WM0501402_Application_20190830

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:July 15, 2020
2.County: Durham
3.What type of well are you applying for? (monitoring or recovery): Monitoring
4.Applicant: Rich Mator, Bristol-Myers Squibb Co. (BMS)Telephone: [phone]
Applicant’s Mailing Address: 3551 Lawrenceville Road, Princeton, NJ 08540
Applicant’s Email Address (if available): Richard.Mator@bms,com
5.Contact Person (if different than Applicant): Jan J Smith (Wood Agent for BMS) Telephone: [phone]
Contact Person’s Mailing Address: 4021 Stirrup Creek Dr., Durham, NC 27703
Contact Person’s Email Address (if available): [e-mail]
6.Property Owner (if different than Applicant): Nathan Robb, Merritt – IB1, LLC Telephone:
Property Owner’s Mailing Address: 2066 Lord Baltimore Drive, Baltimore, MD 21244
Property Owner’s Email Address (if available):
7.Property Physical Address (Including PIN Number) 3252 S. Miami Boulevard, PIN: 0749-40-33-3022.DUR / 0749-03-40-3468
City Durham County Durham Zip Code 27703
8.Reason for Well(s): Replacement of former well M-3-50 to monitor groundwater elevations. To be offset ~ 130’ N/NE. Former M-
3-50 well construction log with lithology is attached.
(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: Brownfields, Site I.D. 23016-19-032
(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).
IHSB ID No: NCD001493931, RCRA Permit NCD 041 463 761
11.Type of contaminants being monitored or recovered: VOCs
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? part of ~69-well network (Adjacent
former Edward Weck, Inc. (Weck) facility - RCRA Permit NCD 041 463 761)
Existing Monitoring or Recovery Well Construction Permit No(s).: 47090004
13.Distance from proposed well(s) to nearest known waste or pollution source (in feet): 1,300
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: Richy Lemire w/SAEDACCO Certification No.: NC Drilling License # 2593
Well Contractor Address: 9088 Northfield Drive, Fort Mill, SC 29707
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
PROPOSED WELL CONSTRUCTION INFORMATION (Continued)
2.Number of wells to be constructed in unconsolidated
material: None
3.Number of wells to be constructed in bedrock: One
4. Total Number of wells to be constructed: One
(add answers from 2 and 3)
5. How will the well(s) be secured? The well will be
secured with lockable, steel, stick-up protective cover
6.Estimated beginning construction date: July 23, 2020
7.Estimated construction completion date: July 24, 2020
ADDITIONAL INFORMATION
1. As required by 15A NCAC 02C .0105(f)(5), attach a scaled map of the site showing the locations of the following:
a. All property boundaries, at least one of which is referenced to a minimum of two landmarks such as identified roads,
intersections, streams, or lakes within 500 feet of the proposed well or well system.
b.All existing wells, identified by type of use, within 500 feet of the proposed well or well system.
c. The proposed well or well system.
d.Any test borings within 500 feet of proposed well or well system.
e. All sources of known or potential groundwater contamination (such as septic tank systems, pesticide, chemical or fuel
storage areas, animal feedlots as defined in G.S. 143-215.10B(5), landfills, or other waste disposal areas) within 500 feet
of the proposed well or well system.
SIGNATURES
The Applicant hereby agrees that the proposed well(s) will be constructed in accordance with approved specifications and conditions of
this Well Construction Permit as regulated under the Well Construction Standards (Title 15A of the North Carolina Administrative Code,
Subchapter 2C) and accepts full responsibility for compliance with these rules
Associate Director, Environment
Signature of Applicant or *Agent Title of Applicant or *Agent
Richard L. Mator *If signing as Agent, attach authorization agreement stating
Printed name of Applicant or *Agent that you have the authority to act as the Agent.
If the property is owned by someone other than the applicant, the property owner hereby consents to allow the applicant to construct
wells as outlined in this Well Construction Permit application and that it shall be the responsibility of the applicant to ensure that the
well(s) conform to the Well Construction Standards (Title 15A of the North Carolina Administrative Code, Subchapter 2C).
Signature of Property Owner (if different than Applicant) Printed name of Property Owner (if different than Applicant)
DIRECTIONS
Please send the completed application to the appropriate Division of Water Resources’ Regional Office:
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301-5094
Phone: [phone]
Fax: [phone]
Mooresville Regional Office
610 East Center Avenue
Mooresville, NC 28115
Phone: [phone]
Fax: [phone]
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
Phone: [phone]
Fax: [phone]
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, NC 27105
Phone: [phone]
Fax: [phone]
GW-22MR Rev. 3-1-2016
Nathan Robb
CLIENT
REVISIONS
PROJECT NO.MPP-18020
FILENAME
CHECKED BY
DRAWN BY
SCALE
DATE 06. 28. 2019
N0.DATE
1 09. 11. 2019 RESPONSE TO 1ST SITE PLAN REVIEW
X:\Projects\MPP\MPP-18020\Land\Design Files\CGH Working\Wells to Vivki.dwg, 9/17/2019 2:06:32 PM, Harrell, GrayThe John R. McAdams Company, Inc.
2905 Meridian Parkway
Durham, NC 27713
phone [phone]
fax [phone]
license number: C-0293
www.mcadamsco.com
FLEX BUILDINGS - TW ALEXANDERADMINISTRATIVE SITE PLAN - LEVEL 4DURHAM, NORTH CAROLINA 27703SHEET
PLAN INFORMATION
MERRITT PROPERTIES
2066 LORD BALTIMORE DRIVE
BALTIMORE, MARYLAND 21244
PRELIMINARY DRAWING - NOT RELEASED FOR CONSTRUCTION
2066 LORD BALTIMORE DRIVE BALTIMORE, MD 21244
PHONE [phone] FAX: [phone] www.MerrittProperties.com
EXIS
T
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S M
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A
M
I

