GW1-2022-07893_Well Construction - GW1_20220825

220 Old Dairy Road
CATLIN Wilmington, NC 28405
45
[phone]-5861
Engineers and Scientists
www.CatlinUSA.com
August 25, 2022
North Carolina Department of Environmental Quality
Division of Water Quality
Information Processing
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: North Carolina Well Construction
NCDEQ — Fludd Former Quick Stop Food
7601 Raeford Rd.
Fayetteville, North Carolina 28304
Incident Number: 3666
CATLIN Project No.: 220205
To Whom it May Concern,
CATLIN Engineers and Scientists (CATLIN) recently constructed one (1) replacement
monitoring well at the above referenced site. Attached to this letter are the completed
North Carolina Well Construction Record with associated Attachments for the site in
Fayetteville, North Carolina.
If you have any questions or require additional information, please feel free to contact
us at [phone].
Sincerely,
Benjamin J. Ashba P.G. Corey D. Futral, CWC
Project Manager Project Geologist
Enclosures
Well Construction Record, Well Log, and Site Map
ENVIRONMENTAL CIVIL GEOTECHNICAL
Wilmington, NC I Raleigh, NC Washington, NC I Atlanta, GA I Charleston, SC

WELL CONSTRUCTION RECORD For Internal Use ONLY
This form can be used for single or multiple wells
1.Well Contractor Information:
14.WATER ZONES
D.T. CHALMERS, JR. FROM TO DESCRIPTION
Well Contractor Name ft ft
4146A ft ft
NC Well Contractor Certification Number 15.INNER CASING OR TUBING eothermal closed-loo
FROM TO DIAMETER THICKNESS MATERIAL
CATLIN Engineers and Scientists 0 ft.1 15 ft.1 2 in. Sch. 40 1 PVC
Company Name 16.OUTER CASING for multi-cased wells OR LINER if applicable
FROM TO DIAMETER I THICKNESS I MATERIAL
2.Well Construction Permit#: N/A
ft ft in.
List all applicable well permits(i.e.County,State, Variance,Injection,etc.)
ft ft in.
3.Well Use(check well use): 17.SCREEN
Water Supply Well: FROM TO DIAMETER SLOT SIZE THICKNESS MATERIAL
El Agricultural ❑Municipal/Public 15 ft 30 ft 2 in Slot.010 Sch. 40 PVC
❑Geothermal(Fleating/Cooling Supply) ❑Residential Water Supply(single) ft ft is
❑Industrial/Commercial ❑Residential Water Supply(shared) 18.GROUT
FROM TO MATERIAL EMPLACEMENT METHOD&AMOUNT
El Irrigation Surface Pour
Non-Water Supply Well: Oft 0.5� Concrete
®Monitoring ❑Recovery 0.5 ft 14 ft Bent. Pellets Surface Pour
Injection Well: ft ft
❑Aquifer Recharge ❑Groundwater Remediation 19.SAND/GRAVEL PACK if applicable)
FROM TO MATERIAL EMPLACEMENT METHOD
❑Aquifer Storage and Recovery ❑Salinity Barrier Surface Pour
14 ft 32 ft. #2 Medium Sand
El Aquifer Test ❑Stormwater Drainage
❑Experimental Technology ❑Subsidence Control a' a
20.DRII,LING LOG attach additional sheets if necessary)
❑Geothermal(Closed Loop) ❑Tracer FROM TO DESCRIPTION color,hmdness soil/rock type,pyain size etc.
❑Geothermal(Fleating/Cooling Return) ❑Other(explain under#21 Remarks) ft ft
4.Date Well(s)Completed: 08/16/22 Well ID#: MWAR ft ft -
ft ft �O
5a.Well Location:
ft ft -( P
NCDEO_FLUDD FORMER QUICK STOP NA
ft
Facility/Owner Name Facility ID#(if applicable)
ft
7601 RAEFORD RD., FAYETTEVILLE, NC 28304
ft ft
Physical Address,City,and Zip
21.REl\f ARKS
CUMBERLAND NA
County Parcel Identification No.(PIN)
5b.Latitude and Longitude in degrees/minutes/seconds or decimal degrees: 22 Certification:
(if well field,one lat/long is sufficient)
35.030256 N -79.049318 W 8/19/2022
Signature of Certified Well Contractor Date
6.Is(are)the well(s): ®Permanent or ❑Temporary By signing this form,I hereby certify that the well(s)was(were)constructed in accordance with
15A NCAC 02C.0100 or 15A NCAC 02C.0200 Well Construction Standards and that a copy of
7.Is this a repair to an existing well: ❑Yes or ®No this record has been provided to the well owner.
If this is a repair,fill out known well construction information and explain the nature of
the repair under#21 remarks section or on the back of this form. 23.Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
8.Number of wells constructed: 1 construction details. You may also attach additional pages if necessary.
For multiple injection or non-water supply wells ONLY with the same construction,you
can submit one form. SUBMITTAL INSTRUCTIONS
9.Total well depth below land surface: 30•0 (ft.) 24a.For All Wells: Submit this form within 30 days of completion of well
For multiple wells list all depths in different(example-3W00'and 2(a,100) construction to the following:
10.Static water level below top of casing: (ft.) Division of Water Resources,Information Processing Unit,
Ifwater level is above casing,use"+" 1617 Mail Service Center,Raleigh,NC 27699-1617
11.Borehole diameter: 8.25 (in.) 24b.For Injection Wells ONLY: In addition to sending the form to the
address in 24a above,also submit a copy of this form within 30 days of
12.Well construction method: HSA completion of well construction to the following:
(i.e.auger,rotary,cable,direct push,etc.)
Division of Water Resources,Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center,Raleigh,NC 27699-1636
13a.Yield(gpm) Method of test: 24c.For Water Svnnly&Injection Wells:
Also submit one copy of this form within 30 days of completion of well
13b.Disinfection type: Amount:
construction to the county health department of the county where constructed.
Adapted from Form GW-1 North Carolina Department of Environment and Natural Resources-Division of Water Resources Revised 2-22-2016

