WI0600074_Well Record_20110720

5410 Trinity Road, Suite 320
Raleigh, North Carolina 27607
Tel: [phone]
Fax: 9:19-233-0144
www.brownandca]dWelf.com
July 20, 2011
RECEIVED / DENR / DWQ
Aquifer Protection Section
14 22 2011
Michael Rogers. .
NC DENR - Division of Water Quality
.Aquifer Protection Section - UIC Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Subject: Well Construction Record
Robeson County Solid Waste Management Facility
..St. Pauls, Robeson County, North Carolina
,Injection Permit W10600074
Dear Mr. Rogers:
140592-001
In accordance with the monitoring and reporting requirements of the referenced Inject
Permit, we are, submitting Well Construction Records for the three injection points (IP-1
through W-3),and two monitoring points (MP-1 and MP-2)._ These points were installed
between June-30 and July 1, 2011 as part of the groundwater remedial pilot test at the
referenced facility.
Very truly yours,
Brown and Caldwell
Matt Einsmann-, P.E.
Project Manager
cc: Steve Edge, Robeson County
Attachments (1)
1. Attachment A: Well Construction- Records
p:\robeson county\140592 - robeson cros implementation fy11\pilot test injection\boring logs\letter_rogersjuly 20 2011.docx

NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2581
1. WELL CONTRACTOR:
BRIAN'THOMAS
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC.
Well Contractor Company Name
176 COMMERCE BLVD
Street Address
STATESVILLE NC 28625
City or Town State Zip Code
70( 4 ) 872-7686
Area code Phone number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT# N/A
OTHER ASSOCIATED PERMIT#(if applicable)
SITE WELL ID #(if applicable) IP-1
3. WELL USE (Check One Box) Monitoring d Municipal/Public ❑
IndustriallCommercial ❑ . Agricultural ❑ Recovery ❑ Injection ❑
Irrigation❑ Other ❑ (list use)
DATE DRILLED 06/30/11
4. WELL LOCATION:
246 LANDFILL ROAD 28384
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
CITY: ST PAULS COUNTY ROBESON
TOPOGRAPHIC / LAND SETTING: (check appropriate box)
❑ Slope ❑ Valley ❑ Flat []Ridge ❑ Other
LATITUDE o I" DMS OR DD
LONGITUDE _° " DMS OR DID
Latitudellongitude source: BPS OTopographic map
(location of well must be shown on a USGS topo map andattached to
this form if not using GPS)
5. FACILITY (Name of the business where the well is located.)
ROBESON COUNTY LANDFILL
N/A
Facility Name
Facility ID# (if applicable)
246 LANDFILL ROAD
Street Address
ST PAULS
NC
28384
City or Town
State
Zip Code
ROBESON COUNTY LANDFILL
Contact Name
246 LANDFILL ROAD
Mailing Address
ST PAULS
NC
28384
City or Town
State
Zip Code
U
Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 23.0 FEET
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO p�
c. WATER LEVEL Below Top of Casing: 3.0 FT
(Use "+" if Above Top of Casing)
d. TOP OF CASING IS 2.5 FT. Above Land Surface'
'Top of casing terminated at/or below land surface may require
a variance in accordance With 15A NCAC 2C .0118.
e. YIELD (gpm): N/A METHOD OF TEST N/A
f. DISINFECTION: Type N/A Amount N/A
g. WATER ZONES (depth):
Top Bottom
Top Bottom
Top Bottom
Top
Bottom
Top
Bottom
Top
Bottom
Thickness/
: 7. CASING: Depth Diameter Weight Material
Top 0.0 Bottom 5.0 Ft. 1 INCH SCH 40 PVC
Top Bottom Ft.
Top Bottom Ft.
8. GROUT: Depth Material Method
Top 0.0 Bottom 3.0 Ft. PORTLANDBENTONITE SLURRY
Top Bottom Ft.
Top Bottom Ft.
9. SCREEN: Depth Diameter Slot Size Material
Top 5.0 Bottom 23.0 Ft: 1.0 in. .020 in. PVC
Top Bottom Ft. in. in.
Top Bottom Ft. in. in.
10. SAND/GRAVEL PACK:
Depth Size
: Top 4.0 Bottom 23.0 Ft. 20-40
Top Bottom Ft.
Top Bottom Ft.
11. DRILLING LOG
: Top Bottom
0.0 / 8.0
8.0
/ 14.0
14.0
/ 23.0
/
Material
FINE SILICA SAND
Formation Description
BLACK SILTY SAND
TAN SAND
WHITE SAND
12. REMARKS:
BENTONITE SEAL FROM 3.0 TO 4.0 FEET
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
'f5 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS
HASBEEN PROVIDED TO LL OWNER.
`_-- 07/06/11
: SIGNATURE OF CERTIFIED WELL CO T AC DATE
BRIAN THOMAS
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Form GWA b
Rev.2/09 '

