Onslow_Well Abandonment_20240827 (5)

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 7e Type of disinfectant used:
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):
0 Agricultural ❑Municipal/Public 'Neat Cement Grout 0 Bentonite Chips or Pellets
0 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 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 eGroundwaterRemediation Portland Cement t 1 5c,_I1lan 5
: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:
0 Geothermal(Closed Loop) ❑Tracer
0 Geothermal(Heating/Cooling Return) *Other(explain under 7g) Tre i m e g ro u t
4.Date well(s)abandoned: C 0 c'1
Sa Well location: r 5 1 c
ABC One Hour Cleaner,Superfund Site NC D024644494
Facility/Owner Name Facility ID#(if applicable) 8.Certification: l'•, _ .
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 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)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#: N — `( 8 abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth:' C f 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: (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&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

ISTD Heater Boring Construction Detail Revision ft: 0
tERRATHERM Release date:_5/12/23_
Approved by: SL
Well ID H-48 Date 1 rL) — c9 -a J
Oversight \ Job# _ R23-104
Driller S
Constructed
(fill out if
Design different) Notes
1/2"Thermocouple pipe? -.4"'"911MHeater Stick-Up Height 30" _
Thermocouple Length 27.67'
VEW Stick-Up Height 18"
Ground Surface 0.0'
Heater Con Conductive HT Grout—
Angle from Horizontal 90°
Schedule 80
Borehole Diameter 7"
f
E Top of#00 Sand 1'
0 Top of Screen 3'
Heater Can Length 28.5 ft 5 Gal Buckets of Graphite 0.5
Heater Can Diameter 3 in
Bags of Silica 0.75
Screen Length 10 _ft
Screen Diamter t in Bags of Cement 2.25
Bottom of Screen 13'
Installation Method
Direct Push Bags of#00Sand 6.5
Sonic
Hollow Stem Auger Gallons of Limestone 6.5
Mud Rotary
Other:
Bottom of#00 Sand 20'
Bottom of Heater Can 26'
Bottom of Borehole 26'
Post-Installation QC(to be performed 24hrs after installation) PID Log:Mae/Model:
1)Confirm well is free of grout Design Constructed Time: 49 , d Reading: 0, 1 PPM
Depth to bottom of well[ft bTOC 7R S' 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
2.Well Construction Permit th
N/A CERCLA site 7c.Type of disinfectant used:
List all applicable well construction permits(i.e.UDC,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 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) ❑ Concrete Grout 0 Drill Cuttings
❑Irrigation ❑ 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 SGroundwaterRemediation Portland Cement
0.'ro
❑Aquifer Storage and Recovery 0 Salinity Barrier —
❑Aquifer Test ❑Stormwater Drainage _
0 Experimental Technology ❑Subsidence Control 7g.Provide a brief description of the abandonment procedure:
0 Geothermal(Closed Loop) OTracer
❑Geothermal(Heating/Cooling Return) ',Other(explain under 7g) Tre i me grout .
4.Date well(s)abandoned: C r O t,'Y
Sa.Well location: C
ABC One Hour Cleaner,Superfund Site NC D024644494 l�
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546
Physical Address,City,and
Ys tY• 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)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#: /"[ 7 abandonment to the following:
/ Division of Water Resources,Information Processing Unit,
6b.Total well depth: 1.1 1 '* I 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): (k,) 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
61.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

