WI0800451_DEEMED FILES_20160314

,..
GMA
The Groundwater Experts
March 10, 2016
Mr. Michael Rogers
North Carolina Department of Environmental Quality
Underground Injection Control Program
1636 Mail Service Center
Raleigh, NC 27699 1636
Groundwater Management Associates, Inc.
4300 Sapphire Court, Suite 100
Greenville, North Carolina 27834
Telephone: [phone]
www.g ma-nc.com
Apex and Greenville, NC
Re: Injection Event Record, Permit# WI0800451, ASR Feasibility Study, Brunswick Regional
Water and Sewer H2GO, Leland, NC
Dear Mr. Rogers,
Attached is the Injection Event Record for the injection testing that we performed at the
Brunswick Regional Water and Sewer H2GO Elevated Tank Site. Well construction records for
the test wells that were used are also included. Please note that the test wells were installed in
2012 as part of the exploration of the Lower Peedee and Black Creek Aquifers as potential
sources of water for a future Water Treatment Plant. Brunswick H2GO decided to use the
existing test wells to evaluate ASR feasibility. Upon completion of the ASR feasibility study, we
anticipate that an application for a UIC permit will be prepared and submitted to you.
Let me know if you have any questions or need additional information.
Best regards,
Groundwater Management Associates, Inc.
James K. Holley, P.G.
Senior Hydrogeologist
Enclosures: Injection Event Record and Well Construction Records
CC: Mr. Bob Walker -Brunswick Regional Water and Sewer H2GO
Mr. Marty Stone, P.E . ...:. The Wooten Company.
MAR 14 2016
Water Quality
Regional Operations Section
RECEIVED/NCDEOJDWR
MAR 14 2016
Water Quality
INJECTION EVENNoRE e ' ctFon
North Carolina Department of Environment and Natural Resources - Division of Water Resources
Permit Number WI 0 D 0 Li S` j
I. Permit Information
v. siol:s Wali“-Y
Rv-Acrsl"-• c,C 1ef i,n,,1 WA kr- w4-r
Permittee
el et c; -ed (A/piey s4-.1.-a,e 'fanl(
Facility Name
-lETrAit L&/4hd, AIL
Facility Address
2. Injection Contractor Information
Jim HaI+eYf 6ni
Injection Contractor / Company Name
Street Address 0 a S arink!v r: Gf i+e lam
Cveer L, / H f278 7 `1
City State Zip Code
(AS-2)-75.$- 33 / o
Area code - Phone number
3, Well Information
Number of wells used for injection
LPOirl Tes4-We, it
Well names Q L A re S f IJe- I)
Were any new wells installed during this injection
event?
❑ Yes No
If yes, please provide the following information:
Number of Monitoring Wells
Number of Injection Wells
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?
❑ 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
Pa hi ie f r-”, i'
lrUn S t,i iG k j G[7 ];S {'r,'huviv'•'n
Injectant Type
Concentration
If the injectant is diluted please indicate the source
dilution fluid. -�
Total Volume Injected )7 $ 1% 4i S . R 1 iaro
4t1aQ PDA
Volume injected per well 1/ HI"; 6 Q ti B c 11
5. Injection History
Injection date(s) %l/ i E -- 3/1/ I I,
Injection number (e.g. 3 of 5) I of [
Is this the last injection at this site?
cz Yes ❑ No
I DO HEREBY CERTIFY THAT ALL THE
INFORMATION ON THIS FORM IS CORRECT TO
THE BEST OF MY KNOWLEDGE AND THAT THE
INJECTION WAS PERFORMED WITHIN THE
STANDARDS LAID OUT IN THE PERMIT.
3/i //
SI ATURE o • INJECTION CONTRACTOR DATE
idcl inlaiker \ 6' m
PRINT NAME OF PERSON PERFORMING THE INJEC'ION
Submit the original of this form to the Division of Water Resources within 30 days of injection.
Attn: UIC Program, I636 Mail Service Center, Raleigh, NC 27699-1636, Phone No. 919-807-6464
Form UIC-IER
Rev. 8/5/2013

L P 0 A T657- well
R ESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources -Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2485
1. WELL CONTRACTOR:
Sean Cropsey
Well contractor (Individual) Name
Skipper's Weft Drilling & Pump Service, Inc.
Well Contractor Company Name
107 Oakland Avenue
Street Address
Leland
NC 28451
City or Town State
910 3712770
Area Code Phone Number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT#
SITE WELL ID# (if applicable)
Zip Code
3. WELL USE (Check Applicable Box): Test Well
DATE DRILLED 08121/12
TIME COMPLETED AMnPMf
4. WELL LOCATION:
City: Leland County Brunswick
H2Go tank on east side of Leland
(Street Name, Numbers, Community, subdivision, Lot Not, Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING: (check appropriate box)
n Slope []Valley [x Flatin Ridge Lj Other
LATITUDE N34" 11 - 711
LONGITUDE WD773" 0 - 881 '
g. WATER ZONES (depth):
. Top 247 Bottom 402 Top
. Top Bottom Top
. Top Bottom Top
7. CASING: Depth
. Top +1 Bottom 100
Top +3 Bottom 347
. Top 402 Bottom 407
8. GROUT: Depth
Top 325 Bottom 335
. Top 200 Bottom 325
. Top 0 Bottom 200
Latitudeltongitude source: r1GPS nTopographic mai
(location of well must be shown on a USGS top° map and attached to
this form if not using GPS)
5. WELL OWNER
Brunswick Regional Water and Sewer H2Go
Owner Name
P.O.Box 2230
Street Address
Leland, NC 28451
City or Town State
910 ) 371-9949
Area code Phone number
01
. 40
. 65 1
. 85 1
. 100 1
. 225 1
. 268 I
Zip Cod . 348
376 l
. 400 1
6. WELL DETAILS:
a. TOTAL DEPTH: 407
b. DOES WELL REPLACE EXISTING WELL? YES NO©,
c. WATER LEVEL Below top of Casing: 9.36 FT
(Use "+" if Above Top of Casing)
d. TOP OF CASING IS 3 FT. Above Land Surface
Top of casing terminated atlor below land surface may require
a variance in accordance with 15A NCAC 2C.0118.
e.YIELD (gpm): 157 METHOD OF TEST pump .
f. DISINFECTION: Type HTH Amount cup
9. SCREEN:Depth
Deep lower Pee Dee 407
Test Well
Bottom
Bottom
Bottom
Thickness/
Diameter Weight Material
Ft. 12
sch40 BLK STEEL
Ft. 6 SDR17 PVC
Ft. 4 sch80 PVC
Ft.
FL
Ft,
Material Method
BENTONITE GROUT PUMP
CEMENT & GROUT PUMP
CEMENT
Diameter Slot Size Material
Top 347 Bottom 402 Ft. 4 in 30 in. STAINLESS
Top Bottom
Top Bott❑m
Ft.
Ft.
10. SAND/GRAVEL PACK:
Depth
Top 335 Bottom 407 Ft.
Top
Top
Bottom Ft.
Bottom Ft.
11. DRILLING LOG
Top / Bottom
40 red & Btue clay and fine sand
in in.
in. in.
Size Material
#2 Southern Products
Formation Description
65 medium sand
85 rock, clay and fine sand
100 fine sand and rock
225 dark gray, clay, very fine sand wrwood
268 Hard and soft zones, fine to med quartz with phosphate
348 Sandy silt wfshell frag,coarse sand. clay below 33a.
376 med to fine quartz sand w fine phosphate sandfminor shells
400 gray. silty med to coarse quartz sand withphosphate sand
407 soft gray silty clay with quartz sand and shell
12. Remarks:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN
ACCORDANCE WITH 15A NCAC 2C, WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN
PROVIDED TO THE WELL OWNER.
SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Suf�mit within 30 days of completion to" Division of Water [Quality - fnfnrrnation Processing Foals GW-la
1617 Mail Service Center, Raleigh, NC 27699-161, Phone: [phone] Rev. 2/09

R ESIDENTIAL WELL CONSTRUCTION RECORD �1
North Carolina Department of Environment and Natural Resources -Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2485
1. WELL CONTRACTOR:
Sean Cropsey
Well contractor (Individual) Name
Skipper's We11 Drilling & Purnp Service, Inc.
