HomeMy WebLinkAboutNew Hanover_Well Abandonment_20230227 WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAIIGS
Kevin White 7a.For Geoprobe/DPT or Closed-L1 o Geothermal Wells having the same
Well Contractor Name(or well owner personally abandoning well on his/her property) well construction/depth,only 1 GW-3t0 is needed. Indicate TOTAL NUMBER of
2973 wells abandoned:"a I NC Well Contractor Certification Number 7b.Approximate volume of water re laining in well(s): 8.82 (gal.)
kI
Parratt-Wolff, Inc. FOR WATER SUPPLY WELLS ONLY i(�'
Company Name - ' : ?�'L. a g i,,...1,
a )'
7c.Type of disinfectant used: '.•�.> ,)
2.Well Construction Permit#: n/a ;, FEB 2 7 2023
List all applicable well construction permits(i.e..UIC County,State,Variance,etc.)if known
7d.Amount of disinfectant used: )i ,
oirWrri-lnu.:,i L�j-.�:��:,
3.Well use(check well use): DiA, y uMI
Water Supply Well: _ 7e.Sealing materials used(check all that apply):
❑Agricultural ❑Municipal/Public ❑Neat Cement Grout . ' e Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑ Sand Cement Grout ❑Dry Clay
❑lndustrial/Commercial ,❑Residential Water Supply(shared) ❑ Concrete Grout 1 ❑Drill Cuttings
❑Irrigation ❑ Specialty Grout ❑ Gravel
Non-Water Supply Well: 0 Bentonite Slurry 0 Other(explain under 7g)
❑Monitoring El Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge 0 Groundwater Remediation • 2.29 gallons 1
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage I'
-❑Experimental Technology ❑Subsidence Control 1'
7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer "
❑Geothermal(Heating/Cooling Return) 0 Other(explain under 7g) Trem i e grouted to the su rfaee
11
4.Date well(s)abandoned: 1 2-13-22
5a.Well location:
•
Kinder Morgan LLC River Road
Facility/Owner Name Facility ID#(if applicable) 8.Certification: r
3340 River.Road, Wilmington 28412 2::),...:SZA- I • l 3 • a3
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
New Hanover R06400-002-003-000 l
' By signing this form, I hereby certify that the well(s) was (were)abandoned in
County Parcel Identification No.(PIN) accordance with 15A NCAC 02C.0100:or 2C.0200 Well Construction Standards
and that a copy of this record has been provided to the well owner.
5b.Latitude and longitude in degrees/minutes/seconds or decimal degrees: Ili
(if well field,one lat/long is sufficient) 9.Site diagram or additional well details:
34.179008 N -77.951948 W You may use the back of this page to provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
it
CONSTRUCTION DETAILS OF WELL(S)BEING ABANDONED SUBMITTAL INSTRUCTIONS
Attach well construction record(s)if available.For multiple injection or non-water supply wells i1
ONLY with the same construction/abandomnent,you can submit one form.
10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#:
RW-31 abandonment to the following:
I.
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 1 8 (ft.) 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For Injection Wells: In addition;to sending the form to the address in 10a
6c.Borehole diameter: 8 (in.) above, also submit one copy of this fform within 30.days of completion of well
abandonment to the following:
6d.Water level below ground surface: 5 (ft.) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): (ft.) 10c.For Water Supply&Iniection1NVells: 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 abandonment'to the county health department of the county where
6f.Inner casing/tubing length(if known): 3.5 (ft.) abandoned.
6g.Screen length(if known): 15 (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources ' Revised 2-22-2016
WELL ABANDONMENT RECORD For Internal Use ONLY:
•
1.Well Contractor Information: WELL ABANDONMENT DETAILSk
Kevin White 7a.For Geoprobe/DPT or Closed-Lioop Geothermal Wells having the same
Well Contractor Name(or well owner personally abandoning well on his/her property) well construction/depth,only 1 GW-30 is needed. Indicate TOTAL NUMBER of
2973 wells abandoned: i I NC Well Contractor Certification Number 7b.Approximate volume of water re iaining in well(s): 8.82 (gal.)