. 4111.TERRATHERM ISTD Heater Boring Construction Detail Revision#:_0
Release date:_5/12/23_
Approved by:_SL
well ID 2/n H-29 Date _C) -3 9' 3
Oversight tJ„j - Job# _ R23-104
Driller Le(I
Constructed
(fill out if
Design different) Notes
1/2"Thermocouple pipe? Heater Stick-Up Height 30„
Thermocouple Length 48.67'
—VEW Stick-Up Height 18"
Ground Surface 0.0'
Heater Can Conductive HT Grout—
Angle from Horizontal 90`
Schedule 80 i
- ,. Borehole Diameter 7"
_ R
_ of Top of#00 Sand 1'
- 7. Top of Screen 3'
Heater Can Length 49.5 ft - 5 Gal Buckets of Graphite 0.5
Heater Can Diameter 3 in -
- :'if Bags of Silica 0.75
Screen Length 10 _ft
Screen Diamter t in I • Bags of Cement 2.75
Bottom of Screen 13'
Installation Method
Direct Push Bogs of#00 Sand 14.5
Sonic
Hollow Stem Auger Gallons of Limestone 14.5
Mud Rotary
Other:
Bottom of#00 Sand 40'
Bottom of Heater Con 47'
Bottom of Borehole 47'
Post-Installation QC(to be performed 24hrs after Installation) HD Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time: CI. a 0 Reading: 9,' PPM
Depth to bottom of well[ft bTOC 49 5' Time: l 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 I 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 CERCLA site
List all applicable well construction permits(i.e.UIC,County,State,Variance,etc.)ijbtown
7d.Amount of disinfectant used:_
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
DAgricultural ❑Municipal/Public *Neat Cement Grout ❑ Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) 0 Residential Water Supply(single) 0 Sand Cement Grout 0 Dry Clay
0 Industrial/Commercial 0 Residential Water Supply(shared) ❑ Concrete Grout 0 Drill Cuttings
0 Irrigation ❑ 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 eGroundwaterRemediation Portland Cement
0 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) *Other(explain under 7g)
C 'Gi
4.Date well(s)abandoned: - I 0 ' '1
5a.Well location: 9 S e
ABC One Hour Cleaner,Superfund Site NC D024644494 l t Q
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 a�� �z 41174 1
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 WELLS)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#: � 1 abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 5 1 t$ Z (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: (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 days of completion
of well abandonment to the county health department of the county where
6f.Inner casing/tubing length(if known): (g,) 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 51W Boring Construction Detail Revision#:_0
Release date:_5/12/23_
Approved by:_SL_
Well ID H-24 Date q-2 -13
Oversight kb# R23-104
Driller 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 Angie from Horizontal 90°
Heater Can
Schedule 80
Heater Can Length 59.5' Borehole Diameter 7"
Heater Can Diameter 3'
5 Gal Buckets of Graphite 2.25 _
5/W
Riser Length 51.5 ft Bags of Silica 3
Screen Length 2 ft
Screen Material Bags of Cement 10
Stainless Steel
Fiberglass Top of#00 Sand 30'
Other:
SIW Slot Size 10 Bags of Sand 7.5
Screen Diameter 1"
Gallons of Limestone 7.5
Installation Method
Sonic Top of Screen SO'
Direct Push
Hollow Stem Auger _
Mud Rotary • _
Other: Bottom of Screen 52'
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: I; /j Readin,t: r PPM
Depth to bottom of well[ft bTOC]: 59 S' Time: 3: Q 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
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.)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 ❑Municipal/Public •Neat Cement Grout 0 Bentonite Chips or Pellets
OGeothermal(Heating/Cooling Supply) ❑Residential Water Supply(single) ❑ Sand Cement Grout 0 Dry Clay
❑Industrial/Commercial ❑Residential Water Supply(shared) ❑Concrete Grout ❑ Drill Cuttings
❑Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: 0 Bentonite Slimy 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 S
❑Aquifer Storage and Recovery ❑Salinity Barrier — ct / o r
❑Aquifer Test OStormwater Drainage
❑Experimental Technology ID Subsidence Control 7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) OTracer Treime grout
•
❑Geothermal(Heating/Cooling Return) 410ther(explain under 7g)
] A�!(� 7 2024
C�
4.Date well(s)abandoned: G-1 D -C!'Y
5a.Well location: S z c
ABC One Hour Cleaner,Superfund Site NC D024644494 N Q
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 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 let/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)[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#• 1f ^g 3 abandonment to the following:
2 Division of Water Resources,Information Processing Unit,
6b.Total well depth: 5 I 'f.S (ft.) 1617 Mail Service Center,Raleigh,NC 27699-1617
lOb.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): (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

