD(gpm); METHOD OF TEST
was Contractor company Name t. DISINFECTION:Typo Amount
STREET ADDRESS 9088 NORTHPICI,P DR g. WATER TONES(depth):
Frari_To Fran To
PORTMILL SC 29707
City or Town State Zip Code From To Fran To
( ) (7o4) 507-1922 From To From�Tp
Area code- Phone-number 'B:CASINO: TIt(dmeus/
L WELL INFORMATION: Depth Dlamfr*er Weight Material
grTEY11Fil ID tor appricabb)Iw16 From 0 To 19 Ft,6 SCH4 0 PVC
STATE WELL PERMITi(rappGcade) Fran To FL
From .To. Ft.
DWQ a OTHER PERMIT*Of apprcable)woo 034465
WELL USE(Check Applicable Box)Monig O MunidpaYPublc D r GROUT: Depth Material Method
tndustria/Corm ercial 0 Agricultural 0 Recovery❑Injection fa From To Ft
IrrigatlonC3 Other 0 PI use) From To FL
DATEDRRrED 2-2-2012 F!ar► To Ft
8. SCREEN: Depth Diameter Slot Sae Material
TIME COMPLETED. 10:30 ,AM IM PM 0 From To FL in. h_
3.WELL LOCATION: From To FL in. it.
CITY: DURHAM COUNTY DURHAM From To Ft In. in.
3029CORNWALLIS ROAD a. SANINDRAVELPACK:
(Street Name,Numbers,Community,Subdiulstorr,'Lot No.,Faosi,by Cods) Dory Site Material
TOPOGRAPHIC/LAND SETTING
❑Slope ❑Wiley Idl Fiat DIN* D Other Fran To R.
Vall
(check appropriate Lex) From To FL
LATITUDE 35.9199 A1}-abein*gn s, Fran To Ft.
mirattclr=coidhor 10.DRILLING LOG
LONGITUDE 78.866a inrrdesimnl'format From To FomtationDescription
Latitude/longitude source: COOPS ❑Topographic map 19 41 SAND STONE
(bcat n of wet must be shown one LISGS fop)map end
elfach d to this form is net usiig GPS)
4.FACILITY-M die name d d u business*hem the well Is SSuelee.
FACILITY ID i(if appreable)
NAME OF FACILITY GLAXO SMITH KLINE
STREET ADDRESS 3029 CORNHALLIS ROAD
DURHAM NC 27713
City o Town Stale Zip Gale
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55, SIIITE 101
DURHAM NC 27713 11,REMARKS:
City orTown State Zip Code THIS IS A OPEN HOLE FROM 19 TO 41 FEET,DRILLED NIT
t 919 )-484-9550
Area code- Phone number
I oD/, ..RgEO ERAPY.THATTHS Ei WAS.O9/45TRUC7EO M ACGORcANCE WON
5,WELL DETAILS_ 154 niewc 2Cr WELL wr cnoN SIANtwroe;Iwo yytATA COPY Cr TMtB
itrcORo't e s SEEN PROVIDED TO THE WEJ L'OW►ER.
a. TOTAL DEPTH: 41
2-7-201'2
b. DOES WELL REPLACE EXISTING WELL? YES❑ NOM SIGNA RE OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Bdow Top of Casing: 18 FT.
(Use`.1.-if Above Top of Casing) Randy Hof fwan
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn:information Mgt, Form GW-lb
1817-Mall Service Center—Raleigh,NC 27699-1817 Phone No.[phone] ext 668_. . R 7/05

__ _ ______ ____
4 . ..-1\\NI`.--°
•
W .SELL CONSTRUCTION RECORD','
--- Noah Carolina-Department of recto meat aced Material Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)HAMS/�++ m 5 er eZIanacLUOFl I .?5
93
win,
W COMPACTOR OOMWtYNAME U,ra1.te.n µt-r c. wax-be': Li .
O mom is l��,7.�5 2�Z1
&TAIL WELL CONSTRUCnOtt mutat AssoaATs PUMP;
(drot�t fd _.
I. W&L USA pock APP kBok Resid4+rsal M al/Pridic(] lodtrst ICJ Agricultural 0
MonitoringRecovery 0 Heat Pump Water*scam D Other o If Other,.list Um '
•
2 WELL LOCATi�x: To Cad setting
NearestTownz.._ . �aey Otttdtb p310130 fVaUey OFVt
- 5 't-_4.1
. 19410etTt.ase,tt SehiNtalpo,L H..rat Code) latitoddtaagitade dwell toatioa
3.OWW __ 121- o S 4L. �. uc •(aces ahoeash) .
Addict, • . T1A—P. taro . c. LaisInaelloagltudo toercaC IPSIITopographic map - •
1-1v 1.,.Sk 3 o TAW A)� 2T)D9 � ( g 1, s s.c
• O r.rT in Rene Zip Cods Pieta To
CT} • - 1 S•S t . rd? ++L.Q
S. TdTALD@►IH.
6. DOES WELL F.7
REPLACEosrINaWEL7 YESLI Nog
• 7. STATIC WATER LEVEL Below Top-f f/JA- .. -
•
•
�--' - II. TOP OF CASINO IS +'2 Fr.Above Land Surface' - .
Map KcsiO firdnfd oft leionlu t aleha Andes a.
asehaar r seesidaacawat IStNCAC IC.013i.
• 4. YIELD(ION -.__ � R'JI�ST
to.wAT®tl S s(WOO: / `////1Q+.- • LOC.1 x:rt; t.
11.DISINFECTION:Type • Anchor Shaw diration aad(*ogee ia'>si es ttzm at least
• It CASING: : Will Thiamin two State Roads or OmintyRoads.Include the road -
Dsl Da goer a W YVR iruabe¢t and common road names.
T� Fb �Q f� o
Fr+oat—To_.—Fz N -
13. —Tb_ FI, — . •
FP:16,---T of . \ .
14. SOON: Depth Diameter Slot Sire Malbds! Ly
From To Ft..____..k In. InFra�_To FL__in in, • c9 /
15. SAND/GRAVEL YAM —
DePik Irmo Material -3 -
Frow To Ft.
From Tc ' _- •
16. REMARKS: • -\ - • •
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 1 SANCAC 2C,WELL
coNs RUCItoN ST AND T A lb s• OF TIES RECORD HAS SEEN PROVIDED TO THE WEIL OWNER •
,I -7-/9-ro.z
SIGC& of CONSTRUCTING THE WELL DATE -
Submit the original to the Dtrtsioa or Water Quality,Groundwater Section,1636 Malt Service Center-Raleigh.NC
27699-I63f Thom Na(919)T333721,wrtthin 30 days. C1W-1 REV.07h001

,..stA'r_,;
:�� NONRESIDENTIAL WELL CONSTRUCTIoNRECORD
6'''''''.
�j( � ...•,, North Carolina Depeiurient Of Extvat ritntait BtidNattual R t roes-Diva an Of Weser Quality
•l vttt
• 'VAC e WEI L CONTRACTOR CERTIFICATIONS 3476
1.WELL CONTRACTOR: d. TOP OF CASING IS 2 FT.Above Land Surface*
Randy Hoffman "Top oicesinJ tartrlfrieted;Yoe below land surface may require
WeA CoMredar(Inttivldlael)Harris a Vitiate In acCdtdam:e with 156 NCAC 2C.0118.
SAEDACCO Inc a. YIELD49pm);. METHOD OF TEST
Well Contractor Company Name 1. DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIELD DR g. WATER ZONES(depth):
From To Froth To
FORTMILL SC 29707
City or Torrent Slate Zip Code From To _ From To
( ).. [phone] TO From To
Area code- Phone nsn6er B. CASING: TOdmeaa/
2.WELL INFORMATION Depth Diameter Weight ,Material
SITE WELL ID*If applicable)IW19 From 0 To 23 FL 6 3CH40 PVC
STATE WELL PERMM-S(1applicable) From To Ft.
DWQ or OTHER PERMIT*(N'applkable)woo031465 From To Ft.
WELL USE(Check App8cable Sax)M fffN lu ❑ Munklp'al/Pub@C.° T. GROUT: Depth Maier(ai Method
Industrial/Commercial D Agriaaihnal 0 Recovery❑Injection EI Frain To Ft
Inigabon° Other 0(Het use) From To ..Ft.
DATE DRILLED 2-3-2012 Flap To Ft
8, SCREEN: Depth Diameter Slot Size Material
TIME COMPLETED 10 r 30 AM 22 PM 0 From To FL M. In.
3.WELL LOCATION: From To Ft In. is
CITY: DURHAM COUNTY DURHAM
From To FL__kL in,
3029 CORNWALLIS ROAD
9. SAND/GRAVEL PACK:
(Street Name,Numbers,Community,SubdMiion,Lot No.,Parcel,Zip Code) Depth size Material
TOPOGRAPHIC I LAND SETTING: Frmi To rt.
❑Slope O Vaadey ZD Flat ❑Ridge D Other From To Ft
(check appropriate bag
LATITUDE 35.9184 May bcinrkarbz, From To FL.
mirnrtrs,axatds or 10.DRILUNo LOG
LONGITUDE 78.8668 in a declma)lomrat From To Formation Description
(,Stitude/(ongihlde source: EIGPS ❑Topographic map 23 41 SAND STONE
(tocat(osr of wed must be shown one USGS topo mep and
attached to this form of nc utng GPS)
4.FACILITY-It of none or stN Wanes,*hats the wan Is Iocsiw.
FACILITY ID f(if ti)picadie) .
i NAME OF FACILITY GLA%O SMITH KILINE
STREET ADDRESS 3029 CORNWALLIS ROAD
DURHAM NC 27713
City or Town State Zip Code
CONTACT PERSON Jon Guthrie, ACH Constructors '
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11,REMARKS:
City or Town State Zip Code THIS IS A OPEN HOLE FROM 23 TO 41 FEET,DRILLED WIT
( 919 )-484-9550
Area cafe- Phone number
5.WELL DETAILS: !WHEREBY CERTIFY nrSTIHIE WE L.WASWHEII CTHET IN ACCORDANCE WITH
ts4 NCAc lc.wail toilsmopo!i EGAMIARDs,,,va THAT A Corr of Trite
a TOTAL DEPTH 41 RECORD' vrceo 88EN FRO TO THE WELL OWNER
_ 2-7-201'2
b. DOESWELL REPLACE EXISTING WELL? YES 0 NOE)
SIGMA URE OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Below Tap of Casing: 18 FT.
Ise,+,rt�Top of��) Randy Hoffman
PRINTED NAME—OF PERSON!CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Atte:Information Mgt., Form GW-lb
1817 Mail Service Canter—Raleigh,NC 27889-1817 Phone No.(819)-733-7018 ext 548. - R,,,.To5

a� o D
re .� -. Nov RESIDENTIAL WELL,CONSTRuCT1ON RECORD
g at', "r` 'Noah l erbfi0s' tot of Fsly.�. �: D�ttrrt aonma�attd xaa,rai Resources-r gswaler2�r
r?v,ayi�a;,,,..r-
WELL CONTRACTOR CERTIFICATION# 2593
1.WELL CONTRACTOR: a. TOP OP CASING IS 2 FT.Above Land Surfaea'
Rich Lemire 'TT b(casing terminated Aar belalV land surface may require
Wed Contractor(Individual)Name a +� t NCAC 2C.0118.
SAEDACCO Inc O. YIELD(gpm): METHOD OF TEST
Wed Contractor Company Name 1. DISINFECTION:.Type Miount
STREET ADDRESS 9088 NORTHFIELD DR g WATER ZONES( )
From To Fran To
FORTMILL Sc 29707 From To Frain To
City ar Town State Zip Code
( 1. (7041 507-1922 F To From T . •
Area code- Phone number 6. CASING: Tt Fi
Z WELL INFORMATION: Depth Diameter Weight Material
SITE WELL ID tlQf;appticade)Iw-22
From 0 To 38 FL 6 SCii40 PVC
STATE WELL PERMITtr(irapplIcable) Fran To Ft,
From .To Ft
DWQ or OTHER PERMIT S(Nepptcable)woo 034465 ' GROUT. Depth Material Method
WELL USE(ChecrAppticable Box)Month: ng131 Municipal/Pubic0
lnduslrlaVConunerdal❑ Agricultural❑ Recovery❑Injection❑ Fforn To Ft.
Inigalon❑ Other❑(list use) From To Ft
From To FL
DATE DRILLED 11-22-2011
8. SCREEN: Depth Diameter Sint Bin Material
TIME COMPLETED. 9:00 AM El PM❑
3.WELL LOCATION:
From To Ft. lei. in.
it
CrrY; DURHAM COUNTY DURHAN Frdn To FL in.
Ftoifri To FL in. in,
3029 B CORNWALLIS RD 8. SAND/GRAVELPACKK:
(Street Name,Numb. ,Community,Sub:Niion,Lot No.,Pared,Zip Coda) DO Size FAaterl6l
TOPOGRAPHIC/LAND'SETTING: From To FL
❑Slope ❑VaEey giFiat ❑Ridge ❑Other from To Ft.
(check approPriala WO
h(2.be in from 'To Ft
LATITUDE 35 55'06.64" ,
minims,,stdsor 10.DRILLING LOG
LONGITUDE 78 52'01.37" in a ddcin8i format
From To Formation Description
Latitudeliongitude source: MIGPS ❑Topographic map o 38 RED SILT AND PRE
(bestial of wet must be&town on 8.USGS NO rnn0 and 38 45 SAND STONE
eitadied to Btis ibrTTI Ynof ushg GPS)
4.FACIUTY-tr aN name d to bucirgaa Ntswo tIN wM u ioeoud.
FACILITY ID S(If applicable)
NAME OF FACILITY GLaxo SMITH van
STREET ADDRESS 3029 E CORNWALLIS RD
DDRHAM NC 27709 45
City or Town Stale Zip Cade
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HoY 55, SUITE 101
D(JRHAM NC 27713 11.REMARKS:
City or Town State Zip Cede ..THIS IS A ROCK HOLE OPEN FROM 38-45 FEET.
( 919 )-484-9550
Area code-Phone number
I DO HEREBY CERTIFY TAT THE¢WELL WAS OWED iN ACCCRDAM E WITH
5.WELL DETAILS: 15A NCAC 2C,WELL COnsii ucnoM STMWDARS .Ar THAT A COPY OF THIS
a. TOTAL DEPTH: 4 5 RECORD►A-A pMEEN PROVIDED tb THE WELL°when.
b. DOES WELL REPLACE EXISTING WELL? YES 0 h10g) JRE 11-22-2011
SIGMA RE OF CERTIFIED WELL CONTRACTOR DATE
c.WATER LEVEL Below Top d Caainp: 27 FT.
(Use'4'If Above Top otCasing) RZCHY L LEMIRE
PRINTED NAME OF PERSON_CONSTRUCTINO THE WELL
Submit the original to the Division of Water Quality within 30 gays-, Attn:Information Mgt, Form GW-lb
1617 Mali Servke Center-Raleigh,NC 27885-1817 Phone No.[phone] ext 668..• -- : - • . - Rev.73015 '

as ;. NONRESIDENTIAL w61.L:CON rRucTiONRECORD
;a,:tr, ,� North CarblintDepeitnient Of Em ii�otandit'Id NaiteaI Resources-DitriSipit,OF WeterQuality
=`;;t WELL CONTRACTOR CERTIFICATION ii 2593
•
1.WELL CONTRACTOR: d. TOP OF CASING IS 2 FT.Above Land Surface'
Rich Letttire "Top p(dastrig tem*iated auor below land wrface may require
Web Contractor(IrldMduat)Name a valiance In accordance with i 5A NCAC 2C.0118.
SAEDACCO Inc e. Y►ELD_(gpm): METHOD OF TEST
Welt Contractor Company Name 1 DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIELD DR g. WATER ZONES(depth):
From To From To
FORTM/LL SC 29707 prom To From To
City or Town State Zip Code
( (704) 507-I922
From To Fran- To
Ares code- Phone number I. CASING: T1ridutes8f
2.WELL INFORMATION: Depth Diameter Weight Material
IW-23 _From 0 To 37 FL 6 SCH40 PVC
SITE WELL ID�(fsppncaate) Ffcitt To Ft
STATE WELL PERMITIl(It appti abte)
Fran To Ft.
DWG]or OTHER PERMIT#(If wok:able)woo 034 465 ?• GROUT: Depth Materiel Method
WELL USE(Check Appfitable Box)Monitoring® MunicipaYPublic❑
Industrial Commercial❑ Agricultural❑ Recovery 0 Injection❑ Ffaitt To Ft.
IrrlpationD Other O(0mt rise) From .To FL
DATE DRILLED
11-22-2011 Fran To FL
8. SCREEN: Depth Diameter Slat Size Material
TIME COMPLETED 10;3 o AM El PM❑ Fran() To FL M. in.
3.WELL LOCATION: Froth To FL in. In.
CITY: DURHAM COUNTY DURHAH From To FL M. in.
3029E CORNWALLIS RD
WiD(Stree(Name,Mirabelli,Community,Suhtar4ston,Lot No..Parcel,Zip Code) S. PACK:
'OtiE11h Site Mafatiei
TOPOGRAPHIC/LAND SETTING: From 'To Ft.
❑Slope [Watley ErFiat DRIdge ❑Other Frogt To Ft.
(check appropriate box)
LATITUDE 35 S 5'07.3 6" degrees,be in degrt , Fran To Ft.
minors;xroridtr or 10.DRILUNO LOG
LONGITUDE 78 52'01.10° ihadecimaifonmat Frorh To Foimadon Description
Latitude/longitude source: eaGPS ❑Topographic map a 37 3ED SILT AND PWR
(locatko of wet must be Shown on a USGS tope msp and 37 4 4 SAND STONE
attached to this loin 1 riot usi g GPS)
4-FACILITY-is me named er business where the welt Is located
FACILITY ID Rif epploable}
NAME OF FACILITY GLAXO SMITH KLINE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 44
City or Town State Zip Code
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 EWY 55, SUITE 101
DURHAM NC 27713 11.REMARKS: -
City aTown Slate Zip Code THIS IS A ROCK HOLE OPEN PROM 37-44 FEET
( 919 )-484-9550
Area code- Phone number
I to HEREIre CERTrFYTMZT 1tt$lMEL WAS ootetTRUCTEONACC,ORDANIE WITH
5.WELL DETAILS: ' 1mA,NCSC2C.WELLCOHs1RIongt4eTA?ioARDa.AiCT14itTAoDPiOFn11S
RsCORDNrLS BEENFROViOEOTOTHE WELL OWNER
a. TOTAL DEPTH 44 - !J o
• Oror.w 11-22-2011
b. DOES WELL REPLACE EXISTING WELL? YES CINOEl SiGNA URE OF CERTIFIED WELL CONTRACTOR DATE
e. WATER LEVEL Briar Top of Casing: 27 FT. RICHY L I MIRE
(Use'+'if Above Tap d Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn:Information Mgt, Form OW-lb
1617 Mail SerVise•Cantrr—Raleigh,NC 2709-1617 Phone No.(919)733-70016 egt668. Rev.Troy-

.she
41- �..:. NON.RESWDENT AL WELL CONSTRUCTION RECORD
�r µlsf:- it
7 North Caroline DCpartmeilt of Envabtiment and Natural Resauces-'Division ofWeterQuality
.'4 "`• • WELL CONTRACTOR CERTIFICATION# 2593
_CONTRA
CTOR:WELL d. TOP OF CASINGIS 2 FT.Above Land Surface'Rich Lemi re TTo 1 m below Land surface may require
Well Contractortndi a variance in actordanca hh 15A NCAC 2C.0118.
(Individual)Name
SAEDACCO Inc a. Y1ELD{gpm): METHOD OF TEST
Well Contractor Company Name f. DISINFECTION:Type Amount
STREET ADDRESS soap NORTHFIELD DR 0. NI/tTER2CNlE9(depih):
Fran To From To
1 FORTMILL SC 29707 FrORI To From To
City or Town State Zip Code
( )- [phone] From To From To
1 Area code- Phone number 6. GAMsG: Ttddmess/
2.WELL INFORMATION: Depth Diameter Weight Material
SITE WELL ID i(tr applicable)IW-25 From 0 To 22 FL 6 SCH40 PVC
STATE WELL PERMIT10applicable) From To Ft
DWQ or OTHER PERMIT rf Fray To Ft
' apMonitoaj w4o034465 7. GROUT: Depth Material Method
WELL USE(Check Applicable Box)Monitoring 161 Mtmlcipai/PubfIc❑
Industrial/Commerc(al 0 Agricultural 0 Recovery❑Injection❑ From TO F(.
Irrigation❑ Other E)(list use) Front _To FL.
1 DATE DRILLED I.-22-2011 From To Ft.
& SCREEN: Depth Dierneter. .Slot Size Material
TIME COMPLETED 12:oo AM❑ PM(3-.1 From To FL in, h.
3.WELL LOCATION: From TO FL In. iI.
CITY: DURHAM COUNTY DURHAM Ftom To FL hi. In.
3029 E CORNWALLIS RD
9. SAND/GRAVEL PACK:
(Street Name,Numbers,Community,Subdi sion,Lot No,Parcel,21p Code) IDebttl Size Materiel
TOPOGRAPHIC!LAND SETTING: From To Ft.
(7Siope ❑Valley 83Ftat ❑Ridge ❑Other
( a bon) Ftorlt To Ft.
May be in From To Ft
LATITUDE 35 35•09-17- } degree;
minutes,acconit or 10.DAILUNG LOG
LONGITUDE 78 52'01,35` in:decimal format From To Formation Desorption
Latitude/Icingitude source: tvGPS (-3 Topographic map 0 22 RED SILT AND PNR
(IOCaLA7n Of well must be shown on a USGS/opo map end 22 37 SAND STONE
attached to this form d not ashy,GPS)
4.FACILITY-u the(erne ct to business ahem the wee Is keeled.
FACILITY IDligappicable)
NAME OF FACILITY CI.AXO SMITH KLINE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 37
City or Town State Zip Code
CONTACT PERSON Jon Guthrie, ACH Conetruc tors
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM,, NC 27713 11,REMARKS:
City crTown State ZipCCde THIS IS A ROCK HOLE OPEN FROM 22-37 PEET
( 915 )- 484-9550
Area code- Phone number
5.WELL DETAILS: i DO HEREBY cEAraY THATT1US WELL WAS W►rSiRUCTED IN ACCORDANCE WrTH
15Ai P AC 2C;,WELL CONSTtiLll,nusi STANDARDS,AND THAT A COPY of TTAS
RECORD HAS YEENPROVDED TO Ti-E-WEl L OW^.ER
a. TOTAL DEPTH: 37 c
Y' OS�_fw.e-w 11-22-2011
b. DOES WELL REPLACE DUSTING WELL? YES❑ NO Ea SIGNA E OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Below Top of Casing: 27 FT_
(use-+-if Above Top of Casing) RI cxY L LeM I RE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days, Attn:lnfonnitton Mgt, Form GW-lb
1617 Mail Service Center—Raleigh,NC 271199-1,617 Phone No.(91S)733-7016 eat 868..
Rev.7/03

n,,.FATta'
:t' :"• NON RESIDENTIAL WELL CONSTRUCTION RECORD
• {, o.
4�(� � ; North CbroCmsl Reperiuitair Of Environment and Natures lit DNisjpni bf fl'otetQuality
tm►rx .
•4 •' WELL CONTRACTOR CERTIFICATION# 2593
1..WELL CONTRACTOR d. TOP OF CASINO IS 2 FT.Aboas Land Surface'
Rich Lead re "I'op:o'f Coping lentl noted aiar below laid surface may require
Weu Contractor(IndfNduan Name a valance In acclarrdefrce with 1SA NCAC 2C.0118.
SABDACCO Inc e.YTELD:(gpm): METHOD OF TEST
Wel Contractor Company Name f. -DISINFECTIONi Type Amount
STREET ADDRESS 9098 NORTHPIELD DR 9; WA RZNES(depth):
From To From To
FORTHILL SC 29707 From To From To
City or Tam State Zip Code
( )}_ [phone] From To From Tp
Area code- Ptnorto number 6. CASING: Thfdcyass/
2.WELL INFORMAT10N: Depth Diameter Weight Material
SfTE WELL ID e(Iti datable)Iw-26 From o To 22 Ft 6 SCR40 PVC
From To FL
STATE WELL PERMITf(1applicable) Fronts To Ft
DWQ or OTHER PERMIT etlf applicable)NOo034465
WELL USE(Check Applicable Box)Monitoring L9 Municipal/Public❑ 7. GROUT: Depth Material Method
Induetria/Canmerclal❑ Agricultural Recovery 0 Injection In Frntn To FL
Irrigation❑ Other O(list use) From T-0 FL ,-
Fran To FL
DATE DRILLED Li.-22-2011
8. SCREEN: Depth Dioneter .Slot Size Material
' TIME COMPLETED 2 r 00 AM O PM lsi Fran To FL in. In.
3..WELL.LOCATiOtt Froth To ."Ft in. in.
CITY: DURHAM COUNTY DURE N From To FL kr. in
3029 E CORNWALLIS RD 9. SAND/GRAVEL PACK:
(Street Name.Numbna,Community.Sobdv4 ton,Lot Na.,Parcd;'73p Cade) 'D,, Size Material
TOPOGRAPHIC/LAND SETTING: From To Ft.
OSiope OVadeq 11;IFtat ❑Ridge 0 Other From To F(
. (check apprdaiatebox)
LATITUDE 35 55.08.51^ May be indramas, Fran To FC
mimics, for 10.DRILLING LOG
LONGITUDE 78 52,00.88^ in a'decidmifbirriet From To Foimation Description
Latittrde4ongitude source: MOPS ❑Topogr i*ruap a 22 RED s D PNR
(bcafbn of wed must be shown on a.USGS ropo.inop and 22 39 SAND STONE
attached to till:slain)lino,uArig OPS)
4.FACILITY-Is Ore named the 4eslnsu where de vret Is Ices*.
FACILITY ID#(If applcable)
' NAME OF FACILITY¢LACo SMITH LINE .
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 39
City or Town State 21 Cade
CONTACT PERSON Jon Guthrie. ACH Constructors
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 .11.RFA1A KS:
City Town State Zip Code THIS IS A ROCK HOLE OPEN FROM 22-39 FEET
( 919 )-484-9550
Area code- Phone number
6.WELL DETAILS' (Do HEREBY CERTIFY THAT THIS:WELL WAS CONSTRUCTED IN ACCORDANCE WIIM
• 18A NCAC 2C.,.waLcorAm3Ucraz14 ermmAItos,ADD THAT A COPY OF 11YS
RECORD KW PEEN PROVIDED TO T/E WELL bwr,�
a. TOTAL DEPTH39 RSreti�...c. 11-22-2011
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO XI SIGNA L LIRE OF CERTIFIED WELL.CQNTRACTOR DATE
c. WATER LEVEL Below Top of Casing 27 FT.
(Use'+•if Above Too of Caking) RICHY L LSMIRY
PRINTED NAME OF PERSON.CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days,.Attn:Ytforrnarion Mgt, Farm OW-lb
1617 Mail Service Center—Raleigh,NC:21€99=41317- Phone Ho,{919)7334016 e4868. Rev.7105

• •
'',-;„isAPN•: NON R FSMPAITE4 L___.________..,—--WELL CONSTRUCTION RECORD
Ninth Caridila Depetthient cifEnyinXiMent,alidNatural Resourtes-*Divonef Waltr:Qu.ality
XIV:.
-,....:-ie WELL CONTRACTOR CERTIFICATION# 2593
.4.•Z...,;fo ,
1.WELL CONTRACTOR: d. TOP OF CASING IS 3. FT.Above Land Surface'
Rich Lemi re 'Pip teeming tarrninatect War bekagianit'saface may require
a jairiance ID aooreiliiiaii With isA icAc x;et ia.
Wel Contractor(Inclivkluaf)Name
SARDACCO Inc 0. YIELD( ant: METHOD OF TEST
WO Ca-tractor Company Name I. DISINFECTION:Type Amount
STREET ADDRESS 9098 NORTHFIELD DR g. WATER ZONES(depth):
From To Frah Tti
FORTMILL Sc 29707
Fran To Fm To
City or Town State Zip Code
From To From To
( y [phone]
Ares cale- Phone number S. CASING: Thickness/
2.WELL INFORMATION: Depth Diameter Weight Materiel
From 0 To 20 Ft.6 SCH40 PVC
SITE WELL ID tc;r applicable) IW-27
Rpm TO .FL
STATE WELL PERMIT/kit*Otitis)
Front .To .FL
DM or OTHER PERMIT applicable)W00034465
T. GROUT: Depth Material Method
WELL USE(Cheek Applicable Box)Monitoring 0 MuriidpitfrPublic a
Industrial/Carmen:tato Agricultwal 0 Recovery 0 Injection IV From . To FL
Ff9M To FL
irriLlotiai0 Otfletcl(IletAloo)
!Torn To Ft:
DATE DRILLED 12-1-2011
8. SCREEN: Depth Diameter Slot Size Material
TIME COMPLETED a:3o AM 22, FM 0
Fran To Ft. In. In.
3.WELL LOCATION
From To FL In. in.
CITY: DURHAM dowry DURHAM
From To FL M. In.
3029 E CORNWALLIS RD
9. SAND/GRAVEL PAWL:
(Steel Name,Numbers.Community,Sutervisbn,Lot No,Parcel;zip cod.) Depth Size Mataaii
TOPOGRAPHIC/LANDSETTIND:
Fire To Ft.
0 Slope 0Valley In Flit 0Ridge Et Other
From To Ft.
(cheek aPPmerleikb04
ROM To Ft.
LATITUDE 35 55'09.60" May be ki&woos,
minutca=conch'or 10.DRILUNG-LOG
LONGITUDE 7a 52'02.02" ,in,i&ciinal'Novi From To Formation Description
LatitudeAongitude source: iliGPS °Topographic map o 20 RED SILT AND PWR
(location of wig rntsf be MOW,on 1 I USGS 4.9 map and 20 43 SAND STONE
attached to Nils form lf roOl ushg GPS)
4.FACILITY-411e norm ef the bang*when the wail It Ieented.
FACIUTY ID 11(8 applicable)
NAME OF FACILITY Q,Lakzo SMITH KLINE
STREET AOORESS 3029 E CORNWALLIS RD
DURHAM NC 27709 43
City cr Town State Zip Ccde CONTACT PERSON Jon Guthrie, ACM Constructors
NUMUI,KiADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11.REMARKS:
City cr Town State Zip Code THIS IS A ROCK HOLE OPEN FROM 20-43 FRET
1919 )-484-9550
Area code- Phone number
I 00.HERE-ercemitt TH4rItittcyVELL WAS ciontsTftuarp_D INACCOROANCEVRIN
&WELL DETAILS: Iskticc..T.irnEf.i.obtOIROclKiNVANoWa•Aral P4.9.A 00"°F7146
RECORD HAS.BsiMpeovIDEO-ro-ne Vdt.LCOWNER.
a. TOTAL DEPTH: 43 '".---.4 ,0..&e.4_,.. • 12-1-2011
b. DOES WELL REPLACE EXISTING WELL? YES 0 NOM SIGNATURE OF:CERTIFtur..wat CONTRACTOR DATE
C. WATER LEVEL Belay Top at Casing: 27 FT.
RION L LEM IRE
(Use"+"If Above Top at Casing)
PRINTED'NAME-OF PERSON,CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 daps.,Attn:Information Mgt., Fcnn GW-lb
161-7 WV Service-Center-Raleigh;NC 27699-1817 Phone No.(010)703-7.0I6 ext li88• • •- •-•- - - • keg.7/05

1
NONRESIDEIYT'IAL WELL CONSTRUCTION RECORD
r 4F
r.
s ..,,,...-. j. North Carbliita Dcpattneit dEEfll:i+nrmneat end Natural Resources-Division`of WatewQuaTdy
�4a . WELL CONTRACTOR CERTIFICATION# 2593
1.WELL CONTRACTOR: d. TOP OF CASING IS 1 FT.Above Land Surface*
Rich Lemire
*Top.Of_l:falnQ termini*at/0r b44_bW tend surface may require
Wert Contract {Irrdlitdual)Name a variance in accordance trlth ISA NCAC 2C.0118.
SAEDACCO Inc a. YIELD.(gpm): METHOD OF TEST
Wei Contractor Company Name f. DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIELD DR g. WATER ZONES(depth):
Front_To From To
FORTMILL SC 29707
From To From To
City or Town State Zip Cod
e
From To From To
( ) [phone]
Area code-Phone reinter f,CASING: Th1clmeest
2.WELL INFORMATION: Depth Diameter Weight Material
SITE WELL IDappticoble)IW-28 From 0 To 20 FL 6 SCH40 PVC
STATE WELL PERMITA(If applicable) From To Ft,
From To Ft
DWQ or OTHER PERMIT 4(d appiceble)w00034465 7. GROUT: Depth Material Method
WELL USE(Check'Appficable Sad MohilOrk4g D Municipal/Public O
- InduettlaVGarnmercial9 Agricultural D Recamy o Injection El From TQ Ft.
irriyefn,C Other 0(list use) ROM To FL
From To Ft
DATE DRILLED 12-5-2011
8- SCREEN: Depth Disinter Slot Size Materiel
TIME COMPLETED. 4;30 AMA PM From To FL ih. h_
3.WELL LOCATION: Frail To Ft in. 'bt
CiTY: DURHAM COUNTY DURHAM Froin To Ft. in. in_
3029 E CORNWALLIS RI)
8. SAND/GRAVEL PACK:
(Stint Name,Numbers,Community,Subdivision,IA No.,Parcel,Zip Code) 'Depth Size Material
TOPOGRAPHIC/LAND SETTING: Fran To Ft.
O Siope Whitey ey ®Flat O Ridge CI Other
(check apprdpdada boy)
From To F.
LATITUDE 35 55'08.14" /4Uybe in.degeres, From To Ft
mimics seconds or 10.DRILLING LOG
LONGITUDE 78 52'00.27" In a decline former From To Formation Description
Latitudellongitudesource: DaGPS ❑Tgpographic(nap o 20 RED SILT AHD PWR
(k)Cat/oi0 of wax roust)e shown on a USGs.fopa nkto and. 20 38 SAND STONE
attached to this form it not rest,GPS)
4.FACILITY-it en nrm.d aw to sines whom the Nr&N ieaa.d..
FACILITY ID#(d itppicable)
NAME OF FACiLFTY GLAxO SMITH KLINE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 38
City or Town State Zip Code
CONTACT PERSON Jon Guthrie, ACH Constructors
MAIUNG ADDRESS 5322 HWY 55 SUITE 101 •
DURHAM NC 27713 11.R tARK$:
City crTown State Zip Code THIS IS A ROCK HOLE OPEN FROM 20-38 FEET
( 919 )-484-9550
Area'code- Phone number
I DO}IEJb5SYCERtifY7MIt7TH16WELL WAS:CONSTRUCIRDR1A coRWNCE Wm+
6.WELL DETAILS: 35.4 WCAC 2c,'.H LCOI41 tV or3N STANCAROB,AND II4AT A COPE or Des
RECORDH�S pBE�E��pN PROVIDED ID THE*EU:OWINER_
a. TOTAL DEPTH 38 ..—'" oReeep+:..a. 12-1-2011
b. DOES WELL REPLACE EXISTING WELL? YES 0 NOR] SIGNATURE OF DERTiFtED-WELL CONTRACTOR DATE
c. WATER LEVEL Beim Top of Casing:_27 Fr,
(Use‘+ If Ab ne Top of Casing) RICHY L LBMI RE
PRINTED NAME OF PERSON C.ONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days..,Mn:information Mgt, Form GV-lb
No 1617 Mall Service Center—Raleigh.NC 27699-1617 Phone .(91a T3E) -7014 ext 661. -- - Rev_ypa

NON RESIRENTLAL WEtiL CONgT ucrioN RECORD
s 1 rl Nob Carder(
•;,tl"��- �'' Depett neat of Ertvininniclit end Natural Rk irtes-Pit skxl of WaterQuallty
'�` `'' WELL CONTRACTOR CERTIFICATION# 2593
1.WELL CONTRACTOR d TOP OF CASINGIS 1 ,Ft Above Land Surface'
Rich Lemire Of al/or op. casirq. bebirr tend surface may require
Well Contracts(In tactt,sq Name a variance in as idance wet 1SA NCAC 2C.0t1e.
SAI DACCO Inc a. YIELD(gpin): METHOD OF TEST
Well Cantractar Company Name t DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIELD DR g. WATERZO*E9(depth):
From To From To
FORTH ILL SC 29707
City or Town Stale Zip Code From To Frain To
( )_ [phone] From To From To.
Area code- PtIOne number e. CASING: Thiclaress/
2.WELL INFORMATION: Depth Diameler Weight Material
SRE WELL ID S(7i applicable) IW-29 Front 0 To 20 Ft.6 SCF140 PVC
STATE WELL PERMIT.i(Itapplicahie) From TO FL
•From To Ft •
DM o OTHER PERMIT#(itepp6ceble)woo o 34 4 65
WELL USE(Check A$li able Bogs)Moralising 0 tdun cipM/Public0 T. OROfJi.. 'Depth AAakrlal Method
Industrtal/Comrnerciaa❑ Agricultural❑ Recovery❑Injection ID front__To Ft.
Irrigation❑ Other 0(list Use) From To .Ft •.
DATE DRILLED
12-1-2011 :From To Ft -
TIME COMPLETED 12 r 30 AM PM❑ a SC"REtaPt .Depth Diameter. :SfdS® Material
Front To Ftr in. ki
3.WELL LOCATION: Frb ii To Ft in. In.
CITY: DURHAM COUNTY DURHAM FrOrn To Ft. In. n.
3029 E CORNWALLIS RD
(Street Name,Numbers,Corwnrnill,SubcINNion,Lot No,Parcel.Zip Code) 9- SAN.Dena;YF1 PACK:
Vafeiias
TOPOGRAPHIC/LAND SETTING. ePGh Skit'
Frarrt
p Slope ❑Va4ey En Flat D Ridye ID Other
To El
(check apprdpriate From To Fi.
LATITUDE 3 5 55'10.18" ':lNap be is dap tee, From To Ft-.
miMnes,seconds or 10.DRILLING LOG
LONGITUDE 78 52'02.49" ihir4sihr81 t•orrnai PrOM To Foimation Description
Latitude/longitude source: fO GPS ❑TopOgtaphic map 0 20 RED SILT AND•PWR
(location of watmusl be$boon on.a USGS too Map end 2 0 3 8 SAND STONE
attached to this him hot usu,g GRS)
4.FACILITY-is the nse.a alto business Share Me wail Is loosed.
FACILITY ID I(N appicatite)
NAME OF FACILITY GLAXO SMITH KLINE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 38
City or Town State Zip Code
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11.REMARKS:
CRy or Town State Zip Code THIS IS A ROCK HOLE OPEN FROM 20-38 FEET
( 919 )-484-9550
Area code- Phone number
IL WELL DETAILS: I co HEREBY cEmFFY nrv7 ty w rai_WAS coo+s7RUCTE0 IN ACCORDANCE Wm+
1s(kik.s W ps ELLcsrnucnoN arA, a,AND WA/A COPY OFneS
a. TOTAL DEPTH: 3B •
Recce«}lA`sQBBEE�RR PROVIDED ton4EWcu:OWNER.
'—! Rll,d..wc- 12-1-2011
h. DOES WELL REPLACE EXISTING WELL? YES 0 NO ID SIDNATtW.4OF CERTIFIED WELL CONTRACTOR DATE,
c. WATER LEVEL Below Tap ci Casing: 27 FT. RICHY L LEHIRE
(Use"+"if Above Top o/Casing) PRINTED NAME-OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days.;Atte:information Mgt., Form OW-lb
1611 Mall S.Mvka Center—Raleigh,NC 27699-1617 PhOne No.(9t0)114-7Oi6 exit Sid..- - - per:Tay - -

r 1
�tI/
NON ONRE'SIDEN�L WELL.CONSTRUCTION RECORD
tir ti,3‘f s)
c-S North Carotin(Depettment of Etiv,itortnift andNatural R'esourcig Division'Of Wata-Qua2ty
'«• .a;;;;,,a WELL CONTRACTOR CERTIFICATION FICATION# 2593
1,WELL CONTRACTOR d. TOP OF CASING M FT.About;Land Surface"
Rich Lemire `Top tat casing 1enn Hated af/or below land surface may require
Wee Contractor(Indrvidusl)Name a variance in accordance with 15A NCAC 2C.0118.
SAEDACCO Inc a. YIELD Wpm): METHOD OF TEST
Wel Contractor Company Name f. DISINFECTION:Type Amount
h}
WATER ZONES
STREET ADDRESS 9088 Northfield Drive g' (depth):
From To From To
Fort Mill SC 29707 From To From To
C8y or Tam State Zip Code
( ) [phone] From. To From To.
Area code- Phone number 6. CA58lG: Ttlfcknesg1
2.WELL INFORMATION: Depth Diameter Weight Materiel
S(TE WELL ID Om applicable)IW-3° From 0 To 40 FL 6" Sch 40 PVC
STATE WELL PERMIT-ant applicable) Front To Ft
From TO Ft.
DWQ or OTHER PERMIT attic applicable)woo o 3 a 465
WELL USE(Check Applicable Box)Moru'toririq D MuitiapeVPrttic❑ 7. GROUT: Depth Material Method
Industrial/Commercial❑ Agricultural D Reco'eyD Injection la From° Teat) Ft Portland Cement Pump
Irrigat(ohO Other O gist use) From To .Ft.
• DATE DRILLED 12/9/11 From To Ft
& SCREEN: Depth Diameter Slot Size Material
TIME COMPLETED .AM 0 PM 0 From To Ft. in. In.
3.WELL LOCATION:
CITY: Durham COUNTY Durham From To Ft .le RI
From To Ft in. in.
3029 E. Cornwallis Road, Durham, NC 9. sAfiD1GRAYELPAGK:
(Street Name.Numbers,Community,Subdiws1on,Lot No.,Parte),Zip Code) Depth Size Material
TOPOGRAPHIC/LAND SETTING: Fray, To FL"
OSlope OVattey CJFlat DRidge 0 O.ther Rare To Ft
(check appropriate box)
LATITUDE 35 55'°5-66" May tx:in&inks, FlOtn To Ft.
mimna,ROODdS Of 10.DRILUNG LOG
LONGITUDE 78 52'03.69" ina3ociroaifomnr Pram To Formation Description
Latitudellongitude source: oGPS ❑TopOwephic map _
, (beech awed must be shown on a USGS top°!drip'mid
attached to this lam it not uahp GPS)
4.FACILITY-it the name of ore emirs where the Ben u looted.
FACILITY ID#(it appicble) '
NAME OF FACILITY Glaxo Smith Kline
STREET ADDRESS 3029 E. Cornwallis Road
Durham NC
City or Town Stale 71p Code
CONTACT PERSON.on Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55, SUITE 101
Durham NC 27713 11,REMARKS;
City orTown State ZIpCode This is an open borehole from 40 to 50 feet, insid
( 919 )-484-9550
Area code- Phone number
6.WELL DETAILS: t WHEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED vl ACLattDANC E WITH
75A NCAC 2G waLcoasTisatTioat STANDARDS,AND THATA COPYOF THE
a. TOTAL DEPTH: SO' RECORD H S A�QS BEEN FAcwi2FD To Tre Weil ow#t5R
----- -.' C LeLe#.—4.� 12/9/11
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO A SIGNAt+URE OF CERTIFIED WELL CONTRACTOR DATE
e. WATER LEVEL Below Tap of Casing FT. Rich Lernire
Nee`+'d Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
•
Submit the original to the Division of Water Quality within 30 days. Alm:tnforrnabon Mgt, Form GW-lb
1847 Map Service Center-Raleigh,NC.275S9-1817 Phone Na 019)735.7016*xi(Sell.•- - Rev.7A5

•e.sW4 .
irk:
_r+ • NONRESIDENTIAL WELL CONSTRUCTION RECORD
'n.,IF-r" :s. Ndith•Carbinla D opettmeat of EtivaoainmtMidNaturatg'emoutpes=Division ofMum- ualit4
Virg
o;,,i- WELL CONTRACTOR CERTIFICATION if 2593
1.WELL CONTRACTOR: d. TOP OF CASING IS 1 FT.Above Land Surface'
Rich Lemire `Iceofeasingtertairsated a0or trios 4tnd_surface may require
Web Contractor(Indrai)Name a valibrice in acoiadance with 15]1$CAC 2C:011E.
SARDAcCO Inc -O.Y1ELD.(gpu'q: .METHOD OF TEST
Well Contrador Company Name f. DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIEkD DR g• WATER ZONES(depth):
Frain To Fran To
FORINTLL Sc 29707 From TO Fein TO
City or Town State Zip Code
( �. [phone] From To From TO
Aree.600e- Phone NOW' 6. CASING: Thidatessf
2.WELL INFORMATION: P . Diameter Weight •Material
SITE WELL IC)6irappecede)IW-31 Fran 0 To 22 Ft.6 SCH40 PVC
STATE WELL PERMIT.!($applicable) Ffdin To FL
From To ,R.
OWQ or OTHER PERMIT eV apptcabie)R00034465
WELL USE(CheckAppIitable Oted•MorMoriny❑ MunkipaVPub6c 0 7. GROUT: Matalal Method
Irdusit a tCornmer Tel❑ Agricultural❑ Recovery❑Injection g) From TO Ft
Irrigatic Other❑pltt use) From .To .Ft
DATE DRILLED 12-8-2 011 Fran To .F4
IL SCREEN: Depth Diameter :Slof:Srse Material
TiME COMPLETED 2:3 o AN p PM(g
From To FL frt.. i-
3.WELL LOCATION: Frets To -Ft .in: in
CITY: DURHAM COUNTY DURHAM From To Ft. in: .in.
3029 E CORNWALLIS RD
(Street Name Numbers,.Community,Subd Zip vislon,Lot No.,Parcel, Code) 8. SANDIQ PACK:
Debt Size Material
TOPOGRAPHIC!LAND SETTING: From To Ft:
•
❑Slope ❑Valley EIFlet ❑Ridge ❑Other
(cheek aPp . From To FL
•
LATITUDE 35 55'05.03^ May Le in dcgrees, From To FI
m;mrtrs,ixoruls or 14 DRILLING LOG
LONGITUDE 78 52'04.53" in adecmal-form* From To FoimatioiiDescription
Latitude/longitudesource: alGPS ❑TopOgra)ihic map 0 22 RED SILT AND PHA
(bcalion of wet must be shown on a USGS topo and 22 41 SAND STONE
attached to this town if not using GPS)
a.FACILITY-Is em roma d me henna saws aia wen Is lathed
FACILITY ID S(if applicable)
NAME OF FACILITY GLAxO SMITH ICLiNH
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 41
City or Town State Zip Code
CONTACT PERSON Jon Guthrie, ACE Constructors
MAILING ADDRESS 5322 HWY 55 SUITE 101
DURHAM NC 27713 11.REMARKS:
City or Town State ZIP Code THIS IS A ROCK HOLE OPEN PROM 22-41 PEST
( 919 )-484-9550
Ares code- Phone number
E.WELL DETAILS: I DO HEREBY D5R7IF..nuTT7AS wet WAS coriemucreo ato wn
ua NC�L 2C,WELLcor+emucEON ST�No4RDIKAp O1HAT A*COPY OF nee
REcoRrimAS BEEN'retnnoEti to i e wriCOw# . -
a TOTAL DEPTH: 41
12-8-2011
b. DOES WELL REPLACE EXISTING WELL? YES NO XI StO 4tEOG-4�-Nq URE OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Below Top of Casing: 27 FT.
(Use"+"I Above Top ofCasing) RI CHY L CENTRE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
L
Submit the original to the Division:of Water Quality within 30 days. Attn:intonnat)on Mgt, Fora,GW-lb
1617 Mail Service Center—Raleigh,NC 27899-4617 Phone No.(91g)733-7'016 ext US. rev.7p6

NON RESIDENTIAL WELL CONSTRUCTION RECORD
,t ,I, P,. North Carbtioit Depaituictit of Ebyitertment and Natural Resources-DWisipabf WatetQuality
• a :�• ..• WELL CONTRACTOR CERTIFICATION ay 2593
1.WELL CONTRACTOR: d. TOP OF CASING IS 1 . FT.Above Law Surface'
Rich Lemire `Top of'casing caafrterrt sad al/orbelow land surface may require
Well Cordrada(Indiv4dual)Name a variance in accordance with15A NCAC 2C.0118.
SAEDACCO Inc a. YIELD(gpm): METHOD OF TEST
Well Contractor Company Name f. DISIN<:ECTION:Type Amount
STREET ADDRESS 9089 NORTHFIELD DR g. WATER ZONES(depth)
From To From To
FORTMILL SC 29707 From To From To
City or Town State Zip Code
( )- (7o4) 507-1922 Fran To From To
Area code- Phone cumber 6. CASING: Thickness/
2.WELL INFORMATION: Depth Diameter Weight Malarial
SITE WELL ID Sot applicable) 1w-32 From 0 To 22 Ft 6 SCH40 PVC
STATE WELL PERMIT#(R From To FL
appiieade) Frond To .FL
DWG(or OTHER PERMIT*Of epplcable)woo°3 4 465
WELL USE(Check Applicable Sox)Monitoring CIMunicipal Public p T. GROUT: Depth Material Method
Industrial/Commercial❑ Agricultural El Recovery O Infection E Fran To Ft.
Irrigation0 Other (list use) Frarii 7o Ft
from To ..Ft
DATE DRILLED 12-8-2011
8. SCREEN: Depth Diameter Slot Size Material
TIME COMPLETED 11:3 o AM J PM❑ From To FL in. in.
3.WELL LOCATION: Mir'n To FL in. 'In.
CITY:" DURHAM COUNTY DDRHAM
From To FL irx in.
3029 E CORNWALLIS RD
•
(StreetNM m me,Nubers,Commundy,SubdhAsion,Lot No,Parcel,Zip Code) 8' SAND L PACK:
Deepthpth Size !Medal
TOPOGRAPHIC/LAND SETTING: From To FL
['Slope ErValley tilFtat ❑Ridge D Other From Tp F1
•
(check appropriate box)
LATITUDE 35 55'04-37' .May be lot dcgrdzs From To A.
minutcs,Seconds a 10.DRILLING LOG
LONGITUDE 78 52'04.49' to s dxidaat f until From To Formation Description
Latitude/longitude source: al GPS EITep graphic IMP o 22 RED SILT AND LaiR_
(bcatzvl ofWel must be shown 0n e.US,GS topo Map and 22 41 SAND STONE
ettgched to this(am i1 not using GPS)
4.FACILITY-14 slat mine dine businais vars.tt.1 win Is located.
FACILITY ID P(lf app&cable)
NAME OF FACILITY GLAXO SMITH. KLINE
STREE I ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 41
City or Town State Zp Code
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55, SUITE ic1
DURHAM NC 27713 11.REMARK.9:
Gity or Town State ZIp Ord& THIS IS A ROCK HOLE OPEN FROM 22-41 FEET
( 919 )- 484-9550
Ansa code- Phone number
!S WELL DETAILS: 1o0HERHOYt-EKmrvTHAT71f15W LWASCONSTRLCIEDN w ACCORDANCE
iS,4_NCGCZO,wE11 coNJsmuctiar$S .A! T*iAT 1+'.ccw'OF Dais
s. TOTAL DEPTH: 41 RECORD HA�S nBBEE�NN P1ROVDEO tO T1*WELL OW NER
'' OSlwc: 12-6-2011
b. DOES WELL REPLACE EXISTING WELL? YES❑ NO IQ S&C NA. _RE OF.CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Belay Top of Casing: 27 FT, RICHY L LEMIRE
(Use'+ If Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days- Attn:Information Mgt., Fans OW-lb
1617 Mail Service Center-Raleigh,NC 2T699-1817 • Phone•No;(91.9)7$31 O1.extWd8. - Rev.7I)S -

-��rrf NONRESIDENTIAL WELL CONSTRUCTION RECORD
- 1't`, +'•
•I North Carolina DCpani feat of Enveonmerikeild Natural Resources-Craisioe of Water
4ttir;;;':;, ' Qy
',�'--.1,-.: WELL CONTRACTOR CERTIFICATION# 2593
1.WELL CONTRACTOR: d. TOP OF CASING IS 1 FT.Above Land Surface'
Rich Lemire •Top of toting terminated at/or below land surface may require
We Contractor(Individual Name a variance in accordance with 15A NCAC 2C.0118
SAEDACCO Inc e. YIELD(gpfn): METHOD OF TEST
we Contractor Company Name f. DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIELD DR g. WATER ZONES(de ):
Fran To From To
FORTMILL SC 29707 From To From To
City or Town State Zip Code
( } [phone] Fran To From To
Area code- Phone number 6. CASING: Thilmess/
2.WELL INFORMATION: Depth Diameter Walgtrt Material
SITE WELL ID Z*itappecable) IW-33 From 0 TO 18 FL 6 SCH40 PVC
STATE WELL PERMIT#(8 applicable) From To FL
From To Ft.
DWQ or OTHER PERMIT#(if applicable)WQ0034465
WELL USE(Check Applicable Box)Monitoring 0 MunicipeVPublic❑ 7. GROUT: Depth M Method
Industrial/Commercial❑ Agricultural 0 Recovery 0 Injection RI From To Ft.
Irrigation° Other 0(1st use) From To Ft.
.F(om To Ft.
DATE DRILLED 12-8-2011
8. SCREEN: Depth Diameter Skit Sbte Mdtsrkrl
TIME COMPLETED 4:3o AM❑ PM® From To FL in, in.
3.WELL LOCATION:
CITY: DURHAM COUNTY DURHAM Fran To Ft--)r1. In.
From To FL h. in.
3029 E CORNWALLIS RD 9 SAND/GRAVELPACK:
(Street Name,Numbers,Community,Subdivision,Lot No,Parcel,Zip Code) DepthSize Material
TOPOGRAPHIC,/LAND SETTING From To FL
❑Slope 0Vat/ey E]Flal ❑Ridge ❑Other From To F(.
(check appropriate box) -
LATITUDE 35 54'58.00^ May be in degrees, Flom To ft.
minutes;socads a lb.DRILU NG LOG
LONGITUDE 78 sz 07.oa^ iti'a decline fur,iRt From To Formation Description
Latitude/longitude source: ®GPS ❑Topographic iiii1p a 18 RED SILT AND PWR
(k:cation Of wet must,be shown on a USGS topo map end 18 40 SAND STONE
attached to this form i not using GPS)
4.FACILITY-Is ow name a¢w ba rwr where tie wee Is teemed
FACILITY ID III(W applicable)
NAME OF FACILITY GLAXO SHITH KLITTE
STREET ADDRESS 3029 a CORNWALLIS RD
DURHAM NC 277D9 40
City or Town State Zip Code
CONTACT PERSON Jon Guthrie, ACE Conetructora
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11.REMA t;S:
City or Tann State Zip Code THIS IS A ROCK HOLE OPEN FROM 18-40 FEET.
( 919 )-484-9550
Area code- Phone number
ti WELL DETAILS: I Do HEREBY CERTWY THATTM5 WELL WAS COISIR(1C E_D.P4 ACCORDANCE WITH
15!1.NG.C2C.W .L CONSWFM-TION Snoki.Rce,AND•THATA CoPYOF Thin
RECORD HAS BEEN PROVIDED70 THE WELL OWNER • .
a. TOTAL DEPTH 40
" t t;P .. ,--L- 12-a-011
b. DOES WELL REPLACE EXISTING WELL? YES O NO ffi SIGNATURE OF CERTFrED WELL CONTRACTOR DATE
c. WATER LEVEL Below Top of Casing: 19-s FT.
(Use`+'IfAbove Top of Casing) RS CHY L LEMI RE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn:Information Mgt, Form GW-lb
1817 Mali Service Canter-Raleigh,NC-27899-1817 Phone No.(919)733-70a5aat Wt. • . - •--•Rev.7/o5