Parratt-Wolff, Inc. FOR WATER SUPPLY WELLS ONLY:
Company Name i'
7c.Type of disinfectant used:
2.Well Construction Permit#: n/a • ,A=.✓
List all applicable well construction permits(i.e.UIC.County,State,Variance,etc.)ifknown .n .,, y '
7d.Amount of disinfectant used: I' .,.,
3.Well use(check well use): i La 2 7 2023
Water Supply Well: 1 7e.Sealing materials used(check all that apRly):
�' flr.^`fir.<ic.
❑Agricultural ❑Municipal/Public 0 Neat Cement Grout ir"$en p'�t� hipi-is2•E 11gtt!n;i
❑Geothermal(Heating/Cooling Supply) - ❑Residential Water Supply(single) 0 Sand Cement Grout j' 0 Dry Clay�t`t '
❑Industrial/Commercial 0 Residential Water Supply(shared) ❑ Concrete Grout 0 Drill Cuttings
❑Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: ❑Bentonite Slurry 1 ❑ Other(explain under 7g)
❑Monitoring •Recovery ,.
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge • ❑Groundwater Remediation 2.29 gallons
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage
❑Experimental Technology ❑Subsidence Control I
7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Traeer •Tremie grouted to the surface
❑Geothermal(Heating/Cooling Return) ❑Other(explain under 7g)
4.Date well(s)abandoned: 1 2-1 3-22 ! ,
5a.Well location:
Kinder Morgan LLC River Road
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
3340 River Road, Wilmington 28412 _ 1; _ 1-�.a3
Physical Address,City,and Zip Signature Well Contractor or Date
New Hanover R06400-001-003-000
By signing this form, I hereby certify that the well(s) was(were) abandoned in
County Parcel Identification No.(PIN) accordance with 15A NCAC 02C.0100:or 2C.0200 Well Construction Standards
t.
and that a copy of this record has been provided to the well owner.
5b.Latitude and longitude in degrees/minutes/seconds or decimal degrees: 1'
(if well field,one Iatllong is sufficient) 9.Site diagram or additional well details:
34.178847 N -77.951964 W You may use the back of this page to provide additional well site details or well
abandonment details. You may also attach ttach additional pages if necessary.
CONSTRUCTION DETAILS OF WELL(S)BEING ABANDONED SUBMITTAL INSTRUCTIONS
Attach well construction record(s)ifavailable.For multiple injection or non-water supply wells i,
ONLY with the same construction/abandonment,you can submit one form.
10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#: RW-1 8 abandonment to the following: I
Division of Water Resources,Information Processing Unit,
6b.Total well depth:
25 (ft.) 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For Infection Wells: In addition do sending the form to the address in l0a
6c.Borehole diameter: 8 (in.) above,also submit one copy of this I for to within 30 days of completion of well
abandonment to the following: i, II
!, I
5 Division of Water Resources,Underground Injection Control Program,.
6d.Water level below ground surface: (ft.) 1,
1636 Mail Service Center,Raleigh,NC 27699-1636
.
6e.Outer casing length(if known): n/a (ft.) 10c.For Water Supply&Infection iWells: In addition to sending the form to the
address(es)above,also submit one cdpyjof this form within 30 days of completion
of well abandonment to the county health department of the county where
6f.Inner casing/tubing length(if known): unknown (ft.) abandoned.
6g.Screen length(if known): unknown (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources I! Revised 2-22-2016
WELL ABANDONMENT RECORD For Internal Use ONLY: •
1.Well Contractor Information: WELL ABANDONMENT DETAILS
Kevin White 7a.For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same
Well Contractor Name(or well owner personally abandoning well on his/her property) well construction/depth,only 1 GW-30 ris needed. Indicate TOTAL NUMBER of
2973 wells abandoned:"a I I NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): 8.82 (gal.)
