WI0700423_DEEMED FILES_20160202

D ~
WELL CONSTRUCTION RECORD
·n,is fonn con be used for single or mult iple wells
I. Well Contratlor Information:
D.T. Chalmers, Jr.
Wdl Contractor Name
4146A
NC Well Contractor Conificut ion Number
CATLIN Engineers and Scientists
Company Nome
2. Well Construction Permit#: NIA
L,s1 u/1 upphcr.dJ/1! 1r d/ ~111111s (1 ,., _, 0 1111~~~-Stutt!, l'e1n,m,:~. ilf}i.'Cfld ll. t.l/,·_j
l. Well l se (check well use):
Water Supply Wdl:
□Agricultural □Municipal/Public
□Geothermal (Heating/Cool ing Supply) □Resl dential Wnter Supply (smgle)
D Industrial/Commercial □Residential Water Supply (shnred)
Olrri!!lltion
Non-Water Supply Well:
□Monitoring □Recovery
Injection Well:
□Aquifer Recharge IZIGroun _dwater Remediation
□Aquifer Siorage and Recovery □Salinily Barrier
□Aquifer Test OStorrrwaler Drainage
□Experimental Technology □Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothermal (Heati nl!!Coolin e. Return) 11'.lOther (explain under #21 Remarks)
-1. Date Well(s) Completed: 12/29/2015\Vell ID# 1 00PB02
Sa. Well Location:
MCAS Cherry Point-Pit 6 NIA
Fncility:0wncr Name Focility ID# (if applicable)
MCAS Cherry Point, Havelock, NC
Physical Address. City. nnd Zip
Craven NIA
County Parcel Identification No. (PIN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if'well field. one la~long is sufficient)
34.898075 N 76.888486 w
6. Is (are) the well(s): @Permanent or □Temporary
7. Is this a repair to an existing well: 0\'es or ~No If 1/11,J u <I r,.-pmr.jUI m,r kmm·n 1h.d/ l't11u·trut:1 ;t11J mfm·mc,dou um/ 1.~tp/t1w 1h1.• wm,rt! a/ 1hc
rL'fkllr umf,u 21 ~n,arlts st•e wm or mi ilk! but:i of ,l11s f arm .
8. Number or wells constructed: _1 _____ .....,. ____ _
F.1r muh,ph-llljl!l•t i tJn or JWJI -WUll"'r ,VII('/,(\• 1r-d/x. ONI~ )' u·-tl1 thi.s .,·om~ c:mutructim,. y ,i11 t,'tln
.wb11111 cme,fcirm ,.
9. Total well depth below land surrffe: 17 · 5 (ft.)
/•or 11m/opf,., wdls hs t "" ,IL'pths ifd,ffer,,m (1t.:rttt1tp/,:-J!!""i ]tJlr ancl 2 1.l /UO')
IO. Slatk water lenl below top of casing: _1_0 __________ (fl.)
If ,,·u1,•r h,.,,l!f n· abcn ·t! ca-;mg, lll'L' ·+ •·
11. Borehole diameter: 8.25 (in.)
12. Well construction method: H.S. Auger -----------------(. i. ~. ~••· ro101y. coble. dire ct push. etc. I
FOR WATER SlPPL\ WELLS ONL\':
Ila. \'ield (gpm) ______ _ Method ortest: _______ _
!for Internal Uso ONLY·
1-l. WATER ZONES
FROM TO Dt:SCRIPTION
rt. ft.
rt. ft.
15. OUTER CASING t for mul1kued wells • OR LINER (ihnn lieable l
FROM TO DIAMETER I THICKNESS I MATEIUAL
0 r1. 16.5 r1. 1 in. Sch.40 PVC
16. INNER CASING OR TUBING ••eolhermal dased-loon\
FROM TO DIAMETER TIIICKNESS MATERIAL
ft. rt. In.
ft. rt. In.
17.SCREEN
FROM TO DIAMETER SLOT SIZE TIIICKNESS MATERIAL
16.5 rt. 17 .5 rt. 1 in. Slot .010ir Sch. 40 PVC
fl. ft. in.
IS.GROUT
FROM TO MATERIAL E~IPLACEMENT METHOD & AMOUNT
2.5 ft. 15 .5 ft. Portland Cem Surface Pour
15.5 r1. 16.0 ft. Bentonite Surface Pour
ft. ft.
Ill. SAND/GRAVEL PACKl iFan nllcablel
FROM TO MATERIAL EMPLACEMENT METHOD
16.0 f't. I 17 .5 ft. #2 Med. Torpedo Surface Pour
fr. ft .
10. DRJLLING LOG •attach •dditlon ■l 1htt11 ir n'""'°nl
f'ROAI TO DESCRIPTION 1ular. h.anlnn,. talUrock 11 rw, ■rain slu.etc,)
ft. ft.
fl. ft.
f't. ft.
fr. ft.
ft. ft.
ft. ft.
ft. ft.
21. REMARJ.S
Air injection well (17 .5') r n.c,pr £) .. '4tefr4 7, ~ l ·2-lb sr IUIIUl'C ofCenified Well Contrac1iil Date
Hy .1ig11mg 1l11:r f orm, I ht!r L•by CL1r11/y 1h01 the! 1h:ll(s) u,n· 111 1.•n"J ,umu,n.~1"..J in "''L,1rd1111t.'I!
11·11h /5,1 /\'C.~C 01(' .0/fJO ,,, /5,1 NC ~C OlL ,Ol/JU II',•// t .uI1Y1nIct1<m S1,mdard1 wul 1hu1 a
WP,_\ ofJl,;s r11c11rtl hus bL't!II pn>1•1dc!d lr1 1/J,: w,dl ow11,:r,
23. Site diagram or 11dditional well details:
You may use the back of this page to provide additional well site details or well
construction details . You may also attach addit ional pages if necessary .
