NCD980602163_20040219_Warren County PCB Landfill_SERB C_Off-Site Monitoring Wells-OCR

North Carolina Department of Environment and Natural Resources
Dexter R. Matthews, Director
February 19, 2004
Mrs. Elizabeth Davis
240 Seminole Dr.
Chapel Hill, NC 27514
Dear Mrs. Davis:
Division of Waste Management Michael F. Easley, Governor
William G. Ross Jr., Secretary
Larry Rose of the Solid Waste Section contacted me concerning your phone discussion last week. As a response to that I am sending
this letter with a copy of the lease agreement and other documents that I have previously sent.
The monitoring well on what was then your parent's property was installed as part of a site investigation of the PCB Landfill. The
state was working with concerned community members through the Joint State PCB Landfill Working Group. This group also
included independent science advisors selected by the community. Four locations were selected by the advisors to represent
background groundwater conditions, i.e. groundwater that was outside of the influences of the landfill. Data from other monitoring
wells could then be compared to the background to determine if there were any effects on groundwater due to the landfill.
The well on your parent's property, designated OSW-1, was not sampled during the investigation because after the well was installed
the advisors found a source of potential contamination near the well. There was an adjacent area in the woods where they found a TV
set and a number of other appliances and small items that had been discarded. Although it was not sampled in the site investigation, I
thought it important to sample and provide the results before asking whether you wanted the well removed. I provided that
information in the letter dated October 28, 2002. Please note that no PCBs were found in the well on your property and no PCBs have
been found in the any of the monitoring wells on or off of the PCB landfill site.
I hope this will answer your questions. I will be leaving state employment on February 27, however, if you need further information,
you may call Mike Kelly at [phone].
Sincerely,
Patricia M. Backus, P.E.
PCB Landfill Project Manager
Attachments
CC: Mike Kelly, DENR-DEH (cover only)
Larry Rose (cover only)
1646 Mail Service Center, Rale igh, North Carolina 27699-1646
Phone [phone] \ FAX [phone] \ Internet http ://wastenotnc.org
An Equal Opportunity/ Affirmative Action Employer -Printed on Dual Purpose Recycied Paper
SENDER: COMPLETE THIS SECTION' ' ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name arid address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on1the front if space permits. · I 1. Article! Addressed to: MA.~-,,:~(,c-0. ~J;S . " 2..'4 O .Se.Ai ,Jolt-~jJ.c.... c,~tl ll:U J ~c.. 2.1SI~ 3. Service Type 0 Certified Mail D Registered D Insured Mail D Express Mail D Yes 0 No D Return Receipt for Merchandise oc.o.o. 4. Restricted Delivery? (Extra Fee) D Yes 2. Article Number (Transfe[ from service labe,/)1 7001 2510 0009 3878 2270 1 PS Form 3811 , March 2001 Domestic Return Receipt 102595-01-M-142•
,-
··~ .UJ·· --" ·-· ---NCDENR
North Carolina Department of Environment and Natural -Resources
Dexter R. Matthews, Director Division of Waste Management Michael F. Easley, Governor
William G. Ross Jr., Secretary
January 27, 2004
Mrs. Elizabeth Davis
240 Seminole Dr.
Chapel Hill, NC 27514
Dear Mrs. Davis:
In October of 2002 I sent you the attached letter concerning the monitoring well that was installed on your
parent's property in 1997 as part of an assessment of the Warren County PCB Landfill. I provided several
documents concerning the well included the lease agreement which ended in 2000. The lease agreement stated
that at the end of the lease you would have the option to operate the well at your expense or request that the well
be abandoned at the state's expense. I asked that provide you decision to me by December 1, 2002.
It has been well over a year since the reply date. Therefore, I am assuming that you want to ke~p the well
intact. The key to the well lock is enclosed.
Sincerely,
Patricia M. Backus, P.E.
PCB Landfill Project Manager
Attachment
CC: Mike Kelly, DENR-DEH
1646 Mail Service Center, Raleigh, North Caroli na 27699-1646
Phone [phone] \ FAX [phone] \ Internet http://wastenotnc.org
An Equal Opportunity/ Affirmative Action Employer -Printed on Dual Purpose Recyc,ed Paper
I •
. , ... ----
North Carolina
Department of Environment and Natural Resources
Division of Waste Management
.,. .... ~ ~--------~ n ,,,;,,,.. ___ _
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Dexter R Matthews, Director MCDEMR
October 28, 2002
Mrs. Elizabeth Davis
240 Seminole Dr.
Chapel Hill, NC 27514
Dear Mrs. Davis:
I am contacting you concerning the monitoring well that was installed by the State of North
Carolina on your parent's property in 1997. The installation of the well was part of a three-year
lease agreement between your deceased parents and the state. Its purpose was to provide water
quality data as part of an environmental assessment of the Warren County PCB Landfill. The
agreement stated that at the end of the lease you would have the option to operate the well at
your expense or request that the well be closed at the state's expense. The lease ended in 2000
and I am contacting you to determine how you would like us to proceed.
In June of this year, staff from the Division of Waste Management collected a sample of the well
and sent it to the State Laboratory to determine the PCB content. The result was less than 0.0001
parts per million PCBs, which is the lowest amount the analytical method will detect. For
comparison, the maximum contaminant level for PCB in drinking water set by the U.S.
Environmental Protection Agency is 0.0005 parts per million. Below is other information about
the well .
Date Drilled:
Total Well Depth =
Well Material of
Construction =
5oMERV/U.£
Well Information -~ Property
2-13-1997 Diameter of Casing =
42.0 feet Well Designation:
PCB Content (2002)=
Stainless Steel
To help in your decision I have attached the following for your reference:
(I) the Lease Agreement with the State of North Carolina,
(2) the application for the permit to construct the well on your site,
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: [phone] \ FAX: [phone] \ Internet: www.enr.state.nc.us
4 inches
OSW-1
<0.0001 ppm
AN EQUAL OPPORTUNITY\ AFFIRMATIVE ACTION EMPLOYER -50% RECYCLED/ 10% POST CONSUMER PAPER
. .
.-u• vavis
... 6 e 2
October 28, 2002
(3) the Well Construction Record,
( 4) the analytical test result from the State Laboratory,
(5) a brochure concerning well abandonment, and
(6) a response form to indicate your decision.
Please indicate your decision on the response form and send back to me in the enclosed envelope
by December I, 2002. Based on your decision, I will either provide you the keys to the lock -on
the well or make arrangement for the abandonment of the well. If you have any questions,
please call me at [phone] ext. 308.
Sincerely,
Patricia M. Backus, P.E .. )
PCB Landfill Project Manager
Attachments: (6)
cc (cover only): Mike Kelly, DENR-DEH
Warren County PCB Community Advisory Board
1646 Mail Service_~enter,_Raleigh, North Carolina 27699-1646
Phone: [phone]% \ FAX: [phone] \ Internet: www.eru.state.nc.us
AN EQUAL OPPORTUNITY\ AFFIRMATIVE ACTION EMPLOYER -50% RECYCLED/ 10% POST CONSUMER PAPER
I I SENDER: C'rJMPLEi'E THIS SECTION ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print yt°ur name and address on the reverse so thaf we can return the card to you. ■ AttacH this card to the back of the mailpiece, or on the front if space permits. , 1. Article Addressed to: G lc.h ~ 1). A lsfoAl '(" GlotJ..;A .:f .7'l(~1o,j ~1t '-I, t~ 42.'f ~t\P.1UJ fo.J I J l.. l. '15'if I D: Is delivery address different from item 1 ? If YES, enter delivery address below: 3. Service Type □ Certified Mail 0 Registered 0 Insured Mail 0 Express Mail 0 Return Receipt for Merchandise 0 C.0.D. 4. Restricted Delivery? (Extra Fee) □ Yes 2 .. Article ~umber (Transfe[!fro!" ~ryiq 7001 2510 0009 3878 2263 , I PS Fa.rm 3811, March 2001 Domestic Return Receipt 102595-01 •M• 1424
A~
NCDENR
North Carolina Department of Environment and Natural Resources
Dexter R. Matthews, Director Division of Waste Management Michael F. Easley, Governor
William G. Ross Jr., Secretary
January 27, 2004
Mr. Glenn D. Alston and Ms. Gloria J. Alston
Route 4, Box 429
Warrenton, NC 27589
Dear Mr. and Ms. Alston:
In October of 2002 I sent you the attached letter concerning the monitoring well that was installed on your
parent's property in 1997 as part of an assessment of the Warren County PCB Landfill. I provided several
documents concerning the well included the lease agreement which ended in 2000. The lease agreement stated
that at the end of the lease you would have the option to operate the well at your expense or request that the well
be abandoned at the state's expense. I asked that provide you decision to me by December 1, 2002.
It has been well over a year since the reply date. Therefore, I am assuming that you want to keep the well
intact. The key to the well lock is enclosed.
Sincerely,
Patricia M. Backus, P.E.
PCB Landfill Project Manager
Attachment
CC: Mike Kelly, DENR-DEH
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone [phone] \ FAX [phone] \ Internet http://wastenotnc .org
An Equal Opportunity I Affirmafr,e Action Employer - Printed on Dual Purpose Recycied Paper
C
North Carolina
Department of E1;wironment and Natural Resources
;
Division of Waste Management
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Dexter R. Matthews, Director
October 28, 2002
Mr. Glenn D. Alston and Ms. Gloria J. Alston
Route 4, Box 429
Warrenton, NC 27589
Dear Mr. and Ms. Alston:
I am contacting you concerning the monitoring well that was installed by the State of North
Carolina on your property in 1997. The installation of the well was part of a three-year lease
agreement between you and the state. Its purpose was to provide water quality data as part of an
environmental assessment of the Warren County PCB Landfill. The agreement stated that at the
end of the lease you would have the option to operate the well at your expense or request· that the
well be closed at the state's expense. The lease ended in 2000 and I am contacting you to
determine how you would like us to proceed.
In June of this year, staff from the Division of Waste Management collected a sample of the well
and sent it to the State Laboratory to determine the PCB content. The result was less than 0.0001
parts per million PCBs, which is the lowest amount the analytical method will detect. This was
the same result as was found when the well was originally sampled in 1997. For comparison, the
maximum contaminant level for PCB in drinking water set by the U.S. Environmental Protection
Agency is 0.0005 parts per million. Below is other information about the well.
AL-57?:JN
Well Information -~ Property
Date Drilled : 2-17-1997 Diameter of Casing =
Total Well Depth = 43 .5 feet Well Designation:
PCB Content (I 997) = <0 .0001 ppm PCB Content (2002)=
Well Material of Construction : Stainless Steel
To help in your decision I_ have attached the following for your reference:
(I) the Lease Agreement with the State of North Carolina,
(2) the application for the permit to construct the well on your site,
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: [phone] \ FAX: [phone] \ Internet: www.enr.state.nc.us
4 inches
OSW-2
<0.0001 ppm
AN EQUAL OPPORTUNIIT \ AFFIRMATIVE A en ON EMPLOYER -50% RECYCLED/ 10% POST CONSUMER PAPER
J6. Glen D. AJston and Ms Gloria J. AJston
Page 2
October 28, 2002
(3) the Well Construction Record,
(4) the analytical test result from the State Laboratory,
(5) a brochure concerning well abandonment, and
(6) a response form to indicate your decision.
Please indicate your decision on the response form and send back to me in the enclosed envelope
by December I, 2002. Based on your decision, I will either provide you the keys to the lock on
the well or make arrangement for the abandonment of the well. If you have any questions,
please call me at [phone] ext. 308.
Sincerely,
Patricia M. Backus, P.E.;
PCB Landfill Project Manager
Attachments: (6)
cc (cover only): Mike Kelly, DENR-DEH
Warren County PCB Community Advisory Board
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: 919•733-4996 \ FAX: [phone] \ Internet: www.enr.state.nc.us
AN EQUAL OPPORTUNITY\ AFFIRMATIVE ACTION EMPLOYER -50% RECYCLED/ 10% POST CONSUMER PAPER
To: Patricia M. Backus
PCB Landfill Project
NC DENR -Division of Waste Management
1646 Mail Service Center
Raleigh, NC 27699-1646
Subject :Monitoring Well on Lucious O'Neal Property
Key D-e.( l vevc..d
In response to your letter of October 28, 2002, concerning my lease agreement with the State of
North Carolina on February 21 , 1997, l an1 requesting the state do the following as indicated by my
initials.
__ I request that the state, at its expense, abandon the monitoring well it placed on my property
in a safe and sanitary manner as prescribed by the Division of Water Quality. Please inform me when you
made arrangements to do so.
L {);/" I request that the state not close the well. I wish to keep the well. Please provide me the key
to the 1C the well head at your earliest convenience.
s;gned •~~ Lucious O'Neal,Jr.
Date: /( -J.f ---0 %,
To: Patricia M. Backus
PCB Landfill Project
NC DENR -Division of Waste Management
1646 Mail Service Center
Raleigh, NC 27699-1646
Subject :Monitoring Well on Annie Davis Property
In response to your lelter of October 28, 2002, concerning my lease agreement with the State of
North Carolina on Febmary 12, 1997, I am requesting the state do the following as indicated by my initials.
__ I request that the state, at its expense, abandon the monitoring well it placed on my property
in a safe and sanitary manner as prescribed by the Division of Water Quality. Please inform me when you
made arrangements to do so.
__ I request that the state not close the well. I wish to keep the well. Please provide me the key
to the lock on the well head at your earliest convenience.
Signed •~~
Date:
Annie Davis
if /4 /42.
I
North Carolina
Department of Environment and Natural Resources
Division of Waste Management
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Dexter R. Matthews, Director
October 28, 2002
Mrs. Annie Davis
Route 2, Box 236AA
Warrenton, NC 27589
Dear Mrs. Davis:
I am contacting you concerning the monitoring well that was installed by the State of North
Carolina on your property in 1997. The installation of the well was part of a three-year lease
agreement between you and the state. Its purpose was to provide water quality data as part of an
environmental assessment of the Warren County PCB Landfill. The agreement stated that at the
end of the lease you would have the option to operate the well at your expense or request that the
well be closed at the state's expense. The lease ended in 2000 and I am contacting you to
determine how you would like us to proceed.
In June of this year, staff from the Division of Waste Management collected a sample of the well
and sent it to the State Laboratory to determine the PCB content. The result was less than 0.0001
parts per million PCBs, which is the lowest amount the analytical method will detect. This was
the same result as was found when the well was originally sampled in 1997. For comparison, the
maximum contaminant level for PCB in drinking water set by the U.S . Environmental Protection
Agency is 0.0005 parts per million. Below is other information about the well.
DAVI~
Well Information -O!Ne1i1 Property
Date Drilled: 2-18-1997 Diameter of Casing =
Total Well Depth = 54 feet Well Designation:
PCB Content ( 1997) = <0.0001 ppm PCB Content (2002)=
Well Material of Construction : Stainless Steel
To help in your decision I have attached the following for your reference:
(1) the Lease Agreement with the State of North Carolina,
(2) the application for the permit to construct the well on your site,
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: [phone] \ FAX: [phone] \ Internet: www.eru.state.nc.us
4 inches
OSW-3
<0.0001 ppm
AN EQUAL OPPORTUNI1Y \ AFFIRMATIVE ACTION EMPLOYER -50% RECYCLED/ 10% POST CONSUMER PAPER
' ' , Mrs. Anr,:~ Davis
Page 2
October 28, 2002
(3) the Well Construction Record,
(4) the analytical test result from the State Laboratory,
(5) a brochure concerning well abandonment, and
(6) a response form to indicate your decision.
Please indicate your decision on the response form and send back to me in the enclosed envelope
by December 1, 2002. Based on your decision, I will either provide you the keys to the lock on
the well or make arrangement for the abandonment of the well. If you have any questions,
please call me at (919) 73 3-4996 ext. 3 08.
Sincerely,
Patac1 M. ackus, .E.
PCB Landfill Project Manager
Attachments: (6)
cc (cover only): Mike Kelly, DENR-DEH
Warren County PCB Community Advisory Board
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: [phone] \ FAX: [phone] \ lntemet: www.enr.state.nc.us
AN EQUAL OPPORTUN!n' \ AFFlRMA TIVE ACTION EMPLOYER -50% RECYCLED/ 10% POST CONSUMER PAPER
STATE OF NORTH CAROLINA
LEASE AGREEMENT
COUNTY OF WARREN
THIS LEASE AGREEMENT, made and entered into this the 12th day of
February 199 .]_, by and between ___ Annia.==·=e--=Da...aa=--VI=· s..__ _________ _
of Warren County, hereinafter referred to as Lessors, and the STATE OF
NORTH CAROLINA, hereinafter referred to as Lessee,
WITNESSETH:
THAT, WHEREAS, the North Carolina Department of Environment, Health and Natural
Resources Division of Solid Waste Management, has requested ad approved the execution of
this instrument for the purposes herein specified; and
THAT WHEREAS, authority to approve and execute this lease agreement was delegated
to the Department of Administration by resolution adopted by the Governor and Council of State
on the 1st day of September, 1981; and
WHEREAS, the Department of Administration has delegated to this State agency the
authority to execute this lease agreement by a memorandum dated the 26th day of March, 1982;
and
WHEREAS, the parties hereto have mutually agreed to the terms and conditions of this
lease agreement as hereinafter set out,
NOW, THEREFORE, in consideration of the sum of FIVE HUNDRED DOLLARS,
receipt of which is hereby acknow~edged, and in the further consideration of the terms and
conditions herein set forth, the Lessors do hereby lease and demise unto the Lessee for a
period of three (3) years, beginning the 12th day of February , l 99L, a certain
parcel of land lying and being in--=S=c=ho"'""c"""c-=o _____ Township, Warren County, North
Carolina, and bounded and more particularly described as follows:
An area ten (10) feet x ten (10) feet as identified on exhibit A attached here to.
It is understood and agreed that the Lessee shall have the right to install upon said
premises a monitoring well, improvements, and equipment deemed by it necessary or desirable to
establish, operate, and maintain said premises as a site or station for the purpose of detecting,
observing and reporting water quality. The said Lessee may remove all of such structures,
equipment, and improvements for said premises during the term of this lease or within six
months from the termination of the same.
The Lessor hereby grants to the Lessee a right of way across and over the lands of the
Lessors for a road approach to the demised premises, said right of way being a strip of land
twenty (20) feet in width, together also with the right of ingress, egress and regress thereto and
therefrom for any purpose consistent with the proper use of the premises and especially for the
purpose or repairing, mending, correction and construction of improvement and operating the
station upon said site.
It is further understood and agree that the Lessee may at will remove all growth form
said site and may do such other things as are necessary to maintain the site in an orderly and
serviceable condition.
This lease shall inure to the benefit of and be binding upon the parties hereto, their heirs,
executors, administrators, successors and assigns.
Upon expiration of the lease, the Lessor shall have the option to continue to operate the
well as a water supply a the expense of the Lessor or request the well be closed at the expense of
the Lessee. Upon termination the Lessee will at the option of the Lessor close the well in a safe
and sanitary manner prescribed by the Division of Environmental Management.
The Lessor covenants to and with.the Lessee that they are seized of the premises in fee,
have a right to make this lease, that the same are free from all encumbrances that would materially
effect this lease, and that the Lessee shall enjoy said premises during the said term free from the
adverse claims of any person.
IN TESTIMONY WHEREOF, this lease has been executed by the parties hereto, in
duplicate originals, as the date first above written.
UJ&~~
STA~ OF NORTH CAROLINA .
~d/4.-; -d~
Department of Environment,ealthand ·
Natural Resources
(SEAL)
(SEAL)
STATE OF NORTH CAROLINA
COUNTY ~/kin:-:
I,,~~~~~_.!:;2-:-f.~~--a No ary Public in and for the aforesaid County and
State do hereby certify that 111 ,..· Z ~ 'M for Department of
Environment, Health and Natural Resources, perso ally appeared before me this date and
acknowledged the due execution of the foregoing instrument for the purpose ther~in expressed.
WITNESSED my hand and Notarial Seal, this the __i__ day of-.!....-1-"""""-"""....J..--• 199 _1_.
STATE OF NORTH CAROLINA
COUNTY OF WARREN --------
My Commission Expires: 10-,;)./, 2oo~
I, Joyce L. Bullock , a Notary Public in and for the aforesaid
County and State do hereby certify that Annie Davis , personally
appeared before me this date and acknowledged the due execution of the foregoing instrument for
the purpose therein expressed.
WITNESS my hand and Notarial Seal, thi& the
My Commission Expires: 11/3/2000 .
~ll CO ~~ 11,,,,,,,,""''"'~
I
t
FF:OM
DEP.
APPLICATION
: NORIH CAROLINA
~ONME :AL MANAGEMENT CO . N'f OF E ONMENr, HEALTii, & NA:
. R ritwrr T CONSTRUCT A MO
SSION
RESOURCES
ORING WELL SYSTEM
Date: 2-13 . 19 97; Co nty Warren ...
· : (P1ase Type or Print Clearly)
In accordance wlth the ' (lvisio~ Qf Article · Chapter 87, General Statutes: of North Carolina and regulations pursuant
theteto, application Is h by mael• tor ape It to monitoring wells. ' '
1• NllfTI& Of ,4.pplloant: • C. Division f Waste Management (Telephone: [phone]
Applioant'sMa!llngAddress' P. o. box 29603, Ralei h, N 27611-9603
2. Name of Property Owner (If iffereni from Well er)_· __ A_n_n_i_e_D_a_v_i_s_~--------------
Rou t~ 2, box /2 36AA, Warrenton, NC Owner's Malling Address: 27589
Mi e Kel'ly 3. Contact Person: ________________________ (Telephone: [phone]
4. Location9f Property· Waren C:ounty -altimore Road
$. Type of facility or site for w leh the monitoring ll(s) Is needtd: __ L_a_n_df_1..,· 1_1-+--------------
• , (ex: nondls.c:ti..-ge tat.tty, waste disposal site, landffll, un erground storage tank, 1:c.)
7. Type of oontamlnation bel · monltoted (If appll le): ____ P_C_B_s __ +---------------
(ex: n1Jt11tn18, 01'9&1'11 , h.avy metals, etc.)
9. Are any existing recovery ,rs associated with ~he monitoring well{s) No If yes, how many? ___ _
Recovery W•II C nstructlon Permit No. _______ _
I 9. Distance to a known waste r pollution souroe'. I 2500 feet
. I , O. Are any water supply wells ocated ~le88 than scp feet from the proposed tnon ring wells?_y_e_s __ _
' I
11. Well Driller: tlantic Drill n & Construction Co.
If yes, give distanoe:. ___ 2_0_0 fest
12. Registration#: _1_0_2_0_ ...... ______ .,_ ___ _
i3. Driller's Addreas: ___ ,._ __ *_0 _ad_, ---+-_____ 2_so_1_2 ___ +---------------
,. Total Nu,nber of We11s to· conat~ed: 1 1
· (B) Number to be complet I. in un~nsofidated material?
: (A) Numbet to completed In bedrock? _____ _
1
2. Estimated depth of wtll(s) 75 f
3. Gravel or sand pack lnterv i (If apptoprlate)
From 60 i 'feet To 75 feet
4. Type of easlng used: St ;inles6 Steel
(ex: p . d, stalnltu 1teel, ;alv lzed ltMI, lte.)
5. Dlamet•r of cuing: · 4 ! · Inches I
. FOR OFFICE USE ONLY I -PIRMI ED ACTIVITY
_ U •. T. KDETECTION _ o·.ou owATEROUALITYSTANDARDS
1
Vi. LA IONS SUSPECTED FROM UNPERMITTED
A TIVI IES
_ N TIC OF NON-COMPLIANCE AT I
UNPE MITTED FACILITIES II
PERMlr NQ.---ISSUED----19--
I
3. ' Thickness of casing : --+---Inches . I I I
... _jHowwlllthewell(s)besecur outer lock~d casing
3. Estlmatfkf beginning constru 2-1J97
3. Estimated eomplttlon date·.....,. __ 2_-_1 __ 4-...;;9...;..7____.I _______ ---+
I
. : I
1. ATTACH A SITE MAP SHO ING THE LOCATIONS OF THE FOLLOWING:
, -PROPOSED ; ffORING WELL(S~
2 -ALL EXISTING ONITOAING AND ~ECOVERY WELLS OR TES
BOUNDARY
BORINGS WITH THE PROPERTY
S -ALL WATER SU PLY WELLS WITH N 500 FEET OF THE WAST SOURCES
4 · AT l:EAST. TWO
2. PROVIDE A WELL CONST
INTERVALS, SANO/GRAVE
TION DETAILS, ETC.)
The Applicant
approved speclficati ·
Construction Standa
full responsibility for
I',
i
Title (If applicable)
EFERENCE POltS (NUMBERED ROADS, I •ERSECTIONS, STREAMS, ETC.)
CTION DIAGRAM.OF EACH WELL SHOWiNG IAMETER, ESTIMATED DE?TH, SCRE:i'l
PACKS, TYPE OFjCASlNG MAT:RIAL, CASIN WALL THICKNESS, WELL 1-i:AD COM?'...=·
erebY Bgrees tJe proposed well(s) wm b.lconsiructed in accordance with
sand oonditlont of the Well Construetion Permit as regulated under the Wei:
s (Titl~ 1 SA No1h Carolina Administrativ Code, Subchapter 2C) and a:::cep:s
· mpliahce with tnese rules. I . I
I
'
I ' If the property,is owned by so~eone other than the app! ant, the property owner hereby
consents to allow th applioant to co struct monitoring wells as outlined In this application and tha:
It sha!I be the respori ibility ~f the app icant to ensure.that thesd. monitoring wells conform to the Wei:
Construction Standa ds (Trtle 1 SA No
I
h Carolina Admlnlstratlv Code, Subchapter 2C).
\
I I
m1app1cant
i I
• !-lc:-~"I Cu:il:-:::t • ~•;:&.7.':sr:t er E.-:vtrQr~~r-.!: Hu!!.~. ar.d N•:!..:rz.: r.~:c~::;
· Ciivls:c:-: el ;:.-.,,:.r;r"-:,ar.ul Manas;iimer:t -C:rc<.:l".CHat,r S1c:-.:cr. .
:-.:.: • .:.,~:::as· Ral•i-!':, N.C. 'Z7S2S-"C::
. P:-=n• (S1S) 'r.,;j-:J.Z_~~ • . _ .· ·=:
WE!..L CONSTRUCT:Gr-i R~COF..D
:" ~_.CF.?.c:~ us~ c.>.;t..Y
C!.:..lO.t-.C. ------S~F.!.J.:.~-------u:. _____ ~. _____ F.o ___ _
ML·-"" S.i.s!n _________ ._, _______ _
;~:: Ccc. ______ 7" _________ _
c-;::::L!..!~G cc ti,:=:;,:TcP.: __,5~A.<...<:,E:....:P=-=-IJC.!....:..._c_o ___ _
,
r:"'::..!..:.~ r.~G:Sa?~TiOH 1'.UM5E;:::;: _ __./...,.O:....:.°;... _ _;_, __ _
STATE WELL CONSTn:.!CTloi-;
FE:=iMri NU~!::.::=;::
(~5.! •-•ii!:="', 7::.: :: :,b; ... ;·.
FT . ..=..:-:·,: '_:.;.o:C .S:..•,"~~:;"'
• C? ~:.·.; ; c • ."':"'.!~, ! • ~ s ~:: · ': ,; :·• :1.· ~ s:.;.~ • ::e-! s ~E ~:; 1: ·.:.-::, : , t ~ :.,::--: ~ :.! : ! l~ 1--:
1.-.,-::'!',:1.-::., ... ~:-~ :s.:..~1:;::: .-::~!
:-.--0-0 ........
C:;_:·.~ c;.A~·.:·
T~ ~ F:. __.'( __ _
"i·: ---F:.---·
~ .. :; :?·::.:
fbR.7C.~,-JD
F·--
---Ir..------
ir:. ---ii-:.------
i :. _s: .. 'i~,-e:~,:..v=:-~;.::-::
C-;:-~-. . s;z:=
F;;.~ y.2,.0 ~-:S'l-0 F;. # 1
T: ___ F~-----
F:=~ T:
0 -10 --1Zt~IJ
, c) ;...o ,-
UJ -30
20 -40
lrO -Sil
~-------d.7---
·-------··---
i~.!)r JUN 1 0 2002 i; ~-. -::~-.~~in, , ' YSIS REQUEST
. ; --• j \ . , , (1 ~\ ! I
St£tc l.aborst.ory of Public Health
P.O. Box 2S047, 306 N. Wilmington St.
Ralcii;h, North Carolina 27611-8047
"' ..
Sit.: Numbe:---------------Sample ID Number/Name __ ___;SJ~;, ~'19:le!"~_;;l.J~::.,u,Jr~----.
Na.meofSit.e lur--¥"cu, C:,m,1Y· ()cs L,t,vaPl'tollectedBy_~MJ..;.-'l~m,~ .... 2=,A/~IV..,;:_ _____ ID# ____ _
Si teLoC3tion l.J &.., 'I'" r--c,,... ~ .... j lJ~ce,4, C, V'\I¼ Dat.e Collect.ed._~,t:::.-.... ,..c.~ _---~ol""=:..2-.~=:..-:.-:.-:.-:.-:.-:.-:.-:.-:.-::Ti_1m_e __ ,_1_-o_..> ___ _
Agency: Hazardous W ast.e
Sample Type
Environment.al Concentrate
✓ Ground Water (1)
Surface Wate:-(2)
Soil (3)
_ Solid (5)
✓Liquid (6)
Sludge (7)
Othe:-( 4) Other (8)
Solid Waste --L Superfund
Comments
Organic Chemistry InorgaQ.ic Chemistry
TCLP Compounds
Inorganic Compounds
arse::iic
barium
cadmium
cb.romium
lead
me:cury
selc::iium
silver
Results(mg/1)
Parameter
P&T:GC/MS
Acid :B/N Ext.
Results (mg/I) Parameter ResuHs(mg/l)(mg/kg) Organic Compounds Results(mg/1)
antimony
arseruc
2,4-D barium
2,4,5-TP(Si]vex) beryllium
chlordane cadi:ruum
bepta::hlor chloride
hexachlorobe:u.:::ie chromium ------_bexachlorobutadier.e ------cobalt
enJrin . copper
lindzne ~ ',• 4, fluoride
_ ·m\!thcuychl(;\r-·
toxaphane· ,'. .--
./ p (.,~ '" . ~ :Q <O,tJOI) //f"'\
iron
lead
manganese
mercury
nickel
nitrate
selenium
silver
sulfates
thalli 1..t:JI
vanadium -2ll1C
pH
conductivity
TDS
fl:i.sh poi..'1t
Lab Number
be:ue::ie
c:irbon tetrachloride
chlordane
cb.lorobenzene
chloroform
o-cresol
m-cresol
p-cresol
c:-esol
1,4-dichloi-obcn.z..ene
1,2-<lichloroethanc -------
1,1-<lichloroethylcne ______ _
2,4-dichloroetbylene
bept.achlor
hexach1orobenze::1e
bexachlorobut.adie::1e
... hex:ichlorocthane
methyl ethyl ketone
nitrobeo.z.cne
penuchloropbenol
pyridine
tctrachloroethylene
tri::hJorocthylene
2,4,5-trichloropheool
2,4,6-trichlorophenol
vinyl chloride
endrin
lind.ane
methoxychlor
toxaphcne
2,4-D
2,4,5-TP (Sil vc.:x)
-------
-------
--------------
. ..
•
To: Patricia M. Backus
PCB Landfill Project
NC DENR -Division of Waste Management
1646 Mail Seivice Center
Raleigh, NC 27699-1646
Subject :Monitoring Well on Annie Davis Property
In response to your letter of October 28, 2002, concerning my lease agreement with the State of
North Carolina on February 12, 1997, I am requesting the state do the following as indicated by my initials.
__ I request that the state, at its expense, abandon the monitoring well it placed on my property
in a safe and sanitary manner as prescribed by the Division of Water Quality. Please inform me when you
made arrangements to do so.
__ I request that the state not close the well. I wish to keep the well. Please provide me the key
to the lock on the well head at your earliest convenience.
Signed : ____________________ _
Annie Davis
Date:
...
'
North Carolina
Department of Environment and Natural Resources
Division of Waste Management
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Dexter R. Matthews, Director
October 28, 2002
Mr. Glenn D. Alston and Ms. Gloria J. Alston
Route 4, Box 429
Warrenton, NC 27589
Dear Mr. and Ms. Alston:
I am contacting you concerning the monitoring well that was installed by the State of North
Carolina on your property in 1997. The installation of the well was part of a three-year lease
agreement between you and the state. Its purpose was to provide water quality data as part of an
environmental assessment of the Warren County PCB Landfill. The agreement stated that at the
end of the lease you would have the option to operate the well at your expense or request· that the
well be closed at the state's expense. The lease ended in 2000 and I am contacting you to
determine how you would like us to proceed.
In June of this year, staff from the Division of Waste Management collected a sample of the well
and sent it to the State Laboratory to determine the PCB content. The result was less than 0.0001
parts per million PCBs, which is the lowest amount the analytical method will detect. This was
the same result as was found when the well was originally sampled in 1997. For comparison, the
maximum contaminant level for PCB in drinking water set by the U.S. Environmental Protection
Agency is 0.0005 parts per million. Below is other information about the well.
ALSTZ:JN
Well Information -~ Property
Date Drilled: 2-17-1997 Diameter of Casing =
Total Well Depth = 43 .5 feet Well Designation:
PCB Content ( 1997) = <0.0001 ppm PCB Content (2002)=
Well Material of Construction : Stainless Steel
To help in your decision I have attached the following for your reference:
(1) the Lease Agreement with the State of North Carolina,
(2) the application for the permit to construct the well on your site,
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: [phone] \ FAX: [phone] \ Internet: www.enr.state.nc.us
4 inches
OSW-2
<0.0001 ppm
AN EQUAL OPPORTUNITY \ AFFIRMATIVE ACTION EMPLOYER -50% RECYCLED/ 10% POST CONSUMER PAPER
' Mr. Glen D. Alston and Ms Gloria J. Alston
Page 2
October 28, 2002
(3) the Well Construction Record,
(4) the analytical test result from the State Laboratory,
(5) a brochure concerning well abandonment, and
( 6) a response form to indicate your decision.
Please indicate your decision on the response form and send back to me in the enclosed envelope
by December 1, 2002. Based on your decision, I will either provide you the keys to the lock on
the well or make arrangement for the abandonment of the well. If you have any questions,
please call me at [phone] ext. 308.
Sincerely,
PCB Landfill Project Manager
Attachments: (6)
cc (cover only): Mike Kelly, DENR-DEH
Warren County PCB Community Advisory Board
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: [phone] \ FAX: [phone] \ Internet: www.enr.state.nc.us
AN EQUAL OPPORTUNITY \ AFFIRMATIVE ACTION EMPLOYER -50% RECYCLED/ 10% POST CONSUMER PAPER
STATE OF NORTH CAROLINA
LEASE AGREEMENT
COUNTY OF WARREN
THIS LEASE AGREEMENT, made and entered into this the llth day of
November, 1992, by and between GLENN D. ALSTON, Unmarried and GLORIA J, ALSTON Single
of WARREN County, hereinafter referred to as Lessors, and the ST A TE OF
NORTH CAROLINA, hereinafter referred to as Lessee,
WITNESSETH-
THAT, WHEREAS, the North Carolina Department of Environment, Health and Natural Resources
Division of Solid Waste Management, has requested and approved the execution of this instrument for the
purposes herein specified; and
THAT WHEREAS, authority to approve and execute this lease agreement was delegated to the
Department of Administration by resolution adopted by the Governor and Council of State on the 1st day of
September, 1981 ; and
WHEREAS, the Department of Administration has delegated to this State agency the authority to
execute this lease agreement by a memorandum dated the 26th day of March, 1982; and
WHEREAS, the parties hereto have mutually agreed to the terms and conditions of this lease
agreement as hereinafter set out,
NOW, THEREFORE, in consideration of the sum of FIVE HUNDRED DOLLARS receipt of which
is hereby acknowledged, and in the further consideration of the terms and conditions herein set
11.12.1996 16115
. . .
f¢rth, the Lesebr; do h"reby ,leue and dtm.lse unto the Ltesee for I period of thl'ec (3) years,
b;atnnina the ..LiL day of i:'.b:::1-• 199.;Z • ~Un parcel# land lying and
~Ing In saocco Townab~ n County, North Carolin1,ltnd bounded •nd
m01·e particularly dc1cribed u follow,:
All ar!& ten (10) feet x ten (10) feet H ,identified on exhibit A attach►.d here to.
It i, understood and asrced that the Lessee ahall have the rial1t to lns~all upon said
premises • monitori!Jg well. improvements, and equipment deemed by lt ne~11ary or 6esirable
tq establish, operate, and maintain said premises II a site or station for tho p),upose of detectina, . '
obaervina, a.nd 1'0portin1 w1t~r quality. The aaid Leuee may remove all of .ueh structures,
equipn10nt, and improvements from saia premlsoa <!win, the tenn of thig l!tsc or within six
months from the tennination of the aam~.
The Lesa or hereby grants ,o the Lea1ee a ri&ht o{ way acron and ov..-the lands of the ·
Leuon for a ro&d approach to the demised prcmuea, 11id r1&b1 of way bein8 a strip of land
twenty (20) feet In width, together also with the right of ingregs, ess·eH and re,resa thereto and
therefrom for any purpo1~ consistent wir.h the proper use of tbt premiaes anl1 esi,tcialty for the
purposo of repairing, mondin1, correction the conitruction of impl'ovcment• and gperating the
1ution upon aaid 1ite.
lt ii further understood and agreed that tbe Lenee may at will rcmot,e all arowth from
Sl\id siae and mAy do such other thins& as are necetsar}' to maintain tho 1itt in an orderly and
serviceable condition.
Thia leace ,hall inure to the benefit ot and t,o bindin1 llpon the partits hereto, ihoir heirs,
e-)tecuton, 1dmini1tr1tors; succe11ora and 1nian1.
p . 3
F~OH 9 19~l~Si85 SOLID WASTE DIV 11.12.199b 1611,;
Upon e~piration of the lease, tbo Ltuor shall have the option to continue to open.te the
wtll •s a water supply at the expe1ue of the Lessor or request the well be cloisbd at the expense
of the Lente. Upon tonnination tbe Lenee will at the option of the Lessor 4lose the well in a
Sl\fe lnJ unitAry manner prescribed by the Division of Bn,ironmental Manasement.
The Lessor covenants to and with the Lenee that they are seiied of ~e premises in fee,
have a riaht to ma.kc this lease, that the 1ame are free from all encumbrances that would
matetiPlly effect this lease. tnd that the Lessee ah all onjoy ,aid premises dw·lng the ,aid ,~1m
fr~e fre>n1 the tdvenc cllitns or any person.
IN TESTIMONY WHEREOF. this lease !us bcoo executed by the puties hereto, in
duplicate orisinab. 11 the date fast abo.va written.
t I/ 1 '7 I "I 6 (SEAL)_
STATE OP NORTH C~OLINA
u)dl.-., a' #/=1-"L,/
Departrnept of Environment, Health and
. Natural Raourcea
4FROH 9197153685 SOLID WASTE OIU 11.12.1996 16: I 7 .. . .. ,. . '
. '
STATB OP NOJ\TH CMOLJNA
COUNTY OP ~ fo-1,,-
1, ~ 5,#/,, rj,t, · , a Notify Public In and for the afom•id
County an Seate do hereby cer1ify that_ 14/, "'-, A.-rt l eje r<,e_ . , for Department
of Bnvironment, Health and Natural Resources, personally appeared before me this date and
acknowledged the due execution of tho foreao!na lmtnunont for the purpotr therejn expressed.
WlT.NESSBO my band ud Notarial Sell, thil the J;S day o~o/ _,
~~-. '
My Commisaion Bxpires:
--. l I
STATE OF NOATH CAROLINA
CCOUNTY OF__,;;;.....,~-----
I. , a Not&1}' Public in; and f o~ tlte aforesaid County
Cnd State do hereby certify tha / . ~ personally
~ppeared before me thil date and acknowleds&d the due execution of the fcnaoina instrumenr
lor the purpo1e therein exprcsaed.
WITNBSS my hand and Notarial Seal, thil the _.15_ day of_, ___,jQ---o ...... , ~-------
199-"..
Notary Public
My Commission Bxpires:
I 1
F F:OM
,.
02.01.2000 00:00
NORI'H CAROLINA
MANAGEMENT CO
DEP. NMENI', HEAL1H, & _
SSION
RESOURCES
ORING WELL SYSTEM APPLICATJON CONSTRUCT AM !!!!~~~===!!!!!!~~~$=!!!!!!~~~~~==~~~==:=!!:~~~==============~ Type or Print Clearly)
Date: __ 02_;_1_2 ___ _
In aocordance with the -
thetetp, application la h
Warren
Chapter 87, General Statutes: of North Caroilna and regulations pursuant
It to monitoring wells.
1. Natne of Applicant: __ .,._._D_i_v_i_s 1_· o_n_o_f-+-W_a_st_e_-_M_a_n_a_ge_m_e_n_t __ ...... ___ (Telephone: [phone]
Appllcar,t'i Marling Address· P.O. !Box 2960 , Ralei h, NC 27611 603
2. Name of Property OWn•r (If ner)· Glenn D. Alst & Gloria J. Alston
Owner's Malling Address: 29, Warrenton, NC 2 89
3. Contact Person: (Telephone: [phone]
;
4. location ~f Property· Count 1605
6. Type of faclllty or aite for w 1¢h the monitoring ell(a) Is needed:;_ __ L_aP'-n_d--+---------------
(ex: noncflsc:hargt fad tty, wute disposal lite, land II, un erground storage tank, etc.)
7. Type of contamlnatlon bel ' monltQted (If appll le): __ P_c_Bs _____ +--------------
(ex: nutrltntl, organl , haavy metals, etc.)
8. Are any existing recovery 1Is associated with he monitoring well(s) ,.__, ______ If yes, how many? ___ _
I
I Recovery Wtll C nstruction Permit No. _______ _
9. Distance to a known waste r pollution source: 5000 feet
1 o. Are any water supply wells ocated ileaa than 5 ring wells?.___._Y_e_s __
Pete Bye
1,. Well Oriller: _s_A_E_D_A_c_c_o+s_. _____ ...... ____ c_o_nst. co.
If yes, give distance: 500 fee t
12. Registration#: _1_0_20 ______________ _
13. Driller's Addreas:_2_l_O_B_e._t"""---------4-----------2-8_0_1_2 ___ -+ ____________ _
1. Total Number of Wells to
· (8) Number to be complet
2. Estimated depth of well(•)
3. Gravel or sand pack lnte
From
______ : (A) Numbet to completed In bedrock? _____ _
75
(It apptoprlate)
60 • feet To 7 -+---feet
1
FOR OFFICE USE QNLY
-Pf,RMI EO ACTIVITY _ U •. T. KDETECTION
-G OU DWATEROUALITY STANDARDS
Vf-LA ION$ SUSPECTED FROM UNPERMITTEC;
A TIVI IES
4. Typeofcaslngused:_s_.t ____________ N TIC OFNON-COMPLIANCEAT
(ex: P C, sialnl•" ateel, gatv !zed stNI, etc.) UNPE MITTED FACILITIES
PERMIT Na.---lSSUE0-----19 -
5. Oiamet•r of casing: 4 Inches
GW-22M (11/;4) (Continued o
... 0:.01 .:000 00:00
·1
3. r Thlcknet~ Of caslng : __ ..___Inches
I
I · 1
I ' . 7. 'How will the well(s) be secur Outer ocked casin
3. Estlmat~ beginning oonstru 2 / 13 / 9
;_ Estimated eomplttlon date_· +----2/_1_3 ___ /9_7 ___ 1 ___________ ~
I I , , . I
1. ATTACH A SITE MAP SHO ING THE LOCATIONS OF THE FOLLOWING:
, -PROPOSED ; 'rroR1NG WELL(S~
2 • ALL EXISTING ONITORING AND ~ECOVERY WELLS OR TES
BOUNDARY
S • ALL WATER SU PLY WELLS WITH N 500 FEET OF THE WAST
4 • AT ~EAST. TWO EFERENCE P01Jrs (NUMBERED ROADS, I
2. PROVIDE A WELL CONST CTION OIAGRA)OF EACH WELL SHOwiNG
INTERVALS, SAND/GRAVE · PACKS, TYPE OFi
1
·cASING MATERIAL, CASIN
TION DETAILS. ETC.)
I
BORINGS WITH THE PROPERTY
SOURCES
ERSECTIONS, STREAMS, EiC.)
IAMETER, ESTIMATED DE?TH, SCRE:N
WALL THICKNESS, WELL HEAD COM?!..~ -
The Applicant. ere by agrees t~le proposed well(s) wlH be-constructed in accordance with
approved speclficati · sand condition of the Well Construction Permit as regulated under the Wen
Construction Standa. s (Title 1 SA No j·h Carolina Administrativ Code, Subchapter 2C) and accepts
full responsibility for · mpliahce with trese rules.
Title ( .
tel . 1
' I I
If the property Is owned by so~eone other than the $pp! ant, the property owner hereby
consents to $.!low th .applioant to co struct monitoring wells as outlined In this application and that
It shall be the respori ibility .~f the app icant to ~nsure that thesd. monitoring wells conform to the We i:
Construction Standa ds (Trtle 15A No
I
h Carolina Admlnlstratlv Code, Subehapter 2C).
i ' I
t
I I !
!
app1cant
-· t-icr-~"i Cir:i1!n:a•-C•~u:m•r.t cf Er.vir~·;;,~ji/~'ulth~ and N1.!t.:rz! r.~,::,.:..::;=,
• L,v,~.c;.c; :;r =.~V'r.;rtr.181"~ Manas;".r.: • .-.t • Gtoc.:r.CN&ttr S1c:::c:r. _ r.O. So:. 295:iS • Ralais;?':, N.C. 27625-ccs
. _ P:=ne (S1S)73:3~~1.
WELL CONSTRUCTION' R:COF.D
c~:LLll'\G COHTF...:..:ro?.: SA 1$/J ,4CCO
:· FO{OFiic:~ tJ~ C~LY
cu.i.o. ~c. _____ -sc;:.1)1..~-------
r..at. ~------1'0 ----Mir.ct S.utn ________ ., _______ _
sui:: ecc1.. _____ --:-'----------
c;:::iLLE.~ r.=.GIST~TiOH NUMSEn: JQ",.... I Si ATE WELL CONSTnL!C'ilOH
FE:=;Mii NUMEER:
o£?ic~
F:=r.: Tc:
· • .:i1i:·:; io1 :-::i~ ,~,.'! s'.:: · ':>t;:·.-'.!.·-~ s:.::-::;::e :s '.ii~~ i: ·..:.-::, :l J T!.-::~:>. '.! ·.:!:_,-: ----·-------
!.-. a::~,~ !.-.:a,~:-~ i.;'.!..~•::.1cz: .-::~a
c:••· c;._..,,~!-·
F::,-. _o_._o __ ;; j_' ~_._5_ .~:. --''t=--'--
F.-:::-.----'= ---Ft.---·
F:;~ ----!=---F:.----
Y.'i;f 'T'i•i,::,_ .. _fJI
0' ",',••:--··=· $:J+·;o· k'1::...:..a:
S • S
F·:..-. 0, c)
;-..~:.::·'~
foR. TC14-,.JC,
,J-•---····~· ....... -'.1?, ,.,,.,_ .. ;
C::~· Ci,:~1 :=· S-:: S;;:=, ~1.:::-:·:~
F~c:-:-, ~ 7.: ~ F: 'f I Ir: .010 i~. -=5-•_(;:,..__
r::,7. ___ \: __ F;. _ _.__ .... ---Ir:. -----Fr:;.; ___ 7: __ r:. __ _ ir:. ---ir:. -----,:. _s.:.~c,G:=.,.;v-::_ ~..:..:K:
____ T: ___ F~-----
f} ;µ--v:>1-/ '}t= ;C, rO -3 / · .5
-----------·-p ---.
I oc :-:E=.E:Y cE;:;7i,:Y,j':--iATT!-ilS WE:..L 1,1.i...!..5 CONS7'r.!...!CT;J '.N ,;:c~F.Q:,NC:. v,;;7:....; I:..:.. NCAC 2C. W=:.:_
CCNS7.:;;JcTIC!'; S Tr.NCAr1CS, ANO T:-:.:.. i';:.. cc,;::y CF r,..;1s ~E:::r:.:, :-:..:.s =~:.N ¢:S:)V:0;') i O .. ~E W:'.:..L. c·.·:~,; ~.
I
'
1/-IC Dc:u~me::f of E."'lvir'Onmcnt, . ..
Hulth, &:. S&CJral Ruourccs
Solid Wu~ Maiare:ncnt Divi,ion
SA.lv.lPLE Al~AL YSIS REQUEST St.ate l..&bontery of Public: Health
P.O. Box 1!0-li, jQ6 N. Wilmington St.
R&ieii;h, Nonh Cuolina 27611-8047
Sit.eNumbe: _____________ Sample ID Numbe:/Name ----~~~Tt;~4~f~•~g;:::.___;_-;2J?d_]J~'-~'-f(__ .
NameofSit.e ?<l..il'(U, c:,,,,,,n,, Pc..B Ltt,voP'tolle::e.dBy _ __,c.µ= .. ;Lcrir~;._'Z=,ui:it/=:::...ir<~-----ID# ____ _
'iteLoc.:iticn lJ ~"'~~-l);,.,_,.~ Go/'\,~ Dat.eCollec:.ed ,_ ~ -02... ~ ;j I
Agency: Hazardous W ~t.e Solid Wa.st.e _ ✓ Supe:fund TCLP Compounds ----
Sample Type Inorg:i..nic Compounds Result.s(mg/1)
Environmental Concentrate Comments arse::nc -barium
~{.'>~it{ -v Ground Water (1) Solid (5) cdmium ---cbromium -VLiquid (6) lead -Surface Wate: (2) --me:cury
Soil (3) Sludge (7) seic:J.ium ---silver -
-0t.he:-(4) -0tbe:-(8j ---Organic Chemistry Inorgaxµc Chemistry -
P:u-ameter Results (mg/I) Parameter R~uJ:..S(mg/1) (mg/kg) Organic Compounds Results (mg/I)
P&T:GC/MS antimony be:u.e:ie ---Acid :B/N Ext. arse:i.ic c:irbon tetracbloric: ---2,4-D barium c:tlorciane ---
-·2,4 ,5-TP(Silvex.) -beryllium c:i..loroben.z.ene -chlcrdaoe cadmium c::Joroform ---
-bep:.ac!J..lor chloride o-c:-esol --hexachlorobe:uene c:.u-or:-..i um m-c:-esol ---bexach.Jorcbut.adier.e cobalt p-cresol --endri.n copper c:-esol ----li.ndme ... ,,•.•.· fluoride 1,4-dichlorobe:u.ene --_ ·metha.xych.Jor: . --1,2-<lichloroethane iron --toxapbene-· · le:id 1, 1-<lichloroethyle::i: -1.!' I --L Pc~ <o. ooo/&,.. -manganese -2, 4-dichloroetby Jene -I I --me:-c:.iry -he?t.achlor
nickel b ex.acbl o ro benune ---nllr:ite bex:ichlorobut.adiene -----selenium ... hex:ic:i..loroclba.cc --silver methyl ethyl ketone --FOR LAB USE ONLY sulfates nitrobe:u.ene --
Date Received ' -:-'-&-.0 2 Ll1l.r
th:i.11 i u-::n-pe:1uchlorophe:10! --vanadium pyridir:e --_ ~s{/r1so?J Zl11C tetrachloroethylene
Dale :Extracted . --S-,i),;!.1//) -·--pH -tri::hlorocthylcne
· · (?CSsc/Sf Sv?} --conductivity -2, 4,5-trich.lorophe:iol
Date Analy,z.ed ~-, -0~-YP TDS 2,4,6-tricblorophenol ---fl:ish poi.:it -vinyl chloride
Re;:,orted By -e:1dri.n -·• ... lindane --Date Reported --methoxycblor
U...;~t.;·?--1 -tox:ipheoe
Lib Nu~ber -2,4-D --
--2,4,5-TP (Silvc.:x)
OHS 3191 (Revised 12/93)
-..
