Guilford_Well Abandonment_20221014

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pump cement through tremie from bottom of well until cement
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r 2,nc Fa:tlin tDkftE ippix islc?:; ettiltt8tlritl; C 2022
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reaches surface, remove pad and well box, cap with new
a rito�dl(>abail� cclS 9-20-22 concrete pad
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Former UPS Facility
T,teaiivXCtc+i�.rlVStnC' fi�iiit.l�'Sifiipplc?-: �,ll Cr<rtitT�,�t{On..
OCT 1 ! 2022
3015 Thurston Ave. Greensboro, NC 27406 10/2/2022
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pAgittcr Stodge and Rct e►tf.. pSuluuty-Hntrier::,
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t Geothenmral(Cf���d LooA) DTriect:
pump cement through tremie from bottom of well until cement
• G1G�thera�►1`.lT��nittkvJ{:ooiingletuirty": i�©tit�r.(e�� laituudcr7�)': _
reaches surface, remove pad and well box, cap with new
t Dtealis}ahnndauc�i. 9-20-22 concrete pad
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.',UtELL.ARANIIONMENT,,DETAILS.:••-' - - ' -. ••• •• -• • - - • - • '-
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John E I.s enman ' ''.'liti.Nambiiirf it ilia Iiiiagabatidilkiti--,1 -• - • • • ••- •-..
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•Tins can ae Used far single or muhipte eHs i ,
!:.Weft('ontractorl lifu,'rmattgiii: WELL:<ARANUONMENT Dl TAILS i
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pump cement through tremie from bottom of well until cement
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reaches surface, remove pad and well box, cap with new
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- OCT-1 4 2022
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CCih'STRtferiti'DETAILS OI 1i.Y.:ts1 BEJM ABANDONED SjtiibiirrAl:,'INSTRUCTIO*-!
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WELL AB11). ONMENTRECORD • . .
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reaches surface, remove Pad and well box, cap with new
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- WELLABANDONMENT"RECORD.. r. Paglntttri4tlii3cCTzd i•::
Titslornt cart be ttseti tttr sii the or rnulnpt Ells;
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t Weft Contractor Irtfonnanon WYBLL.ABAWO61041 NT'DETAILS , '
John Eisenman 11.Miumberofirollshetng.aha uinitetl l
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SAEDACCO Inc FOR %AtPR.SUPPLY'WELLSONLY' - -
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pt:ic0then u1•Oicattn (.ioting$ Ppl1, Ottaidtntial Water Supplr:,(srnglc} 17 Sottd:.Ciruent(stunt 13`Dry Clot'
Dir dusttioti ommcectaT, 17Rcsideiut<al Water Supply'(shared) , D CoP6TelgGrotiC • ❑Drill Curtin
t]Irtigrtio., - _. • D SpcPiahy Grcaut El Graf el
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Inlcetion wtU,: 7f,.For..'cat h n atetisil selected•abo-ef pt •lde au tnuttt:of titaterials used
DAqurferRechorge. DGtmu diuiterirtaneti%a11on: :Neat Cem.:941b ,Wtr:7gal... Sand Cem.:lb ,Wtr:gal.
DAtquifcr St•orage rind Rcccn es v-; Dt1,i1nuty Barney':
DAquikr'rest oStorms aterfea ivatc:• .,. , . . _ .. .. . . . - ..., . .
