NC0000396_App D Well Forms_20160831

WELL ABANDONMENT RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION #2251-A
1. WELL CONTRACTOR:
Norman Travis Costello
Well Contractor (Individual) Name
S&ME, Inc.
Well Contractor Company Name
STREET ADDRESS 301 Zima Park Road
Spartanburg South Carolina 29301
City or Town State Zip Code
(8 _ 574-2360
Area code - Phone number
2. WELL INFORMATION:
SITE WELL ID # (if applicable) APD-7
STATE WELL PERMIT # (if applicable) N/A
COUNTY WELL PERMIT # (if applicable) N/A, Buncombe County
DWQ or OTHER PERMIT # (if applicable) N/A, Buncombe County
WELL USE (Check applicable use): © Monitoring ❑ Residential
❑ Municipal/Public ❑ IndustriaUCommercial ❑ Agricultural
❑ Recovery ❑ Injection ❑ Irrigation
❑ Other (list use)
3. WELL LOCATION:
COUNTY Buncombe QUADRANGLE NAME Asheville
NEAREST TOWN: Arden, North Carolina
(Street/Road Name, Number, Community, Subdivision, Lot No, Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING:
❑ Slope ❑ Valley 2JFlat ❑ Ridge ❑ Other,
(Check appropriate setting)
LATITUDE 35.469689 May be in degrees,
minutes, seconds, or in a
LONGITUDE-82.547533 decimal format
Latitude/longitude source: © GPS ❑ Topographic map
(Location of well must be shown on a USGS topo map and
attached to this form if not using GPS.)
4a. FACILITY- The name ofthe business where the well is located Complete 4a and4b.
(If a residential well, skip 4a; complete 4b; well owner information only)
FACILITY ID #(if applicable) Asheville Plant
NAME OF FACILITY Dyke Energy Progress, LLC
STREET ADDRESS 200 CP& L Drive
Arden North Carolina 28704
City or Town State Zip Code
4b. CONTACT PERSON/WELL OWNER:
NAME Matt Pickett, P.E.
STREET ADDRESS 200 CP& L Drive, Arden N.C. 28704
6. WELL DETAILS:
a. Total Depth: 37.8 ft. Diameter: 2•0 in.
b. Water Level (Below Measuring Point): 25.7 ft.
Measuring point is 3.0 ft. above land surface.
6. CASING: Length Diameter
a. Casing Depth (if known): ft in.
b. Casing Removed: ft. _ in.
7. DISINFECTION: N/A
(Amount of 65"/a'75% calcium hypochlorite used)
8. SEALING MATERIAL:
Neat Cement Sand Cement
Cement 47 lb. Cement lb,
Water 4_-0 gal. Water gal
Bentonite
Bentonite 2.25 lb.
Type: [ZSlurry ❑Pellets
Water_ gal.
Other
Type material
Amount
9. EXPLAIN METHOD OF EMPLACEMENT OF MATERIAL:
Tremie Pipe from bottom of well to top of casing ("stick-
UD")
10. WELL DIAGRAM: Draw a detailed sketch of the well on the back of this
form showing total depth, depth and diameter of screens (if any) remaining
in the well, gravel interval, intervals of casing perforations, and depths and
types of fill materials used.
11. DATE WELL ABANDONED 3/30/16
I DO HEREBY CERTIFY THAT THIS WELL WAS ABANDONED IN ACCORDANCE
WITH 15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF
THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
4/15/2016
SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
SIGNATURE OF PRIVATE WELL OWNER ABANDONING THE WELL DATE
(The private well owner must be an individual who m onaliy abandons his/her residential well
in accordance with 15A NCAC 2C .0113-)
Norman Travis Costello
PRINTED NAME OF PERSON ABANDONING THE WELL
Submit a copy to the owner and the original to the Division of Water Quality within 30 days. Form GW-30
Attn: Information Management, 1617 Mail Service Center —Raleigh, NC 27699-1617, Phone No. [phone] ext 568. Rev, 5/06

WELL ABANDONMENT RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION #
1. WELL CONTRACTOR:
Well Contractor (Individual) Name
Well Contractor Company Name
STREET ADDRESS
City or Town State
Area code - Phone number
2. WELL INFORMATION:
SITE WELL ID # (if applicable)
STATE WELL PERMIT # (if applicable)
COUNTY WELL PERMIT # (if applicable)
DWQ or OTHER PERMIT # (if applicable)
Zip Code
WELL USE (Check applicable use): ❑ Monitoring ❑ Residential
❑ Municipal/Public ❑ Industrial/Commercial ❑ Agricultural
❑ Recovery ❑ Injection ❑ Irrigation
❑ Other (list use)
3. WELL LOCATION:
COUNTY QUADRANGLE NAME
NEAREST TOWN:
(Street/Road Name, Number, Community, Subdivision, Lot No., Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING:
❑ Slope ❑ Val ley ❑Flat ❑ Ridge ❑ Other
(Check appropriate setting)
LATITUDE May be in degrees,
minutes, seconds, or in a
decimal format
LONGITUDE
Latitudeilongitude source: ❑ GPS ❑ Topographic map
(Location of well must be shown on a USGS topo map and
attached to this form if not using GPS)
4a. FACILITY- The name ofthe business where the well is located Complete 4a and4b
(If a residential well, skip 4a; complete 4b, well owner information only )
FACILITY ID #(if applicable)
NAME OF FACILITY
STREET ADDRESS
City or Town State Zip Code
4b. CONTACT PERSON/WELL OWNER:
NAME
STREET ADDRESS
5. WELL DETAILS:
a Total Depth: ft Diameter: in.
b. Water Level (Below Measuring Point): ft.
Measuring point is ft. above land surface,
6. CASING: Length Diameter
a. Casing Depth (if known): ft. in
b. Casing Removed: ft. in.
7. DISINFECTION:
(Amount of (35%75% calcium hypochlorite used)
8. SEALING MATERIAL:
Neat Cement Sand Cement
Cement lb. Cement lb
Water gal Water gal
Bentonite
Bentonte 2.25 lb.
Type: ❑ Slurry ❑Pellets
Water gal.
Other
Type material
Amount
9. EXPLAIN METHOD OF EMPLACEMENT OF MATERIAL:
10. WELL DIAGRAM: Draw a detailed sketch of the well on the back of this
form showing total depth, depth and diameter of screens (if any) remaining
in the well, gravel interval, intervals of casing perforations, and depths and
types of fill materials used..
11. DATE WELL ABANDONED
I DO HEREBY CERTIFY THAT THIS WELL WAS ABANDONED IN ACCORDANCE
WITH 15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF
THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
SIGNATURE OF PRIVATE WELL OWNER ABANDONING THE WELL DATE
(The private well owner must be an individual who Wspnalty abandons his/her residential well
in accordance with 15A NCAC 2C .0l 13.)
PRINTED NAME OF PERSON ABANDONING THE WELL
Submit a copy to the owner and the original to the Division of Water Quality within 30 days. Form GW -30
Attn: Information Management, 1617 Mail Service Center — Raleigh, NC 27699-1617, Phone No. [phone] ext 568. Rev 5/06

WELL ABANDONMENT RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION #
1. WELL CONTRACTOR:
Well Contractor (Individual) Name
ib'el I Contractor Company Name
STREET ADDRESS
City or Town State Zip Code
U-
Area code - Phone number
2. WELL INFORMATION:
SITE WELL ID# (ifapplieable)
STATE WELL PERMIT # (if applicable)
COUNTY WELL PERMIT # (if applicable)__
DWQ or OTHER PERMIT # (if applicable)
WELL USE (Check applicable use): ❑ Monitoring ❑ Residential
❑ Municipal/Public ❑ Industrial/Commercial ❑ Agricultural
❑ Recovery ❑ Injection ❑ Irrigation
❑ Other (list use)
3. WELL LOCATION:
COUNTY QUADRANGLE NAME,
NEAREST TOWN: _
(StreettRoad Name, Number, Community, Subdivision, Lot No., Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING:
❑ Slope ❑ Valley ❑ Flat ❑ Ridge ❑ Other
(Check appropriate setting)
LATITUDE May be in degrees,
minutes, seconds, or in a
decimal format
LONGITUDE
Latitude/longitude source: ❑GPS ❑ Topographic map
(Location of well must be shown on a USGS topo map and
attached to this form if not using GPS.)
4a. FACILITY- The name of the business where the well is located Complete 4a and4b
(If a residential well, skip 4a; complete 4b, well owner information only)
FACILITY ID #(if applicable)
NAME OF FACILITY
STREET ADDRESS
City or Town State
4b. CONTACT PERSON/WELL OWNER:
NAME
STREET ADDRESS
Zip Code
5. WELL DETAILS:
a. Total Depth: ft. Diameter: in
b. Water Level (Below Measuring Point): ft.
Measuring point is ft. above land surface.
6. CASING: Length Diameter
a. Casing Depth (if known): _._ ft _ in
b. Casing Removed: ft. in.
7. DISINFECTION:
(Amount of 65%75% calcium hypochlorite used)
8. SEALING MATERIAL:
Neat Cement Sand Cement
Cement, lb Cement lb
Water gal Water gal
Bentonite
Bentonite 2.25 lK
Type: ❑ Slurry ❑Pellets
Water gal.
Other
Type material
Amount
9. EXPLAIN METHOD OF EMPLACEMENT OF MATERIAL:
10. WELL DIAGRAM: Draw a detailed sketch of the well on the back of this
form showing total depth, depth and diameter of screens (if any) remaining
in the well, gravel interval, intervals of casing perforations, and depths and
types offill materialsused.
It. DATE WELL ABANDONED
I DO HEREBY CERTIFY THAT THIS WELL WAS ABANDONED IN ACCORDANCE
WITH 15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF
THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER,
SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
SIGNATURE OF PRIVATE WELL OWNER ABANDONING THE WELL DATE
(The private well owner must be an individual who ag ouoltilx abandons his/her residential well
in accordance with 15A NCAC 2C .0111)
PRINTED NAME OF PERSON ABANDONING THE WELL
Submit a copy to the owner and the original to the Division of Water Quality within 30 days. Form GW-30
Attn: Information Management, 1617 Mail Service Center — Raleigh, NC 27699-1617, Phone No. [phone] ext 568. Rev. 5/06

WELL ABANDONMENT RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION #
1. WELL CONTRACTOR:
Well Contractor (Individual) Name
Well Contractor Company Name
STREET ADDRESS
City or Town State
Area code - Phone number
2. WELL INFORMATION:
SITE WELL ID # (if applicable)
STATE WELL PERMIT # (if applicable)
COUNTY WELL PERMIT # (if applicable)
DWQ or OTHER PERMIT 4 (if applicable)
Zip Code
WELL USE (Check applicable use): ❑ Monitoring ❑ Residential
❑ Municipal/Public ❑ Ind ustrial/Commercial ❑ Agricultural
❑ Recovery ❑ Injection ❑ Irrigation
❑ Other (list use)
3. WELL LOCATION:
COUNTY QUADRANGLE NAME
NEAREST TOWN:
(Street/Road Name, Number, Community, Subdivision, Lot No., Parcel, Zip Code)
TOPOGRAPHIC / LAND SETTING:
❑ Slope ❑ Valley ❑ Flat ❑ Ridge ❑ Other
(Check appropriate setting)
LATITUDE May be in degrees,
minutes, seconds, or in a
LONGITUDE decimal format
Latitude/longitude source: ❑GPS ❑ Topographic map
(Location of well must be shown on a USGS topo map and
attached to this farm if not using GPS.)
4a. FACILITY- The name ofthe business where the well is located.. Complete 4a and4b.
(If a residential well, skip 4a; complete 4b, well owner information only.)
FACILITY ID #(if applicable)
NAME OF FACILITY
STREET ADDRESS
City or Town State
4b. CONTACT PERSON/WELL OWNER:
NAME
STREET ADDRESS
Zip Code
5. WELL DETAILS:
a Total Depth: ft. Dtameter: in.
b. Water Level (Below Measuring Point): ft,
Measuring point is ft. above land surface-
6. CASING: Length Diameter
a. Casing Depth (if known): _ ft in.
b. Casing Removed: ...... ft in.
7. DISINFECTION:
(Amount of 65%75% calcium hypochlorite used)
8. SEALING MATERIAL:
Neat Cement Sand Cement
Cement lb Cement lb
Water gal. Water , gal
Bentonite
Bentonite 2.25 lb.
Type: ❑ Slurry ❑Pellets
Water. gal.
Other
Type material
Amount
9. EXPLAIN METHOD OF EMPLACEMENT OF MATERIAL:
10. WELL DIAGRAM: Draw a detailed sketch of the well on the back of this
form showing total depth, depth and diameter of screens (if any) remaining
in the well, gravel interval, intervals of casing perforations, and depths and
types of fill materials used.
11. DATE WELL ABANDONED
1 DO HEREBY CERTIFY THAT THIS WELL WAS ABANDONED IN ACCORDANCE
WITH 15A NCAC 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF
THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
SIGNATURE OF PRIVATE WELL OWNER ABANDONING THE WELL DATE
(The private well owner must be an individual who Kinom ly abandons his/her residential well
in accordance with 15A NCAC 2C .0113.)
PRINTED NAME OF PERSON ABANDONING THE WELL
Submit a copy to the owner and the original to the Division of Water Quality within 30 days. Form GW-30
Attn: Information Management, 1617 Mail Service Center —Raleigh, NC 27699-1617, Phone No. [phone] ext 568. Rev 5/06

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Infarmntiion:
r
Well ContradorNamc (or %yell owner personnlly ahaudoning well on his/lier propeny)
_31Vg19
NC Well Contractor Certification Number
Cascade Drilling, LP
Company Name
2. Well Construction Permit 0:
List all applicable wellpenoits (ii.e. Countyy, Stoic, Irariance, hyacdon, etc.) ifbnmun
3. Well use (cbcch well use):
Water Supply Well:
❑Agriculturd
❑Geothermal (11caling/Coohng Supply)
❑ Industrial/Commerc is I
Nan -Water Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating1Cooling
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Groundwater Remedialion
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
00d1er(explain under
4. Date well(s) abandoned: )0'.) 3 "!-
Sit. Well location:
Asheville Steam Electric Plant
Facility/Owner Nnmc Facility 1134 (Mipplicoble)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No, (PIN)
5b. Latitude and longitude in degrecs/minutes/seconds or decimal degrees:
(if wcR fish[/one [at/hang is suflicient) J /
1?l b32,jlJ /N 717/6f/ 5-0-23 7 W
CON_S7'_RUCTION DETAILS OF WKIA-051 BEING ABANDONED
Affach u'e0 construcliun recorditj if available, For mutdple hfertion or non-mraler supply
hells ONLY with tyhee same coluiructtiooulahandbinnew, you can Monti one forot.
6a. Well ID,, TJ 8w N C 8k-
6b. Total well depth: '? % M)
!f
tic. Borehole diameter:
6d. Water level below ground surface: d Uf r 3 (fL)
Far Internal Usu ONLY:
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned:
For rijuMple h jcelion or nmt-wmer supply wells ONLY ivilh the some
comvtructionlahandmwew, you can submit oue fnrnr
7b. Approximale volume. of water remaining in well(s): (t!aL)
FOR WATER SUPPLY WELLS ONLY:
lc. Type of disinfectant used:
7d. Amount of disinfectant used:
7a Sealing materials used (check all that apply):
❑ Neat Cement Grout ❑ Bentonite Chips or Pellets
❑ Sand Cement Grout
❑ Dry Clay
❑ Concrete Grout
❑ Drill Cuttings
❑ Specialty Grout
❑ Gravel
Bentonite Slurry
❑ Other (explain under 7g)
7f. For etch material selected above, provide amount ornurterials used:
f� J,
7g. Provide a brief description orthe abandonment procedure:
8. Certification:
Signaty HiFc�''wtR on r or Wcll Owner Dntc
9y signing this form, I hereby certh, that rite ivell(s) was (were) abandoned in
accordance with 15A NCAC 02C.0100 or 2C.0200 Well Consiniclion Standards
and that a cop)+. of this record has been provided to the well ou-ner.
9. Site diagram or additional well details:
You may use the back or this page to provide additional well site details or well
abandonment details You may also attach additional pages if necessary.
S IIBI4I ITT.A 1. INSTRUCTIONS
10u. For All Wells: Submit this form within 30 days or completion of well
abandonment to the following
Division of Water Resources, Information Processing Unit,
1617 Mail Service Centcr, Raleigh, NC 27699-1617
10h. For Inieclinu Wells: In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Progntm,
1636 Mail Service Center, Raleigh, NC 27699-1636
6e. Outer casing length (if known): / l/ (ft.) 10c. For Water Supply Se. Iniectim: ells: 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
Gf. Inner casing/tubing length (if known): 11 M-) where abandoned.
6g. Screen length (if known): 1 !� (ft.)
Form GW-30 North Carolina Department ufEnviranmcul mrdNatural Resources - Division of Water Resources Revised August 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
f�
Well Contractor
`Name (or well onct penally abandoning well on liis/1¢r property)
�.to7 4
NC Well Contractor Certification Number
Cascade Drilling, LP
Company Name
2, Well Construction Permit i#:
Lis( all applicable mell permirs (1.e. Colony, Staie, Variance, h jecdor; eic.) iflcnounr
3. Well use (check well use):
❑Agricultural
❑Municipal/Publ is
❑Geothermal (HeatingiCooling Supply)
❑Residential Water Supply (single)
❑Industrial/Commercial
❑Residential Water Supply (shared)
171rriga(ion -
Non -Winter Supply Well:
OMunituring
❑Recovery
Injection Well:
❑Aquifer Recharge
❑Groundwater Remed iation
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑ Aquifer Test
❑Slormwater Drainage
❑Experimental Technology
❑Subsidence Control
❑Gcolhcmnal(Closed Loop)
OTracer
❑Geothermal
OOther (explain under
4. Date wells) nbandoned:
So. Well location:
Asheville Steam Electric Plant
Facility/Owner Name Facility IDH (if applicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel ]deulifieadon No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if�wcllll field, one Jul/long is suli�icienl)
W
CONSTRUCTION DETAILS OF WELLS BEING AIIANDONF.D
Axudi ever! eorrstructiai recurd(s} if «railahfe, For nudriple irjecli«re ar nnrr-u•«rev ,nrpp(t'
svelLs ONLYmillh three seine romiiniction/ahaadoonnPit, you cansubmit oneform
6a. Well IDN: —6 )
fib. Total well depth: 42 (ft.)
6c. Borehole diameter: L� (in.)
6d. Water level below ground surfuce: (fL)
Lemu] Use ONLY:
WFLI. ARAN1)ONhrF:NT D TAII S
71L Number of wells being abnndoned: 1
For ran/riple injcerion or Lion -water supple wells ONLY willr the srnue
coaslmicriurrlahandomneoil, you Coot nihrnil one f rnr
7b. Approximalc volume of water remaining in well(s): _(gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Scaling materials used (checlr all that apply):
11 Neat Cement Grout ❑ BenloniteChips orPellets
❑ Sand Cement Grout
^u Dry Clay
❑ Concrete Grout
❑ Drill Cuttings
❑ Specialty Grout
❑ Gravel
['Bentonite Slurry
❑ Other (explain under 7g)
7E for each materiul selected above, provide amount of materials used:
7g. Provide a brier description of the abandonment procedure:
8. Ccrtllaratiau:
Stgnat on ? Writ Owner Date
By signing thisform, I hereby eer1i, that the well(s) was (were) abandoned in
accordance whh ISA NCAC 02C.0100 or 2C.0200 Mell Conslructioir Standards
and that a cap), of/his record has hecn provided to the seell owner.
9. Site diagram or additional welt details:
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,
SUBMITTAL INSTRUCTIONS
10a. For All Wells: Submit this fumn within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10b. For Injectino Wells: In addition to sending die form to the address in 10a
above, also submit one copy of dris torn within 30 days or completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
,1� 10c. Far Water Sul)I)ly iir Injection Wells: In addition to sending the form to
fie Outer easing length (if known): ' ` tfL) die 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
6f. Inner casing/tubing length (if latown): f (rt.) where abandoned.
6g. Screen length (if linown): L:� f I^ + (ft.)
Farm GW-30 North Carolina Deportment ofEnvironmcal and Natural Rcsources— Divkinn of Walor Rrsimirces Revised August 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
Well Contractor Name (or well owner personally abandoning well on his0tcr property)
:CPYIg-
NC Well Contractor Certification Nundx
Cascade Drilling, LP
Company Name
2, Well Construction Permit 0:
list all applicable well permhs T.e Come{iv, State, Variance, hlection, etc) iflmmrn
3. Well use (check well use):
Water Supply Well:
❑Agricultural
❑Geothermal (Beating/Cooling Supply)
❑industrial/Commercial
❑MunicipaVltublic
[]Residential Water Supply (single)
❑Residential Water Supply (shared)
❑irri anon
Non -Water Supply Well:
❑Monitoring ❑Recovery
❑Aquifer Recharge
❑Aquifer Stooge and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating/Cooling
❑ Groundwater Rcmediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
❑0dicr I
J. Date well(s) abandoned: ZQ rj3r/1
59. Well location:
Asheville Steam Electric Plant
Facility/Owner Nome Facility iDP (irapplicablc)
200 CP&L Driver Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel ldenliftcation No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(irwell lieu one 1at/lang is sufticien)
CONSTRUCTION DETAILS OF WELL(Sl BEING AI3ANnONT:f1
Aaach well construction records) if aruiluble. Far multiple injection ar man -water supply
wells ONLY frith lire same co ymruuc ionlabundonmcut, you can submit one fornt
&j E*�' 6a, Well Tlin: " r
i
6h. Total well depth: l (ft.)
11
6c. Borehole diameter: (in.)
6d. Water level below ground surface: d 7 , (ft.)
For lnlemnl Use ONLY:
Wrl.l, Al1AND0N&fENT DETAIIJi
7a. Number of wells being abandoned:
For imilliplc injection or ran -muter suppty wells ONLY a-ith the same
cnratrucliarabandnuuwnf, }ron cmr.arbrnil onefuna
7b. Approximate volume of water remaining in wcll(s): (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Sealing materials used (check all (hat apply):
❑ Neat Cement Grout ❑ Bentanite Chips or Pellets
❑ Sand Cement Grout ❑ Dry Clay
❑ Concrete Grout ❑ Drill Cuttings
❑ Speciulty Grout ❑ Gravel
1�7Bentonite Slurry ❑ Other (explain under 7g)
�7E For each material selected above, provide amuunI of materials used:
7g. Provide it brief description orlhe abandonment procedure:
B. Certification'
Signaler a un orWel)Owner Dale
By signing this form, I hereby cer1i)j, thal the irell(s) was (here) abandoned in
accordance with 15A NCAC 02C .0100 or 2C .0200 11'ell Construction Standards
and that a copy ofilds record luis been provided io the well owner.
9. Site diagram or ndditlonal well details:
You may use the back or this page to provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
SUBMITTAL INSTRUCTIONS
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Wuter Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10h. For inlectina Wells: In addition to sending the form to the address in 10a
above, also submit one copy or this form within 30 days of completion or well
abandonment to the following:
Division oFWater Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
6e. Outer casing length (if known): IL)A (rL) 10c. For Writer Supply &_lnivellnn We_i_75: in addition to sending the form to
the address(cs) abovc, also submit one copy or this form within 30 days of
y� %,t� completion of well abandonment to the county health department of the county
6t Inner casing/tubing length (if known)
: / L/ ! (fL) where abandoned.
6g. Screen tengtli (irknown): /a r
Form GW-30 Nardi Carolina Department of Envitoament and Natural Resources —Division or Water Resources Revised August 20 13

