WM0100389_Permit (Issuance)_20160722

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DONALD R. VAN DER VAART
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Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL OpALITY
Director
July 22,2016
Speedway,LLC
Attn: Keith Hughes
500 Speedway Drive
Enon, OH 45323
Re: Well Construction Permit WM0100399
PH Realty Property
Property PIN: 2759476423
Caldwell County
Dear Mr.Hughes,
In accordance with the application submitted on your behalf by Ethan Caldwell on July 18,2016,we are
forwarding well construction permit WM0100389 dated July 22,2016.The permit is for the construction
of two monitoring wells on PB Realty 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.The form shall be submitted to the Department 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
Ethan Caldwell,Mid-Atlantic Associates,Inc.(via email)
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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
Speedway,LLC
FOR THE CONSTRUCTION OF A MONITORING WELL SYSTEM consisting of two wells owned by
Speedway,LLC,500 Speedway Drive,Enon,OH 45323. The wells will be located on property owned by PB Realty
(PIN#2759476423).This Permit is issued in accordance with the application received on July 18,2016, in -
conformity with specifications and supporting data,all of which we filed with the Department of Environmental
Quality and ace 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 aright 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 fatal 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 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 22nd day of July,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. 4 WM0100389