WM0100386_Permit (Issuance)_20160516

FILE PAT MCCRORY
NCO
coremor
DONALD R. VAN DER VAART
Seore(ary
Wafer Resources
ENVIRONMENTAL munury S. JAY ZIMMERMAN
Dlmotor
May 16,2016
Petroleum World,Inc.
Attn: Debbie Potter
P.O. Box 341
Momesboro,NC 28114
Re: Well Construction Permit WM0100386
C&.W Convenience Store
TLT Investments,LLC Property
Burke County
Dear Ms..Potter,
In accordance with the application submitted on your behalf by Matthew Smith on May 12,2016,we are
forwarding well construction permit WM0100386 dated May 16,2016. The permit is for the construction
of two monitoring wells on TLT Investments,LLC property.
The permit will be effective from the date of issuance for a period of one year and is subject to the
conditions and limitations as specified therein.A Well Construction Record shall be completed and
signed by the certified drilling contractor for each well.The forms shall be submitted to the Department
upon completion of the wells and shall reference the permit number.Please review the attached permit
conditions.
If you should have any questions or need additional information contact Andrew Moore at 828-296-4500.
Sincerely,
G.Landon Davidson,P.G.
Regional Supervisor
Water Quality Regional Operations Section
cc: Water Quality Asheville Files
ec: Matthew Smith, Shield Engineering
G:\WR\WQ\Burke\Wetls\Monitoring\C&W Convenience_WM0100386.docx
SteleofNonh Cazolim I Emi, mn,nwomi wmr Reso=ce
2090 U.S.on,70 1 Sweet— ,Nosh Caroline 28778
8282964500

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT FOR THE CONSTRUCTION OF MONITORING 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
Petroleum World,Inc.
FOR THE CONSTRUCTION OF A MONITORING WELL SYSTEM consisting of two wells owned by Petroleum
World,Inc.,P.O.Box 341,Momesboro,NC 28114.The wells will be located on property owned by TLT
Investments,LLC in Burke County(PIN#2703014969).This Permit is issued in accordance with the application
received on May 12,2016 in conformity with specifications and supporting data,all of which are filed with the
Department of Environmental Quality and we considered integral parts 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 any well under this Permit shall be in strict compliance with the Ninth Carolina
Well Construction Regulations and Standards (15A NCAC 02C .0100), and other State and Local Laws and
regulations pertaining to well construction.
If my requirements or limitations specified in this Permit are unacceptable,you have a right to an adjudicatory hearing
upon written request within 30 days of receipt of this Permit. The request must be in the form of a written petition
conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative
Hearings,6714 Mail Service Center,Raleigh,North Carolina 27699-6714. Unless such a demand is made,this Permit
is final and binding.
This Permit will be effective for one year from the date of its issuance and shall be subjectto other specified conditions,
limitations,or exceptions as follows:
1. Issuance of this Permit does not supersede any other agreement,permit, or requirement issued by
another agency.
2. The well(s) shall be located and constructed as shown on the attachments submitted as part of the
Permit application.
3. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C
.0108(0)where applicable.
4. The monitoring well shall be maintained in accordance with 15A NCAC 02C.0108.
5. A Well Construction Record (GW-1) for each well shall be submitted to the Division of Water
Resource's Information Processing Unit within 30 days of the well completion in accordance with
15A NCAC 02C.0114.
6. When the well is discontinued or abandoned,it shall be abandoned in accordance with 15A NCAC
02C .0113 and a well abandonment record(GW-30) shall be submitted to the Division of Water
Resource's Information Processing Unit and the property owner within 30 days of the well
abandonment in accordance with 15A NCAC 2C.0114.
Permit issued the 16th day of May,2016
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
a
Landon Davidson,Regional Supervisor -"--- ----
Water Quality Regional Operations Section
By Authority of the Environmental Management Commission
Permit No. #WM0100386