Mecklenburg_Well Abandonment_20231122 (22)

WELL ABANDONMENT RECORD For internal Use ONLY:
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1.Well Contractor Information: WELL ABANDONMENT DETAILS
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Jacob L. Rhudy, 111 79.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
N C'4229 B wells abandoned:
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IC Well Contractor Certification Number 7b.Approximate volume of water,remain ing in well(s): (gal.)
EnviroCheck of Va, Inc FOR WATER SUPPLY WELLS ONLY:
Company Name
7c.Type of disinfectant used:
2.Well Construction Permit#:
50000480
List all applicable well construction permits(i.e.UIC,County,State,Variance,eta)iflmown
7d.Amount of disinfectant used:
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
❑Agricultural ❑MunicipaVPublic S Neat Cement Grout C Bentonite Chips or Pellets
OGeothermal(Heating/Cooling Supply) OResidential Water Supply(single) Q Sand Cement Grout ❑Dry Clay
❑Industrial/Commercial ❑Residential Water Supply(shared) ❑ Concrete Grout ❑Drill Cuttings
❑Irri ation ❑Specialty Grout ❑Gravel
Non-Water Supply Well: ❑Bentonite Slurry ❑Other(explain under 7g)
IlMonitoring ❑Recovery
Injection Well: 7E For each material selected above,provide amount of materials used:
❑Aquifer Recharge ❑GroundwaterRemediation bentonite, 50 Ibs
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑StormwaterDrainage grout, approx 200 Ibs
❑Experimental Technology ❑Subsidence Control 7g,Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer grouted to surface using benton ite/g rout.
❑Geothermal(Heating/Cooling Return) ❑Other(explain under 7g)
removed manhole cover and pad
4.Date well(s)abandoned: 11/20/2023
58.Well location:
Davey Tree 9705 1Z3
Facility/Owner Name Facility lD#(if applicable) 8.Certitication:
6039 McDaniel Lane, Charlotte, NC 28213
'-T 112012023`-;
Physical Address,City,and Zip SignatuPfCertified Well Contractor or VV Owner Date
Mecklenburg 04902204 By signing this form,I hereby certify that the well(s)was(were)abandoned in
County Parcel Identification No.(PIN) accordance with 1 SA 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 ha/long is sufficient) 9.Site diagram or additional well details:
33.380345 N 80.675210 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
Attac/iitellconsiructionrecord(s)ifavallable.For multiple injection ornon-watersupply wells
ONLY with the same constructionlabandonment,you can submit one form.
10a. For All Wells: Submit this fonn within 30 days of completion of well
6a.Well ID#- MW-9 abandonment to the following:
Division of Water Resources,Information Processing Unit,
66.Total well depth: 45 (ft) 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For Iniection 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:
31.77 Division of Water Resources,Underground Injection Control Program,
6d.Water level below ground surface: (ft) 1636 Mail Service C(enter,Raleigh,NC 27699-1636
6e.Outer casing length(if known): 45 (fk) 10c.For Water Supply&Iniection We11s: 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
6E Inner casing/tubing length(if known): unk IN abandoned.
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6g.Screen length(if known): 15 (ft) !
Form G W-30 North Carolina Department of Environmental Quality-Division of Water Resources j Revised 2-22-2016
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