WI0600218_DEEMED FILES_20191002

Permit Number
Program Category
Deemed Ground Water
Permit Type
WI0600218
Injection Deemed In-situ Groundwater Remediation Well
Primary Reviewer
shristi.shrestha
Coastal SWRule
Permitted Flow
Facility
Facility Name
Seminole Food Mart #2
Location Address
691 Seminola Rd
Broadway
Owner
Owner Name
Seminole Mart #2
Dates/Events
NC
Orig Issue
10/2/2019
App Received
9/24/2019
Regulated Activities
Groundwater remediation
Outfall
Waterbody Name
27505
Draft Initiated
Scheduled
Issuance Public Notice
Central Files: APS SWP
10/2/2019
Permit Tracking Slip
Status
Active
Version
1.00
Project Type
New Project
Permit Classification
Individual
Pennit Contact Affiliation
Major/Minor
Minor
Region
Fayetteville
County
Hamett
Facility Contact Affiliation
Owner Type
Non-Government
Owner Affiliation
.Scott Yow
PO Box629
Broadway
Issue
10/2/2019
Effective
10/2/2019
NC 27505
Expiration
Requested /Received Events
Streamlndex Number Current Class Subbasin
September 24, 2019
N.C. DEQ Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
Cape Lookout
Environmental Sciences-
SEP +4g
Attention: Ms. Shristi Shrestha Email: sfiristi.Shrestinaa ncdenr.gov
Reference: Notification of Intent to Construct or Operate injection Wells
Seminole Mart No. 2
691 Seminole Road, Broadway, NC
NCDENR Incident No. 42025
Facility ID: 0-000014231
CLES Project Number: 17-051
Dear Ms. Shrestha:
Cape Lookout Environmental Sciences, PLLC (CLES), on behalf of Mr. Scott Yow, is submitting
one hard copy of the Notification of Intent to Construct or Operate Injection Wells (NOI) and one
electronic copy in PDF format on compact disc. The injection will utilize existing wells as no new
wells or injection points are proposed. We would like to proceed with the injection in two weeks
or before based on your approval.
Please find one hard copy of the enclosed NOI with attachments for your file as well as a CD
with the electronic copy in PDF format. If you have any questions concerning the contents of this
submittal, please contact me at 919-880-6801.
Sincerely,
Cape Lookout Environmental Sciences, PLLC
ceAit,deY
David B. Wells, P.G.
Senior Geologist/Project Manager
Enclosures: One Copy — Notification of intent to Construct or Operate Injection Wells
One CD — Electronic Copy Notification of Intent to Construct or Operate Injection
Wells in PDF Format
!Us ersfuser/Box Syncldefeuk Sync FoiderlProiect312017117461 Seminn!e Merl #2iharrs Lir 9-24-19 NOI with CM.docx
Cape Lookout Environmental Sciences, PLLC
8005 Clear Brook Drive, Raleigh, NC 27615 - 919.880.6801 - CapeLookoutEnvironmental.com

North Carolina Department of Environmental Quality-Division of Water Resources
NOTIFICATION OF INTENT (NOi) TO CONSTRUCT OR OPERATE INJECTION WELLS
The following are ''permitted by rule" and do not require an individual permit when constructed in accordance
with the rules of ISA NCAC 02C .0200. This fo rm shall be submitted at least 2 WEEKS prior to iniection.
AQUIFER TEST WELLS (15ANCAC 02c .0220}
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITUREMEDIA TION (15A NCAC 02c .02r} or TRACER WELLS <1 5A NCAC 02c .0229):
1) Passive In jection Sv stems -In-well delivery systems to diffuse injectants into the subsurface. Examples include
ORC socks, iSOC systems, and other gas infusion methods (Note : Injection Event Records (!ER) do not need to be
submitted for replacement of each sock used in ORC systems).
2) Small-Scale Injection Op erations -Injection wells located within a land surface area not to exceed 10,000
square feet for the purpose of soil or groundwater remediation or tracer tests. An individual permit shall be required
for test or treatment areas exceeding 10,000 square feet.
3) Pilot Tests -Preliminary studies conducted for the purpose of evaluating the technical feasibility of a
remediation strategy in order to develop a full scale remediation plan for future implementation, and where the
surface area of the injection zone wells are located within an area that does not exceed five percent of the land
surface above the known extent of groundwater contamination. An individual permit shall be required to conduct
more than one pilot test on any separate groundwater contaminant plume.
4) Air In jection Wells -Used to inject ambient air to enhance in-situ treatment of soil or groundwater.
Print Clearly or Type Information. megible Submittals W,JJ Be Returned As Incomplete.
DATE : September 17 . 2018 PERMIT NO. VY'~ t, 002.-l~ (to be filled in by DWR)
A. WELL TYPE TO BE CONSTRUCTED OR OPERATED
(1)
(2)
(3)
(4)
(5)
(6)
--~Air Injection Well ...................................... Complete sections B through F, K, N
___ Aquifer Test Well ....................................... Complete sections B through F, K, N
___ .Passive Injection System ............................... Complete sections B through F, H-N
=-=X~_Small-Scale Injection Operation ...................... Complete sections B through N
--~Pilot Test ................................................. Complete sections B through N
___ Tracer Injection Well ................................... Complete sections B through N
B. STATUS OF WELL OWNER: Choose an item.
C. WELL OWNER(S)-State name of Business/Agency, and Name and Title of person delegated authority to
sign on behalf of the business or agency:
Name and Title: Seminole Mart #2 c/o Scott Yow Owner
Company Name __ ___,S=e=m=in=ol=e-"M=art=#=2 ___________________ _
Mailing Address: --~p:...,•=O'"'"". =B=ox=-=62=9'---------------------
City: ------=B=ro=a=dw=a ______ State: NC Zip Code: 27505 County: Harnett
Day Tele No.: 919.902.0257 Cell No.: __ 9"--'1=9=.9""""0=2.=02=5-'-7_
EMAIL Address:. __ ___,s.,,c:,::.o ttv~o.,_,wC!...7,....2=,~gn,,_.,1_..,ai.,.l..,.c,.,om=----Fax No.: ---=N'--"A=------
Deemed Permitted GW Remediation NOi Rev. 8-28-2017 Page 1
D. PROPERTY OWNER(S) (if different than well owner)
Name and Title: ___ -=Be=tty_._· --=Y"""o'""w'--'c"'""/o=-=S=co=tta:..Yi=ow~, O=wn=e=r.__ ____________ _
Company Name __ ____,S=e=m=in=o=l=-e =M=art=:...a#"""2=---------------------
Mailing Address: ____ P..., . ..,.O ...... =B=ox=62=9 ________________ _
City: ------=B=ro=a=dw-'-'-=ay,__ __ State: NC Zip Code: 27505 County: __ -----'H=arn.=e~tt~
Day Tele No.: 919.902.0257 Cell No.: __ 9"-'1=9-=.9-=02=·-=02=5-'-7-
EMAIL Address: __ ---=s=co=tty"-'--=o'""w .... 7=2 ... @ ... g=m=a=il=.c=o=m=-----Fax No.: __ ....,.N.a:A-=-------
E. PROJECT CONTACT (Typically Environmental Engineering Firm)
Name and Title: David B. Wells . Geologist. Managing Member
Company Name Cape Lookout Environmental Sciences. PLLC
Mailing Address: 8005 Clear Brook Drive
City: Raleigh State: NC Zip Code: 27615 County: Wake
Day Tele No.: 919.880.6801 Cell No.: 919.880.6801
EMAIL Address: davidwells ,c apelookoutenvironmental.com
F. PHYSICAL LOCATION OF WELL SITE
Fax.No.: NA
(1) Facility Name & Address: ~S=em=m=· =ol=e--=F--=o=od=M=art~#-=2 ________________ _
691 Seminole Road
City: Broadway County: Harnett Zip Code: 27505
(2) Geographic Coordinates: Latitude**: ___ 0 ____ " or_ ..... 3._.5'-0 • 445157
Longitude**: 0 __ " or __ --'-'79'-0 • 0449299
Reference Datum: ________ .Accuracy:. _______ _
Method of Collection: Goo gle Maps
**FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY: A FACILITY SITE MAP WITH PROPERTY
BOUNDARIBS MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COORDINATES .
G. TREATMENT AREA
Land surface area of contaminant plume:_~=3-=l _,._00"--____ square feet
Land surface area of inj. well network:._~~2=-=-40...,.0"-------'square feet~ 10,000 ff for small-scale injections)
Percent of contaminant plume area to be treated: 77.4% (must be~ 5% of plume for pilot test injections)
H. INJECTION ZONE MAPS -Attach the following to the notification from the Corrective Action Plan.
Note: Previously submitted with initial NOi Submittal in February 2018. Maps of the plume based
on recent data are attached.
(1) Contaminant plume map(s) with isoconcentration lines that show the horizontal extent of the
contaminant plume in soil and groundwater, existing and proposed monitoring wells, and existing and
proposed injection wells; and
(2) Cross-section(s) to the known or projected depth of contamination that show the horizontal and vertical
extent of the contaminant plume in soil and groundwater, changes in lithology, existing and proposed
monitoring wells, and existing and proposed injection wells.
(3) Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus existing
and proposed wells.
Deemed Permitted GW Remediation NOI Rev. 8-28-2017 Page 2
I. DESCRIPTION OF PROPOSED INJECTION ACTIVITIES -Provide a brief narrative regarding the
purpose, scope, and goals of the proposed injection activity. This should include the rate, volume, and duration
of injection over time.
The purpose of the injection is to flush adsorbed residual diesel fuel and gasoline from the aqu ifer and subsurface
soil and emulsif'v the petroleum constituents present as NAPL on the water table that is a pproximate! 43 feet
below the ground surface. Once the petroleum is emulsified it mav be recovered with vacuum enhanced
extraction or total fluids extraction pump s. The frrst treatment process addressed NAPL as diesel fuel with
thicknesses that were u p to approximate! 5.41 feet on the water table. During the recoverv of the diesel fuel
gasoline was observed on top of the diesel fuel with thicknesses up to 4.54 feet. The estimated in jection rate
per well will be approximately 0.5 to 2.5 gallons per minute (&Pm), Based on the plume area.
approximately 3,100 pllons of injectant solution will be introduced to the treatment area in a time frame
o f a mi nim u m of 2 days t o u p to 4 days based on inj ection rates and maintaininit low inj ection pressures.
J. APPROVED INJECTANTS-Provide a MSDS for each injectant. Attach additional sheets if necessary .
NOTE: Only injectants approved by the NC Division of Public Health, Department of Health and Human
Services can be injected Approved injectants can be found online at htlp ://de g .nc .gov/about/divisions/water-
resources/water-resources-permits/wastewater-branch/gro und-water-protection/ground-water-a pproved-in jectants.
All other substances must be reviewed by the DHHS prior to use. Contact the UIC Program for more info (919-
807-6496).
lnjectant: Aerosol OT 75
Volume of injectant: 220 pounds maximum
Concentration at point of injection: !%maximum
Percent if in a mixture with other injectants : ___________________ _
lnjectant: _ ___,M=um=·c-i p ... al=P=otab=l=e'-W"""-=ate==-r ___________________ _
Volume of injectant: ___ 2=5 ...... 8=5'-4~po=un=d=s~m=axun=·=um~---------------
Concentration at point of injection: --~¾ .... o~m=axun=·=um~-------------
Percent if in a mixture with other injectants: ___________________ _
lnjectant: --------------------------------
Volume of injectant: ___________________________ _
Concentration at point of injection: ______________________ _
Percent if in a mixture with other injectants: ___________________ _
K. WELL CONSTRUCTION DATA
(1)
(2)
Number of injection wells: --""'"O __ _.Proposed __ --=1-=-1-~Existing (provide GW-ls)
For Proposed wells or Existing wells not having GW-1 s, provide well construction details for each
injection well in a diagram or table format. A single diagram or line in a table can be used for
multiple wells with the same construction details. Well construction details shall include the
following (indicate if construction is proposed or as-built):
(a) Well type as permanent, Geoprobe/DPT, or subsurface distribution infiltration gallery
(b) Depth below land surface of casing, each grout type and depth, screen, and sand pack
( c) Well contractor name and certification number
Deemed Permitted GW Remediation NOi Rev. 8-28-2017 Page3
L. SCHEDULES — Briefly describe the schedule for well construction and injection activities.
Documentation for existine. infection wells that were installed before December 5. 2017 and before March 11.
2018, is provided with this "Notice". Injection will be scheduled not sooner than two weeks from the date of
tis Notice and will beein after authorization In the Department,
M. MONITORING PLAN — Describe below or in separate attachment a monitoring plan to be used to determine
if violations of groundwater quality standards specified in S u bch.u'te - 02L result from the injection activity.
Sixty days after the injection event and after the extraction of approximateh 1.5 times the infection volume of
liquids is recovered, groundwater monitoring will beconducted. This sampline 60 da• post extraction)
event will be performed b. sampling up to 15 monitor wells in the well network at the site. The samples will be
anah zed for VOCs and SVOCs. Following the sampling event_ groundwater monitoring from up to 10 monitor
wells ma% be performed on a quarterh basis. The Quarter!) groundwater samples will be collected and aanab zed
for VOCs and SVOCs detected during the first sampling event following injection/extraction. The monitoring
program will also include collecting liquid level measurements from the accessible network wells at the time of
each monitoring event to observe for rebound of NAPL on the water table. Groundwater from wells sampled for
quarterly analyses will also be monitored for field parameters that will include but ma. not be limited to pH
lemperati e, specific conductance. ORP, and/or dissolved ovN gen.
N. SIGNATURE OF APPLICANT AND PROPERTY OWNER
APPLICANT: "I hereby certify, under penalty of law, that I am familiar with the information submitted in this
document and all attachments thereto and that, based on my inquiry of those individuals immediately responsible
for obtaining said information, I believe that the information is true, accurate and complete. I wn aware that
there are significant penalties, including the possibility of fines and imprisonment for submitting false
information. 1 agror to construct, operate, maintain, repair, and if applicable, abandon the injection well and
all T. ated appu#nances in accordance with the 15A MVCA C 02C 0200 Rules."
Cam(! Scott Yow, Buildine. Owner / Propertti Owner Representative
ignature of plicant Print or Type Full Name and Title
PROPERTY OWNER (if the property is not owned by the permit applicant):
"As owner of the property on which the injection well(s) are to be constructed and operated, I hereby consent to
allow the applicant to construct each injection well as outlined in this application and agree that it shall be the
responsibility of the applicant to ensure that the injection well{s) conform to the Well Construction Standards
"Owner" means any person who holds the fee or other property rights in the well being constructed. A well
is real property and its construction on land shall be deemed to vest ownership in the land owner, in the
absence of contrary agreement in writing.
Signature" of Property Owner (if different from applicant) Print or Type Full Name and Title
*An access agreement between the applicant Enid property owner may be submitted in lieu of a signature on this form.
Please send this NO1 electronically to Shrisfti.Shrestlsa a nedersr.t;u% AND one hard copy to:
DWR — UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Teleph one: [phone]
Deemed Permitted GW Remediation NO1 Rev. 8-28-2017 Page 4

Concrete Pad
1.5 Ft+
MONITOR WELL CONSTRUCTION DETAIL
MW-17
Manhole Cover
50 feet bgs
Measure and Document
Bore Diameter
Drill Method:
Hand Auger =
24.5 Ft
2 Ft
2 Ft
20 Ft
2" Bore ,
Macrocore = --3 1/4" Bore
6 1/4" HS = --10 1/4" Bore
Source: ECE
Ground Surface
Expandable Locking Cap
Neat Cement Grout
Bentonite Seal
2-inch diameter
Schedule 40 PVC Riser
2-inch diameter
Schedule 40 PVC Screen
Slotted (0.010 inches)
We11 Point (Flush/Flat/Point)
• No_ 2 Filter Sand
3 1/4" Bore,
4 1/4" min. J+
5" Bore
3 1/4" HS = --7 1 /4" Bore
8 114" H5 = —12 1/4" Bore
Flights = 41/4" - 6" Bore
4 114" HS = —8 1 /4" Bore
10 1/4" HS = --14 1/4" Bore

Concrete Pad
1.5F4
71
50 feet -Ergs
Measure and Document
Bore Diameter
Drill Method.:
Hand Auger = —2" Bore ,
Macrocore = -3 1/4" Bore
6 1 /4" HS = --10 1/4" Bore
Source: BCE
MONITOR WELL CONSTRUCTION DETAIL
MW-7 6
$
24.5 Ft
2 Ft
IT
t
2 Ft
t
___.
20 Ft
4 4 1/4"
3 1/4" Bore,
Manhole Cover
5" Bore
3 1/4" HS = —7 1/4" Bore
8 1/4" H5 = --12 114" Bore
1
Ground Surface
Expandable Locking Cap
Neat Cement Grout
Bentonite Seal
2-inch diameter
Schedule 40 PVC Riser
2-inch diameter
Schedule 40 PVC Screen
Slotted (0.010 inches)
Well Point (Flush/Flat/Point)
No. 2 Filter Sand
4114" HS = —8 114" Bore
10 1/4" EIS =--14 1/4" Bore

Concrete Pad
3.5 Ft
50 feet bgs
Measure and Document
Bore Diameter
MONITOR WELL CONSTRUCTION DETAIL
MW-1 5
4 P.
14,5 Ft
—f--
2 Ft
T
2 Ft
It
30 Ft
I.
•
E
Drill Method:
Hand Auger = 2" Bore ,
Macrocore = —3 1/4" Bore
6 114" HS =--10 1/4" Bore
Source: ECE
Expandable Locking Cap
Ground Surface
1
4
3 1/4" Bore,
4 1/4" mirr. IP
5" Bore
3 1/4" HS = --7 1/4" Bore
8 1/4" HS =--12 1/4" Bore
Bentonite or
Neat Cetnent Grout
Bentonite Seal
2-inch diameter
Schedule 40 PVC Riser
2-inch. diameter
Schedule40 PVC Screen
Slatted (0,0) 0 inches)
Well Point (Flush/Flat/Point)
No. 2 Filter Sand
Flights = 4 1/4" - 6" Bar
4 1/4" HS — ---8 1/4" Bore
10 1 /4" HS = --14 1 /4" Bore

MONITOR WELL CONSTRUCTION DETAIL
MW-11
Concrete Pad
1.5 Ft+1
21.5 Ft
2 Ft
4,
1 Ft
1
25 Ft
50 feet-bgs
Measure and Document 4 1/4" min.
Bore Diameter
Drill Method;
Hand Auger = -2" Bore , 3 1/4" Bore, 5" Bore
3 114" HS = -7 1/4" Bore
8 1/4" HS = -12 114" Bore
Macrocore = -3 1/4" Bore
6 1/4" HS =--10 1/4" Bore
Source: ECE
Manhole Cover
Ground Surface
Expandable Locking Cap
Neat Cement Grout
Bentonite Seal
2-inch diameter
Schedule 40 PVC Riser
2-inch diameter
Schedule 40 PVC Screen
Slotted (0.010 inches)
Well Point (Flush/Flat/Point)
No. 2 Filter Sand
4 1/4" HS =---8 1/4" Bore
10 1/4" HS =-14 1/4" Bore