Sl,BMITTAL INSTl'CTIONS
2-la . For All Wells: Submit this fonn within 30 days of completion of well
construction 10 the following :
Division of Water Resources, lnform11tion Proc:essiog Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
2-lb. For ln 1ectiori Wells ONL\': In addition to send ing the form to the addre ss in
24a above. also submit a copy of this form within JO days of completion of well
construction 10 the following :
Division of Water Resources, l 'nderground Injection Control Program,
1636 Mail Sen•ice Center, R11lelgh, NC 27699-1636
2-lc. For Water Su ppl\• & In jection Wells:
Also submit one copy of this form within JO days of completion of llb. Disinfection ty 11e: ,\mount: well construct ion to the county health department of the county where t..:.:.::_:,::::::_:::.::::.::...::'...'.::.:_=======~:.:_::=::_:::..=========J constructed .
FurmGW-1 North -C'aro li na D~pnnmerit o fEn\"1ronmcnt :ind Natural Resources Dh·ision ofW:uer R!!sources Ro,-is.-d Au~ust 201J
WELL
LOG
�ztrr CATLIN
Engineers ann Scientists
vrtiuc SHEET 1 OF 1
PROJECT NO.: 215077.01
STATE NC : COUNTY: Craven
LOCATION: Havelock
PROJECT NAME:
LOGGED BY: Richard Catlin
WELL ID:
MCAS Cherry
Point - Pit 6
DRILLER D.T. Chalmers. Jr.
NORTHING: 424568
EASTING: 2633068 CREW: CATLIN
700PB02
SYSTEM: NCSP NAD 83 (USft)_
BORING LOCATION: Pit 6
T.Q.C. ELEV.:
DRILL MACHINE:CME 456 TRACK
METHOD: H.S. Augers a HOUR DTW: N/A
TOTAL DEPTH: 17.5
START DATE: 12/29/15
FINISH
DATE: 12/29/15 124 HOUR DTW: N/A
WELL DEPTH: 17.5
DEPTH
BLOW
o.sa
o.s1t
COUNT
o.sn
D.sa
OVA
(PPm)
LAB
o
s
L
G
SOIL AND ROCK
DEPTH DESCRIPTION
WELL
DETAIL
0.0 LAND SURFACE
0.0
O. 0
AA--
• ;,,
Dark Topsoil/Silty SAND
0.9
0.0
-
HA
HA
HA
HA
riz
i
(CL-ML) - Brown, Low/med. Plast. Silty CLAY
1- to Ci�y SILT �, _
2•5 (SM-CL) - Brown, Silty SAND to Sandy CLAY
—
o'
a'
2 s
rif
—
3.6
ii(SCISM) - Dark Brown, Clayey/Silty SAND0
-
-
—
a 5 (SM) - Brown, Silty SAND
-
li
(SM) - Greenish gray, Silty SAND grading to
include interbedded clay layers
5,5
it
6.0
HP
HP
3
3
I
(SMICL) - Greenish gray, Silty SAND with
interbedded clay layer
7.5
p
0
2
2
4
(OUCH) - Gray, interbedded Silty CLAY and
9.3 low plast. CLAY.
�
-
9.5
HP
HP
HP
4
(SP) - White, med. SAND. Poorly graded.
Strong HCO.
11.5
_
11.5
—
HP
3
3
3=
13.5
HP
-
HP
HP
HP
(SP) - Tan grading to gray, f. SAND grading to
med. SAND.
Strong HCO.
—
-
-
—
=_
- 16.6
15.5
2
4
4
..
17.5
-
—
16.5or�
od=
oe=
17.6 °
2 18A
-
? 17-6
17.5
BORING TERMINATED AT DEPTH 17.5 ft
Fo
OCaarse Gravel Pack E
Portland Cement
i
Bentonite Grout E:I#2 Medium Sand

D te,ry e4-
INJECTION EVENT RECORD
North Carolina Department of Environment and Natural Resources — Division of Water Resources
Permit Number WI07004 2 3
Permit Information
Cherry Point MCAS
Permittee
Ei efinq Pit-6
Facility Name
Bt�llitl .3.9.91, A Street, MCAS
Facility Address
Injection Contractor Information
Jason Catlin/ CATLIN Engineers & Scientists
Injection Contractor / Company Name
Street Address 1044 Washington St.
Raleigh
City
NC
State
( 919 ) 838-2875 _
Area code — Phone number
27605
Zip Code
. Well Information
Number of wells used for injection 1
Well names 100PB02
Were any new wells installed during this injection
event?
®Yes ❑No
If yes, please provide the following information:
Number of Monitoring Wells
1
Number of Injection Wells 1
Type of Well Installed (Check applicable type):
❑ Bored ® Drilled ❑ Direct -Push
❑ Hand -Augured ❑ Other (specify) _
Please include a copy of the GW I form for each
well installed.
Were any wells abandoned during this injection
event?
ID Yes ®No
If yes, please provide the following information:
Number of Monitoring Wells
Number of Injection Wells
Please include a copy of the GW-30 for each well
abandoned.
Injectant Information
Ambient Air
Injectant Type
Concentration N/A
If the injectant is diluted please indicate the source
dilution fluid. N/A
Total Volume Injected
2.412 cubic feet
Volume Injected per well
5. Injection History
Injection dace(s) 1112/ 16
Injection number (e.g. 3 of 5) 1
Is this the last injection at this site?
❑ Yes ® No
I DO HEREBY CERTIFY THAT ALL THE
INFORMATION ON THIS FORM 15 CORRECT TO
THE BEST OF MY KNOWLEDGE AND THAT THE
INJECTION WAS PERFORMED WITHIN THE
STANL RDS LAID OUT IN THE PERMIT.
