WM0100293_Complete - Historical File_20190326

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VERIFICATION OF COMPLIANCE WITH
- ENVIRONMENTAL REGULATIONS
(Check Appropriate Box)
Permits from the N.C.Department of Environment and Natural Resources and the
U.S. Army Corp of Engineers are not required for this project. However, all applicable
federal and state regulations have been followed.
The required permits from the N.C.Department of Environment and Natural Resources
and the U.S.Army Corp of Engineers have been obtained for this project. Copies of
permits and Completion Certificates are attached.
0 All applicable NPDES Stormwater Permit requirements have been met for this project.
(The applicant should contact the N.C.'Division of Water Quality in Raleigh to determine
if a stormwater permit is required.)
The project is in compliance with all applicable sedimentation and erosion control laws
and regulations.
Project Name: 1339 Newland Highway
Township: Newland County: Avery
Project Engineer: Tom Krasovec Phone No.: 989-292-4245
Project Contact: Tom Krasovec
Applicant's Name: P.E. SEAL
Date Submitted: 2/23/2012
Fonn VCER-1
June 1,2006

PROPOSED WELL CONSTRUCTION INFORMATION (Continued)
2. Number of wells to be constructed in unconsolidated 5. How will the well(s)be secured? Locked Pro
material: 0 covers
3. Number of wells to be constructed in bedrock: 3 6. Estimated beginning construction date: as soon as
possTble and
4. Total Number of wells to be constructed: 3 7. Estimated construction completion date:a weed ter
(add answers from 2 and 3)
starting
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 groundwatercontamination(such as septic tank systems,pesticide,chemical or fuel
storage areas,animal feedlots as defined in G.S. 143-216.10B(5),landfills,or other waste disposal areas)within 500 feet
of the proposed well or well system.
SIGNATURES
The Applicant her y agrees that the proposed well(s)will be constructed in accordance with approved specifications and conditions of
this Well Const ion Permit as d under the Well Construction Standards(Title 15A of the North Carolina Administrative Code,
u pter 2C)and accepts full responsibility for compliance with these rules
President, VEC Engineering
Signature of Applicant or*Agent Title of Applicant or*Agent
Thomas J. Krasovec *If signing as Agent,attach authorization agreement stating
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 property owner hereby consents to allow the applicant to construct
wells a outlined in this Well.Construction Permit application and that it shall be the responsibility of the applicant to ensure that the
w II s)c for t e Well Construction Standards(Title 15A of the North Carolina Administrative Code,Subchapter 2C).
Chris Philipp
Signature of Property OwnerjV different than Applicant) Printed name of Property Owner(if different than Applicant)
DIRECTIONS
Please send the completed application to the appropriate Division of Water Quality's Aquifer Protection Section Regional Office:
Asheville Regional Office Raleigh Regional Office Wilmington Regional Office
2090 U.S.Highway 70 3800 Barrett Drive 127 Cardinal Drive Extension
Swannanoa,NC 28778 Raleigh,NC 27609 Wilmington, NC 28405
Phone: [phone] Phone: [phone] Phone: [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
Fayetteville Regional Office Washington Regional Office Winston-Salem Regional Office
225 Green Street,Suite 714 943 Washington Square Mall 585 Waughtown Street
Fayetteville,NC 28301-5094 Washington,NC 27889 Winston-Salem,NC 27107
Phone: [phone] Phone: [phone] Phone: [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
Mooresville Office Regional t
g�
610 East Center Avenue
Mooresville,NC 28115 l Phone: [phone]
Fax: [phone]
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GW-22MR(Rev.7/11)

