WM0801150_Application_20200527

NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY - DIVISION OF WATER RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT A MONITORING OR RECOVERY WELL SYSTEM
PLEASE TYPE OR PRINT CLEARLY
In accordance with the provisions of Article 7, Chapter 87, General Statutes of North Carolina and regulations pursuant thereto,
application is hereby made for a permit to construct monitoring or recovery wells.
Date: 5/8/2020
2. County: New Hanover
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE
3. What type of well are you applying for? (monitoring or recovery): Monitoring
4. Applicant: Nathan Sanders Telephone: [phone]
Applicant's Mailing Address: PO Box 3167
Applicant's Email Address (if available): Nathanesancohomes.com
5. Contact Person (if different than Applicant): Chris Orrell Telephone: [phone]
Contact Person's Mailing Address: 1812 Center Park Drive, Suite D. Charlotte, NC 28217
Contact Person's Email Address (if available): correll(gD-ecslimited.com
6. Property Owner (if different than Applicant): Stanley Street Properties Telephone:
Property Owner's Mailing Address: 10 Cardinal Drive South, Wilmington, NC 28403
Property Owner's Email Address (if available):
7. Property Physical Address (Including PIN Number) 1417 Creekfront Drive & 1617 & 1633 Stanley Street — PINS R04806-006-
111-000, R04806-006-117-000, R04806-006-114-000
City Wilmington County New Hanover Zip Code
8. Reason for Well(s): Assessment
(ex: non -discharge permit requirements, suspected contamination, assessment, groundwater contamination, remediation, etc.)
9. Type of facility or site for which the well(s) is(are) needed: Landfill
(ex: non -discharge facility, waste disposal site, landfill, UST, etc.)
10. Are there any current water quality permits or incidents associated with this facility or site? If so, list permit and/or incident no(s).
Unknown
11. Type of contaminants being monitored or recovered: VOCs & SVOCs
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? Unknown
Existing Monitoring or Recovery Well Construction Permit No(s).: Unknown
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): N/A
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? No
If yes, give distance(s):
15. Well Contractor: TBD Certification No.: TBD
Well Contractor Address: TBD
PROPOSED WELL CONSTRUCTION INFORMATION
As required by 15A NCAC 02C .0105(f)(7), attach a well construction diagram of each well showing the following:
a. Borehole and well diameter e. Type of casing material and thickness
b. Estimated well depth f. Grout horizons
C. Screen intervals g. Well head completion details
d. Sand/gravel pack intervals
Continued on Reverse

PROPOSED WELL CONSTRUCTION INFORMATION (Condiudied)
Number of wells to be constructed In unconsolidated
material: 3
Number of wells to be constructed In bedrock: 0
Total Number of wells to be constructed: 3
(add answers from 2 and 3)
How will the WOW) be seamed? _Emar dfrho Cm d
Lodi
Estimated beginning construction dale: 6-1sa
Estimated aorwtruciion completion date: 5-15-M
ADDITIONAL INFORMATION
As required by 15A NCAC 02C .0105(f)(5), attach a scaled map of the ske showing the locations of the fig:
a. All property boundaries, at feast one of which Is referenced b a minimum of two landmarks such as idethtiRed roads,
Intersections, streams, or lakes within 500 feet of the proposed well or well system.
b. AN skating wells, identified by type of use, within SW feet of the proposed well or well system.
C. The proposed well or well system.
d. Any test borings within SW feel of proposed well or well system.
e. All sources of known or potential groundwater contamination (such as septic tank systems. pesticide, chm, l or fuel
storage areas, animal feedlots as defined In G.S.143-215.10B(5), landfills, or other waste disposal areas) witldri 500 feet
of the proposed well or well system.
SIGNATURES
The Applicant hereby agrees that the proposed well(s) will be cnnstruc ed In accordance with approved moonconditions s and conditioof
this Well Construction P $ as regu ed under the Well Construction Standards (Title 15A of the North Carolina Adrnofdrative Code,
Subch ter 9)nd accepts full responsibility for cofnn fiance with these
emes
lit. i�ZfL S ��
Sign tore of Applica or *Agar Title of Applicant or *Agent
'4711'�h4N 6 �5:4 nt G i' • MsigrnhV as Agars aftch aufffior%atbn agreement sling
Printed name of Applicant or *Agent that you have fhe aufharify tb ad as the Agent:
ff the property is owned by someone other than the applicant, the property owner hereby orients to allow the applicant to construct
wells as outlined In this Well Construction Perm pplication and that it shall be the resporsibility of the applicant to ensure the the
corhforrrh the Well Constriction ndards (Title 15A of the tjorth Caroline Afministrative Code, Subchapter 2C�
f
Signature of Property Owner differenoan Applicant) Printed name of er (it different than Applicant)
DIRECTIONS
Please send the completed application to the appropriate Division of Water Resources' Regional Once:
Asheville Regional Office
Raleigh Regional Office
W111mington Regional Office♦
2090 U.S. Highway 70
3800 Barrett Drive
127 Cardinal Drive Edersion
Swannanoa, NC 28778
Raleigh, NC 27600
Wilmik4 ton, INC 28405
Phone: [phone]
Phone: [phone]
Phone: [phone]
Fax (828) 2W7043
Fax [phone]
Fac (910) 350,2004
Fayetteville Regional 011be
225 Green Street, Suite 714
Fayetteville, NC 28MI-6094
Phone: [phone]
Fax: [phone]
Mooresville Regional Of►ice
610 East Center Avem e
Mooresville, NC 28115
Phone: [phone]M
Fax: [phone]MO
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]
Win doro�sviiert Regional Office
450 W. Hanes MIN Road
Suite 300
Winston-Salem, NC 27105
Phone; (336)776SM
flit lien, 3-141M