,_, ,.�;, � .N , ... � ,

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o�
1. WELL CONTRACTOR:
BRIAN THOMAS
NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2581
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC
Well Contractor Company Name
176 COMMERCE BLVD
Street Address
STATESVILLE NC 28625
City or Town State Zip Code
7! 04 ) 872-7686
Area code Phone number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT# N/A
OTHER ASSOCIATED PERMIT#(if applicable)
SITE WELL ID *(if applicable) IP-2
3. WELL USE (Check One Box) Monitoring vd Municipal/Public ❑
Industrial/Commercial ❑ Agricultural ❑ Recovery ❑ Injection ❑
Irrigation❑ Other ❑ (list use)
DATE DRILLED 06/30/11
4. WELL LOCATION:
246 LANDFILL ROAD 28384
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
CITY: ST PAULS COUNTY ROBESON
TOPOGRAPHIC / LAND SETTING: (check appropriate box)
❑Slope ❑VAllav ❑Flat ❑Ridge ❑Other
LATITUDE o"DMS OR DID
LONGITUDE _°_' " DMS OR DD
Latitude/longitude source: BPS Olbpographic map
(location of well must be shown on a USGS topo map andattached to
this form if not using GPS)
5. FACILITY (Name of the business where the well is located.)
ROBESON COUNTY LANDFILL
NIA
Facility Name
Facility ID# (if applicable)
246 LANDFILL ROAD
Street Address
ST PAULS
NC
28384
City or Town
State
Zip Code
ROBESON COUNTY LANDFILL
Contact Name
246 LANDFILL ROAD
Mailing Address
ST PAULS
NC
28384
City or Town
State
Zip Code
U
Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 23.0 FEET
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO q/
c. WATER LEVEL Below Top of Casing: 3.0
(Use "+" if Above Top of Casing)
d. TOP OF CASING IS 2.5 • FT. Above Land Surface*.
*Top of casing terminated aUor below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): N/A
METHOD OF TEST N/A
f. DISINFECTION: Type
N/A
Amount N/A
g. WATER ZONES (depth):
Top Bottom
Top
Bottom
Top Bottom
Top
Bottom
Top Bottom
Top
Bottom
Thickness/
: 7. CASING: Depth
Diameter
Weight Material
: Top 0.0 Bottom 5.0
Ft.
1 INCH
SCH 40 PVC
Top Bottom
Ft.
Top Bottom
Ft.
8. GROUT: Depth
Material
Method
Top 0.0 Bottom 3.0
Ft.
PORTLANDBENTONITE SLURRY
Top Bottom
Ft.
Top Bottom
Ft.
9. SCREEN: Depth Diameter Slot Size Material
Top 5.0 Bottom 23.0 Ft. 1.0 in. .020 in. PVC
Top Bottom Ft. in. in.
Top Bottom Ft. in. in.
10. SAND/GRAVEL PACK:
Depth Size
Top 4.0 Bottom 23.0 Ft. 20-40
Top Bottom Ft.
Top Bottom Ft.
11. DRILLING LOG
Top Bottom
0.0 / 8.0
8.0 / 14.0
14.0 / 33.0
33.0 / 35.0
Material
FINE SILICA SAND
Formation Description
BLACK SILTY SAND
TAN SAND
WHITE SAND
GRAY CLAY
12. REMARKS:
_ BENTONITE SEAL FROM 3.0 TO 4.0 FEET
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
• 15 C 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS
RECOR S BEEN PROVIDED TO TH L OWNER. �
fP �^ 07/06/11
IFIED ELL ACTOR DATE
BRIAN THOMAS
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Form GW-1 b
Rev. 2/09