Well Contractor Company Name
107 Oakland Avenue
Street Address
Leland
NC 28451
City or Town State
910 3712770
Area Code Phone Number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT#
SITE WELL ID# (if applicable)
Zip Code
3. WELL USE (Check Applicable Box): Test Well
DATE DRILLED 08/28112
TIME COMPLETED AMn PMn
4. WELL LOCATION:
City: Leland County Brunswick
E.
H2Go tank on east side of Leland
(Street Name, Numbers, Community, subdivision, Lot Nol, Parcel, Zip Code)
I UPULiF{APHlt,; / LAN') I I INV: (check appropriate box)
❑ Slope n Valley rn Fiatn Ridge n Other
LATITUDE N34" 19. 5153 '
LONGITUDEW�8787 01 . 4733 '
Latitude/longitude source: nGPS [ Topographic map
(location of well must be shown on a USGS topo map and attached to
this form if not using GPS)
5. WELL OWNER
Brunswick Regional Water and Sewer H2Go
Owner Name
P.O.Box 2230
Street Address
Leland, NC 28451
City or Town State
910 ) 371-9949
Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 594
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NOQ
c. WATER LEVEL Below top of Casing: 0 FT
(Use "+' if Above Top of Casin�—
d. TOP OF CASING IS 3 FT. Above Land Surface
Top of casing terminated attar below land surface may require
a variance in accordance with 15A NCAC 20.0118.
e.Y1ELD (gpm): 206 METHOD OF TEST pump
f. DISINFECTION: Type HTH Amount cup
▪ 0I
▪ 40 1
651
▪ 85
. 100 1
Zip Code . 2251
▪ 268 l
▪ 348
376 /
400 /
476 I
610
Top
Top
Top
Black Creek Tank Site 594
Test Well
g. WATER ZONES (depth):
584 Bottom 559 Top 476
531 Bottom 541 Top
508 Bottom 518 Top
7. CASING: Depth
Top +1 Bottom
Top +3 Bottom
Top 350 Bottom
Top 501 Bottom
Bottom
Bottom
Bottom
Thickness/
Diameter Weight Material
501
100 Ft. 12 sch40 t3LK STEEL
350 Ft. 6 SDR17 PVC
476 Ft. 4 sch80 PVC
508 Ft. 4 sch80 PVC
Top 518 Bottom 531
Top 540 Bottom 559
Top 584 Bottom 594
8. GROUT: Depth
Top 0 Bottom 100
Top 100 Bottom 450
Top 0 Bottom 100
Ft.
Ft.
FL
4 sch80
4 sch80
4 sch80
Material Method
PVC
PVC
PVC
Ft. CEMENT PUMP
Ft, CEMENT & GROUT PUMP
Ft. CEMENT
9. SCREEN:Depth Diameter
Top 476 Bottom 501 Ft.
Top 508 Bottom 518 Ft.
Top 531 Bottom 541 Ft.
Top 584 Bottom 589 Ft.
10. SAND/GRAVEL PACK:
Depth
Top Bottom
Top Bottom
Top Bottom
Sid Size Material
4 in 30 in. STAINLESS
4 in 30 in. STAINLESS
4 in 30 in. STAINLESS
4 in 30 in. STAINLESS
Size Material
Ft. #2 Southern Products
Ft.
Ft.
11. DRILLING LOG
Top / Bottom Formation Description
40 red & Blue clay and fine sand
65 medium sand
85 rock, clay and fine sand
100 fine sand and rock
225 dark gray, clay, very fine sand wlwaod
268 Hard and soft zones, fine to rned quart:_ with phosphate
348 sandy sat wlshell frag,coarse sand, clay below 330
376 med to fine quartz sand w fine phosphate sand/minor shells
400 gray. silty rned in coarse quartz sand withphosphate Sand
475 soft gray silty clay with quartz sand and shelf
610 alt fine sand, soft clay and hard mudstone
700 fine sandy gray ckfay, coarse sand grains, rock
, I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN
• ACCORDANCE WITH 15A NCAC 2C, WELL CONSTRUCTION
• STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN
▪ PROVIDED TO THE WELL OWNER.
SIGNATURE OF CERTIFIED WELL CONTRACTOR
DATE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Siiti riit itliiri 30- gays eaTnfiliitis3r1 fo" Dii►ision of'Water Qualify - Irifarfnation Processing Form GW-1 a
1617 Mall Service Center, Raleigh, NC 21899-161, Phone: [phone] Rev. 2/09

Groundwater Management Associates, inc.
4300 Sapphire Court, Suite 100
Greenville, North Carolina 27834
Telephone: [phone]
www. QM o-nc.com
The Groundwater Experts
January 8, 2015
Mr. Michael Rogers, P.G.
Hydrogeologist
NCDEQ - DWR
Water Quality Regional Operations Section
1636 Mail Service Center
Raleigh, NC 27699
Apex and Greenville, NC
aecownepicoececom
JAK 19 DNS
w oaf miaow
Fwgionat perstions
SecdOn
Re: Notice of Intent for Aquifer Test Injection Wells, Brunswick Regional Water and Sewer
H2GO, Leland, Brunswick County, NC.
Dear Mr. Rogers,
Groundwater Management Associates, Inc. (GMA) is working with the Brunswick Regional
Water and Sewer H2G0 (H2G0) in the development of groundwater supplies near Leland, NC to
meet future demands of the H2G0 public water system. The initial phase of groundwater
evaluation has involved exploration of the yield potential and water quality of the Lower Peedee
and Black Creek Aquifers as possible sources of water to supply a reverse osmosis (RO) water
treatment plant. Exploratory test wells were constructed at two sites, the Elevated Storage
Tank Site and the Industrial Park Site (See Figure 1). The results of the RO exploratory drilling
helped to guide the design and construction of RO production wells to supply the future RO
WTP. The RO wellfield will be located to the north and west of the Elevated Storage Tank site,
and a pair of production wells has been constructed at the WTP site (Figure 2).
H2G0 desires to construct one or more Aquifer Storage Recovery (ASR) wells as water
management tools to help meet seasonal demands of their water systern. Considering the
favorable exploration results of the Elevated Tank Site, H2G0 selected this site as a possible
future location for an ASR well(s). GMA has been selected to provide hydrogeological
consulting services for the RO wellfield and the ASR feasibility study. The Wooten Company
(Wooten) is providing engineering services on the projects. In addition, ASR Systems, LLC
(ASKS) is providing technical expertise on ASR well site evaluations and design.

Mr. Rogers
Page 2
In April of 2015, GMA completed a Phase I ASR feasibility study that included core drilling,
mineralogical analyses, geochemical modeling, and predictive calculations of well yield and
possible ASR storage volumes of a future ASR well system to be constructed at the Elevated
Storage Tank site located off Atkinson Trail (see Figure 3).
Four test wells were constructed at the site, with three wells being screened in the upper,
middle and lower portions of the Peedee Aquifer and one well was screened in the Black Creek
Aquifer. Figure 4 presents construction details, lithologic descriptions, and geophysical logs
from the exploration project. Based upon available data, H2GO desires to construct an ASR
system at the Elevated Storage Tank site with an ASR well screened in the Black Creek Aquifer
(BCA), and possibly a second ASR well screened in the Lower Peedee Aquifer (LPDA). Results
of GMA's Phase I ASR feasibility study indicate that ASR storage in the LPDA and/or the BCA
may be feasible.
H2GO, working with GMA and The Wooten Company (Wooten), is herein providing Notice of
Intent to convert two exploratory test wells at the Elevated Storage Tank site to aquifer test
wells. Enclosed you will find the Notice of Intent form with the applicable sections completed
for Aquifer Test Wells. We propose to inject drinking water from the Brunswick H2GO water
distribution system into one existing test well screened in the Lower Peedee Aquifer and into
one existing test well screened in the Black Creek Aquifer.
Injection will occur at rates of approximately 25 gpm per well. Water injection will continue
uninterrupted for a period of 30 days. After 30 days of injection are completed, H2GO will shut
off the flow to the wells, and the system will be allowed to rest for another 7 days of storage to
allow head in the aquifer to return to near static conditions. Following the 7-day storage
period, a temporary submersible test pump will be set In each of the wells, and the wells will be
pumped continuously for a two week period during which sampling and monitoring will occur to
evaluate the feasibility of storing and recovering drinking water in the Black Creek and Lower
Peedee Aquifers. The results of the aquifer testing will guide the final design of an ASR
production well(s) at the site.
GMA understands that Aquifer Test Wells are deemed permitted by rule, and that no permits
are required to allow this activity to occur. Please contact me if you have any questions
regarding the project and the proposed injection testing. We anticipate that injection and
recovery activities will be completed by the end of March, 2016.
Best regards,
Groundwater Management Associates, Inc.
·-CL ~ f' ~ r James K. Holley, P.G.
Senior Hydrogeologist
Enclosures: Figure 1 -Locations of Test Well Sites
Figure 2 -Location of the Elevated Tank Site and the RO Plant Site
Figure 3 -Elevated Tank Site Map
Figure 4 -Well Details and Hydrostratigraphy of the Elevated Tank Site
Notification of Intent Form and Supporting -Documents
CC: Mr. Bob Walker-Brunswick Regional Water and Sewer H2GO
Mr. Marty Stone -The Wooten Company
Z:\GMA\S0Sxx-Wooten\50518 Brunswick H2GO\Notice of Intent Cover Letter 1-8-16.docx
Mr. Rogers
Page 3
..
Figure 2, Well Locations for Brunswick Regional H2G0
Mad illustrating the Imams or tne Elevated Tank Site Test Wells and die RO Pant Site Production VVels
GOttolivood
LII
••ToNlgr711-131,30rVe -
r‘l}
Legend
Elevated Tank Stle Test Wet!
1-12G0 RO Source Well

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 he submitted at least 2 weeks prior to iniection.
AQUIFER TEST WELLS (1 5A NCAC 02c .0220)
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION ll SA NCAC 02c .0225 ) or TRACER WELLS {1 5A NCAC 02c .0229):
1) Passive Injection Systems -In-wen delivery systems to diffuse injectants into the subsurface. Examples include
ORC socks, iSOC systems, and other gas infusion methods.
2) Small-Scale Injection Operations -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 l 0,000 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 Submittals Will Be Returned As Incomplete.
DATE: _______ _ PERMIT NO. ________ {to be filled in by DWR)
A. WELL TYPE TO BE CONSTRUCTED OR OPERA TED
(1)
(2)
(3)
(4)
(5)
(6)
__ _,Air Injection Well ...................................... Complete sections B-F, K, N
XXXX 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: Business/Organization
C. WELL OWNER -State name of entity and name of person delegated authority to sign on behalf of the
business or agency:
Name: Mr. Bob Walker. Executive Director, Brunswick Regional Water and Sewer H2GO
Mailing Address: P.O. Box 2230
City: Leland State: NC
Day Tele No.: 910-371-9949 x 106
EMAIL Address: [e-mail]
UlC/In Situ Remed. Notification (Revised 3/2/2015)
Zip Code: 2845 l County: Brunswick
Cell No.: 910-279-4581
Fax No.: 910-371-6441
Page 1
D. PROPERTY OWNER (if different than well owner)
Name: Brunswick Regional Water and Sewer H2GO (Same )
Mailing Address: _______________________________ _
City: ____________ State: __ Zip Code: ______ County: _____ _
Day Tele No.: ___________ _ Cell No.: __________ _
EMAIL Address: ____________ _ Fax No.: __________ _
E. PROJECT CONTACT -Person who can answer technical questions about the proposed injection project.
Name: James K. Holle . P.G .. Groundwater Management Associates, Inc.
Mailing Address: 4300 Sapphire Court, Suite 100
City: Greenville State: NC Zip Code: 27834 County: Pitt
Day Tele No.: 252-758-3310 Cell No.: 252-814-6361
EMAIL Address: jay {!t gma-nc.corn Fax No.: __ ....,N"""A:...:,__
F. PHYSICAL LOCATION OF WELL SITE
(1)
(2)
Physical Address: --~E=l=e~va=:t=ed~W~a:=te=r~S~to=rag=0 =e ...a.T ""'an""'k=· .... A""t=k=in=so=n"'"""""T"""ra=il
_______________________ County: Brunswick
City: Leland State: NC Zip Code: 28451
Geographic Coordinates: Latitude**: 34 ° 11' 42.53" or ___ 0 _______ _
Longitude**: -78° Q' 52.86" or ___ 0 _______ _
Reference Datum: ________ Accuracy: _______ _
Method of Collection: GIS Approximation (See Figure 1)
**FOR AIR INJECTION AND AQUIFER TEST WELLS· ONLY: A FACILITY SITE MAP WITH PROPERTY
BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPIIlC COORDINATES.
G. TREATMENT AREA
Land surface area of contaminant plume: ______ square feet
Land surface area of inj. well network: square feet (:S l 0,000 ft 2 for small-scale injections)
Percent ofcontaminant plume area to be treated: (must be :s 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) Page2
I. DESCRIPTION OF PROPOSED INJECTION ACTMTIES -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!weblwqlapslgwpro. All other substances must be reviewed by the Division of Public
Health. Department of Health and Human Services. Contact the UIC Program/or more info (919-807-6496).
Injectant: ______________________________ _
Volume ofinjectant: __________________________ _
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 ofinjectant: __________________________ _
Concentration at point of injection: _____________________ _
Percent if in a mixture with other injectants: __________________ _
K WELL CONSTRUCTION DATA
(I) Number of injection wells: ______ Proposed ___ 2 ___ E.xistirtg
(2) Provide well construction details for each injection well in a diagram or table fonnat. 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)
(Permanent. Existing monitoring wells}
(b) depth below land surface ofgrout, screen, and casing intervals See Attached Figure 4 and
attached well construction records.
(c) well contractor name and certification number (Sean Cropsey, #2485. Skippers).
UIC!ln Situ Remed. Notification (Revised 3/2/2015)
L.
M.
N.
SCHEDULES -Briefly describe the schedule for well construction and injection activities.
MONITORING PLAN -Describe below or in separate attachment a monitoring plan to be used to determine
if violations of groundwater quality standards specified in Subcha ter 02L result from the injection activity.
SIGNATURE OF APPLICANT AND PROPERTY OWNER
APPLICANT: "I hereby certify, wider 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 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
and all related appwtenances in accordance with the 15A NCAC 02C 0200 Rules."
~ u./~ , /-/l-6D €xe.(.v..+,v~ o,·r-e..c.,-h .r 'Bob GJo.../k.er
Signature of Applicant 7 Print or Type Full Name
PROPERTY OWNER (if the propertv 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 (1 5A NCAC 02C .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 27699-1636
Telephone: [phone]
UICl/n Situ Remed. Notification (Revised 3/2/2015) Page4
RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources -Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2485
1, WELL CONTRACTOR:
Sean Cropsey
Well contractor (Individual) Name
Skipper's Well Drilling & Pump Service, Inc.
Well Contractor Company Name
107 Oakland Avenue
Street Address
Leland
NC 28451
City or Town State
910 3712770
Area Code Phone Number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT#
SITE WELL ID# (if applicable)
Zip Code
3. WELL 115E (Check Applicable Box): Test Well
DATE DRILLED 08/21/12
El
TIME COMPLETED AMDPM0
4. WELL LOCATION:
City: Leland County Brunswick
H2Go tank on east side of Leland
(Street Name, Numbers, Community, subdivision, Lot Nal, Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING: (check appropriate box)
[]Slope E Valley rx-i F I atr7 Ridge Epther
LATITUDE N34" 11 . 711 '
LONGITUDEW078 0. 081
Deep lower Pee Dee 407
Test Welt
▪ g. WATER ZONES (depth):
• Top 247 Bottom 402 Top Bottom
. Top Bottom Top Bottom
. Top Bottom Top Bottom
Thickness/
, 7. CASING: Depth Diameter Weight Material
Top +1 Bottom 100 Ft. 12 sch40 BLit STEEL
. Top +3 Bottom 347 Ft. 6 SDR17 PVC
. Top 402 Bottom 407 Ft. 4 sch80 PVC
8. GROUT: Depth
Material Method
Top 325 Bottom 335 FL BENTONITE GROUT PUMP
Top 200 Bottom 325 Ft. CEMENT & GROUT PUMP
Top 0 Bottom 200 Ft. CEMENT
9. SCREEN:Depth Diameter Slot Size Material
Top 347 Bottom 402 Ft. 4 in 30 in. STAINLESS
Top Bottom Ft.
