WM0401310_Monitoring Well Permit Application_20210811

' 'NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL 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: August 4, 2021
2. County: Alamance
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE
3. What type of well are you applying for? (monitoring or recovery): Monitoring well
4. Applicant: Alamance Co. Solid Waste Telephone: [phone]
Applicant's Mailing Address: 2701 Austin Quarter Road, Graham, NC 27523
Applicant's Email Address (if available): [e-mail]
5. Contact Person (if different than Applicant): Richard Hill Telephone: same as above
Contact Person's Mailing Address: same as above
Contact Person's Email Address (if available): same as above
6. Property Owner (if different than Applicant): Mr. Steven B. Wall
Property Owner's Mailing Address: same as address below
Telephone:
Property Owner's Email Address (if available):
7. Property Physical Address (Including PIN Number) 3538 Swepsonville Saxapahaw Rd, PIN 8892723019
City Swepsonville County Alamance Zip Code 27523
8. Reason for Well(s): assessment of suspected contamination
(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: on private property near adjacent county landfill
(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).
Solid Waste Permit No. 01-01 -MSWLF-1979
11. Type of contaminants being monitored or recovered: chlorinated solvents and other organics, metals
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? Yes 2 existing monitor wells
Existing Monitoring or Recovery Well Construction Permit No(s).: none issued
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): approx. 600 feet
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? yes 1 water Supply well
If yes, give distance(s): approx. 400 feet to the west
15. Well Contractor: Geologic Exploration Certification No.: 4422A
Well Contractor Address: 176 Commerce Blvd, Statesville, NC 28625
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. 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
Continued on Reverse

PROPOSED WELL CONSTRUCTION INFORMATION (Continued)
2. Number of wells to be constructed in unconsolidated
5. How will the well(s) be secured?
material: 1 lock
3. Number of wells to be constructed in bedrock: 1
4. Total Number of wells to be constructed: 2
(add answers from 2 and 3)
flush mount cover with
6. Estimated beginning construction date: week of 8/16/2021
7. Estimated construction completion date: unk
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. 143-215.106(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,
Subc apter 2C) and accepts full responsibility for compliance with these rules
l� �V Applicant cG Mt „
(� Title of Applicant or *Agent
1 J `f ` c.4� \kG 0ei * If signing as Agent, attach authorization agreement stating
Printed name of Applicant or *Ant that you have the authority to act as the Agent.
Signature ofS4pplicant or gent
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) cpnform to the Well Construction Standards (Title 15A of the North Carolina Administrative Code, Subchapter 2C).
Sa' e /�1
Signature of Property Owner (if different than Applicant) Printed na e of Property Owner (if different t 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
Phone: [phone]
Fax: [phone]
a
GW-22MR Rev. 3-1-2016

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NOTE:
1. DEPTH TO WATER MEASURED BY BUXTON ENVIRONMENTAL, INC.PERSONNEL,
ON OCTOBER 3, 2018.
2. WHERE THE PARCEL BOUNDARY IS AT THE HAW CREEK OR ITS TRIBUTARY THE
CREEK CENTERLINE IS THE PROPERTY LINE.
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REFERENCE:
1. TOPOGRAPHY AND DRAINAGE FEATURES OBTAINED FROM ALAMANCE COUNTY GIS DATED JUNE 06, 2005.
2. TAX PARCELS IDENTIFIED FROM ALAMANCE COUNTY GIS DOWNLOADED JUNE 21, 2018.
3. ALAMANCE COUNTY SWEPSONVILLE PROPERTY BOUNDARY BASED ON ALAMANCE COUNTY OWNED PROPERTY PARCELS FROM
4. GROUNDWATER MONITORING WELLS AND METHANE PROBE LOCATION PLUS TOP OF CASING ELEVATIONS WERE
SURVEYED BY MESCO 7-26-2018.
5. 48" RCP (REINFORCED CONCRETE PIPE) FROM BPA ENVIROMENTAL & ENGINEERING, INC. SAMPLE LOCATION MAP, FIGURE 2.
6. WASTE BOUNDARY ESTIMATED BASED ON SITE OBSERVATIONS, BPA MAP & 0101 GEOMAP 051688.
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MUNICIPAL SOLID WASTE
LANDFILL FACILITY
ALAMANCE COUNTY
SWEPSONVILLE, NORTH CAROLINA
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PARCEL ID: 158721
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LEGEND:
PROPERTY LINE
250— (USGS) TOPOGRAPHIC CONTOURS
CONTOUR
— PARCEL BOUNDARY
APPROX. EDGE OF WASTE
MONITORING WELL -EXISTING
MONITORING WELL -PROPOSED
16) MONITORING WELL -ABANDONED
WATER SUPPLY WELL - RESIDENTIAL
ASURFACE WATER POINT
GRAPHIC SCALE
0 100 200
400 800
( IN FEET )
1 inch = 200 ft.
MUNICIPAL ENGINEERING
\ SERVICES COMPANY, P.A.
LICENSE NUMBER: C-0281

4"x4" STEEL CASE
WITH HINGED LID
(IF NOT FLUSH MOUNTED )
8" ROUND STEEL FLUSH
MOUNTED VAULT
2'x2' CONCRETE COLLAR, NOT
TO EXCEED 1' .
FILTER PACK SHOULD
EXTEND A MIN. OF 1' ABOVE
THE SCREEN AND NO MORE
THAN 2' ABOVE
SAND FILTER PACK
(NC #1,2, or 3)
0.01" MACHINE SLOTTED SCREEN, PVC
END CAP, PVC
WELLS TO BE CONSTRUCTED PER 15A NCAC 02C 0100 STANDARDS
COMPRESSION CAP, NO MORE
THAN 0.5' BELOW GROUND
SURFACE
< 1'
}
GROUT BACKFILL, NEAT CEMENT
<5% BENTONITE POWDER BY VOLUME
OR BENTONITE GROUT. THICKNESS
GREATER OF 2" OR 3 CASING DIAMETER.
IF CHOOSE TYPE III.
GROUT BACKFILL, NEAT CEMENT
<5% BENTONITE POWDER BY VOLUME
OR BENTONITE GROUT. THICKNESS
GREATER OF 2" OR CASING DIAMETER.
6" (NOMINAL) SCHEDULE 40 PVC
(TYPE III WHICH IS OPTIONAL)
2" (NOMINAL) SCHEDULE 40 PVC
1' MIN BENTONITE CHIPS/ PELLET SEAL
SCREEN INTERVAL
NOT TO EXCEED 20'
MAX 1' FILTER PACK
BELOW SCREEN
MUNICIPAL ENGINEERING
SERVICES COMPANY, P.A.
i
68 SHIPWASH DRIVE, GARNER, NC 27529 - PHONE: [phone]
P.O. Box 349, BOONE, NC 28607 - PHONE: [phone]
LICENSE NUMBER: C-0281
FIGURE 2
TYPICAL TYPE II/III OBSERVATION WELL SCHEMATIC
Alamance County Landfill, Swepsonville
North Carolina
SCALE: DATE: PROJECT NO.:
NOT TO SCALE 07/26/2021 G18081