WELL ABANDONMENT RECORD
This form can be used ror single or multiple wel Is
1. Well Contractor Information:
J, 6w//Jk
Well Cont=tor Name (or well owner personally abandoning well on bistber property)
? a-C !
NC Well Coutmefar Certification Number
Cascade Drilling, LP
Company Nam.
2. Well Construction Permit n:
Liu all applicable welt pennies (.e. County, Slate, Irariarme. byeefinn, etc.) if lrrrmen
3. Well use (check well use):
Water Supply Well:
❑Agricuklural
❑Geothermal (I•leating/Cooling Supply)
❑Industrial/Commercial
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
Non -Water Supply Well:
It MMonitoring ❑Recovery
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Groundwater Remediution
❑Salinity Barrier
❑Stormwaler Drainage
❑Subsidence Control
❑Tracer
thermal (Healing/Cooling Return) ❑Other (explain under
4. Date well(s) abandoned: ALLd-_1 ,/�
5a. Well location:
Asheville Steam Electric Plant
Facility/Owner Name facility iD4 (ifapplicablc)
200 CP&L Drive, Arden, NC 28704
physical Address, City, and Zip
Buncombe
County
parcel Identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(iffwc�lli Geld, one lat/long is sufficient)
N g1��� 91 j 106 W
CONSTRUCTION DETAILS OF WELLS BEING ABANDONED
dltoch well construction records) Ifrn-ulluble. For firulriple itfecriorr or mn-u-nicrsupply
[cells ONLY with the sainnne cyrnrst�ruc[7lwt/uhun�donroenl, you con subrrdi one forns
6u. Well IDtt: J71]/fI fll"� `` 99
r
6b. Total well depth: -? (ft.)
E/
6c. Borehole diameter: —2 (in.)
6d. Water level belaw ground surface: 701 / (ft.)
for Internal Use ONLY:
WELL ABANDONMENT DETAU S
7a, Number of wells being abandoned:
For nmlliple iflaclhnr or nun -baler supple trells ONLI' )0rh the wane
enrtsinretiorrlabarrdoranent, you can submit one farm
7b. Approximate volume of water remaining in well(s): (gal.)
FOR WATER SUPPLY WELLS ONLY-
?" Type or disinfectant used:
7d. Amount ordisioreclunt used:
7e. Sealing materials used (check all that apply):
❑ NeaL Cement Grout ❑ Bentonitc Chips or Pellets
❑ Sand Cement Grout
❑ Dry Clay
❑ Concrete Grout
❑ drill Cuttings
❑ Specialty Grout
❑ Gravel
JeBentonite Slurry
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of materials used:
A
7g. Provide n brief description of lite abandonment procedure:
S. Certification:
4zI
,. —
Signature of r ifi ,ontradar ar .l Owner ror J Date
Hy signing th1S farrrr, I hereby cerv)j• that the wetl(s) was (were) abandoned in
accordance with 15d NCAC 02C .0100 or 2C .0200 llrell Corrstnfction Standards
and than a copy of ibis record leas been provided to the well otrrrer.
9. Site diagram or additional well details:
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.
SUBMITTAL INSTRUCTIONS
tOa. For All Welts: Submit this form within 30 days of completion or well
abandonment to the following:
Division of Water Resources, Infurmatiott Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10b. FI>r Meet Linn Walls: In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of veil
abandonmem to die following:
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
6c.Outer casin length if known 10c. For Water Supply & lnicclion Wells, In addition to sending the form to
g g ( )' -trL) the address(es) above, also submit one copy of this form within 30 days of
completion o1' well abandonment to the county health department of the county
6f. Inner casing/tubing length (if known): A) 19 (FL) where abandoned.
f
6g. Screen length (if known): f- / r!;-7 (f(,)
Fnnn GW-10 North Carolina Department of Environment and Natural Resources— Division of Waler Resources R.visud August 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor information:
j r �k&J
Well Coutiactur Nome (or well owner persnnally abandoning well on hisflter property)
3xaYA
NC Well Contractor Certification Number
Cascade Drilling, LP
Company Name
2. Well Construction Permit #: _
Lis( all applicable weli permits fl. e. Cmnty, State, Mariance, b jectian, crcJ ifbmwn
3. Well use (cheep well use):
Water Supply Weil:
❑Agricul lural
❑Geothermal (Heating/Cooling Supply)
❑ Industrial/Commercial
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
Non -Water Supply WdL-
ElMonitoring ❑Recovery
❑Aquifer Recharge
❑Aqu i rer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geodermal (Headrip/Cooling
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwaler Drainage
❑Subsidence Control
❑Tracer
❑Other(espltdri under
d. Date well(s) abandoned:
Su. Well locution:
Asheville Steam Electric Plant
Facility/Owner Nume Facility IDS (ifupplicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identifitanion No. (PIN)
5h, Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one ]aUlunb is sutlicicnt)
6//yd66. ��?� N W
CONSTRUCTION DETAILS OF Wk:iej:,M 9V G AIi/1M9 11t1
Anuch well cmafntelion recard(s) if arailuble. For multiple injection or non -wafer supply
wells ONLY with the sameemmistr)ucttiion/a�bajnjdonmment, you can.iubmif mre fornr
6a. Well Mg: 4910
-W_y'
i
6b. Total well depth: `7 R.)
6c. Borehole diameter: D
6d. Water level below ground surface /r 3 7
For internal Use ONLY:
WELL ARANDON\'PENT DETAILS
7a. Number of wells being abandoned:
For multiple b jectimn or nomwaler supply wells ONLY with the stone
construcaot✓abandonment, you can submit one form.
7b. Approximate volume of wutcr remaining in well(s): (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7c. Scaliug materials used (check all that apply):
❑ Neat Cement Grout ❑ Benlonile Chips or Pellets
❑ Sand Cement Grout ❑ Dry Clay
❑ Concrete Grout ❑ Drill Cuttings
❑ Specially Grout ❑ Gravel
Pentunite Slurry ❑ Other (explain under 7g)
7Lf or each material selectol above, provide :mount of materials used:
7g. Provide a brief description of tine abandonment procedure:
8. Certification:
a
Signature Ccry last Wet unnnctar ar Well Owner Dace
By signing this form, I hereby certify that the ioell(s) was (were) abandoned in
accordance nrith 15A NCAC 02C.0100 or _'C .0300 Mull Constnictian Standards
and that a copy ofthis record has been provided to the trell owner.
9. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
abandonment details. You may also attach additional pages ifnecessary.
SUBMiTTAL iNSTRfiCTiONS
10a. For All Wells: Submit dtis form within 30 days or completion of well
abandonment to the following:
Division of Water Resources, Information Processing Unit,
1G17 Mail Service Center, Raleigh, NC 27699-1617
10b. For Inic:elian Wells: In addition to sending die form to the address in 10a
above, also submit one copy of (iris form within 30 days of completion of well
abandonment to die following:
Division afWalerResources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
6e. Outer casing length (if ]mown): A Iq 10c. Far Water Sunniv & Inicclitm Wells: In addition to sendine 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
6f, inner rasing/tubing length (irluiown): %V14 (ft.) where abandoned.
6g. Screen length (iflatowo): 1 J� �7 r (ft-)
Form OW-30 North Carolina Department ofEnviroament and Nalural Resources — Division or Water Resources Revised August 2013

WELL ABANDONMENT RECORD
This farm can be used for single or multiple wells
1. Well Contractor Information:
�i 9,4/I -je
Well Contractor Nome (or well owner personally abandoning wctl oo hisAier propcny)
NC Well Contractor Conification Number
Cascade Dri[ling, LP
Company Nome
2. Well Construction Permit 9:
List all applicable well permits (i.e. Cotmfy, Slate, 6ariauce, ltjeclion. cte.J ifknmrtr
3. Well use (check well use):
Water Supply Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑ Industrial/Commercial
Nun -Water Supply Well:
©Monitoring
❑Aquifer Recharge
❑Aquifer Storage and Recovery
DAquiferTest
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating/Cooling
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Recovery
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Other(explain under 7g)
4. Date well(s) abandoned: /D Flu 1
Sa. Well location:
Asheville Steam Electric Plant
Facility/owner Name Facility iD; (if applicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel identification No. (11iN)
5b. Latitude and longitude in degreeshujnuteslseconds or decimal degrees:
(ifwcll Geld, our: lot/long is sufficient)
1/` RN(91 0 2 N JtV
CONSTRUCTION DETAIL-9 OF WELLS BE1NO ABANDf1NED
Attach nvall construction record(x) if mwilable. For mulliple hgectinrr or notr-neater supply
,yells ONLY with lire some conrtiructinn�uhandmrmeur, }'ar coo subtrill out fanrn.
6a. Well MH: 1 i0
6b. Total well depth: (ft.)
tt
6c. Borehole diameter: cl (in.)
6d. Water level below ground surface: 17 3" (ft.)
For Internal Use ONLY:
WF.1.1, AIIANDONhfEN'f DETAILS
7a. Numberofwells being abandoned:. _
For multiple hiieuior or non -neuter suppy, n7elly ONLY wills the scone
emntnrctim✓aborduntnenl, you cull submit nee farm
7b. Approximate volume ofwaler remaining in well(s): (gal.)
FOR WATER SUPPLY WELLS ONLV-
7c. Type ordisinfectant used:
7d. Amount ardisinfectant used:
7e. Sealing nuiterials used (checkall that apply):
❑ Neat Cement Grout ❑ Bcntonitc Chips or Pellets
❑ Sand Cement Grout ❑ Dry Clay
❑ Concrete Grout ❑ Drill Cuttings
❑ Specialty Grout ❑ Gravel
'ri3entonitc Slurry ❑ Other (explain under 7g)
7f, For catch material selected above, provide amount of materials used:
7g. Provide u brief description orthe abandonment procedure:
8. Ccrlifcafiou:
Signature of ffsi . m elf Owner Date
By signing this form, J hereby cerlijjr that the well(v) was (mere) abandoned in
accordance with 15A NCAC 02C.0100 or 2C.0200 Well Consiniction Standards
and thin a copy of dais record has been provided to the ivell owner.
9. Sile diagram or additional well details:
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 accessary
10a. Fnr All tVeils: Submit this form widen 30 days of completion or well
abandonment to the following:
Division of Wn(cr Resources, Information Pruceming Unit,
1617 Mail Service Center, Raleigh, NC 27699-1017
101b. tar 8tieeliva Wells: In addition to sending tic form to the address in I Oa
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
g g ( ) AU rI (ft.) 10c, For ►[natcr Sunnly Sa injection Wells: In addition to sending the form to
6e.Outer casin length if known): the address(es) above, also submit one copy of this fomt within 30 days of
�/�] completion of well abandonment to the county health department of the county
6f. Inner casing/tubing length (if ]mown): " • - (R.) where abandoned
6g. Screen length (if Imown): Ad LAO
`
Form GW-30 North Catalina Department ofEnviranmcat mid Natural Resources — Division of Wuler RCSauiCe9 Revised August 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
L Well Contractor Information:
Well CoutractorName (or well owner personally abandoning well ou Itislbcrproperty)
NC Well Contractor Certification Number
Cascade Drilling, LP
Company Name
2. Well Construction Permit 0:
List all applicable well permin (J. e. Comuy. State, Yarimra:, Injection, etc.) if Auown
3. Well use (checlr well use):
Wnler Supply Well:
❑Agricultural
❑Municipal/Public
❑Geothermal (Heating/Cooling Supply)
❑Residential Water Supply (single)
❑Industrial/Commercial
❑Residential Water Supply (shared)
Clirri ation
Non-WaterSupply Well;
ClMonitoring
❑Recovery
Injection Well:
❑Aquifer Recharge
❑Groundwater Remedialion
❑Aquifer Storage and Recovery
❑salinity Barrier
❑AquirerTest
❑Storm%vatcr Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal(Closed Loop)
❑Tracer
❑Geothermal (Heating/Cooling Return)
❑Other (explain under 7g)
4. Date well(s) abandoned:
5a. Well location:
Asheville Steam Electric Plant
Facility/Owner Name Fncilily iM (if applicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County Parcel Identification No. (PiN)
5b. Latitude and longitude in degreesha inutes/seconds or decimal degrees:
(ifwweell`fiield, one Int/Ionng is sufficient) /�
7 d �-7l 0f- - - - N / J �7 � y-2lr� W
CONS71'RUCriON DETAILS Ole WELL(N) MING ABANDONED
Attach well construction record(s) Ff arailable. Sor mulliple ii jacniarr or nun-uYaer supply
wells ONLY irinh thfiej sarne carrrrruclinn/ahundmmrenr, you cart ,ruhniit One from.
6a. Well ID#: o g I// 19-S
6b. Total well depth: X? r (fl.)
„ it
Cc. Borehole diameter:
6d. Water level below ground surface: IL'� i v I
For Internal Use ONLY:
WELL ARANDOMNIENT PE'PETAl LS %
7t1. Number of wells being abandoned: r
];'or multiple injection nr emu -water supply wells ONLI' ivirh the same
cnrrrtnteliom4rbandaunnent, yntr can submit one form
7b, Approximate volume of water remaining in well(s): (gal.)
FOR WATER SUPPLY WELLS ONLV:
7c. Type of disinfectant used:
7d. Amount of disinfectuut used:
7c. Scaling materials used (check all that apply):
❑ Neat Cement Grout ❑ Bentanite Chips or Pellets
❑ Sand Cement Grout
❑ Dry Clay
❑ Concrete Grout
❑ Drill Cuttings
❑ Specialty Grout
❑ Gravel
ill Bentanite Slurry
❑ Odier (explain under 7g)
7f. For each material selected above, provide amount ofmateriaLs used:
7g. Provide a brier description of the abandonment procedure:
S. Cerilficn " It,
Sidn re a l crtt tt Nell Cn lmelor or Well Owner Date T -
By signing this fornn, I hereby cetY6, that the,ivell(s) was (mere) abandoned in
accordance with 15A NCAC 02C.0100 or 2C.0200 Well Construction Standards
and that a cope of this record has been provided to lire well owner.
9. Site diagram or additional well details:
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,
SUBMITTAL INSTRUCTIONS
10a. For All Wells: Submit dtis farm eithin 30 days of completion of well
abandonment to the following:
Division of Water Reources, infurmlltiun Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10b. For iulectintn Wellk: In addition to sending die form to the address in 10a
above, also submit one copy or this form within 30 days of completion of well
abandonment to die following:
Division of Wa(cr Resources, Underground injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
n 10c. For Wnler Sunnly & iniccliun Wells: In addition to sending the form to
6e. Outer rinsing length ([f lmown): A (ft.) the addresses) above, also submit one copy of this form within 30 days of
completion of well abandonment to the county health department of the county
6f Inner casing/tubing ieng(ir (if known): (fL) where abandoned.
6g. Screen length (if luiown): r I f (ft.)
Form GW-30 North Carolina Deportment orEnvironmcnl and Natural Resources — Division of Water Resources Revised Augesl 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Infarmadon:
Wall Couraetor Nero (or well owner personally sharidmung well on hisAra property)
.9 92 -'•q
NC Well ContrworCoru0ation Number
For Inlenul Use ONLY
WE1,F..knaw7 AS[?IYr DF:1'AII S
7a, Number of welts being abandoned:
Far malttpk tnjeetlan ar nm.waler supply well ONLY with the some
eororrren„n a n9 vhxr+ rnr you am sabmll Drat jarM
7b. Approximate volume of water remaining In well(s):
FOR WATERSUPPLY WELLS ONLY: - L
Cmrpssy Nuns 7a Type ordhind7
fectont used: /p C`.�// `
2. Well Construction Permit N:
Usrall opytleable wellpennla p.e, Cmapy, Stare, Vurlamr, Irilydimt etc) ffbwwn 7d. Amoua,t of dlsinre:ctanl used:.
3. Well use (check well nee):
WoIer Supitly Well:
OAg "Iftiral
OGeothermal (Heating/Cooling Supply)
Olndustrial/Comrnercial
Supply
DAquifer Recharge
OAquifnr Storage and Recovery
ClAquifer Tat
OExperimcnlal Technology
OGeothesmal(Closed Laap)
OGCalhetonal (Heating/Cooling
OMunictpalilPuhhc
91<ttrdcnual WA (C r Supply (single)
OResrdential Water Supply (shared)
C)Rccovuy
OGroundwater Rsmediation
OSalinity Barrier
OStumtwater Drainage
OSubsidence Control
OTracer
OOlher (explain under 71i)_
,. Dale well(s) abandoned: 3 " 3 �— 14'
Sa, Well localluu;
�_ t+m_ Sri MG -Wm c.Y
Facil'kyiownd N"mc Facility ION (ifappiicabta)
40 C l h YLk��� AYAO NC t?8--764
Physical Addreas, Gly, and xil,
7e. Staling materials aced (check all that apply):
ti Plart Cement Grout Cl 8i nmunite Chips or Pellets
O Sand Cement Grout
❑ Dry Cloy
Q Concrete Grout
ii Ly ll Cuttings
O Specialty Grout
Cd+ravel
O Bauonite Slurry
O Other(cxplain under 7g)
7E For emck material selected above, provide amount of materials used: /
2/Z
,]� _ F r. s .ate O S J/'Z+' J L Lr. +G•..1 �F 61 %
711. Pr`oovvideJa brkftleserlplion of Ike abandonment procedure: /I
A,� 4 , & 7J�K ., 111 , 74- Id/ • > / r
e
& Certllieallon:
Signature ot'CeriiIcd Well Cantrsnor err Wcll nwrrcr flute
ZU 4t Q 1 1 Q ie' 9 afgnlrap thin form. 1 hereby re►ufy that the rwcll(r) wcu (Were) abandoned rn
County Parcel IdcntiIII carinn Nrr. (PIN) accordance wffh 15A NCAC 02C .Df(k) or 2C A200 fi'efl romitrurlgon .Seattdardr
and flag a copy of this record has been provided is Me well owmer.
Ilb. Latitude cad longilode to degrees/minuteskecotsd. or deeiatal degrees:
fif tired 5a K erne iWona is lu cient) !t 9. Site diagram or additional well details:
35 ' 9 N �12p �� ' �3' '� You may use the back of this page to provide additional well site details or well
Of D[ 1► abandonment details You may also attach additional pages if necessary
iQ 012-1tLK11 ON DETMII k 0 F W E 1,1 E I NQ A RA NPONF 0 1.l:ti f TI N'
Attach well comiracilon reewd(s) If available. For multiple Injection or non water supply
welt OIVLP with tAe same comtrtatlmdabamlonmeor, you cm submit one famL 10a. Fur •h ll XV61 : Submit this form within 30 days of completion of well
6.. well MN:.��w — —3
6b. Total well depth: / Z Z (fL)
de. Borehole dim meter: _(I..)
6d. Water level below ground aarfhce: / t> M)
abandonment to the following.
D1vhlon of Water Resources, Information Processing Un11,
1617 Mad Service Center, Raleigh, NC 27699-1617
IML FRr In rcilnrs 1W61 -, In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following,
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
10c. Farr 14'3qter Suonly arc IniCCl(2a %V01 , In addition to sending the form to
6e.Outer cuing length (if knowit)I 110 the addres(es) above, also submit one copy of this farm within 30 days of
completion of well abandonment to the county health deparlmenl of the county
6L Inner raslog/(ubWZ Length (Irknown): (FL) where abandoned
6g. Scrim length (If known): (IL)
Form OW-30 Noah Carolina Depanromi of Eavboomem and NwwW Ramumes - Divisim of Wmer Resources Revised Augtia 200

WELL LL ABiAiw 1sOl■ MEN l RECORD For Interval UscONLY
This farm can be used f"singlc or multiple wcils
1. Well Contractor larorntatloa: W
7a, Number of welts being abandoned:
well Contractor Nuns (a well -at personally abai 40" well on histUr property) For aulhlldc Inlrmcne. or narr•watcr suppJr ,veil ONLY with the sane
corutrvrriwrubarrlanmrnr, you ran ,uhrnrf ❑nr. jonn
2.1r 9 Z
NC/Well Contractor Certification Number
Company Now
2. Well ConNruetien Permit N:
Lin allap*truble wrlipormltt (ten C'owW Slate. VarlanM lnjeetlne, dc.) lfkwo
3. WeU use (check weU use):
Water Supply Well:
OAgrieultuml
OGeothemnal (Healing/Cooling Supply)
❑InduslriaUCommccial
G hi�nicipatll'ziblis
Iresidcntiat I-Vaicr Supply (single)
❑Reside n"I Warr Supply (abased)
Nan -Water Supply Well.
gAltsnitoring
ORccovery
inicclion Well:
❑Aquifer Recharge
❑Groundwater Ramediation
❑Aquifer Stange and Recovery
❑Salinity Barrier
❑Aquifer Test
❑Stonnwata Drainage
❑Experimental Technology
OSubsideice Control
❑Gcoti mnal (Closed Loop)
MTracer
00ther (cxp{a n under
4.Date we0(s)abandoned: .
Sa. Well
ell location: #�
"NClrlillpliou:
FacinglOwner Nunc Q Facility IDar (ifepplicabie) A.
Ff r rsl AddrefA My. end Zip 5ignuu+c nfCasifcd +Nall Ceaoac:ar ar Wsll Owner Date
Qeu__i_7 _tat 5 �C* Signing diLf farm, J hereby cerf(I}, that the well(t) war (were) o6orrdonrd In
(—inn, Pend Ideafificulan No. (PIN) oceordance with 15A NCAC 02C 0100 or 2C 02610 1Vrll CorVr rctron ,5'andnrdr
and lhN a copy of thlr record has been provided to the well owner.
5b. Lalllude mud longitude to degreeslminuteslsecoads or decimal degrees:
(if writ Gcid. wo Lola nit is rulticicnt) 9. Stie d1%krxm or ad.dillunel well details:
7 • sl Sff You may as, die luck of ibis page to pio4idc additional well Site &;Ails or well
& ry� J - , :� N 3, 43- - _ W abandonment dcutils You may also dtWh adAidunal page-' i(neccssary
CONSTBU . l 4 IKTA Ilk QE WE[ HF. N ' ABA M : grllitlT f111.1Mjjt1C"1 �()N
,%mach writ canrlruealan rtrnrd{of if avaituble. For midirpir lrVri:0" ar man-wdlrr rrgrply
welhONLY %•uhthe saw caws,alawabar&—w-,you crosubarlranej«*n lea, For All Welts: Submit this form within 30 days of completion of well
6a. Well FEW -A-19 G</-
7b. Approsimole volume ofwater remaining In well(s): o le (Gat)
FOR WATER SUMILY WELLS ON[,Y:
7a Type of disinfectant used:
74, Amount of disinfectant mscd:
7r. Sealing malerlab used (check all that apply):
GY�Neat Cement Grout ❑ Bentonite Chips or Pdless
❑ Sand cement Grout
❑ Dry Clay
❑ ConcreteGroul
❑ Drill Cuttings
❑ Specialty Grout
pk6ravel
❑ Benlonite Slurry
❑ Other (explain under 7Z)
7E For eaeb material selected above, pravide amount or otaterlals used:
rev e+ G� �`r� T r� �� ,+�a+r � � ��� %G•� �.reJ�S
nc.e, G 2- �r
7g. Provide a brief description of Ilse abandonment procedure:
/ J �.-.+'F �1/PiC✓� Tl D !% Lr. :,L t� i lf,� _Q A�scif _'l✓I
7 "-o Zg It 7e " le e+n z +e, cz
L�kr'i J!'kA-r2fa::C- e:- tat^ • T;k .r►'t�e.' Hrr
6b.Total well depth: 49 (FL)
6c.Bereboledtaraetet-.
6d. Water level below ground sarfses: (fl.)
ahandoniment to the following:
Dlvisbn of Water Res+su reel, Information Proassiog Ualt,
1617 Mat Service Center, Raleigh, NC 27699-1617
10b, For InIcc lgn-Wrlb; In addiiinn to sanding the form In the address to 103
above, alsu submit one cupy or this form within 30 days of completion of well
abandonment to the following -
Division of WsterResoueces, Undergmuwd Injection Control Programs,
1636 Mail Service Center, Rakigb, NC 27699-1636
loc. I;ur hater Sunnly fril l)+lr, = In odduion to servJing the form 10
6e.Outer casing leagtb(Ifkaown): �y (fit.) the addrem(es) above, also submit one copy of this form "thin 30 days of
etmtplction of well abandonment to the county health dspartment of the county
where abandoned.
6r. Inner taslogAubing length Or known): (fL)
6g. Screen length (If known): (L)
Form OW-30 North Catalina Deputmen of irlimamwtt and Natural Resourea - nivitm of Waicr Resaum Reviud August 2013

WELL ABANDONMENT RECORD
This farm Can be used for srnplc, or lauluple wells
1. Well Contractor Information:
G Pit
Will ConuaAa Name (or weN owns ppsoaslly dbandoaktg wall an hklber Pmpmy)
-z9s7-
NC Well Contractor Carldcuion Number //
I� r /t �i'r �/1 11-5
Company Nance 11
2. Wen Cosatrucdon Permit N:
Lill all r4^p7fcah10 wellperwdu (i.e. County, &OW, variance, lVedaom era) ifbrown
3. Well ose (cheek wen use):
OAgriculnual
Om""c:palftblic
OGeotbamal (Hcalinglcooling Supply)
esusenUat Water Supply (single)
❑IndustriallCommerclal
❑ResidenUalWater Supply (shared)
C)wpilnn
Non -Water Supply well:
❑Monitoring
011ocoyery
Injection Well:
❑Aquifer Recharge
❑Groundwater Remediolion
❑Aquifer Storage end Recovery
❑Salinity Barrier
❑Aquifer Tat
❑Starmwater Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal (Closed loop)
❑Triter
4.Date wep(s)abakdened: 3- 3 /d
Se Well location:
LIU* Ma4nO
YecitoytownerNsma
Phy" Address, City. and Zip
County
Facility lDM (ifapplicable)
For Inlaml Use ONLY:
tiiF1.1. An.4NTy{1NNIEN7 T1F.TAlI S /
71L Number of wclh being abandoned:
For multiple lyecllon or norrwaler supply wells ONLY with the same
conrtrvcrtantaba tit yea can submk one fitrrc
7b. Approsimale valutae of water remaining in well(s): Z L, (Pal.)
FOR WATER SUPPLV WELLS ONLY.
7e.Type ofdisiofeclantused! o%6'.,—&
7d. Annual of disinfectant used:
7e. Sealing materlsds used (cheek all that apply):
t ",Ncst Cement Grout
❑ Bentonite Chips or Pellets
❑ Sand Cement Grout
❑ Dry Clay
❑ Concrete Grout
❑ Drill Cuttings
❑ Specialty Grout
2(Gravcl
Cl Bentonile Slurry
Cl Other (explain under 7g)
7R For each material selected above, provide amount of maleriaL+ used:
r S
7r. Provide s brief description of the shundoomenl procedure:
rc v / , -
♦w.-.
g. Certification:
Ccnaaetor
_3 - 7-
Due
1 8y rigning th)r form. I hereby term that the welift) was (were) abandoned in
Past identification No. (P" accordance with 15A NCAC 02C.0100 or 2C.0200 Weil Conr(rocdon Starulardr
and that a copy of this record has been provided to the well owner.
3b. l adisde and longitude Is degren/ralaola/aecoada or decimal tiegrers:
(ifwell oeld, ono Itlrtoog is sefficiant) ;a[1 � +N 00" + 747 et
tv
9. Site diagram uraddliloaal wet details:
You may use the back of this page to provide addttroetal Well site details or well
abandonment details You may also attach odd itionsl pages If necessary
CONSTRltC 12N [IETAIIS OF WFI.I,ISI BEING AitANI1.ONET) §tl8Nlf7[TAL LNM(TCfIi)NS
Alwch Well rowlrniton "COWS) If mvltablc For malNpk Injection or mn-water supply �
welh ONLY wldr the same comnudla✓abondamuru, yvu can submll one fans
61L Well WN:
6b. Total well depth: v (1L)
6c. Borehole diameter. (in.)
6d. Water level below ground surface: v 00
IOW. For An Wells: Submit this form within 30 days of Completion of Well
abandonment to the following:
Division of Waler Resources, Information Processing Unit,
107 Mall Service Center, Raleigh, NC 27699.1617
lob. Pot Inleciloa Wens: In addition to sending the farm to the address in I Oa
above, also submit one copy of Ous form within 30 days of ctmtpleiion of well
abandonment to the following
-
Division of Water Resources, Underground Injection Control Program,
1636 Man Service Cen ler, Raleigh, NC 27699.1636
6e. Outer cuing length (if known): Z f IW 10c. For Wo r 5u lv & Injection ►Veils: In addition to sending the form to
the addres(es) above, also submit one copy of this form within 30 days of
completion of well obondonment to the county health department of the county
6f. loner easlughubiag length (If known): ( fL) abandoned.
ft Screen length (if known): (f6)
Form OW-30 North Carolina Depanraan orEnviianrteat and Natural Resources —Division of Water Resources Revised August 2013

WELL ABANDONMENT RECORD
This form can be used far single or multiple yells
1. Well Coalnelor faform/adeo: f
Well CoMractor Naar (or well owner persarlly abandadng well on I Mm property)
5192—
NC Well Contractor Cattiificatim Ntanber
Company Name
2. Well Construction Perwlt H:
Lse all applicable well permlrs 0-e. Coumy, sYme, Variance. 11yer"ok era) If tamwn
3. Well use (cbcek well use):
1-VAtcr Supply WCH
❑Agricultural Q�M1/Restuticipal/Public
❑Geothermal (Healing/Cooling Supply) i/idential Water Supply (single)
OlndustrinKarnmercial ❑Residential Water Supply (shared)
OAquifer Recharge ❑Groundwater Remediotion
❑Aquifer Simile and Recovery ❑Salinity Bturicr
❑Aquifer Test
DExpaimental Technology
❑Geothermal (Closed ]tap)
4. Datewell(s) abandoned:
❑Stormwata Drainage
OSubsidence Control
❑Tracer
iiaaicr fcxo a i n under 7 )
Sa. ell location:
x
Faci ily/owwwame J 0, Facility [DO (iiftwlicable)
2 n 'Gt.0t) If 1,9A h 100d /.fni . N C
Payticel Addreu. City, end zip
fur► ftM1QL
Cmmy
For Imerrini Use ONLY
AIJ61411ONMENT ! TAIS
7a. Number of wdls being abandoned:
Fa mmiliple Infection or non•waaer supply *cIll ONLY aglh 'be name
cmvlrycrlws ahan.LH..msM, you can subndl one farm.
7b. Approximate volume ofwater remaining In well(s): Z
FOR WATER SUPPLY WELLS ONLY:
7e. Type of disinfectant used: 'C�k,
7d. Amount of disinfectant used:
le. Soling malerialm used (check sit that apply):
V'Neat Cement Grout
❑ Bentonite Chips or Pellets
❑ Sand Cemenc Grout
D Dry Cloy
❑ Concrete Grout
❑Drill Cuuings
O Specialty Grout
idJGravel
❑ Bentonfte Slurry
O Other (explain under 7g)
71. For meta material sewed above, provide amount of materish used:
�( .T 7,-7 'ye 5 �c•'�'a c. �i t �/S yen
7g. Provide brief description of the abandonment procedure: 10
�- • 1 ,/ �� fG� rya' �� �7
czd
r-{� no,
& Certifleatka: L/
SiBA"ure of Catlavd Well Coetnelor ar WC11 own" Date
%� r `t {}Igi�By signing Ihu form, I hereby Ct"Al that the well(sf war (vere) abandoned in
pared 140ti&eation No, (P" accvrtdanee wlih 11A ;NUC 02C 0100 or 2C 6200 Will Corwrkelfaa &andords
and slat a copy of Ihlr record has been provided to the well owner.
5b. Latitude and longitude is drgreeslminales/secoods or decimal degrees:
Orwell Laid, ote WR�m/ g is sumcicru) 14
rntvt•r'b r r r`T rnttr rla'r11 r.0 nA W6.t.l dAl 11F ING, ARA"ON VI)
Arwch will eaKrtputgon record(s) PfvwiIaVice For mulaplr ktkvoan err mmt•rrater supply
,relfs ONLY uirh rht rune[ you caul auburn cute farm
6e. Well MO: Aaj1161- -5
fib. Total well depth: IR)
6c. Bombole diameter. 47 (lo:)
6d. Wrier level below ground surface. 1%)
9. Site diagrsm or addliioaal well detalls:
Yam may use the back of ibis page to provide additional welt stic dcsails or well
abandonment details. You may ids ausch additional pages if necessary
ICTI ONS
10,L For All 3yj1h: Submit this farm within 30 days of completion of well
abandonment to the following.
Division of Water Resources, Information Processing UniL
1617 Mail Service Curler, Raleigh, NC 27699-1617
ltlb. Far lalretlon W_elI . In addawn to scnduill dic form to the address to 10a
above, also submit one copy Of ims form within 30 days of completion of well
abandonment to the following:
Division ofwaler Rom urees, Uadersround injection Control Program,
1636 Mail Service Center, Raleigh, NC 21699.1636
le, ' above, a i lY to addition to sending the farm to
fie. Ogler wing length (if known); 2 L (�) the address(e) also submit one copy of this rum within 30 days of
completion of well abandonment to the county health department i f the county
where abandoned.
6f. Inner easiogNubing length (if known): / �" — (fL)
fig. Screen length (if knawn): (R)
Form OW-30 North Carolina Dep uumm of Fnvironru rn and Natural Resowim-Division of wager RuOuares Revised August 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Information: f
Wd8 Caeunetar Name (or WWI owner personally abandoains well on his0res ptuparty)
7—? Z
NC Well Contractor Ccruflauon Number
For Interoal Use ONLY:
1W1;I,�RA1 MON.MENTs)ETAIL4i
7a. Number ofwdls being abandoned:
Far rtrulrrpk iryeeuon or mn-warer supply welk ONLY with the sent#
eantrucilawabandem", you can submis one form
7b. Approximate volume of water remaining In well(s): 2 (gal)
e+�oR /r✓i'I 1'�i ►� FOR WATER SIMPLY ►YELLSONLY: _ L
CmrpnnyNama 7c. Type of d�/ � Lslnfeemnt Used: `�
2. Well Construction Permit H. '
Lrsr all applicable We11P remand At. Cnunra: &ate. Voriarree, !rq'ecrtan arc) tfkrt#wn 7d. Amount of dlainfectant used:
3. Well use (check well rase):
Well:
ClAgricullural
❑Geothermal (Keating/Coolins Supply)
❑ Industriol/Commercial
Nan -Water Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimenul Technology
❑Geothermal (Closed Loop)
C MM�mcrpWftbllc
p)Rcsrdenual Water Supply (single)
❑Residential Water Supply (shared)
❑Gmundwrter Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
Omer (cxpinin under 7g)
d. Datewell(s) abandoned: 3 4 1-
6-
so. Welllllo`cya_llon.,
Ti l y
Fsedityft3wsea Nurse
Fsciury im orrppticame)
TL Scaling materials used (check all that apply):
111%at Cement Grout ❑ Benlonite Chips or Pellets
❑ Sand Cement Grout
❑ Dry Clay
❑ Conetete Grout
❑ Drill Cuttings
❑ Specialty Grout
((Geavei
❑ Bentonile Slurry
❑ Other (explain under 7g)
7E For each material selected abaveyprovkk amwmt of materials used,
prat. sJedQ.w rfJ f `yr+� 7 / wS 't O } espy/lix
co-, e. y[
7g. Provide a brief description of the abandonment procedure: L
!'d_%.
tom.✓ er t:..
8, Certliics1low
r j_p &01 Le. -Trau 11 den NC..3 - 7-1,0'
kal h,Liresd. City. and Zip Sidnaruro of Cered Well Cantrados err Wa8 Osvaer Due
q6 L� t& �k460CWO By signing iW firer, ! hereby ces ,P dial lira waPl(rJ arse tweet) abandoned to
County Parml IdendRadan No. (PIN) arrardance w0h I SA NGtC 02C .0100 or 20.9200 lVeif Conssrucnan S(srndardr
and that a copy gjthis retard bur been p3,evidcd to the weft owner
Sh. Ladlude and longitude In degrsesimioates/secaods or decimal degrees:
(if"I fictd,one W/I nrs issulGcient) 9. Site dlHCram or sdditlonsl well details:
a ► re s 1 ►t You ratty use the back of this page to provide addiuonal well site details or well
N �f W abandonment details. You may also attach additional pages ifnecessmy
r A 1 Ni:l) SUDNI t"fAI, IN "CR_ILt'S lONN
j"A wait wruuucrien reswd(s) jrwaileble F'cr mdupk rnfrcrron Pr rwmuvmr supply
wells ONLY wimthesmneeamrrucrraW/atiandanme:utyaued+rsobmiruaetar+n 10a. Far All Wells: Submit this form within 30 days of completion of well
60. Well WN:
fib. Total well depth: {ft.)
6c. Borehole dismeter.
6d. Woter level below ground surface: YL)
abandonment to the following.
Division of Water Resources, Information Processing Unit,
1617 Mall Service Center, Raleigh, NC 27699-1617
Job. For Intecilon Wells: In addition (o scstdtnn the form to the address rn 100
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Waler Resources, Underground Injcetloa Control Program,
1636 Mall Service Center, Raleigh, NC 27699-1636
th If kenos - _ (ft) Joe-ForWitter Supply & Infcelkn ►Yells: In addition to sending the: forth to
fie Oster cuing ( )• —. the addreas(cs) above, also submit one copy of this form within 30 days of
completion of well abandonment to the county health departmem of dtc county
6f. loner coslogJiublag length (if Imowu): (py) where abandoned.
6g. Serena kagtb (If known): fR)
Form GW30 Noah Cardin Depannratof Eavironmori sn i Natural Resew= - Division of Water Resoutw Revised August 2013

WELL ABANDONMENT RECORD
This farm can be wcd for single or multiple wills
1, Well Contractor Information:
Wdl Contractor Name (al well owaa pacaully abandoning well on hiaAw propcm)
72-9 7 22 -'Al
NC Well Contractor Caalfieadon Number
C �+-�Gcc.of .r'J�d •true'
Company Name
2.. Wei( Coru:rucdon Permit 9,
1'Almnappllcoblf weJlpermru etc, Co�rq•, Stair, Yorlawc I'Vecrivn, etc lfa.a.a
3. Well use (check wed use):
OAgricuhural Cl nrcihaltPuhtic
❑Gcotheirmal (Heating/Cooling Supply) l rdential WaW Supply (single)
❑lodsulriallCommcreial ❑Residential Water Supply (shared)
Well-
OAquifer Recharge
❑Groundweier Remediation
OAquifer Storage and Recovery
OSalinity Barrier
❑Aquifer Test
❑Starmwater Drainage
❑Expciimenlal Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
❑Tracer
oG:othemial al tintrlCooling Rciu rl)_
_ 01hrr (explain under 7g)
4.Dole weW3)shastioned•31 3 -/�
Sa. Wen loallon:
Far Internal L-u ONLY,
wF1 I Al11iY13t7 oiF,hlr 12F (AII:q
7%. Number of wells being abandoned:
For mu1loc Injection or non -wafer supply wells ONLY with the same
egafrf/e11lM otn�i: lnnernr, j'au can +uhnJl nne fans
7b, Approximate volume ofweler remalning In well(s): igxl-)
F 0 H WA'rER SUPPLY WELLS ONLY:
7c. Type of dislatectant used: ��� r-J
7d. Amount of ilbinfectanl used: a „�►_-cam
le. Sealing materials used (check all that apply):
e'NcatCementGrout
O Bentonite Chips or Pellas
❑ Sand Cement Gout
O Dry Clay
❑ Concrete Grout
0 Drill Cuttings
O Specialty Grout
erGmvel
0 Bcnlonite Slurry
❑ Other (explain under 7g)
7E For ouch mAlrriul 5ektics! above, PMvVllde anwaunt of nuterlals used:
el
7g. ProvWe a brief dJescrlption of the abandonment procedure:,
At) f
cm1 o Avd r 'u a. Certification, -
Frcilay;oi d Nams Facility ID# (ifapplicawe)
LAU hi
phyriu�cu, City, and Zip - 5iiyatum of Colfal weliC4nuactot Or Well Owner Date
'&Acorr,b �_ rig sing fire's farm, 1 hereby certify that the well(s) was (were) abandoned In
County parcel tdaoigaaon No. (PM accordance with ISd NCAC 02C .0100 or 2C .02o0 Well Construction Standards
and that a copy of Phis record ham been provided to the well owner.
5b. I.Adhodc cad longitude In degreeshnlauteslaceouds or decimal degrees:
(irwtll field, one LLIAtmg is sufficirnsl
9. Slle diagram a additional well details:
You may Use the back of this page to provide a,lditiunul uYll site derails or well
abandonmcil dztn its You may also attach addilintial pagc5 if neccssury
CQr4S7fRtTC11QN I&TA11 S QFWE1J.(S1 BEING ADAK-1 i� t RIl t`F I.1h ll I I['I1 ON,"
.drtorir r+ed coratrueflon recordfs) it wraPabk. for muliipde InfccOpn or na+ "Pffr supply
well, ONLY wI)A 1Aw j m cent fnx&WgAorrdanmrw,, yap can iamir one form.
6a. Well 1DM• /I/ -7
6b. Total well depth: /V 3
6c. Berebele diameter
6d. Water level below ground surface: > ln•)
Ion. For All Wells: Submit this form within 30 days of completion of well
abandonment to Use following:
Divisloa of Water Resources, information Processing Un14
1617 Mall Service Center, Ralelgh, NC 27699.1617
lob. For (nit7ciloo W l : In addition to sending she form to the address m IOa
above, also submit One copy or this form v islsin 30 days of eompteuon of well
abandonment to the following:
Division err Water Resources, Underground Injecllan Control Program,
16M Mall Service Center, Ralelgb, NC 27699-1636
loe. F r W tr 1 a W- R : to addition to Sending dre roan to
6e.Outer caslagleugth(irknown): So (h) the tddress(e:i) above, alio submit one copy of this form wllhin 30 nays of
completion of well abandonment to the county hra]Ih deparvnetil of the county
where abandoned
611. Inner easingliubing length (if known):
fig. Screen length (If known): inn
Form GW-30 Noah Cantina Dgwurreai of Favirorurrrat and Natural Resaurw - Division of Walar Resources Revisal Auanu 7L13

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
For Internal Use ONLY:
1. Well Contractor Information:
Michael Coleman
Well Contractor Name (or well owner personally abandoning well on his/her property)
3223-A
NC Well Contractor Certification Number
Cascade Drilling, LP
Company Name
2. Well Construction Permit #:
List all applicable well permits (i e County, State, Variance, Injection, etc) fknown
3. Well use (check well use):
Wo ter Supply Well:
❑Agricultural
❑Municipal/Public
❑Geothermal (Heating/Cooling Supply)
❑Residential Water Supply (single)
❑Industrial/Commercial
❑Residential Water Supply (shared)
171rri .lion
Nonn-�-Water Supply Well:
i+tanituring
❑Recovery
Injccilion Well:
❑Aquifer Recharge
❑Groundwater Remediation
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
❑Stormwater Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
❑Tracer
❑Geothermal (llealin Gooltn& Return)
❑Other cx lain under 7g)
d. Date well(s) abandoned:
I% Well location:
Asheville Steam Electric Plant
Facility/Owrier Name Facility IDN (if applicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one tat/long is sufficient)
W)r:I.1. ABANDONMENT D£TAII 5
7a. Number of wells being abandoned:
For nrultiple injection or non -water supply wells OiVLY with the some
consirucdon'ahandonarent. you can submit one form,
7b. Approximate volume ofwater remaining in well(s): (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7cJ, Scaling materials used (check all that apply):
fd hIcal C'eawnt Grout r!f f3entonite Chips or Pellets
❑ Sand Cement Grout
❑ Concrete Grout
❑ Specialty Grout
❑ Bentonite Slurry
❑ Dry Clay
❑ Drill Cuttings
❑ Gravel
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of material used:
i
ip/Ole-1 62 3 7
��it�Z2S 3-7 /
7g. Provide a brief description of the abandonment procedure:
o
8. Certification:
Signature of Certified Well Contractor or Well Owner Date
By signing this form, I hereby certify that the ivell(s) was (were) abandoned in
accordance ivirh 15A NCAC 02C.0100 or 2C .0200 Well Construction Standards
and that a copy of this record has been provided to the well owner.
9. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
W abandonment details. You may also attach additional pages if necessary.
CONaIRUCCION DE'rh1LS OF WELLt;SI BEING ARANDO;NED
Auach well construction recard(s) if available. For tnuhiple m)ection or non -water supply
weils ONLY with the same construction'abandomnent, you can submit one form
6a. Well [D#: _ �0�
6b. Total well depth:
6c.13orehole diameter:
6d. Water level below ground surface:
SUl3� L R!STRUCT(ONS
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10b. For lniccliun Wells: In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
10c. For Water 5uppiv & Injection 1► : In addition to sending the form to
6e. Outer casing length (if known): (ft.) 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
.,f. Inner casing/tubing length (if known): � (ft.)
where abandoned.
6g. Screen length (if known): �0 (ft.)
Form GW-30 North Carolina Department of Environment and Natural Resources - Division of Water Resources Revised August 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
Michael Coleman
Well Contractor Name (or well owner personally abandoning -well, on his/her property)
3223-A
NC Well Contractor Certification Number
Cascade Drilling, LP
Company Name
2. Well Construction Permit #:
List all applicable well permits (i e Counly. State, Variance, Injection, etc) if known
3. Well use (check well use):
WeW
❑Agricultural
[]Geothermal (fleating/Cooling Supply)
❑ industrial/Commercial
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Pest
❑Experimental Technology
L❑Geothermal (Closed Loop)
Geothermal (IieatinglC:oohnn
J. Date well(s) abandoned:
-a. Well location:
Asheville Steam Electric Plant
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Other (explain under 7s)
Facility/Owner Name Facility IDh! (if applicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long- is sufficient)
N
For Internal Use ONLY'
WELL A13.1 YD0N, LENT DETAILS
7s. Number of wells being abandoned:
For nadliple injection or non -water supply
constnrction'ahandonment, you can submit one form
f
wells ONLY with the same
7b. Approximate volume of water remaining in well(s): _(gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Scaling materials used (check all that appi}-):
e6cat Cement Grout llentonite Chips or Pellets
❑ Sand Cement Grout
❑ Dry Clay
❑ Concrete Grout
❑ Drill Cuttings
❑ Specialty Grout
❑ Gravel
❑ Bentonite Slurry
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of materials used:
7g. Provide a brief description ofthe abandonment procedure:
J f'. to r Fy �.t�C / t7- -//7 e--_ ,SrG-ee"-L-
_cam t
71,
,e� sit✓ t�ti ��
S. Certification: /n
Sipawre. of Certified Welt Contractor or Well Owner Date
By signing this form, I hereby certify that the ivel/(s) was (were) abandoned in
accordance with 15A JVCAC 02C.0100 or 2C.0200 Well Constnlction Standards
and that a copy of this record has been provided to the well owner.
9. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
V abandonment details. You may also attach additional pages if necessary_
i'c'MMtlf"i`ION DEJEAlLS OF ►VVLId41 B�.ING ARANDONk:l]
Attach well construction record(s) if available. For multiple injection or non -wafer supply
wells ONLY with the same construction'abandonarent, you can submit one form
6at. Well ID#:
i
6b.Total well depth: S �/ (ft.)
6c. Borehole diameter:
6d.NYater level below ground surface: (ft.)
51,;B1iF[TAL inntucuo S
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
tOb. For in'ection Wells: In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
loc. Eg&JyjLLqr Nutaoly .& Inicetittn Wells: In addition to sending the form to
6e,0uter casing length (if known): (ft.) 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
�F.liner casing/tubing length (if known): 7 (ft,) where abandoned.
6U.Streen length (if known): ,- _ (ft.)
FOmmGW-30 North Carolina Department of Environment and Natural Resources - Division of Water Resources Revised August 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
Michael Coleman
Well Contractor Name (or well owner personally abandoning well on his,ther property)
3223-A
NC Well Contractor Certification Number
Cascade Drilling, LP
Company Name
2. Well Construction Permit #:
List all applicable well permits (i e County, State, Variance. Injection, etc.) iflamwn
3. Well use (check well use):
Water Supply Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑ Industrial/Commercial
Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Fxperimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (11catirt Coolin Rcturn)
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Groundwater Remediation
❑Salinity Barrier
❑ Stormwater Drainage
❑Subsidence Control
❑Tracer
d. Date well(s) abandoned: //`/ o —,16"
I-t. Well location:
Asheville Steam Electric Plant
under
FacilitylOwncrName Facility ID4 (ifapplicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if wsell field, one latilong is sufficient)
N
For Internal Use ONLY:
�VF:�..t.,'~�r��ilcl;tirll•:ti�l1>Iz•:Z'�� /
7a. Number of wells being abandoned:
For multiple injection or non -water supply wells ONLY with the so,ne
constniction ahandonrnenl, you can submit one form
7b. Approximate volume of water remaining in well(s): (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7cc Scaling materiels used (check all that aphl ):
l^ IIwt Cement Gfout f'1 13cntonite Chips or Pellets
❑ Sand Cement Grout
❑ Concrete Grout
❑ Specialty Grout
❑ Bentonite Slurry
❑ Dry Clay
❑ Drill Cuttings
❑ Gravel
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of materials used;
7g. Provide a brief description of the abandonment procedure:
AL-
G ►. i.w c+r e.
S. Certification:
Signature of Certified Well Contractor or Well Owner Date
By signing this form, I hereby certii , that the ,vell(s) wvas (were) abandoned in
accordance with I SA l CAC 02C .0100 or 2C .0200 Well Constniction Standards
and that a copy of this record has been provided to the well owner.
9. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
W abandonment details. You may also attach additional pages if necessary.
C N 11CTIf1N DETAILS OF tLEl Its) RVINii A$ANDONER 55LIB 11'lTAL 1N'.i'j'AVCTI0N
ArtacA well constniction record(s) if available For multiple injection or non -water supply
wells ONLY with the same consirriction'abandonment, you can submit oneform 10a For All 1V 11 . S b 't th' f h; 30 d
6a. Well ID#: ' ! - /'0
6b.Total well depth: 7 (ft,)
6c,Borehole diameter:
6d, `Vater level below ground surface: (ft.)
e s. u rru is orm wit m ays of completion of well
abandonment to the following;
Division of 'Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10b. For Inieciion NV611: In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
6e.Outer eosin length (if known): loc. For ►Vatcr Supply &r injection Welk: In addition to sending the form to
g g (' ) (ft.) 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
..f.Cnaer casing tubing length (if known): R � (ft.)
where abandoned
6,1. Screen length (if known): 0 (fr.)
FornGW-30 North Carolina Department of Environment and Natural Resources — Division of Water Resources Revised August 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
Michael Coleman
Well Contractor Name (or well owner personally abandoning well on his/her property)
3223-A
NC Well Contractor Certification Number
Cascade Drilling, LP
Company Name
2. Well Construction Permit #:
List all applicable well permits (i e County. State, variance, Injection, etc.) if known
3. Well use (check well use):
Water Supply Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑ Industrial/Commercial
Non -Water Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
[I Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (I lcating/Cooiing
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Other (explaiu under
d. Date well(s) abandoned: `r 2— b
-q. Well location:
Asheville Steam Electric Plant
FacilitylOwnerName Facility IDx (ifapplicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if -sell Feld, one lao9ong is sufficient)
N
C N5TR ICTIONETAILS QF ' E,Ll: Sl SF: I NG ►B,%X ONS;D
Attac/i well constriction record(s) if available, For multiple injection or non -water supply
wells ONLY willr the same
(consirtictiotr'abaiidonmeni, you can submit one form
6a."'ellIDii: ; saj-/ ` ///
6bi,Total well depth: % / (ft.)
6c.Borehole diameter: (in.)
6d.%Vater level below ground surface: (ft.)
For Internal Use ONLY:
1VELL ABAtiDOtilIENT DETAILS
7a. Number of wells being abandoned:
For multiple injection or non -water supply wells ONLY with the same
construction abandonment, you can submit one form
7b. Approximate volume of water remaining in well(s): (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e.Seal ing materials used (check all that apppl •):
feat Cement Groul C'd Bentonite Chips or Pellets
❑ Sand Cement Grout
❑ Concrete Grout
❑ Specialty Grout
❑ Bentonite Slurry
❑ Dry Clay
❑ Drill Cuttings
❑ Gravel
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of materials used:
7g. Provide a brief description of the abandonment procedure:
r&�rQ d e`
led
8. Certification --
Signature of Certified Well Contractor or Well Owner Date
By signing this form, I hereby cert fi, that the tvell(s) was (were) abandoned in
accordance with 15A NCAC 02C .0100 or 2C .0200 Well Construction Standards
and that a copy of this record has been provided to the Nell owner.
9. Site diagram or additional well details:
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.
SUBMITTAL INSTRUCTIONS_
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10b. 'Fur [ 'section Wells: In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
6e,0uter casing length (if known): (ft.) 10c. Fitr Water Sunnlr & 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
,C Lnaer casing/tubing length (if known): Y/ (ft.) where abandoned.
6g.Streen length (if known): "�-' (ft.)
Foto GW-30 North Carolina Department of Environment and Natural Resources - Division of Water Resources Revised August 2013

WELL A13ANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor information:
Michael Coleman
Well Contractor Name (or well owner personally abandoning well on his/her property)
3223-A
NC Well Contractor Certification Number
Cascade Drilling, LP
Company Name
2. Well Construction Permit #:
List all apphcahle well permits (i a County, State, Variance, Injection, etc) ijknown
3. Well use (check well use):
Water Supply Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑ Industrial/Commercial
Supply
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (I Ica ima-ooling
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwatcr Drainage
❑Subsidcnce Control
[]Tracer
❑Other (explain under
4. Date well(s) abandoned: / ` ` 4.
a. Well location:
Asheville Steam Electric Plant
Facility/Owner Name Facility ION (if applicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County Parcel Identification No (PIN)
5b- Latitude and longitude in degrees/minutes/seconds or decimal degrees:
fif `.iellEeld, one lat/long is sufficient)
N
For Internal Use ONLY
► E1,LARANDON11F.NT1)UA115
7a. Number of wells being abandoned:
For multiple injection or non -wafer supply wells OiVLY with the same
constriiction'ahandonment, voet can submit one jonn
7b. Approximate volume of water remaining in well(s): (gal.)
FOR WATER SUPPLY IVELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
le. Sealing materials used (check all that app/l�'):
E7e.Nclit Cement Grout
; Iir:ntonite Chips or Pellets
❑ Sand Cement Grout
❑ Dry Clay
❑ Concrete Grout
❑ Drill Cuttings
❑ Specialty Grout
❑ Gravel
❑ Bentonite Slurry
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of materials used:
' e
7g. Provide a brief description of the abandonment procedure:
. e tti roc ✓rLx 1 ✓oc.ty' f`J
S. Certification:
Signature of Certified Well Contractor or Well Owner Date
By signing this form, 1 hereby cert fi, that the ivell(s) was; (were) abandoxed in
accordance with 15A NCAC 02C .0100 or 2C .0200 Well Consinietion ,Standards
and that a copy of this record has been provided to the ivell owner.
9. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
14 abandonment details. You may also attach additional pages if necessary,
CQN'b"1'PIQCT1(_l-�-Di':'VA[IS OFWELLt,S) IIVI%.GABANDONED
Attach well construction record(s) if available For mulliple a jection or non -water supply
wells CfVL Y with the some constructmn'abandoonincat, you can submit one form
6a. Well ID#: 2—-e/
01-
66,Total well depth: ..7 S, -5' (ft)
6e.Borehole diameter: (€n.)
6ct.LYater level below ground surface: (ft.)
SSUWNI11-1-Al, INS'l Itllt."I-10N'S
109. For All Wells ; Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10b. I•`nr Itt'ecilnn.Wells: In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Nfail Service Center, Raleigh, NC 27699-1636
10c. For Water Sunnly & lniecliog Wets: in addition to sending the form to
6e.0uter casing length (if known): (ft. 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
X tinier casing/tubing length (if known): SD - (ft.) where abandoned.
6g.Streen length (if known): 115� {rt.)
Foam GW-30 North Carolina Department of Environment and Natural Resources - Division of Water Resources Revised August 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1, Well Contractor information:
Michael Coleman
Well Contractor Name (or well owner personally abandoning well on his/her property)
3223-A
NC Well Contractor Certification Number
Cascade Drilling, LP
Company Name
2. Well Construction Permit #:
List all applicable well permits (i e County, State, Variance, Ityeclion, etc) if larown
3. Well use (check well use):
Water Supply Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑Industrial/Commercial
❑MunicipaVPublic
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
Non -Water Supply Well:
0Ionitoring
❑Recovery
lujcclion Well:
❑Aquifer Recharge
❑Groundwater Remediation
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
❑Stomtwater Drainage
❑Experimental Technology
[]Subsidence Control
[]Geothermal (Closed Loop)
❑Tracer
❑Geothermal (( Ieatin Cooling Retum)
❑Other (csirlatn under 7gI
4. Date well(s) abandoned: '/` z /�
'a. Well location:
Asheville Steam Electric Plant
Facility/OwmerName FacilityID (if applicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if ♦well Field, one lat/long is sufficient)
N
W
jI7,11S' AUCTION DETAILS OFWELLIS) HEINt; i lIX"N'fIt'l_\_IA)
ArtacA well construction record(s) if available. For multiple injection or non -water supply
welly ONLY with the same constrrction'abandonmew, you con submit one form
6a."✓ ellIDN: V""" -/Z /-V/
6b,Total well depth: ��JS .S (ft.)
6e.Burehole diameter: (in.)
6d. Water level below ground surface: (ft.)
For Internal Use ONLY
1VF N,PON,i%1ENT DETAII S
7a. Number of wells being abandoned:
Foi multiple injection or non -water supply % ONLY with the same
construction'ahandonment, you can submit one form
7b. Approximate volume of water remaining in well(s): (gal.)
FOR WATER SUPP1.,1' WELLS ONLY:
7e. Type of disinfectant used:
7d. Amount of disinfectant used:
7e/Sealing materials used (check all that apl lV):
i f Neat Cement Grout Lx Bentonite Chips or Pellets
❑ Sand Cement Grout
❑ Concrete Grout
❑ Specialty Grout
❑ Bentonite Slurry
❑ Dry Clay
❑ Drill Cuttings
❑ Gravel
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of materials used:
.t -
7g. Provide a briefdescriptionof the abandonment procedure:
To 7-k ) w✓TCc C _ �
8. Certification:
Signature of Certified Well Contractor or Well Owner Date
By signing this form, 1 hereby certfi that the wells) was (were) abandoned in
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.
9. Site diagram or additional well details:
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.
S U R N i I`l-I' A 1. IN'SCRUI'T iOiNS
109. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division ofWater Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1611
Job. For Infection Welk: In addition to sending the form to the address in IOa
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
6e,0uter casing length (if known): (ff I Joe. htyr Water Suntital_�_&_ I_stic_c_tisut «NrClll: In addition to sending the form to
the address(es) above, also submit one copy of this form within 30 days of
q completion of well abandonment to the county health department of the county
.iCLoiier casing/tubing length (if known): / �� (ft.) where abandoned
6g,Streen length (if known): % U (ft.)
FornOW-30 North Carolina Department of Environment and Natural Resources - Division of Water Resources Revised August 20I3

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
Michael Coleman
Well Contractor Name (or well owner personally abandoning well on his/her property)
3223-A
NC Well Contractor Certification Number
Cascade Drilling, LP
Company Name
2. Well Construction Permit #:
List all applicable well permits ff a County. Slate, Vat -lance, Injection, etc) ifbtown
3. Well use (check well use):
Water Supply Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑Industrial/Commercial
Ilion -Water Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (lleatrng/Coolirtg
❑MunicipalTublic
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
I(cturtt) ❑Other (explain under
4. Date well(s) abandoned: _ %" - `f '6
'a. Well location:
Asheville Steam Electric Plant
FacilitylOwner Name Facility ID4 (if applicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if,vellfreld, one [at/long is sufficient)
N
For Internal Use ONLY:
3JELL ABANDONXIEisI3F,TMA
7a. Number of wells being abandoned:
For ntulttple injection or non -water supply wells ONLY with the same
construction'abandownent, you can submit one form
7b. Approximate volume of water remaining in well(s): (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Sealing matei i:ais used (check all that apply):
f�Neat Cement Grout 413entonite Chips or Pellets
❑ Sand Cement Grout
❑ Concrete Grout
❑ Specialty Grout
❑ Bcntonite Slurry
❑ Dry Clay
❑ Drill Cuttings
❑ Gravel
❑ Other (explain under 7g)
7L For each material selected above, provide amount of materials used:
,n"f y
7g. Provide a brief description of the abandonment procedure:
,/" t
'e F4�i�. S s r / its .r �eY✓ L' g, a;
8. Certification:
Signature of Certified Well Contractor or Well Owner Date
By signing this form, 1 hereby certifv that the well(s) was (were) abandoned in
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.
9. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
W abandonment details. You may also attach additional pages if necessary.
CCiNST_RUTION DETAILS OF WELL(S) REIN-C ABANDON F.D,
Attach well construction records) if available For multiple injeclion or non -water supply
wells ONLY with the same construction abandonment, you can submit one form
6a. Well tD#:
6b.Total well depth: Y (ft.)
6c.Borehole diameter:
6d,14Vater level below ground surface: (ft.)
SUBNII FrAL INS7'RLlCTIONS
10a. FgE All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of IVater Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10b. For In€eclion Wells: In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
6e,0uter casing length (if known): (ft) 10c. For Water Sunniv & 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
,f.Lnoer casing/tubing length (if known):. (f1.) where abandoned
61g.5treen length (if known):
Fum_aGW-30 North Carolina Department of Environment and Natural Resources —Division of Water Resources Revised August 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
I. Well Contractor Information:
Michael Coleman
Well Contractor Name (or well owner personally abandoning well on his/her property)
3223-A
NC Well Contractor Certification Number
Cascade Drilling, LP
Company Name
2. Well Construction Permit #:
List all apphcahle welt permits (i.e County, State, Erariance, Injection, etc) ifknown
3. Well use (check well use):
Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑Industrial/Commercial
❑ Irrigation
Nora -Water Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑GeDili crrnat (Ilcatingl(:oolitig
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Other (c�:plain under 7g)
4. Date well(s) abandoned: /` �1
'a. Well location:
Asheville Steam Electric Plant
FacilitylOwner Name Facility ID9 (if applicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No (PEN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if tieellfield, one lattlong is sufficient)
N
For Internal Use ONLY
►YELL. ABANDON'N[ENT DETAILS f
7a. Number of wells being abandoned: 1
For multiple injection or non -water sapp(v wells ONLY with the sarne
construction'ahandonment, You can submit one form
7b. Approximate volume of water remaining in well(s): (gal.)
FOR WATER SUPPLY WELLS ONLY-
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Sealing materials used (check all that appfl�):
Neat Cement Grout
C3 Bentonite Chips or Pellets
❑ Sand Cement Grout
❑ Dry Clay
❑ Concrete Grout
❑ Drill Cuttings
❑ Specialty Grout
❑ Gravel
❑ Bentonite Slurry
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of materials used:
u�
� y
7g. Provide a brief description or the abandonment procedure:
8. Certification:
Signature of Certified Well Contractor or Well Owner Date
By signing this form, 1 hereby certifi, that the ivell(s) was (were) abandoned in
accordance with 1 SA NCAC 02C .0100 or 2C .0200 Well Consinrction Standards
and that a copy of this record has been provided to the well owner
9. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
11 abandonment details You may also attach additional pages if necessary
(7 'UBL103 X RETAILS OF WELL1S) lid INS, AIiA \DONEE
AtracA well construction record(s) if available For multiple injection or non -welter supply
wells ONLY with the same conslrrrcnar abandonment, you can subinir onefonn
6a.V4ell IM- 1­7 L-/ ` IL
6b.Tfotal well depth: (ft.)
6c.13orehole diameter: (in.)
6d'%Vater level below ground surface: (ft.)
SUBMITTAL IN T NS
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division ofWater Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
Lob. For Inieclinn Welk- In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
loc. For LYatcr Sunuly & Iniyelion Welk: In addition to sending the form to
6e,0uter casing length (if known): (ft.) 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 abandoned
` �1[raer casing/tubing length (if known):
61g.Screen length (if known): (ft.)
FvrrnGW-30 North Carolina Department of Environment and Natural Resources — Division of Water Resources Revised August 2013

WELL ABANDONMENT RECORD
This forth can be used for single or multiple ►veils
For Internal Use ONLY
1, Well Contractor Information:
Michael Coleman
Well Contractor Name (or well owner personally abandoning well on hislber property)
3223-A
NC Well Contractor Certification Number
Cascade Drilling, LP
Company Name
2. Well Construction Permit #:
List all applicahle well perniita (i e County, Stale, pariance, Injection, etc) if,hioen
3. Well use (check well use):
Water Supply Well:
❑Agricultural
❑Municipal/Public
❑Geothermal (Heating/Cooling Supply)
❑Residential Water Supply (single)
❑Industrial/Commercial
❑Residential Water Supply (sharcd)
❑Irrigation
Non -Water Supply Well:
monitoring
❑Recovery
Iujeclion Well:
❑Aquifer Recharge
❑Groundwater Remediation
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
❑Stonmvater Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
❑Tracer
❑Geothermal (lReturn)
❑Other(e:s lairs under? )
4. Date well(s) abandoned: %' ZS
-a. Well location:
Asheville Steam Electric Plant
Facility'Gwner Name
Facility ID4 (if applicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
ParcelldentificationNo (P[N)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if will field, one latilong is sufficient)
N
W
1'E13, Al RANDOINIIFX" 11VTAIi S
7a. Number of wells being abandoned:
For multiple iiyection or non -water supply wells ONLY wtlh the same
constnictmn nhandonment, you can submit one form
7b. Approximate volume orwater remaining in well(s): (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c, Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Scaling inaterialx used (check all that appl -):
FNIeut Cenwrit Grout r613entonite Chips or Pellets
❑ Sand Cement Grout
n Concrete Grout
❑ Specialty Grout
❑ Bentonite Slurry
❑ Dry Clay
❑ Drill Cuttings
❑ Gravel
❑ Other (explain under 7g)
7f. For each �material selected above, provide amount of materials used:
ru !d
7g. Provide a brief description of the abandonment procedure:
�,r ,I r .•
rz
Ili /ref_ eJ P� fi: h • � . *^� T�t-+C./ SCsY^ E Pam.—.,
8. Certification:
Signature of Certified We] I Contractor or Well Owner Date
By stgnfng this farm, I hereby cerlifv that the avell(s) was (were) abandoned in
accorilahce ioeh 15A NCAC 02C .0)00 or 2C .0200 Well Consfnrerivn Starrrlavats
and that a copy of (his record has been provided (o the well owner,
9. Site diagram or additional well details:
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.
CU),N51'R1_`U10N DFTAIi.S OFA►'FU61 REND ARAND07SID SURM11TAL IN -R1!(. 'S
Airech well construction record(s) if available For multiple injection or non -water supply
wells ONLY with the saine construction abandonment, you can subirrit one form In F All 11'
6a.Welllll}Fi:A!
613,Tatal well depth:
6a,Borehole diameter:
6d.LYater level below ground surface:
a. or 91 1w, Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
IOh. Ugr lnlctllon Wells: In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
lOc. For Water Su a rlv & lu'eclirsu Wells: In addition to sending the form to
6e.Dutcr casing length (if known): {ft•} 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
S�E[noer �l casing/tubing length (if known): {ft.) where abandoned
6g.Streen length (if known):
F.oioGW-30 North Carolina Department of Environment and Natural Resources -Division of Water Resources Revised August 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor information:
Michael Coleman
Well Contractor Name (or well owner personally abandoning well on his/her property)
3223-A
NC Well Contractor Certification Number
Cascade Drilling, LP
Company Name
2. Well Construction Permit f: _
List all applicable well permits (i e County. State, t'ariunce, Injection, etc) ifknown
3. Well use (check well use):
❑Agricultural
❑Geothermal (lleating/Cooling Supply)
❑industrial/Commercial
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
Non-, Voter Supply Well:
lfivionitoring ❑Recovery
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating/Cooling Return)
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Other (explain under
d. Date well(s) abandoned: /— r/6
I% Well location:
Asheville Steam Electric Plant
FacilitylOwner Name Facility ID4 (if applicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No (PIN)
5b- Latitude and longitude in degreeslminutes/seconds or decimal degrees:
(if- mell field, one laulong is sufficient)
N
For Internal Use ONLY
WELT. rt13.�NDOr\IENT 1)VTAIII.S
7a. Number of wells being abandoned:
For multiple injection or non -water supp(v wells ONLY with the sane
construction abandonment, you can subtnit one form
7b. Approximate volume of water remaining in well(s): (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Scaling materials used (check all that a j:
Gdppl
Ncat Cement Grout
13entonite Chips or Pellets
❑ Sand Cement Grout
❑ Dry Clay
❑ Concrete Grout
❑ Drill Cuttings
❑ Specialty Grout
❑ Gravel
❑ Bentonite Slurry
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of materials used:
7g. Provide a brief description of the abandonment procedure:
8. Certification:
Signature of Certified Well Contractor or Weil Owner Date
By signing this form, 1 hereby certfi, that the ivell(s) was (were) abandoned in
accordance with 15A JVCAC 02C .0100 or 2C .0200 Well Consiniction Standards
and that a copy of this record has been provided to the well owner
9. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
11 abandonment details. You may also attach additional pages if necessary
CQNSTRIW-111ON' DETAILS OF WELL M. BE;,INQ ARAtil3ONED
Attach well eonstniction record(r) f available. For multiple it jection or nun-wnrer sapply
wells ONLYwuh the same comtruction abrvidaiinent, you can submit one form
6a_ Well IM:,X/-t�" &✓" /
66.Total well depth: _�7J
6c-Borehole diameter: (In.)
6dI.LYater level below ground surface:
MM11111r" MM i'Llit tl lA'f+'!
10a. kor All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Information Processing Unit,
1617 Dlail Service Center, Raleigh, NC 27699-1617
10b. For Iniection Wells: In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
6e,Ontercasing length (if known): (ft.) 10c. For Water Supply & Ipiection 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
X.lnaer casing/tubing length (if known): SU (ft.) where abandoned
6g;.Streen length (if known): (ft.)
FOtnGW-30 North Carolina Department of Environment and Natural Resources -Division of Water Resources Revised August 2013

WELL ABANDONMENT RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
Michael Coleman
Well Contractor Name (or well owner personally abandoning well on his/her property)
3223-A
NC Well Contractor Certification Number
Cascade Drilling, LP
Company Name
2. Well Construction Permit #:
List all applicable wellpermifs (i e Coimty, Sale, Variance, Injection, etc) iifbiown
3. Well use (check well use):
Water Supply Well:
❑Agricultural
❑Geothermal (Ileating/Cooling Supply)
❑ Industrial/Commercial
Non -Water Supply Well:
laiection "81:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑ icothermal(Closed Loop)
❑Geothermal (I Icaiinn-/Coolttrg
❑Municipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Otlier (cxplam under
d. Date well(s) abandoned: '/"
'a. Well location:
Asheville Steam Electric Plant
Facility/Owner Name Facility IDS (if applicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel IdentifiicationNo (PIN)
5b-Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one IaClong is sufficient)
N W
C-U.NnRUC-17ION DETAIU OF WEL11S)BEING ABANDONED
Atrac-A well constniction record(s) if available. For multiple injection or non -water supply
wells ONLY with the saine construction'abbmidonnie�nt,t, you can submit one form
6at. lVelI ID#:'4xi ��— / jA `
6b.711futal well depth: d�? / (ft-)
6e.Borehole diameter: (in.)
6d.NYater level below ground surface:
For Internal Use ONLY:
1_Y1,;Q, Afl,%NDONMENT Dl•.TAiI,S
7a. Number of wells being abandoned:
For multiple injection or non -water supply wells ONLY with the saine
constriction ahandonmerri, you can submit one form
7b. Approximate volume of water remaining in well(s): (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. $ealling materials used (check all that apply):
Icat Cement Grout vnitonite Chips or Pellets
❑ Sand Cement Grout
❑ Concrete Grout
❑ Specialty Grout
❑ Bentonite Slurry
❑ Dry Clay
❑ Drill Cuttings
❑ Gravel
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of mma/terial fused:
/ S
7g. Provide a brief description ofthe abandonment procedure:
e s.-L , �.. ,..,..rvr 7`!` �- I r r c cVT
.'")C�.Cr
S. Certification:
Signature ofCertifred Well Contractor or Well Owner Date
By signing this form, I hereby certfi, that the ivell(s) was (were) abandoned in
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.
9. Site diagram or additional well details:
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.
SUB►IITTAL INSTRUCTIONS
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10b. For Iniectiori Well.: In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Rater Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
6e.C)uter casing length (if known): (ft.) 10c. Eitr Water Swully & foiectinn 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
�LLoner casing/tubing length (if known): '.0 (ft.) where abandoned.
6C. Screen length (if known):
FannGW-30 North Carolina Department of Environment and Natural Resources - Division of Water Resources Revised August 2013

WELL ABAN ONMNT RECORD
'dais lbrrnt ran lie used for single ornuAlysle twlls
1. Well Contractor inforinolion:
Richard Mooney
\\yell Cunlraclor Nome f or well owner pe"tioally abandoning well on histlier prupeny)
2980-8
NC Well Qmtracror Cenifieorion Number
Cascade Drilling L.P
Company Name
Z. Well Construction Permit 0:
Livi all npplirnhle well peanut' (r.e. r.'Ounh', stole, thrrionce, byecnbu Viv.) ffAlumnr
3. Well use (check well use):
❑Agricullurnl 0Municipa[/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑industrial/Comniercial OResidenlial Water Supply (shared)
L71rri lion
Non -Wafer Supply Well:
OMonharine
ClAquilcr Recharge
❑Aquifer Siuruee and Recovery
❑Aquifer Test
OL'xperimenlul Technology
OGeothermel (Closed Loup)
❑Gculhcrrunl (Ileutin uultn Realm)
d. Dalc well(s) itbnudaned: 7-23-15
OGroundatuter Remediation
❑Salinity Barrier
OSturnivmler Drainage
[]Subsidence Control
OTracer
in. Well location:
Duke Energy / Asheville Plant
FueilhyiOwner Nome Facility ID1(if;apphcnble)
200 CP & L Road Arden NC 28704
P4y'sical Address. City and Zip
Buncombe
Comity
Panel Ideatifiairion No. (VN 1
5h. Latitude nod Imigitnde in degrers/minules/seconds ar decimal degrees:
(irwell feld,mic IatAmlg is suflicienl)
N
For luleund Use ONLY.
1Y91J. ARANDONNIENT DFTAll S
7n. Nundter of wells being ubundoried: 1
For nirdulde micelrnrr or non -realer .vljply wells ONLI' u'trh the mane
eondrueliuil ahunihtnmeul, tint Cato amhoul Pwjitnu.
7h, Approximate volume of water remaining In ivell(s): (gill,)
FOR W TCR SUPPLY %VUL1 S ONLY:
7c, Type ordisinfecianl used:
7d. Autount of disinfectant used:
7e. Sealing nialcrials used (check all lbal apply):
❑ Neat Cetnenl Groul ❑ Benlonke Chips or Pellets
❑ Sand Cement Grout ❑ DR, Clay
O Concrete Grout ❑ Drill Cuttings
❑ Specialty Grout Cl Gravel
0 L3entonite Slurry ❑ Other (explain under Tsl
7f. For ench material selected above, provide amount ormntcrials used:
3 50 lb bags of Pure Gold grout
7g, Provide a brief description of the uhnndunmenl procedure;
Mixed 3- 50lb bags of Pure Gold Benlonite Grout in a 55 gal drum to abandon 5 wells
Used 1 inch trimmie pipe to trimm)e grout to bottom of well
B. Ccrtircntinn:
7-23-15
.nipinmi fCestifird weii cemitacim or wvit Owns Dale
By signing this fin•ra, 1 herehp cerlij• 11rat the n•ell(s) was (11'e'1't) abandoned in
uccordance. u•iih 15.1 AVAC' O'C.0100 ol• 2C .0 01) Well Construction Standards
urld that n eol�r r f rhii- record has heen provided to the hell oirnrr.
9. Site diagram or udditional well dehn)Is:
You may use the hock of this page m provide additional well site details or well
V nhauclunmenl details You may also nlmch additional pages il• necessary,
L.f1NS-i'It IC'I'it? nfs"I':III.S f)GIl"ZrLI.{S11ti:1N[i LitalVhONF.[#
-Jitneh u'el! ruan•rnrcliota ree•ord/ri i% avad rhla' hnr mr,hiplo inleennn ur non-u¢n:•r gawp/r
n e11vONLY-11, the ranee rwarrrrrnun ,ah,ni, fAnniwil. nu Vim imhmit one lorm.
ern. cellIna:—A- 61,e0•- 0 91
6b_ Tot:d well depth: 3D ((I,)
6c. Borehole dinnieter: 6 (in.)
6d. Winer level below ground sturface: (ft.)
St 1 HN t 1T1,11h. L. 1 NRY11l 1 C:'I I ON11%
Ilia, for ,Ill Wells: Suhmii this lbrin within 30 days uh cuuapletiun of well
abandonment to the lulluwing:
Division of Winter Resources, Informalion Processing Lluit,
1617 Mail Service Center, Raleigh, NC 27699-1617
101). [or inieellon Wells: In addition to sending the lbnn Illthe address in l0a
above. also submit one copy lit* this form within 30 days of completion ol- (yell
abandonment to One lidluwinc'
Division nfWit ter Resour"s, Undergruund Injection Control Pnagrnnl,
1636 Mail Service Center, Raleigh, NC 27699-I636
6c. Outer rasiu( length (if known): (ft) lllc For 1Yaicr SuPnly & Inlcetilut We11s; In addition to sending the form lu
the addressles) above, also subnut one copy ul' dais farm Within 30 days of
cumpletion of well abandonmcnt to the counny health department of the county
O fill Inner casing/tubing length (if I:notrn): aft.) witcle abandoned
6g, Screen Ierigili (if known): 11D (ft.)
F imu GW-10 4u1111 Carnlm:i Dl panment ill Fmviu,nmrol mid Well oil Resmnrees - Divismn of \Valcr R.wwces Reused :lugusi 2t113

WELL ABANDONMENT RECORD
This form can ba ustd fot smote or Inulliple ss` lls
1. Well Contractor Information:
Richard Mooney
Well Con(metor Nun¢ (or well unner persnually ahauduuing well nn hisilia property)
2980-B
NC Well Connncior Certilication Number
Cascade Drilling LP
Compaq' Name
2, Well Construction Pernril M:
List nlrapphcahle rrellp,,mirr (i.e. Coontr, Stara, llt—ome. hy-ir m. e10 ilknou77
3. Well use (checkwell use):
Wells
OAgricultural Oklunicipal/Public
[Geothermal (Healing/Cuuling Supply) OResidenlial Walcr Supply (single)
Olnduslrial/Cuuunercial OResidenlial Wntcr Supply (shared)
Supply Well:
❑ Aqui Icr Recharge
OGroundivatcr Remed inl ion
OAquiler Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
OSIDrmswiler Drainage
DExperimental Technology
❑Subsidence Control
❑Geolhcrmnl (Closed I-uup)
❑Tracer
OGcot�ermnl (I11:n1i45f11L:rWIitiFt Itcnrrrt)
OOtlterfexp(Itin antler "1gI
a, Date wells) abandoned: 7-23-15
sa. Well location:
Duke Energy / Asheville Plant
Facility/OwncrNmuc Facility IDII (ifuppliwhlcl
200 CP & L Road Arden NC 28704
Physieal Address, City, and Zip
Buncombe
County
Parcel IdetailicalionNo. (PIN)
Mi. Latitude and lungilude in degrees/minutes/seconds or decinuil degrees:
(ifwell field, one taBtung is suflicicnl)
N Rt
CtSNSKERUCTION u[•`i UJA OFAVIi1.14.91 HFING AHA\Ilf3iNEn
.Adath ir¢!1 ewaf viruu resnr•d(.rl ff uradable. Frjr rnuilrple. inlec/imr or non-waler .rrgy,lr-
wetlr ONLY wilh tlrc mme cnnunrcrion <rhundnutuent. i,ue cull ruhotil nmrforru.
6h, To [a] well depth: (ff.)
6c. Borehole tunneler: 10
6d. Water level below ground surface:
fur Internal Use ONLY:
WELL ABANDONUEN"I' DrTAR S
7n, Number ufwells being abandoned:
Yor mohgrte in rerun or non -water rrrpplp nrelty ONLY wilh the snrr
nniurtrclinu nhraidnnrrrent, you cuusuhmir unv jute.
7h. Approximate volume orwuler remaining in well(s): (gul.)
FOR WATER SUPPLY WfiLLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Seating materials used (check all that apple):
11 Neat Cement Grout
❑ Rcriwnitc Chips or Pellets
O Sand Cement Grout
❑ Dry Clay
Cl Concrete Grout
❑ Drill Cuttings
❑ Specialty Grout
❑ Gravel
* Bentonile Slurry
O Other f explain under 7g)
7r. Fur ellelt nurterinl selected arrive, provide nrmount of materials used:
3 50 lb bags of Pure Gold grout
%g Provide :t brier description of the nbnndnnnicul procedure:
Mixed 3- 50 lb bags of Pure Gold Bentonile Grout in a 55 gal drum to abandon 5 wells
Used 1 inch trimmie pipe to trimmie grout to bottom of well
H. Certiricatiun:
A_�___ _ 7-23-15
. V... a orc,..aed Well Coiaracim or Well Urvucr Daic
Rt, signing this farm, I hereby certifj• that the irell(s) was (were) abandoned in
accordance with 15,1 AICACD2C.0100 or 2C.0200 WellConserucrion Srandordr
and that a copy of this record has been provided to the a-eR corner.
9. Site diagram nr nddilionnl well dctnils:
You may use the hack of this page lu provide additional well silt details or well
abandonment details. You may also attach additional pages if necessary.
gUBi)II JJAL INS1'llt)C'rJONS
llln, par —All Welk: Submit this form within 30 days of completion of well
ubandonmeotto the following:
Division ufWater Resources, Informnlinn Processing Unit,
1617 Rini] Service Center, Raleigh. NC 27699-1617
1Ub. For lrelec(ion Wells: In addition lu sending: the futm to the neldress in IN
above, also submit one copy of this form wtihin 30 days or completion of well
abandonment to the lollosving:
Division ul`Waier Resources, Underground Injection Control Program,
1636 Nlydl Service Center, Rnlcigh, NC 27699-1636
6c. Outer casing length (if Itnosvu): 32 —(FL) IOe, for Wilter Sunnlvd & lnicethin We11s: In addition to sending the lorm la
the address(es) above, also submit one copy of this limo within 30 days of
cnnrplatiuit of well abandonment to (he county health dcparimenl of the county
Of. Inner casing/tubing length (if Irnosan)C(fh)
svhcie abandoned,
fig. Screen length (if ltnosvn): - (rr.p
Form GW-30 Norte Carolina Deparimem of Euviiumnent and Nnlmal Rcsmuccs - Diriswn nl'Wmar Rcsonrres RCYISe1I :Wgust 100

WELL ABANDONMENT RECORD
This Inrm can I* used for single or multiple wells
I, Well Contractor Infornmtiun:
Richard Mooney
Well Crnip War Noire for ivcft nwitur persanally abandoning mzil till hisilrel propvriyl
2980-B
NC Well Cunu;iclor Cenilicutinn 'Number
Cascade Drilling LP
Company Name
2. kWII Construclinn Perniil is
List all applicable well perwus (i.e. !'nunry: Maio. 14rrwore, luleclion, etc.) it known
3. Well use (check well use):
Waler5nppty Well:
❑Agricultural
❑Geolhenual (I Ieating/Cuoling Supplyl
❑ Industrial/Cummercial
Supply Well:
I (ZJb,lunitor
❑Aqui Icr Recharge
❑Aquifer Siorage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loup)
Renton)
4. Dale wellls) abandoned: 7-23-15
❑Nlunicipoullublic
❑ Zesidenlial llralerSupply (single)
❑Rcsidcntiai Water Supply (shored)
❑Groundwater Remedialion
❑Salinity Harrier
QStormiaacr Drainage
❑Subsidence Control
❑Tracer
❑other { c tJil:un under 7#t_
5a. Well location:
Duke Energy / Asheville Plant
racilityiowmr Nnmc Pnediiy IW' (if upplicablc)
200 CP & L Road Arden NC 28704
Physical Addreii. City. wrd Zip
Buncombe
County•
Parcel Idennlicaliou No. (P1N)
51J. Lulitude and longitude in deg,reeshninules/secnods or decimal degrees:
(il'w•cll field, one lat/Imte is snllicieut)
N
alweh well cm-tracnnn record(r) if Po' wnbiple wpxnno ill non-wnrer rul'lill'
uvllr ONLY with !ha tome —tra etiato oh,rrtrinruneni. yrm con ftrbnai one fora+
6a. Well I11N: .12 k � — 0 � 1�
61). Toh,l wen depth: 31? i 5 ift.I
6c. Unrehnle diamcler: 6 (fn.)
L
Infernal Use ONLY:
Wfr,1.LARLt,\DON1%ENT DETAIII.S
7n. \umber urir•clls bciug tihnnilonrd: 1
Far nmllyda hiteclion up non-Iruler rapplr tviflr ONLY triih she rorne
cunrrnlrRon uhnudunnrenl, i�nu can ruhnrlt nncfirnu
7b. Appruxinuuic vulamc of wafer rcmnfniug in wcll(s): (gill.)
POR WA•ITR SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Aninunt of disinfectant used:
7c. Scaling materials used (check till flout apply)'
❑ Neat Cement Grout
❑ Benlonitc Chips or Pellets
❑ Sand Cement Grout
❑ Dry Clay
❑ Cmlcrele Grout
❑ Drill Cullings
❑ Specialty Grout
❑ Gravel
O Henlonite Slurry
❑ Other (explain under 7gl
7L Pnr euclo material sclecfcd above, provide omnual of materials used:
3 50 lb bags of Pure Gold grout
7g. Provide a brier dcscripliau or the abandonment procedure:
Mixed 3- 50lb bags of Pure Gold Sanlonite Grout In a 55 gat drum to abandon 5 wells
Used 1 inch trimmie pipe to trimmie grout to bottom of well
8. CcrtiFientin�n:
7-23-15 ,
Si$anutn of Cenilied Well Crinnrweioi or Nell Owner Dale
lit• signing this form• I hereby crrlif• !lint the irell(s) was (weft) abandoned in
accordance rr lh 15:1 NC 4C 02C'.0100 or 2C.0200 Well Consinie ion S nrdards
mud that a eofoy of ills i ecord has been provided to the troll omtrer.
9. Site dingr'uu or additional ivell details:
You may use the hack of this page to provide nciditicnal well site details or well
abandonment details. You may also attach additional pages ii' necessary
JOn. For All Welts: Subilnt this form within 30 thtys of completion of well
ahanduutnenl in Ille following.
Division of Water Resources, lnfurnmllon Processing Unit,
1617 Aluil Service Center, Raleigh. NC 27699-1617
lob, rar In echo Welk: in addition !o sendine the form to the address in IOU
above, also submit Line copy Of thus farm within 30 days of completion of well
obandonmcnt 10 the follnwine:
6d. Willer level helots }round surface: (rt-} Division of lWaler Resources, Underground injection Control Program,
1636 hioll Service Center, Raleigh, NC 27699-1636
6e. (later casing length (if ltnoivn): ft.) We. For lltater SttnnfV & Iniccdan WON: In addition to sending the Bono it)
the address(es) above, also submit One Copy of this 1'utm within 30 days our
canrplction al'wcll uhmtdoimicnt 10 the cauntN' hc01111 departntcnl ol'the county
617. Inner casinglhth(ng length (if known): 3 3 r where abandoned
fig. Screen length (if known): 5 (f(,)
Form CRV-30 North Carolina Depainuenl of Em'iruuur_ui gad Vauual Resources- J)n•rsunr of 1lratei Resources kevisnl Anensi _Jit3