Concrete Pad
1.5 Ft
MONITOR WELL CONSTRUCTION DETAIL
MW-i O
24.5 Ft
2 Ft
2 Ft
20 Ft
50 feet-bgs
Measure and Document 4— 4 1/4" min. —a
Bore Diameter
Drill Method:
Hand Auger = —2" Bore , 3 1/4" Bore, 5" Bore
3 1/4" HS = --7 114" Bore
8 1/4" HS =-12 1/4" Bore
Macrocore= —3 1/4" Bore
6 114" HS = --10 1/4" Bore
Source: ECE
Manhole Cover
Ground Surface
Expandable Locking Cap
Neat Cement Grout
Bentonite Seal
2-inch diameter
Schedule 40 PVC Riser
2-inch diameter
Schedule 40 PVC Screen
Slotted (0.010 inches)
Well Point (Flush/Flat/Point)
No. 2 Filter Sand
4 1/4" HS =-8 1/4" Bore
10 1/4" HS = --14 1/4" Bore

Concrete Pad
MONITOR WELL CONSTRUCTION DETAIL
MW-9
0
24.5 Ft
2 Ft
50 feet-bgs
2jFt
i
Manhole Cover
20 Ft
•
Ground Surface
Expandable Locking Cap
Neat Cement Grout
Bentonite Seal
2-inch diameter
Schedule 40 PVC Riser
2-inch diameter
— Schedule 40 PVC Screen
Slotted (0.010 inches)
Measure and Document F— 4 114" min. IP
Bore Diameter
Drill Method:
Hand Auger = ---2" Bore , 3 1/4" Bore, 5" Bore
Macrocore = 114" Bore 3 l/4" HS = --7 1/4" Bore
6 1/4" HS = --10 1/4" Bore 8 1/4" HS ----12 114" Bore
Source: ECE
We]1 Point (Flush/Flat/Point)
No. 2 Filter Sand
Fli ghts = 4 114" - 6" Bore
4 114" € IS = —8 1/4" Bore
10 1/4" HS = -- t 4 1/4" Bore

Macrocore —3 1/4" Bore
6 114" HS = --10 114" Bore
Source: ECE
Concrete Pad
MONITOR WELL CONSTRUCTION DETAIL
MW-8
Manhole Cover
1
1.5 Ft+
1
24.5 Ft
i
2 Ft
r
t
2 Ft
i
20 Ft
50 feet-bgs
Measure and Document
Bore Diameter
4 4 1/4" min.
Drill Method:
Hand Auger.-- —2" Bore , 3 1/4" Bore, 5" Bore
3 1/4" HS =--7 1/4" Bore
8 1/4" HS — —12 114" Bore
Ground Surface
Expandable Locking Cap
Neat Cement Grout
Bentonite Seal
2-inch diameter
Schedule 40 PVC Riser
2-inch diameter
Schedule 40 PVC Screen
Slotted (0.010 inches)
Well Point (Flush/Flat/Point)
No_ 2 Filter Sand
Flights = 41/4" - 6" Bore
4 114" HS = —8 1/4" Bore
10 114" HS = —14 114" Bore

MONITOR WELL CONSTRUCTION DETAIL
M1N-4
Concrete Pad
T
24.5 Ft
?Ft
4,
t
2 Ft
i
15 Ft
45 feet-bgs
Measure and Document
Bore Diameter
Manhole Cover
Ground Surface
1
Expandable Locking Cap
1 4 !14" min.
Drill Method:
Hand Auger = —2" Bore , 3 1/4" Bore, 5" Bore
Macrocore = —3 1/4" Bore 3 114" HS — —7 1/4" Bore
6114" HS=-10 1/4" Bore 8 114"HS =--12 114" Bore
Source: ECE
Neat Cement Grout
Bentonite Seal
2-inch diameter
Schedule 44 PVC Riser
2-inch diameter
Schedule 40 PVC Screen
Slotted (0.010 inches)
Well Point (Flush/Flat/Point)
No_ 2 Filter Sand
4 1/4" HS — --8 1/4" Bore
10 1/4" HS = --14 1/4" Bore

Concrete Pad
MONITOR WELL CONSTRUCTION DETAIL
MW-3
Manhole Cover
24.5 Ft
2 Ft
45 feet-bgs
Measure and Document
Bore Diameter
2 Ft
15 Ft
Ground Surface
Expandable Locking Cap
Neat Cement Grout
Bentonite Seal
2-inch diameter
Schedule 40 PVC Riser
2-inch diameter
Schedule 40 PVC Screen
Slotted (0.010 inches)
Well Point (Flush/Flat/Point)
■ No. 2 Filter Sand
4- 4 i14" min. —*
Drill Method:
Hand Auger = --2" Bore , 3 1/4" Bore, 5" Bore
Macrocore= -31 /4" Bore 3 114" HS = —71 /4" Bore
6 1/4" HS ' --10 1/4" Bore 8 114" HS = —12 1/4" Bore
Source: ECE
4 1/4" HS = A 114" Bore
10 1/4"HST --14 l/4" Bore

Concrete Pad
1.5 Ft+
MONITOR WELL CONSTRUCTION DETAIL
MW-2
T
24.5
2 Ft
1
t
2 Ft
1
15 Ft
45 feet-bgs
Measure and Document
Bore Diameter
4 114" rein.
Manhole Cover
Ground Surface
Expandable Locking Cap
Neat Cement Grout
Bentonite Seal
2-inch diameter
Schedule 40 PVC Riser
2-inch diameter
Schedule 40 PVC Screen
Slotted (0.010 inches)
Well Point (Flush/Flat/Point)
No. 2 Filter Sand
Drill Method: Flights = 4 1/4" - 6" Bore
Hand Auger = -2" Bore , 3 1/4" Bore, 5" Bore
3 1/4" HS = 7 1/4" Bore 4 114" HS = —8 1/4" Bore
6 114" HS =- --10 1/4" Bore 8 1/4" HS = --12 1/4" Bore 10 114" HS = —14 1/4" Bore
Macrocore = ---3 1/4" Bore
Source: ECE

Concrete Pad
40 feet-6gs
MONITOR WELL CONSTRUCTION DETAIL
MW-1
9.5
2 Ft
1'
2 Ft
25 Ft
■
Manhole Cover
14
det
4
Measure and Document 4 1/4" rnin. —41-
Bore Diameter
Drill Method:
Hand Auger = ---2" Bore , 3 3 /4" Bore, 5" Bore
Macrocore = —3 114" Bore 3 114" HS = —7 1/4" Bore
6 1/4" HS = —10 114" Bore 8 1/4" HS = —12 1/4" Bore
Source: ECE
Ground Surface
Expandable Locking Cap
Neat Cement Grout
Bentonite Seal
2-inch diameter
Schedule 40 PVC Riser
2-inch diameter
Schedule 40 PVC Screen
SIotted (0.010 inches)
Well Point (Flush/Flat/Point)
No. 2 Filter Sand
Flights = 4 1/4" - 6" Bore
4 1/4" HS = --8 1/4" Bore
10 114" HS = --14 1/4" Bore

1
i ., Cape Lookout
• Environmental Sciences .
Proiect: Seminole Mart #2 Pro iect Number 17-051
Address. City, State
Cape Lookout Environmental Sc iences, PLLC
80 05 Clear Brook Drive
Ral eigh, N orth Carollna 27 615
CapeLookoutEnvironmental.com
Client: ECE BorinaNo.
Drilling Contractor: Dnll Rig Type:
17
910 Seminole Road . Broadwav. NC Quantex Geo crobe 7822 OT
Logged By: started: Bit Type: Diameter:
DBW 12/4/17 Macrocore 4 1/4" fli ahts
DrillQew: ., Completed: Hammer Type: ni Quantex 0 12/4/17 Pneumatic
USA Ticket Number: Backfilled: Hammer Weight: Hammer Drop:
MonitOrWell
Depth to Product {Diesel Fuel) Groundwater Depth: Elevation : Total Depth of Boring:
43.85'BTOC 45.85' BTOC 55' .. Lithology t E ! .'!II .s e ~ E § ,_,. • modlfier. color, molstUre, densily/consistency, grain size, other l;:-::, ., i!l
.c 1 .c z ~i .!:! descriptors C } a I l 0:: t a-2J Bock PtscrlPdon; modffler color, hanfnesBldegree af concentration. bedding and .. 2J .2 2i C, Cl) .. .. m-Joint characteristics, solutions, voJd conditions . Cl)
Cl)
30 >C>t>tl Tan light red yellow silty fine to medium SAND (SM), damp 0 ,.c,.c,.,, -•:•:•:I :,:,:;1 -····•· .........
33.0 ,.,.,.,,.• -:::::;l 33.0 Pink with yellcm silty fine to medium SAND (SM) damp 0.5
-·•:•:•:J
t, ·=-.,,.c.,c 1 ., c., c.,~t 500
35 -::::::
-::::::: .,c,_c,,1 -,::::::
.,c,,c,,c
38.0 •'•"•' -38.0 Ligth brown to white silty CLAY (CL) damp to rroist
-
575 40 -
-
--
43,0 ~ -43.0 ::::::: 'Yfl Vl,hfte yeUowveryfine to fine SAND (SM). moist to wet
-,•,.•··· _ Oiesol Fuol 43.85' BTOC
•'•'•"• 650 45 _ ::::::: -------------------------y Light tan with red brown rredium SAND (SM) wet
-•,.•.,•· • Groundwaler 45.85' BTOC ',","'> , .. , ... .,
-•!•:•!> ~' .. > .. ·•"'•"'• -•,.•.,•· ►·•···· 49,0 lt :!:•:• 4 -49.0 I 'Mlite to light gray silty CLAY (CH). rroist
50 -0
-
-52.0 _ EstimatedChal)ie ________________
52.0 •,•,.•·· Orange brown pink silty fine to medium SAND (SM) saturated , .. ,.,, -'•'•'•· 1,c,•••
······· -····•·◄ ······· I If Cc
55 -~ ~> Jo •
Boring teminated at 55 feet
2" diameter Schedule 40 PVC WeU installed to 50 feet -Screen interval 30' to 50' 10 slots per inch.
-Flat \'<ell bottom cap.
No 2 sand 28 to 50 feet
-Hydrated bentonite 26' to 28'.
Grout 1.5' to 26'.
-Traffic bearing flush bort-<lcmn protective cover.
Cape Lookout Environmental Sciences, PLLC Boring Log: Sheet 2 of 2
Y Stabilized Ground water ~ Standard Penetration Slit Spoon Sampler (SPT) C8]Bulk/ Bag Sample
A California Sampler [llI] Shelby Tube §ICPP Sampler "5Z Diesel Fuel ¥ Groundwater At time of Drilling
Cape Lookout
Environmental Sciences
Cape Lookout Environmental Sciences, PLLC
8005 Clear Brook Drive
Raleigh, North Carolina 27535
CapeL ockoutE nv iron me n ta1.c o m
Pmiect: Seminole Marl 42 IPralect Number 17-051
Client: ECE
Boring No. 17
Address, City, state
910 Seminole Road Bruadwav NC
Drilling Contractor:
Quantex
Drill Rig Type:
_ Geoprobe 7822 DT _
Lagged By:
OBW
a
of
Started:
12t4117
Bit Type:
Diameter:
Macmdore 4 1/4' Rights
Grill Crew:
Quaritex
Completed:
12J4117
Hammer Type:
Anetrmatie
USA t cket Number
Bactdlled:
Monitor Wall
Hammer Weight:
Hammer Drop:
Depth to Product (Diesel Fuel)
43.85' BTOC
Groundwater Depth:
45.85' BTOC
Elevation:
Total Depth of Boring:
55'
Depth From
1feet)
12
1�
0
2
¢ m
E
l7
or!
$ n0
a
0rJ
2 2
3
-5.
a
Lithalagy
§,ant Crum tramp; mertlfi or, color, merserra, emsitykansistency, grain rce, ester
p
4.
2
E
cis
vj
Sample Depth
dacrrrplors
RVr D IcAron: remitter color, derdug n6MCyree of concehtratkon, dMd7ng and
loin dharricteriatlor, ravens, void conditions.
r 0.0
a.
—,
5 —
1010`
_
13
—
—
20
23,7
25 —
28.0
—
0 Sit
5.0
10.0
23,0
26.0
30,0
Fiit: ,lcphap 2" raid' Grar n FOWO r^y C m ! di.:
0
0
a
a
0
0
,':
:
❑erk Crown to Drown silty irne --' N6, •Yerep
Rai' yelic.v nrown carlyey stityi-m sAtl!}..tali damp
•?;
s
s
s 1. s
t
t
i
;1
si tci
pi
0..
7
',i
i
1
r
i�
i
i
1_Inr and yellowemnn sty savoy i4A/Et, rmmp
-an to reige vgnt gray sr'rr, very {roe re Tine 076, vamp
' :Ow 1
....
t.gnt tan EX yeLuwvsilty `ma to rr o en" A `T
damp
Cape Lookout Environmental Sciences, PLLC
Standard Penetration Slit Spoon Sampler (CPT) ®Sulkl Bag Sample
California Sampler IIIII Shelby Tube ®CPP Sampler
Boring Log: Sheet 1 of 2
St3bttired Ground water
SZ Diesel Fuel
GroundwsterAt time of Drilling

• Cape Lookout
Environmental Sciences
Cape Lookout Environmental Sciences, PLLC
8005 Clear Brook Drive
Raleigh, North Carolina 27615
CapeLookoutE nvi ran mentaL[o m
Praiett: Seminole Mart112 JPro act Number 17-051
Client ECE
Boars; No. 16
Address, City, State
Dulling Contractor:
Drill Rig Type:
MD Seminole Road. Broadway. NC
Cuantex
Geohrobe 7822 DT
Logged By:
Started:
Bit Type:
Diu meter.
DBW
t
10/25/17
Mecrocore 4 114" flights
Celli Ciew
Completed:
Hemmer Type:
Quantal
1.D
10/26117
Pneumatic
USA Trion Number:
8ec*f1Ued
Hemmer Weight,
Hammer Crap:
Monitor Wet!
Depth to Product (Diesel Fuel)
Groundwater Depth:
Elevation:
Tout Depth of Boring:
NM
44.4' BTOC
_
55'
`m
_
Llthology
r
pO
E
g 1
!
`pm' Group Name r,Edrfter, Mkt. raoisarre,
den sity:wnds:WO, grain wry other
tit
g i
u
nesrrprcrs
n
a
n
-
�
x
2
•ci
a
LC
5
$
'a
3
a
findr Dgcrladen: mod>sar top. hardnrssldegron
o1 wnranT,rivn. haddrg and
to
a
c
13
co ""
4•
Nam dterdpedsles. soiuderrs, veld cW otters.
op
30.5
Brown wan yellow. whlee dark red silty fine to medium SAND. dame
50.5 ,
..s1:r
.:e��
.,
Dark rod toe red gray silty fins to medium SAND, damp to moist
580
33.5
'
33.5
34.5
'
tight gray sandy witty CLAY, damp to moist, polroleum odor
380
35 241.
;, a
e1
Brown ally ins SAND, moist, petrornurn odor
580
320
'
37.5
3
37.5
_
Light gray silty CLAY (CL.CH], moist lv wet at 42
t9.t
40
petroleum odor
—
(Mncrocdre terminalad a140 rest 0encriplion In 55 (rum
—
1 1/4 flight sugar cuttings.)
I Groundwater al44.40' 6TOC
\
45
45.0
►717.
' .•!sS.` .
45.0
Light gray wth pink clayey tine Id medium SAND, wet
NM
r�
wi'r,..
---
:?:
50 `"
4444
!`1;•:.
NM
60,5
50.5
s\
Punks ally sandy CLAY, wet-nslureted
NM
55 —
Baring terminated et 55 feat
—
2- diemeler Schedule 40 PVC Well installed to 50 feel.
Screen Interval 30' to SO' 10 riots per inch.
Flat ws1I hotiow cap.
No 2 sand 28 to 50 feel
—
Hydrated hank:mile 26' to 28'.
Grout 7' to 26'_
Tre1tie hearing No hell -down protective cover.
Cape Lookout Environmental Sciences, PLLC
Standard Penetration Slit Spoon Sampler (SPT) ®puIK/ Bag Sample
Ca lifornla Sample 11111 Shelby Tube ®CPPSampler
Bonita Log: Skeet 2 of 2
1 Stabilized Ground water
Q7 Deem Fuel
SC Groundwater At lime of Drilling