51? /5//‘
StGA►?4TURE OF 1NJECTI ONTRACTOR DATE
Jason Catlin
PRINT NAME OF PERSON PERFORMING THE INJECTION
Submit the original of this form to the Division of Water Resources within 30 days of injection.
Attn: UIC Program, 1636 Mail Service Center, Raleigh, NC 27699-1636, Phone No. 919-S07.6464
Form LIIC-lER
Rev. 8/5/2013

Rogers, Michael
From: Harrison CIV Elizabeth R elizabeth.harrison©usmc.mil>
Sent: Monday, January 04, 2016 2:09 PM
To: Rogers, Michael
Subject: RE: WI0700423 NOI Fueling Pit 6
Attachments: 1OOBPOI_WELL_LOG,PDF: 1O0BP01_Signed Well_Con_Record.pdf; Injection Event Record
1.pdf
Good Afternoon,
Please find attached 1) the well construction record (GW-1) for Well ID# 100PB01 and 2) the Injection Event Record (IER)
for an injection of ambient air on 12/8/15. Also, we are planning on conducting a second pilot test on this same well,
possibly on 1/12/16, that will require another injection of ambient air. An IER will be submitted for that event upon
completion.
Please let me know if i can provide any additional information or answer any question you may have.
Respectfully,
Elizabeth Harrison
Restoration & Recycling Division
Environmental Affairs Department
MCAS Cherry Point, NC
252-466-4562
[e-mail]
-- Original Message --
From: Rogers, Michael[mailto:[e-mail]]
Sent: Tuesday, December 01, 2015 2:01 PM
To: Harrison CIV Elizabeth R
Cc: May, David; Tankard, Robert
Subject: INon-DoD Source] WI0700423 NOI Fueling Pit 6
Thank you for submitting the Notice of intent to Construct or Operate Injection Wells (NOI) for the Fueling Pit 6 site
located near BLDG 3998, MCAS Cherry Point, Craven County, NC 28533. The Central Office of the WQRO5 received your
complete NOI on November 23, 2015_
Please note the following:
Please remember to submit the following regarding this injection activity.

1) Well Construction Records {GW-1) and Abandonment Records (GW-30) when completed. Please provide copies of
the GW-1s and GW-30s if not already submitted {originals go the address printed on the form). NOTE: Direct push or
Geoprobe wells are considered wells and require construction (GW-1) and abandonment forms (GW-30). If well
construction/abandonment information is the same for the wells, only one form needs to be completed-just indicate
total number of injection points in the Comments/Remarks section of form. These forms can be found on our website at
http:// po rta I. ncden r .o rg/web/wq/ a ps/ gwpro/ re po rti ng-fo rms <http:// po rta I. ncde n r. o rg/web/wq/ a ps/ gwpro / reporting-
fo rms>.
2) Injection Event Records {IER}. All injections, including air and passive systems require an IER. The IER can be
modified for air sparge wells {e .g., air flow 'continuous' for date or rate of injection, etc.).
You can scan and send these forms directly to me at [e-mail] <mailto:[e-mail]>,
send by fax to my attention at 919-807-6406, or via regular mail to address below. When submitting the above forms,
you will need to enter the nine-digit alpha-numeric number on the form (i.e., WIOXXXXXX) that has been assigned to the
injection activity at this site. This notification has been given the deemed permit number WI0700423. This number is
also referenced in the subject line of this email. You may if you wish, scan and send back as attachments in reply to this
email, as it will already have the assigned deemed permit number in the subject line.
Also, in the future please email an electronic copy of a NOi to me followed up with hard copy via USPS.
Thank you for your cooperation .
Michael Rogers, P.G. {NC & FL)
Underground Injection Control {UIC) Program Manager -Hydrogeologist
NCDEQ -DWR
Water Quality Regional Operations Section
1636 Mail Service Center
Raleigh, NC 27699
Direct No . 919-807-6406
http:// po rta I. ncd en r.o rg/we b/wq/a ps/gwpro/reporti ng-fo rms < http://po rt al . ncde nr.o rg/web/wq/a ps/ gwpro/ reporting-
fo rms >
2
NOTE: Per Executive Order No. 150. all e-mails sent to and from this account are subject to the North Carolina Public
Records Law and may be disclosed to third parties.
3
INJECTION EVENT RECORD
North Carolina Department of Environment and Natural Resources — Division of Water Resources
Permit Number WI0700423
1 Permit Information
Cherry Point MCAS
Permittee
Fueling Pit-6
Facility Name
Building 3998, A Street, MCAS
Facility Address
2. Injection Contractor Information
Rick Catlin / CATLIN Engineers & Scientists
Injection Contractor / Company Name
Street Address 1044 Washin.:ton St.
Raleigh NC
27605
City State Zip Code
( 919 ) 838-2875
Area code — Phone number
3. Well Information
Number of wells used for injection 1
Well names 104PBOI
Were any new wells installed during this injection
event?
® Yes No
If yes, please provide the following information:
Number of Monitoring Wells 1
Number of Injection Wells _ 1
Type of Well installed (Check applicable type):
❑ Bored E Drilled ❑ Direct -Push
❑ Hand -Augured ❑ Other (specify) _ _
Please include a copy of the GIV- 1 form for each
well installed.
Were any wells abandoned during this injection
event?
❑ Yes ®No
If yes, please provide the following information:
Number of Monitoring Wells
Number of Injection Wells
Please Include a copy of the GW-30 for each well
abandoned.
4. Injectant Information
Ambient Air
lnjectant Type
Concentration NIA
If the injectanl is diluted please indicate the source
dilution fluid_ N/A
Total Volume Injected 10,625 cubic feet
Volume Injected per well
5. injection History
Injection dates) 12 /8/ 15
Injection number (e.g. 3 of 5) I
Is this the last injection at this site?