Top Bottom Ft
10. SAND/GRAVEL PACK:
Depth
Top 335 Bottom 407 Ft.
Top Bottom Ft.
Top Bottom FL
Latitude/longitude source: El GPS ETopographic mai , 11. DRILLING LOG
(location of well must be shown on a USGS topo reap and attached to
this form If not using GPS)
5. WELL OWNER
Brunswick Regional Water and Sewer H2Go
Owner Name
P.O.Box 2230
Street Address
Leland, NC 28451
City or Town
( 910 ) 371-9949
Area code Phone number
State
▪ 2 T!
Zip Cod .
. S7 1
400 1
in in.
fn, in.
Size Material
#2 Southern Products
Top / Bottom Formation Description
0 ! 40 red & Blue clay and fine sand
. 40 1 65 medium sand
• baf I 85 rock, clay and fine sand
1$0 fine sand and rock
M4 1 225 dark gray, clay, very fine sand w/wood
• 225 1 268 Hard and soft zones, Fine to med quartz with phosphate
348 Sandy silt w/shell Frag,coarse sand, clay below 330.
376 med to fine quartz sand w fine phosphate sand/minor shells
400 gray, silty med to coarse quartz sand withphosphate sand
407 soft gray silty clay with quartz sand and shell
6. WELL DETAILS: , 12. Remarks:
a. TOTAL DEPTH: 407
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO®
c. WATER LEVEL Below top of Casing: 9.36 FT
(Use "+^ if Above Top of Casing)
d. TOP OF CASING IS 3 FT. Above Land Surface
Top of casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C.0118.
e.YIELD (gpm): 157 METHOD OF TEST pump
f. DISINFECTION: Type HTH Amount cup , SIGNATURE OF CERTIFIED WELL CONTRACTOR
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN
ACCORDANCE WITH 15A NCAC 2C, WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN
PROVIDED TO THE WELL OWNER.
DATE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Form GW-la
Rev. 2109
IStu�rnit wlifiln 30 days of t~arrtpie€Ian ta' Diirisian Of Water Qlaalify - InIorrnation Process1ng
1617 Mail Service Center, Raleigh, NC 27699-161, Phone: [phone]

RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources -Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2485
1. WELL CONTRACTOR:
Sean Cropsey
Well contractor (Individual) Name
Skipper's Well Drillings & Pump Service, Inc_
Weil Contractor Company Name
107 Oakland Avenue
Street Address
Leland
NC 28451
City or Town State Zip Code
910 3712770
Area Code Phone Number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT#
SITE WELL ID# (if applicable)
3. WELL USE (Check Applicable Box): Test Well
DATE DRILLED 08/28/12
TIME COMPLETED AMfPMf
4, WELL LOCATION:
City: Leland County Brunswick
H2Go tank on east side of Leland
(Street Name, Numbers, Community, subdivision, Lot Nol, Parcel, Zip Code}
1 OF'O(kAF'HIL; 1 LANLJ St 1 I IN(: (check appropriate box)
Slope [] Valley f1 Flat[7 Ridge [l Other
LATITUDE N34' 19. 5153 '
LONGITUDEW078 —W. 4733 '
Black Creek Tank Site 594
Test Well
▪ g. WATER ZONES (depth):
• Top 584 Bottom 559 Top 476 Bottom
• Top 531 Bottom 541 Top Bottom
Top .508 Bottom 518 Top Bottom
Thickness/
7. CASING: Depth Diameter Weight Material
Latitude/longitude source: nGPS ETopographlc map .
(location of well must be shown on a USGS topo map and attached to
thisform it not using GPS)
5. WELL OWNER
Brunswick Regional Water and Sewer H2Go
Owner Name
P.O.Box 2230
Street Address
Leland, NC 28451
City or Town State
( 910 371-9949
Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 594
b. DOES WELL REPLACE EXISTING WELL? YES
C. WATER LEVEL Below top of Casing: 0 FT
(Use "+" if Above Top of Casing)
d. TOP OF CASING IS 3 FT. Above Land Surface
Top of casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C.0118.
Zip Cock . •l
.l
.1
▪ Jtf l
El
I
NO®. ▪ -
Top
Top
Top
Top
Top
Top
Top
+1 Bottom 100
+3 Bottom 350
350 Bottom 476
501 Bottom 508
518
540 Bottom 559
584 Bottom 594
8. GROUT: Depth
Top 0 Bottom 100
Top 100 Bottom 450
Top 0 Bottom 100
Bottom 531
501
Ft. 12 sch40 BLi( STEEL
Ft. 6 SDR17 PVC
Ft, 4 sch80 PVC
Ft. 4 sch80 PVC
Ft. 4 sch80 PVC
Ft. 4 sch80 PVC
Ft. 4 sch80 PVC
Material Method
Ft. CEMENT PUMP
Ft. CEMENT & GROUT PUMP
Ft. CEMENT
9. SCREEN:Depth Diameter
Top 476 Bottom 501 Ft.
Top —Mr Bottom= Ft.
Top 531 Bottom 5T F• t.
Top 584 Bottom-01 F• t,
10. SAND/GRAVEL PACK:
Depth
Top Bottom
Top Bottom Ft.
Top Bottom Ft.
11. DRILLING LOG
Slot Size Material
4 in 30 in. STAINLESS
STAINLESS
STAINLESS
STAINLESS
4 in —Tin.
4 In 30 in.
4 In-30 ln.
Size
Material
Ft. #2 Southern Products
Top 1 Bottom Formation Description
▪ 0 1 40 red & Blue clay and fine sand
—0I 65 medium sand
▪ —▪ grl 85 rock, clay and fine sand
3 I 100 Flne sand and rock
. ▪ �1� I 225 dark gray, clay, very fine sand w/wood
268 Hard and soft zones, fine to med quartz with phosphate
348 Sandy silt wlshell frag,coarse sand, clay below 330.
376 med to fine quartz sand w fine phosphate sand/minor shells
400 gray, silty med to coarse quartz sand withphosphate sand
475 soft gray silty clay with quartz sand and shell
610 alt fine sand, soft clay and hard mudstone
700 fine sandy gray ckiay, coarse sand grains, rock
DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN
▪ ACCORDANCE WITH 15A NCAC 2C, WELL CONSTRUCTION
▪ STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN
PROVIDED TO THE WELL OWNER.
e.YIELD (gpm): 206 METHOD OF TEST pump .
f. DISINFECTION: Type HTH Amount cup .
SIGNATURE OF CERTIFIED WELL CONTRACTOR
DATE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
SUlamif witiiri 3a days o comp1etian to" Di►rlslon of Water Qualify » Infarmatlon ProceSS117ij Form GW-la
1617 Mail Service Center, Raleigh, NC 27699-161, Phone: [phone] Rev. 2109

Permit Number
Program Category
Deemed Ground Water
Permit Type
WI0800451
Injection Deemed Aquifer Test Well
Primary Reviewer
shristi.shrestha
Coastal SWRule
Permitted Flow
Facility
Facility Name
Brunswick Regional Water and Sewer H2GO
Location Address
Atkinson Tri
Leland NC
Owner
Owner Name
Bob
Dates/Events
Orig Issue
1/15/2016 .
App Received
1/8/2016
Regulated Activities
Aquifer Storage and Recovery
Outfall
Waterbody Name
28451
Walker
Draft Initiated
Scheduled
Issuance Public Notice
Central Files : APS SWP
1/15/2016
Permit Tracking Slip
Status
Active
Version
1.00
Project Type
New Project
Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Region
Wilmington
County
Brunswick
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
Bob Walker
PO Box 2230
Northwest
Issue
1/15/2016
Effective
1/15/2016
NC 28451
Expiration
Requested /Received Events
Streamlndex Number Current Class Subbasin
Shrestha, Shristi R
From:
Sent:
To:
Cc:
Subject:
Shrestha, Shristi R
Friday, January 15, 2016 2:47 PM
'[e-mail]'; '[e-mail]'
Gregson, Jim; King, Morella s; Rogers, Michael
NOi-WI0800451 FW: Notice of Intent for Aquifer Test Wells, Brunswick Regional Water
and Sewer H2GO
Thank you for submitting the Notice of Intent to Construct or Operate Injection Wells {NOi) for the above referenced
site. Please follow up with hard copy.
