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Home My WebLink AboutNew Hanover_Well Abandonment_20240119 (4) WELL LL ABANDONMENTRECORD For Internal Use ONLY: i 1.Well Contractor Information: WELL ABANDONMENT DETAILS Frank Beecher 7a.For Geoprobe/DPT or Closed Loop i op Geothermal Wells having the same Well Contractor Name(or well owner personally abandoning well on his/her property) well construction/depth,only 1 GVi�-36 is needed. Indicate TOTAL NUMBER of 3225-A wells abandoned:w^ p NC Well Contractor Certification Number 7b.Approximate volume of wateri remaining in well(s): �'44 (gal.) AECOM Technical Services of North Carolina, Inc. FOR WATER SUPPLY WELLS„ONLY: Company Name 7c.Type of disinfectant used: N/A 2.Well Construction Permit#: NIA List all applicable well construction permits•(t.e.UIC,County,State,Variance,etc.)iflmown 7d.Amount of disinfectant used:;IV/A 3.Well use(check well use): Water Supply Well: 7e.Sealing materials used check all that apply): ❑Agricultural ❑Municipal/Public ❑Neat Cement tout �:_';1; �n• . -e- entonite Chips or Pellets ❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑Sand Cement Grou T-.,13_I)ry Clay ❑lndustrial/Commercial ❑Residential Water Supply shared ❑Concrete Grout JA AJ C�24 PP Y(shared) 1 �;" ❑Drill Cuttings ❑lrri ation ❑ Specialty hQu�-� ,. ! ❑Gravel Non-Water Supply Well: ❑ Bentonite Slurry o,.�r,...r. =� :z (.P,iOther(explain under 7g) ❑Monitoring RRecovery •— Injection Well: 7f.For each material selected above,provide amount of materials used: ❑Aquifer Recharge ❑GroundwaterRemediation Bentonite Chips-144 IbS ❑Aquifer Storage and Recovery ❑Salinity Barrier ❑AquiterTest ❑StormwaterDrainage Water-1.0 gallons ❑Experirnental Technology ❑Subsidence Control 7g,Provide a brief description of theabandonment procedure: ❑Geothermal(Closed Loop) ❑Tracer Slowly added bentonite chips and ensured there was no bridging ❑Geothermal(Heating/Cooling Return) ❑Other(explain under 7g) taking place. Then added water to hydrate bentonite chips. a.Date well(s)abandoned: 10.18.2023 The well was abandoned in accordance with 15A NCAC 5a.Well location: 02C .0113. River Road Terminal/Kinder Morgan NONCD0001697 Facility/Owner Name Facility ID#(if applicable) 8.Certification: 3340 River Road, Wilmington, 28412 -cam "`"' 12.16.2023 Physical Address,City,and Zip Signature orCertified Well Contractor or Well Owner Date New Hanover R06400-001-003-000 B3'signing this form, 1 hereby certify that the well(s) was(were) abandoned in County Parcel identification No.(PTN) accordance with I5A 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: 34.1790218 N -77.9513719 `,1, 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.Pormultiple injection ornon-watersupplywells ONLY with the same constructioWabandonment,you can submit one form. 6 10a. For All Wells: Submit this form within 30 days of completion of well 6a.Well ID#• RW-22 abandonment to the following: Division of Water Resources,Information Processing Unit, 6b.Total well depth: 22.75 (ft.) 1617 Mail Service Center,Raleigh,NC 27699-1617 10b.For iniection Wells: In addition to sending the form to the address in I On 6c.Borehole diameter:4,0 (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: 9.64 Division of Water Resources,Underground Injection Control Program, (ft.) 1636 Mail Service Center,Raleigh,NC 27699-1636 6e.Outer casing length(if known): N/A (ft.) 10c.For Water Sunnly&Injecti In 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 611 N/A abandoned.Inner casing/tubing length(if known): (ft.) � i 6g.Screen length(if known): N/A (ft.) Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016 I WELL ABANDONMENT RECORD For Internal Use ONLY: I 1.Well Contractor Information: WELL ABANDONMENT DETAII S Frank Beecher 7a.For Geoprobe/DPT or Closed-L I op Geothermal Wells having the same Well Contractor Name(or well owner personally abandoning well on his/her property) well construction/dcpth,only 1 GW-30 is needed. indicate TOTAL NUMBER of wells abandoned:— I 3225-A NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): 7.15 (gal.) AECOM Technical Services of North Carolina, Inc. FOR WATER SUPPLY WELLS ONLY: Company Name N�A 7c.Type of disinfectant used: N/A' Well Construction Permit#: N/A List all applicable well construction permits(i.e.UIC,County,State,Variance,etc.)iflmown n 7d.Amount of disinfectant used: N/A N�/^ 3.Well use(check well use): Water Supply Well: 7e.Sealing materia susgd-(ch,eck all that apply): P. .>: �;. ❑Agricultural ❑Municipal/Public ❑Neat Cement Grout+_ -F i:.- - , .f N,BeJonite Chips or Pellets ❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑Sand Cement Grout p,Rry Clay ❑lndustrial/Commercial ❑Residential Water Supply(shared) ❑Concrete Grout JA pi i2G2,t❑Drill Cuttings ❑)tti ation ❑Specialty Grct is ❑Gravel Non-Water Supply Well: ❑ Rentonite Slurry .,:•�,Zzy .. 7 9ther(explain under 7g) ❑Monitoring NRecovery u�:b; injection Well: 7E For each material selected above;provide amount of materials used: ❑Aquifer Recharge ❑GroundwaterRemediation Bentonite Chips-178 Ibs ❑Aquifer Storage and Recovery ❑Salinity Barrier ❑Aquifer Test ❑StormwaterDrainage Water-2.0 gallons ❑Experimental Technology []Subsidence Control 7g.Provide a brief description of the abandonment procedure: ❑Geothermal(Closed Loop) ❑Tracer Slowly added bentonite chips and ensured there was no bridging ❑Geothermal(Heating(Cooling Return) ❑Other(explain under 7g) taking place. Then added water to hydrate Bentonite chips. 4.Date well(s)abandoned: 10.18.2023 The well was abandoned in accordance with 15A NCAC 5a.Well location: 02C .0113. River Road Terminal/Kinder Morgan NONCD0001697 Facility/Owner Name Facility iD#(if applicable) 8.Certification: 3340 River Road, Wilmington, 28412 �r�/ f=`"`"� 12.16.2023 Physical Address,City,and Zip Signature orCedified Well Contractor or Well Owner Date New Hanover R06400-001-003-000 By signing this form, I hereby certify that the ivell(s) ivas(were)abandoned in County Parcel identification No.(P1N) 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: (ifwell field,one lattlong is sufficient) ' 9.Site•diagram or additional well details: 34.1794429 N -77.9515962 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 wellconstruelionrecord(.v)ifavadable.Formultipleinjectionornon-waier.rupplywelle 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-21 abandonment to the following: Division of Water Resources,Information Processing Unit, 6b.Total well depth: 26.5 (ft) 1617 Mail Service Center,Raleigh,NC 27699-1617 10b.For infection Wells: in addition to sending the form to the address in l0a 6c.Borehole diameter:.4.0 (in.) above,also submit one copy of this foim within 30 days of completion of well abandonment to the following: 6d.Water level below ground surface: I 15.55 (ft.) Division of Water Resources,Uride'rground Injection Control Program, 1636 Mail Service Cen'teir,Raleigh,NC 27699-1636 6e.Outer casing length(if known): NIA (ft.) 10c.For Water Supply&lniection W I lls: 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 611 Inner casing/tubing length(if known): NIA (ft.) abandoned. i 6g.Screen length(if known): NSA (ft) I I Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources I, Revised 