Parratt-Wolff, Inc. FOR WATER SUPPLY WELLS ONLY:
Company Name ��
7c.Type of disinfectant used: r,
2.Well Construction Permit#: n/a - ,' $„,„L i d'w� ,,g'
ati
w as
List all applicable well construction permits(i.e.UlC.County,State.Variance,etc.)ijbroun !1
7d.Amount of disinfectant used: I F_L f s a
3.Well use(check well use):
Water Supply Well: • 7e.Sealingmaterials used(check all that apply)a.-,t`�f!.="h: t
PP Y apply): fey. , ,� �C.r,,t
❑Agricultural ❑Municipal/Public ❑Neat Cement Grout C Bentonite ii2 2 Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑ Sand Cement Grout ! 0 Dry Clay
❑Industrial/Commercial ❑Residential Water Supply(shared). ❑ Concrete Grout 0 Drill Cuttings
❑Irrigation ❑ Specialty Grout 0 Gravel
Non-Water Supply Well: ❑Bentonite Slurry ❑ Other(explain under 7g)
❑Monitoring MIRecovery l•
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge ❑Groundwater Remediation 2.29 gallons
❑Aquifer Storage and Recovery 0 Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage
❑Experimental Technology ❑Subsidence Control
7g.Provide a brief description of the abandonment procedure:
OGeothermal(Closed Loop) OTracer Tremie grouted to the surface
❑Geothermal(Heating/Cooling Return) ❑Other(explain under 7g)
4.Date well(s)abandoned: 1 2-1 3-22 i
5a.Well location: I.
Kinder Morgan LLC River Road
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
3340 River Road, Wilmington 28412 ..- 4 L - . t_ (-,. a Z_
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
New Hanover R06400-001-003-000
By signing this form, I hereby certify that the well(s) was (were) abandoned in
County Parcel Identification No.(PIN) accordance with 15A NCAC 02C.0100:or 2C.0200 Well Construction Standards
and that a copy of this record has been provided to the well owner.
5b.Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field,one lat/long is sufficient) 9.Site diagram or additional well details:
34.178969 • N -77.952003 `,l, You may use the back of this page to provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
CONSTRUCTION DETAILS OF WELL(S)BEING ABANDONED SUBMITTAL INSTRUCTIONS
Attach well construction record(s)if available.For multiple injection or non-water supply wells
ONLY with the same construction/abandomnent,you can submit one form. �'
10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#: RW-33 abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 17.5 (ft.) 1617Mail Service Center,Raleigh,NC 27699-1617
Il
10b.For Injection Wells: In additibn:to sending the form to the address in 10a
6c.Borehole diameter: 8 (in.) above,•also submit one copy of thisl;foim within 30 days of completion of well
abandonment to the following:
5 Division of Water Resources,Underground Injection Control Program,
6d.Water level below ground surface: (ft.) i
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): n/a (ft,) 10c.For Water Supply&Injection IWI Wells: In addition to sending the form to the
address(es)above,also submit one cdpyi of this form within 30 days of completion
of well abandonment to the county health department of the county where
6f.Inner casing/tubing length(if known): 2.5 5 (ft.) abandoned. I
•
6g.Screen length(if known): 15 (ft.)
• Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources !, Revised 2-22-2016
WELL ABANDONMENT RECORD For Internal Use ONLY:
•
1.Well Contractor Information: WELL ABANDONMENT DETAI)S
Kevin White 7a.For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same
Well Contractor Name(or well owner personally abandoning well on his/her property) well construction/depth,only 1 GW-30 is needed. Indicate TOTAL NUMBER of
2973 wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water re miaining in well(s): 8.82 (gal.)
r~
Parratt-Wolff, Inc. . FOR WATER SUPPLY WELLS ONLY: `v? " 4--, ,
I`, Y fit,.t:,'1 ,,
Company Name i, �'^^5 w ,
7c.Type of disinfectant used: 1. . !` � f- ? �l
2.Well Construction Permit#: n/a ,, y q• It 2023
List all applicable well construction permits(i.e.U/C,County State.Variance,etc.)if known 7d.Amount of disinfectant used: tnitt-�k!?n n.
3.Well use(check well use): i• Ct•">I(,�..,. i ,. `tt''1
Water Supply Well: 7e.Sealing materials used(check all•that apply):
❑Agricultural ❑Municipal/Public ❑Neat Cement Grout ! U Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) 0 Sand Cement Grout ❑Dry Clay
❑Industrial/Commercial ❑Residential Water Supply(shared) 0 Concrete Grout ❑Drill Cuttings
• 0 Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: ❑Bentonite Slurry 0 Other(explain under 7g)
❑Monitoring lRecovery
Injection Well: • 7f.For each material selected above;provide amount of materials used:
•
❑Aquifer Recharge ❑Groundwater Remediation 2.29 gallons 1. .
