WM0100483_Monitoring Well Construction Application_20210216

FOR OFFICE USE ONLY

PERMIT NO. ISSUED DATE
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

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.

1. Date: February 16, 2021

2. County: Buncombe

3. What type of well are you applying for? (monitoring or recovery): Monitoring

4. Applicant: Bon Ton Cleaners & Laundry (Petitioner for DSCA Site #110011) Telephone: [phone]

Applicant’s Mailing Address: DSCA Program, Mail Service Center 1646, Raleigh, NC 27669-1646

Applicant’s Email Address (if available): [e-mail]

5. Contact Person (if different than Applicant): Al Quarles Telephone: [phone]

Contact Person’s Mailing Address: 7606 Whitehall Executive Center Drive, Suite 800, Charlotte NC 28273

Contact Person’s Email Address (if available): [e-mail]

6. Property Owner (if different than Applicant): Reevan Enterprise, LLC Telephone: [phone]

Property Owner’s Mailing Address: 615 Swannanoa River Road, Asheville, NC 28805
Property Owner’s Email Address (if available):

7. Property Physical Address (Including PIN Number) 650 Haywood Road (PIN: 963824640200000)
City Asheville County Buncombe Zip Code 28806

8. Reason for Well(s): Assessment
(ex: non-discharge permit requirements, suspected contamination, assessment, groundwater contamination, remediation, etc.)

9. Type of facility or site for which the well(s) is(are) needed: Drycleaner
(ex: non-discharge facility, waste disposal site, landfill, UST, etc.)

10. Are there any current water quality permits or incidents associated with this facility or site? If so, list permit and/or incident no(s).

DSCA Site ID DC110011

11. Type of contaminants being monitored or recovered: Chlorinated Solvents
(ex: organics, nutrients, heavy metals, etc.)

12. Are there any existing wells associated with the proposed well(s)? If yes, how many? Yes, 5

Existing Monitoring or Recovery Well Construction Permit No(s).: NC WM9199439, WM0100431

13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): 50 feet

14. Are there any water supply wells located less than 500 feet from the proposed well(s)? None Identified

If yes, give distance(s):

15. Well Contractor: Geologic Exploration Certification No.: 2580

Well Contractor Address: 176 Commerce Boulevard, Statesville, NC 28625

PROPOSED WELL CONSTRUCTION INFORMATION

1. 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
material: None

3. Number of wells to be constructed in bedrock: 1

4. Total Number of wells to be constructed: 1
(add answers from 2 and 3)
5. How will the well(s) be secured?
Bolt-down 8” manhole, encased in a 2x2 concrete pad.

6. Estimated beginning construction date: 3/1/2021

7. Estimated construction completion date: 3/3/2021

ADDITIONAL INFORMATION

1. 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 identified 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. 143-215.10B(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 well(s) will 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,
Subchapter 2C) and accepts full responsibility for compliance with these rules

Project Manager (ATC Associates of North Carolina, P.C.)
Signature of Applicant or *Agent Title of Applicant or *Agent

Al Quarles, on behalf of DSCA Petitioner for Site DC110011 * If signing as Agent, attach authorization agreement stating
Printed name of Applicant or *Agent 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
well(s) conform to the Well Construction Standards (Title 15A of the North Carolina Administrative Code, Subchapter 2C).

See Property Access Consent signed 1/27/2021 Reevan Enterprise, LLC (Imran Alam)
Signature of Property Owner (if different than Applicant) Printed name of Property Owner (if different than Applicant)

DIRECTIONS

Please send the completed application to the appropriate Division of Water Resources’ Regional Office:

Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
Phone: [phone]
Fax: [phone]

Fayetteville Regional Office
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]
Fax: [phone]

Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]

Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Phone: [phone]
Fax: [phone]

Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, NC 27105
Phone: [phone]
Fax: [phone]
GW -22MR Rev. 3-1-2016
GW -22M (Rev. 5/11)
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Bunco mbe Cou n ty
Feb rua ry 16, 2021
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1:2,257

TYPICAL TYPE III MONITORING WELL CONSTRUCTION DETAILS
FLUSH GRADE MANHOLE
CROSS SECTIONAL VIEW
NOT TO SCALE
LOCKABLE WELL CAP
PROTECTIVE CASING AND CONCRETE PAD
L1 CASING MATERIAL steel
CASING DIAMETER 8 inches
CASING LENGTH 12 inches
PAD DIMENSIONS 2 feet x 2 feet
HEIGHT ABOVE GROUND flush mounted
WELL CASING
MATERIAL sch 40 PVC
DIAMETER 2 inches
JOINT TYPE flush threaded
LENGTH 56 feet
L2 BACKFILL AROUND CASING
MATERIAL cement-sand grout
THICKNESS 52 feet
OUTER WELL CASING
MATERIAL sch 40 PVC
DIAMETER 6 inches
L4 JOINT TYPE flush threaded
LENGTH 46 feet
SEAL
TYPE OF SEAL bentonite
THICKNESS 2 feet
FILTER PACK
TYPE OF FILTER #2 silica sand
L3 DISTANCE ABOVE SCREEN 2 feet
WELL SCREEN
SCREEN MATERIAL sch 40 PVC
DIAMETER 2 inches
LENGTH 5 feet
SLOT SIZE 0.010 inches
DEPTH TO BOTTOM OF
MONITORING WELL 61.0 feet
L1 =0.5 FT.DEPTH TO BOTTOM OF
L2 =46 FT.BOREHOLE 61.0 feet
L3 =16 FT.
L4 =61 FT.DIAMETER OF BOREHOLE 8.25 inches
TITLE Permanent Monitoring Well Diagram
FILE PREP. BY REV. BY DATE PROJECT NO.
SS 2/5/2021 DC11001101
Bon Ton Cleaners and Laundry 7606 Whitehall Executive Center Drive
650 Haywood Road Charlotte, North Carolina 28273
Asheville, NC

APPENDIX A
ACCESS AGREEMENT
(Petitioner is NOT the Property Owner)

County: Buncombe
DSCA Site ID No. DC110011

Name of Property Owner typed or printed: Reevan Enterprise, LLC.

WHEREAS, __Reevan Enterprise, LLC________________(hereinafter: Property Owner)
is the owner of a parcel of property located at 650 Haywood Rd. in Asheville in Buncombe
County, North Carolina (Property); and

WHEREAS, Glen A Lockhart, et al. (Petitioner) has petitioned to the North Carolina
Department of Environmental Quality, Division of Waste Management (Division) for
certification of the Property into the Dry -Cleaning Solvent Cleanup Act Program
(Program) pursuant to the Dry-Cleaning Solvent Cleanup Act of 1997 as amended, Part
6, Article 21A, Chapter 143, N.C.G.S. § 143 -215.104A et seq. (DSCA); and

WHEREAS, the Petitioner has entered into an Agreement for Assessment and
Remediation (ARA) with the Division concerning the Dry -Cleaning Solvent contaminati on
on the Property; and

WHEREAS, the implementation of the ARA will require that the Division and its
independent contractors (contractors) have free and unencumbered access to the
Property for the purposes of investigating, assessing and remediating Dry -Cleaning
Solvent contamination on and around the Property; and

WHEREAS, the parties to this Access Agreement are the Division and Property Owner;

NOW THEREFORE, in consideration of the terms and conditions contained in this Access
Agreement, and for other good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged, the parties hereto agree as follows:

1. Grant of License and Permission. Property Owner hereby grants (a) to the Division
a license to access the Property to monitor and enforce the ARA and (b) to the
Division’s contractor(s) a license to access the Property to undertake all work to be
performed at the Property, including, but not limited to, the following purposes:

a. Inspecting, sketching and photographing the Property;

b. Taking such soil, water and air samples as may be necessary;

c. Taking other actions relat ed to the investigation of surface or subsurface
conditions, such as installation of monitoring wells or excavation of
impacted soil;

d. Transportation of equipment onto and around the Property as necessary to
accomplish the investigation;

e. Taking response actions necessary to mitigate any threat to human health
and the environment;

f. Remediating dry-cleaning solvent contamination at the Property as needed;
and

g. Undertaking such other activities as necessary to complete the work to be
performed as required or permitted under the ARA.

2. Conditions Precedent. The licenses created in Paragraph 1 shall take effect upon the
certification of the Property into the Program and shall remain in effect, unless
otherwise terminated pursuant to Paragraph 12 below so long as the Property remains
certified under the Progr am.

3. Observation. Upon the Property Owner’s reasonable notice and request, the Property
Owner and its consultants shall have the right to observe any activities performed by
or on behalf of the Division at the Property. Upon the Property Owner’s reasona ble
notice and request, the Division or its contractors shall allow the Property Owner to
split samples of any environmental samples obtained on behalf of the Division. All
costs associated with obtaining and analyzing the split samples shall be borne sol ely
by the Property Owner.

4. Interference. The Division and its contractors shall endeavor to perform any activities
authorized hereunder at the Property in a manner that minimizes interference with the
use of the Property. The Division and its contractors will make reasonable attempts
to notify the Property Owner at least 48 hours prior to entering the Property for the
purposes stated in Paragraph 1.

5. Insurance. The Division’s contractors have agreed to maintain the insurances as
defined in their agreement with the Division, provided however, that the Division shall
have no liability for its contractor's failure to maintain such insurance.

6. Site Repair. The Division or its contractors shall remove and shall have the right to
remove from the Property all equipment and other materials belonging to the Division
or its contractors within a reasonable period of time after the completion of the
activities at the Property authorized hereunder. To the extent practicable, the
Division’s contractors shall restore the Property to the original condition it was in prior
to any activities authorized hereunder at the Property, and except as otherwise agreed

to by the parties, shall properly abandon any monitoring wells in accordance with any
applicable laws and regulations.

7. Protection of Wells and Equipment. The Property Owner shall not damage, remove,
pave over or cover any monitoring or remediation wells on the property. The Property
Owner also shall not tamper with or affect the operation of assessment or remedi ation
equipment installed on the property by the Division’s contractors.

8. Notice. Any notices, reports, or other communications required or permitted under
this Access Agreement shall be addressed to the representative for each party as set
forth below:

To Property Owner:

Reevan Enterprise, LLC
Attn: Imran Alam
615 Swannanoa River Rd.
Asheville, NC 28805

To the Division:

North Carolina Division of Waste Management -DSCA Program
Attn: Mike Cunningham
1646 Mail Service Center
Raleigh, North Carolina 27699-1646

9. Limitations. All obligations of the Division pursuant to this Access Agreement shall be
contingent upon the availability of moneys in the North Carolina Dry -Cleaning Solvent
Act Fund.

10. Governing Law. This Access Agreement shall be governed by and construed in
accordance with the laws of the State of North Carolina, without reference to choice
of law principles.

11. Integration Clause. This Access Agreement represents the entire understanding and
agreement between the parties hereto and supersedes any and all prior agreements,
whether written or oral, that may exist between the parties regarding same. No
amendment or modification to this Access Agreement or any waiver of any provisions
hereof shall be effective unless in writing and signed by both parties.

12. Termination. The licenses created in Paragraph 1 may be terminated upon delivery
of reasonable written notice to the Division, which termination shall be effective upon
receipt of such notice. However , such termination will also terminate the ARA and
cause the forfeiture of liability protection under the DSCA. If no such notice is served
and subject to provisions of Paragraph 2 above, the licenses created herein shall
remain in effect until such time as all work or activities under the Program have been
completed at the Property. The right and obligation set out in the first sentence of
Paragraph 6 shall survive the termination of this license.
13. Modification. This Access Agreement may not be amended except in writing by the
parties to this Access Agreement.
The parties each represent and warrant that this Access Agreement is executed by their
duly authorized representatives as of the date accepted and agreed upon below.
Accepted and agreed, this °* day of , 20 a f .
(Signatui e of Property Owner)
(Signature for the Division)