I j

o17
7�
VIAN �"�y
qFv.:
1. WELL CONTRACTOR:
BRIAN THOMAS
NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2581
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC
Well Contractor Company Name
176 COMMERCE BLVD
Street Address
STATESVILLE NC 28625
City or Town State Zip Code
70( 4 ) 872-7686
Area code Phone number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT# N/A
OTHER ASSOCIATED PERMIT#(if applicable)
SITE WELL ID #(if applicable) IP-3
3. WELL USE (Check One Box) Monitoring d Municipal/Public ❑
Industrial/Commercial ❑ Agricultural ❑ Recovery ❑ Injection ❑
Irrigation❑ Other ❑ (list use)
DATE DRILLED 07/01/11
4. WELL LOCATION:
246 LANDFILL ROAD 28384
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
CITY: ST PAULS COUNTY ROBESON
TOPOGRAPHIC / LAND SETTING: (check appropriate box)
❑ Slope ❑Valley ❑ Flat ❑ Ridge ❑ Other
LATITUDE "DMS OR DD
LONGITUDE _° " DMS OR DD
Latitudeflongitude source: BPS aopographic map
(location of well must be shown on a USGS topo map andattached to
this form if not using GPS)
5. FACILITY (Name of the business where the well is located.)
ROBESON COUNTY LANDFILL
N/A
Facility Name
Facility ID# (if applicable)
246 LANDFILL ROAD
Street Address
ST PAULS
NC
28384
City or Town
State
Zip Code
ROBESON COUNTY LANDFILL
Contact Name
246 LANDFILL ROAD
Mailing Address
ST PAULS
NC
28384
City or Town
State
Zip Code
U
Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 23.0 FEET
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO G/
c. WATER LEVEL Below Top of Casing: 3.0 FT.
(Use "+" if Above Top of Casing)
d. TOP OF CASING IS 2.5 FT. Above Land Surface'
`Top of casing terminated at/or below:land surface may require
a variance in accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): N/A METHOD OF TEST N/A
f. DISINFECTION: Type N/A Amount N/A
g. WATER ZONES (depth):
Top Bottom Top Bottom
Top Bottom Top Bottom
Top Bottom Top Bottom
Thickness/
: 7. CASING: Depth Diameter Weight Material
Top 0.0 Bottom 5.0 Ft. 1 INCH SCH 40 PVC
Top Bottom Ft.
Top Bottom Ft.
8. GROUT: Depth Material Method
Top 0.0 Bottom 3.0 Ft. PORTLANDeENTONITE SLURRY
Top Bottom Ft.
Top Bottom Ft.
: 9. SCREEN: Depth Diameter Slot Size Material
Top 5.0 Bottom 23.0 Ft. 1.0 in. .020 in. PVC
Top
Bottom
Ft. in. in.
Top
Bottom
Ft. in. in.
10. SAND/GRAVEL PACK:
Depth
Size Material
Top 4.0
Bottom 23.0
Ft. 20-40 FINE SILICA SAND
Top
Bottom
Ft.
Top
Bottom
Ft.
11. DRILLING LOG
Top Bottom Formation Description
0.0 / 8.0 BLACK SILTY SAND
8.0 / 14.0 TAN SAND
14.0 / 23.0 WHITE SAND
12. REMARKS:
BENTONITE SEAL FROM 3.0 TO 4.0 FEET
' I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS
1AS BEEN PROVIDED TO THE I L OWNER.
r- 07/06/11
` �--5 IFIED EL T DATE
BRIAN THOMAS
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Form GWA b
Rev. 2109