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 (ori g 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://portal.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 Shristi.shrestha @ncdenr.1wv 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 WI0800451. 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.
Thank you for your cooperation.
Shristi
Shristi R. Shrestha
Hydrogeologist
Water Quality Regional Operations Section
Animal Feeding Operations & Groundwater Protection Branch
North Carolina Department of Environmental Quality
919 807-6406 office
shristi .shrestha @ ncdenr.aov
512N . Salisbury Street
1636 Mail Service Center
Raleigh, NC 27699 1636
1
Emal1 correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
2
Shrestha, Shristi R
From: Shrestha, Shristi R
Sent:
To:
Cc:
Friday, January 15, 2016 2:47 PM
Gregson, Jim; King, Morella s
Rogers, Michael
Subject: NOi-WI0800451 FW: Notice of Intent for Aquifer Test Wells, Brunswick Regional
Water and Sewer H2GO
Attachments: Notice of Intent for Aquifer Test Injection Wells Brunswick Regional H2GO 1-8-16.pdf
Please find the attached NOi.
Shristi
From: Rogers, Michael
Sent: Friday, January 15, 2016 11:45 AM
To: Shrestha, Shristi R <[e-mail]>
Subject: FW: Notice of Intent for Aquifer Test Wells, Brunswick Regional Water and Sewer H2GO
Please process. Let me see BIMS and emails before sending. Put in well construction later. We need to acknowledge to
this guy today. Thanks.
From: Jay Holley l mailto:jay@g ma-nc.com]
Sent: Friday, January 08, 2016 3:11 PM
To: Rogers, Michael <michael.roeers @ncdenr.gov>
Cc: Bob Walker <bwa1ker @h2 goon1ine.com>; Marty Stone <mstone @thewootencom oan v.com>
Subject: Notice of Intent for Aquifer Test Wells, Brunswick Regional Water and Sewer H2GO
Hello Mr. Rogers,
Attached you will find an executed Notice of Intent form and supporting documentation for conducting injection aquifer
testing at two existing test wells near Leland. The Brunswick Regional Water and Sewer H2GO is evaluating the feasibility
of constructing an Aquifer Storage Recovery (ASR) well system at their existing Elevated Storage Tank site. GMA, working
as a hydrogeological consultant, will be assisting in the injection of drinking water into the Lower Peedee and Black Creek
Aquifers, followed by recovery pumping and water-quality evaluations. The results ofthis testing will guide future design
decisions for the ASR system.
A hard copy of this information will follow via US Mail. Please contact me with any questions you may have. We
anticipate setting up and beginning injection activities by the end of January 2016.
Best regards,
Jay
James K. Holley, P.G.
Senior Hydrogeolagist
Groundwater Management Associates, Inc.
4300 Sapphire Court, Suite 100
Greenville, North Carolina 27834
Telephone [phone]
Cell 252-814-6361
1
www.gma~nc.com
2
Ro gers, Michael
From:
Sent:
To:
Cc:
Subject:
Rogers, Michael
Friday, November 20, 2015 5:23 PM
'[e-mail]'; David Pyne
King, Morella s; Gregson, Jim; Lanter, Steven; Watts, Debra
WI0800441 Shallot Township District Park Aquifer Test Wells NOi
Thank you for submitting the Notice of Intent to Construct or Operate Injection Wells (NOi) for the above referenced
site. The Central Office of the WQROS received your complete NOi on November 16, 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. These forms can be
found on our website at http://portal.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 (e.g., air or water injection 'continuous' for date or rate of injection, etc.).
You can scan and send these forms directly to me at michael.rogers @ncdenr.gov, 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 WI0800441. 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 ply to this email, as it will already have the
assigned deemed permit number in the subject line.
Thank you for your cooperation.
Michael Rogers, P.G. (NC & FL)
Underground Injection Control (UIC) Manager -Hydrogeologist
NCDENR-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.
1
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
NOTJFICATION OF INTENT TO CONSTRUCT OR OPERATE INJECTION WELLS
The following are "permitted by rule" and do not require an individual permit wizen constructed in accordance
with the rui,es Of 15A NCA C 02C. {}200. This fo rm shall be submitted at least 2 weeks prior to injection.
AQUIFER TEST WELLS (15A NCAC 02C .0220)
These wells are used to inject uncontaminated fluid into an aquifer to detennine aquifer hydra.ulic characteristics.
JNSITUREMEDIATION Cl 5A NCAC 02C .0225 ) or TRACERWELLS (15A NCAC 02C .0229):
I) Passive Iniection 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 In jection O perations~· Injection wells located within a land surface area not to exceed 10,000
square feet for the purpose of soil or groundwater remediation or iracertests. An individual permit shall be .required
for test or treatment areas exceeding l0,000 square feet.
3) Pilot Tests -Preliminary studies conducted for the purpose of evaluating the technical feasibility of a
remediation strategy in order io 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 ambientairto enhance in-situ treatment of soil or groundwater.·
Print Clearly or Type Information. Illegible Submittals Will Be Returned As Incomplete.
DATE:_______ PERMIT NO. {/\/ _1, 0 g O Q Lf'S' / (to be filled in by DWR)
Ac WELL TYPE TO BE CONSTRUCTED OR OPERA TED
(l)
(2)
(1)
(4)
(5)
(6)
--~Air Injection Well.. .................................... Complete sections B-F, K, N
XXXX 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: Business/Organization
C. WELL OWNER -State name of entity and name of person delegated authority to sign on behalf of the
business or agency:
Name: Mr. Hob Walker. Executive Director_ Bnmswick Regional Water and Sewer H2GO
Mailing Address: P.O_ Box 2230
Cit:)': Leland State: NC
Day Tele No.: 910-371-9949 x !06
EMAlL Address: bwalker@.h2 goonline.com
UIC!ln SituRemed. Notification (Revised3/2/2015)
Zip Code: 28451 County: ___ ~B~ru~n=sw __ ic~k
Cell No.: 910-279-4581
Fax. No.: 910-371-6441
Page 1
D, PROPERTY OWNER (if different than well owner)
Name: Brunswick Reg ional Water and Sewer H2GO (Same )
Mailing Address: ________________________________ _
City: ___________ State: ~Zip Code:. ______ County:---'-.. ____ _
Day Tele No.: ___________ _ Cell No.: __________ _
EMAIL Address: _____________ _ Fax.No.: __________ _
E. PROJECT CO:NTACT-Person who can answer technical questions about the proposed injection project
Name: James K. Hollev. P.G .. Grol.lildwater Management Associates, Inc.
Mailing Address:. 4300 S apphire Court. Suite 100
City: Greenville State: NC Zip Code: 27834 County: Pitt
Day Tele No.: 252-758.3310 Cell No.: __ ~2~52~-~8~14_-~63~6~1-
EMAIL Address: javtih gma-nc.com Fax No.: --~N~A~. __
F. PHYSICAL LOCATION OF WELL SITE
(1)
(2)
Physical Address: ----=E=le=...,v=a=te=d=-W..:..:...:a=te:.:..r...:S,...to=r=ag,=,o-=e--'T-=an=k=· .'-'A'--'-=tk=in,__,,s=o=n'----T""'r""a=il
________________________ County: Bnmswjck
City: Leland State:. NC Zip Code: 28451
Geographic Coordinates: Latitude**: 34 ° JJ.' 42.53" or ___ 0
--------
Longitude**: -78° Q' 52.86" or ___ 0 _______ _
Reference Datum:. ________ .Accuracy: ________ _
Method of Collection: GIS A pp roximation (See Figure 1)
**FOR AIR INJECTION AND AQUIFER TEST WELLS QNLY: A FACILITY SITE MAP WITH PROPERTY
BOUNDARIES MAY BE SUBMTTTED IN LIEU OF GEOGRAPHIC COORDINATES .
G. TREATMENT AREA
Land surface area of contaminant plurne: _______ square feet
Land surface area ofiaj. well network: square feet~ 10;000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: (must be~ 5% of plume for pilot test injections)
H. INJECTION. ZONE l.\1APS -Attach the following to the notification.
(l) Contaminant plume map(s) with isoconcentration lines that show the horizontal extent of the
contaminant plume in soil and groundwater, existing and proposed monitoring wens, and existing and
proposed injection wells; and ·
(2) Cross-'section(s) to the known Cit projected depth of contamination that show the horizontal and
vertical extent of the contam1.nant plume in soi1 and groundwater, changes in lithology, existing and
proposed monitoring wells, and existing and proposed injection wells.
(3) Potentiometri.c surface map(s) indicating the rate and direction of ,groundwater movement, plus
existing and proposed wells.
UJCJjn Situ Rem ed. Notification (Revised 3/2/2015) Page Z
L 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
1:!J:!P-:!lportal.ncdenr.orglweblwq/ap_slgwpro~ All other substances must be reviewed by the Division of Public
Health, Department of Health and Human Seroices. Contact the UIC Program for more info (919~807-6496).
lnjectant: ----------------------------------
Volume ofinjectant:
Concentration at point ofinjection: ________________________ _
Percent if in a mixture with other injectants: ____________________ _
Injectant: ----------------------------------
Volume of injectant: _____________________________ _
Concentration at point ofinjection: ________________________ _
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) Number of injection wells: ----~Proposed. ___ 2=-__ Existing
(2) 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)
(Permanent. Existing monitorin g we11s)
(b) depth below land surface of grout, screen, and casing intervals See.Attached Figure 4 and
attached well construction records.
(c) well contractor name and certification number (Sean Cropsev; #2485 . Ski pp ers ).
UIC//11 Situ Reri1ed. Notification (Revised 3/2/2015) Pagc'3
L. SCHEDULES — Briefly describe the schedule for well constructionand injection activities.
M. MONITORING PLAN — Describe below or in separate attachment a monitoring plan to be used to _determine
if violations ofgroundwater quality standards specified in Subchapter 02L 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 on my inquiry of those individuals immediately
responsible for obtaining said information, I 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
and all related appurtenances in accordance with -the 15A NCAC Q2C 0200 Rules."
JIr2 G xe. tucf+ v2 i .t. r- f)c_'. D tiJ o-[ Kid r
signature of Applicant Print or Type Full Name
PROPERTY OWNER, (if th 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, 1 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 (15A NCAC 02C .0200t. "
"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 tie land owner, in
the absence of contrary agreement in writing.
Signature* of Property Owner (if different from applicant) Print or Type Tull Name
"' An access agreement between the applicant and property owner may be submitted in lieu of a signature an this form.
Submit the completed notification package to:
DWR — UlC Program
1636 Mail Service Center
Raleigh; NC 27699-1636
Telephone: [phone]
[1IClln Situ Reined. Noti fication (Revised 3/2/2015) Page 4

RES/ DENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources -Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2485
1. WELL CONTRACTOR:
Sean Cropsey
Well contractor (individual) Name
Skipper's Well Drilling & Pump Service, Inc.
Well Contractor Company Name
107 Oakland Avenue
Street Address
Leland
NC 28451
City or Town State
910 3712770
Area Code Phone Number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT#
SITE WELL ID# (if applicable)
Zip Code
3. WELL USE (Check Applicable Box): Test Well
DATE DRILLED 08/21/12
TIME COMPLETED AMMPM[]
4. WELL LOCATION:
City: Leland County Brunswick
H2Go tank on east side of Leland
(Street Name, Numbers, Comrnunity, subdivision, Lot Nol, Parcel, Zip Code)
TOPOGRAPHIC 1 LAND SETTING: (check appropriate box)
]Slope ]Valley ]Flat]Ridge [ Other
LATITUDE N34' 11 . 711 '
LONGITUDE° 0. B81 '
Latitude/longitude source: [ GPS Topographic mai , 11. DRILLING LOG
(location of well must be shown on a USGS topo map and attached to
this form it not using GPS)
g. WATER ZONES (depth):
. Top 247 Bottom 402 Top
_ Top Bottom Top
- Top Bottom Top
. 7, CASING: Depth
. Top +1 Bottom 100
, Top +3 Bottom 347
. Top 402 Bottom 407
Deep lower Pee Dee 407
Test Well
Bottom
Bottom
Bottom
Thickness)
Diameter Weight Material
Ft.
Ft.
Ft.
8. GROUT: Depth
Top 325 Bottom 335 FL
Top 200 Bottom 325 Ft.
Top 0 Bottom 200 Ft.
9. SCREEN:Depth
12 sch40 BLK STEEL
6 SDR17 PVC
4 sch80 PVC
Material Method
BENTONITE GROUT PUMP
CEMENT& GROUT PUMP
CEMENT
Diameter Slot Size Material
Top 347 Bottom 402 Ft.
Top Bottom Ft.
_ Top Bottom Ft.
4 in
in
in.
30 in STAINLESS
in.
in.
10. SAND/GRAVEL PACK:
Depth Size Material
Top 335 Bottom 407 Ft. #2 Southern Products
Top Bottom t t.
Top Bottom Ft.
5. WELL OWNER
Brunswick Regional Water and Sewer H2Go
Owner Name
P.O.Box 2230
Street Address
Leland, NC 28451
City or Town State
( 910 ) 371-9949
Area code Phone number
Top / Bottom Formation Description
0 1 40 red & Blue clay and fine sand
40 1 65 medium sand
_ 65 1 85 rock, clay and tine sand
85 1 100 fine sand and rock
_ 100 1 225 dark gray. clay, very fine sand wlwood
225 / 268 Hard and soft zones, fine to med quartz with phosphate
268 1 348 Sandy silt wlshell frag,coarse sand, clay below 330.
Zip Cod .
348 1 376 med to fine quartz sand w fine phosphate sand/minor shells
376 / 400 gray, silty med to coarse quartz sand withphosphate sand
400 / 407 soft gray silty clay with quartz sand and shell
6. WELL DETAILS: _ 12. Remarks:
a. TOTAL DEPTH: 407
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO❑X'
c. WATER LEVEL Below top of Casing: 9.36 FT _
(Use "+-" if Above Top of Casing)
d. TOP OF CASING IS 3 FT. Above Land Surface _
Top of Casing terminated at/or below land surface may require _
a variance in accordance with 15A NCAC 2C.0118.
e.YIELD (gpm): 157 METHOD OF TEST pump .
f_ DISINFECTION: Type NTH. Amount cup .
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN
ACCORDANCE WITH 15A NCAC 2C, WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN
PROVIDED TO THE WELL OWNER.
SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days of completion to"Division of Water Quality - Information Processing Form GW-1 a
1617 Mail Service Center, Raleigh, NC 27699-161, Phone: [phone] Rev. 2lU9

RESIDENTIAL WELL CONSTRUCTION RECORD
Nnrth Carolina Department of Environment and Natural Resources -Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2485
1. WELL CONTRACTOR:
Sean Cropsey
Well contractor (Individual) Name
Skipper's Well Drilling & Pump Service, Inc.
