WM0100378_Permit (Issuance)_20150831

D L
MEW
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
August 31,2015
Deborah L. Potter
Petroleum World,Inc.
P.O.Box 341.
Mooresboro,NC 28114 -
Re: Well Construction Permit:WM0100378
Drexel PW
Property.PIN:2723363351
Burke County,NC
Dear Ms.Potter,
In accordance with the application submitted on your behalf by Matthew Smith on August 27,2015,we
are forwarding well construction permit WM0100378 dated August 31,2015,The permit is for the ! -
construction of one monitoring well on property owned by Johnny Shull as described in the application j
and the attached permit.
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.This form shall be submitted to the Division of
Water Resources upon completion of the well 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: ARO/file
cc: James Gamertsfelder, Shield Engineering
Matthew Smith, Shield Engineering
a
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2090 U.S.Hwy.70,North Carolina 28778 3
Phone:[phone]\Internet:www.ncdencgav
AO Equal OppotluniplAffirmative Aeilon Employer—Metle In part by recycletl paper � —

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
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 one well owned by Petroleum
World hie.,P.O.Box 341,Mooresboro,NC 28114.The well will be located on property owned by Johnny Shull
located in Burke County(PIN#2723363351).This Permit is issued in accordance with the application received on j
August 27,2015,in conformity with specifications and supporting data,all of which are filed with the Department
of Environment and Natural Resources and are considered integral parts of this Permit. . j
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 North Carolina j
Well Construction Regulations and Standards (15A NCAC 02C .0100), and other State and Local Laws and
regulations pertaining to well construction.
If any requirements or limitations specified in this Permit are unacceptable, you have a right to an adjudicatory
hearing upon written request within30 days of receipt of this Permit. The request most be in the form of a written
petition conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of r
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 subject to 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. Thewell(s)shall be located and constructed as shown on the attachments submitted as pan of the
Permit application. -
3. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C - -
.0108(0)where applicable. I
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 within30 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 mandonmerit 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 3 tat day of August,2015 j
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION !.
Landon Davidson,Regional Supervisor
Water Quality Regional Operations Section
By Authority of the Environmental Management Commission
Permit No.# WM0100378 i