I
To: Patricia M. Backus
PCB Landfill Project
NC DENR -Division of Waste Management
1646 Mail Service Center
Raleigh, NC 27699-1646
Subject :Monitoring Well on Glenn D. Alston and Gloria J. Alston Property
In response to your letter of October 28, 2002, concerning our lease agreement with the State of
North Carolina on November 13 , 1996, We are requesting the state do the following as indicated by our
initials.
__ I request that the state, at its expense, abandon the monitoring well it placed on my property
in a safe and sanitary manner as prescribed by the Division of Water Quality. Please inform me when you
made arrangements to do so.
__ I request that the state not close the well. I wish to keep the well. Please provide me the key
to the lock on the well head at your earliest convenience.
Signed : ___________________ _
Glenn D. Alston
Date:
Signed : ____________________ _
Gloria J. Alston
Date: ______________________ _
' i I I .. North Carolina
Department of Environment and Natural Resources
Division of Waste Management
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Dexter R. Matthews, Director
October 28, 2002
Mr. Lucious O'Neal, Jr.
Route 4, Box 447
Warrenton, NC 27589
Dear Mr. O'Neal:
I am contacting you concerning the monitoring well that was installed by the State of North
Carolina on your property in 1997. The installation of the well was part of a three-year lease
agreement between you and the state. Its purpose was to provide water quality data as part of an
environmental assessment of the Warren County PCB Landfill. The agreement stated that at the
end of the lease you would have the option to operate the well at your expense or request that the
well be closed at the state's expense. The lease ended in 2000 and I am contacting you to
determine how you would like us to proceed.
In June of this year, staff from the Division of Waste Management collected a sample of the well
and sent it to the State Laboratory to determine the PCB content. The result was less than 0.0001
parts per million PCBs, which is the lowest amount the analytical method will detect. This was
the same result as was found when the well was originally sampled in 1997. For comparison, the
maximum contaminant level for PCB in drinking water set by the U.S . Environmental Protection
Agency is 0.0005 parts per million. Below is other information about the well.
Well Information -O'Neal Property
Date Drilled: 2-13-1997 Diameter of Casing =
Total Well Depth = 68 feet Well Designation:
PCB Content (1997) = <0.0001 ppm PCB Content (2002)=
Well Material of Construction: Stainless Steel
To help in your decision I have attached the following for your reference:
( 1) the Lease Agreement with the State of North Carolina,
(2) the application for the permit to construct the well on your site,
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
· Phone: [phone] \ FAX: [phone] \ Internet: www.enr.state.nc.us
4 inches
OSW-4
<0.0001 ppm
AN EQUAL OPPORTUNITY\ AFFIRMATIVE ACTION EMPLOYER -50% RECYCLED/ 10% POST CONSUMER PAPER
' Mr. Lucious O'Neal, Jr.
Page 2
October 28, 2002
(3) the Well Construction Record,
( 4) the analytical test result from the State Laboratory,
(5) a brochure concerning well abandonment, and
(5) a response form to indicate your decision.
Please indicate your decision on the response form and send back to me in the enclosed envelope
by December I, 2002. Based on your decision, I will either provide you the keys to the lock on
the well or make arrangement for the abandonment of the well. If you have any questions,
please call me at [phone] ext. 308 .
Sincerely,
Patrici M. Backus, P .E
PCB Landfill Project Manager
Attachments: (6)
cc (cover only): Mike Kelly, DENR-DEH
Warren County PCB Community Advisory Board
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: [phone] \ FAX: [phone] \ Internet: www.enr.state.nc.us
AN EQUAL OPPORTUNI1Y \ AFFIRMATIVE ACTION EMPLOYER -50% RECYCLED/ 10% POST CONSUMER PAPER
I '-1
f
! i
· ·sTArn 'oit NORTH CAR9LINA
I
' i
i COUNTY OF WARREN I
rms Ll!ASE AO+EMBNT, +•de and entered Into thia the~ ay of
February 1992.,! by and bet➔ecn LUCIOUS O'NEAL, JR.
I
of Warren 1 County, hereinafter rererred to a, Lessors, d the STATE OF
[ i
NORTH CAROLIN A. hbremafter referied to aa Lessee, I ; ' I I
W, J IN E $ $ E I H;
I , I
THAT, \\'HEREASi the North f arolina Department o~ Bnvironme , Health and Natural
Resources Division of Solid Waste Man~aemcnt, has requested and approv d the execution of
thi1 in11rument for the pUrptse• herein •f ecifted; and
THAT WHEREAS,,authority to,approve and execute this lease asr ement was delegated
to the Department of Ad~t•tration by t"'olution adopted by ihe Oovemo and Council of State
on the 1 at day of Septembe 1• 1981; and 1 I I
WHEREAS, the Depanment of ~dministration has delegated to thia State agency the
, . ' i :
authority to execute this lease agreement by a memorandum dated the 26th ay of March, 1982;
I j
nd
WHEREAS, the pa~ics hereto h~ve mutually asreed to' the terms an conditions of trus
I
_ ease esreement II herein.aft r set out, !
I
' ' NOW, THEREFO , in consideration of tho aum of FIVE D DOLLARS,
'
' .
eceipt of which is hereby a 1knowledsed, and in the further consideration o the terms and
nditions herein let forth , re Leuon to hereby lease and deini,e unto th5 Les,ee for 1
eriod of three (3) years, 1be~inning the ¾1st day of Februar 199 J...,, a certain
i ' I I
' :
t
I j . I .
~•reel orland lying and bei~s in S~co Township, Warr n County, Nonh
. I I
Carolina, and bounded and ~ore partic~larly described ~• follows:
i
I .
An area ten (10) fee~ x ten (10) teet II identified on exhibit A attac d here to . i ' '
I
• I II j
It ia understood and:asreed that ~he Lessee shall have the right to · tall upon aald
premises a monitorins well, llmpro\·emeJts, and equipment deeinod by it ne ssary or desir,ble to
establish, oporate, and maintain said pre~ses u a aito or 1tatiori for the pu ose of detecting,
I ,
ob,erving, 1tnd reporting w~ter quality. ~he said Lenee may remove all of uch atructurca,
i I
equipment, and lmprovem ts from said: prcmise1 during the term or this le e or within six ,
I
Tho Lessor hereby ants to the Lessee a right of way acro11 and ov r the lands of the I : .
Lessors for a road approac~ to the demi~ed premises, said right or way bei a strip of land ' . . ;
twenty (20) (eet in width~ td~ether also {vith the right of ingres,, egress and egress thereto and
I .
therefrom for any purpose cpnsistent wi1h the proper use of tho premises an especially for the
I I I
purpose of repairing, mertdiAs, correctio1n and construction of improvement and operating the
I : : tation upon said site. .
' I . I
It is further understdod and agretd that thr: Lessee mat at will rcmo e all growth from i : :
aid site and may do such other things a~ are necessary to maintain the site i an orderly and
i i
·erviceable condition. I
This leate ahaU Inure! to the benefit of and be binding upon the partie hereto, their heira, l . I ~ I . . . . I
xecuton, administrators, s4ccessora an1 assigns.
I I Upon expiration of the lease, thetessor 1hall have the option to con inue ta operate the ! I .
I t I •
i I ,
.-:,__
i I ' ' i ! : .
well u a ~ator 1upply at th~ expense o~ the Le111or or request lhe well be c osed at the exp_ense oC
. I I
the Lessee. Upon terminaff n the Leas~e will 11 the option oft he Lessor cJ sc tho welJ in a aare . I
and aanitary manner pre~eri ed by the ~ivision of Environmental Manaaem nt.
. I
The Lessor covenants to and with the Lessee that they are seized o the premises in fee,
have a right to make thia'l~o, that the ~ame aro free ft-om all ~ncumbrance that would materially
effect this lease, and that thl Lessee 1hal1 enjoy said premises Jurina the ni term free from the
• I I
~dverae claim• of any perso~. ! . ; I .
IN TEST~ONY 'YffEREOF, lrus lease hu been executed by the arties hereto, in
' I
duplicate originals, a, the dtt• first aboie wrillcn, .
I j
l
i st ATE10~ ~ORTH CAROLINA
. ~ ~ 11
D partmont of Environment. Health d
N tural Resources
!
(SEAL)
(SEAL)
I I
srAm OP NORTH cARb~INA j
I '
COUNTY OF ~ARRE~t-'
. ' i I I
I, ~ ~ J~ rlo,__,, j , a Notary Public lb and for the oresaid County and
State do hereby certify tbat i ":z:;f I-~< , ~ for De anment or
Environment, Health and Natural Reso rce1, personally appeared before m this date and
acknowledged the due exedutlon orthe f'orcsoins lnatrument fbr the purpo e therein e,cpresaed. . l I ~ . WITNESSED my h~nd and Notjrial Seal, this the~ day of~~~;;;.:.;::;~ 1991_.
. I . . I • I ! • I I I
I I
l I
i
s·r ATB OF NOR.TH c.u.4LINA
COUNTY OF WARRi:lN -----------+---
My Com,tli11ion Expi 1: /0 / ~ /o7oo o r1
I. Pats ar rove a Notary Public In a d for the aforesaid
County and State do her,b certify that Lucious O'Neal · Jr. personally
appeared before me this dat~ and acknojledged the due execution of the fo egoing instrument for
the purpose therein e,cpreu~d. ·
I I . I I
\\1TI\TES3 my hand :and Notarial Seal, this the 2!,!!day of....,;;~;..;...,.;.;;.;...i;....... _ __, 199 J_.
o:wptllwpoblUmlacll, .... w.doo
i
I
10-25-99
NORra CAROLINA
ENVIRONME :ALMANAGEMENI' CO
NT OF E ONMENr. HEALTH. & NA'.
SSION
RESOURCES DEP
AJ)PLICATION , R riRMIT T CONSTRUCT A MO ORING WELL SYSTEM
ate: ___ .3_-_5 __ _
(Plfi8S8 Type or Print Clearly)
County Warren .
I
In accordance with the 0vision• of Article °1; Chapter 87, General Statutes: of North Carolina and regulations p:.;:-st,;a~t
thetetc, application Js h · by mat,• for a pe It to monitoring wells.
Naf!18 Of Applicant: _N_C-+-D_1v_1_s_1_o_N_O_F_w ___ s_T_E_MAN_A_G_E_ME_N_T ___ 4-___ (Telephone: [phone]
Applicant's Malling Address ___ P_._o_. ___ B_o~x-2~9_J_o'""3...._-R-al-e_1_.· .,;;,h;;..:;'_;;.;.N .... C __ 2_7 __ 6_1...,_-.... 9_60_3 _____________ _
' Name of Property Owner (If lfferent from Well clner)· Lucious o 'Neal Jr.
Route 4, BoJ 447, Warrenton, NC 7589 I Owner's Malllng Address:
3. Contact Person: __ M_i_k_e......,e_l_l_Y ________________ ..,_ ___ (Telephone: [phone] x 1°3
' 4. Location Qf Property· War en County - L mertown Road
j, Reason for Monitoring Well ): __ E_n_v_i_r_on_m-+-n_t_a_l_A_s_s_e_s_s_rn_e_n_t __ -+---------------
(ex: nondlamwga Jlt requirementa, ausp.cted oon !nation, anvlronmantaJ asaeumer,:, etc i
Land£ ·11
$. Type of facility or site for w leh the monitoring ell{s) is need&d.:_ ----+---------------
. . . , (ex: nondisctl~• taa(tty, waste disposal llte, landfill, un erground atorage tank, e:c.)
i. Type of contamination be1 monltofed (If appllckble): _____ P_C_B_s_+--------------
(ex: nutrlents, 0r9&nicf, heavy metals, etc.}
S. Are any existing recovery 1Is associated with ~he monitoring well(s)?._ ___ o ____ If yes, how many? ___ _
I
"
I i 6500 9. Distance to a known waste r pollution source: 1 feet
10. Are any water supply wells ocat&d leas than scp feet from the proposed mon ring wells? __ N_o __ _
• I
Recovery Wtll C nstruction Permit No. _______ _
! If yes, give distance: ____ fs;;'.
11. Well Driller: Pe te By e -Saedacco-S. A/tlantic Drilling & Co st. Co.
12. Registration #: _..;;.1.;;;.;02~0 ___ ___.., ______ ...._ ____ _
13. Driller's Addreas:_2_1_0_....,...;;..._R_o_a_d-"--,---+---N_c __ 2_s_o_1_2 ___ --+----------------
1 1. Total Number of Wells to constructed:_........., ____ ; (A) Number to
!
n/a completed In bedrock? _____ _
· (8) Number to be complet In unconsolidated ~ateria/? __ -;::;:;
1::;:;=~---------------i
1 eoe oeFJcE use oNLv 2. Estimated depth of well(s)~_7-'5 ____ f9tft ED ACTIVITY
i _ U.S.T. K DETECTION
3. Gravel or sand pack lnterv (g~roprlate)75 ! _ GAOU DWATER QUALITY STANDARDS
From ___ feet To-+-feet v~· LA IONS SUSPECTED FROM UNP::=.MITT=:
s inless steel : A TIVI IES 4. Typeofeaslngus&d: _____________ N TIC OFNON-COMPLIANCEAT
5. Diameter of cuing: __ 4...jj·. ___ Inches
GW-22M (11~)
!zed steel, etc.) UNPE MITTED FACILITIES
PERMITNO.----ISSUED-----1~--:
INCIDSNT
(Continued on reverse
' FF: C, M 02.01.2000 00:00
I :3: Thlckneu Of caslng : _n/_a_..., __ lr,ches I
I
?., ~ow will the well(s) be secur . locked o~ter casing
3. f!stlmattki beginning constru 2/24/97
3. Estimated eomplttlon elate_· +--------..-=2 /~2=5.._9"'"'7'-------+
A
. .
I I . . I .
1. ATTACH A SITE MAP SHO ING THE LOCATIONS OF THE FOLLOWING:
1 -PROPOSED ; ffORING WELL(S~
2 · ALL EXISTING ONITOAING AND ~ECOVERY WELLS OR TES
BOUNDARY
S · ALL WATER SU PLY WELLS WITH N 500 FEET OF THE WAS
BORINGS WITH THE PROPERTY
SOURCES
4 · AT ~EAST. nvo EFERENCE POI S (NUMBERED ROADS, I ERSECTIONS, STREAMS, ETC.)
2. PROVIDE A WELL CONST CTION DIAGRAM.OF EACH WELL SHOWING IAMETER, ESTIMATED DEPTH, SCRE::".
INTERVALS, SAND/GRAVE · PACKS, TYPE OF1·cASINQ MATERIAL, CASIN WALL THICKNESS, WELL HEAD COM?~~-
TION DETAILS, ETC.)
The Applicant.
approved speclficati
Construction Standa_
full res onslbility for
I
ereby agrees tlle proposed well{s) wUI be constructed in accordance witn
sand condition of the Well Construetion Permit as regulated under the we ::
s (Tltl~ 15A No th Carolina Admlnistrativ Code, Subchapter 2C) and eccep:E
mpliahce with t11ese rules.
I I ' ' '
'
I i I/ I t-'U ~.+M , ;v!Y? "t<.
ltlff'(lf applicable) , I i
If the prope)ls owned by so~Jeone other than the ~ppl ant, the property owner hereby
consents to allow th :applicant to co struct monitoring wells as outlined In this application ar.d that
It shall be the respori lbility :~f the app icant to ~nsure that thesJ. monitoring wells conform to the We !,
Construction Standa ds (Trtle 1 SA No h Carolina Admlnlstratlv Code, Subchapter 2C). ! I I !
m
1
app,cant
I !
I
ci~i~:"~~ ci :;.;.,;r~~~tii.-~~~~;~;-:ar""~;~:~;;~s;;,;;;.--· --_-
F .0. So::.,;~ -Ralai,~. N.C. 77525.~c:::
P:=r.• (S1S) 'r..:l~:~1. -.. .-: -: .
: . FOP, c;: r.C~ us" Ct-:L y
CU.LO. 1'C. _____ . 5~.::.L,L.i.. ~-------ut. _____ ~""1'-_____ F.O ___ _
1,11.-.c.-iu!r; .,
WELL CONSTRUCTiO~ R£CORD H,;:: ecu _____ --:-=----------
O F.lL LIi'-: G cc 1-;,r.A:iO R: __ s .... A'-'-'1.""$"-=iJ=-=-f}C.!....:..._c_o ____ _
STATE WELL CCNST:=:ucr:ol'i
F::=\.\{ii NU~!:::=:: c8v 3/ Jo";.... I
(:...'!.:•-•ii .:i·::,v~ 7:_: :.1 ~,lj:, .. ;.
FT. r.:,:•;: !_:_:-:C s~~~c.:: ..
• C?1i~i 7e,:i:-:i:-: 1'.•-! t ~·:.-·,,;:·.-:!.~~ 1:..;.-:t;e:e :s "!:-t~ :i ·.:.-::, :, ! T!::.::.='-:! '.!~-.... ~-: --·-·-------
L-. 1-::,,! 1."":::a: ~~:.-: ~S! s-:.:.: z: .-: : ~ !
11. C~L•:)~.;.\',!.7!C•i'-;: T1:: ________ t.._::-::·~---·: ____ _
12. c,:..s~~~2 :
F::.-:-0, 0
F.":7.----T: ---F:.---·
,, ____ _
,.----a-O ...... TRI~:}
• ... ---Ir.. -----i.:. ___ ir .. ____ _
Cc-''" -c:·--
F::::-: 56,c) ~-=-·6f;OF-..d''i.
F;::a.: ____ T: ___ F:.. ____ _
tc. F.~•.~,;:=.t.:.s ·. t3 ~N i"oµ 1 IF-
1',I;. ~:(": 2'.
$'-IC,a £AN!)
.S'/-f6
Jl..bP s;-, °'"c c. '-A'/
/J ) ' ....!..L ________ ,_)_
I '-I l ~~re.
1 cc :-;:.~::Y CE.~7iP!.Tr:,rr THiS .,..,::.L 't..'.!.S CCNS7'~~cr;.:, :N r.=c~;:;b:,Nc:. VT!7:"": ~E,.!., N':~: 'ZC. Yt~:.,1_
CCNSIF."-iCT!C.'"; Sir.Nc.:..ncs. ANO 'T:-:A 7::. cc.=y c~ r.-:1s ~~==:-=.~ :-:~s s:::.s Fs=-~::-:, i O 7:~~ wE=-'-c·.·:~.== ~-
-NC IJ'91:'lmc::t oi E.·wironment,
Hc.a!Lh. & NaQJral Ruourcu
Solid Wur... Manare:nent Divi,ion
SAl\t.IPLE A.r'{AL YSIS REQUEST Sr.&tc ubonLOry of Public Health
P.O. Box :?SO-Ii, 306 N. Wilmington St.
R1lc:~h. Nonh Carolina 27611-8047
Sit.: Numbe: ______________ Sample ID Number/Name ____ ___.5--.•__,\!::;....;(;...9...,_ __ ~--..:._l..:...:b:_]£__ .
Nz.meofSit.: ?<lr..irru, G1cm,l!t· (Jc.s Ltt,uoP'-t:ol!e::::edBy_--4µ,.!... .. ~e17::...:;i.....:::Z.~,...,w~e-.---ID# ____ _
Site Loc.:ition l.J ~ i" r---~-;,, lJ...:..n.,,,,, C, ..,,,,,¼ Dat.e Ccllect.ed_--.::'1==--w3-· _.;....:O~:::l-.:::::==========-Ti_im_e __ · _f_1_~ __ · __ _
Agency: Hazardous W~t.e Solid Waste . L Supe:fund TCLP Compounds
Sample Type Inorganic Compounds Results(mg/1)
Environment.al Concentrate Comments -arse:iic
bmum -✓ Ground Water (1) -_ Solid (5) cadmium -c!lrOmium --Surface Water (2) _j('Liquid (6) !c.ld --mercury
-Soil (3) -Sludge (7) sele:i.ium -siivcr -
-Or.be: (4) -Otbe: (8)
Organic Chemistry InorgaQ.ic Chemistry
P:u-am ete:-Results (mg/!) Parameter R~ulLs(mg/l)(mg/kg) Organic Compounds . Results(mg/1)
P &T:G C/M S
_ Ac:d:B/N Ext.
2,4-D
_ 2,4,5-TP(Silvex)
chlorcarie
bcp:.a::::i.!or
hexachloroi::e:u.::::e ------1=
I
bexach.!orobut.adiene'-------
en-lrin
_ lind...ne .....
_ -m.:thc.,;.yc!-Jcr·
_ toxapbene· , : , ·_
~ Pc~ ._ _
Rc;:,orted By
Date Rcpo~ed
!..lb Number
----------
Cr' S JI 9 I (R c•,iscd 12/'JJ)
j_
antimony
arsenic
barium
bc:yllium
c:idmium
chloride
ch.rorr-..ium
cobalt
coppe:-
fluoride
iron
le:id
manganese
o,c:-cury
nickel
n.itr::ite
sele:iium
silver
sulfates
lhall i u:n
vanadium
zinc
pH
conductivity
TDS
fl:i..sh poi..,t
--
be:iz.e::1e
c:irbon tetracblorice -chlordane -c:i.Jorobe:iz.ene -c::loroform -o-cresol -m-c:esol -
-p-cresol
c:esol --1,4-dich.lorobe:u.e::ie
-1,2-<licbloroethane
-1, 1-<lichJoroethyle:ie
-2,4-dichloroetbylene
-bepuchJor
.bexachlorobcnzenc -bex:ichlorobut.adie:ie
... hex:ichloroetha.ce -_ methyl ethyl ke:one
nitrobe::izene
_ pe:1Uch10ropbe~ol
_ pyridine
. _ tetrachloroethylene
_ tri::hJoroethylene
_ 2,4,5-trichJorophenol ______ _
_ 2,4,6-lricblorophe:101 ______ _
_ vinyl chloride
-----
c:1dri.n
lincune
mcthoxychlor
loxaphcoe
2,4-D
2,4,5-TP (Si!vt:x)
I
-..
, ..
To: Patricia M. Backus
PCB Landfill Project
NC DENR-Division of Waste Management
1646 Mail Service Center
Raleigh, NC 27699-1646
Subject :Monitoring Well on Lucious O'Neal Property
In response to your letter of October 28, 2002, concerning my lease agreement with the State of
North Carolina on February 21, 1997, I am requesting the state do the following as indicated by my
initials.
__ I request that the state, at its expense, abandon the monitoring well it placed on my property
in a safe and sanitary manner as prescribed by the Division of Water Quality. Please inform me when you
made arrangements to do so.
__ I request that the state not close the well. I wish to keep the well. Please provide me the key
to the lock on the well head at your earliest convenience.
Signed : ____________________ _
Lucious O'Neal, Jr.
Date:
. ►
• ..
North Carolina
Department of Environment and Natural Resources
Division of Waste Management
M=--:.,\ ----..:-•~ a n .;,, ~.-.---• Michael F. Easley, Governor
William G. Ross Jr., Secretary
Dexter R. Matthews, Director MCDEMR
October 28, 2002
Mrs. Elizabeth Davis
240 Seminole Dr.
Chapel Hill, NC 27514
Dear Mrs. Davis:
I am contacting you concerning the monitoring well that was installed by the State of North
Carolina on your parent's property in 1997. The installation of the well was part of a three-year
lease agreement between your deceased parents and the state. Its purpose was to provide water
quality data as part of an environmental assessment of the Warren County PCB Landfill. The
agreement stated that at the end of the lease you would have the option to operate the well at
your expense or request that the well be closed at the state's expense. The lease ended in 2000
and I am contacting you to determine how you would like us to proceed.
In June of this year, staff from the Division of Waste Management collected a sample of the well
and sent it to the State Laboratory to determine the PCB content. The result was less than 0.0001
parts per million PCBs, which is the lowest amount the analytical method will detect. For
comparison, the maximum contaminant level for PCB in drinking water set by the U.S .
Environmental Protection Agency is 0.0005 parts per million. Below is other information about
the well.
Date Drilled:
Total Well Depth =
Well Material of
Construction =
5oMERVI LLE
Well Information -.Q!Ne'a1' Property
2-13-1997 Diameter of Casing =
42.0 feet Well Designation:
PCB Content (2002)=
Stainless Steel
To help in your decision I have attached the following for your reference:
(1) the Lease Agreement with the State of North Carolina,
(2) the application for the permit to construct the well on your site,
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: [phone] \ FAX: [phone] \ Internet: www.eru.state.nc.us
4 inches
OSW-1
<0.0001 ppm
AN EQUAL OPPORTUNITY\ AFFIRMATIVE ACTION EMPLOYER -50% RECYCLED/ 10% POST CONSUMER PAPER
.... Mrs. Elizabeth Davis
Page 2
October 28, 2002
(3) the Well Construction Record,
(4) the analytical test result from the State Laboratory,
(5) a brochure concerning well abandonment, and
(6) a response form to indicate your decision.
Please indicate your decision on the response form and send back to me in the enclosed envelope
by December 1, 2002. Based on your decision, I will either provide you the keys to the lock on
the well or make arrangement for the abandonment of the well. If you have any questions,
please call me at [phone] ext. 308.
Sincerely,
atricia M. Backus, R E.
PCB Landfill Project Manager
Attachments: (6)
cc (cover only): Mike Kelly, DENR-DEH
Warren County PCB Community Advisory Board
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: [phone] \ FAX: [phone] \ Internet: www.enr.state.nc.us
AN EQUAL OPPORTUNITY\ AFFIRMATIVE ACTION EMPLOYER -50% RECYCLED/ 10% POST CONSUMER PAPER
STATE OF NORTH CAROLINA
LEASE AGREEMENT
COUNTY OF WARREN
THIS LEASE AGREEMENT, made and entered into this the Ulh day of
November, 1992, by and between EDWARD SOMERVILLE & WIFE FLORENCE SOMERVILLE
of WARREN County, hereinafter referred to as Lessors, and the STA TE OF
NORTH CAROLINA, hereinafter referred to as Lessee,
WITNESSETH-
THAT, WHEREAS, the North Carolina Department of Environment, Health and Natural Resources
Division of Solid Waste Management, has requested and approved the execution of this instrument for the
purposes herein specified; and
THAT WHEREAS, authority to approve and execute this lease agreement was delegated to the
Department of Administration by resolution adopted by the Governor and Council of State on the 1st day of
September, 198l;and
WHEREAS, the Department of Administration has delegated to this State agency the authority to
execute this lease agreement by a memorandum dated the 26th day of March, 1982; and
WHEREAS, the parties hereto have mutually agreed to the terms and conditions of this lease
agreement as hereinafter set out,
NOW, THEREFORE, in consideration of the sum of FIVE HUNDRED DOLLARS receipt of which
is hereby acknowledged, and in the further consideration of the terms and conditions herein set
11.12.1996 16:15
f9rth, the LesaOti do h;reby leue and dtmlse unto the Leuee for a period of three (3) years,
b~Jinnin. the~ day of V~, 199.1, 1 cena.in parcel ff land lyin3 and
b~ing in sttocco Townsh4', Warren County, North Carolina,land bounded and
n)Ol'e particularly dc1crlbed as follow,:
All ar~• ten (10) feet x cen (10) feet as ,identified on exhibit A attach~d here to.
It is under,tood and a,rced that the Lessee ahalJ have the riJht to insiat1 upon said
ptemi,es I monitoring well, improvemei\ts, and equipment deemed by h ne~11ary or desirable
tq earabliah, operate, and maintail\ said premises as a site or station for the p),upoae of detectina, . \
observina, tnd 1-c,portina watM quality. The uid Leuee may remove all of tuch struchiJcs,
equipment, and improvements (rom aaia premise, ctwin, the tenn of thi& le•sc or within six
months from the tennination of the 11m~.
The Lesaor hereby grant$ to the Leuee a ri&ht o{ way acron and ov4r the landt of the ·
Lesson for I ro1d approach to the demised premiaea, 11id n,br of way bein~ a strip of land
twenty (20) !eet In width, to1erher also with the right of ingregs, ess·eH and re,resa thereto and
therefrom for any purpos~ consistent with the proper use of thi premi1es anti esptcialty for &he
purpose of repairing, rnendina, correction the con1troetion of imp1·ovcment• and 0per&tinJ the
11ati0n upon taid site.
It i, further undcr$tood and agreed that the Lecsee may at will temotre all arowth from
11\id sbe and may do such other things u Are nece11ary to maintain the eitt Cn an orderly and
serviceable condition.
Thia leue ,hall iriure to the benefit of and bo bindinJ upon the partits hereto, thoir heirs,
e)(ecuton, 1dmil1i1trat0rs. successors and anian1.
p . 3
F~Ott 9197153685 SOLID WASTE DIV 11.12.1996 1611.; .
-, Upon e~piration of the lease, tbo Lea,or 1ball ha"Ve the option to continue to operate the
\
wdl .s a water supply 1t the expenae of the Le11or or request the well be clois~ at the expense
of the Lente. Upon termination tbe Lenee will at the option of the Lessor 4lose the well in 1
sM"e lml 1anitary manner prescribed by the Division of Bnvironment&l Mana,ement.
The Leasor covenants to and with the Lenee that they are seiud of*' premises in fee,
h•ve a riaht to make du1 leue, that the 11me are tree from all encumbrances &hat would
materially effect this lease, e..nd that the Lessee ahall onjoy ,aid premi,es during the ,aid te1m
fr~e from che advenc claims or any person.
IN T~TIMONY WHBRBOP, this lease has beon executed by the pu-ties hereto, in
duplicate orisinlla, 11 the date first tb~v• written.
iLWtttk ~;& .
(SEAL).
~(?~~--
(SEAL)
STATE OP NORTH C4J(OLINA
t U~ cl 1rift.~
Dcpartn,ept of Environment, Health and
. Natural Resources
f' 4
1 f~OH 919715!685 SOLID ~ASTE OIU 11.12.1996 16 :17
'' STATBOPNO!tTHCAitOLlNA
, !JOUNTY OP ~ ffe--/n...,
I
I, ~ .[ ~ , a Notify Public In and (or the aforc,.id
County and uiedo hercbyy chat /¼ LL 1A A L · A 'ft'-<· . , for Department
of Bnvironment, Health and Natural R&aource&, personally appeared before me thi& date and
•~knowlcdged. the due execution of tho forc1oina lmtrwnont for the purpoti-therein expressed.
199
1.. WllNESSBD my bind and Nowlal Sul, lhia the # dly of~
~Jfo~ aryP\lbH~
My Commission Bxpires:
STATE OF NORTH CAROLINA
<tOUNTY OF ______ _
I. _...;;,::[..ll:::l.::...c::11aa,.~~-.=:::-.;-..;;:~-..... a No Public in and fod the aforesaid County
«nd State do hereby certify that i 31. ' persontlly
appeared before me thil date an acknowledged the due execudon of the f c,·e1oin1 instrument
ior the p\lJJ)o1e therein exprc11ed.
WITNBSS my hand and Notarial Seal, thil tho ..L3... day of _......,_/2"""'Q""'C, _____ _
199~.
My Commission Bxpires:
T J
FF: 0 M 02.01.2000 00:00
' ..
DEP
APPLICATJON
NORrH CAROLINA
ENVlRONME :AL MANAGEMENT CO
NT OF E ONMENr. HEAL1H. & NA:
R ~tom' T CONSTRUCT A 110
SSION
RESOURCES
ORING WELL SYSTEM
Date: 2112 . 19 97: Co nty Warren · . .
' (Ptase Type or Print Clearly)
In accordance with the ' (>vision~ Of Article · Chapter 87, General Statutes' of North Carolina and regulations pursuant
thereto, application Is h · by m~b• for ape It to monitoring wells.
' I
1_ NBfTleOfApplleant:N.C. D'vision of Was e Management
Applicant'~ Malling Address· P ,0, /Box 29601, Raleigh, NC
2. Name of Property owner (If ne~· Edward Somervil
(Telephone: [phone]
Florence Somerville
Owner's Malling ADdress: 1_R_o_u_te_· _4_,_B_o_x ____ w_a_r_r_en_t_o_n_,_N_c_-+--------------
3. Contact Person: _M_ik_e_K ...... l_l __ y _____ +-----------+----(Telephone: [phone]
5. Reason for Monitoring Well ): Environmen al Assessment
(ex: nondlacnarge It requlrementa, auaptcted oon !nation, environmental asaeumer.t, etc.)
s. Type of facility or site for w leh the monitoring ell(s} Is needed: _______ -+--------------
(ex: nondlac:tiarge fad tty, wasta disposal lite, landffll, un erground storage tank, e!c.)
7. monltofed (If appll le): __ P_CB_s ____ -+--------------
(ex: nutr\tnta, 0rganl , heavy metals, etc.)
S. Are any existing recovery 11s associated with he monitoring well(s) ____ N_o-+----If yes, how many? ___ _
I I ' i Recovery W♦ll C nstructlon Permit No. _______ _
. ;
8. Distance to a known waste r pollution source: I sooo
. i 1 o. Are any water supply wells ocated 11ess than scp feet from the proposed rnon
feet
ring wells? __ Y_e_s __ _
PETE BYER
11. Well Driller: SAEDACC0-• Atlantic Dr lling & Const. Co.
If yes, give di'Stance: 3oo
12. Registration#: _1_0_2_0 _____________ _
13. Orlller's Addreas:.;;2_1.;;.o...;;..~;.........;R.;;.o.;;.ad.;;..;..., ~=~~...;N...;C;__.;:2~8~0.;;.;12:;;.._ _ __,.__-+---------------
1. Total Number of Wells to constructed: I 1 ; (A) Numbet to completed In bedrock? _____ _
· (8) Number to be complet. In un~naofidated baterlal? 1
,75 ~l 2. Estimated depth of well(s)
3. Gravtl or sand pack lnterv (If appropriate)
From 60 ··feet To
4. Type of easlng used:
5. Diameter of casing: -----t....-_4 __ lnchos
GW-22M (11,';4)
7 feet
!zed atMI, etc.)
(Continued o
I. F ;;; C t-1
. " I
3. , Thickness Of casing: __ ,.._.._Inches i
• I
~ ,How wlll the well(s) be secur'
3. EstlmatEk1 beginning oonstru
Outer lock~d casing
3. Estimated completion cate_· ,..__ __ 2_-_14_-_9_7 __________ -+
I I . . I • , I
,. ATTACH A SITE MAP SHO ING THE LOCATIONS OF THE FOLLOWING:
, • PROPOSED ; 'rroRING WELL($~
2 • ALL EXISTING ONITORING AND ~ECOVERY WELLS OR TES
BOUNDARY
BORINGS WITH THE PROPERTY
S • ALL WATER SU PLY WELLS WITH N 500 Fc:ET OF THE WAST9 SOURCES
4 · AT !:EAST. -mo EFERl:NC!: P01Jrs (NUMBERED ROADS, l~ERSECTIONS, STR:AMS, EiC.)
2. PROVIDE A WELL CONST CTION OIAGRAMIOF EACH WELL SHOWING IAMETER, ESTIMATOD DE?TH, SCRE:N
INTERVALS, SAND/GR.AVE PACKS, TYPE 0Fj1CASING MATERIAL, CASIN WALL THICKNESS, WELL H:AD COM?'...~-
TION DETAILS, ETC .)
The Applicant ereby agrees tJe proposed well{s) will Jconsiructed in accordance with
approved speclficati sand oonditlont of the Well Construction Permit as regulated under the We i:
Construction Standa s {Titl~ 1 SA No~h Carolina Administrativ Code, Subchapter 2C) and accepts
full responslbUity for · mpliahce with these rules. • • I tJ :
Title (If applicable) I :
If the propertylls owned by so~: eone other than the $pp! ant, the property owner hereby
consents to allow th applicant to co struct monitoring wells e..s outlined In this application and that
it sha!I be the respori ibility ~f the app icant to ensure that thesd. monitoring wells conform to the We!,
Construction Standa ds (Trtle 15A No ! h Carolina Admlnistrativ Code, Subchapter 2C).
. erent rrom, app ,cant)
I
I I
!
. ·-.
,· ---. :: ... ·• ~ ~:-..... :~---:~:~7:r$-C~::~;-t.:.7 .. ~~!~--:;µ._~1~.-~::2:-~·-·r~:::;~~:5~·-7~-=;..;-~:t-:::~ =-.~-~:..-.;.-.-~: .. : -~:-·. · ,_.,, :{'~'.";\ti_cr'.'i Curill_n~.· C•p-::m•irl of~!!~:.~-~~~~~.~ ~•~ht! R,sC:.::.-:;~ · -. · • · · ·· ·· Oiv!,?on _i:f :."\"fr.:nmtntal M•CJ•i--m•nt-atCNnd-Nattr ~•c::er. ·. : ·: ~ · -,/-<"?-. _F:?fc~Fi~t uSc cNLY_ ._ -, :_:~t-:· :,:~·:: .. : ;; F:~~-6~:i: ,;~;~~~;,-g_;;;~!62~·~c.-=.~-. _; _._:' CW.0.NO. . · · · · ··· S¢;u.ll.r-i0 . .. ------
,·. · · ·., ·. · j-~~t:i;~'uciici'J:;·~,~J;=~~:
UC. . l.:."1:. ___ .;__ F.O ___ _
OnlLLING COHTF.ACTOP,: }ul f;.l)f}-CG.0
SiATT WELL CCNSTni.!CTlOH
c~rLLER P.£G!STR:-TlOH NUMSEn: /0?...., I Pf:iMIT NUM::i=i: ------...:...;;;...;.... ____ _
1. W:L'-LOC#-.TION: (S:-:cw sl<.etci'I cf tr.: loceticn bilcw) 0S1/4,J -/
Nur!,: le...,~: Wftf?,B.•;N \CJ&J · • C::..:::~1:--------------
(., I M p/L · Jo.Ji.v /2./)
(i=.;£~. C:~:.::.~,.:: S.;x:,i:icn ~r.~ :..:t Nc.j
:2. OW:--1:F: wftOllG.tJ Co. kl!. c,;.,Jf)f)C,(
·A:JO"'ESS L-1 rri £/L ,ovr,/ 4 Q
F:::7: ic
(S::::1t ~, ~::.:•..: ,-;;.) 0 /0 w,;gg,.;µ ;c--w N.. c__________ 10 ,o
c.~, :." T-:·~~ s:~~= Z:.: C.::, __ __;..:::.... _ _,:=;...._---
c~:1_1_:~dG LCC:
F;:::-:i:::~ ::;~.;.-:;~;.~
~ __ S/C i··f C u"J.. '-(
I \ i I
I'-I \ ~-o:..~·; 0~1 .. 1_:~ a,-/3-9 L US: OF 'l-i:'-L mq-...J .~ I?., l.O p.. >
1. 1O7 AL 0E.=7:-: 't ;l.. • C) ;2._$~__,$..,___(L.....--
CUi"'iiN~S CO•_L::T:) Y:S :__ fl:0~ ___ ,s..,S..___4..,_).,_,._ ___ _
·/U 'tJ,l.~~,c..-· ~-W----E ..... 11'-fd-~/...,.[) k -
!:. CC·:5 '-ti:i..L E£~U.C2 EXiST1,,c; '-,';f:LI_? 'r':S O ,._-~P'"j
7. ST . .:..7JC v-:.:.. 7:~ ~:11~;. E::,cw Tc; ci C,s::·:;: ____ F7.--
(~s~ ·-·ii!'::..,• ie,:: :! ~ -11 :.-;;
FT . .:..:cv: L:.:.c' .Si.:r~~== •
v:c.;: Ti~;r.:,.--:t1s
c~=·~~ cL7P' T~ ..il.:.Q. Ft. _::1...,_ __
0' ",\'•=---•'":• SJfi'o"
F~:;.; ____ ::---Ft.---
F:::-:-; ----1:---F:.----
C~:~~ 1--,:;::.·;~:
F·:-:-f. C)
;= ::-.
, · ~ F:. ()of2..TU+N.-=-0 __
~/-::.-:::
~'rY"" ... t J
1·~. ·s:.=.==-~:
C·:-:~~ Ci~":-:~~=-· S:=: S;~~ ~.~~~-=~:~:
F::.-:-. ~ T; ~ F: ~-, ,---Ir. . .Q.f.SL fr:. ----~--•--Sc__
F::~. ___ T: ___ F~·---i:-:. ___ Ir.. ____ _
1r.. ---ir.. -----
C·c;;;e. ·Siz: ,c 'fl..0 Ft ff ;2.. Fr=::-. 3:). O
Ft::.7. ___ i~---F~----
~1c.'.:;";E1 .
&4~S19tJ/)
tE. P.E~.i;,~:,{S :_..,;a/&a<,.z;;;..~_,J......._;ti_,J-"', ..... ,...;;E_, __,pl~<t-:_._c>_-__ 3,_o ____ . ...,o __
l'-l--\
----··---
----------
_.e.cB. c.rND
Fil..{_
'-I,...,~ ~ ,-.; fl_{)
NC Dc,,an:n'~~t oi ;:-v;,.,...n.,,,-1
Hullh, &:. ~&OJr&I Ruourcci
Solid Wu~ M,n.ar;emcnt Division
' . SA.lvlPLE Ai'lAL YSIS REQUEST S~tc uborstory of Public Hult.h
P.O. Box 1!04i, 306 N. Wilmington St.
Raleii;h, Nonh Cuolin, 27611-&047
Sit.eNumbe:-______________ SampleIDNumbe:-/Name ~b ~ ::l& .-:Lt-, , 2..
'
NuneofSite ?fl...,.ro, C,,.,.,,;ry, Pcs Lrovo~'-Eol!e::~edBy /.t.q 7-,.,._,,,;,v . ID# ____ _
Site I..oc.:iti OD lJ #.., ~ r--.. "'+b-j lJ ~ .. ~ C, &/'I,~ Date Collected _____ ,,._-.......... ~_. ---=o~· ~1-~=-=-=-=-=-=-=-=-=-=-=-=TI_m:_e-==·=l=1=!='='=· ===-.
r.geocy: Hazardous W a.ste Solid Wa,.ste .. ✓ Supcriund
Sample Type
Environme!'lta! Concentrate Comments
:!:_ Ground Water (1) _ Solid (5)
-Surface Water (2) ✓Liquid (6)
-Soil (3) -Sludge (7)
-Otbe~ (4) -Other (8)
Organic Chemistry
Paramete:-
P&T:GC/MS
Ac:ci:B/N Ex t.
2,4-D
Results (mg/I)
_ 2,4,5-TP(Silvcx)
chlorcia.oe
hep:.a::i.lor
hexachlorobc:u=:::e _____ _
hexach.lorobuudiene'-------
e::iJri.n
li.ndz.ne
_ -m~:ha.xychl~r·
toxapbcnc· · -.L!'I L Pc~ <a,0001{2,Pt'1 l
FOR LAB USE ONLY
Date Received · . I:,~. ir_-0 )_ ~V tr
. Pres ~· (, .f so Y)
Date Fxtracted b~S-¢,2.Vf'
. . (i>~3"{ M:si:-'3;) .
Date Ana.ly,:z.edy.-'7-OAVP
Re;,orted By
Date Repor:ed ----------
' J · ... ' . " , ·-,, .~A..,._, , •. ,
DHS Jl91 {RcviwJ 12/'JJ)
Inorga.gjc Chemistry
Parameter Re:sul:.S(mg/l)(mg/kg)
I_
antimony
arsenic
barium
beryllium
cadmium
chloride
chroz:....ium
cobalt
copper
fluoride
iron
lc::id
manganese ______ _
merc~ry
nickel
nitrate
se!e::uum
silver
sulfates
th:ill i i.r.:1
v:inadium
zinc
pH
cQnductivicy ______ _
TDS
flash poi..'lt ______ _
------------
TCLP Compounds
Inorganic CompoWlds Results(mg/1)
arse::uc -barium -cidmium -chromium -Je3d --me:cury
sele::i.ium -silver · -
Organic Compounds . Results(mg!I)
be:ue!le -c:.rbon tetrachloric: -c:i.Jordane -c:i.lorobe:u.e::ie -c;-Joroform -.-o-c:-esol -rn-c:-csol -
-p~:-esol
c~esol --1,4-dichlorobe:u=!le
-1,2-dichloroethane
-1, 1-dichloroethyle::i:
-2 ,4-dichloroetby le::ie
-bepuchJor
bexachlorobeo.u::ie -bexach.lorobutadie::ie -... hexac:Joroethane --methyl ethyl ketone
nitrobe:u.c:ne --pe:1uchloropbe:10!
-pyridine
·-tetrachloroethyle:ie
-tri:::hloroethy leoe
-2,4,5-trichloropheool
-2,4 ,6-trichlorophenol
-vinyl chloride
c:1drin -li.nciane --methoxychlor
-toxapheoe I
2,4-D --2,4,5-TP (Silvcx)
Questions/Contact Information if vou have any quesriGns about ,iband,·,n:ng your ·\veil; plc:asf: c:-111. the Clroand1.v~1re;: Secr:iot1. Region.al Office frr:.· your area. The foHnwing is a list of Regional C)ffi,2,~s. .,t\.~hevitle R~gioaal ()ffrce f;_i~-t~rchae.gc Building. 59 \>:.>o,.1Jfin ?J:::ct' ~t\.sho:Yitle, NC: 23801 • Ph0ne:( 828} 251--6208 f.'ayct:.ev~llt~ R~gi;:~r~al ()ffi!:e 22 5 Clreen Street, Suite 714 E·:yctt(.:viUt~. NC".' 2HJO"i • Phunc: (910) ,t86-1.54l Mccre,ville R.eglmal Ottke 919 }Jorth 1vlai.n Strc-::t ~,foQrcsvil1c. NC 28115 • Phc-rv:: [phone] .R:-11eigh Reg!c.1!"1:!l ()ffi_cf: :,8(10 Barrerc D,ive, Sulre 101 Raleigh, NC 27609 • f-'bonc: (919) 57 J_.,;7(XJ "ilUa,hmg,cr. R~gi::mal Cike 94 3 \~?~JshiegtiJti Squ::ir1: JvfoU \)'/a~hir\¥t-:.F1: NC 278d9 • P:",::mc: {2.52) 946-6481 ~·H:J_:_~ngtnn Rq,:iGrwl C)fA..:.c 12 7 Cardinal Dri"c ExrcnsF:.n \Vilmi!)g-r~·;n: NC 2.8::()5 • Pht~t~t--:: (910) 395-.J9CG \>/'inston--S:1ien1 Reg!.onni 0ffico:-~85 \Va-.1ghtew;.1 Stn:.:!;f \'VinstGr.·-Sal:::!"":"., NC 27107 • Ph-:,ne; :}36) 77 l -4600 \\/a;:..:-r wc-11 ab~nd.or1tncr:.r ~rcc~du.1:,:s :Jrc o:.1di:1c,.i. in Title 15.t\ Nurth C:Jr(,Et!~~ /":·.1mini::tr:tL~,,~ (\lJe, Clup:.~r 2(\ 5c~~:.i;,.l:_;_ .C·J U. TI1~ _;_,.;;-.:,n)1c:.r~cn i...:"t d:1b p,1~1.rt,.:.~r is;-:. ;;u::,.1.mary 1.\f :.h;,.)::C: rc:quii.e.n"?t';ll~i,. ·r~j gt;:. Ct)tnplc:i•:--: c•.)pks of rti~~:,e rul:s VVtJ n-12.y d~)..,.,1.\ba,j ch~:r~ frero. n:.:r weh r•r..ge r,_;_ h;:,rr::// g-,v.-:-hnr.srnre.r,,:.t::: er conrnct iJS c:.r rhe i)k,~~--;;..,g ;,dd:e-;:;: [)\)f(I, G_:_..-ntr!.dwa t..:·r St~.._-.r.inn 16.36 .~1ail Service C-:n.tc• Rti.kigh: NC 27699· ·; 6.'56 Phone [phone] • Lx (919)715-(•5-~-~ l ~ :.tp:/ fr:orw. c.:h n. :·.~: r:~ t·c. !'I c ui:; ~
Bored \Veil Abandonment For bored wells tbar. do n.M. b:,ve sta,1ding water in them. m any time during the year: (a) ,·cmnv,~ all plurnbing m piping, alcmg with any obstrnc::ion,; in the well; (b) remove r:s much of the well casing as possible; d1en (c) fill che er,ti;-e ·,.·ell 1.1p LO hnd surface with cement grout, bent.onit.e grout:, concrete grout, dry clay, or material excavated during ccmsrrnction of the well ,md then compacted jn place. For bor<::d wdl, that do have standing water in them during any pan of the year: (a_) remove all plumbing, piping er Gbstntc•· ::ion.s: (b) disinfr:cc the wdl using a solution rr,2-.dc from calcium bypod1.lorite cont,,ining 65°/,-75'){, av:idable chlorine ;md follmving the ;·equ,rern.encs of Ti.de 15A NCAC 2C .01 li; {c) re1n0ve as tr1uch of the \:\1tl1 casing 2s possible, but. nn less tbm .3 feet below bmd r surrac(:; (d) rerm,ve all:;,):.! or othe!' sul-,st,rfa,:e m;;r.e-rial present dowr, to the wp of the remaining well casing and e:;tC'.;;.cling W a width of at lea.st ).l inc:bes out~ide of the well casing; (e) fil~ r:he welt ro the top of r.h.~~ .::en1a1nin_g c:1:;ie.g ·1.vith ce1nent grout, concrete grout: bent~n-:i~e grcut1 dry cl;~y, or rn;~r:eric:] exca-· va::f:d durjng cnnst.nH~::inn ot" ::he \An:11 and ll,en compac:L in place; ( f) pc>ur a l foot cement or concrete grout plug tba~ fi.lb tbe emire excavated area abcve the top of tbe casing, includmg tbe area extendtng cm all sides of the casing our to a width of at least 12 inches on all ,ides; r.hen (g) complete ::he i,h,.ndc,nment prnce,s hy fiHing the remainder of the well alx,ve the plug with aclditicmal cm,crC:te grout, ;_;em;~nr grout er soil. Drilled \Vell Abandonment Any casing not grouted. nlust bt rcrn,)ved c.r properly grouted. Castng that is grouted can be removed if such re-n:nvc1l does not contrih-t.m:: w contamination of the ground,,,ater. The enti,·e depth of ::he well has ::G be, sounded w ensure fre:::<lm1:1 from ob::;truction:; that m.;y interfere with sealing operations. The: ;;;d[ ~hould be disi,1fect:::<l using a sob-tlo,, m;;de from culcium hyp,x.hlorire contain-· ing 65<K, ~ 75l}b o.vailable cb..lc,rine1 such as HTH. De not use cakium hypochlorite pwduc::s c:ontain.ing fongicide:;, algicides, er othe;: disinfocrn.ncs. De> not US!:' a cc:;mm,,n household bleach, as it is we; weak. A ;~om-plr.te descripr.inn of disinfection p;:,x.edures can be found in Title 15A NCA.C iC .0111 ff che w.:;ll ;, gravel-packeJ and th,: ca5it-,g and ,creen have ,w;; bc,~n remov<::d, ,1eat cer,1eI1t or bento,1ire grout: must be injected into the well, comple::dy filling i:: from ::he bom:-,m of the ca8ing to the top of the ,_,,,e]t, Yiells con.~tr:1cted in unconsolidated fcnr::=1--tior,, ~.hall be completely fiHed ,,ith cement grout m benton.ire grout by inxrodunng i:: through a pipe extending tG the botmm of the well. TI,e pipe i,; ;:hen raised as tbe well is filled (commo,.11.y call.ed 8 ::rern;nie pipe;. \Vell;; constructed in. rnnsolidared form;;ticns may be filled with cement grom, bentonite grout:, ,and, gravel., or drilling cuttings up tG 10 feet belmv the r.op of consolidated rock c:,, 5 feet below the bottom of the casing. The remaining well void space must: be filled wi;:b c,~menr or bentonite grout to the top of the well or land ourface. Abondcnmeni of Drilled Wd! ,:c;~ing 11,o: v.·as kit Ragol:th Bedrock Other Wells cr.r.,fH\! or bo¼n~tvr.it~ g~n.J! {L•:;,:vn~ol;Jc1i-ed !e,;r,1:,:,t:,:-1:s; ·, c:-:,i:-::-1:r ;)r bt:.,t-:C•t~itt: 3:;;._,:, s,:,nd. g!"cr,•el, vr drill :-:ut!ings {cc,..~ol;Ja•~d :c,..,,:ot:c-1:~; This pamphlet has surnmaizecl the abandGn-· ' f ll ·1 { n1ent proceG.ures tir water .. v;:;,.; 5. . ·. o·..,vev!:r> there are many other type~ of wells in Nnr;;h CarGlina ,:hilt mnst be abmd,:,ned pwperly. For li1jecti.on 1;Vdl abandomnent procedures, refer to the Tide 15A NCAC 2C .02.00 ra!es: Crireri:J rJ.nd Sr:andr:rds !\.pplicc:ble tc-.!njeccion \)?dis. h,r m.onitor,.ng wdb aad other miscellaneous wells, refer tG Title 15/\ NCAC 2C .C:tOO: Criteria 3x,d Standards Applicable rn \Va:_er Supply and Certain Other \Velis . ., Well Disinfection Tip The tc.,llowing table can be used to determine how mn,:h chlorine compound is needed to dose 100 feet of a water fiHed well to a., I.ease lOOrng/1. lf you have a<lditional questions, plca~e contact the Grnundwar.er Section Regiornd Cffice h1 your area for 1.11<),e i .. nfor;.t:Jr.(o;.1 on well di;infr:cti:m .. f@t 2000 ;.:oµi.e:. of thi~ p~ibik d<K'.J!·:-1~:t'!f Wt~r~~ prirH.t"":d er, ntcyclt"":tJ pt1per at a co,r c,f $273.27 or 0.14 pc:-cop;-·.