❑Aquifer Storage and Recovery 0 Salinity Barrier, 1 •
❑Aquifer Test ❑Stormwater Drainage
❑Experimental Technology ❑Subsidence Control 7g.Provide a brief description of thel abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer E
0 Geothermal(Heating/Cooling Return) 0 Other(explain under 7g) Tremie grouted to the su rfaee
i.
' ii
4.Date well(s)abandoned: 12-1 3-22 ' 1
5a.Well location:
Kinder Morgan LLC River Road
Facility/Owner Name Facility ID#(if applicable) 8.Certification: i'
3340 River Road, Wilmington 28412 (. 1 -d3
Physical Address,City,and Zip Signature of Certified Well Contractor-or Wel caner Date
New Hanover R06400-001-003-000
By signing this form, I hereby certify that the well(s) was(were) abandoned in
County Parcel Identification No.(PIN) accordance with 15A NCAC 02C'.0100Ior 2C.0200 Well Construction Standards
and that a copy of this record has been provided to the well owner.
5b.Latitude and longitude in degrees/minutes/seconds or decimal degrees: 1
(if well field,one lat/long is sufficient) •
9.Site diagram or additional well details:
34.178870 N -77.951891 W You may use the back of this page to provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
CONSTRUCTION DETAILS OF WELL(S)BEING ABANDONED SUBMITTAL INSTRUCTIONS !'
Attach well construction record(s)ifavailable.For multiple injection or non-water supply wells•
ONLY with the same construction/abandonment,you can submit one form.
10a. For All Wells: Submit this form within 30 days of completion of well
RW-17 abandonment to the following:
6a.Well ID#: I,
Division of Water Resources,Information Processing Unit,
25 1617 Mail Service Center,Raleigh,NC 27699-1617
6b.Total well depth: (ft.) i1 •
10b.For Injection Wells: In addition to sending the form to the address in 10a
- 6c.Borehole diameter: 8 (in.) above, also submit one copy of thisliform within 30 days of completion of well
abandonment to the following:
I; ,
5 Division of Water Resources,Underground Injection Control Program,
6d.Water level below ground surface: (ft.) 1636 Mail Service Ceiit 1r,Raleigh,NC 27699-1636
l' I
n/a 10c.For Water Supply&Injection+Wells: In addition to sending the form to the
• 6e.Outer casing length(if known): (ft.) address(es)above,also submit one copy of this form within 30 days of completion
of well abandonment to the county health department of the county where
6f.Inner casing/tubing length(if known): unknown (ft.) abandoned.
6g.Screen length(if known): unknown (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016
•
WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
Kevin White 7a.For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same
Well Contractor Name(or well owner personally abandoning well on his/her property) well construction/depth,only 1 GW J30 is needed. Indicate TOTAL NUMBER of
• 2973 wells abandoned:"a
7b.Approximate volume of water I remainingin well(s): 1 0'1 2 al
NC Well Contractor Certification Number - PPI (gal.)
rt
Parratt-Wolff, Inc. FOR WATER SUPPLY WELLS ONLY: .:-...,
Company Name + nor„'( "•.
7c.Type of disinfectant used: ° :, lw,
`�b,.a
2.Well Construction Permit#: n a FEB 72023
List all applicable well construction permits(i.e.U!C,Counts,State,Variance,etc.)if known °7d.Amount of disinfectant used:
ini•,-:.-
3.Well use(check well use): ! - -' ' t'ri^,, W.�
Water Supply Well: 7e.Sealingmaterials used(check all that apply):rat° (.tr'f
❑Agricultural ❑Municipal/Public ❑Neat Cement Grout II Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑ Sand Cement Grout 0 Dry Clay
❑Industrial/Commercial ❑Residential Water Supply(shared) 0 Concrete Grout ❑ Drill Cuttings
❑Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: ❑Bentonite Slurry 0 Other(explain under 7g)
❑Monitoring !Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge ❑GroundwaterRemediation 1.63 gallons 1,
❑Aquifer Storage and Recovery 0 Salinity Barrier I '
❑Aquifer Test 0 Stormwater Drainage l,
❑Experimental Technology ❑Subsidence Control
7g.Provide a brief description of the'abandonment procedure:
OGeothermal(Closed Loop) ❑Tracer Tremie grouted to the surface
_ 0 Geothermal(Heating/Cooling Return) ❑Other(explain under 7g)
4.Date well(s)abandoned: 1 2-1 3-22
i.
