RA-101_26128_CA_O_20230215_McCall Bros

WithersRavenel
Our People. Your Success. 
115 MacKenan Drive | Cary, NC 27511 
t: 919.469.3340 | f: 919.467.6008 | www.withersravenel.com | License No. F‐1479 
Asheville | Cary | Greensboro | Lumberton | Pittsboro | Raleigh | Southern Pines | Wilmington
Date: February 15, 2023 
To:   McCall Brothers Inc. 6700 Brookshire Blvd. 
Charlotte, NC 28216 
RE: Bid Request: Installation and Connection of Supply Well & Abandonment of Two Supply Wells 
James Allen Property 
5402 NC Highway 54 West Chapel Hill, Orange County, North Carolina NCDEQ UST Number: RA‐101 NCDENR Trust Fund Incident Number: 26128 
WR Job Number 02173214.18 
Sir or Madam, 
WithersRavenel, Inc. (WR), on behalf of the North Carolina Department of Environmental Quality (NCDEQ) – Division of Waste Management (DWM), Underground Storage Tank (UST) Section, is soliciting bids from qualified contractors (hereinafter referred to as “CONTRACTOR” or “CONTRACTORS”) to 
perform the installation and connection of a potable supply well on the James Allen Property (Site), located 
at 5402 NC Highway 54 West in Chapel Hill, Orange County, NC (Orange County Parcel # 9739159055).  While efforts are made to familiarize CONTRACTORS with site conditions, CONTRACTORs are encouraged to visit the site prior to the submittal of bids; however, no on‐site pre‐bid conference will be held for this project.   
Well Installation 
The installation of a well is to be performed as a replacement for the supply well located on the adjoining Former Allen’s Exxon property (Orange County Parcel # 9739242674).  The Former Allen’s Exxon current 
supply well was found to be contaminated with petroleum compounds at concentrations exceeding 
regulatory limits.  WR has obtained a well permit (#W22‐0343) from the Orange County Health Department for the well installation.  The proposed/permitted well location is depicted on the attached figure and will be installed approximately 980‐ft west of the structure to which the well will be plumbed.  At the discretion of NCDEQ, WR will likely obtain water samples from the well during drilling/prior to final 
setting of well for testing of petroleum compounds. 
Drilling bids should include the following elements and be performed in accordance with 15A NCAC 02C Rules: 
Cost for equipment/crew mobilization.
All costs associated with drilling of well (estimate up to 450‐ft drilling).
Installation of 6‐inch diameter well casing (estimate up to 140‐ft).
WithersRavenel
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 Installation of electrical drop and service connection to well location. 
 Installation and plumbing of appropriately sized/rated well pump. 
 Trenching and installation of appropriately sized pressure tank and supply line extending from wellhead to building (see note below). 
 Disinfection of well. 
 Installation of appropriately sized well cover. 

Note: As the supply line will run beneath an agricultural field, CONTRACTOR should plan on installation the 
supply line and any ancillary components included in the trench a minimum of 3‐ft beneath existing surface 
grade.   

Well Abandonments 

In addition to the installation and connection of replacement well as described above, WR requests a 
separate cost for the abandonment of two existing wells on the property to be completed following the installation and connection of the replacement well.  WR has obtained permit numbers W22‐0344 and W22‐0349 for the abandonment of these wells, which are estimated to be of 130‐ and 140‐ft in depth with 6‐inch diameter casings.  In the case of one of each well, the abandonments should include the 
following at minimum: 

 Cost for equipment/crew mobilization. 
 Termination/disconnection of electrical service to each well. 
 Removal of well pump(s) and plumbing connection(s). 
 Well abandonments in accordance with provisions of 15A NCAC 02C, .0113 (Abandonment of Wells).   