..
To: Patricia M. Backus
PCB Landfill Project
NC DENR-Division of Waste Management
1646 Mail Service Center
Raleigh, NC 27699-1646
Subject : Monitoring Well on Edward and Florence Somerville (deceased) Property
In response to your letter of October 28, 2002, concerning my parent's lease agreement with the
State of North Carolina on November 13, 1996, I am requesting the state do the following as indicated by
my initials.
__ I request that the state, at its expense, abandon the monitoring well it placed on my parent's
property in a safe and sanitary manner as prescribed by the Division of Water Quality. Please inform me
when you made arrangements to do so.
__ I request that the state not close the well. I wish to keep the well. Please provide me the key
to the lock on the well head at your earliest convenience.
Signed :
Elizabeth Davis.
Date: -----------------------
·1 .
NCDEHNR
Division of Waste Management
M("superfund Section
D Hazardous Waste Section
D Solid Waste Section
Organics Lab : V
Inorganics Lab: __
CHAIN OF CUSTODY RECORD
Project Name: LJ.,.,_,.~ C"ou ~i, l)c,,i,
Site ID # (NCD#) ______ _
Location: lJ£-rr-""""-Lw J W ... .,..a--,._ ¼u~-lv
Address: ------------
.
Sampled By: t:t 2.. 1v A/
Sampler ID _________ _
Telephone:(1ru 7 )3 i..~ o (
Date Sampled: {..-> __ -'1 --~'l....
Time Sampled: _________ _
Sample Types: Soil ---Water ✓ Waste ----Other
Remarks: --'--------------------------------
Field Sample
Numbers
frd £ lo
1.t 7 '-t
~ '$ I ~ ~ YO lg tJ
'Ll 7 L2 ;l..,l7 '-2
--<i'O'g I~
'LI J le.'-/
Date: t'-'(-2.... Time: /Fi 2-o
Date: Gz-f -02--Time: /£2/
Rel1nquished By: ____ ___;_;_ _______ _ Date: ----Time: ----Si nature
Received By: --------'---------Date: Time: ----
.( S, i g nature)
.. " ~
Relinquished ,By: _____ --,--______ _ Date: Time: ----
Si nature
· 'Re<?e.ived J3y: ______________ _ Date: ----Time: ----
(Signature)
(I:\docshare\cocr.fnn)
-. -. ' . I J lH
·,·NC Dcp.'1;mcnt oi Enviro~cnt, ;
'Hullh, & N,wral Resources L ...
Solid Wu~ Marugcmcnt 9ivi~io'n • ·
ii ' )'f JUN 1 0 ., , l
~,; ·,S,AL~i1\N YSIS REQUEST
•••• _·' j ~ ·--~--~-(} '1J
St.ate wbon.tory of Public Hulth
P.O. Box :23047, 306 N. Wilmington St.
Ralcii;h, North C,rolina 27611-8047
'-•··-
SitcNumbc:r --------------SamplcID Numbc:r/Namc: _ __;_se~~;• ~'iEEIS:~_:L-t~t7J.JtUf __ -c---
Narnc: of Site lu.--v"ru, c, .... t1,1:t{, PcB lttNoP'~llectedBy_--<,//.~A,::..::;C'o/~,-.._:,z=--'-,....,~'---<,./A/ __ . ---ID# _____ _
SiteLoc.ation lJ e.,...~~~"" j l);_r:CCn C,.,1-,,¼ DateColl~~--b=---.... ,3 .... -_-~o_L _______ Time ) I · v ..:,
Agency: Hazardous W a.ste
Sample Type
Fnvironment.al Concentrate
v Ground Water (1) _ Solid (5)
Surface Water (2) _yLiquid (6)
Soil (3) Sludge (7)
Other (4) Other (8)
Organic Chemistry
Solid Waste ✓ Superfund
Comments
DAU~~ lJ c. ll
Inorgarµc Chemistry
TCLP Compounds
Inorganic Compounds
arse:J..Jc
barium
cadmium
chromium
lead
me:cury
selenium
silver
Results(mg/1)
Parameter
P&T:GC/MS
Acid:B/N Ext.
Results (mg/I) Parameter Resu1L5(mg/l)(mg/kg) Organic Compounds . Results(mg/1)
2,4-D
2,4,5-TP(Silvex)
chlordane
hept.achlor
hexachloroben.zene ------hexachlorobut.adiene ------endrin .·
lindane .. ',~ ... ,
_ .. metho.xychlq.r. ·
toxaphcne' ' u'· i: ~ Pc~ <q,tJDIJl!fM-
,_
Lab Nu~ber
OHS 3191 (Revised 12/93)
oJi;i.w11 -O).~ tJ1 lf
antimony
arseruc
barium
beryllium
cadmium
chloride
chromium
cobalt
copper
fluoride
iron
lead
manganese
mercury
nickel
nitrate
selenium
silvc:r
sulfatc:s
th all i t.r.:n
vanadium
Zll1C
pH
conductivity
TDS
tl.i.sh poi.'lt
ber:J.Zene
carbon tetrachloride
chlordane
cb.Jorobenzene
chloroform
o-cresol
m-cresol
p--crc:sol
cresol
1,4-dichlorobenz.ene
1,2-<lichloroethane -------
1,1-dichloroethylene ______ _
2,4-dichloroetbylene
bept.achlor
hc:xachlorobc:nzene
bexachloro but.adiene
hexachloroetbane
methyl c:thyl kc:tone
nitroben.zene
pentachlorophenol
pyridine
tetrachloroethylene
trichloroethy lc:ne
2, 4,5-trichlorophenol
2, 4, 6-trichlorophenol
vinyl chloride:
c:ndri.n
lindane
methoxychlor
toxapheoe
2,4-D
2,4,5-TP (Silvex)
-------
-------
--------
-------
-..
NC Dc',:,utment oi Environment, ,
Hu.Ith,,& Nuural Re.sources
Solid Wu~ Muugcmcnt Divi,ion
SA.lvll'LE Ai'l'AL YSIS REQUEST
~
State Lsboniory of Public Hu.lth
P .O. Box 23047, 306 N . Wilmington St.
Ralcii:h, North C,roiina 27611-8047
Name of Site u...,,. r(b c,.,...t3,it./, PCB L&N a Pl'tollected By _ __._J,/.-'--"-'-A-=--C'o/-"-+--2=--",~;,)~tv _____ m # ____ _
SiteLoc:ition lJ "'v-,~4,,, ... j lJ~cc,,. C,.,,.,,ii1 Dat.eColl~ted_-"·r;,=---... 3_· ----=o=--L=-_____ Time · l 1 : 1-;
Agency: Hazardous Waste Solid Waste ./ Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Results (mg/I)
Fnvironmental Concentrate Comments an:e:iic -barium
✓ 5 U<.-li( -Ground Water (1) Solid (5) cadmium ---chromium -
_yLiquid (6) Surface Water (2) le:id --.. -me:cury
Soil (3) Sludge (7) se!e.:iium ---silver -
-Othe:-(4) -Other (8) -
-
-Organic Chemistry InorgaQ..ic Chemistry -
Parameter Results (mg/I) Parameter ResulLs(mg/l)(mg/kg) Organic Compounds . Result.s(mg/1)
P&T:GC/MS antimony be::ize:ie ---Acid:B/N Ext. arseruc c:irbon tetrachloride: ---2,4-D barium c:u o rciane ---
-2,4,5-TP(Silvex) -beryllium -chlorobe::ize:ie
chlordane cadmium chloroform ---heptachlor chloride o-cresol ---
hexachloroben.zene chroraium m-c~esol ---hexachloro bu tadiene cobalt p-cresol --
-enJri.n copper cresol --
liriili.ne ~-.. '.·-· ~-• .. fluoride 1, 4-dichlorobe:ueoe -----_ --methcuychlq,r . iron 1 , 2-<lichloroethane -' --toxapbene lead 1, 1-dichloroethylene -ll'. i: --
L Pc~ <o ,oao/fl2'" -manganese -2, 4-dichloroethylene ---mercury -hept.achlor
nickel hexachJoroben.zene ---nitrate hexachlorobutadiene ---. . selenium .,_ hexachloroethane --silver methyl ethyl ketone --FOR LAB USE ONLY sulfates nitroben.z.ene --b W' thalli u-:o: pent.achlorophenol --Date Received . -·~· ~--0 2 . l.r ' vanadium pyridine --. P fC.E ~ t {s o i) ZlJlC teirachloroethylene
Date 'Extracted b .,.,..S-0 .2...VP -·-
-pH -tri::hJoroethy lene
· · (?cz~(MS~ · -conduc_tivicy -2, 4,5-trichlorophcnol
Date AnaJY:zed :-:l,-a VP TDS 2, 4, 6-trichlorophenol --... ffash poi.'1t vinyl chloride --Reported By cndrin --... ... linciane -Date Reported --methoxychlor
0 ;, "b 1 ,, > --toxaphene
Lab Nu~ber ,, ,,v t (,, 2,4-D --
--2,4,5-TP (Silvex)
OHS 3l9l (Revised 12/93)
'
NC D9 1 .• -:me::t of E:wironment,
•. Hu.Ith.'&:. N uiiral Re.sources
Solid Wui.o Muugement Divi,ion
SAlvIPLE Ai~AL YSIS REQUEST St.Ate Lsbomory of Public Health
P.O. Box 23047, 306 N. Wilmington St.
Ralc:i;h, Nonh c~rolina 27611-8047
Site Numbe: ______________ Sample ID Number/Name --'------"5"'--'.Q____,i{=:......:(c...'1...!.__:__~___!._l~~~JL._
'
NameofSite ?<Jr-4'ro, G1-1t1,Tu, Pcs LttNoPl'1:Dlle=te.dBy_----'-/✓.-'--='-'A=C7...;_;;;;,;<-'Z-=_._.,v~t,c.,/.._ _____ ID# _____ _
SiteLoc:.ation lJ ,:.,\I'~¾ ... j l),.,_'..,...n-i1 C,,.,,"'1i-( DateColl~ted _ ____,·r;.:::._-.t.L1_-_-_.:D::::....::L=-_____ Time · [1 ~·
Agency: Hazardous Waste Solid Waste ✓ Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Results(mg/1)
Environment.al Conce!"ltrate Comments arse:::uc -bs.rium
✓ 6 -Me-: ( -
Ground Water (1) Solid (5) c:i.dmium ---chromium -
__yLiquid (6) le.:i.d Surface Water (2) --.. -me:cury
Soil (3) Sludge (7) selenium ---silver -
-Othe:-(4) -Othe:-(8) -
-
-Organic Chemistry Inorgarµc Chemistry -
Parameter Results (mg/I) Parameter ResulLs(mg/l)(mg/kg) Organic Compounds . Results(mg/1)
P&T:GC/MS antimony be:J.Zc::ie ---Acid:B/N Ext. arsenic cirbon tetrachl oride ---
2 ,4-D barium chlordane ---2,4,5-TP(Silvex) -beryllium -chlorobenze::ie -chlordane cadmium ciloroform ---
heptacblor chloride o-cresol ---
hexachlorobenzene chromium rn-c:esol ---
hexachlorobutadiene cobalt p-cresol --
-enJrin copper c~esol --
lin&ne .. ',. ~, fluo ride 1,4-dichlorobe::u.e::ie ---_ ·· metho.xychlq.r-· --iron 1,2-d ichloroethane ---' toxaphene lead 1, 1-dichloroethyle::ie -,,·, · --Pc~ 1C . <0,000 /~ 2, 4-dichloroethylene L -manganese ----mercury -he;:,tachlor
nickel hexachlorobenune ---nitrate hexachlorobutz.die::ie ----selenium .... hexacb.Joroethane --
-silver methyl· ethyl ketone -FOR LAB USE ONLY sulfates nitroben.z.ene --thalliu-::n pe:itachlorophenol
Date Recei ved . G ::--c/ -0 ;2[!JG --
' vanadium pyrid ine
. . 0-f.i} s ( MY~ --
Zll1C tetrachloroethylene
Date Etracted C -:-:s -o ;z_-yp -·-
-pH -tri::hloroethylcne
. . · rFt;$s(/t,{S_orn . -conductivi ty -2, 4,5-trichlorophcnol
Date Analz:z.ed 6 --~-0~Yf' -TDS 2, 4, 6-trichlorophenol -... th.sh poi.:1t vinyl chloride --Re;iorte.d By e:idrin --... ·--lindane --Date Reported --methoxychlor
(J~~ti73 --toxaphene
u.b Nu~ber --2,4-D
--2,4,5-TP (Sil vex)
Dr.S 3 191 (Revised 12/93)
-..
'
NC Oc:~•t~me:it oi E:ivironmenl,
· ~ Hc:..allh~& :lac.Jr&! Resources
Solid Wu~ Muugement Divi,ion
SAlvIPLE Ai'l'AL YSIS REQUEST Slate wbontory of Public Health
P.O. Box 23047, 306 N. Wilmington St.
Raleii;h, North Carolina 276! 1-8047
Site Number ______________ Sample ID Number/Name ----~@~~J=i~i~~~-:...:2..,~· :::1_ll.J...J'-~l{(_. __
'
Name of Site lJ..-4' ro, Cu.,,Jt{, PCB lttN D Pl~llected By _----</l....<..::.,4=Do/...:....::;,<-L.--=_._., ,._,,;=-/J"-"---.---ID# _____ _
SiteLoc.:i.tion l.J ....... \I'~-½.. .... :j u.,,·r-1''4 ~,/'I,¼ DateColl~ted _ __::·r;===--._t.3_. _-_!O::::...::L=--_____ Time ·/;,Sb
Agency: Hazardous Waste Solid Waste ✓ Superfund TCLP Compounds ----
Sample Type Inorganic Compounds Resu1 ts (mg/I)
Fnvironment.al Concentrate Comments arsemc -
barium
✓ ltft,+ow -
Ground Water (1) Solid (5) c:i.dmium ---
chromium -
_yLiquid (6) Je:id Surface Water (2) --
-me:-cury
Soil (3) Sludge (7) seie:iium ---silver -
-Other ( 4) -Othe::-(8) -
-
-Organic Chemistry InorgaQic Chemistry -
Parameter Results (mg/I) Parameter Resu1L5 (mg/I) (mg/kg) Organic Compounds Results (mg/I)
P&T:GC!MS antimony beazerie ---
Acid:B/N Ext. arsenic c:irbon tetrachlor:id:: ---
2,4-D barium chlordane ---
-·2,4,5-TP(Silvex) -beryllium chlorobenzene -
chlordane cadmium ch1oro fonn ---
-hep t.achlor chloride o-cresol --
hexachloroben.zene chromium m-c:esol ---
hexachloro butadiene cobalt p-cresol --
em:lrin copper cresol --
-lindme .. ,,··, fluoride I, 4-dichlorobe:u.e::ie
_ ·· methaxychlq.r-· ----
iron 1,2-<lichloroethane ---' toxaphcne lead I, 1-dichloroethyle::ie -1.!"' 1: --
£.._ Pc~ <oA DOOi l:Jn.., -manganese -2,4-dichloroetbylene -,,
--mercury -hept.achlor
nickel hexachlorobenurie ---nitr:ite hex:ichloro but.adie::ie -----selenium ... hex::chloroetbane --
-silver methyl ethyl ketone -FOR LAB USE ONLY sulfates nitrobe::u.ene --
Dace Received ~ :--tf_ 0 2 U/l.:--
thalli tr.II pent.achlorophenol --
' -vanadium pyridine
.. ~~(Msolr) -
ZlilC tetrachloroethylene
Date Etracted . -.-s -rt:J;z..Vf) -·-
-pH -tri::Woroethylcne
.. (?~ {',4( S u'8) . conductivity 2, 4,5-trichloropheaol --Date Analyzed ~-,-t;-C,~VP -TDS 2, 4, 6-trichlorophenol --flash poi.:Jt -vinyl chloride
Reported By -endrin -... .. -lindane -Date Reported --methoxychlor
U~~G,14 --toxaphene
Lab Nu~ber 2,4-D --
--2,4,5-TP (Silvex)
OHS 3191 (Rcvi,cd 12/93)
-..
'
WELL LOG SHEET Facility : Warren County PCB Landfill Location: Warrenton
Purge/Sample Team: ____,,?,~, _,,1/c..c;Al"'-,.L../_,_~=-'5=>t-=,,..-----------Well#: 6-A/-e~'/ Li/£ if ,,
Comments (well construction, etc): -~-· _5_---_r+-· -'+(/_ __ -_J..~( ___ 3_v_:::._lf_2-__________ _
Purge Information
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
For bailers: 4 bails = 1 gallon
3 Well Volumes (gal): lj_ L
,·
1 Well Volume (gal): _t_'-t __ Purge Equipment: Gv----1 ~) P ::::-ip
Purge Time Start: / :i: L) Purge Time End: ( 7 '"' _) Date Purged: · 6 3-o 2---
Did well purge dry? Y N , Actual purge volume: __ lf~Z~i----'-_(_
Volume It/ Volume J,;Z. Volume L--{L Volume Volume Volume , ---
Temp (0 C) ,.r J q , 0 /t;, () '1. 0 / <
pH S .l~ S-,12. .r. 72.
S. c: v I , -1 s /; I So . <t
D. 0.
Turbidity /S--1 /'-1-'3,, I>-;, 2-
J'HJlJU 111
Sample Information
Sample Date: __ (_---_)~· _--_'-"_""L-__ Sample Time: / -, ~ v..::> Sample Equipment: 6--Y..,.. _J~ >
Water Condition (turbidity, odor, etc.) :_L_.....-..---__ 1<,_v_.~_b_:_J_,'7 _ ___.__...c...T...c....,,_/ __ 5_, ~-(~%-~/.h.~4~-_l,_z..._~-----
Samples Collected (✓):
VOCs (2 40 ml vials)
V SV0Cs@ (l 2L Amber bottle)
Metals (1 lL HDPE bottle)
Dioxin (1 lL bottle)
Pest./Herb. (1 2L amber bottle)
Temp(°C): l'i .o pH: S.1 L SC(umhos): $D , y DO(ppm): __ _ Turb(NTUs): I>'-. 2
Comments: ----------------------------------
___________________________________ pcbwells.frm
WELL LOG SHEET Facility: Warren County PCB Landfill Location: Warrenton
Purge/Sample Team: __ -Z, __ 1 _rv-'-f-✓-'-/___._{2_.,__,.~._'C_'". ________ _
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 x height of water column (feet)
Purge Information For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
For bailers: 4 bails = 1 gallon
1 Well Volume (gal): b 3 Well Volumes (gal): l ~ Purge Equipment: G·.--.,._J ½ 9 .... ...p
Date Purged: · £~ ... o 2.. Purge Time Start: J o : 0 b Purge Time End: -------
Did well purge dry? Y N . Actual purge volume: __ 2...=2.~4,_--~'-
Volume ii..,\ Volume ~~ J Volume \L Volume /.'{ Volume If Volume l'7-"\ , --
Temp (°C) ,.r {4. I l ~, l i <t ,0 1,,i I,. 4 11, g
pH ,.'f b !,;'t,O . .f. ~) f -Yl t. 2s· ·s. n
S. C. )..'2.,~~6 ·,;t_j7, o lu<c . ..:, 1. \ b.D :Ll,. o , .. :2.., L. C>
9-:-0.
Turbidity l)o 7_f" l l..\ r.;1 ·J_:f" I 2., ~
'
Sample Information
Sample Date: L -:-3, -<> L Sample Time: /_l_:_0_1> __
Water Condition (turbidity, odor, etc.):~f G_,_-._~~-~--~--------------------
Samples Collected (✓):
VOCs (2 40 ml vials)
/ SVOCs/PCBs (1 2L Amber bottle)
Metals (1 lL HDPE bottle)
Temp(°C): 17 .. y pH: ,'),s7 SC(umhos): ~1,_(
Comments: A.d ; .. f€r/-,,.)e:, 1,:; b,p e.f ~ {(
Dioxin (1 lL bottle)
_L_ Pest./Herb. (1 2L amber bottle)
DO(ppm): ---Turb(NTUs): i 2.. b
__ l _l....:.c+...:..9_-__;l_:_l_'l_,.i"-· __________________________ pcbwells.frm
. . .
. · WELL LOG SHEET Facility: Warren .County PCB Landfill Location: Warrenton
Purge/Siimple Team: --z_(;./'-//4, .,::c Well#: Lue,, I(
:-comm~~ts (well construction, etc): _lb_h~( _0=1-,t\~_'-/_Z. ____ . ....,..._,)_.:>_C._ko_v_-.~---✓-· __.)._l_·-_c.,,-'-7 ____ _
Purge Information
l I .. \
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 _x height of water column (feet)
For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
For bai!ers: 4 bails = 1 gallon
1 Well Volume (gal): 7 3 Well Volumes (gal): J... t Purge Equipment: c;_.,...,...._J r:/. 7
· Purge Time Start: / /·. S S Purge Time End: _,___/ J_.: _/ l-1-----Date Purged: · t:J-v:t_
Did well purge dry? Y N Actual purge volume: __ 2~Y_1+-..__\_· _
Volume _l_ .Volume .l{ Volume& Volume ~1c.l Volume Volume
/ _. --
Temp (°C) ,., 17-3 l 7. '{ l 'it. D I i,1
pH s-:11. ). { ~ ' • .J 7 e, JO 8
S. c: I {( /.)7.9, I{ ( ~) J 11. O
D. 0.
Turbic!'.ty 711 >r,)>o 3J7 d-6)
~-/,
•·• Sample Information
Sample Date: (, -3-o-i-. Sample Time: I.>: 17 ---'----Sarnple Equipment: -~-~--'"-~::;) __ _
..
Water Condition (turbidity, odor, etc.):_._'-_..,,_/_~'-~--~-'--~-----if--l-c..-~+--(.,....-c.--~'>~l--:v~-=+--p-11'-p-•"'=7-· -~vt-'--_-c...=----~~-=· ~'---
Samples Collected (✓):
VOCs (2 40 ml vials)
t/ SV?Cs~(l 2L Amber bottle)
Metals (1 lL HDPE bottle)
. . .. . -~-. ; ' . . . . . .
Teiiip(~·s): ~j y,, ... :--bH: : t.:~'-t :·-c SC(uriilios/ .///. <.)
Dioxin (1 lL bottle)
Pest./Herb. (1 2L amber bottle)
DO(ppJ!,1)_:'-__ _ Turb(NTUs): 2.., 3>
. , ... ·. . ·-
-------,----'---------------_;__ _________ pcbwells.frm
.WELL LOG ·SHEET Facility: Warren Cou·nty PCB Landfill Location: WarrentQlL_
.Purge/Sample Team: --------'------------Well#: At )-1,c,rt
· Corinn~rits (well construction, etc): _"t--'-"'--0 ..::;_c..._--b_T,_,_,0""-. ....., _ _.c_]_'-{.o._. _._( __ T._..,-b._------'~-1)_. •'1--+-,\:_¼-'--L\__,_)-=---S_· _______ _
Purge Information
Conversion Factors: For 2" well: 3 volumes (gallons) = 0.5 .x height of water column (feet)
For 4" well: 3 volumes (gallons) = 2.0 x height of water column (feet)
For bailers: 4 bails = 1 gallon
1 Well Volume (gal): ---'-6 __ 3 \Yell Volumes (gal): l i ----Purge Equipment: ?r.,,.J ,C> ,1-~
I
·r ·
Purge Time End: / / ~ 50 Date Purged: · t;-'( ~ o L Purge Time Start: i .:> : =~ L{ -----
Dici well purge dry? Y N •· Actual purge volume: __ \_~~~-· .... _\ _: _
Volume () V?lume -1z..r-Volume l)_ Volume i_g Volume Volume ., ------
Temp (0 C) ,_;-I 7. 'i I ~.o i E. ! I ~.3
pH ~-) ( (;, / v b ,t ! & .l. ( 'I s.c: '7 i. 3, 7 l-f 7<i.q ¥J.7 . ·-
D. 0.
-
Tur_bid'.t:y . 2_ 2{;, 'Lo. '-1 7.01 ~ '7. 1-
·••Sample -Information
Sample D~:te: Sample Time: //; fD
Water Condition (turbidity, odor, etc.): _______________________ _
Samples Collected (✓):
V OCs (2 40 · ml vials)
~ SV?Cs~(l 2L Amber bottle)
Metals (1 lL HDPE bottle)
Dioxin (1 lL bottle)
Pest/Herb. (1 2L amber bottle)
Temp(°C): t '6 , 3, pH: {.· 2..( SC(umhos): ~ .>. l DO(ppm): · ---Turb(NTUs): }._, 7 . L
Comments :_T.---'-~f:__~_;_·t_r _·:\:-44-· _<v_ ... _.s_~--'---·---4,_· -~.f---~_.!..1/'..!!:IJ:...::e.=----_r _L /1-----~_+_:_' --=.6_;_~_C:. __ ·. ---~-'--._._.,. ""-7-4--"-k.>=---
__ ·_· 'l-v--___ "-_S __ c_· .,,._{,_l_~=,t. _tc_J___,/1-' ..:..· -=-5-=--t,.:::::::::f__,~L-=---'-''1'--'.!!:..:.~...:._,,.--_ _,_l_:~_:~:::.:~:....==-J=-_· _· '.:..\_..:../:v_-_(_, :J---'-;-~+--· __ pcbwclls. fnn
F'CB ldCIRf( I ~.Jr3 (3ROUP Fax :·919-2:>7-1000 Mar 4 '97 10:34
ADDRESSES FOR THE OFF-SITE MONITORING WELLS
Edward &Florence Somerville
Rt. 4, Box 443
Warrenton, N. C. 27589
Phone: [phone]
Edward's SSN: 238-36-4195
Annie Davis
Rt. 2, Box 236AA
Warrenton, N.C. 27589
Phone: [phone]
SSN: 088-42*2038
*Glenn and Gloria Alston
Rt. 4, Box 429
Warrenton, N. C. 27589
Phone: [phone]
Glenn's SSN: 246-86~5538
Lucius O'Neal, Jr.
