WM0501460_Application_20211115

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: 11/03/2021
2. County: Du¢tan
PERMIT NO.
FOR OFFICE USE ONLY
ISSUED DATE
3. What type of well are you applying for? (monitoring or recovery): Monttorinn
4. Applicant: Welcome Wilson, Jr/Ted Kakambouras (Welcome Real Estate Services. LLC) Telephone: _6,z2fa-5175
Applicant's Mailing Address: 5858 Wertheimer. Suite 800. Houston. Texas 77057
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5. Contact Person (If different than Applicant): Sam Watts (S&ME. Inc.) Telephone: 9t9-8D1-4920
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Contact Person's Mailing Address: 3201 Sorino Forest Rd. Raleigh. NC 27616 o u n o0
Contact Person's Email Address (if available):.. syeataasminc,cran
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6. Property Owner (If different than Applicant): John Reece (Eno Development Partners, LW)Telephone: 336-793V890 '
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Property Owner's Mailing Address: _ 51 West Fourth striiet. STE 310. 4N1nnton-Ss IQm, NC 27101
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Property Owner's Email Address (if available): lvhntt orrmo rcletaallyric cprn z
Applicant's Email Address (If available):
Ikakembouras@ w mearQup.com
7. Property Physical Address (Including PIN Number) 1420 Old Oxford Road. 1225 Hamlin Road 1507 Hamlin Road. and
1539 Hamlin Road (PINS; 0833-02-89.5258 0844-01-t0-2 31._0 -0't-0B B._0S33-02-99-6163)
City Dyrham County Durham Zip Code 27704
8. Reason for Well(s): Assessment of suspected groundwater contamination
(ex: non -discharge permit requirements, suspected contamination, assessment. groundwater contamination, remediation, etc.)
9. Type of facility or site for which the well(e) is(are) needed: New development. Possible NC Brownfiekfs site.
(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 andfor incident no(s).
Mitsubishi Electronics) NDNLCDOQ42OB5 and Beckman -Durham -Sandefur) NONCD0D02410370
11. Type of contaminants being monitored or recovered: Petroleum. VOCs. Solvers
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(e)? If yes, how many? 53 existino monitor &.InIectiowwells are
rliWilled to monitor/Immediate the Mitsubishi Electronic site. Unknown number of wells installed for the Beckman -Durk m-Sandefuistte.
Existing Monitoring or Recovery Weil Constriction Permit No(s).: Unknown
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): 1.300
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: Chris Schapoeg (M&W Drilling. LLC)
Certification No.: 2332-A
Well Contractor Address: 8321 Oak Moe Hwv, Knoxville. TN 37931
PROPOSED WELL CONSTRUCTION INFORMATION
1. As required by 15A NCAC 02C .0105(l)(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
44'

c. Screen intervals
d. Sand/gravel pack Intervals
g. Well heed completion details
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? Lockable steel
material: 5 casino (stIck-uol with concrete Dad.
3. Number of wells to be constructed in bedrock: 10 6. Estimated beginning construction date: 11/29/2021
4. Total Number of wells to be constructed: 15
(add answers from 2 and 3)
7. Estimated construction completion date: 12193/2021
ADDITIONAL INFORMATION
1. As required by 16A NCAC 02C .0105(0(5), attach a scaled map of the site showing the locations of the following:
a.
b.
G.
d.
e.
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.
All existing Wells, identified by type of use, within 500 feet of the proposed well or well system.
The proposed well or well system.
Any test borings within 500 feet of proposed well or well system.
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.
The Applicant hereby agrees that the proposed well
this Well Conetructlon Permit as reg
bcha
M
Sign ture of Applicant or *Agent a
We\ COfr~c t+
Printed name of Applicant or*Age t
SIGNATURES
) will be constructed in accordance with approved specifications and conditions of
Well Construction Standards (Title 15A of the North Carolina Administrative Code,
ccepts full responsibility for compliance with these rules
Pike511\4 C E3.Q
Title of Applicant or *Agent
if signing as Agent, attach authorization agreement stating
(hat you have the authority to act as the Agent.
If the property Is '=d by someone other than the applicant, the property owner hereby consents to allow the applicant to construct
wells as outll ! 1 his Well Cow on Permit application and that it shall be the responsibility of the applicant to ensure that the
well c tie W91f Cons Ion Standards (Title 15A of the North Carolina Administrative Code, Subchapter 2C).
2L jdlnA .E. r{erGrr Z
Sig re of ' ro sedy Owner (I 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
3600 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 Milt Road
Suite 300
Winston-Satem, NC 27105
Phone: [phone]
Fax: [phone]
GW-22MR Rev, 3-1-2016

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FIGURE 2 - PROPOSED WELL CONSTRUCTION DIAGRAM &
Well ID
I>.
Project Name
Project Number 1 MEWr
Typical
Welcome Venture Park
218154 limmik
S&ME Staff
Installation Date
County
City
Well Permit Number
Durham
Durham
Drilling Contractor
License Number
Drill Rig
Well Type / Use
Water Level at TOB (0.01 ft- BTOC)
Date/Time
Northing (0.1 ft)
Land Surface Elev. (0.01 ft)
Drilling Method
Depth to Water (0.01 ft- BTOC)
Date/Time
Easting (0.1 ft)
Total Well Depth (0.1 ft-bgs
Borehole Diameter (1 in)
25.0
Stickup Height - 2.0 ft
- Steel Protective Casing
Pad Type
2' x 2' Concrete
- Expandable Locking Cap
Protective Casing
Concrete Pad - 0.0 ft
Casing Material
Depth Below Ground Surface (ft-bgs)
2-in Sch 40 PVC
I
Top of Seal - 11.0 0.1 ft bgs
Neat Cement Grout
Casing Interval (0.1 ft-bgs)
0.0
to
15.0
Screen
Type
2-in Sch
40 PVC
(0.010)
Screen Interval
(0,1
ft-bgs)
15.0
to
25.0
Grout
Type
Quik-Groute
Top of Filter Pack - 13.0 0.1 ft-bgs
Bentonite Slurry
2-ft Minimum
Grout Interval
(0.1
ft-bgs)
Top of Screen 15.0 0.1 ft bgs
Sand Pack
2 ft Minimum Above Screen
0.0
to
11.0
Seal
Type
Screened Interval - 10.0 0.1 ft-bgs
Bottom of Screen - 25.0 0.1 ft. bgs
0.010-inch Slotted Well Screen
No 2 Filter Sand Pack
Benseale
granular
Seal Interval
(0.1
ft-bgs)
11.0
to
13.0
#2 Silica Sand
I
Filter Pack Interval (0.1 ft-bgs)
13.0
to
25.0
Development
Bottom of Filter Pack - 25.0 0.1 ft-bgs
Cave In - 0.0 0.1 ft-bgs
Total Boring Depth - 25.0 0.1 ft-bgs
Development Volume (gal)
Notes:
Minimum 4-1/4-Inch Diameter Borehole
Minimum 2-Inch Diameter PVC Well Screen & Riser
BTOC - Below Top of Casing
TBD - To Be Determined
For lithologic information
see attached boring log
Form Revision Date-
9/1/17 2:10 PM

Table 1- Proposed Drilling & Well Construction Details
Welcome Venture Park
Hamlin & Oxford Road, Durham, NC
S&ME Project No. 218154
Prepared by S.Watts -- 11/11/21
Well ID Est PWR Est Rock Est DTW Screened Interval Est Total Depth
MW-1 5 6 25 20 to 30 30
MW-2 6 10 25 20 to 30 30
MW-3 19 20 30 25 to 35 35
MW-4 20 15 to 25 25
MW-5 10 18 25 20 to 30 30
MW-6 12 18 25 20 to 30 30
MW-7 10 18 25 20 to 30 30
MW-8 10 18 25 20 to 30 30
MW-9 6 18 25 20 to 30 30
MW-10 10 15 30 25 to 35 35
MW-11 10 20 25 20 to 30 30
MW-12 5 20 15 10 to 20 20
MW-13 14 20 12 7 to 17 17
MW-14 8 20 10 5 to 15 15
Total: 387
Notes:
Depths are estimated feet below ground surface. (ft-bgs)
Assumes 10-foot long screened interval @ each well.
PWR = parttially weathered rock
DTW = depth to water

III
November 12, 2021
Raleigh Regional Office
NCDEQ-DWR
3800 Barrett Drive
Raleigh, NC 27609
Attention:
Reference:
Dear Mr. Bolich:
Mr. Rick Bolich
Section Chief
�pt‘
of 1 �daaON
v3
b
via email: [e-mail]
Well Permit Application
Welcome Venture Park - 1225 Hamlin Rd, Durham, NC
Durham, Durham County, North Carolina
S&ME Project No. 218154
On behalf of our client, Welcome Real Estate Services, LLC, I am submitting the enclosed Well Permit Application
(Form GW-22MR) to construct 14 monitor wells at the Welcome Venture Park in Durham, NC. Enclosed are the
following:
Application for Permit to Construct a Monitoring or Recovery Well System (Form GW-22MR)
Scaled map as required by 15A NCAC 02C .0105(f)(5)
c. Figure 1 — Proposed Monitor Well Locations
Well construction details as required by 15A NCAC 02C .0105(f)(7)
) Figure 2 - Proposed Well Construction Diagram
Table 1 - Proposed Drilling & Well Construction Details
If you have any questions, or need additional information, to process this request for a Well Construction Permit,
please contact me by email at [e-mail], or by phone at 919-801-4920 (M).
Sincerely,
S&ME, Inc.
Samuel P. Watts, PG
Senior Geologist
NC Licensed Geologist No. 1806
S&ME, Inc. 13201 Spring Forest Road I Raleigh, NC 27616 I p 919.872.2660 I www.smeinc.com