❑ Yes No
l DO HEREBY CERTIFY THAT ALL THE
INFORMATION ON THIS FORM IS CORRECT TO
THE BEST OF MY KNOWLEDGE AND THAT THE
INJECTION WAS • . ' • a RMED WITHIN THE
STANDARD L ' - Q i IN THE PERMIT,
Rick Catlin
PRINT NAME OF PERSON PERFORMING THE INJECTION
Submit the original of this forrn to the Division of Water Resources within 30 days of injection_
film: UIC Program, 1636 Mail Serwce Center, Raleigh, NC 27699-1636, Phone No. 919-807-6464
Forrn UTC-IER
Rev. 8 5:2013

WELL CONSTRUCTION RECORD
This son ran be used for stogie or multiple well
1. Well Contractor Information:
D.T. Chalmers, Jr.
1�e1! Conftaaei 'wane
4146A
NC Well Contractor CertificatioriNumber
CATLIN Engineers & Scientists
Crlmpony Nome
2. Well Construction Permit #: N/A
L(sr all appeasers: well permits ite. Cat++arp. &O . i'arw.re. lrycruaa, ere.)
3. Well Use (checkmefl use):
li-nter Supply Weil:
°Agricultural
°Geothermal (Hcating,Coaling Supply)
❑ lndnstnal Kornm ere htl
Obligation
❑il Iunicipu I.Pultiio
°Residential WStrcrSupply (single)
❑ Res ide tial ll•aler Supply (shored)
Non -Water Supply Well:
DMoniloriag ❑Re omar3
Injection Well:
°Aquifer Recharge
f3Aoinifcr Stnmot and Recover.
❑Aquifer 7 est
DENperimentnd Technology
❑Geothermal (Closed Loop)
Groundwater Remedintion
°Salinity Farrier
O Stotmwater i)rain a oe:
DSubsidence Control
Carus er
l7Ccnlhrrrnal ifiwtingrCoolio8 Rr torn) 6Odter (esinitin under 421 Rcmw'i:s}
4. Drrtr Well() Completed: 11125/15 Well ID 1OOP8OI
Se. Well Location:
MCAS Cherry Point N/A
Fnci1 in•fQw rcr Na' !nit
Fueling Pit-6 on Flightline
Facility- ID41 i i applienble4
Physical. Address. City, and Zip
Craven
N/A
County ferret feces 3icationNo. [f'F' 3
5b. Latitude and Longitude in do rcea/uaioutegroceonds err decimal degrees:
(if well field one leu::nrp is s> cient)
34.898056534 N-76.888497275
6. (are) the we1I(s): iz.Per•rrraneett or Oren:mew-try
t1=
7.1s this a repairto an cxis(itwed: Okee ur EAta
if this is a repair, fill rrur Ana t.ri call Canstrurtiorr rnfaro:Ogon and o pintn the rmnur Viler
reprdr under k21 remark: vrrriar. or On !kr burnt,' efllrrs fgrnr.
fr. Number of welts constructed: 2
For malh& f lied inn err arei 'Imresiizp1i 15'r;lrs ONLl'uith the seine eerurrrtdan, you rQn
srnGgrk oar form.
9. final well deprh below land surface: 1 @35afltl1� (ft )
Tor +aaltiln+r Ivelh liar on Oe Mhs +r iiJ7errnr Icrmr+ple- 3 117'r1•rd '@I 90')
1e. Static %SUITE 1c1.el below top ',Teasing: 10' (h.)
iftwo..r kiwi +sshot-. easing, est,
i 3. Burrhair diameter: S'25 (ter)
12. Welt ronstrurtion method: H.S. Augers
(r.e. auger roan•, chic, direct push etc)
FOR WATER SUPPLY WELLS ONLY:
1311- Yield (g pm)
I3 h. Disinfection Type:
Method ut•leCt-
Amvtrnt:
rear interred Use MIN,
i4. WATER ZONT1M
FROM i TO
DESCRIPTION
ft. 4 rt.
lit_ ! fL
Li. OVTFBI CASING lfor multi-msed sailer 011 LINER of a}rplFnbkt
PROM 1 TO DIAMETER THICKNESS MATERIAL
o iL 1 35 n.
1 in' i Sch. 40 PVC
16. INNER CA6"1NG OR TUBING :geothermal elnted. op)
PROM I TO DIAMETER 1 Tki1ClLirss MATERIAL
it R. in I
ft. R. I in
17. SCREEN
PROMS
TO I DIA113ETER
SLOT SIZE
THICi:AI S
MATERIAL
7 ft-
10 rt 1 '"'
.010
Sch.40
PVC
33 IL
35 rl' 1 ill
.010
Sc11.40
PVC
i$. GROUT
PROM
TO
MATERIAL I EMPLACEAELVT MSTHOD & AMOUNT
0 rL
VP fL
Portland cemi Surface Pour
70.5 It•
31 It-
Portland ceme Surface Pour
31 rt.
32 rt.
Bentonite ,Surface Pour
119.SWNAIGrtATELPACgj LikableI
FROM t TO MATFRIAl.
o n.
I FiFLac4 1EST MMltOA
10.5 rL #2 Med. Torpedo ; Surface Pour
132
ft. 35.5 n. #2 Med. Torpedo ?
20. DIiTL'LLNG LOG :attach addditionai shear if u rue ..)
FRAM TO DESCR]F'rl[•. (eeler, Iiardnew, seiilrai: tC't•e. rate vim wet
Surface Pour
ft.
ft.
R.
it.
ft.
ft.
it..
fi.
fr.
fl.
rt.
n.
rL
ec
r1.