Rt. 4, Box 44 7
Warrenton, N. C. 27589
Phone: [phone]
SSN: 243-46-4715
• This is a address change.
F· ro
,, F·CB l.1JC1RK I t'-ll~ GRCIUF' Fax:[phone] t·11ar 4 '97 1CJ : 33
JOINT WARREN COUNTY/STATE PCB LANDFILL
WORKING GROUP
720 Ridgeway Street
Warrenton, N . C. 27589
Phone [phone] -Fax [phone]
Fax Cover Sheet
TO:
FROM :
DATE:
Mike Kelly
Doris Fleetwood
March 4) 1997
Number of Pages, including cover sheet: 2
Mike,
F·. 01
Here are the addresses, phone numbers, and social security numbers for the property owners of
the off-site monitoring wells.
• I \
' /
)
:3 ~
, _....,
-. I _,..
I
-'-' ,o
'....__, \
o'i
~ Stnp ' ~ Landing\ 1 ~-, -----
----,--_, ---o111 110 i!l JJI\I'
/
/r.
) ./ ~-., __.,...-, , "-r
~:-:.> .-,:~.F-\
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--
C a: "
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\,
I
.I ~
(
...
I
,-... ~,9,9
I ',.:,
-I ----(
·,
-~
. -'. ~-
-~
~<,;
·. /
·, /
State of North Carolina
Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
flPR 1 5 1997
Mr. Glenn Alston
Ms. Gloria Alston
Route 4, Box 429
Warrenton, NC 27589
Dear Mr. Alston and Ms. Alston:
I would like to take this opportunity to thank you for allowing the State
of North Carolina and the Joint Warren County/State PCB Landfill Working
Group to locate a monitoring well on your property.
As you know, the science advisors for the Warren County/State PCB
Working Group and staff with the Division of Waste Management have been
working diligently to put in additional monitoring wells and conduct extensive
sampling at the PCB Landfill. The sampling results, as well as the bench scale
studies that will soon be conducted, will tell us more about the status of the
landfill. The North Carolina General Assembly will need this information to
make any decisions concerning funds for detoxification of the PCB Landifll.
Thank you again for your willingness to help us with this effort.
cc: Henry Lancaster
William L. Meyer
4~~{:-~
Jonathan B. Howes
Secretary
P. 0. Box 27687 , Raleigh. North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ l 0% post-consumer paper
State of North Carolina Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Ms. Annie Davis
Route 2, Box 236aa
Warrenton, NC 27589
Dear Ms. Davis:
r~-~A
£ --~ .. a a a
DEH-NA
I would like to take this opportunity to thank you for allowing the State
of North Carolina and the Joint Warren County /State PCB Landfill Working
Group to locate a monitoring well on your property.
As you know, the science advisors for the Warren County/State PCB
Working Group and staff with the Division of Waste Management have been
working diligently to put in additional monitoring wells and conduct extensive
sampling at the PCB Landfill. The sampling results, as well as the bench scale
studies that will soon be conducted, will tell us more about the status of the
landfill. The North Carolina General Assembly will need this information to
make any decisions concerning funds for detoxification of the PCB Landifll.
Thank you again for your willingness to help us with this effort.
cc: Henry Lancaster
William L. Meyer
~~r:t.~
Jonathan B. Howes
Secretary
P. 0. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post-consumer paper
State of North Carolina Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
APR 1 5 1°97
Mr. Earl Lim er
Route 4, Box 413
Warrenton, NC 27589
Dear Mr. Limer:
I would like to thank you for the use of your water and property during
the recent installation of monitoring wells and sampling at the PCB Landfill.
Your assistance and generosity saved the workers considerable time and made
their tasks much easier.
As you are aware, the sampling results, as well as the bench scale
studies that will soon be conducted, will tell us more about the status of the
landfill. The North Carolina General Assembly will need this information to
make any decisions concerning funds for detoxification of the PCB Landfill.
Thank you again for your assistance as we move toward this goal.
cc: Henry Lancaster
William L. Meyer
~~e:~.lL
Jonathan B. Howes
Secretary
P. 0. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
Ari Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
State of North Carolina
Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Mr. Lucius O'Neal, Jr.
Route 4, Box 447
Warrenton, NC 27589
Dear Mr. O'Neal:
NA
DEHNA
I would like to take this opportunity to thank you for allowing the State
of North Carolina and the Joint Warren County /State PCB Landfill Working
Group to locate a monitoring well on your property.
As you know, the science advisors for the Warren County/State PCB
Working Group and staff with the Division of Waste Management have been
working diligently to put in additional monitoring wells and conduct extensive
sampling at the PCB Landfill. The sampling results, as well as the bench scale
studies that will soon be conducted, will tell us more about the status of the
landfiH. The North Carolina General Assembly will need this information to
make any decisions concerning funds for detoxification of the PCB Landifll.
Thank you again for your willingness to help us with this effort.
cc: Henry Lancaster
William L. Meyer
Jonathan B. Howes
Secretary
P. 0. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post-consumer paper
State of North Carolina Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary APR 1 5 1997
Mr. and Mrs. Edward Somerville
Route 4, Box 443
Warrenton, NC 27589
Dear Mr. and Mrs. Somerville:
I would like to take this opportunity to thank you for allowing the State
of North Carolina and the Joint Warren County/State PCB Landfill Working
Group to locate a monitoring well on your property.
As you know, the science advisors for the Warren County/State PCB
Working Group and staff with the Division of Waste Management have been
working diligently to put in additional monitoring wells and conduct extensive
sampling at the PCB Landfill. The sampling results, as well as the bench scale
studies that will soon be conducted, will tell us more about the status of the
landfill. The North Carolina General Assembly will need this information to
make any decisions concerning funds for detoxification of the PCB Landifll.
Thank you again for your willingness to help us with this effort.
Sincerely,
i(~~~-l~
cc: Henry Lancaster
William L. Meyer
Jonathan B. Howes
Secretary
P. 0 . Box 27687, Raleigh, North Carolina 27611-7687 Telephone 919-71&-4100
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post-consumer paper
I
I 4
State of North Carolina Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
DIVISION OF WATER QUALITY
March 26, 1997
Mr. Mike Kelly
North Carolina Division of Waste Management
P.O. Box 29603
Raleigh , N.C. 27611-9603
Subject: Well Construction Permit
No. WM0500362
Warren County
Dear Mr. Kelly :
In accordance with the application received on March 17, 1997 we are
forwarding herewith Well Construction Permit No. WM0500362 dated March 26, 1997
issued for the construction of a monitor well system. Please be aware that some
counties have well construction programs, and you 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.
KS:PGO:JWG :
Enclosure
cc: Groundwater Files
Warren County Health Department
Bob Cheek
Mr. Larry Rose ,.,
WIGr..Wonlt0<.Wel\00362
3800 Barrett Drive, Suite 101.
Raleigh, North Carolina 27609
Voice 919-571-4700
Sincerely,
LffiJ
Kenneth Schuster, P.E.
Regional Supervisor
Raleigh Regional Office
FAX [phone] l 8 NfiC eeeew
An Equal Opportunity Affirmative Action Employer
50"k. recycled/ l 0% post-consumer paper
NORTH CAROLINA
KNVIRONMBNTAL MANAGEMENT COMMISSION
DEPARTMENT OP ENVIRONMENT, HEALTH AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THB CONSTRUCTION OF A 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
North Carolina Division of Waste Management
FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM on property owned by Mr.
Lucious O'Neal Jr. and located at Route 4,Box 447, ( Limertown Road), Warrenton,
North Carolina, Warren County. This permit is issued in accordance with the
application received on March 17, 1997 and in conformity with specifications and
supporting data, all of which are filed with the Department of Environment,
Health and Natural Resources and are considered a part 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 a well under this Permit shall be in compliance with the
North Carolina Well Construction Regulations and Standards (lSA NCAC 2C .0108),
other State and Local laws and regulations pertaining to monitoring well
construction.
This permit will be effective from the date of its issuance until March 26,
1998 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.
2. Issuance of this permit does not supersede any other
agreement, permit, or requirement.
3 . In the event that additional monitor wells are to be constructed on
the subject property, this permit shall be valid for said well
construction upon receipt of the following documentation:
a) Proof of notification to the appropriate property owner (s)
stating intention to construct additional wells, the number of wells
to be constructed, and signatures by the property owner (s) and
subject applicant(s) or their agent(s).
b) Revised site map with information as required by the original
well construction application.
c) Well construction diagram for additional wells with information
as required by the original well construction application.
Permit issued this the 26th day of March 1997
FOR THB NORTH ~NA """ill:JJAGEMENT COMMISSION
Kenneth Schuster, P.B., Regional Supervisor
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. WM0S00362
FR OM
..
A:PPLI04T
02.01.2000 0 0:00
i NORrH CAROLINA
MANAGEMENT C()
NMENT, HEALTII, & .
CONSTRUCT~ M
Type or Print Clearly)
SSION
RESOURCES
C>RING WELL SYSTEM
Date: __ 02,.../_1_2 ___ _ Warren
In a(:ci:)rdance with the ()visioj• <>f Article Chapter 87, General Statutee: of North Carolina and regulations pursuant
thetetp, appllcation la h . · by m,.b• for a' pe It to monitoring wells.
'.
1. Nat,,e Of Applicant: __ ..,._·_D_i~'-l_i_si_· o_n_o_f-+-W_a_st_e_M_a_n_a_ge_m_e_n_t _____ -+----(Telephone: [phone]
Appllcant'sMalllngAddress· P.O. iBox 2960, Ralei h, NC 27611 603
I
2. Name Of Property owner (If lfferen, from Well ner)· Glenn D • Alst & Gloria J. Alston
Owner'sMalllngAddress: RoutJ 4, Box 29, Warrenton, NC 2 89
5. · Reason for Monitoring Well ): _______________________________ ~
(ex: noncflache.rge !nation, environmental asaeaament, etc.)
. I:
S. Type of facility or site for w 1¢h the monitoring ell(s) Is needed: ___ L_n_d_i_l_l ____________ _
(ex: n~lactiarge faol tty, waste dlapoaal lite, land n, un erground storage tank. etc.)
7. Type of contamination bel I monlt~fe;d (If appll le): __ P_C_Bs _____ ..,_ ____________ _
(ex: n~IM'tts, organl , heavy metals, etc.)
8. Are any existing recov•ry lls assrlated With he monitoring well(s) . If yes, how many? ___ _
Recovery W♦II C nstructlon Permit No. _______ _
9. Distance to a known waste r polfuilon source: 5ooo feet
I I l. 1 o. Are any water supply wells ocated /leN than 5 ring wells?__._y_e_s __
I Pete Bye 1
11 _ Well Driller: SAEDACCO S • At fan tic Const. Co. If yes, give distance: 500 feet
12. Registration#: _1_0_20 _______________ _
j.
I 13. Driller's Address:..;2;;;,,,;l;.,;0;...;;;;~.;....._;R;,.;.;o;;.;a~d;...::,.....::,=~~~N.,;;,C__,;2:;.:8;,,,,:0:..:l:.:;2;..._ __ __. ______________ _
i
1. Total Number Qf Wells to· . const~oled: 1
· (B) Number to be complet In un~nsofldated
2. Estimated depth of well(s) 7/5
I
Gravtl or sand pack lnterJ . i 3. (If app~oprl•te)
From 60 1 ! feet To 7
'
4. Type of casing used: st inle~s steel
feet
; (A) Number to completed in bedrock? _____ _
1
. EPB PERCE USE ONLY
-PIRMI ED ACTIVITY _ U.' .T. K DETECTION
_ G OU DWATER QUALITY STANDARDS vi· LA ION$ SUSPECTED FROM UNPERMITTED
A TIVI IES
' . I, . (ex: P 0, stalnl•as 1t•el, galv lzed steel, etc.)
_ N TIC OF NON-COMPLIANCE AT
UNPE MITTED FACILITIES
PERMIT Na----lSSUED-----19-
5. DiameW of cuing: _4--'I, ___ ! • Inches
GW-22M (11/;4) (Continued o
0:::.01.:::000 0(1 :(1(1
I 3. Thickness Qf caslng: ____ lpches
7 How wlll the well{s) be secur Outer ocked casin
3. Estlmatfkl beginning oonstru · 2 / 13 / 9
3. Estimated eomplttlon cate· ___ 2 __ /_1_3 __ /9_7 _________ _
1. ATTAC~ ~ :::::E:HO ; :::~:GL::;:iNS OF THE FOLLOWING:
2 • ALL EXISTING ONITORING AND ECOVERY WELLS OR TES BORINGS WITH THE PROPERTY
BOUNDARY .
S • ALL WATER SU PLY WELLS WITH N 500 FEET OF THE WAST SOURCES
' ! .
4 • AT ~EAST. TWO EFERENCE POI S (NUMBERED ROADS, I ERSECTIONS, STREAMS, EiC.)
2. PROVIDE A 'NELL CONST . CTION OIAGRAM;OF EACH 'NELL SHOWING IAMETEA, ESTIMATED DEPTH, SCAE:N
INTERVALS, SAND/GRAVE · PACKS, TYPE OFJiCASING MATERIAL, CASIN WALL THICKNESS, WELL HEAD COMPLE-
TION DETAILS, ETC.)
I
The Applicant. ereb~ ~grees t~le proposed well(s) wt.II be. constructed in accordance with
approved speclficati · sand condition of the Well Constru~ion Permit as regulated under the Wel l
Construction Standa s (Titl~ 1 SA No th Carolina Administrativ Code, Subchapter 2C) and accepts
full responsibility for · mpllahce with t11ese rules.
Title (I .
ul~ . .,,Ji
' ' ' If the property Is owned by so~eone other than the e,ppl ant, the property owner hereby
cons~nts to allow th :applicant to co struct monitoring wells es outlined In this application and that
It shajl be the respo~ lbility ~f the app icant to ensure that thesd. monitoring wells conform to the We i:
Construction Standa· .ds (Trtle , SA No
I
h Carolina Admlnlstratlv Code, Subchapter 2C).
I l ' i
om1app1cant
;
I I
STATE OF NORTH CAROLINA
LEASE AGREEMENT
COUNTY OF WARREN
THIS LEASE AGREEMENT, made and entered into this the .Ll.th day of
November, 199,2, by and between GLENN D. ALSTON, Urunarrjed and GLORIA J. ALSTON, Single
of WARREN County, hereinafter referred to as Lessors, and the ST A TE OF
NORTH CAROLINA, hereinafter referred to as Lessee,
WITNESS ETH·
THAT, WHEREAS, the North Carolina Department of Environment, Health and Natural Resources
Division of Solid Waste Management, has requested and approved the execution of this instrument for the
purposes herein specified; and
THAT WHEREAS, authority to approve and execute this lease agreement was delegated to the
Department of Administration by resolution adopted by the Governor and Council of State on the 1st day of
September, 1981; and
WHEREAS, the Department of Administration has delegated to this State agency the authority to
execute this lease agreement by a memorandum dated the 26th day of March, 1982; and
WHEREAS, the parties hereto have mutually agreed to the terms and conditions of this lease
agreement as hereinafter set out,
NOW, THEREFORE, in consideration of the sum of FIVE HUNDRED DOLLARS receipt of which
is hereby acknowledged, and in the further consideration of the terms and conditions herein set
11.12 .1996 16:15
. .
f9rth, the Lessor• do horeby
0
leue and dtm.i,8 unto the Lessee for a period of three (3) years,
b~1U1nint the _L.iL day of £'.h~, 199.1. a certain parcel of land lying and
bping In sttocco Town&h~: County, NOrth Carolina, lt.nd bounded and
n)Ol'e particularly dc1crlbed as follow,:
All art& ten (10) feet x ten (10) feet as .identified on exhibit A attach►.d here to.
It is understood and asrced that the Lessee ahalJ have the right to ins~all upon said
premises a monitoring well, improvemef\ts, and equipment deemed by ll ne~1ury or desirable
tq establish, operate, and maintain said premises as a site or station for the p~rpose of detectins,
ol>servin9, tnd 1-cportin1 wat~r quality. the uid Leuee may remove all of tueh structures,
equipn1crtt, and improvemcrits from aaio premlsoa 6wina the tenn of this le•sc or within six
months from the tennination of the aam~.
The Lcssol' hereby grant$ to the Leasee I ri3ht o{ way across and ov~ the landt of the ·
Les&on for a road approach to the demised premisea, 11id n,ht of way bein~ a strip of land
twenty (20) {eet In width. together also with the right of ingress, egs·eH and rearesa the1·eto and
therefrom for &Il)' purpos~ consistent wirh the proper use of th~ premi11es an~ esJ)f:cialty for the
purpose of repairing, me11din1, correction the cot11truction of improvement• and oper&tinJ the
1iation upon uid 1ite.
It i, f\lfther underttood and aar~ed that the Lessee may at will tentoh all arowth from
uid site and mAy do such other things u Me nece11ary to maintain the litt in an orderly and
serviceabie condition.
,'
This leace shall inure to the benefit of and ~c bindin1 upon the partits hereto, their heirs,
e-:,tecuton, 1dmini1tr1t0rs 1 .successors and 1saign1.
P. 3
\F~OH 9 19?155605 SOLID WASTE DIU 11.12,1996 1611,;
Upon e~piration of the leue, tbo Lessor shall have the option to continue to operate the
,v6ll ts a water cupply at the expe1tae of the Lessor or request the well be cloa6d at the expense
of the Lente. Upon tonnination the Lenee will at the option of the Lessor ¢lose the well in a
$1\Ie kml aa1tltAry manner pre,cribed by th& Division of BnYironmental Mana,ement.
The Lessor covenants to and with the Lessee that they~ sei:ed of ~e premises in fee,
have a right to make this lease, that the ume are froe from all encumbrances that would
matetitilly effect this lease. e.nd that the Lessee ahall onjoy said premise, dw·lng the said tetm
fr~e from the tdvenc cl&itns of any person.
IN TBSTIMONY WHBREOP. this lease hl's beon executed by the ptrties hereto, in
dtJplicate origirtals. 11 the date first abo.va written.
STATE OP NORTH C,V<.OLINA
~ cl H/;ff-,,__/
Departn,ept of Environment, Health and
. Natural Reaourcea
~ • ,' <:FROM 919715H,05 SOLID WASTE DIU
sTATBbP NOJtTH cAjtoLJNA
_oOUNTY OP ~ jld;--fr...-
11.12.1996 16:17
1, ~ J...;f!}o in , a No1oty Public In and for the 1foresoid
County anSute do hereby oertify that ~ 4/,1.,1-,,4-,o1 l eJey,..e. . , for Department or Environment, Health and Natural Resources, personally appeared before me thi& date and
acknowledged the due execution of tho fore1ofna lnstrwnent for the purpo~r thercjn expressed.
WllNESSBD my hand and Nowlal Seal, this the .;l.-5 day oJ,,,/wo/
~~-. '
~,[~~
taJ"y Public
My Commission Expires:
STATE OF NORTH CAROLINA
<tOUNTY OF _________ _
I, · , a Notuy Public in: and fod the aforesaid County
;
nd State do hereby certify tha G / . Xo::>. personally
ppeared before me this date and acknowledged the due execution of the f c,·egoin1 instrument
or the p\lJ'p01e therein expresaed.
WITNBSS my hand and Notarial Seal, this the _15_ day of_ Q 01 ~
199.u..
My Commission :Expires:
/'
F'. 5
DEP.
A:tPLICATlON
02.01.2000 00 :00
NORIH CAROLINA
MANAGEMENT CO
NMENI', HEALTii. &
CONSTRUCT A M
SSION
RE.SOURCES
ORING WELL SYSTEM
· : (P±ase Type or Print Clearly)
Date: 4-13 . 19 97 ; Co nty Warren ..
In accordance wlth the ' ()vision• 9f Article Chapter 87, General Statutes: of North Carolina and regulations pursuant
thetetp, application Is h . : by m➔ct• for ape It to monitoring wells.
,.
i. Nap,e of Applicant: --....... • _c_. _D_µ:~··v_i_s_i_o_n-..f_W_a_s_t_e_M_a_n_a_g_e_m_en_t_· --+----(Telephone: [phone]
Applicant's Malling Address· ____ P_. _o_. +-o_x_2_96_0_3_,---R_a_l_e1_.· .._h .... ' , ___ N-+-~2 7 .... 6 ..... 1 __ 1_-__ 9 __ 6 __ 0 __ 3 ________ _
2. Name of Property Ow'ner (If lfferen~ from Well Annie Davis
ner)_· -------+---------------
Rou t ;e 2, box 236AA , Warrenton, .NC 27589 Owner's Malling Address:
3. Contact Person: ___ M_i._e_K_e_i_/1_Y ___ +-----------+----(Telephone: [phone]
Waren clounty -altimore Road 4. Location 9f Property_· ---.1 ____ _..... ______ .....;__;_.;..;;;.;;;.._ __ __,~--------------
i I
::>. Reason for Monitoring Well ): Bnvironme tal Assessment
(ex: nondlacilarge It requirements, suspected oon !nation, environmental asseument, etc.)
I
S. Type of faclllty or site for w l¢h the monitoring ell(s} Is needed:.__1_a_n_df_i~· 1_1__.. _____________ _
i '. . ; (ex: ni'iactiarge tacit, waste dlspo~ alte, landffll, un erground storage tank, e:c.)
7. Type of oontamlnation bel · monltqted (ff appll le}: ____ r_c_B_s_, -~-------------
, (ex: n~tnts, organ! , heavy metals, etc.)
8. Are any existing recovery 11s e.sspclated with ~he monitoring well(s) No If yes, how many? ___ _
1· / ' i ~ Recovery W♦fl C nstructlon Permit No.
9. Distance to a known waste r pollution source: 2500 feet
i
10. Are any water supply weus· ocated /lets than 5/ feet from the proposed tnon ring wells ?_y_e_s __ _
. · Pete Bye I If yes, give distanoe: ___ 2_0_0 feet
11. Well Driller: SAEDACCO Drill n & Construction Co.
12. Registration#: _1_0_2_0 _____________ _
13. Drlller'sAddress: __ 2_10_11,-_,_..;. ___ --+-_____ 2_80_1_2 ___ +---------------
. '
i
completed In bedrock? _____ _ 1. Total Number of Wells to .
· (B) Numl:>er to be oomplet
const~oled: j 1
In un#nsolidated baterial? __ 1;:;;;;;;;;==+--------------"""i
-Pi;RMI eo fgfrv~N'ce use ONLY f 2. Estlmatfid depth of wall(s) 75 f
_ U. .T. I( DETECTION 1 -o·.ou DWATEROUALITYSTANDARDS i
Vf· LA ION$ SUSPECTED FROM UNPERMITTED i
A TIVI IES · t
_ N TIC OF NON-COMPLIANCE AT t
UNPE MITTED FACILITIES I
PERMlf NVi,---ISSUED----19--[
I
3. Gravel or sand pack tnterv
i:
(if 9?Rt~prlate)
From 60 1 'feetTo 75 feet
I ·
' i 4. Type of casing used: St ;i.nlesE> Steel
(ex: P ; d, stalnl♦b 1t•el, galv lzed stHI, etc.)
5. Diametttr of cuing: __ : ..,.4 ___ r · Inches
, FROt·,
I
3. Thickness Of casing: __ ..___ !riches j
I
., How will the well(S) be secur outer lock~d casing
3. Estlmatdd beginning constru 2-14 97
3. Estimated completion date·--+----'2;...-...;..1-'-4--=9;..:.7__.I _______ ----+
1 -PROPOSED
2 • ALL EXISTING
BOUNDARY
I I
: I
ING T~E LOCATIONS OF THE FOLLOWING:
ITORl~G WELL(Sl
ONITORING AND ~ECOVERY WELLS OR TES BORINGS WITH THE PROPERTY
3 • ALL WATER SU PLY WELLS WITH N 500 FEET OF THE WAST SOURCES
' '
4 · AT ~EAST. TWo' EFERENC!: POI S (NUMBERED ROADS, I ERSECTIONS, STREAMS, ETC.)
. I 2. PROVIDE A WELL CONST CTION DIAGRAM.OF EACH WELL SHOWING IAMETER, ESTIMATED DEPTH, SCRE:N
INTERVALS, SAND/GRAVE · PACK$, TYPE OFliCASING MAT:RIAL, CASIN WALL THICKNESS, WELL H:AD COM?~~-
TION DETAILS, ETC.)
The Applicant
approved speclficati ·
Construction Standa
full re~ponslbillty for
1
ereby·agrees t~[e proposed well(s) wlU bJconsiructed in accordance with
sand condition of the Well Constru~ion Permit as regulated under the We l:
s (Titl~ 1 SA No 1_h Carolina Administrativ Code, Subchapter 2C) and accepts
· mpliahce with tnese rules. I I I ' '
Title (If applicable) I
If the propertylis owned by so~: eone other than the eppl ant, the property owner hereby
cons~nts to allow th applicant to co struct monitoring wells as outlined In this application and that
It sha!I be the respori ibility ~f the app icant to ensure that thesJ. monitoring wells conform to the Wei,
Construction Standa ds (Trtle 15A No
I
h Carolina Admlnistratlv Code, Subchapter 2C).
!