2-22-2016 'i WELL ABANDONMENT RECORD For Internal Use ONLY: � I 1.Well Contractor Information: WELL ABANDONMENT DETAILS Frank Beecher 7a.For Geoprobe/DPT or Closedl Loop Geothermal Wells having the same Well Contractor Name(orwell owner personally abandoning well on his/her property) well construction/dcpth,only 1 GW-30 is needed. Indicate TOTAL NUMBER of 3225-A wells abandoned:— �NC Well Contractor Certification Number 7b.Approximate volume of water I remaining in well(s): �'08 (gal.) AECOM Technical Services of North Carolina, Inc. FOR WATER SUPPLY WELLS ONLY: Company Name 7c.Type of disinfectant used: NIA 2.Well Construction Permit#: N/A List all applicable well construction permits(i.e.WC,County,State,Variance,etc.)iflmawn 7d.Amount of disinfectant used: 3.Well use(check well use): Water Supply Well: 7e.Sealing materials used(check all that apply): ❑Agricultural ❑Municipal/Public ❑Neat Cement Grout i ,r -?^r A Iiq A,.ite Chips or Pellets 6.�� y . , ❑Geothermal(Heating(Cooling Supply) ❑Residential Water Supply(single) ❑Sand Cement Grout C7t f)ry lay ❑Industrial/Commercial ❑Residential Water Supply(shared) ❑Concrete Grout JA N,I n � Cuttings ❑irri ation ❑Specialty Grout J- ravel Non-Water Supply Well: ❑ Bentonite Slurry Ins '"'c''` n sa:'•^.; p;Other(explain under 7g) +. .�" 3 ❑Monitoring eRecovery ri g i�>_"'IG �r"1 Injection Well: 7E For each material selected ablivc,provide amount of materials used: ❑Aquifer Recharge ❑GroundwaterRemediation Bentonite Chips-189,Ibs ❑Aquifer Storage and Recovery ❑Salinity Barrier Water-2.0 gallons ❑Aquifer Test ❑Stormwater Drainage ❑Experimental Technology ❑Subsidence Control ❑Geothermal(Closed Loop) ❑Tracer 7g.Provide a brief description of;the abandonment procedure: � ❑Geothermal(Heating/Cooling Return) ❑Other(explain under 7g) Slowly added bentonite chips and ensured there was no bridging taking place.Then added water to hydrate bentonite chips. 4.Date well(s)abandoned: 10.18.2023 The well was abandoned in accordance-with 15A NCAC 5a.Well location: 02C .0113. River Road Terminal/Kinder Morgan NONCD0001697 Facility/Owner Name Facility ID#(if applicable) 8.Certification: 3340 River Road, Wilmington, 28412 12.16.2023 Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Dale New Hanover R06400-001-003-000 By signing this form, 1 hereby certify that the well(s) was(were) abandoned in County Parcel identification No.(PEN) accordance with 15A NCAC 02C.0700 or 2C.0200 Well Constniclion 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 laUlong is sufficient) 9.Site diagram or additional well details: 34.1795003 N -77.9514175 �, 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)ifavailahle.For multiple injection or non-water supply wells ONLY with the same constructionlabandonment,you can submit one form. 10a. For All Wells: Submit this forth within 30 days of completion of well 6a.Well ID#: RW-20 abandonment to the following: Division of Water Resources,Information Processing Unit, 6b.Total well depth: 28.0 (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•4.0 (in.) above, also submit one copy of thisform within 30 days of completion of well abandonment to the following: 6d.Water level below ground surface: 14.09 00 Division of Water Resources,Underground Injection Control Program, 1636 Mail Service Ce f ter,Raleigh,NC 27699-1636 6e.Outer casing length(if known): N/A (ft.) IOc.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 611 Inner casing(tubing length(if known): N/A (ft.) abandoned. 6g.Screen length(if known): N/A (ft) Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resource's i Revised 2-22-2016