5a.Well location:
Kinder Morgan LLC River Road '
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
3340 River Road, Wilmington 28412 •
• 3
(° !�
Physical Address,City,and Zip Signature of Certified Well Contractor or Well wner Date
New Hanover R06400-001-003-000 ;
By signing this form, I hereby certify that the well(s) was(were)abandoned in
County Parcel Identification No.(PIN) accordance with 15A NCAC 02C.0100,or 2C.0200 Well Construction Standards
and that a copy of this record has been provided to the well owner.
Sb.Latitude and longitude in degrees/minutes/seconds or decimal degrees: l'.
(if well field,one lat/long is sufficient) 9.Site diagram or additional well details:
34.179209 N -77.951864 W You may use the back of this page to provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
1.
CONSTRUCTION DETAILS OF WELL(S)BEING ABANDONED' SUBMITTAL INSTRUCTIONS
Attach well construction record(s)if available.For multiple injection or non-water supply wells '
ONLY with the same construction/abandonment,you can submit one form.
10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#: RW-1 9 abandonment to the following: I.
I,
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 25 (ft.) 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For Injection Wells: In addition to sending the form to the address in 10a
6c.Borehole diameter: 8 (in.) above,also submit one copy of this form within 30 days of completion of well
abandonment to the following:
'
6d.Water level below ground surface: 3 (ft.) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,
6e.Outer casing length(if known): (ft.) r,Raleigh,NC 27699-1636
unknown 10e.For Water Supply&Iniection�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 abandonment to the county health department of the county where
6f.Inner casing/tubing length(if known): unknown (ft.) abandoned.
6g.Screen length(if known): unknown (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources i; Revised 2-22-2016
11
WELL ABANDONMENT RECORD For Internal Use ONLY: '
1.Well Contractor Information: WELL ABANDONMENT DETAILSI
Kevin White 7a.For Geoprobe/DPT or Closed-to Ip Geothermal Wells having the same
Well Contractor Name(or well owner personally abandoning well on his/her property) well construction/depth,only 1 GAY-30 is needed. Indicate TOTAL NUMBER of
2973 wells abandoned: I, I• NC Well Contractor Certification Number 7b.Approximate volume of waterremaining in well(s): 8.82 (gal.)
Parratt-Wolff, Inc. • FOR WATER SUPPLY WELLS ONLY:
I.
Company Name e V�n .
• 7c.Type of disinfectant used: I' ;7, • ,••
a,,,.6 •i.,i,t
2.Well Construction Permit#: n/a r�p trtr lq�!",
List all applicable well construction permits(i.e.WC,County,State.Variance,etc.)if known FEB
7d.Amount of disinfectant used: ' '� .� infi
3.Well use(check well use): ra.`�
Water Supply Well: 7e.Sealing materials used(check all that apply): ct ? z+` 2- > t
❑Agricultural ❑Municipal/Public 0 Neat Cement Grout a Bentonite Chips or Pellets
OGeothermal(Heating/Cooling Supply) OResidential Water Supply(single) 0 Sand Cement Grout 0 Dry Clay
❑Industrial/Commercial ❑Residential Water Supply(shared) 0 Concrete Grout i. 0 Drill Cuttings
❑Irrigation 0 Specialty Grout i 0 Gravel
Non-Water Supply Well: 0 Bentonite Slurry i 0 Other(explain under 7g)
❑Monitoring lRecovery ,
Injection Well: 71.For each material selected above,provide amount of materials used:
❑Aquifer Recharge 0 Groundwater Remediation 2.29 gallons ,
DAquifer Storage and Recovery 0 Salinity Barrier
❑Aquifer Test ❑Stormwater Drainageil
❑Experimental Technology ❑Subsidence Control
7g.Provide a brief description of the abandonment procedure:
OGeothermal(Closed Loop) ❑Tracer Tremie grouted to the surface
0 Geothermal(Heating/Cooling Return) 0 Other(explain under 7g)
I
4.Date well(s)abandoned: 1 2-1 3-22 i
i
5a.Well location:
Kinder Morgan LLC River Road
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
3340 River Road, Wilmington 28412 � (4,. ,, ---4-- 1.• /;..
,...›._
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
New'Hanover ' R06400-001-003-000
By signing this form, I hereby certify that the well(s) was(were) abandoned in
County Parcel Identification No.(PIN) accordance with 1SA NCAC 02C.0100'or 2C.0200 Well Construction Standards
and that a copy of this record has been Provided to the well owner.