.�'... :w� : .�. i.:
.. ,l+ .
f

1 r ONRESIDENTIAL
WELL CONSTRUCTION RECORD
t' c,
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2581
1. WELL CONTRACTOR:
BRIAN THOMAS
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC
Well Contractor Company Name
176 COMMERCE BLVD
Street Address
STATESVILLE NC 28625
City or Town \ State Zip Code
70( 4 ) 872-7686
Area code Phone number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT# N/A
OTHER ASSOCIATED PERMIT#(if applicable)
SITE WELL ID #(if applicable) MP-1
3. WELL USE (Check One Box) Monitoring( Municipal/Public ❑
IndustriallCommercial ❑ Agricultural ❑ Recovery ❑ 'Injection ❑
Irrigation❑ Other ❑ (list use)
DATE DRILLED 07/01/11
4. WELL'LOCATION:
246 LANDFILL ROAD 28384
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
CITY: ST PAULS COUNTY ROBESON
TOPOGRAPHIC / LAND SETTING: (check appropriate box)
❑ Slope []Valley ❑ Flat ❑ Ridge ❑ Other
LATITUDE _ °-' " DMS OR DD
LONGITUDE " DMS OR DID
Latitudellongitude source: BPS aopographic map
(location of well must be shown on a USGS topo map andattached to
this form if not using GPS)
5. FACILITY (Name of the business where the well is located.)
ROBESON COUNTY LANDFILL
N/A
Facility Name
Facility ID# (if applicable)
246 LANDFILL ROAD
Street Address
ST PAULS
NC
28384
City or Town
State
Zip Code
ROBESON COUNTY LANDFILL
Contact Name
246 LANDFILL ROAD
Mailing Address
ST PAULS
NC
28384
City or Town
State
Zip Code
U
Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 23.0 FEET
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO q/
c. WATER LEVEL Below Top of Casing: 3.0 FT
(Use "+° if Above Top of Casing) -
-
d. TOP OF CASING IS 2.5 FT. Above Land Surface*
*Top of casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): N/A
METHOD OF TEST N/A
f. DISINFECTION: Type
N/A
Amount N/A
g. WATER ZONES (depth):
Top Bottom
Top
Bottom
Top Bottom
Top
Bottom
Top Bottom
Top
Bottom
Thickness/
: 7. CASING: Depth
Diameter
Weight Material
: Top 0.0 Bottom 5.0
Ft. 2 INCH
SCH 40 PVC
Top Bottom
Ft.
Top Bottom
Ft.
:8. GROUT:
Depth
Materiaf' Method
Top 0.0
Bottom 3.0
Ft.
PORTLANDBENTONITE SLURRY
Top
Bottom
Ft.
Top
Bottom
Ft.
9. SCREEN:
Depth
Diameter
Slot Size Material
Top 5.0
Bottom 23.0
Ft.
2.0 in. .010 in. PVC
Top
Bottom
Ft.
in. in.
Top
Bottom
Ft.
in. in.
10. SAND/GRAVEL PACK:
Depth
Size Material
Top 4.0
Bottom 23.0
Ft.
20-40 FINE SILICA SAND
Top
Bottom
Ft.
: Top
Bottom
Ft.
11. DRILLING LOG
Top 'Bottom
.
Formation Description
0.0 /
8.0
BLACK SILTY SAND
8.0 /
14.0
TAN SAND
14.0 /
23.0
WHITE SAND
12. REMARKS:
BENTONITE SEAL FROM
3.0 TO
4.0 FEET
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS
S BEEN PROVIDED TO THE L OWNER.
of 04kftn%07/06/11
S1R3IFIE EL DATE
BRIAN THOMAS
: PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Form GW-1b
Rev. 2/09

