WM0501366_Final Permit_20190724 (2)

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
Metro Food Mart
2270 N Garnett Street
Henderson, NC 27536
NORTH CAROLINA
Environmental Quality
July 24, 2019
Subject: Monitoring Well Construction
Permit # WM0501366
Metro Food Mart
Henderson, NC
To whom it may concern:
In accordance with the application received on July 22, 2019, we are forwarding herewith
Monitoring Well Construction Permit No. WM0501366 dated July 24, 2019, issued for the
construction of a monitor well system (installation of one monitoring well) at the subject
property. Please be aware that some counties have well construction programs, and yo
may be required 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.
Sincerely,
;CtBolich, L.G.
Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
Enclosure
cc: RRO Files
Vance County Health Department
DE � North Carolina Department of Environmental Quality I Division of Water Resources
N i CARCLItQl
... Raleigh Regional Office 1 3800 Barrett Drive I Raleigh, North Carolina 27609
rlmem oT nvNonmentM uuru y� 919.791,4200

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
Metro Food Mart
FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM (Metro Food Mart) consisting of a monitoring well
system (one (1) Type II monitoring well) owned by Metro Food Mart at mailing address 2270 N Garnett Street,
Henderson, NC 27537. The monitoring well will be located at 2270 N Garnett Street, Henderson, NC 27537 (PIN
0030 02005A). This Permit is issued in accordance with the application received on July 22, 2019 which is 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 Resource'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 Resource'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.
8. Temporary wells must be permanently abandoned or converted to a permanent well within seven days (168
hours) of the completion of drilling of the borehole.
Permit issued the 24 h of July 2019
FOR THE NORTH CAROLINA ENVIRO MENTAL MANAGEMENT COMMISSION
Rick Bolich, L.G., Assistant Regional Supervisor
Division of Water Resources
By Authority of the Environmental Management Commission
Permit No. WM0501366
DE North Carolina Department of Environmental Quality I Division of Water Resources
4NORT�HGARCiU.,
Raleigh Regional Office 1 3800 Barrett Drive I Raleigh, North Carolina 27609
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