HomeMy WebLinkAboutWM0501588_Final Permit_20231017DocuSign Envelope ID: 1EE5137B-F112-4038-A6BC-DA020131OF41
ROY COOPER Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR. NORTH CAROLINA
Director Environmental Quality
October 17, 2023
Mr. Justin Brown
Trinsic Acquisition Company, LLC
322 E. Chapel Hill Street, Suite 206
Durham, NC 27701
Sent Via Email
Subject: Monitoring Well Construction
Permit # WM0501588
Proposed Aura Hilltop Site
Corner Durham Road and Capital Blvd.
Wake Forest, NC 27587 —Wake County
Mr. Brown:
In accordance with the application received on October 13, 2023, we are forwarding herewith Monitoring
Well Construction Permit No. WM0501588 dated October 17, 2023, issued for the construction of a
monitoring well system (installation of two wells). Please be aware that some counties have well
construction programs. and you may be reauired to obtain a well construction permit before
installation.
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 the addition of stipulation #3 to the permit enclosed. If you
have any questions about this permit, please contact Michael Hall at (919) 791-4237 or via email at
michael.hall@deg.nc.gov.
Sincerely,
DocuSigned by:
Uou� t.SSu f.
B2916E6AB32144F...
Vanessa E. Manuel, Assistant Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Enclosure
-Permit
-Application Package
Ec: Samantha Szakasits, ECS Southeast, LLP
Laserfiche
D E Q ,fJ North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1611 Mail Service Center I Raleigh, North Carolina 27699-1611
NORTH CAROLINA (J1(�.'�O'�.(�OQO
Department of Emlmnmenfal Duali�
DocuSign Envelope ID: 1EE5137B-F112-4038-A6BC-DA020131OF41
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT FOR THE CONSTRUCTION OF A MONITORING WELL
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
Trinsic Acquisition Company, LLC
FOR THE CONSTRUCTION OF A MONITORING WELL SYSTEM consisting of two monitoring wells owned by Trinsic
Acquisition Company, LLC at mailing address 322 Chapel Hill Street, Suite 206, Durham, NC 27701. The wells will be located
on the property owned by Druly LP, at the corner of Durham Road and Capital Blvd. This Permit is issued in accordance
with the application received on October 13, 2023, 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 of any other applicable law or
regulation. 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 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. Issuance of this Permit does not obligate reimbursement from State trust funds, if these wells are being
installed as part of an investigation for contamination from an underground storage tank or dry cleaner
incident.
2. Issuance of this Permit does not supersede any other agreement, permit, or requirement issued by
another agency.
3. The well(s) shall be located and constructed as shown on the attachments submitted as part of the Permit
application.
4. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C .0108(o).
5. 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.
6. 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 Quality's
Information Processing Unit within 30 days of the well abandonment.
7. If the well penetrates any water -bearing zone that contains contaminated waters, the upper three feet of
the well shall be grouted within one day after the casing is set or the well abandoned.
ocuSigned by:
E�D
a -E.
2916E6AB32144F...
Vanessa E. Manuel, Assistant Regional Supervisor
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number: WM0501588
Permit Issued: October 17, 2023
D E Q �J North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1611 Mail Service Center I Raleigh, North Carolina 27699-1611
NORrH CAROLINA �/ 919.707.9000
oepanmem or environmental auaii
DocuSign Envelope ID: 1EE5137B-F112-4038-A6BC-DA020131OF41
IYVR I n VNRVLIIYN UCrNR I IVIE-m I yr CIY V IR..►IJMENTAL 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: 10/6/2023
2. County: Wake
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE
3. What type of well are you applying for? (monitoring or recovery): Monitoring
4. Applicant: Trinsic Acquisition Company, LLC — Mr. Justin Brown Telephone: 919-417-3051
Applicant's Mailing Address: 322 E. Chapel Hill Street, Suite 206, Durham, NC 27701
Applicant's Email Address (if available): JBrown (aDtrinsicres.com
5. Contact Person (if different than Applicant): ECS Southeast, LLP — Samantha M. Szakasits Telephone: 919-616-2679
Contact Person's Mailing Address: 6714 Netherlands Drive, Wilmington, NC 28405
Contact Person's Email Address (if available): sszakasits(a)ecslimited.com
6. Property Owner (if different than Applicant): Duly LP and Josephine B Totten Telephone:
Property Owner's Mailing Address: 108 Governors Point Blvd, Hendersonville, TN 37075-4064
Property Owner's Email Address (if available):
7. Property Physical Address (Including PIN Number): Durham Rd & Capital Blvd (PINs 1831810593, 1831819570, 1831707299, &
1830692937)
City Wake Forest County Wake Zip Code 27587
8. Reason for Well(s): Assessment
(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 Filling/Gasoline Station
(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).
No
11. Type of contaminants being monitored or recovered: VOCs, SVOCs, and EPH/VPH
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? No
Existing Monitoring or Recovery Well Construction Permit No(s).: No
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): Approximately 940 feet West
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: Quantex, Inc. Certification No.: 3106-A
Well Contractor Address: PO Box 1388, Wendell, NC 27591
PROPOSED WELL CONSTRUCTION INFORMATION
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
DocuSign Envelope ID: 1EE5137B-F112-4038-A6BC-DA020131OF41
PROPOSED WELL CONSTRUCTION INFORMATION (Continued)
2. Number of wells to be constructed in unconsolidated
material: 2
3. Number of wells to be constructed in bedrock: 0
5. How will the well(s) be secured? Not Applicable —
temporary monitoring wells to abandoned upon complete
6. Estimated beginning construction date: TBD
4. Total Number of wells to be constructed: 2 7. Estimated construction completion date: TBD
(add answers from 2 and 3) (within 96 hours of installation)
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 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
Si na re of Applicant or *Agent
Justin Brown
Printed name of Applicant or *Agent
Director of Development
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
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 Druly LP and Josephine B Totten
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
Raleigh Regional Office
Swannanoa, NC 28778
3800 Barrett Drive
Wilmington Regional Office
Phone: (828) 296-4500
Raleigh, NC 27609
127 Cardinal Drive Extension
Fax: (828) 299-7043
Phone: (919) 791-4200
Wilmington, NC 28405
Fax: (919) 571-4718
Phone: (910) 796-7215
Fayetteville Regional Office
Fax: (910) 350-2004
225 Green Street, Suite 714
Washington Regional Office
Fayetteville, NC 28301-5094
943 Washington Square Mall
Winston-Salem Regional Office
Phone: (910) 433-3300
Washington, NC 27889
450 W. Hanes Mill Road, Suite 300
Fax: (910) 486-0707
Phone: (252) 946-6481
Winston-Salem, NC 27105
Mooresville Regional Office
610 East Center Avenue
Mooresville, NC 28115
Phone: (704) 663-1699
Fax: (704) 663-6040
MR Rev. 3-1-2016
DocuSign Envelope ID: 1EE5137B-F112-4038-A6BC-DA0201310F41
MEECS SOUTH EAST, L LP "Setting the Standard for Service"
� EIWWWWp FM F-1016
yeotechnical • Construction Materials - Environmental • Facilities K nd O-kooft Fw% C-W
9C R,.,w %d F_ApP+L WM F+rm U"
PROPERTY OWNER AUMID 1 ATION
Prayraaal No`: 494W19P
Proms Proposed Aura Hilltop Site
LoOOM: Durham Road and Capital Boulevard
Wake Forest, Wake County, North Carolina
KN(s): 1831S10593,1831819570, uo17mw, and 183002937
As part of the proposed real estate transaction, ECS Southeast, LLP (ECS) has been requested by the
purchaser to conduct due diligence tasks Including soil and groundwater sampling at the site. The
groundwater sampling requires that ECS procure a permit from the North Carolina Department of
ErMmnmenul Quality (NCDEQ).
ECS rasp truiiy requests that the owners of two respective properties grant permission to ECS to access
the properties to conduct the above referenced tasks. By signing below, the property owner authorizes
ECS to conduct the aforementioned sampling at the site.
properLy owner (pfease print):
Property owner Signature:
Wr 'r
ECS CaP11011 Savir-*%.
PLL - ECS FlLll da- LL6 ECS i4ld-Atla LLC i ECS LL.0 0 GCS ftnt LLP * ECS O4WhA eV-
4yyytiy.ecEAMbd ODM
DocuSign Envelope ID: 1 EE5137B-F112-4038-A6BC-DA0201310F41
FA
�ILA%AJM AWL
z
Salrtltienrerl7 �I
Scminary Crrnde
.• _ � 4
4 � I
' S q
r-
s,.
SITE
LF
21
AV{ .+•.
r' x
r~
by
� r
ev
�J:Y ' 41 L4h'ra Guflrt NY �ly i14 _
all
9 To
• u
• � ; � ,ram'' _•] � a
SOURCE: FIGURE 1
USGS TOPOGRAPHIC MAP w �5 E SITE TOPOGRAPHIC MAP
7.5 — MINUTE SERIES s
WAKE FOREST, NC Proposed Aura Hilltop Site
DATED 2019 Durham Road and Capital Boulevard
Wake Forest, Wake County, North Carolina
SCALE: 1 : 24,000
CONTOUR INTERVAL = 10' ECS Project Number: 49:20862-B
Envelope ID: 1EE5137B-F112-4038-A6BC-DA020131OF41
T h y
140
A
i
i
Assumed Former
UST Basin Location
SOURCE:
Google Earth Imagery
Dated 2023
APPROXIMATE SCALE:
30 FEET
1,.4 r
1
•
LEGEND
40 Proposed Temporary Monitoring Well Location
FIGURE 2
PROPOSED SAMPLE LOCATION MAP
Proposed Aura Hilltop Site
Durham Road and Capital Boulevard
Wake Forest, Wake County, North Carolina
ECS Project Number: 49:20862-B
s
DocuSign Envelope ID: 1 EE513713-1`112-4038-A6BC-DA020131OF41
APPROX.
500 FOOT k ,
RADIUS _� Mowl
� rr
SITE PARCEL
BOUNDARY
t
di P
Y.
#A #
{ i
a r
{ 4F *■ +
�ml
98
a � �
r�
NO WATER SUPPLY WELLS OR POTENTIAL SOURCES
OF CONTAMINATION ARE KNOWN TO EXIST OTHER
THAN ILLUSTRATED ABOVE.
■ i
SOURCE: FIGURE 3
NCDEQ E POTENTIAL SOURCES MAP
DWM SITE LOCATOR TOOL s
Proposed Aura Hilltop Site
APPROXIMATE SCALE: Durham Road and Capital Boulevard
Wake Forest, Wake County, North Carolina
= 300 FEET
ECS Project Number: 49:20862-B
DocuSign Envelope ID: 1EE5137B-F112-4038-A6BC-DA0201310F41
GROUND TOP OF DIRECT PUSH STEEL
ci iRrnrF RODS ABOVE THE LAND
SURFACE
ESTIMATED
—25' FEET
1.5-INCH STEEL DIRE
NATURAL FORMATION
PUSH RISER
BACKFILL
2--INCH BORE
HOLE
GROUNDWATER
SLOTTED STEEL S
0.01-INCH SLOT W
SET TO INTERSECT GROI
ESTIMATED 4 FEET IN
WELL CONSTRUCTION DI
REPRESENTATIVE OF DIRECT
DAVIT CAMDI M
CT
CREEN
IDTHS
JNDWATER
LENGTH
AGRAM IS
PUSH SCREEN
2
FIGURE 4
PROPOSED TEMP SCREEN POINT SAMPLER
Proposed Aura Hilltop Site
NOT TO SCALE Durham Road and Capital Boulevard
Wake Forest, Wake County, North Carolina
:0
ECS Project Number: 49:20862-B