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Home My WebLink AboutWR0500144_Application_202104077. 8. 9. 10. NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY - DIVISION OF WATER RESOURCES APPLICATION FOR PERMIT TO CONSTRUCT A MONITORING OR RECOVERY WELL SYSTEM 1. 2. 3. 4. 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. Date: March 16, 2021 County: Wake FOR OFFICE USE ONLY PERMIT NO. ISSUED DATE What type of well are you applying for? (monitoring or recovery): recovery Applicant: Marchell Adams David, City of Raleigh Applicant's Mailing Address: PO Box 590, Raleigh NC, 27602 Applicant's Email Address (if available): 5. Contact Person (if different than Applicant): Nora Zirps, ESP Associates, Inc. Telephone: 336-420-6979 Contact Person's Mailing Address: 7011 Albert Pick Rd., Suite E, Greensboro, NC 27409 Telephone: 919-996-3070 Contact Person's Email Address (if available): nzirps(ctospassociates.com 6. Property Owner (if different than Applicant): Property Owner's Mailing Address: Property Owner's Email Address (if available): Property Physical Address (Including PIN Number) N/A — same as Applicant Telephone: 510 W. Martin St. (PIN 1703476921) City Raleigh County Wake Zip Code 27603 Reason for Well(s): pump testing for excavation dewatering system design (ex: non -discharge permit requirements, suspected contamination, assessment, groundwater contamination, remediation, etc.) Type of facility or site for which the well(s) is(are) needed: roadway (ex: non -discharge facility, waste disposal site, landfill, UST, etc.) Are there any current water quality permits or incidents associated with this facility or site? If so, list permit and/or incident no(s). Raleigh Union Station (RUS) Brownfields Property — Brownfields Project # 17031-13-092 11. Type of contaminants being monitored or recovered: organics & metals (ex: organics, nutrients, heavy metals, etc.) 12. Are there any existing wells associated with the proposed well(s)? If yes, how many? no Existing Monitoring or Recovery Well Construction Permit No(s).: N/A 13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): 0 ft — proposed well is on RUS Brownfields property 14. Are there any water supply wells located less than 500 feet from the proposed well(s)? no If yes, give distance(s): 15. Well Contractor: Froehlinq & Robertson, Inc. Certification No.: 4246 (subject to change) Well Contractor Address: 310 Hubert Street, Raleigh, NC 27603 PROPOSED WELL CONSTRUCTION INFORMATION 1. As required by 15A NCAC 02C .0105(f)(7), attach a well construction diagram of each well showing the following: a. b. c. d. Borehole and well diameter Estimated well depth Screen intervals Sand/grave! pack intervals e. f. 9. Type of casing material and thickness Grout horizons Wall head completion details Continued on Reverse PROPOSED WELL CONSTRUCTION INFORMATION (Continued) 2. Number of wells to be constructed in unconsolidated material: 1 5. How will the well(s) be secured? Locking cap 3. Number of wells to be constructed in bedrock: 0 6. Estimated beginning construction date: 4/5/2021 4. Total Number of wells to be constructed: 1 7. Estimated construction completion date: 4/30/2021 (add answers from 2 and 3) 1. ADDITIONAL INFORMATION As required by 15A NCAC 02C .0105(t)(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 systern. 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. 143-215.108(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 (Titre 15A of the North Carolina Administrative Code, Subchaptt C anc accepts full responsibility for compliance with these rules Signature of Appiice ter *Agent i 1Me\ ti-AC-1(1.0115,QC\ Printed name of Applicant or *Agent (',t n.rvfi ( Title of Applic nt or *Agent * if signing as Agent, attach authorization agreement stating 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). 