Well Contractor Company Name
107 Oakland Avenue
Street Address
Leland
NC 28451
City or Town
910 3712770
Area Code Phone Number
State
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT#
SITE WELL ID# (if applicable)
Zip Code
3. WELL USE (Check Applicable Box): Test Well
DATE DRILLED 08/28/12
TIME COMPLETED AMEIPM[l
4. WELL LOCATION:
City: Leland County Brunswick
H2Oo tank on east side of Leland
(Street Name, Numbers, Community, subdivision, Lot Nol, Parcel, Zip Code)
01-1OUNANHIL:1 LAND SE I I ING: (check appropriate box)
[]Slope j] Valley
LATITUDE N34'
LONG1TUDW078°
Flat[f Ridge n Other
19 . 5153 '
0 . 47-733
Latitude/longitude source: El GPS I —Topographic map
(location of well must be shown on a USGS topo map and attached to
this form if not using GPS)
5. WELL OWNER
Brunswick Regional Water and Sewer H2Go
Owner Name
P,O.Box 2230
Street Address
Leland, NC 28451
City or Town State
= 910 ) 371-9949
Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 594
b. DOES WELL REPLACE EXISTING WELL? YES
c. WATER LEVEL Below top of Casing: 0 FT
(Use "+" if Above Top of Casing)
d. TOP OF CASING IS 3 FT. Above Land Surface
Top of casing terminated aflor below land surface may require
a variance in accordance with 15A NCAC 2C.0118.
e.YIELD (gpm): 206 METHOD OF TEST pump
f. DISINFECTION: Type HTH Amount cup
Zip Code
.r
1
37T1
_ 400I
475
[] NO[,. 610
Black Creek Tank Site 594
Test Well
g. WATER ZONES (depth):
• Top 584 Bottom 559 Top 476
. Top 531 Bottom 541 Top
Top
Top
508 Bottom 518
7_ CASING: Depth
Top +1 Bottom 100
Top +3 Bottom 350
Top 350 Bottom 476
Top 501 Bottom 508
Top 518 Bottom 531
Top 540 Bottom 559
Top 584 Bottom 594
8. GROUT: Depth
Top 0 Bottom
Top 100 Bottom
Top 0 Bottom
9. SCREEN:Depth
Top 478 Bottom 501
Top 508 Bottom 518
531 Bottom 541
584 Bottom 589
100
450
100
Top
Top
10. SAND/GRAVEL PACK:
Depth
Top Bottom
Top
Top
Bottom
Bottom
Bottom
Thicknessl
Diameter Weight Material
501
Ft. 12 sch40
Ft. 6 SDR17
Ft. 4 sch80
Ft. 4 sch80
Ft_ 4 sch80
Ft. 4 sch80
Ft. 4 sch80
ELK STEEL
PVC
PVC
PVC
PVC
PVC
PVC
Material Method
Ft. CEMENT PUMP
Ft. CEMENT & GROUT PUMP
Ft. CEMENT
Diameter Slot Size Material
Ft 4 in 30 in. STAINLESS
Ft. 4 in 30 in. STAINLESS
Ft. 4 in 30 in. STAINLESS
Ft. 4 in-30 in. STAINLESS
Size Material
R. #2 Southern Products
Bottom Ft.
Bottom Ft.
11. DRILLING LOG
Top / Bottom Formation Description
0 1 40 red & Blue clay and fine sand
40 / 65 medium sand
65 1 85 rock, Gay and fine sand
85 1 100 fine sand and rock
*0-1T 1 225 dark gray, clay, very fine sand w/wood
268 Hard and soft zones, fine to med quarlz with phosphate
348 Sandy silt w/shell frag,coarse sand, clay below 330.
376 med to fine quartz sand w tine phosphate sand/minor shells
400 gray, silty med to coarse quartz sand withphosphate sand
475 soft gray silty clay with quartz sand and shell
610 art fine sand, soft clay and hard mudslone
700 hne sandy gray cklay, coarse sand grains. rock
I Do HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN
ACCORDANCE WITH 15A NCAC 2C, WELL CONSTRUCTION
STANDARDS, ANO THAT A COPY OF THIS RECORD HAS BEEN
PROVIDED TO THE WELL OWNER.
SIGNATURE OF CERTIFIED WELL CONTRACTOR
DATE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days of completion to" Division of Water Quality - Information Processing Form GW-1a
1617 Mail Service Center, Raleigh, NC 27699-161, Phone: [phone] Rev. 2/0g

GMA
Groundwater Monogement Associates, Inc.
4300 Sapphire Court, Suite 700
Greenville, North Carolina 27834
Telephone: [phone]
www.,_:rna-nc.com
The Groundwater Experts Apex and Greenville, NC
January 8, 2015
Mr. Michael Rogers, P.G.
Hydrogeologist
NCDEQ - DWR
Water Quality Regional Operations Section
1636 Mail Service Center
Raleigh, NC 27699
Re: Notice of Intent for Aquifer Test Injection Wells, Brunswick Regional Water and Sewer
I-12GO, Leland, Brunswick County, NC.
Dear Mr. Rogers,
Groundwater Management Associates, Inc. (GMA) is working with the Brunswick Regional
Water and Sewer H2GO (H2G0) in the development of groundwater supplies near Leland, NC to
meet future demands of the H2GO public water system. The initial phase of groundwater
evaluation has involved exploration of the yield potential and water quality of the Lower Peedee
and Black Creek Aquifers as possible sources of water to supply a reverse osmosis (RO) water
treatment plant. Exploratory test wells were constructed at two sites, the Elevated Storage
Tank Site and the Industrial Park Site (See Figure 1). The results of the RO exploratory drilling
helped to guide the design and construction of RO production wells to supply the future RO
WTP. The RO well field will be located to the north and west of the Elevated Storage Tank site,
and a pair of production wells has been constructed at the WTP site (Figure 2).
H2G0 desires to construct one or more Aquifer Storage Recovery (ASR) wells as water
management tools to help meet seasonal demands of their water system. Considering the
favorable exploration results of the Elevated Tank Site, H2GO selected this site as a possible
future location for an ASR well(s). GMA has been selected to provide hydrogeological
consulting services for the RO wellfieid and the ASR feasibility study. The Wooten Company
(Wooten) is providing engineering services on the projects. In addition, ASR Systems, LLC
(ASRS) is providing technical expertise on ASR well site evaluations and design.

Mr. Rogers
Page 2
In April of 2015, GMA completed a Phase I ASR feasibility study that included core drilling,
mineralogical analyses, geochemical modeling, and predictive calculations of well yield and
possible ASR storage volumes of a future ASR well system to be constructed at the Elevated
Storage Tank site located off Atkinson Trail (see Figure 3).
Four test wells were constructed at the site, with three wells being screened in the upper,
middle and lower portions of the Peedee Aquifer and one well was screened in the Black Creek
Aquifer. Figure 4 presents construction details, lithologic descriptions, and geophysical logs
from the exploration project. Based upon available data, H2GO desires to construct an ASR
system at the Elevated Storage Tank site with an ASR well screened in the Black Creek Aquifer
(BCA), and possibly a second ASR well screened in the Lower Peedee Aquifer (LPDA). Results
of GMA's Phase I ASR feasibility study indicate that ASR storage in the LPDA and/or the BCA
may be feasible.
H2GO, working with GMA and The Wooten Company (Wooten), is herein providing Notice of
Intent to convert two exploratory test wells at the Elevated Storage Tank site to aquifer test
wells. Enclosed you will find the Notice of Intent form with the applicable sections completed
for Aquifer Test Wells. We propose to inject drinking water from the Brunswick H2GO water
distribution system into one existing test well screened in the Lower Peedee Aquifer and into
one existing test well screened in the Black Creek Aquifer.
Injection will occur at rates of approximately 25 gpm per well. Water injection will continue
uninterrupted for a period of 30 days. After 30 days of injection are completed, H2GO will shut
off the flow to the wells, and the system will be allowed to rest for another 7 days of storage to
allow head in the aquifer to return to near static conditions. Following the 7-day storage
period, a temporary submersible test pump will be set in each of the wells, and the wells will be
pumped continuously for a two week period during which sampling and monitoring will occur to
evaluate the feasibility of storing and recovering drinking water in the Black Creek and Lower
Peedee Aquifers. The results of the aquifer testing will guide the final design of an ASR
production well(s) at the site.
GMA understands that Aquifer Test Wells are deemed permitted by rule, and that no permits
are required to allow this activity to occur. Please contact me if you have any questions
regarding the project and the proposed injection testing. We anticipate that injection and
recovery activities will be completed by the end of March, 2016.
Best regards,
Groundwater Management Associates, Inc.
r Ji-rrfl. }/
James K. Holley, P.G.
Senior Hydrogeologist
Enclosures: Figure 1 -Locations of Test Well Sites
Figure 2 -Location of the Elevated Tank S\te and the RO Plant Site
Figure 3 -Elevated Tank Site Map
Figure 4 -Well Details and Hydrostratigraphy of the Elevated Tank Site
Notification of Intent Form and Supporting Documents
CC: Mr. Bob Walker -Brunswick Regional Water and Sewer H2GO
Mr. Marty Stone-The Wooten Company
Z:\GMA\S0Sxx-Wooten\50518 Brunswick H2GO\Notice of Intent Cover Letter 1-8-16.docx
Mr . Rogers
Page 3
..
