WI0800549_Permit (Issuance)_20210511

CES@NC�
April 16, 2021
Michael Rogers
DWR — UIC Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
RE:
Notification of Intent to Operate Injection Wells
Former Scotchman #59
115 US Highway 117 S
Burgaw, Pender County, North Carolina
NCDEQ UST Incident No.: 28425
Dear Mr. Rogers:
CES of NC, PLLC
5104 Reagan Drive, Suite 7
Charlotte, North Carolina 28206
980.819.9333 [office]
540.343.6259 [facsimile]
RECEIVED
APR 3 0 nal
NC DELI/DWR
Central Office
On behalf of the responsible party/applicant, CES of NC, PLLC is submitting the enclosed Notification of
Intent to Operate Injection Wells. The document details "deemed permitted" small-scale injection activities
utilizing existing monitoring wells for the purpose of groundwater remediation associated with the
referenced incident number. Following review should you have any questions or require additional
information, please do not hesitate to contact me by phone at [phone] or email at
awi ll i amson@ crawfordenvironmental . com.
Sincerely,
CES of NC, PLLC
Aaron Williamson, GIT
Project Manager
Enclosure

DATE: March 22 , 2021
NC Department of Environmental Quality — Division of Water Resources (DWR)
NOTIFICATION OF INTENT (NOI) TO CONSTRUCT OR OPERATE INJECTION WELLS
The following are `permitted by rule" and do not require an individual permit when constructed in accordance
with the rules of 15A NCAC 02C.0200 (NOTE: This form must be received at least 14 DAYS prior to injection
AQUIFER TEST WELLS r"' "'^ ^^^ ^^ )
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION (15A NCAC 02C .0225) or TRACER WELLS (15A NCAC 02C .0229):
1) Passive Injection Systems - In -well delivery systems to diffuse injectants into the subsurface. Examples include
ORC socks, iSOC systems, and other gas infusion methods (Note: Injection Event Records (IER) do not need to be
submitted for replacement of each sock used in ORC systems).
2) Small -Scale Iniection 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 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 is 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.
5) In -Situ Thermal Wells UST) — Used to `heat' contaminated groundwater to enhance remediation.
Print Clearly or Type Information. Illegible Submittals Will Be Returned as Incomplete.
PERMIT NO. W10800549 (to be filled in by DWR)
NOTE- If this NOI is being submitted as notification of a modification of a previously issued NOI for this site (e.g.,
different injection wells, plume, additives, etc.) and still meets the deemed permitted by rule criteria, provide the
previously assigned permit tracking number and any needed relevant information to assess and approve injection:
Permit No. WI
Issued Date:
A. WELL TYPE TO BE CONSTRUCTED OR OPERATED
(1) Air Injection Well Complete sections B through F, J, M
(2) Aquifer Test Well Complete sections B through F, J, M
(3) Passive Injection System . Complete sections B through F, H-M
(4) X Small -Scale Injection Operation Complete sections B through M
(5) Pilot Test Complete sections B through M
(6) Tracer Injection Well Complete sections B through M
(7) In -Situ Thermal (IST) Well Complete secaregriffeigh M
B. STATUS OF WELL OWNER: Business/Organization
Deemed Permitted GW Remediation NOI Rev. 2-17-2020
APR 3 0 2021
NC tiEQ/DWB
Central Office
Page 1

CES@NM
April 16, 2021
Michael Rogers
DWR — UIC Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
RE:
Notification of Intent to Operate Injection Wells
Former Scotchman #59
115 US Highway 117 S
Burgaw, Pender County, North Carolina
NCDEQ UST Incident No.: 28425
Dear Mr. Rogers:
CES of NC, PLLC
5104 Reagan Drive, Suite 7
Charlotte, North Carolina 28206
980.819.9333 [office]
540.343.6259 [facsimile]
On behalf of the responsible party/applicant, CES of NC, PLLC is submitting the enclosed Notification of
Intent to Operate Injection Wells. The document details "deemed permitted" small-scale injection activities
utilizing existing monitoring wells for the purpose of groundwater remediation associated with the
referenced incident number. Following review should you have any questions or require additional
information, please do not hesitate to contact me by phone at [phone] or email at
[e-mail].
Sincerely,
CES of NC, PLLC
761,Go/L-461/1442-r_,
Aaron Williamson, GIT
Project Manager
Enclosure

