WM0100390_Permit (Issuance)_20160819

PAT RY
Gover or
DONALD R. VAN DER ER VA VAART
Seore(ary
WoterResources
ENVIRONMENTAL QUALITYS. SAY ZIMMERMAN
Director
August 19,2016
Deborah L.Potter
Petroleum World,Inc.
P.O.Box 341
Mooresboro,NC 28114
Re: Well Construction Permit: WM0100390
Morganton Express 66
Property PIN: 2703297362
Burke County,NC
Dear Ms. Potter,
In accordance with the application submitted on your behalf by Matthew Smith on August 17,2016,we
are forwarding well construction permit WM0100390 dated August 19,2016.The permit is for the --
construction of two monitoring wells on property owned by Sardar Mahmood and Tahera Shah-Khan as
described in the application 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 each 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
Matthew Smith, Shield Engineering(via email)
Slate oFNOM Caroline I Envvonll,enlal Quality)Walereesomces
2090 Us Hwy 70 1 8wemiv,oa,N.M C-1-28778
828 296 4500

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,Mooresboro,NC 28114. The wells will be located on property owned by Sardar
Mahmood and Tahera Shah-Khan located in Burke County(PIN#2703297362).This Permit is issued in accordance
with the application received on August 17,2016, in conformity with specifications and supporting data,all of
which are filed with the Department of Environmental Quality and are 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 North Carolina
Well Construction Regulations and Standards USA 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 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 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. The well(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.
4. The monitoring well shall be maintained in accordance with 15A NCAC 02C.0108.
5. A Well Construction Record (GW-l) 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 19th day of August,2016
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. #WM0100390