WS0601441_Water Supply Well_20210119

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
Mr. Samuel Walton
Walton Land Company, LLC
5465 NC Hwy 20 W
Lumber Bridge, North Carolina 28357
SUBJECT:
Mr. Walton:
NORTH CAROLINA
Environmental Quality
January 19, 2021
Well Construction Permit No. WS06-01441
Rennert Rd farm (PIN #: 938579673300)
One (1) Water Supply Well
Rennert, Robeson County
In accordance with the permit application from Bill's Well Drilling dated 15 January 2021 and
received in the Fayetteville Regional Office on 15 January 2021, we are forwarding herewith Well
Construction Permit No. WS06-01441 dated 19 January 2021 issued to Walton Land Company, LLC
for the construction of one (1) water supply well to be located on land owned by Walton Land
Company, LLC (P.I.N. #: 938579673300) located off of Rennert road as identified above and depicted
on a site map provided with the permit application.
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 that according to North Carolina Administrative Code, Title 15A, Subchapter 2C, Section
.0105 (g), "it is the responsibility of the well owner or his agent to see that a permit is secured prior to
the beginning of construction of any well for which a permit is required." Local permitting may be
required, so also check with the county Environmental Health program to detei mine the requirements
for Robeson County.
If any parts, requirements, or limitations contained in this Permit are unacceptable to you, you have the
right to an adjudicatory hearing before a hearing officer upon written demand to the Director within 30
days following receipt of this Permit, identifying the specific issues to be contended. Unless such
demand is made, this Permit shall be final and binding.
�—eSd��P�xP�Yv:
rent Alien Regional Supervisor
`—
Div189C2D3DD5
ision of w ater Resources — Water Quality Programs
cc: FRO Files Bill's Well Drilling Company
Robeson County Health Department Division of Water Resources — Gabrielle Chianese
DE
NORTH CAROLINA /
DepartneM W of Environmental Qu�ly'
North Carolina Department of Environmental Quality I Division of Water Resources
Fayetteville Regional Office 1225 Green Street, Suite 714 I Fayetteville, North Carolina 28301
910.433.3 00

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALTIY
DIVISION OF WATER RESOURCES — WATER QUALITY PROGRAMS
PERMIT FOR THE CONSTRUCTION OF A WATER SUPPLY WELL OR
WELL SYSTEM
(Wells or Well Systems with a Design Capacity of 100,000 Gallons Per Day or Greater)
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
WALTON LAND COMPANY, LLC
FOR THE CONSTRUCTION OF AN WATER SUPPLY WELL SYSTEM consisting of one water
supply well on property owned by Walton Land Company, LLC located at 3270 Rennert road,
Lumberton, North Carolina in Robeson County (Pin No.: 938579673300). This Permit is issued in
accordance with the application received on 15 January 2021 in conformity with specifications and
supporting data, all of which are filed with the Department of Environmental Quality and are
considered integral parts of this Permit.
This Permit is for well construction only and does not waive any provision or requirement or any
other applicable law or regulation. Withdrawals of 1 MGD or more are required to be registered with
the Division of Water Resources in accordance with 143-215-.22H.
This Permit does not constitute approval of a site, for which the Public Water Supply Section may
require additional information or approval of the proposed volume of water to be withdrawn, within
an area defined as a Capacity Use Area (G.S. 143-215.15) and regulated by the Division of Water
Resources.
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 water supply 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. A well test for yield shall be conducted in accordance with 15A NCAC 02C .0110(b) and the
results of that test shall be submitted to the Division of Water Resources Regional Office
within 30 days of the test conclusion.
2. Each well shall have a Well Contractor Identification Plate and a Pump Installation
Information Plate in accordance with 15A NCAC 02C .0107(j) (2) and (3).
3. Well construction records (GW-1) for each well shall be submitted to the Division of Water
Quality's Information Processing Unit within 30 days of the well completion.
4. 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 Resources Information Processing Unit within 30 days of the well abandonment.
5. In accordance with your application and the information provided in reference to the
subject proposed well, this permit is issued with construction standards that exceed the
minimum standards specified in 15A NCAC 2C .0107. Specifically, the well grout
requirement for this well will be as follows: the well casing shall be grouted to the first
competent confining unit greater than 20 feet below land surface or a minimum of fifty
feet if no competent confining unit is encountered during construction. All other
minimum construction standards shall be met.
6. Any well has the potential to create a pathway for contaminates to enter the subsurface
aquifers. The location of this well increases the likelihood of this occurring due to the
application of agricultural chemicals in proximity to this well. As part of this permit, you as
the well owner, are responsible for maintaining a minimum setback of 50 horizontal
feet from the well with all chemical applications (i.e. herbicides, pesticides, fertilizers,
etc.) associated with any agricultural land use or chemical mixing operations.
Permit issued the 19th day of January 2021
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT
COMMISSION
,.--DocuSignedd by:
c
Trent XtrartKR5fiEf Supervisor
Division of Water Resources - Water Quality Programs
By Authority of the Environmental Management Commission
Permit No. # WS0601441

NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY - DIVISION OF WATER RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT A WATER SUPPLY WELL OR WELL SYSTEM
(Welts or Well Systems with a Design Capacity of 100,000 Gallons Per Day or Greater)
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 water supply wells.
1. Date:
2. County:
Applicant
-
C7+�Ciot�
- l
Jot ii]/1
1 e-rMS
FOR OFFICE USE ONLY
PERMIT NO. kI SD jpD Ng I ISSUED DATE: ///
Applicant's Mailing Address: a('-t(D Sf fV C. d a i d LJes i
Applicant's Email Address (if available): ,Sd
4. Contact Person (if different than Applicant):
Contact Person's Mailing Address:
Telephone: 9 10 - r13 9 ''{t(i3 (Sq.)
l L u r7'rr r V/ a d tre !L w" D- 6 3C
t E--c.sr
Telephone:
Contac Person's Email Address (if available):
Property Owner (if different than Applicant): L3a L-LC- Telephone: 9 k 0 9
Owner's Mailing Address: 5 (S 0 c P �5 ice. c".4c.- Or t c c,g 1' - ?$'3S?
Owner's Email Address (if available):
Property Physical Address (including PIN Number):
City: 1-. cc • cA` �1C
3 a Q R,„„ r 9.32s7'(.133© ))
7. Intended use of Well or Well System: st
(examples: irrigation, consumption, etc.)
County: 9-a&=sQ.‘ Zip Code: c -S)3(.0 0
inn
8. Will the proposed water supply well or well system replace or be added to an existing well or well system? 4.43
(If yes, complete questions 7 and 8) (If no, complete question 7 and then skip to question 9)
9. Total design capacity of proposed well or well system in gallons per day (gpd);
10. If adding a well to an existing system, list the existing water supply wells in the existing system and their respective yields:
IJ UBO, 06d
11. Is this a public well or well system? ,1t'7 If yes, give Public Water ID Number:
If yes, give Project Engineer and [contact information:
cJ 12. Well Contractor: oiir Ithar flatt);Cn kQ Well Contractor Certification No.: 3V6 5-4
e;/l's wed/ Lr; //; rig Cb goo !if , -��, R� 1 w l
Well Contractor Address: c r- L+ T 1 av e -f4e r !{'1 4/6 j O 3 if
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
b. Estimated well depth
c. Screen intervals
d. Sand/gravel pack intervals
e. Type of casing material and thickness
f. Grout horizons
g. Well Head completion details
2. No. of wells to be constructed in unconsolidated
material: t
3. No. of wells to be constructed in bedrock: Cl
4. Total No. of wells to be constructed: 1
(add answers from 2 and 3)
5. Estimated beginning construction date: i a 5-,2 art
6. Estimated construction completion date: / -q . Q ca. r
Continued on Reverse

ADDITIONAL INFORMATION
1 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. 143-215.10t3(5), landfills, or other waste disposal areas) within 500 feet
of the proposed well or well system.
2. As required by 15A NCAC 02C .0105(9)(3), for wells screened in multiple zones or aquifers, provide representative data on the
static water level, pH, specific conductance, and concentrations of sodium, potassium, calcium, magnesium, sulfate, chloride,
and carbonates from each aquifer or zone from which water is proposed to be withdrawn.
3. Attach any water use permits (if required). [e.g. Central Coastal Plain Capacity Use Area Permit is required in 15 eastern NC
counties by NC Division of Water Resources, visit: http://www.ncwater.org]
X
SIGNATURES
The Applicant hereby agrees that the proposed welt(s) will be constructed in accordance with approved specifications and conditions of
the Water Supply Well Construction Permit as regulated under the Well Construction Standards (Title 15A of the North Carolina
Administrative Code, Subchapter 2C) and accepts full responsibility for compliance with these rules
Signature of Applicant or 'Agent
Printed name of Applicant or `Agent
Title of Applicant 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
water supply wells as outlined in this Water Supply Well Construction Permit application and that it shall be the responsibility of the
applicant to ensure that the water supply well(s) conform to the Well Construction Standards (Title 15A of the North Carolina
Administrative Code, Subchapter 2C).
f
(1)./A---rb ..! / L. C 4 (Nct r t L.)u t�-,. Os f ',j.J141' �n i/`Ctn I. D"�ytn +
Signature of Property 0wne (if different than Applicantt))�- 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
Phone: [phone]
Fax: [phone]
winiton.5atcm
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GW-22W Rev. 3-1-2016

BILL'S WELL DRILLING CO.
800 McArthur Road
Fayetteville, North Carolina 28311
Office [phone]
[e-mail]
www.billswelldrilling.com
Date: 12/18/2020
BIII
E
RI INGi
Drilling Log Lithology
Walton Farms
Rennert Rd, Shannon, NC
Robeson Co
From
To
Formation Description
0
7
Gray Sandy Clay
7
12
Orange Coarse Sand w/clay layers
12
17
Fine soft gray clay
17
40
Black Coarse Sand w/streaks of clay
40
50
Gray Clay w/streaks of sand
50
70
Gray Sand w/streaks of clay
70
80
Medium Sand w/wood
80
90
Medium Gray Sand (Float)
90
110
Sand (Float)
110
117
Sand & Clay
117
127
Sand w/ streaks of clay
127
134
Clay
134
137
Sand
137
163
Sand w/ streaks of clay
163
177
Clay w/streaks of sand
177
200
Large gravel
Jonathan Kamionka
3465-A

Barber, Jim
From:
Sent:
To:
Subject:
Attachments:
Bill's Well Drilling Co <[e-mail]>
Friday, January 15, 2021 4:09 PM
Barber, Jim
[External] Well Permit Request
Rennert Lithology Test Hole.pdf; Rennert Rd Well Permit Request.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Christina Jester - Office Manger
Bill's Well Drilling Co
800 McArthur Rd, Fayetteville, NC 28311
910-488-3740 - Phone
office(cbillswelidr:i.11ing.com
www.billswelldrilling.com
Confidentiality Notice:
This message, together with any attachments, is intended only for the authorized use of the individual or entity to which it is addressed. It contains information
that is confidential and prohibited from disclosure to persons other than the intended addressee. If you are not the intended recipient, you are hereby notified that
any distribution or copying of this message or any attachment is strictly prohibited. If you have received this item in error, please notify the original sender and
destroy this item, along with any attachments. Thank you.
1

Robeson County - Account Information
Nevw Search
WALTON LAND COMPANY LLC
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3265 RENNERT RD
Market Value $ 355,300
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Document Solutions
www.ustaxdata.com/nc/robeson/account.cfm?parcel I D=200701013

North Carolina Secretary of State Search Results Page 1 of 2
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online •
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an Amended a Annual Report form
Limited Liability Company
Legal Name
Walton Land Company, LLC
Information
Sosld: 1503553
Status: Current -Active 0
Date Formed: 3/9/2016
Citizenship: Domestic
Annual Report Due Date: April 15th
Registered Agent: Walton, David Verne
Addresses
Mailing Principal Office
5465 NC Hwy 20 West 5465 NC Hwy 20 West
Lumber Bridge, NC 28357-7917 Lumber Bridge, NC 28357-7917
Reg Office Reg Mailing
5465 NC Hwy 20 West 5465 NC Hwy 20 West
Lumber Bridge, NC 28357-7917 Lumber Bridge, NC 28357-7917
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
President Executive Manager Vice President
David Verne Walton Samuel David Walton Virginia Coyle Walton
5465 NC Hwy 20 W 5465 NC Hwy 20 W 5465 NC Hwy 20 W
Lumber Bridge NC 28357 Lumber Bridge NC 28357 Lumber Bridge NC 28357
https://www.sosnc.gov/online services/search/Business_Registration_Results 1/19/2021

WELL CONSTRUCTION RECORD
This form can be used for single or multiple wells
1. Well Contractor Information:
Jonathan Kamionka
Well Contractor Name
3465-A
NC Well Contractor Certification Number
Bill's Well Drilling Co.
Company Name
2. Well Construction Permit #: WS06-01441
List all applicable well permits (i.e. County, State, Variance, Injection, etc.)
3. Well Use (check well use):
Water Supply Well:
°Agricultural
©Geothermal (Heating/Cooling Supply)
❑ Industrial/Commercial
O lrrigation
❑Municipal/Public
°Residential Water Supply (single)
❑Residential Water Supply (shared)
Non -Water Supply Well:
° Monitoring ❑ Recovery
Injection Well:
DAquifer Recharge
DAquifer Storage and Recovery
DAquifer Test
°Experimental Technology
©Geothermal (Closed Loop)
DGeothermal (Heating/Cooling Return)
OGroundwater Remediation
°Salinity Barrier
°Stormwater Drainage
OSubsidence Control
OTracer
OOther (explain under #2l Remarks)
4. Date Well(s) Completed: 2-11-2021 Well ID#
5a. Well Location:
Walton Farms
Facility/Owner Name
Rennert Rd, Shannon, NC
Facility IDAI (if applicable)
Physical Address, City. and Zip
Robeson
County Parcel Identification No, (PIN)
5b. Latitude and Longitude in degrees/minutes/seconds or decimal degrees:
(dwell field, one Iat11ong is sufficient)
34.733170 N-79.050020
6. Is (are) the weli(s): i7lPermanent or DTemporary
7. Is this a repair to an existing welt: ❑Yes or ONo
If this is a repair. fill out known well construction information and explain the nature of the
repair tinder -i 21 remarks section or on the back of this form.
8. Number of wells constructed:
For multiple injection or non -water. supply wells ONLY with the same construction, you can
submit one form.
9. Total well depth below land surface: 195
For multiple wells list all depths if different (example- 3 rr 200' and 2@100')
(ft.)
10. Static water level below top of casing: +2 (ft.)
If water level is above casing, use "4.
11. Borehole diameter: 20 (in.)
12. Well construction method: Mud Rotary
(i.e. auger, rotary, cable, direct push, etc.)
For Internal Use ONLY:
14. WATER ZONES
FROM
TO
DESCRIPTION
80 ft.
124 ft-
135-160
185 ft.
190 ft-
15. OUTER CASING (for multi -cased welts) OR LINER (if ap licable)
FROM
TO
DIAMETER
THICKNESS MATERIAL
ft.
ft.
in.
16. INNER CASING OR TUBING (geothermal closed -loop)
FROM
TO
DIAMETER
THICKNESS
MATERIAL
41- - ft.
12.,t35 ft.
10 in'
SDR21
PVC
(64ss fe.
t4O-, ft.
10 in-
SDR21
PVC
17. SCREEN
FROM
TO
DIAMETER
SLOT SiZE
THICKNESS
MATERIAL
e 0 ft.
I a q ft.
10 in
.040
SDR21
PVC
{ 3 b ft.
I e45 v ft,
10 in.
.040
SDR21
PVC
18, GROUT
FROM
TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
0 ft.
50 ft-
bentonite
pumped
ft.
ft.
ft.
ft.
19. SAND/GRAVEL PACK (if applicable)
FROM
TO
MATERIAL
EMPLACEMENT IIIETHOD
50 ft.
195 ft-
#4 gravel
tremie
ft.
ft-
20. DRILLING LOG (attach additional sheets if necessary)
FROM
TO
DESCRIPTION (color, hardness, soil/rock type, grain size. etc.)
ft,
ft.
See Attached
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
ft.
21. REMARKS
FOR WATER SUPPLY WELLS ONLY:
13a. Yield (gpm) 750+ Method of test: pumped
13b. Disinfection type: HTH Amount: 2 CUPS
22. Certification:
02-11-2021
Si re of Certified Well Contractor Date
Hy signing this form, 1 hereby certify that the well(s) was (were) constructed in accordance
with 1 5A NC'AC 02C .0100 or 1 5.4 NCAC 02C .0200 Well Construction Standards and that a
copy of this record has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessay.
SUBMITTAL INSTUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
Division of Water Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For iniection Wells ONLY: In addition to sending the form to the address in
24a above, also submit a copy of this form within 30 days of completion of well
construction to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
24c. For Water Supply & Injection Wells:
Also submit one copy of this form within 30 days of completion of
well construction to the county health department of the county where
constructed.
Fonn OW -I
North Carolina Department of Environment and Natural Resources - Division of Water Resources Revised August 2013

BILL'S WELL DRIT J JNG CO.
800 McArthur Road
Fayetteville, North Carolina 28311
Office [phone]
[e-mail]
www.billswelldrilling.com
Date: 2/11/2021
Drilling Log Lithology
Walton Farms
Rennert Rd, Shannon, NC
Robeson Co
From
To
Formation Description
0
7
Gray Sandy Clay
7
12
Orange Coarse Sand w/clay layers
12
17
Fine soft gray clay
17
40
Black Coarse Sand w/streaks of clay
40
50
Gray Clay w/streaks of sand
50
70
Gray Sand w/streaks of clay
70
80
Medium Sand w/wood
80
90
Medium Gray Sand (Float)
90
110
Sand (Float)
110
117
Sand & Clay
117
127
Sand w/ streaks of clay
127
134
Clay
134
137
Sand
137
163
Sand w/ streaks of clay
163
177
Clay w/streaks of sand
177
195
Large gravel
Jonathan Kamionka
3465-A