„-ter i �. NON RESIDENTIAL WELL.CON$'rRUCTION RECORD
ra' w.. . North.CarolineDspatttrtendofEnViromltcnt Mid Natural Re9ourv*s-Division of Water Qualm
` WELL CONTRACTOR CERTIFICATION# 2593
1.WELL CONTRACTOR: d. TOP Of CASING IS 1 FT.Above Lard Surface'
Rich Let&irc 'Top of casing terminated aticr below land surface may require
a variance in accedence with 15A NCAC 2C.0118.
Well Condractor(Individual)Name
SAEDACCO Inc a Y el..°comp M t TROD Of TEST
Well Contractor Company Name f. DISINFECTION:Type Amount
STREET ADDRESS 9086 NORTHFIELD DR g. WATER ZONES(depth):
From To From To
FORTMILL SC 29707 From To F(om To
City or Town State Zip Code
( } [phone] Frgm To From To
Area code- Phone tinter B. CASING: Thickness/
2.WELL INFORMATION: Depth Diameter Weight Material
SITE WELL.ID*Tr applicable) Iw-3a From 0 To 18 FL 6 scl ao PVC
STATE WELL PERMIt*operable)
To Ft'
T#(i
From To Ft.
DWQ or OTHER PERMIT*Of appicable)W00034465
WELL USE(Check Applicable Box)Motu'torvig 0 IvI nlcipaf/Pub1c❑ 7. GROUT: Depth Material Method
Industrtal/Cornmercfal LT Agricutturai❑ Recvwry a Izi' lon E From To Ft.
Irrlgabcre Other 0(Nat Lisa) From To FL
From To Ft.
DATE DRILLED 12-7-2011 1
8. SCREEN: Depth Diameter Slot Size Material
TIME COMPLETED 9:30 AM pp PM a
3.WELL LOCATION: Fran To Ft. In. En.
From To Ft in. In.
CITY: DURHAM COUNTY DURHAM From To FL in. in.
3029 E CORNWALLIS RD
9: SANQ/GRAVEL PACK:
(Steel Name,Numbers,Community,Sub6Nfion,Lot tio.,Parcel.Zip Code) Depth Size Material
TOPOGRAPHIC/LAND SETTING: FrOrTr To Ft.
❑Slope [Valley E]Flat ❑Ridge a Other From To FL
(check apan:0ade WI)
LATITUDE 35 54'57.34”
.Trtay From To FL
minutes,y-wictior 10.DRILLING LOG
LONGITUDE 78 52'07.42 n m a decimal formal From To Formation Deecelotion
Latitude/longitudesource: LTGPS ❑Topogisphicma{i o /8 RED SILT AND ?WA
(b cation of wet must be shown on a.USGS toed n p and 18 33 SAND sTONE
attached to this lbrm if nee usvtg GPS)
4.FACILITY-te me name of ere ousireas*here the.Lira is roc,,r.e.
FACILITY ID S(T applcabe)
NAME OF FACILITY GLAXO SMITH KLINE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 33
City or Town State Zip Code
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 532; HWY 55, SUITE 101
DURHAM NC 27713 11.REMARKS:
Ciyar'Town State Zip Code THIS IS A ROCK HOLE OPEN FROM 18-33 FEET
( 919 )- 484-5550
Area code- Phone number
5.WELL DETAILS: IDO.}IFRgeY CERTIFY'MATINS WELL WAS-CONSTRUCTED IN ACCORDANCE WITH
75,f,..NCAC 2C,WELL CONSTRUCTION STANDARDS.ASO THAT A COPY OF THIS
RECORD RD ht4-S BEEN PROV10ED TO THE WELL OWNER
a. TOTAL DEPTH: 33 �4 e
_Lo.y..c. 12-7-2021
b. DOES WELL REPLACE EXISTING WELL? YES❑ NO A SIGNA URE OF CERTIFIED WELL CONTRACTOR DATE
t. WATER LEVEL BetorY Top of Casing: .19-5 FT.
(Use-1-'W Above Top of Casing) RI CHY I., LEMIRE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of:Water Quality within 30 days. Alm: information Mgt, Form GW-lb
1617 Mai(Service Center—Raielgh1 NC 2769s-1t317 . Phone No.[phone] ext 538. - Rev_7/05 -

.''� NON RESIDENTIAL WELL CONSTRUCTION RECORD
o;r gtvi North Carolina DgpartmentgfEnv6 ral. unas vnmetitandNatu Netts -Division ofWsicsQuality
_
ztta0 e
v,,,,s P WELL CONTRACTOR CERTIFICA f7UN# 2593
1,WELL CONTRACTOR: d. TOP:OF CA,SINGi:IS 1 FT.Above Land Surface*
Rich Lemire *Top of casing terminated:etla below land surface mey require
Well Contractor(tndividual)Marne a Weems In accordancewith 15A NCAC 2C.0118.
SARDACCO Inc a. YIELD(gpm). METHOD OF TEST
Wei Contractor Company Name 1. DISINFECTION:Typo Amount
STREET ADDRESS 9088 NORTHFIELD DR g. WATER ZONES(depth):
Froci To From To
FORTMILL SC 29707 from To From To
City or Town State Zip Code
( 1704) so7-1922 From To From To
Area code- Pbdne number 8. CASING: Thickness/
2.WELL INFORMATION: Depth Drawleter Weight Material
SITE WELL ID:M(tappricahb) Ik-35 From 0 To to FL 6 scHao PVC
Flom To FL
STATE WELL PERMIT#(it applicable) From To Ft.
DWQ or OTHER PERMIT a(if applicable)W00034465
WELL USE(Check Applicable Box)Monitoring❑ Municlpal/Public(37. GROUT: Depth Material Method
Industriat1Commercial❑ Agricultural❑ Recovery❑ kyection 07 ROT: To FL
irrigation❑ Other 0(list use) From To FL
From TO Ft
DATE DRILLED 12-7-2011
8. SCREEN: Depth Demeter Slot Size Material
TIME COMPLETED_11:30 AM VD PM❑ Fran To FL in. in.
3.WELL LOCATION: From Ti Ft in. in.
CITY; DURHAM COUNTY DURHAN From To Ft. in. in.
3029 E CORNWALLIS RD
(Stress Name,Numbers,Community,Subdivision,Lot No.,Parcel,np Cod.) S BAJtDECiFtAVEL PACK:
Size Materiel
TOPOGRAPHIC I LAND SETTING:
From To Ft.
❑S►ope [Walley &Flat ❑Ridge ❑Other
(dred(apprvpr!41e tba
From To Ft.
LATITUDE 35 54'57.34" kMaybein 1 grvos, From To Ft.
routines,seconds or 10.DRILLING LOG
LONGITUDE 79 52'0s.05" in adccimal formal From To Formation Description
Latitude/longitude source: on GPS ci Topographic map 4 10 RED SILT AND PWR
(location of wet must be;hoot onaUSGS•topowrapand 10 30 SAND STONE
attached to this form if not uskrg GPS)
4.FACILITY-is ere named the anus where the.dr+s kcated.
FACILITY ID O(d apolcable)
NAME OF FACILITY GL1.XO SMITE KLTNE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 30
City or Town Stale To)Code
CONTACT PERSON Jon Guthrie, ACE Constructor&
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11,REMARKS:
City o Town State Zip Code THIS IS A ROCK.HOLE OPEN FROM 10-30 PERT
( 919 )-484-9550
Area code- Phone number
i DO HEREBY,GEf T YTHATTNS WELL WAS coestRUCTEo AI ACCORDANCE WITH
S.WELL DETAILS: ish.NS x.YwElL GONBTRUGnq+a1Ar W O./rt®.THAT A COPY OFTM
RECORD'NA3 r PAovroP'eo f0THE WELLOW R
a_ TOTAL DEPTH: 30 pp
Oe_ids�w 12-7-2011
b. DOES WELL REPLACE EXISTING WELL? YES ID NO Zi S OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Below Top of Casks 14.5 FT,
(Use-+'if Above Top ci Casing) RI L Rai
PRINNTTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Dtvisbn of Water Quality within 30 days..Attn:Intortnatlon Mgt, Fame GW-lb
1817 Mail Service Center—Raleigh,NC 27899-1617 Phone No.(819)T33-7'01ti est 548. Rev.7 )5

"aaa
•
,-p Wei'
{� NON,; ONRESIDENTIAL WELL CONSTRUCTION RECORD
• 'i*' ,1 North Caroline Depertmeat of EvviionlrtetiLhtid Natural Resources-Divisionof WaterQuallty
iEttttr. .
`, ,.;„.,r WELL CONTRACTOR CERTIFICATION# 2284
1.WELL CONTRACTOR: d. TOP OF CASING IS FT.Above Land Surface'
Steve Poloniewicz lop of casing terminated at/or below tend surface'may require
Well Contrada(tndtvidilal)Name a variarxe In acCadanae with 15A NCAC 2C.0118.
SAEDACCO Inc e, YIELD(gpm): METHOD OF TEST
Well Contractor Company Name f. DISINFECTION:Type Amount
g. WATER ZONES(depth):
STREET ADDRESS 9088 Northfield Drive
From To From To
Fort Mill SC 29707 From To From To
City or Town Stale Zip Code
( )- (803) 548-218C From To From TO
Areacade- Phbnenuniber 8. CASING: Thickness/
2.WELL INFORMATION: Depth Diameter Weight Material
SITE WELL ID t(r<.appscabla) IW-36 Fran_0 To 17 FL 6" Soh 40 PVC
STATE WELL PERMlTS(Itappl6cabte) Ftun To Ft.
From To Ft
DWQ or OTHER PERMIT*Of applicable)woo 034465 7. GROUT: Depth Material Method
WELL USE(Check Applicable Box)Monitoring 0 Municipal/Public 0
Industrial/Commercial❑ AgrictituralO Recme9yD Injection From 0 To17 Ft Portland Cement Pump
Irrigatloo Other O(list use) Fran To Ft
DATE DRILLED 12/2/11 From To Ft
B. SCREEN Depth Diameter Slot SO Material
TIME COMPLETED AM 0 PMD Fran To FL in, In.
3.WELL LOCATION: Fr6rh TO Ft 'in. in,
CITY: Durham COUNTY Durham
From To FL in. in.
3029 E. Cornwallis Road, Durham, NC
(Street Name.Numbers,Community,Subd(tiislon,Lot No.,Parrot,Zip Code) 8' SAND/GRAVEL PACK:
Depth TOPOGRAPHIC/LAND SETTING: Size Material
❑Slope ❑Valley (DEWDRidge 11 Other From To Ft.
check ate box From To Ft.
( appropriate }.
May be I From To Ft
LATITUDE 35 54'53.06" y. n�8rem.
minutes,Serbndc or 10.DRILLING LOG
LONGITUDE 78 52'18.76" ini'decmud format From To Formation Description
Lntitude/longitude.source: DGPS ❑Topographic map
(location of wet must be shown on a USGS topic)(nap and
attached to this form 1 not vain GPS)
4.FACILITY-Is the rmrne d the b stress where floe well Is tocsed
FACILITY ID toff applicable)
NAME OF FACILITY Glaxo Smith Kline
STREET ADDRESS 3029 E. Cornwallis Road
Durham NC
City a Town State Zip Cade
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55, SUITE 101
Durham NC 27713 11.REMARKS:
City or Town State Zip Code This is an open borehole between 17 feet and 100 f
( 919 )- 484-9550
Area code- Phone timber
E.WELL DETAILS' I WHEREBY CERTIFY THAT THi$WELL WAS CONSTRUCTED*4 ACCORDANCE WITH
154 NCAC 2C.•�^ WELL CONSTRUCTICONSTRUCTIONSTANDARDS,*NO THAT A COPY OF THIS
RECORD HAS BEEN PRt#W)6O ID THE WELL OWNER
a. TOTAL DEPTIt 100' �} 5/21/12
b. DOES WELL REPLACE EXISTING WELL? YES 0 NOS] SIGNATURE F CERTIFIED WELL CONTRACTOR DATE
a, WATER LEVEL Belov Top of Casing: FT.
(Use'+,IfAbove TOp of Casing) Steve tbloniewicz
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of 1Nater Quality within 30 days. Attn:Information Mgt, Farm GW-lb
1e17 Map Service,Center—Raleigh,Na Z>?$90-4817 - Phone No.(9l,9)733-71A6 ext 68S. • - Rev.7/05

North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
P.O.Box 29578-Raleigh,N.C.27626-0578-Phone[phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: Graham and Currie
DRILLER REGISTRATION#: 537
WELL NUMBER:GW-32S STATE WELL CONSTRUCTION PERMIT
1. WELL USE(Check Applicable Box): Residential❑ Municipal❑ Industrial❑ Agricultural❑ Monitoring El
Recovery❑ Heat-Pump Water Injection❑ Other❑ If Other, List Use:
2. WELL LOCATION:(Show Sketch of the location below)
Nearest Town: Durham County:Durham
NC 147 and Cornwallis Road
(Road,Community,or Subdivision and Lot No.) DEPTH(FT.) DRILLING LOG
3. OWNER Glaxo Wellcome From To Formation Description
ADDRESS 5 Moore Drive (See attached boring log)
(Street or Route No.) --
Research Triangle Park NC 27709 --
City or Town State Zip Code -
4. DATE DRILLED 8/30/1999 -
5. TOTAL DEPTH 32.00 -
6. CUTTINGS COLLECTED YES CO NO❑ -
7. DOES WELL REPLACE EXISTING WELL? YES❑ NO® -
8. STATIC WATER LEVEL Below Top of Casing: 18.87 FT. -
(Use`+"If Above Top of Casing) -
9. TOP OF CASING IS 2.53 FT Above Land Surface* -
•Casing Terminated at/or below land surface is illegal unless a variance is issued -
10. YIELD(gpm): NA METHOD OF TEST -
11. WATER ZONES(depth): NA -
CHLORINATION: Type NA Amount If additional space is needed use back of form
13. CASING:
LOCATION SKETCH
Wall Thickness (Show direction and distance from at least two State
Depth Diameter or Weight/Ft. Material Roads,or other map reference points)
From 0 To 5.0 Ft. 6.25 in. Sch 40 PVC ,wA„x1.013.MINE
From 0 To 22.0 Ft. 2.0 in. Sch 40 PVC
From To Ft. in. IN.
14. GROUT:
Depth Material Method
From 0.0 To 18.0 Ft. Cement Grout
From 18.0 To 20.0 Ft Bentonite Chips
15. SCREEN:
Depth Diameter Slot Size Material
From 22.0 To 32.0 Ft.2.0 in. 0.010 in.PVC
From To Ft. in. in. • NN‘b,
From To Ft in. in. Glil-32J
16. SAND/GRAVEL PACK: "emu
Depth Size Material
From 20.0 To 32.0 Ft. #2 Sand
From To Ft.
17. REMARKS:
�DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
_. .ONSTRUCTION STANDARDS,AND THAT A COPY OF EC D AS BEEN PROVIDED TO THE WELL OWNER.
FOR OFFICE USE ONLY
Quad No: SIGNATURE OF CONTRACTOR OR AGENT DATF
Serial No: Submit Original to Division of Water Quality and copy to well owner.
• S&ME PROJECT NUMBER: 1054-96-554 GW-1 REV. 1/98

NONRESIDENTIAL WELL CONSTRUCTION RECORD
•• • e 21 '"5`�C• North CaruGae'
c i 1 Dbpaitment of Eovironinent andNBtural Resources-Divigion'of Water Quality
'- 01 WELL CONTRACTOR CERTIFICATION# 2284
1.WELL CONTRACTOR: d. TOP OF CASING IS o.o FT.Abokie Land Surface"
Steve PoI oni ewicz "top d wing lanrdrsa ted allot below land surface may require
Well Co actor(Irtdvrduafj Name a valance In accordance with 15A NCAC 2C.0118.
SAEDACCO Inc e. YIELD(gprn):• METHOD OF TEST
•
Well Contractor Company Name f. DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIELD DR g. WATER ZONES(depth):
From To From To
FORTMILL SC 29707 From To From To
City or Town State Tip Code
( )_ [phone] Fran To From Tp
Ar8t'code- Phone r%niber B. CASINO: 7'tucl nesal
2.WELL INFORMATION. Depth Diameter Weight Material
SITE WELL ID S(ttapptjble)E-1 From 0 To 29' FL 6• Scx4o PVC
STATE WELL PERMIT#(@ appltcat e) Frain To FL
From To .FL
OWQ or OTHER PERMIT#(rf applicable)woo 034465
WELL USE(Check Applicable Bat)Monitoring 0 MunldpatIPublic p 7. GROUT: Depth btateriai Method
Industrial/Commercial 0 Agricultural 0 Recovery ad Injection❑ From 2' To 22' Ft PORTLAND TREADS/E
Iirigationp Other 0 fist use) Froin To FL
DATE DRILLED
11/22/2011 From To •FL
8. SCREEN: Depth Diameter. Sid size Material
TIME COMPLETED 12:oo AM❑ PM I&
From 2,, To44' FL6" in, .010 in. PVC
3.WELL LOCATIOW Frotn Tv Ft
CITY: DURHAM COUNTY DURYAis+
From To Ft. in. in:
3029 E CORNWALLIS RD S. SANDIGRAVP_LPACK:.
Numbers,Name,Nubers,Co irrtuntty,Subdivision,Lot No.,Paul, Coda) be size Materiel
TOPOGRAPHIC I LAND SETTING: Frctn 24' To 44' FL#2 SAND
❑Slope ❑Valey in Fuel ❑Ridge 0 Other From To Ft.
(check appropriate bale)
LATITUDE 35 55'14.59" .May brdc , From To FL
ndr@r
ralbttta,surds or 10.DRILLING LOG
LONGITUDE 78 51'55.21" in s'&simeforrrrai From To Formation Description
Latitudeliongitudesource rinGPS ❑TOpogiaphicMap 0 12' RED SILT AND Pox
(location of wed must be shown one USG fnpo Map and 12' _ 44' Bedrock
attached to this fort S ndt usng GPS)
4.FACILITY•is cv name a ere twstrru where rum wail is hosted.
' FACILITY ID CI(applicable)
NAME OF FACILITY cuak.0 SMITH KLINE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 44'
City or Town State 4 Code
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11.REMARKS:
City rrTown State Zlp Code Chips 22' to 24'
( 919 )-484-955C
Area code- Phone number
d.WELL DETAILS: I DO HEREBY CERTIFY T AT1te5 WELL WAS CONSTRUCTEDN L2A1 ACCC E WITH
is:ktioACZC,WELL CXf487RUCT10N STANOAR OS,ANO THAT A COPY OF D45
a. TOTAL DEPTH: 44 RECORD HAS BEEN PROVIDED TO THE WELL OWNER 12-8-2011
b. DOES WELL REPLACE EXISTING WELL? YES 0 t•!0M SIGNATURE OF CERTIFIE0INELL CONTRACTOR DATE
e. WATER LEVEL Below Tap d Casing: 19.5 FT.
(Use'+"If Above Top DI Casing) STEVE POLONiEWICZ
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn: information MgL, Form OW-lb
1617 Mad Service Center-Raleigh,NC 27899-1847 Phone No.[phone] ext 888. • Rev.7 .

. ., SrA Nu
3£ts, s, NONRESIDENTIAL WELL CONSTRUCTION RECORD
Ili North CarbliteDepertifienl of Eaiviiontnent and Natural Resources-I3iveipn of Water Quality
- • ", -. WELL CONTRACTOR CERTIFICATION# 2204
1.WELL CONTRACTOR: d. TOP OF CASING IS a.o FT.Above Land Surface'
Steve Poloniawicz 'Top of C tloØIannhd it/or belolw Id surface may raque
Well Contractor(Individual)Kane a varte ice In adetedeNce with 1SA NCAC 2C':0118.
SAEDACCO Inc C. YIELD(Spin): METHOD OF TEST
Wee Contractor Company Name I. DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIELD DR g. WATER ZONES(depth):
From To Fran To
FORTMILL SC 29707 From To From To
City or Tovm State Zip Code
( } (704) 07-1922 From To From To
Area code- Phone rxanhet 6. CASING: Tbidgtess/
2.WELL INFORMATION: Depth Diameter Weight Material
SITE WELL ID*(tiappflcide)EW-z From 0 To 29' Ft. 6" SCH40 PVC
STATE WELL PERMrT.#(Rpplc makable) Flom To Ft.
Flan .To Ft
DWQ or OTHER PERMIT*cif applceble)W00034465
WELL USE(Check App1ble Box)Monhgrirtg'0 Municipal/Public a 7. GROUT: Depth Material Method
Irrdustrial/CommercI l D. Agricultural 0 Recovery ad Injection 0 From 2' To 24' Ft PORTLAND TREN34IE
Irrigations Other 0(list sae) FMB To .FL
From To Ft.
DATE DRILLED 11/21/2a11
a. SCREEN: Depth Diameter Slot Size Material
TIME COMPLETED 8:3o AM gi PM❑
3.WELL LOCATION From 29, To i Ft.6• it. .010 in. PVC
CITY DURHAM COUNTY DURHAM From Td FL 3n. In.
Flint To FL_In- in.
3029 E CORNWALLIS RD S. ,3AND/GRAVELPACK:
(Street Name.Numbers,Community,Bute/Asian,Lot No.,Parcel.Zip Code) Depth Size Material
TOPOGRAPHIC/LAND SETTING: From 24' To ace' Ft.82 SAND
CISiope QValley tCFlat CI Ridge 0 Other
(cheek appropriate ixdd From To Ft.
LATITUDE 35 55'14.60" 'Maybe in dosmi, From To Ft.
-otatates,secOncis or 10.DRILLING LOG
LONGITUDE 78 51'55.32. in1decided format From To Formation Description
Latittlde/longitudc source: traGPS a Topographic map 0 14' RED SILT AND PWR
(location await mestbe ha4f,on a USGS'vo creep and 14' 44' Bedrock
attached to this form .1riot usirp GPS) .
4_FACILITY-I.the none or the Wilms*where ihe we t:treated.
FACILITY ID i(if epplcable)
NAME OF FACILITY(tLrxO SMITH )(LINE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 44'
City or Town State riP.Cade
CONTACT PERSON Jon Guthrie, ACH constructors
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11.REMARI(S:
City or Town State Zip Code Chips 22' to 24'
( 919 )-484-9550
Area code- Phone number
I DQHERBEYC£FFY THATWA*
B.WELL DETAILS: wRL CRO esrtakt4 T A Creoao+NCE wen+
u(NCAC�uvElL COMSTkticii0ri SfANDARDB�AlD THA7 A.COPY of THtB
rep HAR BEEN PROVIDED 10 THE WEwOWpER.
a. TOTAL DEPTH: 44 A
/ 12-8-2011
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO g) SIGNATURE 'CE2TIF1ED.WELL CONTRACTOR DATE
e. WATER LEVEL Below Top d Casing: 19.5 FT.
(Use'+'it Above Top of Casioct) sxsysc POI ONiEfiICZ
PRINTED NAME OF PERSON-CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days- Attn:Information MO, Form GW-lb
1817 Mail Service Center—Raleigh,NC 27899-1817 Phone No.(919) 33-70.15 ext 6fa. •--- - Rev_7/05

parr NON RESIDENTIAL WELL CONSTRUCTION RECORD
•5 lei'4t`�. ii:. North Coroihta Depart lent of Enviiehhie'nt and Neutral Ikesources-DiviSioa of WaterQuelity`•'" . WELL CONTRACTOR CERTIFICATION# 2284
1.WELL CONTRACTOR: d. TOP OF CAKING IS 0•0 FT.Abe Land Surface-
Steve poloniewicz 'Top of OMA N lerrrinated allot below tend au ece may require
Wel Contractor(Individual)Name a variance in accordance with 15A NCAC 2C.0t18.
SAEDACCO Inc e. YIELD(gprrq: METHOD OF TEST
Well Contractor Company Name f. DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIELD DR D• WATER ZONES{depth};
Fruit To From To
FORTMILL SC 29707 From To From To
City or Town State Zip Code
( )- [phone] Fran To From To
Area code- Phone number B. CASING: Thkkriessf
2.WELL INFORMATION: Depth Diameter Weight Material
SITE WELL IDSfif.applicable)EW-3 From 0 To 24' Ft.6• scxao PVC
STATE WELL PERMIT#(it applicable) From To FL
From To Ft
DWQorOTHER PERMIT 4(rfapp ceb►e)w00434465 7. GROUT: Depth Maternal Method
WELL USE(Check Applicable Boyd Monitoring 0 MuniaiawPubkc p
Industrial/Commercial D Agricultural❑ Recovery at Injection D From 2' To 22' Ft PORTLAND TRax1IE
Irrigatlar0 Other CI(list use) Front To .Ft.
11/17/zoll From To Ft
DATE DRILLED 8. SCREEN: Depth Diameter Slat Size Material
TIME COMPLETED 12:30 AM 0 PM From29' To 44 Ft.S in. ,010 In. PVC
3.WELL LOCATION: From To FL in )n
CiTY: DURHAM COUNTY DRAM
From To Ft. In. in.
3029 E CO2NwALLIS RD 9. 3ANDfGRAVEL PACK:
(Street More,Numbers,Community,Subdtb(slon,Lot No.,Parcel,hp Code) •Depth Size Material
TOPOGRAPHIC I LAND SETTING: From 24' To 44' Ft,#2 SAND
❑Slope ❑Va8ey El Flat ❑Ridge 0 Other From To Ft.
(check appropriate box)
M b in Front 'To Ft.
LATITUDE 35 55'14.45 May *gram,
ralputes,sea)adsor 10.DRILLING LOG
LONGITUDE 78 51'55.56. in a dcimalforrnat . Frmrn To Formation Description
Latitude/longitude source: ®GPS ❑Topographic map o 20' RED SILT AND EWE
(location of wellnwst be shown on a USGS lop°map ens 20' 4 4' 9earocx
attached to this form.(not ushg GPS)
4.FACILITY-Is the rums or the business where the w is Wend.
FACILITY ID i(if eppftcable)
NAME OF FACILITY GLAXO SMITH KLTNE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 44'
City or Town State Tv Code
CONTACT PERSON.ion Guthrie, ACE Conetz-uctora
MAILING ADDRESS 5322 HW: 55, SUITE 101
DDRHAM NC 27713 11.REMARKS;
City or Town Stale Zip Code chips 22' to 24'
( 919 )-484-9550
Ares code• Phone number
I OO)ieREEY CERTIFY THAT 1'4*WELL WAS CDNsr ticTED i1 ACCORDANCE war
a.WELL DETAILS: )5{p1r{C 2C,WELL CONS/RO n*STANDARDS.Are)THAT COPY OF THIS
RECOROHAS BEEN PROVtOED7o THE WELL OWNER.
a_ TOTAL DEPTIt 44 p__
12-8-2a11
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO gT SIGNATURE Of CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Below Top of Casing: 19.5 FT.
(Use"h"if Above Top of Casing) STl VB pOLONI BwICZ
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit,the original to the Division of Water Quality within 30 days.,Attn:information Mgt., Fam GW-lb
1617 Mail Service Center—Raleigh,NC 27899-1817 Phone No.[phone] ext 668.
Rev.7/OS

,+`suTru
i! _ NON RESIDENTIAL WELL;CONS kUCTION RECORD
al r.:-
tk[t9 .: NdRh CarOlma Department of Envr oidiidit andNatural Resources", d�ai-Die Of Water Quietly
` � WELL CONTRACTOR CERTIFICATION# zz ea
1.WELL CONTRACTOR: d. TOP OF.CAStNO IS o:o FT.Above Land Surface"
Steve Poloniewicz q001-01:08Striglirflittilipd.atlotbelow(and surface may require
Wee Contractor(te a Nacre a variance Insccadarice with 15A NCAC 2C.0118.
SAEDACCO Inc is. YIELD:WPM): METHOD OF TEST
Well Contractor Company Name f. DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHPIELD DR 0• WATER ZONEl3(depth):
Ran To Fran To
FORM LL SC 29707
City or Town State Zip Code from Ta From To
( ) [phone]
From To Front__To_
Area code- Phone punter L CA IIPffG: Irk:knees/
2.WELL INFORMATION: Depth Diameter Weight Material
SITE WELL ID appaads).EW-4D From 0 To 63' FL 6" SCH40 PVC
Frain To .Ft.
STATE WELL PERMIT#(?applicable) From To FL
DWQ a OTHER PERMIT#(d applicable)W00034465 7. GROUT: Depth Material Method
WELL USE(Check Appiir:abio Box)Mohabring® Mu iIcip Public 0
Industrial/Commercial❑ Agriailaual❑ Recovery l injection❑ riven 2 To 54 FL YORTLAND TREMMIE
Irrigation❑ Other 0(list use) Frog) .To -FL
DATE DRILLED
11/16/203.2 Frori) Tb .FL
8. SCREEN: Depth Diameter Slot-Sae Material
TIME COMPLETED 91 30 AM sgl PM 0
Front.3, To77' Ft6" In, .010 in_ PVC
3.WELL LOCATION: Frail To FL In. In,.
CITY: DURHAM COUNTY DURHAM From To F
3029 E CORNWALLIS RD
(StreNeme,Nurnberg,Community,SubdhMlon,Lot No.,Parcel,Tip Coda) 9. SAND/GRAVEL PAC}(
et'
Depth Site Material
TOPOGRAPHIC-!LAND SETTING: From 56' To 77' Ft.82 SAND
❑Slope ❑Valley ERA 0 Ridge 0 Other Fran To Ft.
(check appropriate bpi) -
LATITUDE 35 55'14.82^ Meybe in degrees, From To FL .
ra.nutcs,secaidsor 10.DRILLING LOG
LONGITUDE 78 51'55.08^ ma decmJ format From To Formation Description
Latitude/longitude source: ®rips ❑Topographic map o 23' RED SILT AND PWR
(ixatiOn of welmust be shown one(MS topo map and 23' 77. Bedrock
attached 10 this foram(riot udhg GM
4.FACILITY-IrEw name dew outineo ens,she we Is loaeM-
FACILITY ID#(d alpplicatiie)
NAME OF FACIUTY GLAXO SMITH KLINE
STREETADDRFSS 3029 E CORNWALLIS RD
DURHAM NC 27709 77'
'City or Town State Zip Code
CONTACT PERSON
Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 HWY 55, SUITE 101
DURHAM NC 27713 11.REMARKS:
City a-Town Stale Zip Code chips 54' to 56'
( 919 )-484-9550
Area code- Phone number
6.WELL DETAILS I D 3)NREBY CERTIFY, W THAT TFe5WELL A5 CONSTRUCTED IN AC_CORDANCE WITH
• :IBA?CAC 20,WELLCANBn.(U I1ON STANOAR08;AND.THAT A COPY MINIS
a. TOTAL DEPTH: 77 � REG'OR R QDHAS BEEN PROVIDED TO THE WEIR owners
,lie 'J 12-8-2011
b. DOES WELL REPLACE EXISTING WELL? YES 0 NOXJ SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Below Tcp of Casing: 19.5 FT.
(Use-4."if Abae Top of Casing) STEVE POLaNrsvrzcz
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attn:Information Mgt.. Form OW-lb
1617 Ma6Service Center—Raleigh,NC 27699-1617 Phone No;(919)7334015-ext563. - Rev.7105

i � NONRESIDENTIAL WELL CONSTRUCTION RECORD
•t3?t 1: :- i
North Ctrojiha Dcperimea1 of EnVeon ncnt tied Natural Resources-Divtsioo of WatcTQuaiitY
ti /9
- 4L.,,,• WELL CONTRACTOR CERTIFICATION* 2284
1.WELL CONTRACTOR: d. TOP OF CASING IS 0.0 FT.Above Land Sulam*
Steve Poloniewicz "Top of casing tetrninated$/or Wow lend Ste}ace may require
WeR Contractor(Irtdvidtaat)Name a variance In aceirdance with 15A NCAC 2C.0118.
SAEDACCO Inc e. YIELD Wpm): METHOD OF TEST
Wefl Contractor Company Name I. DISINFECT/OPt Type Amount
STREET ADDRESS 9088 NORTHFIELD DR 0• WATER ZONES(depth).
From To From To
FDRTT ILL SC 29707 From To From To
City or Town State Zip Code
( ) [phone] From To From To
Area axle- Phone'norther 8. CASING: Thickness/
2.WELL INFORMATION: Depth Diameter Weight Material
SITE WELL ID t(leaopticade)3/4-5From 0 To 2s' FL s^ scx4o PVC
Frteo Tp FL
STATE WELL PERMITS(Nepplicatale)
DWQor OTHER PERMIT t(3fapptcabie)woo03446s Front To Ft.
WELL USE(Check Applicable Box)Mon/Taring 0 MunkipaVPubhc 0 7. GROUT: Depth Material Method
Industrial/Commercial 0 Agricultural❑ Recoveryt21 Injection❑ Frtam 2' To 19 FL PORTLAND TRE9'9 IE
IrrgadonD Other 0(Gat use) From To FL
' DATE DRILLED
12/02/2011 From To FL
. a SCREEN: Depth Diameter Slot Size Material
TIME COMPLETED 11:00 AM 0 PM❑ From 25' Ta 35 FL 5^ in. 010 In_ PVC
3.WELL LOCATION: From To FL in. In.
CITY: DURHAM COUNTY DURHAM From To FL in. In.
3029 E CORNWALLIS RD
Depth
(Street Hems,Numbers.Community,SubdMtion,Lot No.,Parcel,Zip Code) 8. SAN' L PACK:
`Depth Size Materiel
TOPOGRAPHIC/LAND SETTING: From 22' To 35' Ft.112 SAND
❑Slope ❑Valey E)Flat ❑Ridge ❑Other
(chi appropriate box) Front To FL
From To Ft
LATITUDE 35 55'09.37" Maybe
minutes,steads or 10.DRILLING LOG
LONGITUDE 78 52'02.11" in/clecittwl.ron“at From To Formation Description
Latitudefldngitudesource: ccGPS ❑Topographic m 0 14' RED SILT AND PWR
(bastion of weir must be shown On a USGS topd map and 14' 35' Bedrock
attached to this form rnot aru"srg GPS)
4.FACILITY-Ie the rome or roe owtrern whore me weal Is located
FACILITY ID i(if applicable)
NAME OF FACILITY GLA%o SMITH KLINE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 35'
City or Town Stale Zip Code
CONTACTPERSON Jon Guthrie, ACE Constructors
MAILING ADDRESS 5322 ISMS 55, SUITE 101
DURHAM NC 27713 41.REMARKS:
City or Town State Zip Code Chips 19' to 22'
( 919 )-484-9550 _
Area code- Phone number
S.WELL DETAILS: I DO HEREBY CERTIFY THATT,as WELL WAS CONSTRUCTED IN ACCORDANCE WITH
1SA NCAC 2C,WELL CANsTsucsON Sra1I3ARD3,AtCTHAT A COPY OF THIS
RECORD HAS BEEN PROVIDED TO THE WELL OWNER
aL TOTAL DEPTH: 3 5' J±
f!f''- 14-8-2011
b. DOES WELL REPLACE EXISTING WELL? YES 0 NOI7 SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
c. WATER LEVEL Below Tap et Cesing7 19.5 FT.
(Use'4'if Ab Top of Casing) sl svE POLONIEWIcz
ove
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
• Submit the original to the Division of Water Quality Within 30.days.. Attn: Information Mgt., Form -tb
1817 Mad Service Center-Raleigh,NC 27899-1617 Phone No.(91S)7$3-7015 ext M. Rev.7/05

10
P,:- NON RESIDENTIAL WELL CONSTRUCTION RECORD
( t`r' ,, North Caroline Depeatmer'it of Envitoititietit and Natural Resour�s-•Dfvaioin.of Water Quality
't:BstI'?:.
•a�;}e,,r'` WELL CONTRACTORCERTIFICATION# 2284
1.WELL CONTRACTOR tt.TOP OF CASING IS o.0 FT.Abora Land Surface'
stave Poloniewicz 'Top of caO g temenated al/or beow'and surface may require
a Variance in aceathinbe with 15A NCAC 2C.0118.
Wet Contractor(Individual)Name
sAEDACCo Inc a. YIELD(gpm): METHOD OF TEST
Wel Contractor Company Name f. DISINFECTION:Type Amount
STREET ADDRESS 9088 NORTHFIELD DR g. WATER ZONES(depth)
From To From To
FORTMILL SC 29707 From To From To
City or Town State Zip Code
( )- [phone] Fran To From To
Area code-Phone number 6. CASING: Ttddmess/
2.WELL INFORMATION: Depth Diameter Weight Material
SITE WELL ID if applicable).EW-6 Front)0 To 20' Ft 6" scHao PVC
STATE WELL PERMITIReapptiuhlej Ftgn TQ__Ft
Front TO Ft.
OWQ or OTHER PERMIT*Of applicable)W00034465 T. GROUT: Depth Material Method
WELL USE(Check Applicable Boa)Monitoring❑ Municipal/NW Q
Industrt /Cornmerclal❑ Agricultural Q Recovery im Injection❑ Flour 2' To 10' FL PORTLAND TREMMIE
krigationD Other 0(list use) From To .Ft.
DATE DRILLED 11/29/2011 Flap To Ft
8- SCREP,N: Depth Diameter Slot Size Material
TIME COMPLETED 11:3o AM(SI PM ID F100?2o' T040' FI6" In. 0l0 in. PVC
3.WELL LOCATION: Frortf To Ft 6r in.
CITY: DURHAM COUNTY DURHAM
From To Ft. in. in.
3029 E CORNWALLIS RD
/GRA(Street Name,Numbers,Community,Subtfiddion,Lot No.,Parcel,Z'P Code) 8• 8/1tf Deepthpth L PACK
Size Material
TOPOGRAPHIC I LAND SETTING: Froth 17' To 40' Ft.q2 SAND
ID Slope DValey ®Flat ❑Ridge CI Other From TO Ft.
(tom aPProPriato 1104 Frtm To Ft.
LATITUDE 35 55.10.26" My be-in degTt.r.
mrhutes,soo*?nds or 10.DRILLING LOG
LONGITUDE 78 52'02.46" in a aecirbat lbtm2i From To Foimadon Description
Latitude/longitude Source: ®CPS ❑Topographic map 0 9' RED SILT AND PWR
(location of wed mast be shown on a USGS topo nwp and 9' 41' Bedrock
•
attached to this form mid using GPM
4.FACILITY-is the rune at to business where he well Is loceed.
FACILITY lbI(it eppicable) •
NAME OF FACILITY TKO SMITH Kro-rrE
STREET ADDRESS 3029 E CORNWALLIS RD
DURHAM NC 27709 41'
City or Town Stale hp Code
CONTACT PERSON Jon Guthrie, ACH Constructors
MAILING ADDRESS 5322 tiWY 55, SUITE 101
DURHAM NC 27713 71.REMARKS;
City or Town State Zip Cade Chips 11' to 17'
( 919 )-484-9550
Area code- Phone number
6.WELL DETAILS: I DO HERE{BY CEimFv THAT.TNI$,WEL.wAso;RaaTRUG7 rDs ED et ACCc NCE WITH
15A NCAC2C,M'ELL Ooab'muc110t'i STANOAR08':AND THAT A COPY OF IHIS
I a. TOTAL DEPTH: 41 6t�ROB)I4AS BEEN PROVIDED OTNE WeIL:owNeR.
1""- _1 12-8-2011
b DOES WELL REPLACE EXISTING WELL? YES Q NOS} SIGNATURE OOF CERTIFIED WELL CONTRACTOR DATE
c.WATER LEVEL Below Top d Casing: 19.5 FT. STavE POLONINW1Cz
(nee"+"if Above Top of Casirnp) PRINTED itis.AmE OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within 30 days. Attrt;information Mgt, Form GW-lb
1617 Mai Service-Center—Raleigh,NC 27688"0117 Phone No:[phone].ext MA. - - Rev.7/05

1 f:4 . D—
I1
I •
Boring Log '
GW-4 '
ENGINEERING•TESTING
ENVIRONMENTAL SERVICES
I
PROJECT NO. : 1054-96-554 I SITE :Glaxo Wellcome South Campus, North Compie:; ICOUNTY : Durham
WELL LOCATION : SWMU 13 !GEOLOGIST : Matt Scott
DATE DRILLED : 11-15-96 'DRILL METHOD : Air Rotary FRIG : CME 950
TOTAL DEPTH : 30 FT. bgs ' GROUND ELEV. : 370.45 FT. ,TOC ELEV. : 373.39 FT.
STATIC WATER LEVEL : 15.6 FT. bgs ' NORTHING : 790139.25IEASTING : 2039936.14
SURFACE CASING : 4 " ID. FROM 2.9 FT. TO -2.1 FT. 4CASING TYPE ; Schedule 10 Steel
WELL RISER : 2 " ID. FROM 2.9 FT. TO -19.5 FT. ICASING TYPE :.Sci dule 40 PVC
WELL SCREEN : 2 " ID. FROM -19.5 FT. TO -29.5 FT.ISCREEN TYPE �Scb. 40 PVC 0.010 slot
CALIPER I I L !
Depth 2 INCHES 9I -
(reet RES ELEV. Subsurface Weli
bgs) GAM(NAT) GAM(NAT) I OHM-M T ;'Feet DescriptionDwa.
0 API-GR 40010 API-GR 400 10 1000 F. i MSL) I
t 1
I
t
1
I -
j-_Q
�70 TOpsc__ ;�
1
' Y2_lO'.� brown ' clay
, f I
1,,
(n. ,
Redd:s'r.-brown silt
5
� I — 365 I
1
'------) -
I
I
I `1
I
If r Reddis -brown siiatone ; 11,
1 w_ sandstone inr= eds
I"_'
Ij
.h Id V,/
= —
. 11!111 1111111
--- -13 1 _" i dill ii'!Iill
. _ fl i`
I I r .

I
, 1 *
Boring Log
GW-4
ENVIIRONMENTAL•SERVICES
PROJECT NO. : 1054-96-554 ' SITE :Glaxo Wellcome South Campus, North Complex 'COUNTY : Durham
WELL LOCATION : SWMU 13 'GEOLOGIST : Matt Scott
DATE DRILLED : 11-15-96 'DRILL METHOD : Air Rotary (RIG : CM: 850
TOTAL DEPTH : 30 FT. bgs I GROUND ELEV. : 370.45 FT. jTOC ELEV. : 373.39 FT.
STATIC WATER LEVEL : 15.6 FT. bgs ' NORTHING : 790139.25 'EASTING : 2039938.14
SURFACE CASING : 4 " ID. FROM 2.9 FT. TO -2.1 FT. ICASING TYPE _ Schedule 10 Steel
WELL RISER : 2 " ID. FROM 2.9 FT. TO -19.5 FT. JCASING TYPE :.Schedule 40 PVC
WELL SCREEN : 2 " ID. FROM -19.5 FT. TO -29.5 FT. ISCREEN TYPE S'ch•. 40 PVC 0.010 slot
CALIPER L -
Depth 2 INCHES 6
(Feet RES I ELEV.1 Su s _face Well
s} GAN(NAT) GAM(NAT)_ OHM-M T (Feet Description Dwg.
R 400 0 400 10 1000 H
API-GR 0 API-G MSL) �
i
—
i Ki;:- :I--
:�
-7\- 350
I 771_-
I -25 rS
F� ❑
•
1D — 345 ID D Reddish-brown sandstone ( ". ."jI
-1 Reddish-brown s'_itsccne :•j
-30 .—- i . . . . . . .
t

II Boring Log Wr
ENGINEERING •TESTING -`NOTE: Lithclogy was revised based or geophyei•-=' data
ENVIRONMENTAL SERVICES
PROJECT NO. : 1054-96-554 SITE :Glaxo Wellcome South Campus, North Complex !COUNTY : Durham
WELL LOCATION : AOC W-1 IGEOLOGIST : Law Engineering
DATE DRILLED : 5-1-85 (DRILL METHOD : Air Rotary JRG :
TOTAL DEPTH : 99 FT. bgs l GROUND ELEV. : 331.45 FT. ITOC ELEV. : 332.65 FT.
STATIC WATER LEVEL : 18.9 FT. bgs I NORTHING : 7894_C.30JE?STING : 203E669.59
SURFACE CASING : " ID. FROM FT. TO FT. 1CASING TYPE : •
WELL RISER : 2 " ID. FROM 1.2 FT. TO -89 FT. ICASING TYPE '!.Schedule 40 PVC
WELL SCREEN : 2 " ID. FROM -29 FT. TO -99 FT. ISCREEN TYPE %'SCh2:40 PVC 0.010 slot
CALIPER L
Depth 2 INCHES 8
(rest RES I ELEV. Subsurface Well
GAM(NAT) GAM(NAT) OHM-M T (Feet Description Dwg.
bgs) 0 API-GR 400 0 API-GR 400 I0 1000 H MSL)
t
T o
I k Topsoil VOrange browns_'_tv clay /�
H
):
10 ,,0 00
- 00
- -5 pi
—
- 325 Red brown siltstone
_, within layers of lt. gray
—
sandstone
.••
- 1,1 di
,,, /,
_.
...
_.
:7..
J •
-10I _. 11
:77.
_.
- 320
-'
-4--- -.I.5 =" , //A ://
ro ,r/ :
i i / / , /71
. Hi • %i /

___. givE Boring Log
W-1
ENGINEERING • TESTING --NOTE: L:thclogy was revised based on geophysical data
ENVIRONMENTAL SERVICES
PROJECT NO. : 1054-96-554 I SITE :Glaxo Wellcome South Campus, North Complex 'COUNTY : Durham
WELL LOCATION : AOC W-1 ( GEOLOGIST : Law Engineering 1
DATE DRILLED : 5-1-85 'DRILL METHOD : Air Rotary TRIG :
TOTAL DEPTH : 99 FT. bgs ' GROUND ELEV. : 331.45 FT. ITOC ELEV. : 332.65 FT.
STATIC WATER LEVEL : 18.9 FT. bgs I NORTHING : 789410.30 EASTING : 2038669.59
SURFACE CASING : " ID. FROM FT. TO FT. 'CASING TYPE :
WELL RISER : 2 " ID. FROM 1.2 FT. TO -89 FT. ICASING TYPE `'Schedule 40 PVC
WELL SCREEN : 2 " ID. FROM -89 FT. TO -99 FT. (SCREEN TYPE -t`$c?;.-'40 PVC 0.010 slot
I CALIER L ' 1
(Depth 2 INCHES 8
(Feet RES 1 ELEV. Subs-==-a 1 Well
GAM(NAT) GAM(NAT) DHM-M T (Feet Description I Dwg.
bgs) API-GR API-GR
0 400 0 400 10 1000 H MSL)
-20 _
i
T -_ 310 1
_
ii 2 i� =-
1 !\
7,- 305
...-
1y
i
..._ /
1 i
-30 i — 1
t i -- 300 ;
' 1
•
-35 1 _ LL. gray _-_,- sandy
e
j (I I_ s=1LSLone /�/
1 1�
( 1 , 295 % /� ! �/ .
P — Red brwr i-_ sa I/ %/�i
I !
- i /// '/J
{ e ' - //` .) //:

Boring Log i
W-1
4*-- SMILE
ENGINEERING . TESTING --NOTE: Lithoicgy was revised based on oeophyc'.-=1 data
ENVIRONMENTAL SERVICES
PROJECT NO. : 1054-96-554 ( SITE :Glaxc Wellcome South Campus, North Complex (COUNTY : Durham
WELL LOCATION : AOC W-1 ( GEOLOGIST : Law Engineering
DATE DRILLED : 5-1-85 IDRILL METHOD . Air Rotary TRIG .
TOTAL DEPTH : 99 FT. bgs ( GROUND ELEV. : 331.45ST. ITOC ELEV. : 332.65 FT.
!STATIC WATER LEVEL : 18.9 FT. bgs I NORTHING : 789410.30IEASTING : 2038669.59
SURFACE CASING : " ID. FROM FT. TO FT. ICASING TYPE :
(WELL RISER : 2 " ID. FROM 1.2 FT. TO -89 FT. ICASING TYPE �'Sch=dule 40 PVC
WELL SCREEN : 2 " ID. FROM -89 FT. TO -99 FT. ISCREEN TYPE ndh.' 40 PVC 0.010 slot
CALIPER 7
Depth, 2 INCHES 3 I
(Feet RES ELEV. Subsurface Well
bass GAM(NAT) GAM(NAT) OHM-M T (Feet Description Dwg.
1 - 0 API-GR 400 0 API-GE 400 1C 1000 h MSL)
-40 -�
T1W29°
I1,
; j
i
{ / l
I \ __•
, ,/' / Ai
` i r 285
,'
-a
I '
-So H
/ / ,
.•• _ /
j - 280
1 ;
C \ ?:. gray sandy s_?rstene
I .
I t •fi
T — Red brow:: fine sandy / '
II ) sil_=_tore `✓✓�
i ) .. ( '
I
I I - 275 /� //
> 1 } — r 1 •Y / ?
I __� ./r
..I. i/ �

I
I Boring Log
j w-1
ENGINEERING •TESTING -*NOTE: Lichology was revised based on geophysical data
ENVIRONMENTAL SERVICES
(PROJECT NO. : 1054-96-554 I SITE :Glaxo Wellcome South Campus, North Complex COUNTY : Durham
WELL LOCATION : AOC W-1 I GEOLOGIST : Law Engineering
DATE DRILLED : 5-1-85 :'DRILL METHOD : Air Rotary IR:G .
TOTAL DEPTH : 99 FT. bgs I GROUND ELEV. : 331.45 FT. ITOC ELEV. : 332.65 FT.
STATIC WATER LEVEL : 18.9 FT. bgs 1 NORTHING : 789410.301EASTING : 2038669.59
I
SURFACE CASING : " ID. FROM FT. TO FT. ICASING TYPE :
WELL RISER : 2 " ID. FROM 1.2 FT. TO -89 FT. (CASING TYPE ``Schedule 40 PVC
•
WELL SCREEN : 2 " ID. FROM -89 FT. TO -99 FT. SCREEN TYPE Scfi-:- 40 PVC 0.010 slot
CALIPER L
Dept. 2 INCHES 81 I
(Feet 1 RES ELEV. Subsurface Well
GAM(NAT) GAM(NAT) OH -M T (Feet Description Dwg.
bast 10 API-GR 400 0 API-GR 4001101 •, 10001 H MSL)
-6 O i! ❑ �/j1
j i ❑ _ 270
❑
o _ , , ,
O • /
::.� �z brown sii=5t�ae
r
-I- j 1 i .-•_ �i/� III
t( -65
1 +.-s 265
I • _•
-- \ _._
__ 260
i
r ( 17 - . Red brown tine _a:aszone
o
❑
1
I / 0 r_. _ '
L I !i
I I t� V ,
- -75 r 1 V ' .
' Red brown si=ts zone
I*---........1 ' I /.
\ 1 255 /J
\ I I, ;,
— /

i Boring Log
40,,, - SUM
ENGINEERING • TESTING -*NOTE_ L__holcygy was revised based on geophysical data
ENVIRONMENTAL SERVICES I
I
PROJECT NO. : 1054-96-554 I SITE :Glaxo Wellcome South Campus, North Complex ICOU?T= : Durham
('WELL LOCATION : AOC W-1 ' GEOLOGIST - Law Engineering
DATE DRILLED : 5-1-85 'DRILL METHOD : Air Rotary TRIG :
(TOTAL DEPTH : 99 FT. bgs GROUND ELEV. : 331.45FT. ITOC ELEV. : 332.65 FT.
j LEVEL FT. b s I NORTHING : 789410.30 ASTING : 2'038669.59
(STATIC WATER LEVEL : 18. 9 9 1�
SURFACE CASING : " ID. FROM FT. TO FT. ICASING TYPE :
WELL RISER : 2 " ID. FROM 1.2 FT. TO -89 FT. ICASING TYPE :`Schedule 40 PVC
WELL SCREEN : 2 ID. FROM -89 FT. TO -99 FT. (SCREEN TYPE "t'L'ch:-'40 PVC 0.010 slot
CALIPER L
Dept~ 2 INCHES 8
(Feet RES ELEV. Subsurface Well
GAM(NAT) GAM(NAT) OHM-M i (Feet Description Dwg.
has' 0 API-GR 400 0 API-GR 400110 1000 H MSL)
— -80 ' ,
•,_ Red brown siltstore with
— some fine sand
T 250
0 Light gray, red (fine)
0 sandstone li
C , / I
C
H C /!, /i C
_85 •
°° - I.`•:•i I II111I
l C° IIIId IIII:I
i ° - 245 ► ILA (ILIA(
C
T 0
C - . . .
0 . . - - . . [
0
E O[i I r
-•_ Red brown si?tstcne '
t : 240 -,
--
i i ! -r

