WI0600037_Well Abandonment Record(s) (GW-30)_20230530 (2)

DEPARTMENT OF THE ARMY
U.S. ARMY CORPS OF ENGINEERS
SAVANNAH DISTRICT
100 W. OGLETHORPE AVENUE
SAVANNAH, GEORGIA 31401-3604
May 23, 2023
North Carolina Division of Water Resources
Groundwater Management Branch
Attention: Michael Rogers
1636 Mail Service Center
Raleigh, North Carolina 27699
SUBJECT: Injection wells associated with permit numbers W10600030 & W10600037 at Fort
Liberty, NC for site FTBR-103
Mr. Rogers:
This submittal is being provided to change the wells associated with the above referenced permit
numbers from active to inactive: permanently abandoned. The GW-30 forms are attached to this
letter and below is a listing of the multiple injection wells.
FTBR-103: Multiple Injection Wells (Al to A6; 131 to 136; C1 to C5; D1 to D4; E1 to E4; F1 to F6;
I W3)
If you have any questions, please contact me at [phone] or kevin.e.moon(@usace.army.mil
Kevin Moon, P.G.
Kansas Registration No. 912
RECEIVE® Geology/Hydrogeology and HTRW Design Section
MAY 3' 0 2023
NC DEQ/DWR
Central Office

Department of Environmental Quality - Division of Water Resources
STATUS OF INJECTION WELL(S)/PERMIT RESCISSION REQUEST FORM
Permit Number: WI060030 & WI0600037
Permittee Name(s): Fort Liberty Directorate of Public Works
Mailing Address: IMBG-PWE M. 4-1275 Reilly Road Ston A
Physical Address of Well(s) (if different than mailing address):Honeycutt and S Lucas Rd
City: Fort Liberty
Daytime Telephone No.: 910-396-4009
County: Cumberland
Cell No.: NA
Email Address:
Please check the selection which most closely describes the current status of your system:
1) ❑ Well(s) still used for injection activities
2) ❑ Well(s) not used for injection but used for other purposes: a) ❑ Water Supply
b) ❑ Recovery
c) ❑ Irrigation
d) ❑ Monitoring
3) X Injection discontinued and: a) ❑ Well(s) temporarily abandoned
b) X Well(s) permanently abandoned
c) ❑ Well(s) not abandoned
4) ❑ Injection well(s) never constructed ❑ N/A injection well(s) never proposed
Zip Code: 28310
_Well(s) Abandonment/Comments:
If you checked (3)(a) or (b), attach a copy of the GW-30 (Well Abandonment Record). If not applicable, then describe
the method used (or to be used) to abandon the well(s), including a description of how the well were sealed and material
used. If the work below is proposed, a GW-30 will need to be submitted to the UIC Program 30 days after abandonment.
Site:FTBR-103
Permit Rescission:
If you checked (2), (3), or (4) and will not use a well for injection on this site in the future, you should request rescission
of the permit. Do you wish to rescind the permit?
X Yes ❑ No
C'ertifiention!
"I hereby certify, under penalty of law, which I have personally examined and am familiar with the information submitted
in this document, and that to the best of my knowledge the information is true, accurate, and complete."
Signature Date
Kevin E. Moon Geologist _
Print or Type Name Title
GW-68 Injection Well Status Form Rev. 3-1-2016 Page 1 of 1

Well Abandonment Summary Report
Fort Bragg, NC
FTBR-103