31. REMARKS
Aft injection well (35`)
Vadose zone monitoring well (10')
22. Certriation:
5ir44of Certified Well Cono-s a
Z _2 ?-10/5-
lane
1h signing rtiLr farm. 1 ..'.:( that !ha Irene% I I (urr,-? co/tarn/GM r t arcrirdnrrre
Hire I14 NC4C 02C.['U it or 13r1 A'CdCP2c.1l20 reek Cons•rurrion Stardard. and the: a
rigry of e1.is necarri hcs burn provided ra the null [r:grr.
23. Site diagram ur additional n ell details:
You may: use the back of this page to provide additional well site details or well
construction delmis. 'You :nay also :mach oddilii]r:Ai pages if n eCtS1RT .
SUBMITTAL INsre 11ONS
24a. For All 'Wells: Submit this form within 30 da3a of completion of cavil
construction w the following:
Division ort1rater Resources, lntprrrration Proreasitw Unit.
1617 Mail Service Center. Raleigh, NC 27699-1617
24h. For Injection Wells ONLY: in addition In acrding the farm to the address in
2ao abort also sahmit a copy of this form within 30 days of completion of well
construction to the following:
Division of Water Resources, Underground Injection Co i rwl Program,
1636 Mail Service Center. Raleigh, NC27699.1636
2-k.. For Water .t+Ul+triv & injection Shells:
Also submit one eOpy of this form within 30 days of completion of
well construction to She courtly health department of the t:oumv where
rc*i rrucied.
Nouns: Cleofina Department of Environment an
d Natural Resources - Division of:Notes iiesourns trey tsal ?.ugan 2or3

CATLIN
WELL
LOG
Engineers and Scientists
490
w' NC SHEET 1 OF 1
PROJECT NO.: 215077.01 I STATE:
NC I COUNTY: Craven
LOCATION: Havelock
PROJECT NAME:
LOGGED BY: Shawn McGuire
WELL ID:
MCAS Cherry
Point - Pit 6
DRILLER: D.T. Chalmers, Jr.
NORTHING: 424561
EASTING:
2633065
CREW: CATLIN
I OOPBO'I
SYSTEM: NCSP NAD 83 (USft)
BORING LOCATION: PIT-6
T.O.C. ELEV.: 26,71
DRILL MACHINE= CME 45B TRACK
METHOD: H.S. Augers
O HOUR DTW: N/A
TOTAL DEPTH: 35.5
START DATE: 11/23/15
FINISH DATE: 11/25/15
24 HOUR DTW: N/A
WELL DEPTH: 35.0
DEPTH
BLOW
0.5ft
0.5ft
COUNT
0.5ft
nsa
OVA
(PPm)
o
s
L
G
SOIL AND ROCK
DEPTH DESCRIPTION ELEVATION
WELL
DETAIL
0.0 LAND SURFACE 26.7
1.0
o_o
0.0 _
-
G
R
AB
;I':;;
1_
.;.1:
(SW) - Brown orange, Clayey, f. SAND
wlconcrete frags.
-
3.5i.a
5
5
7
5
_
4.0 72.E
111�
_
= T 5.0
5.5
-
HP
HP
3
3
1P
6.0 (SM) - Greenish gray, Silty SAND grading to 20.7
include interbedded clay layers
`
;4 6.0
7.5 _
-
-
w
0
H
w
0
H
2
2
1
r an 18.7
(CLJCH) - Gray, interbedded Silty CLAY and
s.3_ Iow plast. CLAY. 17.4
-
-
�:;:
as
:; N
...
(SP) - White, med. SAND. Poorly graded..
i1.5 Strong HCO. 1�.z
;
`
:
IOJ
9.5
_
HP
HP
HP
4
(SP) - Tan grading to gray, f. SAND grading to
=
_
11.5
_^
HP
3
3
3
13.5 -�
HP
HP
HP
HP
med. SAND.
Strong HCO.
t5s tt.z
-
-
=o
_ _
_ a
15.5
1
rj
4
2
4
4
t
-
4 t:
4
-- N
17.5 -
-
1
4
4
5
Fed_
tCL) - CLAY layer
"`
19.5 _
7
HP
HP
4
5
;a':
`r
(SW) - Gray. med_ SAND w/silt laminations
--
-_
21.5 ,
-
2
4
4
5
:..
232 3.5
_ E
- -
=-
.g
ti
r
1
(SM} - Tan gray, Silty SAND
25.5 1.2
-.
23.5
-
HP
HP
, HP
HP
25.5
' -4
127.5
2
4
5
- •'
_
5
7
9
HP
"'
(SW) - Gray, med_ SAND wlsilt laminations
-
_-
29.5
--
7
9
12
11
,
30.5 -3.8
--
- -
38.8
31.5 J
4
4
4
6
(SP) -Gray to black, med_ SAND_ Slight HCO
at bottom of statum.
,o _=
31.8
_›
g
33.5
-HP
HP
HP
HP
''
N0
C
--"
5 (MO- Creen gray, SILT to v.f. SAND w/tr. shell $ '
;frags. Slight HCO
_ 34
35-5 �
-'
BORING TERMINATED AT
ELEVATION -8.8 ft ON SILT
Portland Cement
Bentonite Peaet4 7 ! #2 Madiwn Sand

Central Files APS _ SWP
12/1/2015
Permit Number WI0700423 Permit Tracking Slip
Program Category
Deemed Ground Water
Permit Type
Injection Deemed Air Weil
Primary Reviewer
michael_rogers
Coastal SWRuIe
Permitted Flow
Facility
Status Project Type
Active New Project
Version Permit Classification
1.00 individual
Permit Contact Affiliation
Facility Name
Fueling Pit 6
Location Address
Fueling Pit 6 Bldg 3998 A 5t
Cherry Point
Owner
NC 28533
Najor/Minor Region
Minor Washington
County
Craven
Facility Contact Affiliation
Owner Name
George
Oa tes/Events
W Radford
Owner Type
Individual
Owner Affiliation
George W. Radford
Affairs Environmental Officer
Psc Box 8006
Cherry Point
NC 28533000
❑rig issue
12/1/2015
App Received Draft initiated
11/23/2015
Scheduled
Issuance Public Notice Issue Effective
12/1/2015 12/1/2015
Regulated Activities Requested /Received Events
Groundwater remediation
duffel!