B
L
V
D
S.R.
1
9
5
9
(10
0
'

P
U
B
L
I
C

R
/
W
)EXISTINGT.W. ALEXANDER DRS.R. 2028(VARIABLE WIDTH PUBLIC R/W)C2.00
MPP18020-SITE-OAS1
LAW
GH/MG
1"=100'
PLAN
OVERALL SITE
GRAPHIC SCALE
0 50 100 200
1 inch = 100 ft.
SITE LEGEND
BUILDING
BUILDING
BUILDING BUILDING
3123 S MIAMI BLVD
PIN: 0749-04-50-4965
USE: RES/1-FAMILY
ZONING: IL
TIER: SUBURBAN
3201 S MIAMI BLVD
PIN: 0749-04-50-3758
USE: RES/1-FAMILY
ZONING: IL
TIER: SUBURBAN
3207 S MIAMI BLVD
PIN: 0749-04-50-3655
USE: VAC RES/<10 ACRES
ZONING: IL
TIER: SUBURBAN
3211 S MIAMI BLVD
PIN: 0749-04-50-5259
USE: COM/WHSE-STORAGE
ZONING: IL
TIER: SUBURBAN
4001 STIRRUP CREEK DRIVE
PIN: 0748-02-59-3645
USE: COM/WHSE-STORAGE
ZONING: IL
TIER: SUBURBAN
3700 S MIAMI BLVD
PIN: 0748-38-96-9739
USE: IND/INFO TECH-TELCOMM
ZONING: IL
TIER: SUBURBAN
3039 E CORNWALLIS RD
PIN: 0748-03-27-3425
USE: IND/INFO TECH-TELCOMM
ZONING: SRP
TIER: SUBURBAN
2910 WECK DR
PIN: 0749-03-42-0213
USE: IND/INFO TECH-TELCOMM
ZONING: IL
TIER: SUBURBAN
2928 WECK DR
PIN: 0749-03-41-1792
USE: VACANT INDUSTRIAL
ZONING: IL
TIER: SUBURBAN
2917 WECK DR
PIN: 0749-04-42-7006
USE: VACANT INDUSTRIAL
ZONING: IP
TIER: SUBURBAN
3020 S MIAMI BLVD
PIN: 0749-04-51-3603
USE: COM/OFFICE BLDG
ZONING: CN
TIER: SUBURBAN
EXISTING
HILL DRIVE
(VARIABLE WIDTH
CONTROLLED ACCESS R/W)
ALL CONSTRUCTION SHALL BE IN
ACCORDANCE WITH THE CURRENT CITY OF
DURHAM ENGINEERING DESIGN AND
CONSTRUCTION STANDARDS
SEE SHEET C0.01 FOR ALL PROJECT, SITE,
GRADING, STORM DRAINAGE AND UTILITY
NOTES
GENERAL NOTES:
1.PHASES MAY BE COMBINED OR BUILT IN ANY ORDER.
Proposed Relocation of
Monitoring Well M-3-50
Figure 1 - Proposed Monitoring
Well Network Modifications
March 2020
2-Inch Diameter Schedule 40 PVC Riser
6-Inch Diameter Sch. 40 PVC Conductor Casing
Expandable Locking Cap
Concrete Pad
8 ½-inch Boring for Conductive Casing
4¼-inch Boring for Well Casing
No. 2 Filter Sand Pack
0.010-inch Machined Slotted Well Screen 2-Ft.BentoniteSlurry50ft-bgs for Total Well Depth5feet Screen2-Ft. Min.above ScreenSand Pack
Neat Cement Grout
Neat Cement Grout
20ft-bgs for Conductor Casing
2­ft Stick Up Height
PROPOSED WELL CONSTRUCTION DIAGRAM (M-3-50 REPLACEMENT)
3252 S. Miami Boulevard, Durham
IHSB ID No: NCD001493931
NOIL III CAR()LINA (XPARIVoLNI Of NAILORAL. NL'SOURCES ANO COMMLMITY DEVELOP►ALNT
DIVISION OF ENVIRONMENTAL MANAGEMENT - OROt1NDWATER SECTION
P.O. BOX 27887 RALEION.N.0 2r811. PHONE (9191 T,3-5Qa,
WELL CONSTRUCTION RECORD M-3-sx
DRILLING CONTRACTOR Wilson Well Drilling Co.
FOR OFFICE USE ONLY
Ouad. No _ Serial No. _
Lat. _ . _ _ Long. —� Pc
Minor Basin
Basin Cade
Headef Ent.. .. GW-1 Ent.
DRILLER REGISTRATION NUMBER 1 STATE WELL CONSTRUCTION
PERMIT NUMBER: SHWrB Blanket Permit
WELL LOCATION: (Show sketch of the location below)
Nearest Town. Research Triangle Park County
Cornwallis Road and Alexander Drive
(Road. Community. or Subdivision and Lot No.)
2. OWNER - IBM Corporation
ADDRESS P.O. Box 121.95
RTP . (Street or Route No.) NC 27709
City or Town State Zip Code
3. DATE DRILLED S-7-RR USE OF WELL Monitor
4. TOTAL DEPTH 521 CUTTINGS COLLECTED ❑ Yes EiNo
5. DOES WELL REPLACE EXISTING WELL? ❑ Yes No
6. STATIC WATER LEVEL: FT. ��0}} above TOP OF CASING.
below
TOP OF CASING IS FT. AMVE LAND SURFACE.
7. YIELD (gpm): METHOD OF TEST
8. WATER ZONES (depth):
9. CHLORINATION: Type . Amount
10. CASING:
Durham
Depth DRILLING LOG
From To Formation Description
0 10 Light Brown Silty CLAY
10 52 Red -Brown to Light Gray
Sl,.ghtly Micaceous SILT
a,G
Boring Terminated at 52 Q
--I-
in SILT
Wall Thickness It additional space is needed use back of form.
Depth Diameter or Weight/Ft. Material
From To 19 Ft. 611 Steel LOCATION SKETCH
(Show direction and distance from at least Iwo State Roads.
From To 45 Ft. 1�_ PVC or other map reference points)
From To Ft.
11. GROUT:
Depth
Material
Method
From
To37
Ft.
Volclay
Pour
From
To—
FI.
Bentonite
Pour
12. SCREEN:
Depth
Diameter Slot Size
Material
From —4-5—
To 50
Fl.
2 in.
PVC.
.010
in.
FrJm
To
F1.
in.
in.
From
To
Ft.
_. in.
kX
13. GRAVEL PACK:
Depth Sire Material
From 42 To 50 Fl. Coarse Sand
From
14. REMARKS: --
(over)
1 00 HEREBY CERTIFY IIIA) Ifu:, Wl.11 WAS CONS IRUC IED IN ACCORDANCE WITH IS NCAC 2C. WELL CONSTRUCTIC
STANDARDS. AND THAT A GOIPY ()I 11r1`i 111:(' IIAS [W:EN VIDe-D4TO TILE WELL OWNER. T
SIGNA 10111: (H C )N I UAC I"I rin Ar-cwd r

