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Home My WebLink AboutWM0401471_Application_20230810 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: July 27,2023 FOR OFFICE USE ONLY 2. County: Gullford PERMIT NO. ISSUED DATE 3. What type of well are you applying for?(monitoring or recovery): Monitoring 4. Applicant: IANXESS Corporation Telephone: 412-809-3590 Applicant's Mailing Address: 111 RIDC Park West Drive, Pittsburgh, PA 15275-112 Applicant's Email Address(if available): john.scrabis@lanxess.com 5. Contact Person(If different than Applicant): Anthony Kellogg-WSP_ Telephone: 716-474-6247 Contact Person's Mailing Address 4021 Stirrup Creek Drive,Suite 100,Durham,NC 27703 _ Contact Person's Email Address(if available). Anthonv.Kellogg(&wsp.com 6. Property Owner(if different than Applicant): Hags—far Greensboro.LLC Telephone: Property Owners Mailing Address: 520 Broome Road,Greensboro,NC 27406 Property Owner's Email Address(if available): 7. Property Physical Address(Including PIN Number) 520 Broome Road:PIN- 7873030812 City Greensboro County Guilford Zip Code 27406 8. Reason for Well(s): Groundwater contamination/assessment (ex: non-discharge permit requirements,suspected contamination,assessment,groundwater contamination,r+emediation,etc.) 9. Type of facility or site for which the well(s)is(are)needed: Manufacturing (ex: non-discharge facility,waste disposal site,landfill,UST,eta) 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). Site is registered in the I SB Registered Environmental Consultant(RECI Pr ram. 11. Type of contaminants being monitored or recovered: Volatile and Semi-volatile organic compounds (ex: organics,nutrients,heavy metals,etc.) 12, Are there any existing wells associated with the proposed well(s)? If yes,how many? Yes.14 _ Existing Monitoring or Recovery Well Construction Permit No(s).: NIA 13. Distance from proposed well(s)to nearest known waste or pollution source(in feet): —10 — 14. Are there any water supply wells located less than 500 feet from the proposed well(s)? No If yes,give distance(s): WA 15. Well Contractor: Parrett-Wolff.Inc. Certification No.: 3371 Well Contractor Address: 501 Millstone Drive Hillsboro 27278 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? Fiush-rnount pad material; 6 with locking well cap or locking stick-up 3. Number of wells to be constructed in bedrock: 1 6. Estimated beginning construction date: 7/17/2-023 4. Total Number of wells to be constructed: 7 (add answers from 2 and 3) 7. Estimated construction completion date: 10 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. 143-215.1013(5), landfills,or other waste disposal areas)within 500 feet of the proposed well or well system. SIGNATURES The App!' t ass es total r ibility for ensuring that the well(s)will be located,constructed,maintained,and abandoned in accordance with 15A NCAC 02C. S' at re of plica t or•Agent Title of Applicant or'Agenh 1 'if signing as Agent, attach authorization agreement stating rt e IM9 �?e✓)S �l 9 g g g Printed name of Applicant or*Agent that you have the authority to act as the Agent. If the property is owned by someone other than the Applicant,the properly owner hereby consents to allow the Applicant to construct wel(s)as outlined in this Well Construction Permit application and acknowledges that it shall be the responsibility of the Applicant to e ur ghat vrell(s)w'll bo located,constructed,maintained, and abandoned in accordance with 15A NCAC 02C. z4 �2--5 - - f �aa Signs re of Property Owner(if d' Brent than Applicant) Printed name of Property Owner(if different than Applicant) �i DIRECTIONS Please send the completed application to the appropriate Dhrision of Water Resources' Regional Office: Asheville Regional Office Raleigh Regional Office Wilmington Regional Office 2090 U.S.Highway 70 3800 Barrett Drive 127 Cardinal Drive Extension Swannanoe,NC 28778 Raleigh, NC 27609 Wilmington, NC 28405 Phone: (828)296-4500 Phone: (919)791-4200 Phone: (910)796-7215 Fax: (828)299-7043 Fax; (919)571-4718 Fax: (910)350-2004 Fayetteville Regional Office Washington Regional Office Winston-Salem Regional Office 225 Green Street,Suite 714 943 Washington Square Mall 450 W.Hanes Mill Road Fayetteville,NC 28301-5094 Washington,NC 27889 Suite 300 Phone: (910)433-3300 Phone: (252)946-6481 Winston-Salem, NC 27105 Fax; (910)486-0707 Fax: (252)975-3716 Phone: (335)776-9800 Fax: (336)776-9797 Mooresville Regional Office 610 East Center Avenue Mooresville,NC 28115 Phone: (704)663-1699 Fax: (704)663-6040 neftn GW-22M1R(Rev.5-26-2022) GZ.✓ 1 f . BRODMERD 1pfrlt 0 t MW-1 f MIS r✓ � �• ow 2� M W 2 R M W-3FL F `s r J5 0� / '�• r9 � M W-g MW-1.1 r ft MW-4 MW-4D MW-5 � IeeF;e 4 W_15 IC -7 MW-12 �� f"r ✓. LL 1��] • i ' 4b k, � �. I ♦' Cn tt\`(dop o _ MW-14 r or _ MW-16 N { � G• l0 J J O N C N U � � N N o Legend Proposed Type II Monitoring Well MW-17 Mw'19 \oG�eeh Proposed Type III Monitoring Well s0�t1� .51 MW-18 • Type II Monitoring Well E L Surface Water Feature a 0 120 240 w y Site Boundary J Feet " - ur• ri, Maxar, � E ,Earth tar � graphi• NE=/Airbu DS,U=DA, - � -,Aer �RID,I�N, nd the �1- er mmunit CLIENT: TITLE: WSP USA Environment & Infrastructure Inc. LANXESS CORPORATION PROPOSED WELL LOCATION MAP FIGURE 4021 Stirrup Creek Drive, Suite 100 Durham, NC 27703 DATE: 7/6/2023 SCALE: 1 "=120' PROJ.: 6228230052 SITE: FORMER LANXESS GREENSBORO PLANT 1 (919) 381-9900 DR: A.Kellogg CHK: J.Smith 520 Broome Road Greensboro, Gilford County, North Carolina Estimated New Well Construction Details and Depths 520 Broome Rd. Greensboro,North Carolina DescriptionSurface isolation Well ID Well Use Well Well/Casing Slot Size Total Depth Casing Screened Interval Sand Pack Well Head Completion Well Pad Aquifer Zone Type ON-SITE WELLS MW-4D Monitoring III 2"PVC-Sch 40 0.01 65 6 50 55 65 Std Pack Flush mount,well tag,lock 2 x 2 Upper Bedrock MW-11 Monitoring II 2"PVC-Sch 40 0.01 20 - - 25 35 Std Pack Flush mount,well tag,lock 2 x 2 Saprolite MW-15 Monitoring II 2"PVC-Sch 40 0.01 20 - 10 - 20 Std Pack Flush mount,well tag,lock 2 x 2 Saprolite MW-16 Monitoring II 2"PVC-Sch 40 0.01 20 - 10 - 20 Std Pack Stickup,lock,well tag 2 x 2 Saprolite MW-17 Monitoring II 2"PVC-Sch 40 0.01 20 - 10 - 20 Std Pack Stickup,lock,well tag 2 x 2 Saprolite MW-18 Monitoring II 2"PVC-Sch 40 0.01 20 - 10 - 20 Std Pack Stickup,lock,well tag 2 x 2 Saprolite MW-19 Monitoring II 2"PVC-Sch 40 0.01 20 10 20 Std Pack Stickup,lock,well tag 2 x 2 Saprolite Notes: in-inches,ft bgs-feet below ground surface Std Pack-Standard packed screen with sand poured/tremmied in annulus to approximately 2 feet above screen with 2 feet bentonite. 1of1 TYPE III MONITORING WELL RECORD " ) Well Development Client LANXESS Corporation,LLC Method Project Number:6229230052 WELL ID: MW-41) Surge Site Location:520 Broome Rd.,Greensboro State: NC Well Location:TBD Date Began:TBD Amount Removed Drill Method:Hollow Stem Anger and Air Rotary Rig e:Truck Rig Log By:TBD TBD Aquifer Type:Bedrock Date Installed:TBD (see Record) Coords: N TBD E TBD Proposed Drill Conftaaor:Parratt Wolff General Notes/Comments: Depth from L.S.(feet) Elevation(ft) Datum(ft)(ft MSL or other) Top of Steel Guard Pipe ft als/bls N/A MP for Surveying and Water Levels Top of Riser Pipe ft als.Nls Land Surface L.S. 0.0 Top of Riser Pipe(ft.Ids) Cement,Bentonite,or Bentonite Slurry Grout Riser Pipe: Grout Data Length(ft) 55 TBD %Water Inside Diameter(ID)(ft) 0.166 TBD %Grout Type of Material PVC TBD %Bentonite TBD Volume(gals) Bottom of6"PVC Outer Casing 50 Method Added Trernie TBD Bent.Chips Vol. Top of Bentonite(ft bls) 51 3/8" Size of Chips Bentonite Seal Thickness(ft) 2 TBD Amt.Water Addedd Top of Sand(ft bls) 53 Top of Screen(ft bls) 55.0 Stabilized Water Level(ft bmol TBD Screen. Length(ft) 10 Inside Diameter(ID)(ft) 0.166 Slot Size(in) 0.01 TypeofMaterial PVC Type/Size of Sand q2 Amt Sand(cu.ft.) TBD Sand Pack Thickness(ft) 12 Method Added: Top pour Bottom of Screen(ft bls) 65 Bottom of Tail Pipe:(ft bls) 65A Bottom of Borehole(ft bls) 65A Borehole Diameter (ft) By Date: Describe Measuring Point(MP): Notes:Measure depths from land surface(Is).El—From MP Elm Approval Date Signature TYPE II MONITORING WELL RECORD " ) Well Development Client LANXESS Corporation,LLC Method WELL ID: MW-11 Project Number:6228230052 Surge Site Location:520 Broome Rd.,Greensboro State: NC Well Location:TBD Date Began:TBD Amount Removed Drill Method:Hollow Stem Auger Rig e:Truck Rig Log By:TBD TBD Aquifer Type:Saprolite IDate Installed:TBD (see Record) Com& N TBD E TBD Proposed Drill Contra or:Parratt Wolff General Notes/Comments: Depth from L.S.(feet) Elevation(ft) Datum(ft)(ft MSL or other) Top of Steel Guard Pipe ft als/bls N/A MP for Surveying and Water Levels Top of Riser Pipe ft als./bls Land Surface L.S. 0.0 Cement,Bentonite,or Bentonite Slurry Grout Riser Pipe: Grout Data Length(it) 21 TBD %Water Inside Diameter(ID)(ft) 0.16 TBD %Grout Type of Material PVC TBD %Bentonite TBD Volume(gals) Method Added Tremic TBD Bent.Chips Vol. Top of Bentonite(ft bls) 21 3/8" Size of Chips Bentonite Seal Thickness(ft) 2 TBD Amt.Water Addedd Top of Sand(ft bla) 23 Top of Screen(ft bls) 25 Stabilized Water Level(ft bmol TBD Screen. Length(ft) 10 Inside Diameter(ID)(ft) 0.16 Slot Size(in) 0.01 Type of Material PVC Type/Size of Sand q2 Amt Sand(cu.ft.) TBD Sand Pack Thickness(it) 12 Method Added: Top pour Bottom of Screen(ft bls) 35 Bottom of Tail Pipe:(ft bls) 35A Bottom of Borehole(it bls) 35A Borehole Diameter (ft) By Date: Describe Measuring Point(MP): Notes:Measure depths from land surface(Is).Elev.From MP Elm Approval Date Signatu e TYPE II MONITORING WELL RECORD " ) Well Development Client LANXESS Corporation,LLC Method Project Number:6229230052 WELL ID: MW-15 through MW-19 Surge Site Location:520 Broome Rd.,Greensboro State: NC Well Location:TBD Date Began:TBD Amount Removed Drill Method:Hollow Stem Anger Rig Type:Truck/Track Rig Lug By:TBD TBD Aquifer Type:Saprolite Date Installed:TBD (see Record) Coords: N TBD E TBD Proposed Drill Contractor:Parratt Wolff General Notes/Comments: Depth from L.S.(feet) Elevation(ft) Datum(ft)If,MSL or other) Top of Steel Guard Pipe ft als/bls N/A MP for Surveying and Water Levels Top of Riser Pipe ft als./bls Land Sorface L.S. 0.0 Cement,Bentonite,or Bentonite Slurry Grout Riser Pipe: Grout Data Length(it) 10 TBD %Water Inside Diameter(ID)(ft) 0.16 TBD %Grout Type of Material PVC TBD %Bentonite TBD Volume(gals) Method Added Tremic TBD Bent.Chips Vol. Top of Bentonite(ft bls) 6 3/8" Size of Chips Bentonite Seal Thickness(ft) 2 TBD Amt.Water Addedd Top of Sand(ft bla) 8 Top of Screen(ft bls) 10 Stabilized Water Level(ft bmol TBD Screen. Length(ft) 10 Inside Diameter(ID)(ft) 0.16 Slot Size(in) 0.01 Type of Material PVC Type/Size of Sand q2 Amt Sand(cu.ft.) TBD Sand Pack Thickness(it) 12 Method Added: Top pour Bottom of Screen(ft bls) 20 Bottom of Tail Pipe:(ft bls) 2044 Bottom of Borehole(it bls) 2044 Borehole Diameter (ft) By Date: Describe Measuring Point(MP): Notes:Measure depths from land surface(Is).Elev.From MP Elm Approval Date Signatu e