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Home My WebLink AboutWM0501432_Application_20210409NORTH 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. March 16, 2021 2. County: Wake FOR OFFICE USE ONLY PERMIT NO. ISSUED DATE 3 What type of well are you applying for? (monitoring or recovery): 4. Applicant: Marchell Adams -David, City of Raleigh Applicant's Mailing Address: PO Box 590, Raleigh, NC 27602 monitoring Telephone: 919-996-3070 Applicant's Email Address (if available): 5. Contact Person (if different than Applicant): Nora Zirps, ESP Associates, Inc. Telephone: 336-420-6979 Contact Person's Mailing Address: 7011 Albert Pick Rd., Suite E, Greensboro, NC 27409 Contact Person's Email Address (if available): nzirps(cr�espassociates.com 6. Property Owner (if different than Applicant): David Tim Clancy, 3119 Associates, LLC Telephone: 919-834-3601 Property Owner's Mailing Address: 516 W. Cabarrus St., Raleigh, NC 27603-1912 Property Owner's Email Address (if available): 7. Property Physical Address (Including PIN Number) 600 W. Cabarrus St. (PIN 1703475257) City Raleigh County Wake Zip Code 27603 8. Reason for Well(s): design -phase 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: roadway (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). Raleigh Manufactured Gas Plant (MGP) Brownfields Property — Brownfields Project # 13022-09-092 11. Type of contaminants being monitored or recovered: organics & metals (ex: organics, nutrients, heavy metals, etc.) 12. Are there any existing wells associated with the proposed well(s)? If yes, how many? no Existing Monitoring or Recovery Well Construction Permit No(s).: N/A — Note: Locations of existing monitoring wells on Raleigh MGP property NOT associated with the proposed well are depicted on attached map 13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): 0 ft—proposed well is on Raleigh MGP Brownfields property 14. Are there any water supply wells located less than 500 feet from the proposed well(s)? no If yes, give distance(s): 15. Well Contractor: Froehlinq & Robertson, Inc. Certification No.: 4246 (subject to change) Well Contractor Address. 310 Hubert Street Raleigh NC 27603 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: 1 3. Number of wells to be constructed in bedrock: 0 5. How will the well(s) be secured? Locking cap 6. Estimated beginning construction date: 4/5/2021 4. Total Number of wells to be constructed: 1 7. Estimated construction completion date: 4/16/2021 (add answers from 2 and 3) ADDITIONAL INFORMATION 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, Su • • • - 3ter 2 accepts full responsibility fo -compliance with these rules CA e( Signature of Applicant •r gent nleAMattst�a Printed name of Applicant or *Agent Title of A plicant or •A • If signing as Agent, attach authorization agreement stating that you have the authority to act as the Agent. If the properly is owned by someone other than the applicant, the property owner hereby consents to allow the applicant to construct wells as.outlined in this ell Construction Permit application and that it shall be the responsibility of the applicant to ensure that the Wells) confor�• Well Construction Standards (Title 15A of the North Carolina Administrative Code, Subchapter 2C). Tow . GAG Sigture of rope' •i ner (if di i - - nt than Applicant) Printed name of Property Owner4ff 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: (828) 296-4500 Fax: (828) 299-7043 Fayetteville Regional Office 225 Green Street, Suite 714 Fayetteville, NC 28301-5094 Phone: (910) 433-3300 Fax: (910) 486-0707 Mooresville Regional Office 610 East Center Avenue Mooresville, NC 28115 Phone: (704) 663-1699 Fax: (704) 663-6040 Raleigh Regional Office 3800 Barrett Drive Raleigh, NC 27609 Phone: (919) 791-4200 Fax: (919) 571-4718 Washington Regional Office 943 Washington Square Mall Washington, NC 27889 Phone: (252) 946-6481 Fax: (252) 975-3716 Wilmington Regional Office 127 Cardinal Drive Extension Wilmington, NC 28405 Phone: (910) 796-7215 Fax: (910) 350-2004 Winston-Salem Regional Office 450 W. Hanes Mill Road Suite 300 Winston-Salem, NC 27105 6-9800 797 GW-22MR Rev. 3-1-2016 LL��.... r mum arftIllA% LIM .2111111Za :}721111111iligiir F141.1"-- ' .4111 All locations are approximate. 0 220 440 W Feet DATE 9/11/2020 SHEET TITLE PROJECT PROJECT NO. SCALE HVO9. 600 As Shown DRAWN BY AM CHECKED BY NZ FIGURE 1 TOPOGRAPHIC SITE LOCATION MAP WEST STREET EXTENSION - SOUTH PROJECT SITE RALEIGH, NORTH CAROLINA +ESP ESP Associates, Inc. P.O. Box 7030 Charlotte, NC 28241 phone 803.802.2440 www.espassociates.com 1703285693 3375997 1703377957 1703377911 33757 e 1703377648 1703377518 i 1703376583 1703376487 1703376452 1703376356 1703376341 1703376245 1703376241 1703376147 1703376141 1703376045 1 1703483022 1703285693 1703379838 J 1703470813 033786 1 033786 7033796 1703378553 1703378455 1703378430 1703378324 1703378218 1703378201 1703377195 1703377087 W Cabarrus St 1703368830 1703471757 1703470735 170347272 034726 1703470664 1703470579 1703472505 1703470573 1703470477 1703470451 1703471498 034713 1703470336 1703472301 1703470229 1703470214 1703470107 1703379161 47013 034721 1703471260 34701 0347114 1703461995 1703461910 1703461844 1703473624 1703 W Cabarrus St 34639 7034638 5 346 170 Union Am Station Rak- F1 h 1703476921 1703475658 1703475257 0346582 1703488053 W Martin St 1703478972 3478884 1 03479712 17034795 1703478424 1703479338 WSE-MW-5 1703466858 1703477144 70347817 W Cabarrus St 1703581210 1703570 1 035717 ' 1 035716 117035 0622 1 0357167 1703570692 I 1703583092 1 03573807 171035738#8 1703573758 1703573608 03573507 17035715 6 17035 '424 1703570356 1703570284 1703570190 17035 1703561827 1703573217 035720 1 035720:5 17035629 170357369 1703584097 W Martin St 1703575747 1703574579 17035735891 17035755116 W Davie St 1703563954 0 1703563874 17f71-1-, 4 /91 \ 70357' 1703586034 7035768: 70357665 1703576515 35753 70357634 0357633 1703575293 17t35788 17035786, 170357832. 170357824, 1703575147 170357811. 1703575056 1703576140 170357409 W Cabarrus St 1703564778 1703576047 1703576014 1703565859 17noccc77n 703578036 1703569731 All locations are approximate. x 0 60 120 a E Feet (ol : PROJECT NO. HVO9.600 SHEET TITLE FIGURE 2 TAX PARCEL ID MAP ESP Associates, Inc. P.O. Box 7030 Charlotte, NC 28241 phone 803.802.2440 www.espassociates.com SCALE As Shown aESP DRAWN BY AM PROJECT WEST STREET EXTENSION - SOUTH PROJECT SITE RALEIGH, NORTH CAROLINA DATE 9/11/2020 CHECKED BY CW LOCATIONS OF EXISTING MONITORING WELLS u res_6.12.20.dwg, FIG 2, 6/ Projects \SCANA\SCA.008- Raleigh Long Term Monit W. J. HINES S. INEZ RR HINES\`/ \+, EXISTING TRC-9I dN. �A�� BUILDING /(289.06)� N. GRAVEL �\ lie 48" D.I.P. " SQUARE DILVERT \ N+ GRAVEL RY CK/ DING EDGE OF GRAVEL TRC-2DR (277.31) TRC-2SR (273.60) TRC-4 EDGE OF �- PAVEMENTN A 2 RIPRAP -6D RIPRA I I TRC-4D (277.29) / oORMER TRC-4 MLAL/BRICK (2 8.83) GARAGE co cow-- WEST CABARRUS STREET CONCFTd:F. V 1I 15" RCP 288 TMW-3 CTMW-1 TMW-2D TMW-4 TRC-7 M W - 1 GRAVEL TRC-5R (288.51) CTMW-7 N V A TRC-12 (269.96) N * TMW-9+ CTMW-10 CTMW-8 :rsr'� \ +N • \ + • • TRC-5 - x—x = x_ CTMW-6 CLANCY PROPERTIES, LLC • \• CTMW-5 WEST STREET 282 LEGEND SHALLOW MONITORING WELL INTERMEDIATE MONITORING WELL MONITORING WELL ASSOCIATED WITH AN ADJACENT PROPERTY ABANDONED MONITORING WELL — - — PROPERTY LINE SHALLOW GROUNDWATER POTENTIOMETRIC CONTOURS (287.76) GROUNDWATER ELEVATION (FT) INFERRED GROUNDWATER FLOW DIRECTION NOTES: 1. MONITORING WELLS GAUGED ON 5/14/20. 2. TRC-2DR AND TRC-4D NOT USED IN CONTOURING. 0 APPROXIMATE 80 160 SCALE IN FEET SURFICIAL AQUIFER POTENTIOMETRIC MAP (MAY 2020) PROJECT FORMER RALEIGH #2 MGP SITE RALEIGH, NORTH CAROLINA hart hickman SMARTER ENVIRONMENTAL SOLUTIONS 3921 Sunset Ridge Road, Suite 301 Raleigh, North Carolina 27607 919-847-4241(p) 919-847-4261(1 License # C-1269 / #C-245 Geology DATE: 6-12-20 REVISION NO. 0 JOB NO: SCA.008 FIGURE NO. 2 FLUSH MOUNT COVER AND CONCRETE PAD CAP WITH LOCK GROUND SURFACE GROUT • •• <0 5' BENTONITE SEAL 8" DIAMETER BOREHOLE 10' WELL SCREEN 2" I.D. PVC 0.010" Slot SAND FILTER BOTTOM OF BOREHOLE 19' 22' 25' 10' 35' PROJECT NO SCALE NTS DATE 1/27/2021 SHEET TITLE WELL # WSE-MW-5 PERMANENT MONITORING WELL DIAGRAM DRAW BY WB CHECKED BY NZ PROJECT WEST STREET EXTENSION PROJECT RALEIGH, NORTH CAROLINA +ESP ESP Associates P \ P 0 Bex 7030 (.11. NC 2.024 3475 Lak,31o, BI,I. Fort Mill, SC 29708 704-203-4949 UNC) 803-802-2440 (SG