I I
om, app 1cant
I I I
STATE OF NORTH CAROLINA
LEASE AGREEMENT
COUNTY OF WARREN
TIIlS LEASE AGREEMENT, made and entered into this the 12th day of
February 199 .]_, by and between --~Anni=·=e~D~a~v~is~----------
of Warren County, hereinafter referred to as Lessors, and the STATE OF
NORTH CAROLINA, hereinafter referred to as Lessee,
WITNESSETH:
THAT, WHEREAS, the North Carolina Department of Environment, Health and Natural
Resources Division of Solid Waste Management, has requested ad approved the execution of
this instrument for the purposes herein specified; and
THAT WHEREAS, authority to approve and execute this lease agreement was delegated
to the Department of Administration by resolution adopted by the Governor and Council of State
on the 1st day of September, 1981; and
WHEREAS, the Department of Administration has delegated to this State agency the
authority to execute this lease agreement by a memorandum dated the 26th day of March, 1982;
and
WHEREAS, the parties hereto have mutually agreed to the terms and conditions of this
lease agreement as hereinafter set out,
NOW, THEREFORE, in consideration of the sum of FIVE HUNDRED DOLLARS,
receipt of which is hereby acknowledged, and in the further consideration of the terms and
conditions herein set forth, the Lessors do hereby lease and demise unto the Lessee for a
period of three (3) years, beginning the 12th day of February , 1997_, a certain
parcel of land lying and being in ____,,S::...:::c=h=o=cc=o"--____ Township, Warren County, North
Carolina, and bounded and more particularly described as follows:
An area ten (10) feet x ten (10) feet as identified on exhibit A attached here to.
It is understood and agreed that the Lessee shall have the right to install upon said
premises a monitoring well, improvements, and equipment deemed by it necessary or desirable to
establish, operate, and maintain said premises as a site or station for the purpose of detecting,
observing and reporting water quality. The said Lessee may remove all of such structures,
equipment, and improvements for said premises during the term of this lease or within six
months from the termination of the same.
The Lessor hereby grants to the Lessee a right of way across and over the lands of the
Lessors for a road approach to the demised premises, said right of way being a strip of land
twenty (20) feet in width, together also with the right of ingress, egress and regress thereto and
therefrom for any purpose consistent with the proper use of the premises and especially for the
purpose or repairing, mending, correction and construction of improvement and operating the
station upon said site.
It is further understood and agree that the Lessee may at will remove all growth form
said site and may do such other things as are necessary to maintain the site in an orderly and
serviceable condition.
This lease shall inure to the benefit of and be binding upon the parties hereto, their heirs,
executors, administrators, successors and assigns.
Upon expiration of the lease, the Lessor shall have the option to continue to operate the
well as a water supply a the expense of the Lessor or request the well be closed at the expense of
the Lessee. Upon termination the Lessee will at the option of the Lessor close the well in a safe
and sanitary manner prescribed by the Division of Environmental Management.
The Lessor covenants to and with the Lessee that they are seized of the premises in fee,
have a right to make this lease, that the same are free from all encumbrances that would materially
effect this lease, and that the Lessee shall enjoy said premises during the said term free from the
adverse claims of any person.
IN TESTIMONY WHEREOF, this lease has been executed by the parties hereto, in
duplicate originals, as the date first above written.
STA~ OF NORTH CAROLINA
~/4_,d~
Department of Environment,ealthan
Natural Resources
(SEAL)
(SEAL)
STATE OF NORTH CAROLINA
COUNTY ~i"~k
I,.~::;t:'.J~~.L:....-~~~-;,µ.--a Notary Public in and for the aforesaid County and
State do hereby certify that 7 tr ~-Z f' 'e-1 , for Department of
Environment, Health and Natural Resources, perso ally appeared before me this date and
acknowledged the due execution of the foregoing instrument for the purpose therein expressed.
WITNESSED my hand and Notarial Seal, this the _i_ day of--=---+-"~~--, 199 1'.
STATE OF NORTH CAROLINA
COUNTY OF WARREN ---------
My Commission Expires: /0-.;J./, 200-0
I, Joyce L. Bullock , a Notary Public in and for the aforesaid
County and State do hereby certify that Annie Davis , personally
appeared before me this date and acknowledged the due execution of the foregoing instrument for
the purpose therein expressed.
WITNESS my hand and Notarial Seal, thi
My Commission Expires: 11/3/2000
NORm CAROLINA
ENVIRONME :AL MANAGEMENr CO
NT OF E ONMENr. HEALrn. & NA'.
SSION
RESOURCES DEP
APPLICATION , R P£RMIT T CONSTRUCT A MO ORING WELL SYSTEM
ate: ___ 3_-_5 ___ 19 97 Co nty Warren .
(Ptase Type or Print Clearly)
In accordance with the ovisionlf of Article Chapter 87, General Statute& of North Carolina and regulations p:-swart
theretp, application Is h · by mat!• for a pe It to monitoring wells.
NBf11e Of Applicant: N C DIVISION OF w STE MANAGEMENT (Telephone: [phone]
Applicant'sMalllngAddress P.O. Box 29J 03, Ralei h, NC 2761 -9603
' Name Of Property Owner (If lfferent from Well dwner)._' __,aL;;;.:aU::.;;C;.,;:;i;,:;;;O.;;;,U.:::.S....;0~'..:.N.,...e..,.a::l ~J:.;..r:..•=--------------
Route 4, BoJ 447, Warre nton, NC 7589 Owner's Malling Address:
1
________ 1 _______________________ _
3. Contact Person: __ M_i_k_e.....,_e_l_l_Y __________________ (Telephone: _7_3_3_-_4_9_9_6_x_ 203
' -4. Location <,f Property· War en County -L mertown Road
:J. Reason for Monitoring Well ): __ E_n_v_ir_o_n_m_n_t_a_l_A_s_s_e_s_s_m_en_t _________________ ~
(ex: nondlac:harge ::tit requirementa, auspected oon !nation, environmental asaeismer,t, ate.\
Landf'll s. Type of facility or site for w leh the monitoring ell(s) is needed: ______ .-+---------------
• , . '(ex: n~lec:harge taajtty, waste disposal &!te, landflll, un erground storage tank. etc.)
i. Type of contamination be1 monitored (If applickble): _____ P_C_B_s ______________ _
(ex: nut/1ents, C>rganicf heavy metals, etc.)
8. Are any existing recovery 1Is associated with ,he monitoring well(s)?.___-+----If yes , hew many? __ _
Recovery Well C nstructlon Permit No. _______ _
9. Distance to a known waste~r pollution source: i 6500 feet
10. Are any water supply wells,ocat&d less than 5~ feet from the proposed mon ring wells?_N_o __ _
I I I · If yes, give distance: ____ fee t
11. Well Driller: Pete Bye -Sae dacco-S. Ajtlantic Drilling & Co st. Co.
12. Reglstraflon #: _1_02_0 _____________ _
13. Driller's Address: 210 Be t y Road, NC 28012
1. Total Number of Wells to 1 constructed:_~----; (A) Number to I
n/a completed In bedrock? _____ _
· (B) Number to be complet In unconsolidated ~aterial? __ ;:=
1===;..,.--------------
1 EQB OFFICE use ONLY 2. Estimated depth of well(s)'f--_7;;..;5..._ __ f~t ED ACTIVITY
. i _ U.'S.T. K DETECTION
3. Gravel or sand pack lnterv (~~roprlate):4-5 _ GFlOU DWATER QUALITY STANDARDS
From feet To feet vg· LA IONS SUSP!:CTED FROM UN?:;:,MITTEC·
inle ss steel ' A TIVI IES
4. Type of caslng used: _s.....,:,--------+-----__ N . TIC OF NON-COMPLIANCE AT
lzed steel, etc.)
5. Diamet~r of cuing: __ 4...,· ,..___ __ Inches
GW-22M (11194) (Continued o
UNPE MITTED FACILITIES
PERMITNa,----ISSUED-----19--:
FF.:O t·1
3. Thickness Of casing: n/ a ·
7. -How will the well(s) be secur'
3. Estlmattkl beginning constru
I
lpches I
I
• locked o6ter casing
2/24/97
3. Estimated complttlon cate·__..,. _____ .....,_~2 /c..;;2=5.._9"'-'7"------+
. . . :. I
: : I
1. ATTACH A SITE MAP SHO . ING THE LOCATIONS OF THE FOLLOWIN(3:
, -PROPOSED : ITORl~G WELL(SI I )
2 -ALL EXISTING ONITO~ING AND ~ECOVERY WELLS OR tES
BOUNDARY . .
S • ALL WATER SU PLY WELLS WITH N 500 FEET OF THE WAST !
BORINGS WITH THE PROPERTY
4 • AT ~EAST. TWO EFERENCE POI S (NUMBERED ROADS, I ERSECTIONS, STREAMS, ETC.)
2. PROVIDE A WELL CONST _ CTION OIAGRAM;OF EACH WELL SHOWING IAMETER, ESTIMATED DEPTH, SCRE:i\
INTERVALS, SAND/GRAVE · PACK~., TYPE OFj'CASING MATERIAL, CASIN WALL THICKNESS, WELL Hc:AD COMPL'.=·
TION DETAILS, ETC.)
I
The Applicant. ereby ~grees tjle proposed well(s) wl,11 be constructed in accordance with
approved speclficati · s anq .donditlon of the Well Constru¢tion Permit as regulated under the Well
Construction Standa: ;s (T\t/~.1 SA No th Carolina Admlnistrativ Code, Subchapter 2C) and acceptE:
full res onslbillty for mphahce with t11ese rules.
I • I
i
Tltllf{lf appllctble) .
If the propert)ls owned by so
I
eone other than the $pp! ant, the property owner hereby
cons~nts to allow th appllqant to co struct monitoring weOs as outlined In this application and that
It shall be the respo~ lbility !~t the app icant to ensure that thesJ. monitoring wells conform to the Wei,
Construction Standa .ds (Trt,le 1 SA No h Carolina Admlnlstratlv Code, Subchapter 2C).
I
I
omlapp cant
!
! i
·sr Arn 'op NORTH c>.R~LINA
I
i
COUNTY OF WARREN I
TlllS LEASE AO~EMBNT, +•do and entered Into this the~ ay of
February 199~ by and bct'Yeen LUCIOUS O'NEAL, JR.
I
of Warren i County, hereinafter referred to as Lessors, d the ST ATE OF
[ i
NORTH CAROLINA. hl9remafter referi~ to as Lessee, I ' I ! .
Wl INES SE TH;
I
' I
THAT, \\'HEREASi tho North f arolinaDepartment o~Environme , Health and Natural
::::;::~~;:,n;: :::1=:::,:~~::::::• :; roquostod and approv d the execution of
THAT WHEREA.S,,authority 10:approve and execute this lease agr ement was delegated
to the Department of Ad~it.•tration by resolution adopted by tho Oovomo and Council of State
on the 1st day of Septembe 1, 1981; and 1 I I
WHEREAS, the Department of f\dministration has delegated to this State agency the
' . ' i : .
authority to execute this lease agreement by a memorandum dated the 26th ay of March, l 982~
; ! i
nd
I
WHEREAS, the pa~ies hereto h~ve mutually agreed to: the tenns an conditions of this
: ·j . ease agreement as hereinaft r set out, :
I
' . NOW, THEREFO , in considQration of tho aum of FIVE D DOLLARS,
' eceipt of which is hereby a ,knowledge~, and in the further consideration o the terms and
nditions herein 101 forth • lhe Lenon 10 hereby lease and deinlso unto th5 Le,,ee for a
eriod of three (3) years, 1be$innlng the ~1st day of Februar 199 .L a certain
i ; I I
i . I
~arcel of land lying and beiJs in s~co Township. Warr n County, Nonh . ! I
Carolina, and bounded and rore partic~1arly described ~I follows: .
i
i '
An area ten (IO) fee~ x ten (10) teet as identifled on exhibit A attac d here to.
j I '
I
I I • I I ' I
It is understood and:agreed that ~he Lessee shall have the right to in tall upon said
o I
premises a monitoring well, ltmproveme~ts, and equipment deelned by it ne ssary or desirable to
establish, operate, and mainlain said prekses as a aite or station for the pu ose of detecting, I ,
observing, •nd reporting w~ter quality. ~he said Leasee may remove all of uch structures,
i i
equipment, and lmproveme ts from said: premises during the tenn of this le e or within six
I
months .&om the tenninatln r the same;
i
Tho Lessor hereby ants to the Lessee a right of way across and av r the lands of the I : .
Lessors for a road approac~ to the demi~ed premises, said right or way bei a strip of land ' ' , I .
lwenty (20) Ceet in width'. td~ether also ~ith the right of ingres,, egress and egress thereto and
I .
therefrom for any purpose c~nsistent wi~h the proper use of tho premises an especially for the
. I I
purpose of repairing, mertdi t s, coi"re~tio;n and construction of improvement and operating the
tation upon said site. : .
o I • . I
It is further understJod and agre~d that the LeSBee mat at will remo e all growth from i . : :
aid site and may do such other things a~ are necessary to maintain the site i an orderly and
i i
erviceable condition. I ·
This lease shaU lnurJ to the benebt of and be binding upon the partie hereto, their heirs,
! I . I : I . : , . I
xccutora, administrators, s~ccessora an~ assigns. ; .
Upon expiration of tLe lease, the 1Lessor shall have the option to con inue ta operate the r I -
I 1 I
i
I I I
i I I • .· . I ! : .
""'eli u a ~ator supply at th~ expense o~ the LeSBoi' or request the well be cosed at the exp.ense or
' I I
the Lessee. Upon tenninaff n the Less~e will at the option oft he Lessor cl sc the well in a aare
. I
and sanitary manner pre~eri ed by the Division of EnviroMtental Managem nt.
I . I
The Lessor covenants to and wiih the Lenee that they are seized o the premises in fee,
ha•• a right to make this' I•~•• that the ~am• are free &om all ,ncumbrance that would matedally
effect this lease, and that thl Lessee shall enjoy said premises Jurina the sai term free from the
• I I
idvene claim, of any petso~. ! . :
: I : .
IN TEST~ONY V{HEREOF, irus lease has been executed by the arties hereto, in
' I
duplicate originals, as tho d~te first aboJe written.
• ! !
I j
!
i _st ATE,)°~ ~ORTH CAROLINA
~~M
D partment of Environment, Health a d
N tural Resources
!
(SEAL)
(SEAL)
...
I I I
s;~'fB ~P NORTH cARbtINA i
I '
COUNTY OF WARRE~~
I I
I. i.~ J ~~ , • Notary Public Iii and for tho fbroaaid County and
State do hereby certify thati "' A111 i-,-,t1(' ~ ~ for De anment or
Environntent, Health and Natural Reso rces, personally appeared before m this date and
acknowledged the due exedutlon of the foreaoins Instrument fbr the purpo e therein expressed.
i I ~'} WITNESSED my h~nd and Notrrial Seal, this the £2.. day of'........::1;.i....:;....~;;..:...;;.-,J..J 1991_.
. I . ,
I • I !
I i
6TATB 'OF NOR.TH CAR.4LINA
COUNTY OF WARka:IN ___ ___._ ______ _
My Com,tli11ion Expi s: /0 /.;1.1 /c,1000 r1
I, Pats ar rove a Not..& Public In a d for the aforesaid
County and State do her~b certify that Lucious O'Neal · Jr. personally
appeared before me this datp and ackno !edged the due execution of the fo egoing instrument for
the purpose therein e,cpreu~d.
I I . . I I
\\1TI\1ESS my hand:and Notarial Seal, this the ~ay of ___ ____..___ _ __, 199.J...
10-25-99
o:wplllwpolilD'mlWl,ut-w.doo
02.01.2000 00:00
DEP
MPLI04TJON
Date: : 2/12 . 19 97i Co nty Warren ...
SSION
RESOURCES
ORING WELL SYSTEM
: (P]ase Type or Print Clearly)
In a~rdance with the ' c,visio~ff 9f Art~le Chapter 87, General Statutes:of North Carolina and regulations pursuant
theretp, application la h. . by m,b• tor ape It to monitoring wells.
. ' .
1. NatneotAppllcant:N.C. D"visi~n of Was e Management (Telephone: [phone]
Appll~t'sMalllngAddress· P.O. :Box 2960 , Raleigh, NC
2. Name of Property Owner (If lfferenhrom Well ner)· Edward Somervil & Florence Somerville
I
Owner's Malling Address: RoutJ 4, Box 43, Warrenton, NC
i 4. Location (>f Property· __ .....,~W~a::...:r...::r ... e~n~C;.:.;ou:.:..:n..:..:ta+-_-.......:.:.L.1-im~e._.r"""""'o:..:::wn~~Ro:.:.a~d-._.-.1o4!'-'--~ ...... ------------
5_ Reason for Monitoring Well ): Emvironmen al Assessment
(ex: nondlachNge It requirements, auspect&d oon !nation, environmental asseument, etc.)
I . I
6. Type of facility or site for w l¢h the tnonltoring ell{s) Is needed:. __ L_a_n_d+-f_i_l+---------------
(ex: nonplsctiNge fad tty, waste disposal alte, landfill, un erground storage tank. etc.)
7. monlttjf&d {If appll le): __ P_CB_s __________________ _
(ex: n~9/'lts, crganf , heavy metals, ate.}
8. Are any existing recovery 11s associated with he monitoring well(s) .____N_o _____ If yes, how many? ___ _
I
/ Recovery W♦II C nstructlon Permit No. _______ _
i :
9. Distance to a known waste' r polfu~lon source: I sooo feet
i I 1 o. Are any water supply wells ocated ilets than scp feet from the proposed mon ring welfs?_Y_e_s __ _
PETE BYER 1
1 300
11.WellOriller: SAEDACC0-. Atlantic Dr lling & Const. Co.
If yes, give distance: ____ feet
12. Registration#: _1_0_2_0 _ _,... ______ .,._ ___ _
I
1. Total Number l)f Wells to . const~oled: ___ 1 __ _ completed In bedrock? _____ _
· {B) Number to be complet in un~nsolidated ~aterfal? __
1
-;;;;:;;;;;;;;:;;:;:;;:~-------------""
i . fOB OFFICE use ONLY ~ 2. Estimated depth of well(s)._ __ ,_7_5__ _ PIRMI ED ACTIVITY f
. : i -u. .T. t< DETECTION I 3. Grav•I or sand pack lnterJ (if apptoprlate) _ G OU DWATER QUALITY.STANDARDS i,1
From 60 : 'feet To--ic'---feet vf• · LA IONS SUSPECTED FROM UNPERMITTED I
A TIVI IES •
4. Typeofeaslngused: · ?tainless Stee _ N TIC OFNON-COMPLIANCEAT I
(ex: P. d, stalnl♦as au.et, galv !zed ateel, etc.) UNPE MITTED FACILITIES t
5. Dlamet~r of casing: _ __. __ 4_._, · Inches
GW•22M (11(;4) (Continued o
PERMIT ~----ISSUED----19--r
~ ..... ~ F ~ 0 M.J
I
3. Thickness (:)f casing: ____ il'lChes I
I
., How wlll the well(&) be secur' Outer lock~d casing
3. EstlmatEk! beginning constru on date: _2_-_1_4-_.._7 _______ __.,
3. Estimated completion date_· ___ · 2_-_1_4-_9_7 ____ 1 _______ _
I
. : I
1. ATTACH A SITE MAP SHO ING THE LOCATIONS OF THE FOLLOWING:
i -PROPOSED i :ITOAl~G WELL(S~
2 -ALL EXISTING ONITORING AND kECOVERY WELLS OR TES BORINGS WITH THE PROPERTY
BOUNDARY .
3 -ALL WATER SU PLY WELLS WITH N 500 FEET OF THE WAST SOURCES
' '
EFERENC!: POI S (NUMBERED ROADS, I 1ERSECTIONS, STREAMS, ETC.)
2. PROVIDE A 'NELL CONST CTION DIAGRAM OF EACH WELL SHOWING IAMETER, ESTIMATED DEPTH, SCRE::N
INTERVALS, SAND/GRAVE · PACK$, TYPE OF1'CASING MATERIAL, CASIN WALL THICKNESS, WELL HEAD COM?~'.=-
TION DETAILS, ETC.)
. The Applicant, ereby agrees t~le proposed well(s) will b.lconsiructed in accordance with
approved speclficati sand condition of the Well Construction Permit as regulated under the Wel l
Const,ructlon Standa s (Titl~ 1 SA No j·h Carolina Administrativ Code, Subchapter 2C) and accepts
full responslbWty for · mpliahce with tnese rules. aJ~-!
gent l
I JIJ~Jc IY/'
Title (If applicable) 1
If the propertyL owned by so~! eone other than the $pp! ant, the property owner hereby
cons~nts to allow th :applicant to co struct monitoring wells as outlined in this application and that
It sha!I be the respo~ ibility ,~f the app icant to ensure that thesJ. monitoring wells conform to the We i:
Construction Standa ds (Trtle 1 SA No
I
h Carolina Admlnistratlv Code, Subchapter 2C).
i l I I
erent trom, app Icant
STATE OF NORTH CAROLINA
LEASE AGREEMENT
COUNTY OF WARREN
THIS LEASE AGREEMENT, made and entered into this the .Ll.th day of
November, 1992, by and between EDWARD SOMERVILLE & WIFE FLORENCE SOMERVILLE
of WARREN County, hereinafter referred to as Lessors, and the STATE OF
NORTH CAROLINA, hereinafter referred to as Lessee,
W I TN E S S E T H:
THAT, WHEREAS, the North Carolina Department of Environment, Health and Natural Resources
Division of Solid Waste Management, has requested and approved the execution of this instrument for the
purposes herein specified; and
THAT WHEREAS, authority to approve and execute this lease agreement was delegated to the
Department of Administration by resolution adopted by the Governor and Council of State on the 1st day of
September, 1981; and
WHEREAS, the Department of Administration has delegated to this State agency the authority to
execute this lease agreement by a memorandum dated the 26th day of March, 1982; and
WHEREAS, the parties hereto have mutually agreed to the terms and conditions of this lease
agreement as hereinafter set out,
NOW, THEREFORE, in consideration of the sum of FIVE HUNDRED DOLLARS receipt of which
is hereby acknowledged, and in the further consideration of the terms and conditions herein set
11.12.1996 16:15
. f9rth, the Lessors do hQreby ,leue and d~m.i,~ unto the Leasee for a period of three (3) years,
b~ainnint the~ day o( V~_, 199_1, • cenain paroel ~f land lying and
bping in SHocco Township, Warren County, North Carolina,land bounded and
mol'e particularly dcacribed as follow,:
An area ten (10) feet x ten (10) feet as ,identified on exhibit A attach►.tl here to.
It is understood and agreed that the Lessee ahall have the right to install upon said
premives I monitoring well, improvements, and equipment deemed by 1t ne~11ary or desirable
tq establish, operate, end maintain said premises as a site or station for the purpose of detectina, , I
obsc1-vin9, ,nd 1-cportinJ wat~r quality. the uid Leuee may remove all of tuch struchiJes,
equipn10tlt, and improvements from aaics premises ctwina the tenn of thi& le.•so or within six
months from the tennination of the aame.
The Lessor hereby grants to the Louee I ri&ht o( way across and ov4! the lands of the ·
Lesson for a road approach to the demised premuea, 11id n,hr of way bein~ , strip of land
twenty (20) (eet In width, together also with the right of ingress, CSS'CH and resress thereto and
therefrom for any purpo1~ consistent with the proper use of th~ premises anti es~cially for the
purpose of repairing, mending, correction the cotUtruction of improvement• and 0peratin,g the
uation upon ts.id 1ite.
It i, further undcrttood and agreed that the Lessee may at will remo"e all arowth from
sr.id site and mAy do such other things u Are necetu.ry to maintain the 1itt tn an orderly and
serviceable condition.
Thia lease shall iriure to the benefit of and ~o bindin1 upon the partits hereto, th$ir hen,
executors, 1dmini1trat0rs1 successors and assign,.
P. 3
. ' '
FR--OM 9 197 1:5 S605 SOLID WA S TE DIU 11.12.1996 16:1 ,;
-, Upon e~piration of the lease, tbc Leuor shall hne the option to oontlnue to operate the
\
wdl •s a water supply at the expe1ae of the Lessor or request the well be clOI~ at the expense
of the I.Ante. Upon termination tbe Lenee will at the option of the Lessor 4lose the well in a
s(\fe lnd 1anitAry manner prescribed by the Division of Bnvironmentil Mana,emcnt.
The Leasor covenants to and with the Lenee that they II'tl s~iu<i of~' premises in fee,
h•ve a l'iaht to make this lease, that the 11me are ft'ce from all encumbrances that would
materially effect this leaso. a.nd that the 1'essee ahall t,njoy said premi,ec dw-lng the &aid te1m
fr~e from the advene cl&itns of any person.
IN TBSTIMONY WHBREOP, this lense Ills beon executed by the puties hereto, in
di,plicate originals, 11 the date first tbo.va written.
ik tMctk knnt4:& .
(SEAL)_
~(;L~~
(SEAL)
STATE OP NORTH C.iJ{OLINA
.~<(1~
Departn,ept of Environment, Healta and
. Natural Raourcea
F'. 4
~ f~OH 9197153605 SOLID WASTE DIU 11.12.1996 16:17
' ..
' '
STATE OP NOJ\TH CAROLINA
_()OUNTY OF u1~ ~---Ir,_.,
I, ~. [ ~ • a Notify Public In and for the ato,.,.id
County and ~o herebyy that /0 LL 1AA L · A y~ ,,{ . , for Department
of Bnvironmertt, Health and N&tural Resources, personally appea.r~d before me thi& date and
acknowledged the due execution of tho £ore1oina lmcnunent for the purpo~r therein expressed.
199
1_. WllNESSBD my hind and Notarial Seal, this the i',5' day ftl-.,j~ _,
My Commissibn Bxpires:
STA'ra OF NORTH CAAOLINA
d:OUNTY OF ___.__.......:a,.;=..--
I. -~e:u::i~~J.-.~"/:::-.:.-_~--• a NQt Public in and fod the af ore$aid County
Cnd State do hereby certify that l ~I. ' , personally
appeared before me thia datt an acknowledged the due execution of the f()·egoina instrument
ior the purpose therein expre11ed.
Wl'INBSS my hand and Notarial Seal, this the _L3,_ day of_, _(/4'-,1..J..,,.Q"'-C------
199~.
aw2o°F-Nowy Publio
My Cornmisslon Rxph'es:
T J
P. 5
f
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Solid Waste Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
William L. Meyer, Director
MEMORANDUM
To: Dollie Burwell ,,
From: Bill Meyer~
October 29, 1996
Subject: Off-site background well locations
AVA
DEHNR
We appreciate your offer of assistance to locate off-site background wells.
Since Bobbie Riley had agreed to allow one well on her property and her property is west of
the landfill, we need two additional wells; one well south of the site and one well east of the site.