DE:s tttnci l T 1uiiilogy' DSnbsuiet Crnt tittt . 7k,Pros;a iri ltr'fet d tphan of the abdntloittnent proced10-i
OGeodtenual:(Clo*ed Loop) lDTracer;
pump cement through tremie from bottom of well until cement
• DGeottlitnutl.(Il- tubs Cootutt:Iteturiil. DUt-ellexpriailitlii er 7g]':
reaches surface, remove pod,and,;weii"box;f'; ar with new
.t Date ello abaii4i00: 9-20-22 concrete pad
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Former UPS Facility f1i 3; ,::::01 f^�ti%,,,,,,'•,;D Unt
I'as11i,,Zht rS�?mtt0: tailmtriktifirttplxablll. S Certiiicatlotr i iIQ L3C
3015 Thurston Ave.. Greensboro, NC 27406 • 10/2/2022
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Guilford - •.. 131r ce.gwng tit+t .n .:, -. ~'-`- 'i tltai tlr :!-ell l tiias(icerrt abarrtivirerinr
(hi*:' Posed idendteatlirt tlp:(Pl.t) cr Corllnircttllit 14:g4 '(X' 01470 ai-2C:(Izaa Well(`urrslfrti,tro i2.00 d trr4•
tnrcllrcrrawapitifiinrrccuidl beenprowilrrlto'tleerti llowner,
ib.1$rtludc and longitude io d grccslmhiutcS! coeds or dccrnt tl degrees
(trued f�k i ono'tatllatldu.szt.1.00c o•, 9 Site dl:tgram or odditipttalst-cildetalls
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Youn riethe:bad ofthis pe'to pordadinttona Isedetais of Wai
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,,nb:�tiiii ittniiinttlelails,Ycu }'also',attat,h aift itraiaal iges tt:uecctatr
C(1NSTlitl Tiff tt.11}TAlt:fi OV-WELTA'+)BBIri('ABAbtiiiiS; D f'*SUBMiTtAl- JNSTRUC770NS.
awful ly t0,..Ori.-ictt£ni recnrd(st I•attukk:':Fat eurltplr nseitipiri to min srWa fsrpph i;,' -. - .. 'i
Wd i'ONLY trirfi tt i,rtsr c,rrxtt-uctk)Ji r cutd)te nt t5,v.c�r *ut nttittr/imn - toy Pti"r At1 %Vela `Submit ibis';Tamr icithin 3b dabs of:coiapletion of it ll
abandg intent to'the tolloic O, • - • •• • •• • .
6n..%dt tD rtta-9
• Dn1:lttu Af Wetter lRee ouit .lnfnr7mratconl►roeestpg.tied,
1t511•M.ell&r ice C. ter,Rale nh .hC 27G99 1617-
6u'-Totsil licit ilifith .17 (Tt
e I6ti r.ow Iislc rt ln•Wills:to additon t settling litfonts to t addresiitsiOn.--
: oi :
abov°calo sfibtiit ouc <ppo 'ibis-fom wtin +(:!Zia of completon;ofnal
te,E rehvledlatuct z ' (hi) banonntenttrth fol16iiipit Dl%lsron of Water Resources;and roriad In won Control P rant;
6d.•Waterteeeibelowgtounslsurface na ( ,j c
•
It 1.63fr Alad.Scrt-aec�c1atcr.ltalcaO 3sC27621 1636
10c;For♦fit itct'• qnj 11. .inieetfoof Wells An add totttoi siliciii*Use final:to....
6c;Outer to ng Ica;tL(if I.no n) na ill+) _ the address(esl above also submit one..t.opy trl`tins'form u uteri 3p days of•
contpietian of i}e1I ab,;titiiotmeent to the county beside department of the-:66urtts
6f lii0i.eiiiwig/tnitrnt;ltor(0h(lticatttrnl na ( ),
6,g:.$*- u length(iT ku'otsa na .t4 •
fiortu:GSl' ti:: NortltCtitiaiJeiurlrtxritfEnrI ontena l4tutaResiares Jtisano[ atrtsounvs t?� tAust3Ut3_n El a o i S (I d

i
WELLAIIANDONMENTRECORD- Foftootil p0,9140...,„ ... . . . . .. . .. . . . . . . . . . . . . ..•
. . . ,
This:fotiiitilibe-used for.0:(glei.)OrIniiltipt0 Wells:. -• , -
. .
• 1 .
I*ell Contractor tifoitinitikin:•.• . . .
,".NVELliARANHONAIENT DETAIL.1....•-•' - ' - ". -.• - -• • • --' - •••- •••-
.... .... ................ ....,..,
John Eisenman ••• 74-'tiattihit ofititli.hchiMibitiidoiiedi:1 • •• - - - ,
' •- iii -'•ti,i•-•*•slii-,•
W016isitiiiiii.(6 iii11ciiidiffiii;64.6-,ii4ihii.iiiii4•h4eity `...',: at...•--10•1000,. Alt`df?-di.•.:* _01144.40,. 4 :istv:;- *In'.....--'ONLY fff .-• ••' .,le
's..etYtigti.i0 **Apkiiviii5%6 i:6:1:514 WO.011.i9i)i*.: '
4439 ,:. .... .
NC Welt '...71.i.A111)-010104t1:v010*A`Ot0.te4iiiiiikg 41 ivt110- L - •- cga0
SAEDACCO Inc
• ,FOR•18-'4TERSAIITIAIV,ELLS•ONLY1:.• - - • - . • - -
.. , • - ' .. . '
ailitiOilyNitUe -: ri*:'•4i0-'600•40004-00.41::ma i' ' - • - -. • . - -. - --..'
.„.;
-1-WO:Calutitidion'Pi**1t;:lit:', ,,.,, .. ..
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a ,
3 i'iT.'eliii.. .,;( rli.:Ai Iiii ,
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•: le,•Scalifig•000144-.0001*.h.:44'2Viat i.4i.10;,•.•'.W*1'Supply WO:::
ClAgk4ihu.01.: 'OMAttli0Pa!*4c'; - ''.4d-,1100:(701*4t Oki4 , ..,c1.110ii00)0.010 .i!i-Nit04.;
'.iiii.oIiilaidit.9tigiii.tf9eiiiili...:s4piiy: 'ciiiiititiiiiit.iiiii imiiiiqsiiiii6).„.., ....,a:,$:*.t*•poiio.:90.4i.... ,ii•int :Clait.'-•
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ahidtistkierOninitt6fit• Ellitikkiiiial.%\j'attic$•00.i.(•$Ii3)...,. .•.:P•:-PollOet".PrOut." , •--i in.Dritt6itiiit*.
CI IrtigiitiOil-• . .. .. - Cl Spectaity.Grout EF.G6vel
. . . . ..... .. .. -.:
NMi.-Vorltitr Supply Well " — ' - - ' ' - . — ' . .. ' ' '.:. ....b.:',t&itaiiiip'Sitwy.'.. . ......,... ,... . ... ... ... ,.
: '.,1;:).11tItef(e8-plain..undet:-74).:
ON100ii0tiog:-.. ..ORecov.eiy..- ,.:. . I
:. • trf.For'e4d1164teital.salected 41;04 intiAide'itiOiiiii:or iiiittriAts'uSoilf.•
tAiiii. krOliigis E NeatOiiOrli.aii.tait4iii416iii•: ,,.:. •
. Cem.:941b ,Wtr:7gali. Sand Cent lb ,Wtr:gal.
tA441.ftt.•*0-pigiiSi l.g0,4v'Cii.•:- gSaliWit!„i•i3}#1ei,.:
: "•,., „...„..,:•.„-:,;•...,... ..,...• ......,.....-. ,.--.
0 An*Test 1;1*Okiii*Otirlitanalf.C,i-.
• •t'.j *.iiiii0iiiattotitieit.1-67. ClSubukncc •.'fI ii„,';:ft0ift1410.10.'i100iii.tiiiit:Of the iiiiiiAtiiMMtif iiiiMmliiiV:,:..
6...,...T1740-er.•--, --•.. •--
clOcotPgrtu4i zOtPfei1.1:x(111)::,
.' pump cement through tremie from bottom of well until cement
• ti6e6iii-rouit.(it6iitigtOaling itetuit).• t.lOtki(egliiiiituaa•Ig):-• ' ' "
reaches surface, remove pad and well box, cap with new
'• • . .
4.:00tfivuoy.04640pitt.9-20-22 concrete pad f.'"--.7;7.r:i''''LI.'.\
..,- •—• ,. -• : .,,
41.V:01,10104)4;
: ... ... • • -
..: 1
tit,1 -.4. ZOLZ • .
