WR0100048_Final Permit_20120607

AWA
NCDERk •
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E. Dee Freeman
Governor Director Secretary
June 07, 2012
Petroleum World, Inc.
Attn: Debbie Potter
P.O. Box 341
Mooresboro, NC 28114
Subject: Well Construction Permits WR0100048; WM0100294
Groundwater Incident# 28866
Brian Epley Property
4982 US Hwy 64, Union Mills, Rutherford County, North Carolina
PIN#: 1644006576380000
Dear Ms. Potter,
In accordance with the application submitted on your behalf by James Gamerstfelder on June 5, 2012 and
additional information submitted on June 7, 2012, we are forwarding herewith Well Construction Permits
numbered WR0100048 and WM0100294 dated June 7, 2012, issued for the construction of one recovery well
and one monitoring well as described in the application and attached permit. These wells will be drilled
on property owned by Brian Epley (PIN# 1644006576380000).
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,
C�
G. Landon Davidson, L.G.
Aquifer Protection Section Regional Supervisor
Asheville Regional Office
cc: ARO/file
ec: James Gamertsfelder
North Carolina Division of Water Quality —Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, N.C. 28778
Customer Service 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer
Phone [phone] FAX [phone]
Internet: h2o.enr.state.nc.us
NonrthCarolina
attire

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY — AQUIFER PROTECTION SECTION
PERMIT FOR THE CONSTRUCTION OF RECOVERY 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
Petrolium World, Inc.
FOR THE CONSTRUCTION OF ONE RECOVERY WELL SYSTEM consisting of one well owned by Petroleum
World Inc., P.O. Box 341, Mooresboro, NC 28114. This well will be located on property owned by Brian Epley, located
on US Highway 64, Union Mills, NC in Rutherford County (PIN # 1644006576380000). This Permit is issued in
accordance with the application received on June 5, 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:
1. 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/ recovery.
6. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C .0108(o).
7. The recovery 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 7th day of June, 2012
FOR THE NORTH CAROLINA E RONMENTALMANAGEMENT COMMISSION
Landon Davidson, Regional Supervisor
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. # WR0100048
Revised July 2011

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
Petrolium World, Inc.
FOR THE CONSTRUCTION OF ONE MONITORING WELL SYSTEM consisting of one well owned by Petroleum
World Inc., P.O. Box 341, Mooresboro, NC 28114. This well will be located on property owned by Brian Epley, located
on US Highway 64, Union Mills, NC in Rutherford County (PIN # 1644006576380000). This Permit is issued in
accordance with the application received on June 5, 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:
1. 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-3 0) 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 7th day of June, 2012
FOR THE NORTH CAROLINA E WONMENTAL MANAGEMENT COMMISSION
Landon Davidson, Regional Supervisor
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. # WM0100294
Revised July 2011