WM0501401_Permit (Issuance)_20200728

ROY COOPER
Covernor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
July 28, 2020
Charles A. Chiara, Environmental Representative
Speedway LLC
500 Speedway Drive
Enon, OH 45323
Subject: Monitoring Well Construction
Permit # WM0501401
Speedway 6959
2808 US Highway 70 Business East
Clayton, NC -Wake County
Dear Mr. Chiara:
In accordance with the application received on July 23, 2020, we are forwarding herewith
Monitoring Well Construction Permit No. WM0501401 dated July 28, 2020, issued for the construction of
a monitor well system (installation of two wells) at the subject property (right of way of US Hwy. 70
Business and the intersection with Guy Road). Please be aware that some counties have well
This Permit will be effective from the date of its issuance and shall be subject to the conditions and
limitations as specified therein. Please note the addition of stipulation #3 to the permit enclosed. If you have
any questions about this permit please contact Eric Rice at [phone].
Sincerely,
DocuSigned by:
Salt *,
BCDA91)825134A461)
Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Enclosure
cc: RRO Files
Wake County Health Department
Email- tmarchant(2maaonline.com , Trey Marchant, MID -ATLANTIC ASSOCIATES, INC.,
409 Rogers View Court j Raleigh, NC 27610
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
919.791.4200

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT FOR THE CONSTRUCTION OF A MONITORING WELL
In accordance with the provisions of Article 7, Chapter 87, North Carolina General Statutes, and other applicable
Laws, Rules and Regulations.
PERMISSION IS HEREBY GRANTED TO
Speedway LLC
FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM (Speedway 6959) consisting of two wells owned
by Speedway, LLC at mailing address, 500 Speedway Drive in Enon, OH. The wells will be located on the property
owned by the N.C. Department of Transportation located in the right of way of US Highway 70 Business and the
intersection with Guy Road in Clayton, NC. This Permit is issued in accordance with the application received on July
23, 2020 in conformity with specifications and supporting data, all of which are filed with the Department of
Environment and Natural Resources and are considered integral parts of this Permit.
This Permit is for well construction only, and does not waive any provision or requirement of any other applicable
law or regulation. Construction of any well under this Permit shall be in strict compliance with the North Carolina
Well Construction Regulations and Standards (15A NCAC 02C .0100), and other State and Local Laws and
regulations pertaining to well construction.
If any requirements or limitations specified in this Permit are unacceptable, you have a right to an adjudicatory hearing
upon written request within 30 days of receipt of this Permit. The request must be in the form of a written petition
conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative
Hearings, 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such a demand is made, this Permit
is final and binding.
This Permit will be effective for one year from the date of its issuance and shall be subject to other specified conditions,
limitations, or exceptions as follows:
1. Issuance of this Permit does not obligate reimbursement from State trust funds, if these wells are
being installed as part of an investigation for contamination from an underground storage tank or
dry cleaner incident.
2. Issuance of this Permit does not supersede any other agreement, permit, or requirement issued by
another agency.
3. The well(s) shall be located and constructed as shown on the attachments submitted as part of the
Permit application.
4. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C
.0108(o).
5. Well construction records (GW-1) for each well shall be submitted to the Division of Water
Resource's Information Processing Unit within 30 days of the well completion.
6. When the well is discontinued or abandoned, it shall be abandoned in accordance with 15A NCAC
02C .0113 and a well abandonment record (GW-30) shall be submitted to the Division of Water
Resource's Information Processing Unit within 30 days of the well abandonment.
7. If the well penetrates any water -bearing zone that contains contaminated waters, the upper three feet
of the well shall be grouted within one day after the casing is set or the well abandoned.
Permit issued the 28th of July 2020
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
�u.u9lp..d by:
s
Scott effl", errefP 1 Supervisor
Division of Water Resources
By Authority of the Environmental Management Commission
Permit No. WM0501401

DocuSign Envelope ID: 3C5C1DDD-547B-445D-B56E-FD868A288447 `
i\VRI rl uCrr%RI IYICI\ 1 yr F_r.vir%wNMENTAL QUALITY - DIVISION OF WATER RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT A MONITORING OR RECOVERY WELL SYSTEM
PLEASE TYPE OR PRINT CLEARLY
In accordance with the provisions of Article 7, Chapter 87, General Statutes of North Carolina and regulations pursuant thereto,
application is hereby made for a permit to construct monitoring or recovery wells.
1. Date: July 20 2020
2. County: Wake
FOR OFFICE USE ONLY
PERMIT NO. O/V�C>; ( 1+0 ( ISSUED DATE
3. What type of well are you applying for? (monitoring or recovery): Monitoring
4. Applicant: Speedway LLC Telephone: [phone]
Applicant's Mailing Address: 500 Speedway Drive Enon OH 45323
Applicant's Email Address (if available): cachiaraaspeedway.com
5. Contact Person (if different than Applicant): Trey Marchant Telephone: [phone]
Contact Person's Mailing Address: 409 Rogers View Ct, Raleigh NC 27610
Contact Person's Email Address (if available): tmarchantemaaonline.com
6. Property Owner (if different than Applicant): NCDOT Telephone: [phone] (Amy Neidringhaus District Eng.)
Property Owner's Mailing Address: 1575 Mail Service Center Raleigh NC 27699-1575
Property Owner's Email Address (if available): [e-mail]
7. Property Physical Address (Including PIN Number) ROW of US Hwy 70 Business intersection with Guy Road
City Clayton County Wake Zip Code 27520
8. Reason for Well(s): Suspected contamination (NCDEQ requiring assessment)
(ex: non -discharge permit requirements, suspected contamination, assessment, groundwater contamination, remediation, etc.)
9. Type of facility or site for which the well(s) is(are) needed: UST
(ex: non -discharge facility, waste disposal site, landfill, UST, etc.)
10. Are there any current water quality permits or incidents associated with this facility or site? If so, list permit and/or incident no(s).
Speedway 6959, 2808 US-70 BUS, Clayton NC 27520 Incident No 39966 and Las Carolinas Grocery (LCG) Inc No 39024
11. Type of contaminants being monitored or recovered: Organics (gasoline)
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? Yes. 16
Existing Monitoring or Recovery Well Construction Permit No(s).: Not applicable (all current wells are on -site)
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): Approx. 185 ft to LCG release (from
northern well) and approx. 430 ft to Speedway release from southern well
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? Yes
If yes, give distance(s): Several wells are located to the north of the northem-most well (see attached drawing)
15. Well Contractor: Geologic Exploration Inc. Certification No.: 1175 (NC)
Well Contractor Address: 176 Commerce Blvd Statesville NC 28625
PROPOSED WELL CONSTRUCTION INFORMATION
As required by 15A NCAC 02C .0105(f)(7), attach a well construction diagram of each well showing the following:
a. Borehole and well diameter e. Type of casing material and thickness
b. Estimated well depth f. Grout horizons
C. Screen intervals g. Well head completion details
d. Sand/gravel pack intervals

