WQ0005233_Renewal Application_20190116

INITIAL REVIEW
Reviewer Monday, Tessa R
Project Number* WQ0005233
SUBMITTAL DATED: 1/16/2019
Project Contact Information
Rease provide inforrration on the person to be contacted by NDB Staff
..............................................................................................................................................................................
Name * Timothy Lawrence
Email Address*
[e-mail]
Project Information
Application Type*
Permit Type *
Permit Number
Permittee *
Facility Name
County*
electronic subrrittal, confirrration of receipt, and other issues.
Phone Number*
2524662754
r New
r Renewal
r Annual Report
r Wastewater Irrigation
r Other Wastewater
r Closed -Loop Recycle
r Single -Family Residence Wastewater
Irrigation
WQ0005233
currently has project
USMC MCAS Cherry Point
Atlantic Airfield WWTF
Carteret
r Modification (Major or Minor)
r Additional Information
r Other
r High -Rate Infiltration
r Reclaimed Water
r Residuals
r Other
Please provide comments/notes on your current submittal below.
Attached is the 2019 permit renewal package for permit WQ0005233.
The signed original is being mailed and should arrive shortly.
Please attach all information required or requested for this submittal to be review here.
2019 WQ00005233 Permit Renewal.pdf 2.61 MB
Application Form Engineering Rans, Specifications, Calculations, Hc.)

Required paper copy of application and attachments submitted to the Division. Be advised,
applications will not be considered complete until both paper and electronic applications have
been received. Paper copy shall irelude one copy of the Applicaticn Form, one set of Calculations,
one D&V Dlan, ore Soi jrlyarology Report, one full size Engineerin; Plan set, two 11" x 17"
Engineering Plan sets, and two Specification sets. This shall be mailed to the following address:
By U.S. Postal Service:
Division of Water Resources- Non -Discharge Branch
1617 Mail Service Center Raleigh, NC 27699-1617
By Courier/Special Delivery:
Division of Water Resources- Non -Discharge Branch
Att: Nathaniel Thomburg- 6th Floor, office #644N
512 N. Salisbury St. Raleigh, NC 27604
For questions or problems contact Tessa Monday at 919.707.3660 or Tessa. [e-mail]
or Sonia Graves at 919.707.3660 or [e-mail]
* rJ By checking this box I am acknowledging that I have read the above statement and agree to send
these documents as required to one of the address given above.
Signature Sign
Submission Date 1/16/2019

UNITED STATES MARINE CORPS
MARINE CORPS AIR STATION
POSTAL SERVICE CENTER 6003
CHERRY POINT, NORTH CAROLINA 26533.0007
North Carolina Department of
Environment Quality
Division of Water Resources
Water Quality Permitting Section
Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
IN REPLY REFER TO'
5090/07102
LN
January 8, 2019
SUBJECT: 2019 NON -DISCHARGE SYSTEM RENEWAL FOR WQ0005233
Marine Corps Air Station (MCAS) Cherry Point submits the
enclosed renewal package for our non -discharge system permit
WQ0005233. This submittal package includes one original and one
copy of all required documents. An electronic copy of this
application was uploaded via the Non -Discharge Branch website.
This permit is scheduled to expire on July 31, 2019.
For additional information, please do not hesitate to
contact Mr. Timothy Lawrence of the Environmental Affairs
Department at [phone].
Sincer, ,
C. E. SCHULZ
Deputy Facilities Director
By direction of
the Commanding Officer
Enclosure: 2019 Permit Renewal Package for WQ0005233

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2019 NON -DISCHARGE SYSTEM RENEWAL FOR WQ0005233
1. NDSR 09-18
2. Current Permit
3. Current Monitoring Well Positions
4. Site Maps

NON -DISCHARGE SYSTEM RENEWAL
{NDSR 09-18}

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
FORM: NDSR 09-18
This form is for renewal without modification for all non -discharge system permits, except Residuals Management and Single -
Family Residence Wastewater Irrigation System permits.
For more information, visit the Water Quality Permitting Section's Non -Discharge Branch.
I. PER %IITTEE INFORMATION:
1. Permittee: US MCAS Cherry Point
2. Signature authority's name: Charles E. Schulz per 15A NCAC 02T.0106(b) Title: Deputy Facilities Director
Primary Telephone number:2{ 52) 466-3148 Office Secondary number: Select
Email Address: [e-mail]
3. Permittee's mailing address: USMC Cherry Point. Environmental Affaris Department, PSC Box 8006
City: Cherry Point
State: NC Zip: 28533-0006
4. Billing address (if different from above):
City: State: Zip:
5. Contact person's name (if different from signature authority): Timothy O. Lawrence Title: Environmental En ineer
Primary Telephone number.2( 52) 466-2754 Office Secondary number: QL2) 808-7488 Cell
Email Address: [e-mail]
U. PERMIT INFORMATION:
1. Existing permit number: WQ0005233
2. Has the facility been constructed? ® Yes or ❑ No
If yes, has the facility been constructed in accordance with the permit and the Division -approved plans and specifications?
[ 15A NCAC 02T.0 I 10 ® Yes or ❑ No
If no, a formal permit modification request shall be submitted to the Division.
3. Has any of the property ownership within the facility and/or disposal area changed from what is indicated in the current permit
(Attachment B — disposal field owner/lessee)? ❑ Yes or ® No
Has the Permittee had a name change or has the permit changed ownership'? ❑ Yes or ® No
If yes to either, a permit modification request shall be submitted to the Division. [ 15A NCAC 02T .01051
4. Is this facility a Privately -Owned Public Utility? ❑ Yes or ®No
If yes, provide two copies of the Certificate of Public Convenience and Necessity from the North Cafolina Utilities Commission
demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the non -discharge system.
[I5A NCAC 02T .0115(a)( 1)1
5. Is the Permittee a Home/Property Owners' Associations or Developers of lots to be sold? ❑ Yes or ® No
If yes, provide the following:
+ For Home/Property Owners' Associations — O2erational AAeree t FORM: HOA and a copy of the proposed or
approved Articles of Incorporation Declarations, and By-laws [ 15A. NCr' 02T _01 I5 i
• For Developers of lots to be sold— Operational Agreement (FORM: DEV) [15A NCAC 02T.01 15( j
FORM: NDSB 09-18 Page 1 of 3

1),
,Wr_R_9W'
Division of Water Resources
III. SITE MAP:
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
FORM: NDSR 09-18
L Provide an updated site map in accordance with 15A NCAC 02T .0105(d) that shows the following:
Boundaries and physical features not under purview of other licensed professions shall be provided by a professional land
surveyor
® Legend, north arrow, scale, and legible in black and white
® Topographic contour intervals not exceeding 10 feet or 25 percent of total site relief
® Soil mapping units on all disposal sites
® All facility -related structures and fences within the treatment, storage, and disposal areas
® All habitable residences and places of assembly within 500 feet of all treatment, storage, and irrigations sites
® Location of all wells, streams (ephemeral, intermittent, and perennial), springs, lakes, ponds, ditches, and other surface
drainage features within 500 feet of all waste treatment, storage, and disposal site(s)
® Location and identification of each monitoring well (identify any background/upgradient wells)
® Latitude and longitude coordinates of all monitoring wells (decimal degrees to 6 digits)
® Location and identification of major components of the waste disposal system
® The wetted perimeter of all irrigation fields with field names (named according to the approved permit)
® Location and ownership of property boundaries within 500 feet of the disposal area (including road/rail right-of-ways)
® The delineation of compliance and review boundaries
® Distance measurements verifying all setbacks are being met
• Stormwater drainage controls
® 100 -year floodplain (if applicable)
IV. SETBACK WAIVERS, EASEMENTS, AND LEASES:
1. Does the permit have any setback waivers, easements, or leases? ❑ Yes or ® No
If yes, provide copies of all documents and complete the table below:
Document
Type
Grantor or
Parcel No.
Grantee
Expiration
Date
County
Registered
Deed
Book
Deed Page
Document `
Description
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
1. The document description shall list any reduced setbacks with distance, etc.
FORM: NDSR 09-18 Page 2 of 3

-DW—R-�..,..�
Division of Water Resources
Applicant's Certification per 15A NCAC 02T.0106(b):
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
FORM: NDSR 09-18
I, , attest that this renewal application has been reviewed by me, and is accurate and complete to the best of my
knowledge. I understand that any unauthorized discharge of wastewater from this non -discharge system to surface waters or the land
may result in an enforcement action that may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim
against the Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this
application are not completed, this application may be returned to me as incomplete. I further certify that the Applicant or any parent,
subsidiary, or other affiliate of the Applicant has not been convicted of an environmental crime, has not abandoned a wastewater facility
without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant
with any active compliance schedule, and does not have any overdue annual fees.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation. The Applicant's Certification shall be signed in accordance with
15A NC AC 02T _0106(hJ. Per 15 A1C 02T .0106(c), an alternate person may be designated as the signing official if a delegation
letter is provided from a person io eets the criterig in 15A NCAC 02T .Q 106(b
Signature:
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DMSION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE BRANCH
By U.S. Postal Service: By Courier: By Email:
Non -Discharge Branch Non -Discharge Branch—Archdale 640D Non -Disc liar,}[e-mail]
1617 Mail Service Center 512 N. Salisbury St.
Raleigh, NC 27699-1617 Raleigh, NC 27604
TELEPHONE NUMBER: [phone]
FORM: NDSR 09-18 Page 3 of 3

CURRENT PERMIT
(WQ0005233 )

Water Resources
EwigoNmENTAL QUALTT
February 7, 2018
CHARLES E. SCHuL.z—DEPiTIY FACILITIES DIRECTOR
US MCAS CHERRY POINT'
PSC Box 8006
CHERRY POINT, NORTH CAROLINA 28533-0006
Dear Mr. Schulz:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
Subject Permit No. WQ0005233
Enlisted Men's Barracks —
Atlantic Airfield WWTF
Wastewater Irrigation System
Carteret County
In accordance with your permit major modification request received July 14, 2017, and subsequent
additional information received November 16, 2017, we are forwarding herewith Permit No. WQ0005233
dated February 7, 2018, to US MCAS Cherry Point for the continued operation of the subject wastewater
treatment and irrigation facilities, as well as the construction and operation of the modified wastewater
treatment and irrigation facilities.
The modifications to the subject permit are as follows: replace the two vertical turbine pumps with
two submersible pumps, replace the pump control panel with a new panel in the chlorine building, install a
rain sensor on the roof of the chlorine building, install a precast concrete valve vault, install three isolation
valves with floor stands on the three spray field supply pipes, replace the single magnetic flow meter with
three magnetic flow meters (one per spray field), provide an emergency pump connection, and install
piping/sprinklers with fencing for a new 0.75 acre spray field (i.e., Field 3).
This permit shall be effective from the date of issuance until July 31, 2019, shall void Permit No.
WQ0005233 issued December 14, 2014, and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements listed in Attachments A, B and C
for they may differ from the previous permit is5 uance. Failure to establish an adequate system for collecting
and maintaining the required operational information shall result in future compliance problems.
Please note the following permit conditions have been removed since the last permit issuance
dated December 14, 2014:
Old Condition 1.2_ —This condition has been removed.
Old Condition 11.6. —This condition has been removed because federal facilities are not subject
to the requirements in 15A NCAC 02H .0404(g).
-' -^Nothing Compares
state or North Camlinn 1 Environmental Quality' Wata Rcsw=o j water Quality Permitting I Non-D=114tge Pamittmg
1617 Maul Servs= Cefsr I Rakigb, North Camlim 27694-1617
914-807.6332

Mr. Charles E. Schulz
February 7, 2018
Page 2 of 3
Old Conditions II.12.a.xvi. and xvii. These setbacks have been removed because federal
facilities are not subject to the requirements in 15A NCAC 02H .0404(g).
Please note the following permit conditions are new since the last permit issuance dated
December 14,2014:
Condition I.1. — Upon completion of construction and prior to operation of this permitted
facility, a certification shall be submitted to the Non -Discharge Branch in Raleigh.
➢ Condition I.2. —The Wilmington Regional Office shall be notified at least 48 hours in advance
of operation of the installed facilities such that an in-place inspection can be made.
➢ Condition 1.3. — The Wilmington Regional Office shall approve monitoring well MW -6
(replacement for MW -2) prior to installation, and the monitoring wells shall be installed prior
to beginning waste disposal operations.
➢ Condition 1.4. — Within 60 days of completion of the monitoring well MW -6 (replacement for
MW -2), a Well Construction Record (Form GW -01) shall be completed for each well
constructed and mailed to the Non -Discharge Branch in Raleigh.
➢ Condition 1.5. — Within 60 days of completion of the monitoring wells, the permittee shall
submit two original copies of a site map to the Non -Discharge Branch in Raleigh.
➢ Condition I.6. — Within 60 days of the effective date of this permit, monitoring well MW -2
shall be permanently abandoned. A Well Abandonment Record (Form GW -30) shall be mailed
to the Non -Discharge Branch in Raleigh.
Condition 11.6. — This condition requires that the irrigation system be connected to a rain or
moisture sensor, which shall indicate when effluent application is not appropriate.
D Condition IV. 11. — For initial sampling of monitoring wells, the Permittee shall submit a
Compliance Monitoring Form (GW -59) and a Well Construction Record Form (GW -1) listing
this permit number and the appropriate monitoring well identification number.
Attachment A — Chlorine, Total Residual Chlorine, Total Nitrogen, and Total Dissolved Solids
have been added to PPI 001.
Attachment C — Total Nitrogen Ammonia, Total Nitrogen Nitrate, and Total Phosphorus have
been added.
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 1 SOB of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding.

Mr. Charles E. Schulz
February 7, 2018
Page 3 of 3
One set of approved plans and specifications is being forwarded to you. If you need additional
information concerning this permit, please contact Tcssa Monday at [phone] or
tessa.mondayaamcderingov.
Sincerely,
,�mda Culpepper, Interim Director
U Division of Water Resources
cc: Carteret County Health Department (Electronic Copy)
Wilmington Regional Officc, Water Quality Regional Operations Section (Electronic Copy)
Steve Scruggs, PE — AECOM Technical Services of North Carolina (Electronic Copy)
Beth Buffington — Protection and Enforcement Branch (EIectronic Copy)
Digital Permit Archive (Electronic Copy)
Central Files

THIS PAGE BLANK

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH
WASTEWATER IRRIGATION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules and Regulations
PERMISSION IS HEREBY GRANTED TO
US MCAS Cherry Point
Carteret County
FOR THE
operation of a 5,000 gallon per day (GPD) wastewater treatment and irrigation facility consisting of the:
continued operation of a wastewater treatment and irrigation system consisting of: an influent pump station
with two 60 gallon per minute (GPM) pumps, and a high water alarm system; a 247,000 gallon synthetically
lined primary stabilization lagoon; a 78,000 gallon synthetically lined polishing and storage pond; atablet
chlorine contact chamber; dual irrigation pumps with flow measuring and recording equipment; a 1.0 acre
spray irrigation area (i.e., Fields 1 and 2); and all associated piping, valves, controls, and appurtenances;
and the
construction and operation of additional wastewater treatment and irrigation facilities consisting of the;
replacement of two vertical turbine pumps with two 120 GPM submersible pumps; replacement of the pump
control panel with a new panel in the chlorine building; installation of a precast concrete valve vault;
installation of three isolation valves with floor stands on the three spray field supply pipes; replacement of
the single magnetic flow meter with three magnetic flow meters (i.e., one per spray field); installation of an
emergency pump connection; a rain sensor; a 0.75 acre spray irrigation area (i.e., Field 3); and all associated
piping, valves, controls, and appurtenances
to serve Enlisted Men's Barracks — Atlantic Airfield WWTF, with no discharge of wastes to surface waters,
pursuant to the application received July 14, 2017, and subsequent additional information received by the
Division of Water Resources, and in conformity with the project plans, specifications, and other supporting
data subsequently filed and approved by the Department of Environmental Quality and considered a part
of this permit.
This permit shall be effective from the date of issuance until July 31, 2019, shall void Permit No.
WQ0005233 issued December 14, 2014, and shall be subject to the following specified conditions and
limitations:
WQ0005233 Version 4.2 Shell Version 171103 Page 1 of I I

L SCHEDULES
1. Upon completion of construction and prior to operation of the modified permitted facilities, a
certification (attached) shall be submitted from a licensed North Carolina Professional Engineer
certifying that the permitted facility has been installed in accordance with this permit, Division
approved plans and specifications, and other supporting documentation, including the location of all
monitoring wells as applicable. If this project is to be completed in phases_ and partially certified, the
Permittee shall_retain the responsibility to track further construction approved under the same perml
and shall provide a final certificate of completion once the entireproiect has been completed. Mail the
Certification to the Division of Water Resources, Non -Discharge Branch, 1617 Mail Service Center,
Raleigh, NC 27699-1617. [15A NCAC 02T.01 16(a)]
2. The Wilmington Regional Office, telephone number [phone], shall be notified at least 48 hours
in advance (excluding weekends and holidays) of operation of the installed facilities such that an in-
place inspection can be made. Notification to the regional supervisor shall be made from 8:00 a.m.
until 5:00 p.m. on Monday through Friday, excluding State Holidays. [15A NCAC 02T .0108(b)(2)]
3. The Wilmington Regional Office, telephone number [phone], shall approve monitoring well
MW -6 (replacement for MW -2) prior to installation, and the monitoring wells shall be installed prior
to beginning waste disposal operations. The regional office shall be noted at least 48 hours prior to
the construction of any monitoring well, and such notification to the regional supervisor shall be made
from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays. The monitoring
wells shall be constructed such that the water level in the well is never above or below the screened
(open) portion of the well at any time during the year, and in accordance with 15A NCAC 02C .0108.
The general location and name for each monitoring well is marked on Figure 1. [1 SA NCAC 02C
.0108, 02T .0108(b)(2)]
4. Within 60 days of completion of the monitoring well MW -6 (replacement for MW -2), a Well
Construction Record (Form GW -01) listing this permit number and the appropriate monitoring well
identification number shall be completed for each well constructed and mailed to the Division of Water
Resources, Non -Discharge Branch, 1617 Mail Service Center, Raleigh, NC 27699-1617. A North
Carolina Certified Well Contractor shall construct the monitoring wells according to the North Carolina
Well Construction Standards (15A NCAC 02C.0113) and local county rules. [15A NCAC 02C .011,
02T .0108(bx2)]
5. Within 60 days of completion of the monitoring wells, the Permittee shall submit two original copies
of a site map with a scale no greater than 1 -inch equals 100 feet, however, special provisions may be
granted upon prior approval for large properties. At a minimum, the map shall include the following
information:
a. The location and identity of each monitoring well.
b. The location of major components of the waste disposal system.
c. The location of property boundaries within 500 feet of the disposal areas.
d. The latitude and longitude of the established horizontal control monument.
e. The elevation of the top of the well casing (i,e., measuring point) relative to a common datum.
f. The depth of water below the measuring point at the time the measuring point is established.
g. The location of compliance and review boundaries.
h. The date the map is prepared and/or revised.
Control monuments shall be installed in such a manner and made of such materials that the monument
will not be destroyed due to activities taking place on the property. The map and any supporting
documentation shall be sent to the Division of Water Resources, Non -Discharge Branch, 1617 Mail
Service Center, Raleigh, NC 27699-1617. [15A NCAC 02T .0108(bx2)]
WQ0005233 Version 4.2 Shell Version 171103 Page 2 of 1 l

6. Within 60 days of the effective date of this permit, monitoring well MW -2 shall be permanently
abandoned. Within 30 days of abandonment, a Well Abandonment Record (Form GW -30) listing this
permit number and the appropriate monitoring well identification number shall be completed for each
well abandoned and mailed to the Division of Water Resources, Non -Discharge Branch, 1617 Mail
Service Center, Raleigh, NC 27699-1617. A North Carolina Certified Well Contractor shall abandon
the monitoring wells according to the North Carolina Well Construction Standards (15A NCAC 02C
.0113) and local county rules. [l 5A NCAC 02C .011, 02T .0108(bx2)]
7. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request; the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule ISA
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal application.
[15A NCAC 02T .0105(d), 02T.0106, 02T .0109, 02T .0115(c)]
II. PERFORMANCE STANDARDS
I . The subject non -discharge facilities shall be effectively maintained and operated at all times so there is
no discharge to surface waters, nor any contravention of groundwater or surface water standards. In
the event the facilities fail to perform satisfactorily, including the creation of nuisance conditions due
to improper operation and maintenance, or failure of the irrigation areas to adequately assimilate the
effluent, the Permitted shall take immediate corrective actions including Division required actions, such
as the construction of additional or replacement wastewater treatment or irrigation facilities. [G.S.143-
215.1, 143-213.3(a)]
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or surface
water resulting from the operation of this facility. [15A NCAC 02B .0200, 02L .0100]
3. All wells constructed for purposes of groundwater monitoring shall be constructed in accordance with
15A NCAC 02C .0108 (Standards of Construction for Wells Other than Water Supply), and any other
jurisdictional laws and regulations pertaining to well construction. [15A NCAC 02C .0108]
4. Effluent quality shall not exceed the limitations specified in Attachment A. [15A NCAC 02T
.0108(b)(1)]
5. Application rates, whether hydraulic, nutrient or other pollutant, shall not exceed those specified in
Attachment B. [15A NCAC 02T .0505(c)]
6. The irrigation system shall be connected to a rain or moisture sensor, which shall indicate when effluent
application is not appropriate in accordance with Conditions IIIA, and III.5. of this permit. [15A NCAC
02T .0108(bx 1)]
7. This disposal system was individually permitted on or after December 30, 1983; therefore, the
compliance boundary is established at either 250 feet from the effluent disposal area, or 50 feet within
the property boundary, whichever is closest to the effluent disposal area. An exceedance of
groundwater standards at or beyond the compliance boundary is subject to remediation action according
to 15A NCAC 02L .0106(d)(2) as well as enforcement actions in accordance with North Carolina
General Statute 143-215.6A through 143-215.6C. [15A NCAC 02L .0106(dx2), 02L .0107(b)]
8. In accordance with 15A NCAC 02L .0 108, the review boundary is established midway between the
compliance boundary and the effluent disposal area. Any exceedance of groundwater standards at the
review boundary shall require action in accordance with 15A NCAC 02L .0106. [15A NCAC 02L
.0 1069 02L .0108]
9. The Permittee shall apply for a permit modification to establish a new compliance boundary prior to
any sale or transfer of property affecting a compliance boundary. [15A NCAC 02L .0107(c)]
WQ0005233 Version 4.2 Shell Version 171103 Page 3 of l 1

10. In accordance with 15A NCAC 02L .0107(d), no wells, excluding Division approved monitoring wells,
shall be constructed within the compliance boundary except as provided for in 15A NCAC 02L
.0107(8). [15A NCAC 02L .0107]
11. Except as provided for in 15A NCAC 02L .0107(g), the Permittee shall ensure any landowner who is
not the Permittee and owns land within the compliance boundary shall execute and file with the Carteret
County Register of Deeds an easement running with the land containing the following items:
a. A notice of the permit and number or other description as allowed in 15A NCAC 02L .0107(f)(1);
b. Prohibits construction and operation of water supply wells within the compliance boundary; and
c. Reserves the right of the Permittee or the State to enter the property within the compliance boundary
for purposes related to the permit.
The Director may terminate the easement when its purpose has been fulfilled or is no longer needed.
[1 5A NCAC 02L .0107(f)]
12. The facilities permitted herein shall be constructed according to the following setbacks:
a. The setbacks for irrigation sites permitted under 15A NCAC 02T .0500 shall be as follows (all
distances in feet):
i. Any habitable residence or place of public assembly under separate ownership: 400
ii. Any habitable residence or place of public assembly owned by the Permittee:
200
iii. Any private or public water supply source:
100
iv. Surface waters:
100
v. Groundwater lowering ditches:
1001
vi. Surface water diversions:
25
vii. Any well with exception of monitoring wells:
100
viii. Any property line:
150
ix. Top of slope of embankments or cuts of two feet or more in vertical height:
15
x. Any waterline from a disposal system:
10
xi. Subsurface groundwater lowering drainage systems:
100
xii. Any swimming pool:
100
xiii. Public right of way:
50
xiv. Nitrification field:
20
xv. Any building foundation or basement:
15
[15A NCAC 02T .0506(a)]
b. The setbacks for storage and treatment units permitted under 15A NCAC 02T .0500 shall be as
follows (all distances in feet):
i. Any habitable residence or place of public assembly under separate ownership:
ii. Any private or public water supply source:
iii. Surface waters:
iv. Any well with exception of monitoring wells:
v. Any property line:
[15A NCAC 02T .0506(b)]
100
100
50
100
50
WQ0005233 Version 4.2 Shell Version 171103 Page 4 of 11

III. OPERATION AND MAINTENANCE REOUMEMENTS
1. The facilities shall be properly maintained and operated at all times. The facilities shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of any wastewater resulting
from the operation of this facility. The Permittee shall maintain an Operation and Maintenance Plan,
which at a minimum shall include operational functions, maintenance schedules, safety measures and
a spill response plan. [15A NCAC 02T .0507]
2. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC 08G .0200 the
Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or more
certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules. [ 15A NCAC 02T .0117]
3, A suitable year round vegetative cover shall be maintained at all times, such that crop health is
optimized, allows for even distribution of effluent and allows inspection of the irrigation system. [ 15A
NCAC 02T.0108(bx])]
4. Adequate measures shall be taken to prevent effluent ponding in or runoff from the irrigation sites listed
in Attachment B. [15ANCAC 02T .0108(b)(1)]
5. irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause ponding or runoff. [15A NCAC 02T .0108(b)(l)]
6. All irrigation equipment shall be tested and calibrated at least once per permit cycle. Calibration records
shall be maintained at the facility for a period of no less than five years, and shall be made available to
the Division upon request. (15A NCAC 02T .0108(bxl)]
7. Only effluent from the Enlisted Men's Barracks — Atlantic Airfield WWTF shall be irrigated on the
sites listed in Attachment B. [G.S. 143-215.1]
8. No automobiles or machinery shall be allowed on the irrigation sites except during equipment
installation or while maintenance is being performed. [15A NCAC 02T .0108(b)(l)]
9. Public access to the irrigation sites and wastewater treatment facilities shall be prohibited. [15A NCAC
02T .0505(q)]
10. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T .1100. The Permittee shall maintain a residual management plan
pursuant to 15A NCAC 02T .0508. [15A NCAC 02T .0508, 02T .1100]
11. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited. [15A NCAC 02T .05050)]
12. Freeboard in the 247,000 gallon synthetically lined primary stabilization lagoon and the 78,000 gallon
synthetically lined polishing/storage pond shall not be less than two feet at anytime. [15A NCAC 02T
.0505(d)]
13. Gauges to monitor waste levels in the 247,000 gallon synthetically lined primary stabilization lagoon
and the 78,000 gallon synthetically lined polishing/storage pond shall be provided. These gauges shall
have readily visible permanent markings, at inch or tenth of a foot increments, indicating the fallowing
elevations: maximum liquid level at the top of the temporary liquid storage volume; minimum liquid
level at the bottom of the temporary liquid storage volume; and the lowest point on top of the dam.
[15A NCAC 02T .0108(b)(1)]
WQ0005233 Version 4.2 Shell Version 171103 Page 5 of 11

14. A protective vegetative cover shall be established and maintained on all earthen embankments (i.e.,
outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs, and
other woody vegetation shall not be allowed to grow on the earthen dikes or embankments. Earthen
embankment areas shall be kept mowed or otherwise controlled and accessible. [15A NCAC 02T
.0108(b)(1)]
IV. MONITORING AND REPORTING RE UIREMENTS
I. Any Division required monitoring (including groundwater, plant tissue, soil and surface water analyses)
necessary to ensure groundwater and surface water protection shall be established, and an acceptable
sampling reporting schedule shall be followed. [15A NCAC 02T .0108(c)]
2. A Division certified laboratory shall conduct all laboratory analyses for the required effluent,
groundwater or surface water parameters. [15A NCAC 02H.08001
3. Flow through the treatment facility shall be continuously monitored, and daily average flow values
shall be reported on Form NDMR. Flow may be estimated from water use records, provided the
Permittee's water use is metered. Daily average flow values shall be calculated by dividing the monthly
metered water usage by the number of days in the month. [15A NCAC 02T .0105(k), 02T .0108(c)]
4. The Permitted shall monitor the effluent from the subject facilities at the frequencies and locations for
the parameters specified in Attachment A. [ 15A NCAC 02T .0108(c)]
5. The Permittee shall maintain adequate records tracking the amount of effluent irrigated. At a minimum,
these records shall include the following information for each irrigation site listed in Attachment B:
a. Date of irrigation;
b. Volume of effluent irrigated;
c. Site irrigated;
d. Length of time -site is irrigated;
e. Continuous weekly, monthly, and year-to-date hydraulic (inchesfacre) loadings;
f. Continuous monthly and year-to-date loadings for any nun -hydraulic parameter specifically
limited in Attachment B;
g. Weather conditions; and
h. Maintenance of cover crops.
[15A NCAC 02T.0 I 08(c))
6. Freeboard (i.e., waste level to the lowest embankment elevation) in the 247,000 gallon synthetically
lined primary stabilization lagoon and the 78,000 gallon synthetically lined polishing/storage pond shall
be measured to the nearest inch or tenth of a foot, and recorded weekly. Weekly freeboard records shall
be maintained at the facility for a period of no less than five years, and shall be made available to the
Division upon request. [15A NCAC 02T .0108(c)]
7. Three copies of all monitoring data (as specified in Conditions IV.3. and IVA.) on Form NDMR for
each PPI and three copies of all operation and disposal records (as specified in Conditions IV.5. and
IV. 6.) on Form NDAR-1 for every site in Attachment B shall be submitted on or before the last day of
the following month. If no activities occurred during the monitoring month, monitoring reports are still
required documenting the absence of the activity. All information shall be submitted to the following
address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[15A NCAC 02T .0105(1)]
WQ0005233 Version 4.2 Shell Version 171103 Page 6 of I 1

S. A record shall be maintained of all residuals removed from this facility. This record shall be maintained
at the facility for a period of no less than five years, and shall be made available to the Division upon
request. At a minimum, this record shall include:
a. Name of the residuals hauler,
b. Non -Discharge permit number authorizing the residuals disposal, or a letter from a municipality
agreeing to accept the residuals;
c_ Date the residuals were hauled; and
d. Volume of residuals removed -
[I 5A
emoved_[15A NCAC 02T.0 108(bXl)]
9. A maintenance log shall be maintained at this facility. This log shall be maintained at the facility for a
period of no less than five years, and shall be made available to the Division upon request. At a
minimum, this log shall include:
a. Visual observations of the plant and plant site; and
b. Record of preventative maintenance (e.g., changing of equipment, adjustments, testing, inspections
and cleanings, etc.).
[15A NCAC 02T .0108(b)(l)]
10. Monitoring wells shall be sampled after construction and within 3 months prior to initiating non -
discharge disposal operations. Monitoring wells shall be sampled thereafter at the frequencies and for
the parameters specified in Attachment C. All mgppinz well construction f nns well abandonment
forms -and monitoring data shall refer to the permit number and the well nomenclature as provided in
Attachment C_and Figure 1. [15A NCAC 02T .0105(m)]
11. For initial sampling of monitoring wells, the Permittee shall submit a Compliance Monitoring Form
(GW -59) and a Well Construction Record Form (GW -1) listing this permit number and the appropriate
monitoring well identification number. Initial Compliance Monitoring Forms (GW -59) without copies
of the Well Construction Record Forms (GW -1) are deemed incomplete, and may be returned to the
Permittee without being processed. [15A NCAC 02T .0105(m)]
12. Two copies of the monitoring well sampling and analysis results shall be submitted on a Compliance
Monitoring Form (GW -59), along with attached copies of laboratory analyses, on or before the last
working day of the month following the sampling month. The Compliance Monitoring Form (GW -59)
shall include this permit number, the appropriate well identification number, and one GW -59a
certification form shall be submitted with each set of sampling results. All information shall be
submitted to the following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[I 5A NCAC 02T.0 i 05(m)]
WQ0005233 Version 4.2 Shell Version 171103 Page 7 of 1 l

13. An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each irrigation site listed in Attachment B. These results shall be maintained at the facility for a period
of no less than five years, and shall be made available to the Division upon request. At a minimum, the
Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
[I 5A NCAC 02T .0108(c)]
14. Noncompliance Notification:
The Permittee shall report by telephone to the Wilmington Regional Office, telephone number (9 10)
796-7215, as_soon as„ spo sible, but in no case more than 24 hours, or on the next working day following
the occurrence or first knowledge of the occurrence of any of the following:
a. Treatment of wastes abnormal in quantity or characteristic, including the known passage of a
hazardous substance.
b. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
c. Any facility failure resulting in a by-pass directly to receiving surface waters.
d. Any time self-monitoring indicates the facility has gone out of compliance with its permit
limitations.
e. Ponding in or runoff from the irrigation sites.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone]. Persons
reporting such occurrences by telephone shall also file a written report in letter form within five days
following first knowledge of the occurrence. This report shall outline the actions taken or proposed to
betaken to ensure the problem does not recur. [15A NCAC 02T .0105(!), 02T .OI08(b)(1)]
WQ0005233 Version 4.2 Shell Version 171103 Page 8 of 11

V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
wastewater treatment and irrigation facilities. [15A NCAC 02T .0108(b)]
2. The Permittee or their designee shall inspect the wastewater treatment and irrigation facilities to prevent
malfunctions, facility deterioration and operator errors resulting in discharges, which may cause the
release of wastes to the environment, a threat to human health or a public nuisance. The Permittee shall
maintain an inspection log that includes, at a minimum, the date and time of inspection, observations
made, and any maintenance, repairs, or corrective actions taken, The Permittee shall maintain this
inspection log for a period of five years from the date of the inspection, and this log shall be made
available to the Division upon request. [15A NCAC 02T .0108(b)]
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment and irrigation facilities
permitted herein at any reasonable time for the purpose of determining compliance with this permit;
may inspect or copy any records required to be maintained under the terms and conditions of this permit,
and may collect groundwater, surface water or leachate samples. [G.S. 143-21.5.3(a)(2)]
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to an
enforcement action by the Division in accordance with North Carolina General Statutes 143-215.6A to
143-215.6C. [G.S. 143-215.6A to 143-215.6C]
2. This permit shall become voidable if the permitted facilities are not constructed in accordance with the
conditions of this permit, the Division approved plans and specifications, and other supporting
documentation. [15A NCAC 02T .0110]
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T .0105(n).
[G.S, 143-21.5.1]
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules in
15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4 and
under General Permit NCG010000; any requirements pertaining to wetlands under 15A NCAC 02B
.0200 and 02H.0500; and documentation of compliance with Article 21 Part 6 of Chapter 143 of the
General Statutes. [15ANCAC 02T .0105(c)(6)]
5. In the event the permitted facilities change ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Permittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner. [15A NCAC
02T .0104]
6. The Permittee shall retain a set of Division approved plans and specifications for the life of the facilities
permitted herein_ [15A NCAC 02T .0108(b)(1)]
7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority. [15A NCAC 02T
.01050)]
%'00005233 Version 4.2 Shell Version 171103 Page 9 of I I

8. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T.0 110. [15A NCAC 02T.0 I 10]
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein
shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b). [15A
NCAC 02T .0120]
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to pay
the annual fee accordingly shall be cause for the Division to revoke this permit. [15A NCAC 02T
.0105(e)(3)]
Permit issued this the "day of February 2018
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Linda Culpepper, interim Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0005233
WQ0005233 Version 4.2 Shell Version 171103 Page 10 of 11

Permit No. WQOD05233 Wastewater Irrigation System
US MCAS Cherry Point February 7, 2018
Enlisted Men's Barracks — Atlantic Airfield WWTF Carteret County
ENGINEERING CERTIFICATION
❑ Partial ❑ Final
In accordance with 15A NCAC 02T .0116,1, as
a duly registered Professional Engineer in the State of North Carolina, having the Permittee's authorization
to ❑ periodically ❑ weekly ❑ fully observe the construction of the permitted facility, hereby state to the
best of my abilities that due care and diligence was used in the observation of the construction, such that
the facility was built within substantial compliance and intent of this permit, the Division -approved plans
and specifications, and other supporting documentation.
❑ Any variation to this permit, the Division -approved plans and specifications, and other supporting
documentation has been documented in the attached as -built drawings, and shall serve as the
Permittee's minor modification request to amend the permit accordingly.
Provide a brie€narrative description of any variations:
Professional Engineer's Name
Engineering Firm
Mailing Address
City .. _. State _ Zip i
I
Telephone , E-mail
NC PE Seal, Signature & Date
THE COMPLETED ENGINEERING CERTIFICATION, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
NON -DISCHARGE BRANCH
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service;
1617 MAIL SERVICE CENTER
By Delivery:
512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604
WQ0005233 Version 4.2 Shell Version 171103 Page 11 of I i

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< 7-

WELL CONSTRUCTION RECORD GW -1
1. Well Contractor lorormation:
well Cantrsslr: Name:
NC Well Contractor u ertifiatmn ',slumber
Company Nanne WQ0005233
2. Well Construction Permit N.
List Ph applicaHe yell nxrsfruell n jxrmirt 11.9. Ulf County, Srate Par/ax; etc)
3. Well Use (check well use):
Geothermal (Heating/Cooling Supply)
Industrial/Commercial
ater Supply Well:
Recharge
Storage and Recovery
Test
ental Technology
mal (Closed Loop)
[,)hluniclpallPubhc
13 Residential Water Supply (stng)c)
[3Residentud Water Supply (shared)
QGroundwater Remediation
[3Salirdty flamer
[)Stormwater Drainage
nSubsidcnce Control
Tracer
4. Date Wellis) Completed: Well IDN
So. Well Location:
Facility0wner Name
Physical Addreu. Cny- and Zip
C�ty
under 42
Facility 1010 61'applicabk)
749201365613000
Parcel ldentirswion No. (M)
5b. Latitude shad longitude in degreestminules/seconds or decimal degrees:
(if well field, are laillong is suffemnt)
ti W
6, Is(are) the well(s)[3Permanent or [3Temporary
7, Is this a repair to an existing well: 13Yes or ONo
if this is a repair, fill oar ktwjwn weH construction infarmaaan and explain rhe naaa'e of the
repair under a21 remarts rection or on the hack of this farm.
8. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only I GW -1 is needed. Indicate TOTAL NUMBER of wills
drilled.
9. Total well depth below land surface: (rL)
For multiple welly low aft depths if d fferent (example- 31i�t 200' and 20100')
10. Static water level below top orensing:
lfwater bevel u above main& ase "t"
11. Borehole diameter:
12. VF ell construction method-
fl.-
ethod:fl- alger, rotwy. eagle. direct part4 Bir.)
Frith Fprm
For Internal Use Only:
1t RATERZONES
FR0�1 TO
DESCFurrinti --
ft
fa
ft.
M OMER CASING (ror mutd.essnl Bells OR 1, R f k
FROM
TO
DIA.HETF.R
THJCKhFSS MATERIAL
f4
ft. la -
Ir LNNERCASINGORPfUI►G eolheroW dased-t
FROM TO
ft.
DIAML-rFR -17111CwI[FSS_ MATERIAL
K in. - -
ft.
R In
17. SCREEN[
FROM T6
Dl+k�IETrR siu-rSWE 'M[ tV{$,5 MATERLtL
0 ft.
ft -in
IL
ft, in
16 ROttC
FAOM TO
MATERIAL N]FLACLH6tiT METHOD&AMOLAT
It.
IL
IL
IL
FL
t.
19."NHNGRA
L PACKritsawlicabliA
FROM TO
NIATF-RIAL I EMPLACr_mEYr.mrr}ton
M
rL
R
fa
210. DRILL
tx; (ovachiadiftonal sheet, l rn
FRONI TO
nFSCRIr"DY rotor, lord saahnek rein elrr eta
ft.
R
2
IL
It.
fL
ft
ft.
fL
ft.
n.
IL
rL
fL
2t. REAIARW
22. Certification:
Signature of Cemffed Well Contractor Date
By s/gn;rig rhv form. 1 hereby rvrtlfit that rhe well(r) won (w -ere) can.ltracred in accordance
v nth 1JA.N AC' 02C 0100 or )JA NCAC OX 02M Weil Cotwr=9017 Sranrinrdr and ebur a
copy of thu 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 IN'STRUCTIONS
24a. For All Wells: Submit this form within 30 days of ccmp;et,on of well
construction to the following
(ft.) Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
246. For Inicction N%clls. In addition to scndmg the form to the address 1n 24a
above, also submit one copy of this form within 30 days of comp'etfon of well
construction to the following.
Division or'#Vxter Resources, Underground Injection Control Program,
FOR WATER SGPPLYWELLS ONLY: 1636 Mail Service Center, Raleigh, NC 27699-1636
13a, l ield (gpm) Melhed of test: 24c. For Wal er_Supply & Inieelfon Wells: In addition to sending the form to
the address(es) above, also submit one copy of this furor within 30 days of
13b. Disinfection type: Amount: completion of well construction to the county health department of the county
where c onstructed
xm G'4r-L Nu'!L t'■rOma Qcpartmeni of Emirorunenial Qua1:r�- - Dminon of altf Rc- c,n;re R..ual 2.22-2016

WELL ABANDONMENT RECORD
I. Well Contractor Information:
Well Contrsua frame (or well owner personally ahandoatng well on his'her pre"ny)
NC Well Cr..nuzc:or Certification Number
Company Name
2. 1* ell Construction Permitff: WQ0005233
Lill ell applivable we// cnrubucNprt permtra ( e. U1C C iuenry•, Slate, Yayan.e, etc., IJAnawa
3. Well use (check well use):
❑Agricultural
QGeothermal (IleatinglCool-.ng Supply)
❑ Industrial/Commercial
hon Witter
❑Aquifer Recharge
❑AquiferStorage and Recovery
❑Aquifer Tcst
❑ Experimental Technology
❑Geothermal (Closed loop)
4. Date wdl(s) abandoned:
52. Well location:
FacilitylOwner Name
❑M%micipal/Public
❑Residential Water Supply (single)
❑Rcsident:al Water Supply (shared)
C3Cmmndvsatcr Remccliar on
❑salinity Harrier
❑Stormwatcr Drainoge
❑Subsidence Control
❑Tracer
❑Other (explain under
r77i
Use ONLY
WFLI, ARANDOMIENT DETAIIA
71t. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
well constructionidepth, only I GW -30 is needed Indicate TOTAL NUMBER of
wells abandoned
7b, Approximate volume of water remaining In well(s): (gaL)
FOR WATER SUPPLY WELLS ONLY:
7c. Type ofdisinfectant t used:
7d. Amount of disinfectant used.
7e. Staling materials used (check all that apply):
❑ Neat Cement Grout q Bentontle Chips or Pellets
❑ Sand Cement Grout ❑ Dry Clay
R Concrete Grout ❑ Drill Cuttings
❑ Specialty Grout
❑ Hentorute Slurry
❑ Gravel
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of mi teriais used:
7g. Provide a brief description of the abandonment procedure:
Facility [DH (rfsppiicable) S. Certification:
Physical Address, Cit). and Zip Sigmturc of Cent6ad Wsit Contrsetor or Well Oaner Date
County
749201365613000
Panel Ideritification No (PIN)
5b. Lalltude and longitude In degrees/minutes/seconds or decimal degrees:
(dwell field, art let%ng is suflieiern)
N
W
By signing this farm. ! hereby certly that the well(s) was (wert) abandoned in
accordance with 15A hCAC 02C,0100 or 2C 0200 Well Construction Standards
and that a copy of this record has been provided to the ii ell owner
9. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or ueli
abandonment details. You may also attach additional pages if necessary
CO.NSTRUCTION DUAILS OFWELLMIN V SURNIITCAL INSTRUCTIONS
Atmchwell catutriicawrrtrarr!(r)ifaatlehk FarmultiplelnJrrtlortarrtan�wnterruppl,ue!!.r
ONLY with the lame coarnwilan ahandonmene. you ren snhwh onr Toren
6a. Well IDN: MW -2
6b. Total well depth: (rt.)
6c. Borehole diameter. On.)
6d. Water level below ground surface: (fl.)
10a. For All Wells: Submit this form within 34 days of completion of hell
abandonment to the following.
Division of Water Resources, Information Processing Unit,
1617 blah Service Center, Raleigh, NC 27699-1617
IOb. For fniection Wells: In addition to sending the fort to the address in Ila
above, also submit one copy of this form with;n 3,7 da}% of completion of well
abandonment to the following,
Division of Hater Resources, Underground Injection Control Fragrant,
1636 ,Nail Service Center, Raleigh, NC 27699-1636
6e. Ouler casing length (if known): (h) 10c. For Water Sunnnv di: Infection Wells: in addition to sending the form to the
addicss(es) above, also submit one copy of this fnrm within 3;1 days of compicuon
of well abandonment to the county health department of the county where
6E Inner easing/tubing length (if known): (ft) abandoned
6g. Screen. length (if known): (fl.)
Form GW -30 Nonh Cambria Department JLnsirvnmemat Quality - Division 41f Water Resources Rev Sad 7-2.2-2W6

CURRENT MONITORING WELL POSITIONS
(DECIMAL DEGRESS)

Well #
MW -3
MW -4
MW -5
MW -6
Latitude
34.882575
34.883903
34.881431
34.8=83065
Longitude
--76.351202
-76.351864
_-76.350344
-76.350316
Source: USMC GIS, 7 Jan 2019

SITE MAPS

ATLANTIC AIRFIELD WWTF — VICINITY MAP
Source: https://maps.google.com/

ATLANTIC AIRFIELD WWTF — SOILS
Source: https://arcgisweb.carteretcountync.gov/mads/; 8 Jan 2019

ATLANTIC AIRFIELD WWTF — CONTOURS
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14 16
40.
10 '
it
tis
...................
.. . ......... .. ....
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qp
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Source: https://arcgisweb.carteretcountync.gov/mMs/; 8 Jan 2019

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