5b.Latitude and longitude in degrees/minutes/seconds or decimal degrees: '
(if well field,one lat/long is sufficient)
9.Site diagram or additional well details:
34.179047 N -77.951958 W You may use the back of this page to provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
CONSTRUCTION DETAILS OF WELL(S)BEING ABANDONED SUBMITTAL INSTRUCTIONS I.
Attach well construction record(s)lfavailable.For multiple injection or non-xdtersupply hells
ONLY with the same construction/abandonment,you can submit one form.
10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well m#: RW-32 • abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth 1 8 (ft.) •
1617 Mail Service Center,Raleigh,NC 27699-1617
b
10b.For Injection Wells: In addition•to sending the form to the address in 10a
•
6c.Borehole diameter: 8 (in.) above, also submit one copy of this Iform within 30 days of completion of well
abandonment to the following:
5 Division of Water Resources,Underground Injection Control Program,
6d.Water level below ground surface: (ft.) 1636 Mail Service Center,Raleigh,NC 27699-1636
I/
6e.Outer casing length(if known): n�a (ft.) 1Oc.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 abandonment to the county health department of the county where
6f.Inner casing/tubing length(if known): 3.5 (ft.) abandoned. I
I
I
6g.Screen length(if known): 15
(ft.)
Form OW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016
WELL ABANDONMENT RECORD For Internal Use ONLY:
i
1.Well Contractor Information: WELL ABANDONMENT DETAILS
Kevin White 7a.For Geoprobe/DPT or Closed-Loop p Geothermal Wells having the same
Well Contractor Name(or well owner personally abandoning well on his/her property) well construction/depth,only 1 GW-30 1p's needed. Indicate TOTAL NUMBER of
2973 wells abandoned:". I I
•
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): 8.82 (gal.)
Parratt-Wolff, Inc. FOR WATER SUPPLY WELLS ONLY: e
71
Company Name r "� k`' ~''
7c.Type of disinfectant used: 1 FEBo i;,'it
2.Well Construction Permit#: n/a I •
FD y 7 �"'
List all applicable well construction permits(i.e.U/C,County,State.Variance,etc.)if known 2023
7d.Amount of disinfectant used: , InfC:;74--.;
! v.
3.Well use(check well use): Di o .., ` .ti3r•;„.
Water Supply Well: 7e.Sealing materials used(check all that apply):
❑Agricultural ❑Municipal/Public ❑Neat Cement Grout !' I Bentonite Chips or Pellets
OGeothermal(Heating/Cooling Suppl)) ❑Residential Water Supply(single) _ ❑ Sand Cement Grout I ❑Dry Clay
❑Industrial/Commercial Residential Water Supply(shared) ❑ Concrete Grout ❑ Drill Cuttings
❑Irrigation ❑ Specialty Grout 0 Gravel
Non-Water Supply Well: El Bentonite Slurry 1. El Other(explain under 7g)
❑Monitoring lRecovery t •
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge ❑Groundwater Remediation 2.29 gallons
❑Aquifer Storage and Recovery 0 Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage
❑Experimental Technology ❑Subsidence Control
7g.Provide a brief description of the abandonment procedure:
OGeothermal(Closed Loop) ❑Tracer Tremie grouted to the surface
OGeothermal(Heating/Cooling Return) 0 Other(explain under 7g)
4.Date well(s)abandoned:
12-13-22
I
5a.Well location: '
Kinder Morgan LLC River Road •
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
3340 River Road, Wilmington 28412 A._2 (. Imo• a 3
Physical Address,City,and Zip Signature of Certified Well on rector or Well Owner Date
New Hanover R064000-001-003-000 is
By signing this form, I hereby certify that the well(s) was(were) abandoned in
County Parcel Identification No.(PIN) accordance whh ISA NCAC 02C.01001or 2C.0200 Well Construction Standards
and that a copy of this record has beet;provided to the well owner.