DocuSign Envelope ID: 3C5C1DDD-547B-445D-B56E-FD868A288447
�v,,­Iued on Reverse
PROPOSED WELL CONSTRUCTION INFORMATION (Continued)
2. Number of wells to be constructed in unconsolidated
material: 2
Number of wells to be constructed in bedrock: 0
Total Number of wells to be constructed: 2
(add answers from 2 and 3)
5. How will the well(s) be secured? Flush mounted,
bolt -down lid manhole locking cap and lock
6. Estimated beginning construction date: 8/31/20
Estimated construction completion date: 9/1/20
ADDITIONAL INFORMATION
As required by 15A NCAC 02C .0105(f)(5), attach a scaled map of the site showing the locations of the following
a. All property boundaries, at least one of which is referenced to a minimum of two landmarks such as identified roads,
intersections, streams, or lakes within 500 feet of the proposed well or well system.
b. All existing wells, identified by type of use, within 500 feet of the proposed well or well system.
C. The proposed well or well system.
d. Any test borings within 500 feet of proposed well or well system.
e. All sources of known or potential groundwater contamination (such as septic tank systems, pesticide, chemical or fuel
storage areas, animal feedlots as defined in G.S. 143-215.10B(5), landfills, or other waste disposal areas) within 500 feet
of the proposed well or well system.
SIGNATURES
The Applicant hereby agrees that the proposed well(s) will be constructed in accordance with approved specifications and conditions of
this Well Construction Permit as regulated under the Well Construction Standards (Title 15A of the North Carolina Administrative Code,
FQ.��-6
°taftned Y:Subchapter 2C) and accepts full responsibility for compliance with these rules Principal Geologist
Signa iant or *Agent Title of Applicant or *Agent
Raymond S. Marchant. III * if signing as Agent, attach authorization agreement stating
Printed name of Applicant or *Agent that you have the authority to act as the Agent.
If the property is owned by someone other than the applicant, the property owner hereby consents to allow the applicant to construct
wells as outlined in this Well Construction Permit application and that it shall be the responsibility of the applicant to ensure that the
well(s) conform to the Well Construction Standards (Title 15A of the North Carolina Administrative Code, Subchapter 2C).
See attached Encroachment Agreement See attached Encroachment Agreement
Signature of Property Owner (if different than Applicant) Printed name of Property Owner (if different than Applicant)
DIRECTIONS
Please send the completed application to the appropriate Division of Water Resources' Regional Office:
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301-5094
Phone: [phone]
Fax: [phone]
Mooresville Regional Office
610 East Center Avenue
Mooresville, NC 28115
Phone: [phone]
Fax: [phone]
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
Phone: [phone]
Fax: [phone]
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, NC 27105
100
GW-22MR Rev. 3-1-2016

DocuSign Envelope ID: 3C5C1 DDD-547B-445D-I356E-FD868A288447
LOCKABLE CAP
FLUSH MOUNT
WELL PROTECTOR
HS- ad*na
manhole
8" borehole
2" casing/screen
DEPTH TO TOP OF A7FT
BENTONITE SEAL—
DEPTH TO TOP OF GRANULAR MATERIAL A —9 IFT
SCHEDULE 40 PVC
WELL CASING AND
SCREEN
RISER—
. 4
(0. 0 10" slot)
CEMENT OR CONCRETE GROUT CAP—
BENTONITE
GRANULAR BACKIFILL(No. 2 sand)
DEPTH FROM GROUND SURFACE
TO TOP OF CASING (TOC)
05 F
LENGTH OF
SOLI50D SECTION
T
—THREADED COUPLING
LENGTH OF
SLOTTf8 ff ON
LENGTH FF50(H-
PIPE
AND SURFACE
Note- wells are designed
to monitor part of the
deeper aquifer only
TOTAL DEPTH
OF WELL
60 FT
STABILIZED WATER
LEVEL — FEET
BELOW TOP OF
CASING
MEASURED ON
NOT TO SCALEI
Mid AtlantiC
TYPE 11 MONITORING WELL
SCHEMATIC
SPEEDWAY 6959
2808 US HWY 70 FAST
CLAYTON,NC
DRAWN BY:
DATE: JULY 2020
DRAFT
CHECK:
JOB
NO: R2728.08
ENG
CHECK:
CAD
NO: TYPE 11 MW—FLUSH-201
APPROVAL- I
DWG NO:
REFERENCE: