WM0701236_Application_20201030

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
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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.
Date: October 16, 2020
County: Wayne
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE
What type of well are you applying for? (monitoring or recovery): Monitoring Wells
Applicant: Mount Olive Pickle Company Telephone: [phone]
Applicant's Mailing Address: 1 Cucumber Boulevard, Mt. Olive, NC 28365
Applicant's Email Address (if available): Iwaller cr.mtolivepickles.com
Contact Person (if different than Applicant): Kevin Clay Telephone: [phone]
Contact Person's Mailing Address: Mid -Atlantic Associates, Inc., 409 Rogers View Ct., Raleigh, NC 27610
Contact Person's Email Address (if available): kclay(@maaonline.com
Property Owner (if different than Applicant): Town of Mount Olive Telephone: [phone] ex. 108
Property Owner's Mailing Address: P.O Box 939, Mount Olive, NC 28365
Property Owner's Email Address (if available): i royall(a)townofmountolivenc.com
Property Physical Address (Including PIN Number) Town Right of Way/Property — See List
Reason for Well(s): Assessment
(ex: non -discharge permit requirements, suspected contamination, assessment, groundwater contamination, remediation, etc.)
Type of facility or site for which the well(s) is(are) needed: Non -Discharge Facility
(ex: non -discharge facility, waste disposal site, landfill, UST, etc.)
Are there any current water quality permits or incidents associated with this facility or site? If so, list permit and/or incident no(s).
NPDES Permit NC0001074
Type of contaminants being monitored or recovered: Nutrients
(ex: organics, nutrients, heavy metals, etc.)
Are there any existing wells associated with the proposed well(s)? If yes, how many? 20
Existing Monitoring or Recovery Well Construction Permit No(s).: WM0701159, WM 0701160, WM0701221
Distance from proposed well(s) to nearest known waste or pollution source (in feet): Approximately 900 to 1,500 Feet
Are there any water supply wells located less than 500 feet from the proposed well(s)? Yes
If yes, give distance(s): Active Irrigation Well (380' West)
15. Well Contractor: Geologic Exploration, Inc. Certification No.: 2580-A
Well Contractor Address: 176 Commerce Blvd, Charlotte, NC 28625
PROPOSED WELL CONSTRUCTION INFORMATION
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 5. How will the well(s) be secured?
material: 1 Expandable cap with lock
3. Number of wells to be constructed in bedrock: 1 6. Estimated beginning construction date: November 2020
4. Total Number of wells to be constructed: 2 7. Estimated construction completion date: November 2020
(add answers from 2 and 3)
ADDITIONAL INFORMATION
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 identifed 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. 143-215.106(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 wells) wilt 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,
�� ,''/ hapter 2C) and accepts full responsibility for compliance with these rules
S'+,C?.FF ! ;;0'+Tst
Signature of Applicant or *Agent Title of Applicant or *Agent
., an a trF 1
LlfV /) G lay NSF& e Al ape J ' ff signing as Agent, attach authorization agreement stating
Printed name of Applicant or *Agbnt 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
wellsconform to the Well Construction Standards (Title 15A of the North Carolina Administrative Code, Subchapter 2C).
wells)
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Signa of Property Ow (if different than Applicant) Printed name of Property'Owner (if different than Applicant)
DIRECTIONS
Please send the completed application ro the appropriate Division of Water Resources' Regional Office:
Asheville Regional Office Fax: [phone] Suite 300
2090 U.S. Highway 70 Winston-Salem, NC 27105
Swannanoa, NC 28778 Washington Regional Office Phone: [phone]
Phone: [phone] Washington Square Mall Fax: [phone]
Fax: [phone] Washington, NC 27889
Phone: [phone]
Fayetteville Regional Office Fax: [phone]
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]
Wilmington Regional Office
127 Cardinal Drive EMension
Wilmington, NC 28405
Phone: [phone]
Fax: [phone]
WinstonSalem Regional Office
450 W. Hanes Mill Road
GW-22MR Rev. 3-1-2016
(Rev. 5111)
GW-22M
GW-22MR (6/11)

LIST OF PROPOSED PERMANENT MONITORING WELLS FOR OCTOBER 2020 PERMIT APPLICATION
OFF -SITE ASSESSMENT OF CHLORIDE IN GROUNDWATER
MT. OLIVE PICKLE COMPANY, MT. OLIVE, NORTH CAROLINA
DIRECTION OF
PIN NO. OR PIN NO.
PERMANENT
MOPC, TOWN LAND
WELL FROM
ADDRESS OR CLOSEST
MONITORING
DEQ PERMIT
CLOSEST TO LOCATION
Anticipated Wellhead Type
OWNED PARCEL OR
FACILITY NEARBY
ADDRESS TO LOCATION
COMMENT
REQUIRED
IN TOWN RIGHT OF
(subject to change)
WELL ID
TOWN RIGHT-OF-WAY
STREET OR
(For Permit and NC 811)
WAY
FEATURES
E of intersection of
Mount Olive Pickle
Deep monitoring well (est. 100 ft below land
MW-20
NO
MOPC
2583-02-6210
0 TALTON AVENUE
Flushmount Vault
Rd and Talton
surface) at the Talton Truck Staging Area
Avenue
N of intersection of
Deep monitoring well (est. 100 ft below land
MW-21
NO
MOPC
W Park Avenue and
2583-04-4014
0 N CENTER STREET
Flushmount Vault
surface) on MOPC land south of the MOPC plant
NW Center St
N of the intersection
Shallow monitoring well (est. 15 feet below land
MW-22
YES
TOWN RIGHT-OF-WAY
of Dill Street and
2583-10-5557
0 HOLLOMAN STREET
surface) along Holloman Street) east of the MOPC
Flushmount Vault
Holloman Street
Plant
S of intersection of
Deep monitoring well (est. 100 ft below land
MW-23
YES
TOWN OWNED PARCEL
Westbrook St and
2582-09-1513
700 NW CENTER STREET
surface). Near well MW-17 and MW-17D in grassy
Flushmount Vault
NW Center St
area SW of the Rescue building
Notes:
"0" under Address column indicates no street number is assigned.
MOPC - Mt. Olive Pickle Company owned land

Mid Atlantic
Engineering & Environmental Solutions
DRAWN BY: KRC I DATE: OCTOBER 2020
PROPOSED WELL LOCATION MAP DRAFT CHECK
MT. OLIVE PICKLE COMPANY ENGINEER
GINEER CHECK
MOUNT OLIVE, NORTH CAROLINA BY:
APPROVED
BY:
JOB NO.: R2423.06
GIS NO.: 3G-R2423.08-1
DRAWING NO
11 REFERENCES: PROPERTY LINES, HYDROLOGY FROM WAYNE COUNTY. AERIAL IMAGERY FROM INC CGIA, 2017.

FLUSH MOUNT
WELL PROTECTOR
LAND SURFACE
LOCKABLE CAP
' •i
TOTAL DEPTH OF
WELL FROM TOC
DEPTH TO TOP OF
:;,�
LENGTH OF
BENTONrrE SEAL �_
r',
SOLID SECTION
DEPTH TO TOP OF
GRANULAR MATERIAL L C
a
THREADED CgUPLING
RISER
.4
SCREEN
J
LENGTH OF
SLOTTED SECTION
f O rj
t
CAP
GROUT
® BENTONITE
EIGRANULAR BACKFILL
Type.Q �„�- ��rd�oSC� BY:
�2G DATE: GG�- ZQ2lS
Atlantic � �� S��J�� DRAFT JOB N0:
•! CHECK:
Engineering &Environmental Solutions ENG
M 2'L CHECK: CAD NO:
REFERENCE: APPROVAL: jDWG NO:

TYPE III MONITORING WELL INSTALLATION RECORD
pr-c po ,.
JOB NAME l&-(9)%„P P�celP Grp JOB NUMBER
WELL NUMBER INSTALLATION DATE
LOCATION
GROUND SURFACE ELEVATION — REFERENCE POINT ELEVATION
SCREEN MATERIAL FV G SCREEN DIAMETER -z " n
RISER MATERIAL h' V G SLOT SIZE d= a 1 k A
OUTER CASING DIAMETER 0 �~'l _ RISER DIAMETER
DRILLING TECHNIQUE 440-/ 1tl u f DRILLING CONTRACTOR
LOCKABLE COVER
VENTED CAP
WELL PROTECTOR
_
STICKUP
I
6
.4
LENGTH OF
OUTER CASING
..
6
DEPTH TO TOP OF
LENGTH OF
SOLID SECTION
BENTONITE SEAL
<;
(INNER)
DEPTH TO TOP OF
.•:.�
`'
GRANULAR MATERIAL
�.
�•
.
.. p.
THREADED COUPLING
RISER
GROUT
LENGTH OF
® BENTONITE SCREEN
SLOTTED SECTION
5
GRANULAR BACKFILL
.
LENGTH OF TAIL
CAP
�"
-
PIPE71 I
t
MID —ATLANTIC ASSOCIATES, P.A.
THE ENVIRONMENTAL SOLUTIONS PEOPLE
GROUND SURFACE
TOTAL DEPTH
OF WELL
6 cf
STABILIZED WATER
LEVEL - FEET
BELOW TOP OF
INNER CASING
MEASURED ON
TYPE III MONITORING WELL
INSTALLATION RECORD