WM0100449_Application_20190227 (2)

NORTH CAROLINA
PLICATION FOR
:NTAL QUALITY - DIVISION OF WATER RESOl
A MONITORING OR RECOVERY WELL
In accordance with the provisions of Article 7, Chaplar87, General
application Is hereby made for a permit to c
1. Date: 2122J2019
2. County:
PERMIT
North Carolina and reguletons pursuant thereto,
litodng or recovery walls.
FOR OFFICE USE ONLY
)f�ggq ISSUEDDATE
3. what type of well are you applying for7(mondilli or nnxwwY): Moremdrin
4. Applicant Ausiesta Bank Telephone: 704-43gA423
Applicant's Mailing Address; Y„ 484WIrOMWnRoad Moomavilla NC,RUJZ
Applicants Email Address (ti available): Sean Mquilgilki too kd@ eslag; k
5. Contact Person (if mReremtran Applldl farne8i Bevere pE EC55oulhsasl. LLP Telephone: _„82968&23g7
Contact Pamon's Meiling Address: 1g00 H d Ile Road 8_u'te 10 Ash 'Ito NC 28803
Contact Person's Email Address (If 0-flable): ibever.�ueodl 'tetl
a. Property Owner (I different than Appliearr): _David Pearce Telephone: [phone]
Property Owners Melling Address: §, Brwmino A n HendeMg """" NC 28791 —
propeny 0",e. Email Address 9f available): nh dMs m
7. propedy Physical Address (Including PIN Number)
City Henderaonwue County a s" Hen0r4Rn ZIP Code 25791
a. Reason for well(s): esses4latlntmsuanepted aunt maraaonmth gnnr eseamr _ —
(ex: non -discharge permll requirements, .uspemu .onhammeeon, assessment, groundwater comet ina on, ramediauon, (A.)
9. Type of facility or $its lot which the wall(s) is(are) needed: spanat I ndfill & surram sago y0L.
(ea: non -discharge faculty, waste disposal site, landfill, UST, etc.
10. Are there any current water quality permits or incid0m9 associated with this facility or site? 8 so, list permit antler incident no(a).
11. Type ofcontaminants being monitored or recovered:; PCBS. soly0DIS, malts
(ex organics, numents, heavy metals, sic.)
12. Are there any misting welts associated with the proposed"U(s)? 11yes,howmany? N
Existing Monitoring or Recovery Well Construction Permit Nola).:.,_,., Na
13, Distance from proposed wells) to nearest known waste or pollution source (in leap: a5O
14, Are there any water supply walls 10celed less than 500 feed tom the Proposed ""(a)? Yes
ayes, give distance(.): O the nv ni idly b.ndoosid. currently n'dn (water
15. Wen Contractor: Mourban EnkgMig lal Services Cenmcason No.: 4179-8
Well ConhsdurAddrase: 100 Pisgah Drme Canton NC
FEB 27 2019
94ard
�M
\, 1
-C-0-

---- -----PROPOSED WELL CONSTRUCTIONINFORMATION
1. All required by 16A NCAC 020.0105(0(7), attach a well construction diagram of each well showing the following:
a. Borehole and well diameter
b. Estimated well depth
c. Seem intmale
d. softO val peak intervals
Type of casing material and thickness
Grant hadoon6
Well head completion details
PROPOSED WELL CONSTRUCTION INFORMATION (Continued)
2. Number of wells to be Wnstructed in unconsolidated 5. Now will the wall(a)hesecured4 Ltl(ddpa
material: 5 mmannment
3. Number of wolfs to be consauded In bedrock: 0 6. Estimated beginning constructlon date:
4. Totai Number of wells to be panatambIld: 5 7, Estimated Wnstmcdon Wmpletion date: T�—
(odd answers hum 2 and 3) (within 96 hours of mstalletion)
ADDITIONAL INFORMATION
As required by 15A NCAC 020.0105M(5), attach a ached map of the site showing the localans of me following:
All property boundaries, at least one of which to neferenwd to a minimum of two landmarks such as identified roads,
intersections• stmams, or ek"Whil in 500 feel M the proposed well or well system.
Ail eidsfing wells, identified by typo of use, within 600 feet ofthe proposed wall Orwell system.
The proposed well orweli system.
Any test bo inp Within 500 feet of proposed well or well system.
All sources OR known or polermol groundwater contamhallOn (such as septic tank systems, pesticide, chemical orfuel
storage areas, animal feedlots as defined in G.S. 143-215.10B(6). landfills, or other mate disposal areas) within 500 feet
of the proposed well or well system.
SIGNATURES
The Applicant humpy agrees that the proposed wd(s) Will be oonatruated in accordance with approved specifmations and conditlon , of
this Well Construction Perm as regulated
ulat 2C) and accepts, Cfall strucom Sta co
mpliance 16A of the
With these North Carolina Administrative Code,
5 bc
signature pii or *Agent
el -
Primed name ofApPli or•AgeM
R
Tide Of Appliaanl er'
' 1/signing as Agent, afresh authO&41700 agmarmidstagng
flmf you have the aurnerty to act as fhe Agent.
owner hemby com arts to allow the applicant to construct
all be the responsibility of the applicant to mum that the
North Caroline Administrative Code, 6ubahspter 2C).
Printed mine of Pmpeny Owner (if ddferem than Applicant)
pp nn +yr .. � h..rJCC ye aeh..pM1^1r�tfi.1

Moore, Andrew W
From: Moore, Andrew W
Sent: Friday, March 01, 2019 10:05 AM
To: '[e-mail]'
Subject: 5040 Asheville Highway, Hendersonville, NC Monitoring Well Construction Application
James,
On February 27, 2019, the Division of Water Resources received the monitoring well construction application for the
subject location. After a review of the submitted information, the Division has determined the application is incomplete
and cannot be processed. The application will be placed on hold until the following information is received:
1. Proposed well construction information as required and described in 15A NCACO2C.0105(f)(7); and
2. A scaled map as required and described in 15A NCACO2C.0105(f)(5).
Feel free to contact me if you have any questions
Andrew W. Moore, P.G.
Environmental Specialist — Asheville Regional Office
Water Quality Regional Operations Section
NCDEQ — Division of Water Resources
828 296 4684 office
email: [e-mail]
2090 U.S. Hwy. 70
Swannanoa, N.C. 28778
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

A"Vell 15t 13//Af

A,"i 6y e—,/ s/�/?
GROUND
SURFACE
EXPANSION CAP
WITH LOCK
20 FEET
BENTONITE PLUG
2-INCH PVC CASINL
MINIMUM 2 FEET
SCHEDULE 40
2-INCH BORE
HOLE
SANDSCREEN
MINIMUM 1 FOOT ABOVE THE
SLOTTED PVC SCREEN
GROUNDWATER
SLOTTED PVC SC
0.01-INCH SLOT WI
SET TO INTERSECT GROL
ESTIMATED 10 FEET IN
WELLS ARE INTENDED TO BE INSTALLEI
PUSH DRILLING, GROUNDWATER S
ABANDONED ON THE SAME
FIGURE;
PROPOSED WELL CONSTRUCTION
DIAGRAM'
BIMCO (SPANN PROPERTY)
NOT TO SCALE E& 5040 ASHEVILLE HIGHWAY, HENDERSONVILLE,
HENDERSON COUNTY,
NORTH CAROLINA
+� ECS PROJECT NO. 49-8565-A
REEN
DTHS
NDWATER
LENGTH
) USING DIRECT
AMPLED, &
DAY.