NC Department of Environmental Quality — Division of Water Resources (DWR)
NOTIFICATION OF INTENT (NOI) TO CONSTRUCT OR OPERATE INJECTION WELLS
The following are `permitted by rule" and do not require an individual permit when constructed in accordance
with the rules of 15A NCAC 02C.0200 (NOTE: This form must be received at least 14 DAYS prior to injection)
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 (15A NCAC 02C .0225) or TRACER WELLS (15A NCAC 02C .0229):
1) Passive Injection Systems - In -well delivery systems to diffuse injectants into the subsurface. Examples include
ORC socks, iSOC systems, and other gas infusion methods (Note: Injection Event Records (IER) do not need to be
submitted for replacement of each sock used in ORC systems).
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 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 is 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.
5) In -Situ Thermal Wells (IST) — Used to `heat' contaminated groundwater to enhance remediation.
Print Clearly or Type Information. Illegible Submittals Will Be Returned as Incomplete.
DATE: March 22 , 2021
PERMIT NO. (to be filled in by DWR)
NOTE- If this NOI is being submitted as notification of a modification of a previously issued NOI for this site (e.g.,
different injection wells, plume, additives, etc.) and still meets the deemed permitted by rule criteria, provide the
previously assigned permit tracking number and any needed relevant information to assess and approve injection:
A.
B.
Permit No. WI Issued Date:
WELL TYPE TO BE CONSTRUCTED OR OPERATED
(1) Air Injection Well Complete sections B through F, J, M
(2) Aquifer Test Well Complete sections B through F, J, M
(3) Passive Injection System .. Complete sections B through F, H-M
(4) X Small -Scale Injection Operation Complete sections B through M
(5) Pilot Test Complete sections B through M
(6) Tracer Injection Well Complete sections B through M
(7) In -Situ Thermal (IST) Well Complete sections B through M
STATUS OF WELL OWNER: Business/Organization
Deemed Permitted GW Remediation NOI Rev. 2-17-2020
Page 1

C. WELL OWNER(S) — State name of Business/Agency, and Name and Title of person delegated authority to
sign on behalf of the business or agency:
Name(s): Mr. Rolfe Lann, VP of Environmental / GPM Southeast, LLC
Mailing Address: 8565 Magellan Parkway, Suite 400
City: Richmond State: VA Zip Code: 23227 County: Richmond
Day Tele No.: [phone] Ce11 No.:
EMAIL Address: [e-mail] Fax No.: [phone]
D. PROPERTY OWNER(S) (if different than well owner/applicant)
Name and Title: Matt Murphy, Owner
Company Name Coastal Carolina Car Wash, LLC
Mailing Address: 1202 N Lake Park Blvd
City: Carolina Beach State: _NC Zip Code: 28428 County: New Hanover
Day Tele No.: [phone] Cell No.:
EMAIL Address: [e-mail] Fax No.:
E. PROJECT CONTACT (Typically Environmental Consulting/Engineering Firm)
Name and Title:
Aaron Williamson, Project Manager
Company Name CES of NC, PLLC
Mailing Address: 5104 Reagan Drive, Suite 7
City: Charlotte
Day Tele No.: 980-819-9333
State: NC Zip Code: 28206 County: Mecklenburg
Cell No.: 910-280-2974
EMAIL Address: [e-mail] Fax No.: 540-343-6259
F. PHYSICAL LOCATION OF WELL SITE
(1) Facility Name & Address: Former Scotchman #59
115 US Highway 117 S
City: Burgaw
(2) Geographic Coordinates:
County: Pender Zip Code: 28425
Latitude**: " or 0 34.553331
Longitude**: " or °.-77.913744
Reference Datum: WGS84 Accuracy: 2 meters
Method of Collection: Google Earth
**FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY: A FACILITY SITE MAP WITH PROPERTY
BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COORDINATES.
G. TREATMENT AREA
Land surface area of contaminant plume: 31,800 square feet
Land surface area of inj. well network: 300 square feet (< 10,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: 1
(must be < 5% of plume for pilot test injections)
Deemed Permitted GW Remediation NOI Rev. 2-17-2020
Page 2

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.
I. DESCRIPTION OF PROPOSED INJECTION ACTIVITIES AT THE SITE — Provide a brief narrative
regarding the cause of the contamination, and purpose, scope, goals of the proposed injection activity:
Petroleum UST systems removed in 2001 & 2002, releases indicated. Active remediation from 2001 to 2020
removed much free product, but product generally persists in four site wells. Purpose of injection is to pilot test
surfactant as a residual free product recovery method prior to full scale implementation. 25 gallons of
PetroSolvTM surfactant will be mixed with 450-gallons of potable water to create an approximate 5% surfactant
solution injected into existing monitoring well MW-21. Injection of surfactant followed by vacuum extraction
to recover groundwater on the order of at least 1.5 to 2 times to volume injected is proposed to liberate, mobilize,
and recover free product in the subsurface vicinity of injection well. Once free product is no longer present,
natural attenuation may be pursued for incident closure. See NCDEQ UST Incident Number 19300.
J. WELL CONSTRUCTION DATA
(1) No. of injection wells: Proposed 1 Existing (provide NC Well
Construction Record (GW-1) for each well)
(2) Appx. injection depths (BLS): 2 - 12 feet
(3) For Proposed wells or Existing wells not having GW-ls, provide well construction details for each
injection well in a diagram or table format. A single diagram or line in a table can be used for
multiple wells with the same construction details. Well construction details shall include the
following (indicate if construction is proposed or as -built):
(a) Well type as permanent, Geoprobe/DPT, or subsurface distribution infiltration gallery
(b) Depth below land surface of casing, each grout type and depth, screen, and sand pack
(c) Well contractor name and certification number
K. INJECTION SUMMARY
NOTE: Only inlectants approved by the epidemiology section of the NC Division ofPublic Health, Department
of Health and Human Services can be injected. Approved injectants can be found online at
http://deq.nc. gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/ground-water-
protection/ground-water-approved-injectants. All other substances must be reviewed by the DHHSprior to use.
Contact the UIC Program for more info if you wish to get approval for a different additive. However, please
note it may take 3 months or longer. If no injectants are to be used use N/A.
Injectant: ETEC, LLC PetroSolvTM Total Amt. to be injected (gal)/event: 25
Injectant: Potable Water Total Amt. to be injected (gal)/event: 450
Deemed Permitted GW Remediation NOI Rev. 2-17-2020
Page 3

Injectant: Total Amt. to be injected (gal)/event:
Injectant: Total Amt. to be injected (gal)/event:
Injectant: Total Amt. to be injected (gal)/event:
Total Amt. to be injected (gal/event): 500
No. of separate injection events:1 Total Amt. to be injected (gal): 500
Source of Water (if applicable): Potable from on -site car wash
L. 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 02L result from the injection activity.
Site currently exhibits violations of 21- Standards for petroleum hydrocarbons and is monitored on a semi-annual
basis which will continue post injection, reduction is expected post injection. Wells will be measured for
presence of free product and groundwater samples will be collected and analyzed for VOCs by Standard Methods
6200. See NCDEO UST Incident Number 19300.
M. SIGNATURE OF APPLICANT AND PROPERTY OWNER
Well Owner/Applicant: "I hereby cert, 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, 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
i► j n ell and all related appurtenances in accordanr fth the 15A NC.4C 02C 0200 Rules."
y _a
Sigma" ure of Applicant Print or Type Full Name and Title
Property Owner (if the property is not owned by the Well Owner/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 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.
See attached Coastal Carolina Car Wash, LLC access agreement
Signature* of Property Owner (if different from applicant) Print or Type Full Name and Title
*An access agreement between the applicant and property owner may be submitted in lieu of a signature on this form.
Please send 1 (one) hard color copy of this NOI along with a copy on an attached CD or Flash Drive at least
two (2) weeks prior to injection to:
DWR — UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone: [phone]
Deemed Permitted GW Remediation NOI Rev 2-17-2020 Page 4

Site Location Map
GPM 3059 (Former Scotchman #3059)
115 US Highway 117 South
Burgaw, North Carolina
m COWAN Bo
pROGRESS DR
CES@NCa
5104 Reagan Drive, Suite 7
Charlotte, NC 28206
540-343-6256 (office) 540-343-6259 (fax)
IV STAG PARK SVCRD
Burgaw, North Carolina
Source: U.S.G.S Topographic Map of the
Burgaw, North Carolina Quadrangle,
7.5 Minute Series (2016)
Scale: 1:24,000 Contour Interval: 5 Feet
Vertical Datum: National Geodetic Vertical
Datum 1988
Horizontal Datum:North American Datum 1983
Site Location
Project: Groundwater
Monitoring Report
Client: GPM Southeast, LLC
CES NC Job #: 9.0625
Date: 1/25/2021
Latitude:
34°33'11.4"N
Longitude:
77°54'50.1 "W

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Monitoring Report
,,ACC MARKET 1 \ ------NGroundwater

SCOTCHMAN #59
BURGAW, NC
CES PROJECT t197198
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■ GASOUNE DISPENSER
• SURFACE WATER SAMPUNG POINT
LOCATIONS OF HYDROGEOLOGICAL
CROSS -SECTIONS A -A' AND B-B'
FIGURE 7
CLARK ENVIRONMENTAL SERVICES, P.C.

SCOTCHIVIAN # 59
BURGAW, NC
CES PROJECT t$ 97198
A
MW12
TC; 100.15
MW3
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TC: 99.26
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ESTIMATED VERTICAL EXTENT
OF DISSOLVED PETROLEUM
CONTAMINATION
CLARK ENVIRONMENTAL SERVICES, P.C.
A'
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— V
IA)01
se • •
41140
• MEASURED ON 7/26/99.
LEGENO
SAND
CLAY
SANDY CLAY
TOPSOIL
ASPHALT
NOTE:
1) MONITORING AND TELESCOPING WELL
DIAMETERS ARE NOT TO SCALE.
2) ELEVATIONS ARE BASED ON AN ASSUMED
BENCHMARK ELEVATION OF 100.0 FEET.
3) TC : TOP OF CASING ELEVATION FOR
CORRESPONDING WELL.
4) CONCENTRATIONS ARE REPRESENTED IN
PARTS PER BILLION (ppb).
51 BQL : BELOW QUANTITATION LIMITS.
WATER TABLE ELEVATION AS
HORIZONTAL SCALE: 1 = 40'
VERTICAL SCALE: 1" = 5'
VERTICAL EXAGGERATION: 8x
HYDROGEOLOGICAL
CROSS-SECTION A -A'
DEPICTING TOTAL BTEX
ISOCONCENTRATION
CONTOURS
FIGURE 8

SCOTCHMAN # 59
BURGAW, NC
CES PROJECT # 97198
100
•
95
90
85
80
75
MW8
TC: 100.56
MW7
TC: 98 55
EST)MATEO1
•-- VERTICAL
EXTENT OF • ; - . .
FREE
PRODUCT •— .
ESTIMATED VERTICAL EXTENT
OF DISSOLVED PETROLEUM
CONTAMINATION
B'
MW10
TC: 100.83
T1 MW1
TC: 99 26 TC: 99.15
f ,•
LEGEND
SANG
SILTY SAND
CLAYEY SAND
CLAY
SANDY CLAY
TOPSOIL
ASPHALT
V WATER TABLE ELEVATION AS
MEASURED ON 7/26/99.
HORIZONTAL SCALE: 1" = 40'
VERTICAL SCALE: 1" = 5'
VERTICAL EXAGGERATION: 8x
CLARK ENVIRONMENTAL SERVICES, P.C.
NOTE:
1) UNDERGROUND UTILITIES. AND MONITORING
AND TELESCOPING WELL DIAMETERS ARE
NOT TO SCALE.
2) ELEVATIONS ARE BASED ON AN ASSUMED
BENCHMARK ELEVATION OF 100.0 FEET.
3) TC : TOP OF CASING ELEVATION FOR
CORRESPONDING WELL.
4) CONCENTRATIONS ARE REPRESENTED IN
PARTS PER BILLION (ppb).
5) SQL : BELOW QUANTITATION LIMITS.
HYDROGEOLOGICAL
CROSS-SECTION B-B'
DEPICTING TOTAL BTEX
ISOCONCENTRATION
CONTOURS
FIGURE 9

\
W1W-14R \
I95.50�\
(95.41) \
\
FIRST GRASS \
CITIZENS 14
BANK GRASS \\
Legend
® 1-,
cy ASPHALT
E , �z \
M 1 j , - / v� \eCY
/ - - - - ' ®
/ - -
MW-1 0 Monitoring Well (Type II)
T-1 0 Monitoring Well (Type III)
MW-4 0 Former Well Location
Utility/Power Pole
xx Light Pole
---- Approximate Property Line
ASPHALT \\
\ ® ,. \
\ RW_1 ONC' GRASS
\
. . ® Fence
ollardStormwater Inlet
• Bollard
• Communication Pedestal
® Liquefied Petroleum Tank
SIGN \\ �95.50I \
\ - ASH
. \ \
MW-6R DW-1
(95.85) RW 2 (82.40*)
\ MVV-o
\MW-22 \ .
\
GRASS \ ,GONG. VACU
\ VACANT \ _ \ �Klos
ORMER
\ \
2 CIAVATEI�'� I _
\ -E� \ 196.33) r
'
®
\
M , R
' e (96. .)
0
W 2
RW-4 ,\
___. (96.68). e \
RVV-6 MW-20 \
e FORMER UST j
# MW-1 0\
\ (95.53) o MW-23
O \
q \
°�*
°3 \
MW-16 ASPHALT \
e, (96.44)
won Area
®
\ e
MW-21
\
\
(xx.xx) Groundwater Elevation (feet)
Groundwater Contour (feet)
Groundwater Flow Direction
Deep well excluded from
groundwater contours
\\`_-� \
BASIN/ \ \
EXCAVATED�96.001
\
\ (95.9/ MW 19
\ ^ RW-3 - �AREA ` ,-
\�\ \ MW • DUMPSTER ASP ALT `T \
GRAGRAVEL \ (96.70)% \ \
\
\
BROKE
BREAD N \ MW-8
OPEN T \MW-18 \ GRASS
�
\\� TORA \4, \
rn \ (84.27*) ZA
��
r" $ T-1 ASPHALT \ \
,
FELLOWSHIP \ _
FO- 2 2 / �(96.99) # -1 96.50I
\
\ M11J-7 SCOT .NC.RW-7''"... 1 \`^\
\ e d #59 0
\ n FORMER UST \ \
BASIN & \ MW-10
\
\
\
95.50 y EXCAVATED \ (96.67)
\
\ AREA I
\\ ASPHALT \\\ TRAP GREASE MW(96.411 t • �
\\
•
\\lam
GRASS \ •
0 20' 40'80
,'�NERATOR �.�
\
I I
\
\ f c HALT 97.00
1 inch equals 40 feet
\
ASPHALT \ A
\
Cif
\ ' '�� GR.S/�
MW-9 GRA EL
-
\ - / `R ASPHALT \
J
C E IJ C
/ �N�S
0,z.
a
MW-12 0
(97.40)� Z
CLIENT: GPM Southeast, LLC
/1
\ — / 1 _ O S
/ \ \\ lL
/\
LOCATION: 115 US Highway 117 South
Burgaw, North Carolina
Figure 3A
ell �G
1 197.00
MW-13
-' (95.15) ' t I96.50 1 \ GRASS
GPM 3059 (Former Scotchman #3059)
mo
I96.00 o.. DISPENSER ( P.
-
-
95.50
Potentiometric Map (9/14/2020)
,
\
ASPHALT
/ - - „/ A BMARKET MINUTE \\ ��
Groundwater Monitoring Report