WELL ABANDONMENT RECORD
This rant wn be used for single or multiple wells
1. Well Conlraclnr htfnrmnlion:
Richard Mooney
We II COIII raelarNalne tar hell mvnel persauaIIy ;III andoniug we II IIIIis/her properlyI
2980-B
For ItilerrmI Use (IN LY-
N AIENT 1)VTAI 5`,
711. ;Number,irwciis being abandoned: 1
Por• nurllijde hijew, or or ran-waler .rlrpplr we/his 112 inch die r0ore
enusrrucrinn abort! runun4.,l:nu inn rnhnttr nit,.• /itrW
NC Well Cononclar Cenificmion Number 7k. Approximate volume ufwaler rema)ning in well(s):. (gill.)
Cascade Drilling LP FOR WATER SUPPIA WELLS ONILII —
Cumpany Name 7e. Type ordisinrecrint used:
2. Well Construction Permit 11:
Lim o/1 applicable well penucy (c.e. ('orm¢•. Store, 11 Cane, Lyacuon, ere) #41lo rn 7d. Amount of disinfeclnnt used:
3. Well use (creek well use):
WalerSnpply Well:
❑ Agric utlu rctl
GGenlhennul (llcatiniJCooling Supply)
Ol ndustri al/Com mere ial
Nor Water Supply Well;
❑Aquilir Recharge
DAquilcr Storage and Recovery
❑Aquitcr Test
❑ Experitnental 'technology
nGcotherntal (Closed Loop)
Return)
a. Date lvell(s) abandoned: 7-23-15
❑Ivlunicipnl/Puhlie
Residential Waler Supply (single)
❑Residential Willer Supply (shared)
❑Grounduatcr Reniedialion
❑Salinity Barrier
❑SIormu.11er Drainage
OSubsidcnce Control
DTracer
❑Otkerre,cplain under 7pj
511. Hell Iuenliun:
Duke Energy / Asheville Plant
Frtcilily/Owner Nome hncilily ID (irupplicahle)
200 CP & L Road Arden NC 28704
plcysical .lddiess. City, nod Zip.
Buncombe
Comity
Isareel ldenuirrcminn No. (PINI
56. Lulilude nud lortt*itude in deg rceslminuleskecunds or decimal degrees:
fi1•wcll lield, one hi'long is sullicant)
N
7e. Scaling materials used (check all Ihnl apply):
❑ Neat Cement Grout ❑ Benlonile Chips or Pcllels
❑ Sand Cemenl Ciroul O Dry Clay
❑ Concrete Grout ❑ Drill Cuttings
❑ Specially Grout O Gravel
0 Benlonile Slurry O Other(explain under 7-)
7L For inch nulleriol selected above, provide aniounl of muterilds used-
3 50 lb bags of Pure Gold grout
7g. Provide ;I brief description of the ahandannteni procedure:
Mixed 3- 50 lb bags al Pure Gold Benlonile Grout in a 55 gal drurn to abandon 5 wells
Used 1 inch trimmie pipe to trimmie grout to bottom of well
S. Certification:
7-23-15
_ _ _ _ _
41lvollluw of Ccili6ed Weil Conlmctor or Well Omer bale
By .rt,gnin0 this form, / hereby certify Thal the irell(A was (were) abandoned in
accordance with 15.4 AICAC 02C,0100 or 2C.0200 (Yell Coltslruclion Slraidards
and ihar a cojiy gf dl/.s record has been provided to the belt owner.
9. Site diagrarn or oddilional well details:
You miry use the back or this page to provide additional wall site details or well
\fir ahandonmenl details You may also atluch additional paces if necessary.
f [INSIAITCTION ].,,OF I;1 1151 REANC lHLN VQ2NED
.laoeb uadl enmrrrrtvrrm record(r) ?I available. lily rnatliptt miecliun w• non -timer valy th
uv)h ONLY rrnh the bona construow- ahaxdnn......I. parr Carr viMnu owe fin lip.
6a.Well ID":_ P1, X3
61). Total well depth: l S (fk)
60.11erellole dinllieler: 6 - (ill.)
fid. Water level below ground surfince:
sti n6aliT,u.1Ns►°ttF1+C"[CI[iiSS
Itln. For All Wells: Submit this Ibrni widiin 30 drays of completion or well
abondonrncnt to Ilia lidlowing:
Division of Wit Ier Itesnurces, I n ro r a I a I io IF Processing Unit,
1617 Mail Service Carter, Raleigh, NC 27699-1617
Illb. For Inirclhln Wells: In addition to sending the Corm to Ilse address in Ilia
above, also 511britlit Otte Copy DI IM5 litrm within 30 days elf completion Or well
abandonment to ilia rullou•inc:
Division ofWater Resources, Llndergruund Injection Control Prugnlm,
1636 MIMI Service Center, Raleigh, NC 27699-1636
6e. Outer ensing lenglr (if known): I171.) tile, far W uer Sit k, & In'celion Walls; Ili addition to sending the )tart to
ilia addresses) above. also submit one copy of this folm within, 30 days of
completion ill' well ahandonment to the county health dcparlmcnl of the county
t
(,f. )racy casing/nuking length (if Imutt•n); ,t (ft.) where abandoned
6g. Screcu length (if known):
Fonn G%V-ill Nonh Clirohop Dellnnmeal ol'rueitolrnledl and Nmmul Resources — Division of Wgter Rcgnitccs Re vNed Atigua 21113

WELL ABANDONMENT RECORD
1 his firm can he used lixsiriglc ar multiple wells
I. Well Contrucior Inrurmndion:
Richard Mooney
Well Contractor Nome fur well mvner persomdly abondoniq well oil his.1rer properly)
2980-B
NC Well Cmirracror Cenifrcmiao Number
Cascade Drilling L.P
Coapmry Nnnio
2. Well Cunstrucliun Permit R:
Li.sr rdl opplicuhle well pererii.r (),e_ Cnurmr, low. Variance. h jaelion. eie.) tI knou•a
3. Well use (clieek well use):
Water Supply 1Velk
❑Agricultural
❑Geothermal (Heabng/Cuuling Supply)
❑industrial/Cant merciul
Nun-WatcrSuppfv Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
QAquiferTest
❑Experimcnial Technology
❑Gcolhermal (Closed Loop)
1[i•,'IrNlcrmni(iicnlsn t uulut Relum)
4. ])late well(s) ahnndoned: 7-23-15
❑Municipal/Fiublic
❑Residential Willer Supply (single)
❑Residenlial WalerSupply (shared)
❑Groundwater Remedimion
❑Salinity Barrier
❑Sinn-rimler Drainage
❑Subsidence Control
❑Tracer
[]Other (y.%VTaitl under 7p1
Sri, Well location:
Duke Energy / Asheville Plant
FociligdOwiier Name Po.dily IFIJ f il'applicuble)
200 CP & L Road Arden NC 28704
Physical Address. Ciry. and Zip
Buncombe
Cnnlrr}•
Parcel ldeutificaiimi No. (PINI
ih. 1_ntitude and longitude in degrees/minutes/seennds or decimal degrees:
(irwell field, one loldolle is su0icieral
N
For Imemnl Use ONLY
LVI.LL:Aklrl!U()NNIENT f)F AJI4
7u. Number of wells being ubnnelorsed: 1
For miLrple inlecmau ill, ann-inner nrpplr iralls ONIIA' wilh she fora
conrrriscliom uhuurh,nurenr. /:nu rirn.rubnrrl one firm.
71). Appruximnte volume of ivnier renwining in wcll(y)t (gill.)
FOR WATER SUPPLY WELLS ONLY:
7c. 1')pe of disinfectnnl used:
74J. Amount ordisinreclrud used:
7c. Sealing materials used (check all that apply):
❑ Neal Cement C'rroul ❑ Benlonite Chips or Pellets
❑ Sand Cement Grout ❑ Dry Clay
Concrete Grout ❑ Drill Callings
❑ SpecialtvGrout C] Gravel
0 13er lonile Slurry ❑ ether (explain under 7�)
717. Far each nm(crial selected tthove, provide ntununt or materials used:
3 50 lb bags of Pure Gold grout
7g. Provide u brief descriplinn or the amadoumenl prucedore:
Mixed 3- 50 to bags of Pure Gold 6entonite Grout In a 55 gal drum to abandon 5 wells
Used 1 inch trimmie pipe to trimmie grout to bottom of well
R. Certification:
7-23-15
SigrWiuS tit C•crtificd well Contractor or 1 1 Usvner -µme Dale
Ile slglling lhis Jorm. 1 hereby cerlifj- rho/ !ho a cl!(s) irns (here) ahondolled al
accoixdonce with List AVAC 02C.0100 or 2C.0200 Well Conssr•ucfion Slrnrdard.v
and that a copy of this record limo.,• becu provided to the nrell oirncr.
9. Site diagram or additional well defnils:
You may use the buck of this page to provide additional well site details or well
W abandonment details. 1'411.1 may also attach additional pnges if necessary.
f:fl'K Clif"rt ti 01:TAIU Q175VE1.1,14ijF ti(i,SPfy
_•Urns% uadl c'anrlrlliYlon rtcnl'rip) i/ m•uduhl:. 1•vrr nnrlri/ilr nyrcrinn nr rmu-rrnrdr• rnr>)il:•
u'dlls prVl.]' nalL rGr cne4 cuu��.r��lnrciiou 4,111,611nrenL.pou can od,mil ones larva.
6b. Tolul writ depth: 33 (ft.)
6c, llorchulc dinnicler: 6 (In.)
SUBMITTAL INr+f'RlK-71 ON''S
IDn. For All Wells: Suhmit this IOrnt within 30 days Of cumpletiun of well
abandonment to the Rillowing:
Divisinn of Wa ter Resources, I urormntiun Processing Unil,
1617 Moll Service Center, Raleigh, NC 27699-1617
101). For Joilgliqu Wells: In addition to scndine the I•onn to the address in Ifa
above, also submit one copy of this Ibrm within 30 days of completion of well
abandonment to [lie follovvinu:
6d, Willer level below ground surface: {R.) Division of Wnter Resources, Underground Injeclinn Control Prugroni,
1636 Moil Service Center, Rnlcigh, NC 27699-1636
6e. Outer casing lcuglh (if luimt'lik _ (rl.) 10c. Fur lYafer Su)t•{tly srl luimda0 ]Yells: In addition to sending the form ter
the address(esl above. also Suhmit one copy of this form within 30 days ill'
completion of moll ahnndunment to the county health deportment of the county
jj 2
6f. inner casingllubinp, length (if ItnuwnJ}; .�S 3 (fl_) whencahandoned
6(;. Screen lerrr„th (if known): (ft.)
Lima GW-30 Nnnh Coolmn Dorm n iam of liueirnunrcm and Ntuural lkcsntuces — Divisinn of Wan" Ilcsnwces Revised :lumist 20 11

PROJECT: Asheville Steam Plant WELL / BORING NO: ABMW-11 BR
PROJECT NO: 1026.102 STARTED: 12/21/15 COMPLETED: 12/30/15
DRILLING COMPANY: Cascade Drilling NORTHING: 643576.4 EASTING: 944794.38
DRILLING METHOD: Rotary Sonic G.S. ELEV: 2165.483 ft MSL M.P. ELEV: 2165.133 ft MSL
BOREHOLE DIAMETER: 611/10" IN DEPTH TO WATER: ft TOC TOTAL DEPTH: 165.5 ft BGS
NOTES: LOGGED BY: B. Wilker CHECKED BY: T. Plating
U
aQ.
W (n
a O^ o z
o f
WELL
W" O j
DESCRIPTION
Q w m =O
a s
CONSTRUCTION
o O
� tY Ubolted
Reddish brown, fine to medium grained SAND.
,4
SM Increasing clay content w/ depth. Occassional
gravel -size PWR.
5
10—
Y
SC� Brownish red silty clay. Tight, plastic. Gravel size
SM gneiss i.p.
15
RK Hard, fresh, dark gray GNEISS.
i
CL Grayish red silty CLAY. Very fine-grained sand i.p.
20
RK Hard, fresh, light gray GNEISS.
25
CL Orangeish red silty CLAY. Some very fine sand. Tight,
ML low plasticity, lean i.p. Occassional black organic
inclusions.
30
35
SM Very fine to med grained, sub -round to sub -angular,
light tan SAND.
CL Reddish brown silty CLAY. Tight, low plasiticity.
ML
1
CLIENT: Duke Energy Progress, LLC.
ra PROJECT LOCATION: Arden NC
Syn148 River
14 River Street Suite 220 ,
8 ,
Greenville, South Carolina 29601
nTe rra Phone: [phone] PAGE 1 OF 6

PROJECT: Asheville Steam Plant
WELL / BORING NO: ABMW-11 BR
PROJECT NO: 1026.102
STARTED:
12/21/15
COMPLETED:
12/30/15
DRILLING COMPANY:
Cascade Drilling
NORTHING:
643576.4
EASTING:
944794.38
DRILLING METHOD:
Rotary Sonic
G.S. ELEV:
2165.483 ft MSL
M.P. ELEV:
2165.133 ft MSL
BOREHOLE DIAMETER:
6" /10" IN
DEPTH TO WATER: ft TOC
TOTAL DEPTH,
165.5 ft BGS
NOTES:
LOGGED BY:
B. Wilker
CHECKED BY:
T. Platin
a
=Q
Wa
O--
3:z
WELL
DESCRIPTION
U)w
wCo0U0
a
l
CO ONSTRUCTION
W
D
01
Reddish brown silty CLAY. Tight, low plasiticity.
CL (continued)
ML
50F�0'10"
Interlayered GNEISS and SCHIST. Abundant pyrite
RK and garnet in schist. Pegmatitic throughout. Apparent
fractures —48', 52', 55'. Massive pyrite clusters and i
bronze (weathered) mica associated w/ fx.
I&
Hard, gray GNEISS. Pegmatite throughout, abundant
RK pyrite, frequent garnet. 4" sub -vertical fracture 61'-62'
and other minor fractures w/ pyrite clusters. Brecciated
qtz clasts 64'-66'.
65
70—'t't't'?' 1 1
75
SCHIST. Pegmatite throughout, biotite has bronze/gold
RK hue. Mylonitic textures throughout. Garnet and qtz
clasts. Apparent fractures—67',70',71'-72',73',74',75' w/
pyrite mineralization.
Cement grout
t2" sch. 40 PVC riser
CLIENT: Duke Energy Progress, LLC.
�� SynTerra PROJECT LOCATION: Arden, NC
„ 148 River Street, Suite 220
smTero Greenville, South Carolina 29601
Phone:[phone] PAGE 2 OF 6

PROJECT: Asheville Steam Plant
WELL / BORING NO: ABMW-11 BR
PROJECT NO: 1026.102
STARTED: 12/21/15 COMPLETED: 12/30/15
DRILLING COMPANY: Cascade Drilling
NORTHING: 643576.4 EASTING: 944794.38
DRILLING METHOD: Rotary Sonic
G.S. ELEV: 2165.483 ft MSL M.P. ELEV: 2165.133 ft MSL
BOREHOLE DIAMETER: 6"/10" IN
DEPTH TO WATER: ft TOC TOTAL DEPTH. 165.5 ft BGS
NOTES:
LOGGED BY: B. Wilker CHECKED BY: T. Plating
U
H^ =c7
v Q O
DESCRIPTION
W U)
a O^ �z
m 70
o E
a s
WELL
CONSTRUCTION
o Of
U
(9
RK
Massive, unfoliated, light gray, fine grained
RK GRANULITE. Abundant chlorite evident as green hue,
abundant pyrite, occassional garnet.
85
RK SCHIST, as above.
gq
Dark gray to black, hard, very fine grained HORN FEL.
Healed, qtz/pyrite-filled fractures throughout. 6"
- RK sub -vertical fracture -86' w/ weathered biotite and
chlorite. Vertical to sub -vertical fractures-91'-92', 95'
- - w/ bronze biotite and chlorite.
95 -
100
_ MYLONITE w/ coarse -grained qtz clasts. Mafic to felsic
RK transition -99'. Fractures-97.5', 98.5', 105' w/ massive
pyrite clusters and chlorite. Large cavities in fracture
_ zones w/ green mineralization.
105
s
s
t 110
-
- -
Dark gray, non -foliated, fine grained HORNFEL. Dark
RK green mineral throughout. Minor qtz veins throughout.
s
i
Mglaniiic texture 112'-113' wC qtz porphyroblasts.
i
115
_
'I
RK Interlayered HORNFEL and PEGMATITE, as above.
r CLIENT: Duke Energy Progress, LLC.
SynTerra
4 148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
Greenville, South Carolina 29601
�, ���r Phone: [phone] PAGE 3 OF 6

PROJECT: Asheville Steam Plant
WELL / BORING NO: ABMW-11 BR
PROJECT NO: 1026.102
STARTED: 12/21/15 COMPLETED: 12/30/15
NORTHING: 643576.4 EASTING: 944794.38
DRILLING COMPANY: Cascade Drilling
DRILLING METHOD: Rotary Sonic
G.S. ELEV: 2165,483 ft MSL M.P. ELEV: 2165.133 ft MSL
BOREHOLE DIAMETER: 6"/10" IN
DEPTH TO WATER: ft TOC TOTAL DEPTH: 165.5 ft BGS
NOTES:
LOGGED BY: B. Wilker CHECKED BY: T. Plating
U
a=O
a¢
m
�
W U)
a O^ �z
a E WELL
W O
DESCRIPTION 2 w
a n CONSTRUCTION
� mO
t Bentonite seal
Interlayered HORNFEL and PEGMATITE, as above.
_
RK (continued)
125 �F
s
130
,ct
Filter pack No. 2 sand
Altered, fine grained SCHIST. Med to coarse grained
RK garnet, bronze mica. Healed fissures throughout.`uk
'r?"
Green hue (chlorite)t';,
fs•,
140
J
RK Altered, fine to coarse grained GNEISS. Coarse mica
sheets, occassional qtz veins. Apparent fracture -140'.
145 - •,
-
2x10' pre -packed well
screens
150
RK Interlayered HORNFEL and PEGMATITE. Mylonitic
texture (brecciated qtz) 151'-155'. Schist in part.
155- '<
Altered SCHIST. dark, fine-grained, altered pyrite,
r`
RK chlorite throughout. Apparent fractures-156',159',161'.
Abundant garnet.
CLIENT: Duke Energy Progress, LLC.
SynTerra
148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
TerrasynGreenville, South Carolina 29601
Phone:[phone] PAGE 4 OF 6

PROJECT: Asheville Steam Plant
WELL / BORING NO: ABMW-11 BR
PROJECT NO: 1026.102
STARTED: 12/21/15 COMPLETED: 12/30/15
DRILLING COMPANY: Cascade Drilling
NORTHING: 643576.4 EASTING: 944794.38
DRILLING METHOD: Rotary Sonic
G.S. ELEV: 2165.483 ft MSL M.P. ELEV: 2165.133 ft MSL
BOREHOLE DIAMETER 6"/10" IN
DEPTH TO WATER: ft TOC TOTAL DEPTH: 165.5 ft BGS
NOTES:
LOGGED BY: B. Wilker CHECKED BY: T. Plating
a
= O
U)
LU
a O^ 3: o f WELL
�v
cIL O
t
D
DESCRIPTION
v a a CONSTRUCTION
m0
i
Filter pack No. 2 sand
RK Altered SCHIST. dark, fine-grained, altered pyrite,
chlorite throughout. Apparent fractures—156',159',161".
Abundant garnet. (continued)
165
;
Bentonite plug set to
RK PEGMATITE. massive pyrite clusters —166'. Massive,
facilitate well construction
-
unfoliated hornfel in part.
170
175—
SCHIST. Minor garnet, finely foliated, "weathered"
RK appearance in burgundy/bronze hue. Apparent fracture
--175' w/ massive pyrite. Folded qtz veins w/ garnets
—171'. Minor weathering cavities.
180 —
185
i
190
Interlayered GNEISS and SCHIST. Abundant pyrite,
RK possible fracture zone 186-188' (gravel -size pieces w/
massive pyrite). Vertical fracture —195' w/ massive
pyrite. Common pegmatite veins w/ garnet associated.
195
r f
1
CLIENT: Duke Energy Progress, LLC.
SynTerra
148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
Ter Greenville, South Carolina 29601
synPhone:864-421-9999 PAGE 5 OF 6

PROJECT: Asheville Steam Plant
WELL / BORING NO: ABMW-11 BR
PROJECT NO: 1026.102
STARTED:
12/21/15
COMPLETED
12/30/15
DRILLING COMPANY:
Cascade Drilling
NORTHING:
643576.4
EASTING:
944794.38
DRILLING METHOD:
Rotary Sonic
G.S. ELEV:
2165.483 ft MSL
M.P. ELEV:
2165.133 ft MSL
BOREHOLE DIAMETER:
6 710" IN
DEPTH TO WATER: ft TOC
TOTAL DEPTH:
165.5 ft BGS
NOTES:
LOGGED BY:
B. Wilker
CHECKED BY:
T. Platin
U
�^
W
a
U)
O^ 3z o E
WELL
w
1L6
Q O U)
DESCRIPTION
Q
uvi m =O a s
CONSTRUCTION
o
0 1of
In
o U
205
21
21
220
225
230
235
Interlayered GNEISS and SCHIST. Abundant pyrite,
RK possible fracture zone 186-188' (gravel -size pieces w/
massive pyrite). Vertical fracture -195' w/ massive
pyrite. Common pegmatite veins w/ gamet associated.
(continued)
9 40 CLIENT: Duke Energy Progress, LLC.
SynTerra
W 148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
Greenville, South Carolina 29601
o �� Phone: [phone] PAGE 6 OF 6

PROJECT: Asheville Steam Plant
WELL / BORING NO: CB-01 BRL
PROJECT NO: 1026.102
STARTED: 12/11/15 COMPLETED: 12/20/15
DRILLING COMPANY: Cascade Drilling
NORTHING: 643265.21 EASTING: 946472.63
DRILLING METHOD: Rotary Sonic
G.S. ELEV: 2200.274 ft MSL M.P. ELEV: 2197.433 ft MSL
BOREHOLE DIAMETER: 6"/10" IN
DEPTH TO WATER: ft TOC TOTAL DEPTH: 328.0 ft BGS
NOTES: 5" Open borehole
LOGGED BY: B. Wilker CHECKED BY: T. Plating
U W U)
� _ = C� a O ^ o z o_ E WELL
w a 0 DESCRIPTION Q w'' in 0 d o CONSTRUCTION
0 � U F ..
C7
Locking Cap
SM
Brownish red silty sand. Occasional gravel -sized PWR
fragments. Loose, dry.
Reddish orange saprolite w/ sand. Relict structure
SC
5—
j
present. Purplish red to orangeish yellow mottling.
Loose, dry.
SC
Reddish brown silty sand with saprolite (relict structure)
SM
in part. Occassional tan -yellow mottling.
0
10
0
oQ
'o
4Q
o,
)1
15-
q0
aQ
�
00
20-
0
aQ
o
J
P
O Q
°
n -1
SM
Reddish brown saprolite with gravel -sized PWR. White
25
mottling in part (calcite). Well-preserved relict structure.
t6" PVC Surface Casing
a
Dark gray to gray 36-38'.
'o
u
UO
i
30—
�
o
o Q
,Q
aQ
35
00
o 0
M
J
o V
CLIENT: Duke Energy Progress, LLC.
SynTerra
148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
Greenville, South Carolina 29601
���� Phone:[phone] PAGE 1 OF 9

PROJECT: Asheville Steam Plant
WELL / BORING NO: CB-01 BRL
PROJECT NO: 1026.102
STARTED: 12/11/15 COMPLETED: 12/20/15
DRILLING COMPANY: Cascade Drilling
NORTHING: 643265.21 EASTING: 946472.63
DRILLING METHOD: Rotary Sonic
G.S. ELEV: 2200.274 ft MSL M.P. ELEV: 2197.433 ft MSL
BOREHOLE DIAMETER: 6"/10" IN
DEPTH TO WATER: ft TOC TOTAL DEPTH 328.0 ft BGS
NOTES: 5" Open borehole
LOGGED BY: B. Wilker CHECKED BY: T. Plating
-
;)
= c�
w
a. O --
rn
0 z o f WELL
ov
iY o
?
DESCRIPTION ¢ `
W
m =O a s CONSTRUCTION
U 1
U
0
Reddish brown saprolite with gravel -sized PWR. White
�o
SM mottling in part (calcite). Well-preserved relict structure.
.�na gray to gray 3V-38'. (continued) i
r
RK PWR. Reddish brown schist, medium hard to hard.
45
Heavily weathered. Occassional fresh (gray) schist.
50
J°
Interlayered light gray, very thinly foliated gneiss and
dark gray to gray, thinly foliated phyllitic schist. Very
RK fine to fine grained. Minor garnet inclusions. Thin
I
weathered zones approx. 47.5' and 48.5'. Frequent
pegmatite veins, possibly chlorite alteration (green hue
55
in part).
60
RK Dark gray, thinly foliated schist. Abundant pyrite.
Pegmatitic vein 61'-62' with chlorite.
65
T,
70
W.
RK Dark gray, hard, gneiss. Thinly foliated in part.
Abundant quartzite/pegmatite veins. Pyrite throughout.
75 tl?
I
:t
Light to dark gray, hard banded gneiss. Abundant pyrite
RK engrained in foliation. Sub -vertical fractures w/ pyrite
-
mineralization -86'. Pegmatitic banding throughout.
CLIENT: Duke Energy Progress, LLC.
SynTerra
148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
Ter Greenville, South Carolina 29601
Phone:[phone] PAGE 2 OF 9

PROJECT: Asheville Steam Plant
WELL / BORING NO: CB-01 BRL
PROJECT NO: 1026.102
STARTED: 12/11/15
COMPLETED:
12/20/15
DRILLING COMPANY: Cascade Drilling
NORTHING: 643265.21
EASTING:
946472.63
DRILLING METHOD: Rotary Sonic
G.S. ELEV: 2200.274 ft MSL
M.P. ELEV:
2197.433 ft MSL
BOREHOLE DIAMETER: 6"/10" IN
DEPTH TO WATER: ft TOC
TOTAL DEPTH:
328.0 ft BGS
NOTES: 5" Open borehole
LOGGED BY: B. Wilker
CHECKED BY:
T. Platin
U
W U)
_j O^ �z ❑ E
WELL
w� Q O U DESCRIPTION
❑ of I ❑
2 W o a s
uai�o m0
CONSTRUCTION
90
95
100
105
iiG
115
Light to dark gray, hard banded gneiss. Abundant pyrite
RK engrained in fotiation. Sub -vertical fractures w/ pyrite
mineralization —86". Pegmatitic banding throughout.
(continued)
Dark gray, hard, fine grained biotite gneiss. Bronzish
RK hue to biotite. Abundant pyrite. Occassional pegmatite.
Interiayered schist in minor part.
Interlayered garnet mica schist and gneiss. GMS: dark
gray, thinly foliated, abundant fine to coarse grained
RK (2-3 mm) garnet„ aphanitic to part. Coarse -grained
muscovite "books" (5 mm- 1.5cm). Soft in part.
GNEISS: light gray, coarse -grained garnets, pegmatitic
i in oart.
o CLIENT: Duke Energy Progress, LLC.
SynTerra
w 148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
synTerl d Greenville, South Carolina 29601 PAGE 3 OF 9
Phone: [phone]

PROJECT: Asheville Steam Plant WELL / BORING NO: CB-01 BRL
PROJECT NO: 1026.102 STARTED: 12/11/15 COMPLETED: 12/20/15
DRILLING COMPANY: Cascade Drilling NORTHING: 643265.21 EASTING: 946472.63
DRILLING METHOD: Rotary Sonic G.S. ELEV: 2200.274 ft MSL M.P. ELEV: 2197.433 ft MSL
BOREHOLE DIAMETER: 611/10" IN DEPTH TO WATER: ft TOC TOTAL DEPTH: 328.0 ft BGS
NOTES: 5" Open borehole LOGGED BY: B. Wilker CHECKED BY: T. Plating
_U
r =0
W W
a- O^ �z o E WELL
w a 0
DESCRIPTION Q w m:3 a s CONSTRUCTION
D
C7
U U
f
125 -
RK Interayered garnet mica schist and gneiss. GMS: dark
gray, thinly foliated, abundant fine to coarse grained
(2-3 mm) garnet, aphanitic in part. Coarse -grained
muscovite "books" (5 mm- 1.5cm). Soft in part.
130
/
GNEISS: light gray, coarse -grained garnets, pegmatitic
in part. (continued)
135
140-,='=
145
RK Pegmatitic gneiss. Massive quartzite. Smoky quartzite
144'-151'. Pyrite in part.
150
i
as
i
-
i
155
I
r
RK Interlayered schist and biotite gneiss. Possibly vertical
I
r fracture 174'-175'.
i
CLIENT: Duke Energy Progress, LLC.
SynTerra
148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
Greenville, South Carolina 29601
synTer. Phone: [phone] PAGE 4 OF 9

PROJECT: Asheville Steam Plant WELL / BORING NO: CB-01 BRL
PROJECT NO: 1026.102 STARTED: 12/11/15 COMPLETED: 12/20/15
DRILLING COMPANY: Cascade Drilling NORTHING: 643265.21 EASTING: 946472.63
DRILLING METHOD: Rotary Sonic G.S. ELEV: 2200.274 ft MSL M.P. ELEV: 2197.433 ft MSL
BOREHOLE DIAMETER: 6 710" IN DEPTH TO WATER: ft TOC TOTAL DEPTH: 328.0 ft BGS
NOTES: 5" Open borehole LOGGED BY: B. Wilker CHECKED BY: T. Plating
U
= C7 0
w
a
O^
0 z
o f
WELL
w Q O
DESCRIPTION
Q
w
m 70
a s
CONSTRUCTION
O
V)
U
/ J
165 -
170 -
/�. RK Interlayered schist and biotite gneiss. Possibly vertical
fracture 174'-175'. (continued)
175-
180-
185/
5" open hole
190
i
c
RK Garnet mica schist w/ chlorite mineralization
throughout. Abundant pyrite throughout.
i
195
J
J
LI
L
L
7 '
CLIEN I : Duke Energy F rogress, LLG.
SynTerra PROJECT LOCATION: Arden, NC
148 River Street, Suite 220
Greenville, South Carolina 29601
synTena Phone: [phone] PAGE 5 OF 9

PROJECT: Asheville Steam Plant
WELL / BORING NO: CB-01 BRL
PROJECT NO: 1026.102
STARTED: 12/11/15 COMPLETED: 12/20/15
DRILLING COMPANY: Cascade Drilling
NORTHING: 643265.21 EASTING: 946472.63
DRILLING METHOD: Rotary Sonic
G.S. ELEV: 2200.274 ft MSL M.P. ELEV: 2197.433 ft MSL
BOREHOLE DIAMETER: 6"/10" IN
DEPTH TO WATER: ft TOC TOTAL DEPTH: 328.0 ft BGS
NOTES: 5" Open borehole
j LOGGED BY: B. Wilker CHECKED BY: T. Plating
U
� x0
W U
aO�z
❑
WELL
w Q o
U)
DESCRIPTION
aw
o
m
a
CONSTRUCTION
❑
0
❑
U U
Garnet mica schist w/ chlorite mineralization
throughout. Abundant pyrite throughout. (continued)
RK
205
210
215
Moderately hard, dark gray w/ blue-green hue,
chlorite -rich schist. Abundant fine-grained pyrite.
RK Possible 1"vertical fracture —211'. Angluar fractures
observed—216'-220' w/ chlorite build-up and weathered
biotite on fx faces.
220
225,rf
I
s
J
J
230
0
S
=
Interlayered schist and gneiss, as above. Pegmatite
veins in part (w/ coarse grained mica books and pyrite
z f /
RK from 256-266). Minor garnet. Sub -vertical fracture
—235' w/ secondary pyrite mineralization. Brecciated
a
qtz clasts 284'-285'.
235
t/
u
a
c
r
L
u
D
CLIENT: Duke Energy Progress, LLC.
SynTerra PROJECT LOCATION: Arden, NC
148 River Street, Suite 220
_ Greenville, South Carolina 29601
���� PAGE 6 OF 9
3 Phone:[phone]

PROJECT: Asheville Steam Plant
WELL / BORING NO: CB-01 BRL
PROJECT NO: 1026.102
STARTED: 12/11/15 COMPLETED: 12/20/15
DRILLING COMPANY: Cascade Drilling
NORTHING: 643265.21 EASTING: 946472.63
DRILLING METHOD: Rotary Sonic
G.S. ELEV: 2200.274 ft MSL M.P. ELEV: 2197.433 ft MSL
BOREHOLE DIAMETER: 6"/10" IN
DEPTH TO WATER: ft TOC TOTAL DEPTH: 328.0 ft BGS
NOTES: 5" Open borehole
LOGGED BY: B. Wilker CHECKED BY: T. Plating
aO�
C)
W
a
O-�
U)
f
z o WELL=0
w a O
DESCRIPTION
= a CONSTRUCT
IONLUm0
C7
�f
245-
f
250
l
255
/
Interlayered schist and gneiss, as above. Pegmatite
260
%
RK
veins in part (w/ coarse grained mica books and pyrite
from 256'-266'). Minor garnet. Sub -vertical fracture
-235' w/ secondary pyrite mineralization. Brecciated
qtz clasts 284'-285'. (continued)
265
/
270 -
i
275
i
i
i
i
CLIENT: Duke Energy Progress, LLC.
SynTerra
148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
Greenville, South Carolina 29601
SynTe Phone: [phone] PAGE 7 OF 9

PROJECT: Asheville Steam Plant
WELL / BORING NO: CB-01 BRL
PROJECT NO: 1026.102
STARTED:
12/11/15
COMPLETED:
12/20/15
DRILLING COMPANY: Cascade Drilling
NORTHING:
643265.21
EASTING:
946472.63
DRILLING METHOD: Rotary Sonic
G.S. ELEV:
2200.274 ft MSL
M.P. ELEV:
2197.433 ft MSL
BOREHOLE DIAMETER: 6"/10" IN
DEPTH TO WATER: ft TOC
TOTAL DEPTH:
328.0 ft BGS
NOTES: 5" Open borehole
LOGGED BY:
B. Wilker
CHECKED BY:
T. Plating
U
�^ =O
W
a
rn
O^ �z o E
WELL
w Q O �
DESCRIPTION
Q
w m =O a n
CONSTRUCTION
285
Interiayered schist and gneiss, as above. Pegmatite
2U -' RK veins in part (w/ coarse grained mica books and pyrite
from 256'-266'). Minor garnet. Sub -vertical fracture
-235' w/ secondary pyrite mineralization. Brecciated
qtz lasts 284'-285'. (continued)
300 r�r
Medium hard to medium soft, very fine grained, dark
RK gray/black schist. Vuggy weathering along foliation.
Minor garnet. Light brown appearance to mica
throughout.
305 --f`
310 1"re"
Interlayered gneiss and schist, as above. GarnetRK associated w/ schist. Occassional pegmatite veins. No
apparent fractures.
31 315 f'.,411
L
J
- RK Hard, fresh, fine grained, light to dark gray gneiss.
I. Pegmatite stringers. No apparent fractures.
o CLIENT: Duke Energy Progress, LLC.
SynTerra
148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
synTerm Greenville, South Carolina 29601 o Phone:[phone] PAGE 8 OF 9

PROJECT: Asheville Steam Plant
WELL / BORING NO: CB-01 BRL
PROJECT NO: 1026.102
STARTED: 12/11/15
COMPLETED:
12/20/15
DRILLING COMPANY: Cascade Drilling
NORTHING: 643265.21
EASTING:
946472.63
DRILLING METHOD: Rotary Sonic
G.S. ELEV: 2200.274 ft MSL
M.P. ELEV:
2197.433 ft MSL
BOREHOLE DIAMETER: 6 710" IN
DEPTH TO WATER: ft TOC
TOTAL DEPTH
328.0 ft BGS
NOTES: 5" Open borehole
LOGGED BY: B. Wilker
CHECKED BY:
T. Plating
U
w Q O
0
U)
W F
a O^ � z o f WELL
DESCRIPTION Q w m a Q CONSTRUCTION
< V
=
RK
Hard, fresh, fine grained, light to dark gray gneiss.
Pegmatite stringers. No apparent fractures. (continued)
325
330 -
335 -
340-
345
x
J
l
350
d
J
L
c
1'
9
355
L
d
a
J
L
C
n
2
1
L
7
�
SynTerra
w 148 River Street, Suite 220
�rra Greenville, South Carolina 29601
v synTPhone: 864-421-9999
U UMNI I. UUKe r-HUlyy r-1 UY[Vbb, LLIi.
PROJECT LOCATION: Arden, NC
PAGE 9 OF 9

PROJECT: Asheville Steam Plant WELL / BORING NO: MW_18BRL
PROJECT NO: 1026.102 STARTED: 6/21/16 COMPLETED: 6/30/16
DRILLING COMPANY: Parratt - Wolff Inc. NORTHING: 643616,404 EASTING: 943166.05
i
DRILLING METHOD: Air Hammer ELEVATION 2032.58 ft MSL M.P. ELEV: 2036.06 ft MSL
BOREHOLE DIAMETER: 6 and 4 IN WATER: ft TOC TOTAL DEPTH: 110.0 ft BGS
NOTES: LOGGED BY: J. Odom CHECKED BY: T. Plating
U p
= CO I,
W U)
a O^ z 0 E WELL
o
Q O
DESCRIPTION
CL
m 00 o a CONSTRUCTION
L
D
U
U Protectiya casing
with locking cap
ML SANDY SILT. Very dark grayish brown (10YR3/2). Dry,
non -plastic, non -cohesive. Micaceous.
5—
ML SANDY SILT. Very dark grayish brown (10YR3/2). Moist,
non -plastic, non -cohesive. Micaceous.
10
ML SANDY SILT. Very dark grayish brown (10YR3/2). Wet,
non -plastic, non -cohesive. Micaceous, trace gravels.
15
ML SANDY SILT w/ GRAVEL. Very dark grayish brown
(10YR3/2). Wet, non -plastic, non -cohesive.
-Grout
20
-6" PVC surface
_
A,R
casing
25 —
BIOTITE GNEISS. Greenish black (10BG2.5/1) and light
RK bluish gray (1086/1) -wet. Gneissic texture, foliated.
Intermittent zones of softer rock down to 33.5 bgs based
J
on water output and drilling rate.
i 30 --
�
i
S
-
-
E
a 35
BIOTITE GNEISS. Greenish black (10BG2.5/1) and light
RK bluish gray (1013811) - wet. Strong, fresh. Interlayered
/
schist in part.
L
u
CLIENT: Duke Energy Progress, LLC.
r SynTerra PROJECT LOCATION: Arden, NC
148 River Street, Suite 220
u
UVPhone:
ynTerra Fax [phone] PAGE 1 OF 3

PROJECT: Asheville Steam Plant WELL / BORING NO: MW_18BRL
PROJECT NO: 1026.102 STARTED: 6/21/16 COMPLETED: 6/30/16
DRILLING COMPANY: Parratt -Wolff Inc. NORTHING: 643616.404 EASTING: 943166.05
DRILLING METHOD: Air Hammer ELEVATION 2032.58 ft MSL M.P. ELEV: 2036.06 ft MSL
BOREHOLE DIAMETER: 6 and 4 IN WATER: ftTOC TOTAL DEPTH: 110.0 ft BGS
NOTES: LOGGED BY: J. Odom CHECKED BY: T. Plating
a
U
=c7Lo
_j >
a O^
F
�z
o_ E
WELL
o
O
DESCRIPTION
m 70
o n
CONSTRUCTION
U
U
f
r
45-
i
r
50- /
2" Sch. 40 threaded
PVC riser
55-
60- RK BIOTITE GNEISS. Greenish black (10BG2.5/1) and light
bluish gray (10138/1) - wet. Strong, fresh. Interlayered
schist in part. (continued)
r
65 /° r
Bentonite seal
r.
J
70
�
S
l
7
� � f
7
r
5 75 -
D %
u /
i
J
Cq
L
i
Ll
CLIENT: Duke Energy Hrogress, LLL;.
41 SynTerra
148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
Phone: [phone] synTerra Fax [phone] PAGE 2 OF 3

PROJECT: Asheville Steam Plant WELL / BORING NO: MW-18BRL
PROJECT NO: 1026.102 STARTED: 6/21/16 COMPLETED: 6/30/16
DRILLING COMPANY: Parraft -Wolff Inc. NORTHING: 643616.404 EASTING: 943166.05
DRILLING METHOD: Air Hammer ELEVATION 2032.58 ft MSL M.P. ELEV: 2036.06 ft MSL
BOREHOLE DIAMETER: 6 and 4 IN WATER: ftTOC TOTAL DEPTH. 110.0 ft BGS
NOTES: LOGGED BY: J.Odorn CHECKED BY: T. Plating
CL 0
U)
0
W U)
_j >
0 Z 0- 0 R: WELL
o 0
W <
U)
DESCRIPTION
uj FL CL CONSTRUCTION
< 0
of
U) of 00
85
90
95
RK
BIOTITE GNEISS. Greenish black (10BG2.5/1) and light
bluish gray (10138/1) -wet. Strong, fresh. I nterlayered
schist in part. (continued)
100
-Sand Pack
RK
Noted significant water -bearing zone while drilling
105
104'-1 05'bgs.
2" pre -packed well
----------
s.
110
Original borehole TD @ 450' bgs. Backfilled via bentonite
pellets to 115' bgs to facilitate well construction.
115—
CLIENT: Duke Energy Progress, LLC.
SynTerra
148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
Phone: [phone]
s-�mTerra Fax [phone] PAGE 3 OF 3

PROJECT: Asheville Steam Plant
WELL / BORING NO: EXT-01
PROJECT NO: 1026.102
STARTED: 7/20/16 COMPLETED: 7/25/16
DRILLING COMPANY: Parratt -Wolff Inc.
NORTHING: FASTING:
DRILLING METHOD: Air Hammer
G.S. ELEV: NA ft MSL M.P. ELEV: NA ft MSL
BOREHOLE DIAMETER: 6 IN
DEPTH TO WATER: ft TOC TOTAL DEPTH: 107.0 ft BGS
NOTES: Open borehole 27'-107'
LOGGED BY: B. Wilker CHECKED BY: T. Platin
U
=C9
U)
Lu
a
O^
V1
�z
o E WELL
W
< O
j
DESCRIPTION
Q
w
m =O
a s CONSTRUCTION
0
U)
U-Protective
Bushmount
a U
covering
GP
Gravel
o D
5—
CL
Reddish brown clayey silt, silty clay. Dry. Very well
ML
sorted. No organics, mica -rich.
10
CL
ML
Saprolite. Brownish red.
6" sch 40 PVC surface
casing
15
GP
7
GC
Partially weathered rock, interlayered with saprolite.
20
GP
Partially weathered rock. Driller observed increased
GC
hardness @ 25' bgs (increased downhole pressure).
25
30
Garnet mica schist. Occassional coarse -grained quartz,
RK
some highly weathered in places. Fresh schist 32'-40'
bgs.
i 35
i
i
i
CLIENT: Duke Energy Progress, LLC.
SynTerra
148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
Terra Greenville, South Carolina 29601
synPhone: 864-421-9999 PAGE 1 OF 3

PROJECT: Asheville Steam Plant
WELL / BORING NO: EXT-01
PROJECT NO: 1026.102
STARTED:
7/20/16
COMPLETED:
7/25/16
DRILLING COMPANY: Parratt -Wolff Inc.
NORTHING:
EASTING:
DRILLING METHOD: Air Hammer
G.S. ELEV:
NA ft MSL
M.P. ELEV:
NA ft MSL
BOREHOLE DIAMETER: 6 IN
DEPTH TO WATER: ft TOC
TOTAL DEPTH
107.0 ft BGS
NOTES: Open borehole 27'-107'
LOGGED BY:
B. Wilker
CHECKED BY:
T. Platin
U
Ei - a- c�
U
W
a-
O^ 0 z o f
WELL
o - O
j
DESCRIPTION
Q
m O a CL
s
CONSTRUCTION
n
<
U v
- RK Fresh, hard, dark gray schist and interlayered gneiss.
45
Some pieces non -foliated w/ fairly coarse -grained
quartz. Possible weathered area (fx face).
— 5 3/4" Open Borehole
60
f 65RK Interlayered gneiss and schist. Driller did not note any
-
significant fractures or soft zones.
0
a
51 70
75
CLIENT: Duke Energy Progress, LLC.
z� SynTerra
w 148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
Greenville, South Carolina 29601
2 S�/1�Te Phone:[phone] PAGE 2 OF 3

PROJECT: Asheville Steam Plant
WELL / BORING NO: EXT-01
PROJECT NO: 1026.102
STARTED: 7/20/16
COMPLETED:
7/25/16
DRILLING COMPANY: Parratt -Wolff Inc.
NORTHING:
EASTING:
DRILLING METHOD: Air Hammer
G.S. ELEV: NA ft MSL
M.P. ELEV:
NA ft MSL
BOREHOLE DIAMETER: 6 IN
DEPTH TO WATER: ft TOC
TOTAL DEPTH:
107.0 ft BGS
NOTES: Open borehole 27-107'
LOGGED BY: B. Wilker
CHECKED BY:
T. Plating
a=0
U
w U)
a O^ �z o E
OJ
WELL
w
¢ O
DESCRIPTION
w D a a
CONSTRUCTION
RK
95
100
105
110
115
Interlayered gneiss and schist. Driller did not note any
significant fractures or soft zones. (continued) I
CLIENT: Duke Energy Progress, LLC.
z, SynTerra PROJECT LOCATION: Arden, NC
� 148 River Street, Suite 220
Greenville, South Carolina 29601
03 Phone:[phone] PAGE 3 OF 3

PROJECT: Asheville Steam Plant WELL / BORING NO: EXT-02
PROJECT NO: 1026.102 STARTED: 7/22/16 COMPLETED: 7/26/16
DRILLING COMPANY: Parratt -Wolff Inc. NORTHING: EASTING:
DRILLING METHODQ Air Hammer G.S. ELEV: NA ft MSL M.P. ETEV: NA ft MSL
BOREHOLE DIAMETER: 6 IN DEPTH TO WATER:30-35 ft TOC TOTAL DEPTH: 116.0 ft BGS
NOTES: Open borehole 33'-116' LOGGED BY: B. Wilker CHECKED BY: T. Plating
� -
U
=0
W
a O^ 3z o E WELL
w�
a¢ O
DESCRIPTION
w _j a n CONSTRUCTION
m L) -Pri2tective flush mQuot
n
covering
r 0
0
a�
GP
Gravel
Qp
5
10
CL
Reddish brown clayey silt, silty clay. Dry. Very well
ML
sorted. No organics, mica -rich.
15
t6" sch 40 PVC surface
casing
20
25
CL
ML
Saprolite. Brownish red.
30 —
ff
,r
Fresh, hard, dark gray schist and interlayered gneiss
35—.
% /
cuttings observed. Driller noted rock harden @ 31' bgs
RK
(increased downhole pressure). Driller did not note any
significant fractures or soft zones. Dry cuttings w/
�I
significant dust.
j
!f
CLIENT: Duke Energy Progress, LLC.
SynTerra
JAP 148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
, Tena Greenville, South Carolina 29601
s )/1 1 Phone:[phone] PAGE 1 OF 3

PROJECT: Asheville Steam Plant WELL / BORING NO: EXT-02
PROJECT NO: 1026.102 STARTED: 7/22/16 COMPLETED: 7/26/16
DRILLING COMPANY: Parratt - Wolff Inc. NORTHING: EASTING:
DRILLING METHOD: Air Hammer G.S. ELEV: NA ft MSL M.P. ELEV: NA ft MSL
BOREHOLE DIAMETER: 6 IN DEPTH TO WATER:30-35 ft TOC TOTAL DEPTH: 116.0 ft BGS
NOTES: Open borehole 33'-116' LOGGED BY: B. Wilker CHECKED BY: T. Platin
U
a = O
a
U
w V7
a O^ � z
0 E
WELL
wov O
DESCRIPTION U JO �
w"
a a
CONSTRUCTION
Ca�7J
D
Q m0
U
1
45
j
/
50
/
i
55
/
—5 3/4" Open Borehole
60
RK Fresh, hard, dark gray schist and interlayered gneiss
cuttings observed. Driller noted rock harden @ 31' bgs
(increased downhole pressure). Driller did not note any
I
significant fractures or soft zones. Dry cuttings w/
dust.
significant (continued)
65
70
/
75
l�
1
CLIENT: Duke Energy Progress, LLC.
SynTerra
148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
Ty-ra Greenville, South Carolina 29601
Phone: [phone] PAGE 2 OF 3

PROJECT: Asheville Steam Plant
WELL / BORING NO: EXT-02
PROJECT NO: 1026.102
STARTED: 7/22/16
COMPLETED:
7/26/16
DRILLING COMPANY: Parratt -Wolff Inc.
NORTHING:
EASTING:
DRILLING METHOD: Air Hammer
G.S. ELEV: NA ft MSL
M.P. ELEV:
NA ft MSL
BOREHOLE DIAMETER: 6 IN
DEPTH TO WATER:30-35 ft TOC
TOTAL DEPTH:
116.0 ft BGS
NOTES: Open borehole 33'-116'
LOGGED BY: B. Wilker
CHECKED BY:
T. Plating
U
P^ =cD
W Un
a O^ �z o E
WELL
CL a 0
DESCRIPTION
U a a
CONSTRUCTION
0 wJ Z)
< Wvi m0 i
85
RK I Fresh, hard, dark gray schist and interlayered gneiss
cuttings observed. Driller noted rock harden @ 31' bgs
(increased downhole pressure). Driller did not note any
significant fractures or soft zones. Dry cuttings w/
significant dust. (continued)
RK I Driller noted
95
100
105
RK Interlayered gneiss ar
0
a
0
111111111111M
fracture 94'-95' bgs. Water
CLIENT: Duke Energy Progress, LLC.
SynTerra
148 River Street, Suite 220 PROJECT LOCATION: Arden, NC
c Greenville, South Carolina 29601
Te
3 Phone: [phone] PAGE 3 OF 3

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
David L. Wilcox
Well Contractor Name
3232-A
NC Well Contractor Certification Number
Cascade Drilling
Company Name
2. Well Construction Permit #:
List all applicable well permits (i.e.. County, State, Variance, Injection, etc.)
3. Well Use (check well use):
Water Supply Well:
❑Agricultural ❑Municipal/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑Industrial/Commercial ❑Residential Water Supply (shared)
❑Irri ation
Non -Water Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
[]Geothermal (Heating/Cool ing Return)
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Other (exDlain under #21 Rem
4. Date Well(s) Completed: 12- 30-15 Well ID# ABMW- I I BR
5a. Well Location:
Plant Asheville - Duke Energy
Facility/Owner Name Facility ID# (if applicable)
200 CP & L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No, (PIN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one lat/long insufficient)
N
6. Is (are) the well(s): NPermanent or ❑Temporary
W
7. Is this a repair to an existing well: riYes or El No
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.
8. Number of wells constructed:
For multiple injection or non -wafer supply wells ONLY with the same construction, you can
submit oneform.
9. Total well depth below land surface: I @p 156-
For multiple wells list all depths ifdierent (example- 3@200' and 2@100')
10. Static water level below top of casing: NA
If wafer level is above casing, use "+"
11. Borehole diameter: 5" (in.)
Sonic
For Internal Use ONLY:
14. WATER ZONES
FRam TO DESCRIPTION
ft. ft.
ft. ft.
15. OJtTER CASING for mlti-caEedw d[sOSicaNa
FROM ER hle
MATERIAL
ft. ft. in.
16. INNER CASING OR.'fIJBING (eathermal closed -loop)
FROM TO DIAMETER THICKNESS MATERIAL
ft. ft. in.
ft. ft. in.
17. SCREEN
FROM TO DIAMETER SLIXFSIZE THICKNESS MATERIAL
136ft• 156 ft. 2 to .010 sch 40 PVC
ff. ff. in.
19. GROUT
FROM TO MATERIAL E.NPlACE.MEh-rbIETF[O�D&AMOUMr
0 ft. 120 ft. Neat Ceme It Tremmie / 150 Gal
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK if applicable)
FROM TO MATERIAL EMPLACEMEN7711 M: FOD
126 ft.
166 ft. Sand Sonic Gravity
ft. ft.
20. DRILLING LOG !attach additional sheets if necessary
FROM TO DESf'R1Pr10\ LOInfi. hardness• salltroch t r rain sim, etc.
0 ft. 15 ft. Reddish Brown Silty Clay
15 fit. 46 ft. Red Silty Clay w/ some rock frags
46 It. 206 ft. Rock, Gray., Interlayered Cinciss &
R. ft. Schist
ft. ft.
ft. ft.
ft. ft.
21. REMARKS
2" U-Fill Screen
22. Certification:
Z tzw';(" "'� (,{%_ 12-30-15
Signature of Certified Well Contractor Date
By signing this form, 1 hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C .0100 or 15A NCAC 02C.0200 Well Construction Standards and that a
copy oflhis record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages ifnecessary.
SUBMITTAL INSTUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
(ft.) Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For In'ection Wells ONLY: In addition to sending the form to the address in
24a above, also submit a copy of this form within 30 days of completion of well
12. Well construction method: construction to the following:
(ie, auger, rotary, cable, direct push, etc.)
Division of Water Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield m Method of test: 24c. For Water Supply & Injection Wells:
(gP ) ' Also submit one copy of this form within 30 days of completion of
13b. Disinfection type: Amount: well construction to the county health department of the county where
constructed.
Form GW-1 North Carolina Department of Environment and Natural Resources — Division of Water Resources Revised August 2013

WELL CONSTRUMON RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
Nicholas Sean Moreno
Well Contractor Name
4209-A
NC Well Contractor Certification Number
Cascade Drilling
Company Name
2. Well Construction Permit #:
Lis[ all applicable well permits (i.e. County, Si
3. Well Use (check well use):
Water Supply Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑ Industrial/Commercial
❑Irrigation
Non -Water Supply Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (I leadripjCooling
Variance, Injection, etc.)
❑ Munic ipal/Public
❑Residential Water Supply (single)
❑Residential Water Supply (shared)
❑Groundwater Remediation
❑Salinity Barrier
❑ Stormwater Drainage
❑Subsidence Control
❑Tracer
❑Other (exnlaut under #21
4. Date Well(s) Completed: 12-20-15 Well ID# CB-0l BRL
5a. Well Location:
Asheville, Duke Energy
Facility/Owner Name Facility ID# (ifapplicable)
200 CP & L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No. (PIN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one fat/long is sufficient)
35,4657746 degrees N-82.5389610 degrees W
6. Is (are) the well(s): 'Permanent or ❑Temporary
7. Is this a repair to an existing well: ❑Yes or L)&o
If this is a repair, fill out known well construction information and explain the nature of the
repair under #21 remarks section or on the back of this form.
S. Number of wells constructed:
For multiple injection or non -water supply wells ONLY with the same construction, you can
submit one form.
328' open borehole
9. Total well depth below land surface: (ft.)
For multiple wells list all depths iftli fereni (example- 3@200' and 2@100')
10 S ti t I 1 b I t f NA tft 1
. to c wa er eve a ow op In casing.,
If wafer level is above casing, use "+"
11. Borehole diameter: 5" & l 0"
For Internal Use ONLY:
14. WATER ZONES
FRiol41 To - OrSCR1PTION
ft. ft.
ft. ft.
15. OUTER CASING; for
RROM Ttl mu14-"lts [came
AdweRINtIATERIA.L
0 ft. 50 ft 1 6 SCH 401 PVC
16. INNER CASING OR TUBING eoshcrmal doied-loo
FROM TO DIAM - R I THICKNESS I MATERIAL.
ft. ft. in.
ft. ft. in. -
17. SCREEN
FROM TO DIAMETER SLO.1.51LE THICKNESS MATERIAL
ft. ft. in.
ft. rt. in.
18. GROUT _
FROM TO MATERIAL ENIPLACEMENT NIET1109 & AMOUNT
ft. rt.
ft. ft.
ft. ft.
19. SAND/GRAVEL PACK (if applicable_
FROM TO-1IATERI.U. E\iPEACEMENTMETHOD
ft. ft.
20. DRILLING LOG (attach additional sheets If nerxas
FROM TO DESI'RIl•1'1o% Jeolor. hardness soiFmcktype. grain sine, etc.
ft. 5 ft. Brownish Red Silty Sand
5 ft. 25 ft- Reddish Orange Sa ralite
'?5 ft- 50 ff Sa ralite with PWR
So ft. 60 ft- Folinted Gneiss
60 ft- 215 ft. ' Dark Grey Schirt
215 ft. 290 ft. Schirt & Gneiss
290 ft. 1 328 ft. Grey Gneiss
21. REMARKS
Open borehole to 328' - No well set in bore hole
22. Certification:
il%� 71-let.N,e _ 12-31-15
Signature ofCertitied Well Contractor Date
By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15A NCAC 02C.0100 or 15A NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages ifnecessary
SUBMITTAL INSTUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Injection Wells ONLY: In addition to sending the form to the address in
Sonic ')A I--ve, also submit a copy of this form within 30 days of completion of well
12. Well construction method: construction to the following:
(i.e. auger, rotary, cable, direct push, etc.)
Division of Water Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield (gpm) _ __..... Method of test: 24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days ofcompletion of
13b. Disinfection type: ..__ Amount: , well construction to the county health department of the county where
constructed
(in.)
Form GW-I North Carolina Department of Environment and Natural Resources- Division of Water Resources Revised August 2013

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
Gary Ellingworth
Well Contractor Name
3367-A
NC Well Contractor Certification Number
Parratt-Wolff
Company Name
2. Well Construction Permit #:
List all applicable well permits (i. e County, Slate, Variance, Injection, etc)
3. Well Use (check well use):
Water Supply Well:
❑Agricultural ❑Municipal/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑Industrial/Comm ere ial ❑Residential Water Supply (shared)
❑Irrigation
Non -Water Supply Well:
MMonitorine ❑Recovery
Injection Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating/Cooling
❑Groundwater Remediation
❑Salinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑ Tracer
El Other NxDlain under #21 1
4. Date Well(s) Completed: 7/1 /2016 wen ID# MW-18BRL
5a. Well Location:
Duke Energy
Asheville Station
Facility/Owner Name Facility ID# (if applicable)
10 Cp and L Dr, Arden, NC 28704
Physical Address, City, and Zip
Buncomb
County
Parcel Identification No. (PIN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(if wcll field, one lat/long is sufficient)
35.46788 N-82.550758 W
6. Is (are) the well(s): [OPermanent or ❑Temporary
7. Is this a repair to an existing well: ❑Yes or RINo
Ifthis is a repair, fill out known well construction information and explain the nature oflhe
repair under #21 remarks section or on the back of this form,
8. Number of wells constructed: 1
For multiple injection or non -water supply wells ONLY with the same construction, you can
submit one form.
9. Total well depth below land surface: 110
For multiple wells list all depths ifdiflerent (example- 3 a 200' and 2@100')
10. Static water level below top of casing: 7.0
Ifwaler level is above casing, use "
12
For Internal Use ONLY:
14. WATER ZONES
FROM
TO
DESCRIPTION --
7.0 ft.
450.0 ft.
ft.
ft.
15. OLi'F£R CASING for
multi-casrd wclls 4H
LINER if a
Ifca6le
FROM
TO
DIAMETER
THICKNESS
MATERIAL
0 ft•
40.0 f`
5.0 in.SCh
40
PVC
16.INNER
CASING ORTLIBING rudwrMalclaced-loo
FROM
TO
DIAMETER
THICKNESS
M kTE.RIAL
0 f`'
100.0 f`
2.0 in'
SCh 40
PVC
ft.
ft.
in.
17. SCREEN
FROM
TO
DIAMETER
SLOT SIZE
THICKNESS
MATERIAL
100.0f`'
110.0 ft.
2.0 in.
0.011,
SCh 40
PVC
ft.
ft.
in.
1& GROUT
FROM
- TO
MATFRIAL
EMPLACEM ENT tstETHOU & AMOUNT
0 ft.
38.0 ft-
Bent/Port
Tremied
38.0 ft•
96.0 ft•
Bentonite
Tremied
112.0 f`'
450.0 f`
Bentonite
Tremied
19. SAND/GRAVEL
PACK(if
a licahle)
FROM
TO
MATERIAL.
i74SPIACFMETHOD
96.0 f`'
112.0 f`'
#1
Sand
ft.
ft.
20. DRILLING
LOGtattach additional sBcets if neressa
FROM
TO
0F5CRHrrION color, hardncn, soitImcktypr. pritin sire, 0.
ft.
ft.
No Samples Collected
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
21. REMARKS
Installed Pre -Packed Screens
Stick -Up Cover Surface Completion
22. Certification:
7/19/2016
jLlnntUra of 'cr itgad Well Contractor Date
By signing this form, I hereby certify that the well(s) was (were) constructed in accordance
with 15ANCAC 02C.0100 or I5A NCAC 02C.0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details You may also attach additional pages if necessary.
SUBMITTAL INSTUCTIONS
24a. For All Well : Submit this form within 30 days of completion of well
construction to the following:
(ft.) Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
11. Borehole diameter: (in.) L40. ror 1niecuort Fle -i VIVLr: in ann1L[on tD senuing utc 101111 n/ we UUU1CS5 In
AU er/Air Rota 24aabove, also submit a copy of this form within 30 days of completion of well
12. Well construction method: g Rotary construction to the following:
(i a auger, rotary, cable, direct push, etc )
Division of Water Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield m Method of test: 24c. For Water Supply & Injection Wells:
(gP ) Also submit one copy of this form within 30 days of completion of
13b. Disinfection type: Amount: well construction to the county health department of the county where
constructed,
Fonn GW-1 North Carolina Department ofEnviromnent and Natural Resources - Division of Water Resources Revised August 2013

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
Kevin White
Well Contractor Name
2973 -A
NC Well Contractor Certification Number
Parratt-Wolff, Inc.
Company Name
2. Well Construction Permit#: WRO100052 - NCDNER
List all applicable well permils (I, e. County, Slate, Variance, Injection, elc.)
3. Well Use (check well use):
Water Supply Well:
❑Agricultural ❑Municipal/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑ Ind ustrial/Commercial ❑Residential Water Supply (shared)
Non -Water Supply Well:
❑ Mon itoring ❑ Recovery
❑Aquifer Recharge
❑Groundwater Remediation
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
❑Stormwater Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
❑Tracer
❑Geothermal (Heating/Cooling Retum)
❑Other (explain under 4211
7/25/1 6
EXT-01
4. Date Well(s) Completed:
Well ID#
5a. Well Location:
Duke Energy Progress, LLC.
Facility/Owner Name Facility ID# (ifapplicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County
Parcel Identification No. (PIN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one lat/long is sufficient)
35.469558 N-82.549546 W
6. Is (are) the well(s): IZPermanent or ❑Temporary
7. Is this a repair to an existing well: ❑Yes or ONo
If this is a repair, fill out known well construction information and explain the nature of the
repair under '21 remarks section or on the back of this form.
8. Number ofwells constructed: 1
For multiple injection or non-waler supply wells ONLY with the same construction, you can
submit one form.
9. Total well depth below land surface: 108
For multiple ivells list all depths ifdiffereni (example- 3@200' and 2@100')
10. Static water level below top of casing: 30
If valer level is above casing, use "+ "
(ft.)
For Internal Use ONLY.
14_ WATER ZONES _
FROM TO KSCRIPTION
29 ft. 31 ft. Top of rock
ft. ft.
15. OUTER CASING 'for mull -cared welts OR LINER(if a lie III`
HIO11 TO ➢)•r1SETFA2 1'HICK,NUS MA'rERL11.
0 ft. 127 ft- 16 in SCh.40 PVC
16. INNER CASING OR TUBING eothermat r1mcd-lam
FROM TO ➢rAMF:TEER THICKNESS MATERIAL
ft. fr. in
ft. ft. In.
17. SCREEN
FROM 'ro D1A.MF;rEk SLOTSIZF THICKNESS I MATERIAL
ft. ft. in.
ft. I ft. in.
18. GROUT
FROM 1 TO MATERIAL FAIPLACEMF:A-Fl41Er11OD&AMOUNT
0 fr. 27 fr. Portland Tremie grout
ft. ft.
ft. ft.
19. SAND/GRAYFI. P %('K if a licahle
FROM I TO t MATERIAL F.MPLAU,'% %r�4ETHOD
ft. ft.
It..]
ft.
20. DRILLING LOG (attach additional sheets if necessary
FROM TO DFSCRH'TEON cellar, hardness. wtttrurk [ , girain sin. etc.l
0 ft. 27 ft. unconsolidated material - no samples taken
27 ft. 108 ft. rock
ft. ft.
ft. ft.
ft. ft.
ft. ft.
ft. ft.
21 _ REMARKS
22. Certification:
D'gRkny rlpnrd try Indd MuentT
Todd Mueneh onc",W-..nechot,.,.c. ,' 8/4/16
D-:2m606.oa i0oea2 -0s00'
Signature of Certified Well Contractor Date
By signing this form, I hereby certify that the wells) was (were) constructed in accordance
wilh 15A NCAC 02C .0100 or ISA NCAC 02C.0200 Well Construction Standards and that a
copy of This record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL INSTUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
It. Borehole diameter: 6 (in.) 24b. For Injection Wens ONLY: In addition to sending the form to the address in
Mud/Air Rotary 24aabove, also submit a copy of this form within 30 days of completion of well
12. Well construction method: construction to the following:
(i a auger, rotary, cable, direct push, etc )
Division of Water Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield m Method of test: 24c. For Water Supply & Injection Wclls:
(gP ) - Also submit one copy of this form within 30 days ofcompletion of
13b. Disinfection type: Amount: well construction to the county health department of the county where
constructed
Form GW-1 North Carolina Department of Environment and Natural Resources - Division of Water Resources Revised August 2013

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
Kevin White
Well Contractor Name
2973 -A
NC Well Contractor Certification Number
Parratt-Wolff, Inc.
Company Name
2. Well Construction Permit#: WR0100052 - NCDNER
List all applicable Nell permits (i e County, Slate, Variance, Injection, etc)
3. Well Use (check well use):
❑Agricultural ❑Municipal/Public
❑Geothermal (Heating/Cooling Supply) ❑Residential Water Supply (single)
❑Industrial/Commercial ❑Residential Water Supply (shared)
Non -Water Supply Well.
❑ Monitoring O Recovery
❑Aquifer Recharge
❑Groundwater Remediation
❑Aquifer Storage and Recovery
❑Salinity Barrier
❑Aquifer Test
❑Stormwater Drainage
❑Experimental Technology
❑Subsidence Control
❑Geothermal (Closed Loop)
❑Tracer
❑Geothermal (HeatinR/COOhnR Return)
[]Other (explain under 421 Rem
4. Date Well(s) Completed: 7/25/16 Well ID# EXT-02
Sa. Well Location:
Duke Energy Progress, LLC.
Facility/Owner Name Facility ID# (i f applicable)
200 CP&L Drive, Arden, NC 28704
Physical Address, City, and Zip
Buncombe
County Parcel Identification No (PIN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(ifwell field, one lat/long is sufficient)
35.468975 N-82.549323 W
6. Is (are) the well(s): ©Permanent or ❑Temporary
7. Is this a repair to an existing well: ❑Yes or KNo
If this is a repair, fill out known well construction information and explain the nature of the
repair under 921 remarks section or on the back of this form.
8. Number of wells constructed: 1
For multiple injection or non -water supply wells ONLY with the same construction, you can
submit one form.
9. Total well depth below land surface: 116 (ft.)
For multiple ivells list all depths ifdifferenl (example- 3@200' and 2@100')
10. Static water level below top of casing: 94 (ft.)
Iflvater level is above casing, use "= "
It. Borehole diameter: 6 (in.)
12. Well construction method: Mud/Air Rotary
(i a auger, rotary, cable, direct push, etc )
For Internal Use ONLY:
14. WATER ZONES
FROM
TO
DESCRIPTION
93 ft.
95 ft.
ft.
ft
15.OUTER CASING (for multi -cased wells) O
RMa liM
FROM
TO
DIAMETER
RrAL
0 ft.
33 ft.
6 in- I
Sch.40 PVC
16. INNER CASING OR TtfBING colhermal
closed-loo
FROM
TO
t DIAMETER I
THICKNESS
MATERIAL
-- -
ft.
ft.
in.
f[.
ft.
in.
17. SCREEN
FROM
To
DIAMETER
SLOTSIZE
THICKNESS
MATERIAL
ft.
ft.
in.
ft.
ft.
in.
18. GROUT
FROA1
TO
MATERIAL
EMPLACEMEh?MLrHOD&AMOUI•1'r
0 f`'
33 f`-
Portland
Tremie grout
ft.
ft.
ft.
ft.
19. SAND/GRAVEL PACK
if a licable
FRONI
TO
MATERIAL
EMPLACEtNENTM:ETIfOD
ft.
ft.
ft.
ft.
20. DRILLING
LOG (attach
additional sheets if memo
FROM
TO
DESCRII TIUN color, hardness, aoitfmck type, size etc.
0 ft-
33 ft
unconsolidated material - no samples taken
33 fl•
116
rock
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft
ft.
ft.
21. REMARKS
22. Certification:
D'gitWr Sr Ipar M„ry,.1h
Todd Muench 8/4/16
Date: 2016 06.0410. 912-04'00'
Signature of Certified Well Contractor Date
By signing this form, I hereby certify that the lvell(s) lvas (were) constructed in accordance
lvah 15A NCAC 02C .0100 or 15A NCAC 02C.0200 Well Construction Standards and that a
copy of This record has been provided to the well owner_
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages ifnecessary
SUBMITTAL INSTUCTIONS
24a. For All Wens: Submit this form within 30 days of completion of well
construction to the following:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Iniecti2n Wells ONLY: In addition to sending the form to the address in
24aabove, also submit a copy of this form within 30 days of completion of well
construction to the following:
Division of Water Resources, Underground Injection Control Program,
FOR WATER SUPPLY WELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a. Yield m Method of test: 24c, For Water Supply & Injection Wells:
(gP ) Also submit one copy of this form within 30 days of completion of
13b. Disinfection type: Amount: well construction to the county health department of the county where
constructed.
Fonn GW-1 North Carolina Department of Environment and Natural Resources - Division of Water Resources Revised August 2013