I
1
Boring Lob
ENGINEERING .TESTING P-6
ENVIRONMENTAL SERVICES
I '
PROJECT NO. : 1054-96-554 I SITE :Glaxc Wellcome South Campus, North Complex iCOU_.T _ : Durham
WELL LOCATION : SWMU 13 !GEOLOGIST : Walt ?eckw-h
DATE DRILLED : 7-12-96 !DRILL METHOD : Ai_ Rotary IR_= : Sch_t.._.. _-663
TOTAL DEPTH : 77 FT. bgs ' GROUND ELEV. : 373.7 FT. ITOC ELEV. . 376.17 FT.
STATIC WATER LEVEL : 35.62 FT. b?s ; NORTHING : 769964 .47IE:ST_NG : 20039691.61
SURFACE CASING : na " ID. FROM na FT. TO no FT. jCASING TYPE : na -
WELL RISER : 2 " ID. FROM 2.5 FT. TO -66.2 FT. ICFSING TYPE 'T-Scnule 40 PVC
WELL SCREEN : 2 " ID. FROM -66.2 FT. TO -76.2 FT. ISCREEN TYPE t`` -' 40 PVC 0.0=0 sib:
CALIPER ' L
Depth; 2 INCHES 3
I 1 EL=
, V. '^ • :ti
Su - e_'
i2G RES- i GAM{NAT) GAM{NAT) OFt�:-i ( T i{Feet
bgsFlDesc_-rt-c^. Dwg.
0 API-GR 400 API-GR 400 10 10001 H MSL) i
Light brown sandstone I 1- 355
2 0 y/I �,
f /; / /.
// 1
j i ,
S
_i ! I I°�1 I >//) I'
3
Light brown c__tst •/ I •
11 j - I with sandstone :..__rbeds r�
( _. 350 .
i r J
I/ I
'
�dicc�wr. s=__�_ re
—.• ' J / V
i I _ � 345 /1
_ -30 1 < I • /
(//11///111'. ./ ''
— '
7 j %fir/.
/; i i i.
-_ G S -� J .

i
i
I
Boring Log
P-6
ENGINEERING • TESTING
ENVIRONMENTAL SERVICES
PROJECT NO. : 1054-96-554 I SITE :Glaxo Wellcome South Campus, North Complex ,COUNTY : Durham
WELL LOCATION : SWMU 13 1GEOLOGIST : Walt Beckwith
DATE DRILLED : 7-12-96 !DRILL METHOD : Air Rotary 1RIG : Schramm T-660
TOTAL DEPTH : 77 FT. bgs ! GROUND ELEV. : 373.7 FT. ITOC ELEV. : 376.17 F"
STATIC WATER LEVEL : 35.62 FT. bgs NORTHING : 799964 ' =STING : 2039691. 61
SURFACE CASING : na " ID. FROM na FT. TO na FT. ICASING TYPE : na
WELL RISER : 2 " ID. FROM 2.5 FT. TO -66.2 FT. ICASING TYPE ':rate—dole 40 PVC
WELL SCREEN : 2 " ID. FROM -66.2 FT. TO -76.2 FT. ISCREEN TYPE :=th1 40 PVC 0.010 slot
CALIPER 1 ! L 1
Depth 2 INCHES 61 I r ( i
(Feet RES ELEV. Subsurface Well
GAM(NAT) GAM(NAT) OHM-M T (Feet Description Dwg.
bgs) 0 API-GR 40010 API-GR 400 10 1000 H MSL)
t L
375
T
I -
/� w•
� fi 1 -
I
%f
- I
I ;
!; -'370
— -o
r/i
` III - ✓
1! _ )
E65
_ / / I
!
i ..-+:. 1 !--E, ! :7 2. ./ 1
TA, . F/' ' {
— < r

I I
{ e SUE Boring Log
I I
P-6
ENGINEERING • TESTING
ENVIRONMENTAL SERVICES
NO. : 1054-96-554 I SITE .via c Wellcome South Campus, North Co- 1COUNTY : Durham
PROJECT , Comp Le.:.:
IWELL LOCATION : SWMU 13 IG_CLOGIST : Walt Beckwith
IDATE DRILLED : 7-12-96 (DRILL METHOD : Air Rotary 'RTC, : Sch_er:L-r: T-660
TOTAL DEPTH : 77 FT. bgs J GROUND ELEV. : 373.7 FT. ]TOC ELEV. : 376. 17 FT.
STATIC WATER LEVEL : 35.62 FT. bgs I NORTHING : 789964.47 !EASTING : 2039691.61
SURFACE CASING : na " ID. FROM na FT. TO na _T.. }CASING TYPE.;ila_. !
WELL RISER : 2 " ID. FROM 2.5 FT. TO -66.2 FT. 'CASING TYPE s;Sea$au1=_ 4C PVC
!WELL SCREEN : 22 " ID. FROM -66.2 FT. TO -76.2 FT (SCREEN TYPE :Sch. 40 PVC 0.01C slot
CALIPER L '
'Depth 2 INCHES 8 I
i(Feet RES 1 I ELEV.t S�bs'__-a-
_ I Well
bgs) GAM(NAT) GAM(NAT) OHM-M T (Feet Desc__,' "r i Dray^.
C 10 API-GR 400 0 API-GR 4001 10 1000 H MSL)
%;///// ///
-,- 335
i 1F I _ I
Tao ; •
_•r .'/
r 77-4 141/ i
1 C 1
i ( /� /
I /I I '
0White brown sane: r.=_s.o
-45 p with s_1*p in ads
2 C
% t
I I/° /
I e 325 /
I I o
) -50 °
`- • 1 t V
O
i �=- �_C
l 1..! mow /j :�
li
- i �/ r j /

1
I -*
Boring Log
P-6
ENGINEERING • TESTING
ENVIRONMENTAL SERVICES
'PROJECT NO. : 1054-96-554 I SITE :Giaxo Wellcome South Campus, North Complex !CCC::TY : C� .._ a...
>r
WELL LOCATION : SWMU 13 'GEOLOGIST : Walt Eecfw__`
DATE DRILLED : 7-12-96 'DRILL METHOD : Air Rotary R.:G : Schramm T-660
TOTAL DEPTH : 77 FT. bgs ' GROUND ELEV. : 373.7 FT. ITOC ELEV. : 376.17 FT.
STATIC WATER LEVEL : 35.62 FT. bgs I NORTHING . 789964.47jEASTING : 2039691.61
I SURFACE CASING : na " ID. FROM na FT. TO na FT.. 'CASING TYPE_: na
�
(WELL RISER : 2 " ID. FROM 2.5 FT. TO -66.2 FT. ICASING TYPE .S�c'edule -0 PVC
NELL SCREEN : 2 " ID. FROM -66.2 FT. TO -76.2 FT. ISCREEN TYPE :Stn. 40 PVC 0.C10 sic_
CALIPER ! ' L i
'Depth 2 INCHES 8! -
:e vES - EL�r . Sub c :':ell
bgs, 1 GAt1(NAT) GAM( ?AT) CHM-M T (Feet Description Dwg.
9 0 API-GR 400 0 API-GR 400 10 1000 H MSL)
!-_,_ 315 ,
— -60 ► 1 (-L ' - "!
j I =v
do sands i
T i
G
- -65 ❑ .- -•
1 1 -
J
) o
' /r
i '
- / j i I a=owr. s__=scvr._, —
angle
_ i I
Abe nc 3, bge .
r = -.
II
1

flA
den STArtp
it,.. NONRESIDENTIAL WELL CONSTRUCTION RECORD
Nl tr+'7-,\F North Carolina Department of Environment and Natural Resources-Division of Water Quality
'Q,,,,,,,,� WELL CONTRACTOR CERTIFICATION#3379-A
1.WELL CONTRACTOR: d. TOP OF CASING IS 1 FT.Above Land Surface
Jason Chiorazzi 'Top of casing terminated at/or below land surface may require
Well Contractor(individual)Name a variance in accordance with 15A NCAC 2C.0118.
VERCO e. YIELD(gpm): METHOD OF TEST
Weil Contractor Company Name
2047 Industrial Blvd, f. DISINFECTION:Type Amount
Street Address g. WATER ZONES(depth):
Lexington SC 29072 Top Bottom Top Bottom
City or Town State Zip Code Top Bottom Top Bottom
(803 ) 429-5001 Top Bottom Top Bottom
Area code Phone number Thickness/
2.WELL INFORMATION: 7. CASING: Depth Diameter Weight Material
WELL CONSTRUCTION PERMIT# Top 0 Bottom 10 FL 3/4" 40 PVC
OTHER ASSOCIATED PERMiT#(ifapplicable) Top Bottom Ft.
SiTE WELL ID#{lf applicable)SVE-1 Top Bottom Ft
3.WELL USE(Check One Box)Monitoring❑ Municipal/Pubic❑ 8. GROUT: Depth Material Method
Industrial/Commercial 0 Agricultural 0 Recovery iuInjedion❑ Top 0 Bottom '7 Ft. Pc arc.a..-IN
tnigation❑ Other 0(list use) Top Bottom FL
DATE DRILLED 3/8/12 Top Bottom Ft.
4.WELL LOCATION: 9. SCREEN: Depth Diameter Slot Size Material
3029 E. Cornwallis Rd Top 10 Bottom 15 Ft. 3/4 in. .010 In. PVC
(Street Name,Numbers,Community,Subdivision,Lot No.,Parcel,Zip Code) Top Bottom Ft in. in.
CITY: Durham COUNTY Durham Top Bottom Ft. In. in.
TOPOGRAPHIC/LAND SETTING: (check appropriate box)
�Siope ❑Valley 0 Flat 0 Ridge ❑Other 10.SAND/GRAVEL PACK
Depth Size Material
LATITUDE 35 'DMS OR 9180107116 DD Tops Bottom 15 Ft. #2 sand
LONGITUDE 78 '_' "DMS OR 6660354614d DO Top Bottom Ft
Latitude/longitude source: (]GPS gfropographic map Top Bottom Ft
(location of well must be shown on a USGS topo map andetfached to
this form if not using GPS) 11.DRILLING LOG
5.FACILITY(Name of the business where the Well Is located.) Top Bottom Formation Description
GSK /
Facility Name Facility ID#(if applicable) /
3029 F Cornwallis Rd /
Street Address /
Durham NC 2770Q /
City or Town State Zip Code /
Jeremy DeVore /
Contact Name /
5R Oak Branch Drive /
Mailing Address /
Greensboro NC 27407 /
City or Town State Zip Code
12.REMARKS:
( 33619 852-4903
Area code Phone number
6.WELL DETAILS: I CO HEREBY LEN I IFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C,WWELL CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS
a. TOTAL DEPTH: 15 RE p �1t13E0 PR eecrsp THE WELL OWNER
3/29/12
b. DOES WELL REPLACE EXISTING WELL? YES 0 NOG✓ SIG F CERTIFIED WELL CONTRAC DATE
c. WATER LEVEL Below Top of Casing: FT. Jason Chiorazzi
(Use'+'if Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
W-lb
Submit within 30 days of completion to:Division of Water QualityInformation Processing, Form 09
Y P - Rev.2/09
1617 Mall Service Center,Raleigh,NC 27699-181,Phone:[phone]

d.,a StArE o
R'( 1 r ON RESIDENTIAL WELL CONSTRUCTION RECORD
S * ,, North Carolina Department of Environment and Nature!Resources-Division of Water Quality
•,,Q4 " WELL CONTRACTOR CERTIFICATION# 3379-A
1.WELL CONTRACTOR: d. TOP OF CASING IS 1 FT.Above Land Surface*
Jason Chiorazzi `Top of casing terminated at/or below land surface may require
Wet Contractor(Individual)Name a variance in accordance with 15A NCAC 2C.0118.
VERCO e. YIELD(gpm): METHOD OF TEST
Wet Contractor Company Name I
2047 lndusIfial Blvd, 1. DISINFECTION:Type Amount
Street Address g. WATER ZONES(depth):
Lexington SC 29072 Top Bottom Top Bottom
City or Town State Zip Code Top Bottom Top Bottom
(803 ) 429-5001 Top Bottom Top Bottom
Area code Phone number
Thickness(
2.WELL INFORMATION: 7. CASING: Depth Diameter Weight Material
WELL CONSTRUCTION PERMIT# Top 0 Bottom 6.5 Ft. 3/4" 40 PVC
OTHER ASSOCIATED PERMIT#(if applicable) Top Bottom Ft.
SITE WELL ID#(if applicable)HF-1 Top Bottom Ft.
3.WELL USE(Check One Box)Monitoring 0 Municipal/Public❑ 8. GROUT: Depth Material Method
Industrial/Commercial❑ Agricultural❑ Recovery B'Injection❑ Top 0 Bottom 3,5 Ft aim rN
Inigatlon❑ Other 0(list use) Top Bottom Ft.
DATE DRILLED 3/6/12 Top Bottom FL
4.WELL LOCATION: 9. SCREEN: Depth Diameter Slot Size Material
3029 E. Cornwallis Rd Top 6,5 Bottom 11.5 Ft. 3/4 in. .010 in. PVC
(Steel Name,Numbers,Community,Subdivision,Lot No.,Parcel,Zip Code) Top Bottom Ft. in. In.
CITY: Durham COUNTY Durham Top Bottom Ft. In. In.
TOPOGRAPHIC I LAND SETTING: (check appropriate box)
gSiope :Walley ❑Flat DRidge ❑Other 10.SAND/GRAVEL PACK:
Depth Size Material
LATITUDE 35 "DMSOR 9180107116 DD Top 5,5 Bottom 11.5 Ft. #2 sand
LONGITUDE 78 ° 3 "DMS OR 866035461 V DD Top Bottom Ft.
Latitude/longitude source: BPS [ Topographic map Top Bottom Ft.
(location of well must be shown on a USGS topo map andattached to
this form if not using GPS) 11.DRILLING LOG
5.FACILITY(Name of the business where the well is located.) Top Bottom Formation Description
GSK 0 / 1,5 Fine Sand
Facility Name Facility ID#(if applicable) 1.5 / 3.5 Silty Clay
3029 F Cornwallis Rd 3.5 /5 Sandy Clay
Street Address 5 / 6 Sand
Durham NC 27709 /
City or Town State Zip Code /
Jeremy DeVOre /
Contact Name /
5R Oak Rrannh Drive /
Mailing Address /
Greenshoro NC 27407 I
City or Town State Zip Code 12.REMARKS:
( 336fi 852-4903
Area code Phone number
6.WELL DETAILS: I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C.WELL CONSTRUCTION STANDARDS.AND THAT A COPY OF THIS
a. TOTAL DEPTH: 11 5 RECORD BEEN P D TO THE WELL OWNER
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO Ci SIG F ERTIF�WELL CONTRACTOR— 3(DATE
c. WATER LEVEL Below Top of Casing: FT. Jason Chiorazzi
(Use"+"if Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
ForSubmit within 30 days of completion to:Division of Water Quality- Information Processing, Rev.2/09
Rev. 09
1617 Mall Service Center,Raleigh,NC 27699-161,Phone:[phone]
J

..R NONRESIDENTIAL WELL CONSTRUCTION RECORD
gg
$i fc"1 North Carolina Department of Environment and Natural Resources-Division of Water Quality
*:...00 WELL CONTRACTOR CERTIFICATION#3379-A
1.WELL CONTRACTOR: d. TOP OF CASING IS 3 FT.Above Land Surface'
Jason Chiorazzi 'Top of casing terminated at/or below land surface may require
Well Contractor(Individual)Name a variance in accordance with 15A NCAC 2C.0118.
VERCO e. YIELD(gpm): METHOD OF TEST
Well Contractor Company Name
2047 Industrial Blvd. I. DISINFECTION:Type Amount
Street Address g. WATER ZONES(depth):
Lexinaton SC 29072 Top Bottom Top Bottom
City or Town State Zip Code Top Bottom Top Bottom
(803 ) 429-5001 Top Bottom Top Bottom
Area code Phone number Thickness/
2.WELL INFORMATION: 7. CASING: Depth Diameter Weight Material
WELL CONSTRUCTION PERMIT# Top 0 Bottom 9.5 Ft. 3/4" 40 PVC
OTHER ASSOCIATED PERMIT#{if applicable) Top Bottom FL
SITE WELL ID#(If applicable)HF-2 Top Bottom FL
3.WELL USE(Check One Box)Monitoring 0 Municipal/Public❑ 8. GROUT: Depth Material Method
industrial/Commercial❑ Agricultural Recovery rjinjection❑ Top © Bottom 4•5 FL art-rt./fr.')
Irrigation❑ Other❑(list use) Top Bottom FL
DATE DRILLED 3/6/12 Top Bottom FL
4.WELL LOCATION: 9. SCREEN: Depth Diameter Slot Size Material
3029 E. Cornwallis Rd Top 9.5 Bottom 14.5 Ft. 3/4 in. .010 in. PVC
(Street Name,Numbers,Community,Subdivision,Lot No.,Parcel,Zip Code) Top Bottom Ft. in. In.
cm: Durham couNTY Durham Top Bottom Ft. in. in.
TOPOGRAPHIC/LAND St I I ING: (check appropriate box)
'Slope ❑Valley ❑Flat ❑Ridge ❑Other 10.SAND/GRAVEL PACK:
Depth Size Material
LATITUDE 35 "DMS OR 9180107116 DD Top 8.5 Bottom 14.5 FL #2 sand
LONGITUDE 78 "DMS OR$6603546143 OD Top Bottom FL
Latitudeilongltude source_ MPS PfTopographic map Top Bottom FL
(location of well must be shown on a USGS topo map andattached to
this farm if not using GPS) 11.DRILLING LOG
5.FACILITY(Name of the business where the well Is located.) Top Bottom Formation Description
GSK 0 / 1.5 Silty Sand
Facility Name Facility ID#(if applicable) 1.5 /6 Clayey Silt
3029 F Cornwallis Rd /
Street Address /
Durham NC 27709 /
City or Town State Zip Code J
.leremv DeVore /
Contact Name /
58 Oak Rranch Drive /
Melling Address /
Greensboro NC 27407 /
City or Town State Zip Code 12.REMARKS:
( 336i 852-4903
Area code Phone number
B.WELL DETAILS: 100 CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE W iH
16A .WELL N STANDARDS,AND THAT A COPY OF TIIS
a. TOTAL DEPTH: 14.5 RECORD N DEDT OWNER.
3/29/12
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO d S TURF F IFIED WELL CONTRAGI.OR DATE
c. WATER LEVEL Below Top of Casing: FT. Jason Chiorazzi_
(Use"+"if Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
GW-lb
Submit within 30 days of completion to:Division of Water QualityInformation Processing, Form/09
Y P - 9 R .2/09
1617 Mail Service Center,Raleigh,NC 27899-161,Phone:[phone]

e
ii.,r.,,:e
1:11 �'ON RESIDENTIAL WELL CONSTRUCTION RECORD
/11'..,jr.) North Carolina Department of Environment and Natural Resources-Division of Water Quality
� ,��'" WELL CONTRACTOR CERTIFICATION# 3379-A
1.WELL CONTRACTOR: d. TOP OF CASING IS 3 FT.Above Land Surface'
Jason Chiorazzi 'Top of casing terminated at/or below land surface may require
Well Contractor(Individual)Name a variance In accordance with 15A NCAC 2C.0118.
VERCO e. YIELD(gpm): METHOD OF TEST
Wei Contractor Company Name
2047 Industrial Blvd, f. DISINFECTION:Type Amount
Street Address g. WATER ZONES(depth):
Lexington SC 29072 Top Bottom Top Bottom
City or Town State Zip Code Top Bottom Top Bottom
(803 ) 429-5001 Top Bottom Top Bottom
Area code Phone number
Thickness/
2.WELL INFORMATION: 7. CASING: Depth Diameter Weight Material
WELL CONSTRUCTION PERMIT# Top 0 Bottom 16 Ft. 3/4" 40 PVC
OTHER ASSOCIATED PERMIT#(n applicable) Top Bottom Ft_
SITE WELL ID#(if applicable)HF-3 Top Bottom Ft.
3.WELL USE(Check One Box)Monitoring 0 Municipal/Public❑ 8. GROUT: Depth Material Method
industrial/Commercial 0 Agricultural 0 Recovery({Injection❑ Top 0 Bottom 11 Ft. Pao-rc arc
Inigation❑ Other❑(list use) Top Bottom Ft.
DATE DRILLED 3/8/12 Top Bottom Ft.
4.WELL LOCATION: 9. SCREEN: Depth Diameter Slot Size Material
3029 E. Cornwallis Rd Top 16 Bottom 21 FL 3/4 in. .010 in. PVC
(Street Name,Numbers,Community,Subdivision,Lot No.,Parcel,Zip Code) Top Bottom FL In. In.
CITY: Durham COUNTY Durham Top Bottom Ft. in. in.
TOPOGRAPHIC/LAND SETTING: (check appropriate box)
lope ❑Valley ❑Flat ❑Ridge ❑Other 10.SAND/GRAVEL PACK:
LS
Depth Size Material
LATITUDE 35 ' 'DMS OR 91801071 16 DD
Top 15 Bottom 21 FL #2 sand
LONGITUDE 78 "DMS OR 86603546141 DD Top Bottom Ft.
Latitude/longitude source: [J3PS [,7.Iropographic map Top Bottom Ft.
(location of well must be shown on a USGS topo map andattached to
this form if not using GPS)
11.DRILLING LOG
6.FACILITY(Name of the business where the well Is located.) Top Bottom Formation Description
GSK /
Facility Name Facility ID#(if applicable) /
3029 F Cornwallis Rd /
Street Address /
Durham NC 27709 /
City or Town State Zip Code /
Jeremy DPVnre /
Contact Name /
5B Oak Branch Drive /
Mailing Address /
Greensboro NC 27407 /
City or Town State Zip Code
12.REMARKS:
( 336n 852-4903
Area code Phone number
6.WELL DETAILS: I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A 2C,WELL.CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS
R BEEN PR THE WELL OWNER.
a. TOTAL DEPTH: 21
b. DOES WELL REPLACE EXISTING WELL? YES❑ NO I:1/ SI ATUf OF CERTiFIED WE ONTRACTOR 3/2DA E2
c. WATER LEVEL Below Top of Casing: FT.
zzi
(Use"+'If Above Top of Casing) Jason ME OF PERSON NAME OF PERSON CONS I RUCTING THE WELL
Submit within 30 days of completion to:Division of Water Quality- Information Processing, Form 2/0909
1617 Mail Service Center,Raleigh,NC 27699-161,Phone:[phone]

do-Sao
ji, _,' l NON ONRESIDENTL4L WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources-Division of Water Quality
•n
4.,,„,.,,,00• WELL CONTRACTOR CERTIFICATION# 3379-A
1.WELL CONTRACTOR: d. TOP OF CASING IS 3 FT.Above Land Surface'
Jason Chiorazzi `Top of casing terminated at/or below land surface may require
Well Contractor(Individual)Name a variance in accordance with 15A NCAC 2C.0118.
VERCO e. YIELD(gpm): METHOD OF TEST
Well Contractor Company Name
2047 Industrial Blvd. f. DISINFECTION:Type Amount
Street Address g. WATER ZONES(depth):
Lexinaton SC 29072 Top Bottom Top Bottom
City or Town State Zip Code Top Bottom Top Bottom
(803 ) 429-5001 Top Bottom Top Bottom
Area code Phone number Thickness/
2.WELL INFORMATION: 7. CASING: Depth Diameter Weight Material
WELL CONSTRUCTION PERMIT# Top 0 Bottom 8 Ft. 3/4" 40 PVC
OTHER ASSOCIATED PERMIT#(rapplicable) Top Bottom Ft.
SITE WELL ID#(n applicable)HF-4 Top Bottom Ft.
3.WELL USE(Check One Box)Monkoring❑ Municipal/Publc❑ 8. GROUT: Depth Material Method
Industrial/Commercial 0 Agricultural 0 Recovery tiinjection 0 Top 0 Bottom 5 FL Pdrtrulrb
irrigation❑ Other❑(list use) Top Bottom Ft.
DATE DRILLED 3/6/12 Top Bottom Ft.
4.WELL LOCATION: 9. SCREEN: Depth Diameter Slot Size Material
3029 E. Comwallis Rd Top 8 Bottom 13 FL 3/4 in. .010 In. PVC
(Street Name,Numbers,Community,Subdivhbn,Lot No.,Parcel,Zip Code) Top Bottom Ft. in. in.
CiTY: Durham COUNTY Durham Top Bottom Ft. in. In.
TOPOGRAPHIC/LAND SETTING: (check appropriate box)
IS'S ❑iope Valley ❑Flat 0 Ridge ❑Other 10.SAND/GRAVEL PACK:
Depth Size Material
LATITUDE 35 "DMS OR 9180107116 DD
Top,7 Bottom 13 Ft #2 sand
LONGITUDE 78 "DMS OR$6603546149 DID Top Bottom FL
Latitude/longitude source: 03PS Vropographic map Top Bottom Ft
(location of well must be shown on a USGS topo map andattached to
this form if not using GPS) 11.DRILLING LOG
5.FACILITY(Name of the business where the well is located.) Top Bottom Formation Description
GSK 0 /2 Silty Sand
Facility Name Facility ID#(if applicable) 2 /4 Silty Clay
3029 F Cornwallis Rd 4 /6 Clavey Silt
Street Address /
Durham NC 27709 /
City or Town State Zip Code /
.leremV DeVnre /
Contact Name /
SR Oak Branch Drive /
Mailing Address /
Greenshorn NC 27407 /
City or Town State Zip Code 12.REMARKS:
( 336.11 852-4903
Area code Phone number
6.WELL DETAILS: I DO HERESY ERTIFY THAT THIS W Y,R WELL WAS CONSTRUCTED IN ACCORDANCE TH
TSA NCAC 2C, CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS
RECORD HAS 6.
a. TOTAL DEPTH: 13 3/29/12
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO ri SIGNA E OF RTIFlED WILL CONTRACTOR DATE
c. WATER LEVEL Below Top of Casing: FT.
(Use"+"If Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
FoSubmit within 30 days of completion to:Division of Water Quality Information Processing, a.GW-lb
Y Pl �Y- Rev.2/09
1617 Mail Service Center,Raleigh,NC 27899-161,Phone:[phone]

d'°STAT[p
gym(, g(r NONRESIDENTIAL WELL CONSTRUCTION RECORD
c5 North Carolina Department of Environment and Natural Resources-Division of Water Quality
III `
'o-....",yes' WELL CONTRACTOR CERTIFICATION# 3379 A
1.WELL CONTRACTOR: d. TOP OF CASING IS 3 FT.Above Land Surface'
Jason Chiorazzi -Top of casing terminated at/or below land surface may require
Well Contractor(Individual)Name a variance in accordance with 15A NCAC 2C.0118.
VERCO e. YIELD(gpm): METHOD OF TEST
Well Contractor Company Name 2047 Industrial Blvd. f. DISINFECTION:Type Amount
Street Address g. WATER ZONES(depth):
Lexington SC 29072 Top Bottom Top Bottom
City or Town State Zip Code Top Bottom Top Bottom I
(803 ) 429-5001 Top Bottom Top Bottom
Area code Phone number
Thickness/
2.WELL INFORMATION: 7. CASING: Depth Diameter Weight Material
WELL CONSTRUCTION PERMIT# Top 0 Bottom, 14 FL 3/4" 40 PVC
OTHER ASSOCIATED PERMIT#(lr applicable) Top Bottom Ft.
SITE WELL ID#(if applcabie)HF-5 Top Bottom Ft.
3.WELL USE(Check One Box)Monitoring❑ MunicipaUPublic❑ 8. GROUT: Depth Material Method
industrial/Commercial❑ Agricultural❑ Recovery dinjection❑ Top 0 Bottom 11 Ft Portland
irrigation❑ Other 0 (list use) Top Bottom Ft.
DATE DRILLED 3/8/12 Top Bottom FL
4.WELL LOCATION: 9. SCREEN: Depth Diameter Slot Size Material
3029 E. Cornwallis Rd Top 14 Bottom 19 Pt 3/4 in. .010, In. PVC
(Street Name,Numbers,Community,Subdivision,Lot No.,Parcel,Zip Code) Top Bottom Ft. In. In.
CITY: Durham couNn Durham Top Bottom FL in. In.
TOPOGRAPHIC/LAND SETTING: (check appropriate box)
IlSiope ❑Valley ❑Flat ❑Ridge ❑Other 10.SAND/GRAVEL PACK:
LATITUDE 35 °_' "DMS OR 9180107116 OD Depth Size Material
LONGITUDE 78 °�_' "DMS OR 13660354614.DD Top 13 Bottom 19 Ft. #2 sand
Top Bottom Ft.
Latitude/longitude source: D PS ilTopographic map Top Bottom Ft.
(location of well must be shown on a USGS topo map andattached to
this form if not using GPS)
11.DRILLING LOG
5,FACILITY(Name of the business where the well is located.) Top Bottom Formation Description
GSK /
Faatity Name Fealty ID#(if applicable) /
3029 F Cornwallis Rd /
Street Address /
Durham NC 27709 /
City or Town State Zip Code /
.)eremv DeVnrn /
Contact Name /
5B Oak Branch Drive /
Mailing Address /
Greenshnrn NC 27407 /
City or Town State Zip Code 12.REMARKS:
( 33613 852-4903
Area code Phone number
6.WELL DETAILS: 1 Do HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE NMI
15A NCAC 2C,WELL CONSTR eNSTANOARDS,AlD THAT A COPY OF THIS
a. TOTAL DEPTH: 19 RECORD PRO TO WE R
3/29/12_
b. DOES WELL REPLACE EXISTING WELL? YES❑ NO q/ SIGNA CERTIFIED WELL CONTRA — DATE
c. WATER LEVEL Below Top of Casing: FT. Jason Chiorazzi
(Use'+'if Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days of completion to:Division of Water QualityRorm/09
Y P - Information Processing, Rev.2ro9
1617 Mall Service Center,Raleigh,NC 27699-161,Phone:[phone]

eMSATEo
f;1 fit 40) NONRESIDENTIAL WELL CONSTRUCTION RECORD
iill ' North Carolina Department of Environment and Natural Resources-Division of Water Quality
•`'',C.41„d,• WELL CONTRACTOR CERTIFICATION# 3379-A
1.WELL CONTRACTOR d. TOP OF CASING IS 3 FT.Above Land Surface
Jason Chiorazzi 'Top of casing terminated at/or below land surface may require
Well Contractor(Individual)Name a variance in accordance with 15A NCAC 2C.0118.
VERCO e. YIELD(gpm): METHOD OF TEST
Wet Contractor Company Name f. DISINFECTION:Type Amount
2047 industrial Blvd.
Street Address g. WATER ZONES(depth):
Lexinaton SC 29072 Top Bottom Top Bottom
City or Town State Zip Code Top Bottom Top Bottom
(803 ) 429-5001 Top Bottom Top Bottom
Area code Phone number Thickness/
2.WELL INFORMATION: 7. CASING: Depth Diameter Weight Material
WELL CONSTRUCTION PERMIT# Top 0 Bottom 11.5 Ft. 3/4" 40 PVC
OTHER ASSOCIATEDPERT#(Irapplicable) Top Bottom Ft
Mf
SITE WELL ID#(k applicable)HF-6 Top Bottom Ft.
3.WELL USE(Check One Box)Monitoring D Municipal/Pubiic❑ 8. GROUT: Depth Material Method
IndustriaUCommerdal 0 Agricultural 0 Recovery 9/Injection❑ Top 0 Bottom 8,5 Ft. Portland
Irrigation❑ Other❑ (list use) Top Bottom FL
DATE DRILLED 3/8/12 Top Bottom FL
4.WELL LOCATION: 9. SCREEN: Depth Diameter Slot Size Material
3029 E. Cornwallis Rd Top 11.5 Bottom 16.5 FL 3/4 In. .010 In. PVC
(Street Name,Numbers,Community,Subdivision,Lot No.,Parcel,Zip Code) Top Bottom Ft. In. in.
CITY: Durham cowry Durham Top Bottom FL in. In.
TOPOGRAPHIC/LAND SETTING: (check appropriate box)
[.Slope ❑Valley ❑Flat DRidge ❑Other 10.SAND/GRAVEL PACK:
Depth Size Material
LATITUDE 35 °DMS OR 9180107116 DD
Top 10.5 Bottom 16.5 Ft. #2 sand
LONGITUDE 78 •DMS OR$660354614d OD Top Bottom Ft.
Latitude/longitude source: MPS (f ropographic map Top Bottom FL
(location of well must be shown on a USGS topo map andatteched to
this form if not using GPS) 11.DRILLING LOG
5.FACILITY(Name of the business where the well Is located.) Top Bottom Formation Description
GSK 0 /2 Sandy Silt
Facility Name Facility ID#(if applicable) 2_/ 3 Silty Clay
3f129 F Cornwallis Rd 3 /6 Clayey Sift
Street Address I
Durham NC 27709 /
City or Town State Zip Code /
.Jeremy DeVnre /
Contact Name /
5B Oak Rranch Drive /
Mailing Address /
Greensboro NC 27407 I
City or Town State Zip Code
12.REMARKS:
( 336t 852-4903
Area code Phone number
6.WELL DETAILS: 1 CO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC WELL ,AND THAT A COPY Or THIS
a. TOTAL DEPTH: 16.5 RECORD PROM THEWt1t
3/29/12
b. DOES WELL REPLACE EXISTING WELL? YES❑ NO Li,✓ SIG CER ELL cONTRACroa DATE
c. WATER LEVEL Below Top of Casing: FT. JaSO IOrazzi
(Use"+•If Above Top of Casing) PRIN t Eo NAPE OF PERSON CONSTRUCTING THE WELL
Form GW-1 b
Submit within 30 days of completion to:Division of Water Quality- Information Processing, Rev.2/09
1617 Mall Service Center,Raleigh,NC 27699-161,Phone:[phone]

deer SDUFo
(*1st's/
^ it,-4)
1 r ON RESIDENTIAL WELL CONSTRUCTION RECORD
r North Carolina Department of Environment and Natural Resources-Division of Water Quality
Y `' 3379-A
•�....00 WELL CONTRACTOR CERTIFICATION#
1.WELL CONTRACTOR: d. TOP OF CASING IS 3 FT.Above Land Surface'
Jason Chiorazzi *Top of casing terminated at/or below land surface may require
Well Contractor(Individual)Name a variance In accordance with 15A NCAC 2C.0118.
VERCO e. YIELD(gpm): METHOD OF TEST
Well Contractor Company Name
2047 Industrial Blvd. f. DISINFECTION:Type Amount
Street Address g. WATER ZONES(depth):
Lexinaton SC 29072 Top Bottom Top Bottom
City or Town State Zip Code Top Bottom Top Bottom
(803 ) 429-5001 Top Bottom Top Bottom
Area code Phone number Thickness/
2.WELL INFORMATION: 7. CASING: Depth Diameter Weight Material
WELL CONSTRUCTION PERMITS` Top 0 Bottom 8 Ft. 3/4" 40 PVC
OTHER ASSOCIATED PERMIT#(dapplicabte) Top Bottom Ft.
SITE WELL ID S`(d applicable)HF-7 Top Bottom Ft
3.WELL USE(Check One Box)Monitoring❑ Municipal/Public❑ 8. GROUT: Depth Material Method
Industrtal/Commerdal❑ Agricultural Recovery ijtnJection❑ Top 0 Bottom 5 Ft. Portland
Irrigation❑ Other❑(list use) Top Bottom Ft.
DATE DRILLED 3/8/12 Top Bottom Ft.
4.WELL LOCATION: 9. SCREEN: Depth Diameter Slot Size Material
3029 E. Cornwallis Rd Top 7 Bottom 13 Ft. 3/4 in. .010 in. PVC
(Street Name,Numbers,Community,Subdivision,Lot No.,Parcel,Zip Code) Top Bottom Ft. in. In.
CITY: Durham COUNTY Durham Top Bottom Ft. in. In.
TOPOGRAPHIC/LAND SETTING: (check appropriate box)
Slope ❑Vaitey ❑Flat ❑Ridge ❑Other 10.SAND/GRAVEL PACK:
Depth Size Material
LATITUDE 355 • ' ,DMS OR 9180107116 DD
Top 8 Bottom 13 FL #2 sand
LONGITUDE 78 '—' "DMS OR 6603546141 DD Top Bottom Ft.
Latftude/longitude source: BPS Viropographic map Top Bottom Ft
(location of well must be shown on a USGS topo map andaftached to
this form If not using GPS) 11.DRILLING LOG
6.FACILITY(Name of the business where the well Is located.) Top Bottom Formation Description
GSK o / 2.5 Silty Clay
Facility Name Facility ID#(if applicable) 2.5 /3 Silty Sand
3079 F Cornwallis Rd 3 /5 Silty Clay
Street Address 5 / 6 Clayev Silt
Durham NC 2770. /
City or Town State Zip Code /
Jeremy D&Vore /
Contact Name /
5B Oak Branch Drive /
Mailing Address /
Greenshoro NC 27407 /
City or Town State Zip Code 12.REMARKS:
( 336$ 852-4903
Area code Phone number
6.WELL DETAILS: too HEREBY TIFY THAT THIS WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, CONSTR N DS,AND THAT A COPY OF THIS
RECORD TOTAL DEPTH: 13 HAS BE TO THE ER.
3/29/12
b. DOES WELL REPLACE EXISTING WELL? YES❑ NO LI SIGNA OF R IED WELL CONTRACTOR DATE
c. WATER LEVEL Below Top of Casing: FT. Jason Chiorazzi
(Use'+'if Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
GW-lb
Submit within 30 days of completion to:Division of Water Quality- Information Processing, Form /09
Rev.2/09
1617 Mali Service Center,Raleigh,NC 27699-161,Phone:[phone]

d°`SCAA ]�j RESIDENTIAL ii.asi,-- 1 �ONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources-Division of Water Quality`•Q .,o,• WELL CONTRACTOR CERTIFICATION# 3379-A
1.WELL CONTRACTOR: d. TOP OF CASING IS 3 FT.Above Land Surface'
Jason Chiorazzi "Top of casing terminated at/or below land surface may require
Well Contractor(Individual)Name a variance in accordance with 15A NCAC 2C.0118.
VERCO e. YIELD(gpm): METHOD OF TEST
Well Contractor Company Name
2047 Industrial Blvd. I. DISINFECTION:Type Amount
Street Address g. WATER ZONES(depth):
Lexinaton SC 29072 Top Bottom Top Bottom
City or Town State Zip Code Top Bottom Top Bottom
(803 ) 429-5001 Top Bottom Top Bottom
Area code Phone number Thickness!
2.WELL INFORMATION: 7. CASING: Depth Diameter Weight Material
WELL CONSTRUCTION PERMIT# Top 0 Bottom 7 Ft. 3/4" 40 PVC
OTHER ASSOCIATED PERMIT#(If applicable) Top Bottom Ft
SITE WELL ID#(ir applicable}HF-8 Top Bottom Ft.
3.WELL USE(Check One Box)Monitoring❑ Municipal/Pubbc❑ 8. GROUT: Depth Material Method
Industrial/Commercial❑ Agricultural 0 Recovery fg!Injection❑ Top 0 Bottom 4 Ft. Portland
Irrigation❑ Other 0 (list use) Top Bottom Ft.
DATE DRILLED 3/8/12 Top Bottom Ft.
4.WELL LOCATION: 9. SCREEN: Depth Diameter Slot Size Material
3029 E. Cornwallis Rd Top 7 Bottom 12 Ft 3/4 in. .010 in. PVC
(Sheet Name,Numbers,Community,Subdivision,Lot No.,Parcel,Zip Code) Top Bottom Ft In. In.
CITY: Durham cowry Durham Top Bottom Ft in. in.
TOPOGRAPHIC/LAND SETTING: (check appropriate box)
LNSlope :Walley ❑Flat DRidge ❑Other 10.SAND/GRAVEL PACK:
Depth Size Material
LATITUDE 35 "OMS OR 9180107116 CD
Top 6 Bottom 12 Ft.#2 sand
LONGITUDE 78 '—' "DMS OR 66603546145 DD Top Bottom Ft.
Latitude/longitude source: DGPS Ufropographic map Top Bottom FL
(location of well must be shown on a USGS topo map andatteched to
this form if not using GPS) 11.DRILLING LOG
5.FACILITY(Name of the business where the well is located.) Top Bottom Formation Description
GSK 0 / 2.5 Clayey Silt
Facility Name Facility ICI(if applicable) 2.5 /5 Silty Clay
3029 F Cornwallis Rd 5 /6 Silty Sand
Street Address /
Durham NC 2770R /
City or Town State Zip Code /
.Jeremy DeVnre. /
Contact Name /
5B Oak Branch Drive /
Mailing Address /
Greenshnrn NC 27407 /
City or Town State Zip Code 12.REMARKS:
( 336,8 852-4903
Area code Phone number
6.WELL DETAILS: I oo HEREBY*to-TIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
16A NCAC 2C, ` ON STANDARDS,AND THAT A COPY OF THIS
RECORD HAS_Ye P TD 113/4 WELL OWNER
a. TOTAL DEPTH: 12 312942
b. DOES WELL REPLACE EXISTING WELL? YES❑ NO cit SIGMA IR€OF►o' WELL CONTRACTOR DATE
c.WATER LEVEL Below Top of Casing: FT. Jason Chiorazzi
(Use"+'if Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days of completion to:Division of Water Quality- Information Processing, Formgi9 1 b
1617 Mall Service Center,Raleigh,NC 27699-161,Phone:[phone]

d••�fo
i:%.
RESIDENTIAL WELL CONSTRUCTION RECORD
NON
' ar i •• North Carolina Department of Environment and Natural Resources-Division of Water Quality
pit
•4"z,...y• WELL CONTRACTOR CERTIFICATION# 3379-A
1.WELL CONTRACTOR: d. TOP OF CASING IS 3 FT.Above Land Surface'
Jason Chiorazzi 'Top of casing terminated at/or below land surface may require
Well Contractor(Individual)Name a variance In accordance with 15A NCAC 2C.0118.
VERCO e. YIELD(gpm): METHOD OF TEST
Well Contractor Company Name
2047 Industrial Blygl. f. DISINFECTION:Type Amount
Street Address g. WATER ZONES(depth):
Lexinaton SC 29072 Top Bottom Top Bottom
City or Town State Zip Code Top Bottom Top Bottom
(803 ) 429-5001 Top Bottom Top Bottom
Area code Phone number
Thickness/
2.WELL INFORMATION: 7. CASING: Depth Diameter Weight Material
WELL CONSTRUCTION PERMIT# Top 0 Bottom 17 FL 3/4" 40 PVC
OTHER ASSOCIATED PERMIT#(E applicable) Top Bottom Ft.
SITE WELL ID#{lfapplicable)HF-9 Top Bottom FL
3.WELL USE(Check One Box)Monitoring❑ Municipal/Public❑ 8. GROUT: Depth Material Method
Industrial/Commercial 0 Agricultural 0 Recovery tiInjection❑ Top 0 Bottom 13 FL Portland
Irrigation0 Other 0(list use) Top Bottom FL
DATE DRILLED 3/7/12 Top Bottom FL
4.WELL LOCATION: 9. SCREEN: Depth Diameter Slot Size Material
3029 E. Cornwallis Rd Top 17 Bottom 22 FL 3/4 in. .010 in. PVC
(Street Name,Numbers,Community,Subdivision,Lot No.,Parcel,Zip Code) Top Bottom FL In. In.
CITY: Durham COUNTY Durham Top Bottom FL in. in.
TOPOGRAPHIC/LAND SETTING: (check appropriate box)
IgdSlope ❑Valley OFlat pRidge ❑Other 10.SAND/GRAVEL PACK:
Depth Size Material
LATITUDE 35 •DMS OR 9180107116 DD Top 15 Bottom 22 Ft #2 sand
LONGITUDE 78 "DMS OR 80603546145 DD Top Bottom Ft
LatitudeRongltude source: CGPS Qfropographlc map Top Bottom FL
(location of well must be shown on a USGS topo map andattached to
this form if not using GPS)
11.DRILLING LOG
5.FACILITY(Name of the business where the well is located.) Top Bottom Formation Description
GSK /
Facility Name Faculty ID#(lf applicable) /
3029 F Cornwallis Rd /
Street Address /
Durham NC 27709 /
City or Town State Zip Code /
.Jeremy DP.Vnre /
Contact Name /
5B Oak Branch Drive /
Malting Address /
Gmenshnrn NC 27407 /
City or Town State Zip Code 12.REMARKS:
t 336n 852-4903
Area code Phone number
6.WELL DETAILS: I CO HEREEY CERTIFY THAT THIS♦,LL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC T HASLL•• . -, ION a ANOARDS,AND THAT A COPY OF THIS
a. TOTAL DEPTH: 22 RECORD .-- --• • •TO THE LL OWNER
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO q( 3LZ9/12
SIGNA I"E OF,ERTIFIED WELL CONTRACTOR DATE
c.WATER LEVEL Below Top of Casing: FT. Jason Chiorazzi
(Use'+•If Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
FormSubmit within 30 days of completion to:Division of Water QualityR .
09
y p - Information Processing, Rev.2/09
1617 Mall Service Center,Raleigh,NC 27699-161,Phone:[phone]

0.srarFa4
I*' �,. NONRESIDENTIAL WELL CONSTRUCTION RECORD
Ist,41
North Carolina Department of Environment and Natural Resources-Division of Water Quality
., „m° WELL CONTRACTOR CERTIFICATION# 3379 A
1.WELL CONTRACTOR: d. TOP OF CASING IS 3 FT.Above Land Surface*
Jason Chiorazzi `Top of casing terminated at/or below land surface may require
Well Contractor(Individual)Name a variance in accordance with 15A NCAC 2C.0118.
VERCO e. VIEW(gpm): METHOD OF TEST
Well Contractor Company Name f. DISINFECTION:Type Amount
2047 Industrial Blvd.
Street Address g. WATER ZONES(depth):
Lexinaton SC 29072 Top Bottom Top Bottom
City or Town State Tip Code Top Bottom Top Bottom
(803 ) 429-5001 Top Bottom Top Bottom
Area code Phone number
Thickness/
2.WELL INFORMATION: 7. CASING: Depth Diameter Weight Material
WELL CONSTRUCTION PERMIT# Top 0 Bottom 12.5 Ft. 3/4" 40 PVC
OTHER ASSOCIATED PERMIT/Or applicable) Top Bottom FL
SITE WELL ID#(ir applicable)HF-10 Top Bottom Ft.
3.WELL USE(Check One Box)Monitoring 0 Municipal/Public 0 8. GROUT: Depth Material Method
Industrial/Commercial❑ Agricultural 0 Recovery Sllnjection❑ Top..0 Bottom 9.5 FL Portland
Irrigatton❑ Other 0(list use) Top Bottom Ft.
DATE DRILLED 3/7/12 Top Bottom Ft.
4.WELL LOCATION: 9. SCREEN: Depth Diameter Slot Size Material
3029 E. Cornwallis Rd Top 12,5 Bottom 17.5 Ft. 3/4 In. .010 in. PVC
(Street Name,Numbers,Community,SubdNlsfon,Lot No.,Parcel,Zip Code) Top Bottom FL In. in.
CITY: Durham COUNTY Durham Top Bottom FL tn. In.
JTOPOGRAPHIC/LAND SETTING: (check appropriate box)
t Slope ❑Valley ❑Flat ❑Ridge ❑Other 10.SAND/GRAVEL PACK
Depth Size Material
LATITUDE 35 "DMS OR 9180107116 OD Top 11.5 Bottom 17.5 Ft. #2 sand
LONGITUDE 78 "DMS OR 66503546145 DD Top Bottom Ft.
LatitudeRongitude source: i 3PS (2{ropographtc map Top Bottom Ft.
(location of well must be shown on a USGS topo map andatfached to
this fomu if not using GPS) 11.DRILLING LOG
5.FACILITY(Name of the business where the well is located.) Top Bottom Formation Description
GSK 0 /2 Silty Sand
Facility Name Facility ID#(if applicable) 2-/4 Silly Clay
3029 F. Cornwallis Rd 4 /6 Sand
Street Address /
Durham NC 2770c) /
City or Town State Tip Code /
,Jeremy DeVore /
Contact Name I
5B Oak Branch Drive /
Mailing Address /
Greensboro NC 27407 /
City or Town State Zip Code 12.REMARKS:
( 336;9 852-4903
Area code Phone number
6.WELL DETAILS: I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WRH
iSA NCAC 2C,WELL CONSTRUCT i AWARDS,AND THAT A COPY OF THIS
RECORD N PRO YID THE
a. TOTAL DEPTH: 17.5
3/29/12
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO Gi. SIGNA E ED WELL CONTRAC`1 OR DATE
c. WATER LEVEL Below Top of Casing: FT. •
(Use`+°If Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
GW-lb
Submit within 30 days of completion to:Division of Water Quality- Information Processing, Rev.Form R 2/09Og
1617 Mail Service Center,Raleigh,NC 27699-161,Phone:[phone]

0.SrAir
Ih 3 1 1 �'ONRESIDENTIAL WELL CONSTRUCTION RECORD
1�
a' r North Carolina Department of Environment and Natural Resources-Division of Water Quality
.iylt ,- 3379A
•�� „o,° WELL CONTRACTOR CERTIFICATION#
1.WELL CONTRACTOR: d. TOP OF CASING IS 3 FT.Above Land Surfae
Jason Chiorazzi "Top of casing terminated at/or below land surface may require
Well Contractor(Individual)Name a variance in accordance with 15A NCAC 2C.0118.
VERCO e. YIELD(gpm): METHOD OF TEST
Well Contractor Company Name
2047 Industrial Blvd. f. DISINFECTION:Type Amount
Street Address g. WATER ZONES(depth):
Lexinaton SC 29072 Top Bottom Tap Bottom
City or Town State Zip Code Top Bottom Top Bottom.
(803 ) 429-5001 Tap Bottom Top Bottom
Area code Phone number Thickness/
2.WELL INFORMATION: 7. CASING: Depth Diameter Weight Material
WELL CONSTRUCTION PERMIT# Top.0 Bottom 14 Ft. 3/4" 40 PVC
OTHER ASSOCIATED PERMIT#(a applicable) Top Bottom Ft.
SITE WELL ID#(A applicable)H F-11 Top Bottom Ft
3.WELL USE(Check One Box)Monitoring❑ Municipal/Public❑ 8. GROUT: Depth Material Method
Industrial/Commercial❑ Agricultural❑ Recovery fitinjection❑ Top 0 Bottom 11 Ft. Portland
IrrigationO Other❑(list use) Top Bottom Ft
DATE DRILLED 3/7/12 Top Bottom Ft
4.WELL LOCATION: 9. SCREEN: Depth Diameter Slot Size Material
3029 E. Cornwallis Rd Top 14 Bottom 19 Ft,3/4 In. .010 In. PVC
(Street Name,Numbers,Community,Subdivision,Lot No.,Parcel,ZJp Code) Top Bottom FL in. in.
CITY: Durham COUNTY Durham Top Bottom Ft in. in.
TOPOGRAPHIC/LAND SETTING: (check appropriate box)
(jSlope ❑Valley 0 Flat 0 Ridge ID/Other 10.SAND/GRAVEL PACK:
Depth Size Material
LATITUDE 35 "DMS OR 9180107116 CO Top 13 Bottom 19 FL#2 sand
LONGITUDE 78 "DMS OR 06603546141 DD Top Bottom Ft.
Latitude/ongitude source: EPPS pfTopographIc map Top Bottom FL
(location of well must be shown on a USGS topo map andattachedto
this form If not using GPS) 11.DRILLING LOG
5.FACILITY(Name of the business where the well Is located.) Top Bottom Formation Description
GSK 0 / 2 Silty Sand
Facility Name Facility ID#(If applicable) 2 /4 Silty Clay
3029 F Cornwallis Rd 4 /6 Sand
Street Address /
Durham NC 27709 /
City or Town State Zip Code /
Jeremy DeVore /
Contact Name /
513 Oak Branch Drive /
Mailing Address /
Greenshnro NC 27407 /
City or Town State Zip Code 12.REMARKS:
( 336B 852-4903
Area code Phone number
6.WELL DETAILS: I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WIN
16A NCAC WELL CONSTR ON STANDARDS.A*)THAT A COPY OF THIS
RECORD E OWNER.
a. TOTAL DEPTH: 19
3/29/12
b. DOES WELL REPLACE EXISTING WELL? YES D NO ii SIT SITARI E F IED WELL CONTRACTOR DATE
c. WATER LEVEL Below Top of Casing: FT. Jason Chiorazzi
(Use"+-if Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
GW-lb
Submit within 30 days of completion to:Division of Water QualityInformation Processing, Rev.orm /09
Y P - g Rev.2109
1617 Mail Service Center,Raleigh,NC 27699-161,Phone:[phone]

Telephone Record/Log
PERMIT NO. WQ0034465 Renewal App
DATE: 11/8/16
Telephone Record/Log Completed By: Michael Rogers- WQROS
Telephone Call
® Made To: Brian Eichlin s/Golder
[' Received From:
Telephone No.: 336-402-9964
RE: Additional Information Request
COMMENTS/NOTES: Asked Brian for an executive summary of past injections and proposed
injection with all GW-1/30s and proposed construction well schematic.

Rogers, Michael
From: Eichlin, Brian <[e-mail]>
Sent: Wednesday, July 13, 2016 10:50 AM
To: Rogers, Michael
Subject: RE: GSK Permit Renewal WQ0034465
Thank you. Please let me know if you have any questions, need further information or explanations. Thanks again.
From: Rogers, Michael [mailto:[e-mail]]
Sent: Wednesday,July 13, 2016 10:48 AM
To: Eichlin, Brian <[e-mail]>; Lindsey Walata ([e-mail]) <[e-mail]>
Cc: [e-mail]
Subject: RE: GSK Permit Renewal WQ0034465
Here is the acknowledgement letter.
From: Eichlin, Brian [mailto:brian [e-mail]]
Sent: Wednesday,July 13, 2016 9:57 AM
To: Rogers, Michael<[e-mail]>; Lindsey Walata ([e-mail])
<[e-mail]>
Subject: RE: GSK Permit Renewal WQ0034465
Thank you.
From: Rogers, Michael [mailto:[e-mail]]
Sent: Wednesday,July 13, 2016 9:56 AM
To: Eichlin, Brian <brian [e-mail]>; Lindsey Walata ([e-mail])<[e-mail]>
Subject: RE: GSK Permit Renewal WQ0034465
We received the renewal application and Annual Report.
From: Rogers, Michael
Sent: Friday,June 17, 2016 9:10 AM
To: 'Eichlin, Brian' <brian [e-mail]>
Subject: RE:GSK Permit Renewal
Here is the latest.
From: Eichlin, Brian [mailto:brian [e-mail]]
Sent:Thursday, June 16, 2016 3:21 PM
To: Rogers, Michael<[e-mail]>
Subject: GSK Permit Renewal
Michael
We are in the process of finalizing the permit renewal and annual report for the GSK Non-Discharge Groundwater
Remediation Permit in Durham (Permit No. WQ0034465). Last we discussed it you mentioned the form maybe
updated. This is the latest form I could find on the website. Please confirm this is the correct form and address for
submitting the required hard copies.
1

Thank you.
Brian Eichlin, P.E. I Principal I Golder Associates NC, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: [phone] I D: [phone] Ext. 42509 I F: [phone] I C: 336 402-9964 I E:
brian eichlin(agolder.com www.golder.com
Work Safe, Home Safe
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Golder,Golder Associates and the GA globe design are trademarks of Golder Associates Corporation.
Please consider the environment before printing this email. .
•

PAT MCCRORY
Governor
„a
DONALD R. VAN DER VAART
Secretory
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
July 13,2016
Tracy Howe, Site Directions Operator
P.O. Box 13398,Five Moore Drive
Mailcode 54826
Research Triangle Park,NC 27709
RE: Acknowledgement of Application No. WQ0034465
Non-Discharge Groundwater Remediation Permit
Durham County
Dear Tracy:
The Water Quality Regional Operations Section (WQROS) acknowledges receipt of your
permit renewal application and supporting documentation received on June 30, 2016. Your
application package has been assigned the number listed above, and the primary reviewer is
Michael Rogers.
Central and Raleigh Regional Office staff will perform a detailed review of the provided
application, and may contact you with a request for additional information. To ensure maximum
efficiency in processing permit applications, the Water Quality Regional Operations Section
(WQROS) requests your assistance in providing a timely and complete response to any additional
information requests.
Please note that processing standard review permit applications may take as long as 60 to
90 days after receipt of a complete application. If you have any questions,please contact 919-807-
6412 or [e-mail].
Sincerely,
Axitz.e_e
Pw�
dor Debra J. Watts, Supervisor
Animal Feeding Operations&Groundwater
Protection Branch
Division of Water Resources
cc: Raleigh Regional Office, WQROS
Permit File WI0034465
State of North Carolina Environmental Quality Water Resources
1611 Mail service Center Raleigh,North Carolina 2 7699-1 61 1
919 707 9000

WATER QUALITY REGIONAL OPERATIONS SECTION
APPLICATION REVIEW REQUEST FORM
Date: July 13,2016
To: RRO—Danny Smith—Rick Bolich
From: Michael Rogers, WQROS—Animal Feeding Operations and Groundwater Protection Branch
Telephone: [phone] Fax: [phone] E-Mail: [e-mail]
A. Permit Number: WQ0034465
B. Applicant: GSK
C. Facility Name: GSK South Campus. North Complex
D. Application:
Permit Type: Non-Discharge Groundwater Remediation
Project Type: Permit Renewal w/Modification
E. Comments/Other Information:
❑ I would like to accompany you on a site visit.
Attached, you will find all information submitted in support of the above-referenced application for your
review. comment, and/or action. Within 30 calendar days, please return a completed WQROS Staff
Report.
When you receive this request form. please write your name and dates in the spaces below,make a copy of
this sheet, and return it to the appropriate Central Office Groundwater Protection Branch contact person
listed above.
RO-WOROS Reviewer: Date:
COMMENTS:
NOTES: If my schedule will allow, I would like to do on the site inspection,
preferably in the morning.
FORM: WQROS-ARR ver. 092614 Page 1 of 1

= Golder
Associates
June 30, 2016 Project No.: 073-96115
NCDEQ
Division of Water Resources
UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
[phone]
RECEIVED/NCr.-..,7
Attn: Mr. Michael Rogers
JUN 3 0 2016
WR
RE: Non-Discharge Permit Renewal Water QuaIitj, Regional
GlaxoSmithKline, South Campus, North Complex, RTP, NC Operations Section
NCDEQ Groundwater Remediation Permit No. WQ 0034465
RCRA Permit#NCD052547635
Dear Mr. Rogers:
Golder Associates NC, Inc. (Golder), on behalf of GlaxoSmithKline (GSK), is submitting the attached Non-
discharge Permit Renewal Form (Form)to request renewal of the Groundwater Remediation Permit(Permit
No.WQ0034465)for GSK's South Campus, North Complex remediation system. With the renewal GSK is
requesting a minor permit modification to incorporate changes previously approved by NCDEQ in an email
from Michael Rogers of NCDEQ to Brian Eichlin of Golder dated July 22, 2015, as requested in the First
Annual Assessment Report December 2013-March 2015 Reporting Period (Golder Associates, May 15,
2015) (2015 Annual Report) and recommendations presented in the Second Annual Assessment Report
April 2015-March 2016 Reporting Period (Golder Associates, June 2016) (2016 Annual Report). The 2016
Annual Report is provided as a supplement to the Form. The requested permit modification is being
submitted as a minor modification since the proposed changes do not include a change in the areas of
injection, quantities of injection slurry, or the review and compliance boundaries. The following provides a
summary of the remediation system performance and proposed permit modifications as described in the
2016 Annual Report.
1.0 REMEDIATION SYSTEM OVERVIEW
The Permit included approval for installation of six (6) extraction wells and two granular activated carbon
(GAC) treatment systems for the injection of ZVI and soy powder mixed with extracted groundwater at
SWMUs 13 (deep and shallow) and 15/16 in thirty-four (34) Class 5L injection wells to treat chlorinated
Volatile Organic Compounds (c-VOCs). The Permit also included the injection of ZVI mixed with potable
water at AOCs GW-6, AOC GW-6 Strike and AOC W-1 in seven (7) Class 51 injection wells. The current
injection system includes both the Phase I and Phase II injection wells listed in the Permit since on January
24, 2012 GSK submitted documentation that the compliance boundary easement with the neighboring
property owner, required to construct the Phase II system, had been implemented. NCDENR approved the
construction of the Phase II system on January 24, 2012.
Of the 34 permitted Class 5L wells, the Permit Application identified six as contingent injections wells that
were not initially constructed by GSK. As approved in the July 22, 2015 by NCDEQ, one contingent
injection, IW-02, was relocated from its permitted location and constructed during the Year 2 operational
Golder Associates NC,Inc.
5B Oak Branch Drive
Greensboro.NC 27407
Tel: [phone] Fax: [phone] www.golder.com
Golder Associates:Operations in Africa,Asia,Australasia,Europe,North America and South America

Mr. Michael Rogers -2- June 30, 2016
NCDEQ—Division of Water Resources Golder Project No. 073-96115
period, and monitoring well GW-4 was permitted as contingent injection well IW-04. The remaining
contingent Class 5L injection wells(IW-7, IW-9, IW-13 and IW-15)for the SWMU 13 shallow treatment zone
remain unconstructed. The July 22, 2015 email also approved the use of sodium lactate (ABC lactate)as
an additional injectant and the use of monitoring well GW-32S as an additional injection point at AOC GW-
6.
The Permit issued in December 2010 included requirements for the monitoring of fourteen(14)groundwater
wells (compliance monitoring wells) for VOCs, total iron and field parameters quarterly for two years,
followed by semiannual monitoring for the Permit-listed parameters. The March 2016 (Y2Q4) monitoring
event completes the second year of annual monitoring, and, in accordance with the Permit, semiannual
monitoring of compliance monitoring wells can be initiated with the Year 3 operating and monitoring period.
The proposed zero valent iron (NZVI) groundwater remedy design was submitted to NCDENR's DWM as
part of the Phase II PDI and Groundwater and SVE Corrective Measure Design Report(CM Design)(Golder
Associates, February 2009). DWM approved the ZVI remedy as part of corrective measures for the Site.
The CM Design outlined a proposed groundwater monitoring program to evaluate the effectiveness of the
ZVI remedy. The CM Design groundwater monitoring program included quarterly monitoring of 32
groundwater monitoring wells for two years followed by semiannual monitoring for Volatile Organic
Compounds (VOCs).
2.0 SUMMARY OF YEAR 2 OPERATIONS
The following presents a summary of the compliance and remedy performance groundwater monitoring
results as presented in Sections 5.4 and 5.5 of the 2016 Annual Report, respectively.
2.1 AOC GW-6 and AOC GW-6 Strike
Trichloroethylene (TCE) concentrations continued to decline during the Year 2 monitoring period at AOC
GW-6 and AOC GW-6 Strike. At GW-6 TCE concentrations have declined from the baseline monitoring
result for TCE of 47 ug/I to below the NC2L standard of 3 ugh as reported for the Y2Q3 and Y2Q4 monitoring
events. The decline in TCE concentrations can be attributed to the stimulation of anaerobic biodegradation
as a result of the injection of sodium lactate at AOC GW-6, including the first injection at GW-32S as
approved by NCDEQ in the July 22, 2015 email, in December 2015 during the sixth injection event. As a
result of the breakdown of TCE, increases in the presence of degradation compounds cis-1,2-
Dichloroethylene (cis-1,2-DCE) and Vinyl Chloride (VC)were observed in select monitoring wells.
The monitoring results for the Permit compliance monitoring wells at AOC GW-6 and AOC GW-6 Strike for
the reporting period do not indicate migration of injectants or the spread of the existing contamination as a
result of injection activities. As allowed under the Permit, monitoring of compliance monitoring wells for
AOC GW-6 and GW-6 Strike will be reduced to semiannual monitoring during the Year 3 Quarter 2(Y3Q2)
and Year 3 Quarter 4(Y3Q4) monitoring events.
2.2 AOC W-1
TCE concentrations at IW-36 declined during the Year 2 monitoring period from 94 ugh! (Y2Q1)to 7.7 ug/I
(Y2Q4). While concentrations for TCE declined at W-1 from 160 ug/I(Y2Q1)to 130 ug/I (Y2Q4)the decline
in TCE lagged that of the nearby injection well IW-36. While pressure transducers installed during injection
events during Year 2 indicate a hydraulic connection between W-1 and IW-36 during injections, the lag in
treatment results may indicate that W-1 has a greater hydraulic connection via fractures to the upgradient
contamination than IW-36. Corresponding increases in cis-1,2-DCE were reported for IW-36 as a result of
bio-degradation of TCE. While TCE concentrations declined at W-1, concentrations for cis-1,2-DCE at W-
1 were constant during the Year 2 monitoring period.
As presented in the 2015 Annual Report, fluctuating VC concentrations were reported for compliance
monitoring well GW-49I during the Year 1 monitoring period. During the Year 2 monitoring period VC was
reported to be non-detect in compliance monitoring well GW-49I but present in compliance monitoring well

Mr. Michael Rogers -3- June 30, 2016
NCDEQ—Division of Water Resources Golder Project No. 073-96115
GW-40I. Due to the historical presence of VC in monitoring well GW-40I and GW-49I, the AOC W-1
compliance monitoring wells will continue to be monitored quarterly during the Year 3 monitoring period.
If IW-36 achieves NC2L standards prior to W-1, the benefit of injecting nZVI and/or sodium lactate in W-1,
as an alternative to IW-36, should be evaluated during future reporting periods. Injecting at W-1 would
provide greater influence on the fracture flow impacting this location. It is recommended that the permit
renewal incorporate the flexibility for future injections at W-1. W-1 is used to monitoring the remedy
effectiveness under the CM Design monitoring program and is not part of the Permit compliance monitoring
program. If injections are to be performed at W-1, IW-36 can be used to evaluate the performance of the
remedy as a replacement to W-1.
2.3 SWMU 15/16
TCE concentrations continued to decline at SWMU 15/16 area as a result of injections. Breakdown
concentrations of cis-1,2-DCE and VC increased in select wells and declined in other wells as a result of
continued biodegradation of c-VOCs. Based on the available data, the SWMU 15/16 injection well network
is sufficient with continued injections of sodium lactate and ZVI.
2.4 SWMU 13
TCE concentrations at SWMU 13 are declining as a result of the injections. Anaerobic breakdown
concentrations cis-1,2-DCE and VC increased in select wells and declined in other wells as a result of
continued biodegradation of c-VOCs. TCE concentrations in the SWMU 13 shallow injection zone have
declined by an order of magnitude or greater as the result of injections, with the exception of IW-17/BNP-1
where concentrations of TCE rebounded during the March 2016 monitoring event. As discussed below,
IW-17/BNP-1 is connected to the residual contamination underlying the former disposal trenches via a
shallow hydraulic connection not present in other wells downgradient of the former disposal trenches.
Permit modifications are proposed below that will target treatment of this connection via injection and
potential mass removal via groundwater extraction.
Increases in VC for the Year 2 monitoring period compared to the Year 1 monitoring period were observed
in compliance monitoring wells located near SWMU 13, specifically indowngradient shallow compliance
monitoring wells MW-13 and downgradient deep compliance monitoring well GW-301, and side-gradient to
SWMU 13 in deep monitoring well GW-1AD. C-VOCs have historically been detected at each of these
wells as a result of existing contamination at SWMU 13. As described in the 2016 Annual Report these
compliance monitoring wells are showing slight declines in parent compounds TCE(GW-30I, GW-1AD,and
MW-19)andcis-1,2-DCE in select wells (GW-30I and GW-1AD). The corresponding increases in VC are a
result of the biodegradation of TCE and other c-VOCs. Due to the increases in VC, the SWMU 13 and
15/16 compliance monitoring wells will continue to be monitored quarterly during the Year 3 monitoring
period.
Using a packer, shallow zone and deeper zone groundwater samples were collected from IW-17/BNP-1 in
December 2015. TCE concentrations in the shallow zone sample above the packer(97,000 ug/I)were an
order of magnitude greater than the deeper zone sample below the packer. TCE concentrations in the
shallow IW-17/BNP-1 sample were similar to concentrations for a shallow monitoring well, P-5, located
upgradient of IW-17/BNP-1. Concentrations of TCE below the packer are similar to reported concentrations
in IW-16 from the January 2016 groundwater monitoring event, which is consistent with injection influences
observed between the two wells during injection events. Based on these monitoring results, it is believed
that there is a low flow hydraulic connection between P-5, IW-17/BNP-1, and GW-4 in an upper sandstone
that should be targeted for treatment. It is proposed that a shallow injection well (unconstructed contingent
well IW-07) should be installed within this zone at a location up-gradient to IW-17/BNP-1. It is also
recommended that IW-17/BNP-1 be permitted for use as an extraction well to remove c-VOC mass and
supplement the existing extraction wells, if warranted based on future monitoring events.
An SVE system is operated within the former disposal trenches using eleven shallow hydraulically fractured
SVE wells as shown on Figure 9 of the 2016 Annual Report. The SVE wells were constructed in accordance
with a Class 5Z Application Permit to Construct Enhanced Soil Vapor Extraction Wells (Golder Associates,

• Mr. Michael Rogers -4- June 30, 2016
NCDEQ—Division of Water Resources Golder Project No. 073-96115
August 2011) and the approved Injection Permit W10500421 issued by the NCDENR Aquifer Protection
Section, UIC Injection Control Program on September 26, 2011. It is proposed that the Permit be modified
to include an annual injection of sodium lactate be performed in the SVE wells in the late fall to introduce a
carbon source to the residual underlying contamination.
The greatest remaining concentration of TCE in the SWMU 13 deep zone was reported for the Y2Q4
monitoring event at well P-6 (91 ug/I). P-6, located down-gradient of the former disposal trenches, has
shown a decline in TCE concentrations but is lagging other locations including neighboring injection well
IW-08D. IW-08D was reported to have concentrations of TCE below the NC2L standard of 3 ug/I.
The potential benefits of injecting in P-6 to target fractures at this location should be evaluated during future
reporting periods. It is recommended that the permit renewal incorporate the flexibility for future injections
at P-6. P-6 is monitored to evaluate the performance of the remedy and is not part of the Permit compliance
monitoring program. If injections are to be performed at P-6, IW-08D can be used to evaluate the
performance of the remedy as a replacement to P-6.
2.5 Injectants
The current approved injectants (ZVI, sodium lactate and soy powder) are providing effective treatment.
Periodic injections of micro-organisms at select injection wells may be required to enhance the microbial
population.
In addition to biodegradation of c-VOCs, methanogenesis is occurring as shown by the production of
methane gases at a number of locations. Methanogenic reactions produce volatile fatty acids and acetic
acid which can lower groundwater pH. Low groundwater pHs can inhibit micro-organisms that bio-degrade
c-VOCs.'s. In the event groundwater pH's decline, it is recommended that the permit be modified to allow
the addition of sodium bicarbonate to buffer the pH effects of methanogenesis.
Benzene concentrations for SWMU 13 throughout the reporting period remained stable at a number of well
locations. While some biodegradation of benzene is occurring as part of the reductive de-chlorination
processes, benzene is typically treated using aerobic biological processes. Polishing for benzene will likely
be required following the completion of long term treatment for c-VOCs. It is recommended that the permit
be modified to allow for the future injection of activated persulfate to treat benzene. The benefit of using
persulfate is that a byproduct of the initial abiotic reaction (benzene oxidation) is sulfate, which can then be
utilized as an electron acceptor by indigenous microbes capable of coupling sulfate reduction to benzene
oxidation.
3.0 PROPOSED PERMIT CHANGES
The Permit includes four unconstructed contingent injection wells (IW-7, IW-9, IW-13 and IW-15) for the
SWMU 13 shallow treatment zone. As presented on Figure 9 and described in the 2016 Annual Report,
the following modifications to the permitted injection points at SWMU 13 are requested with the permit
renewal:
1) Relocation of contingent injection well IW-07 to a location up-gradient of IW-17/BNP-1) Injection
IW-07 will be constructed as detailed in the Permit Application and connected to he shallow
injection well overflow header;
2) Annual injections into the existing eleven shallow hydraulically fractured SVE wells as shown on
Figure 9. An injection event record, which included all fracture data and well construction records,
was submitted to the NCDENR Underground Injection Control (UIC) Program on behalf of Golder
on June 25, 2012 and is included in Appendix I. Since the wells were completed using direct push
technology, the injections in the SVE wells will be performed by gravity using procedures typically
used with temporary well injection points. The injection into the SVE wells will replace contingent
injection well IW-15 and as presented on revised Table S-1 from the Permit Application included in

• Mr. Michael Rogers -5- June 30, 2016
NCDEQ—Division of Water Resources Golder Project No. 073-96115
Appendix I, the injection quantities to the SVE wells will not exceed the permitted quantities for
contingent injection well IW-15; and,
3) To provide flexibility it is requested that P-6 be included as an optional injection location for
injections currently performed in IW-08D. Since injections would be performed in either IW-
08D or P-6, as presented on revised Table S-1 from the Permit Application included in
Appendix I, the total quantity of injected material would not exceed that permitted for IW-08D.
As presented on revised Table S-1 from the Permit Application included in Appendix I of the Report, with
reductions to injection quantities for wells with low concentrations of c-VOCs (i.e. IW-01 and IW-03) the
injection quantities for SWMU 13 will not change with this additional injection points. As presented on
Figure 9, all proposed injection points for SWMU 13(relocated IW-07, P-6 and hydraulically fractured SVE
wells) are within the permitted Target Injection Zone for use of extracted and treated groundwater. Since
the area of injections is not changing, there are no proposed changes to the review and compliance
boundary presented in the Permit Application or the permit monitoring program. As described above the
SWMU 13 and 15/16 compliance monitoring wells will continue to be monitored quarterly during the Year
3 monitoring period.
It is proposed that IW-17/BNP-1 be permitted as a contingent extraction well EW-5. The VOC
concentrations at IW-17/BNP-1 are similar to the design concentrations for the granular activated treatment
system for SWMU-13. The existing treatment system will provide sufficient treatment for groundwater
extracted from IW-17/BNP-1 (future extraction well EW-5)should it be converted to an extraction well. The
total extraction volume from the SWMU 13 shallow extraction wells (EW-1, EW-2, EW-3 and proposed
contingent extraction well EW-5) will not increase since as discussed above the total quantity of injection
slurry for future injections will not change. With the addition of contingent extraction well EW-5 the permit
limit of 9,999 gpd of extracted groundwater will not change. The extraction system for EW-5 will be
constructed as presented in the permit application for extraction wells EW-1 through EW-3 including
dedicated totalizers, sampling points and automated shutdown controls.
At AOC W-1, to provide flexibility it is requested that W-1 be included as an optional injection location for
injections currently performed in IW-36. Since injections would be performed in either IW-36 or W-1, as
presented on revised Table S-1 from the Permit Application included in Appendix I, the total quantity of
material injected would not exceed that permitted for IW-36.
It is requested that sodium bicarbonate and persulfate be included as injectants in the Permit. Sodium
bicarbonate would be added to the injection slurry to buffer the groundwater in the vicinity of select injection
wells to a target pH of 6.5. The volume of persulfate to be added will be determined analytically by testing
a sample for the oxidant demand (sum of contaminant oxidant demand and natural oxidant demand of
aquifer). Alkaline activated persulfate will be injected at a 10-20% by weight concentration. In addition, as
previously approved by NCDEQ in an email dated July 22, 2015, it is requested that sodium lactate (ABC
Lactate) and RTB-1 (TCA-20) bacteria be added to the permit listed injectants. Persulfate, sodium
bicarbonate, sodium lactate (ABC lactate) and RTB-1 (TCA-20) bacteria are all included on the list of
NCDEQ approved injectants.for in situ remediation systems.
GSK also requests that the Permit language be revised to include the use of GW-32S at AOC GW-6 as an
injection well as approved by NCDEQ with the July 22, 2015 email. Modification of the Permit to include
IW-02 and IW-04(GW-4) is not required since they are listed as injection wells in the existing Permit.
4.0 CLOSING
Should you have any questions or comments regarding the Permit Application or require additional
information, please do not hesitate to contact Lindsey Walata of GSK at(919)483-4640 or Brian Eichlin at
[phone].

0.4 eigo/fio
North Carolina Department of Environmental Quality-Division of Water Resources(DWR)
Non-Discharge Groundwater Remediation Permit Application Form
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED UNLESS ALL APPLICABLE ITEMS ARE INCLUDED
APPLICATION INFORMATION
Application Date: 6/30/2016
Application Type: Renewal (with modification)
*New Projects- DWR to assign application #
**Renewals/Modifications-Enter Permit# WQ0034465
Fee Submitted: (refer to fee schedule at Choose an item.(no fee for minor modification
http://deq.nc.gov/about/divisions/water- or renewal)
resou rces/water-resources-permits/wastewater-
bra nch/grou nd-water-protection/grou ndwater-
remediation )
*For New Projects: complete this page, signature page, and supply all attachments.
**For Renewals: complete this page and signature page.
**For Modifications: complete this page, signature page, and supply relevant attachments.
Applicant's Name (specify the name of the GlaxoSmithKline
municipality, corporation, individual, etc.):
Owner or Signing Official's Name and Title Tracy Vincent Howe, Site Directions Operator
(person legally responsible for the facility
and its compliance):
Mailing Address: P.O. Box 13398, Five Moore Drive, Mailcode 54826
Telephone Number: [phone]
Email Address: [e-mail]
Facility Name (name of the project site; be GlaxoSmithKline, South Campus, North Complex
consistent throughout application package):
Physical Address: 3030 Cornwallis Road
County: Durham ..)-3-7191
Geographic Coordinates: 35.912064; -78.865933
Contact Person (who can answer questions Lindsey Walata, GlaxoSmithKline
about application):
Telephone Number: [phone]
Email Address: [e-mail]
Non-Discharge GW Remediation Application Rev.3-1-2016 Page 1

ATTACHMENTS
The following shall be included as separate attachments to this application form. Failure to
include the following information as part of the application package will result in the
application package being returned as incomplete.
A. Site Description and Incident Information. As specified in 15A NCAC 02T .1604(a), the
applicant must briefly describe the site, noting pertinent site information including:
(1) Contaminant(s) of concern,
(2) Source(s) and date(s) of the contaminant release,
(3) Remedial actions to date,
(4) Current land use,
(5) Potential receptors, and
(6) Incident number and name of oversight agency.
B. Soils Evaluation. As specified in 15A NCAC 02T .1604(b), for systems with proposed
discharge within seven feet of land surface and above the seasonal high water table, a soil
evaluation of the disposal site shall be provided to the Division by the applicant. If required by
G.S. 89F, a soil scientist shall submit this evaluation. This evaluation shall be presented in a
report that includes the following components:
(1) Field description of soil profile. Based on examinations of excavation pits or
auger borings, the following parameters shall be described by individual
diagnostic horizons to a depth of seven feet below land surface or to bedrock:
(A) Thickness of the horizon;
(B) Texture;
(C) Color and other diagnostic features;
(D) Structure;
(E) Internal drainage;
(F) Depth, thickness, and type of restrictive horizon(s);
(G) pH;
(H) Cation exchange capacity; and
(I) Presence or absence and depth of evidence of any seasonal high water
table.
(2) Recommendations concerning annual and instantaneous loading rates of
liquids, solids, other wastewater constituents and amendments. Annual
hydraulic loading rates shall be based on in-situ measurement of saturated
hydraulic conductivity in the most restrictive horizon.
Non-Discharge GW Remediation Application Rev.3-1-2016 Page 2

C. Hydrogeologic Evaluation. As specified in 15A NCAC 02T .1604(c), a hydrogeologic
evaluation of the disposal site shall be provided to the Division by the applicant. This
evaluation shall be conducted to a depth that includes the depth of existing contamination and
the total depth of the injection well(s) or infiltration gallery(ies). This evaluation shall be based
on borings for which the numbers, locations, and depths are sufficient to define the
components of the hydrogeologic evaluation. In addition to borings, other techniques may be
used to investigate the subsurface conditions at the site. These techniques may include
geophysical well logs, surface geophysical surveys, and tracer studies. This evaluation shall be
presented in a report that includes the following components:
(1) A description of the regional and local geology and hydrogeology;
(2) A description, based on field observations of the site, of the site topographic
setting, streams, springs and other groundwater discharge features, drainage
features, existing and abandoned wells, rock outcrops, and other features that
may affect the movement of the contaminant plume and treated wastewater;
(3) Changes in lithology underlying the site;
(4) Depth to bedrock and occurrence of any rock outcrops;
(5) The hydraulic conductivity,transmissivity, and storativity (specific yield if
unconfined aquifer) of the affected aquifer(s);
(6) Depth to the seasonal high water table;
(7) A discussion of the relationship between the affected aquifers of the site to
local and regional geologic and hydrogeologic features; and
(8) A discussion of the groundwater flow regime of the site focusing on the
relationship of the plume and remediation system to groundwater receptors,
groundwater discharge features, and groundwater flow media.
D. Demonstration of Hydraulic Control. As specified in 15A NCAC 02T .1604(d), computer
modeling or predictive calculations based on site-specific conditions shall be provided to the
Division by the applicant to demonstrate that operation of the system will not cause or
contribute to:
(1) The migration of contaminants into previously uncontaminated areas, and
(2) A violation of the groundwater standards specified in 15A NCAC 02L .0202 at
the compliance boundary as described in 15A NCAC 02L .0107.
Non-Discharge GW Remediation Application Rev.3-1-2016 Page 3

E. Maps and Cross-Sections. As specified in 15A NCAC 02T .1604(e), site plans or maps shall be
provided to the Division by the applicant depicting the location, orientation, and relationship of
facility components including:
(1) A scaled map of the site, with site-specific topographic contour intervals and
showing all facility-related structures and fences within the treatment, storage
and disposal areas;
(2) Locations of all test auger borings or inspection pits;
(3) The location of all wells (including usage and construction details if available),
designated wellhead protection areas, streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, other surface drainage features, and any other
site activities or features that may involve possible exposure to contamination
within 500 feet of all waste treatment, storage, and disposal sites;
(4) Setbacks specified in 15A NCAC 02T .1606;
(5) Delineation of property boundaries, review boundaries, and compliance
boundaries;
(6) The horizontal and vertical extent of the contaminant plume for each of the
contaminants of concern, including isoconcentration lines and plume cross-
sections;
(7) Cross-sections depicting soil and rock layers and features to a depth including
the depth of existing contamination and the total depth of the injection wells or
infiltration galleries; and
(8) Hydrologic features such as potentiometric surface/water table contours and
the direction of groundwater flow.
F. Engineering Design Documents. As specified in 15A NCAC 02T.1604(f), the following
documents shall be provided to the Division by the applicant:
(1) Engineering plans for the entire system, including treatment, storage,
application, and disposal facilities and equipment except those previously
permitted unless they are directly tied into the new units or are critical to the
understanding of the complete process;
(2) Specifications describing materials to be used, methods of construction, and
means for ensuring quality and integrity of the finished product; and
(3) Plans that include construction details of recovery, injection, and monitoring
wells and infiltration galleries.
NOTE: Recovery and monitoring wells shall be constructed in accordance with
the requirements of 15A NCAC 02C .0108. Injection wells shall be constructed
in accordance with the requirements of 15A NCAC 02C .0225(g).
Non-Discharge GW Remediation Application Rev.3-1-2016 Page 4

G. Operating and Monitoring Plans. As specified in 15A NCAC 02T.1604(g), an operation and
monitoring plan shall be provided to the Division by the applicant. These documents shall be
specific to the site and include:
(1) The operating plan shall include:
(A) The operating schedule including any periodic shut-down times,
(B) Required maintenance activities for all structural and mechanical
elements,
(C) All consumable and waste materials with their intended source and
disposal locations,
(D) Restrictions on access to the site and equipment, and
(E) Provisions to ensure the quality of the treated effluent and hydraulic
control of the system at all times when any portion of the system ceases
to function.
(2) If injection wells are to be used then the operating plan shall also include:
(A) The proposed average and maximum daily rate and quantity of injectant;
(B) The average maximum injection pressure expressed in units of pounds per
square inch (psi); and
(C) The total or estimated total volume to be injected.
(3) The monitoring plan shall be prepared in accordance with 15A NCAC 02T .1607
and include:
(A) The monitoring well(s)that will be sampled,
(B) The constituent(s) for which those samples will be analyzed, and
(C) The schedule for sampling.
H. In Situ Remediation Additives. The following shall be provided to the Division by the
applicant if the remediation system includes additives to promote remediation in situ:
NOTE: Approved injectants can be found online http://deq.nc.gov/about/divisions/water-resources/water-
resources-permits/wastewater-branch/qround-water-protection/ground-water-approved-iniectants.All other
substances must be reviewed by the Division of Public Health, Department of Health and Human Services as
required by 15A NCAC 02C.0225(a). Contact the UIC Program for more information(Ph#919-807-6464).
(1) MSDS,concentration at the point of injection,and percentage if present in a mixture with
other injectants;
(2) A description of the rationale for selecting the injectants and concentrations proposed for
injection,including an explanation or calculations of how the proposed injectant volumes
and concentrations were determined;
(3) A description of the reactions between the injectants and the contaminants present
including specific breakdown products or intermediate compounds that may be formed
by the injection;
(4) A summary of results if modeling or testing was performed to investigate the injectant's
potential or susceptibility for biological, chemical, or physical change in the subsurface;
and
(5) An evaluation concerning the development of byproducts of the injection process,
including increases in the concentrations of naturally occurring substances. Such an
evaluation shall include the identification of the specific byproducts of the injection
process, projected concentrations of byproducts, and areas of migration as determined
through modeling or other predictive calculations.
Non-Discharge GW Remediation Application Rev.3-1-2016 Page 5

Professional Engineer's Certification:
Name&Lic.No. of Professional Engineer: Brian J. Eichlin
Name of Engineering Firm: Golder Associates NC,Inc.
Mailing Address: 5-B Oak Branch Drive
City: Greensboro State: North Carolina Zip: 27407
Telephone Number: [phone] Fax Number: [phone]
Email Address: [e-mail]
I /3 r ice ( c - l,/u s attest that this application for
GlaxoSmithKline, South Campus, North Complex has been reviewed by me and is accurate and
complete to the best of my knowledge. I further attest that to the best of my knowledge the proposed
design has been prepared in accordance with the applicable regulations. Although certain portions of
this submittal package may have been developed by other professionals,inclusion of these materials
under my signature and seal signifies that I have reviewed this material and have judged it to be
consistent with the proposed design.
North Carolina Professional Engineer's Seal, Signature, and Date.2._
�/ f 3012 v
49VC
p
PE 6 31/A
Applicant's Certification(signing authority must be in compliance with 15A NCAC 2T.0106(b)
and(c)):
I, i\C @�� -erJ@ , attest that this application for
GlaxoSmithKline, South Campus, North Complex has been reviewed by me and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information and attachments are not included,this
application package will be return to as incomplete. \
Signature and Title: Date: (,e 2-2(�
SEND TWO COPIES OF THE COMPLETE APPLICATION PACKAGE,INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS,TO THE FOLLOWING ADDRESS:
DIVISION OF WATER RESOURCES—UIC PROGRAM
1636 MAIL SERVICE CENTER
RALEIGH,NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
Non-Discharge GW Remediation Application Rev.3-1-2016 Page 6

) O \ O p/ 2Ms1
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
GROUNDWATER REMEDIATION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended,
and other applicable Laws, Rules,and Regulations
PERMISSION IS HEREBY GRANTED TO
GlaxoSmithKline
Durham County
FOR THE
construction and operation of a 9,999 GPD (maximum average monthly groundwater extraction rate) groundwater
remediation facility consisting of 6 extraction wells; overflow sumps; transfer pumps; underground conveyance
piping; high water alarms; two stationary skid-mounted treatment systems that include bag filters and liquid phase
activated granular carbon filters; one or more 400-gallon portable holding tank(s); a 7,000-gallon above-ground
double walled holding tank; one or more 250-gallon mixing tank(s) for adding nano-scale zero-valent iron (nZVI)
with palladium coatings (< 1 percent weight/weight), soy powder (10 percent to 20 percent; volumetric
percentage), and sodium metabisulfite (as needed to neutralize chlorine if potable water is used); up to 41
permanent injection wells; injection points; and all associated piping, sampling ports, and appurtenances, along
with compliance monitor wells, as described and detailed in the permit application dated October 2009 and to the
revisions dated December 9, 2009, July 30, 2010, August 31, 2010, and October 18, 2010 by the Division of
Water Quality to remediate Volatile Organic Compounds (VOCs), with no discharge of extracted groundwater or
treatment-related residuals to the surface waters,and in conformity with the project plan, specifications, and other
supporting data subsequently filed and approved by the Division and considered a part of this permit. This permit
allows a second phase of remedial activity that is contingent upon an easement granted to the Permittee by a
neighboring landowner that will result in a re-location of the Compliance Boundary and Review Boundary into
the neighboring property as shown in the attached figures.
This permit shall be effective from the date of issuance until December 31, 2016 and shall be subject to
the following specified conditions and limitations:
I. PERFORMANCE STANDARDS
1. Upon completion of construction and prior to operation of this permitted facility, a certification (see
attached form) must be received from a professional engineer certifying that the permitted facility has
been installed in accordance with this permit, the approved plans and specifications, and other supporting
materials including the location of all monitoring wells as applicable. Mail the Certification to: Aquifer
Protection Section, Groundwater Protection Unit, 1636 Mail Service Center, Raleigh, NC 27699-
1636.
WQ0034465 GlaxoSmithKline

2. The Raleigh Regional Office,telephone number(919) 791-4200, shall be notified at least forty-eight(48)
hours in advance of operation of the installed facilities, including the initiation of injection operations, so
that an in-place inspection can be made. Such notification to the regional supervisor shall be made during
the normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State
Holidays.
3. The treated water discharged into the injection wells must not cause a violation of Class GA Groundwater
Quality Standards for any constituent of the injectant slurry beyond the Compliance Boundary, nor cause
the migration of the contamination into unaffected areas. If the treatment system fails to consistently
achieve this standard, additional treatment units or changes in operational needs may be required.
4. This permit shall become voidable if the soils fail to adequately assimilate the remaining wastes, and may
be rescinded unless the facilities/wells are installed, maintained, and operated in a manner which will
protect the assigned water quality standards of the surface and groundwaters. In the event that the facility
or the injection wells fail to perform satisfactorily, or the injection zone fails to adequately assimilate the
injected fluid,the Permittee shall take immediate corrective actions, including the repair, modification, or
abandonment of the facility/wells, as required by the Division of Water Quality. The Permittee may be
required to reduce or eliminate the permitted activity to protect the assigned water quality standards of
surface and groundwaters.
5. The injection facility shall be effectively maintained and operated at all times so that there is no migration
of contaminated groundwater into previously unaffected areas which will render it unsatisfactory for
normal use.
6. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface or
groundwaters resulting from the operation of this facility.
7. Any residuals generated from these treatment facilities must be disposed in accordance with General
Statute 143-215.1 and in a manner approved by the Division.
8. Diversion or bypassing of the untreated groundwater from the treatment facilities is prohibited unless the
groundwater meets the criteria established in Condition I.3.
9. The Permittee may use potable water obtained from a public water supply system for injection water into
the injection wells remediating Areas AOC W-1 and AOC GW-6.
10. Extracted ground water that is treated and subsequently re-introduced into the groundwater environment
will only be injected into the groundwater impact area from which it was extracted.
II. FACILITY OPERATION AND MAINTENANCE REQUIREMENTS
1. The facilities shall be properly maintained and operated as a non-discharge system to prevent the
discharge of any wastewater resulting from the operation of this facility. The groundwater recovery,
treatment and disposal system shall be inspected after the completion of each round of injection (before
the next round begins). If it is determined that the system is malfunctioning or leading to the release of
wastes to the environment, a threat to human health, or a nuisance, all repairs should be made as soon as
possible and reported to the Raleigh Regional Office (see Section VI. NONCOMPLIANCE
NOTIFICATION). All components of the groundwater recovery,treatment,and disposal system shall be
properly weatherproofed to prevent freezing and failure of the system.
2. Upon classification of the wastewater treatment and remediation facilities by the Water Pollution Control
System Operators Certification Commission (WPCSOCC), the Permittee shall designate and employ a
certified operator to be in responsible charge (ORC) and one or more certified operator(s) to be back-up
ORC(s) of the facilities in accordance with 15A NCAC 8G .0201. The ORC shall visit the facilities in
accordance with 15A NCAC 8G .0204 or as specified in this permit and shall comply with all other
conditions specified in these rules.
WQ0034465 GlaxoSmithKline Page 2 of 12

3. If requested by the owner, the Division will consider remote monitoring in lieu of(frequency) physical
inspections, on a case-by-case basis, following at least two years of successful operation.
4. The Permittee shall maintain an inspection log or summary including at least the date and time of
inspection, observations made, and any maintenance, repairs, or corrective actions taken by the Permittee.
This log of inspections, or an annual facility report, shall be maintained by the Permittee for a period of
three years from the date of the inspection and shall be made available to the Division or other permitting
authority,upon request.
5. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property,premises or place on or related to the disposal site or facility at
any reasonable time for the purpose of determining compliance with this permit (including inspection,
observation, and sampling associated with injection and any related facilities as provided for in N.C.G.S.
87-90), may inspect or copy any records or annual facility report that must be maintained under the terms
and conditions of this permit, and may obtain samples of groundwater, surface water, injection fluids, or
leachate.
III.WELL CONSTRUCTION/ABANDONMENT CRITERIA AND CHANGE OF INJECTION WELL
STATUS
1. Prior to beginning remediation operations of the Phase I system,up to eight (8)new monitor well(s) shall
be installed to monitor groundwater quality. One additional new monitor well shall be installed prior to
Phase II. These nine monitor wells are summarized in the following chart:
Phase Area of Concern or Monitoring Wells Injectant
Groundwater Impact
AOC W-1 MW-9, GW-401 Potable Water
I AOC GW-6 MW-10*, MW-1 1 Potable Water
I SWMU 13 GW-1A-D**, IW-18, Treated Water or
IW-1 8D Potable Water
SWMU 15 & 16 MW-12 Treated Water or
Potable Water
Prior to Phase II SWMU 13 MW-13 Treated Water or
Potable Water
*Also monitors SWMU 13 and SWMU 15 & 16 Areas
**Also monitors SWMU 15 & 16 Areas
The well(s) shall be constructed such that the water level in the well is never below the screened (open)
portion of the well at any time during the year. The screened (open)portion of the well(s)shall be located
at a depth appropriate to detect the treated waste or plume migration. The general location and name for
each well is marked on Figures 2, 3, 4, and 5. Each monitoring well shall be constructed in accordance
with this permit and as approved by the Raleigh Regional Office.
WQ0034465 GlaxoSmithKlinc Page 3 of 12

•
2. The construction and operation of Type 51 injection wells that meet the definition of such wells, as stated
in Title 15A North Carolina Administrative Code 2C .0209(e)(3XC), shall meet the requirements for
construction and operation listed under Title 15A North Carolina Administrative Code 2C .0213,
"Additional Criteria and Standards Applicable to Class 5 Wells". An abandonment of any Type 51
injection well shall be performed in accordance with the procedures and conditions listed under Title 15A
North Carolina Administrative Code 2C .0214, "Abandonment and Change of Status of Wells".
3. Prior to beginning remediation operation of the Phase I system, six(6)recovery wells shall be installed to
extract impacted ground water.These are summarized in the following chart:
Phase Area of Concern or Extraction Wells Injectant
Groundwater Impact _
I SWMU 13 EW-1,EW-2,EW-3, Treated Water or
EW-4 Potable Water
I SWMU 15 & 16 EW-5, EW-6 Treated Water or
Potable Water
The wells shall be constructed of 6-inch Schedule 40 PVC casing, and the open hole portion of each
recovery well shall be located in a range from eleven feet(top)to seventy-seven feet(bottom)below land
surface.
4. The injection wells and their respective activity phases are summarized in the following chart:
Phase(s) Area of Concern or Injection Wells Injectant
Groundwater Impact
I&II AOC W-I IW-36 Potable Water
I& II AOC GW-6 IW-30, IW-31, IW-32, Potable Water
IW-33, IW-34, IW-35
I & II SWMU 15 & 16 IW-22, IW-23, IW-25, Treated Water or
IW-26, IW-27, IW-28, Potable Water
IW-29
I &II SWMU 13 BR-I, BR-2, BR-3, IW- Treated Water or
1, IW-2, IW-3, IW-3D, Potable Water
IW-4, IW-5, IW-6, IW-
6D, IW-7, IW-8, 1W-
8D, IW-14, IW-14D,
IW-15
II SWMU 13 IW-9, IW-10, IW-10D, Treated Water or
IW-11, lW-12, IW-12D, Potable Water
IW-13, IW-16 IW-17,
1W-18
NOTE: Those wells that are to inject "potable water" are 51 injection wells. Those wells that are to inject
"treated water" are 5L injection wells that will inject a nZVI remediation slurry mixed with extracted
ground water that has been treated.
WQ0034465 GlaxoSmithKline Page 4 of 12

•
The injection wells shall be constructed of 6-inch to 8-inch Schedule 40 PVC casing, and the open portion
or screened interval of each injection well shall be located in a range from eleven feet(top)to ninety-eight
(bottom) below land surface. For Phase II operations, IW-18 will be converted from a monitoring well to
an injection well. Prior to operation of the groundwater remediation system, the Permittee shall
demonstrate, by either engineering calculations, testing and/or manufacturer material strength
specifications, the pressure capability and the mechanical integrity of the injection delivery systems to the
satisfaction of the Aquifer Protection Section,as per 15A NCAC 2C .0207(b).
5. Volumes injected at each injection well shall be measured. During injections,the injection wellhead shall
be equipped to measure the injection pressure above and below the temporary packer to monitor the
mechanical integrity of the injection well system(s). Prior to the operation of any individual injection
well, the Permittee shall demonstrate, by either engineering calculations, testing and/or manufacturer
material strength specifications, the pressure capability of that injection well to withstand the hydraulic
pressure applications of the injection delivery system to the satisfaction of the Aquifer Protection Section,
as per 15A NCAC 2C .0207(b).
6. This permit is valid only for the construction of the number of injection wells described in the application
and other supporting data. Construction of additional injection wells must be approved in advance by the
Aquifer Protection Section. Each injection well shall be constructed in such a manner as to not
hydraulically connect separate aquifers, and in such a manner that water from the land surface cannot
vertically migrate to the gravel pack or well screen. All injection wells shall have a permanently-affixed
identification plate and shall be afforded reasonable protection against damage during site construction
and use activities. Each injection well shall be secured to reasonably insure against unauthorized access
and use with a locking cap,and permanently labeled with a warning that it is for injection purposes.
7. Pursuant to rule 15A NCAC 2C .0211(h), injection may not commence until construction of the injection
wells is completed, the Permittee has submitted notice of completion of construction to the Raleigh
Regional Office, and the regional office staff has inspected or otherwise reviewed the injection well and
finds it in compliance with the permit. If the Permittee has not received notice from the Raleigh Regional
Office of the intent to inspect or otherwise review the injection well within 10 days after the regional
office has received the notice,the Permittee may commence operation of the injection wells.
8. All wells constructed must be installed by either a North Carolina Certified Well Contractor,the property
owner, or the property lessee according to General Statutes 87-98.4(b)(2). If the construction is not
performed by a certified well contractor, the property owner or lessee, provided they are a natural person,
must physically perform the actual well construction activities.All well(s)must be constructed according
to the North Carolina Well Construction Standards(15A NCAC 2C .0108)and any local county rules.
9. The Raleigh Regional Office, telephone number(919)791-4200, shall be notified at least forty-eight(48)
hours prior to the construction of any monitor well or injection well so that an inspection can be made of
the well location. Such notification to the regional groundwater supervisor shall be made during the
normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding state holidays.
10. Within sixty(60)days of completion of any single well installation,or within sixty(60)days of the
completion of the last well when installing multiple wells,the Permittee shall submit two(2)original
copies of a scaled site map(scale no greater than 1"=100'). The map(s)must include the following
information:
a. The location and identity of each well (recovery, monitoring, injection, water supply, etc.).
b. The location of major components of the waste disposal system.
c. The location of property boundaries within 500 feet of the disposal area(s).
d. The latitude and longitude of the established horizontal control monument.
e. The elevation of the top of the well casing (which shall be known as the "measuring point") relative
to a common datum.
f. The depth of water below the measuring point at the time the measuring point is established.
W00034465 GlaxoSmithKline Page 5 of 12

g. The location of Review and Compliance boundaries.
h. The date the map is prepared and/or revised.
Control monuments shall be installed in such a manner and made of such materials that the monument
will not be destroyed due to activities that may take place on the property. Maps and any supporting
documentation shall be sent to the following addresses: Aquifer Protection Section
Groundwater Protection Unit
1636 Mail Service Center
Raleigh,NC 27699-1636
Raleigh Regional Office
Aquifer Protection Section
3800 Barrett Drive
Raleigh,NC 27609
The Permittee is responsible for the geographic accuracy of any map submitted,however produced
11. For injection wells, when operations have ceased at the facility/well and an injection well will no longer
be used for any purpose,the Permittee shall abandon that injection well in accordance with the procedures
specified in 15A NCAC 2C .0214.
For monitor wells and extraction wells,when any such well is no longer used for any purpose,the
Permittee shall abandon that well in accordance with the procedures specified in 15A NCAC 2C .0113(d).
The Permittee shall submit a Well Abandonment Record(Form GW-30)as specified in 15A NCAC 2C
.0213(h)(1)and .0114(b)(I &2) for any abandoned injection well, monitor well,or extraction well within
30 days of completion of abandonment to the following address:
Aquifer Protection Section
DENR-Division of Water Quality
1636 Service Center
Raleigh,NC 27699-1636.
12. Within fifteen days of any change of status of an injection well,the Permittee shall provide written
notification to the Division. Such a change would include the discontinued use of a well for injection, or
the conversion of an injection well into a monitoring well. If a well is taken completely out of service
temporarily,the Permittee must install a sanitary seal. If a well is not to be used for any purpose,that well
must be permanently abandoned according to15A NCAC 2C .0114. The written notification shall be
submitted to the following address:
Aquifer Protection Section
DENR—Division of Water Quality
1636 Mail Service Center
Raleigh,NC 27699-1636
WQ0034465 GlaxoSmithKline Page 6 of 12

IV.MONITORING REQUIREMENTS
1. The monitor wells in the following chart will be monitored to detect the potential migration of injectant,
or of existing contamination, into undesired areas during the phases indicated.
Phase(s) Area of Concern or Monitor Wells Injectant
Groundwater Impact
I SWMU 13, 15 & 16 IW-18*, 1W-18D* Treated Water or
Potable Water
I& II SWMU 13, 15 & 16 GW-1A,GW-1A-D, Treated Water or
GW-18S, MW-10, Potable Water
MW-12
I& II AOC W-1 GW-40I, GW-49I, Potable Water
MW-9
I& II AOC GW-6 GW-7, GW-8, MW-11 Potable Water
*Injection Wells IW-18 and IW-18D will be used for injection during Phase II.
Each of these wells shall be sampled initially after construction(if newly installed)and prior to injection
operations, and subsequently monitored a minimum of once every quarter for two years,and
semiannually thereafter for the parameters listed below.
Total Iron Ferrous Iron ORP(field) pH (field)
(field)
Specific Conductivity Temperature Turbidity(field) RCRA Appendix IX Volatile
(field) (field) Organic Compounds
2. For Phase II only,to monitor the potential migration of injectant associated with Groundwater Impact
Areas SWMU-13, 15 & 16 into undesired areas and/or the potential spread of existing contamination by
injection activities,monitor well(s)GW-30S, GW-30I, and MW-13 shall be sampled initially after
construction(if newly installed)and prior to injection operations,and thereafter a minimum of once every
quarter for the parameters listed below:
Total Iron Ferrous Iron ORP(field) pH(field)
(field)
Specific Conductivity Temperature Turbidity(field) Dissolved Oxygen (field)
(field) (field)
RCRA Appendix IX
Volatile Organic
Compounds
WQ0034465 GlaxoSmithKline Page 7 of 12

•
3. For Phases I and II,to monitor the concentration of contaminants in the extracted groundwater and the
effectiveness of the treatment system,the influent from recovery(extraction)wells EW-1,EW-2, EW-3,
EW-4, EW-5, and EW-6 and the effluent from the treatment system shall be sampled immediately after
the system becomes operational, and a minimum of once every quarter year for the parameters specified
below:
RCRA Appendix IX Volatile Organic Compounds
4. Prior to sampling the parameters,the measurement of water levels must be taken. The depth to water in
each well shall be measured from the surveyed point on the top of the casing. The measuring points(top
of well casing)of all monitoring wells shall be surveyed relative to a common datum.
5. For the analysis of Volatile Organic Compounds(VOCs), use Standard Method 6200B or EPA Method
8260B.
6. Any laboratory selected to analyze parameters must be Division of Water Quality certified for those
parameters required.
7. Any additional groundwater quality monitoring, as deemed necessary by the Division, shall be provided.
V. REPORTING REQUIREMENTS
1. Two(2)copies of the following forms shall be mailed to the address below:
a. GW-1 Well Construction Record
b. GW-30 Well Abandonment Record
Mail these documents to the following addresses: Division of Water Quality
Information Processing Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Aquifer Protection Section
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
Updated blank forms(GW-1, GW-30)may be downloaded from the Division of Water Quality website at
http://h2o.enr.state.nc.us/or requested from the address mentioned above.
2. The Permittee shall retain records of all monitoring information, including calibration and maintenance
records, continuous monitoring data and reports required by this permit, for at least 3 years from the date
of the sample measurement, report or application. Records of this monitoring information shall include,
but not be limited to,the following:
a. the date,exact place,and time of sampling or measurements,
b. the individual who performed the sampling or measurements,
c. the date the analyses were performed,
d. the analytical techniques or methods used, and
e. the results of such sampling, measurements,and analyses.
WQ0034465 GlaxoSmithKlinc Page 8 of 12

3. The Permittee shall submit an annual report summarizing the volume and injection pressures of effluent
discharged into the injection wells and the summary results of related groundwater, influent, and effluent
monitoring. Isoconcentrations(horizontal and vertical direction)and water level contour/potentiometric
surface maps shall be prepared on an annual basis and submitted with this report. If an annual report
containing this information(e.g. corrective action plan)is required by a regulatory agency,the Permittee
may submit two (2)copies of that report in lieu of the preceding information within thirty days of its
publication. The Permittee shall submit this report to the following address: Aquifer Protection Section,
Groundwater Protection Unit, 1636 Mail Service Center,Raleigh,NC 27699-1636.
VI. NONCOMPLIANCE NOTIFICATION
1. The Permittee shall report by telephone to the Raleigh Regional Office, telephone number (919) 791-
4200, as soon as possible, but in no case more than 24 hours or on the next working day following the
occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the groundwater remediation facility which results in any unusual operating
circumstances, or in the treatment of significant amounts of contaminated groundwaters which are
abnormal in quantity or characteristic, such as the dumping of the contents of a basin or tank, the
known passage of a slug of hazardous substance through the facility, or any other unusual
circumstances;
b. Any process unit failure, due to known or unknown reasons, that renders the groundwater treatment
and disposal system, including injection wells, incapable of adequate treatment and disposal, such as
mechanical or electrical failures of pumps, aerators, compressors,etc.;
c. Any noncompliance with a permit condition due to a malfunction of the system;
d. Any cause of fluid migration outside the injection zone or area;
e. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass directly to
receiving waters without treatment of all or any portion of the influent to such station or facility; or
f. Any time that monitoring or other information indicates that the groundwater treatment and disposal
system is not in compliance with any specified permit limitations, that any contaminant may be
causing an endangerment to an underground source of drinking water.
2. There shall be a written submission that shall contain a description of the noncompliance and its cause,
the period of noncompliance, including exact dates and times. If the noncompliance is not corrected and is
expected to continue, steps taken or planned to reduce, eliminate, and prevent reoccurrence of the
noncompliance shall be provided to the Regional Office in a timely manner.
3. Occurrences outside normal business hours may also be reported to the Division's Emergency Response
personnel at telephone number(800) 858-0368 or to the Emergency Management's switchboard at(919)
733-3300. Also, persons reporting such occurrences by telephone shall file a written report within five
(5)days following first knowledge of the occurrence. This report must outline the actions taken or
proposed to be taken to ensure that the problem does not recur.
VII. APPLICABLE BOUNDARIES FOR PHASE I OPERATIONS
1. The COMPLIANCE BOUNDARY for the waste disposal area (injection system) is specified by
regulations in 15A NCAC 2L, Groundwater Classifications and Standards. The Compliance Boundary
for the Phase I injection system individually permitted after December 30, 1983 is established at either(1)
250 feet from the outer edge of the injection area of influence, or (2) 50 feet within the property
boundary, whichever is closest to the injection area of influence for the Phase I injection systems at
SWMU-13 and SWMU-15/16 that utilize Class 5L wells as shown on Figure 4. The Compliance
Boundary will only apply to the constituents of the injectant slurry and associated daughter
products (extracted ground water, zero-valent iron, etc.), and shall not apply to the existing
groundwater impacts subject to the corrective action requirements of the Division of Waste
Management. An exceedance of Class GA Standards at or beyond the Compliance Boundary
associated with the injectant slurry is subject to remediation action according to 15A NCAC 2L
.0106(d)(2).
WQ0034465 GlaxoSmithKline Page 9 of 12

2. The REVIEW BOUNDARY is established around the injection area for Class 5L injection wells midway
between the Compliance Boundary and the perimeter of the injection area of influence. Any exceedance
of Class GA Standards associated with the injectant slurry at the Review Boundary may require action in
accordance with 15A NCAC 2L .0106(d)(1).
3. The injection wells to be installed at the AOC W-1 treatment zone, the AOC GW-6 treatment zone, and
the area along the strike of AOC GW-6 are Class 5I wells, as defined by 15A NCAC 02C .0209(e)(3)(C)
and will not be subject to a Compliance Boundary or a Review Boundary.
4. Long term trends of groundwater concentrations measured in wells located downgradient of the injection
wells' area of influence (i.e. waste boundary) for SWMU— 13 and 15/16 will be reviewed and evaluated
for compliance with 1 5A NCAC 02L .0202. As allowed under NCAC .02L .0202(b)(3), naturally
occurring pre-injection iron concentrations (such as site wide arithmetic mean or individual well
concentrations) may be used as a standard for purposes of demonstration of compliance with NC 2L
Standards at the Review and Compliance Boundaries.
VIII. APPLICABLE BOUNDARIES FOR PHASE II OPERATIONS
1. The COMPLIANCE BOUNDARY for those portions of the SWMU-13 Phase II treatment system
(i.e. Phase II Class 5L wells as shown on Figure 5) which will be installed and activated during
Phase II will be specified by an easement with the owner of the adjacent property that is situated
north of the site. The Compliance Boundary will be located on the adjacent property, and the
easement document will be entered into the Wake County Registry of Deeds before the
commencement of Phase II remediation activities. The location of the Compliance Boundary
during Phase II will be determined and specified by the terms and conditions of the easement. The
Compliance Boundary established on the adjacent property will only apply to the constituents
of the injectant slurry and associated daughter products (extracted ground water, zero-valent
iron, etc.), and shall not apply to the existing groundwater impacts subject to the corrective
action requirements of the Division of Waste Management. An exceedance of Class GA
Groundwater Standards at or beyond the Compliance Boundary associated with the injectant
slurry is subject to additional remediation action according to 15A NCAC 2L .0106(d)(2).
2. The REVIEW BOUNDARY is established around the injection area established for Class 5L
wells midway between the Compliance Boundary and the perimeter of the injection area of
influence. Any exceedance of Class GA Standards at the Review Boundary associated with the
injectant slurry may require action in accordance with 15A NCAC .0106(d)(1).
3. Long term trends of groundwater concentrations measured in wells located downgradient of the
injection wells' area of influence (i.e. waste boundary) for SWMU — 13 and 15/16 will be
reviewed and evaluated for compliance with 15A NCAC 02L .0202. As allowed under NCAC
.02L.0202(b)(3), naturally occurring pre-injection iron concentrations (such as site wide
arithmetic mean or individual well concentrations) may be used as a standard for purposes of
demonstration of compliance with NC 2L Standards at the Review and Compliance Boundaries.
IX. WORKER PRECAUTIONS DURING MANUAL APPLICATION OF INJECTION
1. Some effects reported to be associated with the product proposed to be used are as follows: eye,
skin, nose, throat, and lung irritation. A Health and Safety Plan shall be prepared describing
personal protective equipment that should be used.
WQ0034465 GlaxoSmithKline Paee 10 of 12

2. The Health and Safety Plan shall be reviewed by an industrial hygienist to ensure that the most
appropriate personal protective equipment is used.
3. Persons working with these products shall wear goggles or a face shield, gloves, and other
protective clothing, as appropriate.
4. Eating, drinking, smoking, handling contact lenses, and applying cosmetics should not be
permitted in the application area during or immediately following application.
5. Safety controls should be in place to ensure that the check valve and the pressure delivery
systems are working properly.
6. The Material Safety Data Sheets should be followed to prevent incompatible or adverse reactions
and injuries.
X. GENERAL CONDITIONS
1. Issuance of this permit does not constitute approval for reimbursement from the Leaking Petroleum
Underground Storage Tank Cleanup Fund(15A NCAC 2P) or any other fund. Additionally, the issuance
of this permit does not remove the Permittee's responsibility to comply with the corrective action
requirements of the Division of Waste Management. Furthermore, the Permittee should notify and report
all changes concerning the remedial system to the Division of Waste Management. It is the Permittee's
responsibility to comply with the requirements of all involved agencies.
2. This permit shall become voidable unless the facilities are constructed in accordance with the conditions
of this permit,the approved plans and specifications,and other supporting data.
3. This permit is effective only with respect to the nature and volume of wastes described in the application
and other supporting data.
4. The Permittee must comply with all conditions of this permit and with the standards and criteria specified
in Criteria and Standards Applicable to Injection Wells(15A NCAC 2C .0200). Any noncompliance with
conditions of this permit constitutes a violation of the North Carolina Well Construction Act and is
grounds for enforcement action as provided for in N.C.G.S. 87-94. Failure to abide by the conditions and
limitations contained in this permit may subject the Permittee to an enforcement action by the Division in
accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
5. This permit is not transferable. In the event the facilities change ownership, or there is a name change of
the Permittee, a formal name change request must be submitted to the Division accompanied by
documentation from the parties involved, and other supporting materials as may be appropriate. The
approval of this request will be considered on its merits and may or may not be approved.
7. A set of approved plans and specifications for the subject project must be retained by the Permittee for the
life of this project.
8. The Permittee must notify the Division and receive prior written approval from the Director of any
planned physical alterations or additions in the permitted facility or activity not specifically authorized by
the permit. A permit modification is usually required before these changes can take place. Where the
Permittee becomes aware of an omission of any relevant facts in a permit application, or of any incorrect
information submitted on said application or in any report to the Division, the relevant and correct facts
shall be promptly submitted to the Division by the Permittee.
WQ0034465 GlaxoSmithKline Page 11 of 12

9. The annual administering and compliance fee must be paid by the Permittee within thirty (30) days after
being billed by the Division. Failure to pay the fee accordingly may cause the Division to initiate action
to revoke this permit as specified by 15A NCAC 2T .0105 (e)(3).
10. The issuance of this permit does not preclude the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other government agencies (local, state, and
federal),which have jurisdiction.
11. Sixty (60) days prior to closure of the injection wells and/or the groundwater remediation facility, the
Permittee must request a rescission of the permit from the Division of Water Quality. Guidelines for the
closure of the injection wells and groundwater remediation facility may be obtained from
http://portal.ncdenr.org/web/wq or requested from the Division of Water Quality.
12. If the Permittee wants to continue operation of this system, at least six (6) months prior to the expiration
of this permit,the Permittee shall request its extension. Upon receipt of the request,the Commission will
review the adequacy of the facilities described therein, and if warranted, will extend the permit for such
period of time and under such conditions and limitations as it may deem appropriate.
Permit issued this the 10th day of December, 2010.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0034465
•
WQ0034465 GlaxoSmithKline Page 12 of 12

•
Permit No. WQ0034465
GlaxoSmithKline Groundwater Remediation Permit
ENGINEER'S CERTIFICATION
Partial Final
I, , as a duly registered Professional Engineer in the State of
North Carolina,having been authorized to observe(periodically, weekly, full time)the construction of the project,
Project Name Location and County
for the Permittee hereby state that,to the best of my abilities,due care and diligence was used in the observation
of the construction such that the construction was observed to be built within substantial compliance and intent of
this permit,the approved plans and specifications,and other supporting materials.
Signature Registration No.
Date
WO0034465 GlaxoSmithKline

WELL CONSTRUCTION RECORD Far Internal Use ONLY
Tim form can are used for single Of multiple wcfe
I.Welt Contractor information:
IA WATtl*2.0NES
Will Kayos VR! OM TO I PRtit'RIP ION
vlrat ConaOor Nam: 1 ft, h.
it. ft.
4220A
NC'Well Contractor Can ifart ton Number19.OUTER CASING tformultieasei waist OR LOfER 4W atsslicsbk)
I PROM TO RIAMETER TitMK+ESS . MATERIAL
5ASDACCO Inc ! 0 ft. 30 ft. 6" is, schd 40 PVC s
Ni.tNt4ER CASING OR TUBING raiai eCissed _ - I
Contpam Naar auq►)
/� 2 /' IRON TO I SMARTER TRichNESS i MATERIAL
2.Well Construction Permit 6: WO 0 0✓ �T� S ft. ft. { 1
List allcppli.obit u rm eil peit :(i r.Cowie:.Starr.Itariierrr.Gpetoai eA.! ft. [t. tn.
3.Well Use(cheek Veil use): IF.StRlEEP! __ ,.. ._ _i 1
Water Sultph Well: PROM t h,Till t DtAiiETPk VDTStZr nn .st� .t t.; a}ATttRUat,
0Agrecuinttal ClMunicipalfPubtie h ( F
OGeothcntrtl ENcating1Cooling Suppl') °Residential Water Supply tsingle) ft. 1 IL 1la
7
oft.GROUT
CilndustrialiCommetcia! OResidendal Water Suppb tSkitrd) 4
PAOM _� TO t MATERIAL i £HPACfMrsNT',IL'Fit06dAAIOtIVT p
❑Irrigation n. ft. ,
Non-Water Supply Weft: n. rt. .
❑hloniioring ❑Recover? t
injection.Well: ft. ft , i
OAgnifer Recharge 5dGronndwnlcr Re mediation 19.SANtttG A%leL PAC'KCdrtepTicsbtel ' "`._a._.
YRI}l! To 7n ATFRL I }} E!HPi..t('#'1}k'�iT M}TNt}n
❑Aquifer Storage and Rccrorty ❑S,alinity Barrier ft. ft. j
0Atuifer Tess ❑Stomnatcr Drainage ' { 4
ft. ft.Ot nmcntat Technolog a ubsidence CatIImt
j
20.DRILLING LOG tattaeb additional sheets it rate sarvi l
OGrutlieniiallClnsed Loop l DTtacer ,g VRom _TD 1 SESCRiimONtavbr.totnitr.±.totO nt.hzcAtralt,Am,Oft
IDGtothetmai(14eatinj/CoOtftg Reliant ❑Other 4eKpLtin intact 61I Retnatks) , 0 ft 12 fL 1 brown silt
12 ft. 17 ft. I brown PWR
4.Date Well(s)Completed: 10-21-15 well IDN IW-2 I
17 ft, 40 ft. t mudstone/sandstone
l -- 4 3 �-__ -.._.
5a.'Wen Location: ft. ft. i
GSK ft. ft. ._LL
FacitnyryOumr Name FxsIe.]ilk Of 3;Suable) i e
�.•:
3029 E Cornwallis Rd, Durham, NC, 27703 m
i- It '-_ . (t- 3
Physical Address.Cris•and Zip 2r_RtAtARK -4 ___
USA
_.
C nnne)itkatrt tcaiit}tt No (PIN! _..�.._.___
y ton
5k Latitude and I.onginide in degrentininniniseronds or decimal degrees: 22,ernif}rsdon:
Oro elf Grid,the tabling iit stdtIckwo4
i
35.917984 N -78.866075 F}' Ly- 10/23/2015
Sigamu}c afCei iitr:i Well Coatroom Date
6,ix tare)the welila): SIPInnaneai or ClTempuran' riti a;Forfg aril form,1 hcrrhr certify rifts the mrahs1 wVY(were)rm an:red:a ace oritaah r
krill Ili XCACO2C.Pti7),;r.LTA Nor 02C.O.00nett!Coxstnttrr:urSreen,hirefs,isoHurto
7.is this a repair to an existing nein: OYts or 1KNo crate nj this rei .r I hat rein i,rnt•irkd rn ter%tell aware.
tflr;s it a tem(c,1411Na t:iruuYt reel COOSPNiri'eiN hrforrored-.rt 4nhi ecrelrilit rite wrote+.irya•
rrtrir aster dSi rrotart'.csr,:Ntn or pm dr.Mart,.phis 23.Site dia ram or additional well dtfallr:
You may use lute Iztck of this poge to provide additiotral well site det:nls of%tell
8.Number of wells tvnstructed: 1 Construction details. You nt:a`'also aft.*Clt additional pciL.xS if titz essan.
Fbr MtoitipIi t nk i)1.N fir utrt-.rorer iapp1,%'terttt ONLY aarfi rj,t some raostrurtiwi twat eats
svMktir one forme. SURMiTTAi.INSTUCTIONS
9.Total well depth beta}land srirfaee: 40 ow 24a. for All Walls; Submit this form within Sit days of completion of well
F•ortAtthipkitdi;::,r err!rt.'MMgejd)nrrenrae%r,ipk-.rs•2(a)artet:rsIan constntctiontolimefoltoning
19.Static water level below tot}of casino;; 26 (ft.1 Division of Water Resurrect.Information Pmncewsing Unit.
tj taw,-kw;t,Lien t CWillX,Yu'''4 1617 Mail Service Center.Raleigh,NC 27699-t617
II.Borehole diameter.4 1/2" (in.) 24b.For tnlecthm Welk ONLY: In addiron to sending the font to the address in
24a abet e. also submit a cogn of this font 44lthen zO days of completion of %tell
12.Well cunstntction method: sonic construction to time folio%titLr.
4i c.au cr,roan,cmbk.dr}eet push etc t
Pk Won of Water Resources,Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center.Raleigh.NIC 27699-1636
i3a Yield(gpm) �- Method of test: lk.FM'Water Supph &Injection Welk:
Also submit one cop. of tins form r4 itlmt 10 day s of completion of
lift,Disinfection type: Amauest nett construction to the mono health deportment of the county'where
wrest ueteci
Non GW-I t on it Caio)ttu t7gtunntcut of Ern nwmrru aid Natnrsi Rciwrers-Dt%next of tlatei Resoutes Het tscd atgttst 2tt 13

1
/ slimmEBoring Log
GW-4
ENGINEERING •TESTING
ENVIRONMENTAL SERVICES
PROJECT NO. : 1054-96-554 I SITE :Glaxo Wellcome South Campus, North Complex (COUNTY : Durham
WELL LOCATION : SWMU 13 (GEOLOGIST : Mat: Scott
DATE DRILLED : 11-15-96 (DRILL METHOD : Air Rotary TRIG : CME 850
TOTAL DEPTH : 30 FT. bgs I GROUND ELEV. : 370.45FT. ITOC ELEV. : 373.39 FT.
STATIC WATER LEVEL : 15.6 FT. bgs NORTHING : 790139.25 LASTING : 2039938.14
SURFACE CASING : 4 " ID. FROM 2.9 FT. TO -2.1 FT.. ICP.SING TYPE : Schedule 10 Steel
WELL RISER : 2 " ID• FROM 2.9 FT. TO -19.5 FT. ICASING TYPE Schedule 40 PVC
WELL SCREEN : 2 " ID. FROM -19.5 FT. TO -29.5 FT. ISCREEN TYPE :Sbh. 40 PVC 0.010 slot
CALIPER L 1
Depth 2 INCHES 8
(Feet RES ; ELEV. Subsurface Wel
GAM(NAT) GAM(NAT) OHM-M T (Feet Description Dwg.
bgs) 0 API-GR 400 0 API-GR 400 10 1000 H MSL)
-
1
�/ j
110 370 ropsc_: l I -
'P° 0 :211oW brown silty clay //
10
— IN /'
Reddish-brown silt
—
J
-5
365
—
-10 .
360
I
'Reddis::-brown siltstone
• with sandstone interbeds /
—. :ill ll ' 1
-15 k _ I r�I ! II illili
I.

I
/ ' _jo=00-. SNIVIE Boring Log
v ENGINEERING•TESTING ' —4
ENVIRONMENTAL SERVICES
PROJECT NO. : 1054-96-554 I SITE :Glaxo Wellcome South Campus, North Complex (COUNTY : Durham
WELL LOCATION : SWMU 13 ! GEOLOGIST : Matt Scott
DATE DRILLED : 11-15-96 !DRILL METHOD : Air Rotary TRIG : CME 850
TOTAL DEPTH : 30 FT. bgs I GROUND ELEV. : 370.45FT. ITOC ELEV. : 373. 39 FT.
STATIC WATER LEVEL : 15.6 FT. bgs ! NORTHING : 790139.25IEASTING : 2039938.14
SURFACE CASING : 4 " ID. FROM 2.9 FT. TO -2.1 FT. !CASING TYPE _ Schedule 10 Steel
WELL RISER : 2 " ID. FROM 2.9 FT. TO -19.5 FT. CASING TYPE Schedule 40 PVC
WELL SCREEN : 2 " ID. FROM -19.5 FT. TO -29.5 FT. ISCREEN TYPE :' 'h 40 PVC 0.010 slot
CALIPER L
Depth 2 INCHES 8
T
(Feet RES T ELEV. Subsurface Well
bgs) GAM(NAT) GAM(NAT) OHM-M (Feet Description Dwg.
0 API-GR 400 0 API-GR 400 10 1000 H MSL)
)
_ „
f
-20
[ 350
-• • • • • • -•
1.-- .. I/ —'
--
-25
\ 0 O — 345 Redd_st-brown sandstone ' .
I
71
�
i cJ -
T `I Reddish-brown. s_itstone
T -30
•

Boring Log
v G '32$ I
ENGINEERING •TESTING
ENVIRONMENTAL SERVICES
PROJECT NO. : 1054-96-554 I SITE :Glaxo Wellcome South Campus, North Complex COUNTY : Durham
WELL LOCATION : NNW of GW-6 GEOLOGIST : Samuel Watts
DATE DRILLED : 8-30-99 (DRILL METHOD : Air Rotary RIG : CME 850
TOTAL DEPTH : 32 FT. bgs I GROUND ELEV. : 350.8 FT. TOC ELEV. : 353.33 FT.
STATIC WATER LEVEL : 16.34 FT. bgs NORTHING : 788494 .72 EASTING : 2038775.41
SURFACE CASING : 6.25 " ID. FROM 0 FT. TO -5 FT. ICASING TYPE : Schedule 40 PVC
WELL RISER : 2 " ID. FROM 2.53 FT. TO -22 FT. ICASING TYPES�heiiule 40 PVC
WELL SCREEN : 2 " ID. FROM -22 FT. TO -32 FT_ . ISCREEN TYPE :134i^40 PVC 0.010 slot
CALIPER L
Depth 2 INCHES 8
(Feet RES I ELEV. Subsurface Well
bgs) GAM(NAT) GAM(NAT) OHM-M T (Feet Description Dwg.
H
0 API-GR 400 0 API-GR 400 10 1000 MSL)
0
organics /1.
Pinkish-brown fine sandy
350 silty clay r�
- ' - Gray to reddish-brown �/
1 clayey, silty, fine sand i
•
r II -
i -:: . - '/
- -5 1.) •
Pinkish-gray sandstone
❑ — 345 / /
o
o
••• - Reddish brown silts-one / /
I
:: �/ I
-lo T .
'—..:_St 340
- �
. Il
10 0
— jam, /
r i

7 =y, _ SIUVIE Boring Log
GW-32S
ENGINEERING •TESTING
ENVIRONMENTAL SERVICES
PROJECT NO. : 1054-96-554 ISITE :Glaxo Wellcome South Campus, North Complex 'COUNTY : :u_nam
WELL LOCATION : NNW of GW-6 GEOLOGIST : Samuel Watts
DATE DRILLED : 8-30-99 'DRILL METHOD : Air Rotary 'RIG : CME 650
TOTAL DEPTH : 32 FT. bgs ' GROUND ELEV. . 350.8 FT. ITOC ELEV. : 353.33 FT.
STATIC WATER LEVEL : 16.34 FT. bgs I NORTHING : 788494.72 IEASTING : 203,3775.41
SURFACE CASING : 6.25" ID. FROM 0 FT. TO -5 FT. 'CASING TYPE : Schedule 40 PVC
WELL RISER : 2 " ID. FROM 2.53 FT. TO -22 FT. 'CASING TYPE '•=Tpi; etule 40 PVC
WELL SCREEN : 2 " ID. FROM -22 FT. TO -32 FT. (SCREEN TYPE rstt�`;40 PVC 0.010 slot
CALIPER L I
Depth 2 INCHES 8
(Feet REF I ELEV. Subsurface Well
bgs) GAM(NAT) GAM(NAT) OHM-M T (Feet Description Dwg.
0 API-GR 400 0 API-GR 400 10 1000 HMSL)
'- _ agoMN'• - m
mm
Ecc ; ,I1I I� I
-20 { f
— 330
\ -.
-25 ` ° - 325
❑ Light-gray sandstone
0
❑ ..:.
I;
- ❑
0 �. .
T i____- ° _
\ 0 - . .
�
} - •- Reddish-brown siltstane: }=•
i -•r apparent water-bear_ng . `•:
�-- 320 .one
— -- \ 1 .
(.

0039`(716S-
INJECTION EVENT RECORD
North Carolina Department of Environment and Natural Resources—Division of Water Resources
PeaRtMeitAgru.,WQ0034465
Romp le4itistk
Were any wells abandoned during this injection
1. Permit Information 9102 Z 833 event?
❑ Yes ® No
GlaxoSmithKline
Permittee 21MOI0300N/03N303k If yes,please provide the following information:
South Campus,North Complex Number of Monitoring Wells N/A
Facility Name
Number of Injection Wells N/A
3029 E.Cornwallis Rd,Durham,NC
Facility Address Please include a copy of the GW-30 for each well
abandoned.
2. Injection Contractor Information
4. Injectant Information
Redox Tech,LLC
Injection Contractor/Company Name RTB-1 (TCA-20)microbial consortium
Injectant Type
Street Address 200 Quade Drive
Concentration 1.1 %
Cary NC 27513
City State Zip Code If the injectant is diluted please indicate the source
dilution fluid. Groundwater
( 919) 678 - 0140
Area code—Phone number Total Volume Injected 19 L
3. Well Information Volume Injected per well 1.9 L
Number of wells used for injection 10 5. Injection History
Well names 1W-02,IW-08,IW-12,IW-14,IW-1¢, Injection date(s) 12/15-19/2015
IW-17,IW-18,BR-1,BR-3,GW-4✓✓
Were any new wells installed during this injection Injection number(e.g. 3 of 5) 1 of 1
event?es f G tA }
® No Is this the last injection at this site?
❑ Yes No
If yes,please provide the following information:
Number of Monitoring Wells N/A I DO HEREBY CERTIFY THAT ALL THE
INFORMATION ON THIS FORM IS CORRECT TO
Number of Injection Wells N/A THE BEST OF MY KNOWLEDGE AND THAT THE
INJECTION WAS PERFORMED WITHIN THE
Type of Well Installed(Check applicable type): STAN B ARDS LAID OUT IN THE PERMIT.
❑ Bored ❑Drilled ❑ Direct-Push c _ 9_ /6
0 Hand-Augured ❑ Other(specify)
SIGNATU'r OFF 1N=CONTRACTOR DATE
Please include a copy of the GW-1 form for each G4k y rne YYR s
well installed. PRINT NAME OF PERSON PERFORMING THE INJECTION
Submit the original of this form to the Division of Water Resources within 30 days of injection. Form UIC-IER
Attn:UIC Program, 1636 Mail Service Center,Raleigh,NC 27699-1636,Phone No.919-807-6464 Rev.8/5/2013

•
Rogers, Michael
From: Rogers, Michael
Sent: Friday, November 20, 2015 3:41 PM
To: 'Eichlin, Brian'
Cc: Watts, Debra
Subject: RE: Groundwater Remediation Permit No. WQ0034465
OK, will do.
From: Eichlin, Brian [mailto:[e-mail]]
Sent: Friday, November 20, 2015 3:28 PM
To: Rogers, Michael<[e-mail]>
Subject: RE: Groundwater Remediation Permit No. WQ0034465
And thanks for responding so quickly to our request.
Have a great weekend.
From: Eichlin, Brian
Sent: Friday, November 20, 2015 3:27 PM
To: 'Rogers, Michael'
Subject: RE: Groundwater Remediation Permit No. WQ0034465
Ok will do.
From: Rogers, Michael [mailto:michael.rogers(&ncdenr.gov]
Sent: Friday, November 20, 2015 3:27 PM
To: Eichlin, Brian
Subject: RE: Groundwater Remediation Permit No. WQ0034465
For this event as these additives are not in the permit/application as far as I can tell.
From: Eichlin, Brian [mailto:brian [e-mail]]
Sent: Friday, November 20, 2015 2:49 PM
To: Rogers, Michael<[e-mail]>
Subject: RE: Groundwater Remediation Permit No. WQ0034465
Thanks.
Our permit requires an annual report instead of instead of Injection Event Records for each quarterly event. Is that
sufficient or would you like an Injection Event Record for this particular event? Thanks
From: Rogers, Michael [mailto:michael.rogersc ncdenr.gov]
Sent: Friday, November 20, 2015 11:04 AM
To: Eichlin, Brian
Cc: Watts, Debra; Bolich, Rick; Smith, Danny
Subject: RE: Groundwater Remediation Permit No. WQ0034465
Your request to inject the bacteria and lactate referenced below is reasonable and, therefore, is approved. This is
conditional in that the injection occurs only in the previously permitted treatment area SWMU-13. Please provide an
Injection Event Record (IER) when the injection is completed.
1

From: Eichlin, Brian [mailto:brian eichlin( golder.com]
Sent:Thursday, November 19, 2015 12:55 PM
To: Rogers, Michael<michael.rogers(ancdenr.gov>
Subject: RE: Groundwater Remediation Permit No.WQ0034465
Hi Michael,
We recently completed our microcosm study for the Site. We identified an area of the Site (SWMU 13 shallow
injection area) we would like to include an inoculation of bacteria during our next injection event. In addition to
enhancing our ability to degrade TCE and vinyl chloride the bacteria should help degrade chloroform which we
believe maybe inhibiting existing microorganisms. The bacteria is RTB-1 and is currently included in the
approved list of injectant found on the NCDEQ website. As a source of lactate we will be using the ABC
product distributed by Redox Tech which is also included in the approved list of injectant found on the NCDEQ
website.
We are planning to complete this injection in the near future and will notify the Raleigh regional office as noted
below. Please let me know if the injection of the bacteria is acceptable. Please let me know if you have any
concerns or require additional information.
Thank you,
Brian Eichlin
From: Rogers, Michael [mailto:[e-mail]]
Sent: Wednesday, July 22, 2015 1:21 PM
To: Eichlin, Brian
Subject: RE: Groundwater Remediation Permit No. WQ0034465
Thanks for the additional info. I'll add this to the file as supplemental work under the existing permit. Please provide
GW1s/GW-30s for injection wells and Injection Event Records when and where applicable.
From: Eichlin, Brian [mailto:brian [e-mail]]
Sent: Wednesday, July 22, 2015 8:44 AM
To: Rogers, Michael
Cc: Lindsey Walata ([e-mail])
Subject: RE: Groundwater Remediation Permit No. WQ0034465
Hi Michael.
Hope you are doing well. I left you message this morning. If you have an opportunity I would like get an update on your
review and try to answer any questions you may have. We are interested in moving forward with this work as soon as
possible. Thank you
Brian Eichlin [phone]
From: Eichlin, Brian
Sent: Wednesday, July 01, 2015 4:17 PM
To: 'Rogers, Michael'
Cc: Lindsey Walata ([e-mail])
Subject: Groundwater Remediation Permit No. WQ0034465
Michael,
2

Please find attached the requested information. The text of this email is also provided as an attached PDF to facilitate
your review. Please let me know if you have any questions.
Golder Associates, on behalf of GSK, submitted to the Waste Management and Water Resources Divisions of NCDENR
the First Annual Assessment Report(Annual Report) (Golder Associates, May 2015) covering the December 2013 to
March 2015 reporting period in accordance with the requirements of the Groundwater Remediation Permit#WO0034465
(Permit)dated December 10, 2010. The Permit includes 41 injection wells for injection of zero valent iron (ZVI) and soy
powder of which 35 wells have been constructed. As requested in your email, below is a brief discussion on the
compliance monitoring trends, recommendations, and proposed changes to the injection program as detailed in the
Annual Report.
The first year of the ZVI injection program has significantly reduced Site-wide concentrations of TCE including an order of
magnitude reduction in portions of the SWMU 13 shallow zone. While concentration increases of breakdown compounds
cis 1,2-DCE and VC have been observed in select wells, total c-VOCs on a carbon molar base are declining. The Annual
Report recommended continued injections of ZVI with the following enhancements to the remedy to include:
• The moderate increases in ethene may indicate that an insufficient micro-organism colony exists or that
carbon in the soy and propylene glycol previously injected is too complex for the existing micro-organisms
to readily assimilate. The use of sodium lactate as an alternative carbon source is proposed. A microcosm
study will be completed in the SWMU 15/16 (GW-16S), SWMU 13 shallow (GW-4) and SWMU 13 deep
(GW-4I or P-6) treatment zone to evaluate if an inoculation of micro-bacteria is needed to enhance
bioremediation of the c-VOCs;
■ The installation of a new injection well (IW-02) is proposed to the east of IW-16 to improve the radius of
influence within the SWMU 13 shallow injection network (shown on the attached revised Figure 6B from
the Non-Discharge Permit Application (Permit Application) (Golder Associates, November 2010);
• Injections in GW-4 are recommended to enhance remediation in the SWMU 13 shallow zone down-gradient
of the BNP-1/IW-17 area as well as down-gradient of GW-4; (shown on revised Figure 6B); and,
• The AOC GW-6 injection well network be expanded to include injection up-gradient of GW-6 at monitoring
well GW-32S (shown on revised Figure 6B).
SWMU-13 and SWMU-15/16
Since extracted groundwater is used to mix the injectant slurry, as shown on the revised Figure 6B, the Permit established
a Compliance and Review Boundary around the combined Area of Influence/Waste Boundary for the SWMU 13 and SWMU
15/16 target injection zones. As specified by Permit Condition VIII (3), the Compliance Boundary applies only to the
constituents of the injectant slurry (i.e. extracted groundwater and ZVI) and does not apply to existing groundwater
impacts. The Permit identified eight (8) monitoring wells (GW-1A, GW-1A-D, GW-18S, MW-10, MW-12, GW-30S, GW-301
and MW-13) to be monitored to assess the potential migration of injectants and spread of the existing contamination as a
result of injection activities.
As presented on Figure 4A and Figure 4B of the Annual Report, the trends for reported concentrations for TCE in the SWMU
13 and SWMU 15/16 compliance monitoring demonstrate that the injections of a slurry of treated groundwater is not causing
an exceedance of an NC2L standard for VOCs at the Compliance Boundary and is not causing the migration of existing
contamination into undesired areas. As presented on Figure 8 of the Annual Report, the reported concentrations for total
iron in the SWMU 13 and SWMU 15/16 compliance monitoring wells fluctuated during the reporting period but were reported
to be less than the baseline monitoring event and/or the historical Site-wide arithmetic mean with the exception of GW-1A
and GW-1AS which are proposed for additional purging/well redevelopment.
GSK proposes to construct the permitted but unconstructed SWMU 13 contingent injection well IW-02 at the location shown
on revised Figure 6B. The constructed IW-02 will be a Class 5L well for injection of injectants mixed with extracted and
partially treated groundwater as defined in the Permit. The permitted maximum ZVI slurry volume for IW-02, as shown on
Table S-1 of the Permit Application, is 1,014 gallons per year. It is requested that the maximum ZVI slurry volume for IW-
02 be increased to the same permit limit as IW-16 of 3,550 gallons per year. This increase will not impact the overall
permitted volume of injection slurry since SWMU 13 contingent injections wells IW-07, IW-09, IW-13 and IW-15 have not
been constructed. A revised Table S-1 showing this change is attached and in Appendix I of the Annual Report.
GSK proposes the designation of existing monitoring well GW-4 as a Class 5L injection well for injection of injectants mixed
with extracted and partially treated groundwater. GW-4 will replace unconstructed SWMU 13 contingent injection well 1W-
3

04 as shown on the revised Figure 6B. The maximum permitted ZVI slurry volume for IW-04 as shown on Table S-1 of the
Permit Application is 1,014 gallons per year. The boring log for GW-4 from the RFI is attached.
As shown on the revised Figure 6B, the proposed new location of IW-02 and existing monitoring GW-4 (proposed IW-04)
are located with the Permit defined Zone of Influence/Waste Boundary. As described above the Compliance Boundary
monitoring results for the reporting period do not indicate a migration of injectants or the spread of the existing contamination
as a result of injection activities at SMWU 13. Rather, the monitoring results for GW-22S (down-gradient from GW-4) and
GW-20S (down-gradient from proposed new location of IW-02) show declining trends of total c-VOCs. The existing
compliance monitoring well network should be sufficient to monitor for impacts associated with these injections. In addition,
as presented on Figure 2 of the Annual Report, down-gradient monitoring wells GW-22S and GW-20S will continue to be
monitored quarterly for VOCs and for the next year will be monitored quarterly for methane/ethane/ethene gases, TOC and
total iron.
AOC GW-6 and AOC GW-6 Strike
Since potable water is used to mix the injectant slurry, AOC GW-6 and AOC GW-6 Strike do not have a Compliance or
Review Boundary. The Permit identified three monitoring wells(GW-7, GW-8 and MW-11)to assess the potential migration
of injectants and spread of the existing contamination as a result of injection activities.
GSK is requesting that GW-32S be designated as a Class 51 injection well for potable water injections at AOC GW-6. As
presented on revised Figure 6B, monitoring well GW-32S is located within the permitted Target ZVI Injection Area for the
AOC GW-6 and AOC GW-6 Strike treatment zones. The boring log for GW-32S is attached.
As presented on Table S-1 of the Permit Application, the maximum permitted yearly volume of ZVI slurry for AOC GW-6
and AOC GW-6 Strike is 4,058 gallons. As presented in the revised Table S-1, a decrease in the maximum permitted yearly
volume of ZVI slurry for injection wells IW-30 and IW-31 is proposed to offset the addition of GW-32S as a Class 51 injection
well. Reduced injection quantities at IW-30 and IW-31 should be acceptable since the baseline concentrations for TCE
were reported to be below the NC2L standards for IW-30 and IW-31.
As described in Section 5 of the Annual Report,the compliance well monitoring results at AOC GW-6 and AOC GW-6 Strike
for the reporting period do not indicate migration of injectants or the spread of the existing contamination as a result of
injection activities. Rather, monitoring results at GW-6 show a declining trend of total c-VOCs. The existing compliance
monitoring well network should be sufficient to monitor for impacts associated with injections at GW-32S since it is located
up-gradient of the existing AOC GW-6 injection wells. In addition, as presented on Figure 2 of the Annual Report, GW-6 will
continue to be monitored quarterly for VOCs, and for the next year GW-6 will be monitored quarterly for
methane/ethane/ethene gases, TOC, and total iron.
Injection of Alternative Carbon Sources and Micro-Bacteria
GSK is requesting the ability, as needed based on a review of analytical data and the planned microcosm study, to inject
sodium lactate as a substitute for soy powder during future injections and add microorganisms listed on NCDENR's
approved injectant list. Sodium lactate will be added to increase available TOC concentrations in the treatment zones by
20 mg/I. Repeat injections will be required to replace available TOC that is consumed by micro-organisms. It is expected
that up to 1,200 lbs of sodium lactate will be required for the initial injection and up to 600 lbs for follow-up injections that
will be completed at frequency no greater than quarterly. The estimated yearly injections of sodium lactate will be less than
the Permit yearly estimated value of 3,200 lbs of soy. Sodium lactate will be mixed in injection water at up to 20%by volume
of injection water. Future injection events may periodically include the injection of potable water (AOC GW-6 Strike, AOC
GW-6 and AOC W-1) or extracted treated groundwater(SWMU 13 shallow, SWMU 13 deep and SWMU 15/16) mixed with
sodium lactate or soy powder only (i.e. without the addition of ZVI materials) at Permit injection volumes presented on
revised Table S-1 as attached and in the Annual Report. A Safety Data Sheet for the sodium lactate is attached.
Summary
With your approval, we would like to move forward with the injection of sodium lactate during the next quarterly event
scheduled for August 2015, including injection at GW-32S and IW-04 (GW-4), and would like to initiate construction of
injection well IW-02. The construction of injection well IW-02 will follow construction details as described in Section 3.1
and as shown on Figure 9 of the Permit Application. The construction will be conducted in accordance with the Permit
requirements including:
• Item 7: Pursuant to rule 15A NCAC 2C .0211(h), following completion of construction of IW-02, GSK will submit a
notice of completion of construction to the Raleigh Regional Office prior to injection. Injection will not commence
4

until the regional office staff has inspected or otherwise reviewed the injection well and finds it in compliance with
the permit. If GSK has not received notice from the Raleigh Regional Office of the intent to inspect or otherwise
review the injection well within 10 days after the regional office has received the notice, GSK may commence
operation of the injection well. Additionally, in accordance with 15A NCAC 2C .0114(b)(2), GSK will submit a GW-
1 Well Construction Record to the Raleigh Regional Office within 30 days after completion.
• Item 9: GSK will notify the Raleigh Regional Office at least 48 hours prior to the construction of injection well IW-
02 so that an inspection can be made of the well location. Notification will be made during normal office hours from
8 am to 5 pm, Monday through Friday.
• Item 10: Within 60 days of completion of injection well IW-02, GSK will submit two (2) original copies of a scaled
site map to include this well and include the information described in Item 10 (a) through (f).
Should you have any questions or comments regarding this request or require additional information please do not hesitate
to contact Lindsey Walata of GSK at [phone] or me at [phone].
Thank you.
Brian
From: Rogers, Michael [mailto:[e-mail]]
Sent: Tuesday, June 23, 2015 2:18 PM
To: Eichlin, Brian
Cc: Lindsey Walata ([e-mail])
Subject: RE: Groundwater Remediation Permit No. WQ0034465
Brian-
I discussed this with Thomas as he was handling this issue before he transferred to DWM. A permit mod is not
necessary along as the compliance boundary will not be affected by this revised injection plan. If the boundary will not
be affected,just indicate in reply to this email the following:
1. The proposed revision in wells you are going to be using for injection (attach GW-ls if available).
2. Injectant (attach MSDS sheets).
3. Brief explanation/assurance on how the CB will not be affected.
Thanks
From: Eichlin, Brian [mailto:brian [e-mail]]
Sent: Monday, June 22, 2015 3:25 PM
To: Rogers, Michael
Cc: Lindsey Walata ([e-mail])
Subject: Groundwater Remediation Permit No. WQ0034465
Michael
Thank you for taking the time to discuss the GlaxoSmithKline South Campus, North Complex Site in Research Triangle
Park (Permit No. WQ0034465). On-behalf of GSK, Golder submitted the First Annual Assessment Report to NCDENR on
May 15, 2015. The Report included a request to modify the injection program to include new injection locations and
supplement the injections with sodium lactate as an alternative carbon source to the permitted soy powder. The
proposed modifications to the injection program will not increase the annual volume of injection slurry or total number
of permitted injection wells. The additional injection locations would replace unconstructed contingent injection wells
that are included in the permit. We would like NCDENR's approval to move forward with the recommendations outlined
in the report. If it would be helpful for your review, we will come to your office to discuss the project.
Please let me know if you have any questions.
5

•
Thank you
Brian Eichlin, P.E. I Principal I Golder Associates NC, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: [phone] I D: [phone] I F: [phone] I C: [phone] I E: brian eichlin( aolder.com
www.golder.com
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Electronic media is susceptible to unauthorized modification,deterioration.and incompatibility.Accordingly,the electronic media version of any work product may
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Please consider the environment before printing this email.
6

Golder
Associates
December 8, 2015 RECEIVEDIDENRIDWR Project No.: 0739-6115
DEC 14 2015
NCDEQ NCDEQ
Division of Water Resources Water Quality Regional Division of Water Resources
Groundwater Protection Unit Operations Section Aquifer Protection Section
1636 Mail Service Center 3800 Barrett Drive
Raleigh, NC 27699-1636 Raleigh, NC 27609
Attn: Michael Rogers Attn: Eric Rice
RE: Submission of Scaled Site Map
Groundwater Remediation Permit No. WQ0034465
GlaxoSmithKline, South Campus, North Complex, RTP, NC
RCRA Permit#NCD052547635
Golder Associates NC, Inc. (Golder), on behalf of GlaxoSmithKline (GSK), is submitting to North Carolina
Department of Environmental Quality (NCDEQ) two copies of revised scaled site maps as required by
Permit Condition 111.10. The maps were revised from those previously submitted on May 25, 2012 to
include the recently completed installation of contingent well IW-2 and conversion of GW-4 and GW-32S
to injection wells. These additional injection points were recommended in the First Annual Assessment
Report: December 2013 - March 2015 Reporting Period (Golder Associates, May 15, 2015) and approved
for installation by NCDEQ in an email dated July 22, 2015.
Should you have any questions or comments regarding the Permit Application or require additional
information, please do not hesitate to contact Lindsey Walata of GSK at [phone] or Brian Eichlin
at [phone].
Sincerely,
GOLDER ASSOCIATES NC, INC.
439
Brian J. Eichlin, P.E.
Principal
Attachments:
1) Figure 1 — Site Map Groundwater Remediation System As-built Permit No. WQ0034465, Golder
Associates Inc., Revised December 3, 2015
cc: Lindsey Walata, GlaxoSmithKline (Electronic Only)
Robert McDaniel, NCDEQ DWM, Hazardous Waste Section—with attachment
G Projects GSK RTP Operations'Regulatory Record of IW-2 Injection Wells Final Cover Letter 12-08-15.docx
Golder Associates NC,Inc.
5B Oak Branch Drive
Greensboro.NC 27407
Tel: [phone] Fax: [phone] www.golder.com 0
Golder Associates:Operations in Africa,Asia,Australasia,Europe,North America and South America

Rogers, Michael
From: Rice, Eric
Sent: Monday, November 23, 2015 11:32 AM
To: Eichlin, Brian
Cc: Rogers, Michael
Subject: RE: Injection Wells at GSK Groundwater Remediation Permit No. WO0034465
Brian:
The email to Michael Rogers was prior to reading this email. It looks like everything is in order then.
Eric
Email correspondence to and from this address is subject to the North Carolina Public Records Lain and may he disclosed to third
parties unless the content is exempt by statute or other regulation
From: Eichlin, Brian [mailto:[e-mail]]
Sent: Friday, November 20, 2015 3:15 PM
To: Rice, Eric<[e-mail]>
Subject: RE: Injection Wells at GSK Groundwater Remediation Permit No.WQ0034465
Hi Eric -
We did receive approval from Michael Rogers to add the injection points under the existing Groundwater Remediation
Permit(WQ0034465). We did not need to do a permit modification since the existing permit had contingent wells and
the new injection locations were in permitted treatment areas. Our permit includes the following language:
Pursuant to rule 15A NCAC 2C.0211(h), injection may not commence until construction of the injection wells is completed,
the Permittee has submitted notice of completion of construction to the Raleigh Regional Office, and the regional office
staff has inspected or otherwise reviewed the injection well and finds it in compliance with the permit. If the Permittee has
not received notice from the Raleigh Regional Office of the intent to inspect or otherwise review the injection well within
10 days after the regional office has received the notice, the Permittee may commence operation of the injection wells.
We are surveying the wells next week and planning to get a formal notification of completion of the new wells to the
Regional Office soon.
Thanks
From: Rice, Eric [mailto:eric.riceOncdenr.gov]
Sent: Thursday, November 19, 2015 5:55 PM
To: Eichlin, Brian
Subject: RE: Injection Wells at GSK Groundwater Remediation Permit No. WQ0034465
Hi Brian:
Thank you for the notification. I am assuming you received approval for the additional wells through the Division's
central office.There is not a directive from the central office to inspect at this time. They typically send a request for a
staff report that prompts the need for a site inspection by the regional staff. If that changes I will contact you.
1

Regards,
Eric Rice
Hydrogeologist
Water Quality Regional Operations
Department of Environmental Quality
919 791 4242 office
eric.ricencdenr.gov
3800 Barrett Drive
1628 Mail Service Center
Raleigh, NC 27699
---"--Nothing Compares r..
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Eichlin, Brian [mailto:brian [e-mail]]
Sent: Thursday, November 19, 2015 1:04 PM
To: Rice, Eric<[e-mail]>
Subject: Injection Wells at GSK Groundwater Remediation Permit No. WQ0034465
Eric
We received approval to add three injection wells to our program at GSK.
We are currently planning to perform the injections the week of December 7th. Would you like to inspect these
locations/wells prior to our first injection event?
If so, please let me know what dates may work for you prior to December 7tn
We are working on preparing the well construction/well modification documentation required under the permit
Thank you,
Brian
Brian Eichlin, P.E. I Principal I Golder Associates NC, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: [phone] I D: [phone] I F: [phone] I C: [phone] I E: brian eichlin(a�golder.com
www.golder.corn
Work Safe. Home Safe
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This email transmission is confidential and may contain proprietary information for the exclusive use of the intended recipient.Any use.distribution or copying of
this transmission;other than by the intended recipient,is strictly prohibited.If you are not the intended recipient.please notify the sender and delete all copies.
Electronic media is susceptible to unauthorized modification,deterioration,and incompatibility.Accordingly,the electronic media version of any work product may
not be relied upon.
Golder,Golder Associates and the GA globe design are trademarks of Golder Associates Corporation.
Please consider the environment before printing this email.
•
•
•
•
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IL 0/OA LocAsi`;
Rogers, Michael
From: Eichlin, Brian <[e-mail]>
Sent: Wednesday, July 22, 2015 2:12 PM
To: Rogers, Michael
Cc: Lindsey Walata ([e-mail])
Subject: RE: Groundwater Remediation Permit No. WQ0034465
Michael,
Thanks for the response. We will move forward with the work. The work and results will be summarized in the next
annual report. Thanks for your assistance.
Have a great day!
Brian
From: Rogers, Michael [mailto:[e-mail]] •
Sent: Wednesday, July 22, 2015 1:21 PM
To: Eichlin, Brian
Subject: RE: Groundwater Remediation Permit No. WQ0034465
Thanks for the additional info. I'll add this to the file as supplemental work under the existing permit. Please provide
GW1s/GW-30s for injection wells and Injection Event Records when and where applicable.
From: Eichlin, Brian [mailto:brian eichlin(agolder.com]
Sent: Wednesday, July 22, 2015 8:44 AM
To: Rogers, Michael
Cc: Lindsey Walata (Iindsey.c.walata@ gsk.com)
Subject: RE: Groundwater Remediation Permit No. WQ0034465
Hi Michael.
Hope you are doing well. I left you message this morning. If you have an opportunity I would like get an update on your
review and try to answer any questions you may have. We are interested in moving forward with this work as soon as
possible. Thank you
Brian Eichlin [phone]
From: Eichlin, Brian
Sent: Wednesday, July 01, 2015 4:17 PM
To: 'Rogers, Michael'
Cc: Lindsey Walata (Iindsev.c.walata(agsk.com)
Subject: Groundwater Remediation Permit No. WQ0034465
Michael,
Please find attached the requested information. The text of this email is also provided as an attached PDF to facilitate
your review. Please let me know if you have any questions.
Golder Associates, on behalf of GSK, submitted to the Waste Management and Water Resources Divisions of NCDENR
the First Annual Assessment Report(Annual Report) (Golder Associates, May 2015) covering the December 2013 to
March 2015 reporting period in accordance with the requirements of the Groundwater Remediation Permit#WQ0034465
(Permit) dated December 10, 2010. The Permit includes 41 injection wells for injection of zero valent iron (ZVI) and soy
1
1

powder of which 35 wells have been constructed. As requested in your email, below is a brief discussion on the
compliance monitoring trends, recommendations, and proposed changes to the injection program as detailed in the
Annual Report.
The first year of the ZVI injection program has significantly reduced Site-wide concentrations of TCE including an order of
magnitude reduction in portions of the SWMU 13 shallow zone. While concentration increases of breakdown compounds
cis 1,2-DCE and VC have been observed in select wells, total c-VOCs on a carbon molar base are declining. The Annual
Report recommended continued injections of ZVI with the following enhancements to the remedy to include:
• The moderate increases in ethene may indicate that an insufficient micro-organism colony exists or that
carbon in the soy and propylene glycol previously injected is too complex for the existing micro-organisms
to readily assimilate. The use of sodium lactate as an alternative carbon source is proposed. A
microcosm study will be completed in the SWMU 15/16 (GW-16S), SWMU 13 shallow (GW-4) and
SWMU 13 deep (GW-4I or P-6) treatment zone to evaluate if an inoculation of micro-bacteria is needed to
enhance bioremediation of the c-VOCs;
• The installation of a new injection well (IW-02) is proposed to the east of IW-16 to improve the radius of
influence within the SWMU 13 shallow injection network (shown on the attached revised Figure 6B from
the Non-Discharge Permit Application (Permit Application) (Golder Associates, November 2010);
■ Injections in GW-4 are recommended to enhance remediation in the SWMU 13 shallow zone down-
gradient of the BNP-1/IW-17 area as well as down-gradient of GW-4; (shown on revised Figure 6B); and,
■ The AOC GW-6 injection well network be expanded to include injection up-gradient of GW-6 at monitoring
well GW-32S (shown on revised Figure 6B).
SWMU-13 and SWMU-15/16
Since extracted groundwater is used to mix the injectant slurry, as shown on the revised Figure 6B, the Permit established
a Compliance and Review Boundary around the combined Area of Influence/Waste Boundary for the SWMU 13 and
SWMU 15/16 target injection zones. As specified by Permit Condition VIII (3), the Compliance Boundary applies only to
the constituents of the injectant slurry (i.e. extracted groundwater and ZVI) and does not apply to existing groundwater
impacts. The Permit identified eight(8) monitoring wells(GW-1A, GW-1A-D, GW-18S, MW-10, MW-12, GW-30S, GW-30I
and MW-13) to be monitored to assess the potential migration of injectants and spread of the existing contamination as a
result of injection activities.
As presented on Figure 4A and Figure 4B of the Annual Report, the trends for reported concentrations for TCE in the
SWMU 13 and SWMU 15/16 compliance monitoring demonstrate that the injections of a slurry of treated groundwater is
not causing an exceedance of an NC2L standard for VOCs at the Compliance Boundary and is not causing the migration
of existing contamination into undesired areas. As presented on Figure 8 of the Annual Report, the reported
concentrations for total iron in the SWMU 13 and SWMU 15/16 compliance monitoring wells fluctuated during the
reporting period but were reported to be less than the baseline monitoring event and/or the historical Site-wide arithmetic
mean with the exception of GW-1A and GW-1AS which are proposed for additional purging/well redevelopment.
GSK proposes to construct the permitted but unconstructed SWMU 13 contingent injection well IW-02 at the location
shown on revised Figure 6B. The constructed IW-02 will be a Class 5L well for injection of injectants mixed with extracted
and partially treated groundwater as defined in the Permit. The permitted maximum ZVI slurry volume for IW-02, as
shown on Table S-1 of the Permit Application, is 1,014 gallons per year. It is requested that the maximum ZVI slurry
volume for IW-02 be increased to the same permit limit as IW-16 of 3,550 gallons per year. This increase will not impact
the overall permitted volume of injection slurry since SWMU 13 contingent injections wells IW-07, IW-09, IW-13 and IW-15
have not been constructed. A revised Table S-1 showing this change is attached and in Appendix I of the Annual Report.
GSK proposes the designation of existing monitoring well GW-4 as a Class 5L injection well for injection of injectants
mixed with extracted and partially treated groundwater. GW-4 will replace unconstructed SWMU 13 contingent injection
well IW-04 as shown on the revised Figure 6B. The maximum permitted ZVI slurry volume for IW-04 as shown on Table
S-1 of the Permit Application is 1,014 gallons per year. The boring log for GW-4 from the RFI is attached.
As shown on the revised Figure 6B, the proposed new location of IW-02 and existing monitoring GW-4 (proposed IW-04)
are located with the Permit defined Zone of Influence/Waste Boundary. As described above the Compliance Boundary
monitoring results for the reporting period do not indicate a migration of injectants or the spread of the existing
contamination as a result of injection activities at SMWU 13. Rather, the monitoring results for GW-22S (down-gradient
from GW-4) and GW-20S (down-gradient from proposed new location of IW-02) show declining trends of total c-
VOCs. The existing compliance monitoring well network should be sufficient to monitor for impacts associated with these
2

injections. In addition, as presented on Figure 2 of the Annual Report, down-gradient monitoring wells GW-22S and GW-
20S will continue to be monitored quarterly for VOCs and for the next year will be monitored quarterly for
methane/ethane/ethene gases, TOC and total iron.
AOC GW-6 and AOC GW-6 Strike
Since potable water is used to mix the injectant slurry, AOC GW-6 and AOC GW-6 Strike do not have a Compliance or
Review Boundary. The Permit identified three monitoring wells (GW-7, GW-8 and MW-11) to assess the potential
migration of injectants and spread of the existing contamination as a result of injection activities.
GSK is requesting that GW-32S be designated as a Class 51 injection well for potable water injections at AOC GW-6. As
presented on revised Figure 6B, monitoring well GW-32S is located within the permitted Target ZVI Injection Area for the
AOC GW-6 and AOC GW-6 Strike treatment zones. The boring log for GW-32S is attached.
As presented on Table S-1 of the Permit Application, the maximum permitted yearly volume of ZVI slurry for AOC GW-6
and AOC GW-6 Strike is 4,058 gallons. As presented in the revised Table S-1, a decrease in the maximum permitted
yearly volume of ZVI slurry for injection wells IW-30 and IW-31 is proposed to offset the addition of GW-32S as a Class 51
injection well. Reduced injection quantities at IW-30 and IW-31 should be acceptable since the baseline concentrations
for TCE were reported to be below the NC2L standards for IW-30 and IW-31.
As described in Section 5 of the Annual Report, the compliance well monitoring results at AOC GW-6 and AOC GW-6
Strike for the reporting period do not indicate migration of injectants or the spread of the existing contamination as a result
of injection activities. Rather, monitoring results at GW-6 show a declining trend of total c-VOCs. The existing
compliance monitoring well network should be sufficient to monitor for impacts associated with injections at GW-32S since
it is located up-gradient of the existing AOC GW-6 injection wells. In addition, as presented on Figure 2 of the Annual
Report, GW-6 will continue to be monitored quarterly for VOCs, and for the next year GW-6 will be monitored quarterly for
methane/ethane/ethene gases, TOC, and total iron.
Injection of Alternative Carbon Sources and Micro-Bacteria
GSK is requesting the ability, as needed based on a review of analytical data and the planned microcosm study, to inject
sodium lactate as a substitute for soy powder during future injections and add microorganisms listed on NCDENR's
approved injectant list. Sodium lactate will be added to increase available TOC concentrations in the treatment zones by
20 mg/I. Repeat injections will be required to replace available TOC that is consumed by micro-organisms. It is expected
that up to 1,200 lbs of sodium lactate will be required for the initial injection and up to 600 lbs for follow-up injections that
will be completed at frequency no greater than quarterly. The estimated yearly injections of sodium lactate will be less
than the Permit yearly estimated value of 3,200 lbs of soy. Sodium lactate will be mixed in injection water at up to 20% by
volume of injection water. Future injection events may periodically include the injection of potable water (AOC GW-6
Strike, AOC GW-6 and AOC W-1) or extracted treated groundwater (SWMU 13 shallow, SWMU 13 deep and SWMU
15/16) mixed with sodium lactate or soy powder only (i.e. without the addition of ZVI materials) at Permit injection volumes
presented on revised Table S-1 as attached and in the Annual Report. A Safety Data Sheet for the sodium lactate is
attached.
Summary
With your approval, we would like to move forward with the injection of sodium lactate during the next quarterly event
scheduled for August 2015, including injection at GW-32S and IW-04 (GW-4), and would like to initiate construction of
injection well IW-02. The construction of injection well IW-02 will follow construction details as described in Section 3.1
and as shown on Figure 9 of the Permit Application. The construction will be conducted in accordance with the Permit
requirements including:
• Item 7: Pursuant to rule 15A NCAC 2C .0211(h), following completion of construction of IW-02, GSK will submit a
notice of completion of construction to the Raleigh Regional Office prior to injection. Injection will not commence
until the regional office staff has inspected or otherwise reviewed the injection well and finds it in compliance with
the permit. If GSK has not received notice from the Raleigh Regional Office of the intent to inspect or otherwise
review the injection well within 10 days after the regional office has received the notice, GSK may commence
operation of the injection well. Additionally, in accordance with 15A NCAC 2C .0114(b)(2), GSK will submit a GW-
1 Well Construction Record to the Raleigh Regional Office within 30 days after completion.
• Item 9: GSK will notify the Raleigh Regional Office at least 48 hours prior to the construction of injection well IW-
02 so that an inspection can be made of the well location. Notification will be made during normal office hours
from 8 am to 5 pm, Monday through Friday.
3

• Item 10: Within 60 days of completion of injection well IW-02, GSK will submit two (2) original copies of a scaled
site map to include this well and include the information described in Item 10 (a)through (f).
Should you have any questions or comments regarding this request or require additional information please do not
hesitate to contact Lindsey Walata of GSK at(919)483-4640 or me at(336) 852-4903.
Thank you.
Brian
From: Rogers, Michael [mailto:michael.rogers(a)ncdenr.gov]
Sent:Tuesday, June 23, 2015 2:18 PM
To: Eichlin, Brian
Cc: Lindsey Walata (lindsey.c.walata(agsk.com)
Subject: RE: Groundwater Remediation Permit No. WQ0034465
Brian-
I discussed this with Thomas as he was handling this issue before he transferred to DWM. A permit mod is not
necessary along as the compliance boundary will not be affected by this revised injection plan. If the boundary will not
be affected,just indicate in reply to this email the following:
1. The proposed revision in wells you are going to be using for injection (attach GW-1s if available).
2. Injectant (attach MSDS sheets).
3. Brief explanation/assurance on how the CB will not be affected.
Thanks
From: Eichlin, Brian [mailto:brian eichlin(@golder.com]
Sent: Monday, June 22, 2015 3:25 PM
To: Rogers, Michael
Cc: Lindsey Walata (lindsey.c.walataftgsk.com)
Subject: Groundwater Remediation Permit No. WQ0034465
Michael
Thank you for taking the time to discuss the GlaxoSmithKline South Campus, North Complex Site in Research Triangle
Park(Permit No. WQ0034465). On-behalf of GSK, Golder submitted the First Annual Assessment Report to NCDENR on
May 15, 2015. The Report included a request to modify the injection program to include new injection locations and
supplement the injections with sodium lactate as an alternative carbon source to the permitted soy powder. The
proposed modifications to the injection program will not increase the annual volume of injection slurry or total number
of permitted injection wells. The additional injection locations would replace unconstructed contingent injection wells
that are included in the permit. We would like NCDENR's approval to move forward with the recommendations outlined
in the report. If it would be helpful for your review,we will come to your office to discuss the project.
Please let me know if you have any questions.
Thank you
Brian Eichlin, P.E. I Principal I Golder Associates NC, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: [phone] I D: [phone] I F: [phone] I C: [phone] I E: brian eichlin(a.golder.com
www.golder.com
4

Work Safe, Home Safe
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Electronic media is susceptible to unauthorized modification,deterioration,and incompatibility.Accordingly.the electronic media version of any work product may
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Please consider the environment before printing this email.
5

•
Rogers, Michael
From: Slusser, Thomas
Sent: Tuesday, June 23, 2015 1:34 PM
To: Rogers, Michael
Subject: RE: Groundwater Remediation Permit No. WQ0034465
Hey bud, glad to see you are back in action!
From what I recall of the conversation I did not think a formal permit modification was needed for the injectant change
since it is a similar product performing a similar function and the wells were permitted but not yet constructed.
Regarding the volume and location of the wells, I advised Brian to check to see if the approved compliance boundary
would be affected or not. If so,then a permit modification would be warranted; if not,then no need to modify the
permit. So,you should review the proposed changes and look for some analysis of the potential impact on the
compliance boundary and ask for it if he did not include it in the report.
Cheers!
Thomas Slusser, L.G.
Pre-Regulatory Landfill Unit I NCDENR Division of Waste Management
ph#: 919-707-8331 I [e-mail]
Mailing Address: 1646 Mail Service Center I Raleigh I NC 27699-1646
Physical Address: 217 West Jones Street I Raleigh I NC 27603
http://www.wastenotnc.org/web/wm/sf/ihs/ihsoldlf
E-m it ccnrespondence t0 and from this address may be Subject to the Nor thi Carolina Public Records law f'and may be disclosed to third parties.
From: Rogers, Michael
Sent: Tuesday, June 23, 2015 12:08 PM
To: Slusser,Thomas
Subject: FW: Groundwater Remediation Permit No. WQ0034465
Monsieur-
I have been talking to Brian concerning the below. He said you guys discussed the proposed revised injection plan and
that you were OK with just sending an email with updated info instead of a going thru the permit mod process. Is this
true? I am OK, but DW may ask me if you were OK with it.
From: Eichlin, Brian [mailto:brian eichlinOgolder.com]
Sent: Monday, June 22, 2015 3:25 PM
To: Rogers, Michael
Cc: Lindsey Walata (lindsey.c.walata(agsk.com)
Subject: Groundwater Remediation Permit No. WQ0034465
Michael
Thank you for taking the time to discuss the GlaxoSmithKline South Campus, North Complex Site in Research Triangle
Park(Permit No. WQ0034465). On-behalf of GSK, Golder submitted the First Annual Assessment Report to NCDENR on
May 15, 2015. The Report included a request to modify the injection program to include new injection locations and
supplement the injections with sodium lactate as an alternative carbon source to the permitted soy powder. The
proposed modifications to the injection program will not increase the annual volume of injection slurry or total number
of permitted injection wells. The additional injection locations would replace unconstructed contingent injection wells
1

that are included in the permit. We would like NCDENR's approval to move forward with the recommendations outlined
in the report. If it would be helpful for your review,we will come to your office to discuss the project.
Please let me know if you have any questions.
Thank you
Brian Eichlin, P.E. I Principal I Golder Associates NC,Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: [phone] I D: [phone] I F: [phone] I C: [phone] I E: brian eichlinagolder.com
www.golder.com
Work Safe, Home Safe
This email transmission is confidential and may contain proprietary information for the exclusive use of the intended recipient.Any use,distribution or copying of
this transmission,other than by the intended recipient,is strictly prohibited.if you are not the intended recipient,please notify the sender and delete all copies.
Electronic media is susceptible to unauthorized modification,deterioration,and incompatibility.Accordingly.the electronic media version of any work product may
not be relied upon.
Golder,Golder Associates and the GA globe design are trademarks of Golder Associates Corporation.
Please consider the environment before printing this email.
2

Slusser, Thomas W q CD
From: Eichlin, Brian <[e-mail]>
Sent: Monday, May 11, 2015 10:02 AM
To: Slusser, Thomas
Cc: Lindsey Walata ([e-mail])
Subject: RE: GSK North Site- Follow-up to January 2015 Surfacing of Groundwater
Thank you for the quick response. We are planning to submit the report this week as well as initiate injections.
From: Slusser, Thomas [mailto:[e-mail]]
Sent: Sunday, May 10, 2015 10:02 PM
To: Eichlin, Brian
Cc: Lindsey Walata ([e-mail])
Subject: RE: GSK North Site - Follow-up to January 2015 Surfacing of Groundwater
Greetings Brian,
Thank you for the summary following our April conversation. Please proceed with injection activities this coming week, if
still scheduled. The protocols described below sound like a good way to test well integrity. Please do send hard copies
of the annual report, if available.
Take care,
Thomas Slusser, L.G.
Underground Injection Control Program Manager
NC Division of Water Resources
ph# 919-807-6412
htto://portal.ncdenr.org/web/wq/aps/gwpro
1636 Mail Service Center
Raleigh, NC 27699-1636
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Eichlin, Brian [[e-mail]]
Sent: Wednesday, May 06, 2015 10:01 AM
To: Slusser, Thomas REcENEDIDENRIDWR
Cc: Lindsey Walata (Iindsey.c.walata(agsk.com) • 46
Subject: GSK North Site - Follow-up to January 2015 Surfacing of Groundwater
Thomas, Water ClualitY.
Perrn'tma Sector'
We are providing an update to our January 16, 2015 email regarding surfacing of groundwater when performing
injections at the GlaxoSmithKline South Campus North Complex remediation site. The email notified the Division of
Water Resources(DWR) of NCDENR that on Wednesday January 14, 2015, while performing injections at IW-16 in the
northern portion of the property,groundwater surfaced approximately 40 feet way in the vicinity of injection well IW-
17/BNP-1. As promised in the January 16, 2015 email, prior to the next injection event at IW-16 and IW-17/BNP-1,we
have conducted an evaluation as presented below:
r In reviewing operational procedures and logs, it was discovered that the overflow valve at IW-17/BNP-1
connected to the overflow sump had been in the closed position during the IW-16 injection
event. This resulted in over pressuring of IW-17/BNP-1 and was likely the reason groundwater
1

surfaced at IW-17/BNP-1 rather than flowing to the over flow sump. To supplement the current
injection procedures we have developed a checklist to confirm and document that the appropriate
overflow valves are open during future injections;
➢ To avoid over pressurization, it is recommend injection pressure be closely monitored during the next
injection. Specifically, for the next injection event, injection pressures at IW-16 and IW-17/BNP-1 will
be limited to 30-35 psi calculated as 1 psi per foot of overburden material (i.e. depth of the packer
placement). Packer placement at IW-16 and IW-17/BNP-1 is typically 30-35 feet below ground
surface;
➢ Furthermore, during the next injection event, the integrity of the IW-17/BNP-1 well will be tested by
initiating injections at 5 psi and gradually increasing the pressure in 5 psi increments to the 35 psi limit
referenced above; and,
➢ Chemical compatibility data for ZVI with well grout materials is not readily available. However,typically
grout materials are not compatible with extreme temperatures(cyclic drying/wetting), acidic pH's and
high salinity. The ZVI slurry does not display any of these chemical conditions.As a result, it is Golder's
opinion that the ZVI has not degraded the well grout materials at IW-17/BNP-1. This is further
corroborated by Golder's experience at multiple sites where ZVI injections were implemented. In
addition, Oxidation Reduction Potentials at IW-17/BNP-1 measured during sampling events ranged from
-80 to-250 mV. While these values confirm a reducing environment,they are not indicative of a highly
reducing environment as those observed at other Sites where grout deterioration has not occurred.
We tested the surface soils removed from the IW-17/BNP-1 area for VOCs. The tests results were non-detect for all
parameter except toluene and acetone which were reported at concentrations below the Inactive Hazardous Sites
Branch Preliminary Site Remediation Goals. Based on these results additional soil removal and/or soil testing is not
warranted. A summary of this incident including soil test results will be included in our annual report.
As indicated in our telephone conversation on April 13, 2015,we will be submitting the annual report on or before May
15,2015. The Permit requires the submission of two copies of the report. We wanted to confirm that hard copies of the
report are still required or if electronic submission is sufficient.
We plan to initiate the next round of injections during the week of May 11, 2015. Please let us know if the above
evaluation is sufficient to proceed with injections at IW-17/BNP-1.
Please let me know if you have any additional questions.
Thank you for your assistance.
Brian Eichlin
Brian Eichlin, P.E. I Principal I Golder Associates NC, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: +1.[phone] I D: [phone] I F: [phone] I C: [phone] I E: brian eichlin(a�golder.com
www.golder.com
Work Safe, Home Safe
This email transmission is confidential and may contain proprietary information for the exclusive use of the intended recipient.Any use,distribution or copying of
this transmission,other than by the intended recipient,is strictly prohibited. If you are not the intended recipient,please notify the sender and delete all copies.
Electronic media is susceptible to unauthorized modification,deterioration,and incompatibility.Accordingly,the electronic media version of any work product may
not be relied upon.
Golder,Golder Associates and the GA globe design are trademarks of Golder Associates Corporation.
Please consider the environment before printing this email.
2

Fulk, Maria
From: Eichlin, Brian
Sent: Thursday, November 29, 2018 9:03 AM
To: 'Michael Rogers'
Cc: Lindsey Walata ([e-mail]); Draper, Benjamin
Subject: Groundwater Remediation Permit No. WQ0034465 Newly Constructed Injection Wells
Attachments: Figure 11R.pdf; IW-17 Sketch From Second Annual Report 2016.pdf; Figure 10.pdf
Michael,
Golder recently completed construction of the planned injection wells at the GlaxoSmithKline South Campus, North
Complex in Durham, NC (Groundwater Remediation Permit No. WQ0034465). As discussed in the Fourth Annual
Assessment Report submitted to NCDEQ on July 31, 2018 by Golder Associates (Fourth Annual Report), permitted
contingent wells IW-07, IW-09, IW-13 and IW-15 have been installed at the approximate locations presented on the
attached Figures 10 and 11 (revised) from the Fourth Annual report. In addition, as described in an email dated August
14, 2018, a replacement well IW-04R was installed adjacent to permitted injection well IW-04 (previously monitoring
well GW-04). GW-04 was left in place as a groundwater monitoring point and will no longer be used as an injection
well.
As presented in the Fourth Annual Report, IW-07 was to be constructed to target a shallow impacted zone observed in a
sandstone unit logged at neighboring injection well BNP-1/IW-17 and upgradient monitoring well P-5. As presented on
the attached sketch from the second annual monitoring report, this unit is located at approximately 17 ft to 24 ft
bgs. During the drilling of IW-07 we observed weathered rock starting at approximately 15 ft bgs. While drilling through
the weathered rock we observed elevated PID hits and saturated conditions. However, during the installation of IW-07
sufficient competent rock to construct an open borehole was not observed until reaching 25 ft bgs. IW-07 was
constructed as an open borehole starting at a depth of 25 ft bgs below the shallow impacted zone that was to be
targeted. To target the weathered rock, a second well (IW-075) was constructed at the same location with a 4-inch
diameter screen across the weathered rock from 10 to 20 ft bgs. We would like to utilize both these wells (IW-07 and
IW-07s) for injections. While this will increase the number of permitted injections wells, the total quantity of injectants
per event or year will not exceed those presented in the permit application dated November 20, 2009 revised
November 3, 2010.
We are targeting injections the week of December 17,2018. We respectfully request that NCDEQ approve this request
to use both IW-07 and IW-07s as injection wells by a response email. Please let me know if you need additional
information for an approval. As requested we are sending hard copies of this request in the mail.
Thank you
faCENED`
Brian
Brian Eichlin, P.E. DEC O `
PrincipalSOW
ritat.
Golder Associates NC, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: [phone] I D: [phone] x42509 I C: [phone] I qolder.com
G O L D E R Linkedln I Facebook I Twitter
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\n -
\� �, LEGEND
` x ."� \\ x •\•�, X—X— ESTIMATED LOCATION OF EXISTING CHAIN
I ) \ \. LINK FENCE
/ �IW-16 • g�.
/ \` _ _ \. NZVI INJECTION WELL GlaxoSmithKline
I - j r� BNP-1/IW1 • RAVITY OVERFLOW HEADER ♦BR-2
i \\
1\\ BEDROCK NZVI INJECTION WELL
I - /I 1\ I. N GWdD EXISTING MONITORING WELL CONTRACTOR FIRM ID
1\\\ x •\ EXISTING UTILITY POLE
1 I `\ \-' \ .1W-16 ———— PROPERTY LINE 14 G O L D E R
X HF-�\, x
x _� HF-7ND ��`._ -'�.''� �ND(PCE Present)
I ,�. 1 -1 1'CONTOUR INTERVAL
ND - -. \ `-`.1 \ \•\ FENCE GATE GREENSBORO, NC
IW-11
x
I ZONEI VALVE siw-ip -\- -L\ •\• ,�—,b_,�— SHALLOW EXTRACTED GROUNDWATER AND
J1' \ OVERFLOW FORCEMAIN
RO CONTRACTOR PROM No:073-96115
-- -X, X - X X % WIW-10D 1 \ 1I x —, —, _ DEEP EXTRACTED GROUNDWATER
1-1 P 5 FORCEMAIN DTI
1 \ 1; \ —• —+ —. — GRAVITY OVERFLOW HEADER By: JAIT
Drawn By: LKB
Checked By: BJE
ZONE 2 VALVE `•\ 1\'1-.x �\ Project Manager BR1W EK11UN,P.E.
` —, —
INJECTION WATER FORCEMAIN GSK PROJECT 980RWTION
\ 1�\1 \ GSK CONTRACT NO:139535
ZONE 3 VALVE ` \ (�\1 x \• EW-3 EXTRACTION WELL PROJECT NAME:RCRA CORRECTIVE MEASURES
\ KW
1�1 \ GSK PROJECT MGR:LORRAINE CANARD
GSK�B® I lA 12 \ 111 •IW-02 —Ec—ec—c<— CONDO TROUND ELECTRICAL EHS CONTACT:LINDSEY WALATA,P.G.
y�_ 9,300 ug/L $$, 1\
7 32 ug1L.
IW-� III GSK-45NM
• \ \ \\\• —cc—a—a— UNDERGROUND CONTROL CONDUIT
HF-9 RFI 13 811 x
BR-3 0.840 J mg/kg \ \ ®cs%-0+ SOIL CAS MODULE LOCATION
\ PANEL LOCATION--� `
DI-1 3 \);
PUk�`E---. � •
0.800 J mg/kg IW-12D• � *SVE-1 SHALLOW ME WELL
OVERFLOW SUMP - RFI-13-B17 0.014 mg/kg
\ 0.260 mg/kg ® GSK-07
WND PUMP(0S-2) !� I• '�'gK ;'\ `\\ \ S ®,— +HF-10LL DUCALLY FRACTURED SHALLOW SVE
VIE� ! III \ \\ -,` 0 009 mg/kg D f4-6)
1 \ ABOVE GRADE 3•SVE PIPING
P-6-- IW-08Dy I GSK-46 g 1 \ (ZONE 1)
EXISTING I' 463 ng \\ \
UTILITY POLE I I T
1 \ \ ABOVE GRADE Y SVE PIPING
��x X I I I I'1 HND c�K\\� ABOVE G)
I IiiI (Si lted In) ® x ) E} SVE PIPING
ABOVE GRAD
(ZONE 3)
------ I Ili] . \ \\\\ \ :-' ®— ICE CONCENIRATIDNS:
.. __1 I i I BR-2. \ \O K\' x 111.1111111/11111111111 APRL 2017 CONFAKRATON(VOA)]OI3
x t •IIIII GSK-63-_ ® ® \ RFI-13-B10
I -.I I � ` SOIL GAS SIJavEY caNDE11TRArIaN(Nc)
0.068 mg/kg
I III I N� 1 1 � x •081443.
13 PF15A-D(2-0) sa coNaN RM oN DIG:
II GSK-62 EM® 1
x I III rF Mil LE \ 1 -:\� x su- so L n- 012
II 1 PDI-13-10 1 \ '-. \ PROPOSED SCOPE OF WORK:
x I II PDI-13-9 * ND 1 `\\,
1!I. •RFI-13-82 ND \1 x * PROPOSED soK IMOrhNO
5.8 J mg/kg 1 \ \�
1 2! 1� IW-14 \� \ - i st*ELLS TO BE wPLEo BY TO-Is
IND PDI-13-8 RFI-13-B16 X�C� \\:
' 1 0.120 mg/kg 0-046 mg/kg \ 1 " 0�S PROPOSED 4-INCH SHNLOR SVE/NJECTION WELL
aI GSKE1® 1}
MON
x I iid l •RFI-13—Bi ;; I\ \\ NOTES 1FP/MNIEIIT ckercx APPNEWL HATE
-I 0.410Jmg/Iq BR-1 *
1!I I 1 PI GSKEO® I 14 E
ON
Min
INIIIII
I. I!II L — — — _ — - MJFe01
I x III _ ' 1 III x
x 1 I ��1�1,1 \1 - .2 13Bl5 I ; �\� \ TCE CONTOUR NAP
- ! I 0.059 mg/kg PDI-13-11 0 mg/kg I •K IT1:41 „n
- I0.0049 mg/kg \II° I \ �� I c T
E 1 I III 1 0.260 mg/kg s i_.,.,
Ix�D�1 1 ! \ I MI ' ` \ RECEIV�bAdCDE(1I�Y11t1
1 I I it x
-06 �' 1 \ �S13-P-F17A-D(0-2) ��e
II ND DECO o
�� \ RFI-13-B13 I 11� I 1 GIr
,ram_, ND I 1�1� ��
u~ , J II j\ We�x QOaMitY SUBMITTED TO NCDEO 7/31/18
s P- I\. r_ PCB EXCAVATION EXTENTS - RegiOnE / "15. I Dole
` F 1 \ a��,;_•s_,,,, _ (CONSTRUCTION COMPLETION 1I\ \ \ :. REFERENCES v��.,
- \� �7—':_ REPORT-SOIL EXCAVATION- _ _ 1-
...-- j
� II 1 \ GOLDER2015) 1\ x ® ' CO I.)RA JAN MONITORNG
GW1L:DATED FROM
COO. ALE TITLED CAD:EISEI
_
'8 i II - Sle: SN S.G111P115,N.CfW,FH.E%
x II _,J I �IW-03D 2.)PLANIMETRIC FEATURES TAKEN FROM CARD FILE TITLED•SkME-.
:' _ I \ \ 1 i—Y �� 223d 11/10/99.ALl FEATURES WERE SHIFTED FEET AND 4.. AS SHOWN
-- -- _. 223435'39.423•TO ALIGN WITH GROUNDWATER MONITORING WELLSKt
�� . 3.)ALL BASE CARD ALES USED DURING DRAWNG PROTOTYPE
11 .\i V IW-01 1.1�9 'I.] CONSTRUCTION WERE TAKEN FROM COMPACT DISK SUPPLIED BY GSK. PROPOSED SCOPE OF WORK
a rI i'�.; \ - ... ._..... X ND* iV( N�CZ ORDINATE SYSTEM SHOWN IS NORTH CAROLINA STATE PLANE SVE AREA
o x II.I x- �_ JL / x x X\ x X X -X X X X—X X X 'F 5.)NZVI SYSTEM AS-BUILT PIPING AND WELL LOCATIONS PROVIDED
^�j' RFI-13- 1 ®Y BY .a.McADAMS. FIGURE 10
ll-I i i \ P-4 __ 0.046 mg/kg
.e .Vx
4
PI1AF05 `\c 10 0 10 20 0
8 \.\ , ,
1 � 0 / SCALE FEET

LEGEND
•
—x x ESTIMATED LOCATION OF EXISTING CHAIN
LINK FENCE • „;
I.
_ _ _ _ _ _ _ M.
_ M.
M.
_ _ _ _ _ _ _ �IW-16 NZVI INJECTION WELL
PROPERTY LINE Aax®SmithKlmne
O BR-2 BEDROCK NZVI INJECTION WELL
•GW-40 EXISTING MONITORING WELL CONTRACTOR FRM ID
EXISTING UTILITY POLE
EXISTING CHAIN LINK FENCE SURROUNDING SWMU-13 PANEL LOCATION
�� PROPERTY LINE G O L D E R
4GW4
14
- ------'------ I'CONTOUR INTERVAL
FENCE GATE GREENSBORO, NC
X—X—X X X X " u ,s ,s SHALLOW EXTRACTED GROUNDWATER AND
IM.
mil
111.
M.
r X—X— u--EW-1 — — — — — OVERFLOW FORCENNNCONip�IOR PRO/Ip;073-%I IS
Mil
I PANEL LOCATION u _ DEEP ExTRACTED GROUNDWATER Dorn By 1 B
x 1 '�„�sc"�. �EW-2 '.. GW-4D — — — — FORCEMAIN Deed By: JAD
x \
/ r.. —•� - —' —° —° — GRAVITY OVERFLOW HEADER CMctM BY 81E
_ PANEL LOCATK)N Pro t BRIAN EK.TUN.PE.
I - x i y�— I I — — —i — INJECTION WATER FORCEMAIN
- G9c PRO,ECI INFORMATION
i i� I GSK CONTRACT NO 139535
/ / i�®CASK-55 BNP-3 I i ) 4GWril A EW-3 EXTRACTION WELL PROJECT NAME:RCRA CORRECTIVE MEASURES
® �i 77 1 YY
„��^� \ i .-% •RFI-13-B25 I' I BNP-2 CASK PROJECT MCR:LORRADJE CANCRO
I EVV-4D, .\ ' ,� 0.015 mg/kg ®GSK-54 YYY( _E�_E�_ UNDERGROUND ELECTRICAL
\� \ i I T`— CONDUIT EMS CONTACT:LINDSEY WAUTA,P.C.
Ic
� \ \ Jai —cc—cc—cc— UNDERGROUND CONTROL CONDUIT
x \� x \k 1 GSK-01
\ ® SOILCAS MOD LE LOCATION
I (/ \ + -4 FOURTH ANNUAL REPORT
\'\` GSK-35 �SVE-1 SHALLOW SOE WELL
PANEL LOCATION \ \'\ x 1 ®� _
\ - GSK-56 - I A
*HF-10 HYDRAULICALLY FRACTURED SHALLOW SVE
-:::::-__\
_ WELL
\ \ -... ® ®GS,� 0 0074 mg/kg 26 ! ABOVE GRACE 3'SW PIPING
�\- _"S\ - - . GSK-28 ( (ZONE 1)
ME \\\ \ ®_ ABOVE GRADE 3-SVE PIPING
\\\ K (ZONE 2)
IW-18
\\ \\\�•�•_ ®CAS_ i (ABOVE ZoNE 3GRADE s'SVE PIPING
\\ f\ '�•� -26 'AEW3
9VSELNE CW CDNCENIRADON(WA)-2013
OVERFLOW SUMP AND PUMP(OS-1) \\ \\\ • !�■19■�9 APRt 2017 CW CONCO R1TXIN(uCA)
\\\ % ,- *GSK 18 iiiimmeni 50l GAS SURVEY CONCDI7PATKIN(NC)
V. \\\ \ \' ®- Sa C9NCEN1RATGR(MC/KG)
\ 1\1 \'�, GSK-18B ®GSKGSK_19 GSK-29 -PO�1 wi� rs-
c \ x GSK-25 ®— -Nsfusa�Aspl�iol2
\,\• ®— PANEL LOCATION
FI-13-B8
--- i ` \ GSK-17 0.580 mg/kg PROPOSED SOYE GSK-20 OF :
\\ 1"..-
7 GSK-77B BNP-1/ -1 MIIIIIIIL * PR0P05E0 SOIL B09NG
j \� 1M\\ GSK-14 *GSK-23
N.
0 PROPOSER 6-BD1%ALLOW HIECIRM WCLL
\ 1\\ ST3-P-F12A O(2-4)•
® GRAVITY OVERFLOW HEADER
\-\ 1�\\\ x •ND®G�4 K-14B ® N'
K-21
I \-\ r^\ * GS- ®CAS \ IW-16\ RFI-13-87
I ?`-�1.900 J mg/kg �� OMR ORAWNG APP■WtS
i j�➢HF-q'\ ,' i NOTES owwrorc WHO* art
HF 6� HF-7 -.RI , .`\�\ ®GSK-30 •RFI-13-B27 OS
�����I��I��Iyyy 1°\ \
GSK-13 1111111 •\ ND ®GSK-33
/ _ , 1�\ ® GSK-22 VofORGWn
IW-17.-0. " // \ \+\ ` ®GSK-15 ®_ \.
ZONE 1 VALVE •TW-10D \ `\1 x P-5 ®GSKJ7 \
T
\ j\ ®GSK-12 \
ZONE 2 VALVE \ 1\6 x S13-P-F13A-D(4-6) i- -
1 .-\ •ND GSK-16 ®GSK-11 I ,1 ®s l t,o
ME
- 1® x \
ZONE 3 VALVE V . `
LIt\\ \ ,y.
1\, IW-02 a
NF 5 A A ®GSK-05 ®MIN w r -,..�,......«,, x.
$ Iw-12.� \ ®G AWOED IIV-07S LOCATION 1l/28/18
1\ J 0 5118YTTED TO NCDEO 7/31/18
s I{{ . HF-9 (BR-3-- \ \\-,x .: xt .0.5.P ./.g
` No Revision Dote
\\� +\ a REFERENCES WrEa.sr/
IW-12D• ` 1 x e� A�Mc
OSO
m HQ-16\\- % I.)RFI MONITORING WELLS TAKEN FROM CARD FILE TITLED CAD
_T - - \\� \ 'S54/DOJAN-DG-FlGS-IS',DATED D6/22/00. Ste; GSK S.CAMPUS,N.COIPIEX
- \ \\ \\ \ DATE2.)D 1/0/99.ALLIMETRIC U FEATURES WERERES TAKEN SHIFTED Fl208.71 LE EFFEET AND Scale AS SNOW
' \ 223A35'39.423•TO ALIGN WITH GROUNDWATER MONITORING WELLS.
RIR
':=� r s:i•. 3-)ALL BASE CADD RLES USED DURING DRAWING PROTOTYPE
\ `- CONSTRUCTION WERE TAKEN FROM COMPACT DISK SUPPLIED BY GSK.
s \\A x PROPOSED SCOPE OF WORK
HF-4. HF-11 \ \ \\\ \ 4'i 4.)COORDINATE SYSTEM SHOWN IS NORTH CAROLINA STATE PUKE BNP-1/IW-17 AREA
NAD 27.
HF-3 \ \ ` 5.)NEVI SYSTEM AS-BUILT PIPING AND WELL LOCATIONS PROVIDED
1-.! I \..... \ \\\ 'moms.\ __ BY J.R.J. 'moms._ti FIGURE 11
BR-24- \ \ \\\ K`{ .�� Rev:
a I \ \ \1 --\ - �w 10 0 10 20 Q
r0x
0 \ . \1`1 1 SCALE FEET

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Electronic media is susceptible to unauthorized modification, deterioration.and incompatibility. Accordingly. the electronic media version of any work product may
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June 2016 27 Project No. 0739611502
0 : Hard silty sand Overburden °. °s--Surface
° ° Casing 2-
4� �. , t
"8-1' ;
10-" ' °° °.-Grout
12-s :.• ,
14- Wheathered fine-grained reddish °b °
•. brown Sandstone •• °
WL on 12/17/15
c ° ` 358.82 ft AMSL
t8—::,r.; Fine-grained reddish brown _ - _ - - - _ - - - _ - - - :r.,:_. _ - - - - -
. Sandstone • :
. °
20-'- - -
22- "; IW-17
UPPER WL on 12/15/15
24J :-;_> ZONE 352.01 ft AMSL
- - - - - - - - -
26��=
28-,`;::r Fine-grained light brown Sandstone INFLATED
30- Reddish brown Siltstone PACKER -Open Borehole
32--:,',-;• Fine-grained brown Sandstone
IW-17
Fine-grained reddish brown - LOWER
34- Sandstone ZONE s
36_, - Medium-grained brown Sandstone
38 e f Reddish brown Siltstone
- f f
40-/
- tf
42- End of boring
Concentration(ug/L)
Analytes IW-17 Upper IW-17 Lower P-5 GW-4
12/17/2015 12/17/2015 1/25/2016 1/26/2016
Vinyl Chloride 450 3,400 3,200 8.6
1,1-DCE 980 260 ND 140
cis-1,2-DCE 51,000 29,000 60,000 2,000
Chloroform 19,000 2,500 10,000 1,700
1,2-DCA 11,000 3,700 14,000 1,200
TCE 97,000 4,100 64,000 41,000
PCE 170 ND 490 120
CA Golder
Associates

.
4
GOLDER
April 9, 2019 Project No. 0739611502
Michael Rogers, UIC Program Manager
NC Department of Environmental Quality
Division of Water Resources - Groundwater Protection
Underground Injection Control Program
1636 Mail Service Center
Raleigh, NC 27699-1636 APR 112019
. ur .4ua'r
RE: UPDATED CROSS-SECTIONS SWMU-13 AREA :tegiorraiuperationsbuCtlut►
GLAXOSMITHKLINE, SOUTH CAMPUS, NORTH COMPLEX, RTP, NC
NCDEQ GROUNDWATER REMEDIATION PERMIT NO. WQ0034465
RCRA PERMIT NO. NCD052547635
Dear Michael,
Golder Associates NC, Inc. (Golder), on behalf of GlaxoSmithKline (GSK), is submitting the attached site geologic
map (Figure 1) and associated geologic cross-sections (Figure 2) depicting geologic conditions local to the solid
waste management unit (SWMU) 13 area in the northern portion of the former GSK, South Campus, North
Complex site located at 3029 E Cornwallis Road in Research Triangle Park, Durham, NC. These figures were
developed as requested by North Carolina Department of Environmental Quality(NCDEQ) in an email dated
January 29, 2019. As requested, 2 copies are being provided. The attached cross-sections incorporate new
geologic data obtained in the proximity of the SWMU 13 during the installation of the facility injection wells,
including the recent installation of IW-07, IW-07S, IW-13, IW-15, and GW-4R in November 2018, with the Site
wide geology previously described in the Site Conceptual Model(Golder, 2003).
As shown on Figure 2, the lithology data obtained during the installation of IW-07 and IW-07S suggests there is a
i depression in the topof bedrock where elevated concentrations of chlorinated volatile organic compounds (c-
VOCs) 9 P
inthe Fourth Annual Assessment Report:
were detected duringapassive soilgas surveyas presented p
April 2017—April 2018 Reporting Period (Golder Associates, July 31, 2018). During the installation of injection
wells in the SWMU-13 area a localized interbedded (sandstone/siltstone) layer was observed to be present within
the upper portion of the H3SS unit that is not identified as a Site wide geologic unit in the Site Conceptual Model.
This localized layer may represent a pseudo confining layer, promoting groundwater contaminant transport from
the former SWMU 13 chemical disposal trenches along the overburden H3SS interface to the depression in the
top of bedrock at IW-075. Recently obtained groundwater results provide additional evidence of impacts in the
partially weathered rock surrounding IW-075. Currently, injection well IW-07S is being used to treat this area with
gravity injections. In addition, GSK plans to grout the bottom of injection well BNP-1/IW-17 to an elevation equal
preferential pathwayconnectingthe
to the top of the packer depth (shown on Figure 2) to eliminate a potential
uppermost portion of the H3SS unit from the lowermost portion of the H3SS unit.
Golder Associates NC,Inc.
5B Oak Branch Drive Greensboro,North Carolina,USA 27407 T:[phone] [phone]
Golder and the G logo are trademarks of Golder Associates Corporation golder.com

Michael Rogers,UIC Program Manager Project No. 0739611502
NC Department of Environmental Quality April 9,2019
If you have any questions, please do not hesitate to contact the undersigned at 336-852-4903.
Sincerely,
Golder Associates NC, Inc.
Benjamin S. Draper, PG, PMP Bria J. Eichlin, PE
Senior Project Geologist Principal and Practice Leader
BSD/BJE/bsd:
CC: Lindsey Walata, PG, Shared Service Environment Manager,
GlaxoSmithKline
Attachments: Figure 1: Line-of-Section
Figure 2: Cross-Sections
g:\projects\gsk\gsk rtp operations\annual report\2019\2019-04-09 draft gsk-cross-section submittal.docx
7,1
-AM
A , =z 2079
o ter•)uet;�
Regional Op®radona sow
GOLDER 2

r
Rogers, Michael
From: Draper, Benjamin <[e-mail]>
Sent: Tuesday, April 9, 2019 4:41 PM
To: Rogers, Michael
Cc: Lindsey Walata ([e-mail]) ([e-mail]); Eichlin, Brian;
4 Wrenn, Andrew
Subject: [External] Updated Cross-Sections SWMU-13 Area
Attachmer G O L D E R 2019-04-09 GSK-Cross-Section Submittal.pdf
External email. Do not click links or open attachments unless you verify.Send all suspicious email as an attachment to
Good afternoon Michael,
Please find the attached Updated Cross-Sections SWMU-13 Area associated with the remedial activities at the former
GSK, South Campus, North Complex in RTP, NC DEQ Groundwater Remediation Permit No. WQ0034465. Per your
request, I have also mailed two hard copies of this report. Please let us know if you have any questions or concerns.
Best Regards,
Benjamin Draper, PG, PMP
Senior Project Geologist
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: [phone] I D: [phone] I C: [phone] I golder.com
l inkedln Facebook Twitter
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This email transmission is confidential and may contain proprietary information for the exclusive use of the intended recipient.Any use. distribution or copying of
this transmission,other than by the intended recipient,is strictly prohibited.If you are not the intended recipient.please notify the sender and delete all copies.
Electronic media is susceptible to unauthorized modification,deterioration,and incompatibility.Accordingly. the electronic media version of any work product may
not be relied upon.
Golder and the G logo are trademarks of Golder Associates Corporation
Please consider the environment before printing this email.
1

Rogers, Michael
From: Rogers, Michael
Sent: Tuesday,January 29, 2019 9:29 AM
To: 'Eichlin, Brian'
Cc: 'Lindsey Walata ([e-mail])'; 'Draper, Benjamin'
Subject: RE: [External] Groundwater Remediation Permit No.WQ0034465 Newly Constructed
Injection Wells
Brian- I received the revised Site map. Can you email and send a couple of hard copies of latest cross-sections.
Thanks.
From: Rogers, Michael
Sent: Friday, December 7, 2018 5:07 PM
To: 'Eichlin, Brian' <[e-mail]>
Cc: Lindsey Walata ([e-mail])<[e-mail]>; Draper, Benjamin
<[e-mail]>
Subject: RE: [External] Groundwater Remediation Permit No. WQ0034465 Newly Constructed Injection Wells
As long as this will not have any effect on the overall hydraulic control and there will be no violations per the current
monitoring plan,your request is reasonable and approved. Per requirements in the permit, provide 48 hours prior to
injection and GW-ls of wells after construction.
From: Eichlin, Brian [mailto:brian [e-mail]]
Sent:Thursday, November 29, 2018 9:03 AM
To: Rogers, Michael<[e-mail]>
Cc: Lindsey Walata ([e-mail])<[e-mail]>; Draper, Benjamin
<Benjamin [e-mail]>
Subject: [External] Groundwater Remediation Permit No. WQ0034465 Newly Constructed Injection Wells
External email. Do not click links or open attachments unless verified. Send all suspicious email as an attachment to
Michael,
Golder recently completed construction of the planned injection wells at the GlaxoSmithKline South Campus, North
Complex in Durham, NC(Groundwater Remediation Permit No. WQ0034465). As discussed in the Fourth Annual
Assessment Report submitted to NCDEQ on July 31, 2018 by Golder Associates (Fourth Annual Report), permitted
contingent wells IW-07, IW-09, IW-13 and IW-15 have been installed at the approximate locations presented on the
attached Figures 10 and 11 (revised)from the Fourth Annual report. In addition, as described in an email dated August
14, 2018, a replacement well IW-04R was installed adjacent to permitted injection well IW-04 (previously monitoring
well GW-04). GW-04 was left in place as a groundwater monitoring point and will no longer be used as an injection
well.
As presented in the Fourth Annual Report, IW-07 was to be constructed to target a shallow impacted zone observed in a
sandstone unit logged at neighboring injection well BNP-1/IW-17 and upgradient monitoring well P-5. As presented on
the attached sketch from the second annual monitoring report,this unit is located at approximately 17 ft to 24 ft
bgs. During the drilling of IW-07 we observed weathered rock starting at approximately 15 ft bgs. While drilling through
1

the weathered rock we observed elevated PID hits and saturated conditions. However, during the installation of IW-07
sufficient competent rock to construct an open borehole was not observed until reaching 25 ft bgs. IW-07 was
constructed as an open borehole starting at a depth of 25 ft bgs below the shallow impacted zone that was to be
targeted. To target the weathered rock, a second well (IW-07s) was constructed at the same location with a 4-inch
diameter screen across the weathered rock from 10 to 20 ft bgs. We would like to utilize both these wells(IW-07 and
IW-07s)for injections. While this will increase the number of permitted injections wells, the total quantity of injectants
per event or year will not exceed those presented in the permit application dated November 20, 2009 revised
November 3, 2010.
We are targeting injections the week of December 17,2018. We respectfully request that NCDEQ approve this request
to use both IW-07 and IW-07s as injection wells by a response email. Please let me know if you need additional
information for an approval. As requested we are sending hard copies of this request in the mail.
Thank you
Brian
Brian Eichlin, P.E.
Principal
Golder Associates NC, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: [phone] I D: [phone] x42509 I C: [phone] I golder.com
GO L D E R Linkedln I Facebook I Twitter
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I his email transmission is confidential and may contain proprietary information for the exclusive use of the intended recipient.Any use, distribution or copying of
this transmission,other than by the intended recipient,is strictly prohibited.If you are not the intended recipient,please notify the sender and delete all copies.
Electronic media is susceptible to unauthorized modification,deterioration. and incompatibility.Accordingly.the electronic media version of any work product may
not be relied upon.
Golder and the G logo are trademarks of Golder Associates Corporation.
Please consider the environment before printing this email.
2

. .
4
GOLDER
April 9, 2019 Project No. 0739611502
Michael D Q0iNR
chael Rogers, UIC Program Manager gEl�Ili�i�+C
NC Department of Environmental Quality
Division of Water Resources - Groundwater Protection APR 112019
Underground Injection Control Program
1636 Mail Service Center 'vVaterQuality
Raleigh, NC 27699-1636 Regional Operations Section
RE: UPDATED CROSS-SECTIONS SWMU-13 AREA
GLAXOSMITHKLINE, SOUTH CAMPUS, NORTH COMPLEX, RTP, NC
NCDEQ GROUNDWATER REMEDIATION PERMIT NO. WQ0034465
RCRA PERMIT NO. NCD052547635
Dear Michael,
Golder Associates NC, Inc. (Golder), on behalf of GlaxoSmithKline (GSK), is submitting the attached site geologic
map (Figure 1) and associated geologic cross-sections (Figure 2) depicting geologic conditions local to the solid
waste management unit (SWMU) 13 area in the northern portion of the former GSK, South Campus, North
Complex site located at 3029 E Cornwallis Road in Research Triangle Park, Durham, NC. These figures were
developed as requested by North Carolina Department of Environmental Quality(NCDEQ) in an email dated
January 29, 2019. As requested, 2 copies are being provided. The attached cross-sections incorporate new
geologic data obtained in the proximity of the SWMU 13 during the installation of the facility injection wells,
including the recent installation of IW-07, IW-07S, IW-13, IW-15, and GW-4R in November 2018, with the Site
wide geology previously described in the Site Conceptual Model(Golder, 2003).
As shown on Figure 2, the lithology data obtained during the installation of IW-07 and IW-07S suggests there is a
depression in the top of bedrock where elevated concentrations of chlorinated volatile organic compounds
(c-VOCs)were detected during a passive soil gas survey as presented in the Fourth Annual Assessment Report:
April 2017—April 2018 Reporting Period(Golder Associates, July 31, 2018). During the installation of injection
wells in the SWMU-13 area a localized interbedded (sandstone/siltstone) layer was observed to be present within
the upper portion of the H3SS unit that is not identified as a Site wide geologic unit in the Site Conceptual Model.
This localized layer may represent a pseudo confining layer, promoting groundwater contaminant transport from
the former SWMU 13 chemical disposal trenches along the overburden H3SS interface to the depression in the
top of bedrock at IW-075. Recently obtained groundwater results provide additional evidence of impacts in the
partially weathered rock surrounding IW-075. Currently, injection well IW-07S is being used to treat this area with
gravity injections. In addition, GSK plans to grout the bottom of injection well BNP-1/IW-17 to an elevation equal
to the top of the packer depth (shown on Figure 2)to eliminate a potential preferential pathway connecting the
uppermost portion of the H3SS unit from the lowermost portion of the H3SS unit.
Golder Associates NC,Inc.
5B Oak Branch Drive Greensboro,North Carolina,USA 27407 T:[phone] [phone]
Golder and the G logo are trademarks of Golder Associates Corporation golder.com

Michael Rogers, UIC Program Manager Project No. 0739611502
NC Department of Environmental Quality April 9,2019
If you have any questions, please do not hesitate to contact the undersigned at 336-852-4903.
Sincerely,
Golder Associates NC, Inc.
Benjamin S. Draper, PG, PMP Bria J. Eichlin, PE
Senior Project Geologist Principal and Practice Leader
BSD/BJE/bsd:
CC: Lindsey Walata, PG, Shared Service Environment Manager,
GlaxoSmithKline
Attachments: Figure 1: Line-of-Section
Figure 2: Cross-Sections
g:\projects\gsk\gsk rtp operations\annual report\2019\2019-04-09 draft gsk-cross-section submittal.docx
PR 112019
wvterQualit4'
Regional Ope atiaw Section
4 GOLDER 2

4, GOLDER
January 22, 2019 Project No. 0739611502
Michael Rogers
NCDEQ
Division of Water Resources
Groundwater Protection Unit s°o4
1636 Mail Service Center •ieQsF
Raleigh, NC 27699-1636 ,006)
RE: SUBMISSION OF SCALED SITE MAP 4490,,„ Nfrl
GROUNDWATER REMEDIATION PERMIT NO. WQ0034465
GLAXOSMITHKLINE, SOUTH CAMPUS, NORTH COMPLEX, RTP, NC —y404
RCRA PERMIT#NCD052547635
Golder Associates, NC, Inc. (Golder), on behalf of GlaxoSmithKline (GSK), is submitting to North Carolina
Department of Environmental Quality(NCDEQ)two copies of revised site maps as required by Permit Condition
111.4 of Groundwater Remediation Permit No. WQ0034465 which expires December 31, 2021. The maps were
revised from those previously submitted on December 8, 2015 to include the recently completed installation of
contingent(i.e. permitted but unconstructed) injection wells IW-07, IW-09, IW-13 and IW-15; and construction of
well IW-04R which replaced existing injection well IW-04/GW-4 (monitoring well GW-4 was converted to an
injection well in 2015). With the construction of IW-04R, IW-04/GW-4 will remain in place as monitoring well GW-
4. Construction of these permitted injection points were recommended in the Fourth Annual Assessment Report:
April 2017—April 2018 Reporting Period (Golder Associates, July 31, 2018).
As presented in an email from Golder to NCDEQ dated November 29, 2018 and approved byNCDEQ on
December 7, 2018, injection well IW-07S is presented on Figure 1 as an approved injection well. Contingent well
IW-07 was constructed to target a shallow impacted zone observed in a sandstone unit logged at neighboring
injection well BNP-1/IW-17 and upgradient monitoring well P-5. During the drilling of IW-07 weathered rock was
observed starting at approximately 15 feet bgs. While drilling through the weather-. • I6evated PID hits and
saturated conditions were observed. However, during the installation of IW-07, su icient ompetent rock to
construct an open borehole was not observed until reaching 25 feet bgs. IW-07 was constructed as an open
borehole starting at a depth of 25 feet bgs below the shallow impacted zone that was t 8ia eted. To target the
weathered rock, a second well (IW-07S)was constructed at the same location with a 4-inch diameter screen
across the weathered rock from 10 —20 feet bgs. In an email dated December 7, 200 acjd A.approved the
use of both IW-07 and IW-07S as injection wells.
alt Well construction records for the newly constructed injection wells submitted to NCDEQ on December 3, 2018 are
provided in Attachment No. 1. Attachment No. 2 includes survey data for the newly constructed wells as prepared
and sealed by a surveyor licensed in the state of North Carolina.
Golder Associates NC,Inc.
5B Oak Branch Drive,Greensboro,North Carolina,USA 27407 T:[phone] F:[phone]
Engineering Lic.No.C-2862/Geology Lic.No.C-399
Golder Associates NC,Inc.is a licensed user of the Golder trademark,and an associated operating entity.
Golder and the G logo are trademarks of Golder Associates Corporation. gokler.com

Michael Rogers Project No. 0739611502
NCDEQ January 22,2019
Should you have any questions or comments regarding the new injections wells or require additional information,
please do not hesitate the contact Lindsey Walata of GSK at(919)483-4640 or Brian Eichlin at [phone].
Sincerely,
Golder Associates NC, Inc.
D
Andrew Wrenn Bria !. Eichlin, P.E.
Project Scientist Principal
AW/BJE/mjf:
CC: Lindsey Walata, GlaxoSmithKline(Electronic Only)
Rick Bolich, NCDEQ Division of Water Resources—with attachments
Attachments: Figure 1 —Groundwater Monitoring and Injection Well Network Permit No.
WQ0034465, Golder Associates NC Inc., Revised January 14, 2019
Attachment 1 Well Construction Records
Attachment 2 Report of Survey, Taylor Wiseman Taylor, January 10, 2019
g:\projectslgsk\gsk rtp operations View injection wells1w-71map submittarfinal letter 1-22-201812019 1-22 submittal of scaled site map.docx
I
4 GOLDER 2

Figure 1
Groundwater Monitoring and Injection Well Network Permit No. WO0034465
Golder Associates NC Inc., Revised January 14, 2019

Attachment 1
Well Construction Records

WELL CONSTRUCTION RECORD For Internal Erse ONLY:
This form can be used for single or multiple wells
1.Well Contractor Infornattor:
14.WATER ZONES
Stefan Smith PROM To DCSCRmr11Os
Well Contractor Name n. ft'
ft. ft.
3576A
NC Weil Contractor Ceriifi:sttinNumber 15.OUTER CASINGOf mitrable)
FROM Tn rasedMETER THICKNESS MATERIAI
SAEDACCO Inc 0 ft 5 fa is. 40 PVC
Common Name 14 M �ASUIi�QR dMM•MM)
FRO TO DIAMETER THiC'KNESS MATTRIAL
2.Well Construction Permit 0: ft. ft. ht.
List all app(i"wble well permits(it.County.State Variance.Iiidoarl etc.) R. ft IR
3.Well Use(check well use): 17.SCR1Zt4
Water Supply Weil: FPOM TO DIAMETER MAT sin THICKNESS MATERIAL
❑Agricultural OM►nicipaltPublic 5 ft. 29 ft. 4 010 40 PVC
❑Geothermal tHeating,Cooling Supply) ❑Residential Water Supply(single) ft ft. is
D industrialiCommercial DResidential Water Supply(stared) IL It EFT TO MATERIAL EMPLACEMENT METI100 t AMOUNT
❑irrigation ft. ft.
Non-Water Supply Well: R. ft
DMonitoring °Recovery
Iajectlau Well: ft. ft. •
0 Aquifer Recharge °Groundwatcw Remcdiation It. AND GRAVEL PACK ff sonde le)
FROM TO MAT(GRIAI. EMP.A(T_M[iT METHOD
❑Aquifer Storage and RCeOVen DSalinity Barrier 4 ft. 29 f1 + Sand 2
❑Aquifer Test ❑Stormwater Drainage ft. ft.
DExperimcntal Technology DSubsidcnce Coutmi
❑Geothermal(Closed DRAW)LOG(Utah adr0/aiMl*sett Raecarrars)
Loop) ❑Tracer FROM TO DESCRIPTION Hobe'.1116411014 wiltrack n K.anti sine,tic.(
❑Geothermal tHeating/Cooling Return) ®Other(explain under#2 I Remarks) n. ft. See geologist log
ft. ft.
4.Date Wei(s)completed: 11/1/18 wen mg IWO9
ft. ft.
5a.Well Location: n. ft.
Glaxo Smith Kline fL ft.
Faclin,.'On net NUM Paella)iDM(ifapplicablei _.._, __ _-_._.,,_..____._
ft. n.
3029 E Cornwallis Rd Durham, NC 27703 Orange Count, ft. ft.
Durham, NC, 27703 Plnscal AMpvs&City and Zip 'IL REMARKS
Orange Sanded and seal well with bentonite seal
Comm Parcel Identification No (POI from 3 to
5b.Latitude and Longitude in degreeshninetes&acconds or decimal degrees: 22 Certification:
(if welt field,our:Wong is sutllccicatl
35.920574 N 78.865391 W 1' A' 11/26/2018
Sigeat'' of Cc.. red Via Contactor Date
6.is(are)the weli(a): EPermaneat or DTemporary $i signing that Ifrwrn•1 hereby certify that the antis)mu fwr,rl c n smaled an accordance
with 15A NCAC 02C.0100 or 1 SA NCAC(I2C.0200 Well Coastrrn nut Sew:dards and that a
7.Is this a repair to as esistimE well: DYes or E INo raps of Ail won/hat been provided rn the well owner.
If this is a repair,fill out*now,'well tartan*don inforwatiant and Explain the Harare of the
reptile Raeder 021 remarks.mTirs,or an the bo•t of this form. 23.Site diagram or additional well detallia:
You may use the beck of this page to provide additional well site details or well
S.Number of wells cosmtructed: 6 coisstmction details. You may also attach additional pages if necessary.
For multiple nnfeenon or Haw-surer omit welt ONLY with the mote rostairsortion.w,a ran
submit one force. SIIRMIT[AI.INSTUCTIONS
9.Tote well depth below land surfacer 29 (ft.) 24a. For All Welk Subunit this form within 30 days of completion of well
For m ai:(p/r welt list all depths If different frunw/,(e-7n,200•and lei;I)!Y1 construction to the following-
10.Static water level below by of caslnf (R.) Division of Water Resources,laformatiee Processing Unit.
1f nuser level it above auunx.lose"+•' 1617 Mail Service Center,Raleigh,NC 27699-1617
11.Borehole distorter:1 o (ia.) 24b.Fer Inkwiies Willi ONLY: in addition to sending the form to the address in
243 above. also submit a copy of this form within 30 days of completion of well
12.Well coaftrmettea method: HSA/AIR construction to the following.
(i.e.meet.[moan.cable.direct pasty etc i
DIvbloa of Water Resources.Underground i.Jectioa Control Program.
FOR WATER SUPPLY WELLS ONLY: 1636 Mai Service Center.Raleigh.NC 27699-1636
13s Yield(�su) Method of test: 24e.For Water Stimuli Ittajaxhoa Welk:
Also submit one copy of this form within 30 days of completion of
131►.Disinfection type_..__-__.___--_..._-� Amount:-'_------.--'_-.--_-_—__._. well construction to the county heath department of the counts where
constructed
Form GW-I North Carolam Depart/KM of Eat mums eni and Manual Resmirees-Do MOM of Water Resoutes Rey seed August 2011

WELL CONSTRUCTION RECORD For Internal Use ONLY:
The form can be used for single or undtiole pens
1.Well Contractor Information:
14.WATER ZONES
Stefan Smith PROM TO DESCRIPTION
Well Contractor Name ft. n.
357ft. n
6A
NC Well Contractor Certification Number l5.o DuutillisanalwETER I TLlNERfif
IRA MAT[RIM
SASDACCO Inc 0 n 5 ft 4 140 PVC
Colman)Namc t6.PINBI CASINO OR dno
FROM TO DIAMETER d-bOD)THI KNEES MATERIAL
2.Well Constriction Permit ft: R. It. i
i1u all applicable civil permits(i r.Comity Sin•,Variance-bee art,etc.)
n. ft. M.
3.Well Use(check well use): 17.SCHEN
Water Supply Weil: noM TO DIAMETER MOT Sill TRIO/NM MATERIAL,
OAgricultural OMlmicipa4•Publ� 5 It 29 ft. 4 is 010 40 PVC
OGeothermat(HeatinglCooling Supply) OResidential Water Supply(single) n. n' ii
GROUT
Olndustriat/Commercial OResidennal Water Supply(shared) '
FROM TO MATERIAL EMPLACEMENT METHOD&AMOUNT
°Irrigation ft. It.
Non-Water Supply Well: EL n
OMonhorin ❑Recove
Injection Wei: r• ft. ft.
1 0 Aquifer Recharge °GroundwaterRemediasion ItItANMBAVf.L PACK pit Ballot)
FROM , TO MATERIAL RMPIA(FMKNTmrnioD
❑Aquifer Storage and Recovery °Salinity Barrier 4 R. 2 9 n. Sand 2
❑Aquifer Test ❑Stormwatcr Drainage
ft. ft.
❑Experirimental Teclmotogr ❑Subsidence ControlIL
TE
DRILLING LOG WO*adS6aat c if nomman)
OGentlrnml(Closed Loop) Careen : FROM TO DESCRiFTiON ON(abr.baNneta.&Wreck n K.raia she,dct
OGeothemtal(HeatinglCooling Return) ®Other(explain under 121 Remarks) ft. ft. See geologist log
ft. ft.
4.Date Well(%)Completed; 21/5/2 8 Wdl ID*Iw13
n. ft.
5a.Well Location: ft. ft.
Glaxo Smith Kline @, n•
Facilih'OnrlcrName Factlih IDk(if applicable) .._.. ...>. _ . .._..._...a .._..._... . . ..-......
R. ft,
3029 E Cornwallis Rd Durham, NC 27703 Orange Count, ft. n.
Durham, NC, 27703 P1nskid Address.Coy.and Zip 2L REMAIDOS -
Orange Sanded and seal well with bentonite seal
Comm Parcel identification No (PINI from 3 to
Sb.Latitude and Longitude in degrees/minutes/seconds or decimal degrees: 2L Certification:
(dwell field.one laV o g is sufficient)
35.920574 N 78.865391 W !' it 11/26/2018
Sigiat+ of Cc. cad Well Contractor Dale
6.Ti(are)the"tits} KiPeuTurineaf or OTemporary e,signing.this Jenm.1 hereby certify that the cirri)wvs f weer)constructed at accordance
with I SA NCAC OX.0l0°or 15A NCeIC OX.Olt)Well Cantina now Standards and that a
7.is this a repair to iR muffs)well: DYe t or ®ND a'op,of this record has been prnyidrd to the well osetwr.
If this is a repair.fill owl known well cotton*non Information and explain the nature of the
repair under 021 remarks section or on the brat of this form. 23.She diagram or additional well details:
You may use the back of this page to provide additional well site details or well
8.Number of wells ceastructed: 6 construction details. You may also attach additional pages if necessary.
For multiple affection tie non-miter supply wells ONLY with the saute eoasfrsclkar.You can
subatit one form. SUBMITTAL INSTUCTIONS
9.Total well depth below land surface; 2 9 (f1.) 24a. Far AS Wells: Submit this form within 30 days of completion of well
For midtlple wells list all depths ifdtffrreilt!example-3(r:1a)'and 2tt beset construction to the following:
10.Static water level below top of canny (ft.) Division of Water Information Processing Unit,
a if water level abase taunt.use"+" 1617 Maid Service 49-1617
11.Borehole diameter:1° (in) 24b.For infernos Wd ONLY: In addition to sending the form to the address in
24a above. also submit
a copy of i(�j(r0 days of completion of well
12.Well coustrectian method: HSA/AIR construction to the following. [[(U
lie.upper.rotary.cable,direct push.etc.
Division of Water Resources, d iajeetlon Control Program.
FOR WATER SUPPLY WELLS ONLY: 1636 Mail SR f �QNC 27699-1636
Oration r�ri I701I
13a Yield(grit) Method of teat 2.4e.For Water Supply k Injection Wells:
Also submit one copy of this form within 10 days of completion of
13b.Dlinfedioa type:..-___..__.__._._._._ Amount: well construction to the comas health department of the Cousin where
constructed
Form GW-t Noah Carolina Dcparttma of Ern tionwdi and Natural Resources-Dis sloe of Water Reroute Rev sed Atgust 2011

WELL CONSTRUCTION RECORD For Internal Use ONLY:
This form can be used for single or mulipte gals
1.Well Contractor Information:
14.1COMIU 1 8t1S
Stefan Smith FROM TO oem—nlrriox
well Contractor Name R. n.
3576A
ft. ft.
NC Well Contractor Certification Number IS'STIR CASING thh r tanhkgasd ) THICKNESS LIMIER ld
MOM TO DIAM[T ft,
THICKNESS MATERIAI
SAEDACCO Inc 0 II, 5 4 te. 40 PVC
('ommony Nan 16.IfI1ttR 'l)tR T �laaadaaoe)
FROM TO DIAMETER THICKNESS MATERIAL
2.Well Construction Permit N: ht tt. is.
Lin all erppli.able well permits(i r.Comte.State.Variance.lefer&ri etc.,
ft, ft. it.
3.Welt Use(check well*se): 17.SCRIM _
Water Supply Well: FROM TO DIAMETER SLOT SITE THICK ES5 MATERIAI.
❑Ag(ieuhutal ❑Mtmicipal/Public 5 n 29 ft. 4 is 010 40 PVC
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) rt. f6 ice.
0IndustriallConimcn ial °Residential Water Suppb(shared) IL
GBOI)1
FROM TO MATERIAL EMPLACEMENT METHOD[AMOUNT
❑Migration ft, ft.
No.-Water Supply Well: ft. ft.
❑Monitoring ❑Recovery.
Infection Well: n. ft.
0 Aquifer Recharge ❑Groundwater Rcmediation 19.giANadG71AVtL PACK deNudi ridd ,
MOM TO MATERIAL EMPLACEMENT METHOD
❑Aquifer Storage and Reamer, ❑Salinity Barrier 4 ft. 29 ft. Sand 2
CI Aquila Test ❑Stormwatcr Drainage
n. n.
❑Experirncntai Technology ❑Sri sukm c Cuntmi 2 .DRILLING LOG addidemaenitiaub Wasomirns)
I
❑Geothermal(Closed Loop) ❑Tracer room TODESCRIrrtON natter.Rasta+a.ruiFrncae pt.wain ten,eh:I
❑Geodal(Heating/Cooltug Return) ® under
Other(explain #►21 Rernar►s) h See geologist log
rcrm
ft. ft.
4.Date Welts)Completed: 11/6/18 Well mgltfl5
n. n.
5a.Well Location: n. ft.
Glaxo Smith Kline n, ft.
Facrlrt}+Oa net Name Factirn lD1(if applicabict >..—•._._._,. .__•..,__._.._._.._..._,.,-._„.___„ __._._ ,_._.,.,........,.,,
n. ft.
3029 8 Cornwallis Rd Durham, NC 27703 Orange Count, ft. n.
Durham, NC, 27703 Masks]Address_Cu.and Zip ILRit1KMAlICd _
Orange Sanded and seal well with bentonite seal
Canon Parcel IdenuficauionNo (PIN) from 3 to
5b.Latitude and Longit.de in degrees/minutes/seconds or decimal degrees: 22.Certification:
oJaeli li:td,one lat7org is sufficient,
35.920574 N 78.865391 W •'
` 11/26/2018
Signaq'''r MC . red Well Comactor Datc
6.to(are)the well(s): KiPermanent or ❑Temporary a,signing Nut fern,.I hereby certify that the»elkss,cow i rem).anatntetrd to accordance
e
wuh Ili NCAC OIC•,OI(k)or 1 CA NOW OTC.O,On)Well Canatrit non Srasdardi and that a
7.Is this a repair to an existing well: ❑Yen or No r,Tn of this reconl hat been provided to the well owner.
If this at a repair,fill on,Enos well a am-inn iron arfarm saver and explain the nature of the
repair irder►21 resaark5 srrroan or an the brat of this form. 23.Site diagram or additional well detaalb:
You may use the back of this page to provide additiorml well site details or well
a.Number of wells constructed: 6 construction details. You may also attach additional pages if na'essary.
For maniple injection or elan-water irppla wells ONLY with rite um.ea#SMrCNorr,writ ran
,ibrrit one tam SUBMCrrAL INSTUCTIONS
9.Total well depth below land surface: 29 (jt,) 24a. For AN Wells: Submit this form within 30 days of completion of well
For mibiple wells liar all depths if different(example-)fr 200'and 26 tool Constriction to the following:
10.Static water level below top of casing: (ft I Division ision of Water Resources,Information Processing Unit.
If Moire level o above taunt ear"+" 1617 Mail Service Center,Raleigh.NC 27699-1617
11.Borehole diameter:1° (in.) 24b.For inieclioc Weld 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
12.Well coaatruetimm method: ESA/AIR constnittton to the following_
li.e.auger.mlarv.cabk.direct pock etc
Division of Water Resources.Underground Infection Control Program.
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center.Raleigh.NC 27499-1636
132 Yield(goon) Method id test 24c.For Water Sootily h Injection Wells:
Also submit one copy of this form within 30 days of completion of
lib.Disinfection construction to the county health department of the county where
type__-..____----__ Amount:
constructed
Form GW-I North Carolina Department of Ear nom en and Natant Resources-Dn sloe of Water Resources Re'.wed Atgest 201)

WELL CONSTRUCTION RECORD For livered Use ONLY:
This form can be used for single or multiple pens
1.Well Contractor Information:
14.Wank ZONES
Stefan Smith (rnOM TO DI!NCRIPTION
Well Contractor Name ft. fl.
3576A rt. I ft.
IS. CING
NC Wen Contractor Ceniftcation Number AS Ira li-casad wtdlsl QR SS
IROM AS DIAMETER I THr('IClt(I MATEAI�1.
SAEDACCO Inc 0 ft. 12 rt. 4 Is. 40 PVC
Contmon Name I6 11iNNR frASllf(:QR elltra/Jagp
FROM TO DLA.ME6 TRICK'ass) MATEIUAI
2.Well Construction Permit i1: R. N. +.
Liu all applicable well permits(i r.County.State.Variance.bivacnori'sr./ R.
3.Well Use(check well use): I7.SCUZN ,
Water Supply Well: ' FROM TO DIAMETER SLOT Srrr NF S M.4TER14l.
❑Agricultural ❑MunicipaL'PnbliC 12 R. 22 ft. 4 is O10 40 PVC
❑Geothernril IHeating,Cooling Supply) ❑Residential Water Supply(single) rt. h a
❑Industrial/Commercial ❑Residential Water Supply(shared) 18 GNtOUT
ROM TO MATFIWL EMPLACEMENT METHOD A AMOUNT
❑Irrigation 0 ft. 8 rt. Portland Pour
Non-Water Supply Well: .
R. rt.
❑Monitoo ❑Recovery ,
IR jecdon Weil: ft. ft.
0 Aquifer Recharge ❑GroundwaterRemcdiarion IL.SANNWRAVZL PACE ftspilitdla)
❑Aquifer Storage a1d Recovery ❑Salinity Hamer FROM , TO MATERIAL, EMPLACEMENT METHOD
10 ft. 22 ft. Sand 2
El Aquifer Test ❑StormwaterDrainage ft. ft.
❑Experimental Technology ❑Subsidence Control ,
20.DRRd rip LOG(attack a bit ima/Morass if uaa anarsl
❑Geothermal(Closed Loop) ❑Tracer room To DESCRWPTHOW(uslpr.r.rOse.r.rwurack b Pr.Mb az,s+r.l
❑Geothennat INeaurr&Kooling Reruns) ®Other(explainm under k21 Rcatis) h. It See geologist log
ft. ft.
4.Date WeL(s)Completed: 11/7/18 Well mgIWO7S
ft. rt.
Sa.Well Location: ff ft.
Glaxo Smith Kline R. ft.
Faclity,OwnerName Facdrn 1Dx(if applicabkl _. ..__.w.__. _.,._,..._._ .., _._._..... __._.,
It. ft.
3029 E Cornwallis Rd Durham, NC 27703 Orange Count, k. fl.
Durham, NC, 27703 Pin steal Address.CM..and Zip 2LQIC1titRILs
Orange Sanded and seal well with bentonite seal
Loam) Parcel IdentificationNo (PIN1 from 10 t
Sb.Latitude and Longitude in degrees lminutes/wcends or decimal degrees: 22.Certificatie.:
(dwell held,one laulomg is irdlieicntl
35.920862 N 78.865151 W !'t!,' ilfLa d 11/26/2018
Sipmi ofCd Well Contactor Dale
6.Is(are)the wdl(a): 81Permanesat or ❑Temperas}' e,signing this firm 1 herrIn certify that the wrlltx)Mtn(erne)eanrttu.ted in accordance
with'SA NCAC O-X'.Oliu)or 15A.NCAC OK.O3I )Well Crurrtrte,non Standards and char a
7.is this a repair to an Busting well: ❑Yes or No earn of this record has been provided re the well owner.
1f this a a repair,fill oar knows well r oe clue Firm information sad explain the narrre of the
repair under 121 re Larks semi,,or an the bark of this farm 23.Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
8.Number of wells constructed: 6 Corsstruction details. You may also attach additional pages if necessary.
Fur malnpie injection or non-inter n pph wells ONLY with the terns eawar .reacor.maim can
submit one foram. SIIBMITTAL INSTIJCTIONS
9.Total well depth below lard surface 22 (fee) 24a. For AN Wells: Submit this form widen 30 days of completion of well
For md$µrlr wells list all depths ifdiffere+u(example-402OO'and IQ/r1eTl coriminietios to the following-
18.Static water level below top of casing: (ft.) Division of Water Resources,laformatina Processing Unit.
if miser level it ninny rasing.ate"+" 1617 Mail Service Centr,Raleigh,NC 2 7699-1 6 17
11.Bored ok diameter:10 (ia) 2lb.For laiecdon 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
12.Well coaelruetioe method: RSA construction to the following.
ti.e.anger.may.cable.direct mask etc.)
rabble('of Water Resources.Underground lajecde.Control Program.
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Sailer Center.Raleigh.NC 27699-1636
13a Yield(gm) lNetlrud Obese For Water Supply R Inketioa Wells:
Also submit one copy of this form within 30 days of completion of
13b.Disinfectionwell construction to the camas health department of the county where
type:____.._______._._.. Amount: -_ constructed
Form GW-t North Catohas Department of Env mnnutrn and Naomi Resowccs-On alas of Water Ruou¢rs Rev imed August 2011

WELL CONSTRUCTION RECORD For Inferno!Use ONLY:
The form can tie used for single or multiple adds
1.Well Contractor information:
14.WATER ZONES
Stefan Smith PROM TO DLSCRImOA
Well Contraclot Name R. ft.
ft, ft,
3 5 7 6A ...�.�1.�
NC Well Contractor Ccnificalion Nursbcr 13,OUTER C Oar wdml)rt LBS�R PROM TO TO DUM[T[R Tercrc�l[SS ss MAT[AL41
0 ft. 24 hSAEDACCO Inc 6 is40 PVC
Comport)Name "I'Tit
OR DU.M[TERINI( tTu cbIS4•1Mmo)
PROM TO d THWKMSS MAT[
2.Well Constriction Permit if: ft. ft. M.
List all applicable well permits(i e.Gunnar.Stop..t'oriamr.IIfaCDcit1,etc.) ft. ft. is.
3.Weil Use(check well use): ItSCREEN
Water Supply Well: PROM TO S A[TRR SCOT SIFT TAt(1tARi5 MATKRIAt,
0 Agricultural °M{nicipal/Public ft.
°Geodrermal tBeating(ooiing Supply) °Residential Water Supply(single) " ft i"'
0hidustriat/Commerciai °Residential Water Supply. PROM
(shared) it
PROM TO MATERIAL [\Ruc>:MEAT METHOD[AMOUNT
°Irrigation 0 ft. 24 ft. Portland Tremie
Nos-Water Supply Well:
ft. ft.
❑Monitoring ❑Recovery ft, ,
infection Wel:
0 Aquifer Recharge °Gtnundaater Rcmcdiatio n 14.MANBfG AYEL PACE Of anlisable)
0 Aquifer Storage and Recovery °Salinity Harrier MOMMATERut. IrMan ACk+reAT MrlruOn
ft. to.
°Aquifer Test DStormwater Drainage
R. ft.
0 Experimental Technology °Subsidence Control
o Gcoth:tmal(Closed20.DRII.U$G LOG(apaeb addMwal(gruel if Rotossorr)
Loop) °Tracer PROM TO DESCRIriiO!t(got.tsudeee.murack nog.Qate!ix Ar.t
°Geothermal(Heating+'Cootind Return) ®Other(explain under A2I Remarks) tt See geologist log
ft. ft.
4.Date welts)Completed: 11/6/18 well mg ilt0 7
It ft.
Sa.Well Location: ft. re.
Glaxo Smith Kline ft, ft.
Fac ilia).OertrNunre FacrfnilD1{if applicable} A _....,_. _....-..:,. ....._ ..,__-._..._. ;
ft. ft.
3029 E Cornwallis Rd Durham, NC 27703 Orange Count, R. ft.
Durham, NC, 27703 Musical Address.Cih_and Zip 2l.Rpm a*tes -
Orange Cased with 6" pvc and drilled out with air
(room) Panel Identification Na (PIN} to dept
Sb.Latitude and Longitude in degrsYs/arioletes/secends or decimal degrees: 22.Certification:
(dwell field,one kr4Vtoog Is sufficient!
441/
35.920862 N 78.865151 w !' e 11/26/2018
Signet! of Cc.. x•d Well Contactor Data
6.is(are)the wdl(a): HiPermaneM or °Tetfporary tr.signing this AMR.I kerrbc certify that the'cellist was(weer)constructed in accordance
With 1 S 4 NC4C t):C.0100 or 15A NCAC():C A2.00 Well Coirsrnn non Saiwdards and that a
7.is this a repair to an existing well: °Yes or END coon of Air record has bens prm•idrd to the well owner,
If this is a repair,fill our tawny.well comma tiara inftrmntam and explain the Harare of the
repair under 121 remarks ks section or an the ba.k of this farm. 23.Site diagram or additfaual well details:
You may use the back of this page to provide additional well site details or well
S.Number of well.constructed: 6 construction details. You may also attach additional pages if naessaty.
For maltlplr tnfecrwvi or taws-wafer urrph wells ONLY with the same caess*actloe,wrw can
submit am form. SURMrTI'At.INSTUCTIONS
9.Total well depth below land surface: 38 (ft.) 24a. For All Wells: Submit this form within 30 days of completion of well
For mwltlplr welts list all depths If dlfferetrt trample-I4'NW and?OP!00') construction to the following'
10.Static water Intl below top of cuing (ft.I Division of Water Resources,Information Processing Unit.
If stare keel a above Laitinx.we'•+'• 1617 Malt Service Center.Raleigh.NC 27699-1617
II.Borehole diameter 10 (ter.) 24h.par iaitxtion Weil'ONLY: In addition to sending the fain to the address in
24a above. also submit a copy of this form within 30 days of completion of well
12.Well construction method: HSA/Air construction to the following.
ire.aver.mum.cable.direct posh c°c.l
Dh'isloa of Water Resources.Underground isfecdoo Control Pmgr.m.
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Sevier Center.Raleigh.NC 27699-1636
te
i3a Yield(Spat) Method of : e.For Water Supply&lalection Welk:
test
Also submit one copy of this form within 10 days of completion of
13b.Disinfection type -_---._--_- Aureate .v_.__. well construction to the county health department of the county where
constructed
Form GW-t North Carolina Department of Eae rronnaeni sal Nanaal Resources-Shama of Water Re~so.roes Re.!sal August 011

WELL CONSTRUCTION RECORD For Wean)Use ONLY:
fli s form can be used for single or multiple sells
1.Well Contractor information:
1d.WATER LONIS
Stefan Smith PROM TO DE$('RIPTIOM
Well Conlraelor Name H. R.
R. ft.
3576A
NC Well Contractor Cenificalion Number 15' CAsim e. w'M�) ":
FROM TO D[AMITR TIIICK�I[5S MATERLAI
SAEDACCO Inc
0 R. 14 R. 6 1e. 40 PVC
Company Name 16'DORR O* )
i M TO DIAMETER THICKNESS MATERIAL
2.Well Construction Permit N: R. R. in
list all applicable well permits re.r.County.Scorn•.Variance.Inje at1l,er.)
R, ft. in
3.Wed Use(check well use): 17.SC'RRtN
Water Supply Well: PROM TO o nn:TM.R 51.0TSI7l TuiclisKsS MATRRIAl.
ft is.
❑Agricultural ❑Mtmk-ipaUPublic ft.
❑Geotheat 41-leafing/Cooling Supply) ❑Residential Water Supply(single) R ft. mml
mt
❑Indus(riallCommercial ❑Residential Water Supply.(shifted) 1
FRO„. D01M TO MATERIAL E►trL&Ct MENT METHOD&AMOUNT
❑irrigation 0 R. 14 ft. Portland Tremie
Nos-Water Supply Well:
R. R
❑Monitorin r'❑Recove
Injecdoa Well: R' R.
1.
❑Aquifer Recharge ❑GnlundwatcrRcmrdiatiou 19.0ANWG*AYIL PACK etwiliciapls)
FROM TO MATERIAL IMPLACILmENT'Anion
0 Aquifer Storage and Recover ❑Salinity Barrier R, rt.
❑Aquifer Test ❑Stommater Drainage
R. R.
❑Experimental Technology ❑Subsidence Control
21I.DRILLING LOG WOO aiiirlMwnl dens duuoersrs)
❑Geothemral(Closed Loop) ❑Tracer FROM TO Drat•RIrnO!Ilc ry birdmen.gag/rack n rt.wale sift,sr.t
['Geothermal(HeatingtCooling Return) ®Ot is Rev-plain under"21 Remarks) ft. R, See geologist log
R. ft.
4.Date Wens)Completed: 11/6/18 midi mg IW4R
R. ft
Sa.Well Location: R. ft.
Glaxo Smith Kline R. It,
Foe din.t7uncrName Fusilier II3Nlifapplicable) -..., _.-_..._..___, .,__.._
R. rt.
3029 13 Cornwallis Rd Durham, NC 27703 Orange Count, R. R.
Durham, NC, 27703 PMsical Addaess.Cis.and Zip 21,R1EMAJ1 g
Orange Cased with 6" pvc and drilled out with air
Clams) Pared Identification No (PINt to dept
Sb.Latitude and Longitude is deltreesimirmtes&seconds or decimal degrees: 22.Cerdfeatioa:
(if well field,owe Ii*iong is uneven)
35.920862 N 78.865151 W r !/ '.".... 11/26/2018
Signal' ofC fed Well Contactor Dote
6.la(ere)the well(s); KlPermaneat or ❑Temporary g)signing Nam)@rem.1 hrrrir terrify that the meths sus torn.)constructed'a,sr'for.i;arn
with 15A NCAC OW.0100 or 1 fA NCAC 112C.0200 Well Coastrsw non Sotndards and that a
7.is this a repair to as a iniag well: DYes or ®No cop%of this rr.'ord has hem provided to the well owner.
If this is a repair,lid or;know*well.twsrtna tine wf+..tmanon and explain the nurrre of the
regale tawlrr 021 remarks section or an the bark of this fora. 23.Site diagram or addideeal well details:
You may use the back of this page to provide additional well site details or well
S.Nmnber of wells constructed: 6 construction details. You may also attach additional pages if necessary.
fur nwlrlptr iaja.rn.a or ram-wwrer wppls wells ONLY with the same canatrtaaNat.you tom
submit one form. SUBMITTAL INSTUCTIONS
9.Total well depth below lad surface 30 (ft.) 24a. Per AS Wells: Submit this form within 30 days of completion of well
For multiple wells list all depths if Mew*,(rumple-IV21p•and:0'Wiry construction to the following-
10.Stade water level below top of casing (ryt,) Division of Water Resources,Information!recessing Unit,
If water level is evve swsinx.ruse'•+" 1617 Mail Service Ceater.Raleigh,NC 2 76 99-16 17
11.Borehole diameter:10 lea.) 21b.For in jeetioa Welb 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
12.Well construction method:RSA/Air construction to the following.
1 i.e.auger.rotary.cable.direct pasts del
Divides of Water Resources.Uadergraund injection Control Fragrant,
FOR WATER SUPPLY WELLS ONLY: 1636 Mai Senior Center.Raleigh.NC 27699-1636
13a Yield(gm) Method of tart: 24e.For Water Sauch&bfectlon Wells:
Also submit one copy of this form within 30 days of completion of
13b.Disinfcdon tape:___________ Amount:_..__.____....._____- vreil coosaucttoa to the county health department of the counts where
COnbtIACICd
Form GW-t Nonh Cambria Department of Eastmain(sin(and Nation Resoarces-Ds sem of Water Rant tt Revised August 2011

Attachment 2
Report of Survey Taylor Wiseman Taylor,
January 10, 2019

Attachment 2
Report of Survey Taylor Wiseman Taylor,
January 10, 2019

Taylor Wiseman & Taylor
LAND SURVEYING / CIVIL ENGINEERING
SUBSURFACE UTILITY ENGINEERING
3600 Regency Parkway, Suite 260 -Cary, NC 27518
Office: [phone] Fax: [phone]
REPORT OF SURVEY
GlaxoSmithKline (GSK) TWT#: 05427.6000.00
South Campus, North Complex-Cornwallis Road, Durham, NC Report Date: 1/10/2019
Prepared for Golder Date of Survey: 12/13/2018
Survey Control:
Control Northing Easting Elevation Survey Control Metadata:
PK 1009 789797.71 2039827.09 382.95 Horizontal Datum: NAD83(2011)
PK 1003 789421.18 2039850.17 383.96 Epoch: 2010.00
Nail 10009 790157.59 2039997.77 • 373.94 Vertical Datum: NAVD88(Geoid 2012A)
BR-2 • 379.35 Units: U.S.Survey Feet
MW-9 340.52 GPS Technique: Network RTK(VRS)
Date of GPS Survey:4/7/2015
New Injection Wells: GPS Ant.Type:Trimble R8-3
GPS Ant. SN: 5005414918
Top of Case Ground Fixed Station: DURH / PID: DG9328
Well ID Northing Easting Elevation Elevation WGS-84 Lat: 35°59'46.12942"N
IW-4r 790206.25 2040031.37 369.13 369.55 WGS-84 Lon: 78°53'58.03641"W
IW-07 790124.56 2039923.09 376.80 376.75 Ellipsoid Height:385.39
IW-07s 790120.07 2039919.40 • 376.63 376.75 Geoid Height:-102.79
IW-9 790013.52 2039846.43 • 380.19 380.30 Project Combined Factor:0.99993843
IW-13 _ 790022.12 2039874.46 • 380.96 380.85 Calculated at Point:#1003
IW-15 790001.83 2039875.93 380.63 380.80 Class of Survey: "A"
Adjustment:Trimble Business Center(TBC)
Least Squares at 95%Confidence Level
Top of Case Elevation Verification for Repaired Wells: Positional Accuracy:0.06'
Updated Top
Well ID of Case Elev
GW-4d 371.16 Reported relative to BR-2
GW-14i 372.83 Reported relative to BR-2
GW-18s 354.29 Reported relative to MW-9
MW-1 370.99 Reported relative to MW-9
P-6 372.50 Reported relative to BR-2
W-1 329.54 Reported relative to MW-9
Survey Notes:
This survey is based upon existing site control that is referenced from survey entitled "NOTICE OF HAZARDOUS
WASTE DISPOSAL SITE -SOUTH CAMPUS, NORTH COMPLEX SITE", prepared by TWT, based upon a survey dated
April 27, 2015, last revised November 25, 2015, which was prepared by Rich Wieczorek, PLS(L#4846). Survey control
metadata shown hereon is referenced from that survey.
The purpose of this current survey was to provide horizontal and vertical coordinates for six(6) new injection wells and to
confirm the top of case elevations for six (6)existing wells, which were repaired by Golder.
Page 1 of 2

Oil) TWT#: 05427.6000.00
Report Date: 1/10/2019
Survey Certification: //�� �n
I, Chad T. Howard, certify that this report was prepared under my i-1 O— ZEE/q
supervision, from an actual ground (conventional)survey made under my ,,���0 A��I�.
supervision; 0,`v° °° °R pi�i�♦
that the positional accuracy has been reported hereon; 4��Oc� ��E S S/?'°o°/ 1„•
that the geological features surveyed and identified hereon were surveyed zq� �r;� 40
in a manner sufficient to comply with national map accuracy standards and SEAL o� C
in
the requirements of the Standards of Practice for Land Surveying in North • or L-4220 �'
Carolina (21 NCAC 56.1600). Its CA:ry a4o a�C
q ° °°SUS°° N-
Witness my original signature, registration number and seal this 10th day of �� �,'j, 1� �,,
January, in the year of our Lord 2019.
...:/.
Page 2 of 2

Rogers, Michael
From: Eichlin, Brian <[e-mail]>
Sent: Monday, December 17, 2018 1:11 PM
To: Rogers, Michael
Cc: Lindsey Walata ([e-mail]); Draper, Benjamin
Subject: RE: [External] Groundwater Remediation Permit No. WQ0034465 Newly Constructed
Injection Wells
Attachments: New Injection Wells
CAUTION:
Report Spam_
Thanks Michael
The GW-1s and the notification was sent to the Regional office on December 3, 2018. Please see attached email. Thank
you for your help
From: Rogers, Michael<[e-mail]>
Sent: Friday, December 07, 2018 5:07 PM
To: Eichlin, Brian <[e-mail]>
Cc: Lindsey Walata ([e-mail])<[e-mail]>; Draper, Benjamin
<[e-mail]>
Subject: RE: [External] Groundwater Remediation Permit No. WQ0034465 Newly Constructed Injection Wells
As long as this will not have any effect on the overall hydraulic control and there will be no violations per the current
monitoring plan,your request is reasonable and approved. Per requirements in the permit, provide 48 hours prior to
injection and GW-1s of wells after construction.
From: Eichlin, Brian [mailto:brian [e-mail]]
Sent:Thursday, November 29, 2018 9:03 AM
To: Rogers, Michael<[e-mail]>
Cc: Lindsey Walata ([e-mail]) <[e-mail]>; Draper, Benjamin
<Benjamin [e-mail]>
Subject: [External] Groundwater Remediation Permit No. WQ0034465 Newly Constructed Injection Wells
External email. Do not click links or open attachments unless verified.Send all suspicious email as an attachment to
Michael,
Golder recently completed construction of the planned injection wells at the GlaxoSmithKline South Campus, North
Complex in Durham, NC (Groundwater Remediation Permit No. WQ0034465). As discussed in the Fourth Annual
Assessment Report submitted to NCDEQ on July 31, 2018 by Golder Associates (Fourth Annual Report), permitted
contingent wells IW-07, IW-09, IW-13 and IW-15 have been installed at the approximate locations presented on the
attached Figures 10 and 11 (revised) from the Fourth Annual report. In addition, as described in an email dated August
14, 2018, a replacement well IW-04R was installed adjacent to permitted injection well IW-04 (previously monitoring
well GW-04). GW-04 was left in place as a groundwater monitoring point and will no longer be used as an injection
well.
1

As presented in the Fourth Annual Report, IW-07 was to be constructed to target a shallow impacted zone observed in a
sandstone unit logged at neighboring injection well BNP-1/IW-17 and upgradient monitoring well P-5. As presented on
the attached sketch from the second annual monitoring report,this unit is located at approximately 17 ft to 24 ft
bgs. During the drilling of IW-07 we observed weathered rock starting at approximately 15 ft bgs. While drilling through
the weathered rock we observed elevated PID hits and saturated conditions. However, during the installation of IW-07
sufficient competent rock to construct an open borehole was not observed until reaching 25 ft bgs. IW-07 was
constructed as an open borehole starting at a depth of 25 ft bgs below the shallow impacted zone that was to be
targeted. To target the weathered rock, a second well (IW-07s) was constructed at the same location with a 4-inch
diameter screen across the weathered rock from 10 to 20 ft bgs. We would like to utilize both these wells (IW-07 and
IW-07s) for injections. While this will increase the number of permitted injections wells, the total quantity of injectants
per event or year will not exceed those presented in the permit application dated November 20, 2009 revised
November 3, 2010.
We are targeting injections the week of December 17,2018. We respectfully request that NCDEQ approve this request
to use both IW-07 and IW-07s as injection wells by a response email. Please let me know if you need additional
information for an approval. As requested we are sending hard copies of this request in the mail.
•
Thank you
Brian
Brian Eichlin, P.E.
Principal
Golder Associates NC, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: [phone] I D: [phone] x42509 I C: [phone] I golder.com
G O L D E R Linked In Facebook i Twitter
Work Safe, Home Safe
This email transmission is confidential and may contain proprietary information for the exclusive use of the intended recipient.Any use. distribution or copying of
this transmission,other than by the intended recipient,is strictly prohibited. If you are not the intended recipient,please notify the sender and delete all copies.
Electronic media is susceptible to unauthorized modification, deterioration,and incompatibility.Accordingly, the electronic media version of any work product may
not be relied upon.
Golder and the G logo are trademarks of Golder Associates Corporation.
Please consider the environment before printing this email.
2

Rogers, Michael
From: Wrenn, Andrew <[e-mail]>
Sent: Monday, December 3, 2018 4:52 PM
To: [e-mail]
Cc: Byers, Brion N; Eichlin, Brian; Draper, Benjamin
Subject: New Injection Wells
Attachment Well Records.pdf
GOLDER
Rick,
We recently added new injection wells to our program at the GSK—RTP Operations Site. We are currently planning on
conducting injections the week of December 17. Per our permit we must allow for inspection of the wells prior to
commencement of operation of the new injection wells. If you would like to inspect the wells prior to the injection
event please let us know what dates may work for you. We are working on preparing the well construction
documentation required under the permit. Attached are the well construction records for the new injection wells.
Thank you,
Andrew
Andrew Wrenn
Project Scientist
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: [phone] I D: [phone] x 42503 I C: [phone] I golder.com
Linked In Facebook I Twitter
Work Safe, Home Safe
This email transmission is confidential and may contain proprietary information for the exclusive use of the intended recipient.Any use, distribution or copying of
this transmission, other than by the intended recipient, is strictly prohibited. If you are not the intended recipient,please notify the sender and delete all copies.
Electronic media is susceptible to unauthorized modification, deterioration, and incompatibility.Accordingly,the electronic media version of any work product may
not be relied upon.
Golder and the G logo are trademarks of Golder Associates Corporation
Please consider the environment before printing this email.
1

WELL CONSTRUCTION RECORD Fw Internal Use ONLY:
This form can be used for atugk or multiple wells
1.Well Coetraetier lafarataatlote
14.WAritligiNES
Stefan Smith PROM TO DESCRIPTION
Well Contractor Name R. ft.
ft. ft.
3576A
NC Well Contractor Certification Number IL OEffUCAE1NGweld LINER )
PR011/ Tm rand
METER iana*r ISS MATERIAL.
SAEDACCO Inc 0 ft. 24 t is 40 PVC
COM(XinyName 16.WWI rwtOR taadiker eedeits •hi.)
PROM TO DIAMETER THICKNESS MATT MAL
2.Well C61adne tion Permit 4: ft. ft, is.
last all applirobk well pensits tie.County.State,Variance.ftiteclioft etc.) ft. ft. to.
3.Well Um(check welt use): St SOUS
Water Supply Welt: PROM TO DIAMETER ALOTMll TNWKSIO.S write.0.1.
0 Ageicuitural °Mtnicipal/Public
©Geothermal(Healing/Cooling Supply) °Residential Wafer Supply(single) ft' ft
tmnr
Dlni ustrialiCommcrriai °Residential Water Supply Ishared) it tM
PROM TO NATHRtAI, T f MPt.AiE MiVT atrium t AMOUNT
❑Irrdgation 0 ti 24 ft. Portland Tremie
ring-Water Supply Well:
°Monitoring. ORermcl)'
Nettles Welt:
°Aquifr Recharge °Groundwater Reinediation 19, VltltlACI,[011881ealati
°Aquifer Storage and Recovery °Salinity Barrier FROM TO MATt<RtAt. Lsr f At rbEV T M£TH(iu
ft. tee
❑Aquifer Test DStormwatcr Drainage
❑Experimcnaal Technology °Subsidence Control
1.06b ltncRiliRtionel atilt 1
°Geother al(Closed Loop) °Tracer rams to orstRlfTlos tabu,barlaar,wmtwsk her,brio,fir.NO
DGeothetneal(Heating/CoolingRetum) ®Other(C%p4Ain ludo'021Remelts) ft. ft. See geologist log
ft. f.
4.Date Wef(s)Gmpkted: 11/6/18 Wdl mg IW07
ft. ft.
Sa.Well Location: h, ft. '
Glaxo Smith Kline ft, ft.
Factliev)Oe net Name Faediry 1DS(ifapplicabki I R. rt.
3029 E Cornwallis Rd Durham, NC 27703 Orange Count, R. h.
Durham, NC, 277 03 Physical Address City.and Zip 21.miummws
Orange Cased with 6" pvc and drilled out with air
Corlett Parcel tdci ttneatios Na.(PINt to dept
Sh.Latitude and Laagit►de in degrees/minutes/seconds or decimal degrees: 22.Certiradttn:
(if well felt,one tailors is%ntncierit
/
35.920862 N 78.865151 W r r P 11/26/2018
Slim!! of Cc. -Well Contractor Date
6.la tare)the well(s): IDPermanent or °Temporary gt signing this(arm,.1 hen-hy terrify that the wel141 was form)rwartnec eel or acrurdamtr
with I SA NCAC 02C,p)nrt or 1 SA NC.4C 02C.0200 Weil Conarrnt nor Saendeyuis and that u
7.is this a repair to as existing well: °Yea or El Nu rap?"M thir record here brew provided m the well owner.
If Plus tt a repair,Moil kaowe urn(owns.nwa ir(frnroar.m and explain the tatare of Me
repair under 121 mounts.wction or ern the brut a(this.form 23.Site diagram or a MMdsual well details:
You may use the back of this page to provide additional well site details or well
8.Number of wells cDhmdPrcted: 6 conftivetion detaih. You may also attach aiLbflcnal pages if necessary.
For oralriple refection..e won-serer swirpl+writs ONLY with the anne ceoskartion,you t tw
sohetir ant•hw*. SUBMITTAL INSTUCTIONS
9.Total wen depth berme laid surface. 38 (ft.) 21a. For All Wdlg Submit this form within 30 days of completion of welt
For nwlriple wells tin eV depths if different texatwptr-30204F and 2fe Flhtn, coestaction to the following:
IL Static water level below top of casing (ft,) Division of Water Resources,[affirmation Praceasing Unit,
If water kw!is nikuer fusing,ow"+" 1617 Mail Service Center.Raleigh,NC 27699-1617
11.Borehole diameter:1 o (in,.) 24b.for Mates Wells ONLY: In addition to sending the loon to die oddities in
24a above. also submit a copy of this form within 10 days of completion of well
12.Weil toad tedoe method: ESA/Air eonthi x'tiom to the following.
i i.e.auger.Patel,cabk.dried ptsK etc 1
Wilms m of Water Resources,Untlergeaund Inkeed°,Control Program.
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center,Raleigh.NC 27699-1636
13a Yield((glni) Method ottstt lie.For Water Supply&Iniretiaa Wets:
Also submit one cop) of this form within :0 days of completion of
131► Dlalafa ►n .._.�. Ai is nt:_.___ --__.�__� well eontxeuetedeonsfinetion to the county health depationeat of the county whew
Form GW.I Norte Camlala Depantmpa of Ent vomiter*and Natural Resources-DIN rs ion of Water Resources Re%teed August 2013

WELL CONSTRUCTION RECORD For bacmal Use ONLY:
The form can be used for single oe multiple scene
1.Weil Coetrecwr Iafort•adow
II.WATER ZONES
Stefan Smith .ROM TO DRSCRIPT1Ov
Walt Coarrapor Name ft. R.
3576A
NC Well Cosrsactor Ceniliulion Number FROM
fuCT
ORIG r E we f Unit(ii l
rR0M 7I1 D DIAMETER TR St4 ICKP[ MATERIAL
SAEDACCO Inc 0 ft. 14 ft. 6 I.. 40 PVC
Common Name 14 4 Ati1!11 4R —10,46 dw lrwl e
.ROM TO MA.MITER TUICKNERS MATERIAL
2.Wdl Construction Penne ti: ft. R. IL'
liar ail applicable well penman-l i.e.rowdy,.State,Variance,h%E[0m etc,)
ft. R. w.
3.Wen Um(deck well user 17,8 IN
Water Supply Wel: PROM TO DtAMJTLR MOT S171 , TNI(TivmNS MATIMM,
0Agticuhtial OMunicipaUPoblic
OGeothemial(Heating/Cooling Supply) °Residential Water Sappy(single) ft h is
OkidustriaUCommercial °Residential Water Supply(shared) It TO MATERIAL fMtl.(CEMLNT M£THt)lItAMOUNT
❑brigatioo 0 ft. 14 ft. Portland Tremie
Noe-Water Supply Weil:
ft. It,
0Muoitolo8 °Recovery •
lajectioa eel: IL ft
°Aquifer Recharge °GroundwaterRemcdiation .., IS VII.PACK"lia k)
❑Aquifer Stowage and Recovery ❑Solidity Barrier ROOM TO MATttltlAl. VAN A(kbxvT Mc end>a
It. ft.
❑Aquifer Test OStonnwater Drainage ft f
° slpemimneo{a1Tedtnologv OSubsidcaceContty! 2a.maws LOG 1aalmhadfitleml daubWisse immi
DGeothanral(ClosedLoopy °Tracer now TO morRrrno?r tailor,bariu ..wrur.ihbtu.anis Am.err..
°Geotbemml(Heating/Cooling Return) ®Other(exploit under k121 Retnaits) d. ft. See geologist log
R. fL
•t.Date weft)Cootpined: 11/6/18 Well ID5ITP4R
ft. IL
So.Well Location: ft. ft,
Glaxo Smith Kline 11, ft,
Facia*,OuterName Faedity(0 (if applicable) A. rt.
3029 E Cornwallis Rd Durham, NC 27703 Orange Count, ft, ft,
Durham, NC, 27703 Physical Addicts.City.and Zip 21.momics
Orange Cased with 6" pvc and drilled out with air
C'oaR+ Pastel Idestiticatioa No (P1Nt to dept
Sb.Latitude and longitude is degreestudnoteshomeds or dtrit ual degrees: 22.CerWicadoa:
(Jaen hold,erne ktelorO is sufficient I X
35.920862 N 78.865151 W !c ' Ad a' i 11/26/2018
Siam`�of Cc _.\,Well Contractor Date
6.hi(are)the w'ellts):. 10Permaneat or °Temporary el sigmatg Our/now,1 herrbr e.ertsfv that die welllrl war(born.)COMMIX Itd in accordance
wkh I%4 NCAC OZC,Of!►')or l SA NC4C(t:C.0:00 Will Conarws on Standards and drrr.4
7.Is this a repair to an existing well: Dyes or 10No ruin of ibis sword kw bran provided rn der avll miner,
i'f rhr,.Is a repair,fill ow&muses wvll cx>wsrtw n,.or iehrrwuatleaw wad explain the+corer of Mr
repair under/_'f remarks section or OR the hark of Mir Porno: 23.She diagram or additional is &toil a:
You may use the back of this page to provide additional well site details or well
8.Member of wells aonatreeted: 6 contraction details. You may also attach additional pages if mammy.
For manpk ti)n oo.en of are-inter ugiph aills ONLY wan the saw coonanowie a.WNc raw
.,,albumsowr Pm. MIBMrTTAL tNSTIICTlONS
9.Total well depth below bled mutate 30 et,) 21a. Per Ad Wells: Submit Ibis form within 30 days of completion of well
for nsalnpfe r'ri h lin all deprbr if different tere tnote..l1eZOO'nerd 2ht MO) consuoction to the following:
le.Stade water Intl below tap of easing OL I Division of Water Remnrcer.Inforuatian Pracesting Unit.
If water kntl ti ame casing,i e'•+" 1617 Mail Service Center,Raleigh,NC 27699-1617
11.Borehole diameter:10 (ter.) 2-lb.Far Inertias Welts ONLY: hi 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
12.Well ooaarecthe method:NSA/Air construction to the following.
I i.e.auger.rotary,cable.direst peak eel
Miming of Water Resources.Underground Itsjec fos Caatrol Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center.Raleigh.NC 27699-1636
13a.Yield tirptn) Method of test: 24e For Water Supply&idjeelioa Wells:
Also submit one copy of this form within 30 days of completion of
lib.DI>ink�Ma type _________._ Amount:__._��_____ __ well construction to the county health depat>�at of the county where
cons*ni mod
Form GW-t Nonb Carolina Dcpunnrn of Eon us:mu s and Natural R.nowtcs-fission of Water Resources - Relined A4g.at 2011

WELL CONSTRUCTION RECORD For Internal Use ONLY:
'thin form ear be used for single of multiple wells
1.Well Coetreceer lnforetatioe:
14.WAf*2ONU
Stefan Smith FROM TO D S('RtPrtOt
Well Contractor Name ft..
3576A ft. h
NC Well Contractor Certification Number IS.BUIIIRCASING Om1A 11 WIER Of ailleahhi
FROM TO DIAMETER ins mnIEes MATERIAL.
SAEDACCO Inc 0 ft. 12 ft. 4 Is. 40 PVC
Continrin Name lts INNIlltrASENG OR liesthermil dR' dIN e
FROM TO D1A.MKTER TRWCKNESS MATERIAL
2.Weft Ceastrtectisn Permit N: R. R. h
Litt oil applicable evil petsrits tie.County.Slate.Variance,Ci$$Cb' etc.) h. to M.
3.Well Use(check well one): ItSCIIREN
Water Supply Wilk FROM TO DLA+trTVR amour TnfC'KCNERA , MATERIAL
OAgricuktual OMuntcipaLrpublic 12 R 22 ft 4 010 40 . PVC
°Geothel(Heating,Cooting Supply) °Residential Water Supply(single) h R. is.
MOUT
OlndusttialtComtneecial °Residential Water Supply(shared) u"
/tOM TO MATEtttAt, EMPLACEMENT METtIOO t AMOUNT
❑irrigation 0 ft. 8 ft. Portland Pour
Noe-Water Supply Well:
otooftitorms ❑Recottry
'skidoo Well: ft. h,
°Aquifer Recharge °GroundwaterRemodiation It ' YRLPACEMiW4s000e!
°Aquifer Storage and Recovery °Salinity Barrier ►MOM MATER*)l tMW AfLW T writer,
10 R. 22 A. Sand 2
°Aquifer Test ❑Stormwater lkainagc ft. h.
❑Expern►crualTtxhaobgv' ❑SabsidcroceCowed 11.141111LIVOG LOG[altn iallik_shootslt____r
❑Geodiennat(Closed Loop) ❑Tracer mom TO assournon giant.Rredeem,mwne'*k Opt.ovitt +e,MO
❑Geofltea al(Heatingr'Cookng Return) ®Other(e plain wrier*2l Remarks) h- h. See geologist log
R. h.
4.Dade Wept)Cjmpk.teg: 12/7/18 weft ID.Iw07 S
h. R.
Sec.Well Location:
h. ft.
Glaxo Smith Kline ft- ft.
Fuchs On for Namr Fact*.1D0 of apphcabk) ft
"'--°
3029 E Cornwallis Rd Durham, NC 27703 Orange Count, h. ft
Durham, NC, 27703 Physical Address.City.and Zn) 21.miculits
Orange Sanded and seal well with bentonite seal
Coaaly Pareti Ilk MIftattinn Nn (PINI from 10 t
Sh.Latitude and Leagkade le degreealai*RTesfscesads or decimal degrees: 22.Ccrtif catioa:
fit Well field,ern la ic%is inificienli /
35.920862 h 78.865151 W F' r 11/26/2018
Signal .ofCcf ,Well Contractor Date
6.hi(are)the trellis): illPcnnaiemt or oTefnporary lIr signing this funs.I herein certify slur the wriitri wax 1 wen)c'ee:n.rtred in ircranimtcr
wit*I SA NCAC U t 0101 or l SA SCAC QC'.0700 trail C(watrm non Sakndarda and ewer e
7.(a this a repair to as editing well: ❑Yes) or IC No ropy of Mir record Abu Laren provided 7.6 Ike aril Owner.
Ift*fa it a repair,fill ant beme w4,11 conrtnsto*ittrskttknt and eaplous the roarer(of the
repair ander*21 mnarfa section or on the baet of this fora. 23.Site diagram or additione well details:
You may'use the tack of this page to provide additional well site details or well
IL Number of wells emistr.aeted: 6 construction details. You may also attach additional pages if nct~esea.y.
for multiple wsje.#on Of non-wearer ttgtph welly ONLY..th rile same cseaww•tlew,war corn
cubmitcne font. QttRMrnrALINSTUCTIONS
9.Total w tell depth below had surfaces 22 et,) 2ie. Fur All Wt il: Submit this form within 30 days of completion of well
For tnrlvptr wells lint WI*ohs ifdifrrrnt lrxasaplk•3C'00'and?*WO COnttnlction to the following:
le.Static water ks'd below hop of casing: (tt.) Division of Water Resources.laformatiatt Prscesting Unit.
II now.level is alknY ctistrg.sae"*" 1617 Mail Service Center.Raleigh,NC 27699-1617
1l.Borehole diameter l fl Om) 24h.Fer beeriest Weill ONLY: In addition to seeding the Item to the adds in
2ia above. also submit a cope of this form within 10 days of completion of well
12.Well ctoattrued's method:BSA constntction to the following_
t i.e.caper.rotary.cable.direct push.etc I
Divides of Water Resources.URderpound(*Oleo Centro!Program.
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center.Raleigh.NC 27699-1636
13a Yield(Rita) Method p f tat:
tie.For Water Supply tit Iejoetiets Wells:
Also submit one copy of this form within 10 days of completion of
13b.Disinfection Ulm. Amount:
well construction to the carry Width them of the county where
constructed
Penn GW.l Nona Carolina Donna of En.vomacnt Mid Natural R.-sower-Orison of Water Reo revs Res and Atgtat NIA

WELL CONSTRUCTION RECORD For Mensal Use ONLY:
The form car be rind for sinker mukluk welit
I.Well Contractor Wong/doe
14,WAS*1NI3
Stefan Smith /ROM to D iCRlrtios
well Cotrracta Name
A. ft.
h. R
3576A
NC Well Contractor Cmtiliratlon Number , 1S.01rf CAb1lSG ear wells MIR III w i4)
r101M TO arA:M[T[R TH1CSLIM3S I MAMMAL
SAEDACCO Inc 0 h. 5 ft. 4 IL 40 PVC
M.ROM*CASING OR duisiMmol
Cancun)Nam 11O14 TO n1A:M[TIR Thick-MSS MATT aim.
2.Well CARKrpeti,A Permit ti: R. R.
fist an applirabie and!permits(i.e.Camay,Marc Varioeee.Ailed/art ear.) h. It.
3.Well Use(check well sae): 17. M
Water Supply Well: ntom TO DIAM1TF.R M4 TSill t1n(y:,r NS l MAT111141. '
°Agricultural OMulicipatPublic 5 R 29 fL 4 010 40 PVC
❑Geotheal M geetin roofing Supply) ❑Residential Water Supply(single) ft. IL
rm
0hidustrialiCommercial °Residential Water Supply(shared) u' F
InOM TO MATTRIAL [Mft.AC TMEVT METHOD t.4111OL:NT
❑Irrigation 1l. h.
Rog-Water Supply Well:
h. ft.
❑Munro' °Recovery
lijeedo.WtL h. • ft. t
OAQDtfer Recharge °Groundwater Reolodialirn IS.$A»bA1.frAC susilellir)
room
❑Aquifer Stomp and Recovery ❑Salinity Barrier ft. y 9 R, Sand St 2 Np1. cCNCVT N!TII()I!°Aquifer Test 0Stormwater Dunnage ft, ft.
°Esperinlentrll Tochaofogv °Stlbsidct r Comm! y,,RIMAJFIGLOG(apadl'MiMulal dads iinaeaawril
❑Geothermal(Closed Loop) ❑Tracts /ROM TO Discio'ttor talar.ba,*rum,rokrwrk Opt.r*rue.dr.t
❑Geothermal(Ileann)/r Cooling Return) ®Otter(explain under M21 Remarks) h, h. See geologist log
R. h.
4.Dart Welb)Carpeted: 11/6/la Wdt IDRIw15
ft. ft.
Se.Well Location: R. ft.
Glaxo Smith Kline R. ft.
Fxlih*rimer Nam Facility 1Dsr(if applicable) h. '
3029 E Cornwallis Rd Durham, NC 27703 Orange Count, R. ft.
Durham, NC, 27703 Plrrsical Address'CiI.and Zip
Orange Sanded and seal well with bentonite seal
Caen) Paccd Idemifuutbe No (PIN) from 3 to
Sht.Latitude and Longitude in degteta/ual ttahcconds or decimal degrees: 22.Cerdficati m:
till rich,Dale kailea6 is sufficient)
35.920574 lam 78.865391 tpk .. �! 11/26/2018
Sign).• of Cc. mod Well Contractor Dan
6.la(ale)the wells): L<1Permattent or °Texlporary Bs,signing this for, I Aerd,v terrify that:kr sriAsi war iwrrei r,astn,,f&sir accordmv.r
wan 154 NCAC r1:C,OHO or 1 Sol NCAC:VC.n1(51 Wen Caasirm not Straadordi and Aar,r
7.Is this a repair to an minims well: °Yea or No curl.of chit menuf has ban permitted en thy hrll rrw•»er.
of rfNs I a repwir,fill oat drowse well cottons.Pon onia natirM ford r spinhl Ow slam((M Mr
repair a der 121 rrmaris section or on the bon of this form. 23.Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
11.Number of wells constructed: 6 CO inaction details. You may also attach additional pages if naxssan.
For maniple usfren ul or na i-wafer urppls well/ONLY Barb the sum,cuaalrectie5,w*run
nitwit na,form. $LIBMITIAL.INSTUCTIONS
9.Total well depth below load amrfae,G 29 (h.) h a. For Al Wdhl: Submit this form within 30 days of completion of well
For salripk sells her a/deprim irdlflrev et er,uenyafe-3*::00'dad 2*1(5r) construction to the following:
IS.Static water level below tap destiny (ft) Dii Ision a It Water Reaawncn.Leformatiaa PtotesainR Unit.
Ifsuer least as above(using,As(`•+" 1617 Mall Service Center,Raleigh.NC 27699-1617
IL Borehole diameter:10 (fa.) 24b.For Iniccdoa Wdjg ONLY: In addition to sending the form to the address in
24a above. also stunt a copy of this form within 10 days of completion of well
12.Well coa iructiea method:BSA/AIR construction to the following.
t i.e.auger.rumor.,dole.dimes push etc.I
Mishap of Water Resources,Underground IRjeetios Control program.
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Sen•ke Center,Raleigh,NC 27699-1636
13a Yield(pmm) Method of test 24c,For Water Simply&latiectian Wells:
Also submit one copy of this form within 10 days of completion of
tab Di> efectMa bPc_ _ Amwat __v__�_� well construction to the comity health depmrtm eel of the county whew
conttlmctod.
Form GW-I Nord Camera D.patrnrcnl of Ern notntacrr and Nlanral Ramotances-Cm neon of Water Reroutes RV.tied August 1011

WELL CONSTRUCTION RECORD For berms!Use ONLY:
This form cas be used for single or multirpk was
1.Well Contractor Information:
t4 A11t*zO1475
Stefan Smith FROM TO DKSCRIP'Ttp\ 1
Wcli CorOactor Name ft. ft.
ft. ft.
3576A
NC Well Contractor Certification Number 1S.01tTRk[CASINGlertliulli,emisl utuan` rI ,
FROM TO DIAMETER ft I` IiteeKN[9S I MATEMAL
SAEDACCO Inc 0 5 rt. is 40 PVC
Compost,Kiwis 16.11 r,,t1#OIGOR- juothoreaddomoilloon
roOM TO MLAMKTER TAWKNISS MATERIAL
2.Wee Cenitrh*ttrn Permit it: R. ft. is-
List all applirable will armpits lee.County..Smatr.Varioe.e,irte Yitn err.)
R. R. 101.
3.Wen Use(check wdl men IL SCUM '
Water Supply Welk room To DIAMETER `I.CITSIMJI THt(KsFK MATERIAL.
0AgticulturaI DMumicipottPRbhic 5 R 29 a 4 010 40 PVC
OGeotheai(Heating/Cooling Supply) OResidential Water Supply(single) ft ft' to.tm -
Ohidltstrial/Comrnetcial DResidential Water Supple(shared) u'
/ROM - TO *tram!. 1 t KPtAirrotkat ME71100 a AMOt:NT
❑Irrigation' R. tt,
Not!-Water Supply Well:
ft fL
❑Moaite DRecovery
Weeder net: ft.
.
°Aquifer Recharge °Groundwater Remcdiatiwn It V*1.
°Aquifer 5$ age and Recovery DSalingy Banter 4�p M ft. 1Q 29 ft. S 7tyt(hl.d 2 IE Mrr_�c h arvr MtTfKMt
DAqulfer Test DStormw•mer Drain age R. ft.
0Experimental Technolop DSnbsidarcc Control y1.SEI,1.S16 LOG tondo ddlt iml*insif_tnelwr_
DGent6emmt(ClOSedLoops °Tracer TROIS TO osxctWTIONima.r.barderst.,wfnrk bor.arils film.ere:r
DGeothemml MeanngJCooling Return) MOther teXpiain under 0,2I Remain) to. ft. See geologist log
ft. ft.
4.Date weft)C mpkted: 11/1/18 weft mgIw09
R, ft.
Se.Weil Location: ft. h..
Glaxo Smith Kline ft. ft.
FacdiavOuaerName hells"1D ntirapplicable! ft. ft, `
3029 E Cornwallis Rd Durham, NC 27703 Orange Count, R. ft. ,
Durham, NC, 27703 Pleshca1AddrestCin.andZip 21.
Orange Sanded and seal well with bentonite seal
Corot., Parce'114ratiteatao*No (Patti from 3 to
Mt.Latitude and Longitude in de(tpeeafarireroeetaecoade or decin*Rd dew: 22.Cerdfirartioa:
tifaelt field,011C lat1aug is sutltcieat)
35.920574 N 78.865391 W +` 4 _r 11/26/2018
•
SiEes IF of Cc Well Contractor Dale
6.IS(are)the well(s): 81Pertnaoeut or °Temporary Ct s mate thisfirm 1 hereby certify thatthe wells)oars(were!coartrwrtrd is m tort tame
with 154 NCAC P.'C',010I or 15.4.NCAC 02C.0300 Well Consnwinon Siondords and mar a
7.Ito tin a repair to err extasfsg well: Yes or Edo ropr of this rotund hat biro pr n14rd to the well owner.
If this is a regale,fill out knower well ions-mein,*an.s inforwwuirsn awl etpla n the nature of Mr
repair moiler I21 mriorks section or an the bort of Mir fore. 23.Site diagram or aMth .al well details:
You may use the back of this page to provide additional well site derails or well
8.Number Of wells conducted: 6 compaction details. You may also attach additional pages if necessary.
For multiple infection or torn-nsrer ugnpi*kale ONLY with the some esmwne ion,ww Cur
sanbaict non form. SUBMITTAL INSTUCTIONS
9.Total t;di depth below lard sunned 29 (ft.) 24a. for All Whitt: Submit this form within it)days of completion of well
for multiple wells lift all depths if tl grrenu ipte-t4 200'and 2t 10g) construction to the following:
1s.Stacie water kid helms top of rasing: ((1,) Division of Wolter Resources.Informatics Pacriaiog Unit.
If water level n•above tvriiag.ow"+,. 1617 Mail Service Center•,Raleigh,NC 27699-1617
11.barrhuk diameter:10 tin.) 24h.For[sirens"Wgljg ONLY: In addition to sending the form to the address in
24a above. also submit a copy of this form within 10 days of completion of well
IL Well ronstfucilon method: HSA/AIR construction to the following.
4i c.auger.mean,cable.direct matt etc.)
Division of Water Resources,Underground Lujeetion Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center.Raleiglh.NC 27699-1636
13a.Yieid(Itpm) Method of test: tie For Water Supply&ladectiou Was:
Also submit one copy of this form within 10 days of completion of
13b.Disinfection type_-_,.____ _ _ Amount:Amount: well consimetion to the county health deputmest of the count'.where
constructed
Form GW-t Nosh Cataluna Dcpamsem of Em natmt is and Nmeral Resources-Ds anon of Water Reputes Rey seed Augtst 2u I A

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al ssalPPe attt 01 mloj all Su!pws of uo(Nppe ul :A1N01114At 11013441111 J.J'4tI ('u1) of 1.14101111P alagsh1 '11
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Rogers, Michael
From: Rogers, Michael
Sent: Monday, October 22, 2018 12:58 PM
To: 'Eichlin, Brian'
Cc: Draper, Benjamin
Subject: RE: [External] Groundwater Remediation Permit No.WQ0034465 Replacement Injection
Well
I am going to have to pass,thanks. If things change I'll let you know.
From: Eichlin, Brian [mailto:[e-mail]]
Sent: Monday, October 22, 2018 10:42 AM
To: Rogers, Michael<[e-mail]>
Cc: Draper, Benjamin <[e-mail]>
Subject: RE: [External] Groundwater Remediation Permit No. WQ0034465 Replacement Injection Well
CAUTION:
•ortS•am.
Hi Michael
We have had a number of delays related to installing the wells. We expect to be starting the work next Monday
(October 29). Please let us know if you would like to visit the Site.
Thanks
From: Eichlin, Brian
Sent: Wednesday,August 15, 2018 12:26 PM
To: 'Rogers, Michael'<[e-mail]>
Cc: Draper, Benjamin <Benjamin [e-mail]>
Subject: RE: [External] Groundwater Remediation Permit No. WQ0034465 Replacement Injection Well
Thanks
The well is within the existing monitoring network.
It would be good for you to see the Site and we can give you an overview. We will be onsite tomorrow and likely Friday
doing soil sampling if you want to see the Site and proposed well locations. We are not sure what the drillers schedule
will be for the well installation. We will keep you posted.
From: Rogers, Michael [mailto:[e-mail]]
Sent:Wednesday, August 15, 2018 9:30 AM
To: Eichlin, Brian <brian [e-mail]>
Cc: Draper, Benjamin<Benjamin [e-mail]>
Subject: RE: [External] Groundwater Remediation Permit No. WQ0034465 Replacement Injection Well
Thanks for the notification. A couple of comments:
1

1. The replacement injection well needs to be in a location where there is aaequate monitoring.
2. Let me know a day or two before the field work starts as I may want to get out of the office for a little while.
Thanks
From: Eichlin, Brian [mailto:brian [e-mail]]
Sent:Tuesday, August 14, 2018 7:53 AM
To: Rogers, Michael <[e-mail]>
Cc: Draper, Benjamin <Benjamin Draper([e-mail]>
Subject: [External] Groundwater Remediation Permit No. WQ0034465 Replacement Injection Well
CAUTION: External email. Do not click links or open attachments unless verified.Send all suspicious email as an attachment to
Michael,
On July 31, 2018 we submitted an annual report for the GlaxoSmithKline (GSK) Groundwater Remediation Permit No.
WQ0034465 (Permit)for GSK's South Campus, North Complex (Site) remediation system. Included in the report and
cover letter was a discussion that groundwater elevation and monitoring results for IW-04 (previously monitoring well
GW-4) during the Year 4 monitoring period indicate that fouling of the well screen, filter pack or the borehole is having
an effect on injection rates and the wells ability to disperse the injection media. It was recommended to either
redevelop IW-4 or re-drill/replace the well as an open borehole in the manner the existing shallow injection wells are
constructed. In discussion with the driller it is looks like we will be abandoning the existing well and installing a new
open borehole (IW-04R) either later this week or next week. As required by Permit Condition III (3) Golder, on-behalf of
GSK, contacted the Raleigh Regional office on August 1, 2018 which was at least forty eight (48) hours prior to the
construction of the replacement injection well. In accordance with 15A NCAC 02C .0240 ABANDONMENT AND CHANGE-
OF-STATUS OF WELLS the well will be abandoned in accordance with 15A NCAC 02C.0113. Following completion of the
replacement well we will submit a record of construction of the wells within sixty days of completion as required under
Permit Condition III (4).
Please let me know if you have any questions or if this is acceptable.
Thank you.
Brian Eichlin, P.E.
Principal
Golder Associates NC, Inc.
5B Oak Branch Drive, Greensboro, North Carolina, USA 27407
T: [phone] I D. [phone] x42509 I [phone] I golder.com
G O L D E R Linkedln I Facebook I Twitter
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Electronic media is susceptible to unauthorized modification,deterioration, and incompatibility.Accordingly,the electronic media version of any work product may
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Golder and the G logo are trademarks of Golder Associates Corporation.
Please consider the environment before printing this email.
2

4 G O L D E R
January 22, 2019 Project No. 0739611502
Michael Rogers
NCDEQ O
Division of Water Resources
Groundwater Protection Unit '8oO7Pvea
1636 Mail Service Center 610 M
Raleigh, NC 27699-1636 c>s'�
Qc) N17/,
RE: SUBMISSION OF SCALED SITE MAP yGO
A,'CI
GROUNDWATER REMEDIATION PERMIT NO. W00034465 3'►��J
GLAXOSMITHKLINE, SOUTH CAMPUS, NORTH COMPLEX, RTP, NC
RCRA PERMIT#NCD052547635
Golder Associates, NC, Inc. (Golder), on behalf of GlaxoSmithKline (GSK), is submitting to North Carolina
Department of Environmental Quality(NCDEQ) two copies of revised site maps as required by Permit Condition
111.4 of Groundwater Remediation Permit No. WQ0034465 which expires December 31, 2021. The maps were
revised from those previously submitted on December 8, 2015 to include the recently completed installation of
contingent (i.e. permitted but unconstructed) injection wells IW-07, IW-09, IW-13 and IW-15; and construction of
well IW-04R which replaced existing injection well IW-04/GW-4 (monitoring well GW-4 was converted to an
injection well in 2015). With the construction of IW-04R, IW-04/GW-4 will remain in place as monitoring well GW-
4. Construction of these permitted injection points were recommended in the Fourth Annual Assessment Report:
April 2017 —April 2018 Reporting Period (Golder Associates, July 31, 2018).
As presented in an email from Golder to NCDEQ dated November 29, 2018 and approved by NCDEQ on
December 7, 2018, injection well IW-07S is presented on Figure 1 as an approved injection well. Contingent well
IW-07 was constructed to target a shallow impacted zone observed in a sandstone unit logged at neighboring
injection well BNP-1/IW-17 and upgradient monitoring well P-5. During the drilling of IW-07 weathered rock was
observed starting at approximately 15 feet bgs. While drilling through the weathered rock, elevated PID hits and
saturated conditions were observed. However, during the installation of IW-07, sufficient competent rock to
construct an open borehole was not observed until reaching 25 feet bgs. IW-07 was constructed as an open
borehole starting at a depth of 25 feet bgs below the shallow impacted zone that was to be targeted. To target the
weathered rock, a second well (IW-07S)was constructed at the same location with a 4-inch diameter screen
across the weathered rock from 10—20 feet bgs. In an email dated December 7, 2018, NCDEQ approved the
use of both IW-07 and IW-07S as injection wells.
Well construction records for the newly constructed injection wells submitted to NCDEQ on December 3, 2018 are
provided in Attachment No. 1. Attachment No. 2 includes survey data for the newly constructed wells as prepared
and sealed by a surveyor licensed in the state of North Carolina.
Golder Associates NC,Inc.
5B Oak Branch Drive,Greensboro,North Carolina,USA 27407 T:[phone] F:[phone]
Engineering Lic.No.C-2862/Geology Lic.No.C-399
Golder Associates NC,Inc.is a licensed user of the Golder trademark,and an associated operating entity.
Golder and the G logo are trademarks of Golder Associates Corporation. golder.com

Michael Rogers Project No. 0739611502
NCDEQ January 22,2019
Should you have any questions or comments regarding the new injections wells or require additional information,
please do not hesitate the contact Lindsey Walata of GSK at(919)483-4640 or Brian Eichlin at(336)852-4903.
Sincerely,
Golder Associates NC, Inc.
Andrew Wrenn Bria . Eichlin, P.E.
Project Scientist Principal
AW/BJE/mjf:
CC: Lindsey Walata, GlaxoSmithKline(Electronic Only)
Rick Bolich, NCDEQ Division of Water Resources—with attachments
Attachments: Figure 1 —Groundwater Monitoring and Injection Well Network Permit No.
WQ0034465, Golder Associates NC Inc., Revised January 14, 2019
Attachment 1 Well Construction Records
Attachment 2 Report of Survey, Taylor Wiseman Taylor, January 10, 2019
g:\projects\gsk\gsk rtp operations\new injection wells'w-7\map submittal\final letter 1-22-2018\2019 1-22 submittal of scaled site map.docx
GOLDER 2

Figure 1
Groundwater Monitoring and Injection Well Network Permit No. WQ0034465
Golder Associates NC Inc., Revised January 14, 2019

Attachment 1
Well Construction Records

WELL CONSTRUCTION RECORD For Internal Use ONLY:
The form can be used for single or multiple liens
1.Well Contractor Information:
14.WATER ZONES
Stefan Smith FROM TO DESCRIPTION
Weil Contractor Name ft. ft.
3576A R.
NC Well Contractor Certification Number iS.O CAl G air "MI6 rt i.8t!. ss its }
rn�M I To otAM[T[ ffi[KDr[S5I idATTRIit
SABDACCO Inc0 A 5 N 4 im40 PVC
Compaq Name 14 LNNZ*CAl111lG O* 4asrtsrr eisoo b ko)
IlOM TO DIAMETER THICKNESS MATERLAL
2.Wdi Construction Permit it: ft. ft.
List all applicable**ell pernuts t i r.Count?...State,Variance.LiiVxAnq err.t ft.. fl. R
3,Wdi Use(Check wit use): t1 sairti
Water Supply Well: FROM TO DIAMETER SLAT SIFT THl(104ILSS MATERIAL.
❑Agficultural ❑Municipa4Public 5 ft. 29 ft. 4 is 010 40 PVC
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) t1 ft IR
Dindustrial/Comercial ❑Residential Water Supply to.CBOIfT
m
►ROM TO MAT¢RtAl. EMPLACEMENT METHOD t AMOUNT
❑Irrigation R. h.
Noe-Water Supply Well:
e. a
❑Monitorin ❑Reacovv'ey ,
hjecdo.Well: ft. n,
❑Aquifer Recharge ❑Gmundwaicr Remcdiation 19.tiAl W(RAV*LPACKIfinni g)
nOW TO MATERIAL. EMPLACEMENT Mr rle)D
❑Aquifer Storage andRccovely ❑Salinity Barrier 4 ft, 29 ft. Sand 2
❑Aquifer Test ❑Stormwater Drainage
It. ft.
❑Experimenial Technology ❑Subsidence Control
❑Geothermal(Closed 2 Dot b a/BMha d de in if taman trsl
Loop) ❑Tracer FROM TO DESCRIPTION(oiler.inrMeu.reWmek n pr.pain Are/ctr.i
❑Geothermal(lieatiligr'Cooling Return) ®Other(explain under S21 Remarks) tt. ft. see geologist log
ft. It.
4.Date Waft)Completed: 11/1/18 well ma IWo 9
ft. ft,
Sri.Weil Location: ft. ft.
Glaxo Smith Kline ft. ft.
Facelift Own(rName Facility IDit(if applicable) ----•_,_„._...._.,.--....-.......__.-._.,_.__,..__-..._.....,___._.....—...._,_.-.__.__..,._...._...u..,_._.._,..,
R. ft.
3029 E Cornwallis Rd Durham, NC 27703 Orange Count, k. ft.
Durham, NC, 27703 Physical Address.City.and Zip '21..amt1ti14t
Orange Sanded and seal well with bentonite seal
County Parcel ldcmifieatou Na (Mt from 3 to
Sb.Latitude and Longitude is degreesfimimotes/seconds or decimal degrees: 22.Certificatio.:
of sell field,one Failottg ii stdiicicrtt
35.920574 N 78.865391 NV !' 4, � 11/26/2018
Sigmas+ ofCe`. fed Well Contactor Date
6.is tare)the trellis): I®Pennaneat or ❑Tempor'ary By signing this firm'.I herrbr certify that the wepfst was fwrrrj cousins d ar accordance
with I SA NCAC O?C.0100 or I SA NCAC 0!C,O2t)Well Comsat neat Swwdards and that a
7.la this a repair to an existing well: DYes or KiN. ceps of the.rnvnd hat brew provided a.the wit owner,
If Ibis is a repute fill oar mown well comma informaaian and explaat the nature of the
repair under 121 rawJunta srrdore or on thr back of this form. 23.She diagram or aMilsual well details:
You may use the back of this page to provide additional well site details or well
8.Number of wells coestreeted: 6 construction details. You may also attach additional pages if medially.
For maniple affection rn or newt-water ugrph welt ONLY with the hats comWrtxtlo..row ram
submit one ion,.. SURMITI'AJ.INSTUCTIONS
9.Total well depth below land surfaces 29 (ft.) 24a. For AM Wefts: Submit this form within 30 days of completion of well
For sNebgtle wells list all depths tfdifferent tertampk-3s20O'and NY lOO'S c nsiniction to the following-
IS.Static water level below tap of easier (ft.) Division of Water Resources,hformatloa humming Unit.
if water level it above taunt.ant"+" 1617 Mali Service Center.Raleigh,NC 27699-16L7
11.Borehole diameter 1° Oa) 24b.For Inertial Welk ONLY: in addition to sending the form to the address in
24a above. also submit a copy of this form within 30 days of complexion of well
12.Well contraction method:HSA/AIR construction to the following.
(i.e.anger.eatery.cable.direct posit etc.)
Rhine of Water Resources.Underground lejecio.Control Program.
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center.Raleigh.NC 27699-1636
13a.Yield 24c.For Water Supply&bjtxtioe Wells:
�) � test Also submit one copy of this form within 10 days of completion of
well construction to the county health department of the count'where
rnasunctod
Form GW-1 Nonh Carolina Deportment of Ens mttmaa alai Natural R.esoarocs-DIN xioa of Water Resources Resiscd August to l l

WELL CONSTRUCTION RECORD For Internal Usc ONLY:
Thin form can be need for sinEk or.ultipie pens
1.Well Contractor Information:
U.WATER Z)ONIS
Stefan Smith PROM TO Dr,CRImOV
Well Co.trader Name R. ft.
3576A ft. ft.
NC Well Contractor Certification Ntuttfcr 13.QU7I�CASFlMi filer L (i<a�is7�T
_FROM TO DIAMETER t1tCICP O ihk) AI.
SAEDACCO Inc 0 R 5 ftThisamillwalliT
to40 PVC
Company Name if.IBM CASING Oft Ebgti s0)
FROM Try DIAMETER THi KNESS MA1T514.
2.Well Constructs n Permit 0: ft. ft.
Lilt all applicable well permits or.Couny Starr.Variance.lrger*s)err.! R
3.Well Use(check well sae): 17.SOO= _
Water Supply Well: PROM TO DIAMETER SLOTSr7l 7171nolK5.5 M.ATERIAL. ,
❑Agricultural ❑Municipal'•Publk 5 R 29 ft 4 010 40 PVC
❑Geotherl tHeating)Cooling Supply) ❑Residential Water Supply(single) ftma
❑IndustrialiCommercial ❑Residential Water Supply(shared) IttI.ROEfT
IROM TO MATHRIM1I. EMPLACEMENT memoir tt AMOUNT
❑kriattson R. ft.
No.-Water Supply Well:
❑Monitoring ❑Recovery ft. rt.
,
Injection Well:
❑Aquifer Recharge ❑Groundwater Remediation IC SA1 AV11L PAfk1C I vttlgahte)
❑Aquifer Storage and Recovery ❑Salitaity Barrier ►ROM TO MATRRIA!. SMPtActmE:!4T METHOD
4 ft. 29 ft. Sand 2
❑Aquifer Test ❑Stormwater Drainage
R. h.
❑EaperimcatalTechnology ❑SubsitifanceCtaatol Di.DR11.11P40 WOWIWIaM/siut shwas if )
❑Geothemal(Closed Loop) ❑Tram FROM TO DrsCRlrrmn(ewer.R■ratm wa'ma if pt.reran Alt/eat,t
❑Gent a nal(Heating.+'Cooling Return) ®Other(eEplain under N21 Remarks) h See geologist log
ft. ft.
4.Date We0(a)Completed: 11/5/18 Wdl IDgIW13
ft, ft.
St.Well Location: ft, ft.
Glaxo Smith Kline ft, ft.
Fac din lOtnetNome Facihn lD#(if applicablcl ..._.__... ... ..,.-.._...s.. ..._._..___..__ ..n,_._.._____w.____....__.._...._.,_..._,....._„,._—
R. ft.
3029 E Cornwallis Rd Durham, NC 27703 Orange Count, R. ft.
Durham, NC, 27703 Pin sical Address.City_and Zip 21.umAlks -
i
Orange Sanded and seal well with bentonite seal
Comm Pared Identification Na (PIN) from 3 to
Sb.Latitude and Longitude in degreestathuuleslseconds or decimal degrees:
22.C ltiil•ICartiO■:a
Of well field,one Wong is sufficient)
35.920574 N 78.865391 W !' A/ if74114P
11/26/2018
igml of Ced VYell Conuactor Date
6.Is(are)the wells): ]Permanent or ❑Temporary ii(signing dot A.m.1 hereby certify char the%elks!1.11t3(weer)cow:m art!in acaordame
with 15A NOV'0.0.0100 or I SA NCAC 02C.02f10 Well Comrrwt non Standards and that a
7.Is this a repair to as existing well: ❑Yes or gl No cam of this record hat been provided to thr well owner.
If this Al a repair,fill awe bloom sell taerirr.tie,tnftnean ve and replant the nature of the
repair under 1'21 remarks section or on the brut;of this form. 23.Site diagram or addhioial well details:
You may use the back of this page to provide additional well site details or well
8.N.mber of wells constructed: 6 corfstroetion details. You may also attach additional pages if necessary.
for multiple*jecnoe or*al-tamer itgtph wells ONLY with the roar cartstractlou.!ant taro
smt+ntir note fan,,. SUBMITTAL INSTUCTIONS
9.Total well depth below land surface: 29 go 24a. For All Wells: Submit this form within 30 days of oompetion of well
For multiple well*kit all depths if dif*retu(example-34.200.and NK'100) construction to the following-
IL Stadc water lend below map of=ling (ft.) Division of Water Resources,laformatiea Processing Unit,
If surer kyel tr above want.ale'•+•' 1617 Mail Smite Center,Raleigh,NC 2 76 99-16 1 7
11.Borehole diameter:l0 (is.) 21b.For Iniertios Welt ONLY: In addition to sending the form to the address in
24a abase. also submit a copy of this form within 30 days of completion of well
12.Well construction method:HSA/AIR construction to the following_
lie.auger.rotary.cabk.direct pack etc.)
Dh•Won of Water Resources.Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mai Service Center.Raleigh,NC 27699-1636
13a Yield(gpm) Method t 24e.For Water Supply R I.lectins Willa:
Also submit one copy of this form within 10 days of completion of
well construction to the county health department of the county where
cortstrnctod
Form GW 1 North er noipo Dq mama of Ent minim and Natural Resources-fin wioa of Water Remote Ref teed August 2013

WELL CONSTRUCTION RECORD For Internal Use ONLY:
This Ramona be used for single or multi*wells
1.Well Contractor Information:
14.WArn ZONIiS
Stefan Smith FROM TO b1eiCRIPT1OV
Well Contractor Name ft- n•
3576A ft.
rt NC Weal CoNracrorCcnificatbnNurobcr 1S't>4CASITIG�iltr-diRi fF
FIIOM TO IMK1i[SS MA7ERLMSAEDACCO Inc0 n. 5 n. 4 lo. 40 PVC
Comps)Name U.INNER CASING Olt T IM MG faiithermmE elsoM4aos)
PROM TO DIAMETER THICKNESS MATERIAL
2.Well Constriction Permit 1: R. n, in.
List all applicable well permits(i r.County.State,Variance.lniecVar4 sic.; R. ft is.
3.Wdl Use(check well.se): 17 8( trt
Water Supply Well: FROM TO DIAMETER SI.OTN177 MIMIMI5 M.4TER141.
DMuiw 1paliPublk 5 ft. 29 ft 4 010 40 PVC
❑Agriculnua(
❑Geothermal(HeatiugCoolingSupply) ❑Residential WaterSapply(single) rt. A m'cam
❑Industrial/Commercial ❑Residential Water Supply(shared) ra'
ROM TO MATERIAL EMPLACEMENT METTIOD t AMOI'NT
❑Irrigation ft. ft.
Non-Water Supply Wen: R. rt.
❑Monito U'�g °Recotiery
InjectionrWen: ft.
❑Aquifer Recharge ❑GroundwaterRcmcdiatiot► it SANILIVIII.PACK(IiIalfab4l
❑Aquifer Storage awl Recovery °Salinity Barrier 4aOM TO MAMMAL EMPLACEMENT MCxT METHOD
4 ft. 29 ft. Sand 2
❑Aquifer Test ❑Stormwater Drainage
ft. n.
❑Experimental Technology °Subsidence Conroe
❑G(aotbnmal(Closed 24 LOG tamaiiAdnatsbaitiifa ardis sl
Loop) ❑Tracer FROM TO pt iIVANoer.itm�itew.loWnc4Ott.arabri m.1
❑Geothermal(Heeling/Cooling Return) ®Other(explain under i21 Remarks) n See geologist log
ft. ft.
4.Date Wer(si Cempkted: 11/6/18 wen iDg IW15
R. it.
5a.Wdl Location: ft. ft .
Glaxo Smith Kline ft. iL
FacilityCiunerName Facility 1Dxtifrpltabk) ..._... ... .-.-.........—. ...
R. ft.
3029 E Cornwallis Rd Durham, NC 27703 Orange Count, R. ft.
Durham, NC, 27703 Plnsical Address Ciq.and Zip 2L asaUIRI(S -
Orange Sanded and seal well with bentonite seal
Col oi) Parcel Identification No (PIN) from 3 to
Six Latitude and Longitude in degreesJmiulltes/acconds or decimal degrees: 22.Certification:
IJnen 1kid.one latrbng ie sufficient)
35.920574 N 78.865391 W 1' 4' 11/26/2018
Sigi>Iat, ofCc.. sec Well Contractor Date
6.is(are)the went* 10PennanCN or ❑Ter poritry By signing this flow.I hereby certify that the wells)wen 1 wrn•l rrmrrnrc•Ird in arconie etc e
with I SA NCAC OW.0100 or 1 SA.NCAC(11C,02(a)Weil Constrer non St refanls and that a
7.is this a repair to as existing well: ❑Yes or ID No env;of this word has berm pnnided to the wit owner.
If this is a repair.Jill ow laws*well Coaonr row.information and estrum the torture of the
repair rider 021 remarks section or an the bark of this form. 23.Site diagram or adtlttloaal well details:
You may use the back of this pop to ptrn ide additiotml well site details or well
8.Number of wells ooustrocted: 6 consuuction details. You may also attach additional pages if necessary.
For nadtiple injection or aten-maw wpph wells ONLY with Ow watt cawatrsrNoe.ow Can
submit one form. SUBMITTAL INSTUCTIONS
9.Total well depth below laud surface: 29 (f1-) 24a. For Al Welk: Submit this form within 30 days of completion of well
For msrblple wells list all*pia if different(example-J4 21'I)'and NR-10i7) cOnstiuction to the following-
10.Static water level below tap of casing (p,l Division of Water Resources,Information Processing Unit.
if*tiler lesd is stbmr aim .roe"+" 1617 Mali Service Center.Raleigh,NC 27699-1617
i I.Borehole diameter:10 (in.) 24b.For taieetios Wdk 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 cell
12.Well constractisn method: NSA/AIR consuuction to the following.
(i.e.auger.mOn.cabk,dinar posit etc.I
Dh'bba of Water Resources.URdergreund Injection Control Program.
FOR WATER SUPPLY WELLS ONLY: 1636 Man Sen•kt Center.Raleigh.NC 27699-1636
13a.Yield Wpm) 24e.For Water Simply&Ishecthin Wells:
Method of test:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed
Form GW-1 North Carolina Department of EMI/omen sod Natural Resources-Dn atom of Water Resotras Rey Ned August 2013

WELL CONSTRUCTION RECORD For Internal Use ONLY:
Ths form can be used for sink or multiple sells
1.Well Contractor Information:
14.WAIRR ZONNNIS
Stefan Smith room TO DCs('RtrtlOV
%Veil Counselor Name ft. f
ft. ft.
3576A
NC Well Contractor CcnificationNumber 1S.OUTER CASING Oar finfeasedamtmend[�f,D1R!t!< )
room To DtAMI I TBH' IRO MATERI.USASDACCO Inc0 R 12 (t4 to 40 PVC
Compaq Name If.[LOOM LASING OR laea bur.t )
FROM TO DIA.METUR THK7:N[SS MATERIAL ,
2.Well Construction Permit I: ft. N. M.
Liu all applirablr*ell pennies(ir.County.Sian,Variance.litterean en%t ft.
3.Well Use(check well sae): 17,salmi
Water Supply Well: rap% TO DIAMETER SLOT SUE THi(1tSRCNS MAT[aIAI.
❑Agricultural ❑Municipal'Public 12 ft. 22 ft. 4 ht. 010 40 PVC
❑Geothemtal(Heating/Cooling Supply) ❑Residential Water Supply(single) h' h' in.
❑IndusfialiCotntnercial ❑Residential Water Supply(shared) fi'
FROM TO MATERIAL EMPLACEM CI METHOD&AMOUNT
❑hrigatron 0 ft. 8 tt. Portland Pour
Non-Water Supply Wen:
R. R.
❑Ma>ito ❑Recovery ft. ,
Wetting Wei:
❑Aquifer Recharge ❑GroundwatcrRcmcdidion ILSANRIRtAVELPMK4taaplpible)
FaOM 1O MATtRLSt. EMrl.M MINT METNOn
❑Aquifer Storage and Recovery ❑Salinity Barrier 10 ft. 22 ft. Sand 2
❑Aquifer Test ❑Stornmater Drainage R. at
❑Experirnental Technology ❑Subsidence Control
21.IMOLUN G LOG(Agog adenoid numb if aaeesson)
oGeotbennat(Closed Loop) ❑Tracer room TO DssCRrrrtoi(abr.baleen..utrcrere.o'ais sire,cs.t
❑Geothermal(Heating/Cooling Return) ®Other to lain under#2 t Remarks) tL ft. See geologist log
ft. ft.
4.Date Wel(a)Completed: 11/7/18 Wen ma IWO7S
R. ftL
Sa.Well Location: ft. ft.
Glaxo Smith Kline ft. ft.
Facility.On vier Name Fact IDM(if appticsbkl -._....,._.. f ....,wa. _...,_
t.
3029 E Cornwallis Rd Durham, NC 27703 Orange Count, g. R.
Durham, NC, 27703 Physical Address.Cite.and Zip 11.min CS
Orange Sanded and seal well with bentonite seal
Cosruy Parcel ldcnhfvaiioa No (NN) from 10 t
Six Latitude and Longitude in de(pmesimloutea/seeonds or decimal degrees: 22.Certification:
of well licit one In cloug is safficicitl
35.920862 N 78.865151 W !' l' 11/26/2018
Signal§T of C red Well Contractor Date
6.to(are)the wells): EPermaneat or ❑Temporar}
Br'signing this furor,1 hrrcbr crrrifv that the welbrl was{were.'cewnrrrucTeyl in naordirsre
With l5A NCAC 02C.0100 or I SA NCAC 02,C,O2fk)Well Conatrs t roan Standards and Aar a
7.la this a repair to an aiding well: JYes or El No cops of this rrv'orcl has urns provided to the well owner,
/Id ris rs a repair.fill out known well tartar*firm Information and...cream the nays of the
repair under f21 remarks section or un the brick of this form. 23.Site diagram or midltiosal well details:
You may use the back of this page to provide additional well site details or well
IL Number of wens constructed: 6 coustntction details. You may also attach additional pages if necessary.
For mulrtple roil rltm or nMr-wnrer uspph wens ONLY with the senor compaction wsc can
submit one faro,. SIJEMI'iTAL/NSTUCTIONS
9.Total well depth below lad surface: 22 (ft.) 24a P.r Al Welds Submit this form within 30 days of completion of well
For nrsdtipk wells list all depths if different rerompk-1Ca2 no'and 2e?ANY) construction to the following-
10.Static water level below top of casing (ft.) Division of Water Resources,Iaformatiou Prscessing Unit.
If miler levet is above caunx.use•'+" 1617 Mail Service Center,RaleiRly NC 27699-1617
I1.Borehole diameter:10 Ga.) 24b.For Weldon Weill ONLY: In addition to sending the loon to the address in
24a above- also submit a copy of this form within 30 days of completion of well
12.Well construction method: RSA construction to the following.
tie.upper.rotary.cable.direct push.ete.1
Dhislon of Water Resources.Usderpuund Injection Control Program.
FOR WATER SUPPLY WELLS ONLY: 1636 Man Service Center.Raleigh.NC 27699-1636
13a Yield(spa) Method of drat 24c.For Water Supply&lulcetion Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
coastmcied
Form GW-t North famines Dapantma of Ear rronmen and Natural Resouecs-Dunkin of Waiter Rmotna Rcs cued August it)I1

WELL CONSTRUCTION RECORD For twerp,Use ONLY:
This form can be used for single or multiple wens
1.Well Contractor Information:
14.WATER ZONIS
Stef an Smith MOM TO DCK('RlmOsi
Well Corkracior Name t. ft.
3576A n
NC Well Contractor Certification Number 18.OUTURCASTNG dos weld LINKE(if
PROM TO rod
TER THICKNESS MATERIAI
SAEDACCO Inc0 R 24 rl la. 40 PVC
Catmint)Naar -164
Q4IitR UR dM -M9a}
►ROM TO DIAMETER THICKNESS MATERIAL
2.Well Construction Permit 9: ft. ft. is
tin all applii rdde well permits(i-r.County.Shirk..Variance.Trrecdon err.! R. It is.
3.Well Use(check well use): , 17.SCAN
Water supply Well: raoM TO DIAMETER SI.OTSill THICKNESS MATER!AI.
ft. ft.
°Agricultural °Mtnicipal:Public -`
DGeothettnal(Heating/Cooling Supply) °Residential Water Supply(single) n' rt. in.
DindosiriatiConllnerciai °Residential Water Supply(shared) U'
raOM TO MATERIAL EMPLACEMENT METHOD&.iMOI:Ni
°hrigntion 0 ft. 24 ft. Portland Tremie
Non-Water Sept Well:
rt. r,
°Mintitoring ❑Recovery
IojecdoiWei: ft.1-
0 Aquifer Recharge °Gmundwa(cr Remediation r It.SAIIIIINZIAVRL PACK Of settliethiG
MOM , TO MATERIAL EMM.AMEMENT METNOU
❑Aquifer Storage and Recoen ❑Salinity Barrier R, rt.
❑Aquifer Test ❑Stormwater Drainage
❑ExperitrrcolalTcchnobgy ❑SubsidenceCoi*tol 'M DRILLING LOG Oath*additional shook Nnaosawrs)
OGeothennal(Closed Loop) °Tracer room TO DISSCRIT lOS(o tir.imtiure«,raWeacknye.gr in vim dr.l
°Geodtennal(Heating'Cooling Return) ®Other(explain under 421 Ramada) ft. rt. See geologist log
ft. rt.
4.Date Wef(s)Completed: 11/6/18 well mg IWO7
R. t.
Sa.Well Location: ft. ft.
Glaxo Smith Kline ft, ft.
Facilifi OnnerName Facanr.lalr(if applicabk) w. a ..-_ ___._....__.__..._ __ _., �..,
R. ►t
3029 E Cornwallis Rd Durham, NC 27703 Orange Count, n. r.
Durham, NC, 27703 Musical Address.Cii.and Zip •tL Rt imA>1itS -
Orange Cased with 6" pvc and drilled out with air
Ovum) Parcel ldeslhfr.51i0s No (PINE to dept
Sb.Latitude and Longitude in deerealianinntes/secoads or decimal degrees: 22.Certi&readw:
aria field,oar lemons is srdiicicral
35.920862 N 78.865151 W !' , iLti11/26/2018
Signal,�oICd Well Contractor Date
6.to(are)the welt(!): KiPermaneat or °lemporary e,riRnint;thin jtrrn.i hurler certify rhos the wellrsl site(were)crwartrwr•ted in accordance
with I S4 NCAC 02C'.0100 or 15A NCAC MC.0700 Well Cnaarur net Standards and Mar a
7.is this a repair to an existing well: ❑Yen or I®No r'npr of Ail WOW!,bat been provided to 11w well owner.
If rhis ii a repair,fill our know*well r oarrnn rime infonvia ow and explain the nature of Or
repair ruder 1121 remarks section or um the back of this form. 23.Site diagram or additional well details:
You may use the bock of this page to provide additional well site details or well
S.Number of wells constnated: 6 construction details. You may also attach additional pages if necessary.
For main*mjrrrirm or non-water urpplr wells ON1Li`with the MAW earrrlractioo.Nra can
rrbmit one Iona. CUBMI'CfAL INSTUCTIONS
9.Taal well depth below land surface: 38 (ft.) 24a. For All Wells. Submit this form within 30 days of completion of well
For multiple wells list all drprhr if different(example-30 00'and.7*kW) COn$tuCtion to the folbwing-
10.Static water led below top of casino (ft.) Division of Water Resources,tafornation Processing Unit.
If water level a above rasing.rue•'a" 1617 Mail Seniee Center.Raleigh.NC 27699-1617
II.Borehole diameter:1° Da) 24b.per Wier-don Web ONLY: In addition to sending the form to the address in
bra above. also submit a copy of this form within 30 days of completion of well
12.Well comirerdon method: HSA/Air CotistnaYion to the follow)ng-
t i.c.auger.rotary.cable.direct push.etc.)
Division of Water Resources.Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Strike Center,Raleigh,NC 27699-1636
13a Yield(gput) Method of test: 14c.For Water Supply Ile Injet:ties Welk:
Also submit one copy of this form within 10 days of completion of
13b.Disinfection types-•--___.-_._._--•_-_•- Amount: well construction to the county health department of the county where
---- coaatrvctod
Form GW-1 North Carolina Department of Eav norarrn and Natural Resources-Dn MOB of Water RedatiN Retailed August 2013

WELL CONSTRUCTION RECORD For buenol Use ONLY:
The formcan be used for side or multiple wens
1.Well Contractor Information:
ii.WATER ZONES
Stefan Smith FROM TO DCti('RIRION
Well Contractor Name R' R'
ft. ft.
357 6A
NC Weil Contractor Certification Number 15.OtITRR CASING tLR'mollivied walk) LINER Of i)
FROM TO DIAMETER THICKNESS MATERIAI
SABDACCO Inc 0 ft. 14 ft. 6 10, 40 PVC
Cotaapan)Name IC INNER CASING OR T1ITtC f WRr1* 4s0e)
FROM TO DIAMETER THICKNESS MATERIAL
2.Well Constriction Pernik 8: ft. R. la.
List all applicable welt permits fie.County.starer,Variance.Itle:Oerl en'.l R. f
3.Well Use(cheer well Aare): li,5canN •
Water Supply Well: FROM TO DIAMETER SLOT SI77 THICKNESS M.ATERiAI. ,
❑Agricultural ❑Municipal Public R. R is
❑Geothermal(Heating/Cooling Supply) OResidential Water Supply'(single) " f` n`
❑IndustriallCommercial ❑Residential Water Supply(stated) IL Gail)"
IWM TO MATERIAL EMPLACEMENT METHOD C.AMOUNT
❑irrigation 0 ft. 14 ft. Portland Tremie
Non-Water Supply Well:
R. R.
❑Monitoring ❑Recovery
IUecdor Well: R. ft.
0 Aquifer Recharge ❑GrowdwaicrRemediatioes 9.SANMLWTL PACK s..KsaMs)
❑ nfcr Storage and Recoy ❑Salinity Barrier FROM TO MATRRUI. ' EMan-A(tMrNT METHOD
�P 'ei}' ft. ft.
❑Aquifer Test ❑Stortnwater Drainage
n. R.
❑Experimental Technology ❑Subsidence Control
M.DRILLING EGG(Auk,ld hotel that■If nontraaril
DGeotbermal(Closed Loop) ❑Tracer FROM TO DiiSC7nip174s(abr.ter Oe..roe/ruck d K.Fain s&a.dr.►
°Geothermal(Heaung/Cooliog Rerun]) 18Oilier(explain under it21 Remarks) ft h See geologist log
R. fr.
4.Date Wells)Completed: 11/6/18 Wdl iDg I1f4R
R. tr.
5a.WdI Location: ft. ft, '
Glaxo Smith Kline R. ft.
Fac(loft.CranerName Facilih ID*(if appiicabk> _ _—
R. f.
3029 E Cornwallis Rd Durham, NC 27703 Orange Count, R. ft.
Durham, NC, 27703 Plastcal Address.Ciq_and Zip 2t.REMARKS - !
Orange Cased with 6" pvc and drilled out with air
County Parcel'dentaf,stiosNo (PIN) to dept
Sb.Latitude and Longitude in degrcatlminures/sccends or decimal degrees: 22.C.ertifiration:
tench field,arc Wong is sufficient)
35.920862 N 78.865151 NV !' A, 11/26/2018
Sipeat+ of Cc.. led Well Contractor Date
6.Is(arc)the well(s): TPermanent or DTemporar' eh signing this f pun.1 hereby certify Mai the wrilisl wan tercel ttmstne ted in accordance
with 15.4 NCAC 0 C,nl flip or 15A NCAC(12C,O2200 Well Commis run Standards and Mal a
7.1a this a repair to an existing well: DYea or ENn caps of shit Word has been provided in the well owner,
If this is a repair,fill oat knonn well roeclnn,ton urfarmarion and explain the nature of the
repair under 121 remarks srcaian or an the beak of this form. 23.Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
8.Number of wells constructed: 6 construction details. You may also attach additional pages if necessary.
For Ma inple urjn rum am mwI-water aaappls wells ONLY with the maw corestraclloe,yam cum
submit one form. SIiBMiTTAL INSTUCTIONS
9.Total well depth below lard surface: 30 (ft.) 24a. For All Wells: Submit ibis form within 30 days of completion of well
For noihiplr well:list all depths if dylrrrrnt teumgrk-1 @:01Y and 2*100') construction to the following
19.Static water level below top of casing (ft.) Division of Water Resources,laformadon Processing Unit,
if Nose,hurl u abase cases.use"+'• 1617 Mail Service Oster.Raleigh.NC 2 7699-16 1 7
11.Barebole diameter:1° fin.) 24b.Far in jlydes Welt ONLY: in addition to sending tie form to the address in
24a above. also submit a copy of this form within 30 days of completion of well
12.Well construction method' USA/Air construction to the following_
t i.e.auger.rotary.cable,direct posit etc.)
Divides of Water Resources.Underground injection Control Program.
FOR WATER SUPPLY WELLS ONLY: 1636 Malt Smite Center.Raleigh.NC 27699-1636
13a Yield(gpm) Method2.4e.For Water Sepal,&Injection Welly
of test:
Also submit one copy of this form within 30 days of completion of
13b.Disinfet1ion tyrpc-•---•-.__-.---_�_._- Amount:___________ well constriction to the county health department of the county where
Constructed
Form GRr-I North Carolina Department of Lan aoumcn and Natural Resources-Da atom of Water Redttes Raw lad Atagutt 101 i

Attachment 2
Report of Survey Taylor Wiseman Taylor,
January 10, 2019

Attachment 2
Report of Survey Taylor Wiseman Taylor,
January 10, 2019

woo
11111111111111‘ Taylor Wiseman & Taylor
LAND SURVEYING / CIVIL ENGINEERING
SUBSURFACE UTILITY ENGINEERING
3600 Regency Parkway, Suite 260-Cary, NC 27518
Office: [phone] Fax: [phone]
REPORT OF SURVEY
GlaxoSmithKline (GSK) TWT#: 05427.6000.00
South Campus, North Complex-Cornwallis Road, Durham, NC Report Date: 1/10/2019
Prepared for Golder Date of Survey: 12/13/2018
Survey Control:
Control Northing Easting Elevation Survey Control Metadata:
PK 1009 789797.71 . 2039827.09 382.95 Horizontal Datum: NAD83(2011)
PK 1003 789421.18 2039850.17 383.96 Epoch:2010.00
_
Nail 10009 790157.59 2039997.77 373.94 Vertical Datum: NAVD88(Geoid 2012A)
BR-2 379.35 Units: U.S. Survey Feet
MW-9 340.52 GPS Technique: Network RTK(VRS)
Date of GPS Survey:4/7/2015
New Injection Wells: GPS Ant.Type:Trimble R8-3
GPS Ant.SN: 5005414918
Top of Case Ground Fixed Station: DURH / PID: DG9328
Well ID Northing Easting Elevation Elevation WGS-84 Lat:35°59'46.12942"N
IW-4r 790206.25 2040031.37 369.13 369.55 WGS-84 Lon: 78°53'58.03641"W
IW-07 790124.56 2039923.09 376.80 376.75 Ellipsoid Height:385.39
IW-07s 790120.07 2039919.40 376.63 376.75 Geoid Height:-102.79
IW-9 790013.52 2039846.43 380.19 380.30 Project Combined Factor:0.99993843
IW-13 790022.12 2039874.46 380.96 380.85 Calculated at Point:#1003
IW-15 790001.83 2039875.93 380.63 380.80 Class of Survey: "A"
Adjustment:Trimble Business Center(TBC)
Top of Case Elevation Verification for Repaired Wells: Least Squares at 95%Confidence Level
Positional Accuracy:0.06'
Updated Top
Well ID of Case Elev
GW-4d 371.16 Reported relative to BR-2
GW-14i 372.83 Reported relative to BR-2
Gp W-18s 354.29 Reported relative to MW-9
MW-1 370.99 Reported relative to MW-9
P-6 372.50 Reported relative to BR-2
W-1 329.54 Reported relative to MW-9
Survey Notes:
This survey is based upon existing site control that is referenced from survey entitled "NOTICE OF HAZARDOUS
WASTE DISPOSAL SITE -SOUTH CAMPUS, NORTH COMPLEX SITE", prepared by TWT, based upon a survey dated
April 27, 2015, last revised November 25, 2015, which was prepared by Rich Wieczorek, PLS (L#4846). Survey control
metadata shown hereon is referenced from that survey.
The purpose of this current survey was to provide horizontal and vertical coordinates for six (6) new injection wells and to
confirm the top of case elevations for six(6)existing wells, which were repaired by Golder.
Page 1 of 2

TWT#: 05427.6000.00
(t*° Report Date: 1/10/2019
Survey Certification: /n� /
I, Chad T. Howard, certify that this report was prepared under my I-/0- Zo J9
supervision, from an actual ground (conventional)survey made under my ,,&oolitic/0a
supervision; ����4\\• o C A R O�
that the positional accuracy has been reported hereon; '.� �a O�E.S S/O;y°of 0
that the geological features surveyed and identified hereon were surveyed Z I=o`+y� !,..-.
in a manner sufficient to comply with national map accuracy standards and o SEAL a73-
the requirements of the Standards of Practice for Land Surveying in North : o 0r L-4220 �`
Carolina(21 NCAC 56.1600). ��y�y� V�i4°�k,:
7four
q 0,,SURoa� * •
Witness my original signature, registration number and seal this 10th day of ,�0��
January, in the year of our Lord 2019.
A(
Page 2 of 2