PROJECT NAME: -::�7B M DATE STARTED: S-- ?- COMPLETED: PAGE OF
JOB #:0grg-&pia COUNTY: CITY/TOWN: STATE:
BORING/WELL #:M-7 _J TOTAL DEPTH: BORING LOCATION: ELEV.:
GEOLOGIST/ENGINEER: Cz.Axa((U MONITORING EQUIPMENT USED:
DRILLERS: 0;lSol, DRILLING EQUIPMENT: METHOD:
REMARKS:
DEPTH TO BOTTOM OF SCREEN: TOP OF SCREEN: SCREEN SLOT SIZE:
DEPTH TO BOTTOM OF SAND: TOP OF SAND: DEPTH TO TOP OF BENTONITE:
WELL MATERIAL USED: DIAMETER: STICK UP/DOWN:
WATER ZONES (DEPTH): STATIC WATER LEVEL: 1
�1 z! S - �� �ay- a0 W �l V' i �
REMARKS: et3 S• D r 31 s- q�i•-j.
p
LITHOLOGY
DEPTH
SA1TLE
NO.
BLOW
COUNT
%
REC.
SA,%TLE DESCRIPTION
AIR QUAL.
PPM.
'1611
6"
M
•�o
35
�{ o
- yS
.
L % jInT
SILT
e
s%oW of oil @ Zs
P-d -fsv-, -L-. Cis- ctY S►t_ T
SAMPLES SUBMITTED FOR LABORATORY TEST
1` I
1. 6 e.43; -' s e-r -to 19
2.
3.
4.
a
F
a