14R \
o (97.54)
0
rn 97.50 \
97.00 ;, \
\
FIRST 1 �( GRASS
CITIZENS 1 MW-14
BANK 1 GRASS \\
I c-
/
Legend
I 1.--
—
Mw-1 0 Monitoring Well (Type II)
1 , , — —ASPHALT
T-1 0 Monitoring Well (Type III)
/ / / y 96.50L \
MW-4)0 Former Well Location
/ ,
cn M 15 /
\
-' ,,�� ®
\
Utility/Power Pole
xx Light Pole
— —Approximate Property Line
\ \
/ - / \ ASPHALT \
. . . . Fence
® Stormwater Inlet
-
o
\ \ 96.00
Bollard
/ , - /
' 'TI
Si/
®
- oNc. \ 0MW-4
Ilk
GRASS
•
• Communication Pedestal
' -
BROKEN
BREAD
FELLOWSHIP
/ , /
/� \ 1
\
. \ I
e
\ Mw-2.
\ (99.07/)
VACAI T
`
�\
® I
\ I
GRASS/R4VL
\
I
\
I
\
\\\\
IW
\ ASP'o.T
\
\
\
GRAS
M� 8
I
1
i
•ri
(9..10)
w
\
\
\
CAR SIGN
WASH
®
RW-2 (82.89•)
'
CONC. VACU M(
Ili.
_ \ Klos RW-4
ORMER UST \ v
IN & I I ___(96.38)
CAVATED r 1 _ RW-6
EA 1 (95 77) FORMER
\ I BASIN
-5 ��— / \\ EXCAVATED
(95.32) RW-3 AREA
MW-55R DUMPSTER AS HALT `\`Y
\
\\ TORA PENILA
o ,4
^
\ �-73
\ FORMER ? 2
M\1J-7 �COT59 M o coNc.Rw-7,a,.,..^\
Aft
y
T� '
•
\ # M _.
(95.99)
\
MW-2R
(96.37)
\
\ (9663) ASPHALT
\ \
�' \ \
\
MW-20 \ MW-21
UST j \
& /
/ \
\)� MW}9
'^ \
\
\MW-18 \ S
(96.40)
ga(8r-18*) `\
,
/ e\(96.33) 1 ' #
®
BASIN &DST
MW-10�
EXCAVATED \ (96.74)
AREA
MW-3 I i
\f
\
�\
MW-23
�q
m
WorkArea
\
\
ASPHALT
\
\
\
\
\
\
\
\
GRASS \ •
\
® Liquefied
(xx.xx) Groundwater
Groundwater
Groundwater
Deep well
groundwater
0 20' 40'
Petroleum Tank
Elevation (feet)
Contour (feet)
Flow Direction
excluded from
contours
80'
°� i
\
,/\ GENERATO'
�
I I
\
1 inch equals 40 feet
ASPHALT \ J_ I i
ASPH T 97.0 0
\
1
'jvo
GRASS/
MW-9 GRAVEL
\ .�E2�� ASPHALT \
CES�NCQ.
,- /
MONK
'
rn MW-12 N\\\
\ (97.38)Z
CLIENT: GPM Southeast, LLC
\ S
' \LOCATION:
/ell
115USHighway117South
Burgaw, North Carolina
Figure 3B
\ _ / \ 97.00 \\ ��
(95.43) I96.50I CgNO•. ! .
GRASS
GPM 3059 (Former Scotchman #3059)
DISPENSER (\ .
A I96.00I
\
Potentiometric Map
95.50 \
(11/18/2020)
ASPHALT
„/ BMARKET MINUTE \\ ��
Groundwater Monitoring Report

W-14R
FIRST GRASS
CITIZENS MW-14
BANK GRASS \
Gt.P
Legend
® y
'cy ASPHALT
E , �z
MW-1 0 Monitoring Well (Type II)
T-1 0 Monitoring Well (Type III)
Mw-4 0 Former Well Location
, ,
M 1 j - / v� \
/ ..... ' , , 0
- •
Utility/Power Pole
xx Light Pole
--- Approximate Property Line
\ ASPHALT \\
\ ,. \
. . ® Fence
Stormwater Inlet
•
- ,�, ...
ONC. 96.50 \
/ RW-1
�95.50� i 96.00 4 GRASS
CommunicationBollard
■ Pedestal
95i00
a g
®Liquefied
-
/
BROKEN
BREAD
FELLOWSHIP
' 8
/� 8
1 I
. \\ 1 1 1 1ib
I 1
\ MW_22
\(98.98)
/
\ _ / V CANT
0 _ /
\
GRASS/ \I
GRAVEL
\
\
\
\
\
ASPHALT
1
1
MW-8
\ I
\
\
\
\
GRASS \
Mw-sR
94.91
(Mw
\
\
I
CAR 1
WA H
-6 RW 2
CONC. VACUUM(
KIOSKS
ORMER UST/ \\ ,
X VATED \ 1 9V5.13)
W-5 ��.�/
(95.20) R
\ MW-5R DUMPS ER
0
OPEN
\ TORA
\.
i
\ FORMER
M�_� SCOTCHMAN
e #59
\
\
\
GREASE
\CO?\
0
Dw-1
�/
\\
'3 ��
ASPHA
R
SIGN
'
i
R -4
RW-6
�`
T \\`T.
i
r
0
n
r
\ /
\
MW�2R
' 0(96.19)
\
, \
��_� \
\41, \
& ST 20
EXCAVATED /
AREA r ..->c)41,
^
0\MW-18
(96.30)
gQT-1
- ' --
2 i
0 e(96.36),_1
CONC.RW-7M
FORMER
EXCAVATED
AREA
( 3\
MW 3
\\
\
e
# Mw-11
MW-23
�� (96.67)
-
mr
MW-16 ASPHALT
(96.16)
Work
\ 0
\ MW-21
\
MWy19\\\
\\
\\
\
1
UST \\ \
MW-10
\\
,
/
f
\
\
\
\
Area
ASPHALT
\
\\
\
\
\
\
\\\lam
GRASS \ •
(xx.xx) Groundwater
-- Groundwater
� Groundwater
Deepwell
*
groundwater
0 20 40'80
Petroleum Tank
Elevation (feet)
Contour (feet)
Flow Direction
excluded from
contours
GE N RATOR
\
I I
\
\ \J i d
ASPHALT 11�
ASPHALT
1 inch equals 40 feet
\
„ 96.00
MW-9 IN GRAVEL
\ e /
/
S�R�� ASPHALT
\ / /
J
C E S IJ C
\..., / .. 96.50 �ON�
0.
- ' U7
\MW-12
(96.92)� 2
CLIENT: GPM Southeast, LLC
\ / / S
/ / 0
LOCATION: 115 US Highway 117 South
Burgaw, North Carolina
Figure 3C
\ ' G
MW-13 �
DISPENSER ( P.
\
ASPHALT
GRASS
\
GPM 3059 (Former Scotchman #3059)
Potentiometric Map (12/29/2020)
„/ BROWNS MINUTE \\ ��
Groundwater Monitoring Report

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
For Internal Use ONLY:
1. Well Contractor information:
VINCE FEDERLE
Well Contractor Name
A - 3552
NC Well Contractor Certification Number
GEOLOGIC EXPLORATION, INC
Company Name
2. Well Construction Permit #:
List all applicable well construction permits (i.e. County, Slate, Variance, etc)
3. Well Use (check well use):
11'ater Supply Well:
['Agricultural
❑Geothermal (l-leating/Cooling Supply)
❑ Industrial/Commercial
❑!rrigation
Non -Water Supply Well:
11Monitoring
❑Municipal/Public
❑Residential Water Supply (single)
['Residential Water Supply (shared)
❑Recovery
Injection Well:
['Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating/Cooling Return)
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Other (explain under #2 l Remarks)
4. Date Well(s) Completed: 12/18/14 Well ID#
5a. Well Location:
GPM - 3059
MW-21
Facility/Owner Name Facility ID// (if applicable)
115 US 117 BURGAW 28425
Physical Address, City, and Zip
PENDER
County Parcel Identification No. (PIN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)
34° 33' 12.07" N 77° 54' 49.38"
6. Is (are) the well(s): ©Permanent or ❑Temporary
7. Is this a repair to an existing well: ❑Yes or ONo
If this is a repair, Jill out known well construction in%4lmtioi and explain the nature oldie
repair under 121 remarks section or on the back of this ford?.
3. Number of wells constructed: 1
For multiple injection or non -(rater supply wells ONL I' with the sane construction, you can
.subunit one Jinni.
9. Total well depth below land surface: 12.0 (ft.)
/'vn• multiple wells list all depths i/'di//erenl (example- 3 a 200' and 2 a l00')
10. Static water level below top of casing: 3'0 (ft.)
1l'traler level is above casing, use „+"
11. Borehole diameter: 8•0 (in.)
12. Well construction method: AUGER
(i.e. auger, rotary, cable, direct push, etc.)
FOR WATER SUPPLY WELLS ONLY:
13a. Yield (gpm) Method of test:
13b. Disinfection type: Amount:
14. WATER ZONES
FROM
TO
DESCRIPTION
ft.
ft.
ft.
ft.
15. OUTER CASING (for i iulti-cased wells) OR LINER (if up ilicable)
FROM
TO
DIAMETER
THICKNESS
MATERIAL
ft.
ft.
in,
16. INNER CASING OR TUBING (geothern al closed -loop)
FROM
TO
DIAMETER
THICKNESS
MATERIAL
0.0 ft`
2.0 ft.
2.0 im
SCH 40
PVC
R.
ft.
in.
17. SCREEN
FROM
TO
DIAMETER
SLOfSIZE
THICKNESS
MATERIAL
2.0 ft
12.0 ft
2.0 'n'
.010
SCH 40
PVC
ft.
ft.
in.
18. GROUT
FROM
TO
MATERIAL
EMPI ACEM ENT METHOD & AMOUNT
0.0 ft'
1 0 ft.
PORTLAND BENTONITE
SLURRY
ft.
ft.
ft.
ft.
19. SAND/GRAVEL PACK (if applicable)
FROM
TO
MATERIAL
EMPLACEMENT METHOD
1.5 ft.
12.0 ft
20-40
FINE SILICA SAND
ft.
ft.
20. DRILLING LOG (attach additional sheets if necessary)
FROM
TO
DESCRIPTION (color, liar mess, soil/rock type, grain size, etc)
0.0 ft.
1.0 ft.
ASPHALT/GRAVEL
1.0 ft,
3.0 it
GRAY SAND
3.0 f'L
12.0 ft
TAN CLAY
ft.
ft.
ft.
ft.
ft.
ft,
ft.
ft.
21. REMARKS
BENTONITE SEAL FROM 1.0 TO 1.5 FEET
2 Ce tification:
Signature of Certified Well Contractor
12/30/14
Date
13y signing this form, I hereby certify that the are/1(s) was (Irene) constructed in accordance
with 15.4 NCAC 02C .0100 or 15,4 NCAC 02C .0200 Well Cansnvcdon Standards and that a
copy °J(his recant has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL INSTUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
Division of Water Quality, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection Wells: In addition to sending the form to the address in 24a
above, also submit a copy of this form within 30 days of completion of well
construction to the following:
Division of Water Quality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells: In addition to sending the form to
the address(es) above, also submit one copy of this form within 30 days of
completion of well construction to the county health department of the county
where constructed.
Form CiW-I
North Carolina Department of Environment and Natural Resources - Division of Water Quality Revised Jan. 2013