Former UPS Facility .., .• ,• ,..,.•.••.,,.:- ,....
• :'At,Certificatkiii-
rOitity9iiiiitl,41MO:- P,i..tittyttiiatitifitk*O:-.
... ,'. ,.„ ,. -
.,
'-'- - -•- '•'' -- '
3015 Thurston Ave. Greensboro, NC 27406 -. '.,,:5-',,••, ::,....:•-!774:1 r.--,....-.:111;::::.;;;11.-77=1:1--a6'3 '..".F6 kj n1:0/2/2 o 22
. . . . . . . .. . . . . . .. . .
P4 sk:ii•A•04i*,.Cidiiii:Zip. -:•.*:•$ig11,-:::.!r ..::‘;•OR.,...flp,-:::•0::,,,,',ai!,.,--,f. .7p,,,?,"i.4.,--41.7. r..,:-:;:.• •,.;. ;„rp.ig•
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(ici4it OW;ttilatil#0,0ieioiii:•-,. - ''.'—-''-- - .-- '' "' - ' ''' . :',0,::::Site-AiiigrAni or Mlitfituttit inii'detiiiifit•:-
, .. . . . ., . .
•:'10•IOay..•list'00.-bal*'•of this:pago10.pgryide...addiltonal.'Ayell.stte.:4elo,(4,0...well
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'...SuBmITTATJ.I -_NN'TRUcTiONS.:,
.4114::t611:*-•.(tii.Otriiciitiv Oitik450:11:001444 1*.44-101 e 01.1et#f-Yei'i'r.:'#)ko!YsliPet.'' •• -. .•• ' :' -. ' ' . "...: ._'''' •
11%!...f:..NST4ci.•.4440.0'.'::s40'.,--0:3M*004400#0i.P.O*:14) 1,1,0fi..*Nitki#1:00i1:/.'''.•'"- '"-;,;103-.;•The",Aft:Welk Submit Ahii•:-•foint'Viihiif.56.:days"i,11---:aotiotttibil 4t.2•1i,eli
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6a.Wit IDk:1 w-3 • - • •- ••••;••;64-idOli01.ditioltk•:trillotitiiii.:1--'•-• .•- • • '••• • •- • • • -
ri)kiJOStiAr.Wsitp .A0..0iiii.fltif.t,litn4tioi./i00*5404.11td4.'
.i4i-7 4iliCS*601te-f;•14k:10;SP.•*7099:'1417'
61i-••••11401'tidi.44ithi..2 0 qt4",*. , .
......100i..Viii-Triteethiii:Well;s::rii;iidditiMi io kMitiitiltii fiiiMiliiiii iciiiiiiiii-,16ii..
....
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Oc;110rOhokiiiiiitwert 4.,••• - • -•-• .- -.:•014:- '::ioroitt4ii*iit.t4:0i .:f016%ii4t- 1 '
14.610iiii.4810.4.0.-*i4404;v000;**60161000.40-ntiot !1700
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6c: OtiOft.Ohigingth'.#f bii.o$410t,. ma -(4)-: ... . .
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WFLL-AI3A.IN DONNIE. NTRECORI)-- ... .
. : ro.00000 . . . . . .. .. . . . . .. . ,
•:This.f9,00:0iye-24e4 for 00kkpr.: 10pk•'..sy0.1*,
•
•
1.Avairatiiiaithimiiiiiiin:. . ..)\,\ :''WELL:ARANDONMENT,AgtAITA. - • • ••• ' -••• ••• •• •-•• ••-• • - ' -- '•'-.-•
. .. .. . .. . . . ......... ..-... ... .
John Eisenman '7tii..4tiniiiii.ii1ii411$-Iiiing aiiiiiiirAti..41:.1 • --• - •••- -
. . . . . . .. . .. 11
. .. .. ... . . . ... ... . .
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'...0itistitiono.:*-nrittwinient,:jwIl.itorst.iNity.f.91.v.p14!„.:-.
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ii.cm4.0.*06r00.16*.ii0.3.c!iii0.02. . ..,.
