2021-12-08_GENERAL DOCUMENTS - C1981019

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DocuSign Envelope ID:6BC32598-B737-464E-898A-81 F1 F7131339133 Only information of public record and pertinent information known to the applicant is required to be included on this map. Multiple maps may be needed to display this information clearly. If a certain feature is not present in the area covered, please state so definitively(e.g., "There are no known outcrops of the confining formation in the mapped area.'). Part IV.Area of Review Wells and Corrective Action Plans(40 CFR§ 144.55) Submit a tabulation of data and wellbore diagrams reasonably available from public records or otherwise known to the applicant on all wells within the AOR included on the map,which penetrate the proposed confining zone(s). Such information will include: • well name, location and depth, • well type, • date well was drilled, • well construction that includes casing and cement details, including demonstrated or calculated top of cement, • cement bond logs(if available), and • record of well completion and plugging (if applicable). For such wells which are improperly sealed, completed,or abandoned, also submit a plan consisting of such steps or modifications as are necessary to prevent movement of fluid into USDWs. Part V. Landowners Information (40 CFR§ 144.31 and part 147) Identify and submit a list with the names and addresses of all owners of record of land within one-fourth (1/4) mile of the facility property boundary. This requirement may be waived by the Regional Administrator if the site is in a populous area and the Regional Administrator determines that the requirement would be impracticable. Consult with your regional EPA office, as additional state landowner notification requirements may apply(40 CFR part 147). Attachment B. Geological and Geophysical Information Part I. Geological Data Provide the following information: • geological data on all formations from the surface to the base of the injection well, identifying all USDWs and confining and injection zone(s).This data includes the Iithologic description, geological name, thickness, depth, and total dissolved solids (TDS)concentrations from these formations (if known), • the position of all USDWs that may be affected by the proposed injection relative to the injection formation and the direction of water movement, • the geologic structure of the local area, • source of information for the geologic data and formation TDS, • porosity and permeability of injection formation (if available), • geological cross-sections proximate to the injection well that include the confining and injection zones. The cross- sections should illustrate the regional geologic setting and show the thickness and lateral continuity of the confining zone(s)through the area of review, • within the AOR, identify known or suspected faults and fracture systems. If identified, provide proximity to the injection zone and the effect the fault/fracture system may have on the injection activities, and • a history of seismic activity in the area and proximity to crystalline (i.e., granitic) basement. Part II. Proposed Formation Testing Program Provide a formation testing program to obtain data on: • fluid pressure, • temperature, • estimated fracture pressure, • physical and chemical characteristics of the formation fluids, and • physical and chemical characteristics of the injection zone. Attachment C.Well Construction/Conversion Information Part I.Well Schematic Diagram(40 CFR§ 144.52) Provide a detailed proposed well schematic diagram that includes: • identification of USDWs and confining and injection zones, • casing and cementing details, including demonstrated or calculated top of cement, • tubing and packer(if applicable), • open hole or perforated intervals, • proposed injection procedures including pump, surge, tank, and