I �
Navassa\
Elevated Tan k.Site .1
Lef and
5 k
`t �
7 ( ;-' I�1
-LEGEND-
TEST WELL SITES
WATER TREATMENT PLANT
PROJECTED WATER SERVICE AREA
CURRENT WATER SERVICE AREA
COUNTY BOUNDARY
MUNiCIPAI BOUNDARY
WATER FEATURE
AN 19 Z016
LOCATIONS OF TEST
WELL SITES
FIGURE 1
(DATE 5/9/2013
"=6,500'
13,000'
BRUNSWICK REGIONAL WATER
AND SEWER H2G0
BRUNSWICK COUNTY, NORTH CAROLINA
GROUNDWATER MANAGEMENT ASSOCIATES, INC.

- LEGEND -
+ CORE HOLE
+ TEST WELL
SA: SURFICIAL AQUIFER
UPDA; UPPER PEEDEE AQUIFER
LPDA: LOWER PEEDEE AQUIFER
BCA: BLACK CREEK AQUIFER
PROJECT: 50518
0
ELEVATE❑ TANK SITE
LOCATION MAP
80
DATE 4/15/2015
120'
1.10
=60'
BRUNSWICK H2G0
ASR PROJECT
BRUNSWICK COUNTY, NORTH CAROLINA
GMT
GROUNDWATER MANAGEMENT ASSOCIATES, INC.

ELEVATED TANK SITE GEOPSICL
TEST WELLS L
LAND SURFACE as LITHOLOGY DESCRIPTION SP/GAMMAESISTIVITY
I
,
1
I
_
-
50
-• '-
,
-
..,tea
•• : -
c
OC'�
GMA was not present for drilling from 0-100ft.
Descriptions taken from shallow test well drilled -
previously.
_
D-50ft.
Coarse SAND to fine gravel with minor Clay -
--
-
I. L_ _
-- -
_
-
i -,
PEEDEE
WELL SCREEN
45-75`
STATIC WATER
6.16' 8LS
-HOUR PUMPING
WATER LEVEL=38.32'
SP£CIfC CAPACITY=
2.e7ggppm/1=t.
ct 80gpm
AQUIFER
VfFJJ
INTERVAL
LEVEL=
BLS
1
1
I4. I
1-
100 -
-
_:.
150-
-
_r-
200--
-
-
250 -
-
_
•:
` • ; :'100
':
- -
'W
= y _ '�
Y ..
ii •"• '
'
•
-
- UPPER PEEDEE AQUIFER
50 -
50-100ft.
Alternating gray SAND and Clay with abundant Wood-
-
-
_
_
_
100-225ft i50-`
Dark gray, clayey, silty very fine SAND with abundant
wood. -
-
200-
225-2fi8ft. -
Alternating hard and soft zones. Cuttings show fine to
medium silty quartz SAND with about 15% very fine -
phosphate Sond grams. 250 -
-
i
±�I
z;
i
r
PLi
-
"
LA.
T
.,
I+� iii
-UPPER
I !TEST
-_ '
� ;-
_ -,--
' •-
it - -
,
- -e
r- _ -
f _
a -_
`_
-_
r-
-
��
LOWERy pEE C.L.
BASAL UPPER PEEDEE
N
-
4 =1
AQUIFER TEST WEtl
268-348ft.
f
WELL SCREEN INTERVALS:
`
300 -
.:
• • •
-
Cray sandy SILT with abundant shell fragments. Some
coarse Sand grains noted from 295 to 320ft. depth. 300 -
i7-
r1
1- _
r'S -
_
256-2 6'
I
_
. • `•,..�.
•.[
Becomes clayey below 330ft. depth. Hord zones from -
332 to 34Dft- depth-
.
_�
.,
=S--•
I •: 1
-•
_
-
STATIC WATER LEVEL.
9 85' BL:;
6-HOUR PUMPING
1 -
-
-
-
-�
^-*
WATER LEVEL=T84.65' BLS
1
e�
=^=_-_
-
34$-376ft.
..v•
` -7'.
SPECIFIC CAPACITY=
0 23gpm/Ft.
at 40gpm
CHLORIDE-1710rig/L
_
-
- 350--
r _
400
..-'.-
:• +�
!
!� +
b
P--
Soft bumpy penetration. Cuttins show ray poorly 350-
sorted, medium to fine quartz SAND withsome very -
fine phosphate Sond grains and minor Shell. Occasional,
rock fragments. Drills harder from 372 to 376ft. depth. _
376--400ft. -
Moderately hard drilling. Cuttings show gray, sil#y, _
medium to coarse quartz SAND with about TO% fine
Sand. Occasional rock fragments and minor
-.';•:-
I'
`
T-
- _ -_•-{
- - � . + - 1_
L.
Y
DEEP LOWER PEEDEE
AQUIFER TEST WELL
-
-
-
_
`mp'y
e,1,
f
-;.✓
�a
phosphate 400 =
shell fragments.
-
4UU-475ft. -
-
_`
Y
1 .---
l `-_'
�i
WELL SCREEN INTERVAL
- -'z'
'.BLACk'CREE
Soft, gray, siltyCLAY with minor veryfinequartz
9 �'
Sand an Shelf. Cloy becomes lighter gray color with
i
----
L
347-402'
-
-_ .-,
-
STATIC WATER LEVEL=
450 -
- -
depth. Clay also becomes less silty with depth.
450 -
— - -�
7-26' BLS
6-HOUR PUMPING
WATER LEVEL129.32' BLS
-
— -
- --
_
SPECIFIC CAPACITY-
1.29gpm/Ft.
-
-
- _
-
.
at 157gpm
.'
{
CHLORIDE=2120mg/L
-
-
-
475-610ft. -
Poor cuttings return. Drilling penetration indicates
alternating layers of fine SAND, soft CLAY, and hard
--'T, ^
•s
-
I
J.
-',<<ff/jj%j
-
••'- •
-
Mudstone- Very hard at 539 to 543ft. Gray Cloy bolls
are common. Some fine to very fine Sand lenses -
evident at 485 to 495, 510 to 520, 530 to 539. 560
.
•
y i ,
- '
---''.
----- -
550 -
- - - --
to 580, and 600 to 610ft. depth- Some barnacle 550 -
• llr.
-}
" -
BLACK CREEK AQUIFER
Shells 545 to 550ft.
r'.il
-
at _
I
-
-
`
..�
-
as
-
1rt!
ram'
i-- =
r'
BLACK CREEK AQUIFER 600-
TEST WELL _
WELL SCREEN INTERVALS
476-501' -
508-518' _
531-54$'
559-564' -
STATIC WATER LEVEL= 650-
4-85' BLS
6-HOUR PUMPING
WATER LEVEL=104.30' BLS -
SPECIFIC CAPACITY=
at 206gpm
700
_ _
- -
-
- - •
-- -
-_-_-_
- - _
-r —
_
- _OD
- -
- —--
- - —
600-
_
-
-
610-700ft. -
Soft drilling. Cuttings show fine to very fine sand gray^
Y 6 50 ••-
CLAY. Occasional course Sand groins and rock
fragments noted. Shell material common from 650 to -
670ft. Less Shell below 670ft.
-
-
1,4
'jt
-.-
'
, --I
•
_ {..
1.
-
s-•
L - _I
1 -_
- _
j -`--�-I
+ --
-
7
� -: --
- -
— -:
- -
I. _ -
_=_-=,
`z� _ ��
- -�
7U0 -
CHLORIDE-4560mg/L
SITE LOCATION
LATITUDE N34.195153'
LONGITUDE W78.014733'
LEGEND
��
WOOD C.L.= CONFINING LAYER STATIC WATER LEVEL SCVERTCAFfET
SAND �AS
'////// HARD ZONE ❑ 30' 60'
GMA
--- PUMPING WATER LEVEL
- - -
CLAY SHELLS + � SILT
- - -
__ - . T •=so•
OROUH9WAY1R MLciammiNT AssoamU, INC.
File: DRAWINGS/50518
EB WHO OG
PROFILE VIEW OF THE ELEVATED TANK SITE TEST WELLS & HYDROGEOLOGY
Date: 4/10/15
Project No. 50518
BRUNSWICK REGIONAL WATER Sc SEWER H2C0
Figure: 4