dip 1ERRATHERM SIW Boring Construction Detail Revision#: 0
Release date:_5/12/23_
Approved by: SL
Well ID H-23
Date — 7 -
Oversight f3/4a%•qin
pp Job# R23-104
f
Driller V r Design Constructed Notes
(fill out if
different)
1/2"Thermocouple pipe?
Thermocouple Length 58.67' —Heater Stick Up Height 30"
SlW Stick Up Height 18"
Ground Surface 0.0'
Conductive HT Grout .r Angle from Horizontal 90*
Heater Con
Schedule 8O
Heater Can Length 59.5' Borehole Diameter 7"
Heater Can Diameter 3'
5 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 Top of 1100 Sand 30'
Other:
SIW Slot Size 10
Bags of Sand 7.5
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'
Bottom of#00 Sand 54'
Conductive High Temp Grout---
Bottom of Borehole 57'
Post-Installation QC(to be performed 24hrs after installation) MD Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time: 5 Reading: PPM
Depth to bottom of well[ft bTOC]: 59 5' Time: "S Reading: B PPM
if greater than or equal to Ift less than designed alert the office Time: heading: PPM 0 ']Q
2)Confirm grout plug reaches ground surface Time: (� • J,0 Reading: PPM I
repeat doily until depth to grout is Oft
Time: f 5 Reading: , . PPM
Date Depth to Grout[ft bgs[ Notes:
II .

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.)if known
7d.Amount of disinfectant used:_
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
CI Agricultural ❑Municipal/Public •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) 0 Concrete Grout 0 Drill Cuttings
❑Irrigation 0 Specialty Grout ❑ 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 •GroundwaterRemediation Portland Cement _ a S 94110,41s
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage _
CI Experimental Technology 0 Subsidence Control 7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) 0 Tracer
OGeothermal(Heating/Cooling Return) +Other(explain under 7g) Tre i m e g ro u t
4.Date well(s)abandoned: (. -/ O a y
5a.Well location:
ABC One Hour Cleaner,Superfund Site NC D024644494 � "`�
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 -1 7-/'RV
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 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):favailable.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
N6a.Well BM: I C abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 5/ + 5 2 (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&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

t Revision#: 0
TERRATHERM SIW Boring Construction Detail
Release date:_5/12/23_
Approved by: SL
Well ID H-46 Date — JC
Oversight V ' -BQ to !') Job# R23-104
Driller Ke i t Lj Vra/) 1 Design Constructed Notes
(fill out if
different)
1/2"Thermocouple pipe? Mbo
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
Heater Con Length 59.5' Borehole Diameter 7"
Heater Can Diameter 3'
Gal Buckets of Graphite 2.25
51W
Riser Length 51.5 ft Bags of Silica 3
Screen Length 2 ft
Screen Material Bags of Cement 10
Stainless Steel
Fiberglass Top of#00 Sand 30'
Other:
SI W SIo t Size 10 Bags of Sand 7.5
Screen Diameter 1"
Gallons of Limestone 7.5
Installation Method
Sonic Top of Screen S0'
Direct Push _
Hollow Stem Auger --
Mud Rotary --
Other: Bottom of Screen 52'
Bottom of#00 Sand 54'
Conductive High Temp Grout
Bottom of Borehole 57'
Post-Installation QC(to be performed 24hrs after installation) PlD Log:Make/Model: (�
1)Confirm well is free of grout Design Constructed Time: 1.�S" Reading:
PPM �1 'a(p
Depth to bottom of well[ft bTOC]: c9 5' Time: i teadtril;- J PPM
if greater than or equal to lft less than designed alert the office Time: Reading: y PPM e3ta "7
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.U/C 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 ❑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 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 •GroundwaterRemediation Portland Cement y 4jie.✓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) OTracer
0 Geothermal(Heating/Cooling Return) 'Other Other(explain under 7g) Treime grout
G_ UG 7 4,)4
4.Date well(s)abandoned: ^ ' 0 a Y
5a.Well location: .. _ _
k.
ABC One Hour Cleaner,Superfund Site NC D024644494 `�
Facility/Owner Name Facility IDe(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 -7- / -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 1 SA 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 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)tfavailable.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 " j 3 abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 9 (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: (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 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

Multi-Phase Extraction Well Revision#:_0
TERRATHERM Release date:_5/12/23_
Construction Detail
Approved by: SI-
Well ID M-13 Date - �1
Oversight Job# R23-104
Driller _
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 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'
Installation Method
Sonic HT Grout Hollow Stem Auger Sump Length 2'
Mud Rotary
Other: Bottom of Sump 22'
Bottom of Borehole 22'
Post-Installation QC(to be performed 24hrs after installation) PlD Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time: ` 4, 35' Reading: 0 0 PPM
Depth to bottom of well[ft bTOC]: 75' 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 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 ContractorName(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.)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 0 Bentonite Chips or Pellets
❑Geothermal(Heating/Cooling Supply) 0 Residential Water Supply(single) 0 Sand Cement Grout 0 Dry Clay
❑Industrial/Commercial :Residential Water Supply(shared) ❑ 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: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge ilGroundwaterRemediation Portland Cement a 3 ,
❑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) ❑Traccr Treime grout
❑Geothermal(Heating/Cooling Return) *Other(explain under 7g)
4.Date well(s)abandoned: ( /D —Z Y
5a.Well location:
Ct
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 -?-/ --Zy
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 provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
CONSTRUCTION DETAILS OF WELLS)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 17)#• H-J O abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: $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: (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
61.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

Y 11111110 TERRATHERM ISTD Heater Boring Construction Detail Revision#: 0
Release date:_5/12/23_
Approved by: SL
Well ID H-30 Date q.a V a 3
Oversight 'S: ,k
�J Job# R23-104
Driller ivi (,rant
Constructed
(fill out if
Design different) Notes
1/2"Thermocouple pipe? .:R" --Heater Stick-Up Height 30"
Thermocouple Length 58.67'
---VEW Stick-Up Height 18"
Ground Surface 0.0'
Heater Can Conductive HT Grout—
ngle from Horizontal 90°
Schedule 80
15 Borehole Diameter 7"
I.=_ Top of#00 Sand 1'
a
2 Top of Screen 3'
a
Heater Can Length 59.5 ft 5 Gal Buckets of Graphite 0.5
Heater Can Diameter S.
3 in M
ri Bags of Silica 0.75
Screen Length 10 ft
Screen Diamter 'A
in Bags of Cement 2.75
lw
sw
Bottom of Screen 13'
installation Method
Direct Push
Bags of#00 Sand 18.5
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)
P/D Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time: "I,: 0 v Reading: # , _ PPM `offs -d' 3
Depth to bottom of well[ft bTOC 59 5' �1
Time: �j a V Reading: • PPM
if greater than or equal to lft less than designed alert the office Time: ,a71
2)Confirm grout plug reaches ground surface Time: 9IA r1(
'c3
repeat daily until depth to grout is Oft. Time: ' (Q Reading: PPM it d o
. ' Reading:Date Depth to Grout[ft bgs] tttJl)) ____
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
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.)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 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
❑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 ',GroundwaterRemediation Portland Cement 3� �y ltaAI5
❑Aquifer Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑Stormwater Drainage
❑Experimental Technology 0 Subsidence Control 7g.Provide a brief description of the abandonment procedure:
O Geothermal(Closed Loop) ❑Tracer
DGeothermal(Heating/Cooling Return) 'Other(explain under 7g) Treime grout
4.Date well(s)abandoned: 4
Sa Well location: c e � �c/ 1
ABC One Hour Cleaner,Superfund Site NC D024644494 N Q -
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 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 Iat/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#: —./ C/ abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 5•d (ft) 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For Inlection 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: ift 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): _(g,) 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•
Multi-Phase Extraction Well Revision#: 0
Construction Detail Release date:_5/12/23_
Approved by: St a
Well ID M-14 Date - ( -a S 3
Oversight Job# R23-104
Driller 1‹. CYr /t
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 6,
Screen Length 47 ft 50 Bags of#00 Sand 30.75
Bags of Cement 1.25
- Bogs of Silica 0.5
Screen Material
Stainless Steel Borehole Diameter 8"
Fiberglass
PVC
Other:
Slot Size 10 Bottom of Sand 50'
• Bottom of Screen 50'
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: 4 : Reading: - PPM
Depth to bottom of well[ft bTOCJ: 55' Time: tie_aVl 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
2.Well Construction Permit#:
N/A CERCLA site lc.Type of disinfectant used:
List all applicable well construction permits(i.e.UIC,County,State,Variance,etc.)ijknown
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
❑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: 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 NGroundwaterRemediation Portland Cement d- 3
: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 -
❑Geothermal(Heating/Cooling Return) *Other(explain under 7g) Treime grout
'J
4.Date well(s)abandoned: L -I t)1
5a.Well location:
Ct
ABC One Hour Cleaner,Superfund Site NC D024644494 � ��c e
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 2— 41,/,Zi
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)((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#• /'! - 3 j abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: S , (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: ((t,) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): (It) 1Oc.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.) 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 H: 0
` " Release date: 5/12/23
Approved by: SL
Well ID H-31 Date © nj — l Q '—a3
Oversight ©_ + Job H R23-104
Driller G
Constructed
(fill out if
Design different) Notes
--Stick Up Height
1/2" PP
Thermocouple pipe? - 24"
P
Thermocouple Length
Ground Surface 0.0'
Heater Can Conductive HT Grout— : Angle from Horizontal 93"
�_ScbeAuie-4d� ---
Borehole Diameter E"
Heater Can Length401)
5 Gal Buckets of Graphite 3
? Bags of Silica 4
Heater Can Diameter 3 i
Bags of Cement 13
Installation Method
Direct Push
Hollow Stem Auger
Mud Rotary
Other:
Bottom of Heater Can 5 V'
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: / ,f Reading: r). O PPM
Depth to bottom of well[ft bTOC 59' Time: . 0 Reading: 0, 4 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
3223—A wells abandoned:
NC Well Contractor Certification Number 7b.Approximate volume of water remaining in wafts): (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.)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 IA 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 ❑ 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 liGroundwaterRemediation Portland Cement
[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) OTracer
[Geothermal(Heating/Cooling Return) 'Other(explain under 7g) Treime grout
4.Date wel(s)abandoned: L —( 5 a
5a.Well location: /
ct
ABC One Hour Cleaner,Superfund Site NC D024644494 z � "c{�
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 I 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 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#: - abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: S I r S (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