a ..
• Cape Loo kout ! Environmental Sciences
Cape Lookout Environmental Sciences, PLLC
8005 Clear Brook Drive
Prolect: Seminole Mart #2 Pro"ect Number 17-051
Address, City, State
Raleigh, North Carolina 27615
CapelookoutEnvironmental com
Client: Fr.E Borlnn No.
Drilling Contractor: Drill Rig Type:
16
910 Seminole Road Broadwa v NC Quantex Geo nrobe 7822 OT
Logged By: Started: Bit Type; Diameter:
DBW 10/25/17 Macro""re 4 1/4' flinhts
Drill Crew: I Completed: Hammer "fype:
Quantex C 10/26/17 IPneumatic
USA Ticket Number: Backfilled: Hammer Weight: Hammer Drop:
Monitor Well
Depth to Product (Diesel Fuel) Groundwater Depth: Elevation: Total Depth of Boring:
NM 444'BTOC 55' .. Lithology ..
!I=-E .0 8' e 0 ~ E C 8 ... SOU Group NA mt! modifier, color. moisture, density/consistency, grain size, other
&t =-:, ~"" .!:! descriptors Cl ..
t! "' z -a. a .. o; "' ii: E ., -a. ~..e a.
c!l C l! la-~.-----•·-: modil<ir color. hartlnessldegn,e of c:oncenzra!lon, bedding and ..
E -.o <II • 111-C) lolm characteristics, solu1ions. void c:on<ilicns .
II)
0 0.5 ._....,.,., FiU: Concrete 4 1/4" Grav brown sand v GRAVEL damn
a.sq_ 1 ······· Brown clayey SANO, moist to wet with clay, petroleum odor
1.0 ~~~~~~~--::::::: 2
-;: ~: ~: ~
3.5 ::::::: ..
3.5_
I
Brown sandy SILT, damp
5 -2
-
-7.5
7.5_ Brown clayey SANO , moist lo wet with clay, petroleum odor
::::::: Less Petroleum odor at 8'
-:-:-:-:
10 -HHH~ 2
10.5 ·······
10.L • Light gray wh~e red silty sandy GRAVEL, moist
-12.5
12.5_
-
15 -4
-,
-, Same
• .
-
-
20 -370 S-5
-~
Macocore refusal at 22'. -• -
u 560
-(Description Imm Boring 15 and auger cuttings 22' to 55)'
25 -25.5 mmJ _______________________ 400
25.§.... . ;, ; Brown wtth yellow. whoo, dark red slty fine lo medium SANO, i,.,.,. • . . •: "'• damp, petroleum odor •'• -::::::
·=·=·=
760 -.. ,.,,41 ...
1c ::: . :•:, -~:•: •'• ,:, 1c ,, ... :::1 •'• Same 680
t ..
Cl
-l E • rn
15-20
Cape Lookout Environmental Sciences, PLLC Boring Log: Sheet 1 of 2
!:J Standard Penetration Slit Spoon Sample r (SPT) C8J Bulk/ Bag Semple
8 California Sampler IIlIJ Shelby Tube ~ CPP Sampler
Y' Stabilized Ground water
~ Diesel Fuel
~ Gmundweter At time of Drlltlng
• Cape Lookout
Env ronmenta1 Sciences
Cape Lookout Environmental Sciences, PLLC
8005 Clear Brook Drive
Raleigh, North Carolina 27615
CapeLo ok o utEnvi ron Ire nta I.c o In
Project: Seminole Mart #2 [Project Number 17-051
Client: ECE-Borinu
No. 15
Address, City, State
Drilling Contractor_
Drill Rig Type:
910 Seminole Road, Broadway, NC
Quantex
Geopmbe 7822 DT
Logged By:
Started:
Bit Type:
Diameter:
DBW
10/25/17
Macrocore 4 1/4" flights
Orill Crew:
m
Completed:
Hammer Type:
Quantex
8
10/25/17
Pneumatic
USA Ticket Number:
Backfllled:
Hammer Weight:
Hammer Drop:
Monitor Well
Depth to Product (Diesel Fuel)
Groundwater Depth:
Elevation:
Total Depth of Boring:
NM
43.64' BTOC
55'
_Iii
Graphic Lag 1
Lithology
O
ILm
0
s
E
2
zIIt�
? fl
U
Ads grQuo Name; modifier, over, moisture, density/consistency, graln sIxe, other
descriptors
CI
CAI
o
a
1
m
—
ya
a
i
a
m
B
g
RQCk nescrinfinrr• modifier cobs hardness/degree of concentration, bedding and
co
e
atet
m ""'
faint characteristics, eWulions. wid conaktns.
rn
10....
. r ,
nrown wnh yellow, write, dark red ally ma to medium SAND,
30.50
•
,•,'•'
L:arx red tan red pray silty fine to medium -SAND -damp To moss;
'>'>
—
33.5
r a >580
':':'i'
33.5
Lignt gray sandy slay: damp to moist, petro•eum odor
380
34.5
34.8
35—
Brown s+fy rrne SAND, mac; pesroieurn ❑dor
580
36.$
36.5
320
I_rgnr gray 5,1y :IAY 13.Lr: H I. moist in wnt s 1 .
40
petroleum odor
19.1
(Macrocore termrnaled at.10 feet description to 55 fro auger
_..
4 1/4" fsigrt auger cuttings.)
45 _ .
Groundwater45.03 BTOC
46.0
45.0
. .
" MITtWrgfaTwuFpm oray"$y fine-fo m%drum SA1VD, wef - - - -
NM
—1`J
n
50 —
NM
50.5
50.5
-
T'rnk'sl yancyc314'wersaturifed
65 —
NM
Boring i;srmtnated atic feet.
2" diameter Schedule 40 PVC Well installed to 50 feet.
Screen interval 20' to 50' 10 slots per inch.
Flat well bottom cap.
No 2 sand 78 to 50 feet.
Hydrated bentonite 16' to 18'_
Grout 1'to 15'.
—
Traffic bearing flush bolt down protective Gayer.
Cape Lookout Environmental Sciences, PLLC
riStandard Penetration Slit Spoon Sampler (SPT) ® Bulk/ Bag Sample
California Sampler WE Shelby Tube ®CPP Sampler
Boring Log Sheet 2 of 2
Stabilized Ground water
Diesel Fuel
Groundwater At time of Drilling

• Cape Lookout
Environmental Sciences
Cape Lookout Environmental Sciences, PLLC
8005 Clear Brook Drive
Raleigh, North Carolina 27615
CapeLookoutEnvironnlentaLcUrn
Project: Seminole Mart #2 'Project Nurnbei 17-051
Client: ECE
Baring No. 15
Address, City, State
910 Seminole Road, Broadway, NC
Drilling Contractor
Quantex
Drill Rig Type:
Geoprobe 7822 DT
Logged By:
CBW
2
8
Started:
10/25117
Bit Type:
Diameter:
Macrocore 4 1/4" flights
Drill Crew:
IQuantex
Completed:
10/26/17
Hammer Type:
Pneumatic
USA Ticket Number:
Backfilled:
Monitor Well
Hammer Weight
Hammer Drop:
Depth to Product (Diesel Fuel)
NM
Groundwater Depth:
43,64' BTOC
Elevation:
Total Depth of Boring:
55'
E
U. 1
Depth To
Sample Number
Blow Counts
(blowsltoot)
v
mr-
g
C7
Lithology
Soil_irotio N me: madifbr, cobr, moisture. density/consistency, grain slxe, other
descriptors
]tack OBStgtlpgr. modirrerwler, hardness/degree of concentration, Padding and
1p int characteristics, solutions. vole cbnd Mons.
1
or
re
1"
0
i.
to
fa
0
0,50
3.5
5
7,5r
10 —
"
12.5
15 —
_
~
20
—
—
—
—25.5
25.5
—
I.5
1
3.5
7.5
12.5
Dille
_(Tj: Asohelt 2 Graynrvwn sandy Gravel, �1ami}
2
2
2
370
n
400
660
S-5
15-20
::
Brown silly SAND, damp
II'\\
Brown say Sandy CLAY, damp
Prows :, to white silty SANS, rump
114
;WI
in
ttaili
ki
Knit;Se
7r,
}i
wir{ r
tg-0.1lti:
idtitft
•t
its,25
htfti
While red pin!: so.. seedy IUR 111Et, rnund]o sut round dues
Se ma
Petroleumodor (tesel] at 15'
41.4iof40
4:,:'<:.''
. e e
1 . a
+ 1 e i•
i i
•����:•.
�':ie
•.%S!.
rirown Kiln yeDow, +was,'iar+ red siiy fine to medium SikhC,
damp, petroleum odor
Same
Cape Lookout Environmental Sciences, PLLC
nStandard Penetration Slit Spoon Sampler (SPT) ® Bulk/ Bag Sample
California Sampler ® Shelby Tubs ®CPP Sampler
Boring Log Sheet 1 of 2
Y Stabilized Ground water
Q Diesel Fuel
Q Groundwater At time of Drilling

i Cape Lookout
Environmental Sciences
Capp LookoutEnwir011mental Sciences, PLI
8005 Clear Brook Drive
Raleigh., North Carolina 27615
Ca peLoolcoutEnviron mental.com
Pro,ect Seminole Mart 42 IProiacl Number 17-O51
Client ECE
Boring No. 11
Address, Cdy, State
910 Seminole Road, Broadway, NC
Drilling Contactor:
Cuantex
Drill Rip Type:
Gem:robe 7522 DT
Logged By:
DEW
S
Gel
Staffed:
10/25/T7
AS Type:
Marmite,:
Macrooare 4 114' !fights i
Grill Craw.
$uantex
Completed:
10/2S1017
Hammer Type_
PLteumatic
USA Ticket Numder.
$eddnlsd:
Monitor Well
•Hammer Weight:
Hammer Drop:
Depth to Product (Diesel Fuel)
43.65' BTOC
Groundwater Depth:
45.5' S1UC
Elevation:
Total Depth of Borinp:
55'
IL
..,
g
p
Sample Number]
_
_
O
U
C a
10 ""
1 m
1
U
c
19
4'
Uthology
,29112reyt �+amr: m inn. edw, mantra,
denanyrrnr tanown, wad Us. o'nor
or mnoerrsr9mi, bedding and join:
PID
G
Y
a
J
O
m
1
r9
deavlplMa
Ronk Rr4ul eldest madller color, hm7uaa7depea
Cwred.Lns7[a anrvdmrr, veld oond7naa.
30
33.
35 —
3T.
43.E
45 —
—
47�
—
49.0
—
65 T
—
—
—
!
33.5
37.5
43.5
47
49
_
r
Brown tan white dark red brown slly SAND. dump, petroleum odor
340
470
730
114
NM
NM
1.4g141 drown to brava ally vary, fine b fine SAND. damp, DBGaleum odor
bet RAI tnsidua prasanl
\ '
Re4 Merin to Ignt gm! Off CLAT (Ci.-C11), mo1a1
'..:
•'r
.r�1�1r
.'r�
;1'r
,l,5'•
1'
•
•�.��
1•
, • ,
DM red to tan b 59011/ray e1 ty Sing m reedilnf SAND. ntol4l
Diesel Fuel et 43.55' BTOC
Y Groundtvaler45.6 BTQC
Borg terminated at 59 feet
r dlamamrSdhedda 40 PVC Weil Insetted 10 50 feet
Srrayn interval 25 to 50' 10 stop per [nun.
fiat Wan bottom cap.
NO 2 eland 24 to 50 real.
Hydrated heetonlle 22' is 24'.
C*001 1' to 22'.
Traffic bearing flush hdf-dawn p reen:Iva cover
Cape Lookout Environmental Sciences, PLLC Baring Log: Sheet 2 of 2
EStandard Penetration Sill Spoon Sampler (SFr, ®Butt 1 Beg Sample Staulfi7ed Ground wafer
CailfondaSampler ® Shelby Tube ®CPP Semple( Y Diesel Fuel
ri Groundwater At time of Drilin0

Cape Lookout
Environmental Sciences
Cape Lookout Environmental Sciences, PLLC
SOO5 Clear Brook Drive
Raleigh, North Carolina 27615
CapeLookautEnvira nmen tal.corn
Protect Serninola MartA2 JProleet Number 17-051
Client EGE
Bering No. 11
Address, City, State
910 Seminole Road. Broadway. NC
Drilling Contractor.
Quarrtex
Dri0 Rig Type:
Georrvbe 7822 DT
Logged By:
DBW
2
a
Started
10/25/17
Bit type:
Diameter.
Macro ore4114'fhohts
Grill Crew
Doantex
Completed:
10/28117
Hammer Type_
Pneumatic
USA Ticket Number.
8acialed:
Monitor We
Hammer Weight
L
Hammer lamp:
Depth to Product {Diesel Fuel}
43.55' STCC
Groundwater Depth:
46.50' BTOC
Elevation:
ToteI Depth of Boring:
55'
ipt From
(feet)
S
et
l7
$
0
x
2
I
to
Blow Coup
[6lowslfoot)
r,
S
e
0dteCtar
Lltholagy
9cn 6!gyp r+arrv: rrn�Re; toter, fl`A15hYa, derc3yloan9trlerc,; gran Si....., oLSer
p
4
D
a
py
5
m
o
g
E
an
doxo7FFtoro
Rock Drgarlb#on•medlar tale, tardrnrrJtloyrce of wncerdranon, beddcpg anti
relgdp,� solutions.wildwr.arn id So.
0,0
O.5i_
1.0
4.0
5 —I190
_
6.0
70 10.0
15 —
—
2 9
21.0
J
25241_S
2T.5 _
—
0.50
1.o
4.0
0.0
21.0
24.5
75
i r9'M
Fit: Co«nete 4,25 Mir Bran brown adt. sandy GRAVEL aernr,
1
9
T
180
34
•8
566
9-4
S-6
10-15
21-24
Fit: Brown dayay 514 ROO to medium SAND darns:
,
9rewn randy sift CLAY. damp
llatow brown wrtn white slay fine SAND, damp, potrdeurn odor at 4.5'
Red Wan wn N.a fine srlty SAND. rY+mn,
r . }};
;'$}
. yyt
S#%:L
Yt1
r
k j2'
Rad wtih wfit4a airy eandy GRAVEL, damp
:
Red brawn with ten fine SAND, dram,, poem/sum odor
Dark red n browairy Cure SAND. Jran,7
Brown tan while dark red brawn ally SAND, damp
Diesel Wei ad Or at 2S.5
Cape Lookout Environmental Sciences, PLLC
5 Standard Penetration Slit Spoon Sam ptar (SPT) ® Bulk) gag Sample
Catlfornia Sampler ® Shelby Thee ®CPP Sampler
Boring Log: Sheet 1 of 2
■��,i Stablliaed Ground water
Diesel. Fuel
'GroundwaterAt time of Drilling

Cape Lookout
I, Environmental Sciences
Cape Lookout Enviranmental Sciences, PLLC
3005 Clear Brook Drive
Raleigh, North Carolina 27615
CaneLoo koutEnvironnt ental.com
Praietx: Seminole Marin2 !project Number17-051
Cleric ECE
Boring No. 10
Address, City, State
010 Seminole Road Broadway, NC
Drilling Contractor. 1
pitantax
Drill Rig Type:
Geonrcha 7s22 DI
Lagged By:
DBW
i
a
Started:
10/24/17
BitType:
Dlemeter:
Macrocore 4 1W ilphts
Drill Crew:.
Quantax
Completed:
10/25117
Hammer Type
Pneumatic
USA Ticket Number.
Sacidlied:
Mort4or Well
Hammer Weight
Yammer Drop:
Depth to Pmducr CDlassi Fuel)
NM
Groundwater Depth:
44.22'
Elevation:
Total Depth or Boring:
55
g
LL'
E
a:rank
12
[Sample Number ]
Blew Caunts
(blowe&foat)
p
t
Llthalogy
awl evouallrmr ruaeiiur amor, mastu
a denxity wrros encv. yraM sea. dhur
ossrdearee al eoncorrnadcn, bed6r,Fy and iunt
6
y
e
m
a
,F7
enm
c
a
G
a)_
Vl
riesCriP'.ars
DM Pladvn: mod:Eer color, h
whom, sduYara. voidmndiions
30!
—
33,5
35 —
38.0
38.L
40 —
40.5
45
aa_
47
40.0
—
—
—
—
33S
90.5
40.6
45
47
as
.ill. ...Dark
....AN:
i4uVii
� err
.rr.
.�
Ve•i.:•r,
Etie.
rr.r...,
i'...%
red Irwin s&ty rote to med"wm SAND, damp, petroleum odor
40B
405
818
764
NM
NM
Light *bye ae red Ditty lino to meium SAND, damp, petroleum odor
Red brawn eRy fine to medium SAND, damp, petroleum odor
;r;
..�I.•
ill
.•
Grey brown to yellow fine to medium silty SAND, damp
Diesel Fuel present
Light amylsndy silty CLAY (CL-CH), maid
Y..
�.r.,
Ivy.
i•e'
0.1. `•
Pink right grey ai1ty clayey this to medium SAND, esurrated
! 0roundwaler44.22' STD
yyyy�yyyy
•:'Se
1•`•
,lr�.
r•
Pink to dark gray seedy CLAY, wat.satureted
Pink fight gray sandy CLAY wet -saturated
Pink Soo Drown gray clayey medium SAND, saturated
Boring terminated at 55 feet
2° diameter Sch lidos 40 PVC Well hislaited to 50 feel
Screen intervet 30' to 50' 10 slots per inch.
Fiat well bottom cap.
Na 2 sand 23 fa 50 reel
Hyd rated be nton ite 28' to 28'.
Grout 5' to 25'.
Traffic searing (lush bolt -dome piolaclira career.
Cape Lookout Environmental Sciences, PLLC
Standard Penetration Slit Spoon Sampler (SPT) ®Bulk/ Bag Sample
Celifomla Sampler ® Shelby Tube ®CRP Sampler
Boring Log: Sheet 2 of 2
Stabilized Ground water
Diesel Fuel
7 Groundwater At time of Drilling

A Cape Lookout Environmental Sciences, PLLC
8005 Clear Brook Drive i Cape lookout ! Environmental Sciences Raleigh, North Carolina 2761 S
CapeLookoutEnvironmental.com
Prolect Seminole Mart#2 IProiect Number 17-051 Client ECE Borina No. 10
Address, City, State Drilling Contractor: Drill Rig Type:
910 Seminole Road Broadwev NC Quantex Geonrobe 7822 OT
Logged By: Started: BltType: Diameter:
OBW 10/24/17 Macrocore 4 1/4 • m,,hts
Drill Crew: ; Completed: Hammer Type:
Ouantex a 10/25/17 Pneumatic
USA Ticket Number: Beckf!Red: Hemmer Weight Hammer Drop:
Monitor Well
Depth to Product (Diesel Fuel) Groundwater Depth: Elevation: Total Depth of Boring:
NM 44.22' 55'
.8 Lithology
E J:'l~ 8' e ~-~ E ii ... SoO Qrpup Nf!Dt: modifier. cok>r. moisua. density/consistency, Wain Siize. other ::, dascrlpm .. "-ai ..c z u C -a .s ,! a. .. o; J: ii: a.-.. ii l~ a. E .. Q I! Rpck PnsdPll•n; modie,-cdor, hardness/degree of concenll'llllon, bedding end joflt ..
Q E t, Ill .. m-charat:eris:lcs, solutions. wld ccndi!ims • a,
0.0 0.50 .. ,,,, .. Fill : """halt 2" over Grav brown si ltv sanrlv GRA=• damo
0.5Q_ •:•:•: Filt Brown silly fine lo medium SAND. damp .........
-~: .. :•:• la ... ,. ►:•:•!• -ia ,f• .. •·· la ... ,.
◄•◄.•. -c..,c,.c;1
p":11•,.•,.
-►"•···· 11 .3
5 i."•"'•'• j., .. ,. .. >'> -,:,.:•:~ I , ..... ,
1-,.•,..•·· -•:•:•:• i-'•'•'• -~:•:►:• •:•:•: -:•:•:•
10 -,:,:,: 3.6 .... ,. ..
'I ·••·► -11 .5 :,:,:,
;~J-12.0 ~~-nnculUffl gray sandv ....-n,,,y .:..~ damp ... ,. .. LIgm p,n ~ tine to me dium silly """'u, damp ►•,.c.,•, -... •:•:•:
14.0 ........
14 .0 ······· Lighl pink w¢n wM e silty 11ne """u, damp
15 mt 4.8 S-3 -
16.0 :::::::
16.0 It ,. ... ........... T&IIO\V grown s1n:y nne ID meo1um ~Nu, damp trace gravet
-:,.:.:,
-•:•:•:◄ ~:• :• :•
19.0 ~ .... 12.1 ..... ,c,
19.0 ~ L;gt,I gray wn,te silty sandy '°""v<-1.. aamp, patro Ieum ca or
145
20 -
-
-
' -
24.0 tt 412
24.0 ~ Ligtil gray silty san ay UAY, damp, petroIeum ocor
~~-'>
25.0 669 S-7
i!!!!f !
TailaW orown s 11ty nn·e o,M"U'WV, oamp, peltoe um Od or
-
-....... -······· :::::::
29.0 ;-:-:::
29.0 ~~~HH Dark red brown sYty fine SANO , damp Strong odor diesel fuel
30.0 440
..c a. ..
C .. -a E
.2
10-15
24-25
Cape Lookout Environmental Sciences, PLLC
~ Standard Penetration Slit Spoon Sampler (SPT) ~Bulk/ Bag Sample
Boring Log: Sheet 1 of 2
Y stablllzed Ground water e Califomla Sampler 11111 Shelby Tube ~ CPP Sampler Sf' Diesel Fuel
-g_ Groundwater At time of Drilling
Cape Lookout
Environmental Sciences
Cape Lookout Environmental Sciences, PLLC
8005 Ciear Brook Drive
Rafeigh, North Carolina 27615
CapeLo okou tEn viron men to Loom
PrOlect: Seminole Mart i'2 IProrect Number 17-051
Client ECE
Borino No. 9
Address. City, State
910 Seminole Road. Broadway, NC
Drilling Contractor.
Quantex
Drill Rig Type:
Geoorobe 7622 DT
Logged ay:
DBW
,rs
c
Started:
10124)17
Bit Type:
Diameter.
Mecrocore 4114" Pluhag
Drill Crew
Quantex
Completed:
1 W24117
Hammer Type:
Pneumatic
USA "nowt Number.
8aL^k11I1ed:
Monitor Well
Hammer Weight:
Hemmer Drop:
Depth to Product (Dlese' Fuel)
NM
Groundwetar Depth:
43.42'
Elevation:
Total Depth of Boring:
55'
fir,
G~
2
[Sample Humber 1
^
C
o 2
U
i
Ca
_,
a
Lithology
a u Gru a ,iw; mo3dfx color m iswra.
denoiylcangsMay.. grain situ. pl ar
di auxerr!ratEnn, tAdaing ono king
0
a.
❑
a
a
fadrWaderiS4rS,
E.a.
❑
u
y
dnurrptors
find, pasrrruunn: rrmdiierrtla, ronaw5kegrao
Gplretlrfn6, von eantlNdns.
30
32
r
33.5
35 —
37,0
38.0
9a,L„
40 —
—
TM�
4$
47
$o 4.94
55 —
_
32
33.5
37
39
38.5
47
43.5
iijii
Dark red brawn silly rink SAND, camp
12
412
520
550
770
32
NM
NM
S-16
38'-3g
Ye.'
Ugh! brown yellow Silty rine to rneium SAND, damp
Slight. petroleum odor et 325
Light !en pink at), nee SAND, damp
Petroteum odor
Lightgray brown sandy silly CLAY (CO. mast, petroleum odor
t.!4nt brawn tan silty rna-meftnim SAND. rguorto wcl. petroleum oder
`•���
•si
•••
r•• i •
rr.
••
•
r •
Light gray deyCLAY ra • Cli moist
Descriptbn from 4U In 55 from rGghl auger cYreings.
I DroundWmt*r 43.a2 BTGC
Tint. nghl prawn sandy CLAY wet-salusiwl
Pink right brown gray clayey medium SAND, 6eturel6d
Boring iaralircaled al 55 feet,
x diameter Schedule 40 PVC Well installed to 50 lceL
Screen tnletva130'to 50' 10slots per inch.
Flat well bottom cap.
No 2 sand 28 w 50 leeL
Hydrated bentonite 20 In 2e.
Graut 1'to 29'.
Traffic (leafing flush Mitt -dam protective caves
Cape Lookout Environmental Sciences, PLLC
nStandard Penetrecon Slli Spoon Sampler (SPT} ®BuIKI Bag Sample
California Sampler I1111 Shelby tube MCPP Sampler
Boring Log: Sheet 2 of 2
- Stabilized Ground water
,]C Diesel Fuel
Groundwater At time of Drilling

Cape Lookout
• Environmental Sciences
Cape Lookout Environmental Sciences, PLLC
8005 Clear 8rnok Clive
Ralefgh, North Carofina 27615
C a peLookoutEnvironm en to Isom
Proxict: semincie Mart 42 TPrmlect Number 17-051
Client ECE
Borinu No. 9
Address, City, State
910 Seminole Road, proadway. NC
Drilling Contractor
Ouaretex
Drill Rig Type:
Geoarobe 7022 DT
Logged By:
DEW
d
Started:
10/24/17
Oft Type:
Diameter.
Macrocnre 4 114' aphis
Drill Crew:
Quantex
Completed:
10/24/17
Hammer Type;
Pneumatic
USA TlcKet Number.
Back/Nat
Monitor Well
Hammer Weight
_
Hammer Drop:
Depth to Product tDlesel Fuel)
NM
Groundwater Depth:
43,42'
Elava5on:
Total Depth of Boring:
55'
E
e
U. z
G
F
:
C
E$3
is
O
2 3
m
t�
LaViol ogy
6aii!nmem Nano: modiSer, aicr, m rehire, denekykra spanry, arse. athar
do:upowrs
FAA* Oaa t n: .pOl'Jer CGor. rarer eaS16 X-Da Di CanNatratlpn, h9Cdnp ✓ ullein(
4se
G
4
it
Q
al
d=aradaicear, wartime, wed axeM on6-
0.0
0.5Q_,
1.0
3.0
5 —
10 --1
10.5
15 —
18.E
19.0
20 '"
—1
J
24.0—
26 -'
27.5�.
0.50
1.0
3.0
10.5
18.0
19.0
24,0
27'5•
30,0
Pei: Asphalt 2' over Gran brown sde, sarrl. GRAM, dam,
15
4
2
1.6
6
t
1.5
2
2
S-9
24'.25
G.a, dark brawn sit SAND. dam-
Brown sandy silty CLAY, damp
Red troves line silty SAND, damp
j ::
7
s .S
l rg�t red w1r, ....NW srrryasrsry CI WEL, amp
ilEi
Rao brown slay SAND, damp will clay
it
S;
?.Ci
wr, sq:ysaney Vrk, ramp
:1
:i:
LiIRE lmn pink Silly r,na $aria, map
Dark red brown silly file SAND, damp
Cape Lookout Environmental Sciences, PLLC
5 Standard Panetta :3n Slit Spoon Sampler [SPT) ® BulK/ Bag Sample
California Sampler jl+II Shelby Tube ®CPP Sampler
Boring Log: Sheet 1 012
Y Stabilized Groundwater
Diesel Fuel
Groundwater At time of Drilling

Cape Lookout
•• Environmental Sciences
Cape Lookout Environmental Sciences, PLLC
8005 Clear Brook Drive
Raleigh, North Carolina 7761S
CapeLookou tEnvi ronmental .tom
Praise': Seminole Mart #2 lProject Number 17-051
Client ECE
Boring No. B
Address, City, Slate
910 Seminole Road. Broadway, NC
Drilling Contractor:
Quentex
Drill Rig Type:
Georrobe 7822 DT
Logged By:
DBW
m
a
Started:
10/24/17
Bit Type:
Diameter,
Macxocore 4114" (lights
Drill Crew
cwantex
Completed:
1W24/17
Hammer Type:
Pneumatic
USA Ticket Number.
Backfrlled:
Menitor Well
Hammer Weight
Hammer Drop:
Depth to Product (Diesel Fuel)
43.08' BTOC
Groundwater Depth:
45.03' BTOC
Elevation:
Talal Depth clearing:
55'
t
8
is.Gy
1.,
15
Syr
tjf
. $
'"
33
e
0ohorattorldhos.
Lithology
$oft Qagyp 14Tn�- rni ditu, o or. mcgOuro, densityktosJ81an y, goon may. paler
E.
0
I
a.
y
2
di
01
Nett[Dasr{ipLimn- modroir color, hotnesa'degrae of canoQf* I J, baddng aryl loins
BdlAono void contibkr .
30
32
35 —
35.5
—
3B4f
—
40 —
41.0
44,Q
45 —
—
50 50,0
55 —
—
—,
—
35.5
38.5
41.0
44.0
Light rao orange yawn silly rna �r.';.I, .1a mp
300
530
550
530
550
NM
NM
345
3645
.. •
'•':':'
`r'.
'
•'i..
`r
.
T T
.`.'.
❑ors red blown -id Ilghl gown sl ly r[ne la merllUm %Mt%
damp in moist. Diesel rues odor and residue al38'
iAr1 to Elgril brown Wilh red silty rims lc mealrim,ANL, clamp
p to leum odor preens.
Lignl fray wild red bandy say & L.A? tL''C), morsl,
petroleum odor present
Description from 40 to 55 from flight auger wllirlps.
-Gray wigs pin cisT{yTnee—a7UJD. rflasT-wet
- Diesel Fuel 43,05' STOC
u
- Light gray with pink clayey fine to medium SAND, wet
Groundwater 45.03 BTOC
— 131n7 my sanay'{,`t.W-wii-s`a r5Tee
_
'
','':
:er`:f+
'Z.::.
acs
r. a'.
""
Boring lennEnatea at 55-feet.
2" diameter Schedule 40 PVC We11 metalled lo 50 feel.
Screen interval 30'to 50' 10 slots per inch,
Rai well bottom cap.
No 2 sand 28 to 50 feet,
Hydrated bentonite 26' to 28'.
Grout 1' to 26'.
Traffic hearing Bush bolt down protective cover.
Cape Lookout Environmental Sciences, PLLC
Standard Penetration Slit Spoon Sampler (SPT) ®Bulk/ Bag Sample
California Sampler ® Shelby Tube ®CPP Sampler
v
Boring Log: Sheet 2 of 2
Stabllrzed Ground water
Diese' Fuel
Groundwater Ai lime of Drilling

4 Cape Lookout
• Environmental Sciences
Cape Lookout Environmental Sciences, PLLC
8005 Clear Brook Drive
Raleigh, North Carolina 27615
CapeLookoutEnvironmental com
Protect: Seminole Mart #2 IProjecl Number 17-051 _
Client: ECE
Borirw No. 8
Address, City, Stale
910 Seminole Road. Broadway, NC
Drilling Contractor.
Quantex
Drift Rig Type:
Geoprobe 7822 DT
Logged By.
P8W
S
a
Started:
1024/17
Bit Type:
Diameter.
Mscr000re 4 1!4' Hinhts
Drill Crew
Cluanlex
Completed:
113124t1T
Hemmer Type_
USA Ticket Number.
.Pnevrnattio
Backfllled:
Monitor Well
Hemmer Weight:
Hammer Drop:
Depth to Product (Diesel Fuel)
43.08' BTOC
Groundwater Depth:
45.03' BTOC
Elevation:
Total Depth of 8oring
55'
E
1.
a ....
Q
7y'
a
E
g
el
1
Plow Counts
(Wows/foot)
J
'ff.
a
aRack
Lfthology
5oir firma Mime, moats 6r. lador, moi5tur9.
daradlykarelslemy. grain Dian, Runny
Di oG c n!f n bed ng and javr
PID
G
E
t.
CO
Sample Depth
4eecriP1 n' modifier collar, twdnavrsldegree
ctarigGGra. eduHorra. void vndfeona
a
3.0—
5
_
7.5
—
10 u
—
—
15 t5.0
17.0
17.5
20
—2Z5
22.5
25
27.5
28.0
l}_Si]
3.0
5.0
7.5
9.5
15.0
17.0
17.5
27.5
213.13
30.0
(!`llr
brown slm sandy GRAVEL
3
3
2
2
3
2
2
2
T
1
0
2
S-12
27.530.0
1Grav
3rown Lne racy SAND, Damp
Red Drown Tma Wiry S4NlT3&np
Mottled red brown silty Pone TARO. damp
-
ugilt red wan white nifty Gila SAND dam a
f
Llenr red w:0 were slay any GRAVEL, damp
,.tgnt Drown le drown wan r8CI Str[Y a?1N1-1, damp
:,S;:yZ
rawn with red sandy r_ mo r L, nmhp
-
- - .
�SMIMI .i y bRNu. damp your grave.
Yeirow oraw i silty bANil, Damp
Dark brown silty SAND demo
LignT brown pin s,ny fine SAND. damp
Cape Lookout Environmental Sciences, PLLC
rStandard Penetration Slit Spoon Sampler (SPT) ®Sulk! Beg Sample
California Sampler ® Shelby Tube aCPP Sampler
Boring tog: Sheet 1 of 2
Stabliixed Ground water
Diesel Fuel
7 Groundwater At time of Drilling

East Coast Environmental, P.A. ~ BORING#: MW-4
SOIL BORING LOG
PROJECT: Seminole Mart# 2 Job No:
CLIENT: Scott Yow Pago No: I of I
DRILLING CONTRACTOR: Ouantex, Inc . Location: Broadway
DRILLING EQUIPMENT: GeoProbee 7720DT Driller Registration: 3106
Inner awn,, Date Started: 3/13/17
Depth lntetvel Casing Mall. \Vell"Jype Hole Depth Casing Screen Sampler WellMSL Date Com pleted: 3/13/17
4.5 25 45 PVC Driller: Barker
Prepared By: Will
Depth Sample Sample voe
(Fl) Depth Number (PPM) FIELD CLASSIFICATION AND REMARKS
Brown Sandy Silt
Orv Yellow Clav
5'
Dry Orange Yellow White Silt
10' Dry orange red sandy Silt
15'
Dry orange sandy silt With rounded quartz pebbles
20'
25'
Moist orange bro\\-n silty Sand
30'
35'
Dry White Silty Clay
40'
45' BTat45 'BLS
East Coast Environmental, P.A. ~ BORING#: MW-3
SOIL BORING LOG
PROJECT: Seminole Mart# 2 Job No:
CLIENT: Scott Yow P age No: I of I
DRILLING CONTRACTOR: Quantex, Inc. Location: Broadway
DRILLING EQUIPMENT: GeoProbe" 7720DT Driller RC!o!istration : 3106
Inner Casing Date Started: 3/13/17
Depth lnton•el CesingMatl. Well Type HoleDeplh Casing Screen Sampler Wel!Mal. Date Completed: 3/13/17
45 25 45 PVC Driller: Barker
Prepared By: Will
Depth Sample Sample voe
(Fl) Depth Number (PPM) FIELD CLASSIFICATION AND REMARKS
Brown Sandy Silt
Drv Yellow Clav
5'
Thy Orange Yellow White Silt
10' Thy orange red sandy Silt
15'
Moist to Dry orange sandy silt With rounded quartz pebbles
20'
25'
Moist orange bro,vn silty Sand
30'
35'
Thy White silty Clay
40'
45' BTat45 'BLS
East Coast Environmental, P.A. ~ BORING#: MW-2
SOIL BORING LOG
PROJECT: Seminole Mart# 2 Job No:·
CLIENT: Scott Yow Page No: 1 of 1
DRILLING CONTRACTOR: Quantex, Inc. Location: Broadway
DRILLING EQIBPMENT: GeoProbe® 7720DT Driller Registration: 3106
Inner Cui rut. Date Started: 3/13/17
Depth Interval Casing Mat!. Well Type Hole Depth Casing Screen Sampler Well Mat Date Completed: 3/13/17
45 25 45 PVC Driller: Barker
Prepared B y: Will
Depth Sample Sample voe
(FT) Depth Number (PPM) FIELD CLASSIFICATION AND REMARKS
5'
Sand Backfill
10'
15'
Dry orange sandy silt With rounded quartz pebbles
20'
25'
Moist orange brown silty Sand
30'
35'
Dry White Silty Clay
40'
BTat45'BLS
45'
East Coast Environmental, P.A. ~ BORING#: MW-1
SOIL BORING LOG
PROJECT: Seminole Mart# 2 Job No:
CLIENT: Scott Yow Page No: I of I
DRILLING CON1RACTOR: Quantex, Inc. Location: Broadway
DRILLING EQUIPMENT: GeoProbeai, 7720DT Driller Regi stration: 3106
Jnna-,-..,;no Date Started: 1/31/17
Depth Interval Casing Mat!. Well Type Hole Depth Casing Screen Sampler WellMat. Date Como.leted: 1/31/17
40 15 25 PVC Driller: Barker
Prepared By: Will
Depth Sample Sample voe
(FI) Depth Number (PPM) FIELD CLASSIFICATION AND REMARKS
Brown Sandy Silt
Drv Yellow Clav
5'
Thy Orange Yellow White Silt
10' Thy orange red sandy Silt
15'
Thy orange sandy silt With rounded quartz pebbles
20'
25'
Moist oran~e brown silty Sand
30'
35'
Thy White Silty Clay
40'
BTat40'BLS
45'
MW-20 93.65 1215117 NM
12119/17 NM
817118
6/20'18
El/2411B NM
916118
9/27(1 8
10/1()/18
10/IQ/16
10129'18 NM
11/6118 NM
1212116 NM
12/12118 NM
12/21/18
1/15119 NM
2/5/19 NM
2/26119 NM
4125119 NM
6119/19 NM
7/5/19 NM
MW-21 92.95 1215117 NM
12/19/17 NM
8/7/18 NM
8/20/18 NM
8/24118 NM
9/6/18 NM
9/27/18 NM
10/10/18 NM
10/19/18 NM
10/29/18 NM
11/6118 NM
1212118 NM
12/12118 NM
12/21 /18 NM
llt5119 NM
215/19 NM
2126119 NM
4/25119 NM
6119119 NM
7/S/19 NM
Notes:
Surtactand injection performed May 2-8, 2018
Aquifer stabUization and vacwm recovery bet\\1:H!n May 9 and June 20, 2018.
Total ftutds pumping from source v.etls ongoing.
TOC = Top of ~II casing.
D1P""' Depth to product measured from the top of the well casilg.
ft-btoc ;;; Feet below the top of the well casing.
DlW = Depth to gmllldwat.er rreasured from the top of the well casing.
ft-rel = Well casing elevations measured by East Coast Environmental, PA
0.00 44.23
0.00 44.29
0.00
0 ,00
0.00 43.86
0 ,00
0,00
0.00
0.00
0.00 41.53
NC NM
0.00 40.22
0.00
0.00
0.00 38.32
0.00
0.00 37.53
0.00 36.80
0.00 37.64
0.00 38.24
0.00
0.00
nno 43.98
0.00 44.22
NC NM
NC NM
0.00 43.59
NC NM
NC NM
NC NM
NC NM
0.00 41.08
NC NM
0.00 39.78
0.00
NC NM
0.00 37.81
NC NM
0 00 36.96
0.00 36.23
0.00 37.16
0.00 37.66
0.00
0.00
Product thicknesses measured with Interface probe or visual measuring device and measll'ing tape.
NM = None measured.
NC = Not calculated.
49.42
49.36
NC
NC
49.79
NC
NC
NC
NC
62.12
NC
53.43
NC
NC
55.33
NC
56.12
56.85
56.01
55.41
93.65
93.65
48.97
48.73
NC
NC
49.36
NC
NC
NC
NC
51.87
NC
53.17
NC
NC
55.14
NC
55.!l'!l
56.72
55,79
55.29
92.95
92.95
• If free diesel fuel product is present in a well, groundweter etevation is calculated by: [Top of Casing Elevation -
Depth to waterl + rtree product thickness x 0.832\
MW-17 93.74 12/5/17 43.85 2.00 45.85 49.55 diesel
12/19117 44.05 1.78 45.83 49.39 dlese4
817/1B 0.00 NC
8/20118 0 .00 NC
8124/16 NM 0.00 43.78 49.98
9/6/1 B 0,00 NC
9127/18 0,00 NC
10110/18 0.00 NC
10/19/18 0,00 NC
10/29/18 41.02 0.19 41.21 62.69 dieseVcas
1116/18 41.35 0.38 41.73 62.33
12/2/18 40.08 0.26 40.34 53.62
12/12/18 2.00 NC
12121/18 38.73 0.33 39.06 54.95
1/15/19 38.03 1.06 39.09 55.53 diesel
2/5/19 37.22 1.57 38.79 56.26
2/26119 37A8 0.00 37.48 56.26 PUMP ON
3/1/19 37.19 0.12 37.31 56.53
4/10/19 36.35 2.65 39.00 56.94 diesel
4125/19 36.14 2.96 39.10 57.10
5/16119 36.76 0.92 37.68 56.83
5/31/19 36.96 0.52 37.48 56.69
6/4119 36.97 0.08 37.05 56.76
6/19/19 37.47 0.53 38.00 56.18
7/5/19 38.03 0.83 38.88 55.57 diesel
7/15119 38.56 0.98 39.54 55.00
7/29/19 38.62 1.04 39.66 54.95 diesel
8/3119 38.81 1.00 39.81 54.76
8/21/19 39.28 1.02 40.30 54.29
0.00 93.74
MW-18 92.31 12/5/17 NM 0.00 42.90 49.41
12/19117 NM 0.00 43.13 49.18
8/7/18 0.00 NC
8/20/18 0.00 NC
8/24/18 NM 0.00 42.50 49.81
9/6/18 0.00 NC
9127/16 0,00 NC
to/10/18 0 .00 NC
10/19118 NM 0.00 NC
l 0/29118 NM 0.00 40.07 52.24
11 /61 1B NM NC NM NC
12/2/18 NM 0 .00 38.73 53.58
12/12/18 0.00 NC
12/21118 0.00 NC
1/15119 NM 0.00 36.81 55.50
2/5/19 NM
2/26119 NM 0.00 36.01 56.30
4/25/19 NM 0.00 35.25 57.06
6/19/19 NM 0.00 36.11 56.20
7/5/19 NM 0.00 36.73 55.56
0.00 92.31
MW-19 92.65 12/5/17 42.98 1.44 44.42 49.43 diesel
12/19/17 43.18 1.64 44.62 49.19
8/7/18 0.00 NC
8/20/18 0.00 NC
8/24/18 NM 0.00 42.83 49.82
916/18 0.00 NC
9/27118 0.00 NC
10110/18 0.00 NC
10/19/18 0.00 NC
10129/18 NM 0.00 40.44 52.21
11/6118 NM NC NM NC
12/2/18 NM 0.00 39.11 53.54
12112118 NM 0.00 NC
12/21118 0.00 NC
1115119 NM 0.00 37.20 55.45
2/5/19 NM
2/26119 NM 0.00 36.41 56.24
412&19 NM 0.00 35.65 57.00
6119119 NM 0.00 36.51 58.14
715119 NM 0.00 37.12 55.53
0 .00 92.65
MW-14 92.78 10/31/17 42.50 1.30 43.80 50.06 diesel
1112,Q/17 42.86 1.67 44.55 49.62
12/5117 42.95 ,.es 44,60 49.65
12/19/17 43.35 0.55 43.90 4 9.34
817118 0,00 NC
8120/18 0.00 NC
8124118 NM 0.00 42.83 49.95
916/1B 0,00 NC
9ll7I18 0 .00 NC
10/1Cll18 0.00 NC
10/1911B 0.00 NC
10129118 NM 0.00 40.45 52.33
1116,118 NM NC NM NC
1212/18 NM 0.00 39.14 53.64
12/12/18 0.33 NC
12/21/18 0.00 NC
1/15119 NM 0.00 37.20 55.58
2/5/19 NM 0.00
?17R119 ..... nM 36.42 56.36
4125.119 NM 0.00 35.66 57.12
6/19/19 NM 0.00 36.54 56.24
7/5/19 NM 0.00 37.14 55.64
0.00
0.00
MW-15 93.93 10/31/17 NM 0.00 43.64 50.29
11129/17 NM 0.00 44.03 49.90
12/5117 NM 0.00 44.11 49.82
12/19117 NM 0.00 44.29 49.64
817/18 0.01 NC
8120/18 0.01 NC
8124118 44.71 0.38 45.09 49.16 cas
9/6118 0.31 NC
9127118 0.17 NC
10/10,18 0.20 NC
PUMP IN WELL 10119/18 0,20 NC , .. ,~,,a 42.48 0 .05 42.53 51 .44 aas
1116118 41.1 028 41 .38 52.78
12/2/18 40.16 0.16 40.31 53_74
12/12/18 0.01 NC
12121/1 8 38.79 0.24 39.03 55.10
1115119 38.19 0.58 38..n 55.64 aas
215119 37.52 0.38 37.90 56.35
2/25119 37.49 0.31 37.80 56.39
3/1/19 37.18 0.36 37.54 56.69
4/25119 -1 Blocked
5/16/19 -1
5/31/19 -1
6/19119 <1
7/5/19 3827 0.41 38.68 55.59 cas black
7115119 38.68 0.21 38.89 55.21
7129119 38.92 0.19 39.11 54.98 oas black
8/3/19 39.08 025 39.33 54.81
8121/19 39.57 0.41 39.98 54.29
0.00 93.93
MW-16 94.64 10/31/17 NM 0.00 44.40 50.24
11/29117 NM 0.00 44.77 49.87
12/5117 NM 0.00 44.83 49.81
12/19117 NM 0.00 45.12 49.52
817/18 0.00 NC
8/20/18 0.00 NC
8/24118 NM 0.00 44.41 50.23
9/6118 0.00 NC
9127/18 0.00 NC
10/10/18 0.00 NC
10/19/18 0 .00 NC
10/29118 42.19 0.59 42.78 52.35 diesel
1116118 41.86 0.14 42.00 52.76
1212/18 40.9 0.24 41.14 53.70
12/17118 0.00 NC
12121 /1 8 39.57 022 39.79 56.03
111fi/19 38.98 0.54 39,52 55..57 diesel
2/5/19 38.32 0.36 38,68 56.26
2/25/19 3824 0 .. 58 38.82 56,JO
J/1/19 38,14 0.33 38.47 56-'14
4/10/19 37.55 1.0S 38.60 56.91
4125119 37 .42 1.07 38.49 57.04
51!&''19 37.64 1.34 38.98 58.77
5/31/19 37.97 023 38.20 56.63
6/4/19 37.99 0.02 38.01 56.65
6119119 38.49 0.13 38.62 56.13
7/5/19 39.12 020 39.32 55.49 diesel
7115119 39.48 0.42 39.90 55.09
7/29119 39.69 0.46 40.15 54.87
8/3/19 39.91 0.07 39.98 54,72
8121/19 40.41 0.11 40.52 54.21
0.00 94.64
MW-11 93.79 10131117 43.55 1.95 45.50 49.91 diesel
11/29117 43.35 5.41 48.76 49.53
12/5/17 <IA.05 0.50 44.55 49.66
12119117 44.28 0.35 44.63 49.45
8/7/18 0 .42 NC
8120/ 18 0.55 NC
PUMP IN WELL 8124118 0 .49
9£118 NC
9127/18 NC
10/10/18 NC
PUMP IN WELL 10/19/18 NC
10/29/18 41.31 0.49 41.81 52.39 c as oral'l!l e
1116118 40.97 0.10 41.07 52.80
1212/18 39.79 1.72 41.51 53.71
12/12/18 1.20 NC
12/21/18 38.32 2.72 41.04 55.01
1/15.'19 37.58 3.69 41.27 55.59 oas
215119 36.91 3.90 40.81 56.22
2/26119 37.2 1.19 38.39 56.39 PUMP ON
3/1/19 37.17 1.14 38.31 56.43
4110/19 36.26 2.24 38.50 57.15
4/25.'19 36.13 3.34 39.47 57.10
5/16119 36.31 3.87 40.18 56.83
5131119 36.32 4.43 40.75 56.73
614119 36.34 2.10 38.44 57.10
6119119 38.93 2.07 41.00 54.51
7Jl'J19 "< 7fl ?85 40.41 55.58 aas
7115.'19 3821 2.21 40.42 55.21
7/29/19 38.33 2.78 41.11 54.99
813/19 38.54 2.57 41.11 54.82
8/21119 39.15 2.09 41.24 54.29
0.00 93.79
0.00 93.79
MW-12 92.92 10131117 42.62 1.02 43.64 50.13 diesel
11/29117 42.95 1.71 44.66 49.68
12/5117 43.03 1.70 44.73 49.60
1211!1117 43.45 1.34 44.79 49.24
Bfl /18 0.01 NC
8/20'18 0.01 NC
8/24118 42.9 0.01 42.91 50.02
916118 0.00 NC
912711 8 0.00 NC
I0110l18 0.00 NC
1011!1118 0.02 NC
10/29/18 40.51 0.01 40.52 52.41 diesel
1116'1 8 NM 0.00 40.13 52.79
1212118 NM 0.00 39.19 53.73
12/12118 0.23 NC diesel
12/21/18 0.00 NC
1/15119 NM 0.00 37.24 fifiAA
2/5/19 NM 0.00
2/26119 NM 0.00 36.49 56.43
4/25119 NM 0.00 35.72 57.20
6119119 NM 0.00 36.61 56.31
7/5/19 NM 0.00 37.22 55.70
7/15.'19 0.00 92.92
7129119 0.00 92.92
0.00 92.92
0.00 92.92
MW-13 93.5 10/31117 43.30 1.20 44.50 50.00 diesel
11/29117 43.59 2.07 45.66 49.56
12/5.'17 43.65 2.05 45.70 49.51
12119117 44.10 0.58 44.68 49.30
8/7/18 0.00 NC
8/20/18 0.00 NC
8/24/18 NM 0.00 43.59 49.91
916/18 0.00 NC
9/27/18 0.00 NC
10/10/18 0.00 NC
10/19118 0.00 NC
10/29118 NM 0.00 41.24 52.26
11/6118 NM NC NM NC
1212118 NM 0.00 39.96 53.54
12/1211 8 0.00 NC
1212 1'18 0 .00 NC
111&'19 NM 0.00 38.02 55.48
215/19 NM 0.00
2126119 NM 0.00 37.24 56.26
4/25,119 NM 0.00 38.48 57.02
8/1!1119 NM a.oo 37.34 56.18
71511-9 NM 0.00 37.95 55.55
0.00
MW-8 93.38 10/31/17 43.08 1.95 45.03 49.97
11129117 43.45 2.48 46.93 49.51
12/5117 43.53 247 48.00 4 9.44
12il9/17 44.02 0.48 44.50 49.28
817118 0.00 NC
8120/18 0.02 NC
8/24/18 43.42 0.07 43.49 49.95
9/6118 0.01 NC
9f.W18 0.00 NC
10/10/18 0.00 NC
10/19/18 0.00 NC
10/29/18 40.98 0.64 41.62 52.29 diesel
11/6/18 40.59 0.63 41.22 52.68
12/2/18 39.7 0.34 40.04 53.62
12/12/18 O.D1 NC
12/21/18 NM 0.00 38.45 54.93
1/15119 37.78 023 38.01 55.56 diesel
2/5/19 37.06 021 37.27 56.28
2/25119 37.01 0.43 37.44 56.30
3/1/19 38.98 0.43 37.41 56.33
4110/19 38.34 0 .47 36.81 56.96
4/25119 38.23 0.48 36.71 57.07
5/16/19 38.42 0.58 37.00 56.86
5/31/19 36.59 0.62 37.21 56.69
614/19 36.6 0.16 36.76 56.75
6/19/19 37.13 0.39 37.52 56.18
7/6119 37.72 0.67 38.39 55.55 diesel
7/15119 38.23 0.15 38.38 55.12
7/29/19 38.37 0.40 38.77 54.94
8/3119 38 .54 0.35 38.89 54.78
8/21/19 39.05 0.38 39.43 54.27
0.00 93.38
MW-9 93.63 10/31/17 NM 0.00 43.42 50.21
11/29/17 NM 0.00 43.82 49.81
12/5117 NM 0.00 43.90 49.73
12/19/17 NM 0.00 44.10 49.53
817118 0.21 NC
PUMP IN WELL 8/20/18 0.2 1 NC
8/24/18 0.2 1 NC
918/18 0.40 NC
9/2711 8 0.44 NC
1011 0/18 0.39 NC
PUMP IN WELL 10119118 0.35 NC
10/29118 41.09 0.34 4 1.43 52.48 diesel
11/6118 40.72 0.07 40.79 52.90
12/2/18 39.75 0.18 39.93 ,;-,st,;
12/12/18 0.42 NC
12/21118 38.48 0.06 38.54 55.14
1115119 37.79 0.39 38.18 55.77 diesel
2/5/19 37.10 n,-. 37.33 56.49
2/25119 37.08 020 37.28 56.52
3/1/19 37.05 0.19 37.24 56.56
4/10/19 36.38 0 .41 36.79 57.18
4125119 ..... , .. 0.50 36.78 57.27
5116/19 38.49 0 .61 37.10 57.04
5/31119 36.64 0.68 37.32 56.88
614/19 36.66 0.12 36.78 56.95
6/19119 37.16 0.68 37.84 56.38
715119 37.80 0.77 38.57 55.70 diesel
7115119 38.21 022 38.43 55.38
7/29/19 38.50 0.15 38.65 55.10
8/3119 38.69 0.09 38.78 54.92
8/21/19 3920 0.15 39.35 54.40
0.00
MW-10 94.48 10/31117 NM 0.00 44.22 50.26
11/29/17 NM 0.00 44.61 49.87
12/5117 NM 0.00 44.68 49.80
12/19/17 NM 0.00 44.88 49.60
817/18 0.42 NC dlesel
PUMP IN WELL 8/20/18 120 NC
8124/18 44.09 1.21 45.30 50.19
9/8/18 0.95 NC
9127/18 1.31 NC
10/10/18 0.43 NC
PUMP IN WELL 10/19/18 0 .50 NC
\0/29118 42 ,03 0.07 42.10 52.4'1 diesel
1116118 41.55 0.48 42.m 52.85
12/21 18 40.35 2.10 42.45 53.78
12/12/18 0,42 NC
1212 111 8 :39.07 0 .62 39.69 55.31
1115119 38.42 1.78 40.20 65.76 diesel
2/5119 37.97 0.67 38.64 56.40
2/26119 NM 0.00 38.08 56.40 PUMP ON
311119 38.04 0.24 38.28 56.40
4/10/19 37.32 0 .70 38.02 57.04
4/25119 37.15 1.09 38.24 57.15 a as
5116119 37.49 0.43 37.92 56.92
5/31/19 37.64 0 .70 38.34 56.n
6/4119 37.65 0 .11 37.76 56.81
6/19/19 38.14 0.59 38.73 56.24
7/5/19 38.51 2.18 40.69 55.60 oas
7115119 38.6 3.11 41.71 55.36
7/29/19 38.73 4.54 43.27 54.99 • llc ht oer bi
813119 39.39 1.53 40.92 54.83
8/21/19 39.88 3.17 42.85 54.27
0.00 94.48
MW-5 93.4 5/25117 NM 0.00 41.34 52.06
5a6/17 NM NC NM NC
611127 NM 0 .00 4 1.45 51.95
711 0'17 NM 0 .00 4LBO 5 1.60
8/1117 NM 0.00 42.00 51 .40
10/31117 NM 0 .00 43.18 50.22
11"1!1,'1 7 NM 0.00 43,60 49.80
12/a1'1 7 NM 0.00 4 3.68 49.n
12/19117 NM 0.00 43.90 49.50
B/7118 0.00 NC
BJ20/18 0.00 NC
S/241 18 NM 0.00 43.24 50.16
916/18 0.00 NC
9127/18 0.00 NC
10/10/18 0.00 NC
10/19/18 NM 0.00 NC
10/29/18 NM 0.00 43.68 49.72
11/6118 0.00 NC
1212118 NM 0.00 39.53 53.87
12/12/18 0.00 NC
12/21/18 0.00 NC
1/15119 NM 0.00 37.5'1 55.83
2/5/19 NM
2/25119 NM 0.00 36.80 56.60
4/25119 NM 0.00 36.04 57.36
6/19/19 NM 0.00 36.96 56.44
7/5/19 NM 0.00 37.61 55.79
0.00 93.40
0.00 93.40
MW-6 92.84 5/25117 NM 0.00 40.90 51.94
5/26117 NM NC NM NC
6/1/27 NM 0.00 41.01 51.83
7110/1 7 NM 0.00 41.35 51.49
811 117 NM 0.00 4 1.53 51.3 1
10/311 17 NM 0 .00 42.TT 60.07
111291 17 NM 0.00 43.1 6 4 986
12151 17 NM 0.00 43.25 49.59
12/19/17 NM 0.00 43.48 49.36 arms 0.00 NC
8/20'l 8 0.00 NC
8124 /1 8 NM 0.00 42.84 60.00
918/1 8 0.00 NC
9/27/18 0.00 NC
10/10/18 0.00 NC
10/19/18 NM 0.00 NC
1nrnl/1,R MU 0.00 40.46 52.36
11/6118 0.00 NC
12121118 NM 0.00 39.16 53.68
12/12/18 0.00 NC
12/21/18 0.00 NC
1/15/19 NM 0.00 37.18 55.66
2/5/19 NM
2/26119 NM 0.00 36.39 56.45
4/25/10 NM 0.00 35.63 57.21
6/19119 NM 0.00 36.52 56.32
7/5/19 NM 0.00 37.14 55.70
0.00 92.84
0.00 92.84
MW-7 92.92 5/25/17 NM 0.00 40.9 52.02
5/26117 NM NC NM NC
6/1/27 NM 0.00 41.03 51.89
7/10/17 NM 0.00 41.37 51.55
B11/17 NM 0.00 41.55 51.37
10/31/17 NM 0.00 42.77 50.15
11129/17 NM 0.00 43.18 49.74
12/5117 NM 0.00 43.25 49.67
12/19117 NM 0.00 43A9 49.43
817/1 8 0 .00 NC
8/20/18 0.00 NC
8/241 18 NM 0 .00 42.!ld 50.08
9/6/18 0 .00 NC
912711 8 0.00 NC
10/10/18 0.00 NC
10/19{18 NM 0.00 NC
1nrxu18 NM 0.00 4n_AJ; 52.47
11/6118 NM NC NM NC
1212118 NM 0.00 39.15 53.77
12/12/18 0.00 NC
12/21/18 0.00 NC
1/15/19 NM 0.00 37.15 55.77
2/5/19 NM
2/26119 NM 0.00 36.36 56.54
4/25/19 NM 0.00 35.63 57.29
6/19119 NM 0.00 36.52 56.40
7/5/19 NM 0.00 37.14 55.70
O.M 9 2.92
MW-3 93.58 3/27/17 40.55 2.00 42.55 52.69
511 /17 40.95 2.50 43.45 52.21
612.Ei/17 4120 2.00 43.20 52.04
61261 17 41.53 0.62 42.15 51.95
011127 41AO 1.30 42.70 51,90
?/1(11 17 41.50 3 .00 44.50 5 1.58
81 111 7 41.76 2.54 44.30 51.39
10131/17 43.22 0 .80 44.02 fi0.23
11/29117 43.4 2 1.24 44.66 4995
1215117 43A2 124 44.66 49,95
12/19.'17 43.41 1-25 AA"" 49.90
8(7/18 O.Q1 NC
8/20/18 0.00 NC
B/24/18 43.38 0.01 43.39 50.20
9f6/18 0.00 NC
9/27/18 0.00 NC
10/10/18 0.02 NC
10'19/18 0.o7 NC
10/29/18 41.00 023 41.23 52.54 oas
11/6118 40.68 0.14 40.82 52.88
12/2/18 39.70 0.38 40.08 53.82
12/12/18 0.00 NC
12/21/18 38.35 0.34 38.69 55.17
1/15/19 37.73 0.43 38.16 55.78 a as/diesel
2/5/19 37.02 0.37 37.39 56.50
2/25/19 36.98 OAO 37.38 56.53
3/1/19 36.94 0.36 37.30 56.58
4/25/19 36.19 0.67 36.86 57.28
5/16119 36.38 0.82 37.20 57.06
5131/19 36.56 0.93 37.49 56.86
614119 36.58 0.34 36.92 56,94
6/19119 37.00 1.17 38.17 56.38
7/5/19 37.59 1.55 39.14 55.73 o as/diesel
7/15/19 38.61 0.47 39.08 54.89
7/29119 38.84 0.16 39.00 54.71
8/3/19 38.56 0.33 38.89 54.96
812 1119 39,0J 0 .59 39.62 54.45
0 .00 93.56
MW-4 93 ,52 3127117 40.55 1.90 42.45 52.65
5/1/17 41 .04 1.71 42.76 52.19
512.6/1 7 4 1.30 1A2 4 2.72 5 1.98
6/26/17 41.62 0.13 41 .75 51 .88
6/1/27 41.44 1.18 42.62 51.88
7110'1 7 4 1 .73 1.37 43.10 51.56
811/17 42.10 0.30 42AO 51.37
10/31/17 43.30 020 43.50 50.19
11/29117 43.73 020 43.93 49.76
12/5/17 43.81 0.17 43..98 49.68
12/19/17 44.04 0.03 44.07 49.47
8/7/18 0.02
8/20/18 0.00
8/24/18 0.00
9/6/18 0.00 NC
9/27/18 0.00 NC
10/10/18 0.00 NC
10/18118 0.04 NC
10/29118 41.03 0.02 41.05 52.49 diesel
11/6/18 NM 0.00 40.74 52.78
12/2/18 NM 0.00 39.n 53.75
12/12118 O.Q1 NC diesel
12/21/18 0.00 NC
1/15/19 NM 0.00 37.78 55.74
2/5/19 NM 0.00
2/26119 37.01 0.01 37.02 56.51
4/25/19 NM 0.00 36.25 57.27
6/19/19 37.14 0.05 37.19 56.37
7/5/19 37.78 0.03 37.81 55.73 diesel
7/15/19 38.36 0.01 38.37 55.16
7/29/19 38AO 0.02 38.42 55.12
8/3/19 38.59 0.02 38.61 54.93
B/21/19 39.09 0.03 39.12 54.42
0 ,00 93.52
TABLE3
HiSTORICAL PODUCT THICKNESS AND GROUNDWATER ELEVATIONS
SEMINOLE MART NO. 2
910 SEMINOLE ROAD
BROADWAY, HARNETT COUNTY, NORTH CAROLINA
NCDENR INCIDENT NO.
CLES PROJECT NO. 17-051
TOC DTP
WelllD llt-.-J) Date (lt-btoc)
MW-1 93.72 3/27/17 36.00
5/1/17 36.65
5/25117 3625
5/26/17 36.75
6/1/17 36.53
7/10/17 3624
8/1/17 36.36
10/31/17 36.60
11/29/17 36.60
12/5117 36.60
12/19/17 36.63
8/7118
PUMP IN 8/20/18
8/24/18 35.78
916/18
9/27/18
10/10/18
10/19118
10/29/18 NM
11/6/18 NM
12/2/18 NM
12/12/18
12/21/18 NM
1/15119 35.09
2/5119 35.02
2/25119 35.18
J.11/19 35.19
412511 9 34 .98
5116/19 35.03
5 /3 1/19 35.10
611 9!19 35.1 4
7,151 19 35.50
7 /15119 35.58
7129/19 '.!5.66
81.11 19 35.78
8121/19 35.86
MW-2 94.36 3/27/17 NM
5/1/17 42.13
5/25117 42.3
5/26/17 42.50
6/1/27 42.43
7/10/17 42.60
8/1/17 42.67
10/31117 44.00
11/29/17 44.13
12/5117 4423
12/19117 44.42
8/7118
8/20/18
8124/18 43.43
9/6/18
9/27/18
10/10/18
10/19118
10/29118 40.60
11/6/18 4423
12/2/18 39.96
12/12/18
12/21/18 38.67
1115119 37.99
2/6/19 37 .91
2/2S/ 19 37.48
3/1119 37.45
4/10/19 37.02
4125119 37.00
5 1161 19 37.82
51311 19 37.27
6/4/19 37.28
6/19/19 37.96
715/19 38.64
7/15119 38.86
7/29/19 39.01
8/3/19 39.42
8121119 39.77
Product
Thickness (ft)
1.90
2.30
2.85
1.00
0.62
2.00
1.04
1.15
2.15
2.02
2.30
0.42
0.41
0.06
0.01
0.00
nnn
0.00
0.00
0.00
0.00
0.04
0.00
0.02
0.16
025
0,22
0,67
1.07
1-30
1.72
1.73
1.42
1.10
0.76
0.93
0.00
0.00
0.10
0.10
0.08
0.05
1.15
1.76
0.45
0.35
0.27
0.06
0.20
025
0.30
0.55
020
0.16
0.00
122
027
1.57
0.83
2.00
3.01
1.47
1.91
1.86
1.11
0.61
P.63
2.1 4
0.92
1116
0.30
1.02
1.85
0.36
1.45
nM
OTW liWE.ltlll PROli>uCT
lft-btocJ lft-re l) TYPE
37.90 57.40
38.95 56.68
39.10 56.99
37.75 56.80
37.15 57.09
36.24 57.14
37.42 57.17
37.75 56.93
36.75 56.76
38.62 56.78
38.93 56.70
NC
NC
35.84 57.93
NC
NC
NC
NC
34.93 58.79
34.98 58.74
35.02 58.70
NC
34.73 58.99
35.11 58.63 oas
35.18 58.67
35.43 58.50
35.41 58.49
3li.fl.S 58.63
36.10 58.51
36.4-0 56.-40
36.86 58.29
37.23 57 .93 dleseWoa,s
37.00 57.90
36.76 57.88
36.54 57B1
36.79 57.70
93.72
41.73 52.63
42.23 52.21
42.4 52.04
42.58 51.85
42.48 51.92
43.75 51.57
44.43 51.39
44.45 50.28
44.48 50.17
44.50 50.08
44.48 49.93
NC
NC
43.73 50.63
NC
NC
NC
NC
41.82 53.56 a as
44.50 50.08
41.53 54.14
NC
40.67 55.35
41.00 55.86 a as
39.38 56.20
39.39 56.56
39,31 5680
38.13 57.15
37,61 57.26
38.46 56.43
39 .4 1 56.73
38..20 56.93
39.02 56.22
38.94 55.67 11as/diesel
39.BB 55.33
40.86 55.04
39.78 54.BB
41.22 54.35
94.36
HYDRAULIC GRADIENT CALCULATIONS -DECEMBER 5, 2017
SEMINOLE MART #2
691 SEMINOLE ROAD
CLES Project No. 17-051
Purpose: To determine the hydraulic gradient
Given:
Gradient (a) CALCULATED FROM THREE POINT SOLUTION
USING MONITOR WELLS MW-15, MW-21 and MW-6
GRADIENT (a):
i = h1 -h2
distance
WHERE DISTANCE BETWEEN h 1 AND h 2 IS PARALLEL TO FLOW
DETERMINED FROM 3 POINT PROBLEM BY PROJECTION
i2 = MW-15-MW-21""
distance
49.82 48.97 =
103
0.0083
Calculate Distance for point with Elevation = MW-19 between MW-18 and MW-12
MW-15 -MW-6 = 49.82 49 .59 = 27.87
0.0083 0.0083
Place point on line 27.87 feet from MW-15 toward MW-21, Draw line from point to MW-6
Draw line perpendicular to line drawn between MW-6 and Point 27.87 feet from MW-15.
Project MW-15 and MW-21 locations onto perpendicular line and measure new distance between projected well locations.
Gradient (a): divide change in head between MW-15 to MW-21 and divide by new distance to predict gradient.
MW-15-MW-21 =
New Distance
49.82
101
48.97 = 0.008 EAST-SOUTHEAST FLOW
ASeminof
Roo•
Asphalt Parking _at W 4
MW-2?
Former UST Area
MW-10 r•
49.80
MW-
49.E
Concrete Pad
MW-1 *
MWr-6
49.49 •
OMW--18
Asphalt Parking Lot
yew--79
armer Product Dispens=r
MW-20
49.42
MW-2t
"48 7.
Location
Gravel Parking L
ao sa ,ao aau
utomob9e Shelte- ro
4941 - thArtiNr OW or L■Nsi Qawt1on

Lil

emino!
Roos
(Zt)
MW tli2)
Ito W-15e
Former UST Area
CA't.r ( of M,In
Traffic Is- lon a',
MW- 6
MW 14
fSemir
l �
(<1)
•MW-18
Asphalt Parking Lot
MW- 19
g (<l]
9t1MW--#3
utprnobite Shette
ole Rood
Former Product Dispens
MW-20
�a
r Location
Gravel Forking Lot
Exhinf nr FM P,da1,cI
10) L&A ak}cLao ectiatj

eminal
Poor
Mw-.p?
Asphalt Parking L o t
IM W- 9
MW-Z-
D
1
"AST '
MW- 3
Traffic Island
MW- t,2
eww--s
� Sem it
14.
-MW-18
MW- l4
Asphalt Parking Lot
el
MW--19
WV-- (3
ale RQa�d *�,
Former Product ?ispensryr Location
MW-20
utQmobile Shthe
MW- '21
Gravel Parking Lot
P.p 0 90.0
Critrit of Free Prool of
a
►r
0

Location
Grovel Parking Lot
£idiot aI From PrndMxi
Prooltel itskk aue
5k Frca ld Tiabuaa I9t*Ct9d
AO A i a MO
Getpn�c � 4V
r2szoi7iTmok I11 zot-
Pm- ii,)acctiao3

Figure 1
Topographic Site Location Map
Seminole Mart # 2
' 691 Seminole Rd. Broadway, NC
Scale:
NTS
East Coast
Environmental, P.A.
3B15 Junofion Boulevard
Raleigh, North Carolina 27643
[phone] Fax [phone]
Prep. By:
TRW
Rev. By:
TRW
Date:
9/15/2016

WELL CONSTRUCTION RECORD
i3tis t'asrn can be far single or multiple wells
1. Well Contractor Information:
James D. Barker
Well Contractor Nome
3106-A
:SC Well Ceutruclor Ceninention Number
Quantex, Inc.
For tnterani use ONLY:
14: WATER TONES
FROM I TO
33 If- 1 34 a.
ft. I ft.
RESCRIP110N
Orange SILT
IS.O1i r$R CASING for enuiti-eased wells) ORi,]NER lirappUeohie)
FROM TO DIAMETER. ThICKNYILSS MATERIAL
ft ft in.
- Company Nano:
2. Well Construelian Permit :
x.Ltt all opposable well ColulrNcrfem pernrims (i.e. Cmii . Seale. Variance. ctc.)
3. Well Use (check well use):
NA
Water Supply Weil:
❑Agricultural
UGeothermal (HcatinJCooling Supply)
❑IndustrialICon ncmial
01rriustion
❑Municipai/Public
17 Reside n tia l Water Supply (single)
❑Residenuel Water Supply (shared)
Non -Water Supply Well:
fy Monitoring
0 Recovery
Injection Welt:
❑Aquifer Recharge
❑ Aquil-er Storage and Recovery
ClAquifer Test
❑Experimental Teahnoroey
CiGeothermai (Closed Loop)
13Geoihermal t Heating/Cooling Return)
°Groundwater Remedintion
USallnity Saltier
❑Starmwaier Drainage
❑Subsidence Control
1Tracer
❑Other (explain under;'? 1 Remarks)
4. bate WOO) Compieten: �3 /1 7 W-1
5. Weil Location:
Seminole Mart #2
NA
Facility/Ow/el Name Fse{Iity II31 (if appri cable)
691 Seminole Road, Broadway NC 27595
Physic -II Address. City. and Zip
Lee
NA
County Parcel identineationiSo. {PIN)
5b, Latitude and Longitude in degreesfminutesfseconds or decimal degrees:
{it'uc11 held, one latRang issutFicrent)
35.445291 N 79.044965
6. Is (are) the well(s): ❑Permanent or LTemporary
w
7.1s this a repair to an existing well: ❑Yes or EJNo
Jrhle is a repafr, fill out iarousu nWi construction infarinatint' and explain JIle cram':[ of the
room ender 121 renew-15 secnnn or an the back of rigs form.
3. Number of wells constructed: 1
F'nr einrltiple h jectian er ream -wares soppy wear ONLY ivieh the sane censiracrion, rnu can
- submit one fohn.
9. Total well depth below land surface: 40i (ft.)
For multiple wells lisrail depths rfdifferent (example-3 .200'ald2@1001
- 10. Static water level below tap or easing: NA (ft.)
sLotor lapel is above casing, use '•
11. Bnrohote diameter: 6" (In
- 12. Well construction method: Auger
(i.e. auger, rotary, cable, direct pusle• etc.)
13. FOR WATER SUPPLY WELLS ONLY:
13a. Yield (gpm) Method of test:
13b. Disinfection type: - Amount:
r 6. 1 N NE R CASING OR 'Ttl aINC I ken 1tterraa[ closed -loop)
-FRAR,1 TO _ - . _ OFAMETER
0 ft. 15 ft.
2"
In.
ratcicvrss
Sch 40
ASATERr4t.
PVC
tt. 1L.
17. SCREEN
su.
FROM ! TO I DIAMETER T SLOT SIZE:
15 IL I 40 e• 2,. ia. 0.010
THICKNESS
Sch 40
MATERIAL
PVC
ft.
11. i
in.
1S. GROUT
FROM TO f MATERIAL F F.MPLACFJtrE1'tT METHOD . AMOUNT 1
11 I`• I Neat Cement i 230 Ibs. Poured
0 it.
11 11-
13 n• ; Bentonite 3i6" Pellets 35 Ibs.
rt.
lY. SAND/GRAVEL PACK of a{ .1icahlel
FROM TO
MATERIAL
EMPLACEb1L'hrt'r.IMTHO V
13 ft. 40 ff•
ft. L
ft.
#2 silica sand
Ia DRI1.1.INat; LOG hooch additional sheets if necessary)
pour
mom
0 t}.
1 Ft.
L 16 ft.
TO a(SCR IPT ION olio:, Nu -dues, sniiiruck tyii.. grin aye. else
ft.
Gravel
16 ft. Orange Ctayey SILT
19 n.
Sandy Silty Quartz
19 ft. ; 38
38 a. 40 n•
Orange SILT
Orange/White Clayey SILT
ft. I ft.
ft. I
31. REMARKS
$ )
r
22. Crrti>Scatian:
2/2117
Signature ICenirred Weil Coetracter Dale
Th. stab' MIS AM, 1 hereby CerriA. Ihur the '•clefs) was /tier.{'! constructed in ocean/once
with 15,1. NC.te ele.0!Oft or !SA NYCAC 112C.0200 Drell Construction Standards JuleMtn .7
copy, of rhh• rocorrl has been p olleieif rn the well unnrr_
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site derails or well
construction derails. You may also attach additional pages if neccssery.
24. Submittal Instructions:
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
Edsision of Water Quality, information Prucessing Unit,
1617 Mall Service Center, Raleigh, NC 27699-1617
24b. For In{ettion Wills: In addition to sending the form so the address in 2-la
above, also submit a copy of this form within 30 days of completion of wore
construction tothe hollowing:
Division of Water Quality, Underground Injection Control Program;
1636 Mail Service Center, Raleigh, NC 27699-] 636
2 e. Far Water Supply & Geothermal Wgja; 1n addition le sending the Form to
the address(es) above, also submit one copy of this form within 30 days of
completion of well construction to the county hwiUh department of the count}
where constructed.
Form Got'-1
North Camtiim Department of Erviroament and Natural Rrwsnwrce, - Division of Water Qi.,•t1it1. Revised Jan. 2013

WELL CONSTRUCTION RECORD
For Internal Use OA'LY
This form can be used for single or multiple svells
I. Well Contractor information:
James D. Barker
Well CantrzctorNamr
3106-A
NC WCommernr Ccrtifcarton ',grater
Quantex, inc.
- Company Name
2. Weil Construction l errnit NA
List off apprlcabfe +ir / covsrrmrio4 permits (le. County, Stoic, lrallorrce. eft f
- 3. Well Use (cheek well use):
Water Supply Weft:
0Agricultural
°Geothermal (Heating/Cowling Supply)
❑ lndustrial/Comrnerc ial
O I riaation
❑Municipal/Pubiic
❑Residential Winter Supply (single)
°Residential tinter Supply (shared)
Non -Water Supply Well:
CIMonitorina
I Recovery
Injection Well:
°Aquifer Recharge
DAquiferStorage and Recovery
❑Aquifer Test
❑ Experimental Technology
°❑eothermal (Closed Loop)
OGeathermat (Pearing/Cooling Return)
❑Groundwater Remediation
❑Salinity Battier
OSlormwater Drainage
❑Subsidence Control
ClTr'acer
DOther (explain under .-r2i Remarks)
1, Date Well(s) Completed: 3/13/17 RVII-2, 3 8 4
S. Well Location_
Seminole Mart #2
Faeilityf0weer Name
NA
Facility tom (if Opp Eicable)
691 Seminole Road, Broadway NC 27505
Physical Address, City, and. Zip
Lee NA
County Parvel IdersiAcatian No. (PI)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if,,voll field, one !milting is sufficient)
35.445289 Iv 79.044964 �y
6. Is (ore) the well(s): E Fermaneat or °Temporary
7. 1s this a repair to an existing well: Yes or ta1No
- lfilris is d repro', f fl arrr Mown well construction tgformorron and explain rho nature of the
ropatr under g 2.1 remark seer!on ar oA the hack of this form.
a. Number of ►sells constructed: 3
Fur ✓✓ratline infection or non -water supply hells ONLY with Me some ronrnucilor:. yorl can
submit one form.
9, Total well depot below land surface:
Pur multiple wells lur off depths If diljerent lerureplr'• .ft[?�i200' curd 2r 100'}
- 111, Static water level below top of casing: NA
✓lanai,trial isobarecostae, use "+"
S1t
11. Borehole diameter. (in.)
- 12. Well construction method: Auger
45,
(ft)
(ft.)
(Le. auger, rotary, cable dtreet slush, etc,)
13. FOR WATER SUPPLY WELLS ONLY:
13a_ Yield tam) Method of test: -_
13h. Disinfection type: Amount:
14. WA it ZONE'S
FROM TO 1 ms_c+R1¢T1Oi
( 39 It 40 it
Orange SILT
tr. ` ft.
L 15. OUTER CASING fcor multi-cascal wells} OR -LINER Of applicable)
f FROM TO171.
METER THICKNESS 1 MATERIAL
ft it_
iii
in.
1
15.INNER CASING OR TUBING r'•eothernlal clascd-loq,)
FROM
TO
DW Ib I SR TRIC 1NESS _ 4 MATERIAL
0 ft.
30 fr.
2,. I°-
Soh 40
PVC
ft.
R.
10
I
17. SCR✓EEN.
FROM 1 TO
1sEAMETER
SLOT SIZE
miCia.9SJlr ss
311TERlAL
30 It 1 45 rt.
2" i0-
0.010
Sch 40
PVC
0. 1 EL I ln.
1s. GROIFT
ER051
TO
awi£R]AL
1T1PLACEpi .Fro, `F' NF871ROD & A,tit0ERVr
0 T<•
26 TG
Neat Cement
440 Ibs. Poured
28 ft
28 Tr•
Bentonite
318" Pellets 45 lbs-
ft.
ft.
19. SA ;40/GRAVEL PACK• I if applicable/
FRO!, 3 _ TO MATERIAL
EMRL,1,CEll1ESrr METHOD
28 rt•
45 ft #2 silica sand
pour
ft.
ft.
20. DRIE.L INC.; LOG eunuch ndJilinnal sheers it nctessnrs l
Mom I re DESCRIPTION Irmo . hardness, soivruek tm3` :ram site. dr.+
0 IL
1 R Gravel
1 rt. I 18 t}.
Orange Clayey SILT
16 rt.
19 it
Sandy Silty Quartz
19 rt.
40 Tt•
Orange SILT
40 TT•
45 T1-
Orange/White Clayey SILT
ft.
ft
fr.
It.
21. REMARKS
f1
fi
22. Corti#icot oa:
Signature i ✓Certified Well Cone-sew
ElySigoM�MEN form, 1 berehl• t:errifj•
3/28/1 i
Dotp
Mot the ors(') 1ttlS iwurc) corsrrvcred in aceerdnrrcc
urtlt 15A NC.1C 02C.0100 or 114 AC. -IC QC .0268 Wall Construction Slumlords scud thor
copy aftpis record has hear: prvvrdrtt so the osrrrer,
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details ar weft
coostructioo details. You may also attach additional pacts if necessary.
24. Submittal instructions:
24a. Fir All Wells: Submit this form within 30 days of completion of well
construction to the fat{owing:
Division of Water Quality, Information Processing Unit,
1617 Mail Service Center; Raleigh, NC 27699-1617
24b. For Infection Welts: In addition to sending the Form to the address in 24s
above, also submit a copy of this Corm within 30 days of completion of well
construction re the felinvzng.
Division of Water Quality, Underground Injection Control Program,
1636 Marl Service Center, Raleigh, NC 27699-1636
24c. For Water Supply a& Geothermal Wells: to addition to sending the form to
the address(es) above also submit one copy of this form within 30 days or
completion of well conslruclon to the county health department of the county
where constructed.
Fomx GR`-I Nonh estalioe Dcpanm-:at aFEn.•iranmeat and Natural Rcsnarms - Division of Water Quality
Revised Ian. 2013

WELL CONSTRUCTION RECORD
This funn can be used for sinl!le ormultiple wells
I. Well Contractor Information:
James D. Barker
Well Contractor Name
31O6-A
NC Well ContJBctor Certification Number
Quantex, Inc.
Company Name
2. Well.Construction-Permit#: NA
list al/ applicable well ctmstn1ctio1111ermits (i.e. County, Sime, Variance, etc.)
3. Well Use (check well use):
Water Supply Well:
□Agriculturnl □Municipal/Public
□Geothennal (Heating/Cooling Supply} □Residential Water Supply (single}
□lndustriaVCommercial □Residential Water Supply (sharetl)
□Irri gation
Nou-W11ter Supply Well:
□Monitoring 12JRecovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery D Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Oeothennal (Closed Loop) □Tracer
□Geotliennal (Heatin2/Cooling Return) □Other {~i>lain under #21 Remarks)
4. Date Well(s) Completed: 10/24/17 MW-8
5. Well Location:
Seminole Mart #2 NA
Facilily/Own~rNamc Facility !DI.' (if applicable)
691 Seminole Road, Broadway NC 27505
Physical Address; City; and Zip
Lee NA
County Pru-eel ldenrificntion No. (PIN)
Sb. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)
35.445325 N 79.044708 w
6. ls (are) the wcll(s): CilPermanent or □Temporary
7. Is this e repair to an cxisling,vell: □Yes or IZINo
ff tl,is i.< a n,pr,ir, Jill out 471own well con.<1rt1cti<,n ieformatio11 and explain the 11ature q.f the
repair 11nder #21 remorh si!etiOn or on the back of this fomt
8, Number of wells constructed: _1 __ =------=-----
For m11ltiple injec1io11 or non-11'ater suppl)• wells ONLY wit/1 the same cons/ruction, .vo11 can
•ubmil onefom,.
I For Internal Use ONLY:
I
14. \VA.TERZONES --
FROM TO DESCRIPTION
40 ft. 42 ft. Light Tan Medium Sandy SILT
ft, ft.
-15. OUTER CASI:.""'IG Cfor multi-c:,sed wells) OR.LINER (If n r,plicnblel
FROM I 1'0 I DrAM.ETER I THICKNESS I MATERIAL
ft. ft. In.
16. INNER CASING OR TUBING Ce eothermol closed-loon)
FROM TO DL\METER THICKNESS M~TERI,\L
0 ft. 30 ft. 2" lo. Sch40 PVC
ft. ft. In.
,17.SCREEN
FROM TO I DIAlltETeR SLOT SIZE THICKNESS MATERIAL
30 ft. 50 rt. I 2~ in. 0.010 Sch40 PVC
r,. ft. I In.
18.GllOUT
FRO.\l TO I MATERIAL EMPLAC£llfENT MF.THOD & AMOUNT
0 ft. 26 ft. Neat Cement 440 lbs. Poured
26 ft. 28 ft. Bentonite 3/8" Pellets 45 lbs.
ft. ft.
t!J. SAl~DIGRA VEL PACK fir unnlicable)
FROM TO MATERIAL EMPLACl!M.E!l."l' METBOD
28 ft. 50 ft. #2silica sand pour
ft. ft.
20. DRILLING LOG lnttacb nddirion:il sheers if necessn,..·)
FR.ml TO DESCRIPTION C<.olor. bo.rdn,1·•u.._ aoiUn:>ek tYDc. ~in size. ctc.l
0 ft. 1 ft. Gravel/Pavement
1 ft. 15 ft. Reddish Brown SILT w/gravels
15 rt. 17 ft. Sandy Gravel
17 ft. 25 fr. Reddish Brown/Light Tan Sandy SILT
25 ft. 50 fl, Light Tan, Medium Sandy Sil T
ft. ft.
ft. ft.
21.REMARKS
l VSl " I
22. 9'rtir cation:
! , ~A,._ \.._/~ 11/4/17
Signalu:tfCcrtificd Well Contractor Date
BJ' slgnl t/ris form, I hereby certify rhat the well(s) 11m (were) constrocted in accordance
with 15A NCtlC OZC .0100 or /Sil NCAC 02C .0200 Well Co,,struction Standards and 1l1a1 a
copy of this record has been provided m the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
24. Submittal Instructions:
50'. 9. Total well depth below land surface: ____________ ,(ft.) 24a. For All Wells: Submit this form within 30 days of completion of well
Far m11ltiple wells list all dept/rs if different (e.tample-3@200' llJld 2@1001 construction to the foUowing:
10. Static water level below top of casing: __ N_A _________ (ft.)
{fwoter/.-..,/isabow,casing, use"+"
11. Borehole diameter: _6_" _____ (in.)
12. Well construction method: __ A_u_g_e_r __________ _
(i.e. auger, mtary. cable, direct p115h, etc.)
13. FOR WATER SUPPLY WELLS ONLY:
13a. Yield (gpm} _______ Method oftest: _______ _
Division of Water QuaJity, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For lniection Wells: 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 ,
consnuction to the follo,,~ng:
"Dhision of Water Quality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supplv & Geothermal Wells: In addition to sending the form lo
the addre!is(es) above, also submit one copy of this form within 30 days of
13b. Disinfection ~ .... e: Amount: completion of well construction to the county health department of the county L.:=====:..:•.,~r:.:::.=======_:===-========~ where constructed.
Form CW-I Nonh Cuolina DepanmentofEn'.ironment and Natw-al Resources -Division ofWatu Qualil;,Y Revised fan. 2013
WELL CONSTRUCTION RECORD
TI1is fonn can be used for single or multiple wells
1 WellC I ti ontractor n ormatlon:
James D. Barker
Well Conlractor Name
3106~A
NC Woll Con1ractor Certification Number
Quantex, Inc.
Company Name
2 .. Well Construction Permit #: NA
list all applicable ire/I constn1ctio11 permits (i.e. Collttly. State, l'ariance, etc.)
3. Well Use (check well use):
Water Supply Well:
D Agricultural □Municipal/Public
D~otbennal (Heating/Cooling Supply) □Residential Water Supply (single)
□IndustriaVCommercial □Residential Water Supply (shared)
□Irrimi tion
Non-Water Supply Well:
□Monitoring ll!Recovery
Injection Well:
□Aquifer Recharge □GrOlllldwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test OStormwater Drainage
□Experimental Technology □Subsidence Control
□Geothennal (Closed Loop) □Tracer
□Geothennal (Heating/Cooling Rerum) □Other (explain under #21 Remarks)
4. Date Well(s) Completed: 10/24/17 MW-9
5. Well Location:
Seminole Mart #2 NA
Facility/Owner Name Focility ID# (ifopplicoble)
691 Seminole Road, Broadway NC 27505
Physical Address, City, and Zip
Lee NA
County Parcel Identification No. (PIN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well 6elcl. one latllone is sufficient)
35.445321 N 79.044715 w
6. ls are tbe well s : {) CilPermanent or □Tem ora p ry
7.1s this u repair to an existing well: □Yes or lZINo
ffthl• is a repair.Jill out k,1011,i well co11s/ructian irifonnatio11 one/ c.,plai11 the Ila/Ure oftltc
rcJJair u11clcr #11 remark, sl!Ction or on the back of thl< Jomr.
8. Number of wells constructed: _1 _________ _
For multiple l1yection or na11-water supp{v noe//s ONLY wit/, the same co1utruction. _vou can
.ruhmil one fimn.
50' 9. Total well depth below Jand surface: ___________ (ft.)
Fa,· multiple wells /i$I all deplhs if different (c:wmple-3@.100' and 2@/ 00')
10. Smtic water level below top of casing: __ N_A _________ (ft.)
If water lei.>e/ is aboi,-e casing. use "+"
11. Borehole diameter: __ 6_" _____ fm.)
12. Well construction method: __ A_u_g_e_r __________ _
(i.e. auger, rotary. cable., direct push, etc.)
13. FOR WATER SUPPLY WELLS ONLY:
13a. Yield (gpm) _______ Method oftest: _______ _
l 3b. Disinfection type: Amount:
I For Internal Use ONLY:
I
. J-4; WATER ZONES
FROM TO Dl!SCRJPTION
40 ft. 42 rt. light Tan Medium Sandy SILT
ft. ft.
JS, OUTER CASING ffor multi-cased wells\ OR LINER(if ii n11lia,ble)
FRO)l,J TO DlAl\n:t'KR 1 THJCJCll,'2.U MATE.RIAL
ft. ft. in.
16. JNNER CASING OR TUBING fecothcrmalclcised-loon)
FROM TO DIAMETER THICKNESS MATERL\L
0 rt. 30 rt. 2u In. Sch40 PVC
ft. rt. in.
17.SCREEN
FRO:)! TO I DIA.'\iEI'£R SLOT SIZE THICKNESS MATI:RLU.
30 ft. 50 rt. I 2" In. 0.010 Sch40 PVC
ft. n.1 In.
lB.GROUT
FROM TO MATERIAL El\lPLACEIIIENT METHOD & AMOUNT
0 ft. 26 ft. Neat Cement 440 lbs. Poured
26 ft. 28 n. Bentonite 3/8" Pellets 45 lbs.
n. ft.
19. SAND/GRAVEL PACK (if a nulicablel
FROM TO MATERIAL EMPLACEMENT METHOD
28 ft. 50 ft. #2 silica sand pour
n. ft.
20. DRILLING LOG !attach addilionul $beets if nccossa n •)
FRO~! TO DESCRIPTIOJ-tcolor, hmnlnoss. solllnx:k 1'-0o. •rain size, etc.I
0 ft. 1 ft. Gravel/Pavement
1 ft. 15 ft. Reddish Brown SILT w/gravels
15 ft. 17 ft. Sandy Gravel
17 ft. 25 rt. Reddish Brown/Light Tan Sandy SILT
25 ft. 50 ft. light Tan, Medium Sandy SILT
ft. ft
ft. ft.
21; REi\lARKS
··1 ,1 I
22. s &:_tatioo: ts, &L .,_ tiiM:i.. 11/4/17
Date Sig~~ f f~erti/ied Well Contrac'.or
B_v s1gm1,g dus /0,-111. I hereby certify that the wcil(s) ""' (nere) constn,cted 111 accordonce
i>1th 15A NCAC OZC .0/00 or J:;A NCAC OlC .0200 Well Co1,s1roction Sta11dards and that n
cop)' of tlris record has bee11 pro,•ided to the ,i-e/1 0>171er.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or weJJ
construction details. You may also attach additiooal pages if necessary.
24. Submittal Instructions:
24a. For All Wells: Submit !his form within 30 days of comple1ion or well
construction to the following:
Division of Water Quality, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 17699-1617
24b. For Injection Wells: In addition to sending the form to the address in 2411
above, also submit a copy of this fotm within 30 days of completion of well
construction to the following:
Division of Water Quality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24e. For Water Su pplv & Geothcnnal Wells: In addition to sending the fonn to
the addrcss(es) above, also submit one copy of this fonn within 30 days of
completion of well construction to the county health depanmenL of the county
where constructed.
FDrmG\V·J Nonh CarolitJa Department of Environment and Natwul Rcsoun:.cs -. Division of \\f atcr Quality Revised Jan. 2013
WELL CONSTRUCTION RECORD
This fonn can be used for single or multiple wells
1. Well Contractor Information:
James D. Barker
Well Contractor Name
3106-A
NC Well Contracror Certification Number
Quantex, Inc.
Company Nome
2.Well.Construction Permit#: NA
Li.rt alt applicable well c.:msm,ct/011 permits (i.e. County, StUle, Variance, etc.)
3. Well Use (check well use):
Water Supply Well:
□ Agricullural □Municipal/Public
□Geothem1al (Heating/Cooling Supply) □Residential Water ·supply (single)
□Industrial/Commercial □Residential Waler Supply (shared)
Dlrri~ation
Non-Water-Supply Well:
□Monitoring ~Recovery
[njection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test OStonnwater Dminnge
□Experimental Technology □Subsidence Control
□Geothennal (Closed Loop) □Tracer
□Geo1hem1al (Heatiuili'Cooling Reium) □Other (exnlain under #21 Remarks)
4.Date Well(s) Completed: 10/25/17 MW-10
5, Well Location:
Seminole Mart #2 NA
Facility/Owner Name Facility ID # (if applicable)
691 Seminole Road, Broadway NC 27505
Physical Address, Cily, and Zip
Lee NA
County Pattel Identification No. (PIN)
Sb. Latitude and Longitude in degrees/minutes/seconds or decimal dcgTecs:
(if well field, one laVlona is sufficient)
35.445278 N 79.044722 w
6. Is (are) the well(s): CilPermancnt or □Temporary
7. Is this II repair to an existing well: □Yes or ll!No
If t/1is is a repair, fill out known well amstruction informarion and explain th e ,wmre of the
repair u11der #11 remarks sect/011 or OIi the backq/thls fomt.
8. Number of wells constructed: _1 _________ _
Far mull/pie injection or non-waler .n,pp(v wells ONLY wi1l1 the same canstna:tion, you can
.mbntil 011efon11.
50' 9. Total "\l-eU ·deptb below land surface: ___________ (ft.)
Fur mullip/e wells liJI Q// depths If differem (eromple-3@200 ' and 2@/00')
IO. Static water level below top of casing: __ N_A _________ (ft.)
lfwa,er level ts abo,.., cari11g. use "+"
11. Borehole diameter: _6_" _____ (in.)
12. Well construction method: __ A_u....;g;..e_r __________ _
(i .e. auger. maary, cable, ditect push, etc.)
13. FOR WATER SUPPLY WELLS ONLY:
13a. Yield (gprn) _______ Method of test: _______ _
IForlntcmal Use ONLY:
14; WATER ZONES
FROM TO DESCRIPTION
40 . ft. 42 ft. Light Tan Medium Sandy SILT
ft. ft.
15.-.0UTER CASING /for. 011.dti-cased ,wells) OR LlNER fif a onlicablc)
FROM I TO DJAMETER I THICKNESS IIIATERLU.
ft. ft. In,
16, INNER CASING-OR TUBING (Peotlterninl closed-loon)
FRO!lf I TO DlMIETER THrCKNESS MATERIAL
0 ft. 30 ft. 2" la. Sch40 PVC
ft. ft. in.
.17.SCREEN
FROM TO DIA!lfETER SLOTSIZE TIIICKNESS i\-TAT&RIAL
30 ft. 50 ft. 2" In. 0.010 Sch40 PVC
ft. ft. in.
IS.GROUT
FROM TO ~1ATERIAL EMPLACEMENT JIIETHOD & ,'L',101.iNT
0 ft. 26 ft. Neat Cement 440 lbs. Poured
26 ft. 28 ft. Bentonite 3/8" Pellets 45 lbs.
rt. ft.
19.SAND/GRAVEL PACK(ihnnUcable )
FROM TO MATERIAL l!IIIPLACEMENT METHOD
28 ft. 50 ft. #2 silica sand pour
ft. ft.
?O. DRI L LlNG LOG (:,rt:,cl, addiliom1I sheels if necess:,n·)
FROM TO DESCRIPTIOX<color. hardness.soil'rock n1,e. -:n size. etc.)
0 ft. 1 ft. Gravel/ Pavement
1 ft. 15 ft. Reddish Brown SILT w/gravels
15 ft. 17 ft. Sandy Gravel
17 rt. 25 n. Reddish Brown/Light Tan Sandy SILT
25 rt. 50 ft. Light Tan, Medium Sandy SILT
ft. ft.
ft. ft.
I "ll. REMARKS
.-·1 ,1 I
2 c ' ·l · If\ EiC 2 • /rtir :ation:
'-....._. o.)/AA,.,,__ Y._..,, .t 11/4/17
Signature bf Certified Well Contractor Dale
B_1• signin~. this form, 1 ht,,-ehy certif)• that the wcll(s) was (were) co11Sln1cted ill accordance
with 1.5A NCAC OJC .0100 or JSA NCAC 01C .0200 Well Co11Struction Stoadardr and 1/,01 a
c:opy af this record has been pro••idetl 10 the well o,.,,er_
23. Site diagram nr additional well details:
You may use the back of this page to provide additional well site details or well
consbUction details. You may also attach additional pages if necessary.
24. Submittal Instructions:
24n. For All Wells: Submit lhis form wilhin 30 days of completion of well
consiruclion to the following :
DMslon of Water Quality, Information Processing Unit,
1617 Mall Service Center, Raleigh, NC 17699-1617
24b. For In jection Wells: In addition to sending the form to tl1e address in 24n
nbovc, also submit n copy of this furm within 30 days of completion of well
construction to the following:
Division of Water Quality, Undergraund Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
.24c. For Water Supplv & Geothermal Wclls: In addition to sending the fonn 10
the uddress(es) above, also submit one copy of this form within 30 days of
13b. Disinfection type: _______ Amount: completion of well construction to the county health department of the county i..:::::..:::===:..::~::.:=======--===:.:========J where constructed.
l"orrnG\V•I Nonh C11rolina Dcpanment of.En,.iron.mcnt :a.nd N:mzraJ Resources -Division or \V:ite.r Qua\ity Revised J a n. 20 I 3
WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1 W UC If, e ontraetor n ormation:
James D. Barker
Well Conttactor Name
3106-A
, NC Well Contractor Certification Number
Quantex, Inc.
Company Name
2. Well Construction Permit#: NA
Lisi all applicable well co11slruclion permits (i.e. County, Stale, J'l'arfance, etc.)
3. Well Use (check well use}:
Water Supply Well:
□Agricultural □Municipal/Public
□Geotbennal (Heating/Cooling Supply) □Residential Water Supply (single)
□Iodustrial/CoJDIDercial □Residential Water Supply (shared)
Dlrri!!ation
Non-Water Supply Well:
□Monitoring 12!Rccovery
Injection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recovery □Salinity Barrier
□Aquifer Test □Stonnwater Drainage
Ofa'J)erimental Technology □Subsidence Control
□Geolhennal (Closed Loop) □Tracer
OGeothennal (Heating/Cooling Return) □Other(exo lain under#2l Rematks)
4. Date Well(s) Completed: 10/25/ 17 MW-11
5. WeU Location:
Seminole Mart #2 NA
Facility/Owner Name Facility IDi1 (if applicable)
691 Seminole Road, Broadway NC 27505
Physical Address, City, and Zip
Lee NA
County Parcel Jdeniification No. (PIN)
" _b, Latitude and Longitude in degrees/minutes/seconds or decimal degrees.
(if well field, one lot/long is sufficient)
35.445233 N 79.044738 w -----------
6. Is (are) the well(s): CtlPermanent or □Tempor:iry
7. Is this a repair to an e:idsting well: □Yes or IZlNo
(f tllis is a repair,j//1 out k-1,own well conSlruction iefannali1111 and el.'plain tire 11a1ure of 1/re
repair u11der #21 remarl.s section or on lire back oflhl,form.
8. Number of wells constructed: _1 _________ _
Fur multiple injecr/o,r or no,r-warer supplJ• weUs O/tlLY with the same construction. )"u can
submit one Jorn,.
50' 9. Total well depth below land surface: __________ ___.(ft.)
For m11/1iple wells /isl nll depths if different (example-3@200' a1td 2@WO')
10. Static water level below top of casing: _N_A _________ (ft.)
/fll-aler /1!1-el is alx>ve cosing, 1,se "+"
11. Borehole diameter: _6_" _____ (in.)
12. Well construction method: __ A_u......:=g_e_r __________ _
(Le. auger, rowy, able, direcq1ush, etc.)
13. FOR WATER SUPPLY WELLS ONLY:
13a. Yield (gpm) _______ Method oftest: _______ _
I For lnlcmal Use ONLY:
J-4: WATER ZONES
! FR0.'\1 TO DESCRIPDON
I
40 ft. 41 ft. Light Tan Medium Sandy SILT
ft. ft.
15. OUTER CASING cro·r multi-cased wcUsl OR LINER r.r i,nnlicablc)
FROM TO T DIAMETER I THICKNESS I l\1ATERL\L
ft. ft, in.
Iii, INNER CASING OR TUBING <eeothemml closed-lo""'
FROM I TO DIAMETER THICKNESS 11-lATERL\L
0 ft. 25 ft. 2" In. Sch40 PVC
ft. ft. in.
_17. SCREE.'f
FROM TO DIAMETER SLOT SIZE THJCKNESS MATERIAL
25 rt. 50 ft. 2" in. 0 .010 Sch40 PVC
ft. ft. In.
.JS.GROUT
FROM TO :MATERL-1.L EMPLACEl\iEi\'T METHOD & re"l,IOUNT
0 ft. 22 ft. Neat Cement 410 lbs. Poured
22 rt. 24 ft. Bentonite 3/8" Pellets 45 lbs.
ft. rt.
19. SAND/GRAVEL PACK(it nnnUcablel
FROM ro MATERIAL EMPL"CEMF.NT METHOD
24 ft. 50 ft. #2silica sand pour
ft. fr.
?D. DRILLING J.OG tnttach lldditionnl sheets if net:css:1n'1
FRO~! TO DESCRll'TIOO: (colo,, b•nlccu. 1<1IVrock m,o. l!fllin siz.c, el<.)
0 ft. 1 ft. Gravel/Pavement
1 ft. 15 ft. Reddish Brown SILT w/gravels
15 ft. 17 ft. Sandy Gravel
17 rt. 25 ft. Reddish Brown/Light Tan Sandy SILT
25 ft. 50 ft. light Tan, Medium Sandy SILT
ft. ft.
ft. ft.
21.REMARKS
,1 , 1 I .• -.
f I ,
22. yrtlfcation: if\✓ JJL {
\__/~u ~ 11/4/17
Signatun:pfCcnificd Well Contractor Date
By si):ni.,/: 1/,fs Jann, I hereby cerrijy 1f,a1 //re well(s) ,....,. (were) constructed in accordance
with 15.4 NCAC OJC .OJO() or 15A Nc,J.C 02C .0200 Well Co11Slnlctio11 Standanfs anti that a
copy of 1/,is record has been provided 10 1/,e well ow11e,·.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
24. Submittal Instructions:
24a. For All Wells: Submit this fonn within 30 days of completion of well
construction to the following:
Division of Water Quality, Information Processing Unit,
1617 Mail Service Center, Raleigb, NC 2,7699-1617
24b. For Injection Wells: In addition to sending the fonn to the address in 24a
above, also submit a copy of this furm within 30 days of completion of well
construction to the following:
m,'ision of Water Quality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supp Iv & Geothermal Wells: In addition to sending the form to
the addrcss(cs) above, also submit one copy of this fonn within 30 days of
13b. ni·s·infiection ••me: A un.. completion of well construction to the county health department of the county L.:::::.::::=:::..::•;,~·r:::=======....'.·~::,m:::0:::":·.=========..l where constructed.
FormGW-1 Nonb Carolina Department of Environment and Natural Resources-Division of \\'atcr Quality Revised Jan. 2013
- 12. Welt construction method:
WELL CONSTRUCTION RECORD
This form can be used rot -single or multiple weals
1. Well Contractor Information:
James D. Barker
Well Contractor Name
3106-A
NC Welt Contractor Codification Nemfie-
Quantex, Inc.
- Company 0Imac
2. Well Construction Permit=: NA
1.Lst aft oppllrohle well consrruroan permits 0,e County. Stale, Variance, eta)
3. Well use (eheckasell use):
Water Supply Well:
°Agricultural
1 Geodlermal (Heating/Cooling Supply)
❑Ind ustri a l/Commercial
° Irri aion
Aron -Water Supply Well:
❑\loniloring
OMunicipal/Pubtic
❑ Residential Water Supply (Single)
°Residential Water Supply (shared)
it Recovery
injection Well:
°Aquifer Recharge
°Aquifer Storage and Recovery
°Aquifer"lest
OEx:petimentel Technology
°Geothermal (Closed Loop)
°Ge'othermal (flea1inWCooling Return)
4. Dare Well(s) Completed: ,I 0/26/1 7
5. Well Location:
Seminole Mart #2
°Groundwater Rcmtdiation
© Salinity Barrier
DSrormwater Drainage
°Subsidence Conrol
❑ Tracer
❑Other (explain under421 Remarks)
MW-16
NA
Facility/Owner Montt Fsci l i ry >DR (it' applicsWle)
691 Seminole Road. Broadway NC 27505
Pttysiea; Address. City, and Zip
Lee
County
NA
Parcel tdentiFicadou No. f..KNII
5b. Latitude and Longitude in degrees/tniautes/seconds er decimal degrees:
iifwell field, one IEVIong is sufficient]
35.445213 lv 79.044736
6. is (arc) the well(s): GlPermanent or °Temporary
7. Is this a repair to en existing well: °Yes or fBNo
- if this is it repair, fin osl I i 5wi: Weil murrruction info: merton and elpluin the. &amen! 01 the
repair under 021 rermaris section or on the bock of ehLr forth.
8. Number of wells constructed: 1
For multiple injection or Leon-xasersupply =oat ONLY wall Mesa/de construction, you can
submit one form.
2. Total well depth below land stv'fuce:
For maniple traits ltsi all depths iifdiij7 rent (ermnple- 3 n[?i7r10' and 2@1 AA)
50'
(ft.]
11. State water level below top of casing; NA (ft,)
1llater filet Ls ads re raying, use •.
11. Borehole diameters 6!! {in.)
Auger
ti,e, auger, rate y, alb le. direct push, etc.}
I3. FOR WATER S LTPPLY WELLS ONLY:
13a_ Yield (gpm) , Method of raw[:
13b. Disinfection types Amount:
For Internal Use ONLY.
14: WATER ZO1ES
1 FROM TO
DESCRIPTION
40 It 42 ft-
ft-
f t.
Light Tan Medium Sandy SILT
15. OUTER CASING (fat multi -cured teener Oft LINER tiranplieshley
FROM To qr.t'1F?EJt _ THICKNESSI MATE: RSAL
fr in.
Ir_
1.6. INNER CASING OR TUBING oleotberrits/ dosed -tools]
FROM 1 TO
0 Fr. 30 ft.
ft.
LT. SCREEN
1'
I THICKNESS
2" tn'I Sch 40
ln.
PVC
FROM I TO l DIAMETER
SLOT RIC
TTf1CKNESS
MATERIAL
30 it• 50 ft, 2„ in.
0.010
Sch 40
PVC
Ft.
FL
to.
IL_ GROUT
FROM }TO
0 rt 26 f►-
1 iriATERIAL EMPLACEMENT ATETHOD & AMOUNTNeat Cement 1 440 tbs. Poured
26 ft. I 28 ri• Bentanite 13/8" Pellets 45 Ibs.
ft- I ft.
19. SAND/CR 1t'F.L PACK Ofapplicehlcl
FROM 1 MATl:RUAL
TO
Et•IPLACEMENT M ETI1 OD
28 't•
50 r'
#2 silica sand
POUF-
rt.
ft.
2a, l)Rtl_L1AG LOC. IMrach a.idtional sneers if ncenur' i
RO=1 TO I OESCRIrrIoN [torn T. riardnrsS so]l!rvck npc_ trole teas rrt.4
0 i Gravel/Pavement
1 rt-
15
n-k
Reddish Brown SILT w/gravels
15
n.
17
ft.
Sandy Gravel
17
rt.
25
25 ft. 50
ft.
fr-
Ft.
ft.
rt. j
Reddish Brown/Light Tan Sandy SILT
Light Tan, Medium Sandy SILT
21. REMARKS
041).- a/A--
22. Crrtilication:
11/4/17
Signature +>f Certified won Contractor Dore
&' Signinti ibis form, I here&a certify Char the well(s) not (were} consrrucled Ire a rnrdunce
!wort IS.s NC -de 02C .0100 or Iit NC. -IC 07C .0200 wen Construction Standards and that a
copy of this record Ito bees provided iu the tell owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary,
24. Submittal Instructions:
24a. For Alt Wells: Submit this form within 39 days of completion of well
construction to the foliowinf;:
Division of Water Quality, information Processing Unit,
1617 Mali Service Center, Raleigh, NC 27699-1617
24h. For Injection Wells: En addition to sending the form to the address in 24a
above, also submit a copy of this loon within 30 days of completion of well
constntction to the following:
Division of Water Quality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
Talc. For Water Sur olv S Geotttermai Wells: In addition to sending the fool to
the addresses) above, else submit one copy of this form within 30 days of
completion of well constriction to the county health department of the county
where constructed.
font., ow..
North Chrvtuln Ucpnrtment ofEnwnnment and N'a=urnt R.:saurr, - isien of Water Qnaliry Revised fan. 2013

WELL CONSTRUCTION RECORD
Thi, form can be used for single or multiple wells
I Well Contra to I ti ti C r n orma on:
James D. Barker
\Veil Contractor Name
3106-A
NC Well Contractor Certification Number
Quantex, Inc.
Company Name
2. Well,ConstnJction Permit#: NA
lis1 all applicable ... ell co,mn,ctlon pennits (i.a. Co11nty, Stale, l'oriancc, etc.)
3. Well Use {check well use):
Water Supply Well:
□Agriculturnl □Municipal/Public
□Geothermal (Heating/Cooling Supply) □Residential Water Supply (single)
□Induslrial/Commercial □Residential Water Supply (shared)
□Jrriim tion
Non'-Water Supply Well:
□Monitoring 12Recovery
lnj ection Well:
□Aquifer Recharge □Groundwater Remediation
□Aquifer Storage and Recoveiy □Salinity Barrier
□Aquifer Test □Stormwater Drainage
□Experimental Technology □Subsidence Control
□Geothennal {Closed Loop) □Tracer
□Geothermal (Heatiog/Coolfng Return) □Other (explain under#2l Remarks)
4. Date Well(s) Completed: 11 /29/17 MW-17
S. Well Location:
Seminole Mart #2 NA
Facility/Owner Name faciliiy ID# (if applicable)
691 Seminole Road, Broadway NC 27505
Physical Addrcs~, City; and Zip
Lee NA
County Pan:el Identification No. (PIN)
~b. Latitude and Lon~itude !n degrees/minutes/seconds or decimal degrees:
(1fwell field, one lot/long IS sufficient}
35.445213 N 79.044736 w -------------
6. Is (are) the wcll(s): @Permanent or □Temporary
7. Is this a repair to an existing well: □Yes or IZJNo
lf tit is Is a repair, fill 0111 kno,m wc1l c,ins1ruction infarmatiun and explai11 /he 11a1ure of tT1c
repair under 1121 rema rks •ection oron tire bock oftl1isform.
8. Number of wells constructed: _1 _________ _
For 11111ltip/e injcclinn or 11m1-water s11pp(1• wells OJVL Y wi1/r the same co11Straci/on. you can
submit 011e form.
50' 9. Total-well depth · below land surface; --c=-,-,-,----,,-------'(ft.)
Far m11lt/ple ll'e!ls list all dept/rs ifdiffen,nt (erample-1@200' and 2@1001
to. Static water level below top of casing: _N_A _________ (ft.)
lfwa/erlm•cl is above casing, r,se "+"
11. Bo.rehole diameter: _6_" _____ (in.)
12. Well construction method: __ A_u_g"'-e_r __________ _
(i.e. auger, rotary, cable, direct push, ere.)
13. FOR WATER SUPPLY WELLS ONLY:
13a. Yield (gpm) _______ Method oftest: _______ _
ror Imemal Use ONLY:
1-s; WATER ZONES
! Jl'ROM TO D£SCRl1'110N
40 fr. 42 ft. Light Tan Medium Sandy SILT
ft. ft.
JS. OUTER CASING(for muld-cased.wells) OR LTNERl lhnnlicablel
FROM I TO I DrAl\tETER I THICKNESS MATERTAL
ft. ft. in.
16. INNER CASING OR TUBING.focotbcrniar<1osod-loon l
FROM TO DIAMETER THICKNESS MATERIAL
0 ft. 30 ft. 2" in. Sch40 PVC
ft. rt. In.
17.SCREEN
FROM TO DIAll!ETER SLOTSIZE THICKNESS MATERIAL
30 ft. 50 ft. 2· la. 0.010 Sch40 PVC
ft. ft. in.
18.GROUT
FROM TO MATERIAL EM'PLACEllfENTMEl'HOJ> & A,'IIOUNT
0 ft. 26 ft. Neat Cement 440 lbs. Poured
26 ft. 28 ft. Bentonite 3/8" Pellets 45 lbs .
ft. fr,
19. SANDIGRAVEL PACK(ifnnnlicablcJ
moM TO MAlERJAL EMPLACEMENT METHOD
28 n. 50 ft. #2 silica sand pour
ft. ft.
.?.O. DRILLING 1,0G (nn~ch ndilir iouul sbcctt if ••cm11n•I
FRO,\l TO OESCR.ll'TIO~I C:Otor. t111nln111. sourroc.k f\'Dt. cntn sl:z. ftc.l
0 ft. 1 rt. Gravel/Pavement
1 ft. 15 ft. Reddish Brown SILT w/gravels
15 ft. 18 ft. Sandy Gravel
18 ft. 25 ft. Reddish Brown/Light Tan Sandy SILT
25 ft. 50 ft. Light Tan, Medium Sandy SILT
ft. ft.
rt. ft.
21.REMARKS
.// /I }
22.<;,irti cation: r j ! J #},"-j_ ifI7:2L ,211111
Signature ~fCertified Well Contr.actor -D-at_c _____ _
IJJ• signin~ this fon11. I hereb)• ccrtifj• that tire well(.<) nm (wercj co11s1ruc1cd i11 accurdrmce
with I JA NCAC 0lC .0100 or J SA NCAC 02C .0200 Well Consrruction Standards and that a
copy of this record lras been provided IQ lire well owner.
23. Slte diagram or additional well details:
You may usi: thi: back of this page to provide additional well site details or well
construction details. You may also attach additional pages if ncccssmy.
24. Submittal Instructions:
24a. For All Wells: Submit this fonn within 30 clays of completion of well
construction to the following:
Division of Water Quality, Information Processing Unit,
1617 Mail Sen•ice Center, Raleigh, NC 27699-1617
24b. For lniection Wells: fu addition to sending the fonn to the address in 24a
above, also submit a copy of thls form withiD 30 doys of completion of well
construction to the following :
Division of Water Quality, Underground Injection Control Progrnm,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supplv & Geothermal Wells: In addition to sending the fonn to
the address(es) above, also submit one copy of this form within 30 days of
13b. Disinfection type: Amount: completion of well construction to the county health department of the county :..:::.::..:2::::::::::.::~::.::=======-_:::::::::::.::========J where constru.cted.
FormGW-1 North Carolina Department of Environment and Notwal Resources -DMsion ofW'11cr Quality Revised Jan. 2013