5b.Latitude and longitude in degrees/minutes/seconds or decimal degrees: If ,
(if well field,one latilong is sufficient) 9.Site diagram or additional well details:
34.179169 N -77.951853 W You may use the back of this page to provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
CONSTRUCTION DETAILS OF WELL(S)BEING ABANDONED SUBMITTAL INSTRUCTIONS
Attach well construction record(s)ifavailable.For multiple injection or non-water supply wells
ONLY with the same construction/abandonment,you can submit one form.
10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#: RW-35 abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth:
17,5 (ft.) 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For Infection Wells: In additiomto sending the form to the address in 10a
6c.Borehole diameter: 8 (in.) above,also submit one copy of this)%form within 30 days of completion of well
abandonment to the following: 1
6d.Water level below ground surface:
5 (ft.) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Cent er,Raleigh,NC 27699-1636
6e.Outer casing length(if known): n/a (ft.) 10c.For Water Supply&IniectionWWells: 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 abandonment to the county health department of the county where
6f.Inner casing/tubing length(if known): 2.5 (ft.) abandoned.
6g.Screen length(if known): 15 (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016
WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
Kevin White 7a.For Geoprobe/DPT or Closed-Loop Geothermal Wells having the same
Well Contractor Name(or well owner personally abandoning well on his/her property) well construction/depth,only 1 GW-30 is needed. Indicate TOTAL NUMBER of
2973 wells abandoned:"_ I p
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): 8.02 (gal.)
Parratt-Wolff, Inc. FOR WATER SUPPLY WELLS ONLY:
Company Name I .�` o.,
7c.Type of disinfectant used: I r n -„'a e,..,
_ -,a tp��,,�,
2.Well Construction Permit#: n/a I lye A `'
List all applicable well construction permits(i.e.UIC,County,State.Variance,etc.)(known is � u ? 7 9
7d.Amount of disinfectant used: . t,.- - 6 _ `J
3.Well use(check well use): -7<.=wl,,
apply): o..W 'f0Z :,':7 Ltr;.
Water SupplyWell: 7e.Sealingmaterials used(check all that a 1 t�j
❑Agricultural ❑Municipal/Public 0 Neat Cement Grout a Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑ Sand Cement Grout i 0 Dry Clay
❑IndustriallCommercial ❑Residential Water Supply(shared) ❑ Concrete Grout ❑Drill Cuttings
❑Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: ❑Bentonite Slurry 0 Other(explain under 7g)
❑Monitoring URecovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge ❑GroundwaterRemediation 2.29 gallons
❑Aquifer Storage and Recovery ❑Salinity Barrier i,
❑Aquifer Test ❑Stormwater Drainage I;
❑Experimental Technology ❑Subsidence Control i
7g.Provide a brief description of the abandonment procedure:
OGeothermal(Closed Loop) OTracer Tremie grouted to the surface
❑Geothermal(Heating/Cooling Return) ❑Other(explain under 7g)
i
I,
4.Date well(s)abandoned: 12-13-22 ;'
5a.Well location:
Kinder Morgan LLC River Road ,
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
3340 River Road, Wilmington 28412 .), I. A.1
Physical Address,City,and Zipsignature of Certified Well Contractor or Well Owner Date
New Hanover R06400-001-003-000
By signing this form, I hereby certify that the well(s) was(were) abandoned in
County Parcel Identification No.(PIN) accordance with 15A NCAC 02C.0100{or 2C.0200 Well Construction Standards
and that a copy of this record has been provided to the well owner.
5b.Latitude and longitude in degrees/minutes/seconds or decimal degrees: " I
(if well field,one mat/long is sufficient) 9.Site diagram or additional well details:
34.179189 N -77.951856 `,l, You may use the back of this page ec provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
CONSTRUCTION DETAILS OF WELL(S)BEING ABANDONED SUBMITTAL INSTRUCTIONS
Attach well construction record(s)ifavailable.For multiple injection or non-water supply wells
ONLY with the same construction/abandonment,you can submit one form.
10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#: RW-34 abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth 17.5 (ft) 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For Infection Wells: In addition:to sending the form to the address in 10a
6c.Borehole diameter: 8 (in.) above, also submit one copy of thisjform within 30 days of completion of well
abandonment to the following:
I. •
6d.Water level below ground surface:
5 (ft.) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): n/a (ft.) 10c.For Water Supply&Infection Wells: In addition to sending the form to the
address(es)above,also submit one copylof this form within 30 days of completion
of well abandonment to the county health department of the county where
. 6f.Inner casing/tubing length(if known): 2.5 (ft.) abandoned.
