wm0100271_Permit (Issuance)_20110811

AT4
NC6 R
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H.Sullins Dee Freeman
Governor Director Secretary
August 11, 2011
Steve Williams
WILCOHESS, LLC
5446 University Parkway
Winston-Salem, North Carolina 27105
Subject: Well Construction Permit No. WM0100271
PB Realty
0 Hibriten Drive, Lenoir, NC
Caldwell County, North Carolina
Dear Mr. Williams,
In accordance with the application submitted on your behalf by Mid-Atlantic Associates, Inc. and received
on August 11, 2011 we are forwarding herewith Well Construction Permit numbered WM0100271 dated
August 11, 2011 issued for the construction of two monitoring wells as described in the application and
attached permit. This monitoring well will be drilled on property owned by PB Realty (NCPIN #
2759476423).
This permit will be effective from the date of issuance and shall be subject to the conditions and
Limitations as specified therein. A well Construction Record (GW-1 a) shall be completed and signed by the
certified drilling contractor. This form shall be submitted to the Department upon completion of the well.
Please note the attached permit conditions.
Sincerely,
G. Landon Davidson, L.G.
Aquifer Protection Section Regional Supervisor
Asheville Regional Office
ec: Raymond S. Marchant III (Mid-Atlantic Associates, Inc.)
North Carolina Division of Water Quality—Asheville Regional Office One
2090 U.S.Highway 70, Swannanoa,N.C. 28778 Phone[phone] FAX [phone] NOfthCarolina
Customer Service 1-877-623-6748 Internet: h2o.enr.state.nc.us Naturally
An Equal OPPOrtmilty/Afrmative Action F,mploycr

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY—AQUIFER PROTECTION SECTION
PERMIT FOR THE CONSTRUCTION OF A 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
WilcoHess, LLC
FOR THE CONSTRUCTION OF A MONITORING WELL SYSTEM consisting of TWO well(s)owned by WilcoHess,LLC
located at 5446 University Parkway, in Winston-Salem,NC. The wells will be located on the property owned by RB Realty
located at 0 Hibriten Drive,in Lenoir,NC in Caldwell County(NC PIN No.2759476423). This Permit is issued in accordance
with the application received on August 8,2011 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.
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 (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 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 obligate reimbursement from State trust funds, if these wells are being
installed as part of an investigation for contamination from an underground storage tank or dry cleaner
1 incident.
2. Issuance of this Permit does not supersede any other agreement, permit, or requirement issued by another
agency.
3. The well(s) shall be located and constructed as shown on the attachments submitted as part of the Permit
application.
4. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C .0108(o).
5. Well construction records (GW-1) for each well shall be submitted to the Division of Water Quality's
Information Processing Unit within 30 days of the well completion.
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 Quality's Information
Processing Unit within 30 days of the well abandonment.
Permit issued the 11's day of August,2011
FOR THE NORTH CAROLINA ENV RONMEN AL MANAGEMENT COMMISSION
Landon Davidson,Regional Supervisor
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. #WM0100271
Revised July 2011