lie
46
KING�j 1 1
INGTON
�,,'" �-' "-.''fir. • t - - -
.. I
5
SITE
Nili� 17' �'
ST
Ij
S
objmN S T NX
RIINSWICK _— - to
I �1{ PIAZA-
pakdateCem,�_'
`�Pe f ai RE(j CROSS �T
C�nr n y T WIL'MINGTON $
�GOEI,
w"uTsr� GRA TIONAL�,CEMETEY , Q
iS� t z Z CESr
vim' z I Ch[STNU75 ` i �� � �I{,�`~ ' 1� i7 a££ f
PRINCESS ST
5T PERRY AYE
%!t1 DOCKST _ - _ ^ I Nt ` r2517
y y%
QFA%'G€ sr� i ' � � ; t4ETts'
N Sfi'-' t "-% - y 3 1`'.. f1
4aa
- 4..
V
lirN.
I
FIGURE 1 I
TOPOGRAPHIC LOCATION MAP
SOURCE:
USGS TOPOGRAPHIC MAPS Stanley Drive and Creekfront Drive
WILMINGTON & CASTLE HAYNE QUADRANGLES Wilmington, New Hanover County, North Carolina
2019 It
ECS Proposal Number 49-XXXXXP
SCALE-1:24,000 TM

.��35 fl
359
35 R
�' - - , ;■ mot•* 1
t 1(}5�►
■ f i 1 L' f �:'
213:98 R
■ 1 a ■
`s
p 410 ��. _
.Lh ti IA
,era.. ��!► �. � �:.
1110
jr a-
jW
■ s - ����' 3�8 1 a' n '.`� , i1 � . � �, . +gyp
6
yi^ � `+h " ,pro +.�0 r •� +�,I, �T,� . ,.� �
r .+
LEGEND
® APPROXIMATE GROUNDWATER SAMPLE LOCATION
APPROXIMATE SITE BOUNDARY
FIGURE 2
SOURCE: PROPOSED BORING LOCATION MAP
NEW HANOVER COUNTY GIS, AERIAL 2019
Stanley Drive and Creekfront Drive
SCALE: Wilmington, New Hanover County, North Carolina
AS SHOWN IQ
ECS Proposal Number 49-XXXXXP
n+

20 FEET
GROUND
SURFACE
NATURAL FORMATION
BACKFI LL
GROUNDWATER
NOT TO SCALE
TM
TOP OF DIRECT PUSH STEEL
RODS ABOVE THE LAND
SURFACE
1.5-INCH STEEL DIRECT
PUSH RISER
2--INCH BORE
HOLE
SLOTTED STEEL SCREEN
0.01-INCH SLOT WIDTHS
SET TO INTERSECT GROUNDWATER
ESTIMATED 4 FEET IN LENGTH
WELL CONTRUCTION DIAGRAM IS
REPRESENTATIVE OF DIRECT PUSH SCREEN
POINT SAMPLER
FIGURE 3
PROPOSED TEMPORARY SCREEN
POINT SAMPLER
Stanley Drive and Creekfront Drive
Wilmington, New Hanover County, North Carolina
ECS Proposal Number 49-XXXXXP