ri_ a
M
1. WELL CONTRACTOR:
BRIAN THOMAS
NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2581
Well Contractor (Individual) Name
GEOLOGIC EXPLORATION, INC
Well Contractor Company Name
176 COMMERCE BLVD
Street Address
STATESVILLE NC 28625
City or Town State Zip Code
70( 4 ) 872-7686
Area code Phone number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT# N/A
OTHER ASSOCIATED PERMIT#(if applicable)
SITE WELL ID #(ir applicable) MP-2
3. WELL USE (Check One Box) Monitoring d Municipal/Public ❑
Industrial Commercial ❑ Agricultural ❑ Recovery ❑ Injection ❑
Irrigation❑ Other ❑ (list use)
DATE DRILLED 06/30/11
4. WELL LOCATION:
246 LANDFILL ROAD 28384
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
CITY: ST PAULS COUNTY ROBESON
TOPOGRAPHIC / LAND SETTING: (check appropriate box)
[]Slope []Valley ❑Flat ❑Ridge ❑Other
LATITUDE _°_' " DMS OR DD
LONGITUDE " DMS OR DD
Latitude/Iongitude source: BPS ElTopographic map
(location of well must be shown on a USGS topo map andattached to
this form if not using GPS)
5. FACILITY (Name of the business where the well is located.)
ROBESON COUNTY LANDFILL
N/A
Facility Name
Facility ID# (if applicable)
246 LANDFILL ROAD
Street Address
ST PAULS
NC
28384
City or Town
State
Zip Code
ROBESON COUNTY LANDFILL
Contact Name
246 LANDFILL ROAD
Mailing Address
ST PAULS
NC
28384
City or Town
State
Zip Code
U
Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 23.0 FEET
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO p/
c. WATER LEVEL Below Top of Casing: 3.0 FT
(Use "+" if Above Top of Casing)
d. TOP OF CASING IS - 2:5 FT. Above Land Surface'
'Top of casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): N/A METHOD OF -TEST. N/A
f. DISINFECTION: Type N/A .'Amount N/A
g. WATER ZONES (depth):
Top Bottom
Top Bottom
Top Bottom
Top
Bottom
Top
Bottom -
Top •._..
Bottom
Thickness/
7. CASING: Depth Diameter Weight Material
Top 0.0 Bottom 5.0 Ft. 2 INCH SCH 40 PVC
Top Bottom Ft.
Top Bottom Ft.
: 8. GROUT: Depth Material Method
Top 0.0 Bottom 3.0 Ft. PORTLANDBENTONITE SLURRY
Top Bottom Ft.
Top Bottom Ft.
9. SCREEN: Depth Diameter Slot Size. Material
Top 5.0 Bottom 23.0 Ft. 2.0 in. .010 in. PVC
Top Bottom Ft. in. in.
Top Bottom Ft. in. in.
10. SAND/GRAVEL PACK:
Depth Size
:Top 4.0 Bottom 23.0 Ft. 20-40
Top Bottom Ft.
Top Bottom Ft.
11. DRILLING LOG
Top Bottom
0.0 / 8.0
8.0 / 14.0
14.0 / 23.0
J
Material
FINE SILICA SAND
Formation Description
BLACK SILTY SAND
TAN SAND
WHITE SAND
12. REMARKS:
BENTONITE SEAL FROM 3.0 TO 4.0 FEET
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
�r RFR D HAS BEEN. PROVIDED Tg.; SH E
LLOWNER. D THAT A COPY OF THIS
° 07/06/11
SIGNATUnr=-OF C RTIFIED WELL CONTRACTOR DATE
BRIAN THOMAS
PRINTED NAME OF PERSON'CONSTRUCTING THE WELL
Form GW-1 b
Rev. 2/09