Onslow_Well Abandonment_20240827 (4)

' WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223—A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name
2.Weil Construction Permit#:
N/A CERCLA site
7c.Typeotdiainfectantused:
List all applicable well construction permits(i.e.UIC,County,State,Variance,etc.)if known
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 0 Neat Cement Grout 0 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: 0 Bentonite Slurry 0 Other(explain under 7g)
❑Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge CGroundwaterRemediation Portland Cement 3 I c, ,t,/)6911
0 Aquifer Storage and Recovery ❑Salinity Barrier
0 Aquifer Test ❑Stormwater Drainage _
❑Experimental Technology 0 Subsidence Control 7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Ter Tremie grout
❑Geothermal(Heating/Cooling Return) 7 Other(explain under 7g)
4.Date well(s)abandoned: t!— 19'A'1
5a.Well location: ci
`�'4.ABC One Hour Cleaner,Superfund Site NC D024644494 � a
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 2854
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 By signing this form,1 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:
(if well field,one lat/long is sufficient) 9.Site diagram or additional well details:
34.741400 N 77.366600 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)if available. For multiple infection 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#: H _ C'� E abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth:1 G s 5 + 3(eC (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. 010 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: (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 SUDDIV&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): (ft) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

ISTD Heater Boring Construction Detail Revision#:_o
TERRATHERM Release date:_5/12/23_
Approved by:_SL
— ,. Well ID HC-03E Date t - 13 ~ a J
Oversight 3
.,....A. Job# R23-104
Driller L Y'rti 1( 1iii. ";4,%<• y
/' / Constructed
(fill out if
Design different) Notes
-Length of Can Stick-Up(ft)/
Height of Can Stick-up Above
1/2"Thermocouple pipe? Ground(in) 5'/30"
Thermocouple Length 77.29' -Length of VEW Stick-Up(ft)/
Height of Riser Stick-Up Above J_
Ground(in) 1.5'/6" o( lJ
Ground Surface 0.0'
Heater Can Conductive HT Grout—
id • gle from Horizontal 22"
Schedule 80
Borehole Diameter 7"
D , ' d
Top of Ai00 Sand MEW' f of) l . ;' (f
Top of Screen 26.5' a 6
Heater Can Length 81.5 ft _ Gal Buckets of Graphite 2.75
Heater Can Diameter 3 in Bags of Silica 3.75—
Screen Length pj °g.. /8 ft = Bags of Cement 12
Riser Length 29 ft
;�6' b ,
Screen Diameter 1 in *Bottom of Screen 34.5'
Installation Method
Direct Push Bogs of#00 Sand 14
Sonic
Hollow Stem Auger Gallons of Crushed
Mud Rotary Limestone 14
Other:
Bottom of P00 Sand 61.5'
•
Bottom of Heater Can 76.5'
Bottom of Borehole 76.5'
Post-Installation QC(to be performed 24hrs after installation) PID Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time: . 0 CJ k Reading: PPM
Depth to bottom of well[ft bTOC Rt S' Time: Reading: PPM
if greater than or equal to Sft less than designed alert the office Time: Reading: PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat daily until depth to grout is Oft. Time: Reading: PPM
Date Depth to Grout[ft bgs] Notes:
_�

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223-A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gaL)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name
7c.Type of disinfectant used:
2.Well Construction Permit#:
N/A CERCLA site
List all applicable well construction permits(i.e.UIC,County,State,Variance,etc.)if known
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 0 Neat Cement Grout 0 Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) 0 Sand Cement Grout 0 Dry Clay
0 Industrial/Commercial ❑Residential Water Supply(shared) 0 Concrete Grout 0 Drill Cuttings
0 Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: 0 Bentonite Slurry 0 Other(explain under 7g)
❑Monitoring ❑Recovery
Injection Well: If.For each material selected above,provide amount of materials used:
❑Aquifer Recharge UGroundwaterRemediation Portland Cement rj oc /(fin❑Aquifer Storage and Recovery ❑Salinity Barrier — J
❑Aquifer Test ❑Stormwater Drainage _
0 Experimental Technology 0 Subsidence Control
7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer
❑Geothermal(Heating/Cooling Return) ■Other(explain under 7g) Tremie grout
4.Date well(s)abandoned: 10 I 1-
5a.Well location: 1
ABC One Hour Cleaner,Superfund Site NC D024644494
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 2854( �
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 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:
34.741400 N 77.366600 M, 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/abandonment,you can submit one form.
10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#: N C 0 3 0 abandonment to the following:
! ` Division of Water Resources,Information Processing Unit,
6b.Total well depth: OZ t / 1 (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: ((n,) 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: (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 Sunnlv&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): (ft.) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

A TERRATHERM ISTD Heater Boring Construction Detail Revision#: 0 00
Release date:_5/12/23_
Approved by: SI
_ .., Well ID HC-03D Date -
Oversight C �,,,,,���j \v Job# R23-104
Driller Q ,1.�� ' V. /V
Constructed
ON) (fill out if
Design different) Notes
NO \ -Length of Can Stick-Up(ft)/
Height of Can Stick-up Above
1/2"Thermocouple pipe? Ground(in)
Thermocouple Length 61.75' 2.5'/30_'
-Length of VEW Stick-Up(ft)/
Height of Riser Stick-Up Above
Ground(in) 0.5'/6"
Ground Surface 0.0'
Heater Can Conductive HT Grout— I
111
Schedule 80 f
Angle from Horizontal 66°
•
Borehole Diameter 7° '7
Top of#00 Sand 2'
Top of Screen 4' LI
Heater Can Length OP ft - 5 Gal Buckets of Graphite 0.75
- I
Heater Can Diameter 3 in
Bags of Silica 1
Screen Length 10 ft Bags of Cement 3 3
Riser Length -
Screen Diameter 1 in •Bottom of Screen 14'
i
Installation Method
•
Direct Push
Bags of#00 Sand 26.5 1
Sonic
Hollow Stem Auger
Mud Rotor Gallons of Crushed
y Limestone 5- �"-A-
Other: 2�5' r"
i Bottom of#00 Sand 54.5'
(
j — a
Bottom of Heater Can 62'
Bottom of Borehole 62' CA
Post-Installation QC(to be performed 24hrs after installationC
1)Confirm well is free ofgrout ) P!D Lou:Lo :Make/Model:
Design Constructed Time: 3•--k.'S -z l Reading: o.J PPM
Depth to bottom of well[ft bTOC 64 5'
Time: N_Jil Reading:
if greater than or equal to ift less than designed alert the office Time: 011.0 Readin ,0 PPM
2)Confirm grout plug reaches ground surface g: J PPM
repeat daily until depth to grout is Oft. Time: Reading: PPM
Time: Reading: PPM
Date Depth to Grout[ft bgs]
Notes:
1

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223—A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gaL)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name 7c.Type of disinfectant used:
2.Well Construction Permit#: N/A CERCLA site
List all applicable well construction permits(i.e.UIC,County,State, Variance,etc.)if blown
7d.Amount of disinfectant used:_
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
0 Agricultural ❑Mimicipal/Public 0 Neat Cement Grout 0 Bentonite Chips or Pellets
0 Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) 0 Sand Cement Grout 0 Dry Clay
❑Industrial/Commercial ❑Residential Water Supply(shared) 0 Concrete Grout 0 Drill Cuttings
❑Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: 0 Bentonite Slurry 0 Other(explain under 7g)
❑Monitoring ❑Recovery
Injection Well: If.For each material selected above,provide amount of materials used:
:Aquifer Recharge INGroundwaterRemediation Portland Cement '3 15 cam(/D/1 5
DAquifer Storage and Recovery DI Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage _
0 Experimental Technology ❑Subsidence Control
7g.Provide a brief description of the abandonment procedure:
OGeothermal(Closed Loop) OTracer
❑Geothermal(Heating/Cooling Return) Bother(explain under 7g) Tremie grout
4.Date well(s)abandoned: t
5a.Well location:
ABC One Hour Cleaner,Superfund Site NC D024644494 5 f�a �+e
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546` �Z� 7--1 -ay
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 By signing this form, I hereby certify that the well(s) was(were)abandoned in
County Parcel Identification No.(PIN) accordance with ISA NCAC 02C.0100 or 1C.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:
34.741400 N 77.366600 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/abandonment,you can submit one form.
/ 10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well 1D#• J t C— 03 C abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth:1�' j (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: (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: (ft,) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): (g,) 10c.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
6L Inner casing/tubing length(if known): (ft.) � Ong'
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

ba
TERRATHERM ISTD Heater Boring Construction Detail Revision#:_0
/ Release date:_5/12/23_
•
"� `""
°(CI IC ‘ j'/(/ A( Approved by:_SL_
Well ID HC-03C �fi it•f rLS t/P/I. 1`j P`� t� Z� �,a ( .
Date 5 2__.3
Oversight r.-5 G Job# _ R23-104
Driller \ \l_T\_--) \(._ --�J3/lam" GC)M6& -/r
/ Constructed
v (fill out if
liaJ(ti Design different) Notes
..ii;Fifff
-Length of Can Stick-Up(ft)/
(./
� Height of Can Stick-up Above
1/2"Thermocouple pipe? , V Ground(in) 3'/30'
Thermocouple Length 75.92' -`
-Length of VEW Stick-Up(ft)/
Height of Riser Stick-Up Above
Ground(in) 0.5'/6"
Ground Surface 0.0'
Heater Can Conductive HT Grout— '
from Horizontal� ' 9le 48"
Schedule 80
Borehole Diameter 7"
Top of#00 Sand 2'
—
,Jl
Top of Screen 4' �l
Heater Can Length 79 ft = 5Gal Buckets of Graphite 0.75
Heater Can Diameter 3 in Bags of Silica 1
'� K
•
Screen Length 13.5 ft = Bags of Cement 3.5
Riser Length 5.5 k ft
Screen Diameter 1 in Bottom of Screen ,T--- 1- LI
Installation Method 1
Dir- -Push Bags of#00 Sand 33
Sonic
. ow Stem Auger Gallons of Crushed
Mud Rotary Limestone 33
Other:
•
Bottom of#00 Sand 67.5'
Bottom of Heater Can 76'
Bottom of Borehole 76' 1f
Post-Installation QC(to be performed 24hrs after installation) PID Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time:
CS Reading: .. Ziw PPM
Depth to bottom of well[ft bTOC 79' Time:
d (} Reading: 2-4- PPM
if greater than or equal to Ift less than designed alert the office Time: eio„A-rN
CIEZIONINIMEMI
2)Confirm grout plug reaches ground surface
Time: Q l.o Reading: d Q PPM
repeat daily until depth to grout is Oft. Time: Reading: PPM
Date Depth to Grout[ft bgsi Notes: p S`- `Z (.5, L +0
I %ck- -- 3cr 'to
- ...1,, W`+ Ea �c
Vic. \ - �

'WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223—A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name
2.Well Construction Permit#:
N/A CERCLA site 7c.Type of disinfectant used:
List all applicable well construction permits(Le.UIC,Cowry,State,Variance,etc.)if known
7d.Amount of disinfectant used:_
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
❑Agricultural ❑Mtmicipal/Public 0 Neat Cement Grout 0 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) 0 Concrete Grout 0 Drill Cuttings
0 Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: ❑ Bentonite Slurry 0 Other(explain under 7g)
❑Monitoring ❑Recovery
Injection Well: If.For each material selected above,provide amount of materials used:
❑Aquifer Recharge IslGroundwaterRemediation Portland Cement 3 S 4//ose' 5
❑Aquifer Storage and Recovery 0 Salinity Barrier
0 Aquifer Test ❑Stormwater Drainage _
❑Experimental Technology 0 Subsidence Control
7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer
❑Geothermal(Heating/Cooling Return) Other(explain under 7g) Tremie grout
4.Date well(s)abandoned: 6 ) /
5a.Well location:
ABC One Hour Cleaner,Superfund Site NC D024644494 5 � � Q
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 , ��- ?_/_ z y
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 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:
(if well field,one hit/long is sufficient) 9.Site diagram or additional well details:
34.741400 N 77.366600 `,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/abandonment,you can submit one form.
10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#: M 0 3 8 abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth:57.. S r 3 3 (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. (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: (ft.) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): (g,) 10c.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): (ft) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

TERRATHERM ISTD Heater Boring Construction Detail Revision#:_0
"' Release date:_5/12/23_
Approved by:_SL_
Well ID HC-03B Date - o D - �`3
Oversight J S-{o✓�-L. // Job# R23-104
Driller 6c.r Q. (/L//•�►1[7(�/,.
Constructed
(fill out if
Design different) Notes
-Length of Can Stick-Up(ft)/
Height of Can Stick-up Above
1/2"Thermocouple pipe? • Ground(in) LW/30"
Thermocouple Length 87.67'
-Length of VEw Stick-Up(ft)/
Height of Riser Stick-Up Above
Ground(in) 1'/6" 3
Ground Surface 0.0'
Heater Can Conductive HT Grout—
•ngle from Horizontal 35°
Schedule 80
Borehole Diameter 7"
Top of 1100 Sand 3'
7.77 Top of Screen 3
Heater Can Length 91 ft 5 Gal Buckets of Graphite 1
7.1
Heater Can Diameter 3 in •Bags of Silica 1.5
r .
Screen Length Qt) 3�r- ft Bags of Cement 4.5
Riser Length ft
Screen Diameter 1 in .23 I
Bottom of Screen 2445i
Installation Method
Direct Push Bogs of 1100 Sand 28 24-(
oni
Hollow Stem Auger Gallons of Crushed
Mud Rotary Limestone 28 ,3 0
Other:
•
Bottom of#00 Sand 76.5'
Bottom of Heater Can 87.5'
Bottom of Borehole 87.5'
Post-Installation QC(to be performed 24hrs after installation) P/O Log:Make/Model:
1)Confirm well Is free of grout Design Constructed lime: 9 she Reading: (,p PPM
Depth to bottom of well[ft bTOC 91' lime: I 0('{� Reading: Oh PPM
if greater than or equal to Ift less than designed alert the office lime: I/!30 Reading: Q,0 PPM
2)Confirm grout plug reaches ground surface lime: Reading: PPM
repeat daily until depth to grout is Oft. Time: Reading: PPM
Date Depth to Grout[ft bgs] Notes:

p.
WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
wells abandoned:
3223-A
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name 7c Type of disinfectant used:
2.Well Construction Permit#: N/A CERCLA site
List all applicable well construction permits(i.e.UIC,County,State.Variance,etc.)iiAnown
7d.Amount of disinfectant used:_
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
❑Agricultural ❑Mu nicipal/Public 0 Neat Cement Grout 0 Bentonite Chips or Pellets
OGeothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) 0 Sand Cement Grout 0 Dry Clay
0 Industrial/Commercial ❑Residential Water Supply(shared) ❑Concrete Grout ❑ Drill Cuttings
0 Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: 0 Bentonite Slurry 0 Other(explain under 7g)
0 Monitoring ❑Recovery
Injection Well: If.For each material selected above,provide amount of materials used:
❑Aquifer Recharge •GroundwaterRemediation Portland Cement - S 4 a,i/p, 5'
0 Aquifer Storage and Recovery ❑Salinity Barrier — J
❑Aquifer Test ❑Stormwater Drainage _
❑Experimental Technology ❑Subsidence Control
7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer
❑Geothermal(Heating/Cooling Return) ROther(explain under 7g) Tremie grout
4.Date well(s)abandoned: L - I
5a.Well location: ' S€‹ 4 R c 11 R
ABC One Hour Cleaner,Superfund Site NC D024644494
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 2854Ei--7------, Z
A1.7
2 y
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 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:
34.741400 N 77.366600 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)if available.For multiple injection or non-water supply wells
ONLY with the same
cautruction/abandonment,you can submit one form. 10s. For All Wells: Submit this form within 30 days of completion of well z
6a.Well ID#: I7 C--- 0 J A abandonment to the following:
G Division of Water Resources,Information Processing Unit,
6b.Total well depth: 5 7'' ✓ (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: ((n,) 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: (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&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): (ft,) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

o
TERRATHERM SIW Boring Construction Detail Revision#:_0 ito
Release date:_5/12/23_
Approved by: SL
Well ID � ' HC-03A Date 6 act/23 3
- �0 ti8/Z
Oversight jii( > /> J Job# R23-104
Driller r %t/. G(//A,AGt// Design Constructed Notes
(fill out if
different)
1/2"Thermocouple pipe?
Thermocouple Length 59.17' Heater Stick Up Height 30"
_Ground Surface 0.0'
Conductive HT Grout , I Angle from Horizontal 78-
Heater Can
Schedule 80
•
Heater Can Length 60' '. Borehole Diameter 7"
Heater Can Diameter 3'
5 Gal Buckets of Graphite 2.25
-c7 f (SIW
Riser Length .-5-175 ft Bogs of Silica 3
u
)` ' Screen Length , 2 ft
� Screen Material Bags of Cement 10
Stainless Steel
Fiberglass nd **-10'
v Other: '.
51W Slot Size -Zr—
fiegs-of907to r3
Screen Diameter ----T'--
'I GoflonsaJum sEfone
Installation Method
Sonic Top of Screen 50.5'
Direct Push Ng
Hollow Stem Auger I
Mud Rotary
Other: Fil i
il Bottom of Screen 52.5'
■ lsrok 40 S i./tl..L.
3 d.,.-ic-Le-S
Bottom of#00 Sand (5;
Conductive High Temp Grout
Bottom of Borehole 57�
Post-installation QC(to be performed 24hr5 after installation) PIO Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time:'Pt 7 O Reading: Col, PPM
Depth to bottom of well[ft bTOC]: G0' Time:I )$ Reading: A PPM
if greater than or equal to ift less than designed alert the office Time: as** Reading: a 6 PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat daily until depth to grout is Oft. Time: Reading: PPM
Date Depth to Grout[ft bgs] Notes:
1 3 GG 6„.,.>i

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223—A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name
2.Well Construction Permit#:
N/A CERCLA site 7c.Type ofdis(nfectantuaed:
List all applicable well construction permits(i.e.UIC,County,State,Variance,etc.)if/a:own
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 0 Neat Cement Grout 0 Bentonite Chips or Pellets
0 Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) 0 Sand Cement Grout 0 Dry Clay
❑Industrial/Cotnmercial ❑Residential Water Supply(shared) 0 Concrete Grout 0 Drill Cuttings
❑Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: ❑Bentonite Slurry 0 Other(explain under 7g)
0 Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge SGroundwaterRemediation Portland Cement 5 e�i/of) S
❑Aquifer Storage and Recovery ❑Salinity Barrier J
❑Aquifer Test ❑Stormwater Drainage _
❑Experimental Technology ❑Subsidence Control 7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) OTracer Tremie grout
❑Geothermal(Heating/Cooling Return) ■Other(explain under 7g)
G4.Date well(s)abandoned:
Sa.Well location:
ABC One Hour Cleaner,Superfund Site NC D024644494 S �`�'�
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546— �Z� )_/ _ z
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 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:
34.741400 N 77.366600 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)if available. For multiple infection 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#: /-*/ abandonment to the following:
t t Division of Water Resources,Information Processing Unit,
6b.Total well depth:
5 .. ) (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: (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: (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&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): (ft) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

a TERRATHERM SIW Boring Construction Detail Revision#:_1
impfRelease date:_6/27/23_
Approved by: EH
Well ID H-7 Cate l — / ' ,) 3
Oversight C vl Job tt R23-104
Driller '- ri244014‘ 1< it;- 67 iz ✓f-fl Design Constructed Notes
(fill out if
different)
1/2"Thermocouple pipe?
Thermocouple Length 58.67' ---Heater Stick Up Height 24"
51W Stick Up Height 18"
Ground Surface 0.0'
Conductive HT Grout J Angle from Horizontal 90°
Heater Can
Schedule 80
Heater Can Length 59' Borehole Diameter 7"
Heater Can Diameter 3'
5 Gal Buckets of Graphite 2
SIW
Riser Length 51.5 ft Bags of Silica 3
Screen Length 2 ft
Screen Material Bags of Cement 9.5
Stainless Steel ---
Fiberglass Top of#00 Sand 30'
Other:
SIW Slot Size 10 Bags of Sand 8
Screen Diameter 1"
Gallons of Limestone 8
Installation Method
Sonic Top of Screen 50'
Direct Push
Hollow Stem Auger _
Mud Rotary
Other: Bottom of Screen S2'
Bottom of#00 Sand 54'
Conductive High Temp Grout --
Bottom of Borehole 57'
Post-Installation QC(to be performed 24hrs after installation) PID Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time: 10: fy Reading: 9, Q PPM
Depth to bottom of well[ft bTOC]: 59' Time: ` Reading: p, Q PPM
if greater than or equal to Ift less than designed alert the office Time: Reading: PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat daily until depth to grout is Oft. Time: Reading: PPM
Date Depth to Grout[ft bgs] Notes:

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223—A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name
7c.Type of disinfectant used:
2.Well Construction Permit if: N/A CERCLA site
List all applicable well construction permits(i.e.UJC,County,State,Variance,etc.)if brown
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 0 Neat Cement Grout ❑ 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) 0 Concrete Grout 0 Drill Cuttings
❑Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: 0 Bentonite Slurry 0 Other(explain under 7g)
0 Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge IRGroundwaterRemediation Portland Cement
❑Aquifer Storage and Recovery 0 Salinity Barrier f/D/I 5
❑Aquifer Test ❑Stormwater Drainage _
❑Experimental Technology 0 Subsidence Control
7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer
❑Geothermal(Heating/Cooling Return) &Other(explain under 7g) Tremie grout
4.Date well(s)abandoned: 6 J '3 !Y / ;1?
I
5a.Well location:
ABC One Hour Cleaner,Superfund Site NC D024644494 � �`�'Q -
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 285467----, � ?-/
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818
By signing this form, !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.
513.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:
34.741400 N 77.366600 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)if available. For multiple injection ar 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 IN,: - J abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 5 7 -- 5 a (ft.) 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For Injection Wells: In addition to sending the form to the address in l0a
6c.Borehole diameter: (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: (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&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): (ft) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

tiatta TERRATHERM SIW Boring Construction Detail Revision#:_0
aCr-,x u:,r,-,
Release date:_5/12/23_
))Approved by: SL_
Well ID �( H-20 Date 1 — (0 p?3
Oversight J ^ h
_lob# R23-104
Driller BC 0.Tt�dT�'�/�F'//j (�,1,p_,tr—
Design Constructed Notes
(fill out if
different)
1/2"Thermocouple pipe?
Thermocouple Length 58.67' Heater Stick Up Height 30"
SIW Stick Up Height 18"
Ground Surface 0.0'
Conductive HT Grout r Angle from Horizontal 90'
Heater Can
Schedule BO
Heater Con Length 59.5' Borehole Diameter 7"
Heater Can Diameter 3' �.
•
Gal Buckets of Graphite 2.25
SIW
•
Riser Length 51.5 ft • Bags of Silica 3
Screen Length 2 ft
Screen Material Bags of Cement 10
Stainless Steel
Fiberglass
Other: Top of BOO Sand 30'
SIW Slot Size 10 Bags of Sand 75
Screen Diameter 1"
Gallons of Limestone 75
installation Method
Sonic
Top of Screen 50'
Direct Push Hollow Stem Auger
Mud Rotary
Other:
Bottom of Screen 52'
a
Bottom of#00 Sand 54'
Conductive High Temp Grout
Bottom of Borehole 57'
Post-Installation QC(to be performed 24hrs after installation) PRD Log:Make/Model:
1)Confirm well is free of grout Design Constructed lime:
• Reading: 1 PPM
Depth to bottom of well(ft bTOC1: 54 S' lime: Reading: PPM
if greater than or equal to 1ft less than designed alert the office Time: Reading: PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat daily until depth to grout is Oft. Time: Reading: PPM
Date Depth to Grout[ft bgs] Notes:

•
WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223-A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name
7c.Type of disinfectant used:
2.Well Construction Permit#:
N/A CERCLA site
List all applicable well construction permits(i.e.UIC,County,State,Variance,etc.)if known
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 0 Neat Cement Grout ❑ Bentonite Chips or Pellets
0 Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑ Sand Cement Grout ❑Dry Clay
0 Industrial/Commercial ❑Residential Water Supply(shared) 0 Concrete Grout 0 Drill Cuttings
0 Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: 0 Bentonite Slurry 0 Other(explain under 7g)
Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge HIGroundwaterRemediation Portland Cement 3 8 ..f/ta 5
❑Aquifer Storage and Recovery 0 Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage _
❑Experimental Technology 0 Subsidence Control
7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer
❑Geotheral(Heating/Cooling Return) ItiOther(explain under 7g) Tremie grout
m
4.Date well(s)abandoned: (a I
5a.Well location: d
ABC One Hour Cleaner,Superfund Site NC D024644494 5 e R c e
Facility/Owner Name Facility ID#(if applicable) 8.Certification: ' 7
2127 Lejeune Blvd, Jacksonville NC, 28546 —
L 2 Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 By signing this form, I hereby certify that the well(s) was(were)abandoned in
County Parcel Identification No.(PIN) 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:
34.741400 N 77.366600 �, 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/abandonment,you can submit one form.
y� 10a. For All Wells: Submit this fonn within 30 days of completion of well
6a.Well ID#: /t 1 — '7 abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 5 t1 (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: (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: (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&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): (ft.) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

11,
i•
dTERRATHERM Multi-Phase Extraction Well Revision#:_0
a Cascade
` `' Construction Detail Release date:_5/12/23_
Approved by:_5L_
Well ID M-7 Date ) - S 47
Oversight Job# R23-104
Driller fle It` Gary Design Constructed Notes
(fill out if
Well Diameter 4" different)
Borehole Diameter 8" ----Stick Up Height 36"
Ground Surface 0.0'
HT Grout----------
Angle from Horizontal 90°
Top of#00 Sand 1'
Casing Material
Carbon Steel Top of Screen 3'
Other:
Riser Length 6 ft
Screen Length 47 ft Bags of#00 Sand 30.75
Bags of Cement 1.25
Bags of Silica 0.5
Screen Material
"Stainless Steel Borehole Diameter 8"
Fiberglass
PVC
Other: _1
Slot Size 10 Bottom of Sand 50'
_ Bottom of Screen 50'
Installation Method —.—
Sonic HT Grout—
Hollow Stem Auger ump Length 2'
Mud Rotary
Other: Bottom of Sump 52'
Bottom of Borehole 52'
Post-Installation QC(to be performed 24hrs after installation) PlD Log:Make/Model: C-J�-
1)Confirm well is free of grout Design Constructed Time: 0 j Reading: (r), es PPM 1 -01
Depth to bottom of well[ft bTOC]: 55' Time: 'heading:— PPM _ .•
.
if greater than or equal to lit less than designed alert the office Time: '7 Li,_� Reading: 0- C' PPM --1i
2)Confirm grout plug reaches ground surface Time: Reading: PPM :v.
repeat daily until depth to grout is Oft bgs Time: Reading: PPM
Date Depth to Grout[ft bgs] Notes:

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223-A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name 7c.Type of disinfectant used:
2.Well Construction Permit#: N/A CERCLA site
List all applicable well construction permits(i.e.UIC,County,State,Variance,etc.)if known
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 0 Neat Cement Grout 0 Bentonite Chips or Pellets
0 Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) 0 Sand Cement Grout 0 Dry Clay
0 Industrial/Commercial ❑Residential Water Supply(shared) 0 Concrete Grout ❑ Drill Cuttings
0 Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: 0 Bentonite Slurry 0 Other(explain under 7g)
0 Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge INGroundwaterRemediation Portland Cement
3'2,• �
9f'aO�IJC
�
❑Aquifer Storage and Recovery ❑Salinity Bather J
0 Aquifer Test ❑Stormwater Drainage _
❑Experimental Technology ❑Subsidence Control 7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer
Geothermal(Heating/Cooling Return) Other(explain under 7g) Tremie grout v. ' •
it6_ �9 ,ay �,�`, ( %0'1
4.Date well(s)abandoned:
5a.Well location:
ABC One Hour Cleaner,Superfund Site NC D024644494 c.: R`h Q
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 y � v " 7-r
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 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.
513.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:
34.741400 N 77.366600 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)((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#: /'"7J — 3 3 abandonment to the following:
`� Division of Water Resources,Information Processing Unit,
6b.Total well depth: S / i- 13 (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 (lo) 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: (g-) 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&Injection Wells: In addition to sending the form to the
address(es)above,also submit one copy of this form within 30 clays of completion
of well abandonment to the county health department of the county where
6f.Inner casing/tubing length(if known): (ft.) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

• TERRATHERM ISTD Heater Boring Construction Detail Revision#: 0
Release date:_5/12/23_
Approved by: SL
Well ID H-33 Date q "{S' c 3
Oversight 13 ahtk Job# R23-104
Driller (, it 6'v..- -
Constructed
(fill out if
Design different) Notes
1/2"Thermocouple pipe? --Heater Stick-Up Height 30"
Thermocouple Length 58.67'
—VEW Stick-Up Height 18"
Ground Surface 0.0'
Heater Can Conductive HT Grout—
Angle from Horizontal 90°
Schedule 80
• Borehole Diameter 7"
Top of#00 Sand 1'
• Top of Screen 3'
Heater Can Length 59.5 ft 5 Gal Buckets of Graphite 0.5
Heater Can Diameter 3 in
• Bags of Silica 0.75
Screen Length 10 ft
Screen Diamter 3 in = Bags of Cement 2.75
Bottom of Screen 13'
Installation Method
Direct Push Bags of#00Sand 106 '60
Sonic
Hollow Stem Auger Gallons of Limestone 18.5
Mud Rotary
Other:
Bottom of#00 Sand 50'
Bottom of Heater Can 57'
Bottom of Borehole 57'
Post-Installation QC(to be performed 24hrs after installation) PID Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time: I C° ,c Reading: 0_ Li PPM
Depth to bottom of well[ft bTOC 59 5' Time: v Reading: PPM
if greater than or equal to 1ft less than designed alert the office Time: Reading: PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat daily until depth to grout is Oft. Time: Reading: PPM
Date Depth to Grout[ft bgs) Notes:

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223-A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name CERCLA�+ /� 7c.Type of disinfectant used: _
2.Well Construction Permit#: N/A CERCLA site
List all applicable well construction permits(i.e.UIC,County,State,Variance,etc.)ifknown
7d.Amount of disinfectant used:_
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
0 Agricultural ❑Municipal/Public *Neat Cement Grout 0 Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑ Sand Cement Grout ❑ Dry Clay
❑Industrial/Commercial ❑Residential Water Supply(shared) ❑Concrete Grout ❑ Drill Cuttings
❑Irrigation ❑ Specialty Grout 0 Gravel
Non-Water Supply Well: ❑Bentonite Slurry ❑ Other(explain under 7g)
❑Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge SGroundwaterRemediation Portland Cement / , S
SCl/C�.?f.
❑Aquifer Storage and Recovery 0 Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage _
❑Experimental Technology 0 Subsidence Control
7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) OTracer Treime grout
❑Geothermal(Heating/Cooling Return) giOlther(explain under 7g)
4.Date well(s)abandoned:
5a.Well location: Xt
tt
S ¢ �7tt c�t rC
ABC One Hour Cleaner,Superfund Site NC D024644494 . . > 1.
Facility/Owner Name Facility ID#(if applicable) 8.Certification: / ?-•'}
2127 Lejeune Blvd, Jacksonville NC, 28546 Z 41.11 _
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 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:
(if well field,one lat/long is sufficient) 9.Site diagram or additional well details:
34.741400 N 77.366600 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#: !i abandonment to the following:
'] Division of Water Resources,Information Processing Unit,
6b.Total well depth: 7
(ft.) 1617 Mail Service Center,Raleigh,NC 27699-1617
110b.For Injection Wells: In addition to sending the form to the address in 10a
6c.Borehole diameter (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: (ft.) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): (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
6f.Inner casing/tubing length(if known): (ft.) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

TERRATHERM !STD Heater Boring Construction Detail Revision#: 0
Release date: 5/12/23
Approved by: SL
Well ID H-8 Date j•
L`Oversight Job# R23-104
Driller '
Constructed
(fill out if
Design different) Notes
--Stick Up Height
1/2"Thermocouple pipe? 1111111111111 24"
Thermocouple Length 48.67'
Ground Surface 0.0'
'
Heater Can Conductive HT Grout-- j. ' Angle from Horizontal 90°
Schedule 40
[
Borehole Diameter 6"
r —
Heater Can Length 49 ft Gol Buckets of Graphite 2.5
Bogs of Silica 3.25
Heater Can Diameter 3 in
Bags of Cement 10.75
Installation Method .
Direct Push
Sonic
•
Hollow Stem Auger
Mud Rotary
Other:
Bottom of Heater Can 47'
Bottom of Borehole 47'
Post-Installation QC(to be performed 24hrs after installation) PIO Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time: Reading: f]. PPM
Depth to bottom of well(ft bTOC 49' Time: Reading: PPM
if greater than or equal to ift less than designed alert the office Time: Reading: PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat daily until depth to grout is Oft. Time: Reading PPM
Date Depth to Grout(ft bgs] Notes:

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223—A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name
2.Well Construction Permit#:
N/A CERCLA site 7c.Type of disinfectant used:
List all applicable well construction permits(i.e.UIC,County,State,Variance,etc.)ifknown
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 0 Bentonite Chips or Pellets
0 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 ❑ Specialty Grout 0 Gravel
Non-Water Supply Well: 0 Bentonite Slurry ❑ Other(explain under 7g)
CI Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge •GroundwaterRemediation Portland Cement i l 54.//0n 5
0 Aquifer Storage and Recovery 0 Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage _
❑Experimental Technology 0 Subsidence Control
7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer
ID Geothermal(Heating/Cooling Return) 'Other(explain under 7g) Tre i m e grout (1 n r a
4.Date well(s)abandoned: I O 'a y ( /U?
Sa Well location: . 5 z A,*ct c to Y Q ["F 4`-
ABC One Hour Cleaner,Superfund Site NC D024644494
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 By signing this form, I hereby certify that the well(s) was(were)abandoned in
County Parcel Identification No.(PIN) 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:
34.741400 N 77.366600 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/abandonment,you can submit one form.
10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#: tf - abandonment to the following:
Division of Water Resources.,Information Processing Unit,
6b.Total well depth: y 7 t / 3 (ft.) 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For Injection Wells: In addition to sending the form to the address in l0a
6c.Borehole diameter: (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: (R,) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): (ft4 10c.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): (ft) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

TERRATHERM ISTD Heater Boring Construction Detail Revision#: 0
Release date:_5/12/23_
Approved by: SL
Well ID H-9 Date 2- 3 1.-a
Oversight .� Job# R23-104
Driller /��// G j i1 A-r
Constructed
(till out if
Design different) Notes
1/2"Thermocouple pipe? —Heater Stick-Up Height 30"
Thermocouple Length 1111011111
--vEW Stick-Up Height 18"
Ground Surface 0.0'
Heater Can Conductive HT Grout—
Angle from Horizontal 90°
Schedule 80
Borehole Diameter 7"
Top of#00 Sand 1'
M Top of Screen 3'
Heater Can Length 49.5 ft
� � 5 Gal Buckets of Graphite 0.5 _
Heater Can Diameter 3 in
Bags of Silica 0.75
Screen Length 10 ft
Screen Diamter in a Bags of Cement 2.75
Bottom of Screen 13'
Installation Method
Direct Push Bags of#00Sand )
Sonic
Hollow Stem Auger Gallons of Limestone 14.5
Mud Rotary
Other:
Bottom of J#00 Sand 40'
Bottom of Heater Can 47'
Bottom of Borehole 47'
Post-Installation QC(to be performed 24hrs after installation) PID Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time: ;l C' Reading: ( PPM
Depth to bottom of well[ft bTOC 49 5' Time: Jl Reading: PPM
if greater than or equal to Ift less than designed alert the office Time: Reading: PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat daily until depth to grout is Oft. Time: Reading: PPM
Date Depth to Grout[ft bgs] Notes:

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223-A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY: •
Company Name 7c.Type of disinfectant used:
2.Well Construction Permit#: N/A CERCLA site
List all applicable well construction permits(i.e.UIC,County,State,Variance,etc.)if blown
7d.Amount of disinfectant used:_
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
❑Agricultural ❑Mtmicipal/Public •Neat Cement Grout 0 Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) 0 Sand Cement Grout 0 Thy 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: 7E For each material selected above,provide amount of materials used:
❑Aquifer Recharge •GroundwaterRemediation Portland Cement CC,, j)
❑Aquifer Storage and Recovery ❑Salinity Ranier — i J I I t7 S
❑Aquifer Test ❑Stormwater Drainage
❑Experimental Technology 0 Subsidence Control 7g.Provide a brief description of the abandonment procedure:
OGeothermal(Closed Loop) ❑Tracer
❑Geothermal(Heating/Cooling Return) *Other(explain under 7g) Treime grout
4.Date well(s)abandoned: �. "I 9—r2`� A U G L 7 '/Q 24
5a.Well location: j}
S 1 2 .N.1/Ici,c(/t jC d
ABC One Hour Cleaner,Superfund Site NC D024644494
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 Z 2 cl
Physical Address,City,and Zip �� !�✓
Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818
By signing this form, I hereby certify that the well(s) was(were)abandoned in
County Parcel Identification No.(I I) 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:
34.741400 N 77.366600 �, 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/abandonment,you can submit one form. 10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#• t/-5 C abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth:3,L f / 3 (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: (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: (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 Suonly&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): (ft-) abandoned.
6g.Screen length(if known): (ft)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

fx ISTD Heater Boring Construction Detail Revision#: 0
-,;.; TERRATHERM Release date:_5/12/23_
Approved by: SL
Well ID H-26 Date /O — 0 3 — 7
Oversight < g Job# — R23-104
Driller
Constructed
(fill out if
aign different) Notes
1/2"Thermocouple pipe? —Heater Stick-Up Height
Thermocouple Length
Wr -VEW Stick-Up Height .f
_, )
Ground Surface 0.0' /
Heater Can Conductive HT Grout— PF /
• gle from Horizontal 90°
Schedule 80
Borehole Diameter 7"
Top of#00 Sand 1'
E. Top of Screen 3'
Heater Can Length '.\28.5 U 5 Gal Buckets of Graphite 0.5
Heater Can Diameter 3 w.
Bags of Silica 0.75
Screen Length 10 ft
Screen Diamter —i in - Bags of Cement 2.25
Bottom of Screen 13'
Installation Method
rD ush Bags of#00 Sand 6.5
onic
row Stem Auger Gallons of Limestone 6.5
Mud Rotary
Other:
Bottom of#00 Sand 20'
Bottom of Heater Can 26' \\
I
Bottom of Borehole 26'
Post-Installation QC(to be performed 24hrs after installation) P1D Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time: / ;.� _ Reading: t O PPM
Depth to bottom of well[ft bTOC ?R 5' Time: Reading: PPM
if greater than or equal to 1ft less than designed alert the office Time: Reading: PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat doily until depth to grout is oft. Time: Reading: PPM
Date Depth to Grout[ft bgs) Notes:

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223—A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gaL)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name 7c.Type of disinfectant used:
2.Well Construction Permit#: N/A CE RCLA site
List all applicable well construction permits(i.e.UIC,County,State,Variance,etc.)if known
7d.Amount of disinfectant used:
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
El Agricultural ❑Municipal/Public •Neat Cement Grout 0 Bentonite Chips or Pellets
0 Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) 0 Sand Cement Grout 0 Dry Clay
0 Industrial/Commercial :Residential Water Supply(shared) 0 Concrete Grout 0 Drill Cuttings
❑Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: 0 Bentonite Slurry 0 Other(explain under 7g)
❑Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
:Aquifer Recharge INGroundwaterRemediation Portland Cement rC , c 50.//,p,rl J!'•
❑Aquifer Storage and Recovery ❑Salinity Barrier
0 Aquifer Test ❑Stormwater Drainage _
El Experimental Technology ❑Subsidence Control 7g.Provide a brief description of the abandonment procedure:
OGeothermal(Closed Loop) OTracer
❑Geothermal(Heating/Cooling Return) *Other(explain under 7g) Treime grout •
4.Date well(s)abandoned: a y A U G 2 7 2024
Sa.Well location:
ABC One Hour Cleaner,Superfund Site
NC D024644494
Facility/Owner Name Facility IDN(if applicable) S.Certification: Z
2127 Lejeune Blvd, Jacksonville NC, 28546 7-/_t7 y
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818
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:
34.741400 N 77.366600 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)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# - 5 0 abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: " (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: (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: (ft-) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): (IL) 10c.For Water Snooty&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
6L Inner casing/tubing length(if known): _(ft.) abandoned.
6g.Screen length(if known): _(ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