CATLIN
WELL LOG Engineers and Scientists
zzozos SHEET 1 OF 1
PROJECT NO.: 220205 STATE: NC COUNTY: CUMBERLAND LOCATION: FAYETTEVILLE
PROJECT: LOGGED BY: M. AUPPERLE WELL ID:
FLUDD FORMER QUICK STOP DRILLER: D.T. CHALMERS JR.
NORTHING: 465944 EASTING: 1985236 CREW: T. PARK MW-1 R
SYSTEM: NCSP NAD 83 USft BORING LOCATION: -6'North of MW-2 T.O.C.ELEV.: 100.49
DRILL MACHINE: Diedrich D-50 METHOD: HSA 0 HOUR DTW: NM TOTAL DEPTH: 32.0
START DATE: 8/16/22 END DATE: 8/16/22 24 HOUR DTW: NM WELL DEPTH: 30.0
DEPTH BLOW COUNT OVA LAB 0 o SOIL AND ROCK WELL
0.5ft 0.5ft 0.5ft 0.5ft (PPM) s G DEPTH DESCRIPTION ELEVATION DETAIL
0.0 LAND SURFACE 100.5 0.0
0.0 6 ASPHALT 0.0 0.5
6 6 7 NM D (CL)-Brown to red,Sandy slightly plastic CLAY
3.0-----------------------97.5
(SC)-Red to tan,Clayey SAND
5.0
z
z z NM D
z >
a
8.0 92.5
-----------------------
(CL)-Red to tan grading to dark brown with black U)
(V
streaks,Sandy CLAY
10.0
6
6 6 NM D
6
13.0 87.5
--------------------------
(SP)-Tan grading to reddish tan,SAND
14.0
15.0 15.0
6
$ 25 NM M
25
20.0
7 6 6 NM M 21.0 79.5
3 (CL)-Tan to gray,Sandy slightly plastic CLAY o
oa
o�
U�
VU)
c. 25.0
1
1 z NM W
3
30.0 30.0
1
1 1 NM Sat.
32.0 z 32.0 68.5 32.0
BORING TERMINATED AT ELEVATION 68.5 ft in
Sandy CLAY
L t
4`.°Concrete Bentonite Pellets El#2 Medium Sand

P
P SW-37 0 P SW-25 SW-12
P SW-44 SW-43 P OW-4 A I
P SW�S
P SW-38
P SW=36 P SW-9 P
SW-28 SW-29
P SW-30 i
P SW-42
�®.0w1 ., "OW-2 yy
_ P i SIW-2A
P F3
r " R=3 P SW-3
P R-5 R-4 w
R R-2
P SW-22 A
Q ® R-8
® R-12 FORMER L■UMBEE
LAKE RIM ® R-9 ELECTRIC
LAWN AND 6�+ R-1 'MEMBERSHIP
GARDEN LEGEND
ti
4� E-1/,R-14 Monitoring Well
E-2/R-15- ® (Type II) r
E-5 R-6
MW-4 ® Destroyed/Abandoned
MW-4-7 Monitoring Well (Type II) .r
MW-4A_ FO IMW�11R RAE RD Rp Active Potable
LUCKY 7 FOOD M RT E QUICK MW-2 Water Supply Well
(FORMR R-16
STOP FOOD AND Inactive Potable
FORMER E�X•XON) MW_5 MW-3 Water Supply Well
SW-10 P
Active Non-Potable
J VACANT FORMER Water Supply Well
RET IL FUEL
P ti SERVICE STATION Approximate Location
J SW-11 of Former USTs
' rce: Esri, M r,Ge Eye, E
l Cz.1.1 OIL,r 6©�nmu
NOTE: Well and tank locations were obtained from previous
reports prepared by other consultants and are approximate. 200 100 0 200 400
Feet
PROJECT TITLE
FLUDD-FORMER FIGURE
ATLIN QUICK STOP FOOD SITE MAP
RAEFORD RD/RIM RD
FAYETTEVILLE, NC
Engineers and Scientists
JOB NO I INCIDENT N0. DATE SCALE DRAWN BY/CHECKED BY
220205 3666 1 AUG 2022 1 AS SHOWN GDH/CDF