6g.Screen length(if known): 15 (ft.)
Form G\V-30 North Carolina Department of Environmental Quality-Division of Water Resources ' Revised 2-22-2016
1
tl
61
WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
Kevin White 7a.For Geoprobe/DPT or Closed1L lop Geothermal Wells having the same
Well Contractor Name(or well owner personally abandoning well on his/her property) well construction/depth,only 1 GW173 is needed. Indicate TOTAL NUMBER of
2973 wells abandoned:n'a
16
NC Well Contractor Certification Number 7b.Approximate volume of waterl;remaining in well(s): 8. (gal.)
i
Parratt-Wolff, Inc. FOR WATER SUPPLY WELLS'ONLY: r%i-.I r, 0
`� .; . P :fly z�. j
Company Name 7..-
N/A 7c.Type of disinfectant used: , I FEBn
2.Well Construction Permit#: I FEB 21 2023
List all applicable well construction permits(i.e.UUC,County,State,Variance,etc.)ifknown I.
7d.Amount of disinfectant used:.' • ,_
• 1i ii%:,1 et v...L.,1 ,4..,-,J<<4K.ti4 UtI;l
3.Well use(check well use): p �t
+'alcia
Water Supply Well: 7e.Sealing materials used(check all that apply):
:Agricultural ❑Municipal/Public 0 Neat Cement Grout a Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) :Residential Water Supply(single) 0 Sand Cement Grout 0 Dry Clay
❑Industrial/Commercial :Residential Water Supply(shared) ❑Concrete Grout 0 Drill Cuttings
❑Irrigation _ 0 Specialty Grout 0 Gravel
Non-Water Supply Well: ❑Bentonite Slurry ❑ Other(explain under 7g)
:Monitoring CRecovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge 0 Groundwater Remediation 2.85 gallons I•
❑Aquifer Storage and Recovery 0 Salinity Barrier •
❑Aquifer Test ❑Stormwater Drainage
❑Experimental Technology ❑Subsidence Control
7g.Provide a brief description of•the abandonment procedure:
•
❑Geothermal(Closed Loop) ❑Tracer Tremie grouted to the surface
❑Geothermal(Heating/Cooling Return) ❑Other(explain under 7g)
I'
4.Date well(s)abandoned: 1 2-1 3-22
i
5a.Well location:
Kinder Morgan LLC River Road
Facility/Owner Name Facility 1D#(if applicable) 8.Certification:
i
3340 River Road, Wilmington 284123� - •
/, / , ?,�
Physical Address,City,and Zip Signature of Certified Well Contractor or We Owner Date
New Hanover R06400-001-003-000
By signing this form, 1 hereby certJ'that the well(s) was (were)abandoned in
County Parcel Identification No.(PIN) accordance with 15A NCAC 02C.0100 or 2C.0200 Well Construction Standards
- and that a copy of this record has been provided to the well owner.
5b.Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field,one lat/long is sufficient) 9.Site diagram or additional well details:
34.178966 N -77.951940 W, You may use the back of this page tb provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
CONSTRUCTION DETAILS OF WELL(S)BEING ABANDONED SUBMITTAL INSTRUCTIONS ' ' •
Attach well construction records)Ifavailable.For multiple injection or non-water supply wells I
ONLY with the sane construction/abandonment,you can submit one form.
10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#: RW-30 abandonment to the following: I'
I; I
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 1 (ft.) 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For Injection Wells: In addition Ito sending the form to the address in l0a
6c.Borehole diameter: 8 (in.) above,also submit one copy of this form within 30 days of completion of well
abandonment to the following:
6 Division of Water Resources,Underground Injection Control Program,
6d.Water level below ground surface: (ft.)
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): n/a _(ft.) 10c.For Water Supply&Iniection Wells: In addition to sending the form to the
address(es)above,also submit one copyjof this form within 30 days of completion
of well abandonment to the county health department of the county where
6f.Inner casing/tubing length(if known): 3.5 (ft.) abandoned. I'
6g.Screen length(if known): 15 (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources II Revised 2-22-2016