* ISTD Heater Boring Construction Detail Revision#: 0
TERRATHERM Release date: 5/12/23
Approved by: SL
Well ID H-50 Date / d - o 3 - ,..3 3
Oversight / •
0. Job ft R23-104
h Driller - G
Constructed
A, (fill
ifferent) Notes out if
Desi „_d
—Stick Up Height
1/2"Thermocouple pipe? 2
Thermocouple Length
Ground Surface 0.0'
[
Heater Can Conductive HT Grout Angle from Horizontal 90°
Schedule 40 -.
Borehole Diameter 6"
_
Heater Can Length ft 5 Gal Buckets of Graphite 1.25
Bags of Silica 1.75
Heater Can Diameter or in
Bags of Cement u
Installation Method
Direct Push
ar
ollow Stem Auger
Mud Rotary
Other:
Bottom of Heater Can <6'
Bottom of Borehole ;6'
Post-Installation QC(to be performed 24hrs after installation) PID Log:Make/Model:/
1)Confirm well is free of grout Design Constructed Time: /D y Reading: `- n PPM
Depth to bottom of well(ft bTOC 2R' Time: ( Reading: PPM
if greater than or equal to 1ft less than designed alert the office Time: Reading: PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat daily until depth to grout is Oft. Time: Reading: PPM
Date Depth to Grout[ft bgs] Notes:

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223-A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name 7c.Type of disinfectant used:
1.Well Construction Permit#: N/A CERCLA site
List all applicable well construction permits(i.e.UIC,County,State,Variance,etc.)if known
7d.Amount of disinfectant used:_
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
❑Agricultural ❑Mtmicipal/Public shNeat Cement Grout 0 Bentonite Chips or Pellets
0 Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) 0 Sand Cement Grout 0 Dry Clay
0 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 ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge SGroundwaterRemediation Portland Cement j o , S 5 >{((Jlf 5
❑Aquifer Storage and Recovery 0 Salinity Barrier -
❑Aquifer Test ❑Stormwater Drainage _
❑Experimental Technology 0 Subsidence Control 7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) OTracer
❑Geothermal(Heating/Cooling Return) *Other(explain under 7g) Tre i m e g ro u t
•
QQ t
4.Date well(s)abandoned: 6 - / O •-(9
5a.Well location: 44.
ABC One Hour Cleaner,Superfund Site NC D024644494 S `� `tei
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 c Z 2/' 7—/- 2 `I
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 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:
34.741400 N 77.366600 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)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#`: J/ L abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: L( (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: (m,) 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: (g,) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): (B,) 10c.For Water Sunoly&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): (ft.) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

TERRATHERM ISTD Heater Boring Construction Detail Revision#: 0
Release date: 5/12/23
Approved by: SL
Well ID H-49 Date / 0 3
- Oversight as- A Job# R23-104
Driller /�— • (�'L% _
Constructed
(fill out if
Design different) Notes
--Stick Up Height 1/2"Thermocouple pipe? (72-4Thermocouple Length
Ground Surface 0.0'
Heater Can Conductive HT Grout-- - Angle from Horizontal 90°
tlt ---
Schedule 40 •
Borehole Diameter 6"
•
Heater Can Length 28 ft S Gal Buckets of Graphite 1.25
Bags of Silica 1.15
Heater Can Diameter 3 in
Bags of Cement 6
Installation Method
Di - •ush IIII
of
Hollow Stem Auger
Mud Rotary
Other:
Bottom of Heater Can 26'
Bottom of Borehole ( _26'
Post-Installation QC(to be performed 24hrs after installation) PID Log:Make/Model: �`
1)Confirm well is free of grout Design Constructed Time: $ �� (^; Reading: d . V PPM
Depth to bottom of well(ft bTOC 28' Time: Reading: PPM
if greater than or equal to ift less than designed alert the office Time: Reading: PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat doily until depth to grout is Oft. Time: Reading: PPM
Date Depth to Grout[ft bgs] Notes:

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
wells abandoned:
3223-A
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name
7c.Type of disinfectant used:
2.Well Construction Permit#:
N/A CERCLA site
List all applicable well construction permits(i.e.U/C,County,State. Variance,etc.)if known
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 ❑ Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑ Sand Cement Grout ❑ Dry Clay
❑Industrial/Commercial ❑Residential Water Supply(shared) ❑ Concrete Grout ❑ Drill Cuttings
❑Irrigation ❑ Specialty Grout ❑ Gravel
Non-Water Supply Well: ❑ Bentonite Slurry ❑ Other(explain under 7g)
❑Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge •GroundwaterRemediation Portland Cement ! 0. c' 70I0n 5
❑Aquifer Storage and Recovery 0 Salinity Barrier —
CI Aquifer Test ❑Stormwater Drainage
❑Experimental Technology ❑Subsidence Control
7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer
❑Geothermal(Heating/Cooling Return) 'Other(explain under 7g) Treime grout
L
4.Date well(s)abandoned: (- � �� / rt U Cj 7 2024
5a.Well location: O S 1 c 4,k. A Ir.`3::•'-..;"
ABC One Hour Cleaner,Superfund Site NC D024644494
Facility/Owner Name Facility IDe(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 �Z412, !'
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 By signing this form, I hereby certify that the well(s) was (were) abandoned in
County Parcel Identification No.(PIN) accordance with I5A NCAC 02C.0100 sr 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:
34.741400 N 77.366600 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)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
5 6a.Well ID#: / 1 / abandonment to the following:
( Division of Water Resources,Information Processing Unit,
6b.Total well depth: '-9‘ v+' (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: (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: (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&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{mown): (It.) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

. TERRATHERM !STD Heater Boring Construction Detail Revision ti: 0
Release date: 5/12/23
Approved by:
L by: S
l
Well ID H-51 Date / D� t y ,23
Oversight T 4 Job ii R23-104
Driller 1
Constructed
(fill out if
Design—different) Notes
•
--Stick Up Height J
i0:&
27.67'
Heater Can Conductive HT Grout— Angle from Horizontal 9C°
Schedule 40
c
Borehole Diameter 6"
Heater Can Length 28 ft SGol Buckets of Graphite 1.25
•
Bags of Silica 1.75
Heater Can Diameter 3 in
•
Bags of Cement 6
•
Installation Method
Direct Push
Hollow Stem Auger
Mud Rotary
Other:
Bottom of Heater Can 26'
/a
Bottom of Boreh le 26' f
Post-Installation QC(to be performed 24hrs after installation) PIO Log:Mak del: _�
1)Confirm well is free of grout Design Constructed Time: C Reading: n r 0 PPM
Depth to bottom of well[ft bTOC 7R' Time: Reading: PPM
if greater than or equal to Ift less than designed alert the office Time: Reading: PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat daily until depth to grout is Oft. Time: Reading: PPM
Date Depth to Grout[ft bgs] Notes:

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223-A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name 7c.Type of disinfectant used:
2.Well Construction Permit#: N/A CERCLA site
List all applicable well construction permits(i.e.UIC,County,State, Variance,etc.)if known
7d.Amount of disinfectant used:
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
EAgricultural ❑MunicipaVPublic •Neat Cement Grout ❑ Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑ Sand Cement Grout ❑ Dry Clay
❑IndustriaUCommercial ❑Residential Water Supply(shared) ❑Concrete Grout ❑ Drill Cuttings
❑Irrigation ❑ Specialty Grout ❑ Gravel
Non-Water Supply Well: ❑ Bentonite Slurry ❑ Other(explain under 7g)
❑Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge •GroundwaterRemediation Portland Cement ( 1 r 1 K ft/a,rl s•
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage _
❑Experimental Technology ❑Subsidence Control
7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer
❑Geothermal(Heating/Cooling Return) 'Other(explain under 7g) Treime grout
4.Date well(s)abandoned: L' - I g 9 y AU U L I 2024
5a.Well location: Z // 'S tom'
SrL q �icNjC
ABC One Hour Cleaner,Superfund Site NC D024644494
Facility/Owner Name Facility IDS(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 -
Physical Address.City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 By signing this form, I hereby certify that the well(s) was (were) abandoned in
County Parcel Identification No.(PIN) 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:
34.741400 N 77.366600 W You may use the back of this page to p:-ovide 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/abandonment,you can submit one form.
10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#: —/a abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 33. (ft.) 1617 Mail Service Center,Raleigh,NC 27699-1617
1013. For Iniection Wells: In addition to sending the form to the address in l0a
6c.Borehole diameter: (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: (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&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): (ft.) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

=1110 Multi-Phase Extraction Well Revision#: 0
TERRATHERM Release date:_5/12/23_
Construction Detail
Approved by: SL__
Well ID M-12 Date
Oversight ^ Q^ '-1 Job# R23-104
Driller � Design Constructed Notes
(fillet if
Well Diameter 1 different)
Borehole Diameter 8" Stick Up Height 36" /
Ground Surface 0.0'
HT Grout
Angle from Horizontal 90°
Top of#00 Sand 1'
Casing Material
Carbon Steel Top of Screen 3'
Other. ^
----
Riser Length 6 ft
Screen Length 17 ft Bags of#00 Sand 12
Bags of Cement 1.25
Bags of Silica 0.5
Screen Material
Stainless Steel - Borehole Diameter 8"
Fiberglass
PVC
^Other:
Slot Size 10 Bottom of Sand 20'
Bottom of Screen 20'
Inst notion Method
is HT Grout---
ow Stem Auger -Sump Length
Mud Rotary \
Other: Bottom of Sump 22'
Bottom of Borehole 22'
Post-Installation QC(to be performed 24hrs after installation) PLO Log:Make/Model:
1)Confirm well is free of grout - Design Constructed Time: ' (1 ;,' b Reading: -Q PPM
Depth to bottom of well[ft bTOC]: 25' Time: Reading: PPM
if greater than or equal to ift less than designed alert the office Time: Reading: PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat daily until depth to grout is Oft bgs Time: Reading: PPM
Date Depth to Grout[ft bgs] Notes:

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223—A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name
7c Type of disinfectant used:
2.Well Construction Permit#:
N/A CERCLA site
List all applicable well construction permits(i.e.UIC,County,State, Variance,etc.)ifbtown
7d.Amount of disinfectant used:_
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
❑Agricultural ❑Mtmicipal/Public •Neat Cement Grout 0 Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) 0 Sand Cement Grout 0 Dry Clay
0 Industrial/Commercial ❑Residential Water Supply(shared) 0 Concrete Grout 0 Drill Cuttings
❑Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: 0 Bentonite Slurry 0 Other(explain under 7g)
0 Monitoring ❑Recovery
Injection Well: If.For each material selected above,provide amount of materials used:
❑Aquifer Recharge eGroundwaterRemediation Portland Cement
0 Aquifer Storage and Recovery 0 Salinity Barrier — / [�J A /��s
0 Aquifer Test ❑Stormwater Drainage _
0 Experimental Technology 0 Subsidence Control
7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracce Treime grout
0 Geothermal(Heating/Cooling Return) "'Other(explain under 7g)
4.Date well(s)abandoned: (-
5a.Well location: ,,��ec
ABC One Hour Cleaner,Superfund Site NC D024644494 S¢ `�'r`i c In _
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 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:
(if well field,one 1st/long is sufficient) 9.Site diagram or additional well details:
34.741400 N 77.366600 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)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#: /4 (� 7 abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: P C (ft.) 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For Injection Wells: In addition to sending the form to the address in l0a
6c.Borehole diameter: (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: (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&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): (ft.) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

• r TERRATHERM ISTD Heater Boring Construction Detail Revision#: 0
Release date: 5/12/23
Approved by: SL
Well ID \ H-27 Date iry �3 ��Z-2 ;C �4
Oversight ,2 + Job# R23-104
Driller
Constructed
(fill out if
D ign__.different) Notes
--Stick Up Height r
1/2"Thermocouple pipe? 24"
--
Thermocouple Length 27.67' /
/Ground Surface 0.0'
Heater Can Conductive HT Grout-- Angle from Horizontal 90°
Schedule 40
Borehole Diameter 6"
Heater Can Length 28 ft 5 Gal Buckets of Graphite 1.25
Bags of Silica 1.75
Heater Can Diameter 3 in
Bags of Cement E
.
Installation Method
Dir- •ush ,
on
Hollow Stem Auger
Mud Rotary
Other:
Bottom of Heater Con 26'
Bottom of Boreho 26'
f�i
Post-Installation QC(to be performed 24hrs after installation) PID Log:TOO:
1)Confirm well is free of grout Design Constructed Time: ` 0 0Reading: u 1 PPM
Depth to bottom of well(ft bTOC 7R' Time: Reading: PPM
if greater than or equal to lft less than designed alert the office Time: Reading: PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat daily until depth to grout is Oft. Time: Reading: PPM
Date Depth to Grout(ft bgs] Notes:

•
WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223-A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name
7c.Type of disinfectant used:
2.Well Construction Permit#: N/A CERCLA site
List all applicable well construction permits(i.e.UIC,County,State,Variance,etc.)if known
7d.Amount of disinfectant used:
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
❑Agricultural ❑Mtmicipal/Public i hNeat Cement Grout 0 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 0 Drill Cuttings
❑Irrigation 0 Specialty Grout ❑ Gravel
Non-Water Supply Well: 0 Bentonite Slurry 0 Other(explain under 7g)
❑Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge PGroundwaterRemediation Portland Cement
/On S
❑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) °Ter Treime grout
❑Geothermal(Heating/Cooling Return)) IpOtther(explain under 7g)
4.Date well(s)abandoned: G - I 0-d 7 +
5a.Well location: ye //
✓° 5 z or t]I«c N jC
ABC One Hour Cleaner,Superfund Site NC D024644494
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 �Z -7-- / -11
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818
By signing this form, I hereby certify that the well(s) was(were)abandoned in
County Parcel Identification No.(PIN) accordance with ISA 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:
34.741400 N 77.366600 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#: /Y1 — / C) abandonment to the following:
rr Q Division of Water Resources,Information Processing Unit,
6b.Total well depth: b U (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 (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: (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&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): (ft.) abandoned.
6g.Screen length(if known): (ft-)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

iivoTERRATHERM Multi-Phase Extraction Well Revision#: 0
Construction Detail Release date:_5/12/23_
Approved by: St.
Well ID M-10 Date tkl 1 --P- I r��
Oversight — -MOO Job# R23-104
Driller
724-. Design Constructed Notes
(fill out if
Well Diameter 4" ) different)
Borehole Diameter 8" Stick Up Height 36"
Ground Surface 0.0'
HT Grout
Angle from Horizontal 90°
Top of#00 Sand 1'
Casing Material
Carbon Steel • • Top of Screen 3'
Other:
-----
Riser Length 6 ft
•
Screen Length 63 ft % __ Bags of#00 Sand 40.75
•___• Bags of Cement 1.25
Bags of Silica 0.5
Screen Material
Stainless Steel Borehole Diameter 8"
Fiberglass
PVC
Other:
Slot Size 10 Bottom of Sand 66'
Bottom of Screen 66'
Installation Method
nic HT Grout---
Hollow Stem Auger Sump Length 2'
Mud Rotary
Other: Bottom of Sump 6 '
Bottom of Boreho 68'
Post-Installation QC(to be performed 24hrs after installation) PID Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time: /p rr Reading: t. .rt PPM
Depth to bottom of well[ft bTOCJ: 7t' Time: 7 / - V: �!Reading: !ti ( PPM
if greater than or equal to 1ft less than designed alert the office Time: ✓ Reading: PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat daily until depth to grout is Oft bgs Time: Reading: PPM
Date Depth to Grout[ft bgs] Notes:

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223—A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name
2.Well Construction Permit#:
N/A CERCLA site 7c.Type of disinfectant used:
List all applicable well construction permits(i.e.U1C,County,State, Variance,etc.)if known
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 ❑ Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑ Sand Cement Grout ❑ Dry Clay
❑industriaUCommercial DResidential Water Supply(shared) ❑ Concrete Grout 0 Drill Cuttings
❑Irrigation ❑ Specialty Grout ❑ Gravel
Non-Water Supply Well: 0 Bentonite Slurry ❑ Other(explain under 7g)
❑Monitoring ORecovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge •GroundwaterRemediation Portland Cement 1 l
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage
❑Experimental Technology ❑Subsidence Control
7g.Provide a brief description of the abandonment procedure:
OGeothermal(Closed Loop) ❑Tracer
❑Geothermal(Heating/Cooling Return) *Other(explain under 7g) Treime grout
4.Date well(s)abandoned: V - 1 0 ^9 / AUG 7 2024
5a.Well location:
p NC D024644494 ` ` rz et
;
ABC One Hour Cleaner,Superfund Site
Facility/Owner Name Facility IDe(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 z • /!�1 —1—I —? -f
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 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,sr 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:
34.741400 N 77.366600 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)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#: �r/
abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: CJS (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: (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: (ft.) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): (ft.) IOc.For Water Slimily&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): (ft.) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

•
44
: TERRATHERM Multi-Phase Extraction Well Revision It 0
Construction Detail Release date:_5/12/23_
Approved by:_SL_
Well ID M-11 //�� Date C 9 ' �,1--. 7 q'- .
Oversight e-RAI T' 0 pA ' !S Job# R23-104
Driller 4
(, Design Constructed Notes
Well Diameter / 4" (fill out if
•
— different)
Borehole Diameter ` 8/ Stick Up Height 36"
Ground Surface 0.0'
HT Grout
1111 Angle from Horizontal 90°
Top of#00 Sand 1'
Casing Material
Carbon Steel Top of Screen 3'
Riser Length (6-)\Ift
Screen Length 1 /ft '___, Bags of#00 Sand 30.75
___ Bags of Cement 1.25
. Bags of Silica 0.5
rgenMae li .___.
%��Sttaainless Steel -___. Borehole Diameter 8"
Fi erg ass
PVC
Other: '—-—
-
Slot Size 13 Bottom of Sand SD'
.___ Bottom of Screen SO'
Installation Method
Sonic HT Grout---
Hollow Stem Auger Sump Length 2'
Mud Rotary
Other: Bottom of Sump 52'
Bottom of Borehole 52'
Post-Installation QC(to be performed 24hrs after installation) PID Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time: T `: Reading: , '-'1 PPM
Depth to bottom of well[ft bTOC]: 55' Time: 'i d\. Reading: - --� PPM
if greater than or equal to 1ft less than designed alert the office Time: rf (i Reading: Vl PPM
2)Confirm grout plug reaches ground surface Time: 9 f 37 Reading: . : e✓' PPM
repeat daily until depth to grout is Oft bgs Time: ,-i ,a '-15 Reading: ('- ) PPM
Date Depth to Grout[ft bgs] Notes:

,WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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 I GW-30 is needed. Indicate TOTAL NUMBER of
wells abandoned:
3223-A
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name
7c.Type of disinfectant used:
2.Well Construction Permit#:
N/A CERCLA site
List all applicable well construction permits(i.e.U/C,County,State,Variance,etc.)if known
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 ❑ Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑ Sand Cement Grout ❑ Dry Clay
❑Industrial/Commercial ❑Residential Water Supply(shared) ❑ Concrete Grout ❑ Drill Cuttings
❑Irrigation ❑ Specialty Grout ❑ Gravel
Non-Water Supply Well: ❑ Bentonite Slurry ❑ Other(explain under 7g)
❑Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge •GroundwaterRemediation Portland Cement 5 ,ie
❑Aquifer Storage and Recovery ❑Salinity Barrier —
❑Aquifer Test ❑Stormwater Drainage _
❑Experimental Technology ❑Subsidence Control
7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer
,Geothermal(Heating/Cooling Return) "Other(explain under 7g) Tre i m e grout
C _ t All C 2 1 ;52.4
4.Date well(s)abandoned: C. I D yy II.......... . . - . �� • �Ji:S
Sa Well location: 5 z v: t;
p �~ `i` z,
ABC One Hour Cleaner,Superfund Site NC D024644494
Facility/Owner Name Facility IDS(if applicable) S.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 � Z /' (�
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 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 lot/long is sufficient) 9.Site diagram or additional well details:
34.741400 N 77.366600 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)if available. For multiple injection or non-water supply wells
ONLY with the same construction/abandonment,you can submit one form.
7^ 10a. For All Wells: Submit this forri within 30 days of completion of well
6a.Well ID#: / -- C. abandonment to the following:
Division of Water Resources,Information Processing Unit,
/ 1617 Mail Service Center,Raleigh,NC 27699-1617
6b.Total well depth: 3 I t 5 (ft.)
lOb. For Iniection Wells: In addition :o sending the form to the address in 10a
6c.Borehole diameter: (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: (ft.) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,Raleigh,NC 27699-I636
6e.Outer casing length(if known): (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
6f.Inner casing/tubing length(if known): (ft.) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

Temperature and
TERRA--ET.-='.' Re -e. __ - -
Pressure Monitoring Pout -:. _
Construction Detail _" '
Well ID T-6 ?A cl V - 4
"..- Oversight _-_!L :rM#R23-i.
Driller k&(,' 64.-A'
Design Constructed Notes
(fill out if
different)
Pipe Diameter TMP: 1.5" -----Stick Up(TMP) 30"
PMP: 1" --Stick Up(PMP) 24"
Borehole Diameter: 6"
Ground Surface 0.0'
HT Grout---- /Angle from Horizontal 90°
Casing Material
Carbon Steel
Other: Top of#00 Sand 1'
TMP Pipe Length 3 .5' Top of PMP Screen 3'
PMP Riser Length
PMP Screen Le _ Bags of r00 Sand 2.5
Bottom of PMP Screen 5'
-
Screen Material
Sta:r.ess:'ef Bottom of#00 Sand 7'
Bags of Cement 7.75
S1otSize - Bags of Silica 2.5
Installation Method Borehole Diameter 6"
D e Push
Sonic Bottom of TMP Well __
Hollow Stem Auger
Mud Rotary
Other:
Bottom of Borehole 31'
Post-Installation QC(to be performed 24hrs after installation) PID Log:Make/Model:
'1) Confirm well is free of grout Design Constructed Time: ti/ j` Reading: 0 .0 P
Depth to bottom of TMP[ft bTOC): 33.5' Time: Reading:
Depth to bottom of PMP[ft bTOC]: 7' Time: Reading: PPM!
if greater than or equal to 1ft less than designed alert the office Time: Reading: PPM
i
2)Confirm grout plug reaches ground surface Time: Reading: PPM'
repeat daily until depth to grout is Oft bgs Notes:
Depth to Grout, Depth to Grout,
pate TMP[ft bgs] PMP[ft bgs] r
[
l
i

WILL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223-A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gat)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name 7c.Type of disinfectant used:
2.Well Construction Permit#: N/A CE RCLA site
List all applicable well construction permits(i.e.UIC,County,State,Variance,etc.)if known
7d.Amount of disinfectant used:
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
0 Agricultural 0 Municipal/Public •Neat Cement Grout 0 Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) 0 Sand Cement Grout 0 Dry Clay
0 Industrial/Commercial ❑Residential Water Supply(shared) 0 Concrete Grout 0 Drill Cuttings
❑Irrigation ❑ 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 Portland Cement 31
Aquifer Storage and Recovery 0 Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage
0 Experimental Technology 0 Subsidence Control 7g.Provide a brief description of the abandonment procedure:
OGeothermal(Closed Loop) ❑Tracer
OGeothermal(Heating/Cooling Return) *Other(explain under,7g) Tre i m e grout
•
4.Date well(s)abandoned: L I 0-3 7
AUG 2 7 2024
5a.Well location:
ABC One Hour Cleaner,Superfund Site NC D024644494 S e `� "
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 G �2 � / � -7— I — a `�
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818
By signing this form, I hereby cert fy that the well(s)was(were)abandoned in
County Parcel Identification No.(PIN) accordance with 15A NCAC 02C.0100 or 1C.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:
34.741400 N 77.366600 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 conrtruction/abandonment,you can submit one form.
l 10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#• N-09d abandonment to the following:
Division of Water Resources.,Information Processing Unit,
6b.Total well depth:1 3 t' (. f (ft) 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For Injection Wells: In addition to sending the form to the address in l0a
6c.Borehole diameter: (n.) 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: (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&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): (IL) r O°ed
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

•
TERRATHERM SIW Boring Construction Detail Revision#:_0
• Release date:_5/12/23_
Approved by: SL
Well ID H-22 Date l -a 7 -c
��
Oversight Or's/CA r‘ PA,r//r ,"
tt / ) Job# R23-104
/K Driller e J`Y GTQ-n'T/
/ Design Constructed Notes
(fill out if
different)
Aiiiill
1/2"Thermocouple pipe?
Thermocouple Length 74.67' —Heater Stick Up Height 30"
—51W Stick Up Height 18" i
Ground Surface 0.0'
Conductive HT Grout r Angle from Horizontal 90°
H
Schedule 80
Heater Can Length 5.5' Borehole Diameter 7" _
Heater Con Diameter 3'
5 Gal Buckets of Graphite 2.25 1
SIW
Riser Length ft Bags of Silica 3 3.
Screen Length © ft
Screen Material 1.11. Bags of Cement 10
winless Stee
Fiberglass Top of 1100 Sand 30'
Other:
SIW Slot Size Atii Bags of Sand 12.5
Screen Diameter AINF
Gallons of Limestone 12.5
Inst• _ . Method
onic Top of Screen 66' _
Dire Push
Hollow Stem Auger
Mud Rotary
Other: 1 Bottom of Screen 68'
Bottom of#00 Sand 70'
Conductive High Temp Grout _T
__ ._.: Bottom of Borehole 73' i)
Post-Installation QC(to be performed 24hrs after installation) PIO Log:Make/Model: _
1)Confirm well is free of grout Design Constructed Time: /0 ; j(f Reading: - PPM
Depth to bottom of well[ft bTOC]: 75 5' Time: /`I•a Q Reading:
if greater than or equal to lft less than designed alert the office Time: f 3 ;do Reading: I' 0 PPM
Time:2)Confirm grout plug reaches ground surface 'aj Reading: PPM
repeat daily until depth to grout is Oft. Time: / ; a0 Reading: ,AP PPM
Date Depth to Grout[ft bgs] Notes:

JP'
WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223-A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name 7c.Type of disinfectant used:
2.Well Construction Permit#: N/A CERCLA site --
List all applicable well construction permits(i.e. UIC,County,State, Variance,etc.)if known
7d.Amount of disinfectant used:
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
❑Agricultural ❑MunicipaUPublic *Neat Cement Grout ❑ Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑ Sand Cement Grout ❑ Dry Clay
❑IndustriaUCommercial ❑Residential Water Supply(shared) ❑ Concrete Grout ❑ Drill Cuttings
❑Irrigation ❑ Specialty Grout ❑ Gravel
Non-Water Supply Well: ❑ Bentonite Slurry ❑ Other(explain under 7g)
❑Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge SGroundwaterRemediation Portland Cement 9 c c�(l�S/1 y
❑Aquifer Storage and Recovery ❑Salinity Barrier —'
❑Aquifer Test ❑Stormwater Drainage
❑Experimental Technology ❑Subsidence Control 7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer Treime grout
Geothermal(Heating/Cooling Return) *Other(explain under 7g)
_
4.Date well(s)abandoned: G 4-7
I /? .G 7 ULA
L
5a.Well location: X" 5.,2 ti ct c /bi( ULY
ABC One Hour Cleaner,Superfund Site NC D024644494
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 1Li , -a y
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818
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:
34.741400 N 77.366600 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`constructionyabandonment,you can submit one form. 10a. For All Wells: Submit this form within 30 days of completion of well
/7 6a.Well ID#: - 3 ` abandonment to the following:
( 1 Division of Water Resources,Information Processing Unit,
6b.Total well depth: 5 7 r S d (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: (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: (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&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): (ft.) abandoned.
6g.Screen length(if known): (ft)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

a , ir
4.TERRATHERM SIW Boring Construction Detail Revision#:_0
Release date:_5/12/23_
Approved by:_SL
Well ID H-34 Date 2 -,,? '1 `a1
•
Oversight i J% Job# R23-104
Driller ��'' '•'� h f<'£l(r V 2,-,ir
� ��� - Design Constructed Notes
(fill out if
different)
1/2"Thermocouple pipe?
Thermocouple Length 58.67' ---Heater Stick Up Height 30"
--SIW Stick Up Height 18"
Ground Surface 0.0'
Conductive HT Grout Angle from Horizontal 90"
Heater Can
Schedule 80 -I'
Heater Can Length 59.5' Borehole Diameter 7"
Heater Con Diameter 3'
5 Gal Buckets of Graphite ado,j el
SIW
Riser Length 51.5 ft Bags of Silica t '
Screen Length 2 ft
Screen Material Bags of Cement 14i '>
Stainless Steel
Fiberglass Top of#00 Sand 30'
Other:
SIW Slot Size 10 Bags of Sand 7.5 l Screen Diameter 1"
Gallons of Limestone 7.5
Installation Method
Sonic Top of Screen 50'
Direct Push
Hollow Stem Auger
-.
Mud Rotary
Other: Bottom of Screen 52'
a
Bottom of#00 Sand 54'
Conductive High Temp Grout
Bottom of Borehole 57'
Post-Installation QC(to be performed Z4hrs after installation) PID Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time: ' i :a Q Reading: v . • PPM V
I .•
Depth to bottom of well[ft bTOC]: 59 5' -�;n�c by .Reading;. e
if greater than or equal to 1ft less than designed alert the office Time: , o� Reading: WO PPM a-, 0 '-a
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat daily until depth to grout is Oft. Time: Reading: A PPM
Date Depth to Grout[ft bgs] Notes:

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223-A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name 7c.Type of disinfectant used:
2.Well Construction Permit#: N/A CERCLA site
List all applicable well construction permits(i.e. UIC,County,State, Variance,etc.)if known
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 di Neat Cement Grout ❑ Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑ Sand Cement Grout ❑ Dry Clay
❑)ndustrial/Commercial ❑Residential Water Supply(shared) ❑ Concrete Grout ❑ Drill Cuttings
❑Irrigation ❑ Specialty Grout ❑ Gravel
Non-Water Supply Well: ❑ Bentonite Slurry ❑ Other(explain under 7g)
❑Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge •Groundwater Remediation Portland Cement /j c•c;(/
:Aquifer Storage and Recovery ❑Salinity Barrier —'
:Aquifer Test ❑Stormwater Drainage _.
❑Experimental Technology ❑Subsidence Control 7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer
❑Geothermal(Heating/Cooling Return) *Other(explain under 7g) Tre i m e grout
4.Date well(s)abandoned: 4' / S Y AU V L 7 2024
5a.Well location: /
cGlk. "1..is F.. ..t-w;•-:. 1.)..?
ABC One Hour Cleaner,Superfund Site NC D024644494
Facility/Owner Name Facility IDd(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 �z _/ -a y
Physical Address.City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 By signing this form, I hereby certify that the well(s) was (were) abandoned in
County Parcel Identification No.(PIN) accordance with/5A 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 ladlong is sufficient) 9.Site diagram or additional well details:
34.741400 N 77.366600 M, 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/abandonment,you can submit one form.
/ 10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#• f-7 - d 8 abandonment to the following:
Division of Water Resources, information Processing Unit,
6b.Total well depth: C (ft.) 1617 Mail Service Center,Raleigh,NC 27699-1617
lob. For Injection Wells: In addition to sending the form to the address in 10a
6c.Borehole diameter (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: (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&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): (ft,) abandoned.
6g.Screen length(if known): (ft)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

TERRATHERM ISTD Heater Boring Construction Detail Revision a: 0
Release date: 5/12/23
CC11 Approved bNr SL
Well ID H-28 Date
Oversight V ' 8a,k, Job# R23-104
Driller L i &'I'L I,r i t'
Constructed
(fill out if
Design different) Notes
--Stick Up Height
1/2"Thermocouple pipe? Yes 24'
Thermocouple Length 27.67' --
Ground Surface 0.0'
Heater Con Conductive HTGrout-- Angle from Horizontal S O°
Schedule 40
Borehole Diameter 6"
Heater Can Length 28 ft 5 Gal Buckets of Graphite 1.:25
Bags of Silica 175
Heater Can Diameter 3 in
Bags of Cement E
Installation Method
Direct Push
Sonic
Hollow Stem Auger
Mud Rotary
Other:
Bottom of Heater Can 26'
Bottom of Borehole 26
Post-Installation QC(to be performed 24hrs after installation) HD Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time: / 5". / (,) Reading: 0 . C PPM
Depth to bottom of well[ft bTOC 28' Time: Reading: PPM
if greater than or equal to Ift less than designed alert the office Time: Reading: PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat daily until depth to grout is Oft. Time: Reading: PPM
Date Depth to Grout[ft bgs] Notes:

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor Information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223—A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name
7c.Type of disinfectant used:
2.Well Construction Permit#:
N/A CERCLA site
List all applicable well construction permits(i.e.UIC,County,State, Variance,etc.)if known
7d.Amount of disinfectant used:
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
EAgricultural ❑Municipal/Public •Neat Cement Grout 0 Bentonite Chips or Pellets
OGeothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) 0 Sand Cement Grout ❑ Dry Clay
❑IndustriaUCommercial OResidential Water Supply(shared) 0 Concrete Grout ❑ Drill Cuttings
❑Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: ❑ Bentonite Slurry ❑ Other(explain under 7g)
0 Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge •GroundwaterRemediation Portland Cement
❑Aquifer Storage and Recovery ❑Salinity Barrier --
❑Aquifer Test ❑Stormwater Drainage _-
❑Experimental Technology ❑Subsidence Control
7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer
❑Geothermal(Heating/Cooling Return) ',Other(explain under 7g) Treime grout ( /4,
4.Date well(s)abandoned: b I 1 A
Sa.Well location: L ( L�24
X- 5Z� FftcicGtk_
ABC One Hour Cleaner,Superfund Site NC D024644494
Facility/Owner Name Facility ID#(if applicable) S.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 `
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818 By signing this form, I hereby certify that the well(s) was (were) abandoned in
County Parcel Identification No.(PIN) accordance with I5A NCAC 02C.010( or 1C.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:
34.741400 N 77.366600 K You may use the back of this page to srovide 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/abandonment,you can submit one form.
7
/ LL A ( 10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#: /4- abandonment to the following:
Division of Water Resource,,,Information Processing Unit,
6b.Total well depth: ) C. (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: (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: (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&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): (ft.) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

VTERRATHERM !STD Heater Boring Construction Detail Revision#: 0
Release date: 5/12/23
Approved by: Sl
Well ID H-25 Date : 0 —
Oversight V 1.3q 13 L Job# R23-104
Driller .k v' l�
1
Constructed
(fill out if
Design different) Notes
--Stick Up Height
1/2"Thermocouple pipe? 24"
Thermocouple Length 27.67' --
Ground Surface 0.0'
Heater Can Conductive HT Grout-- Angle from Horizontal 90`
Schedule 40
Borehole Diameter 6"
Heater Can Length 28 ft 5 Gal Buckets of Graphite 1.25
Bags of Silica 1.75
Heater Can Diameter 3 in
Bags of Cement ti
Installation Method
Direct Push 1
Sonic •
Hollow Stem Auger -
t.
Mud Rotary
Other:
Bottom of Heater Can 2E'
. Bottom of Borehole 26'
Post-Installation QC(to be performed 24hrs after installation) PIO Log:Ma /Model:
1)Confirm well is free of grout Design Constructed Time: //1 Y Reading: f/) V PPM
Depth to bottom of well[ft bTOC 28' Time: Reading: PPM
if greater than or equal to ift less than designed alert the office Time: Reading: PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat daily until depth to grout is Oft. Time: Reading: PPM
Date Depth to Grout[ft bgs] Notes:

WELL ABANDONMENT RECORD For Internal Use ONLY:
1.Well Contractor information: WELL ABANDONMENT DETAILS
David Wilcox 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
3223-A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in well(s): (gal.)
Cascade Drilling FOR WATER SUPPLY WELLS ONLY:
Company Name 7c.Type of disinfectant used:
2.Well Construction Permit#: N/A CERCLA site
List all applicable well construction permits(i.e.UIC,County,State, Variance,etc.)if known
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 ❑ Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑ Sand Cement Grout ❑ Dry Clay
❑Industrial/Commercial ❑Residential Water Supply(shared) ❑ Concrete Grout ❑ Drill Cuttings
❑Irrigation ❑ Specialty Grout ❑ Gravel
Non-Water Supply Well: ❑ Bentonite Slurry ❑ Other(explain under 7g)
❑Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge CGroundwaterRemediation Portland Cement ,) • S /`
❑Aquifer Storage and Recovery ❑Salinity Barrier — /
❑Aquifer Test ❑Stormwater Drainage _
❑Experimental Technology ❑Subsidence Control 7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Tracer
❑Geothermal(Heating/Cooling Return) Il)t0ther(explain under 7g) Treime grout
4.Date well(s)abandoned: t-/ ) t) AUG L 7 ,
5a.Well location: X S' c 11
ABC One Hour Cleaner,Superfund Site NC D024644494 t...
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 y
Physical Address,City,and Zip Signature of Certified Well Contractor or Well Owner Date
Onslow 439613047818
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:
34.741400 N 77.366600 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/abandonment,you can submit one form.
10a. For All Wells: Submit this form within 30 days of completion of well
6a.Well ID#: / abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 2 I t -5 (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: (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: (ft.) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): (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
6f.Inner casing/tubing length(if known): (ft.) abandoned.
6g.Screen length(if known): (ft.)
Form GW-30 North Carolina Department of Environmental Quality-Division of Water Resources Revised 2-22-2016

TERRATHERM Temperature and Revision#: 0
•
Release date: 5/12/23
Pressure Monitoring Point —
Approved by: SL
Construction Detail
Well ID T-g -a -a 3
Date
Oversight
Job#R23-104
Driller 1�, - ('^ T
Design Constructed Notes
(fill out if
different)
Pipe Diameter TMP: 1.5" Stick Up(TMP) 30"
PMP: 1" Stick Up(PMP) 24"
Borehole Diameter: 6"
Ground Surface 0.0'
---{7 i
HT Grout /Angle from Horizontal 90°
Casing Material •�/
Carbon Steel
Other: Top of#00 Sand 1'
TMP Pipe Length 23.5' Top of PMP Screen 3'
PMP Riser Length 5'
PMP Screen Length 2' - Bags of#00 Sand 2.5
Bottom of PMP Screen 5'
Screen Material
Stainless Steel Bottom of#00 Sand 7'
Other:
Bags of Cement 4.75
Slot Size 10 Bags of Silica 1.5
Installation Method Borehole Diameter 6"
Direct Push
Sonic Bottom of TMP Well 21'
Hollow Stem Auger
Mud Rotary
Other:
Bottom of Borehole 21'
Post-Installation QC(to be performed 24hrs after installation) PID Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time: j Q ' o Reading: O . PPM
Depth to bottom of IMP(ft bTOC]: 73 5' _ Time: Reading: PPM
Depth to bottom of PMP[ft bTOC]: 7' Time: Reading: PPM
if greater than or equal to 1ft less than designed alert the office Time: Reading: PPM
2)Confirm grout plug reaches ground surface Time: Reading: PPM
repeat daily until depth to grout is Oft bgs Notes:
Depth to Grout, Depth to Grout,
Date TMP[ft bgs( PMP(ft bgs]