Expiration
Waterbody Name
Stteamindex Number Current Class Subbasin

_Ro g ers, Michael
From:
Sent:
To:
Cc:
Subject:
Rogers, Michael
Tuesday, December 01, 2015 2:01 PM
'[e-mail]'
May, David; Tankard, Robert
WI0700423 NOi Fueling Pit 6
Thank you for submitting the Notice of Intent to Construct or Operate Injection Wells (NOi) for the Fueling Pit 6
site located near BLDG 3998, MCAS Cherry Point, Craven County, NC 28533. The Central Office of the WQROS received
your complete NOi on November 23, 2015.
Please note the following:
Please remember to submit the following regarding this injection activity:
1) Well Construction Records (GW-1) and Abandonment Records {GW-30) when completed. Please provide copies of
the GW-ls and GW-30s if not already submitted (orig inals go the address printed on the form). NOTE: Direct push
or Geoprobe wells are considered wells and require construction (GW-1} and abandonment forms (GW-30). If well
construction/abandonment information is the same for the wells, only one form needs to be completed-just
indicate total number of injection points in the Comments/Remarks section of form. These forms can be found on
our website at http:ljoortal.ncdenr.org/web/wq/aps/gwpro/reporting-forms.
2) Injection Event Records (IER). All injections, including air and passive systems require an IER. The IER can be
modified for air sparge wells (e.g., air flow 'continuous' for date or rate of injection, etc.}.
You can scan and send these forms directly to me at michael.ro gers@)ncdenr.g ov, send by fax to my attention at 919-
807-6406, or via regular mail to address below. When submitting the above forms, you will need to enter the nine-digit
alpha-numeric number on the form (i.e., WI0XXXXXX) that has been assigned to the injection activity at this site. This
notification has been given the deemed permit number WI0700423. This number is also referenced in the subject line of
this email. You may if you wish, scan and send back as attachments in re p ly to this email, as it will already have the
assigned deemed permit number in the subject line.
Also, in the future please email an electronic copy of a NOi to me followed up with hard copy via USPS.
Thank you for your cooperation.
Michael Rogers, P.G. {NC & FL}
Underground Injection Control (UIC) Program Manager -Hydrogeologist
NCDEQ-DWR
Water Quality Regional Operations Section
1636 Mail Service Center
Raleigh, NC 27699
Direct No. 919-807-6406
_http://portal.ncdenr.org/web/wq/aps/gwpro/reporting-forms
NOTE: Per Executive Order No. 150, all e-mails sent to and from this account are subject to the North Carolina Public
Records Law and maY be disclosed to third parties.
Ro gers, Michael
From: Rogers, Michael
Sent:
To:
Tuesday, December 01, 20151 :55 PM
May, David; Tankard, Robert
Subject:
Attachments:
Please find attached a NOi>
-----Original Message----
FW: WI0700423 NOi
20151201132103390.pdf
From: Michael Rogers [mailto:[e-mail]]
Sent: Tuesday, December 01, 2015 1:21 PM
To: Rogers, Michael <[e-mail]>
Subject:
This E-mail was sent from "RNPAC7DD0" (Aficio 2075).
Scan Date: 12.01.2015 13:21:03 (-0500)
Queries to: [e-mail]
1
UNITED STATES MARINE CORPS
MARINE CORPS AIR STATION
POSTAL SERVICE CENTER BOX 8003
CHERRY POINT, NORTH CAROLINA 28533-0003
IN REPLY REFER TO:
5090/13823
LN
November 18, 2015
Mr_ Michael Rogers
UIC Program
Aquifer Protection Section
North Carolina Division of
Water Quality
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Dear Mr. Rogers:
The enclosure (2 copies), NOTIFICATION OF INTENT TO CONSTRUCT OR
OPERATE INJECTION WELLS for Underground Storage Tank (UST) Fueling Pit 6
Petroleum Release Site (North Carolina Groundwater Incident No. 31501),
is provided for your review and action. This Notification is being
submitted for the construction of a pilot test well that will be
utilized to inject ambient air into the surficial aquifer as described
in the enclosure. The data collected from the testing performed on this
well will be utilized to evaluate the feasibility of a bio-pulse air
sparge remedial system for the Fueling fj..t.,___§____Jil1_e located aboard Marine
Corps Air Station Cherry Point, ~rolin a.
We appreciate your time and attention to review and process this
Notification package. If you have questions or require additional
information, please contact Ms. Elizabeth Harrison at [phone] or
by email at [e-mail].
Encl:
Copy:
RECEIVEO/DENR/DWR
NOV t 3 2015
W'3ter QuatJty RegJc,nal
OperatlonsSectton
Sincerely,
CJ;)
G. W.
Environmental Affairs Officer
By direction of the
Commanding Officer
NOTIFICATION OF INTENT TO CONSTRUCT OR OPERATE INJECTION WELLS
for Underground Storage Tank (UST) Fueling Pit 6 Petroleum
Release Site (North Carolina Groundwater Incident No. 31501),
Marine Corps Air Station Cherry Point, North Carolina, November
18, 2015
Ms. Sylvia Newson-Hunneke (without enclosure)
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
NOTIFICATION OF INTENT 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 15A NCAC 02C .0200. This form shall be submitted at least 2 weeks prior to iniection.
AQUIFER TEST WELLS (15A NCAC 02C .0220}
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION 05A NCAC 02C .0225) or TRACER WELLS (15A NCAC 02C .0229 ):
1) Passive Injection S ystems -In-well delivery systems to diffuse injectants into the subsurface. Examples include
ORC socks, iSOC systems, and other gas infusion methods.
2) Small-Scale Injection O p 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 Injection Wells -Used to inject ambient air to enhance in-situ treatment of soil or groundwater.
'Print Clearly or Type Information. Illegible Submittteeat~-WRmplete.
DATE: November 18, 2015 PERMIT NO. lJJ:OrVD t d J (tobefilledinbyDWR)
A.
NOV 2 3 2015
WELL TYPE TO BE CONSTRUCTED OR OPERA TE Water Quality Regional
Operations Section
(1) X Airlnjection Well ...................................... Complete sections B-F, K, N
(2)
(3)
(4)
(5)
(6)
___ Aquifer Test Well ....................................... Complete sections B-F, K, N
___ Passive Injection System ............................... Complete sections B-F, H-N
___ Small-Scale Injection Operation ...................... Complete sections B-N
___ Pilot Test ................................................. Complete sections B-N
___ Tracer Injection Well. .................................. Complete sections B-N
B. STATUS OF WELL OWNER: Federal Government
C. WELL OWNER -State name of entity and name of person delegated authority to sign on behalf of the
business or agency:
Name: George Radford. Environmental Affairs Officer
Mailing Address: __ __,P'-'S"--'C"--"'B'""o"°x..,,8'-"0""0""'6-=-M,.,,a,,,r'-"'in'°'e::....C=orp="s--"A~iee..r-==S:..:::ta=t~io'-'-n"--___________ _
City: Cherrv Point State: NC Zip Code: 28533-0006 County: Craven
Day Tele No.: [phone] Cell No.: NIA
EMAIL Address: elizabeth.harrisonl@ usnc.mil Fax No.: __ ....,_(2=5=2'-'--) ~46~6~-2~0~0~0 __ _
UIC/In Situ Remed. Notification (Revised 3/2/2015) Page I
D. PROPERTY OWNER (if different than well owner)
Name : ___ ...,:S~am=e'-a=s'-W-'-'---'e""ll'-Ow"--'-'=n=er'---------------------------
Mailing Address:---------------------------------
City: _____________ State: __ Zip Code: _______ County: _____ _
DayTeleNo.: ____________ _ CellNo.: __________ _
EMAIL Address: _____________ _ FaxNo.: ___________ _
E. PROJECT CONT ACT -Person who can answer technical questions about the proposed injection project.
Name: ---~J~as=o=n~C=at=Im=· '---------------------------
Mailing Address: --~1~0~4~4~W~as=h=in=g=t=on~S=tr~e=et'-· ____________________ _
City: ---~R=a=le=i=gh~---State: _..,;cN-"CC,c__ Zip Code: 27605 County:....:W..,_ak=e'--------
Day Tele No .: (919 ) 838-2875 . Cell No.: ___________ _
EMAIL Address : iason.catlin !@ catlinusa.com FaxNo.: ___________ _
F. PHYSICAL LOCATION OF WELL SITE
(I)
(2)
Physical Address : --~F~ue=l=in=g_P-1=·t ....:6~. =B~u=il=d=in=g~3~9~9....:8~. ~A'-S~tr~e~e=t.~M=a=rin~e ....:C~o"'"'rp""'s'-A~ir....:S=t=at=io=n~----
________________________ County: ________ _
City : ____ ....:C=h=e=rry----=P....:o=in=t~----State: NC Zip Code : 28533-0006
Geographic Coordinates: Latitude**:
f",fV
__ 0 · __ ' __ " or l..!1__0 .__.._6_.tz_.z: ___ _
Longitude**: __ 0 __ , __ "or ~0 ---=-f -~_j.._ __ _
Reference Datum: ________ Accuracy: ________ _
Method of Collection: See Fi gures 1 throu eh 3
**FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY : A FACILITY SITE MAP WITH PROPERTY
BOUNDARIE S MAY BE SU BMITTED IN LIEU OF GEOGRAPHIC COORDINATES.
G. TREATMENT AREA
Land surface area of contaminant plume : _______ square feet
Land surface area ofinj. well network: square feet(:: 10,000 ft:2 for small-scale injections)
Percent of contaminant plume area to be treated: (must be.'.:: 5% of plume for pilot test injections)
H. INJECTION ZONE MAPS -Attach the following to the notification.
(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.
UICI In Situ Remed. Notification (Revised 3/2/2015) 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.
J. INJECT ANTS -Provide a MSDS and the following for each injectant. Attach additional sheets if necessary.
NOTE: Approved injectants (tracers and remediation additives) can be found online at
http://portal.ncdenr.org/web/wqlaps/gwpro. All other substances must be reviewed by the Division of Public
Health, Department of Health and Human Services. Contact the UIC Program for more info (919-807-6496).
Injectant:
Volume of injectant:
Concentration at point of injection:
Percent if in a mixture with other injectants:
Injectant:
Volume of injectant: _____________________________ _
Concentration at point of injection: _______________________ _
Percent if in a mixture with other injectants:
Injectant:
Volume of injectant: _____________________________ _
Concentration at point of injection:
Percent if in a mixture with other injectants: ____________________ _
K. WELL CONSTRUCTION DATA
(I)
(2)
Number of injection wells: ___ l ___ Proposed ___ O ___ Existing
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:
(a) well type as permanent, direct-push, or subsurface distribution system (infiltration gallery)
(b) depth below land surface of grout, screen, and casing intervals
( c) well contractor name and certification number
UIC/In Situ Remed. Notification (Revised 3/2/2015) Page 3
L. SCHEDULES — Briefly describe the schedule for well construction and injection activities.
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 Subchapter 02 i_ result from the injection activity
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 an my inquiry of those individuals immediately
responsible for obtaining said information, 1 believe that the information is true, accurate and complete. I am
aware that there are significant penalties, including the possibility of fines and imprisonment, for submitting
false Information. I agree to construct, operate, maintain, repair, and if applicable, abandon the injection well
?antes in accordance with the ISA NCAC 02C 0200 Rules."
r7 G. W. RADFORD
■• Environrnentai Affairs Officer
quitc o App)c t B direction df the Commanding Officer Print or Type Full Name
/$/VO✓IS
PROPERTY OWNER;if the i rol+ert\ is not owned bG 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 (15.4 NC,4C 0 !C .0200). "
"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
* An access agreement between the applicant and property owner may be submitted in lieu of a signature on this form.