TERRATHERM Temperature and Revision#:_0
• Pressure Monitoring Point Release date:_5/12/23_
Construction Detail Approved by:_SL_
Well ID T-7 Date 6 T.— /6 --49-3
Oversight !`f V, . Job#R23-104
Driller 4 6 Ad- iv Design Constructed Notes
(fill out if
2s—^clitferent)
Pipe Diameter TMP: 1.5" Stick Up(TMP)
PMP: 1" Stick Up(PMP) 24' -
Borehole Diameter: 6"
Ground Surface 0.0'
---------------------------- --------
HT Grout— J Angle from Horizontal 90°
•
. "al
Carbon Steel
'the. Top of#00 Sand 1'
TMP Pipe Length 53.5' - 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 Mat• lal
Stainless Steel Bottom of#00 Sand 7'
r •
Bags of Cement 13.3
Slot Size 10 Bags of Silica 4.2.5
Installation Method Borehole Diameter 6"
Direct Push
� Bottom of TMP Well 51'
Hollow Stem Auger
Mud Rotary
Other:
Bottom of Borehole 51'
Post-Installation QC(to be performed Z4hrs after installation) PID Log:Make/Model: _
1)Confirm well is free of grout Design Constructed Time: (�g 3 �ti Reading: E -0 PPM
Depth to bottom of TMP[ft bTOC]: 53.5' Time: : Reading: p - e PPM
Depth to bottom of PMP[ft bTOC]: 7' 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 bgs Notes:
Depth to Grout, Depth to Grout,
Date TMP[ft bgs] PMP[ft bgs]

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
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.)if!mown
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) ❑ Sand Cement Grout 0 Dry Clay
❑lndustrial/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:
0Aquifer Recharge IRGroundwaterRemediation Portland Cement / 4 / oft)S
0 Aquifer Storage and Recovery ❑Salinity Barrier J
❑Aquifer Test ❑Stormwater Drainage
0 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: 6 -/
Si.Well location: X- 5 Q
ABC One Hour Cleaner,Superfund Site NC D024644494
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 SZ L-, --/ -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 1C.0100 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 µ 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#• 'I abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: (I 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 SuDDIV&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
6E 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

**to Temperature and Revision#: 0
TERRATHERM P Release date:_5/12/23_
Pressure Monitoring Point
Construction Detail Approved by: SL
Well ID T-4 Date I — — ,) 3
Oversight R,1 (t,J S Job#R23-104
Driller {fie l),i
Design Constructed Notes
/ (fill out
\ 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 Lengt 43.5' Top of PMP Screen 3'
PMP Riser Len th 5'
PMP Screen Len th 2' Bags of#00 Sand 2.5
Bottom of PMP Screen 5'
5cr•-• ., •.I
Sta'i - -" Bottom of#00 Sand 7'
Other:
Bags of Cement 10.5
Slot Size 10 Bogs of Silica 3.25
Installation Method Borehole Diameter 6"
Direct Push
°' Bottom of TMP Well 41' _
Hollow Stem Auger
Mud Rotary
Other:
Bottom of Borehole 41'
Post-Installation QC(to be performed Z4hrs after installation) PID Log:Make/Model:
1)Confirm well is free of grout Design Constructed Time: I.14✓ Reading: O , . PPM
Depth to bottom of TMP[ft bTOC]: 43.5' Time: / : -3 5 Reading: Q PPM
Depth to bottom of PMP[ft bTOC]: 7' 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 bgs Notes:
Depth to Grout, Depth to Grout,
Date TMP[ft bgs] PMP[ft bgs)

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.U/C,County,State, Variance,etc.)if/mown
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 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 0 Other(explain under 7g)
❑Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
❑Aquifer Recharge UGroundwaterRemediation Portland Cement �tl
❑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) OTracer
OGeothermal(Heating/Cooling Retum) 'pother(explain under 7g) T re i m e grout
4.Date well(s)abandoned: —j �I 7G 2 2621
5a.Well location:
z
p NC D024644494 Se "�``t`G'`` A r.:
ABC One Hour Cleaner,Superfund Site
Facility/Owner Name Facility ID#(if applicable) 8.Certification:
2127 Lejeune Blvd, Jacksonville NC, 28546 • Z -I - z Y
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 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 lac/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 for-n within 30 days of completion of well
6a.Well ID#: H —,�c , abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth:_5 # 5 2 (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 SIW Boring Construction Detail Revision#:_0
Release date:_5/12/23_
Approved by: SL_
Well ID H-21 Date l A�q - 0 9
•
3
•
Oversight d Job#
R23-104
Driller Design Constructed Notes
(fill out if
different)
1/2"Thermocouple pipe?
Thermocouple Length 58.67' ---Heater Stick Up Height 3(4"
--SIW Stick Up Height l"
Ground Surface 0.0'
Conductive HT Grout-- Angle from Horizontal 90°
Heater Can
Schedule 80
Heater Can Length 59.5' Borehole Diameter 7"
Heater Can Diameter 3'
5 Gal Buckets of Graphite 2.25
SIW
Riser Length 5 ft Bags of Silica 3
Screen Length 2 ft
Screen Material Bags of Cement 10
Stainless Steel
Fiberglass Top of#00 Sand 30'
Other:
SIW Slot Size 10 Bogs of Sand 7.5
Screen Diameter 1"
Gallons of Limestone 7.5
I• 'al a 'on Method
o Top of Screen 50'
Direct Push
Hollow Stem Auger --
Mud Rotary --
Other: Bottom of Screen 52'
Bottom of#00 Sand 54'
Conductive High Temp Grout -
Bottom of Borehole 57'
Post-Installation QC(to be performed 24hrs after installation) PID Log:M9 ype/Model:
1)Confirm well is free of grout Design Constructed Time: Y 1 '3 Reading: a PPM
Depth to bottom of well[ft bTOC[: 59 5' Time: r ci t5 Reading: s PPM
if greater than or equal to Ift less than designed alert the office Time: / ` O Reading: a PPM
2)Confirm grout plug reaches ground surface Time:/ 15n Reading: 6 - PPM
repeat daily until depth to grout is Oft. Time: Reading: PPM
Date Depth to Grout[ft bgsi Notes: