WM0100285_Permit (Issuance)_20120202

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild,P.E. Dee Freeman
Governor Director Secretary
February 3, 2012
Cary Oil Company
PO Box 5189
Cary, North Carolina 27512
Subject: Well Construction Permit WM0100285
Cajah's Mountain Superette
Connelly Springs Road, Lenoir, NC
NCPIN#: 2746890106
Caldwell County, North Carolina
Dear Madam or Sir,
In accordance with the application submitted on your behalf by ATC Associates Inc. on January 12, 2012
and additional information received on February 3rd, 2012 we are forwarding herewith Well Construction
Permit numbered WM0100285, dated February 03, 2012 issued for the construction of two monitoring wells
as described in the application and attached permits. These monitoring wells will be drilled on property
owned by EZ Pay Financial Group, LLC, C/O Steve Hamby (NCPIN 2746890106).
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 b) shall be completed and signed by the
certified drilling contractor for each well. These forms shall be submitted to the Department upon
{ completion of each well. Please note the attached permit conditions.
Sincerely,
G. Landon Davidson, L.G.
Aquifer Protection Section Regional Supervisor
Asheville Regional Office
i
North Carolina Division of Water Quality—Asheville Regional Office One
2090 U.S.Highway 70, Swannanoa,N.C. 28778 Phone[phone] FAX [phone] NOrthCa.rolina
Customer Service 1-877.623-6748 Internet: h2o.enr.state.nc.us NatffroAY
An Equal OpporountyfAltinnative Action Employer

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY—AQUIFER PROTECTION SECTION
PERMIT FOR THE CONSTRUCTION OF MONITORING WELL(S)
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
Cary Oil Company
FOR THE CONSTRUCTION OF A MONITORING WELL SYSTEM consisting of two wells owned by Cary Oil Company,
PO Box 5189,Cary,NC 27512. The wells will be located on the property owned by EZ Pay Financial Group,LLC located on
Connelly Springs Road Lenoir,NC in Caldwell County(NCPIN#2746890106). This Permit is issued in accordance with the
application received on January 12, 2012 and additional information received on February 3, 2012 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:
I. 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. You are required to provide a copy of this permit to the property owner(s).
5. You are required to provide notification to the property owner upon well completion and upon termination of
monitoring.
6. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C .0108(o).
7. The monitoring well shall be maintained in accordance with 15A NCAC 2C .0108.
8. 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.
9. 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 and the property owner within 30 days of the well abandonment.
Permit issued the 3`d day of February, 2012
FOR THE NORTH CAROLIN -ENk-IRONMENTAL MANAGEMENT COMMISSION
"A
Landon Davidson, Regional Supervisor
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. #WM0100285
Revised July 2011