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: (828) 296-4500 Fax: (828) 299-7043 Fayetteville Regional Office 225 Green Street, Su'ote 714 Fayetteville, NC 28301-5094 Phone: (910) 433-3300 Fax: (910) 486-0707 Mooresville Regional Office 610 East Center Avenue Mooresville, NC 28115 Phone: (704) 663-1699 Fax: (704) 663-6040 Raleigh Regional Office 3800 Barrett Drive Raleigh, NC 27609 Phone: (919) 791-4200 Fax: (919) 571-4718 Washington Regional Office 943 Washington Square Mall Washington, NC 27889 Phone: (252) 946-6481 Fax: (252) 975-3716 Wilmington Regional Office 127 Cardinal Drive Extension Wilmington, NC 28405 Phone: (910) 796-7215 Fax: (910) 350-2004 Winston-Salem Regional Office 450 W. Hanes Mill Road Suite 300 Winston-Salem, NC 27105 Phone: (336) 776-9800 Fax: (336) 776-9797 rr GW-22MR Rev, 3-1-2016 irer JbIriari gttl°11, - f571111Figillilli 1,44k nig; _b_iii.9:4w. liniatualmi-ft mitimillii ;ma sirfirMak% 1111k10111M M 1';',, II I 1 2 r 1 11 1 1 i - _•.1..im i -4 r!'07i i ,' WSE-PTW-1 .. 1\ '1 44I :‘\ it itiliElIN , ,r IP,10Iff hkb ...- ..-. ..______40..... Atm entviklIE 21 "AlteMila . . .fri, .74„..e, NI \ (Id 11 :4)10 AI Dillp % Iliti All locations are approximate. 0 220 440 W Feet DATE 9/11/2020 SHEET TITLE PROJECT PROJECT NO. SCALE HV09.600 As Shown DRAWN BY AM CHECKED BY NZ FIGURE 1 TOPOGRAPHIC SITE LOCATION MAP WEST STREET EXTENSION - SOUTH PROJECT SITE RALEIGH, NORTH CAROLINA +ESP ESP Associates, Inc. P.O. Box 7030 Charlotte, NC 28241 phone 803.802.2440 www.espassociates.com 1703285693 3375997 1703377957 1703377911 1703377648 1703377518 i 1703376583 1703376487 1703376452 1703376356 1703376341 1703376245 1703376241 1703376147 1703376141 1703376045 1 1703379838 033786 033786 7033796 1703378553 1703378455 1703378430 1703378324 1703378218 1703378201 1703377195 1703377087 NC W Cabarrus St 1703368830 1703470813 1703470735 1703285693 Dupont C,, 1703470664 1703470579 1703470573 1703470477 1703470451 1703470336 1703470229 1703470214 1703470107 1703379161 47013 034721 34701 1703483022 170347272 034726 1703472505 1703471498 034713 1703472301 1703471260 0347114 1703461995 1703461910 1703461844 1703473624 1703 W Cabarrus St 34639 7034638 5 346 170 Otringt Union Am Station Ral- nh 1703476921 1703475658 1703475257 70346593 0346582 WSE-PTW-1 1703466858 1703488053 W Martin St 1703478972 1703478884 03479712 17034795 1703478424 1703477144 1703479338 70347817 W Cabarrus St ■ mm— 1703467736 1703581210 Contemporary Art Mseum 170t353Q886 1703570766 1 17035 0622 1 1703570692 1703570356 41703479371 170356081 1703570284 7035717 035716 0357167 1'035715 1703570190 1703560984 1703561827 1703584097 1703583092 W Martin St 035738 1703573758 17035736( 170357369 03573507 1703573589 W Davie St 1703573207 0357203 035720 1703563954 1 035629 0 1703563874 1703564778 1703575747 1703574579 17035755 6 70357' 1703586034 7035768: 70357665 1703576515 35753 70357634 0357633 1703575293 3589 3578; 035786 70357832 70357824 1703575147 170357811 1703575056 1703576140 170357409 W Cabarrus St 1703576047 1703576014 1703565859 170357811 70357813 703578036 1703569731 All locations are approximate. x 0 60 120 a Feet (ol : PROJECT NO. HVO9.600 SHEET TITLE FIGURE 2 TAX PARCEL ID MAP ESP Associates, Inc. P.O. Box 7030 Charlotte, NC 28241 phone 803.802.2440 www.espassociates.com SCALE As Shown a ESP DRAWN BY AM PROJECT WEST STREET EXTENSION - SOUTH PROJECT SITE RALEIGH, NORTH CAROLINA DATE 9/11/2020 CHECKED BY CW PROTECTIVE COVER WELL RISER 4" I.D. PVC CONCRETE PAD GROUND SURFACE GROUT BENTONITE SEAL 10.5" DIAMETER BOREHOLE WELL SCREEN 4" I.D. PVC SAND FILTER BOTTOM OF BOREHOLE CAP WITH LOCK 4' 10' 40' 50' PROJECT NO SCALE NTS DATE 1/29a021 SHEET TITLE WELL # WSE-PTW-1 PERMANENT PUMP TEST WELL DIAGRAM DRAWN BY FN CHECKED BY z PROJECT WEST STREET EXTENSION PROJECT RALEIGH, NORTH CAROLINA ESP ESP Associates. P..A. P_O_ Box 7030 Charlotte. NC 28241 3473 Lakernont Bh d. I'on. MITI, SC 2970E 704-583-4049 (,CI 603-800z 440 �SC, �� espassociates_com