WM0401367_Monitoring Well Permit Application_20220524

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: 5/17/2022
2. County: Guilford
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE
3. What type of well are you applying for? (monitoring or recovery):
Permanent Monitoring Well
4. Applicant: S & S Capital, LLC (petitioner for DSCA Site #DC410060) Telephone: David Kwiatkowski [phone]
Applicant's Mailing Address: ATTN: DWM-DSCA David Kwiatkowski, 1646 Mail Service Center, Raleigh, NC 27699-1646
Applicant's Email Address (if available): [e-mail]
5. Contact Person (if different than Applicant): Jeffrey 011ison, Hart & Hickman, PC Telephone: [phone]
Contact Person's Mailing Address: 3921 Sunset Ridge Rd, Suite 301, Raleigh, NC 27607
Contact Person's Email Address (if available): [e-mail]
6. Property Owner (if different than Applicant): City of Greensboro Telephone: [phone]
Property Owner's Mailing Address: P.O. Box 3136, Greensboro, NC 27402-3136
Property Owner's Email Address (if available):
7. Property Physical Address (Including PIN Number) City of Greensboro right-of-way (ROW); Rockett Street & Luray Drive
City Greensboro County Guilford Zip Code 27406
8. Reason for Well(s): Environmental Assessment for DSCA Program
(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: Former Dry Cleaner
(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).
NCDEQ DSCA Site ID #DC410060
11. Type of contaminants being monitored or recovered: Chlorinated Solvents
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? Yes, 5
Existing Monitoring or Recovery Well Construction Permit No(s).: Not available
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): Approximately 350 feet
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: Innovative Environmental Technologies, Inc. Certification No.: 2725-A
Well Contractor Address: 4185 Barrier Road, Concord, NC 28025
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
material: 1
5. How will the well(s) be secured? Bolted flush -mount
well cover with lockable well cap
3. Number of wells to be constructed in bedrock: 0 6. Estimated beginning construction date: July/Aug 2022
4. Total Number of wells to be constructed: 1 7. Estimated construction completion date: July/Aug 2022
(add answers from 2 and 3)
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. 143-215.10B(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,
Subchapter 2C) and accepts full responsibility for compliance with these rules
on behalf of Petitioner for DSCA Site DC410060 Agent for Petitioner for DSCA Site DC410060
Signature of Applicant or *Agent Title of Applicant or *Agent
Jeffrey 011ison
Printed name 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
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).
See attached property access agreement (Attachment 3) See attached property access agreement (Attachment 3)
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: [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]
Win. ton Sate
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]
'ems\
ngton
GW-22MR Rev. 3-1-2016

Attachment 1

TYPE II MONITORING WELL CONSTRUCTION DETAILS
CROSS SECTIONAL VIEW
LOCKABLE WELL CAP CONCRETE PAD
L3
L1
L2
•
•
•
•
FLUSH METAL WELL COVER
CONCRETE PAD
BACKFILL AROUND CASING
MATERIAL
LENGTH
WELL CASING
MATERIAL
DIAMETER
JOINT TYPE
LENGTH
BACKFILL AROUND CASING
MATERIAL
LENGTH
SEAL
TYPE OF SEAL
THICKNESS
FILTER PACK
TYPE OF FILTER
THICKNESS
WELL SCREEN
SCREEN MATERIAL
DIAMETER
LENGTH
SLOT SIZE
DEPTH TO BOTTOM OF
cement grout
3 ft (0 to 3 ft)
schedule 40 PVC
2 inches
flush threaded
feet
bentonite/grout
8 feet (3 ft to 11 ft)
bentonite
2 feet (11 ft to 13 ft)
No. 2 Sand
17 feet (13 ft to 30 ft)
schedule 40 PVC
2 inches
15 feet
0.010 inches
L1 = 15 FT. MONITORING WELL 30 feet
L2 = 15 FT. DIAMETER OF
L3 = 30 FT. BOREHOLE
4.25 in
TITLE Monitoring Well Diagram
MW-8
Hart & Hickman, PC
2923 South Tryon St., Suite 100
Charlotte, North Carolina 28203
FILE
PREP. BY
CCC
REV. BY
JAO
DATE
5/10/2022
PROJECT NO.
DSO-166 (DSCA ID# DC410060)

Attachment 2

a
060 20220516.dwg, FIG 2A, 5/16/2022 12:4
SAAAA-Master Projects \DSCA - DSO \DSO-166 Florida St. One Hour Cleaners\
[1] [j [l]
q w
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JW
W
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0
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- J
WEST FLORIDA STREET
FORMER BOSHER'S LAUNDERETTE
CURRENT CRICKET WIRELESS
(831 WEST FLORIDA STREET)
FORMER FLORIDA STREET CLEANERS
PROPOSED RESTAURANT
(815 WEST FLORIDA STREET)
FLJ
0
ROCKETT STREET
w
EE
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EJILiiEjEj rjEj
O O
{
•;,
0
LEGEND
- - - - FORMER DRY-CLEANING FACILITY
SOURCE PROPERTY BOUNDARY
PROPERTY BOUNDARY
MONITORING WELL LOCATION
▪ ABANDONED TEMPORARY
MONITORING WELL
® STORMWATER DRAIN
O SANITARY SEWER MANHOLE
PROPOSED PERMANENT
MONITORING WELL LOCATION
APPROXIMATE
120
240
SCALE IN FEET
PROPOSED WELL LOCATIONS
"' Fr' FLORIDA STREET ONE HOUR CLEANERS
DSCA SITE ID: DC410060
815 WEST FLORIDA STREET
GREENSBORO, NORTH CAROLINA
hart11
miL.1%1 h i c k rn a n 3921 et Ridge Road, Suite 301
Raleigh, North Carolina 27607
919-847-4241(p) 919-847-4261(f)
SMARTER ENVIRONMENTAL SOLUTIONS License # C-1269 / #C-245 Geology
DATE: 5-16-22
JOB NO. DSO-166
REVISION NO. 0
ATTACHMENT NO. 2A

[1] {j
FORMER BOSHER'S LAUNDERETTE
CURRENT CRICKET WIRELESS
(831 WEST FLORIDA STREET)
SB-2 (3-4')
PCE
<0.0024
SB-3 (0-1')
PCE <0.0019
SB-3 (9-11')
PCE <0.0023
SB-4 (0-1')
PCE
<0.0018
SB-4 (3-5')
PCE
060 20220516.dwg, FIG 2B, 5/16/2022 1:14:51
SAAAA-Master Projects \DSCA - DSO \DSO-166 Florida St. One Hour Cleaners\
<0.0020
SB-1 (0-1')
PCE
<0.0020
SB-1 (11-13')
PCE
<0.0028
SB-12 (0-1')
PCE 0.0016
SB-12 (2-3')
PCE <0.0019
SB-6 (2-3')
- PCE
0.17
SB-9 (0-1')
PCE <0.0021
SB-9 (5-7')
PCE
<0.0021
WEST FLORIDA STREET
ROCKETT STREET
g I E3
PCE
SB-8 (0-1')
<0.0016
SB-8 (3-5')
<0.0021
' 1J
PCE
0°HO:
W
W
0
0
0
SB-7 (0-1')
PCE
0.0062
SB-7 (7-9')
PCE
0.0015 J
f
SB-5 (0-1')
PCE
0.0012 J
SB-5 (3-4')
PCE
0.046
FORMER FLORIDA STREET CLEANERS
PROPOSED RESTAURANT
(815 WEST FLORIDA STREET)
SB-10 (0-1')
PCE <0.0025
SB-10 (5-7')
PCE
<0.0014
W
EE
0
>-
SB-11 (0-1')
PCE
0.018
SB-11 (3-4')
PCE
0.13
SB-13 (0-1')
PCE
0.0063
SB-13 (3-4')
PCE
0.043
HUDGINS DRIVE
=-J
SPgRTq pR�VE
7
0.0063
LEGEND
— — — — FORMER DRY-CLEANING FACILITY
SOURCE PROPERTY BOUNDARY
PROPERTY BOUNDARY
• SOIL SAMPLE LOCATION
STORMWATER DRAIN
O SANITARY SEWER MANHOLE
CONSTITUENT
NOTES:
PCE ISOCONCENTRATION
CONTOUR IN SOIL (mg/kg)
(DASHED WHERE INFERRED)
SAMPLE ID & DEPTH
SB-5 (0-1')
PCE
0.0012 J
SB-5 (3-4')
PCE
0.046
CONCENTRATION
(mg/kg)
1. SOIL SAMPLES WERE COLLECTED ON 6/29/21 AND 6/30/21,
WITH THE EXCEPTION OF SAMPLES SB-5(0-1) AND SB-11
THROUGH SB-13 COLLECTED ON 9/16/21.
2. PCE=TETRACHLOROETHYLENE
3. J FLAG INDICATES ESTIMATED CONCENTRATION BETWEEN
LABORATORY REPORTING LIMIT AND METHOD DETECTION
LIMIT.
4. PCE WAS THE ONLY CONSTITUENT DETECTED AT
CONCENTRATIONS ABOVE THE LOWER OF PROTECTION OF
GROUNDWATER OR RESIDENTIAL PRELIMINARY SOIL
REMEDIATION GOALS (PSRGs).
5. CONCENTRATIONS SHOWN IN BOLD EXCEED THE
PROTECTION OF GROUNDWATER PSRG OF 0.0063 FOR PCE.
0
APPROXIMATE
60
120
SCALE IN FEET
SOIL PCE ISOCONCENTRATION MAP
"°E`rFLORIDA STREET ONE HOUR CLEANERS
DSCA SITE ID: DC410060
815 WEST FLORIDA STREET
GREENSBORO, NORTH CAROLINA
iii
hart h i c k n a n 3921Sunset RidgeRoad,Suite 301
Raleigh, North Car
olina 27607
919-847-4241(p) 919-847-4261(E)
SMARTER ENVIRONMENTAL SOLUTIONS License # C-1269 / #C-245 Geology
DATE: 5-16-22
REVISION NO. 0
JOB NO. DSO-166
ATTACHMENT NO. 2B

S:WAA-Master Projects \DSCA - DSO\DSO-166 Florida St. One Hour Cleaners\
00[1]
FORMER BOSHER'S LAUNDERETTE
CURRENT CRICKET WIRELESS
(831 WEST FLORIDA STREET)
W-1
w
0
>-
J
WEST FLORIDA STREET
fill
(0.0019)FOW-
I I \
L
MW-4
(<0.00050)"'P
ROCKETT STREET
I \
1�4`�
AkMW-3 \
(0.0053)
gli_1,0EJEJ ❑EJC7
00
FORMER FLORIDA STREET CLEANERS
PROPOSED RESTAURANT
(815 WEST FLORIDA STREET)
w
EE
0
j3PgRTq 0RVE
o v�
I 7
I-IUDGI
=-J‘
0.0007
LEGEND
- - - - FORMER DRY-CLEANING FACILITY
SOURCE PROPERTY BOUNDARY
PROPERTY BOUNDARY
MONITORING WELL LOCATION
▪ ABANDONED TEMPORARY
MONITORING WELL
• STORMWATER DRAIN
O SANITARY SEWER MANHOLE
(0.0019) PCE CONCENTRATION (mg/L)
PCE ISOCONCENTRATION CONTOUR
IN GROUNDWATER (mg/L)
(DASHED WHERE INFERRED)
NOTES:
1. GROUNDWATER SAMPLES COLLECTED ON 7/1/2021.
2. PCE=TETRACHLOROETHYLENE
0
APPROXIMATE
120
240
SCALE IN FEET
GROUNDWATER PCE ISOCONCENTRATION MAP
"°E`rFLORIDA STREET ONE HOUR CLEANERS
DSCA SITE ID: DC410060
815 WEST FLORIDA STREET
GREENSBORO, NORTH CAROLINA
hart11
EIL.1%1 h i c k rn a n 3921 et Ridge Road, Suite 301
Raleigh, North Carolina 27607
919-847-4241(p) 919-847-4261(0
SMARTER ENVIRONMENTAL SOLUTIONS License # C-1269 / #C-245 Geology
DATE: 5-16-22
REVISION NO. 0
JOB NO. DSO-166
ATTACHMENT NO. 2C

Attachment 3

rgl City of Greensboro
North Carolina
March 8, 2022
Hart & Hickman, PC
3921 Sunset Ridge Rd,
Suite 301
Raleigh, NC 27607
RE: City of Greensboro Permit Number DW03082022 for one permanent groundwater monitoring
Dear Mr. Jeffery 011ison;
The City of Greensboro has reviewed the installation request for one monitoring well. This
monitoring well is to be installed to investigate groundwater impacts related to a dry cleaner site
which is under investigation by the NCDEQ North Carolina Dry-cleaning Solvent Cleanup Act
(DSCA) Program. Based on the information provided, Hart & Hickman, PC (Hart & Hickman)
proposes to install one groundwater monitoring well. Since the work is proposed to occur near
the roadway, Hart & Hickman may need to obtain an additional temporary ROW closure permit
and comply with any conditions that GDOT requires (see item #4).
The proposed work includes the following:
Hart & Hickman will install one permanent groundwater monitoring well (see attachment #1 in
the enclosures). However, the location may change slightly based on access, underground
utilities, and conditions observed during site reconnaissance.
The approval is given contingent on the following requirements:
1) All restoration shall be in accordance to the City of Greensboro/NCDOT Specifications
and any additional requirements as per City Inspections. Tunneling under sidewalk,
driveway aprons, or curb & gutter is not permitted. All concrete removal must be from
control joint to control joint. Concrete used for repair and/or replacement of sidewalk must
be 3000 psi minimum using NCDOT approved mix design.
2) All installations using the boring method must be bored without water assistance. Bore
depths at street crossings must be equal to 1 foot per aggregate cable(s) diameter with
a minimum depth of 3 feet measured from the road surface. Installations parallel to streets
shall be a minimum depth of 2 feet measured from the existing top of curb or edge of ribbon
pavement due to future roadway and sidewalk improvements.
640
P.O. Box 3136 • Greensboro, NC 27402-3136 • www.greensboro-nc.gov • (336) 373-CITY (2489) • TTY # 333-6930

r City of Greensboro
\ At North Carolina
3) Pavement repair shall be according to the City of Greensboro Standards & Specifications,
Std. #107 Rev. 09-03 and be one solid patch around the wells. However, 3' parallel and
longitudinal shelves are required, for trenching greater than 5' in width, depth, or in roads
designated as major thoroughfares. The final inch of surface course for the pavement repair
must be places with a paving machine and compacted with a tandem roller normal to
standard asphalt paving in final repair sections greater than 100 square feet. Paving
equipment must be preapproved by City Inspections. Any additional requirements will be
as per City Inspections.
4) Pedestrian and/or vehicular traffic must be maintained at all times, which should be
addressed by a traffic control plan submitted to GDOT if required by same. Any other
stipulations will be made by GDOT at the time of lane closure permit issuance. Equipment
and materials must be places so as not to interfere with site distance for vehicular traffic.
Temporary ROW closure permits can be obtained at http://gsoapps.greensboro-
nc.gov/publicTRAClosure/
5) As usual during construction phase, your construction manager will be requires to e-mail
my office before 8a.m. each day a copy of where your construction crew will be working.
E-mail address is [e-mail].
6) Any work outside the City's right-of-way will require and be the responsibility of Hart &
Hickman or their designated representatives to contact the property owners.
7) Noncompliance with any stipulation either verbal or in writing from any City official of
authority, can be cause for permit suspension and/or revocation.
8) Richard Lovett shall be given a minimum of 24-hour notice prior to beginning this work at
336-373-4188.
9) Repair seeding shall be according to COG/NCDOT specifications including a lawn type
finish in residential and/or landscaped areas.
10) The permit fees associated with this permit shall be $125 per monitoring well for the three
proposed monitoring wells. In addition to payment, Hart & Hickman indemnify and save
harmless the City of Greensboro from any and all damages and claims for damage as per
the global access agreement and must further insure the City that it currently has liability
insurance in the minimum amount of $1,000,000.00 to cover all risks involved with this
authorization and that such insurance will remain in full force and effect during the
activities hereby authorized.
11) An attached figure shows location of the proposed monitoring well which will drill in the
ROW but not in a stream buffer which addresses the comments from City of Greensboro
Staff:
a) 811 (ULOCO) and a private utility locator will be utilized prior to drilling.
b) All soil cuttings from drilling will be containerized and storm drains protected. The soil
and associated containers will be removed immediately following the completion of
the drilling activities at each location
640
P.O. Box 3136 • Greensboro, NC 27402-3136 • www.greensboro-nc.gov • (336) 373-CITY (2489) • TTY # 333-6930

a4hNiPdrAl
City of Greensboro
gg•ly qe stions, feel free to contact me at [phone].
Thank you,
Richard P. Lovett
Environmental Compliance Support Manager
City of Greensboro
Field Operations Department
401 Patton Ave.
Greensboro, NC 27406
Phone - 336-373-4188
Fax - 336-373-2988
[e-mail]
Enclosures: Encroachment Agreement
Hart and Hickman Letter
cc:
David Ortega, Department of Transportation, City of Greensboro
Tracy Peters, Department of Water Resources, City of Greensboro
Brian Gilles, Department of Engineering and Inspections
640
P.O. Box 3136 • Greensboro, NC 27402-3136 • www.greensboro-nc.gov • (336) 373-CITY (2489) • TTY # 333-6930

0
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Lovett, Richard
From: Hill, Johnnie
Sent: Monday, February 21, 2022 2:07 PM
To: Lovett, Richard
Cc: Spillman, Virginia
Subject: RE: DSCA Program Access for ROW Well Installation
Attachments: DSCA Well Installation.pdf
Richard,
Attached is a map showing our utilities in the area of this proposed installation. We would prefer to maintain a
minimum of 7.5' from each utility (water/sanitary sewer/storm). It appears the storm infrastructure may be the only
one they need to work around. It is a 36" concrete pipe that runs behind the curb.
Let me know if you have any questions or need additional information.
Johnnie A. Hill, Plan Review Supervisor
Water Resources Department
City of Greensboro
Phone: [phone] Fax: [phone]
2602 South Elm -Eugene Street, Greensboro NC 27406
www.greensboro-nc.gov
From: Spillman, Virginia <[e-mail]>
Sent: Monday, February 21, 2022 11:16 AM
To: Hill, Johnnie <[e-mail]>
Subject: FW: DSCA Program Access for ROW Well Installation
From: Lovett, Richard <[e-mail]>
Sent: Monday, February 21, 2022 11:12 AM
To: Gillies, Brian <[e-mail]>; Spillman, Virginia <[e-mail]>; Link,
Elizabeth <[e-mail]>; Sovich, Jeffrey <[e-mail]>; Ortega, David
<[e-mail]>
Subject: FW: DSCA Program Access for ROW Well Installation
Please review for impacts and concerns.
Thanks!
Richard P. Lovett, PG, CPG, ASP (he/him) Why are pronouns important?
Environmental Compliance Support Manager
City of Greensboro
Field Operations Department
401 Patton Ave.
Greensboro, NC 27406
Phone - 336-373-4188
Fax - 336-373-2988
richard.lovett(a�greensboro-nc.gov
i

From: Jeffrey 011ison
Sent: Thursday, February 17, 2022 9:28 AM
To: Richard.Lovett@ greensboro-nc.gov
Subject: DSCA Program Access for ROW Well Installation
Hi Richard
I am a contractor for the NC DEQ Dry -Cleaner Solvent Clean Up Act (DSCA) Program. I am hoping to obtain approval to
on behalf of the DSCA Program to install one permanent 2-inch groundwater monitoring well to approximately 30ft in
the City of Greensboro's right-of-way (ROW). The monitoring well will be finished with a flush mounted 2ft by 2ft
concrete well pad in the grassy area adjacent near the intersection of Rockett Street and Luray Drive, the exact location
of the well will be determined based on utility locations identified prior to the well installation.
Please see the previously executed Global Encroachment Agreement (attached) which covers assessment in the City
ROW. A schedule is not yet confirmed for the well installation activities.
Please let me know if you have any questions or concerns.
Pftkomi
oitk-
Jeffrey 011ison, Project Environmental Scientist
Hart & Hickman, PC
3921 Sunset Ridge Rd., Ste. 301 • Raleigh, NC 27607
Direct: 919-723-2513 • Mobile: [phone]
www.harthickman.com I ED
Please consider the environment before printing this e-mail
2

Lovett, Richard
From: Hill, Johnnie
Sent: Monday, February 21, 2022 2:07 PM
To: Lovett, Richard
Cc: Spillman, Virginia
Subject: RE: DSCA Program Access for ROW Well Installation
Attachments: DSCA Well Installation.pdf
Richard,
Attached is a map showing our utilities in the area of this proposed installation. We would prefer to maintain a
minimum of 7.5' from each utility (water/sanitary sewer/storm). It appears the storm infrastructure may be the only
one they need to work around. It is a 36" concrete pipe that runs behind the curb.
Let me know if you have any questions or need additional information.
Johnnie A. Hill, Plan Review Supervisor
Water Resources Department
City of Greensboro
Phone: [phone] Fax: [phone]
2602 South Elm -Eugene Street, Greensboro NC 27406
www.greensboro-nc.gov
From: Spillman, Virginia <[e-mail]>
Sent: Monday, February 21, 2022 11:16 AM
To: Hill, Johnnie <[e-mail]>
Subject: FW: DSCA Program Access for ROW Well Installation
From: Lovett, Richard <[e-mail]>
Sent: Monday, February 21, 2022 11:12 AM
To: Gillies, Brian <[e-mail]>; Spillman, Virginia <[e-mail]>; Link,
Elizabeth <[e-mail]>; Sovich, Jeffrey <[e-mail]>; Ortega, David
<[e-mail]>
Subject: FW: DSCA Program Access for ROW Well Installation
Please review for impacts and concerns.
Thanks!
Richard P. Lovett, PG, CPG, ASP (he/him) Why are pronouns important?
Environmental Compliance Support Manager
City of Greensboro
Field Operations Department
401 Patton Ave.
Greensboro, NC 27406
Phone - 336-373-4188
Fax - 336-373-2988
[e-mail]

From: Jeffrey 011ison
Sent: Thursday, February 17, 2022 9:28 AM
To: [e-mail]
Subject: DSCA Program Access for ROW Well Installation
Hi Richard
I am a contractor for the NC DEQ Dry -Cleaner Solvent Clean Up Act (DSCA) Program. I am hoping to obtain approval to
on behalf of the DSCA Program to install one permanent 2-inch groundwater monitoring well to approximately 30ft in
the City of Greensboro's right-of-way (ROW). The monitoring well will be finished with a flush mounted 2ft by 2ft
concrete well pad in the grassy area adjacent near the intersection of Rockett Street and Luray Drive, the exact location
of the well will be determined based on utility locations identified prior to the well installation.
Please see the previously executed Global Encroachment Agreement (attached) which covers assessment in the City
ROW. A schedule is not yet confirmed for the well installation activities.
Please let me know if you have any questions or concerns.
Jeffrey 011ison, Project Environmental Scientist
Hart & Hickman, PC
3921 Sunset Ridge Rd., Ste. 301 • Raleigh, NC 27607
Direct: 919-723-2513 • Mobile: [phone]
www.harthickman.com I ED
Please consider the environment before printing this e-mail
2

Lovett, Richard
From: Lovett, Richard
Sent: Monday, February 21, 2022 11:52 AM
To: Link, Elizabeth
Subject: RE: DSCA Program Access for ROW Well Installation
I believe that would be up to the consulting company. I can recommend that to them.
From: Link, Elizabeth <[e-mail]>
Sent: Monday, February 21, 2022 11:51 AM
To: Lovett, Richard <[e-mail]>; Gillies, Brian <[e-mail]>; Spillman,
Virginia <[e-mail]>; Sovich, Jeffrey <[e-mail]>; Ortega, David
<[e-mail]>
Subject: RE: DSCA Program Access for ROW Well Installation
Some of the nearby property is Greensboro Housing Authority. Will you be notifying nearby residents?
Elizabeth Link, PLA
Urban Designer
Planning Department
Phone: [phone]
P.O. Box 3136, Greensboro, NC 27402-3136
From: Lovett, Richard <[e-mail]>
Sent: Monday, February 21, 2022 11:12 AM
To: Gillies, Brian <[e-mail]>; Spillman, Virginia <[e-mail]>; Link,
Elizabeth <[e-mail]>; Sovich, Jeffrey <[e-mail]>; Ortega, David
<[e-mail]>
Subject: FW: DSCA Program Access for ROW Well Installation
Please review for impacts and concerns.
Thanks!
Richard P. Lovett, PG, CPG, ASP (he/him) Why are pronouns important?
Environmental Compliance Support Manager
City of Greensboro
Field Operations Department
401 Patton Ave.
Greensboro, NC 27406
Phone - 336-373-4188
Fax - 336-373-2988
richard.Iovett(greensboro-nc.gov
i

From: Jeffrey 011ison
Sent: Thursday, February 17, 2022 9:28 AM
To: [e-mail]
Subject: DSCA Program Access for ROW Well Installation
Hi Richard
I am a contractor for the NC DEQ Dry -Cleaner Solvent Clean Up Act (DSCA) Program. I am hoping to obtain approval to
on behalf of the DSCA Program to install one permanent 2-inch groundwater monitoring well to approximately 30ft in
the City of Greensboro's right-of-way (ROW). The monitoring well will be finished with a flush mounted 2ft by 2ft
concrete well pad in the grassy area adjacent near the intersection of Rockett Street and Luray Drive, the exact location
of the well will be determined based on utility locations identified prior to the well installation.
Please see the previously executed Global Encroachment Agreement (attached) which covers assessment in the City
ROW. A schedule is not yet confirmed for the well installation activities.
Please let me know if you have any questions or concerns.
Pisa
w*-
Jeffrey 011ison, Project Environmental Scientist
Hart & Hickman, PC
3921 Sunset Ridge Rd., Ste. 301 • Raleigh, NC 27607
Direct: 919-723-2513 • Mobile: [phone]
www.harthickman.com I ED
Please consider the environment before printing this e-mail
2

Lovett, Richard
From: Gillies, Brian
Sent: Monday, February 21, 2022 2:10 PM
To: Lovett, Richard
Subject: RE: DSCA Program Access for ROW Well Installation
Rockett St is a 50' ROW, and Luray appears to be 50' as well.
Brian J. Gillies - GIS Specialist — Records Management
Engineering & Inspections
City of Greensboro
Phone: [phone]; Fax: [phone]
300 W Washington St, Greensboro, NC 27402
r
6 J
From: Lovett, Richard <[e-mail]>
Sent: Monday, February 21, 2022 11:12 AM
To: Gillies, Brian <[e-mail]>; Spillman, Virginia <[e-mail]>; Link,
Elizabeth <[e-mail]>; Sovich, Jeffrey <[e-mail]>; Ortega, David
<David.Ortega @greensboro-nc.gov>
Subject: FW: DSCA Program Access for ROW Well Installation
Please review for impacts and concerns.
Thanks!
Richard P. Lovett, PG, CPG, ASP (he/him) Why are pronouns important?
Environmental Compliance Support Manager
City of Greensboro
Field Operations Department
401 Patton Ave.
Greensboro, NC 27406
Phone - 336-373-4188
Fax - 336-373-2988
richard.Iovett a(�greensboro-nc.gov
From: Jeffrey 011ison
Sent: Thursday, February 17, 2022 9:28 AM
To: [e-mail]
Subject: DSCA Program Access for ROW Well Installation
Hi Richard
I am a contractor for the NC DEQ Dry -Cleaner Solvent Clean Up Act (DSCA) Program. I am hoping to obtain approval to
on behalf of the DSCA Program to install one permanent 2-inch groundwater monitoring well to approximately 30ft in
the City of Greensboro's right-of-way (ROW). The monitoring well will be finished with a flush mounted 2ft by 2ft
i

concrete well pad in the grassy area adjacent near the intersection of Rockett Street and Luray Drive, the exact location
of the well will be determined based on utility locations identified prior to the well installation.
Please see the previously executed Global Encroachment Agreement (attached) which covers assessment in the City
ROW. A schedule is not yet confirmed for the well installation activities.
Please let me know if you have any questions or concerns.
wsrso
Jeffrey 011ison, Project Environmental Scientist
Hart & Hickman, PC
3921 Sunset Ridge Rd., Ste. 301 • Raleigh, NC 27607
Direct: 919-723-2513 • Mobile: [phone]
www.harthickman.com eti
Please consider the environment before printing this e-mail
2

NORTH CAROLINA
GUILFORD COUNTY
GLOBAL ENCROACHMEN"
IIIIIII//JII/II/IIIlIIllhiiii II'IIVU
2009004022
GUILFORD CO, NC FEE $20.00
PRESENTED & RECORDED:
01-27-2009 09:47:40 AM
JEFF L. THIGPEN
REGISTER OF DEEDS
BY: LINIDA F. ALLRED
DEPUTY -GB
BK: R 6969
PG: 1420-1422
Pftk j1G k j r_i C c� c' aepi Sc10 v� Kc �i ��j�t /"c
THIS AGREEMENT, made and entered into this 16th day of December 2008, by and
between the CITY OF GREENSBORO, (hereinafter the City) party of the first part; and
Hart & Hickman, PC (hereinafter H&H) party of the second part.
WITNESSETH:
THAT WHEREAS, the City of Greensboro owns certain street rights of way located in
Greensboro, North Carolina, and H&H has requested permission, as contractor of the North
Carolina Department of Environment and Natural Resources (Division of Waste Management)
(hereinafter the "Division) to encroach into the City street rights of way at described locations
("the Property"), said encroachments to be in the nature of:
(1) Taking such soil, water and air samples as may be necessary;
(2) Taking other actions related to the investigation of surface or subsurface conditions;
and
(3) Taking response actions necessary to mitigate any threat to human health or the
environment as a contractor for the Division with respect to the North Carolina Dry -
Cleaning Solvent Cleanup Act program.
Other conditions:
(1) H&H shall attempt to perform any activities at the property in a manner that
minimizes interference with use of the Property and that of adjoining private
owners. H&H will provide 72 hour's written notice to the City's Engineering and
Inspections Department, Utility Coordination, P.O. Box 3136, Greensboro, North
Carolina (Tel. [phone]) (Fax. [phone]).
(2) On conclusion of all activities, H&H, to the extent practicable, shall restore the
Property to the original condition it was in prior to any activities conducted by the
Division or its contractors. All monitoring wells will be properly abandoned in
accordance with applicable laws and regulations, unless other arrangements are
agreed to by the Property Owner.
(3) The Division or its contractors shall provide the Property Owner and adjoining
private owners notice prior to entering the Property for any purpose. In situations
that the Division determines to be of an emergency nature the Division or its
contractors shall have immediate access to the Property.
(4) The Property Owner shall not willingly destroy, damage, remove, pave over or
cover any monitoring wells at the site without prior consent of the Division, or its
contractor.

(5) H&H guarantees that the encroachment will neither cause a public nuisance nor
unreasonably interfere with the use of the streets and sidewalks by the public or
public utilities.
(6) H&H hereby agrees to indemnify and save harmless the party of the first part
from any and all damages and claims for damage that may arise by reason of the
encroachment in the street right-of-way, and shall remove any or all of the
structures from encroachment space at the request of the party of the first part,
without any cost to the party of the first part. Such request shall not be arbitrary
or unreasonable. H&H further insures the City that it currently has liability
insurance in the minimum amount of $1,000,000.00 to cover all risks involved
with this authorization and that such insurance will remain in full force and effect
during the activities hereby authorized.
(7) H&H agrees to maintain the encroached upon area in a safe condition.
(8) H&H is responsible for locating any and all utilities (Public and Private) and
structures in the encroachment area and to prevent damage to the same.
(9) The party of the second part, during the construction of the encroachment for
itself, its assignees and successors in interest agrees the contractor, with regard to
the work performed by it during the construction and maintenance of the
authorized testing, shall not discriminate against any protected group, including
the grounds of race, color, creed, gender, religion, age, disability, or national
origin in the selection and retention of subcontractors, including procurements of
materials and leases of equipment.
(10) H&H shall be responsible for all necessary permits and fees, both annual and job
specific, and all permits shall be in the name of H&H or the DSCA Petitioner.
(11) H&H shall also forward to the following named City Department Head all
abandonment records, preliminary and final environmental reports, closure
reports, and Notices and reports from DENR.
Mail to:
Jeryl W. Covington
Director of Environmental Services
City of Greensboro
P.O. Box 3136
Greensboro, NC 27402-3136
Contact Information:
Phone: [phone]
[e-mail]

By:
IN WITNESS WHEREOF, each of the parties to this agreement has caused the same to
be executed in duplicate originals the day and year first above written.
(Corporate Seal)
i�tt;Stli i3ft
ATTESTED 3 "fi G.;',?,ti' •
elk. fit, ,....., 49,-.1s,,, Hart & Hickman, PC
By:
:0;F: .-42),-,. Cv fir''
cr ) 1
<. : t G �...+
By: �' , )
4:92/- cyrt '$ er�k� c i
Recomiffonf'd • r i 'a `,I' . •,;
4itili111),4:3'ts‘
Engineering Director
Approved as to Form:
if(fi
City Attorney
CITY OF GREENSBORO
By:
Ihls In:tumerit has been nr:+audited in the manner ! "' .
ey the Local Government Dudgjet and Fiscal Cone l mt.)
1V l . Z y / .2-/2-'/ / o
Nuance Director
L �t\SZ R.e_!5 �, Ci . \J iv\ez.� �-t- (3-1 c),P- c ,k'...Ck
LINDA G. PLOURDE
NOTARY PUBLIC
GUILFORD COUNTY, NC
v(JUlla ii
2.u1L_

0
PROPOSED WELL LOCATIONS
J L �
REVISION NO. 0
FIGURE NO. 1
O SANITARY SEWER MANHOLE
aniaa Avam
WEST FLORIDA STREET
3Aiao Avam
❑ ❑N.
10
E]
•
VOA

Lovett, Richard
From: Jeffrey 011ison <[e-mail]>
Sent: Thursday, February 17, 2022 9:28 AM
To: Lovett, Richard
Subject: DSCA Program Access for ROW Well Installation
Attachments: DSCA Global Agreement-Greensboro.pdf; Fig 1 - Proposed Well Location.pdf
Hi Richard
I am a contractor for the NC DEQ Dry -Cleaner Solvent Clean Up Act (DSCA) Program. I am hoping to obtain approval to
on behalf of the DSCA Program to install one permanent 2-inch groundwater monitoring well to approximately 30ft in
the City of Greensboro's right-of-way (ROW). The monitoring well will be finished with a flush mounted 2ft by 2ft
concrete well pad in the grassy area adjacent near the intersection of Rockett Street and Luray Drive, the exact location
of the well will be determined based on utility locations identified prior to the well installation.
Please see the previously executed Global Encroachment Agreement (attached) which covers assessment in the City
ROW. A schedule is not yet confirmed for the well installation activities.
Please let me know if you have any questions or concerns.
pkt-
Jeffrey 011ison, Project Environmental Scientist
Hart & Hickman, PC
3921 Sunset Ridge Rd., Ste. 301 • Raleigh, NC 27607
Direct: 919-723-2513 • Mobile: [phone]
www.harthickman.com en
Please consider the environment before printing this e-mail
1