Submit the completed notification package to:
DWR — UIC Program
1636 Mail Service Center
Raleigh, NC 27699- l 636
Telephone: [phone]
U1C1In Situ Rented, Notification (Revised 312/2015) Page 4

CATLIN
CATLIN
CONTRACTOR
PERMAMENT
AIR INJECTION WELL
LOCKING WELL CAP
0.5 FT
- TOP OF CASING
STANDARD CHERRY POINT APPROVED
1-BOLT WELL HEAD
♦
i i 1..//i
1 INCH - 0.010 SLOTTED /2
PVC WELL SCREEN
0.5 FT SAND PACK
ABOVE SCREEN
2.0 FT
SCREEN
J
{
DTWa41-9FT
GROUND WATER TABLE
l
> to FT SEI4 TOMMEE SEAL
END CAP
5
LICENSED WELL DRi1F i
DAVID T. CHALMERS JR
Wi.1JAM J. MU -ER
SAND PACK
0.5 FT SAND PACK
BELOW SCREEN
CEFMRCATION MBA
4146-A
2927-A
T
33'
RISER
��
ATLIi�
En ineera and Scientists
• wok GAMBIA
.7.1, =ISM •IMI MP B4f8VAC'MEM C
I
OF INTENT TO
NOTICATE
LS OR
CONSTRUCT INJECTION WEL
PIT 6
MCAS CHERRY POINT, NC
Intl
AIR INJECTION WELL
DETAIL
FIGURE
3
.� !Itr DATE
215077,01 NOV 2015
SCA1Se
ID" BY: THW
SHOWN ' THW
BY;
JCW
7+•AT7 CI

Legend
Athletic Field
Golf Course
Misc Recreation Area
® Buildings and Structures
Roads
Parking Areas
Driveways
I __I Airfield Surface
Neuse River
II.' Surface Water
This document is "FOR OFFICIAL USE ONLY" and
it contains info that may be exempt frorn public release under the
FOI Act (5 U.S.C, 552). It is to be handled IAW OOG policy and
is not to be released to the public or personnel who do not have
a valid "need -to -know" without prior approval of art authorized
Goa Official.
Data Sources GIS data layers provided by the MCAS Cherry Point GIS Department.
4,000 2,000 0 4,000 Feet
=CMMM
SCALE
PREPARED FOR SDC GROUP, INC. BY:
PRaaec
nr_E
FIGURE
NOTIFICATION OF INTENT
- `�T Tt T ERain ee
w �' A ■L,I N Eras nets
TO CONSTRUCT OR OPERATE
INJECTION WELLS
GENERAL VICINITY MAP
220 Did Dairy Road
PIT 6
Wilmington, NC 28405
MCAS CHERRY POINT
Cory orate tl censure No. for Emlinesting Services C4536
JOB Ho.
215077.91
GATE
NOV 2015
SCALE
AS SHOWN
DRAW SY
THW
CHECKED V
JCW
,

r
WARNING:
1'hlr document It 'FOR OFFICIAL USE ONLY" end
It comnns 'odd that may be eke mite frOrd public rei.a so un dor the
F63 At 11! O.S.C. 6 $2 F It Is to be handled OM Dap polrcy and
Is riot to de released to the public or personnel wn0 do not here
a OOUO'n0WJo-%!turf wnhout par approval of .n augl0riase
ne0 Willem.
lovcwo-1
ED
F
1000W9e
iou ow i.• t00RW0/
d 100RWO7 fr �]e"
liORW66' f f '7WRW/8.
PROPOSED AIR INJECTION WELL J
t006tW0i t 1 t00RYV1O j s00RW1i-
1OORWOS. '- . loomv1] r! IEE411W7E
O o:rr El
1i0RW04 '-" 0 ' -, * f1000WOt
•t0OGWOI / •1 9 /
S99flWO8 f
/� I ,
007iW12 .\le,
f F //ff IOORWfl
1SIRW10
0
,60RW20
ff . 1MRWla
f00RW1T f
0
1
T00R▪ WZI
c
CI
109GW93
20 19 0 29
Feat
SCALE
NOTIFICATION OF INTENT
TO CONSTRUCT OR
OPERATE INJECTION WELLS
PIT 6
MCAS CHERRY POINT
LEGEND
Well try Type
WO!
Cl >:w
▪ Stetade WOW,
, T.1
• TA
Qv T.IlI
• Unknown
®P(OPe..d OPO
Alert / Bet We t
-- Electdc Urn
Fuel ltl.
- Sramw.ter Line
— Walter tine
----- there TdElderle5
Frca Prodp Pima
414 In. of 3une 2015j
!rivers and Creole
9ulen0
Hitter c Green ante!
Flow OtreWon
known pWril of R Ke aye
NOTES
1. ExiSling Monitoring Well 100GW02 III. proposed to be
utilized as the SVE pilot test weft
CATLIN
Engineers and Scientists
SITE MAP
WITH AIR INJECTION
WELL LOCATION
Job No.
15077.01
Oete 0rawr.
Nov 2016
MTN
2
....767 Agee tAerasprISf.5077 1