NOTES:  ALL WORK ASSOCIATED WITH WELL INSTALLATION AND WELL ABANDONMENTS MUST CONFORM TO LOCAL, STATE AND FEDERAL REGULATIONS.  PLUMBING AND ELECTRICAL SERVICES SHOULD BE COMPLETED BY APPROPRIATELY QUALIFIED PERSONNEL AND IN 
ACCORDANCE WITH LOCAL, STATE AND FEDERAL GUIDELINES INCLUDING BUT NOT LIMITED TO 
15A NCAC SUBCHAPTER 02C (WELL CONSTRUCTION STANDARDS), NFPA 70 (NATIONAL ELECTRICAL CODE), ASTM RECOMMENDED PRACTICES AS WELL AS GENERAL CONSTRUCTION STANDARDS FOR COMPLETION OF THE SCOPE OF WORK AS OUTLINED HEREIN.   

THE CONTRACTOR SHALL BE RESPONSIBLE FOR NOTIFICATIONS FOR UTILITY MARKINGS 
THROUGH NC 811 SERVICEA MINIMUM OF THREE BUSINESS DAYS (72 HOURS) PRIOR TO THE PERFORMANCE OF WORK AT THE SITE IN ACCORDANCE WITH NORTH CAROLINA LAW.   
 PRIOR TO PERFORMANCE OF WORK, WR WILL CONTRACT A PRIVATE UTILITY LOCATION SERVICE 
FOR MARKING OF UTILITIES WITH THE WORK AEA(S).   
 CONTRACTOR MUST ENSURE THAT EQUIPMENT UTILIZED AND PERSONNEL ENGAGED IN THE PERFORMANCE OF WORK ARE ADEQUATE TO THE TASKS OUTLINED HEREIN.  ALL PERSONNEL ENGAGED IN SITE ACTIVITIES MUST HAVE ADEQUATE TRAINING FOR PERFORMING WORK ON 
SITE.  THE CONTRACTOR SHALL BE RESPONSIBLE FOR INITIATING, MAINTAINING AND 
SUPERVISING ALL SAFETY PRECAUTIONS AND PROGRAMS IN CONNECTION WITH THE WORK TO CONFORM TO ALL OSHA AND OTHER APPLICABLE CODES AND STANDARDS.    
WithersRavenel
Our People. Your Success. 

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Request For Bids 

ALL BIDS MUST BE SUBMITTED ON THE ATTACHED BID FORM, WHICH MUST BE SIGNED 
(EXECUTED) BY AN OFFICER OF THE BIDDING CONTRATOR COMPANY.  ANY CHANGE ORDERS TO THE SCOPE OF WORK MUST BE APPROVED IN WRITING PRIOR TO PERFORMANCE OF ADDITIONAL ACTIVITIES.  CONTRACTOR IS RESPONSIBLE FOR MAINTAINING ANY NECESSARY LICENSE(S) REQUIRED FOR THE PERFORMANCE OF WORK AND APPROPRIATE INSURANCE 
COVERAGES IN KEEPING WITH GOOD WORK PRACTICES.   
 Should you have questions regarding the proposed scope of work for the referenced facility, or if additional information is required, please feel free to contact me via phone at (919) 422‐1141, or via email: [e-mail].  Note: Questions and answers submitted will be shared with all bidding 
CONTRACTORS.  Please e‐mail your completed bid form to Mr. Mark Petermann 
([e-mail]), Kevin Buchanan (kbuchanan@withersravenel. com) and Matthew James ([e-mail]) no later than close of business (5 pm) on March 1, 2023.  Should a bidding Contractor desire to mail their bid, the bid must be postmarked no later than March 1, 2023 and addressed to: 

 Mr. Mark Petermann NCDEQ‐DWM, UST Section 
 State Lead Program 
 450 Hanes Mill Road 
Suite 300 
 Winston‐Salem, NC 27105 
 WR requests that any bidder sending their submittal via mail contact WR, either by phone or email, to advise that a bid has been sent by mail.  Award of the work outlined herein will be at the discretion of the 
NCDEQ‐DWM, UST Section.  Any bids judged incomplete or not submitted prior to the deadline listed 
above may be disqualified at the discretion of the NCDEQ‐DWM, UST Section.   
 The scope of work may be expanded or decreased by WR based on the conditions encountered during the work and approval or direction from the UST Section.  In the event that the CONTRACTOR fails to 
complete any element of this work within a timely manner, WR reserves the right to deny approval of 
CONTRACTOR invoice for payment by the UST Section and may subcontract the incomplete portion of the work to another entity and deduct all expenditures from the contract amount as required to complete incomplete work. WR is not responsible for payment of any reduction in the amount deemed ineligible for payment by the UST Section. 

Payment Terms 
 Following successful completion of the work, the CONTRACTOR shall submit an invoice to WR for work performed.  Following approval, WR will include the CONTRACTOR’s fee in WR’s invoice to the UST 
Section.  Payment to CONTRACTOR for services rendered under this contract agreement will be made by WR 
within ten days following receipt of payment by WR from the UST Section.   

WithersRavenel
Our People. Your Success. 

4

Indemnification 

CONTRACTOR shall indemnify and hold harmless WR, NCDEQ, the UST Section and all their officers, 
agents, and employees against all suits, claims, and liabilities for any injuries to persons (including death) or damage to property arising out of, or related to, any negligent acts of the CONTRACTOR or his employees in the performance of the work of the Contract Agreement, or by failure of the CONTRACTOR or his employees to comply with the terms of this Agreement. 

Insurance 
 CONTRACTOR shall secure and maintain insurance which will protect the CONTRACTOR, WR, and UST Section from claims for bodily injury, death, or property damage which may result from the work 
performed by the CONTRACTOR under this Contract Agreement.  CONTRACTOR shall not commence 
work under this agreement until all insurance required under this paragraph has been obtained.  Copies of appropriate insurance certificates issued by the insurer and indicating full coverage for the required limits shall be provided to WR prior to commencement of the work. 

CONTRACTOR shall carry insurance in the usual form with the following limits: 
 A. Workmen's Compensation and  Employer's Liability  Statutory 

B. Comprehensive General Liability: 
 (1) Bodily Injury  $ 1,000,000 Each person 
      $ 1,000,000 Per occurrence  
      $ 2,000,000 Aggregate 
(2)  Property Damage $ 1,000,000   Per occurrence 
      $ 2,000,000   Aggregate for Completed Operations (3) This insurance shall cover explosion, underground drilling, or excavation and collapse hazards.           

 C.  Comprehensive Automobile and Truck Liability: 
 (1) Bodily Injury  $2,000,000 Each Person (2) Property Damage $2,000,000  Per Occurrence (3) Uninsured / Underinsured Motorist $1,000,000  

D.  Umbrella Liability Insurance: $ 1,000,000  
 E.  Pollution Liability Insurance: $ 1,000,000  Per Occurrence 

WithersRavenel
Our People. Your Success. 

5

General Provisions 

 CONTRACTOR shall, as appropriate, obtain all necessary permits and licenses from authorities having jurisdiction over the work, and shall comply with all Federal, State, and Local laws, ordinances, and regulations governing the performance of the work. 
 CONTRACTOR shall be solely and completely responsible for working conditions on the job site, 
including safety of all persons and property during the performance of the work.  CONTRACTOR shall supply barricades, flagmen, and traffic control for operation in public areas or streets if needed.  If applicable, CONTRACTOR shall be responsible for securing the work area during nonworking hours to prevent accidental injury to persons or property.    
 CONTRACTOR will exercise care and take reasonable precautions to avoid damaging paving, utilities, landscaped areas, or other property in the completion of work associated with the site. 

 FIGURE & SITE PHOTOGRAPHS 

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PARCEL #
9739159055
JAMES I. ALLEN
PARCEL #9739242674JAMES I. ALLEN
NCDEQ INCIDENT #26128
(FORMER ALLEN'S EXXON)
~40 ft
~205 ft KBBMJDRAWN BY:08/04/202202173214.181SCALE:FIGURE NO.:PROJECT NO.:DATE:APPROVED BY:PROPOSED SUPPLYWELL LOCATIONWithersRavenelEngineers | Planners | Surveyors115 MacKenan Drive | Cary, NC 27511 | t: 919.469.3340License #: F-1479 | www.withersravenel.com1"=150 'LEGEND
PROPOSED SUPPLY WELL LOCATION
EXISTING SUPPLY WELL LOCATION (ACTIVE)
EXISTING SUPPLY WELL LOCATION (INACTIVE)
5-FOOT TOPOGRAPHIC CONTOUR (1998)
SURFACE WATER FEATURE
STREAM / INTERMITTENT STREAM LOCATION
NOTES:
1. 2019 AERIAL OBTAINED FROM THE ORANGE COUNTY, NC GIS DEPARTMENT.
2. 5-FOOT TOPOGRAPHIC CONTOURS FROM 1998 DATASET PROVIDED BY THEORANGE COUNTY, NC GIS DEPARTMENT.
3. STREAM AND SURFACE WATER BODY LOCATIONS FROM ORANGE COUNTY, NC
GIS DEPARTMENT.FORMER ALLEN'S EXXONTF # 26128 / UST # RA-1015402 NC HIGHWAY 54 WESTCHAPEL HILL, ORANGE COUNTY, NCGRAPHIC SCALE
1 inch = 150 ft.
0 15075 300
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1

Bid Request – Well Installation & Abandonments  February 2023 
Former Allen’s Exxon  WR Project Number 02173214.18 

 PHOTOGRAPH 1 FORMER ALLEN’S EXXON 

 PHOTOGRAPH 2 CURRENT ACTIVE SUPPLY WELL 

Bid Request – Well Installation & Abandonments  February 2023 
Former Allen’s Exxon  WR Project Number 02173214.18 

 PHOTOGRAPH 3 LOCATION OF PROPOSED WELL 

 PHOTOGRAPH 4 LOCATION OF PROPOSED WELL 

Bid Request – Well Installation & Abandonments  February 2023 
Former Allen’s Exxon  WR Project Number 02173214.18 

 PHOTOGRAPH 5 LOCATION OF PROPOSED WELL 

 PHOTOGRAPH 6 PROPOSED WATER LINE LOCATION 

Bid Request – Well Installation & Abandonments  February 2023 
Former Allen’s Exxon  WR Project Number 02173214.18 

 PHOTOGRAPH 7 PROPOSED WATER LINE LOCATION 

 PHOTOGRAPH 8 PROPOSED WATER LINE LOCATION 

Bid Request – Well Installation & Abandonments  February 2023 
Former Allen’s Exxon  WR Project Number 02173214.18 

 PHOTOGRAPH 9 AREA FOR CONNECTION OF WATER LINE TO EXISTING SERVICE 

Bid Request – Well Installation & Abandonments  February 2023 
Former Allen’s Exxon  WR Project Number 02173214.18 

 CONTRACTORS BID FORM 

Bid Request – Well Installation & abandonments  Former Allen’s Exxon                 February 2023 5402 NC Highway 54 West, Chapel Hill, Orange County, NC    WR Project No. 02173214.18 WithersRavenel Our People. Your Success.   Table 1 Bid Form – Well Installation & Abandonments Description Units Unit Rate Cost Totals Well Installation ‐ Mobilization 1 Lump Sum    Well Installation – Well Drilling & Installation (up to 500‐ft depth) 500 Per Foot $ $ Well Installation – Well Drilling & Installation (up to 140‐ft casing) 140 Per Foot   Electrical Service from nearest power pole to well location 1 Lump Sum   Installation & Plumbing of Electric Pump, Pressure Tank, Fittings 1 Lump Sum    Trenching and installation of supply line and all necessary fittings, Connection to existing supply 1 Lump Sum    Total – Mobilization, Well Installation, Electrical Service, Installation of Pump, Pressure Tank, Fittings, Trenching, Installation & Connection of Supply Line $       Well Abandonments ‐ Mobilization 1 Lump Sum    Abandon Supply Well # 1 (Estimated 140‐ft depth) 1 Lump Sum   Abandon Supply Well # 2 (Estimated 130‐ft depth) 1 Lump Sum   Total: Well Abandonments $   Contractor Name:  Signature:  Executed By:  Date:   

Bid Request – Well Installation & Abandonments  February 2023 
Former Allen’s Exxon  WR Project Number 02173214.18 

 ORANGE COUNTY WELL PERMIT # W22‐0343 

[phone] (FAX)
Hillsborough, NC 27278
P.O. Box 8181
Suite 100
131 West Margaret Lane
[phone]
Environmental Health Division
Orange County Health Department
www.orangecountync.gov
WELL PERMIT
Parcel Number : 9739242674
Application Date : 11/22/2022
Permit Number : W22-0343
2 ALEASE WILSON P78/60Property Description :
Property Address :
Applicant :
Address :
*WITHERSRAVENEL INC- KEVIN BUCHANAN
Address:
Owner:
7010 GOLDMINE RD
CHAPEL HILL, NC 27516
115 MACKENAN DR
CARY, NC 27511
[e-mail] :
9196970022Phone :
Email:
Phone:[phone]
[e-mail]
Lot Size : 5.82Well Type :
Well Class :
Private Well
New Sewage Disposal :On-site System
Comments / Conditions :
Condition Description Comment
ENVIRONMENTAL HEALTH SPECIALIST
11/22/2027EXPIRES : 11/22/2022ISSUED :
Victoria Hudson
* REFER TO THE ATTACHED SITE PLAN SHOWING THE WELL AND FACILITY LOCATIONS AND OTHER SPECIFICATIONS.
* THIS PERMIT MAY BECOME INVALID AND MAY BE REVOKED IF:
* The information submitted on the application is incorrect, falsified or changes,
* The site is altered, or
* The well is not completed before the expiration date.

* THE WELL SHALL BE CONSTRUCTED OR REPAIRED IN ACCORDANCE WITH:
Orange County Groundwater Protection Rules as adopted by the Orange County Board of Health.
NC Well Construction Standards, as applicable and
Orange Conty Environmental Health Division Policies.
* THE WELL SITING IS BASED ON SETBACK DISTANCES FROM KNOWN FEATURES AND DOES NOT INDICATE NOR GUARANTEE THAT ANY
QUANTITY OR QUALITY OF WATER WILL BE PROVIDED BY A WELL CONSTRUCTED IN THAT AREA.

* The well must be located in well-drained areas that are not subject to flooding. Some of the setback distances include:
40 feet from any property line,
50 feet from any building foundation; sewer line; swimming pool; pump room, or storage area; or storage building,
50 feet from a septic system or repair area or other potential source of contamination.
If it is not possible to achieve these distances, a reduced setback may be granted provided specific conditions are met.
* Ground surface should be maintained to direct surface water away from the well.
* Setbacks for Public Water Supplies may be increased.

* All new or repaired wells must be thoroughly disinfected after construction. All traces of chlorine must be flushed out of the system at least
48 hours prior to sampling.
* Water samples may be taken upon request by submitting a proper application and appropriate fees. The Orange County Health Department
does not provide water sampling for use as a condition of purchase, loan approval, or a property transaction. These services are provided
by the private sector.

* Any changes to the proposed plans must be approved by the OCHD.
* Wells must be constructed, repaired, and abandoned by a person who holds a valid certification from the State and who is also registered
in Orange County for well construction.
*A list of registered well drillers is available upon request.

* The well contruction must be inspeced by OCHD at certain stages during the installation.
* The permitee is responsible for obtaining the appropriate permits for the wiring of pump installations form the Orange County Building
Inspections Office.
* It is the responsibility of the well contrator to call the OCHD to schedule the installation inspections.

rpt_PM_OC_EH_WellPermit 2022.11
Report created : 11/22/2022 7:17:51AM
5402 NC54W
* After the installation is completed, some settling of the grout material may take place. If it has settled substantially, please call the well
contractor to complete the grouting - otherwise the void can be filled with cement grout when a slab is poured.
* The owner is responsible for marking all property lines and corners. The Contractor is responsible for ensuring that the well or septic
system is installed in the proper location and that all setbacks are met.

rpt_PM_OC_EH_WellPermit 2022.11
Report created : 11/22/2022 7:17:51AM
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PARCEL #
9739159055
JAMES I. ALLEN
PARCEL #9739242674JAMES I. ALLEN
NCDEQ INCIDENT #26128
(FORMER ALLEN'S EXXON)
~40 ft
~205 ft KBBMJDRAWN BY:08/04/202202173214.181SCALE:FIGURE NO.:PROJECT NO.:DATE:APPROVED BY:PROPOSED SUPPLYWELL LOCATIONWithersRavenelEngineers | Planners | Surveyors115 MacKenan Drive | Cary, NC 27511 | t: 919.469.3340License #: F-1479 | www.withersravenel.com1"=150 'LEGEND
PROPOSED SUPPLY WELL LOCATION
EXISTING SUPPLY WELL LOCATION (ACTIVE)
EXISTING SUPPLY WELL LOCATION (INACTIVE)
5-FOOT TOPOGRAPHIC CONTOUR (1998)
SURFACE WATER FEATURE
STREAM / INTERMITTENT STREAM LOCATION
NOTES:
1. 2019 AERIAL OBTAINED FROM THE ORANGE COUNTY, NC GIS DEPARTMENT.
2. 5-FOOT TOPOGRAPHIC CONTOURS FROM 1998 DATASET PROVIDED BY THEORANGE COUNTY, NC GIS DEPARTMENT.
3. STREAM AND SURFACE WATER BODY LOCATIONS FROM ORANGE COUNTY, NC
GIS DEPARTMENT.FORMER ALLEN'S EXXONTF # 26128 / UST # RA-1015402 NC HIGHWAY 54 WESTCHAPEL HILL, ORANGE COUNTY, NCGRAPHIC SCALE
1 inch = 150 ft.
0 15075 300
PW
1
1
WPDT Report
Area of Interest (AOI) Information
Area : 5,937,721.64 ft²
Nov 22 2022 7:20:16 Eastern Standard Time
SEE KNOWN CONTAMINATION,
W22-0343 ADDRESS TBD, FORMERLY KNOWN AS 5402 NC 54 W
Known Releases of Contamination
#Site ID Site Name Site Type Data Current As Of Count
1 26128 EXXON - ALLENS Underground Tank
Inicidents 12/18/2019 1
All North Carolina Department of Environmental Quality (NCDEQ) GIS data is expressly provided “AS IS” and “WITH ALL FAULTS”. The NCDEQ makes no warranty of any kind, express or implied, concerning this information, including but not limited to any warranties of merchantability or witness for any particular purpose. The NCDEQ assumes no responsibility or legal liability concerning the Data's accuracy,
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Bid Request – Well Installation & Abandonments  February 2023 
Former Allen’s Exxon  WR Project Number 02173214.18 

 ORANGE COUNTY WELL ABANDONMENT PERMITS 
 # W22‐0344 & W22‐0349 

[phone] (FAX)
Hillsborough, NC 27278
P.O. Box 8181
Suite 100
131 West Margaret Lane
[phone]
Environmental Health Division
Orange County Health Department
www.orangecountync.gov
WELL ABANDONMENT PERMIT
9739159055Parcel Number :
Application Date :11/22/2022
Permit Number :W22-0344
2 ALEASE WILSON P78/60Property Description :
Property Address :
Applicant :
Address :
*WITHERSRAVENEL INC- KEVIN BUCHANAN
Address:
Owner:
7010 GOLDMINE RD
CHAPEL HILL, NC 27516
115 MACKENAN DR
CARY, NC 27511
[e-mail] :
9196970022Phone :
Email:
Phone:[phone]
[e-mail]
Lot Size : 5.82Well Type :
Well Class :
Private Well
Abandonment Sewage Disposal :On-site System
Comments / Conditions :
Condition Description Comment
General EXISTING WELL (AMBER DOT)
ENVIRONMENTAL HEALTH SPECIALIST
11/22/2027EXPIRES : 11/22/2022ISSUED :
Victoria Hudson
The WELL SHALL BE ABANDONED IN ACCORDANCE WITH:
Orange County Groundwater Protection Rules as adopted by the Orange County Board of Health and the NC Well Construction Standards, as
applicable.
1. The applicant or well contractor shall contact the Orange County Health Department to provide notification of intent to permanently
abandon any well other than a monitoring well and include the location, permit number, and anticipated time for abandonment of each private
drinking water well.
2. The well abandonment must be inspected by OCHD.
3. Upon completion of a permanent well abandonment, the Orange County Health Department shall provide a written certification on the well
abandonment permit hat a well abandonment inspection was completed and that the abandonment is in compliance with these Rules. When
the Orange County Health Department opts to not inspect the permanent abandonment process, the well contractor shall provide written
certification to the Orange County Health Department that the well has been abandoned in compliance with these Rules. A completed Well
Abandonment Record form GW-30 stating the well was abandoned in compliance with the rules of this Section shall serve as the well
contractor's abandonment certification.
4. After the abandonment is completed, some settling of the abandonment material may take place. If it has settled substantially, please call
the well contractor.
rpt_PM_OC_EH_WellPermit 2022.11
Report created : 11/22/2022 7:17:04AM
[phone] (FAX)
Hillsborough, NC 27278
P.O. Box 8181
Suite 100
131 West Margaret Lane
[phone]
Environmental Health Division
Orange County Health Department
www.orangecountync.gov
WELL ABANDONMENT PERMIT
9739159055Parcel Number :
Application Date :11/22/2022
Permit Number :W22-0349
2 ALEASE WILSON P78/60Property Description :
Property Address :
Applicant :
Address :
*WITHERSRAVENEL INC- KEVIN BUCHANAN
Address:
Owner:
7010 GOLDMINE RD
CHAPEL HILL, NC 27516
115 MACKENAN DR
CARY, NC 27511
[e-mail] :
9196970022Phone :
Email:
Phone:[phone]
[e-mail]
Lot Size : 5.82Well Type :
Well Class :
Private Well
Abandonment Sewage Disposal :On-site System
Comments / Conditions :
Condition Description Comment
General EXISTING WELL (RED DOT)
ENVIRONMENTAL HEALTH SPECIALIST
11/22/2027EXPIRES : 11/22/2022ISSUED :
Victoria Hudson
The WELL SHALL BE ABANDONED IN ACCORDANCE WITH:
Orange County Groundwater Protection Rules as adopted by the Orange County Board of Health and the NC Well Construction Standards, as
applicable.
1. The applicant or well contractor shall contact the Orange County Health Department to provide notification of intent to permanently
abandon any well other than a monitoring well and include the location, permit number, and anticipated time for abandonment of each private
drinking water well.
2. The well abandonment must be inspected by OCHD.
3. Upon completion of a permanent well abandonment, the Orange County Health Department shall provide a written certification on the well
abandonment permit hat a well abandonment inspection was completed and that the abandonment is in compliance with these Rules. When
the Orange County Health Department opts to not inspect the permanent abandonment process, the well contractor shall provide written
certification to the Orange County Health Department that the well has been abandoned in compliance with these Rules. A completed Well
Abandonment Record form GW-30 stating the well was abandoned in compliance with the rules of this Section shall serve as the well
contractor's abandonment certification.
4. After the abandonment is completed, some settling of the abandonment material may take place. If it has settled substantially, please call
the well contractor.
rpt_PM_OC_EH_WellPermit 2022.11
Report created : 11/22/2022 7:15:47AM