Soil Boring/ Well Completion Log
anteaarau
SITE NAME: GPM 3059
SITE ADDRESS:
115 US Highway 117 S
Burgaw, NC
ANTEA GROUP PROJECT NO.
BORING NO. -17 $ (IV((„-LO
Page
T
--Fit.?
A,`-54d T✓�
fVlL".s-Z(
DRILL METHOD Cep Paa, £
CONTRACTOR Geologic Exploration, Inc.
DRILL RIG 7SZ,Z'py-
DRILLER Vince
DATE COMPLETED I2/t W( 4
DATE STARTED 12/18/14
LOGGED BY Mike Haseltine
BORING (DEPTH X DIA.)
CLIENT: GPM Southeast, LLC
DEPTH
(feet)
SAMPLE
DESCRIPTIONS OF MATERIALS
AND CONDITIONS
DEPTH
(feet)
WELL CONSTRUCTION
TYPE
NO.
INTERVAL
REC.
B. Counts
OVM/PID
SCHEMATIC
DETAILS
(feet)
(blows/ft)
(ppm)
1
2
4 ,
3
6
9
10
11
1z
13
14
15
16
17
18
19
20
"JMii
��
ELEVATION
O.-2 ,4---phed-
!'l
op of Casing:
1
Li%''
Ground Elevation:
17Tt.. p
�- s
2 �� _ 5 4.)m `.I
-�(e ,tea
2
,�
PROTECTIVE COVER
4
Ls--2
42Z(
.
u '
ri
-
i.
�.
—
,-
-
—
—
..-
—•
Type:w(C
f -1'I'Jxl.4,,,, e.` 3;
ae4 IA: .ti
%
3
Size:
',
3'_ 5' or�.�e - 5�t
C
4
WELL SEAL�\
Type: Bentonite
I�oT3 ►� h
5
Thickness:
��
4s 5-
2�12s
6
-
�
WELL PACK;T:;:
'
Type:
jj
-6...7
S 11 'rG-4—
Ltwj too VLbi7D-A
7
Thickness:
�1w G.(
8
RISER
5C
g.
593.2L,l
•
Type:
9
Inside Diameter:
/
Interval:
10
11
SCREEN
Type
Slot Size:
I wtfk�
-�y}�ib�
wog �y .54
6
12
Inside Diameter:
S
i Z
CoLo 9
Interval:
13
GROUT
..............
14
Type:
Interval
15
HA - Hand Auger
bgs - below ground surface
16
Q First Water
Z Static Groundwater
17
C .. SGV t G.741+-j
18
1-tA e hp I14/
C.'2I►• '5 -
v
19
20

TABLE 2
SUMMARY OF WELL CONSTRUCTION DATA
GPM 3059 (Former Scotchman #59)
115 US Hwy 117 South
Burgaw, Pender County, North Carolina
Well No.
Boring
Depth
(ft, bgs)
Well
Diameter
(inches)
Well Screen
Interval
(ft, bgs)
Top of Casing
Elevation (ft)
Status
MW-1
12
2
2.0-12.0
99.15
Destroyed, installed 3/11/98
MW-2
12
2
2.0-12.0
98.63
Destroyed, installed 5/12/98
MW-2R
12
2
2.0-12.0
98.09
Current, installed 10/9/03
MW-3
12
2
2.0-12.0
98.70
Current,installed 5/12/98
MW-4
12
2
2.0-12.0
98.02
Abandoned, installed 5/12/98
MW-5
12
2
2.0-12.0
98.85
Destroyed, installed 5/13/98
MW-5R
12
2
2.0-12.0
98.42
Current, installed 10/9/03
MW-6
12
2
2.0-12.0
98.80
Destroyed, installed 5/16/98
MW-6R
12
2
2.0-12.0
98.61
Current, installed 10/9/03
MW-7
12
2
2.0-12.0
98.31
Current, installed 5/14/98
MW-8
15
2
5.0-15.0
99.24
Current, installed 5/4/99
MW-9
15
2
5.0-15.0
98.05
Current, installed 5/4/99
MW-10
14
2
4.0-14.0
99.56
Current, installed 5/6/99
MW-11
14
2
4.0-14.0
100.00
Current, installed 5/7/99
MW-12
14
2
4.0-14.0
98.88
Current, installed 5/7/99
MW-13
14
2
4.0-14.0
98.15
Current, installed 5/7/99
MW-14
14
2
4.0-14.0
100.97
Destroyed, installed 5/7/99
MW-14R
14
2
4.0-14.0
99.71
Current, installed 10/9/03
MW-15
14
2
4.0-14.0
100.98
Destroyed, installed 5/19/99
MW-16
12
2
2.0-12.0
98.69
Current, installed circa 2000
MW-17
12
2
2.0-12.0
98.80
Current, installed circa 2000
MW-18
12
2
2.0-12.0
98.50
Current, installed 10/9/03
MW-19
12
2
2.0-12.0
NA
CURRENT, installed 12/18/14
MW-20
12
2
2.0-12.0
NA
CURRENT, installed 12/18/14
MW-21
12
2
2.0-12.0
NA
CURRENT, installed 12/18/14
MW-22
12
2
2.0-12.0
100.20
Current, installed 6/14/20
MW-23
12
2
2.0-12.0
98.76
Current, installed 6/14/20
T-1
25
2
20.0-25.0
99.20
Current, installed 5/14/98
DW-1
35
2
30.0-35.0
98.24
Current, installed 9/4/01
RW-1
12
4
2.0-12.0
NA
Destroyed, installed 11/15/00
RW-2
12
4
2.0-12.0
NA
Destroyed, installed 11/15/00
RW-3
12
4
2.0-12.0
NA
Current, installed 11/15/00
RW-4
12
4
2.0-12.0
99.24
Destroyed, installed 11/15/00
RW-5
17
4
2.0-17.0
NA
Destroyed, installed 8/6/02
RW-6
17
4
2.0-17.0
98.88
Current, installed 8/6/02
RW-7
17
4
2.0-17.0
98.64
Current, installed 8/6/02
Notes:
ft,bgs - denotes feet, below ground surface
NA - Data not available
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Coastal Carolina Car Wash, LLC
109/115 US Hwy 117 S— Burgaw, NC
"Owner(s)" Property:
Owner Name:
Mailing Address:
Street Address:
Tax Map/PIN #:
Deed Reference #:
RIGHT OF ENTRY / LICENSE AGREEMENT REQUEST
(the "License")
Coastal Carolina Car Wash, LLC
1202 N Lake Park Boulevard
Carolina Beach, North Carolina 28428
109/115 US Highway 117 5
Burgaw, North Carolina 28328
3229-74-0115-0000
Book 1903, Page 296
Property Owner(s) Coastal Carolina Car Wash, LLC of 1202 N Lake Park Boulevard in Carolina Beach, North Carolina
have sole right to possession of the above Property and grants this right -of -entry request as indicated below to allow
environmental investigations at the Property to be conducted under guidance of the North Carolina Department of
Environmental Quality (NCDEQ) associated with NCDEQ Underground Storage Tank (UST) incident Number 19300.
Planned activities to be conducted on the Owner's Property under the License include:
• Access to and maintenance/installation of monitoring, injection, and/or recovery wells on the Property
generally as directed by the NCDEQ.
• Periodic monitoring and sampling of monitoring, injection, and/or recovery wells on the Property generally
as directed by the NCDEQ.
o Actual sampling frequency will be determined by the NCDEQ regulator. Generally, monitoring
events are conducted semi-annually or annually.
• Periodic soli and/or groundwater remediation activities utilizing monitoring, injection, and/or recovery
wells on the Propertygenerally as directed by the NCDEQ.
• Future Property monitoring, injection, and/or recovery well abandonment as directed by the NCDEQ.
o Once the NCDEQ grant UST incident closure for the Property or otherwise determine that Property
monitoring, injection, and/or recovery wells are no longer needed, the Property monitoring wells
will be abandoned by a NC licensed well driller in accordance with state and local regulations.
The current and any future Owner(s) of Owner's Property grant GPM Southeast, LLC and its environmental
consultants ("Licensee") the right to enter upon the Property.
All activities will be performed as required by the NCDEQ until incident closure is granted. All activities will he
conducted to eliminate or minimize disruption to the Property. Work will typically be performed Monday through
Friday, 8:00 AM to 5:00 PM excluding holidays. Work related to well installation, removal, and repair will be
conducted during hours as agreed to by the Owner(s).
Licensee will notify the Owner(s) a minimum of 24 hours prior to performing minimally disruptive and short -duration
work such as groundwater monitoring. Well installation and similar activities will be coordinated with the Owner(s)
for approval in advance of scheduling. Reasonable advance verbal or written notification will be made to Owner(s)
should the planned work or schedule change.
This License may be immediately terminated by the Owner(s) through written notice following any breach of this
License by Licensee.
This License is effective upon signing. Licensee agrees to repair any damage to the Property resulting from entry by
Licensee and affiliates by restoring, to the extent reasonably possible, the Property to its condition immediately prior
to entry.
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Coastal Carolina Car Wash, LLC
109/115 US Hwy 117 5 — Burgaw, NC
P./Grant O Deny
Month: e
Owner(s)
Day: ! , 2921
Licensee
GPM Southeast, LLC
8565 Magellan Parkway, Suite 400
Richmond, Virginia 23227
nature ign re
Printed Name
?/O ///3-G4/a�/
Telephone Title
Rolfe Lann
Printed Name
Vice President of Environmental
Email . Co iv, Signa" re
Maury Bricks
Printed Name
General Counsel
Title
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