Both wells need to be approximately one mile but less than two miles from the site.
Also enclosed is a copy of the typical lease agreement for allowing wells to be constructed.
Please note that the payment included in the lease is one dollar. Tommy Cline informed the Division
that we could offer up to 500 dollars for a three year lease without going to the Council of State for
approval. While the state is willing to pay for the sites, we would prefer a more cooperative effort,
which is the basis for the one dollar offer. .
P.O. Box 27687,
Raleigh , North Carolina 27611-7687
Voice 919-733-4996
Ji
FAX [phone]
An Equal Opportunity Affirmative Action Employer
50% recycled/10"/o post-consumer paper
STATE OF NORTH CAROLINA
LEASE AGREE:NIBNT
COUNTY OF WARREN
THIS LEASE AGREEMENT, made and entered into this the __ da.y of
_________ , 199_, by and between ________________ _
of ________ County, hereinafter referred to as Lessors, and the STATE OF NORTH
CAROLINA, hereinafter referred to as. Lessee,
W I TN E S S E T H:
THAT_, WHEREAS, the North Carolina Department of Environment, Health & Natural
Resources, Division of Solid Waster Management, has requested and approved the execution of
this instrument for the purposes herein specified; and
THAT WHEREAS, authority to approve and execute this lease agreement was delegated
to the Department of Adminisn·acion by resolution adopted by the Governor and Council of S rate
on the 1st day of September, 1981; and
WHEREAS, the Department of Administration has delegated to this State agency the
authority to execute this lease agreement by a memorandum dated the 26th day of March, 1982;
and
WHEREAS, the parties hereto have mutually agreed to the terms and conditions of this
lease agreement as hereinafter set out,
NOW, THEREFORE, in consideration of the swn of ONE DOLLAR, receipt of which is
hereby acknowledged, and in the further consideration of the terms and conditions herein set
forth, the Lessors do hereby lease and demise unto the Lessee for a period of three (3) years,
beginning the __ day of ________ , 199_, a certain parcel of land lying and
being in ________ Township, Warren County, North Carolina, and bounded and
more particularly described as follows:
An area ten (10) feet x ten (10) feet as identified on exhibit A attached here to .
It is understood and agreed that the Lessee shall have the right to install upon said
premises a monitoring well, improvements, and equipment deemed by it necessary or desirable
to establish, operate, and maintain said premises as a site or station for the purpose of detecting,
observing, and reporting water quality. The said Lessee may remove all of such structures,
equipment, and improvements from said premises during the term of this lease or within six
months from the termination of the same.
The Lessor hereby grants to the Lessee a right of way across and over the lands of the
Lessors for a road approach to the demised premises, said right of way being a strip of land
twenty (20) feet in width, together also with the right of ingress, egress and regress thereto and
therefrom for any purpose consistent with the proper use of the premises and especially for the
purpose of repairing, mending, correction the construction of in1provements and operating the
station upon said site.
It is further understood and agreed that the Lessee may at will remove all growth from
said site and may do such other things as are necessary to maintain the site in an orderly and
serviceable condition.
This lease shall inure to the benefit of and be binding upon the parties hereto, their heirs,
executors, administrators, successors and assigns.
Upon expiration of the lease, the Lessor shall have the option to continue to operate the
well as a water supply at the expense of the Lessor or request the well be closed at the expense
of the Lessee. Upon termination the Lessee will at the option of the Lessor close the well in a
safe and sanitary manner prescribed by the Division of Environmental Management.
The Lessor covenants to and with the Lessee that they are seized of the premises in fee,
have a right to make this lease, that the same are free from all encumbrances that would
materially effect this lease, and that the Lessee shall enjoy said premises dw-ing the said tem1
free from the adverse claims of any person.
IN TESTIMONY WHEREOF, this lease has been executed by the parties hereto, in
duplicate originals, as the date first above written.
(SEAL)
(SEAL)
STA TE OF NORTH CAROLINA
Department of Environment, Health and
Natural Resources
STATE OF NORTH CAROLINA
COUNTY OF _____ _
I,--------------~ a Notary Public in and for the aforesaid
County and State do hereby certify that ______________ , for Deparnnent
of Environment, Health and Natural Resources, personally appeared before me this date and
acknowledged the due execution of the foregoing instrument for the purpose therein expressed.
WITNESSED my hand and Notarial Seal, this the ___ day of _______ _
199_
Notary Public
My Commission Expires:
STATE OF NORTH CAROLINA
COUNTY OF ______ _
I, _____________ __, a Notary Public in and for the aforesaid County
and State do hereby certify that _________________ _, personally
appeared before me this date and acknowledged the due execution of the foregoing instrument
for the purpose therein expressed.
WITNESS my hand and Notarial Seal, this the __ day of ________ ~
199_.
Notary Public
My Commission Expires:
FAX COVER SHEET
•
TO: ci2dL ✓
FROM:
PHONE: 7~3-4996
COMMENTS:
!:)-TOTAL NUMBER OF PAGES INCLUDING COVER SHEET: -------
DATE SENT:
ENVIRONMENTAL HEALTH PROCEDURES
*ALL ENVIRONMENTAL HEALTH PERMITS MUST BE OBTAINED PRIOR TO GETTING A
BUILDING/SET UP PERMIT
*ENVIRONMENTAL HEALTH DOES NOT DO PRELIMINARY SITE EVALUATIONS. IF YOU
WANT A PRELIMINARY, YOU MAY CONTACT A SOIL SCIENTIST. (LIST AVAILABLE)
*ONCE APPLICATION IS RECEIVED, IT FIRST GOES TO PLANNING/ZONING FOR APPROVAL.
WHEN IT IS SIGNED BY THAT DEPARTMENT IT IS RETURNED TO ENVIRONMENTAL HEALTH
AND IS ACTED UPON ON A FIRST COME FIRST SERVED BASIS.
IF YOU NEED:
SEPTIC PERMIT (no existing septic system or existing house without a septic system)
I. Application to be filled out COMPLETELY.
a. Plat to be submitted with house location drawn to scale. Clearly stake off on property house location and
side. Side property line to house measurement and either front of house to front line or rear of house to
rear line measurement needed. Plat to be at an even scale, example 1 inch = 60 feet (See example on page
3 of application.
b. Copy of deed (if not in recorded subdivision)
c. All property lines clearly marked (irons to be marked, not guessed at.)
d. If heavy undergrowth or so heavily wooded that topography cannot be seen, need to cut back
brush. Do not remove soil.
e. Overhead view with future improvements to be shown in box on application (see example on page 3 of
application).
£ If all items not completed $25.00 per trip will be charged prior to issuance of permit.
2. $100.00 to be paid when application submitted. An additional $50.00 will be charged if a pump
system is required.
3. Orange sign to be posted at property at an easily visible location from the road.
CERTIFICATE OF COMPLIANCE (moving one home and replacing \vith another home and same number of
bedrooms in replacement house.)
1. Fill out application for Certificate of Compliance.
2. Name of original owner when septic was installed and approximate year of installation necessary.
a. If this is not know, the Tax Office at the Court House may have this information. If orgininal
owner and year not known or if original permit cannot be found-distribution box to be
uncovered for visual inspection by this office.
3. $25.00 to be submitted with application.
4. Orange sign to be posted at property at an easily visible location from the road.
UPGRADING SEPTIC SYSTEM (adding bedroom(s) to existing house or increasing number of bedrooms in
replacement house.
1. Same procedure as Certificate of Compliance.
REPAIR OF SEPTIC SYSTEM
1. Office visit or telephone call with information on number 2 under CERTIFICATE OF COMPLIANCE.
ENVIRONMENTAL HEAL TH PROCEDURES
WELL PERMIT
1. Not available if within 500 feet of County Water line.
2. If new construction -space on Septic Application to be checked for well permit.
3. To replace old well-need information on number 2 under CERTIFICATE OF COMPLIANCE.
4. $5.00 to be submitted.
WATER SAMPLES
1. Call office for sample.
2. Submit $35.00 for each sample.
i
·· \VARREN COUNTY ENVIRONNfE"NTAL HEALTH
DISINFECTION OF WELLS
1. A SATISFACTORY DISINFECTING SOLUTION t-.-IAY BE PREPARED BY
USING HOUSEHOLD BLEACH SUCH AS CLOROX, PUREX, ETC. ONE
GALLON OF HOUSEHOLD BLEACII IS USUALLY ADEQUATE fOR THE
AVERAGE WELL. DO.NOT USE "SCENTED" DLEACH. ivllX DLEACH
WITH 3 TO 4 GALLONS OF \VATER AND POUR INTO \VELL.
CHLORINE POWDER SUCH AS D.K. POWDER OR HTH NIA Y ALSO BE
USED. FOR SAFETY REASONS, THESE PRODUCTS t-.-fUST BE USED
WITH CAUTION. CONTACT THE HEALTH DEPA.RTi\fENT FOR
FURTHER INFORL\1ATION \VEEN USING THESE PRODUCTS. '--
2. TURN ON ALL THE COLD AND HOT \V ATER FAUCETS, INSIDE AND
OUTSIDE THE HOUSE (INCLUDING \VELL TAPS, SHOWERS,
WASHING JvfACHINES ETC.) UNTIL A CHLORL.'IE ODOR CAN DE
DETECTED.
TURN OFF ALL THE FAUCETS. 1F POSSIBLE, WASH DO\VN INSIDE
OF WELL CASll'--IG AND AGITATE (lvfL-X) WATER IN \VELL WITH A
HOSE, FOR AN HOUR.
3. ALLOW THE CHLORINE TO REMAU'-f IN THE \VELL FOR AT LEAST 24
HOURS.
4. CONNECT A GARDEN HOSE TO AN OlTTSIDE FAUCET AND PlJ1vIP OFF
WATER UNTIL NO C.f-ILOIUNE ODOR OR TASTE CAN BE DETECTED.
,.,_,.NOTE: PRECAUTION I\-lUST BE TAKEN WHEN PUMJ'ING OFF
WATER TO PREVENT Pill,U'ING \VELL DRY .1-\l"\/D POSSIDLY
BURNING UP THE PUMP.,.",.
'"""ALSO, KEEP THE DISCI-W~GE OUT OF THE SEPTIC T.£\.1"\/K OR
SEPTIC TANK DRAINLINE AREA."''""
"'"" CAUTION: CHLORINE iv11\ Y KILL GRASS J\ND FLO\VERS.,.,.,.
5. DO NOT DRINK OR COOK \VlTII THE WATER FOR T\YO DAYS.
6. HAVE A SAlvlPLE COLLECTED BY THE LOCAL HEALTH DEPARTiviENT
FOR BACTERIOLOGICAL ANALYSIS AFTER TIIE CHLORINE IIAS BEEN
RDvfOVED FROM THE \VELL AND HOUSEHOLD SYSTEtvL
EHNR -ENVIRONMENTAL HEALTH TISA: 18A .1700
SECTION .1700 -PROTECTION OF WATER SUPPLIES
Rules .1701 -.1719 of Title 15A Subchapter 18A of the North Carolina Administrative Code (Tl5A: 18A .1701 -
.1719); has been transferred and recodified from Rules .1701 -.1719 of Title 10 Subchapter 1 0A of the North
CarolinaAdministrativeCode(Tl0.lOA .1701-.1719), effective April 4, 1990 .
. 1701 PURPOSE
.1702 DESIGN AND CONSTRUCTION
.1703 SITE SELECTION
.1704 WELL CONSTRUCTION
.1705 PROTECTION
.1706 WATER SUPPLY NEEDED
.1707 DISINFECTION
.1708 TEST WATER QUALITY
.1709 TYPES OF WELLS
.1710 CONTAMINATION
;I 711 PROTECTION OF SPRINGS
.1712 CISTERNS
.1713 HO RIZO NT AL SUCTION LINES
.1714 PITLESS ADAPTER
.1715 DISINFECTION PROCEDURES
.1716 DISINFECTION OF WELLS
.1717 DISINFECTION OF SPRINGS
.1718 DISINFECTION OF DISTRIBUTION SYSTEM
.1719 AV All.ABILITY OF BULLETIN
History Note: Authority G.S. 130A-5(3); 130A-120; 130A-228; 130A-230; 130A-235; 130A-236;
I 30A-239; 130A-248; 130A-257;
EJJ. February I, 1976;
Readopted Eff. December 5, 1977;
Amended EjJ. June 10, 1978;
Repealed EjJ. September 1, 1990 .
. 1720 WATER SUPPLIES
(a) A water supply for which requirements are established in this Subchapter shall be from a community water
supply regulated pursuant to 15A NCAC 18C or from a supply located, constructed, maintained, and operated in
accordance with this Section.
(b) The requirements found in Rules .1720( c) through .1728 of this Section shall not apply to community water
supplies.
(c) The following setback requirements shall apply:
(1) A well shall not be located in an area having a propensity for flooding. Areas which ha':'e a propensity
for flooding include those with concave slope, alluvial or colluvial soils, gullies, depressions or drainage
ways.
(2) A well constructed on or after July 1, 1993 shall be located at a minimum horizontal distance from:
(A) Septic tank or nitrification field; 100 ft.
(B) Other subsurface ground absorption waste disposal: 100 ft.
(C) Industrial or municipal sludge spreading or wastewater irrigation site; 100 ft.
(D) Watertight sewage or liquid-waste collection or transfer facility; 50 ft.
(E) Other sewage or liquid-waste collection or transfer facility ; 100 ft.
(F) Animal feedlot or manure pile; 100 ft .
(G) Fertiliz.er, pesticide, herbicide or other chemical storage area; 100 ft.
(H) Non-hazardous waste storage, treatment or disposal lagoon; 100 ft.
(I) Sanitary landfill; 500 ft.
(J) Other non-hazardous solid waste landfill; 100 ft.
(K) Animal barn; 100 ft.
(L) Building foundation: 50 ft.
(M) Surface water body; 50 ft.
NORTH CAROLINA ADMINISTRATIVE CODE 05/03/96 Pagel
EHNR -ENVIRONMENTAL HEALTH TlSA: 18A .1700
(N) Chemical or petroleum fuel underground storage tank regulated under 15A NCAC 2N:
(i) with secondary containment: 50 ft.
(ii) without secondary containment; I 00 ft.
(0) Any other source of groundwater contamination. 100 ft.
(3) For a well constructed prior to July l, 1993, the minimum horiwntal distances specified in Parts
(c)(2)(A),(B),(D), and (L) of this Rule shall be reduced to no less than the following:
(A) Septic tank or nitrification field; 50 ft.
(B) Other subsurface ground absorption waste disposal system; 50 ft.
(C) Water-tight sewage or liquid-waste collection or transfer facility; 25 ft.
(D) Building foundation; 25 ft.
(4) A well constructed prior to July l, 1993 serving an establishment regulated wider 15A NCAC 18A in
operation prior to July l, 1993 shall be required to meet only the following minimum horiwntal distance
requirements:
(A) Septic tank or nitrification field; 50 ft.
(B) Other subsurface ground absorption waste disposal system; 50 ft.
(5) An owner, licensee or permittee shall not place or have placed a new source of contamination within the
minimum horiwntal distances in Subparagraphs (c)(l)-(4) of this Rule.
(6) If different minimum horiwntal distances requirements are set by the Division of Environmental
Management pursuant to 15A NCAC 2C .0118 and .0119, those minimum horiwntal distance
requirements shall be used. The owner, licensee or permittees shall provide a written copy of the
adjusted minimum horiwntal distance requirements from the Division of Environmental Management to
the local health department.
History Note: Authority G.S. 95-225; 130A-5(3); 130A-230; 130A-235; 130A-236; 130A-248; 130A-257;
Eff. September 1, 1990;
Amended Eff. May 1, 1996; July 1, 1993 .
. 1721 WELL CASING
(a) For a well constructed after July l, 1993, the well casing shall be terminated at least 12 inches above the
land surface.
(b) For a well constructed prior to July l, 1993, the well casing shall be terminated at least six inches above the
land surface.
History Note: Authority G.S. 95-225; 130A-5 (3); 130A-228; 130A-230; 130A-235; 130A-236; 130A-248;
130A-257;
_Eff. July 1, 1993 .
. 1722 WELL HEAD PROTECTION
(a) The base plate of a pump placed directly over the well shall be designed to form a watertight seal with the
well casing or pump foundation.
(b) In an installation where the pump is not located directly over the well, the annular space between the casing
and pump intake or discharge piping shall be closed with a watertight seal designed specifically for this purpose.
(c) The well shall be vented at the well head to allow for pressure changes within the well except when a suction
lift type pump is used. Any vent pipe or tube shall be screened or otherwise designed to prevent the entrance of
insects or other foreign materials.
(d) For a well constructed after July l, 1993, a hose bib shall be installed at the well head for obtaining samples.
In the case of offset jet pump installations, the hose bib shall be installed directed downward on the pressure side of
the jet pump piping. A vacuum breaker or backflow prevention device shall be installed on the hose bib.
(e) For a well construc:ted after July 1, 1993, a continuous bond concrete slab or well house concrete floor
extending at least three feet horiwntally around the outside of the well casing shall be provided. The minimum
thickness for the concrete slab or floor shall be four inches. The slab or floor shall slope to drain away from the
well casing.
(t) Any establishments permitted or licensed after July l, 1993 shall have a continuous bond concrete slab or
well house concrete floor extending at least three feet horiwntally around the outside of the well casing. The
minimum thickness for the concrete slab or floor shall be four inches. The slab or floor shall slope to drain away
from the well casing.
History Note: Authority G.S. 95-225; 130A-5(3); 130A-230; 130A-235; 130A-236; 130A-248; 130A-257;
Eff. July 1, 1993;
NORTH CAROLINA ADMINISTRATIVE CODE 05/03/96 Page2
EHNR -ENVIRONMENTAL HEALTH TISA: 18A .1700
Amended Eff. May 1, 1996 .
. 1723 SPRINGS
(a) If a spring is serving an establishment regulated under ISA NCAC 18A on or before July 1, 1993, the
spring shall be approved unless a violation of Rule .1725 of this Section is identified. If Rule .1725 of this Section
is violated and violation remains after disinfection in accordance with Rule . l 724(b) of this Section, or the removal
of chemical constituents, the spring shall comply with all requirements of Paragraph (b) of this Rule. However, a
spring which is in violation of Rule . l 72S(c) of this Section may continue to be used if equipped with a continuous
disinfection device in accordance with Rule .1727 of this Section.
(b) Any establishment permitted or licensed under ISA NCAC 18A after July I, 1993, and any establishment
developing a new spring shall meet the requirements of2 NCAC 9C .0703, except Paragraphs (a), (b) and (t) shall
not apply. 2 NCAC 9C .0703, except Paragraphs (a), (b) and (t) are hereby incorporated by reference including
any subsequent amendments and editions. This material is available for inspection at the NC Department of
Environment, Health, and Natural Resources, Environmental Health Services Section, 2728 Capital Blvd., Raleigh,
North Carolina. Copies may be obtained from the Environmental Health Services Section at no cost.
(c) Springs approved pursuant to Paragraph (b) of this Rule shall not be connected to the establishment until
compliance with this Section has been completed and the Department receives written certification from the owner
of the establishment or a registered engineer, that the spring has been constructed in accordance with the approved
plans and specifications.
History Note: Authority G.S. 95-225; 130A-5(3); 130A-230; 130A-235; 130A-236; 130A-248; 130A-257;
Ejf. July 1, 1993;
Amended Eff. May 1, 1996 .
. 1724 DISINFECTION OF WATER SUPPLIES
(a) A water supply serving an establishment regulated under this Subchapter shall be disinfected upon
completion of construction, maintenance, repairs, pwnp installation, or a report of a positive coliform sample as
follows:
(1) chlorine in sufficient quantities to produce a chlorine residual of at least 100 milligrams per liter (mg/I)
shall be placed in the supply;
(2) a chlorine solution shall be placed in the supply in such a manner as to contact any water-contact parts
and materials above the normal water level;
(3) a chlorine solution shall stand in the supply for a period of at least 24 hours; and,
(4) the supply shall flow to waste until no disinfectant can be measured with a test kit that measures chlorine
levels.
(b) A spring enclosure shall be disinfected upon completion of construction, maintenance, repairs, pwnp
installation, or a report of a positive coliform sample as follows:
(1) the interior walls of the spring enclosure shall be washed or swabbed with a chlorine solution of at least
100 milligrams per liter (mg/ 1) or greater of chlorine residual approved by the Department;
(2) the disinfectant shall be poured into the spring, the service pipe shall be plugged, and water shall be
retained in the spring storage for at least 24 hours, or, disinfectant shall be fed into the spring
continuously for at least 24 hours: and
(3) the spring shall flow to waste until no disinfectant can be measured with a test kit that measures chlorine
levels.
History Note: Authority G.S. 95-225; 130A-5(3); 130A-228; 130A-230; 130A-235; 130A-236; 130A-248;
130A-257;
Eff. July 1, 1993 .
. 1725 WATER QUALITY
(a) Prior to the initial use of a water supply, or after construction, maintenance, repairs, pump installation, or a
report of a positive coliform sample, two consecutive bacteriological water samples taken at least 48 hours apart
shall be collected by the Department and submitted to the Division of Laboratory Services of the Department of
Environment, Health, and Natural Resources or another laboratory certified pursuant to ISA NCAC 20D for
analysis. Prior to collecting the sample, the water shall be tested and shall be negative for chlorine residual. For
the purposes of this Rule, confirmation means another positive sample result following the initial positive sample
unless the last positive sample was preceded by two consecutive negative samples.
(b) The water supply shall be deemed an imminent hazard under the following circumstances:
( 1) confirmation of the presence of fecal coliform bacteria.
NORTH CAROLINA ADMINISTRATIVE CODE 05/03/96 Page3
EHNR -ENVIRONMENTAL HEALTH TJSA: 18A .1700
(2) determination by the Environmental Epidemiology Section of the Department that the presence of
chemical constituents are present at levels that constitute an imminent haz.ard as defined in G.S. 130A-
2(3).
(c) The water supply shall be deemed unsafe for use under the following conditions:
(I) confirmation of the presence of total colifonn.
(2) determination by the Environmental Epidemiology Section of the Department that the presence of
chemical constituents are present at levels in violation of water quality standards found in 15A NCAC
18C .1500 and do not constitute an imminent haz.ard as defined in G.S. 130A-2(3).
(d) After a positive sample has been followed by two consecutive negative samples collected at least 48 hours
apart, follow-up samples shall be collected by the Department at least once each quarter, while the supply is in use,
for one year. There shall be no treatment procedures between the two consecutive negative samples.
History Note: Authority G.S; 95-225; 130A-5(3); 130A-230; 130A-235; 130A-236; 130A-248; 130A-257;
Eff. July 1, 1993;
Amended Eff. May 1, 1996 .
. 1726 EMERGENCY SUPPLY SYSTEMS
A water supply serving an establishment regulated under 15A NCAC ISA which is in violation of Rule .1725 of
this Section may be replaced by an emergency supply system for a time period not to exceed three months provided
the Public Water Supply Section detennines that the emergency supply system meets all the following
requirements:
(I) The source of water used by the emergency supply shall meet the requirements of ISA NCAC 18C;
(2) Containers, hoses, pumps, lines, or other means of conveyance used to transport the water is disinfected
with a chlorine solution of at least 100 mg/I of chlorine prior to being placed into use and after each
transfer of water;
(3) A chlorine residual of no less than 0.2 mg/I of free chlorine is maintained at all times and the owner,
licensee, or permittee shall maintain a log to record the level of free chlorine residual at least twice a day
while the facility is in operation; and
(4) The emergency supply system is sampled for bacteriological analysis at least every other week by the
Department and at least weekly by the owner, permittee, or licensee. All samples shall be submitted to
the laboratory section of the Department or another laboratory certified by the Department for the
analysis. A copy of all sample reports collected by the owner, permittee, or licensee shall be submitted
to the local health department having jurisdiction within three days of receipt of the report.
History Note: Authority G.S. 95-225; 130A-5(3); 130A-230; 130A-235; 130A-236; 130A-248; 130A-257;
Eff. July 1, 1993;
Amended Eff. May 1, 1996 .
. 1727 CONTINUOUS DISINFECTION
(a) A supply which is in violation of Rule . l 725(c )(I) of this Section may be used provided that the supply shall
be continuously disinfected and a chlorine residual is maintained of at least 0.2 mg/I by use of equipment designed
for this purpose. An operator shall be required for a water supply using continuous disinfection. The operator
shall hold a valid certificate issued by the N.C. Water Treatment Facility Operators Certification Board.
(b) The owner, operator, or permittee shall provide to the Department a statement from the operator that a
supply using continuous disinfection has a minimum chlorine residual of 0. 2 mg/1 and a chlorine contact time of at
least 20 minutes.
(c) A disinfection device shall not be used to comply with a violation of Rule .1725 (b)(l) of this Section.
History Note: Authority G.S. 95-225; 130A-5(3); 130A-228; 130A-230; 130A-235; 130A-236; 130A-248;
130A-257;
Eff. July 1, 1993 .
. 1728 PROHIBITED SUPPLIES
(a) A supply in violation of Rule . l 725(b )( 1) of this Section shall be prohibited.
(b) Cisterns shall be prohibited.
History Note: Authority G.S. 95-225; 130A-5(3); 130A-228; 130A-230; 130A-235; 130A-236; 130A-248;
130A-257;
Eff. July 1, 1993.
NORTH CAROLINA ADMINISTRATWE CODE 05/03/96 Page4
OFF-SITE MONITORING WELLS
WELL PROPERTY OWNER CASING
DIAMETER
OSW-1 Edward & Florence Somerville** 4"
Rt. 4, Box 443
Warrenton, NC 27589
[phone]
OSW-2 Glenn and Gloria Alston 4"
Rt. 4, Box 429
Warrenton, NC 27589
(252) 257-~ 0,32.._3
OSW-3 Annie Davis 4"
Rt. 2, Box 236AA
Warrenton, NC 27589
[phone]
OSW-4 Lucious O'Neal, Jr. 4"
Rt. 4, Box 447
Warrenton, NC 27589
[phone]
**Deceased -Daughter is Elizabeth Davis
240 Seminole Drive
Chapel Hill, NC 27514
Phone [phone]
Reverend Jones of Coley Springs is currently living in the house.
TOTAL
DEPTH
68.0'
43.5'
54.0'
68 .0'
CASING
DEPTH
58.0'
33.5'
44.0'
58.0'