WM0501398_Application_20200602

FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE
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.
1.Date: 6/2/2020
2.County: Durham
3.What type of well are you applying for? (Monitoring or Recovery): Monitoring
4. Applicant: Quick Lube of Carolina, LLC (attn.: Thomas Ewing) Telephone: [phone]
Applicant’s Mailing Address: 215 Queens Rd, Suite 200, Charlotte, NC 28204
Applicant’s Email Address (if available): [e-mail]
5. Contact Person (if different than Applicant): Colby Jones Telephone: [phone]
Contact Person’s Mailing Address: 9001 Glenwood Avenue, Raleigh, NC 27617
Contact Person’s Email Address (if available): [e-mail]
6. Property Owner (if different than Applicant): North Carolina Railroad, Inc. (Attn: Cameron Kidd)
Property Owner’s Mailing Address: 2809 Highwoods Blvd STE 100, Raleigh, NC 27604
Property Owner’s Phone Number (if available): 919-812-0425
7.Property Physical Address (Including PIN Number): 3301 Hillsborough Rd – PIN – 0738-04-44-3725
City: Durham County: Durham Zip Code: 27705
8. Reason for Well(s): Environmental 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: Commercial and Retail Services
(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 and 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): Approximately 500 feet west of UST and
AST Incident #5335
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? No
If yes, give distance(s): N/A
15. Well Contractor: Quantex, Inc. ([e-mail]) Certification No.: 3106-A
Well Contractor Address: PO Box 41673, Raleigh, NC 27629
PROPOSED WELL CONSTRUCTION INFORMATION
1.As required by 15A NCAC 02C .0105(f)(7), attach a well construction diagram of each well showing the following:
a.Borehole and well diameter e.Type of casing material and thickness
b.Estimated well depth f.Grout horizons
c.Screen intervals g.Well head completion details
d.Sand/gravel pack intervals
Continued on Reverse
WM0501398
FIGURE 1
SITE LOCATION MAP
Proposed Take 5 Oil Change
3301 Hillsborough Road
Durham, Durham County, North Carolina
ECS Project Number: 49-11573-A
SOURCE:
USGS TOPOGRAPHIC MAP
7.5 –MINUTE SERIES
NORTHWEST DURHAM, NC QUADRANGLE
DATED: 2019
SCALE: 1 : 24,000
CONTOUR INTERVAL = 10’
SITE
SITE PARCEL BOUNDARY
FIGURE 2
AERIAL LOCATION MAP
Proposed Take 5 Oil Change
3301 Hillsborough Road
Durham, Durham County, North Carolina
ECS Project Number: 49-11573-A
SOURCE:
GOOGLE EARTH
IMAGERY DATED 2019
APPROXIMATE SCALE:
SITE
150 FT.
SITE PARCEL BOUNDARY
FIGURE 3
SOURCES AND RECEPTORS
WITHIN 500-FEET
Proposed Take 5 Oil Change
3301 Hillsborough Road
Durham, Durham County, North Carolina
ECS Project Number: 49-11573-A
SOURCE:
DIVISION OF WASTE MANAGEMENT
SITE LOCATOR TOOL
IMAGERY DATED 2019
APPROXIMATE SCALE:
500-FEET
RADIUS
POTENTIAL RECEPTORS OR SOURCES OF CONTAMINATION
ARE UNKNOWN TO EXIST WITHIN 500-FEET FROM THE SITE.
SITE PARCEL BOUNDARY
SITE
200 FT.
FIGURE 4
PROPOSED BORING LOCATIONS MAP
Proposed Take 5 Oil Change
3301 Hillsborough Road
Durham, Durham County, North Carolina
ECS Project Number: 49-11573-A
SOURCE:
GOOGLE EARTH
IMAGERY DATED 2019
APPROXIMATE SCALE:
SITE PARCEL BOUNDARY
PROPOSED BORING LOCATION
TW-1
TW-2
TW-3
150 FT.
SITE
WELL CONTRUCTION DIAGRAM IS
REPRESENTATIVE OF DIRECT PUSH SCREEN
POINT SAMPLER or TEMPORARY 1-INCH PVC
TOP OF DIRECT PUSH STEEL
RODS ABOVE THE LAND
SURFACE
NOT TO SCALE
2--INCH BORE
HOLE
1.5-INCH STEEL DIRECT
PUSH RISER
GROUND
SURFACE
GROUNDWATER
SURFACE SLOTTED STEEL SCREEN
0.01-INCH SLOT WIDTHS
SET TO INTERSECT GROUNDWATER
ESTIMATED 15 FEET IN LENGTH
NATURAL FORMATION
20 FEET
FIGURE 5
PROPOSED TEMPORARY WELL
CONSTRUCTION
Proposed Take 5 Oil Change
3301 Hillsborough Road
Durham, Durham County, North Carolina
ECS Project Number: 49-11573-A