Pam- f�3 5 �-2-
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT& NATURAL RESOURCES
DIVISION OF WATER QUALITY—AQUIFER PROTECTION SECTION
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: 2/2 3/2 012 FOR OFFICE USE ONLY
2. County: Avery PERMIT NO. ISSUED DATE
3. What type of well are you applying for?(monitoring or recovery): Monitoring Wells
4. Applicant: Thomas J. Krasovec Telephone: [phone]
Applicant's Mailing Address: 1225 West Parks Road
Applicant's Email Address(if available): tjkveceng@aol .com
5. Contact Person(if different than Applicant): Telephone:
Contact Person's Mailing Address:
Contact Person's Email Address(if ava1lable):Hn17gPhr)1 r3 Mnri-gagP
6. Property Owner(if different than Applicant): Funding Telephone: [phone] G
Property Owner's Mailing Address: 2.6525 N. Riverwoods Blvd. G
Property Owner's Email Address(if available):
7. Property Physical Address(including zip code)and PIN Number 1339 Newland Highway (Route 181)
8. Reason forWell(s): Suspected Contamination/Assessment
(ex: non-discharge permit requirements,suspected contamination,assessment,groundwater contamination,remediation, etc.) ►\J/�.,J
9. Type of facility or site for which the well is(are)needed: Res identai 1
(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: Pesticides
(ex: organics,nutrients, heavy metals,etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? One on site water well
Existing Monitoring or Recovery Well Construction Permit No(s).: unknown old well
13. Distance from proposed well(s)to nearest known waste or pollution source(in feet): approximately 30 feet
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? yes on site well
If yes,givedistance(s): Approximatley 25 feet
15. Well Contractor: Unknown probably installed Certification No.:
Well Contractor Address: in the 1970s or earlier
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

�i
NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY—AQUIFER PROTECTION SECTION
PERMIT FOR THE CONSTRUCTION OF MONITORING WELL(S)
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
Household Mortgage & Funding Corp.
FOR THE CONSTRUCTION OF A MONITORING WELL SYSTEM consisting of three wells owned by Household
Mortgage & Funding Corp., 636 Grand Regency Blvd., Brandon, FL 33511. The wells will be located on the property
owned by Household Mortgage & Funding Corp, located on Newland Highway, Linville, NC in Avery County (PIN #
183502892204). This Permit is issued in accordance with the application received on May 11, 2012 in conformity with
specifications and supporting data, all of which are filed with the Department of Environment and Natural Resources 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 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. You are required to provide a copy of this permit to the property owner(s).
5. You are required to provide notification to the property owner upon well completion and upon
termination of monitoring.
6. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C .0108(o).
7. The monitoring well shall be maintained in accordance with 15A NCAC 2C .0108.
8. 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.
9. 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 and the property owner within 30 days of the well abandonment.
Permit issued the 14''day of May,2012
FOR THE NORTH CAROLI,DMA-L�19AilY NATAL MANAGEMENT COMMISSION
Landon Davidson,Regional Supervisor
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. #V M0100293
Revised July 2011

/4
I
WDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild,P.E. Dee Freeman
Governor Director Secretary
May 14, 2012
HSBC Finance Corp.
Attn: Chris Philipp
26525 North Riverwoods Blvd.
Mettawa, IL 60045
Subject: Well Construction Permit WM0100293
Household Mortgage 8t Funding Corp. Property
1339 Newland Highway, Linville, Avery County, North Carolina
PIN#: 183502892204
Dear Mr. Philipp,
In accordance with the application submitted on your behalf by Thomas J. Krasovec on May 11, 2012, we
are forwarding herewith Well Construction Permit numbered WM0100293 dated May 14, 2012, issued for
the construction of three monitoring wells as described in the application and attached permit. These
monitoring wells will be drilled on property owned by Household Funding Et Mortgage Corp. (PIN#
183502892204).
This permit will be effective from the date of issuance and shall be subject to the conditions and
limitations as specified therein. A Well Construction Record (GW-1 b) shall be completed and signed by the
certified drilling contractor for each well. These forms shall be submitted to the Department upon
completion of each well. Please note the attached permit conditions.
Sincerely,
G. Landon Davidson, L.G.
Aquifer Protection Section Regional Supervisor
Asheville Regional Office
cc: ARO/file
ec: Thomas J. Krasovec
North Carolina Division of Water Quality—Asheville Regional Office One
2090 U.S.Highway 70, Swannanoa,N.C. 28778 Phone[phone] FAX [phone] NOrthCa.rolina
Customer Service I-877-623-6748 Internet: h2o.enr.state.nc.us Naturally
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An Equal Opportunity/Affirmative Action Employer [