'•••SAEDACCO In FORAVATFR SUPPLY WELLS ONLY
• - - • — - - -
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,..L.L4-4r1:i14.011041ilieli tii-$0.k.;giiliti;0;1.itROpi;i10,:t(f.kit$4.24.. •'.•- --. -.• • .- •--. -., • i
Id:Antonio of diginfor_tant useti::p a
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thAgikii.huol„... 0-,moili-604144k., • ,.:•• ,43*•''''',• 0044..p*.'. ' ...._atd:tifoliiktniiii,Aiiii2ttc_ts'-:-.:
0c*oilil on.4 iti4e:ii4) 001iinsiiiii44..::: '6isiit'iiiiiiir...s.vis.iej,$6.:iii (sili0c),.::. .::Iti.1::::)..iiiitii0 *.'.' .,.:,.. . - - -...
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triiiittisifig,tainnietclOT.•Y tilitildiliial-104ttr...SOf),pli.ishuid).,.. '•:•••1;1..•••P)9tYek lout •--',Prbtil1:•cii**•
ciiriiMicii4';' • • •-• •-,:b Specialty Grout ,-..cvOta-.vel
• Non-Water Supply Well • - • .- ; . : - • - • • • - •• • • -I.: .i.3.',.tteP(Oplie 1-$10 ,,, ! ''.-il,Iiii*,topiiirtfiod•et...itij.:
••••••••••.• .. ..,..
• 14N1.0iik;ziogl., •,titt.ecoliy..'
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C3:kti**.0.140ii$a:. itOO*14itiirltOtitiii0Piti.-, ' Neat Cem.:941b ,Wtr:7galj • Sand Cem.:lb ,Wtr:gal. ,
444ei. iprici#4.***y_:-- 0$,Sijow•',Raqi6t7-.., —-
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•• •pip4ieti*0041.1Whookky r3Siiiiitkitt:•C4idiot• • •....10:••Piififile'i litiat M.6:44144:6(ibiiiiiii.46iiiiiPelniadiiie...
tideotticpuoj(0Ose.0:.,.i.40pk, 1jPacg,T-
., ',Pump cement through tremie from bottom of well until cement
• t:16.0.0iiiirrnAfitt&111.0,ZitdOliihtittetUifir' .00111tileiiiaiNANA470:: .i . .
',„
....
reaches surface, remove pad and well box, cap with new
;i.liiiiiiiilliiiii640.iiii;.9-2°-22 • concrete pad i.
. . ... .... . ..... . .. . .. ,
,.,,,..,„„..,...,...,, . --• - - '•• ' •• - • - ...,-..r,..----t, , ii--,b.••i • •• • • •• '
4.Wil1100.400g -. -...A-,...., k--,- &--: , —
:... - . . .
OCT 1. 4 2022
Former UPS Facility , ...,.?"••..,' ,,..,-..,: .“..,.
' •• •..iii•Ciiiifiiiiiitii-
:Fiviii*Oi*Naiii4•••••• n!tOk-PkOr001*0?)0;:-
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3015 Thurston Ave. Greensboro, NC 27406
PhigirA:Ailifst4,,..Citsdiid Zip. ,,,,Sti..7.#N ,,!..%-zpiv.i.F.g..9.,•1::0:1,431!),.....;;•,,lf7-!•;,:.-:?.:*iv!.=f,.--...•,:.. - .peg. •
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ctXiiii:: Piet.iiiiiiikaelitiiiii*:(PP). j:iii /oh-ei.*.ito:.044fcre 42,. C: 0:4ft.0 Oit.:,V;00.1k•.. y.110 Os iiii*kSii*OiiX4
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Latitude..*44j44000O'..i.i.if4i.0.410iii#0.ti:***###104%),,40*-1;f. ,..,.., ,.....„., .,.,.... , ,. ..:... ... . :':., ,...
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44i"I'Miiii*Artiie.00404,1000;$4-#00107:-::-
40-IlitAtiiiii depth .I-6 •01;;Y:
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